【加减四物汤】治胎前产后腹痛。及月事不调。或亡血去多。或恶露不下。妇人一切疾证
。
当归 白芍 熟地黄 川芎（各二两）
上 咀。每服四钱。水一盏半。煎至八分。去渣。带热服。无时。日进二服三服。平常产乳。
服至三腊。如虚弱者。至一月止。○妊妇下血。加阿胶末一钱。艾叶五七片。○因虚致血热。热与
血搏。口干欲饮水。加麦门冬三分。栝蒌根一两。○血崩。加地黄、蒲黄各一两。○恶露不下。腹
中刺痛。加当归、白芍药各一分。○因热生风。加川芎一分、柴胡半两。○身热脉躁。头昏项强。
加柴胡、黄芩各半两。○秘涩。加大黄半两炒、桃仁一分。○滑泄。加附子、官桂各一分。○呕吐
。加人参白术各半两。○发寒热。加干姜、芍药。牡丹皮各一分。○腹胀。加浓朴、枳实各一分。
○虚烦不得眠。加人参、竹叶各一分。○烦躁大渴。加知母、石膏各半两。○水停心下吐逆。加猪
苓、茯苓、防己各二分。○寒热类伤寒。加人参柴胡、防风各三分。○妇人血积。加三棱、蓬术、
桂、干漆炒、共等分。
【逍遥散】治血虚发热。经候不调。
甘草（炙。半两） 当归 白茯苓 白术
柴胡 白芍药（各一两）
上锉。每服二钱。水一大盏。烧生姜一块。切破。薄荷少许。同煎至七分。去渣。热服。不拘
时候。
【温经汤】治冲任虚损。月候不调。
阿胶（炒） 当归 川芎 人参
肉桂 甘草 芍药 牡丹皮（各二两）
半夏（二两半） 麦门冬（五两半） 吴茱萸（三两）
上锉。每服五钱。水一盏半。生姜三片。煎至八分。热服。空心食前。
【黄 白术汤】治妇人四肢沉重。自汗。上至头际颈项而还。恶风躁热。
黄 （一两） 人参 白术（各半两） 黄柏（酒制）
羌活 甘草（各二钱。炙） 柴胡 升麻（各一钱）
当归（一钱半） 川芎 吴茱萸（各五分） 细辛（三分）
五味子（三十个）
上十三味 咀。每服五钱。水二盏。生姜五片。煎至一盏。去渣。稍热服。食前。汗出不止。
加黄柏半钱。腹中不快。加炙甘草一钱。
【异方油煎散】治妇人血风劳气攻疰。四肢腰背疼痛。呕吐恶心。不思饮食。日渐瘦弱。
面色痿黄。手脚麻痹。血海冷败。
川乌头（炮。去皮） 白芍药 五加皮 牡丹皮
海桐皮（等分）
上五味为末。每服二钱。水一盏。油浸开通钱一文。煎至六分。去渣。温服。日三服。不拘时。
○如常服。用油浸五七文钱。煎药用。
【活血丹】治冲任不足下焦大寒。脐腹疼痛。月事不匀。或来多不断。或过期不来。或崩
中出血。或带下不止。面色痿黄。肌肉瘦瘁。肢体沉重。胸胁胀满。气力衰乏。饮食减少。一切血
气虚寒。并宜服之。
桃仁（去皮尖。麸炒微黄色） 虎杖 吴茱萸（汤浸七遍。焙干。微炒）
当归 杜仲（去粗皮。锉炒） 柏子仁（炒） 附子（炮。去皮）
木香 山茱萸（去核） 延胡索 安息香（各二十两。捣碎。入好酒研。澄清。去渣。银器
内慢火熬成膏） 干姜（炮） 肉桂（去粗皮）
牝丹皮 黄 （去芦） 艾叶（微炒） 泽兰叶（各二斤半）
肉苁蓉（酒浸焙） 浓朴（去粗皮。姜汁炙令熟。各五斤）
上为细末。以前安息香膏入白面。同煮作糊。和丸如梧桐子大。每服三十丸。食前以温酒下。
醋汤亦得。
【滋血汤】治妇人血热气虚。经候涩滞不通。致使血聚。肢体麻木。肌热生疮。浑身疼倦。
将成劳瘵。不可妄服他药。但宜以此滋养通利。（又治证与前活血丹同。可互服之）
马鞭草 荆芥穗（各四两） 牡丹皮（一两） 赤芍药
枳壳（去穣。麸炒） 肉桂（去粗皮） 当归（去苗。炒） 川芎（各二两）
上为粗散。每服四钱。乌梅一个。水二盏。煎一盏。去渣。食前空心日四五服。有此证服至半
月或一月。经脉自通。百病皆除。神效。
【增损四物汤】治妇人血积。
当归 川芎 熟地黄 芍药 广术 桂（去粗皮） 三棱 干漆（炒）
上八味。各等分。为粗末。每服三钱。水二盏。煎至一盏。食前稍热服。
【当归丸】治妇人经血不调血积证。
当归 川芎 赤芍药 广术
熟地黄 京三棱（各半两） 神曲 百草霜（各二钱半）
上八味为末。酒糊丸如桐子大。每服三十丸。用温水送下。食前。温酒亦得。
【玄胡苦楝汤】治脐下冷撮痛。阴内大寒。
甘草（炙。五分） 肉桂 附子（炮。各三分） 玄胡
苦楝子（各二分） 熟地黄（一钱）
上 咀。入黄柏二分为引用。都作一服。水二盏。煎至一盏。去渣。稍热服。空心食前。
[Modified Siwu Decoction] Treats abdominal pain during pregnancy and postpartum, as well as irregular menstruation. It is also indicated for excessive blood loss, retention of lochia, and various gynecological disorders.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Praeparata (Shudihuang), Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 2 liang).
