此一卷论妇人伤寒。古人治病。先论其所主。男子调其气。妇人调其血。血室不 蓄
。则二气和谐。血室凝结。水火相刑。伤寒气口紧盛即宜下。人迎紧盛即宜汗。妇人左
关浮紧不可下。当发其汗。以救其血室。营卫得和。津液自通。浃然汗出而解。仲景云
。妇人伤寒。经水适断。昼日明了。暮则谵语。如见鬼状。此为热入血室。无犯胃气。
及上二焦。无犯胃气者。言不可下也。小柴胡汤主之。若行汤迟。则热入胃。令津燥中
焦。上焦不荣成血结胸状。须当针期门也。五行相克以生。相扶以出。平居之日。水常
养于木。水木相生。则荣养血室。血室不蓄。脾无蕴积。脾无蕴积。则刚燥不生。刚燥
既生。若犯胃气。则昼夜谵语。喜忘小腹满。小便利。属抵当汤证也。（伤寒胃实谵语
。宜下之。妇人热入血室谵语者。不可下耳）虽然。妇人伤寒与男子治法不同。男子先
调气。妇人先调血。此大略之词耳。要之。脉紧无汗名伤寒。脉缓有汗为伤风。热病脉
洪大。中暑脉细弱。其证一也。假如中 用白虎。胃实用承气。岂必调血而后行汤耶。
仲景伤寒论所以不分妇人。良亦以此。学人皆可随病于男子药证中以意选用也。（若孕
妇伤寒。药性须凉。慎不可行桂枝半夏桃仁等药。小柴胡去半夏名黄龙汤。盖为孕妇而
去也。大抵产前先安胎。产后先补益。次服伤寒药。若病稍退则止药。
不可尽剂。此为大法。黄帝问妇人重身。毒之何如。岐伯曰。有故无殒。亦无殒也。
大积大聚。其可犯也。衰其太半而止。过者死）
〔妇人伤寒药方〕
男子妇人伤寒。仲景治法别无异议。比见民间有妇人伤寒方书。称仲景所撰。而王
叔和为之序。以法
考之。间有可取。疑非古方也。特假圣人之名以信其说于天下。今取金匮玉函治妇人伤
寒与俗方中可采者。列为一卷。虽不足以尽妇人伤寒之详。并可于百问中参用也。
妇人伤寒发热。经水适来。昼日明了。暮则谵语。如见鬼状者。此为热入血室。无
犯胃气。及上二焦。宜小柴胡汤（方见第十卷中）
妇人中风七八日。续来寒热。发作有时。经水适断。此为热入血室。其血必结。故
使如疟状。宜以小柴胡汤服之。（方见第十卷中）
妇人伤寒。发热恶寒。经水适来。得七八日热除。脉迟身凉和。胸胁下满如结胸状
谵语者。此为热入血室也。当刺期门。随其实而取之。（期门穴见第二卷中）
妇人伤寒六七日。胃中有燥屎。大便难。烦躁谵语。目赤。毒瓦斯闭塞不得流通。宜泻心三黄汤。
蜀大黄 鼠尾黄芩 鸡爪黄连（各等分）
上捣为粗末。每服四钱。水一盏。煎八分。去滓服。取微利。如目赤睛疼。加白茯
苓、嫩竹叶。泻肝余之气。
妇人伤寒发热恶寒四肢拘急口燥舌干。经脉凝滞。不得往来。宜桂枝红花汤。
桂心 芍药 甘草（炙。各三两） 红花（一两）
上锉如麻豆大。每服抄五钱匕。以水一盏半。生姜四片。枣二枚。煎至七分。去渣
服。良久再服。汗出而解。
（黄芩芍药汤）治妇人伤寒。口燥咽干。腹满不思饮食。
黄芩 白芍药 白术 干地黄（各一两）
上锉如麻豆大。每服抄五钱匕。以水一盏。煎至七分。去滓温服。寒则加生姜同煎服。
（柴胡当归汤）妇人伤寒喘急烦躁。或战而作寒。阴阳俱虚不可下。
柴胡（三两） 白术（二两） 人参 甘草（炙） 当归 赤芍药（各一两） 五味子 木通（各半两）
上锉如麻豆大。每服抄五钱匕。以水一盏半。生姜四片。枣子二枚。煎至七分。去滓温服。
（干地黄汤）妇人伤寒瘥后。犹有余热不去。谓之遗热。
干地黄 大黄 黄连 黄芩（各一两） 柴胡（去芦） 白芍药 甘草（各一两半炙）
上捣为粗末。每服抄四钱匕。以水一盏半。煎至七分。去滓温服。取溏利汗出解。
（烧 散）妇人伤寒未平复。因交合。里急腰胯连腹内痛。名曰阴阳易。
男子 裆烧灰
上一味。以水和服方寸匕。男子用妇人 裆烧灰。小便利。阴头肿即愈。
（青竹茹汤）妇人病未平复。因有所动致热气上冲胸。手足拘急搐搦。如中风状。
栝蒌根（无黄根者二两） 青竹茹（刮半升淡竹者）
上以水二升。半煎取一升。一合去滓。分作二三次服。
（当归白术汤）妇人未平复。因有所动。小腹急痛。腰胯疼。四肢不任。举动无力热发者。
白术（一分） 当归（一分） 桂枝（一分去皮） 附子（一分生去皮破八
片） 生姜（半两） 甘草（一分炙） 芍药（一分） 人参（一分） 黄 （一分）
上锉如麻豆大。以水三升。煎取一升半。去滓。通口服一汤盏。食顷再服。温覆微
汗瘥。
〔孕妇伤寒药方〕
孕妇伤寒。仲景无治法。用药宜有避忌。不可与寻常妇人一概治之也。
（加减四物汤）孕妇产前腹痛。及治月事或多或少。或前或后。胎气不安。产后血
块不散。或亡血过多。或恶漏不下。宜此服之。
当归（切焙） 川芎 熟干地黄 白芍药（各一两）
上捣为粗末。每服四钱。水一盏半。煎至八分。取六厘清汁。带热服。日二三。以
知为度。若孕妇下血。即入艾五七叶。阿胶末一钱匕。同煎服如前法。疾势甚大。散药
不知。以四味各半两。细锉。以水四盏。煎至二盏半。去滓分四服。热吃食前服。一日
之中令尽。以和为度。平常产乳服至三腊止。如虚弱血脏不调。至一月止。因虚致热。热
与血搏。口舌干渴。欲饮水。加栝蒌一两。麦门冬三分。腹中刺痛。恶物不下。加当归芍
药各一分。血崩。加地黄蒲黄各一两。因热生风。加川芎一分。柴胡半两。身热脉躁。头昏项强。加柴胡
黄芩各半两。秘涩。加大黄半两。桃仁一分。炒。滑泻。加桂附各一分。发寒热。加干
姜牡丹皮芍药各一分。呕。加白术人参各半两。腹胀加浓朴枳实各一分。虚烦不得眠。
加竹叶人参各一分。躁大渴。加知母石膏各半两。水停心下微此逆。加猪苓茯苓防己各
一分。虚寒状类伤寒。加人参柴胡防风各三分。
（阿胶散）孕妇伤寒安胎。
阿胶（炒） 桑寄生 吴白术 人参 白茯苓（各等分）
上为细末。煎糯米饮调下二钱匕。日进二服愈。
（白术散）孕妇伤寒安胎。
白术 黄芩（各等分。新瓦上并同炒香）
上捣罗为末。每服三钱匕。水一中盏。生姜三片。大枣一枚。拍破同煎至七分。温
服。但觉头疼发热。便可服。三二服即瘥。唯四肢厥冷。阴证见者。未可服。
（葱白汤）孕妇伤寒。憎寒发热。当发其汗。
葱白（十茎） 生姜（二两切）
上锉如麻豆大。以水二盏。煎至一盏。连服取汗。
（苏木汤）孕妇伤寒。或中时行。洒淅作寒。振栗而悸。或加哕者。
赤芍药 陈橘皮 黄芩 宣黄连 甘草（炙） 苏木（各一两）
上为粗末。每服抄五钱匕。以水一盏半。煎至八分。去滓温服。汗出瘥。若胎不安。兼服阿胶散。
（黄龙汤）孕妇寒热头疼。嘿嘿不欲饮食。胁下痛。呕逆。痰气。及产后伤风热入
胞宫。寒热如疟。并经水适来适断。病后劳复。余热不解。
柴胡（一两） 黄芩 人参 甘草（炙。各一分半）
上锉如麻豆大。每服五钱。水一盏半。煎一盏。去滓温服。
（柴胡石膏汤）孕妇伤暑。头病恶寒身热躁闷。四肢疼痛。背项拘急。唇口干燥。
柴胡（四两） 甘草（二两） 石膏（八两）
上为粗末。每服三钱。水一盏。生姜五片。煎至六分。去滓温服。不拘时。若气虚体冷者。加人参四两。
