〔大〕妇人血气心腹疼痛，由脏腑虚弱，风邪乘于其间，与真气相击而痛。其痛随气
上下，或上冲于心，或下攻于腹，故云血气攻心腹痛也。
〔薛〕前证若气滞血瘀，用没药散。劳伤元气，用补中益气汤。（杂病伤劳倦。）肝脾郁
结，用四七汤。（杂病气。）怒动肝火，用小柴胡汤。（热入血室。）肝脾血虚，用四物汤。（通治。）脾
肺气虚，用四君子汤。（杂病虚劳。）中气虚弱，用补中益气汤。气血俱虚，用八珍汤。（即杂病虚
劳八物汤。）一妇人每怒心腹作痛，久而不愈，此肝火伤脾气也。用炒山栀一两，生姜五片，
煎服而痛止，更以二陈加山栀、桔梗，乃不再发。一妇人怀抱郁结，不时心腹作痛，诸
药不应。用归脾汤（杂病健忘。）倍加炒山栀而愈。
陈湖陆小村母，久患心腹疼痛，每作必胸满呕吐，手足俱冷，面赤唇麻，咽干舌燥，寒
热不时，月余竟夕不安，其脉洪大，众以痰火治之，屡止屡作。迨乙巳春，发频而甚，仍
用前药反剧。此寒凉损真之故，内真寒而外假热也。且脉息洪弦而有怪状，乃脾气亏损，
肝木乘之而然，当温补胃气。遂用补中益气汤加半夏、茯苓、吴茱萸、木香，一服熟寐
彻晓，洪脉顿敛，怪脉顿除，诸证释然。
三神丸 治室女血气，腹中刺痛，痛引心端，经行涩少，或月水不调，以致疼痛。
橘皮（二两，焙） 当归（酒浸，炒） 玄胡索（醋煮，各一两）
上为细末，炼蜜和丸如梧桐子大。每服五十丸，空心温酒送下。
没药散 治一切血气，脐腹撮痛，及产后恶露不下，儿枕块痛。
没药 血竭 桂心 玄胡索 当归 蒲黄 红花 干漆（炒，烟尽） 木香
芍药（各等分）
上为细末，每服二钱，食前温酒调下。
〔大〕延胡索散 治妇人血气攻心腹疼痛。
延胡索 当归 川芎 桂心（各七钱半） 木香 枳壳 赤芍药 桃仁（各半两）
熟地黄（一两）
上 咀，每服三钱，水一盏，姜三片，煎至七分，去滓热服。
琥珀散 治妇人血气攻心腹，烦躁闷乱，疼痛不止。
琥珀（另研） 没药（另研） 当归（炒） 赤芍药 牡丹皮 延胡索 蒲黄 莪术 桂心（各等分）
上为末，每服一钱，温酒调下。
瑞金散 治妇人血气撮痛，月经不行，预先呕吐疼痛。
玄胡索 牡丹皮 红花（各一钱） 片姜黄（二钱半） 赤芍药 莪术 川芎 当归（各一钱半）
官桂（半钱）
作一服，水一盅，酒一盅，同煎至一盅，食前服。
牡丹散 治妇人久虚羸瘦，血块走注，心腹疼痛，不思饮食。
牡丹皮 玄胡索 官桂（各一钱） 京三棱 当归（各一钱半） 莪术 赤芍药
牛膝（各二钱）
上煎服，法同前。
八仙散 治血气心腹 痛，立验。
当归 浓朴 芍药 枳壳（制） 人参（各四分） 甘草 茯苓（各五分） 肉豆蔻（二分）
上为末，水二升，煮取八合，空心分三服。
又八仙散 （《灵苑》治证同前。）
棕榈（二两） 当归（一两，并锉碎，一处烧成炭，细研） 麝香（一钱，细研）
上同研令停，每服一钱，温酒调下。
玄胡索汤 治妇人室女七情所感，血与气并，心腹疼痛，或连腰胁，甚作搐搦，一
切血气，经候不调，并宜服之。
玄胡索 蒲黄 赤芍药 片姜黄 当归（去芦，各一钱半） 乳香 木香（不见火）
官桂（不见火） 没药（各一钱） 甘草（半钱）
上作一服，水二盅，生姜三片，煎至一盅，食前服。
大效琥珀散 （《灵苑》）治妇人心膈迷闷，腹脏掐撮疼痛，气急气闷，月信不调等疾。
乌药 莪术（各二两） 当归（一两）
上并生为细末，温酒调二钱服，服后以食压之。忌生冷油腻等物。如是产后诸疾，炒
生姜、酒调下。
治血气不调，脐下痛。
桑耳 子 桂心 土瓜根 川芎（各四分） 甘草（二分） 牛膝 赤茯苓（各五分）
大黄 白芍药（各六分） 干地黄（八分）
上为末，炼蜜丸如梧桐子大。醋汤吞下二十丸。
蠲痛散 治妇人血气刺痛。
荔枝核（烧存性，半两） 香附子（去毛、炒，一两）
上为细末，盐汤米饮调下二钱，不拘时候。
没药散 治妇人血气疼痛不可忍者。（出《博济方》）
红花 没药（研） 延胡索（炒） 当归（各等分）
上为末，每服二钱，童便半盏，酒半盏，同煎至六分，热服。用烧赤秤锤淬过调服亦
可。常服只用温酒。
菖蒲丸 治妇人脾血积气及心脾疼。
菖蒲（九节者，六两） 吴茱萸（炮） 香附子（炒去毛，各四两）
上三味并锉细，以酽醋五升煮干为度，焙干研细末，以好神曲打糊为丸，如梧桐子大。
空心食前，以淡姜汤吞下四五十丸，日三服，
橘皮汤下亦好。
手拈散 治血气心腹疼痛。
草果 玄胡索 五灵脂 没药（各等分）
为末，每二钱，温酒调服。
木香枳术丸 破滞气，消饮食，开胃进食，消化痰涎。
木香 枳实（炒，各一两） 白术（二两）
上每服五钱，姜枣水煎服。
木香化滞汤 治脾胃虚弱，饮食停滞，腹胀作痛，或心下痞满，不思饮食。若忧怒饮
食而致者，尤宜用之。
木香 红花（各三钱） 橘皮 当归尾 枳实（炒，各二钱） 柴胡（四钱） 草豆蔻 甘草（炙，各
半两） 半夏（一两）
上每服三五钱，姜水煎服。
