黄帝针经水胀篇云。石瘕何如。岐伯曰。石瘕生于胞中。寒气客于子门。子门闭塞。使气不通
。恶血当泻而不泄。 以留止。日久益大。状如怀子。月事不以时下。皆生于女子。可导而下之。
夫膀胱为津液之府。气化
则能出焉。今寒客于子门。则气必塞而不通。血壅而不流。 以留止。结硬如石。是名石瘕也。此
病先气病而后血病。故月事不来。则可宣导而下出者也。难经云。任之为病。其内苦结。男子生七
疝。女子为瘕聚。此之谓也。非大辛之剂不能已也。可服见 丸。
【见 丸】治寒气客于下焦。血气闭塞而成瘕聚。坚大久不消者。
附子（四钱炮。去皮脐） 鬼箭羽 紫石英（各三钱） 泽泻
肉桂 玄胡索 木香（各二钱） 槟榔（二钱半）
血竭（一钱半。另研） 水蛭（一钱。炒烟尽） 京三棱（五钱。锉） 桃仁（三十个。浸
去皮尖。麸炒研） 大黄（二钱。锉。用酒同三棱浸一宿焙）
上十三味。除血竭、桃仁外。同为末。入另研二味和匀。用元浸药酒打糊。丸如桐子大。每服
三十丸。淡醋汤送下。食前。温酒亦得。
【和血通经汤】 治妇人室女受寒。月事不来。恶血积结。坚硬如石。
当归 京三棱（炮。各五钱） 广术（炮。四钱） 木香
熟地黄 肉桂（各三钱） 红花 贯众
苏木（各二钱） 血竭（一钱。另研）
上十味。除血竭外。同为细末。和匀。每服三钱、热酒一盏调下。食前。忌生冷及当风大小便
。
【和血通经丸】 治妇人经水凝滞不行。腰背脐腹疼痛。渐成血瘕。
芍药（一两） 木香 当归 肉桂
干添（炒烟尽） 五灵脂 大黄（各半两） 水蛭（炒。二钱半）
广术（半两） 虻虫（三十个。去头足。麸炒） 桃仁（二十七个。浸去皮尖）
上为末。醋糊丸如桐子大。每服二十丸。醋汤送下。温酒亦得。食前。日进一服。
【木香 砂丸】治妇人 癖积聚。血块刺痛。脾胃虚寒。宿食不消。久不瘥者。
丁香 木香 砂（研） 干漆（炒烟尽）
细墨 大黄（锉炒） 附子（泡） 官桂 乳香（研） 广术 青皮 京三棱
没药（研） 巴豆霜（减半） 猪牙皂角 干姜（炮。各等分）
上十六味。除另研外。同为末。以好醋一升。化开 砂、去了渣。银石器内慢火熬。次下巴豆
霜大黄末。熬成膏。下前药末。丸如麻子大。每服三十丸。温酒送下。量虚实加减。大便利为度。
【血竭膏】治妇人干血气不可不用也。此药是妇人经水之仙药也。
大黄（一两）
上为末。用酽醋一升。熬成膏。丸如鸡头大。每服一丸。热酒化开。临卧温服。大便利一二行
后。红脉自下。
【一方】治经候闭塞不行。亦治干血气。
斑蝥（二十个。糯米炒） 桃仁（五十个。炒） 大黄（半两）
上为末。糊丸如桐子大。温酒下五丸。甚者十丸。空心温服。大便利一二行后。红脉自下。此
药是妇人经水之仙药。不可不用。一法加虻虫半钱。水蛭一钱。
【云薹散】治妇人室女血气刺痛不可忍者。
官桂 没药 云薹子 良姜（各等分）
上为末。每服二钱。乳香酒调下。热服无时。
The *Huangdi Zhenjing* (Yellow Emperor's Classic of Acupuncture), in the chapter "Shuizhang" (Water Swelling), states: "What is Shijia (Stone Leiomyoma)?" Qibo replied: "Shijia arises in the Baogong (Uterus). Cold pathogen lodges in the Zimen (Cervical Os), causing obstruction of the Zimen, which impedes the flow of Qi. Evil blood (Stagnant Blood) should be discharged but fails to do so, thus remaining and accumulating. Over time, the mass gradually enlarges, resembling pregnancy, and menstruation does not occur on schedule. This disease occurs exclusively in women and can be treated by guiding and purging methods."
The Bladder is the mansion where Body Fluids gather; it can discharge them only through Qi transformation. Now, since cold pathogen lodges in the Zimen, Qi must become obstructed and cease to flow smoothly, while Blood stagnates and fails to circulate, thus remaining and accumulating, condensing into a hardness like stone. This is named Shijia. This disease originates from Qi pathology first and subsequently develops into Blood pathology; therefore, when menstruation is absent, it can be expelled through promoting circulation and guiding methods. The *Nanjing* (Classic of Difficult Issues) states: "When the Ren Mai (Conception Vessel) suffers pathology, there is internal bitter knotting; men develop Seven Types of Hernia, while women develop Jiaju (Abdominal Masses). This refers to such cases." Only potent acrid-hot agents can cure this condition. One may take Jianyue Wan.
[Jianyue Pill] Treats cases where cold pathogen lodges in the Lower Jiao, causing Qi and Blood obstruction leading to Jiaju, characterized by hardness, large size, and persistence over a long period without resolution.