（枳实散）孕妇伤寒。四日至六日以来。加心腹胀。上气。渴不止。食饮不多。腰疼体重者。
枳实（一两炒微黄） 麦门冬（半两去心） 陈橘皮（三分汤浸去白穣焙）
上粗末。每服三钱。以水一中盏。入生姜半分。葱白七寸。煎至六分。去滓温服。
（旋复花汤）孕妇伤寒。头目旋疼。壮热心躁。
旋复花（半两） 白术（三分） 前胡（一两去芦） 黄芩（三分） 人参
（三分去芦） 麻黄（三分去根节用） 赤芍药（半两） 石膏（一两） 甘草（半两炙微赤）
上捣为粗末。每服四钱。用水一盏半。入生姜半分。煎至六分。去 服。
（麦门冬汤）孕妇伤寒壮热。呕逆头疼。不思饮食。胎气不安者。宜此主之。
人参（一两） 石膏（一两） 前胡（三分） 黄芩（三分） 葛根（半两） 麦门冬（半两去心）
上锉如麻豆大。每服五钱。水一盏半。入生姜四片。枣子二枚。淡竹茹一分。煎至八分。去滓温服。
（栀子大青汤）孕妇发斑。变为黑色。
升麻 栀子仁（各二两） 大青 杏仁（去皮尖） 黄芩（各一两半）
上锉如麻豆大。每服五钱匕。以水一盏半。细切葱白三寸。煎至一盏。去滓温服。
（芦根汤）千金妊娠头痛壮热。心烦呕吐不下食。
知母（四两） 青竹茹（三两）
上锉如麻豆大。每服五钱。水一小盏半。入生芦根一握。粳米一撮。煎至一盏。去滓服尽。更作瘥止。
（涂脐法）治妊娠遭时疾令子不落。
取灶中黄土水和涂。干复涂之。一方酒和涂方五寸。又泔清和涂之并佳。
（葱白豉汤）治妊娠热病。
葱白（二两半） 豉（半升）
上以水三升。煎取一升。分二服取汗。
（葱白一物汤）治妊娠热病主安胎若胎已死者服之。须臾胎出。
葱白一把。水一升。煮令熟服之取汗。食令尽。
（伏龙肝散）
用伏龙肝鸡子许水调服之。（伏龙肝即灶下黄土是也）
（葛根一物饮）治热烦闷。
葛根汁。每服一小盏。如人行五里进一服。无生葛。用干葛 咀煎浓汁服。
（栀子五物汤）广济疗妊娠伤寒。头痛壮热。
栀子 前胡 知母（各二两） 黄芩（一两） 白石膏（四两）
上锉如麻豆大。每服抄五钱匕。用水一小盏半。煎至一盏。去滓服。
（前胡七物汤）治妊娠伤寒头痛。支节痛壮热。
前胡 知母 栀子仁（各二两） 石膏（四两） 大青 黄芩（各一两半）
上锉如麻豆大。每服五钱匕。水一盏半。入葱白三茎。煎至一盏。去滓温服。
（升麻六物汤）急救疗妊娠七月伤寒。壮热赤斑变黑。溺血。
升麻 栀子仁（各二两） 大青 杏仁（去皮尖） 黄芩（各一两半）
上锉如麻豆大。每服五钱。水一盏半。入葱白三茎。煎至一盏。去滓温服。
〔产后药方〕
（阳旦汤）治妇人产后伤风。十数日不解。头微痛。恶寒。时时有热。心下坚。干
呕汗出。宜用阳旦汤。（方见第十卷中）
（治痉法）疗妇人产后血虚多汗。喜中风。身体强直。口噤背反强。作痉治之。（
法见第六卷第五十问中）
（又方）用荆芥末三钱。温酒调下。不瘥再服。
（神功丸）治妇人产后亡津液。大便多秘。或谵言烦躁。不可用汤液。宜神功丸用青木汤吞下。
（桂心牡蛎汤）妇人产后头疼。身体发热。兼治腹内拘急疼痛。
桂心（三两） 牡蛎（ ） 白芍药 干地黄（各五两） 黄芩（二两）
上锉如麻豆大。每服抄五钱匕。以水一盏半。煎至一盏。去滓温服。
（蜀漆汤）治妇人产后。寒热往来。心胸烦满。骨节疼痛。及头疼壮热。日晡加甚。又如疟状。
蜀漆叶（一两） 黄 （五两） 桂心 甘草（炙） 黄芩（各一两）
知母 芍药（各二两） 生地黄（一斤）
上锉如麻豆大。每服抄五钱匕。用水一盏半。煎至一盏。去滓温服。
（增损柴胡汤）妇人产后虚羸。发寒热。饮食少。腹胀等疾。
柴胡（三钱） 人参 甘草（炙） 半夏（汤泡） 白芍药 陈橘皮 川芎（各三分）
上锉如麻豆大。每服抄五钱匕。以水一大盏。生姜三片。枣子一枚。煎至七分。去滓食后温服。日三服。
（竹叶防风汤）妇人产后。伤风发热。面赤喘而头疼者。
竹叶（半把） 葛根（一两半） 防风 桔梗 桂枝（去皮） 人参 甘草（炙。各半两）
上为粗末。每服四钱。水一盏半。生姜三片。枣子一枚。煎至八分。去滓温服。使
汗出。颈项强。用附子炮去皮脐。锉如豆大。抄一大钱同煎。呕。加半夏一钱。
（三物黄芩汤）治妇人草蓐中伤风。四肢苦烦热头疼。与小柴胡汤。头不疼但烦。宜用此服之。
黄芩（半两） 苦参（一两） 干地黄（二两）
上锉如麻豆大。每服四钱。水一盏半。煎八分服之。
治妇人产后亡血汗多。故令郁冒。其脉微弱。不能食。大便反坚。但头汗出。所
以然者。血虚而厥。厥而必冒。冒家欲解。必大汗出。以血虚下厥。孤阳上出。故但头
汗出。所以产妇喜汗出者亡阴。血虚阳气独盛。故当汗出。阴阳乃复。所以便败者。呕
不能食也。宜小柴胡汤主之。
（干姜柴胡汤）治妇人伤寒。经脉方来初断。寒热如疟。狂言见鬼者。
柴胡（四两去芦） 栝蒌根（二两） 桂枝（一两半） 牡蛎（一两熬）
干姜（一两炮） 甘草（炙一两）
上锉如麻豆大。每服五钱。水一盏半。煎至七分。去滓温服。初服微烦。再服汗出而愈。
This volume discusses cold damage (Shanghan) in women. Ancient physicians, when treating diseases, first discussed the governing principles: for men, regulate Qi; for women, regulate Blood. If the Blood Chamber (Zigong/Uterus) is not stagnant, Yin and Yang Qi harmonize; if the Blood Chamber is coagulated, Water and Fire clash. When the injury-cold presents with a tight and full Kou pulse at the wrist, purgation should be used; when the Renying pulse at the neck is tight and full, diaphoresis (sweating) should be induced. For women, if the Left Guan pulse is floating and tight, purgation is contraindicated; instead, diaphoresis should be induced to rescue the Blood Chamber. Once Ying (Nutritive) and Wei (Defensive) harmonize, body fluids flow naturally, and