妇人欲断产者。不易之事。兹录验方。以备所用。然其方颇众且多。有用水银、虻虫、
水蛭之类。孕虽不怀。难免受病。此方平和而有异效。故具于后。
一妇人断产验方。
故蚕纸方圆一尺。烧为末。酒调服。终身不复怀孕也。
一千金断产方。
油煎水银。一日方息。空心服枣大一丸。永断不孕。且不损人。
一断子法。
用白面一升。无灰酒三斗。打作糊煮至二升半。绢袋滤去渣。分作三服。月经来日。晚
吃一服。五更吃一服。天明吃一服。经事即行。终身无子。
脉女人尺脉常胜。而右手脉大。皆其常也。若肾脉微涩。或浮或滑。而断绝不匀。或肝
脉沉
而急。皆经闭不调之候也。丹溪曰。经候有枯闭不通者。有不及期与过期者。有妄行者。有
色紫黑及淡者。有成块者。有作痛者。夫经不通。
或因堕胎。及多产伤血。或因久患潮热消血。或因久发盗汗耗血。或因脾胃不和。饮食少进
而不生血。或因痢
疾下血。治宜生血补血。除热调胃之剂。随病用之。或因七情伤心。心气停结。故血闭而不
行。宜调心气。通心经。使生血而经自行矣。一治妇女经闭。不论虚实寒热新久。即服此方
殊多功效。
清热通经汤
当归（酒洗一钱） 川芎（一钱） 白芍（酒炒一钱） 生地黄（一钱半） 大黄（七分） 官桂
（四
分） 浓朴（姜炒八分） 枳壳（麸炒一钱） 苏木（一钱） 枳实（麸炒一钱） 黄芩（一钱） 红
花（五分） 乌梅（一个） 桃仁（去皮尖十个）
上锉。生姜三片。水煎。空心。热服。不数剂而奏效。
一论妇女经水不通。腹中结块。 瘕攻注刺痛。宜服。
归术破症汤
归尾（酒洗） 赤芍 白芍 青皮（各一钱） 三棱（醋炒一钱） 莪术（醋炒一钱） 香附（
醋炒一钱半） 乌药（七分） 官桂 苏木 红花（各五分）
上锉一剂。水煎。入酒一盏。空心服。
一论妇女经闭。一二年不通。脐左下一块如碗口大。间或吐血或便血。发热咳嗽。吐痰
盗汗等症。宜
养血调经丸
当归（酒洗二两） 川芎（一两） 熟地黄（四两） 山茱萸（酒炒去核二两） 怀山药（二两）
生
地黄（酒洗二两） 益母草（二两） 白芍（酒炒二两） 牡丹皮（一两） 白茯苓（去皮一两五钱）
栀子仁（炒一两五钱） 香附米（酒炒二两） 泽泻（一两五钱） 陈皮（一两五钱）
上为末。炼蜜为丸。如梧子大。每服三钱。空心。淡姜汤送下。
一治妇人血瘕作痛。脐下胀满。或月经不行。发热体倦。
当归（八分） 桂心（六分） 元胡索（炒四分） 白芍（酒炒六分） 血竭（六分） 蒲黄（六
分）
上为末。每服二钱。空心。酒调下。
消积通经丸
香附米（醋炒十两） 艾叶（醋炒二两） 当归（酒洗二两） 川芎（一两） 赤芍（一两） 生
地黄
（二两） 桃仁（去皮一两） 红花（酒洗一两） 三棱（醋炒一两） 莪术（醋炒一两） 干漆（炒
一两）
上为细末。醋糊为丸。如梧子大。每服八十丸。临卧。淡盐汤送下。
一治妇女月经不通。鼻衄出血不止。（侍郎张玉阳传）
当归（一钱半） 川芎（一钱） 白芍（一钱半） 生地黄（一钱半） 知母（一钱） 黄柏（盐
水炒
一钱二分） 桃仁（去皮尖一钱） 红花（一钱） 牡丹皮（一钱） 茅根 侧柏叶（各二钱） 大
黄（以红花苏木茜根煎酒煮大黄一日取出晒干三钱）
上锉一剂。水煎。空心服。
一治室女经水不行。翰林张明宇传。
当归 川芎 赤芍 生地黄 荆芥穗 枳壳（麸炒各一钱） 马鞭草（一钱半） 牡丹皮
川牛膝 生蒲黄（各五分） 桂心（三分） 乌梅（二分）
上锉一剂。水煎服。日二剂。过期不行。加泽兰叶。
一治室女经闭。咳嗽发热。属虚弱者。宜
养血通经汤
牡丹皮 当归（各一钱五分） 白芍 陈皮 白术（去芦） 香附（各一钱） 川芎（七分）
