（附论）
夫心主于血。合于小腹。小肠者。通于阴门子脏故也。手少阴太阳之经以为表里。其经
血上为乳汁。下为月水。若气血和平。则经通利。若劳伤体虚。风冷所乘。则血凝结在内。
故
方
干姜丸（出圣惠方）治妇人寒热羸瘦。胸中支满。身肩背腰。沉重寒痛。或
时烦热。涎唾喜出。时欲食酸甜。身体时如锥刀所刺。月水不通。大小便难苦。下重。
不着肌肤。宜服。
干姜（炮制锉） 柴胡（去苗） 芍药 人参（去芦头二两） 硝石 川椒（去目及闭
口者微炒出汗） 川大黄 当归（锉微炒） 杏仁（汤浸去皮尖双仁麸炒黄） 赤茯苓 桃
仁（汤浸去皮尖双仁麸炒微黄以上各一两）水蛭（炒微黄去翅足） 蛴螬（微炒黄） 虫
（微炒各半两） 上为末。炼
通稍加之。
芫花散（出圣惠方）
治妇人月水不通。血气积聚。腹脐妨痛。不能食。
芫花（醋拌炒令干） 鳖甲（涂醋炙令黄去裙 ） 川大黄（锉碎微炒各一两） 牡丹
皮（二两半） 没药 干漆（捣碎炒令烟出各三分） 当归（锉微炒） 木香 芎 青橘
皮（汤洗去白瓤焙
一钱。
牛膝散
治妇人月水不通。血气滞留。 聚积成块。或攻心腹疼痛。不纳饮食。
牛膝（去苗） 川大黄（锉微炒） 鳖甲（涂醋炙令黄去裙 各一两） 当归（锉微炒）
芎
桂心 赤芍药 木香 槟榔 桃仁（汤浸去皮尖双仁麸炒微黄） 青橘皮（汤浸去白瓤焙以
上
各半两） 川芒硝（二两） 上为散。每服四钱。以水一盏入生姜半分。煎至六分去滓。每
于
食前。稍热服之。
芫花煎丸
治妇人月水不通。血气滞留于脐腹。或加妨闷。时有疼痛。
芫花（一两醋拌焙干别杵为末） 硼砂（细研） 牛膝（去苗） 当归（锉微炒） 赤
芍药 青
橘皮（汤浸去白瓤焙各半两） 虻虫（一分微炒黄去翅足） 木香（三分） 水蛭（一分炒
微黄）
川大黄（三分锉微炒） 桂心 琥珀（各半两） 上为末。以醋一升。熬芫花末成膏。入药
末。
和丸如梧桐子大。每于食前。以温酒下七丸。
大黄丸
治妇人月水不通。积聚成块。或发歇寒热。时腹刺痛。宜服。
川大黄（二两微炒别捣为末） 鳖甲（涂醋炙令黄去裙 ） 柴胡（去苗各一两） 吴
茱萸（汤浸七次焙干微炒） 当归（锉微炒） 荆三棱（微煨锉） 赤芍药 牛膝（去苗） 槟
榔桂心（以上各半两） 干漆（三分捣碎炒令出烟） 上为末。先以醋一升入大黄末熬成
膏。入药末。和捣
斑蝥丸
治妇人月水不通。脐腹积聚疼痛。
斑蝥（一两糯米拌炒令黄去翅足） 干漆（捣碎炒令烟出） 硼砂 麒麟竭 没药 凌
霄花（以上各一分） 胎发（一两烧灰） 狗胆（一枚） 上为末。熬醋如饧。和丸以绿豆
大。每日空心。
硼砂丸
治妇人月水不通。脐腹积聚。或时疼痛。不思饮食。
硼砂（二两于净生铁器内用酸浆水两碗旋旋添以慢火熬尽浆水为度） 干漆（捣碎炒令
烟出） 桂心 没药 琥珀（以上各一两） 上为末。入硼砂。都研令匀。用糯米软饭和丸
如梧桐子大。每于食前。以温酒下二十丸。
干漆煎丸（出圣惠方）
治妇人月水不通。脐下积聚。结硬如石。发热往来。食少羸瘦。
漆（半斤捣末） 生地黄（十斤捣绞取汁） 生牛膝（三斤绞取汁） 上药入于银锅中。
以慢
火熬。不住手搅成膏。又用桂心、芎 末各二两。和丸如梧桐子大。每于食前。以热酒下三
十丸。
子酒方（出圣惠方）
治妇人夙有风冷。留血结聚。月水不通。
子（一升） 桃仁（二升汤浸去皮尖双仁） 上药都捣令碎。于瓷瓶内以酒二斗浸。
密
封头五日。后每服暖饮三合。渐加至五合。日三服。
又方（出圣惠方）
治妇人月水不通。脐腹积聚疼痛。
硼砂（一两） 皂荚（五挺不蛀者去皮子锉用） 上为末。以头醋一大盏熬成膏。用陈
橘皮三两拌和。更捣三二百杵。丸如梧桐子大。每于食前以温酒下五丸。
治妇人胎脏本热。忽因产后。未经百日。恣吃凉物。寒热相伏。一二年经候不通。
有如怀孕。恶血所聚。有如身露。脐下有块坚硬不动。往往却气痛。即服此方。但人得
此病。吃此药。是胎则坚牢。是病行下也。（出护命方）
当归 续断 石斛 芎 细辛 桑寄生（各等分） 上细杵罗为末。每服三钱半。水
一盏葱两枝。同煎。取九分。空心和滓吃。
艾附丸（出杨氏家藏方）
治妇人血海虚冷。月水不行。脐腹疼痛。筋脉拘挛。及积年坚瘕积
白艾叶 枳壳（去瓤取净） 肉桂（去粗皮） 附子（炮去皮脐） 当归（洗焙） 赤
芍药 没药（别研） 木香（炮各一两） 沉香（半两） 上拌为细末。将艾叶枳壳用米醋
于砂锅内煮。令枳
空心送下。
狗胆丸（出圣惠方）
治室女长成。月事不通。脐腹积滞。宜服。
狗胆（五枚） 硼砂 木香 硝石（各半两） 没药 桃仁（汤浸去皮尖双仁别研如膏
各三钱） 赤芍药 当归（锉微炒） 上为末。先将狗胆、硼砂、桃仁、硝石。用酒一中盏
同熬成膏。后入药末。和丸如绿豆大。每服于食前温酒下十丸。
虎杖煎（出千金方）
治腹内积滞。虚胀雷鸣。四肢沉重。月经不通。亦治丈夫病。\x
用取野地虎杖根细锉二斛。以水二石五斗煮取一大斗半。去滓。澄滤令净。取好醇酒五
升和
(Attached Discussion)
