（附论）
大全良方云。夫妇人疝瘕之病者。由饮食不节。寒温不调。气血劳伤。脏腑虚弱。受于
风冷
人之
挟于
其
方
干漆散（出圣惠方）治妇人疝瘕久不消。令人黄瘦 羸。两胁妨闷。心腹疼
痛。
干漆（炒令烟尽） 木香 芫花（醋炒） 赤芍药 桂心 当归 川芎 琥珀（各半两）
大黄（
一钱。
当归散（出圣惠方）治妇人疝瘕。及血气攻刺。心腹疼痛不可忍。
当归（一两微炒） 鳖甲（三两涂酥炙令黄去裙 ） 芎 （半两） 蓬莪术（二分） 吴
茱萸（半
两） 青橘皮（半
为散。每服三钱。
琥珀丸 治妇人疝瘕。兼血气脐腹疼痛。不欲饮食。四肢羸瘦。
琥珀（半两细研） 当归（半两微炒） 芎 （半两） 牛膝（一两去苗） 京三棱（一
两煨微炒）
（半两捣碎炒令烟出）
） 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。暖酒下二十丸。
木香散 治妇人疝瘕。及血气积聚。时攻腹胁疼痛。
木香（半两） 巴豆（一分去皮心麸炒黄纸裹压去油） 干漆（半两捣碎炒令烟尽） 吴
茱萸
（一
去子）
附
五百
杵
桓圣丸 治妇人疝瘕恶积聚。并月候不通。
斑蝥（半两糯米拌炒令黄去翅足） 桂心 砂（半两细研） 麒麟竭 没药 莽草（微
炒）
野狼
蓝
花
桃仁散 治妇人疝瘕。腹中拘急。心胁胀满。宜服。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 芎 槟榔 上为散。每服四钱。水一盏。入
生姜半
当归汤 治妇人寒疝。虚劳不足。若产后腹中绞痛。
当归 芍药（各二两子母秘录作甘草） 生姜（五两） 羊肉（一斤） 上 咀。以水
八升煮
羊肉
砂丸（出圣惠方）治妇人疝瘕。及积瘀血在脏。时攻腹胁疼痛。
川芒硝 砂（各一两） 当归 雄黄 桂心（各半两） 大黄（炮） 三棱（各二两）
上为
细末
至三
黑神丸（出大全良方）
神曲 茴香（各四两） 木香 槟榔（四枚） 椒（炒香出汗） 丁香（各半两） 漆
（六两半
生半
香末十
坠五膈
血崩产后诸血。漏下赤白。并一丸。分四服。死胎一丸。皆绵灰酒下。难产炒葵子四十
九枚
妇病
曰。
巴豆丸（出圣惠方）治妇人疝瘕及血气疼痛。
巴豆（一分去皮心醋炙半日） 桃仁（三分） 木香（半两） 上为末。炼蜜为丸如绿
豆大。
淡汤
鳖甲散（出圣惠方）治妇人疝瘕。及血气心腹疼痛。
鳖甲（一枚中者以小便半盏涂炙令尽为度去裙 ） 干漆（一两捣碎炒令烟出） 当归
（一
两锉
大黄丸（出圣惠方）治妇人疝瘕。及胞门中积瘀诸病。并宜服。
川大黄（四两蒸饭熟为度炙干） 土瓜根（二两） 牛膝（二两去苗） 桃仁（三两汤
浸去皮
尖双
治疝瘕小腹及阴中相引痛。自汗出欲死。
以丹参一两杵为散。每服热酒调下二钱匕佳。
(Attached Discussion)
The *Daquan Liangfang* states: Women suffering from Shan Jia (abdominal masses) are afflicted due to irregular diet, imbalance of cold and heat, exhaustion and injury of Qi and Blood, weakness of the Zang-Fu organs, and invasion by wind-cold pathogenic factors.