柴胡（七分） 黄芩（七分） 甘草（四分） 生地黄（一钱）
上锉一剂。水煎。空心。热服。
通经调气汤 治症同前。
当归（酒洗） 川芎 白芍（酒炒） 生地黄 香附米（童便炒各一两） 牡丹皮（八钱） 柴
胡（
三钱） 黄柏（酒浸炒六钱） 知母（童便炒八钱） 牛膝（酒洗八钱） 桃仁（去皮尖） 红花（二
味量加）
上锉十剂。水煎。空心一服。食远一服。
一治妇人经闭不通。不论新久。下取良法。
下取通经丸
乳香 没药 孩儿茶 巴豆（去壳） 血竭 葱白（各五分） 斑蝥（五个）
上为末。共捣为丸。绵裹三层。系放筒口。上将线捆住。送入阴户内三四寸许。俟一
炷香。经水即下。
一治妇人胃气虚素弱。为哭母吐血咳嗽。发热盗汗。经水不行。此乃悲则伤肺。以补
中益气汤加桔梗、贝母。兼进六味丸。
一妇人经闭八月。肚腹渐大。面色或青或黄。用胎症之药。
不应。余诊视之曰。面青脉涩。寒热往来。肝经脉病也。此郁怒伤脾肝之症。非胎也。不
信
仍用治胎散。不应。余用加味归脾逍遥之药各三十余剂。诸症稍愈。彼欲速效。别服通经
丸药一服。下血昏愦。自汗恶寒。手足俱冷。呕吐不食。余用人参、炮姜。二剂渐愈。又用
十全大补汤五十帖而愈。
一妇人久患疟。形体怯弱。内热晡热。自汗盗汗。饮食少思。月事不行。或用通经丸。
虚症悉具。此因虚而致疟。因疟以闭经也。用补中益气汤及六味地黄丸。疟愈经行。
一妇人性沉多虑。月经不行。胸满食少。或作胀。或吐酸。余以中气虚寒。用补中
益气汤。加砂仁、香附、煨姜一帖。而胸膈和。饮食进。更加六君。加川芎、归贝、桔梗、
生姜、大枣。数剂。脾胃健而经自调矣。
一妇人素有胃火。或用清胃散而安。后因劳役。燥渴内热。肌肉消瘦。月经不行。此胃
火消
烁阴血。用逍遥散。加牡丹皮、炒栀子以清胃热。用八珍汤。加茯苓、远志以养脾。而经自
行矣。
补中益气汤（方见内伤） 六味丸（方见补益） 十全大补汤（方见补益） 逍遥散（方见妇
人虚劳） 六君子汤 八珍汤（俱见补益）
[Background Information]
Book: Shoushi Baoyuan (Preservation of Longevity)
Author: Gong Tingxian
Dynasty: Ming
Chapter: Fangs for Sterilization / Amenorrhea
Category: Health Preservation
[English Translation]
For women desiring sterilization (permanent cessation of pregnancy), this is not an easy matter. Herein are recorded several verified prescriptions for reference. However, although there are many such prescriptions, some employ substances like mercury (Shuiyin), fly larvae (Machong), and leeches (Shuizhi). While they may prevent conception, they inevitably cause harm to the body. The following prescription is mild in nature yet effective, and is therefore listed below.