The Heart governs blood and corresponds to the lower abdomen. The Small Intestine communicates with the Yin gate (external genitalia) and the Zi Zang (uterus). The Hand-Shaoyin (Heart) and Hand-Taiyang (Small Intestine) meridians form an interior-exterior relationship. Blood within these meridians transforms into milk when flowing upward, and into menstruation when flowing downward. If Qi and blood are harmonious, menstruation flows smoothly; if physical exhaustion and deficiency occur, allowing wind-cold pathogens to invade, blood coagulates internally.
Therefore:
Ganjiang Wan (Dry Ginger Pill), from *Shenghui Fang*, treats women with alternating cold and fever, emaciation, chest fullness, heaviness and cold pain in the shoulders, back, and waist, occasional irritability and heat, excessive salivation, cravings for sour or sweet foods, body sensations as if pierced by awls or knives, amenorrhea, difficult and painful urination and defecation, tenesmus, and pain not fixed to the skin surface. It is suitable for consumption.
Ingredients: Paozhi (processed) and crushed Ganjiang (Dried Ginger, *Zingiberis Rhizoma*), Chaihu (Bupleuri Radix, removed seedlings), Shaoyao (Peony Root, *Paeoniae Radix*), Renshen (Ginseng Radix, *Panacis Ginseng Radix* removed rhizome, 2 liang each), Xiaoshi (Niter, *Natrii Sulfas*), Chuanjiao (Sichuan Pepper, *Zanthoxyli Pericarpium* removed eyes and closed-mouth ones, lightly stir-fried to release oil), Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*), Danggui (Angelica Sinensis Radix, crushed and lightly stir-fried), Xingren (Apricot Seed, *Armeniacae Semen Amarum* soaked in water, peeled, tips removed, double-kernel, bran-fried until yellow), Chi Fuling (Red Poria, *Polypori Umbellati Cum Cortice et Ligno*), Taoren (Peach Kernel, *Persicae Semen* soaked in water, peeled, tips removed, double-kernel, bran-fried until slightly yellow, 1 liang each each of the above), Shuizhi (Leech, *Hirudo* stir-fried until slightly yellow, wings and feet removed), Qicao (Ground Beetle Larva, *Trogossitidae Larva* lightly stir-fried until yellow), E chong (Ground Beetle, *Eupolyphaga Seu Steleophaga* stir-fried, 0.5 liang each). Grind the above into powder, refine honey to make pills, adding appropriate excipients as needed.