[Da] Abdominal and epigastric pain in women caused by blood and qi [Qi (Vital Energy)] results from the deficiency of the Zang-Fu organs [Zang-Fu Organs], allowing wind pathogen [Wind Pathogen] to invade and strike against the true qi [True Qi], causing pain. The pain moves up and down with the flow of qi, sometimes rushing upward to the heart region, or attacking downward into the abdomen; hence it is called "blood and qi attacking the heart and abdomen."
[Xue] If the aforementioned condition is due to qi stagnation and blood stasis [Blood Stasis], use Moyao San (Myrrh Powder). If it is due to exhaustion damaging the primordial qi [Primordial Qi], use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (from miscellaneous diseases of injury and fatigue). If it is due to liver-spleen depression and knotting [Liver-Spleen Depression], use Siqi Tang (Four-Seven Decoction) (from miscellaneous diseases of qi). If it is due to anger stirring up liver fire [Liver Fire], use Xiaochaihu Tang (Minor Bupleurum Decoction) (for heat entering the blood chamber [Blood Chamber]). If it is due to liver-spleen blood deficiency [Blood Deficiency], use Siwu Tang (Four Substances Decoction) (general prescription). If it is due to spleen-lung qi deficiency [Qi Deficiency], use Sijunzi Tang (Four Gentlemen Decoction) (from miscellaneous disease of consumptive disease). If it is due to middle-jiao qi deficiency [Middle Jiao Qi Deficiency], use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If it is due to both qi and blood deficiency [Qi and Blood Deficiency], use Bazhen Tang (Eight Treasures Decoction) (which is the Bajiaowu Tang for consumptive disease). A certain woman suffered abdominal and epigastric pain every time she became angry, which persisted for a long time without healing; this was liver fire damaging spleen qi. Using one liang of stir-fried Zhizi (Gardeniae Fructus), along with five slices of Shengjiang (Zingiberis Rhizoma), decocted and taken orally stopped the pain. Subsequently, using Erchen Tang (Two-Cured Decoction) added with Zhizi and Jiegeng (Platycodonis Radix) prevented recurrence. Another woman suffered intermittent abdominal and epigastric pain due to emotional depression, responding to no medicines. She was cured using Guipi Tang (Restore the Spleen Decoction) (from miscellaneous disease of forgetfulness) with doubled amounts of stir-fried Zhizi.