the disease resolves through mild sweating throughout the body. Zhang Zhongjing said: "When a woman suffers from cold damage, and her menses have just ceased, she is clear-minded during the day but delirious at night, seeing ghosts as if hallucinating. This is Heat entering the Blood Chamber." Do not injure Stomach Qi or the Upper and Middle Jiao. "Do not injure Stomach Qi" means do not use purgation. Treat with Xiao Chai Hu Tang (Minor Bupleurum Decoction). If treatment is delayed, Heat enters the Stomach, causing dryness of body fluids in the Middle Jiao, and malnourishment of the Upper Jiao leading to symptoms resembling Chest Binding due to Blood coagulation; in this case, one must puncture the Qimen acupoint. The Five Elements generate and restrain each other, supporting one another to maintain balance. In health, Water nourishes Wood; Water and Wood generate each other, thus nourishing the Blood Chamber. If the Blood Chamber is not stagnant, the Spleen has no accumulation; if the Spleen has no accumulation, rigid and dry pathogenic factors do not arise. Once rigid and dry factors arise, if Stomach Qi is injured, there will be delirium day and night, forgetfulness, fullness in the lower abdomen, and free urination; this belongs to the Dang Gui Tang syndrome. (For delirium caused by excess in the Stomach due to cold damage, purgation is appropriate; for delirium in women caused by Heat entering the Blood Chamber, purgation is contraindicated.) Although so, the treatment for cold damage in women differs from men: men regulate Qi first, women regulate Blood first. This is a general statement. In essence, a tight pulse without sweat is called Cold Damage; a slow pulse with sweat is called Wind Injury; a surging and large pulse indicates Heat Disease; a fine and weak pulse indicates Summerheat. Their manifestations are similar. For instance, if Summerheat is treated with Bai Hu Tang (White Tiger Decoction), and Stomach excess with Cheng Qi Tang (Order the Qi Decoction), why must Blood be regulated before administering medicine? Zhang Zhongjing's *Treatise on Cold Damage* does not distinguish between men and women, likely for this reason. Students can flexibly select prescriptions based on the patient's condition from those intended for men. (If a pregnant woman suffers from cold damage, the medicinal properties should be cooling; one must be cautious and avoid using Guizhi Tang (Cinnamon Twig Decoction), Banxia (Pinellia), Taoren (Peach Kernel), etc. Xiao Chai Hu Tang without Banxia is named Huang Long Tang (Yellow Dragon Decoction), removed specifically for pregnant women. Generally, before delivery, stabilize the fetus first; after delivery, tonify and benefit first, then treat the cold damage. If the illness subsides slightly, stop the medication; do