Yanhua San (Genkwa Powder), from *Shenghui Fang*, treats women with amenorrhea, blood and Qi accumulation, obstructive pain in the umbilical and abdominal regions, and anorexia.
Ingredients: Yanhua (Genkwa Flower, *Daphnes Genkwai Flos*) mixed with vinegar and stir-fried until dry, Biejia (Tartar Shell, *Testudinis Carapax et Plastrum* coated with vinegar, roasted until yellow, skirt removed), Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma* crushed and lightly stir-fried, 1 liang each), Mudanpi (Moutan Cortex, *Paeoniae Radix Rubra*, 2.5 liang), Moyao (Myrrh, *Commiphora Myrrha*), Ganqi (Lacca Resina, *Chinensis Laccae Resina* crushed and stir-fried until smoke appears, 3 fen each), Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* crushed and lightly stir-fried), Muxiang (Aucklandiae Radix, *Aucklandiae Radix*), Xiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Qing Jupi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride* washed in water, white pith removed, dried, 1 qian each).
Niuxi San (Achyranthes Powder), treats women with amenorrhea, stagnation of blood and Qi, formation of masses, or attacking pain in the heart and abdomen, inability to ingest food.
Ingredients: Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix* removed seedlings), Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma* crushed and lightly stir-fried), Biejia (Tartar Shell, *Testudinis Carapax et Plastrum* coated with vinegar, roasted until yellow, skirt removed, 1 liang each), Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* crushed and lightly stir-fried), Xiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Guixin (Cinnamon Twig, *Cinnamomi Ramulus), Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*), Muxiang (Aucklandiae Radix, *Aucklandiae Radix*), Binglang (Areca Seed, *Arecae Semen*), Taoren (Peach Kernel, *Persicae Semen* soaked in water, peeled, tips removed, double-kernel, bran-fried until slightly yellow), Qing Jupi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride* soaked in water, white pith removed, dried, 0.5 liang each), Chuan Mangxiao (Mirabilite, *Natrii Sulfas*, 2 liang). Grind the above into a powder. Take 4 qian per dose, add 1 cup of water and 0.5 fen of fresh ginger, decoct until 0.6 cup remains, strain. Take warm before meals.
Yanhua Jian Wan (Genkwa Decoction Pill), treats women with amenorrhea, stagnation of blood and Qi in the umbilical and abdominal regions, accompanied by distension and oppression, and intermittent pain.
Ingredients: 1 liang Yanhua (Genkwa Flower, *Daphnes Genkwai Flos*) mixed with vinegar, dried, and separately ground into powder; finely ground Pengsha (Borax, *Borax*); Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix* removed seedlings); Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* crushed and lightly stir-fried); Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*); Qing Jupi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride* soaked in water, white pith removed, dried, 0.5 liang each); Mengchong (Blue Bottle Fly Larva, *Calliphorae Larva* 1 fen, lightly stir-fried until yellow, wings and feet removed); Muxiang (Aucklandiae Radix, *Aucklandiae Radix* 3 fen); Shuizhi (Leech, *Hirudo* 1 fen, stir-fried until slightly yellow); Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma* 3 fen, crushed and lightly stir-fried); Guixin (Cinnamon Twig, *Cinnamomi Ramulus*); Hupo (Amber, *Fossilia Succinum* 0.5 liang each). Grind the above into powder. Use 1 sheng of vinegar to boil the Yanhua powder into a paste, add the medicinal powder, mix, and form pills the size of paulownia seeds. Take 7 pills with warm wine before meals.
Dahuang Wan (Rhubarb Pill), treats women with amenorrhea, formation of masses, intermittent chills and fever, and intermittent stabbing abdominal pain. Suitable for consumption.
