（附论）
黄帝问于素女曰。吾闻天下妇人产乳有子而疾者。未曾生子而病者。又产乳后而中绝。
不复
不
胞
黄帝曰。安心其要易。闻之为实。受之良久。详思念其事。曰。善哉。疗将奈何。素女
曰。
阴主
中黄
之府
断绝
胸
如怀胎状。邪气盛甚者。令人恍惚多梦。寒热四肢不欲动。阴中生气。肿内生风。甚者害小
便。涩涩而痛淋沥。面黄黑。成病。则不复生子也。
方
一曰黄瘕。妇人月水始下。若新伤坠。血气未止。卧寝未定。五脏六腑虚羸。精神不治。
因
则
苦
黄
皂荚散（出圣惠方）疗黄瘕导方。
皂荚（一两炙去皮子） 蜀椒（一两去汗） 细辛（六分） 上捣散。以三角囊。大如
指。长
二寸
忌生
二曰青瘕。青瘕者。妇人新产。未满十日起行。以浣洗太早。阴阳虚。玉门四边皆解散。
子
人苦寒洒洒入腹。烦闷沉淖。恶血不除。结热不得前后。则化青瘕。瘕聚在右胁。藏于背膂
上与 髀。腰下挛。两足肿。面目黄。大小便难。其候月水不通利。或不复禁。状如崩中。
此自其过所致。令人少子。疗之当刺胃管。行以毒药有法。瘕当下即愈矣。
疗青瘕导药方（出圣惠方）
戎盐（一升） 皂荚（去皮子炙半两） 细辛（一两） 上捣散。以三角囊。大如指。
长三寸贮之
三曰燥瘕。燥瘕者。妇人月水下。恶血未尽。其人虚惫。而以夏月热行疾走。若举重移
轻。
上
有热则生燥瘕之聚。大如半杯。上下腹中苦痛。还两胁下。上引心而烦。害饮食欲吐。胸及
腹中不得太息。腰背重。喜
闭塞。大便涩难。有此病令
矣。
疗燥瘕方（出圣惠方）
大黄（如鸡子大） 干姜（二两） 黄连（三两） 鸡 中黄膜（一枚炙） 桂心（一
尺） 虫（
以温酒一盏。和
四曰血瘕。血瘕者。妇人月水新下。未满日数而中止。因饮食过度。五谷气盛。溢入他
脏。
寒热
急苦
者令
儒门事亲云。汴梁曹大使女。既笄。病血瘕数年。太医宜企贤以破血等血药治之。不愈。
企
遗
得
肉
桃
疗妇人血瘕痛。（出圣惠方）
干姜 乌贼鱼骨（各一两炙） 桃仁（一两去皮尖炒研） 上捣散。酒服二方寸匕。日
又方（出圣惠方）
上取古铁秤锤。或大斧头或铁杵。以炭火烧令赤。投酒三升中。稍饮之。
又方（出圣惠方）
上桂末。温酒服方寸匕佳。日二。
疗妇人血瘕攻刺。腹胁时痛。导药方。（出圣惠方）
大黄 当归（各半两） 山茱萸（一两） 皂荚（一两去皮子） 细辛 戎盐（各六铢）
（案∶此方缺服法。）
三棱煎丸（出济生方）治妇人室女血瘕。月经不通。脐下坚结大如杯升。久
而不治。必成血
京三棱 蓬术（各二两） 芫花（半两） 青皮（去瓤净一两半） 上锉如豆大。用好
醋一升。煮
治妇人血蛊。大抵经脉不通。即成血蛊。
马鞭草 水杨梅根 杜牛膝根 泽兰根 杜当归（各等分） 上打烂。浸酒无时温服。
砂丸 治血蛊块等疾。
砂（半两） 虻虫（四十九个） 水蛭（炒黑） 粉霜（三钱） 丁香 干漆（炒令
烟出） 白丁香
（一钱研） 大枣（五十枚
汤使下。
琥珀丸（出医方集成）治妇人血瘕。腹中有块攻刺。小腹肿重。或腰背相引
而
痛。久而不治
琥珀（别研） 白芍药 川乌（炮去皮） 川牛膝（去芦酒浸） 鳖甲（醋炙） 蓬莪
术（炮）
当归
各半两）
麝
硝石汤（出千金方）治虚瘕。月水留为瘀血。大便不通。下病散坚血方。
硝石 附子 虻虫（各三两） 大黄 细辛 干姜 黄芩（各一两） 芍药 土瓜根 丹
参
代
咀。酒五
升
病
治妇人血瘕痛。脐下胀。不下食。（出拔萃方）
当归（二两） 桂心 芍药 血竭 蒲黄（各一两半） 延胡索（一两） 上为细末。
每服二钱。
丁香脾积丸（出八宜方）治血蛊。
莪术（三两） 三棱（二两） 良姜（二两） 青皮（一两） 丁香 木香（各半两） 皂
荚（三
大枚
内
煮
每服五丸或七丸。至十五丸二十丸止。食伤随物下脾积气陈皮汤下。吐酸姜汤下。小儿疳四
君子汤下。孕妇勿服。如血鼓加琥珀麝香饮汤下。
破血瘕痛。（出本草）
用越砥石烧投酒中服。
治妇人血瘕。（出本草）
以乌贼鱼骨细研为末。米饮下之。
治妇人血瘕及积块。（出本草）
以山蒜苦醋磨服多妙。
五曰脂瘕。脂瘕者。妇人月水新来。若生未满三十日。以合阴阳。络脉分。胞门伤。子
户失
相遇
刺状
体解
疗之
疗脂瘕。（出圣惠方）
皂荚（十余铢去皮子） 矾石（六铢烧） 五味子 蜀椒（去汗） 细辛 干姜（半两）
上捣
散。
治妇人绝不复生。及未曾生。皆以脂瘕腹中有块。以汤煎自下。尚不受子。导散方
（出
圣惠
皂荚（炙去子皮） 吴茱萸 当归（各一两） 蜀椒（去汗各二两） 细辛（熬） 矾
石（烧）
五味
盛药
令满
六曰狐瘕。狐瘕者。妇人月水当日数来。而反悲哀忧恐。或远行逢暴风疾雨。雷电惊恐。
