红枣（煮熟去皮） 芝麻（微炒，二味杵如泥） 茅山苍术（米泔水洗炒研末）等分
三味共捣丸如桐子大，三钱一次，滚汤携空心。此药宜常服，止带调营颇合宜。
单方
治白带。白果肉四两，硫黄（研）一钱，二味同炒果熟，去黄，空心盐汤嚼下，数料即
止。
又方
白凤仙花为末，初服三钱，次服二钱，又次服一钱，三日即愈。至重者从五钱起，减
一钱，五日痊愈。俱空心酒调服。
又方
红带用红鸡冠花，白带用白鸡冠花，烧灰存性，研末，酒下二三钱。
又方
用丝瓜根切片，大酒拌七次，研为细末，空心酒下。
又方
用经霜桑叶研末，酒下三钱。
丹溪论∶妇人经少过期，血少也，四物加参术。带痰加南星、半夏、陈皮。经少不及期
而来
淡色来者，痰多也，二陈加川芎、当归。过期而来是血虚，宜补血，四物加黄 、陈皮、升
麻，未及期先来，是气血俱热，宜凉血调气，柴胡、黄芩、当归、白芍、生半夏、香附。经
不调而血水淡白，宜补气血，参、 、芎、归、香附、白芍，兼腹痛加胶珠、艾叶、玄胡。
经过后而作痛，乃虚中有热，所以作痛。经水将来作痛，血实也，一云气滞，加桃仁、黄连，
香附。临行时腰疼、腹痛，是郁滞有瘀血，四物加红花、桃仁、莪术、玄胡、香附、木香，
如发热、加黄芩、柴胡。紫色成块者，热也，四物加黄连、柴胡。痰多占住血海地位，因而
下多者，目必渐昏，肥人如此，用南星、苍术、川芎、香附作丸服之。肥人不及日数而多者，
痰多血虚有热，亦用前丸药中，更加黄连、白术丸服。血枯经闭者，四物加桃仁、红花。躯
脂满，经闭者，以导痰汤，加黄连、川芎，不可服地黄，泥膈故也，如用以姜汁炒。肥胖饮
食过度之人，而经水不调者，是湿痰，宜苍术、半夏、滑石、茯苓、白术、香附、川芎、当
归，如临经来时，肚痛者，四物加陈皮、玄胡、牡丹、甘草。若痛甚者，豆淋酒；痛缓者，
童便，煮砂仁（炒）、条芩为丸。经水去多不能住者，以三补丸加莎根、龟版、金毛狗脊。
阴虚经脉久不通，小便涩，身体疼痛，四物加苍术、牛膝、陈皮、生甘草，又用苍莎丸，加
苍耳、酒、芍药为丸，就煎前药吞下。经水过多，黄芩（炒）、白术（炒）、龟版（炙）各一
两，黄柏（炒）三钱，椿根白皮七钱五分，香附子二钱半，共为末，酒糊丸，白汤空心下五
十丸。积痰伤经不行，夜则妄语，栝蒌仁一两，蒲黄五钱，吴茱萸十粒，桃仁五十粒，红曲
二钱，砂仁三两，麻渣木为末，生姜汁化炊饼为丸，桐子大，空心下百丸。一切瘀血作痛，
香附四两（醋煮），瓦 子二两（ ，醋煮一夜），桃仁二两，牡丹皮一两，大黄（蒸熟）一
两，川芎五钱，红花五钱，共为末，蒸饼为丸，桐子大，空心温酒下三五十丸。
大温经汤 治冲任虚损，月候不调，或来多不已，或过期不行，崩中去血过多，或经损
娠，瘀血停留，小腹急痛，五心烦热。
川芎 当归 白芍 人参 甘草 阿胶 肉桂 丹皮 吴茱萸各二两。
汤洗七次，半夏二两半，麦冬（去心）五两半，每服五钱，姜煎，空心热服。
地骨皮散 治血风体虚，发渴寒热。
地骨皮 柴胡各一两 枳壳 前胡 黄 各六钱半 白茯苓 五加皮 人参 甘草 官
桂
先天归一汤 人参八钱 白茯苓（去皮）一两 白术一两（麸炒） 甘草四钱 当归一
两二钱（酒洗） 川芎一两 生地一两（酒洗） 白芍八钱 川牛膝八钱（酒炒） 香附 砂
仁（炒） 半夏 丹皮各七钱 陈皮六钱
以上十四味，均作十剂，经未行先服五剂，后服五剂，姜煎空心服。渣再煎，临卧服，
经调脉和即当孕。如子宫久冷，加干姜、肉桂各五钱。如冷盛，灸腹下三寸极效。子宫太热
加黄柏、知母、柴胡各六钱。白带、白浊、白淫倍半夏，加白芷一两，升麻五钱，气滞加木
香三钱。虚劳自汗或恶寒、发热，加黄 、肉桂。咳嗽加阿胶、贝母各四钱。劳热血枯加柴
胡、鳖甲。饮食减少倍白术、陈皮，加浓朴、神曲各五钱。肥人痰塞子宫，加南星、三棱各
六钱，有瘀血加桃仁、玄胡、子红花各四钱，蓬术五钱。如未效，去参，加五灵脂二个（半
生半炒）、乳香三钱。腰腿痛加杜仲一两，桃仁四钱，羌活三钱。经行后疼者，虚也，加当
归八钱，熟地六钱，五味子三钱。腹痛有痞者，去牛膝，加三棱、莪术各六钱，桃仁、枳实
各五钱。前五剂加槟榔五钱。鬼胎先服桃仁、干膝、肉桂、麝香之类去之，然后服此方。经
前期至者，加黄柏、蒲黄各五钱；后期至者、加干姜、丹皮各五钱；崩漏加莲蓬灰、黄芩各
五钱，熟艾三钱，猪骨灰六钱，白芷六钱。有风寒湿气加羌活七钱，乳香、没药、苍术各五
钱，秦艽三钱。心腹痛加大腹皮、木香各三钱，槟榔五钱。小便涩少稍加猪苓、泽泻。室女
涩滞不调，加刘寄奴六钱，不效加卫茅三钱（一名鬼箭羽），神效。
种玉汤 妇人无子，为七情所伤，致血衰气盛，经水不调，或淡或紫，崩漏下带，肚腹
疼痛，子宫虚冷，不能受胎。宜服∶
南芎 当归四钱（酒洗） 熟地六钱 白芍一钱 陈皮 茯苓 延胡 丹皮 炒姜各三
钱香附 吴茱萸（炒）各四钱 官桂 熟艾各二钱过期而淡者，加姜、桂、艾；先期紫色
者，不必加减。以上十三味分四剂，经至日服起，每
对期，百发百中。
百子附归丸（鲍氏方） 调经养血，胎前产后并宜服之。四物加真阿胶、蕲艾叶各二两，
香附（赤心者，去毛，杵成米，水醋各浸一宿，晒焙）十二两，用陈石榴一枚，连皮捣碎，
东流水三升熬，去滓，面糊丸桐子大，空心陈米醋点沸汤下百丸。
单方
