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Question 1: A woman suffers from wind-stroke (Zhong Feng) with paralysis of the right half of the body. How should it be treated?
Answer: The right side belongs to Qi; this is an injury to Qi. One must take Xingqi Tang (Regulate Qi Decoction):
Ren Shen (Ginseng Radix), Xiang Fu (Cyperus Rhizome), Bai Zhi (Angelicae Dahuricae Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Bai Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root).
Additionally, use Bawei Shunqi San (Eight-Ingredient Regulating Qi Powder) added with Zhi Ke (Aurantii Fructus Immaturus) and Xiang Fu. If there is lower back pain, add Hong Hua (Carthami Flos) and Chai Hu (Bupleuri Radix).
For all cases of wind-stroke, first take this decoction to smooth the flow of Qi.

Question 2: A woman suffers from wind-stroke with paralysis of the left half of the body. How should it be treated?
Answer: The left side belongs to Blood; this is an injury to Blood. One must take blood-invigorating medicines:
Dang Gui (Angelicae Sinensis Radix), Zhi Ke, Xiang Fu, Hong Hua, Gan Cao, Chi Shao (Paeoniae Radix Rubra), Wu Yao (Linderae Radix), Qing Pi, Mu Xiang (Aucklandiae Radix), Guan Gui (Cinnamomi Cortex).

Question 3: A woman suffers from wind-stroke with deviation of the mouth and eyes, unclear speech, headache, and insomnia. How should it be treated?
Answer: There is a deficiency of Blood allowing Wind pathogen to lodge. To treat Wind, one must first treat Blood; when Blood flows, Wind extinguishes itself. One must take a formula that greatly tonifies Qi and Blood, while simultaneously treating Phlegm. Use Erchen Tang (Two-Cured Decoction).

Question 4: Women suffering from wind-stroke vary in being fat or thin. How should they be treated?
Answer: Fat individuals are treated for Phlegm; thin individuals are treated by nourishing Blood. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), added with Bei Mu (Fritillariae Bulbus) and Huang Lian (Coptidis Rhizoma).

Question 5: Women suffering from wind-stroke have no sweating and constipation. How should they be treated?
Answer: It is appropriate to greatly tonify Blood, generate Blood, and concurrently treat Phlegm, using Siwu Tang (Four-Substance Decoction) as the main formula, removing Shu Di Huang (Prepared Rehmanniae Radix).

Question 6: A woman has caught a cold with cough, phlegm, fever, headache, and excessive sweating. How should she be treated?
Answer: Use Xuanfuhua Tang (Inula Flower Decoction) added with Ren Shen.

Question 7: A woman has headache, fever, nasal congestion, and cough. How should she be treated?
Answer: Use Renshen Baidisan (Ginseng Detoxification Powder). For cough, add Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma), Sang Bai Pi (Mori Cortex), three slices of Sheng Jiang (Zingiberis Rhizoma Recens), and one date.

Question 8: A woman’s cough starts in the morning. How should it be treated?
Answer: This is caused by Yang Fire. Treat it with Huang Qin (Scutellariae Radix) and similar herbs.
Follow-up question: What if it starts in the evening?
Answer: This is caused by Yin Fire. Treat it with Sheng Di Huang (Rehmanniae Radix) and similar herbs.

Question 9: A woman has had continuous coughing for years. How should it be treated?
Answer: This is deficiency-cold of the Spleen and Stomach. Use Renshen Runfei Tang (Ginseng Lung-Moistening Decoction).

Question 10: A woman feels clammy discomfort in the chest and feels hungry immediately after eating. How should it be treated?
Answer: This is excessive deficient fire. Use Shan Zhi (Gardeniae Fructus), Ban Xia, Huang Lian, Ju Hong (Tangerine Peel). If the person is fat, use Erchen Tang added with Bai Zhu, Cang Zhu (Atractylodis Rhizoma), Shan Zhi, and Fu Xiong (Ligustici Chuanxiong Rhizoma).

Question 11: A woman often feels fullness in the chest and cannot eat. How should it be treated?
Answer: This is turbid Qi staying in the upper jiao, causing distension. Use Muxiang Shunqi San (Costus Regulating Qi Powder).

Question 12: In the fourth month of summer, a woman has weary limbs and stagnant Qi. How should it be treated?
Answer: Regulating the Spleen and Stomach is paramount. Use Qingshu Yiqi Tang (Clear Summerheat and Augment Qi Decoction).

Question 13: A woman has bone pain throughout the body, caused by Wind,劳损 (strain/overwork), or Phlegm. How should it be treated?
Answer: Body-wide pain with chest clamminess is due to Phlegm. Use Erchen Tang added with Zhi Ke, Shan Zhi, Ju Hong; body-wide pain with swollen hands and feet is due to Dampness. Use Jianpi Tang (Spleen-Strengthening Decoction); body-wide pain with internal heat, dry mouth, and sallow complexion is due to strain. Diagnose as Blood deficiency and use Xiaoyao San (Free Wanderer Powder); fever and cough are due to Wind. Use Jinfeisan (Golden Boiling Herb Powder).