衣
去
胞门子户不受男精。五脏气盛。令人嗜食欲呕。喜睡多所思。如有娠
者。终身无子。其瘕有手足成形者。杀人也。未成者可疗。以长针急
瘕当下即愈矣。
疗狐瘕。（出圣惠方）
上取新死鼠一枚。裹以新絮。涂以黄土。穿地坎足没鼠形。置其中。桑薪灼其上。一日
一
七曰蛇瘕。蛇瘕者。妇人月水已下。新止。适闭未复。胞门子户劳伤。阴阳未平复。荣
卫分
名阴
去。则
间若漆
或少。
当下即
疗蛇瘕方。（出圣惠方）
大黄 黄芩 芒硝（各半两） 甘草（大如指一尺炙） 乌贼鱼骨（二枚） 皂荚（六
枚去皮
子尖
之当
八曰鳖瘕。鳖瘕者。妇人月水新至。其人剧作疲劳。衣服润湿。不以时去。若当风睡。
两足
入水
行。
亡。
此病
以毒
疗鳖瘕方。（出圣惠方）
大黄（六分） 干姜 侧子（各半两） 附子 人参（各九铢） 虫（一寸匕熬） 桂
心（一两六
以上。八般瘕
治龟瘕。及心腹宿症。及卒得症。
上以白雄鸡屎。无问多少。小便和之。于器中。火上熬令燥。每服方寸匕。多服不限度。
以
(Attached Discussion)
Huangdi asked Su Nv: I have heard that among women in the world, some suffer from diseases after childbirth, some before ever bearing children, and some experience cessation of menstruation after childbirth without recovery.
Huangdi said: Please calmly explain the essentials; it is easy to understand. Hearing your words, the illness has persisted for a long time. Please reflect in detail on this matter. Su Nv said: Very well. How should it be treated?
Su Nv said:
The Yin aspect governs... the central yellow organ's residence... interruption... chest... resembling pregnancy. When pathogenic qi is excessively severe, it causes mental confusion and excessive dreaming, alternating chills and fever, and aversion to movement in the four limbs. Vital energy arises in the Yin region, and wind generates within the swelling. In severe cases, urination is impaired, presenting with astringency, pain, and dribbling. The face becomes sallow and dark. Once the disease forms, reproduction becomes impossible.
The first type is called Huang Jia (Yellow Mass). When a woman's menstrual flow begins, if she has recently suffered a fall or injury, and the blood qi has not yet ceased, and bed rest has not been established, the five zang organs and six fu organs are weak and emaciated, and the spirit is not regulated.
Due to... then... suffering... Yellow...
Sapojiao San (Saponaria Powder, from *Shenghui Fang*) is a guiding formula for treating Huang Jia.