One Verified Prescription for Female Sterilization
Burn old mulberry paper cut into a square or circle one chi in size into ash. Mix with wine and take orally. This will result in lifelong infertility.
Qianjin Sterilization Prescription
Fry mercury in oil until it ceases after one day. Take one pill the size of a jujube on an empty stomach. This permanently prevents pregnancy without damaging the human body.
A Method for Preventing Offspring
Take one sheng of white flour and three dou of unadulterated wine. Stir into a paste and boil until reduced to two and a half sheng. Filter through a silk bag to remove dregs. Divide into three doses. On the day menstruation begins, take one dose in the evening, one at wugeng (3-5 AM), and one at dawn. Menstruation will then flow freely, resulting in lifelong childlessness.
Regarding pulse diagnosis, the chi pulse (pulse position at the wrist proximal to the elbow, reflecting Kidney and Mingmen status) in women is often prominent, and the right hand pulse is often larger; these are normal variations. If the Kidney pulse is faint and choppy, or floating and slippery, with irregular rhythm; or if the Liver pulse is deep and rapid, these are signs of amenorrhea and menstrual irregularity. Danxi stated: Menstruation may be dry and blocked; it may occur before or after the expected time; it may flow excessively; it may be dark purple or pale; it may contain clots; it may be accompanied by pain.
Menstrual obstruction may be caused by abortion or multiple births injuring the blood; by chronic tidal fever consuming Yin blood; by chronic night sweats depleting blood; by Spleen-Stomach disharmony leading to poor diet and insufficient blood production; or by dysentery with bloody stools. Treatment should employ formulas that generate and tonify blood, clear heat, and regulate the Stomach, adapted to the specific condition.
It may also be caused by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Grief, Fear, Fright) injuring the Heart, causing Qi stagnation and blockage, thus preventing blood flow. Treatment should regulate Heart Qi and unblock the Heart Meridian to promote blood generation and restore spontaneous menstruation.
The following formula treats female amenorrhea, regardless of deficiency/excess, cold/heat, or acute/chronic onset, and is highly effective.
Qingre Tongjing Tang (Heat-Clearing and Menses-Unblocking Decoction)
Danggui (Radix Angelicae Sinensis, washed in wine, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Baishao (Radix Paeoniae Alba, stir-fried in wine, 1 qian), Shengdihuang (Radix Rehmanniae Preparata, 1.5 qian), Dahuang (Radix et Rhizoma Rhei, 0.7 qian), Guangui (Cortex Cinnamomi, 0.4 qian), Houpo (Cortex Magnoliae Officinalis, stir-fried with ginger, 0.8 qian), Zhike (Fructus Aurantii, bran-fried, 1 qian), Sumu (Lignum Sappan, 1 qian), Zhishi (Fructus Aurantii Immaturus, bran-fried, 1 qian), Huangqin (Radix Scutellariae, 1 qian), Honghua (Flos Carthami, 0.5 qian), Wumei (Fructus Mume, 1 piece), Taoren (Semen Persicae, peeled and removed of sharp ends, 10 pieces).
Decoct these ingredients with three slices of fresh ginger in water. Take hot on an empty stomach. Efficacy is usually seen within a few doses.
Another discussion addresses women with obstructed menstruation, abdominal masses, and stabbing pain from Jia (abdominal masses) attacking and penetrating. This formula is suitable.
