夫妇人 癖者。本因邪气积聚而生也。 者在腹内。近脐左右。各有一条筋脉。急痛。
大者如臂。次者如指。因气而成。如弦之状。名曰 气也。癖者为僻。侧在两肋之间。有时
而痛
转结
治妇人 癖气。令人羸瘦。寒热食少。桃仁散方。
桃仁（半两汤浸去皮尖双仁麸炒微黄） 柴胡（一两去苗） 鳖甲（一两涂醋炙令黄去
裙）
浓朴（三分去粗皮涂生姜汁炙令香熟） 槟榔（三分） 枳壳（三分麸炒微黄去瓤） 乌
梅肉
（三分
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
前稍热服。
治妇人 癖气。攻心腹疼痛。不能饮食。当归散方。
当归（三分锉微炒） 木香（半两） 京三棱〔一两炮裂（锉）〕 槟榔（三分） 桂
心（半两）
陈橘
皮微
炒） 桃
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候稍热服。
治妇人 癖。心腹疼痛。不欲饮食。宜服木香散方。
木香（三分） 京三棱〔三分炮裂（锉）〕 蓬莪术〔半分（两）〕 芎 （三分） 延
胡索（
三分） 桃仁（一两汤浸去皮尖双仁麸炒微黄） 当归（三分锉微炒） 桂心（三分） 牛
李子（三
分） 麝香
上件药。捣细罗为散。每服。不计时候。以热酒调下一钱。
治妇人 癖气。多疼痛。大黄丸方。
川大黄（二两锉碎微炒） 麝香（一分细研） 砂（三分细研） 槟榔（三分） 巴
豆（一分
去皮
（三分锉
微炒
上件药。捣罗为末。炼蜜和捣三二百杵。丸如小豆大。空心及晚食前。以粥饮下五
丸。以利为度。
治妇人 癖气。每发攻心胁疼痛。不能食。牛李子丸方。
牛李子（二两一半生用一半微炒） 蝙蝠粪（一两微炒） 麝香（一分细研） 川大黄
（一两
锉碎微炒） 威灵仙（三分） 琥珀（一两细研） 槟榔（一两） 青橘皮（三分汤浸去白
瓤焙）
京三
分汤
浸去
上件药。捣罗为末。以干漆三两为末。用酽醋二升。熬成膏。和药末。捣三五百杵。丸
如梧桐子大。每日空心及晚食前。以热酒下三十丸。桃仁汤下亦得。
治妇人 癖。气攻腹胁。妨痛。面色萎黄。羸瘦少力。不能饮食。京三棱丸方。
京三棱（三分微炮裂） 鳖甲〔三分涂酥（醋）炙令黄去裙 〕 木香（三分） 桂心
（半两）
川大
（半两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。食前。以粥饮下三十丸。
治妇人 癖气。呕吐酸水。腹胁胀痛。面色萎黄。不能饮食。枳壳煎丸方。
枳壳（三两麸炒微黄去瓤捣罗为末以米醋二升慢火熬如饧。五灵脂（一两） 川大黄（一
两
半锉
诃黎
勒皮
上件药。捣细罗为末。入前煎中。和溲为丸。如梧桐子大。每服食前。生姜汤下十五丸
渐加至三（二）十丸。
治妇人 癖。冷气兼疰气。心腹痛不可忍。麝香丸方。
麝香（半两细研） 阿魏（一分面裹煨以面熟为度） 五灵脂（三分） 没药（半两） 蓬
莪术
（半
两） 当
归
上件药。捣罗为末。研入麝香令匀。用粳米软饭和丸。如梧桐子大。每服。不计时候。
以醋
治妇人 癖气。两胁妨胀。或疼痛。不欲饮食。宜服蓬莪术丸方。
蓬莪术（三分） 萆 （半两锉） 芫花（一两醋拌炒令干） 神曲（一两炒令微黄） 京
三棱
（三
涂醋炙令
黄去
上件药。捣罗为末。用醋煮面糊和丸。如梧桐子大。每服。不计时候。以热酒下二十丸。
治妇人 癖。及血气不调。或时脐腹撮痛。鳖甲丸方。
鳖甲（二两涂醋炙令微黄去裙 为末） 川大黄（二两锉碎微炒别捣为末） 木香（一
两）
附子
（一两
麸炒
上件药。捣罗为末。以陈头醋二升。先煎鳖甲大黄末成膏。入诸药末。和捣三二百杵。
丸如
治妇人 癖气。攻心腹疼痛。没药散方。
没药（一两） 芎 （一两半） 鳖甲（二两涂醋炙令黄去裙 ）
上件药。捣细罗为散。每服。不计时候。以热葱酒调下一钱。
治妇人 癖气。心腹冷痛。食饮不消。宜服四等丸方。
川大黄（一两锉碎微炒） 诃黎勒皮（一两） 槟榔（一两） 木香（一两）
上件药。捣细罗为末。以酒煮面糊和丸。如梧桐子大。每服食前。生姜橘皮汤下十五丸。
温
又方。
鳖甲〔二（一）两涂醋炙令黄去裙 〕 川大黄（一两锉碎微炒） 京三棱〔一两炮裂
（锉）〕
上件药。捣细罗为末。以醋煮面糊和丸。每日食前。以生姜汤下十丸。
又方。
附子（一两炮裂去皮脐） 芫花（一两醋拌炒令干） 桃仁（一两汤浸去皮尖双仁麸炒
微黄）
上件药。捣罗为末。用醋煮面糊和丸。如梧桐子大。每日食前。以生姜汤下十丸。
治妇人 癖及血气等。神效方。
上以 猪肝一具。可及十两者。用巴豆五十枚。去大皮。扎在肝内。用酽醋三碗。慢火
熬肝
五丸
**Pian (Lump) in Women**
The "Pian" (lump) in women originally arises from the accumulation of pathogenic factors. The Pian is located within the abdomen, near the left and right sides of the umbilicus, where each has a tendon-like vessel that becomes tense and painful. The larger lumps are as thick as an arm, while smaller ones are as thick as a finger. These form due to Qi stagnation and resemble the tautness of a bowstring; this condition is named "Pian Qi" (Lump Qi). The term "Pian" implies a lateral position, situated between the two hypochondria, accompanied by intermittent pain and knotting.
**Formula for Treating Pian Qi in Women Causing Emaciation, Alternating Chills and Fever, and Poor Appetite: Tao Ren San (Peach Kernel Powder)**
* **Tao Ren (Persicae Semen / Peach Kernel):** Half liang, soaked in hot water, skin and pointed ends removed, retaining twin kernels, stir-fried with bran until slightly yellow.