Sapojiao (Gleditsiae Fructus Spinosus, 1 liang, roasted, skin and seeds removed) Shujiao (Zanthoxyli Pericarpium, 1 liang, "sweat" removed) Xixin (Asari Radix, 6 fen) The above are pounded into a powder. Place in a triangular pouch, size like a finger, length 2 cun... Avoid raw [foods]...
The second type is called Qing Jia (Green Mass). Qing Jia occurs when a woman rises and walks less than ten days after new childbirth, due to bathing too early. This leads to deficiency of Yin and Yang, and relaxation of the tissues around the Yumen (vaginal opening).
Child... People suffer from cold shivering entering the abdomen, oppression and heaviness, retention of evil blood, and heat accumulation causing obstruction of bowel and bladder movements, which transforms into Qing Jia. The mass gathers in the right hypochondrium, hiding in the back muscles and thighs. There is spasm below the waist, swelling of both feet, sallow complexion, and difficulty in urination and defecation. The signs include irregular or obstructed menstruation, or inability to control bleeding, resembling Bing Zhong (uterine bleeding). This is caused by negligence, leading to infertility. Treatment should involve needling the Weiguan acupoint, using toxic drugs according to specific methods; once the mass descends, the patient will recover.
Guiding medicinal formula for treating Qing Jia (from *Shenghui Fang*)
Rongyan (Natrii Sulfas, 1 sheng) Sapojiao (Gleditsiae Fructus Spinosus, skin and seeds removed, roasted, half liang) Xixin (Asari Radix, 1 liang) The above are pounded into a powder. Place in a triangular pouch, size like a finger, length 3 cun...
The third type is called Zao Jia (Dry Mass). Zao Jia occurs when menstrual blood has flowed but evil blood is not fully cleared, and the person is weak and exhausted, yet runs rapidly or lifts heavy objects during the hot summer months.
Above... Heat generates the gathering of Zao Jia, size like half a cup, causing severe pain throughout the abdomen, radiating to the hypochondrium, ascending to cause heart vexation, impairing appetite and inducing vomiting, inability to sigh deeply in the chest and abdomen, heaviness in the lower back and back, preference for... obstruction, and difficult, astringent defecation. Having this disease leads to...
Formula for treating Zao Jia (from *Shenghui Fang*)
Dahuang (Rhei Radix et Rhizoma, size of a chicken egg) Ganjiang (Zingiberis Rhizoma, 2 liang) Huanglian (Coptidis Rhizoma, 3 liang) Ji... Zhonghuangmo (Chicken pericardium membrane, one piece, roasted) Guixin (Cinnamomi Ramulus, 1 chi) Chong (Insect... Mix with one cup of warm wine...
The fourth type is called Xue Jia (Blood Mass). Xue Jia occurs when menstrual flow starts but stops before the usual number of days. Due to overeating, the qi of the five grains becomes excessive and overflows into other zang organs.
Chills and fever... Urgent bitterness... Causes...
*Rumen Shiqin* records: The daughter of Envoy Cao in Bianliang, upon reaching adulthood, suffered from Xue Jia for several years. Imperial Physician Yi Qixian treated her with blood-breaking blood-invigorating medicines, but she did not recover.
Qi... Left... Obtained... Flesh... Peach...
Formula for treating women's Xue Jia pain (from *Shenghui Fang*)
Ganjiang (Zingiberis Rhizoma) Haiyetangu (Sepiae Endoconcha, each 1 liang, roasted) Taoren (Persicae Semen, 1 liang, skin and tip removed, roasted and ground) The above are pounded into a powder. Take two fangcun bi with wine, daily...
Another formula (from *Shenghui Fang*)
Take an ancient iron scale weight, or a large axe head or iron pestle, heat it red-hot in charcoal fire, and throw it into three sheng of wine. Drink slightly.
Another formula (from *Shenghui Fang*)
Take Cinnamon powder, take one fangcun bi with warm wine, twice daily.
Guiding formula for treating women's Xue Jia with stabbing pain and intermittent abdominal/hypochondriac pain (from *Shenghui Fang*)
Dahuang (Rhei Radix et Rhizoma) Danggui (Angelicae Sinensis Radix, each half liang) Shanzhuyu (Corni Fructus, 1 liang) Sapojiao (Gleditsiae Fructus Spinosus, 1 liang, skin and seeds removed) Xixin (Asari Radix) Rongyan (Natrii Sulfas, each 6 zhu)
(Note: This formula lacks administration instructions.)