Guishu Poji Tang (Angelica and Atractylodes Mass-Breaking Decoction)
Guiwei (Cauda Radicis Angelicae Sinensis, washed in wine), Chishao (Radix Paeoniae Rubra), Baishao (Radix Paeoniae Alba), Qingpi (Pericarpium Citri Reticulatae Viride) (each 1 qian), Sanleng (Rhizoma Sparganii, vinegar-fried, 1 qian), Ezhu (Rhizoma Curcumae Zedoariae, vinegar-fried, 1 qian), Xiangfu (Rhizoma Cyperi Rotundi, vinegar-fried, 1.5 qian), Wuyao (Radix Lini, 0.7 qian), Guangui (Cortex Cinnamomi), Sumu (Lignum Sappan), Honghua (Flos Carthami) (each 0.5 qian).
Decoct one dose in water with one zhan of wine. Take on an empty stomach.
Another discussion addresses women with amenorrhea lasting one to two years, a mass the size of a bowl opening below the left umbilicus, occasional hematemesis or hematochezia, fever, cough, expectoration, and night sweats. This formula is suitable.
Yangxue Tiaojing Wan (Blood-Nourishing and Menstruation-Regulating Pill)
Danggui (Radix Angelicae Sinensis, washed in wine, 2 liang), Chuanxiong (Rhizoma Chuanxiong, 1 liang), Shudihuang (Radix Rehmanniae Praeparata, 4 liang), Shanzhuyu (Fructus Corni, wine-fried, pitted, 2 liang), Huaishanyao (Rhizoma Dioscoreae Oppositae, 2 liang), Shengdihuang (Radix Rehmanniae Recens, washed in wine, 2 liang), Yimucao (Herba Leonuri, 2 liang), Baishao (Radix Paeoniae Alba, wine-fried, 2 liang), Mudanpi (Cortex Moutan, 1 liang), Baifuling (Poria, peeled, 1.5 liang), Zhizi Ren (Semen Gardeniae, fried, 1.5 liang), Xiangfumiao (Rhizoma Cyperi Rotundi, wine-fried, 2 liang), Zexie (Rhizoma Alismatis, 1.5 liang), Chenpi (Pericarpium Citri Reticulatae, 1.5 liang).
Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 3 qian per dose on an empty stomach, delivered with light ginger soup.
Another treatment for women with blood Jia causing pain, lower abdominal distension, or amenorrhea, accompanied by fever and fatigue.
Danggui (Radix Angelicae Sinensis, 0.8 fen), Guixin (Cortex Cinnamomi, 0.6 fen), Yuanhusuo (Rhizoma Corydalis, fried, 0.4 fen), Baishao (Radix Paeoniae Alba, wine-fried, 0.6 fen), Xuemei (Sanguis Draxonis, 0.6 fen), Huyang (Spora Typhae, 0.6 fen).
Grind into fine powder. Take 2 qian per dose on an empty stomach, mixed with wine.
Xiaoji Tongjing Wan (Accumulation-Reducing and Menses-Unblocking Pill)
Xiangfumiao (Rhizoma Cyperi Rotundi, vinegar-fried, 10 liang), Aiye (Folium Artemisiae Argyi, vinegar-fried, 2 liang), Danggui (Radix Angelicae Sinensis, washed in wine, 2 liang), Chuanxiong (Rhizoma Chuanxiong, 1 liang), Chishao (Radix Paeoniae Rubra, 1 liang), Shengdihuang (Radix Rehmanniae Recens, 2 liang), Taoren (Semen Persicae, peeled, 1 liang), Honghua (Flos Carthami, washed in wine, 1 liang), Sanleng (Rhizoma Sparganii, vinegar-fried, 1 liang), Ezhu (Rhizoma Curcumae Zedoariae, vinegar-fried, 1 liang), Ganqi (Resina Drynariae, fried, 1 liang).
Grind into fine powder, use vinegar paste to form pills the size of wutong seeds. Take 80 pills per dose before sleep, delivered with light salt soup.