Question 14: A woman has cracked skin, thirst, dry tongue, or constipation of both bowels and bladder. How should it be treated?
Answer: This condition risks developing into Xuelin (Blood Dysuria). The current patient suffers from Xueku (Blood Exhaustion). Focus on dispersing Blood and tonifying Qi, using herbs such as Sheng Di Huang, Huang Lian, and Zhi Mu (Anemarrhenae Rhizoma).

Question 15: A woman has free urination but constipation, or free defecation but difficult urination. How should it be treated?
Answer: It is suitable to take formulas that generate Blood.

Question 16: A woman has phlegm obstruction in the throat like a lump, feeling like a plum pit that cannot be spat out or swallowed. How should it be treated?
Answer: This is Qi stagnation. Use Erchen Tang, remove Ban Xia, and add Bei Mu, Huang Lian, and Zhi Shi (Aurantii Fructus). Alternatively, treat with Siqi Tang (Four-Seven Decoction), which is excellent.

Question 17: A woman vomits food and refuses to swallow, even refusing medicine. How should it be treated?
Answer: This is an injury to the Stomach. Take the following:
Ban Xia, Sheng Jiang, Huo Xiang (Agastaches Herba), Wu Mei (Mume Fructus). Avoid sweet foods.

Question 18: An elderly woman has chronic malaria and abdominal masses (Pi Ji). How should it be treated?
Answer: Use Qingwei Tang (Clear Stomach Decoction).

Question 19: A woman has bloody diarrhea. Some stool is scattered, some clotted, some bright red, some purple. How to distinguish between injury (Shang), dysentery (Li), and visceral toxin (Zang Du)?
Answer: Bloody diarrhea with scattered or clotted stool, painful upon pressure, is injury. Use Weifeng Tang (Stomach Wind Decoction); bowel sounds rumbling with immediate urge to defecate is dysentery. Use Jiajian Pingwei San (Modified Pingwei Powder); painless, intermittent bleeding is visceral toxin. Use Huaijiao Wan (Sophora Fruit Pill).

Question 20: A woman has dysentery consisting purely of bright red blood. How should it be treated?
Answer: This is severe summerheat toxin. This condition is difficult to treat.
Follow-up question: How to treat anorexic dysentery (Jinkou Li)?
Answer: This is heat toxin rushing to the Heart, causing vomiting and refusal to eat. Use Huang Qin and Wu Zhu Yu (Evodiae Fructus), or Canglin Tang.

Question 21: A woman has chest pain, vomits clear fluid, pain stops after eating, and hunger returns when not eating. How should it be treated?
Answer: This is a Fire disease. Take Yangwei Tang (Nourish Stomach Decoction), remove Ren Shen, add Sheng Jiang, fried Huang Lian, and Xiang Fu.

Question 22: A woman vomits clear and yellow fluids, as well as food and phlegm-fluids. What medicines are used in winter and summer?
Answer: Use Yangwei San (Nourish Stomach Powder). In summer, add Ban Xia; in winter, use Pao Jiang (Prepared Zingiberis Rhizoma).

Question 23: A woman has abdominal distension. How should it be treated?
Answer: This is mostly Qi stagnation. Use Muxiang Liuqi Yin (Costus Moving Qi Infusion). If Qi sinks, add Sheng Ma (Cimicifugae Rhizoma); if there is Phlegm, add Ban Xia.

Question 24: A woman has chest stuffiness and blockage. How should it be treated?
Answer: Use Zhimi Qi Qi Tang (Finger-Amusing Seven-Qi Decoction) added with Mu Xiang.

Question 25: A woman has abdominal masses that gather and scatter, accompanied by chills, fever, and pain. How should it be treated?
Answer: Tangible masses are treated according to Blood regulations. Take:
Peng E Zhu (Curcumae Rhizoma), Gan Cao, San Leng (Sparganii Rhizoma), Huo Xiang, Xiang Fu, Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Ban Xia, Sheng Jiang, Da Zao (Jujubae Fructus).

Question 26: A woman frequently has lower back pain. How should it be treated?
Answer: Use Buzhong Yiqi Tang added with Du Zhong (Eucommiae Cortex).

Question 27: A woman has wandering pain in the waist and knees, unbearable like a tiger bite. How should it be treated?
Answer: This is trauma/stasis. Take blood-invigorating medicines such as Dang Gui, Bai Zhu, Niu Xi (Achyranthis Bidentatae Radix), added with Tong Bian (Child's Urine).