* **Chai Hu (Bupleuri Radix / Bupleurum Root):** One liang, awns removed.
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** One liang, coated with vinegar, roasted until yellow, apron edges removed.
* **Hou Po (Magnoliae Officinalis Cortex / Magnolia Bark):** Three qian, coarse bark removed, coated with fresh ginger juice, roasted until fragrant and cooked.
* **Bing Lang (Arecae Semen / Areca Nut):** Three qian.
* **Zhi Ke (Aurantii Fructus / Bitter Orange Fruit):** Three qian, stir-fried with bran until slightly yellow, pith removed.
* **Wu Mei Rou (Mume Fructus / Plum Flesh):** Three qian.
All ingredients are coarsely ground into a powder. Each dose consists of four qian. Add one medium cup of water and half a piece of fresh ginger, decoct until reduced to six-tenths of the volume, strain, and take warm shortly before meals.
**Formula for Treating Pian Qi Attacking the Heart and Abdomen with Pain and Inability to Eat: Dang Gui San (Angelica Sinensis Powder)**
* **Dang Gui (Angelicae Sinensis Radix / Dong Quai Root):** Three qian, sliced and slightly stir-fried.
* **Mu Xiang (Aucklandiae Radix / Aucklandia Root):** Half liang.
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** One liang, processed until cracked and sliced.
* **Bing Lang (Arecae Semen / Areca Nut):** Three qian.
* **Gui Xin (Cinnamomi Ramulus / Cinnamon Twig Heart):** Half liang.
* **Chen Pi (Citri Reticulatae Pericarpium / Tangerine Peel):** Slightly stir-fried.
* *(Note: Text fragment "Tao" suggests Tao Ren may be intended but is incomplete in source)*
All ingredients are coarsely ground into a powder. Each dose consists of three qian. Add one medium cup of water, decoct until reduced to six-tenths, strain, and take warm at any time.
**Formula for Treating Pian with Heart and Abdominal Pain and Loss of Appetite: Mu Xiang San (Aucklandia Powder)**
* **Mu Xiang (Aucklandiae Radix / Aucklandia Root):** Three qian.
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** Three qian, processed until cracked and sliced.
* **Peng E Zhu (Curcumae Phaeocaulis Rhizoma / Curcuma Rhizome):** Half qian.
* **Xiong Qiao (Ligustici Chuanxiong Rhizoma / Szechwan Lovage Rhizome):** Three qian.
* **Yan Hu Suo (Corydalis Rhizoma / Corydalis Rhizome):** Three qian.
* **Tao Ren (Persicae Semen / Peach Kernel):** One liang, soaked, skin and ends removed, twin kernels retained, stir-fried with bran until slightly yellow.
* **Dang Gui (Angelicae Sinensis Radix / Dong Quai Root):** Three qian, sliced and slightly stir-fried.