The above herbs are cut into small pieces. Take 4 qian per dose, add 1.5 zhan of water, decoct until reduced to 0.8 zhan, remove the dregs, and take warm at any time. Administer two to three times daily. For normal delivery or lactation, continue administration for three lunar months; for those with deficiency, stop after one month. ○ For bleeding during pregnancy, add 1 qian of Epimedii Folium powder (Ejiao) and 5-7 slices of Artemisiae Argyi Folium (Aiye). ○ For heat-blood interaction due to deficiency, manifesting as dry mouth and thirst, add 3 fen of Ophiopogonis Radix (Maidong) and 1 liang of Trichosanthis Radix (Gualougen). ○ For metrorrhagia, add 1 liang each of Rehmanniae Radix (Dihuang) and Polygoni Citrini Fructus (Puhuang). ○ For retained lochia with stabbing abdominal pain, add 1 fen each of Angelicae Sinensis Radix (Danggui) and Paeoniae Radix Alba (Baishao). ○ For wind generated by heat, add 1 fen of Ligustici Chuanxiong Rhizoma (Chuanxiong) and 0.5 liang of Bupleuri Radix (Chaihu). ○ For fever with rapid pulse, dizziness, and stiff neck, add 0.5 liang each of Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin). ○ For constipation, add 0.5 liang of Rheii Radix et Rhizoma (Dahuang) stir-fried and 1 fen of Persicamae Semen (Taoren). ○ For diarrhea, add 1 fen each of Aconiti Lateralis Radix Praeparata (Fuzi) and Cinnamomi Cortex (Guigui). ○ For vomiting, add 0.5 liang each of Ginseng Radix (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu). ○ For chills and fever, add 1 fen each of Zingiberis Rhizoma (Ganjiang), Paeoniae Radix (Shaoyao), and Moutan Cortex (Mudanpi). ○ For abdominal distension, add 1 fen each of Magnoliae Officinalis Cortex (Houpo) and Aurantii Fructus Immaturus (Zhishi). ○ For empty irritability and insomnia, add 1 fen each of Ginseng Radix (Renshen) and Bambusae Folium (Zhuye). ○ For restlessness and extreme thirst, add 0.5 liang each of Anemarrhenae Radix (Zhimu) and Gypsum Fibrosum (Shigao). ○ For fluid retention in the epigastrium causing vomiting, add 2 fen each of Polyporus (Zuling), Poria (Fuling), and Stephaniae Tetrandrae Radix (Fangji). ○ For chills and fever resembling cold damage, add 3 fen each of Ginseng Radix (Renshen), Bupleuri Radix (Chaihu), and Saposhnikoviae Radix (Fangfeng). ○ For blood accumulation in women, add equal parts of Sparganii Rhizoma (Sanleng), Curcumae Rhizoma (Pengru), Cinnamomi Cortex (Gui), and Meliae Toosendan Fructus (Ganqi) stir-fried.
[Xiaoyao Powder] Treats fever due to blood deficiency and irregular menstruation.