Ganxi San (Dry Resin Powder, from *Shenghui Fang*) treats persistent Shan Jia in women that does not dissipate over time, causing sallow complexion, emaciation, and weakness; distension and oppression in both hypochondria; and pain in the heart and abdomen.
Ingredients: Ganxi (Dry Resin, stir-baked until smoke ceases), Muxiang (Costus Root), Yuanhua (Genkwa Flower, vinegar-fried), Chishaoyao (Red Peony Root), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis), Chuanxiong (Sichuan Lovage Rhizome), Hupo (Amber, each 0.5 liang), Dahuang (Rhubarb Root, 1 qian).
Danggui San (Angelica Sinensis Powder, from *Shenghui Fang*) treats Shan Jia in women, as well as stabbing pain caused by Qi and Blood attacking, with unbearable pain in the heart and abdomen.
Ingredients: Danggui (Angelica Sinensis, 1 liang, slightly stir-baked), Biejia (Tartaric Turtle Shell, 3 liang, coated with butter and roasted until yellow, remove skirt), Chuanxiong (Sichuan Lovage Rhizome, 0.5 liang), Peng'ezhu (Curcuma Zedoaria Rhizome, 2 fen), Wuzhuyu (Evodia Fruit, 0.5 liang), Qingju pi (Green Tangerine Peel, 0.5 liang).
Usage: Grind the above into a powder. Take 3 qian per dose.
Hupo Wan (Amber Pill) treats Shan Jia in women, combined with umbilical and abdominal pain caused by Qi and Blood, loss of appetite, and emaciation of the four limbs.
Ingredients: Hupo (Amber, 0.5 liang, finely ground), Danggui (Angelica Sinensis, 0.5 liang, slightly stir-baked), Chuanxiong (Sichuan Lovage Rhizome, 0.5 liang), Niuxi (Achyranthes Root, 1 liang, remove sprouts), Jingsanleng (Burreed Tuber, 1 liang, baked and slightly stir-baked), Ganxi (Dry Resin, 0.5 liang, crushed and stir-baked until smoke emerges).
Usage: Grind the above into powder. Mix with refined honey and pound for three to two hundred strokes. Form pills the size of paulownia seeds. Take 20 pills at any time, washed down with warm wine.
Muxiang San (Costus Root Powder) treats Shan Jia in women, as well as accumulation of Qi and Blood, with frequent attacking pain in the abdomen and hypochondria.
Ingredients: Muxiang (Costus Root, 0.5 liang), Badou (Croton Seed, 1 fen, remove skin and heart, stir-bake with bran until yellow, wrap in paper and press to remove oil), Ganxi (Dry Resin, 0.5 liang, crushed and stir-baked until smoke ceases), Wuzhuyu (Evodia Fruit, 1 fen, remove seeds).
Usage: Grind the above into fine powder. Mix with refined honey and pound for five hundred strokes.
Huansheng Wan (Pill of Huansheng) treats malignant accumulations of Shan Jia in women, and amenorrhea.
Ingredients: Banmao (Mylabris, 0.5 liang, stir-bake with glutinous rice until yellow, remove wings and feet), Guixin (Cinnamon Twig), Sharen (Cardamom, 0.5 liang, finely ground), Qilinjie (Dragon's Blood), Moyao (Myrrh), Mangcao (Polygonum Arthrax Root, slightly stir-baked).
Usage: Grind the above into fine powder. Mix with refined honey and pound for several hundred strokes to form pills.
Taoren San (Peach Kernel Powder) treats Shan Jia in women, abdominal tension and urgency, and fullness and distension in the heart and hypochondria. Suitable for consumption.
Ingredients: Taoren (Peach Kernel, 1 liang, soaked in water, remove skin and tips, discard double-kernel ones, stir-bake with bran until slightly yellow), Chuanxiong (Sichuan Lovage Rhizome), Binglang (Areca Seed).
Usage: Grind the above into powder. Take 4 qian per dose. Add half a slice of Shengjiang (Fresh Ginger) to one cup of water, decoct to seven-tenths, strain, and take warm.