* **Gui Xin (Cinnamomi Ramulus / Cinnamon Twig Heart):** Three qian.
* **Niu Li Zi (Prunus Mume Seed? / Likely Prunus or similar seed):** Three qian.
* **She Xiang (Moschus / Musk):** (Dosage not specified in fragment).
All ingredients are finely ground into a powder. Take one qian mixed with hot wine at any time.
**Formula for Treating Pian Qi with Frequent Pain: Da Huang Wan (Rhubarb Pill)**
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** Two liang, sliced and slightly stir-fried.
* **She Xiang (Moschus / Musk):** One fen, finely ground.
* **Na Sha (Sal Nitratis / Saltpeter):** Three fen, finely ground.
* **Bing Lang (Arecae Semen / Areca Nut):** Three qian.
* **Ba Dou (Crotonis Fructus / Croton Seed):** One fen, skin removed.
All ingredients are ground into fine powder, mixed with refined honey, and pounded 300-200 times. Form pills the size of small beans. Take five pills with millet gruel drink on an empty stomach and before evening meal. Stop when bowel movement occurs.
**Formula for Treating Pian Qi Attacking Heart and Hypochondrium with Pain and Anorexia: Niu Li Zi Wan (Niu Li Zi Pill)**
* **Niu Li Zi:** Two and a half liang, half raw, half slightly stir-fried.
* **Bian Fu Fen (Vespertilio Trichopus / Bat Droppings):** One liang, slightly stir-fried.
* **She Xiang (Moschus / Musk):** One fen, finely ground.
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** One liang, sliced and slightly stir-fried.
* **Wei Ling Xian (Salviae Miltiorrhizae? / Note: Usually Saposhnikoviae Radix): Three qian.**
* **Hu Po (Electrum / Amber):** One liang, finely ground.
* **Bing Lang (Arecae Semen / Areca Nut):** One liang.
* **Qing Ju Pi (Citri Reticulatae Pericarpium Viride / Green Tangerine Peel):** Three qian, soaked in water, white pith removed, dried.
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** (Processing details cut off).
All ingredients are ground into powder. Mix with three liang of Gan Xi (Dry Lacquer) powder, boiled in two sheng of strong vinegar until it forms a paste. Combine with herb powder and pound 500-300 times. Form pills the size of paulownia seeds. Take thirty pills with hot wine on an empty stomach and before evening meal. Alternatively, use Tao Ren Tang (Peach Kernel Decoction).
**Formula for Treating Pian with Qi Attacking Abdomen and Hypochondrium, Pain, Sallow Complexion, Emaciation, and Weakness: Jing San Leng Wan (Jing San Leng Pill)**
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** Three qian, slightly processed until cracked.
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** Three qian, coated with butter/vinegar, roasted until yellow, apron removed.
* **Mu Xiang (Aucklandiae Radix / Aucklandia Root):** Three qian.
* **Gui Xin (Cinnamomi Ramulus / Cinnamon Twig Heart):** Half liang.
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** (Dosage cut off).
All ingredients are ground into powder, mixed with refined honey, and pounded 300-200 times. Form pills the size of paulownia seeds. Take thirty pills with millet gruel drink before meals.
**Formula for Treating Pian Qi with Acid Regurgitation, Abdominal and Hypochondrial Distension/Pain, Sallow Complexion, and Anorexia: Zhi Ke Jian Wan (Zhi Ke Decoction Pill)**
* **Zhi Ke (Aurantii Fructus / Bitter Orange Fruit):** Three liang, stir-fried with bran until slightly yellow, pith removed, ground into powder. Slowly boiled in two sheng of rice vinegar until like maltose syrup.
* **Wu Ling Zhi (Trogopterori Faeces / Trogoptex Dung):** One liang.
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** One and a half liang, sliced.
* **He Li Le Pi (Terminaliae Chebulae Pericarpium / Chebulic Myrobalan Peel):** (Dosage/processing cut off).
All ingredients are finely ground into powder, added to the previous decoction/paste, and kneaded into pills the size of paulownia seeds. Take fifteen pills with ginger water before meals, gradually increasing to twenty pills.
**Formula for Treating Pian with Cold Qi and Zhu Qi (Infectious/Contagious Qi), Unbearable Heart and Abdominal Pain: She Xiang Wan (Musk Pill)**
* **She Xiang (Moschus / Musk):** Half liang, finely ground.
* **A Wei (Asafoetida / Ferula Resin):** One fen, wrapped in flour and baked until flour is cooked.
* **Wu Ling Zhi (Trogopterori Faeces / Trogoptex Dung):** Three qian.
* **Mo Yao (Myrrha / Myrrh):** Half liang.
