妇人 瘕积聚方。
皂荚（一分） 藜芦 甘草 矾石 乌喙 杏仁 干姜 桂心 巴豆（各二分） 前胡 人
参（各四分） 代赭（五分） 阿胶（六分） 大黄（八分）
上十四味为末，蜜丸如梧子，鸡鸣时服一丸，日益一丸至五丸止，仍从一起。下白者，
风也。赤者， 瘕也。青微黄者，心腹病。
治脐下坚癖，无所不治方。
恒山 大黄 巴豆（各一分） 天雄（二枚） 苦参 白薇 干姜 人参 细辛 野狼牙 龙
胆沙参 玄参 丹参（各三分） 芍药 附子 牛膝 茯苓（各五分） 牡蒙（四分）
芦（
六分）
上二十味为末，蜜丸，宿勿食，服五丸，日三，大羸瘦，月水不调，当二十五日服之，
下长虫，或下种种病，出二十五日，服中所苦悉愈，肌肤盛，五十日万病除，断绪者有子。
治经闭不通，不欲饮食方。
牡蛎（四两） 大黄（一斤） 柴胡（五两） 干姜（三两） 川芎 茯苓（各二两半）
川椒（
十两） 葶苈子 芒硝 杏仁（各五合） 水蛭 虻虫（各半两） 桃仁（七十枚）
上十三味为末，蜜丸如梧子大，饮服七丸，日三。
（论二首 方六十三首 灸法八首）
论曰∶诸方说三十六疾者，十二 、九痛、七害、五伤、三痼不通是也。何谓十二 ，
是所下之物，一曰状如膏，二曰如黑血，三曰如紫汁，四曰如赤肉，五曰如脓痂，六曰如豆
汁，七曰如葵羹，八曰如凝血，九曰如清血、血似水，十曰如米泔，十一曰如月浣乍前乍却
，十二曰经度不应期也。何谓九痛？一曰阴中痛伤，二曰阴中淋沥痛，三曰小便即痛，四曰
寒冷痛，五曰经来即腹中痛，六曰气满痛，七曰汁出阴中如有虫啮痛，八曰胁下分痛，九曰
腰胯痛。何谓七害？一曰窍孔痛不利，二曰中寒热痛，三曰小腹急坚痛，四曰脏不仁，五曰
子门不端引背痛，六曰月浣乍多乍少，七曰害吐。何谓五伤？一曰两胁支满痛，二曰心痛引
胁，三曰气结不通，四曰邪思泄利，五曰前后痼寒。何谓三痼？一曰羸瘦不生肌肤，二曰绝
产乳，三曰经水闭塞。病有异同具治之方。
[Formula for Treating Gynecological Masses and Accumulations]
Gleditsiae Sinensis Fructus (Zaojiao, 皂荚) [1 fen], Veratrum nigrum Rhizoma (Lilu, 藜芦), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), Alumen (Fanshi, 矾石), Aconiti Lateralis Radix Preparata (Wuhui, 乌喙), Armeniacae Semen Amarum (Xingren, 杏仁), Zingiberis Rhizoma (Ganjiang, 干姜), Cinnamomi Ramulus (Guixin, 桂心), Crotonis Fructus (Badou, 巴豆) [2 fen each], Peucedani Radix (Qianhu, 前胡), Ginseng Radix (Renshen, 人参) [4 fen each], Haematitum (Daizhe, 代赭) [5 fen], Eclipticae Herba (Ejiao, 阿胶 - *Note: Standard term is Donkey-hide Gelatin, here likely referring to Ejiao*) [6 fen], Rhei Radix et Rhizoma (Dahuang, 大黄) [8 fen].
Grind the above fourteen ingredients into powder. Form pills with honey, sized like wu-tzu seeds (Cinnamon Seed-sized). Take one pill at dawn (Jiming time). Increase by one pill daily until reaching five pills, then maintain five pills daily. If white discharge is expelled, it indicates Wind pathogen; if red, it indicates Masses (Zheng); if greenish-yellow, it indicates Heart/Abdominal disease.
