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Symptoms of mass formation caused by the retention and stagnation of blood stasis occur only in women. These conditions may arise during menstruation or postpartum. They result from internal injury due to cold and raw food, external contraction of wind-cold pathogenic factors, anger injuring the Liver causing Qi rebellion and subsequent blood stagnation, excessive worry damaging the Spleen leading to Qi deficiency and blood stasis, or chronic fatigue and weakness resulting in Qi deficiency failing to move blood. In all cases, when blood is in motion, if residual blood remains uncleaned and encounters any disruption in Qi flow, it will accumulate day by day, gradually forming masses. However, blood relies on Qi for movement; where Qi moves, blood moves. Therefore, in treating blood disorders, whether employing purgative or tonifying methods, regulating Qi must be prioritized. Luo Qianfu stated: "Nourishing the upright Qi causes the pathogenic factors to eliminate themselves." One must first regulate and nourish to ensure the sufficiency of Ying (Nutritive) and Wei (Defensive) Qi. Only if the mass does not dissipate should one consider using purgative methods. However, removing it without gradual progression inevitably leads to catastrophic harm. If one fails to observe dietary and lifestyle taboos and indulges in desires, few will escape losing their lives.

1. Pain caused by blood stasis, or the presence of formed masses that do not disperse, located below the umbilicus and abdomen. If the accumulation is recent and the root is not yet solidified, Wuwu Decoction (Five-Ingredient Decoction) or Juejin Decoction (Decoction for Crossing the Ford), with modifications, are appropriate. This ensures the removal of blood stasis and cessation of pain, truly deserving the title of a miraculous formula.

2. For women presenting with excess in both constitution and pathology, accompanied by abdominal distension or severe pain, and recent onset of Qi disruption, aiming to move stagnation and relieve pain, Tongyu Decoction (Decoction for Promoting Blood Circulation), Shixiao San (Pain-Stopping Powder), Xuanhu Danggui San (Corydalis and Angelica Powder), or Jiawei Siwu Tang (Modified Four-Substance Decoction) are suitable to soothe and guide the flow. Once Qi flows freely and stagnation is removed, pain will resolve spontaneously. If the condition has persisted longer and the mass is hard, requiring gradual dissolution, Sanleng Decoction (Decoction with Burreed Rhizome) or Wanbing Wan (Ten-Thousand-Disease Pill) may be used.

3. For individuals with strong constitution but stagnant blood, or those suffering from severe obstruction due to major illness, or intense abdominal distension and pain requiring purgation, Taoren Chengqi Tang (Peach Kernel and Rheum Decoction) from *Liangfang* (Excellent Prescriptions) is the most rapid option. Alternatively, Duoming Dan (Life-Snatching Pill), Taoren Jian (Peach Kernel Decoction), Chuanshanjia San (Pangolin Scale Powder), or Chijin Dou (Red Gold Bean) may be employed. However, purgation requires extreme caution and should not be used recklessly unless there is a clear excess syndrome necessitating it.

4. The method of nourishing upright Qi requires observing Yin and Yang, upper and lower regions, the duration and novelty of the disease, and the relative strength of pathogenic versus upright Qi. Even if blood stasis is severe, if Yuan Qi (Original Qi) is weak, purgation is contraindicated. If the disease is chronic and the patient is weak, with accumulations difficult to dislodge, purgation is contraindicated. In such cases, one should focus on consolidating the root and wait for gradual improvement through mild treatment. For cases where emotional constraint damages the Spleen, Guipi Tang (Restore the Spleen Decoction), Xiaoyao Yin (Free and Easy Wanderer Drink), or Shoupi Jian (Spleen-Nourishing Decoction) are indicated. For Spleen and Stomach deficiency-cold, Wenwei Yin (Stomach-Warming Drink), Yangzhong Jian (Middle-Nourishing Decoction), or Liujunzi Tang (Six-Gentlemen Decoction) are appropriate. For Liver and Kidney deficiency-cold, Daying Jian (Great Camp Nourishing Decoction), Nuangan Jian (Liver-Warming Decoction), or Liyin Jian (Yin-Nourishing Decoction) are suitable, or Jiajia San (Additive Powder) from *Liangfang*. For Spleen and Kidney deficiency-cold with loose stools or incomplete evacuation, Weiguan Jian (Stomach Gate Decoction) or Liyin Jian are indicated. For chronic disease leading to Spleen and Kidney Qi stagnation with lower abdominal pain and distension, Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) is used. For unextinguished Liver Fire causing blood heat and stagnation, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is appropriate. In all the above syndromes involving deficiency with concurrent stagnation, Qi-moving and stagnation-resolving herbs may be added to the aforementioned formulas, demonstrating the practitioner's flexibility.

5. Women with long-standing fixed masses (Pi) inevitably suffer from Spleen and Kidney deficiency. Pathogenic factors and upright Qi struggle against each other, making the mass firm and immobile. If Qi affects the Zi Zang (Uterus), infertility results; if it affects the Chong and Ren Mai (Penetrating and Conception Vessels), amenorrhea occurs. Internal treatment follows the principles mentioned above. Externally, Awei Gao (Asafoetida Plaster) can be applied, along with Yupi Fang (Plaster for Masses) or Hupo Gao (Amber Plaster). However, one must strictly avoid emotional disturbances (Seven Emotions), Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire), and maintain proper diet and daily routine, while adjusting treatment according to symptoms as they change, for recovery to be achieved.