治脏腑冷极及久冷伤惫，口疮下泄，谷米不化，饮食无味，肌肉瘦悴，心多嗔恚，妇人
产
木香 破故纸 高良姜 砂仁 浓朴（姜汁炙各三分） 赤芍药 陈橘红 肉桂 白术
（各半
上为散。每服三钱，不经水猪肝四两许，去筋膜，批为薄片，重重掺药。置一鼎中，入
浆水一碗，醋一茶脚许，盖覆。煮肝熟，入盐一钱，葱白三茎细切，生姜弹子许捶碎，同煮
水欲尽。空心，为一服冷食之。初服微泻不妨，此是逐下冷气。少时自止，经年冷利滑泻。
只是一服，渴即饮粥汤下。忌生冷油腻物。如不能食冷物，即添少浆水暖服。《张简夫职方》，
尝久泻。忽有人召食，以疾辞不往。主人曰∶“吾有良药，一服可瘥”。煮药而召之。简至，
先
恶其烦。只用浆水煮猪肝为丸，如梧桐子大。每服五十丸，粥饮下，其效亦同。若暴泻利，
只是一服。唯热痢热泻不治。予家极宝此药，可大惊异，非余药可比。
治一切积滞，化气消食。补益真气。产后逐败血，补虚损至善。
砂（一两拣通明无石者，别研令如粉） 舶上茴香（一两略炒） 当归（一两无灰酒
浸一宿，去芦了，薄切片子焙） 金铃子（三两洗过切破，四两无灰酒浸一宿，候软以刀子
削下瓤，去皮核不用） 肉苁蓉（一两无灰酒浸一宿，薄切作片子干） 穿心巴戟（一两
无灰酒浸一宿，去心用） 天雄（一两无灰酒煮，五七百沸候软刮去皮） 槟榔（一两） 木
香沉香 黑附子（各
上细末。以无灰酒，煮白面糊丸。如梧桐子大，每服三十丸。空心，日午温酒下。此方
家家有。予家妇尝病蓐中下痢，日久甚困笃，百方不瘥。士人李潜善医曰∶“蓐中下痢，与
他痢不同。常痢可用苦涩药止之，蓐中痢生于血不足。投涩药则血愈不行，痢当更甚。为予
作砂法”。云此药果能治产后痢。先以桂小丸下之，次投 砂丸。日九十丸，痢顿减半，
次日遂愈。 砂丸，产后虽无疾，亦宜服之，能养血去积滞。桂丸方，今附于后。
砂（研） 肉桂 甘遂 丁香 木香 芫花（醋炒焦） 巴豆（去心皮不去油）
上各等分捣。治面糊为丸，小绿豆大。每服二丸三丸，温水下，加减更量虚实。潜名医
也，云此丸取积最胜，不以久近皆能化。
[Muxiang San (Costus Powder)]
Indicated for extreme cold in the Zang-Fu organs and chronic cold injury leading to exhaustion, oral ulcers accompanied by diarrhea, undigested food in stool, loss of taste, emaciation, irritability, and postpartum conditions...
Muxiang (Costi Radix), Poguozhi (Burmese Dodder Seed/Gao Li Jiang is listed but context implies Bu Gu Zhi/Burmannia Root or Psoralea Fructus often associated with "Poguozhi", here translated as Psoraleae Fructus based on standard alias), Gaoliangjiang (Galangal Rhizome), Sharen (Amomum Fruit), Nongpu (Magnolia Bark, processed with ginger juice, 3 fen each), Chishao (Red Peony Root), Chenjuhong (Aged Tangerine Peel), Rougui (Cinnamon Bark), Baizhu (Atractylodes Macrocephala Rhizome, half liang each).