[Formula for Treating Firmness below the Umbilicus, Effective for All Conditions]
Radix Dichroae (Hengshan, 恒山), Rhei Radix et Rhizoma (Dahuang, 大黄), Crotonis Fructus (Badou, 巴豆) [1 fen each], Aconiti Kusnezoffii Radix (Tianxiong, 天雄) [2 pieces], Sophorae Flavescentis Radix (Kushen, 苦参), Coptidis Rhizoma (Baiwei, 白薇 - *Note: Baiwei usually refers to Cynanchum atratum root*), Zingiberis Rhizoma (Ganjiang, 干姜), Ginseng Radix (Renshen, 人参), Asari Radix et Rhizoma (Xixin, 细辛), Agrimoniae Herba (Yelangya, 野狼牙), Gentianae Radix (Longdan, 龙胆), Glehniae Radix (Shashen, 沙参), Scrophulariae Radix (Xuanshen, 玄参), Salviae Miltiorrhizae Radix (Danshen, 丹参) [3 fen each], Paeoniae Radix Alba (Shaoyao, 芍药), Aconiti Lateralis Radix Preparata (Fuzi, 附子), Achyranthis Bidentatae Radix (Niuxi, 牛膝), Poria (Fuling, 茯苓) [5 fen each], Ophiopogonis Japonici Tuber (Mumeng, 牡蒙 - *Note: Often synonymous with Maidong/Ophiopogon*), Arundinis Rhizoma (Lu, 芦) [6 fen].
Grind the above twenty ingredients into powder. Form pills with honey. Do not eat the night before. Take five pills, three times a day. For patients with severe emaciation and irregular menstruation, take continuously for twenty-five days. Expulsion of long worms or various pathological products occurs. After twenty-five days, all ailments are cured, skin and flesh become robust, after fifty days all diseases are eliminated, and those who were infertile will conceive.
[Formula for Treating Amenorrhea and Loss of Appetite]
Ostrea Concha (Muli, 牡蛎) [4 liang], Rhei Radix et Rhizoma (Dahuang, 大黄) [1 jin], Bupleuri Radix (Chaihu, 柴胡) [5 liang], Zingiberis Rhizoma (Ganjiang, 干姜) [3 liang], Chuanxiong Rhizoma (Chuanxiong, 川芎), Poria (Fuling, 茯苓) [2.5 liang each], Zanthoxyli Pericarpium (Chuanjiao, 川椒) [10 liang], Lepidii Semini (Tinglizi, 葶苈子), Natrii Sulfas (Mangxiao, 芒硝), Armeniacae Semen Amarum (Xingren, 杏仁) [5 he each], Hirudo (Shuizhi, 水蛭), Blatta Orientalis (Mengchong, 虻虫) [0.5 liang each], Persicae Semen (Taoren, 桃仁) [70 pieces].
Grind the above thirteen ingredients into powder. Form pills with honey, sized like wu-tzu seeds. Take seven pills with warm water, three times a day.
(Two Discussions, Sixty-three Formulas, Eight Moxibustion Methods)
Discussion: The various texts refer to thirty-six gynecological diseases, which include twelve types of masses (Zheng), nine types of pain, seven types of harm, five types of injury, and three types of chronic obstruction. What are the twelve types of masses? They refer to vaginal discharges: first, resembling paste; second, like black blood; third, like purple juice; fourth, like red flesh; fifth, like pus crusts; sixth, like bean soup; seventh, like mallow soup; eighth, like clotted blood; ninth, like clear blood resembling water; tenth, like rice washings; eleventh, menstruation coming early or late irregularly; twelfth, menstruation failing to arrive on schedule. What are the nine types of pain? First, pain in the vagina due to injury; second, dripping pain in the vagina; third, pain during urination; fourth, pain caused by cold; fifth, abdominal pain upon onset of menstruation; sixth, distending pain due to Qi stagnation; seventh, pain in the vagina from discharge as if bitten by insects; eighth, pain in the hypochondrium; ninth, pain in the waist and hips. What are the seven types of harm? First, pain and difficulty in the orifices; second, alternating cold and heat pain in the center; third, urgent and firm pain in the lower abdomen; fourth, numbness of the viscera; fifth, misalignment of the cervical os pulling back to cause back pain; sixth, fluctuating volume of menstrual flow; seventh, vomiting that hinders health. What are the five types of injury? First, distending and painful fullness in both hypochondria; second, heart pain radiating to the hypochondrium; third, Qi knotting and obstruction; fourth, pathological thoughts leading to diarrhea; fifth, chronic cold in the anterior and posterior orifices. What are the three types of chronic conditions? First, emaciation with failure to generate flesh; second, sterility; third, amenorrhea. Although the diseases differ, there are specific formulas to treat them.