调经。只用嫩芩一两，切片，以老酒浸晒三昼夜为末，经来二日服五分，第三日服一
安胎
丹溪论 产前当清热养血。产妇因火动胎逆，上作喘急者，急用香附、条芩为末调下，
（条
而安胎；益母草治胎前产后诸病，能行气养血，难产可煎作膏服，地黄膏、牛膝膏皆可服。
怀妊乃一脏之虚，假如肝脏虚，其肝气只能生胎，无余用也。不能荣其肝，肝虚故受酸物。
产前安胎，白术、黄芩为妙药者。条芩安胎圣药也，人不知，以为害而不敢用，或反谓湿热
之药，可养胎，殊不知产前宜清热，令血循经而不妄行，故能养胎。胎热将临月，以三补丸
加炒香附、炒白芍，共蒸饼为丸服。抑热以三补丸，用地黄膏丸。有孕八九月，必须顺气，
用枳壳、苏梗。凡妊娠妇脉细匀，易产；大浮缓火气散，难产，如抱船过坝一般。固胎，地
黄五分，归身、人参、白芍各一钱，白术一钱五分，川芎、黄芩各五分，陈皮一钱，甘草三
分，黄连、黄柏各少许，桑上牛儿膝（七叶要者），每二钱入元米一撮煎服。血虚不安，用
阿胶。痛用砂仁，止痛安胎行气故也。
验胎散 川芎末一两，空心艾叶汤下，觉微动是胎，一日不动，乃经滞耳。
别男女法∶沉为男，浮为女；左尺大为男，右尺大为女；至半身手心发红为男，青为女。
保胎丸 专治屡经堕胎，久不育者。过七个月不必服。
人参二两五钱 白术四两 黄芩 当归各二两 杜仲（盐炒酒研） 续断（酒浸） 熟
地各一两
保生汤 治经不行，似病非病，六脉均而滑大，恶闻食气，吐清水者，名恶阻。
人参 甘草二钱半 白术 陈皮 香附 乌药各五钱分作两剂，生姜煎服。恶心呕吐加
丁香。
转女为男法（鲍氏方） 受孕后，用绛囊盛弓弦一条，系妇人左臂上，垂系腰下，满百
日去之
皆雄鸡
胎病十三种
有胎则脾运化不利而生湿，湿生痰，痰生热，热生风，故诸病易作。
恶阻者，痰也。肥人多痰，瘦人有热，俱宜二陈汤或茯苓补心汤。
子烦，心惊烦闷，热也。白茯苓、防风、麦冬、黄芩。
子痫，谓孕妇痰涎潮，风也。当归、川芎、防风、独活、茯神、五加皮、杏仁、薏苡仁、
酸枣
子悬，谓心胃胀满，气也。芎、归、芍、人参、紫苏、陈皮、甘草、大腹皮、葱白、生
姜煎
子气，三月成胎，两足面渐肿至膝，喘闷妨食，甚至脚趾间出黄水者，湿也。天仙藤，
紫苏、陈皮、香附、乌药、木香、甘草、生姜煎服。
子肿，孕妇七八月，面目四肢浮肿，亦湿也，四物加白术、茯苓、甘草、泽泻、条芩、
栀子、麦冬、浓朴。
子淋，孕妇小便涩痛频数，亦热也。麦冬、赤茯苓、大腹皮、木通、甘草、淡竹叶。一
方用
转胞，不得小便，虚也，与淋相似，痛者为子淋，不痛者为转胞。五苓散加阿胶。七八
月以后者，或用冬葵子、滑石、山栀、木通，空心煎服。外以冬葵子、滑石、栀子臼内捣膏，
生葱汁调贴脐中，立通。七月以前不可用。
胎漏，有胎见红，虚而有热也。归尾、南芎各五钱，黄酒煎好，入童便一盏，临卧服。
胎动，六七个月，或筑磕损胎，恶露下，痛不已，口噤欲卧，用佛手散探之，不损则痛止，
若损即逐下。当归六钱，川芎四钱，用水一碗半煎，将干投酒一大碗共煎沸，去渣温服，口
噤灌之。如人行五里，再服，三服便生。
鬼胎，如抱瓮者，用斩鬼丹。吴茱萸、川芎、秦艽、柴胡、白僵蚕，炼蜜丸桐子大，酒
下七
症瘕有似于胎，用枳壳槟榔丸，消散症瘕，调经进食，兼养胎气。腹大，谓胎间有水气
也。
白术五两，茯苓四两，当归、芍药各二两，用鲤鱼一个，洗净煮汁，一碗半，煎前药，
加陈皮少许，姜七片空心服。
按月安胎
两三月，临动不安。杜仲（去皮，锉姜汁炒去丝）、川续断（酒浸）各二两，为末，枣
肉为丸如梧桐子，每服三十丸，米饮下。四五月下坠，小腹痛，小便痛，或下血。当归、川
芎、人参各一两，枣子二枚，艾一虎口，酒水各二升，煮至三升，入阿胶一两，分二服。
六七月胎动不安，常处旋复花一两，浓朴、白术、茯苓各三两，芍药、生姜各二两，每
服一两，食前温服。忌雀肉、羊肉、桃李。又，金匮当归饮，妊娠宜常服之，芎、归、芍、
黄芩、白术五味为末，酒调服，或酒糊丸，茶汤任下五十丸，日三服。
孕妇风寒热病十五方
表虚六合汤 孕妇伤寒中风，表虚自汗，头痛项强、身热恶风，脉浮而弱，太阳经病。
宜服四物汤四两，桂枝、地骨皮各七钱。表实六合汤 孕妇伤寒，头痛身热，无汗，脉浮紧，
恶寒，太阴经病。四物汤四两，麻黄、
肢节烦疼，脉浮而涩，头痛，太阳标病也。四物汤四
升麻六合汤 伤寒下后，过经不愈，湿毒发斑如锦文。四物汤四两，升麻、连翘各七钱。
柴胡六合汤 伤寒胸胁满痛而脉弦，少阳头昏，项强。四物四两，柴胡、黄芩各七钱。
大黄六合汤 伤寒大便硬，小便赤，气满而脉沉数，阳明太阳本病也，四物四两，大黄
五钱
人参六合汤 伤寒汗下后，咳嗽不止者，四物四两，人参、五味子各五钱。
浓朴六合汤 伤寒汗下后，虚痞胀满，或咳嗽者，阳明本虚。服四物四两，浓朴、枳实
（姜炒）各五钱。
栀子六合汤 伤寒汗下后不得眠者，四物四两，栀子、黄芩各五钱。
石膏六合汤 伤寒身热大渴，蒸热而烦，脉长而大者，服四物四两，石膏、知母各五钱。
茯苓六合汤 伤寒小便不利，太阳本病也。服四物四两，茯苓、泽泻各五钱。
胶艾六合汤 伤寒汗下后，血崩不止，胎气损者，服四物四两，阿胶、艾叶各五钱。
琥珀六合汤 伤寒小便赤如血，太阳本病。服四物四两，琥珀、茯苓各五钱。