not complete the full course. This is the major principle. The Yellow Emperor asked about treating pregnant women with toxic drugs: how should it be done? Qibo replied: "If there is a pathogen, there will be no destruction [of the mother/fetus], nor will there be destruction." For large accumulations and聚 (masses), they can be attacked, but stop when the pathogen is reduced by more than half; over-attack leads to death.)
[Prescriptions for Women's Cold Damage]
The treatment methods for cold damage in men and women by Zhang Zhongjing are consistent. Recently, folk books on women's cold damage have appeared, claiming to be written by Zhang Zhongjing with a preface by Wang Shuhe. Verification shows some merit, but they are suspected not to be ancient formulas, merely borrowing the sage's name to gain credibility. Now, I select treatments for women's cold damage from *Jin Gui Yu Han Jing* (Golden Cabinet Jade Locket Classic) and acceptable folk prescriptions, compiling them into this volume. Though not exhaustive, they can be referenced alongside the *Bai Wen* (Hundred Questions).
When a woman suffers from cold damage with fever, and her menses are currently flowing, she is clear-minded during the day but delirious at night, seeing ghosts. This is Heat entering the Blood Chamber. Do not injure Stomach Qi or the Upper and Middle Jiao; use Xiao Chai Hu Tang (see Vol 10).
When a woman suffers from Wind Strike for seven to eight days, continuing to have alternating chills and fever at specific times, and her menses have just ceased, this is Heat entering the Blood Chamber, causing Blood coagulation. Thus, symptoms resemble malaria; use Xiao Chai Hu Tang (see Vol 10).
When a woman suffers from cold damage with fever and chills, menses are flowing. After seven to eight days, the heat subsides, pulse becomes slow, body temperature normalizes, but there is fullness under the chest and hypochondrium resembling Chest Binding, accompanied by delirium. This is Heat entering the Blood Chamber. Puncture the Qimen acupoint and drain according to the excess pattern (Qimen acupoint see Vol 2).
When a woman suffers from cold damage for six or seven days, with dry feces in the Stomach, difficulty defecating, irritability, delirium, red eyes, and blocked toxic qi preventing circulation, use Xie Xin San Huang Tang (Drain the Epigastrium Three Yellows Decoction).
Shu Da Huang (Rheum officinale root), Shu Wei Huang Qin (Scutellaria baicalensis root), Ji Zhua Huang Lian (Coptis chinensis rhizome) (equal parts).
Grind into coarse powder. Take 4 qian per dose, decoct in one sheng of water until 0.8 sheng remains, strain, and drink. Aim for mild laxation. If eyes are red and painful, add Bai Fu Ling (Poria cocos) and tender Zhu Ye (Bamboo leaf) to drain residual Liver Qi.