Ingredients: 2 liang Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) lightly stir-fried and separately ground into powder; Biejia (Tartar Shell, *Testudinis Carapax et Plastrum* coated with vinegar, roasted until yellow, skirt removed); Chaihu (Bupleuri Radix, *Bupleuri Radix* removed seedlings, 1 liang each); Wuzhuyu (Evodia Fruit, *Euodiae Fructus* soaked in water seven times, dried, lightly stir-fried); Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* crushed and lightly stir-fried); Jingsanleng (Curcuma Tuber, *Curcumae Radix* lightly baked and crushed); Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*); Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix* removed seedlings); Binglang (Areca Seed, *Arecae Semen*); Guixin (Cinnamon Twig, *Cinnamomi Ramulus*, 0.5 liang each); Ganqi (Lacca Resina, *Chinensis Laccae Resina* 3 fen, crushed and stir-fried until smoke appears). Grind the above into powder. First, add 1 sheng of vinegar to the Dahuang powder and boil into a paste, add the medicinal powder, mix, and knead.
Banmao Wan (Mylabris Pill), treats women with amenorrhea and accumulation pain in the umbilical and abdominal regions.
Ingredients: 1 liang Banmao (Mylabris, *Mylabris* stir-fried with glutinous rice until yellow, wings and feet removed); Ganqi (Lacca Resina, *Chinensis Laccae Resina* crushed and stir-fried until smoke appears); Pengsha (Borax, *Borax*); Qilinjie (Dragon's Blood, *Dracaenae Sangue*); Moyao (Myrrh, *Commiphora Myrrha*); Lingxiaohua (Campsis Flower, *Campsis Grandiflorae Flos*, 1 fen each); Taifa (Embryonic Hair, *Capilli Humani Carbonisatus* 1 liang, burned to ash); Goudan (Dog Gallbladder, *Canis Vesica Biliaris* 1 piece). Grind the above into powder. Boil vinegar until syrupy, mix, and form pills the size of mung beans. Take daily on an empty stomach.
Pengsha Wan (Borax Pill), treats women with amenorrhea, accumulation in the umbilical and abdominal regions, intermittent pain, and loss of appetite.
Ingredients: 2 liang Pengsha (Borax, *Borax*) placed in a clean iron vessel, add two bowls of sour grain water gradually, boil slowly over low heat until the water is exhausted; Ganqi (Lacca Resina, *Chinensis Laccae Resina* crushed and stir-fried until smoke appears); Guixin (Cinnamon Twig, *Cinnamomi Ramulus*); Moyao (Myrrh, *Commiphora Myrrha*); Hupo (Amber, *Fossilia Succinum*, 1 liang each). Grind the above into powder, add Pengsha, grind uniformly. Mix with soft glutinous rice flour to form pills the size of paulownia seeds. Take 20 pills with warm wine before meals.
Ganqi Jian Wan (Lacca Resina Decoction Pill), from *Shenghui Fang*, treats women with amenorrhea, accumulation below the umbilicus, hardness like stone, alternating fever, poor appetite, and emaciation.
Ingredients: 0.5 jin Ganqi (Lacca Resina, *Chinensis Laccae Resina*) ground into powder; 10 jin Shengdihuang (Rehmannia Root, *Rehmanniae Radix Recens*) crushed and pressed for juice; 3 jin Sheng Niuxi (Fresh Achyranthes Root, *Achyranthis Bidentatae Radix Recens*) pressed for juice. Place the above medicines in a silver pot, boil slowly over low heat, stirring constantly until a paste forms. Add 2 liang each of Guixin (Cinnamon Twig, *Cinnamomi Ramulus*) and Xiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*) powder, mix, and form pills the size of paulownia seeds. Take 30 pills with hot wine before meals.
[Zi] Wine Prescription, from *Shenghui Fang*, treats women with chronic wind-cold, retained blood accumulation, and amenorrhea.
[Zi] (1 sheng); Taoren (Peach Kernel, *Persicae Semen* 2 sheng, soaked in water, peeled, tips removed, double-kernel). Crush the above medicines, place in a porcelain jar, soak in 2 dou of wine, seal tightly for five days. Afterwards, take 3 he of warm drink per dose, gradually increasing to 5 he, three times daily.