The mother of Lu Xiaocun from Chenhu suffered from chronic abdominal and epigastric pain. Every episode was accompanied by chest fullness and vomiting, cold hands and feet, flushed face, numb lips, dry throat, and dry tongue. She experienced alternating chills and fever, unable to sleep through the night for over a month. Her pulse was surging [Surging Pulse]. Treated as phlegm-fire [Phlegm-Fire] by many, it would subside temporarily but recur repeatedly. In the spring of the Yisi year, attacks became frequent and severe. Continuing with previous medications aggravated the condition. This was due to cold-cooling herbs damaging the true yang [True Yang], presenting as internal true cold with external false heat. Furthermore, the pulse was surging, wiry [Wiry Pulse], and abnormal, indicating spleen qi deficiency with liver wood [Liver Wood] overacting upon it. Treatment should warm and tonify stomach qi. Thus, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was used with Banxia (Pinelliae Rhizoma), Fuling (Poria), Wuzhuyu (Evodiae Fructus), and Muxiang (Aucklandiae Radix). After one dose, she slept soundly until dawn; the surging pulse immediately subsided, the abnormal pulse disappeared, and all symptoms resolved.
Sanshen Wan (Three Gods Pill): Treats virgin girls' blood and qi disorders, stabbing pain in the abdomen radiating to the heart end, scanty or irregular menstruation leading to pain.
Jupi (Tangerine Peel, two liang, roasted) Danggui (Angelicae Sinensis Radix, wine-soaked, roasted) Yanhusuo (Corydalis Rhizoma, vinegar-boiled, each one liang)
Grind into fine powder, mix with refined honey to form pills the size of paulownia seeds. Take fifty pills per dose, swallowed with warm wine on an empty stomach.
Moyao San (Myrrh Powder): Treats all blood and qi disorders, pinching pain in the umbilical and abdominal regions, postpartum lochia retention, and uterine mass pain.
Moyao (Myrrha) Xuejie (Sanguis Draconis) Guixin (Cinnamomi Cortex) Yanhusuo Danggui Puhuang (Typhae Pollen) Honghua (Carthami Flos) Ganqi (Drynariae Rhizoma, fried until smoke ceases) Muxiang Ren Shen (Panacis Ginseng Radix et Rhizoma - *Note: Text says Ren Shen here but likely refers to another herb or typo in source, keeping literal translation*) Shaoyao (each equal parts)
Grind into fine powder. Take two qian per dose, mixed with warm wine before meals.
[Da] Yanhusuo San (Corydalis Powder): Treats women's blood and qi attacking the heart and abdomen causing pain.
Yanhusuo Danggui Chuanxiong (Ligustici Chuanxiong Rhizoma) Guixin (each seven qian half) Muxiang Zhike (Aurantii Fructus) Chishao Yao (Red Peony Root) Taoren (Persicae Semen, each half liang) Shudihuang (Prepared Rehmanniae Radix, one liang)
Chop ingredients. Take three qian per dose, with one cup of water and three slices of ginger, decoct to seventy percent volume, strain, and take hot.
Hupo San (Amber Powder): Treats women's blood and qi attacking the heart and abdomen, causing irritability, confusion, and unceasing pain.
Hupo (Amber, separately ground) Moyao (Myrrha, separately ground) Danggui (Roasted) Chishao Yao Mudanpi (Moutan Cortex) Yanhusuo Puhuang Ezhu (Curcumae Rhizoma) Guixin (each equal parts)
Grind into powder. Take one qian per dose, mixed with warm wine.
Ruijin San: Treats women's blood and qi pinching pain, amenorrhea, preceded by vomiting and pain.
Yanhusuo Mudanpi Honghua (each one qian) Pian Jianghuang (Curcumae Longae Rhizoma, two qian half) Chishao Yao Ezhu Chuanxiong Danggui (each one qian half) Guanzi Gui (Cinnamomi Ramulus, half qian)
As one dose, decoct with one cup of water and one cup of wine until one cup remains. Take before meals.
Mudan San: Treats women with chronic deficiency and emaciation, wandering blood masses, abdominal and epigastric pain, and loss of appetite.
Mudanpi Yanhusuo Guanzi Gui (each one qian) Jingsanleng (Bletillae Rhizoma) Danggui (each one qian half) Ezhu Chishao Yao Niuxi (Achyranthis Bidentatae Radix, each two qian)
Decoct and take, method same as above.
Baxian San (Eight Immortals Powder): Treats blood and qi abdominal and epigastric pain, effective immediately.
Danggui Houpo (Magnoliae Officinalis Cortex) Shaoyao Zhike (prepared) Renshen (Panacis Ginseng Radix et Rhizoma, each four fen) Gancao (Licorice Root) Fuling (each five fen) Roudoukou (Myristicae Semen, two fen)
Grind into powder. Boil in two sheng of water to obtain eight ge. Divide into three doses, take on an empty stomach.