附子六合汤 伤寒四肢拘急，身凉微汗，腹中痛，脉沉而迟，少阴病也。服四物四两，
附子（
四物大黄汤 伤寒蓄血，不宜堕胎，药下服四物四两，生地、大黄（酒浸）各五钱。
伤寒护胎法 用白药子为末，鸡蛋清摊贴脐下，干以水湿之。又方，壮热盛者，用井底
泥敷
束胎散（八个月可服）黄芩（炒，夏一两，春秋七钱，冬五钱），白术二两（不见火），
茯苓七钱
达生散（九个月可服，凡胎至九月不宜交合） 大腹三钱人参五分 陈皮五分 白术一
钱芍药一钱 甘草（炙）二分 苏茎叶五分 归身尾一钱作一服。入葱五叶，黄杨树梢头
叶七片，或加枳壳，砂仁，以水煎，食后服。八九个月服十数帖，甚得力。夏加黄芩，春加
川芎，气虚加参术，气实倍香附、陈皮，血虚倍当归、地黄，形实倍紫苏，性急加黄连，有
热加黄芩，湿痰加滑石、半夏，食积加山楂，食后易饥倍黄杨，腹痛加木香、桂。
又方
九个月服黄芩一两（酒炒，怯弱者减半），白术一两，枳壳（炒）七钱五分，滑石七钱
五
伤元
催生
将产脉离经，经者，一呼三至也。切莫矜张，或痛或止，谓之游痛，不可用力，宜令人
扶行，直至腰腹引痛，眼中如见火光，乃是儿转之候。胞浆水破，难以行动，然后坐草。切
[Red Dates (cooked and peeled) Sesame seeds (lightly stir-fried, these two ingredients pounded into a paste) Maoshan Atractylodes Rhizome (washed with rice water, stir-fried, and ground into powder) in equal parts.
Pound the three ingredients together to make pills the size of paulownia seeds. Take 3 qian at a time, taken on an empty stomach with boiling water. This medicine is suitable for long-term use; it is quite appropriate for stopping leukorrhea and regulating Ying (nutritive) Qi.
Single Prescription:
Treating leukorrhea. Take 4 liang of white ginkgo nuts, 1 qian of sulfur (ground). Stir-fry the two ingredients together until the ginkgo nuts are cooked, remove the sulfur, chew the ginkgo nuts and swallow them with salt water on an empty stomach. It will stop after several courses of treatment.
Another Prescription:
Grind white balsam apple flowers into powder. Take 3 qian for the first dose, 2 qian for the second dose, and 1 qian for the third dose; it will heal in three days. For severe cases, start with 5 qian and reduce by 1 qian each subsequent dose; it will heal in five days. All doses should be taken on an empty stomach mixed with wine.
Yet Another Prescription:
For red leukorrhea, use red cockscomb flowers; for white leukorrhea, use white cockscomb flowers. Burn them to ash while preserving their medicinal properties, grind into powder, and take 2-3 qian with wine.
Yet Another Prescription:
Slice luffa root, mix with a large amount of wine seven times, grind into fine powder, and take with wine on an empty stomach.
Yet Another Prescription:
Grind mulberry leaves that have been exposed to frost into powder, and take 3 qian with wine.