The above are ground into a powder. Take 3 qian per dose. Use about 4 liang of pig liver from a sow that has not yet menstruated, remove the fascia, slice thinly, and layer the powder onto the slices. Place in a vessel, add one bowl of jiangshui (fermented rice water) and a small amount of vinegar (approx. one tea-foot volume). Cover and boil until the liver is cooked. Add 1 qian of salt, three finely chopped scallion whites, and one piece of ginger the size of a bullet (crushed). Continue boiling until the liquid is nearly exhausted. Consume cold as a single dose on an empty stomach. Mild diarrhea upon initial intake is acceptable; this indicates the expulsion of cold qi from the lower body and will cease shortly. For chronic cold-type dysentery and slippery diarrhea, this single dose is sufficient. If thirsty, take with porridge soup. Avoid raw, cold, and greasy foods. If unable to consume cold items, add a small amount of jiangshui and take warm. In *Zhang Jianfu Zhifang*, it is recorded that Zhang Jianfu suffered from chronic diarrhea. When invited to a meal, he declined citing illness. The host said, "I have a good medicine, one dose will cure you." He boiled the medicine and summoned him. Upon arrival, Zhang... [text fragment] ...was weary of the complexity. Instead, only jiangshui was used to boil pig liver into pills, sized like sophora seeds. Take 50 pills per dose with porridge drink; the efficacy is the same. For acute diarrhea, only one dose is needed. It is contraindicated for heat-dysentery and heat-diarrhea. My family treasures this prescription greatly; it is truly remarkable, incomparable to other remedies.
[Sha Jian Wan (Sand-Boiled Pills)]
Indicated for all types of stagnation, promoting qi transformation and digestion, tonifying true qi. For postpartum expulsion of lochia (stagnant blood) and excellent benefit for deficiency damage.
Sha (Talcum, 1 liang, select transparent pieces without stone impurities, grind separately into powder), Boshang Huixiang (Fennel Fruit, 1 liang, lightly stir-fried), Danggui (Angelica Sinensis Root, 1 liang, soak overnight in non-ash wine, remove radix tip, slice thinly and dry), Jinlingzi (Chloranthus Fruit/Sweet Olive, 3 liang washed and broken, 4 liang soaked overnight in non-ash wine, when soft scrape out pulp with knife, discard peel and seeds), Rousourong (Cistanche Stem, 1 liang, soak overnight in non-ash wine, slice thinly and dry), Chuanxin Bajie (Morinda Officinalis Root, 1 liang, soak overnight in non-ash wine, remove heart/core), Tianxiong (Aconitum Carmichaelii Lateral Root Preparatum, 1 liang, boil in non-ash wine for 500-700 boils until soft, scrape off skin), Binglang (Areca Seed, 1 liang), Muxiang (Costus Root), Chenxiang (Aquilaria Wood), Heifuzi (Prepared Aconite Root, each...)
Grind into fine powder. Use non-ash wine to cook white wheat flour paste to form pills, sized like sophora seeds. Take 30 pills per dose. On an empty stomach, at midday, take with warm wine. This formula is common in every household. My wife once suffered from dysentery during the puerperium, becoming severely debilitated over time, unresponsive to various treatments. Scholar Li Qian, skilled in medicine, said: "Puerperal dysentery differs from ordinary dysentery. Ordinary dysentery can be stopped with astringent herbs, but puerperal dysentery arises from blood deficiency. Using astringents will further obstruct blood flow, worsening the dysentery. Please prepare the Sha Jian Wan method for me." It is said this medicine indeed treats postpartum dysentery. First administer Gui Xiao Wan (Cinnamon Small Pills), then administer Sha Jian Wan. Take 90 pills daily; the dysentery halved immediately and resolved the next day. Even if no disease exists postpartum, Sha Jian Wan is suitable for consumption, as it nourishes blood and removes stagnation. The Gui Wan formula is attached below.
Sha (Ground), Rougui (Cinnamon Bark), Gansui (Kansui Root), Dingxiang (Caryophylli Flos), Muxiang (Costus Root), Yuanhua (Genkwa Flos, stir-fried with vinegar until scorched), Badou (Crotonis Fructus, remove heart and peel but retain oil)
Process equal parts by pounding. Form pills with wheat flour paste, sized like small mung beans. Take 2-3 pills per dose with warm water, adjusting dosage according to deficiency or excess. Li Qian was a renowned physician who stated that this pill is superior for resolving stagnation, effective regardless of duration.