夫妇人腹中瘀血者，由月经否涩不通，或产后余秽未尽，因而乘风取凉，为风冷所乘，
血得冷则成瘀血也。血瘀在内则时时体热面黄，瘀久不消则变成积聚症瘕也。
虻虫 水蛭 乌贼骨 鲤鱼鳞（烧灰） 芫花（醋炒） 枳壳 当归（炒） 牛膝 赤
芍药 砂 桂心（各半两） 桃仁（三分）
上为细末，食前，温酒调下一钱。
治妇人腹内有瘀血，月水不利，或断或来，心腹满急。
桃仁 大黄（炒，各三两） 虻虫（炒，去翅足） 水蛭（各四十枚，炒焦）
上为末，炼蜜丸如梧桐子大。每服五丸，热酒吞下。未知，加至八丸。
夫妇人症痞者，由冷热不调，饮食不节，积在腹内或肠胃之间，与脏气结搏，其牢强推
之不移者名曰症，言其病形征可验也。气壅塞为痞，言其气痞涩、不宣畅也。皆得冷则发动
刺痛。症痞之病，其形冷结。若冷气入于子脏，则使无子。若冷气入于胞络，搏于血，血得
冷则涩，亦令月水不通也。
治妇人症痞及恶血，气攻心腹疼痛，面无颜色，四肢瘦弱。
穿山甲（灰炒燥） 鳖甲（醋炙） 赤芍药 大黄（炒） 干漆（炒令烟尽） 桂心（各
一两） 川芎 芫花（醋炒） 当归（各半两） 麝香（一分）
上为细末，入麝香令停。每服一钱，无时，热酒调下。
For women with blood stasis in the abdomen, it is caused by dysmenorrhea or obstruction of menstruation, or by residual lochia remaining after childbirth. If one exposes oneself to wind and cold while seeking coolness, the pathogenic wind-cold invades the body. Blood congeals into blood stasis when exposed to cold. When blood stasis remains inside, it causes frequent low-grade fever and sallow complexion; if the stasis persists for a long time without resolving, it transforms into accumulations and masses (zheng jia).
*Gouyi San* (Carp Scale Powder):
*Tabanidae Insect* (*Mengchong*), *Leech* (*Shuizhi*), *Sepiae Endoconcha* (*Wuzeigu*), *Cyprini Carpio Scales* (burned to ash), *Genkwa Flos* (stir-fried with vinegar), *Aurantii Fructus Immaturus* (*Zhiqiao*), *Angelicae Sinensis Radix* (stir-fried), *Achyranthis Bidentatae Radix*, *Paeoniae Radix Rubra*, *Amomi Fructus Rotundus* (*Sharen*), *Cinnamomi Ramulus* (*Guixin*) (each 0.5 liang), *Persicae Semen* (3 fen).
Grind the above herbs into fine powder. Before meals, take 1 qian mixed with warm wine.
*Taohe Chengqi Tang* variant (contextual name inferred from ingredients, but text describes a pill):
Treats blood stasis in the abdomen of women, irregular menstruation, intermittent flow, and fullness/urgency in the heart and abdomen.
*Persicae Semen*, *Rhei Radix et Rhizoma* (stir-fried, each 3 liang), *Tabanidae Insect* (stir-fried, wings and feet removed), *Leech* (40 pieces each, stir-fried until charred).
Grind into powder, mix with refined honey to make pills the size of wutong seeds. Take 5 pills per dose, swallowed with hot wine. If ineffective, increase to 8 pills.
For women suffering from zheng and pi disorders, it is due to imbalance of cold and heat, and irregular diet. Accumulations form in the abdomen or between the intestines and stomach, knotting with the qi of the zang organs. Hard, firm masses that cannot be moved by pushing are called "zheng," indicating that the pathological form is verifiable. Qi obstruction causing distension is called "pi," indicating qi stagnation and lack of free flow. Both conditions are triggered by cold, causing stabbing pain. The nature of zheng and pi diseases is cold coagulation. If cold qi enters the uterus (zang), it leads to infertility. If cold qi enters the uterine collaterals (bao luo) and knots with blood, the blood becomes stagnant due to cold, also resulting in amenorrhea.
*Chuanshanjia San* (Pangolin Scale Powder):
Treats zheng and pi disorders and evil blood in women, where qi attacks causing heart and abdominal pain, pallor, and emaciation of the four limbs.
*Squama Manis* (*Chuanshanjia*) (stir-fried with ash until dry), *Testudinis Carapax et Plastrum* (prepared with vinegar), *Paeoniae Radix Rubra*, *Rhei Radix et Rhizoma* (stir-fried), *Dryobalanops aromatica Resin* (*Ganqi*) (stir-fried until smoke ceases), *Cinnamomi Ramulus* (each 1 liang), *Chuanxiong Rhizoma*, *Genkwa Flos* (stir-fried with vinegar), *Angelicae Sinensis Radix* (each 0.5 liang), *Moschus* (1 fen).
Grind the above herbs into fine powder, add Moschus and mix well. Take 1 qian per dose at any time, mixed with hot wine.