Glycyrrhizae Radix et Rhizoma (Gancao) roasted, 0.5 liang; Angelicae Sinensis Radix (Danggui); Poria (Baifuling); Atractylodis Macrocephalae Rhizoma (Baizhu); Bupleuri Radix (Chaihu); Paeoniae Radix Alba (Baishaoyao) (each 1 liang).
The above herbs are chopped. Take 2 qian per dose, add 1 large zhan of water, a piece of fresh ginger sliced, and a little Menthae Haplocalycis Herba (Bohe). Decoct until reduced to 0.7 zhan, remove dregs, and take warm at any time.
[Wenjing Decoction] Treats deficiency and damage of the Chong and Ren vessels, and irregular menstruation.
Columella Asini Corii Colla (Ejiao) stir-fried; Angelicae Sinensis Radix (Danggui); Ligustici Chuanxiong Rhizoma (Chuanxiong); Ginseng Radix (Renshen); Cinnamomi Ramulus (Rougui); Glycyrrhizae Radix et Rhizoma (Gancao); Paeoniae Radix (Shaoyao); Moutan Cortex (Mudanpi) (each 2 liang); Pinelliae Rhizoma (Banxia) (2.5 liang); Ophiopogonis Radix (Maidong) (5.5 liang); Tsoosho Wuyu Fructus (Wuzhuyu) (3 liang).
The above herbs are chopped. Take 5 qian per dose, add 1.5 zhan of water and 3 slices of fresh ginger. Decoct until reduced to 0.8 zhan, and take warm on an empty stomach before meals.
[Huangqi Baizhu Decoction] Treats heaviness of the four limbs in women, spontaneous sweating extending to the head and neck, aversion to wind, and irritability with heat.
Astragali Membranacei Radix (Huangqi) (1 liang); Ginseng Radix (Renshen); Atractylodis Macrocephalae Rhizoma (Baizhu) (each 0.5 liang); Phellodendri Chinensis Cortex (Huangbai) wine-processed; Notopterygii Rhizoma et Radix (Qianghuo); Glycyrrhizae Radix et Rhizoma (Gancao) roasted (each 2 qian); Bupleuri Radix (Chaihu); Cimicifugae Rhizoma (Shengma) (each 1 qian); Angelicae Sinensis Radix (Danggui) (1.5 qian); Ligustici Chuanxiong Rhizoma (Chuanxiong); Tsoosho Wuyu Fructus (Wuzhuyu) (each 5 fen); Asari Radix et Rhizoma (Xixin) (3 fen); Schisandrae Chinensis Fructus (Wuweizi) (30 berries).
The above thirteen ingredients are cut into pieces. Take 5 qian per dose, add 2 zhan of water and 5 slices of fresh ginger. Decoct until reduced to 1 zhan, remove dregs, and take slightly warm before meals. If sweating persists, add 0.5 qian of Huangbai. If there is discomfort in the abdomen, add 1 qian of roasted Gancao.
[Yifang Youjian San] Treats blood-wind and consumptive qi attacking the body, causing pain in the four limbs, waist, and back, vomiting, nausea, loss of appetite, gradual emaciation, sallow complexion, numbness of hands and feet, cold and degeneration of the Blood Sea.
Aconiti Kusnezoffii Radix (Chuanwutou) processed, peeled; Paeoniae Radix Alba (Baishaoyao); Eucommiae Cortex (Wujiapi); Moutan Cortex (Mudanpi); Semecarpiet Cortex (Haitongpi) (equal parts).
The above five herbs are ground into powder. Take 2 qian per dose, add 1 zhan of water and one copper coin soaked in oil. Decoct until reduced to 0.6 zhan, remove dregs, and take warm three times daily at any time. ○ For regular use, soak 5-7 copper coins in oil and use them for decoction.
[Huoxue Dan] Treats deficiency of Chong and Ren vessels with severe cold in the lower jiao, umbilical and abdominal pain, irregular menstruation (either excessive flow or amenorrhea), metrorrhagia, leukorrhea, sallow complexion, emaciation, heaviness of limbs, chest and hypochondriac fullness, fatigue, decreased appetite, and all conditions of blood and qi deficiency-cold.