Question 28: A woman suffers from falls or sprains, damaging coagulated blood, causing chest and hypochondriac pain. How should it be treated?
Answer: Use blood-invigorating medicines added with Dan Pi (Moutan Cortex). These are medicines to generate new Blood and eliminate old Blood (Su Xue). After decocting, add Tong Bian.

Question 29: A woman has chest clamminess. How should it be treated?
Answer: Women often suffer from this due to excessive Phlegm. Sweat transforms into phlegm-saliva. Treating it as blood-related clamminess is erroneous. Use Xuanfuhua Tang added with Bei Mu and Jiang Zhi (Ginger Juice).

Question 30: A woman has numbness all over the body. How should it be treated?
Answer: "Ma" (numbness/tingling) is Qi deficiency; "Mu" (wood-like insensitivity) is Blood deficiency. There are also cases of numbness due to Phlegm in the Stomach and those due to Blood deficiency. For fat women with chest clamminess, treat Phlegm; for sallow, thin, and weak women, treat Blood deficiency.

Question 31: A woman has involuntary urination and defecation. How should it be treated?
Answer: This is Qi deficiency. Use Buzhong Yiqi Tang; several doses will lead to recovery.

Question 32: A woman has vulvar pain and itching. How should it be treated?
Answer: This is Dampness. Use Chaihu Shigao Tang (Bupleurum and Gypsum Decoction).

Question 33: A woman has unbearable vulvar itching. How should it be treated?
Answer: This is caused by damp-heat generating parasites that erode the tissue. If untreated, it will gradually invade the zang-fu organs. Quickly grind Almond (Xing Ren) into a paste, wrap in cloth, and insert into the vagina. Recovery occurs in one to two days.

Question 34: A woman has hematuria. How should it be treated?
Answer: This is hidden fire in the lower origin. Fried Shan Zhi (Gardeniae Fructus) is indispensable.

Question 35: How to diagnose wind-stroke from broken skin (Po Shang Feng) in women?
Answer: This illness is serious. If the head and eyes are blue-black, sweat beads form on the forehead but do not flow, eyes are small and staring, and sweat oozes like oil, it is incurable. If the injury does not reach this stage, take Fangfeng San (Saposhnikovia Powder).

Question 36: A woman has abdominal masses unresponsive to various medicines. How should it be treated?
Answer: Use juice from Gui Jian Chou Cao, mixed with wine for drinking. Or dry and powder it, taken with wine.

Question 37: How to treat intercourse injury (Jiao Shang)?
Answer: When feces pass through the urethra, it is called intercourse injury, indicating loss of transport regulation. Use Fuling San (Poria Powder) to separate water and grain, then take Huanglian Ejiao Wan (Coptis and Donkey-Hide Gelatin Pill).

Question 38: A woman has a sore throat. How should it be treated?
Answer: This is named deficient fire. Do not mistake it for Ru E (Milk Swallow/Tonsillitis). Use only Ren Shen, Bo He (Menthae Haplocalycis Herba), Bei Mu, Ge Gen (Puerariae Lobatae Radix), Sang Bai Pi, Gan Cao, Jie Geng, Xuan Shen (Scrophulariae Radix), Hua Fen (Trichosanthis Radix), Dang Gui, Sheng Di Huang. If pain is caused by alcohol injury, remove Ren Shen.

Question 39: A woman has sores on the vulva. How should it be treated?
Answer: Pound Tao Ren (Pruni Semen) into a paste, wrap in hemp cloth, and insert.

Question 40: A woman has watery discharge from the vulva. How should it be treated?
Answer: Use Mu Ding Xiang (Eugeniae Caryophyllatus Flos), sewn into a gauze bag the size of a finger, and insert internally to provide warmth.

Question 41: Why does a woman have vulvar pain without other illnesses?
Answer: It must be an intercourse injury. Use fried salt wrapped in green cloth to apply heat (moxibustion-like therapy).

Question 42: During pregnancy, there is chest stuffiness, abdominal pain, and spontaneous diarrhea that is not true dysentery. How should it be treated?
Answer: Prioritize calming the fetus. Use the following:
Bai Zhu (2 qian), Zi Su (Perillae Folium, 0.5 qian), Gan Cao (0.5 qian), Chen Pi (0.8 qian), Dang Gui (2 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian), Huang Qin (0.8 qian), Mu Xiang (0.3 qian).
Once Qi flows smoothly, remove Mu Xiang; if deficient, add Shu Di Huang; if lower back pain, add Shan Yao (Dioscoreae Rhizoma), one slice of ginger, and three dates.

Question 43: Postpartum, a woman has lower back pain, abdominal pain, and lochia that seems to flow but does not fully clear. How should it be treated?
Answer: Use the following:
Chuan Xiong (1 qian), Dang Gui (2 qian), Gan Cao (0.3 qian), Tao Ren (Pruni Semen, 10 grains), Gan Jiang (Dried Zingiberis Rhizoma, 0.5 qian).
Decoct with six spoons of wine and take orally.