Sanleng Jian Wan (Polygoni Odorati Pilula, from *Jisheng Fang*) treats Xue Jia in unmarried women, amenorrhea, and hard masses below the umbilicus the size of a cup or jar. If untreated for a long time, it will inevitably become Blood...
Jingsanleng (Polygoni Odorati Rhizoma) Pengzhu (Curcumae Rhizoma, each 2 liang) Yuanhua (Genkwa Flos, half liang) Qingpi (Citri Reticulatae Pericarpium, pith removed, pure 1.5 liang) The above are cut into bean-sized pieces, boiled in one sheng of good vinegar...
Treating women's Xue Gu (Blood Distortion). Generally, if meridians and vessels are blocked, Xue Gu forms.
Mabiancao (Verbenae Herba) Shuiyangmeigen (Myrsini Radix) Dunniumxigen (Achyranthis Bidentatae Radix) Zelan Gen (Lycopersici Herba Root) Du Danggui (Angelicae Sinensis Radix, equal parts) The above are crushed, soaked in wine, and taken warm at any time.
...Sha Wan (...Sand Pill) treats Xue Gu masses and similar ailments.
...Sha (...Sand, half liang) Mengchong (Blaberidae, 49 pieces) Shuizhi (Hirudo, stir-fried black) Fen Shuang (Calomel, 3 qian) Dingxiang (Caryophylli Flos) Ganqi (Toxicodendri Resina, stir-fried until smoke appears) Bai Dingxiang (Vermis Fermented, 1 qian, ground) Dazao (Jujubae Fructus, 50 pieces)... Decoction for administration.
Hupo Wan (Amber Pill, from *Yifang Jicheng*) treats women's Xue Jia, masses in the abdomen causing stabbing pain, swelling and heaviness in the lower abdomen, or pain radiating to the lower back... If untreated for a long time...
Hupo (Succinum, separately ground) Baishaoyao (Paeoniae Radix Alba) Chuanwu (Aconiti Radix, processed, skin removed) Chuan Niuxi (Achyranthis Bidentatae Radix, rhizome removed, soaked in wine) Biejia (Testudinis Carapax et Plastrum, roasted with vinegar) Peng'e... Zhu (Curcumae Rhizoma, processed) Danggui (Angelicae Sinensis Radix)
Each half liang)
She...
Xiaoshi Tang (Nitratis Decoction, from *Qianjin Fang*) treats Xu Jia (Deficiency Mass), where menstrual blood remains as stasis, constipation, and formulas to descend illness and dissipate hard blood masses.
Xiaoshi (Natrii Nitras) Fuzi (Aconiti Lateralis Radix Preparata) Mengchong (Blaberidae, each 3 liang) Dahuang (Rhei Radix et Rhizoma) Xixin (Asari Radix) Ganjiang (Zingiberis Rhizoma) Huangqin (Scutellariae Radix, each 1 liang) Shaoyao (Paeoniae Radix) Tugua Gen (Cucumeris Radix) Danshen (Salviae Miltiorrhizae Radix)
Dai... Chew, with five sheng of wine...
Illness...
Formula for treating women's Xue Jia pain, lower abdominal distension, and loss of appetite (from *Bacui Fang*)
Danggui (Angelicae Sinensis Radix, 2 liang) Guixin (Cinnamomi Ramulus) Shaoyao (Paeoniae Radix) Xuexie (Sanguis Draxonis) Puhuang (Typhae Pollen, each 1.5 liang) Yanhusuo (Corydalis Rhizoma, 1 liang) The above are made into fine powder. Take 2 qian per dose.
Dingxiang Pi Ji Wan (Clove Spleen Accumulation Pill, from *Bayi Fang*) treats Xue Gu.
Ezhu (Curcumae Rhizoma, 3 liang) Sanleng (Polygoni Odorati Rhizoma, 2 liang) Liangjiang (Alpiniae Officinarum Rhizoma, 2 liang) Qingpi (Citri Reticulatae Pericarpium, 1 liang) Dingxiang (Caryophylli Flos) Muxiang (Aucklandiae Radix, each half liang) Sapojiao (Gleditsiae Fructus Spinosus, 3... Large pieces
Inside... Boil
Take 5 or 7 pills per dose, up to 15 or 20 pills maximum. For food injury, take with Chenpi Tang to guide out spleen accumulation qi. For acid regurgitation, take with Jiang Tang. For pediatric malnutrition, take with Sijunzi Tang. Pregnant women should not take. If blood drum adds Hupo and She Xiang, take with Yin Tang.