Another Prescription, from *Shenghui Fang*, treats women with amenorrhea and accumulation pain in the umbilical and abdominal regions.
Ingredients: 1 liang Pengsha (Borax, *Borax*); 5 ting Zaojia (Tamarind Fruit, *Tamarindi Fructus* non-worm-eaten, peel removed, seeds removed, crushed). Grind the above into powder, boil one large cup of head vinegar into a paste, mix with 3 liang of Chen Jupi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*), pound 300-200 times, form pills the size of paulownia seeds. Take 5 pills with warm wine before meals.
Treats women whose uterus originally has heat, suddenly due to postpartum condition, before 100 days have passed, indulging in cold foods, causing cold and heat to lurk mutually, resulting in amenorrhea for one to two years, resembling pregnancy, accumulation of evil blood, feeling as if the body is exposed, with a hard, immobile mass below the umbilicus, often accompanied by Qi pain. Take this prescription. However, if a person contracts this disease and takes this medicine, if it is a fetus, it will become firm (protect the fetus); if it is a disease, it will move downward. (From *Huming Fang*)
Ingredients: Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix*); Xuduan (Dipsacus Root, *Dipsaci Radix*); Shihu (Dendrobium Stem, *Dendrobii Caulis*); Xiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*); Xixin (Asarum Root, *Asari Radix et Rhizoma*); Sangjisheng (Taxillus Branch, *Taxilli Caulis*, equal parts). Finely pound and sieve into powder. Take 3.5 qian per dose, with 1 cup of water and 2 stalks of green onion, decoct together to obtain 0.9 cup. Consume warm, including dregs, on an empty stomach.
Aifu Wan (Artemisia and Attaleia Pill), from *Yangshi Jiancang Fang*, treats women with deficiency-cold of the Sea of Blood, amenorrhea, umbilical and abdominal pain, tendon and vessel spasms, and long-standing hard masses and accumulations.
Ingredients: Bai Aiye (Mugwort Leaf, *Artemisiae Argyi Folium*); Zhike (Aurantium Fruit, *Aurantii Fructus* removed pulp, cleaned); Rougui (Cinnamon Bark, *Cinnamomi Cortex* removed rough bark); Fuzi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata* processed, peel and navel removed); Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* washed and dried); Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*); Moyao (Myrrh, *Commiphora Myrrha* separately ground); Muxiang (Aucklandiae Radix, *Aucklandiae Radix* processed, 1 liang each); Chenxiang (Aquilaria Wood, *Aquilariae Lignum Resinatum* 0.5 liang). Mix into fine powder. Boil Bai Aiye and Zhike in rice vinegar in a clay pot until Zhike is cooked. Take on an empty stomach.
Goudan Wan (Dog Gallbladder Pill), from *Shenghui Fang*, treats unmarried adult women with amenorrhea and accumulation in the umbilical and abdominal regions. Suitable for consumption.
Ingredients: Goudan (Dog Gallbladder, *Canis Vesica Biliaris* 5 pieces); Pengsha (Borax, *Borax*); Muxiang (Aucklandiae Radix, *Aucklandiae Radix*); Xiaoshi (Niter, *Natrii Sulfas*, 0.5 liang each); Moyao (Myrrh, *Commiphora Myrrha*); Taoren (Peach Kernel, *Persicae Semen* soaked in water, peeled, tips removed, double-kernel, separately ground into paste, 3 qian each); Chi Shaoyao (Red Peony Root, *Paeoniae Radix Rubra*); Danggui (Angelica Sinensis Radix, *Angelicae Sinensis Radix* crushed and lightly stir-fried). Grind the above into powder. First, boil Goudan, Pengsha, Taoren, and Xiaoshi together in one cup of wine until a paste forms, then add the medicinal powder, mix, and form pills the size of mung beans. Take 10 pills with warm wine before meals.
Huzhang Jian (Polygonum Decoction), from *Qianjin Fang*, treats internal accumulation, false distension with borborygmus, heavy limbs, and amenorrhea. Also treats male diseases.
Usage: Take 2 hu of wild Huzhang root, finely crushed. Boil in 2.5 shi of water to obtain 1.5 dou. Strain, clarify, and filter cleanly. Mix with 5 sheng of good pure wine and