Discussion by Danxi:
If a woman's menstrual flow is scanty and delayed, it is due to blood deficiency; use Si Wu Tang (Four Substances Decoction) added with Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome). If accompanied by phlegm, add Nan Xing (Arisaema Rhizoma), Ban Xia (Pinellia Tuber), and Chen Pi (Tangerine Peel). If menstrual flow is scanty and arrives early with a pale color, it is due to excessive phlegm; use Er Chen Tang (Two Aged Ingredients Decoction) added with Chuan Xiong (Szechwan Lovage Rhizome) and Dang Gui (Angelica Sinensis). If it arrives late, it is blood deficiency, and blood should be tonified; use Si Wu Tang added with Huang Qi (Astragalus Root), Chen Pi, and Sheng Ma (Cimicifugae Rhizome). If it arrives before the expected date, it indicates heat in both Qi and Blood; cool the blood and regulate Qi using Chai Hu (Bupleurum Root), Huang Qin (Scutellaria Root), Dang Gui, Bai Shao (White Peony Root), raw Ban Xia, and Xiang Fu (Cyperus Rhizome). If menstruation is irregular with pale, watery blood, tonify Qi and Blood using Ren Shen, [Huang Qi], Chuan Xiong, Dang Gui, Xiang Fu, and Bai Shao. If abdominal pain is also present, add Jiao Zhu (Charred Gelatin), Ai Ye (Mugwort Leaf), and Xuan Hu (Corydalis Rhizome). Pain occurring after menstruation is due to deficiency with internal heat. Pain occurring just before menstruation is due to blood excess, or alternatively Qi stagnation; add Tao Ren (Peach Kernel), Huang Lian (Coptis Rhizome), and Xiang Fu. Lower backache and abdominal pain just before menstruation indicate Qi stagnation and blood stasis; use Si Wu Tang added with Hong Hua (Carthamus Flower), Tao Ren, E Zhu (Curcuma Zedoaria Rhizome), Xuan Hu, Xiang Fu, and Mu Xiang (Aucklandiae Radix). If fever is present, add Huang Qin and Chai Hu. Purple blood with clots indicates heat; use Si Wu Tang added with Huang Lian and Chai Hu. Excessive phlegm occupying the position of the Sea of Blood leads to heavy menstruation and gradual dimness of vision, especially in obese individuals; use Nan Xing, Cang Zhu (Atractylodes Lancea Rhizome), Chuan Xiong, and Xiang Fu made into pills. In obese individuals with heavy menstruation arriving early, indicating excessive phlegm, blood deficiency, and heat, use the previous pill formula plus Huang Lian and Bai Zhu made into pills. For blood exhaustion and amenorrhea, use Si Wu Tang added with Tao Ren and Hong Hua. For amenorrhea due to excessive body fat, use Dao Tan Tang (Guiding Phlegm Decoction) added with Huang Lian and Chuan Xiong; Di Huang (Rehmannia Root) should not be used as it clogs the chest; if used, stir-fry it with ginger juice. For obese individuals who overeat and have irregular menstruation, this is damp-phlegm; use Cang Zhu, Ban Xia, Hua Shi (Talcum), Fu Ling (Poria), Bai Zhu, Xiang Fu, Chuan Xiong, and Dang Gui. If abdominal pain occurs near menstruation, use Si Wu Tang added with Chen Pi, Xuan Hu, Mu Dan Pi (Moutan Cortex), and Gan Cao (Licorice Root). If pain is severe, use Dou Lin Jiu (Soybean Dripping Wine); if pain is mild, use Tong Bian (Child's Urine) to cook Sha Ren (Amomum Fruit) (stir-fried) and Tiao Qin (Scutellaria Root) into pills. For excessive menstrual flow that cannot stop, use San Bu Wan (Three Tonifying Pills) added with Sha Gen (Dioscorea Nipponica Rhizome), Gui Ban (Tartar Testudinis), and Jin Mao Gou Ji (Cibotium Rhizome). For Yin deficiency with long-standing meridian blockage, astringent urination, and body pain, use Si Wu Tang added with Cang Zhu, Niu Xi (Achyranthes Root), Chen Pi, and raw Gan Cao. Additionally, use Cang Sha Wan (Cang Zhu and Cyperus Pills) added with Cang Er Zi (Xanthium Fruit), wine, and Shao Yao (Peony Root) as pills, swallowed with the decoction of the previous medicine. For excessive menstruation, use Chao Huang Qin (Stir-fried Scutellaria Root), Chao Bai Zhu (Stir-fried Atractylodes Rhizome), and Zhi Gui Ban (Roasted Turtle Shell) each 1 liang, Chao Huang Bo (Stir-fried Phellodendron Bark) 3 qian, Chun Gen Bai Pi (Toona Bark) 7.5 qian, and Xiang Fu Zi (Cyperus Fruit) 2.5 qian. Grind all into powder, make pills with wine paste, and take 50 pills on an empty stomach with plain water. For accumulated phlegm damaging the meridians causing amenorrhea and delirium at night, use Gua Lou Ren (Trichosanthes Seed) 1 liang, Pu Huang (Typha Pollen) 5 qian, Wu Zhu Yu (Evodia Fruit) 10 grains, Tao Ren 50 grains, Hong Qu (Red Yeast Rice) 2 qian, and Sha Ren 3 liang. Grind Ma Zha Mu (Hemp Residue Wood) into powder, dissolve cooking cake dough with ginger juice to make pills the size of paulownia seeds, and take 100 pills on an empty stomach. For all pains caused by blood stasis, use Xiang Fu 4 liang (boiled in vinegar), Wa Leng Zi (Clam Shell) 2 liang (calcined, boiled in vinegar overnight), Tao Ren 2 liang, Mu Dan Pi 1 liang, Zheng Da Huang (Steamed Rhubarb) 1 liang, Chuan Xiong 5 qian, and Hong Hua 5 qian. Grind into powder, make pills with steamed cake, size of paulownia seeds, and take 30-50 pills on an empty stomach with warm wine.
Da Wen Jing Tang (Great Warming of the Menses Decoction): Treats deficiency and damage to the Chong and Ren vessels, irregular menstruation, either excessive flow that does not stop or delayed absence, excessive bleeding from metrorrhagia, or pregnancy damaged by menstruation, with retained blood stasis, acute lower abdominal pain, and heat in the five centers.
Ingredients: Chuan Xiong, Dang Gui, Bai Shao, Ren Shen, Gan Cao, E Jiao (Donkey-hide Gelatin), Rou Gui (Cinnamon Twig), Mu Dan Pi, Wu Zhu Yu each 2 liang. [Sheng Jiang (Fresh Ginger)] washed seven times with water, Ban Xia 2.5 liang, Mai Dong (Ophiopogon Tuber) (decored) 5.5 liang. Take 5 qian per dose, decoct with ginger, and take hot on an empty stomach.