* **Peng E Zhu (Curcumae Phaeocaulis Rhizoma / Curcuma Rhizome):** Half liang.
* **Dang Gui (Angelicae Sinensis Radix / Dong Quai Root):** (Dosage cut off).
All ingredients are ground into powder, mixed thoroughly with musk, and formed into pills the size of paulownia seeds using soft glutinous rice. Take at any time, taken with vinegar... (text cut off).
**Formula for Treating Pian Qi with Bilateral Hypochondrial Distension/Pain and Loss of Appetite: Peng E Zhu Wan (Peng E Zhu Pill)**
* **Peng E Zhu (Curcumae Phaeocaulis Rhizoma / Curcuma Rhizome):** Three qian.
* **Bi Xie (Dioscoreae Hypoglaucae Rhizoma / Dioscorea Hypoglauca Rhizome):** Half liang, sliced.
* **Yuan Hua (Genkwa Flos / Daphne Flower):** One liang, mixed with vinegar and stir-fried until dry.
* **Shen Qu (Massa Medicata Fermentata / Medicated Leaven):** One liang, stir-fried until slightly yellow.
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** (Dosage cut off).
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** (Processing cut off).
All ingredients are ground into powder, mixed with wheat paste boiled in vinegar, and formed into pills the size of paulownia seeds. Take twenty pills with hot wine at any time.
**Formula for Treating Pian and Irregular Blood and Qi with Occasional Umbilical and Abdominal Cramping Pain: Bie Jia Wan (Tortoise Shell Pill)**
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** Two liang, coated with vinegar, roasted until slightly yellow, apron removed, ground into powder.
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** Two liang, sliced, slightly stir-fried, separately ground into powder.
* **Mu Xiang (Aucklandiae Radix / Aucklandia Root):** One liang.
* **Fu Zi (Aconiti Lateralis Radix Praeparata / Prepared Aconite Root):** (Processing cut off).
All ingredients are ground into powder. Boil two sheng of aged head vinegar, first decoct the Bie Jia and Da Huang powders into a paste. Add other herb powders, mix, and pound 300-200 times. Form pills... (text cut off).
**Formula for Treating Pian Qi Attacking Heart and Abdomen with Pain: Mo Yao San (Myrrh Powder)**
* **Mo Yao (Myrrha / Myrrh):** One liang.
* **Xiong Qiao (Ligustici Chuanxiong Rhizoma / Szechwan Lovage Rhizome):** One and a half liang.
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** Two liang, coated with vinegar, roasted until yellow, apron removed.
All ingredients are finely ground into a powder. Take one qian mixed with hot scallion wine at any time.
**Formula for Treating Pian Qi with Cold Pain in Heart and Abdomen and Indigestion: Si Deng Wan (Four Equal Pills)**
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** One liang, sliced and slightly stir-fried.
* **He Li Le Pi (Terminaliae Chebulae Pericarpium / Chebulic Myrobalan Peel):** One liang.
* **Bing Lang (Arecae Semen / Areca Nut):** One liang.
* **Mu Xiang (Aucklandiae Radix / Aucklandia Root):** One liang.
All ingredients are finely ground into powder, mixed with wheat paste boiled in wine, and formed into pills the size of paulownia seeds. Take fifteen pills with ginger and tangerine peel water before meals.
**Another Formula:**
* **Bie Jia (Testudinis Carapax et Plastrum / Tortoise Shell):** One liang, coated with vinegar, roasted until yellow, apron removed.
* **Chuan Da Huang (Rhei Radix et Rhizoma / Rhubarb Root):** One liang, sliced and slightly stir-fried.
* **Jing San Leng (Sparganii Rhizoma / Sparganium Rhizome):** One liang, processed until cracked and sliced.
All ingredients are finely ground into powder, mixed with wheat paste boiled in vinegar. Take ten pills with ginger water before meals daily.
**Another Formula:**
* **Fu Zi (Aconiti Lateralis Radix Praeparata / Prepared Aconite Root):** One liang, processed until cracked, skin and navel removed.
* **Yuan Hua (Genkwa Flos / Daphne Flower):** One liang, mixed with vinegar and stir-fried until dry.
* **Tao Ren (Persicae Semen / Peach Kernel):** One liang, soaked, skin and ends removed, twin kernels retained, stir-fried with bran until slightly yellow.
All ingredients are ground into powder, mixed with wheat paste boiled in vinegar, and formed into pills the size of paulownia seeds. Take ten pills with ginger water before meals daily.
**Miraculous Formula for Treating Pian and Blood/Qi Disorders:**
Take one pig liver (approx. ten liang in weight). Insert fifty Ba Dou (Croton Seeds) with skins removed into the liver. Boil the liver slowly in three bowls of strong vinegar... (text cut off).