When a woman suffers from cold damage with fever, chills, limb spasms, dry mouth and tongue, stagnant meridians, and impaired circulation, use Guizhi Honghua Tang (Cinnamon Twig and Safflower Decoction).
Guixin (Cinnamon twig), Shaoyao (Peony root), Gancao (Licorice root, honey-fried) (3 liang each), Honghua (Safflower) (1 liang).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water with 4 slices of fresh ginger and 2 jujubes until 0.7 sheng remains, strain, and drink. Repeat after a while; resolve with sweating.
(Huang Qin Shaoyao Tang) Treats women with cold damage, dry mouth and throat, abdominal fullness, and loss of appetite.
Huang Qin (Scutellaria baicalensis root), Bai Shaoyao (White peony root), Baizhu (Atractylodes macrocephala rhizome), Gadihuangdi (Rehmannia glutinosa root, dried) (1 liang each).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in one sheng of water until 0.7 sheng remains, strain, and take warm. If cold is severe, decoct with fresh ginger.
(Chaihu Danggui Tang) Treats women with cold damage, wheezing, urgency, irritability, or trembling chills. Yin and Yang are both deficient; purgation is contraindicated.
Chaihu (Bupleurum root) (3 liang), Baizhu (Atractylodes macrocephala rhizome) (2 liang), Renshen (Ginseng root), Gancao (Licorice root, honey-fried), Danggui (Angelica sinensis root), Chi Shaoyao (Red peony root) (1 liang each), Wuweizi (Schisandra fruit), Mutong (Akebia stem) (0.5 liang each).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water with 4 slices of fresh ginger and 2 jujubes until 0.7 sheng remains, strain, and take warm.
(Gan Dihuang Tang) Treats residual heat lingering after a woman recovers from cold damage, known as residual heat.
Gan Dihuang (Rehmannia glutinosa root, dried), Dahuang (Rhubarb root), Huanglian (Coptis chinensis rhizome), Huang Qin (Scutellaria baicalensis root) (1 liang each), Chaihu (Bupleurum root, de-rhizomed), Bai Shaoyao (White peony root), Gancao (Licorice root, honey-fried) (1.5 liang each).
Grind into coarse powder. Take 4 qian bi per dose, decoct in 1.5 sheng of water until 0.7 sheng remains, strain, and take warm. Resolve with mild diarrhea or sweating.
(Shao Kun San) Treats women whose cold damage has not fully resolved, and due to intercourse, experience internal urgency, pain in the lower back, hips, and abdomen, named Yin-Yang Exchange.
Burn the male genital crotch to ash.
Take one ingredient, mix with water, and take one fangcun bi. For men, burn the female genital crotch to ash. Relief comes when urination is smooth and penile swelling subsides.
(Qing Zhuru Tang) Treats women whose illness has not stabilized, and due to movement, heat rushes upward to the chest, causing limb spasms and convulsions resembling Wind Strike.
Gualougen (Trichosanthes root) (2 liang, or substitute Huanggen), Qing Zhuru (Green bamboo shavings) (scrape half sheng, from light bamboo).
Decoct in 2 sheng of water until 1 sheng remains, strain, and divide into two or three doses.
(Danggui Baizhu Tang) Treats women who have not stabilized, and due to movement, experience acute lower abdominal pain, lower back and hip pain, inability to bear weight on limbs, weakness in movement, and fever.
Baizhu (Atractylodes macrocephala rhizome) (1 fen), Danggui (Angelica sinensis root) (1 fen), Guizhi (Cinnamon twig, peeled) (1 fen), Fuzi (Aconite lateral root, raw, peeled, broken into 8 pieces) (1 fen), Shengjiang (Fresh ginger) (0.5 liang), Gancao (Licorice root, honey-fried) (1 fen), Shaoyao (Peony root) (1 fen), Renshen (Ginseng root) (1 fen), Huangqi (Astragalus root) (1 fen).
Cut into hemp-seed sized pieces. Decoct in 3 sheng of water until 1.5 sheng remains, strain, and drink one tangwan (cup) at once. Take again after a short while. Cover warmly to induce mild sweating for recovery.
[Prescriptions for Pregnant Women's Cold Damage]
Zhang Zhongjing provides no specific treatment for pregnant women with cold damage; medication requires caution and avoidance, differing from general women's treatment.
(Jiajian Siwu Tang) Treats pre-delivery abdominal pain, irregular menstruation (volume or timing), unstable fetal qi, post-delivery blood stasis, excessive blood loss, or retained lochia.
Danggui (Angelica sinensis root, cut and roasted), Chuanxiong (Ligusticum chuanxiong rhizome), Shu Dihuang (Rehmannia glutinosa root, prepared), Bai Shaoyao (White peony root) (1 liang each).
