皂荚散 疗黄瘕导方。（八瘕之由，皆自胞门子户感受，故用此方以导之）
皂荚（一两，炙，去皮子） 川椒（一两，去汗） 细辛（一两半）
上捣散，以三角囊，大如指，长二寸，贮之，纳阴中，欲便闷则出之，已则复纳之，恶血
毕出，乃洗以温汤，三日勿近男子，忌生菜等。
疗青瘕坐导方
戎盐（一升） 皂荚（半两，炙去皮子） 细辛（一两）
上捣散，以三角囊，大如指，长三寸贮之，纳阴中，但卧瘕当下，青如葵汁，养之如产法。
疗燥瘕方
大黄（如鸡子许） 干姜（各二两） 黄连（三两） 桂心（一两） 浓朴（炙，四两）
郁李仁（一两，去皮尖炒） 虫（三枚，炒） 鸡肫 中黄膜（一枚，炙）
上捣散，早朝空腹，以温酒一盏，和三钱顿服，瘕当下，毕，养之如产法。三月勿合阴
阳，无子者当有。
疗血瘕攻刺腹胁时痛导药方
大黄 当归（各半两） 山茱萸 皂荚（去皮弦，各一两） 细辛 戎盐（各二钱半）
上捣，以香脂（香脂即油胭脂）丸如指大，每用一丸，绵裹纳阴中，正坐良久，瘕当自下，
养如乳妇法。
疗妇人血瘕痛方
干姜 乌贼鱼骨（炙，各一两） 桃仁（一两，去皮尖）
上捣散，酒服二方寸匕，日二。一方无桃仁。
桃仁煎 治妇人血瘕血积，经候不通。
桃仁 大黄（各一两） 虻虫（半两，炒黑） 朴硝（另研，一两）
上为末，以醇醋二升半，银石器中慢火煎，取一升五合，下大黄、虻虫、桃仁，不住手
搅，煎至可丸，下朴硝，搅匀出之，丸如桐子大。前一日，不用吃晚饭，五更初，用温酒吞下
五丸，日午取下，如赤豆汁，或如鸡肝虾膜衣之状，未下再服，如鲜血来即止，续以调补气
血药补之。
本事方云∶顷年在毗陵，有一贵宦妻，患小便不通，脐腹胀不可忍，众医皆作淋，治以
八正散之类，愈甚。予诊之曰∶此血瘕也，非瞑眩药不可去，用此药更初服，至日午，大痛不
可忍，遂卧，少顷下血块如拳者数枚，小便如黑豆汁一二升，痛止得愈。此药治病的切，
然猛烈伤人，气虚血弱者，不可轻用。
疗脂瘕方
皂荚（七钱半，去皮子） 矾石（烧，二钱半） 五味子 蜀椒（去汗） 细辛 干姜（各半两）
上捣散，以香脂和如豆大，纳阴中。
导散方
皂荚（炙去皮子） 吴茱萸 当归 蜀椒（去汗） 干姜 大黄 戎盐（各一两） 细辛（炒）
矾石（烧） 五味子（各二钱）
上捣筛为散，以轻绢袋，如指大长三寸，盛药令满，纳阴中，坐卧随意，勿行走，小便时
去之，别换新者。
疗狐瘕方
取新死鼠一枚，裹以新絮，涂以黄土，穿地坎，足没鼠形，置其中，桑柴火灼其上，一日
一夜，出之研为末，肉桂心末二钱半，酒服二
方寸匕，病当下，甚音不过再服愈。
疗蛇瘕方
大黄 黄芩 芒硝（各半两） 甘草（大如指，一尺，炙） 乌贼鱼骨（二枚） 皂荚（
六枚，去皮弦子，酥炙）
上捣，以水六升，煮之数沸，绞去滓，下硝适寒温服之，十日一剂，空腹服之，瘕当下。
（以上八瘕，方有本来，但须认症真耳）
疗鳖瘕方
大黄（一两五钱） 干姜 侧子（各半两） 附子 人参（各三钱七分半） 虫（一寸匕炒）
桂心（一两二钱半） 细辛 土 （各七钱半，土 不明） 白术（一两）
上捣散，以酒服方寸匕，日三。
Sapiao San (Gleditsia Sinensis Powder) for Treating Huang Jia (Yellow Mass): A Guiding Formula. (The origin of the Eight Jias all stems from pathogenic invasion of the Bao Men Zi Hu [uterine opening], thus this formula is used to guide out the pathogen.)