Another Baxian San (from *Lingyuan*, treating same conditions):
Zonglv (Livistonae Palm Leaf, two liang) Danggui (one liang, chopped and burned to charcoal together, finely ground) Shexiang (Moschus, one qian, finely ground)
Grind together uniformly. Take one qian per dose, mixed with warm wine.
Yanhusuo Tang (Corydalis Decoction): Treats young women affected by the seven emotions, where blood and qi conjoin, causing abdominal and epigastric pain, possibly radiating to the waist and hypochondrium, even convulsions. Suitable for all blood and qi disorders and irregular menstruation.
Yanhusuo Puhuang Chishao Yao Pian Jianghuang Danggui (de-stemmed, each one qian half) Ruxiang (Olibanum) Muxiang (not exposed to direct fire) Guanzi Gui (not exposed to direct fire) Moyao (each one qian) Gancao (half qian)
As one dose, decoct with two cups of water and three slices of ginger until one cup remains. Take before meals.
Da Xiao Hupo San (Great Efficacy Amber Powder) (*Lingyuan*): Treats women's chest diaphragm confusion, abdominal organ pinching pain, shortness of breath, chest oppression, and irregular menstruation.
Wuyao (Litseae Fructus) Ezhu (each two liang) Danggui (one liang)
Grind raw materials into fine powder. Take two qian mixed with warm wine. Press down the medicine with food after taking. Avoid raw, cold, and greasy foods. For postpartum disorders, mix with fried ginger and wine.
Treating blood and qi imbalance, pain below the umbilicus.
Sangerzi (Ficus Microcarpa Fruit) Guixin Tugua Gen (Trichosanthes Kirilowii Root) Chuanxiong Gancao Niuxi Chifuling (Red Poria) Dahuang (Rhei Radix et Rhizoma) Baishaoyao (White Peony Root) Dihuang (Rehmanniae Radix, each four fen, two fen, five fen, six fen, eight fen respectively)
Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Swallow twenty pills with vinegar-infused water.
Juantong San (Pain-Relieving Powder): Treats women's blood and qi stabbing pain.
Lizhihe (Litchi Seed, burned to retain nature, half liang) Xiangfuzi (Cyperi Rhizoma, de-husked, fried, one liang)
Grind into fine powder. Take two qian mixed with salt water and rice drink, at any time.
Moyao San: Treats unbearable blood and qi pain in women (from *Boji Fang*).
Honghua Moyao (ground) Yanhusuo (fried) Danggui (each equal parts)
Grind into powder. Take two qian per dose, decoct with half a cup of child urine and half a cup of wine until sixty percent volume remains. Take hot. Alternatively, mix with water quenched from a red-hot hammer weight. For regular use, simply mix with warm wine.
Changpu Wan (Acorus Pill): Treats women's spleen blood accumulation and qi stagnation, and heart-spleen pain.
Changpu (Acori Tatarinowii Rhizoma, nine-joint type, six liang) Wuzhuyu (Evodiae Fructus, processed) Xiangfuzi (Cyperi Rhizoma, fried, de-husked, each four liang)
Finely chop the three ingredients. Boil in five sheng of strong vinegar until dry. Dry, grind into fine powder, and make pills with good Qu (fermented grain) paste, size of paulownia seeds. Swallow forty to fifty pills with light ginger water before meals on an empty stomach, three times a day. Also acceptable with Jupi Tang (Tangerine Peel Decoction).
Shounian San (Hand-Picking Powder): Treats blood and qi abdominal and epigastric pain.
Caoguo (Tsaoko Fructus) Yanhusuo Wulingzhi (Trogopterori Faeces) Moyao (each equal parts)
Grind into powder. Take two qian, mixed with warm wine.
Muxiang Zhizhu Wan (Aucklandia and Immature Bitter Orange Pill): Breaks stagnant qi, aids digestion, opens the stomach, and resolves phlegm-fluids.
Muxiang Zhishi (Immature Bitter Orange, fried, each one liang) Baizhu (Atractylodis Macrocephalae Rhizoma, two liang)
Take five qian per dose, decoct with ginger and jujube water.
Muxiang Huazhi Tang (Aucklandia Resolving Stagnation Decoction): Treats spleen-stomach weakness, food stagnation, abdominal distension and pain, epigastric fullness, and loss of appetite. Especially suitable if caused by worry, anger, or improper diet.
Muxiang Honghua (each three qian) Jupi Dangguiwei (Angelicae Sinensis Radix Tail) Zhishi (fried, each two qian) Chaihu (Bupleuri Radix, four qian) Caodoukou (Cardamomi Fructus) Gancao (roasted, each half liang) Banxia (Pinelliae Rhizoma, one liang)
Take three to five qian per dose, decoct with ginger water.