Danggui Tang (Angelica Sinensis Decoction) treats Cold Shan Jia in women, deficiency and insufficiency of Xu Lao (consumptive disease). If there is colicky pain in the abdomen after childbirth.
Ingredients: Danggui (Angelica Sinensis), Shaoyao (Peony Root, each 2 liang; *Zimu Milu* records this as Gancao/Licorice Root), Shengjiang (Fresh Ginger, 5 liang), Yangrou (Mutton, 1 jin).
Usage: Cut the above ingredients. Decoct mutton in eight sheng of water and consume the broth.
Shawan (Sand Pill, from *Shenghui Fang*) treats Shan Jia in women, as well as accumulated stagnant blood in the Zang organs, with frequent attacking pain in the abdomen and hypochondria.
Ingredients: Chuan Mangxiao (Mirabilite), Sharen (Cardamom, each 1 liang), Danggui (Angelica Sinensis), Xionghuang (Realgar), Guixin (Cinnamon Twig, each 0.5 liang), Dahuang (Rhubarb Root, processed), Sanleng (Burreed Tuber, each 2 liang).
Usage: Grind the above into fine powder. Mix with refined honey to form pills.
Heishen Wan (Black Divine Pill, from *Daquan Liangfang*) treats various bleeding conditions postpartum, leukorrhea with red and white discharge. Take one pill, divided into four doses. For retained dead fetus, take one pill. All are taken down with wine mixed with cotton ash. For difficult labor, add 49 fried Kuaizi (Sunflower Seeds).
Ingredients: Shenqu (Medicated Leaven), Huixiang (Fennel Fruit, each 4 liang), Muxiang (Costus Root), Binglang (Areca Seed, 4 pieces), Jiao (Sichuan Pepper, stir-bake until sweat appears), Dingxiang (Clove, each 0.5 liang), Qi (Lacquer, 6.5 liang, half raw, half processed?).
Usage: As described above.
Badou Wan (Croton Seed Pill, from *Shenghui Fang*) treats Shan Jia in women and pain caused by Qi and Blood.
Ingredients: Badou (Croton Seed, 1 fen, remove skin and heart, roast in vinegar for half a day), Taoren (Peach Kernel, 3 fen), Muxiang (Costus Root, 0.5 liang).
Usage: Grind the above into powder. Mix with refined honey to form pills the size of green beans. Take with light soup/water.
Biejia San (Turtle Shell Powder, from *Shenghui Fang*) treats Shan Jia in women, and pain in the heart and abdomen caused by Qi and Blood.
Ingredients: Biejia (Tartaric Turtle Shell, one medium-sized shell, coat with half a cup of urine and roast until fully absorbed, remove skirt), Ganxi (Dry Resin, 1 liang, crushed and stir-baked until smoke emerges), Danggui (Angelica Sinensis, 1 liang, cut), Dahuang (Rhubarb Root, 1 liang, cut).
Usage: Grind the above into powder. Take 3 qian per dose. Add one cup of water, decoct to seven-tenths, strain, and take warm.
Dahuang Wan (Rhubarb Pill, from *Shenghui Fang*) treats Shan Jia in women, as well as various diseases of accumulated stagnant blood in the Bao Men (uterine opening). Suitable for all such cases.
Ingredients: Chuan Dahuang (Rhubarb Root, 4 liang, steamed with rice until cooked, dried by roasting), Tugua Gen (Trichosanthes Thunbergiana Root, 2 liang), Niuxi (Achyranthes Root, 2 liang, remove sprouts), Taoren (Peach Kernel, 3 liang, soaked in water, remove skin, tips, and double kernels).
Usage: Grind the above into powder. Mix with refined honey to form pills.
Another method: Treats Shan Jia causing pulling pain in the lower abdomen and yin region, spontaneous sweating, and a sensation of impending death.
Usage: Use Danshen (Salvia Root) 1 liang, crush into powder. Take 2 qianbi (small scoops) each time, mixed with hot wine. This is optimal.