Grind into coarse powder. Take 4 qian per dose, decoct in 1.5 sheng of water until 0.8 sheng remains, take 6 li of clear liquid, drink hot. Take 2-3 times daily until effective. If vaginal bleeding occurs, add 5-7 leaves of Aiye (Mugwort leaf) and 1 qian bi of Ejiao (Donkey-hide gelatin powder), decoct together as above. For severe cases where powder fails, use 0.5 liang of each of the four herbs, finely cut, decoct in 4 sheng of water until 2.5 sheng remains, strain, divide into 4 doses, take hot before meals. Finish within one day, aiming for harmony. For normal delivery, take up to three months. For deficiency and blood organ imbalance, take up to one month. For deficiency-generated heat clashing with blood causing dry mouth/thirst, add Gualou (Trichosanthes fruit) 1 liang, Maidong (Ophiopogon tuber) 3 fen. For stabbing abdominal pain and failure to expel lochia, add Danggui and Shaoyao 1 fen each. For metrorrhagia, add Dihuang (Rehmannia root) and Puhuang (Typha pollen) 1 liang each. For wind generated by heat, add Chuanxiong 1 fen, Chaihu (Bupleurum root) 0.5 liang. For fever, rapid/irregular pulse, dizziness, and stiff neck, add Chaihu and Huang Qin (Scutellaria root) 0.5 liang each. For constipation, add Dahuang (Rhubarb root) 0.5 liang, Taoren (Peach kernel, fried) 1 fen. For loose stools, add Guizhi (Cinnamon twig) and Fuzi (Aconite root) 1 fen each. For chills and fever, add Ganjiang (Dried ginger), Mudanpi (Tree peony bark), and Shaoyao 1 fen each. For vomiting, add Baizhu and Renshen (Ginseng root) 0.5 liang each. For abdominal distension, add Houpo (Magnolia bark) and Zhishi (Immature bitter orange) 1 fen each. For deficiency irritability and insomnia, add Zhuye (Bamboo leaf) and Renshen 1 fen each. For restlessness and extreme thirst, add Zhimu (Anemarrhena rhizome) and Shigao (Gypsum fibrosum) 0.5 liang each. For water retention in the heart region with slight regurgitation, add Zhuling (Polyporus), Fuling (Poria cocos), and Fangji (Stephania root) 1 fen each. For deficiency-cold resembling cold damage, add Renshen, Chaihu, and Fangfeng (Saposhnikovia root) 3 fen each.
(Ejiao San) Stabilizes the fetus in pregnant women with cold damage.
Ejiao (Donkey-hide gelatin, fried), Sangjisheng (Taxillus chinensis branch), Wu Baizhu (Atractylodes macrocephala rhizome), Renshen (Ginseng root), Bai Fuling (Poria cocos) (equal parts).
Grind into fine powder. Mix with rice gruel, take 2 qian bi per dose, twice daily until cured.
(Baizhu San) Stabilizes the fetus in pregnant women with cold damage.
Baizhu (Atractylodes macrocephala rhizome), Huang Qin (Scutellaria baicalensis root) (equal parts, stir-fried on new tile until fragrant).
Grind into powder. Take 3 qian bi per dose, decoct in one zhong of water with 3 slices of fresh ginger and 1 jujube (crushed) until 0.7 sheng remains, take warm. Take as soon as headache and fever are felt. Two to three doses cure it. Contraindicated for cold limbs and Yin patterns.
(Congbai Tang) Treats pregnant women with cold damage, aversion to cold and fever, requiring diaphoresis.
Congbai (Scallion white) (10 stems), Shengjiang (Fresh ginger, sliced) (2 liang).
Cut into hemp-seed sized pieces. Decoct in 2 zhan of water until 1 zhan remains, take continuously to induce sweating.
(Sumu Tang) Treats pregnant women with cold damage or epidemic pathogens, experiencing chilliness, trembling palpitations, or hiccups.
Chi Shaoyao (Red peony root), Chen Jupi (Aged tangerine peel), Huang Qin (Scutellaria baicalensis root), Xuan Huanglian (Coptis chinensis rhizome), Gancao (Licorice root, honey-fried), Sumu (Sappan wood) (1 liang each).
Grind into coarse powder. Take 5 qian bi per dose, decoct in 1.5 sheng of water until 0.8 sheng remains, strain, and take warm. Resolve with sweating. If the fetus is unstable, also take Ejiao San.
(Huang Long Tang) Treats pregnant women with chills, fever, headache, taciturnity, loss of appetite, hypochondriac pain, vomiting, and phlegm-qi; also post-delivery wind-strike with Heat entering the Uterus, chills and fever like malaria, menses just starting or stopping, relapse after labor, and unresolved residual heat.
Chaihu (Bupleurum root) (1 liang), Huang Qin (Scutellaria baicalensis root), Renshen (Ginseng root), Gancao (Licorice root, honey-fried) (1.5 fen each).
Cut into hemp-seed sized pieces. Take 5 qian per dose, decoct in 1.5 sheng of water until 1 sheng remains, strain, and take warm.
(Chaihu Shigao Tang) Treats pregnant women with Summerheat, headache, aversion to cold, body heat, irritability, limb pain, stiffness in back and neck, and dry lips/mouth.
Chaihu (Bupleurum root) (4 liang), Gancao (Licorice root) (2 liang), Shigao (Gypsum fibrosum) (8 liang).
Grind into coarse powder. Take 3 qian per dose, decoct in 1 sheng of water with 5 slices of fresh ginger until 0.6 sheng remains, strain, and take warm, anytime. Add Renshen (Ginseng root) 4 liang for Qi deficiency and cold body.
(Zhishi San) Treats pregnant women with cold damage, worsening after 4-6 days with epigastric/abdominal fullness, rising Qi, unquenchable thirst, poor appetite, lower back pain, and heavy body.
Zhishi (Immature bitter orange, fried to light yellow) (1 liang), Maidong (Ophiopogon tuber, de-heart) (0.5 liang), Chen Jupi (Aged tangerine peel, soaked in water, white pith removed, dried) (3 fen).
Grind into coarse powder. Take 3 qian per dose, decoct in one zhong of water with 0.5 fen of fresh ginger and 7 cun of scallion white until 0.6 sheng remains, strain, and take warm.