Di Gu Pi San (Lycium Bark Powder): Treats blood wind, physical weakness, thirst, and alternating chills and fever.
Ingredients: Di Gu Pi (Lycium Bark), Chai Hu each 1 liang; Zhi Qiao (Bitter Orange Fruit), Qian Hu (Peucedani Radix), [Huang Qi] each 6.5 qian; Bai Fu Ling (Poria with Bamboo Wood), Wu Jia Pi (Five-finger Tea Bark), Ren Shen, Gan Cao, Guan Gui (Cassia Twig).
Xian Tian Gui Yi Tang (Primordial Return to One Decoction): Ren Shen 8 qian, Bai Fu Ling (Poria) (peeled) 1 liang, Bai Zhu 1 liang (bran-stir-fried), Gan Cao 4 qian, Dang Gui 1.2 liang (wine-washed), Chuan Xiong 1 liang, Sheng Di 1 liang (wine-washed), Bai Shao 8 qian, Chuan Niu Xi 8 qian (wine-stir-fried), Xiang Fu, Chao Sha Ren (Stir-fried Amomum Fruit), Ban Xia, Mu Dan Pi each 7 qian, Chen Pi 6 qian.
The above fourteen ingredients are divided into ten doses. Take five doses before menstruation starts, then take five doses afterwards. Decoct with ginger and take on an empty stomach. Decoct the dregs again and take before bed. Once menstruation is regulated and pulse harmonious, pregnancy will occur. If the uterus has been cold for a long time, add Gan Jiang (Dried Ginger) and Rou Gui each 5 qian. If cold is severe, moxibustion on the abdomen below three cun is extremely effective. If the uterus is too hot, add Huang Bo, Zhi Mu, and Chai Hu each 6 qian. For leukorrhea, turbid urine, or white discharge, double the Ban Xia, add Bai Zhi (Angelica Dahurica Root) 1 liang and Sheng Ma 5 qian; for Qi stagnation, add Mu Xiang 3 qian. For consumptive disease with spontaneous sweating or aversion to cold and fever, add [Huang Qi] and Rou Gui. For cough, add E Jiao and Bei Mu (Fritillaria Bulb) each 4 qian. For consumptive heat and blood dryness, add Chai Hu and Bie Jia (Carapax Trionycis). For decreased appetite, double Bai Zhu and Chen Pi, add Hou Po (Magnolia Bark) and Shen Qu (Medicated Leaven) each 5 qian. For obese individuals with phlegm blocking the uterus, add Nan Xing and San Leng (Sparganium Rhizome) each 6 qian; for blood stasis, add Tao Ren, Xuan Hu, and Hong Hua each 4 qian, and Peng Zhen (Curcuma Osmorhiza Rhizome) 5 qian. If ineffective, remove Ren Shen, add Wu Ling Zhi (Trogopterus Dung) two pieces (half raw, half stir-fried) and Ru Xiang (Frankincense) 3 qian. For lower back and leg pain, add Du Zhong (Eucommia Bark) 1 liang, Tao Ren 4 qian, and Qiang Huo (Notopterygium Rhizome) 3 qian. For pain after menstruation, which is deficiency, add Dang Gui 8 qian, Shu Di (Prepared Rehmannia Root) 6 qian, and Wu Wei Zi (Schisandra Fruit) 3 qian. For abdominal pain with masses, remove Niu Xi, add San Leng and E Zhu each 6 qian, Tao Ren and Zhi Shi (Immature Bitter Orange) each 5 qian. Add Bing Lang (Areca Seed) 5 qian to the first five doses. For "Ghost Fetus," first administer Tao Ren, Gan Xi (Dry Knee? likely typo for Gan Jiang or similar), Rou Gui, She Xiang (Musk) etc. to expel it, then take this prescription. For early menstruation, add Huang Bo and Pu Huang each 5 qian; for late menstruation, add Gan Jiang and Mu Dan Pi each 5 qian; for metrorrhagia, add Lian Peng Hui (Lotus Pod Ash), Huang Qin each 5 qian, Shu Ai (Mugwort) 3 qian, Zhu Gu Hui (Pig Bone Ash) 6 qian, and Bai Zhi 6 qian. For wind-cold-dampness, add Qiang Huo 7 qian, Ru Xiang, Mo Yao (Myrrh), and Cang Zhu each 5 qian, and Qin Jiao (Gentiana Macrophylla Root) 3 qian. For heart and abdominal pain, add Da Fu Pi (Areca Pericarpium) and Mu Xiang each 3 qian, and Bing Lang 5 qian. For astringent and scanty urination, slightly add Zhu Ling (Polyporus) and Ze Xie (Alisma Rhizome). For virgins with astringent and irregular menstruation, add Liu Ji Nu (Artemisia Capillaris Herb) 6 qian; if ineffective, add Wei Mao (Equisetum Hiemale) 3 qian (also known as Gui Jian Yu), which is miraculous.
Zhong Yu Tang (Jade Planting Decoction): For women unable to conceive due to emotional injury, leading to blood deficiency and Qi excess, irregular menstruation (pale or purple), metrorrhagia, leukorrhea, abdominal pain, and uterine coldness preventing conception. Suitable to take:
Nan Xiong (Southern Szechwan Lovage Rhizome), Dang Gui 4 qian (wine-washed), Shu Di 6 qian, Bai Shao 1 qian, Chen Pi, Fu Ling, Yan Hu (Corydalis Rhizome), Mu Dan Pi, Chao Jiang (Stir-fried Ginger) each 3 qian, Xiang Fu, Chao Wu Zhu Yu (Stir-fried Evodia Fruit) each 4 qian, Guan Gui, Shu Ai (Mugwort) each 2 qian. For delayed and pale menstruation, add Jiang, Gui, Ai; for early and purple menstruation, no addition or subtraction is needed. Divide the above thirteen ingredients into four doses, starting to take on the day menstruation arrives. Each cycle, it is highly effective.