Fuzi (Prepared Aconite Root, 4 qian, processed, skin and umbilicus removed) Arisaematis Cum Bile (Gu Jianyu) Pyrope (Zishiyinqing, 3 qian each) Alisma Rhizome (Zexie)
Cinnamon Twig (Rougui) Corydalis Rhizome (Yanhusuo) Aucklandiae Radix (Muxiang, 2 qian each) Areca Seed (Binglang, 2.5 qian)
Dragon's Blood (Xuejie, 1.5 qian, separately ground) Leech (Shuizhi, 1 qian, stir-fried until smoke ceases) Bupleuri Radix (Jingsanleng, 5 qian, sliced) Peach Kernel (Taoren, 30 seeds, soaked, skin and tip removed, stir-fried with bran and ground) Rhubarb (Dahuang, 2 qian, sliced, soaked overnight with Sanleng in wine then dried)
Take the above thirteen herbs. Except for Xuejie and Taoren, grind the rest into fine powder. Mix evenly with the two separately ground ingredients. Use the wine used for soaking the drugs to make a paste, form pills the size of paulownia seeds. Take 30 pills per dose, administered with light vinegar water before meals. Taking with warm wine is also acceptable.
[Hehuo Tongjing Decoction] Treats women and unmarried girls who have contracted cold, resulting in amenorrhea, accumulation of evil blood, and hardness like stone.
Angelica Sinensis Radix (Danggui) Bupleuri Radix (Jingsanleng, processed, 5 qian each) Curcuma Longa Rhizome (Guangzhu, processed, 4 qian) Aucklandiae Radix (Muxiang)
Prepared Rehmannia Root (Shudihuang) Cinnamon Twig (Rougui, 3 qian each) Safflower (Honghua) Cyathulae Radix (Guanzhong)
Sappan Wood (Sumu, 2 qian each) Dragon's Blood (Xuejie, 1 qian, separately ground)
Take the above ten herbs. Except for Xuejie, grind them all into fine powder and mix evenly. Take 3 qian per dose, mixed with one cup of hot wine, taken before meals. Avoid raw/cold foods and defecation/urination exposed to wind.
[Hehuo Tongjing Pill] Treats women with stagnant menstrual blood that fails to flow, accompanied by pain in the lower back, back, umbilicus, and abdomen, gradually forming Xuejia (Blood Leiomyoma).
Paeonia Lactiflora Radix (Shaoyao, 1 liang) Aucklandiae Radix (Muxiang) Angelica Sinensis Radix (Danggui) Cinnamon Twig (Rougui)
Processed Drynaria Rhizome (Ganqi, stir-fried until smoke ceases) Trogopterus Dung (Wulingzhi) Rhubarb (Dahuang, half liang each) Leech (Shuizhi, processed, 2.5 qian)
Curcuma Longa Rhizome (Guangzhu, half liang) Blister Beetle (Mengchong, 30 units, head and feet removed, stir-fried with bran) Peach Kernel (Taoren, 27 units, soaked, skin and tip removed)
Grind the above herbs into powder. Make pills using vinegar paste, sized like paulownia seeds. Take 20 pills per dose, administered with vinegar water. Warm wine is also acceptable. Take before meals, once daily.
[Muxiang Sha Pill] Treats women with Piji (subcostal or abdominal masses) and accumulations, stabbing pain from blood clumps, deficiency-cold of the Spleen and Stomach, indigestion of retained food, and chronic non-healing conditions.
Cloves (Dingxiang) Aucklandiae Radix (Muxiang) Amomum Fruit (Sharen, ground) Processed Drynaria Rhizome (Ganqi, stir-fried until smoke ceases)
Fine Ink Stick (Ximo) Rhubarb (Dahuang, sliced and fried) Prepared Aconite Root (Fuzi, processed) Official Cinnamon Bark (Guangui) Frankincense (Ruxiang, ground) Curcuma Longa Rhizome (Guangzhu) Green Tangerine Peel (Qingpi) Bupleuri Radix (Jingsanleng)
Myrrh (Moyao, ground) Croton Seed Frost (Badoushuang, halved amount) Toothpick Soap Pod (Zhuyazaojiao) Processed Ginger (Ganjiang, processed, equal parts)
Take the above sixteen herbs. Except for those requiring separate grinding, process the rest into powder. Dissolve Sharen in one sheng of good vinegar, strain off dregs, and slowly boil in a silver or earthenware vessel. Then add the powders of Badoushuang and Dahuang, boil into a paste, and finally add the previous herb powders. Form pills the size of sesame seeds. Take 30 pills per dose with warm wine. Adjust dosage according to deficiency or excess, stopping when bowel movements become smooth.
[Xuejie Ointment] Indispensable for treating women with Ganxueqi (Dry Blood Qi/Old Stasis). This medicine is considered an immortal remedy for women's menstruation.
Rhubarb (Dahuang, 1 liang)
Grind the above herb into powder. Boil with one sheng of strong vinegar until it becomes a paste. Form pills the size of a chicken head. Take one pill per dose, dissolved in hot wine, taken warm before bed. After one or two loose bowel movements, red menstrual flow will naturally descend.
[Another Formula] Treats blocked menstruation that fails to flow; also treats Ganxueqi.
Blister Beetle (Banmao, 20 units, stir-fried with glutinous rice) Peach Kernel (Taoren, 50 units, stir-fried) Rhubarb (Dahuang, half liang)
Grind the above herbs into powder. Form pills using paste, sized like paulownia seeds. Take five pills with warm wine; ten pills for severe cases. Take warm on an empty stomach. After one or two loose bowel movements, red menstrual flow will naturally descend. This medicine is considered an immortal remedy for women's menstruation and is indispensable. Another method adds Mengchong (half qian) and Shuizhi (1 qian).
[Yuntai Powder] Treats women and unmarried girls suffering from unbearable stabbing pain due to Blood and Qi stagnation.
Official Cinnamon Bark (Guangui) Myrrh (Moyao) Yuntai Seed (Yuntaizi) Galangal Root (Liangjiang, equal parts)
Grind the above herbs into powder. Take 2 qian per dose, mixed with Frankincense Wine. Take hot at any time.