(Xuanfu Hua Tang) Treats pregnant women with cold damage, spinning head/eye pain, high fever, and mental agitation.
Xuanfu Hua (Inula flower) (0.5 liang), Baizhu (Atractylodes macrocephala rhizome) (3 fen), Qianhu (Peucedanum root) (1 liang, de-rhizomed), Huang Qin (Scutellaria baicalensis root) (3 fen), Renshen (Ginseng root, de-rhizomed) (3 fen), Mahuang (Ephedra herb, de-root and joint) (3 fen), Chi Shaoyao (Red peony root) (0.5 liang), Shigao (Gypsum fibrosum) (1 liang), Gancao (Licorice root, honey-fried to light red) (0.5 liang).
Grind into coarse powder. Take 4 qian per dose, decoct in 1.5 sheng of water with 0.5 fen of fresh ginger until 0.6 sheng remains, strain, and take.
(Maidong Tang) Treats pregnant women with high fever, vomiting, headache, loss of appetite, and unstable fetal qi.
Renshen (Ginseng root) (1 liang), Shigao (Gypsum fibrosum) (1 liang), Qianhu (Peucedanum root) (3 fen), Huang Qin (Scutellaria baicalensis root) (3 fen), Gegen (Kudzu root) (0.5 liang), Maidong (Ophiopogon tuber, de-heart) (0.5 liang).
Cut into hemp-seed sized pieces. Take 5 qian per dose, decoct in 1.5 sheng of water with 4 slices of fresh ginger, 2 jujubes, and 1 fen of Danzhuru (Light bamboo shavings) until 0.8 sheng remains, strain, and take warm.
(Zhizi Daqing Tang) Treats pregnant women with macules turning black.
Shengma (Cimicifuga rhizome), Zhiziren (Gardenia seed) (2 liang each), Daqing (Isatis root), Xingren (Apricot seed, de-skin and tip), Huang Qin (Scutellaria baicalensis root) (1.5 liang each).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water with 3 cun of finely cut scallion white until 1 sheng remains, strain, and take warm.
(Lugen Tang) From *Qian Jin Fang*, treats pregnancy headache, high fever, irritability, vomiting, and inability to eat.
Zhimu (Anemarrhena rhizome) (4 liang), Qing Zhuru (Green bamboo shavings) (3 liang).
Cut into hemp-seed sized pieces. Take 5 qian per dose, decoct in 1.5 small zhan of water with one handful of fresh Lugen (Reed rhizome) and a pinch of Jingmi (Rice grain) until 1 sheng remains, strain, and drink completely. Prepare again if necessary, stop when cured.
(Tu Qi Fa) Treats pregnancy complicated by epidemic pathogens to prevent miscarriage.
Apply mud from the hearth mixed with water to the navel; reapply when dry. Another method uses wine mixed with mud applied in a square of 5 cun. Rice washing water is also effective.
(Congbai Chi Tang) Treats pregnancy febrile disease.
Congbai (Scallion white) (2.5 liang), Chi (Fermented soybean) (0.5 sheng).
Decoct in 3 sheng of water until 1 sheng remains, divide into two doses to induce sweating.
(Congbai Yi Wu Tang) Treats pregnancy febrile disease to stabilize the fetus; if the fetus is dead, taking it causes expulsion shortly.
One handful of Congbai (Scallion white), 1 sheng of water. Boil until cooked, take to induce sweating. Eat all.
(Fulonggan San)
Take an amount of Fulonggan (Dragon sitting earth/Hearth mud) equivalent to a chicken egg, mix with water, and take. (Fulonggan is earth from under the stove.)
(Gegen Yi Wu Yin) Treats heat-induced irritability and oppression.
Gegen juice (Pueraria lobata root juice). Take one small zhan per dose, every distance a person walks for five li. If fresh Gegen is unavailable, use dried Gegen, chew and decoct into thick juice, and take.
(Zhizi Wu Wu Tang) From *Guang Ji Fang*, treats pregnancy cold damage with headache and high fever.
Zhizi (Gardenia fruit), Qianhu (Peucedanum root), Zhimu (Anemarrhena rhizome) (2 liang each), Huang Qin (Scutellaria baicalensis root) (1 liang), Baishigao (White gypsum) (4 liang).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 small zhan of water until 1 sheng remains, strain, and take.
(Qianhu Qi Wu Tang) Treats pregnancy cold damage with headache, limb pain, and high fever.
Qianhu (Peucedanum root), Zhimu (Anemarrhena rhizome), Zhiziren (Gardenia seed) (2 liang each), Shigao (Gypsum fibrosum) (4 liang), Daqing (Isatis root), Huang Qin (Scutellaria baicalensis root) (1.5 liang each).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water with 3 stems of scallion white until 1 sheng remains, strain, and take warm.
(Shengma Liu Wu Tang) Emergency treatment for pregnancy cold damage at seven months, with high fever, red macules turning black, and hematuria.
Shengma (Cimicifuga rhizome), Zhiziren (Gardenia seed) (2 liang each), Daqing (Isatis root), Xingren (Apricot seed, de-skin and tip), Huang Qin (Scutellaria baicalensis root) (1.5 liang each).
Cut into hemp-seed sized pieces. Take 5 qian per dose, decoct in 1.5 sheng of water with 3 stems of scallion white until 1 sheng remains, strain, and take warm.