Bai Zi Fu Gui Wan (Hundred Seeds Xiang Fu and Dang Gui Pills) (Bao's Formula): Regulates menstruation and nourishes blood, suitable for pre- and post-natal use. Si Wu Tang added with Zhen E Jiao (Authentic Donkey-hide Gelatin) and Qi Ai Ye (Qicheng Mugwort Leaf) each 2 liang, Xiang Fu (select those with red hearts, remove hairs, pound into rice-like grains, soak in water and vinegar separately overnight, sun-dry and bake) 12 liang. Use one old pomegranate, crush with skin, boil in 3 sheng of flowing water from the east, remove dregs, make pills with flour paste the size of paulownia seeds, and take 100 pills on an empty stomach with old rice vinegar and boiling water.
Single Prescription:
Regulating menstruation. Use only 1 liang of tender Huang Qin (Scutellaria Root), slice it, soak and sun-dry in aged wine for three days and nights, grind into powder. Take 5 fen on the second day of menstruation, and 1 qian on the third day.
An Tai (Calming the Fetus)
Discussion by Danxi: Pre-natally, one should clear heat and nourish blood. If a parturient experiences fetal rebellion due to fire moving upwards causing panting, urgently use Xiang Fu and Tiao Qin (Scutellaria Root) ground into powder and taken to calm the fetus. Yi Mu Cao (Motherwort Herb) treats various pre- and post-natal diseases, moves Qi and nourishes blood; for difficult labor, it can be decocted into a paste. Di Huang Gao (Rehmannia Paste) and Niu Xi Gao (Achyranthes Paste) can also be taken.
Pregnancy involves deficiency of one zang organ. For example, if the Liver is deficient, its Qi can only generate the fetus and has no surplus. It cannot nourish the Liver, so the Liver is deficient and thus craves sour substances.
For pre-natal fetal calming, Bai Zhu and Huang Qin are excellent herbs. Tiao Qin is the holy herb for calming the fetus; people do not know this, thinking it is harmful and dare not use it, or mistakenly believe that damp-heat herbs can nourish the fetus. They do not realize that pre-natally one should clear heat, allowing blood to circulate in the meridians without reckless movement, thus nourishing the fetus. For fetal heat approaching the month of delivery, use San Bu Wan added with Chao Xiang Fu and Chao Bai Shao, made into pills with steamed cake. To suppress heat, use San Bu Wan made into Di Huang Gao pills. In the eighth and ninth months of pregnancy, one must smooth Qi using Zhi Qiao and Su Geng (Perilla Stem). Generally, if a pregnant woman's pulse is fine and even, delivery is easy; if large, floating, and slow, fire Qi is scattered, making delivery difficult, like carrying a boat over a dam. To secure the fetus, use Di Huang 5 fen, Gui Shen (Angelica Sinensis Root Body), Ren Shen, Bai Shao each 1 qian, Bai Zhu 1.5 qian, Chuan Xiong, Huang Qin each 5 fen, Chen Pi 1 qian, Gan Cao 3 fen, Huang Lian, Huang Bo each a small amount, Sang Shang Niu Xi (Achyranthes from Mulberry Tree, preferably seven-leaf variety) 2 qian per dose, decoct with a pinch of Yuan Mi (Glutinous Rice) and take. For blood deficiency and insecurity, use E Jiao. For pain, use Sha Ren because it stops pain, calms the fetus, and moves Qi.
Yan Tai San (Verifying Fetus Powder): 1 liang of Chuan Xiong powder, taken on an empty stomach with Ai Ye (Mugwort Leaf) decoction. Feeling slight movement indicates pregnancy; if no movement after one day, it is merely menstrual stagnation.
Method to Determine Sex: Deep pulse indicates male, floating pulse indicates female; enlarged left Chi pulse indicates male, enlarged right Chi pulse indicates female; reddening of palms at half pregnancy indicates male, bluish indicates female.
Bao Tai Wan (Fetal Securing Pills): Specifically treats repeated miscarriages and long-term infertility. Not necessary to take after seven months.
Ingredients: Ren Shen 2.5 liang, Bai Zhu 4 liang, Huang Qin, Dang Gui each 2 liang, Du Zhong (Salt-stir-fried and wine-ground), Xu Duan (Wine-soaked), Shu Di each 1 liang.
Bao Sheng Tang (Life Protecting Decoction): Treats amenorrhea, feeling ill but not clearly sick, uniform slippery and large pulses, aversion to food smells, and vomiting clear fluid, named E Zu (Morning Sickness).
Ingredients: Ren Shen, Gan Cao 2.5 qian, Bai Zhu, Chen Pi, Xiang Fu, Wu Yao each 5 qian, divided into two doses, decoct with ginger and take. Add Ding Xiang (Clove) for nausea and vomiting.
Zhuan Nu Wei Nan Fa (Turning Female to Male Method) (Bao's Formula): After conception, place a bowstring in a crimson bag, tie it to the woman's left arm, hanging down to the waist, and remove it after one hundred days. [All rooster...] (Text incomplete).
Thirteen Types of Fetal Diseases
With a fetus, Spleen transportation and transformation are impaired, generating dampness; dampness generates phlegm; phlegm generates heat; heat generates wind; thus, various diseases easily arise.
E Zu (Morning Sickness) is phlegm. Obese people have much phlegm, thin people have heat; both are suitable for Er Chen Tang or Fu Ling Bu Xin Tang.
Zi Fan (Fetal Irritability) is heart palpitations and irritability, indicating heat. Use Bai Fu Ling, Fang Feng (Saposhnikovia Root), Mai Dong, Huang Qin.
Zi Xian (Fetal Convulsion) refers to pregnant women with tidal phlegm-saliva, indicating wind. Use Dang Gui, Chuan Xiong, Fang Feng, Du Huo (Angelica Pubescens Root), Fu Shen (Poria with Hostwood), Wu Jia Pi, Xing Ren (Apricot Seed), Yi Yi Ren (Coix Seed), Suan Zao Ren (Ziziphus Seed).