Break Xue Jia pain (from *Bencao*)
Use Yedi Shi (Whetstone), roast and take with wine.
Treat women's Xue Jia (from *Bencao*)
Grind Haiyetangu (Sepiae Endoconcha) into fine powder, take with rice water.
Treat women's Xue Jia and accumulated masses (from *Bencao*)
Grind Shansuan (Allium macrostemon) with bitter vinegar and take; this is excellent.
The fifth type is called Zhi Jia (Fat Mass). Zhi Jia occurs when menstrual flow has just begun, or within thirty days postpartum, sexual intercourse takes place. Collaterals separate, Baomen (uterine gate) is injured, Zihu (child's chamber) loses... Encounter... Stabbing shape... Body dissolves... Treat it...
Formula for treating Zhi Jia (from *Shenghui Fang*)
Sapojiao (Gleditsiae Fructus Spinosus, more than 10 zhu, skin and seeds removed) Fanshi (Alumen, 6 zhu, roasted) Wuweizi (Schisandrae Fructus) Shujiao (Zanthoxyli Pericarpium, "sweat" removed) Xixin (Asari Radix) Ganjiang (Zingiberis Rhizoma, half liang)
The above are pounded... Powder.
For women who absolutely cannot conceive again, or have never conceived, all due to Zhi Jia with masses in the abdomen, decoct and take to self-dissolve the mass. If still unable to conceive, use guiding powder formula
(from... Shenghui...
Sapojiao (Roasted, skin and seeds removed) Wuzhuyu (Evodiae Fructus) Danggui (Angelicae Sinensis Radix, each 1 liang) Shujiao (Zanthoxyli Pericarpium, "sweat" removed, each 2 liang) Xixin (Asari Radix, stewed) Fanshi (Alumen, roasted)
Wuwei... Fill medicine... Make full
The sixth type is called Hu Jia (Fox Mass). Hu Jia occurs when menstrual flow arrives on schedule, but the woman feels sorrowful, worried, and fearful, or travels far encountering violent storms, rain, thunder, lightning, and fright. Clothes... Remove... Baomen and Zihu do not receive male essence. The qi of the five zang organs is excessive, causing craving for food and nausea, preference for sleep and excessive thinking, resembling pregnancy... Individuals will never have children. If the mass has formed hands and feet, it kills. If unformed, it can be treated. Use a long needle urgently... The mass must descend immediately for recovery.
Formula for treating Hu Jia (from *Shenghui Fang*)
Take one newly dead rat, wrap in new cotton wadding, coat with yellow earth, dig a pit deep enough to submerge the rat form, place it inside. Burn mulberry wood above it. Once a day...
The seventh type is called She Jia (Snake Mass). She Jia occurs after menstrual flow has stopped recently, the closure has not yet recovered, Baomen and Zihu are fatigued and injured, Yin and Yang have not yet restored balance, Ying and Wei separate... Named Yin... Remove, then... Between like lacquer... Or less... Must descend immediately...
Formula for treating She Jia (from *Shenghui Fang*)
Dahuang (Rhei Radix et Rhizoma) Huangqin (Scutellariae Radix) Mangxiao (Natrii Sulfas, each half liang) Gancao (Glycyrrhizae Radix et Rhizoma, size like a finger, 1 chi, roasted) Haiyetangu (Sepiae Endoconcha, two pieces) Sapojiao (Gleditsiae Fructus Spinosus, six... Pieces remove skin... Tip... Of appropriate...
The eighth type is called Die Jia (Turtle Mass). Die Jia occurs when menstrual flow has just arrived, the person is severely fatigued, clothes remain damp and are not changed in time, sleeping facing the wind. Both feet... Enter water... Walk... Loss... This disease... Use poison...
Formula for treating Die Jia (from *Shenghui Fang*)
Dahuang (Rhei Radix et Rhizoma, 6 fen) Ganjiang (Zingiberis Rhizoma) Cezi (Aconiti Radix lateralis preparata, each half liang) Fuzi (Aconiti Lateralis Radix Preparata) Renshen (Ginseng Radix, each 9 zhu) Chong (Insect, one fangcun bi, roasted) Guixin (Cinnamomi Ramulus, 1 liang 6...
Above. Eight types of Jia...
Treat Gui Jia (Tortoise Mass), and chronic fixed masses in the heart and abdomen, and sudden onset of masses.
Take white rooster droppings, no matter how much, mix with urine, in a vessel, dry over fire. Take one fangcun bi per dose, no limit to multiple doses. With...