Another treatment for women with obstructed menstruation and persistent epistaxis. (Transmitted by Vice Minister Zhang Yuyang)
Danggui (Radix Angelicae Sinensis, 1.5 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Baishao (Radix Paeoniae Alba, 1.5 qian), Shengdihuang (Radix Rehmanniae Recens, 1.5 qian), Zhimu (Rhizoma Anemarrhenae, 1 qian), Huangbai (Cortex Phellodendri, salt-water fried, 1.2 qian), Taoren (Semen Persicae, peeled and removed of sharp ends, 1 qian), Honghua (Flos Carthami, 1 qian), Mudanpi (Cortex Moutan, 1 qian), Maogen (Radix Imperatae), Cebeiyeh (Folium Platycladi) (each 2 qian), Dahuang (Radix et Rhizoma Rhei, boiled in wine decocted with Honghua, Sumu, and Qiancao for one day, then dried, 3 qian).
Decoct one dose in water. Take on an empty stomach.
Another treatment for unmarried women with absent menstruation. (Transmitted by Hanlin Zhang Mingyu)
Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Chishao (Radix Paeoniae Rubra), Shengdihuang (Radix Rehmanniae Recens), Jingjiesui (Cacumen Schizonepetae), Zhike (Fructus Aurantii, bran-fried) (each 1 qian), Mabiancao (Herba Verbenaе, 1.5 qian), Mudanpi (Cortex Moutan), Chuan Niuxi (Radix Achyranthis Bidentatae), Sheng Huyang (Spora Typhae Recens) (each 0.5 fen), Guixin (Cortex Cinnamomi, 0.3 fen), Wumei (Fructus Mume, 0.2 fen).
Decoct one dose in water. Take twice daily. If menstruation does not start after the expected date, add Zelan Ye (Folium Agrimoniae).
Another treatment for unmarried women with amenorrhea, cough, and fever, indicating deficiency. Yangxue Tongjing Tang (Blood-Nourishing and Menses-Unblocking Decoction) is suitable.
Mudanpi (Cortex Moutan), Danggui (Radix Angelicae Sinensis) (each 1.5 qian), Baishao (Radix Paeoniae Alba), Chenpi (Pericarpium Citri Reticulatae), Baizhu (Rhizoma Atractylodis Macrocephalae, de-rhizome), Xiangfu (Rhizoma Cyperi Rotundi) (each 1 qian), Chuanxiong (Rhizoma Chuanxiong, 0.7 qian), Chaihu (Radix Bupleuri, 0.7 qian), Huangqin (Radix Scutellariae, 0.7 qian), Gancao (Radix Glycyrrhizae, 0.4 fen), Shengdihuang (Radix Rehmanniae Recens, 1 qian).
Decoct one dose in water. Take hot on an empty stomach.
Tongjing Tiaoqi Tang (Menses-Unblocking and Qi-Regulating Decoction) treats the same symptoms as above.
Danggui (Radix Angelicae Sinensis, washed in wine), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba, wine-fried), Shengdihuang (Radix Rehmanniae Recens), Xiangfumiao (Rhizoma Cyperi Rotundi, fried in child's urine, each 1 liang), Mudanpi (Cortex Moutan, 8 qian), Chaihu (Radix Bupleuri, 3 qian), Huangbai (Cortex Phellodendri, wine-soaked and fried, 6 qian), Zhimu (Rhizoma Anemarrhenae, fried in child's urine, 8 qian), Niuxi (Radix Achyranthis Bidentatae, washed in wine, 8 qian), Taoren (Semen Persicae, peeled and removed of sharp ends), Honghua (Flos Carthami) (adjust quantity of these two as needed).
Decoct ten doses in water. Take one dose on an empty stomach and one dose well after meals.
Another treatment for women with obstructed menstruation, regardless of acute or chronic onset, using a local application method.
Xiaqu Tongjing Wan (Lowering and Menses-Unblocking Pill)
Ruxiang (Resina Boswelliae), Moyao (Resina Commiphorae), Haiercha (Massa Medicata Fermentata), Badou (Semen Crotonis, shelled), Xuemei (Sanguis Draxonis), Congbai (Bulbus Allii Cepae) (each 0.5 fen), Banmao (Mylabris, 5 pieces).