Zi Xuan (Fetal Suspension) refers to fullness and distension in the heart and stomach, indicating Qi stagnation. Use Chuan Xiong, Dang Gui, Bai Shao, Ren Shen, Zi Su (Perilla Leaf), Chen Pi, Gan Cao, Da Fu Pi, Cong Bai (Green Onion White), Sheng Jiang. Decoct and take.
Zi Qi (Fetal Qi) occurs when the fetus forms at three months; swelling gradually spreads from the tops of both feet to the knees, with panting, chest oppression, and difficulty eating, even yellow fluid oozing from between toes, indicating dampness. Use Tian Xian Teng (Akebia Stem), Zi Su, Chen Pi, Xiang Fu, Wu Yao, Mu Xiang, Gan Cao, Sheng Jiang. Decoct and take.
Zi Zhong (Fetal Edema) occurs in pregnant women at seven or eight months with edema of face, eyes, and limbs, also indicating dampness. Use Si Wu Tang added with Bai Zhu, Fu Ling, Gan Cao, Ze Xie, Tiao Qin, Zhi Zi (Gardenia Fruit), Mai Dong, Hou Po.
Zi Lin (Fetal Strangury) is astringent, painful, and frequent urination in pregnant women, also indicating heat. Use Mai Dong, Chi Fu Ling (Red Poria), Da Fu Pi, Mu Tong (Akebia Stem), Gan Cao, Dan Zhu Ye (Lophatherum Leaf). One formula uses... (Text incomplete).
Zhuan Bao (Bladder Displacement) is inability to urinate, indicating deficiency. It resembles Zi Lin; painful is Zi Lin, painless is Zhuan Bao. Use Wu Ling San (Five Ingredient Powder with Poria) added with E Jiao. For after seven or eight months, use Dong Kui Zi (Abutilon Seed), Hua Shi, Shan Zhi (Gardenia Fruit), Mu Tong, decoct and take on an empty stomach. Externally, pound Dong Kui Zi, Hua Shi, and Zhi Zi in a mortar into a paste, mix with raw green onion juice, and apply to the umbilicus for immediate relief. Do not use before seven months.
Tai Lou (Fetal Leakage) is spotting during pregnancy, indicating deficiency with heat. Use Gui Wei (Angelica Sinensis Root Tail), Nan Xiong each 5 qian, decoct well with yellow wine, add one cup of Tong Bian (Child's Urine), and take before bed.
Tai Dong (Fetal Movement/Disturbance) occurs at six or seven months, or if trauma damages the fetus, with lochia discharge and unceasing pain, lockjaw, and desire to lie down. Use Fo Shou San (Buddha's Hand Powder) to test; if undamaged, pain stops; if damaged, expel it. Use Dang Gui 6 qian, Chuan Xiong 4 qian, decoct in 1.5 bowls of water. When nearly dry, add one large bowl of wine, boil together, remove dregs, and take warm. Pour into mouth if lockjaw occurs. If a person walks five li, take again; after three doses, birth/expulsion occurs.
Gui Tai (Ghost Fetus) looks like holding a urn. Use Zhan Gui Dan (Ghost Slashing Pill). Wu Zhu Yu, Chuan Xiong, Qin Jiao, Chai Hu, Bai Jiang Can (Silkworm), refine honey to make pills the size of paulownia seeds, take with wine, seven pills... (Text incomplete).
Zheng Jia (Masses) resemble a fetus. Use Zhi Qiao Bing Lang Wan (Citrus and Areca Pills) to dissipate masses, regulate menstruation, promote appetite, and nourish fetal Qi. Abdominal enlargement is called "water qi between the fetus."
Use Bai Zhu 5 liang, Fu Ling 4 liang, Dang Gui, Shao Yao each 2 liang. Use one carp, wash clean, boil for juice, take 1.5 bowls, decoct the above medicines, add a little Chen Pi and 7 slices of ginger, take on an empty stomach.
Monthly Fetal Calming
Two to three months, approaching instability. Du Zhong (peeled, chopped, stir-fried with ginger juice to remove silk), Chuan Xu Duan (wine-soaked) each 2 liang, grind into powder, make pills with jujube meat the size of paulownia seeds. Take 30 pills with rice drink. Four to five months, sensation of falling, lower abdominal pain, urinary pain, or bleeding. Use Dang Gui, Chuan Xiong, Ren Shen each 1 liang, two jujubes, a handful of Ai Ye, two sheng of wine and water each, boil to three sheng, add 1 liang of E Jiao, divide into two doses.
Six to seven months, fetal restlessness. Commonly use Xuan Fu Hua (Inula Flower) 1 liang, Hou Po, Bai Zhu, Fu Ling each 3 liang, Shao Yao, Sheng Jiang each 2 liang. Take 1 liang per dose, warm before meals. Avoid sparrow meat, mutton, plums, and peaches. Also, Jin Gui Dang Gui Yin (Golden Cabinet Angelica Drink) is suitable for regular use during pregnancy. Chuan Xiong, Dang Gui, Shao Yao, Huang Qin, Bai Zhu ground into powder, taken with wine, or made into pills with wine paste, take 50 pills with tea or soup, three times a day.
Fifteen Formulas for Pregnant Women with Wind-Cold-Heat Diseases
Biao Xu Liu He Tang (Exterior Deficiency Six-Harmony Decoction): Pregnant women with cold damage or wind strike, exterior deficiency with spontaneous sweating, headache, stiff neck, fever, aversion to wind, floating and weak pulse, Tai Yang meridian disease. Suitable to take Si Wu Tang 4 liang, Gui Zhi (Cinnamon Twig), Di Gu Pi each 7 qian.
Biao Shi Liu He Tang (Exterior Excess Six-Harmony Decoction): Pregnant women with cold damage, headache, fever, no sweat, tight floating pulse, aversion to cold, Tai Yin meridian disease (Note: Text says Tai Yin, usually Tai Yang). Si Wu Tang 4 liang, Ma Huang (Ephedra)... (Text incomplete).
