《金匮》云∶妇人咽中如有炙脔,半夏浓朴汤主之。《千金》所云∶咽中帖帖如有炙肉,吐之不出,吞
之不下是也。
半夏(一升) 浓朴(三两) 茯苓(四两) 生姜(五两) 苏叶(二两)
水煎分四服,日三夜一。
《金匮》云∶妇人脏躁,悲伤欲哭,象如神灵所作,数欠伸,甘麦大枣汤主之。
甘草(三两) 小麦(一斤) 大枣(十枚) 水煎分三服
尤在泾曰∶此证沈氏所谓子宫血虚,受风化热者是也。血虚脏躁,则内火扰而神不宁,悲伤欲哭,有
如神灵,而实为虚病。前《五脏风寒积聚篇》所谓邪哭使魂魄不安者,血气少而属于心也。数欠伸者,经云
肾为欠为嚏。又肾病者,善数欠,颜黑。盖五志生火,动必关心脏;阴既伤,穷必及肾也。小麦为肝之谷,而
善养心气;甘草、大枣甘润生阴,所以滋脏气而止其躁也。
《金匮》云∶妇人阴寒,温阴中,坐药蛇床子散主之。
蛇床子末,以白粉少许,和合相得如枣大,绵裹纳之,自温。
《金匮》云∶胃气下泄,阴吹而正喧,此谷气之实也。猪膏发煎主之。
猪膏半斤,乱发如鸡子大三枚,和膏中煎之,发消药成,分再服。
王盂英按∶阴吹亦妇人恒有之事,别无所苦者,亦不为病。况属隐微之候,故医亦不知耳。俗传产后未
弥月而啖葱者,必患此。惟吹之太喧,而大便艰燥,乃称为病。然仲圣但润其阳明之燥,则腑气自通,仍不
必治其吹也。
The *Jin Gui Yao Lue* states: When a woman feels as if there is a piece of roasted meat stuck in her throat, Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) should be administered. This refers to the description in the *Qian Jin Fang*: "A sensation of sticking in the throat, as if there were roasted meat; it cannot be spat out, nor can it be swallowed."
Banxia (Pinelliae Rhizoma, 1 sheng), Houpo (Magnoliae Officinalis Cortex, 3 liang), Fuling (Poria, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 5 liang), Ziye (Perillae Folium, 2 liang).
Decoct in water and divide into four doses; take three times during the day and once at night.
The *Jin Gui Yao Lue* states: When a woman suffers from Zang Zao (Visceral Agitation), she feels sad and wants to cry, her demeanor resembles that of being possessed by spirits, and she frequently yawns and stretches. Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction) should be administered.
Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang), Xiaomai (Tritici Fructus, 1 jin), Dazao (Zizyphi Fructus, 10 pieces). Decoct in water and divide into three doses.
You Zaijing said: This syndrome is what Shen Shi described as uterine blood deficiency, where wind pathogen transforms into heat. Blood deficiency leads to visceral agitation, causing internal fire to disturb and the spirit to become restless. The sadness and crying resemble spiritual possession, but it is actually a deficiency syndrome. As stated in the previous chapter "Five Zang Organs Cold-Heat Accumulation and Stagnation," evil weeping causes the hun and po souls to be unsettled because blood and qi are scant and belong to the Heart. Frequent yawning is explained in the classics as the Kidney governing yawning and sneezing. Furthermore, those with Kidney disease often yawn frequently and have dark facial complexion. Generally, the five emotions generate fire, which inevitably affects the Heart; when Yin is damaged, the depletion eventually reaches the Kidney. Wheat is the grain of the Liver and effectively nourishes Heart Qi; Gancao and Dazao are sweet and moistening, generating Yin fluids, thereby nourishing the viscera and stopping their agitation.
The *Jin Gui Yao Lue* states: When a woman has coldness in the vagina, warm the interior using vaginal suppositories, with Shechuangzi San (Cnidium Powder) as the primary treatment.
Shechuangzi (Cnidii Fructus) ground into powder, mixed with a small amount of rice flour until well combined into pills the size of a jujube. Wrap in cotton and insert into the vagina; warmth will generate naturally.
The *Jin Gui Yao Lue* states: When stomach Qi descends abnormally, causing flatulence through the vagina with continuous noise (Yin Chui), this is due to excess Gu Qi (Grain Qi). Zhigao Fa Jian (Pig Fat and Hair Decoction) should be administered.
Zhigao (Suis Fat, 0.5 jin), Luafa (Human Hair, three pieces the size of a chicken egg). Simmer together in the fat until the hair dissolves and the medicine is ready. Divide into two doses.
Wang Mengying noted: Yin Chui (vaginal flatulence) is also a common occurrence in women; if there is no other discomfort, it is not considered a disease. Moreover, since it is a hidden and subtle symptom, physicians are often unaware of it. Folklore claims that consuming green onions within one month postpartum will inevitably cause this condition. It is only called a disease when the noise is excessively loud and accompanied by dry, difficult defecation. However, Zhang Zhongjing merely moistened the dryness of the Yangming channel, allowing the Fu organ Qi to flow freely, thus making specific treatment for the flatulence unnecessary.