Grind into fine powder and knead into pills. Wrap in three layers of cotton, attach to the mouth of a bamboo tube, secure with thread, and insert into the vagina about 3-4 cun. After burning one incense stick, menstruation will begin.
Another treatment for women with weak Stomach Qi who suffer from hematemesis, cough, fever, and night sweats due to weeping for their mother, resulting in amenorrhea. This is injury to the Lung due to grief. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Jiegeng (Radix Platycodi) and Beimu (Bulbus Fritillariae Cirrhosae), combined with Liuwei Wan (Six-Ingredient Pill).
A woman had amenorrhea for eight months, with gradually enlarging abdomen and complexion alternating between green and yellow. Treatments for pregnancy were ineffective. Upon examination, I stated: Green complexion and choppy pulse, alternating chills and fever, indicate Liver Meridian pathology. This is a syndrome of Liver-Spleen injury due to depression and anger, not pregnancy. The patient did not believe this and continued using pregnancy-treating powders without success. I prescribed Jiawei Guipi Xiaoyao San (Modified Regulate the Spleen and Soothe the Liver Powder) for over thirty doses, alleviating most symptoms. Desiring quick results, the patient took a dose of Tongjing Wan (Menses-Unblocking Pill) alone, resulting in bleeding, faintness, spontaneous sweating, aversion to cold, cold extremities, vomiting, and loss of appetite. I used Renshen (Radix Ginseng) and Paojiang (Rhizoma Zingiberis Preparatum). After two doses, she improved. She was then cured after fifty doses of Shiquan Dabu Tang (Perfect Four Substances Decoction).
A woman suffered from malaria for a long time, with frail physique, internal heat, afternoon fever, spontaneous and night sweats, and poor appetite. Her menstruation ceased. Use of Tongjing Wan resulted in full-blown deficiency syndromes. This was malaria caused by deficiency, which in turn caused amenorrhea. Treatment with Buzhong Yiqi Tang and Liuhuang Diwan (Six-Ingredient Rehmannia Pill) cured the malaria and restored menstruation.
A woman with a quiet, overthinking temperament had absent menstruation, chest fullness, poor appetite, distension, and acid regurgitation. I diagnosed Middle Qi deficiency and cold. One dose of Buzhong Yiqi Tang with added Sharen (Fructus Amomi), Xiangfu (Rhizoma Cyperi Rotundi), and Wei Jiang (Zingiberis Rhizoma Preparatum) harmonized the chest and diaphragm and improved appetite. Then, Liujunzi Tang (Six-Gentlemen Decoction) was added with Chuanxiong (Rhizoma Chuanxiong), Guibei (likely Danggui and Beimu), Jiegeng (Radix Platycodi), Shengjiang (Rhizoma Zingiberis Recens), and Dazao (Fructus Jujubae). After several doses, the Spleen and Stomach strengthened, and menstruation regulated itself.
A woman with pre-existing Stomach Heat was treated with Qingwei San (Clear the Stomach Powder) and recovered. Later, due to labor, she developed dryness, thirst, internal heat, muscle emaciation, and amenorrhea. This was Stomach Heat consuming Yin Blood. I used Xiaoyao San (Free Wanderer Powder) with added Mudanpi (Cortex Moutan) and Chao Zhizi (Fried Semen Gardeniae) to clear Stomach Heat. I used Bazhen Tang (Eight-Treasure Decoction) with added Fuling (Poria) and Yuanzhi (Radix Polygalae) to nourish the Spleen, and menstruation resumed spontaneously.
Buzhong Yiqi Tang (see Internal Injury), Liuwei Wan (see Tonification), Shiquan Dabu Tang (see Tonification), Xiaoyao San (see Female Consumption), Liujunzi Tang, Bazhen Tang (all see Tonification).