...Joint pain, floating and choppy pulse, headache, Tai Yang branch disease. Si Wu Tang... (Text incomplete).
Sheng Ma Liu He Tang (Cimicifuga Six-Harmony Decoction): After purgative treatment for cold damage, passing the meridian period without cure, damp-toxin rash like brocade patterns. Si Wu Tang 4 liang, Sheng Ma, Lian Qiao (Forsythia Fruit) each 7 qian.
Chai Hu Liu He Tang (Bupleurum Six-Harmony Decoction): Cold damage with chest and hypochondriac fullness/pain and wiry pulse, Shaoyang dizziness, stiff neck. Si Wu Tang 4 liang, Chai Hu, Huang Qin each 7 qian.
Da Huang Liu He Tang (Rhubarb Six-Harmony Decoction): Cold damage with hard stool, red urine, fullness, and deep rapid pulse, Yangming/Tai Yang root disease. Si Wu Tang 4 liang, Da Huang 5 qian... (Text incomplete).
Ren Shen Liu He Tang (Ginseng Six-Harmony Decoction): After sweating and purging for cold damage, persistent cough. Si Wu Tang 4 liang, Ren Shen, Wu Wei Zi (Schisandra Fruit) each 5 qian.
Hou Po Liu He Tang (Magnolia Bark Six-Harmony Decoction): After sweating and purging for cold damage, deficiency bloating/fullness, or cough, Yangming root deficiency. Take Si Wu Tang 4 liang, Hou Po, Zhi Shi (Ginger-stir-fried) each 5 qian.
Zhi Zi Liu He Tang (Gardenia Six-Harmony Decoction): After sweating and purging for cold damage, insomnia. Si Wu Tang 4 liang, Zhi Zi, Huang Qin each 5 qian.
Shi Gao Liu He Tang (Gypsum Six-Harmony Decoction): Cold damage with high fever, great thirst, steaming heat, irritability, long and large pulse. Take Si Wu Tang 4 liang, Shi Gao (Gypsum), Zhi Mu (Anemarrhena Rhizome) each 5 qian.
Fu Ling Liu He Tang (Poria Six-Harmony Decoction): Cold damage with difficult urination, Tai Yang root disease. Take Si Wu Tang 4 liang, Fu Ling, Ze Xie each 5 qian.
Jiao Ai Liu He Tang (Gelatin and Mugwort Six-Harmony Decoction): After sweating and purging for cold damage, unstoppable metrorrhagia, damaged fetal Qi. Take Si Wu Tang 4 liang, E Jiao, Ai Ye each 5 qian.
Hu Po Liu He Tang (Amber Six-Harmony Decoction): Cold damage with red urine like blood, Tai Yang root disease. Take Si Wu Tang 4 liang, Hu Po (Fossilized Amber), Fu Ling each 5 qian.
Fu Zi Liu He Tang (Aconite Six-Harmony Decoction): Cold damage with limb spasms, cool body with slight sweat, abdominal pain, deep and slow pulse, Shaoyin disease. Take Si Wu Tang 4 liang, Fu Zi (Aconite Root)... (Text incomplete).
Si Wu Da Huang Tang (Four Substances and Rhubarb Decoction): Cold damage with blood retention, not suitable for inducing abortion. After taking medicine, take Si Wu Tang 4 liang, Sheng Di, Da Huang (Wine-soaked) each 5 qian.
Cold Damage Fetal Protection Method: Use Bai Yao Zi (Radix Bryoniae) powder, spread with egg white and apply below the navel; wet with water when dry. Another formula: For severe high fever, apply well-bottom mud... (Text incomplete).
Shu Tai San (Fetal Binding Powder) (Can be taken at eight months): Huang Qin (Stir-fried, Summer 1 liang, Spring/Autumn 7 qian, Winter 5 qian), Bai Zhu 2 liang (not roasted), Fu Ling 7 qian... (Text incomplete).
Da Sheng San (Life Reaching Powder) (Can be taken at nine months, intercourse is not recommended in the ninth month). Da Fu Pi 3 qian, Ren Shen 5 fen, Chen Pi 5 fen, Bai Zhu 1 qian, Shao Yao 1 qian, Gan Cao (Roasted) 2 fen, Su Jing Ye (Perilla Stem and Leaf) 5 fen, Gui Shen Wei (Angelica Root Body and Tail) 1 qian, as one dose. Add five leaves of green onion, seven tips of Yellow Poplar branches, or add Zhi Qiao, Sha Ren. Decoct with water, take after meals. Taking ten-plus doses in the eighth and ninth months is very effective. Add Huang Qin in summer, Chuan Xiong in spring, Ren Shen and Bai Zhu for Qi deficiency, double Xiang Fu and Chen Pi for Qi excess, double Dang Gui and Di Huang for Blood deficiency, double Zi Su for solid constitution, add Huang Lian for irritable nature, add Huang Qin for heat, add Hua Shi and Ban Xia for damp-phlegm, add Shan Zha (Hawthorn Fruit) for food stagnation, double Huang Yang (Yellow Poplar) for easy hunger after meals, add Mu Xiang and Gui for abdominal pain.
Another Formula:
Take 1 liang of Huang Qin (Wine-stir-fried, half dose for the weak) at nine months, 1 liang of Bai Zhu, 7.5 qian of Zhi Qiao (Stir-fried)... (Text incomplete).
Shang Yuan (Damaging the Primal Qi)
Cui Sheng (Inducing Labor)
When delivery is imminent, the pulse deviates from the normal course. "Deviation" means three beats per breath. Do not panic. Pain may come and go, called "roaming pain." Do not exert force; have someone help you walk until lower back and abdominal pulling pain occur, and you see firelight in your eyes; this is the sign of fetal rotation. When the amniotic sac breaks and fluids flow, making movement difficult, then get on the birthing mat. Carefully... (Text incomplete).