Persicamae Semen (Taoren) peeled and stir-fried with bran; Polygoni cuspidati Rhizoma et Radix (Huzhang); Tsoosho Wuyu Fructus (Wuzhuyu) soaked in boiling water seven times, dried, and lightly stir-fried; Angelicae Sinensis Radix (Danggui); Eucommiae Cortex (Duzhong) peeled and stir-fried; Biota Semen (Baiziren) stir-fried; Aconiti Lateralis Radix Praeparata (Fuzi) processed, peeled; Costi Radix (Muxiang); Corni Fructus (Shanzhuyu) pitted; Corydalis Rhizoma (Yanhusu); Styrax (Anshixiang) (each 20 liang, crushed, ground with good wine, clarified, filtered, and slowly boiled into a paste in a silver vessel); Zingiberis Rhizoma (Ganjiang) processed; Cinnamomi Ramulus (Rougui) peeled; Moutan Cortex (Pandanchi); Astragali Membranacei Radix (Huangqi) de-rooted; Artemisiae Argyi Folium (Aiye) lightly stir-fried; Lycopi Herba (Zelan Ye) (each 2.5 jin); Cynomorii Herba (Roucongroulu) wine-soaked and dried; Magnoliae Officinalis Cortex (Houpo) peeled and stir-fried with ginger juice (each 5 jin).
Grind the above into fine powder. Mix with the Anshixiang paste and white flour, cook into a paste, and form pills the size of Sophora seeds. Take 30 pills per dose before meals with warm wine; vinegar water is also acceptable.
[Zixue Decoction] Treats women with heat in the blood and qi deficiency, leading to scanty and obstructed menstruation, blood accumulation, limb numbness, skin heat and sores, whole-body pain and fatigue, approaching consumption. Do not take other medicines rashly; this formula nourishes and promotes circulation. (Indications are the same as Huoxue Dan; they can be taken alternately.)
Verbenae Herba (Mabiancao); Schizonepetae Spica (Jingjiesui) (each 4 liang); Moutan Cortex (Mudanpi) (1 liang); Paeoniae Radix Rubra (Chishaoyao); Aurantii Fructus (Zhiqiao) de-pithed and stir-fried with bran; Cinnamomi Ramulus (Rougui) peeled; Angelicae Sinensis Radix (Danggui) de-tipped and stir-fried; Ligustici Chuanxiong Rhizoma (Chuanxiong) (each 2 liang).
Grind into coarse powder. Take 4 qian per dose with one Chinese plum (Wumei) and 2 zhan of water. Decoct until reduced to 1 zhan, remove dregs, and take 4-5 times daily on an empty stomach before meals. With these symptoms, taking it for half a month or one month will naturally unblock the menses and eliminate all diseases, with miraculous effect.
[Zengsun Siwu Decoction] Treats blood accumulation in women.
Angelicae Sinensis Radix (Danggui); Ligustici Chuanxiong Rhizoma (Chuanxiong); Rehmanniae Radix Praeparata (Shudihuang); Paeoniae Radix (Shaoyao); Curcumae Rhizoma (Guangzhu); Cinnamomi Ramulus (Gui) peeled; Sparganii Rhizoma (Sanleng); Meliae Toosendan Fructus (Ganqi) stir-fried.
The above eight herbs in equal parts are made into coarse powder. Take 3 qian per dose with 2 zhan of water, decoct until reduced to 1 zhan, and take slightly warm before meals.
[Danggui Pill] Treats irregular menstruation and blood accumulation in women.
Angelicae Sinensis Radix (Danggui); Ligustici Chuanxiong Rhizoma (Chuanxiong); Paeoniae Radix Rubra (Chishaoyao); Curcumae Rhizoma (Guangzhu); Rehmanniae Radix Praeparata (Shudihuang); Sparganii Rhizoma (Jingsanleng) (each 0.5 liang); Massae Fermentatae Medicinales (Shenqu); Carbonis Cyperi Rotundi (Baicaoshuang) (each 2.5 qian).
Grind the above eight herbs into powder, mix with wine paste, and form pills the size of Sophora seeds. Take 30 pills per dose before meals with warm water; warm wine is also acceptable.
[Xuanhu Koushen Decoction] Treats cold cramping pain below the navel and severe cold in the yin region.
Glycyrrhizae Radix et Rhizoma (Gancao) roasted (5 fen); Cinnamomi Ramulus (Rougui); Aconiti Lateralis Radix Praeparata (Fuzi) processed (each 3 fen); Corydalis Rhizoma (Xuanhu); Toosendan Fructus (Koushen) (each 2 fen); Rehmanniae Radix Praeparata (Shudihuang) (1 qian).
Cut the above herbs into pieces, add 2 fen of Phellodendri Chinensis Cortex (Huangbai) as a guiding herb, and prepare as one dose. Add 2 zhan of water, decoct until reduced to 1 zhan, remove dregs, and take slightly warm on an empty stomach before meals.