Ingredients: Sapiao (Gleditsiae Fructus, 1 liang, roasted, skin and seeds removed); Chuanjiao (Zanthoxyli Pericarpium, 1 liang, sweat removed); Xixin (Asari Radix et Rhizoma, 1.5 liang).
Crush the above ingredients into a powder. Store in a triangular pouch, size like a finger, length 2 cun. Insert into the vagina. Remove when feeling stifling urge to urinate; re-insert after relief. Once evil blood is completely expelled, wash with warm water. Avoid sexual intercourse for three days; avoid raw vegetables, etc.
Zuodao Fang (Sitting-Guiding Formula) for Treating Qing Jia (Green Mass):
Rongyan (Natrii Sulfas, 1 sheng); Sapiao (Gleditsiae Fructus, 0.5 liang, roasted, skin and seeds removed); Xixin (Asari Radix et Rhizoma, 1 liang).
Crush the above ingredients into a powder. Store in a triangular pouch, size like a finger, length 3 cun. Insert into the vagina. Simply lie down; the mass will descend. Discharge will be green like mallow juice. Nourish as postpartum method.
Fang for Treating Zao Jia (Dry Mass):
Dahuang (Rhei Radix et Rhizoma, size of a chicken egg); Ganjiang (Zingiberis Rhizoma, 2 liang each); Huanglian (Coptidis Rhizoma, 3 liang); Guixin (Cinnamomi Ramulus, 1 liang); Houpo (Magnoliae Officinalis Cortex, roasted, 4 liang); Yuliren (Pruni Semen, 1 liang, skin and tip removed, stir-fried); E chong (Eupolyphaga seu Steleophaga, 3 pieces, stir-fried); Jizhonghuangmo (Membrane of Gallbladder of Chicken Gizzard, 1 piece, roasted).
Crush the above ingredients into a powder. In the early morning on an empty stomach, mix 3 qian of powder with one cup of warm wine and take at once. The mass will descend. After completion, nourish as postpartum method. Avoid coitus for three months; those without children should conceive.
Daoyao Fang (Guiding Medicinal Formula) for Treating Blood Jia with Stabbing Pain in Abdomen and Hypochondrium:
Dahuang (Rhei Radix et Rhizoma); Danggui (Angelicae Sinensis Radix, 0.5 liang each); Shanzhuyu (Corni Fructus); Sapiao (Gleditsiae Fructus, skin and strings removed, 1 liang each); Xixin (Asari Radix et Rhizoma); Rongyan (Natrii Sulfas, 2.5 qian each).
Crush the above ingredients. Mix with Xiangzhi (Oil Rouge) to form pills the size of a finger. Use one pill per time, wrap in cotton, insert into the vagina. Sit upright for a long time; the mass will naturally descend. Nourish as lactating woman method.
Fang for Treating Pain of Women's Blood Jia:
Ganjiang (Zingiberis Rhizoma); Haiyetou (Sepiae Endoconcha, roasted, 1 liang each); Taoren (Persicae Semen, 1 liang, skin and tip removed).
Crush the above ingredients into a powder. Take two fangcunbi with wine, twice daily. Another prescription has no Taoren.
Taoren Jian (Peach Kernel Decoction) for Treating Women's Blood Jia and Blood Accumulation with Amenorrhea:
Taoren (Persicae Semen); Dahuang (Rhei Radix et Rhizoma, 1 liang each); Mengchong (Blaberidae, 0.5 liang, stir-fried until black); Puxiao (Natrii Sulfas, separately ground, 1 liang).
Grind the above into powder. Slowly decoct 2.5 sheng of strong vinegar in a silver or earthenware vessel to obtain 1.5 sheng. Add Dahuang, Mengchong, and Taoren. Stir constantly until it can be formed into pills. Add Puxiao, stir evenly, and remove. Form pills the size of Sophora japonica seeds. On the previous day, do not eat dinner. At dawn, swallow five pills with warm wine. Discharge at noon, resembling red bean juice or chicken liver shrimp membrane. If not discharged, take again. Stop if fresh blood flows. Subsequently supplement with Qi and Blood tonifying medicines.