[Postpartum Prescriptions]
(Yangdan Tang) Treats postpartum wind-strike persisting for ten+ days, slight headache, aversion to cold, intermittent fever, hardness below the heart, dry retching, and sweating. Use Yangdan Tang (see Vol 10).
(Zhi Jing Fa) Treats postpartum blood deficiency with excessive sweating, susceptibility to wind-strike, body rigidity, locked jaw, and opisthotonos, treating as Spasm (Jing). (Method see Vol 6, Question 50).
(Another Prescription) Take 3 qian of Jingjie (Schizonepeta) powder, mix with warm wine, and take. Repeat if ineffective.
(Shen Gong Wan) Treats postpartum fluid depletion, frequent constipation, or delirious speech and irritability. Liquid decoctions are contraindicated; use Shen Gong Wan swallowed with Qingmu Tang (Blue Wood Decoction).
(Guixin Muli Tang) Treats postpartum headache, body fever, and also spastic pain in the abdomen.
Guixin (Cinnamon twig) (3 liang), Muli (Oyster shell, calcined), Bai Shaoyao (White peony root), Gan Dihuang (Rehmannia root, dried) (5 liang each), Huang Qin (Scutellaria baicalensis root) (2 liang).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water until 1 sheng remains, strain, and take warm.
(Shuqi Tang) Treats postpartum alternating chills and fever, chest/epigastric fullness and irritability, bone/joint pain, headache, high fever worsening at dusk, resembling malaria.
Shuqiye (Paederia scandens leaf) (1 liang), Huangqi (Astragalus root) (5 liang), Guixin (Cinnamon twig), Gancao (Licorice root, honey-fried), Huang Qin (Scutellaria baicalensis root) (1 liang each), Zhimu (Anemarrhena rhizome), Shaoyao (Peony root) (2 liang each), Sheng Dihuang (Rehmannia root, fresh) (1 jin).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in 1.5 sheng of water until 1 sheng remains, strain, and take warm.
(Zengsun Chaihu Tang) Treats postpartum emaciation, chills and fever, poor appetite, abdominal distension, etc.
Chaihu (Bupleurum root) (3 qian), Renshen (Ginseng root), Gancao (Licorice root, honey-fried), Banxia (Pinellia tuber, soaked in water), Bai Shaoyao (White peony root), Chen Jupi (Aged tangerine peel), Chuanxiong (Ligusticum chuanxiong rhizome) (3 fen each).
Cut into hemp-seed sized pieces. Take 5 qian bi per dose, decoct in one large zhan of water with 3 slices of fresh ginger and 1 jujube until 0.7 sheng remains, strain, and take warm after meals, three times daily.
(Zhuye Fangfeng Tang) Treats postpartum wind-strike with fever, red face, wheezing, and headache.
Zhuye (Bamboo leaf) (half a handful), Gegen (Kudzu root) (1.5 liang), Fangfeng (Saposhnikovia root), Jiegeng (Platycodon root), Guizhi (Cinnamon twig, peeled), Renshen (Ginseng root), Gancao (Licorice root, honey-fried) (0.5 liang each).
Grind into coarse powder. Take 4 qian per dose, decoct in 1.5 sheng of water with 3 slices of fresh ginger and 1 jujube until 0.8 sheng remains, strain, and take warm to induce sweating. For stiff neck, add Paofuzi (Prepared Aconite root, de-skin and umbilicus, cut bean-sized), take one large qian, decoct together. For vomiting, add Banxia (Pinellia tuber) 1 qian.
(Sanwu Huangqin Tang) Treats women catching wind in the confinement bed, with limbs suffering from vexing heat and headache. If headache persists, use Xiao Chai Hu Tang (Minor Bupleurum Decoction); if no headache but only vexation, use this.
Huang Qin (Scutellaria baicalensis root) (0.5 liang), Kushen (Sophora flavescens root) (1 liang), Gan Dihuang (Rehmannia root, dried) (2 liang).
Cut into hemp-seed sized pieces. Take 4 qian per dose, decoct in 1.5 sheng of water until 0.8 sheng remains, and take.
Treating postpartum blood loss and excessive sweating leading to Yu Mao (Depression and Vertigo). The pulse is faint and weak, unable to eat, stool is hard, but only the head sweats. This is because blood deficiency leads to Jue (reversal/collapse), which causes Mao (vertigo/darkening). Resolution requires profuse sweating. Due to blood deficiency and lower collapse, solitary Yang rises outward, causing only head sweating. Postpartum women welcome sweating because it expels Yin; blood deficiency makes Yang relatively excessive, so sweating restores Yin-Yang balance. The cause of vomiting and inability to eat is related to this. Treat with Xiao Chai Hu Tang (Minor Bupleurum Decoction).
(Ganjiang Chaihu Tang) Treats women with cold damage, menses just starting/stopping, chills and fever like malaria, delirious speech, and hallucinations.
Chaihu (Bupleurum root, de-rhizomed) (4 liang), Gualougen (Trichosanthes root) (2 liang), Guizhi (Cinnamon twig) (1.5 liang), Muli (Oyster shell, calcined) (1 liang), Ganjiang (Dried ginger, processed) (1 liang), Gancao (Licorice root, honey-fried) (1 liang).
Cut into hemp-seed sized pieces. Take 5 qian per dose, decoct in 1.5 sheng of water until 0.7 sheng remains, strain, and take warm. Initial dose may cause slight irritability; second dose induces sweating and cure.