Ben Shi Fang records: In previous years in Piling, a noble official's wife suffered from inability to urinate, unbearable umbilical and abdominal distension. All physicians treated it as Lin Syndrome using Bazheng San and similar formulas, but the condition worsened. I diagnosed it as Blood Jia, stating that only Mingxuan medicine could remove it. Using this medicine, taken at dusk, by noon she suffered unbearable pain, lay down, and shortly after discharged several blood clumps the size of fists. Urine resembled black bean juice, one to two sheng. Pain ceased and she recovered. This medicine effectively treats the disease but is fierce and damaging; it should not be used lightly by those with Qi deficiency and weak blood.
Fang for Treating Zhi Jia (Fat Mass):
Sapiao (Gleditsiae Fructus, 7.5 qian, skin and seeds removed); Fanshi (Alumen, calcined, 2.5 qian); Wuweizi (Schisandrae Chinensis Fructus); Shujiao (Zanthoxyli Pericarpium, sweat removed); Xixin (Asari Radix et Rhizoma); Ganjiang (Zingiberis Rhizoma, 0.5 liang each).
Crush the above ingredients into a powder. Mix with Xiangzhi to form pills the size of beans. Insert into the vagina.
Daosan Fang (Guiding Powder):
Sapiao (Gleditsiae Fructus, roasted, skin and seeds removed); Wuzhuyu (Evodiae Fructus); Danggui (Angelicae Sinensis Radix); Shujiao (Zanthoxyli Pericarpium, sweat removed); Ganjiang (Zingiberis Rhizoma); Dahuang (Rhei Radix et Rhizoma); Rongyan (Natrii Sulfas, 1 liang each); Xixin (Asari Radix et Rhizoma, stir-fried); Fanshi (Alumen, calcined); Wuweizi (Schisandrae Chinensis Fructus, 2 qian each).
Crush and sieve the above into powder. Fill a light silk bag, size like a finger, length 3 cun, with the medicine. Insert into the vagina. Sit or lie down at will; do not walk. Remove during urination and replace with a new one.
Fang for Treating Hu Jia (Fox Mass):
Take one newly dead rat, wrap in new cotton wadding, coat with yellow earth. Dig a pit deep enough to submerge the rat shape. Place the rat inside. Burn the top with mulberry wood fire for one day and night. Remove and grind into powder. Mix with Rouguixin (Cinnamomi Cortex) powder, 2.5 qian. Take two fangcunbi with wine. The disease should descend; usually, no more than two doses are needed for recovery.
Fang for Treating She Jia (Snake Mass):
Dahuang (Rhei Radix et Rhizoma); Huangqin (Scutellariae Radix); Mangxiao (Natrii Sulfas, 0.5 liang each); Gancao (Glycyrrhizae Radix et Rhizoma, large like a finger, 1 chi, roasted); Haiyetou (Sepiae Endoconcha, 2 pieces); Sapiao (Gleditsiae Fructus, 6 pieces, skin, strings, and seeds removed, fried with butter).
Crush the above ingredients. Decoct in 6 sheng of water for several boils. Strain to remove dregs. Add Xiao (Mangxiao). Take when temperature is suitable. One dose every ten days, taken on an empty stomach. The mass should descend.
(Above Eight Jia formulas have original sources, but accurate syndrome differentiation is required.)
Fang for Treating Bie Jia (Turtle Mass):
Dahuang (Rhei Radix et Rhizoma, 1.5 liang); Ganjiang (Zingiberis Rhizoma); Cizi (Aconiti Lateralis Radix Praeparata, 0.5 liang each); Fuzi (Aconiti Radix Praeparata); Renshen (Ginseng Radix, 3.75 qian each); E chong (Eupolyphaga seu Steleophaga, 1 fangcunbi, stir-fried); Guixin (Cinnamomi Ramulus, 1.25 liang); Xixin (Asari Radix et Rhizoma); Tugou (Ground Beetle, 0.75 liang each, identity unclear); Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang).
Crush the above ingredients into a powder. Take one fangcunbi with wine, three times daily.