论一首 脉证合十四条（按当作十条。） 方十四首（按当十三首。）
妇人中风七八日。续来寒热。
按经水适断四字。宜为七八日上看。盖篇首四条。既详于伤寒论述义中。兹不复赘。（程注。至治有殊也。全取伤寒蕴要。）
妇人咽中如有炙脔。
焦循雕菰集。罗浩医经余论序曰。其论金匮。以水症气冲咽。状如炙肉证。妇人咽中有炙脔。为有形之邪。阻无形
之气。
按梅核气之名。 见直指方。前人或谓为噎膈之渐。盖在男子。往往驯为噎证。女子则多不过一时气壅痰结也。
半夏浓朴汤方
医心方。医门方。疗咽中如肉脔。咽不入吐不出方。
于本方。去苏叶。加橘皮。
外台。广济。疗心腹胀满。柴胡浓朴汤方。
于本方。去半夏。加柴胡。橘皮。槟榔。
圣惠。治膈气胸中妨闷。痰壅不下食。紫苏散方。
于本方。加枳壳。柴胡。槟榔。桂心。
又治心腹胀满。痰饮不下食。浓朴散方。
于本方。加陈橘皮。前胡。槟榔。
妇人脏躁。喜悲伤欲哭。（躁。脉经。赵。徐。沈。尤。朱注本。并作燥。误。）
妇人吐涎沫。医反下之。心下即痞。
按据小青龙汤考之。则此所谓涎沫。亦即稠痰耳。
妇人之病。因虚积冷结气。（未多之未。朱曰。疑是寒字。误。未匀。原本。诸本。并作不匀。宜改。）
按徐氏曰。妇人之病。至胞门。为一篇纲领。因虚积冷结气六字。尤为纲中之纲。谓人不虚。则邪不能乘之。因虚
故偶感之冷。不化而积。气热则行。冷则凝。冷气凝滞。久则结。结者。不散也。血遇冷气而不行。则经水断绝。然有
微甚上下不同。故曰诸。程氏曰。此条。当分作三截看。妇人之病。必因于虚劳。因于积冷。因于结气。（即结热）
三者。皆能为妇人诸经作病。尤氏义同程氏。而金鉴亦仍之。今熟玩经文。徐说似长。但其解诸字恐非。魏氏曰。诸。
即之也。为妥。盖此条以血寒积结下焦为主。自寒伤经络。至非止女身。十五句。是客词。系于举上焦中焦之病。以备
下焦之参照者。久成肺痈。先兄曰。痈。当作痿。字之误也。盖上焦寒凝。无为肺痈之理。肺冷为痿。甘草干姜汤证是
也。（脉经妇人病。亦有咳逆呕沫。其肺成痿语。）魏又曰。绕脐隐伏。为少腹冷痛。为奔豚。为寒疝。种种不同。旁出
者结于两胁。如脏腑相连。邪高痛下。而痛反在关元。为下厥上逆之证。沈氏以未多。为未经多日之义。非是。徐氏曰。
奄忽四句为一段。宜从。盖奄字上。当存或字看。金鉴以为痛甚之常状。似非。厥癫。即癫疾。脉要精微论曰。厥成为
巅疾。又曰。来疾去徐。上实下虚。为厥巅疾。是也。呕吐涎唾。涎字韵。下根气街。根字韵。古书句中有韵。韵未必
在句尾。见钱大昕十驾斋养新录。王引之经义述闻。（辑义引巢源。不通二字。剩。）
温经汤方
按此方半夏。其旨难晰。程氏谓以止带下。殊属无稽。徐氏曰。下利已久。脾气有伤。故以姜半正脾气。亦未核。
杨氏家藏方。调经汤。治冲任脉虚。风寒客搏。气结凝滞。每经候将行。脐腹先作撮痛。或小腹急痛。攻注腰脚疼
重。经欲行时。预前五日。及经断后五日。并宜服之。
于本方。去阿胶。加五加皮。熟干地黄。乌药。红花。没药。
带下经水不利。少腹满痛。
〔徐〕带下。即前所谓此皆带下。非专指赤白带也。〔赵〕此亦因瘀血而病者。经水即不利。一月再见之不同。皆
冲任瘀血之病。土瓜根者。能通月水。消瘀血。生津液。津生则化血也。芍药。主邪气腹痛。除血痹。开阴寒。桂枝。
通血脉。引阳气。 虫。破血积。以消行之。
按赵注明备。本纲意补或字。盖仍之也。又千金方。温经汤主妇人小腹痛。用茯苓。芍药。土瓜仁。薏苡仁。其旨
相似。
寸口脉弦而大。
按尤氏说三品功用。本于赵氏。赵又曰。凡系帛皆理血。血色红。用绛尤切于活血。
妇人陷经漏下。
按赵氏曰。方虽不全见。胶艾二物。亦足以治之。沈氏。魏氏。并以为阿胶干姜二味。俱难从。
妇人六十二种风。
按赵氏以为六十二种风。尽以一药治之。明其非仲景法。然原其立方之旨。破血通经。用红花酒。则血开气行。而
风亦散矣。
红蓝花酒方
本草。图经曰。张仲景治六十二种风。兼腹内血气刺痛。用红花一大两。分为四分。以酒一大升煎强半。顿服之。
不止再服。又一方。用红蓝子一升。捣碎。以无灰酒一大升八合拌了。暴令干。重捣 。蜜丸如桐子大。空腹酒下十丸。
问曰。妇人病饮食如故。
按此条之证。本是下焦壅滞。不得溺利者。膀胱为之急胀。而胞系遂至缭戾。溺随益闭。以致烦热不得卧。而反倚
息。故用肾气丸。开其壅滞。利其小便。则膀胱宽豁。而其系复旧也。此证不必下元衰乏。而其用此丸者。
专取之利水。故云但利小便则愈。又按慧琳一切经音义。缭 。考声云。 。犹结纽也。亦缭 。纷 貌也。云云。
徐氏曰。了戾者。其系纽转也。先兄曰。卢文 钟山札记云。了戾者。屈曲旋转之意。许慎注淮南原道训云。 。了戾
也。郭璞注方言三。轸。戾也。云相了戾也。杨 注荀子修。身篇击戾云。犹了戾也。
少阴脉滑而数者。阴中即生疮。（脉经。分为二条。又曰。少阴脉数。则气淋。阴中则生疮。）
平脉法曰。少阴脉微滑。滑者。紧之浮名也。此为阴实。其人必股内汗出。阴下湿也。
胃气下泄。阴吹而正喧。
脉经。此条前有一条。曰。少阴脉弱而微。微则少血。弱则生风。微弱相搏。阴中恶寒。胃气下泄。吹而正喧。
妇人良方。膏发煎。治妇人谷气实。胃气下泄。阴吹而正喧。阴中出血。
赤水玄珠曰。令媳长卿之妇。腹中微疼。经行不流行。喉痛。四肢麻木作战。不知饥饿。右脉洪大如菀豆。以川芎。
香附。麦芽。山楂。乌梅。粉草。桔梗。酒芩。防风。荆芥。白术。茯苓。四剂而安。次月经水大行。十日不止。以黄
。阿胶。蒲黄。各一钱。白芍药二钱。粉草三分。一帖而止。此后但觉浊气下坠。屁从子户中出。以补中益气汤。加
酒炒黄连。调养而平。
小儿疳虫蚀齿方（幼幼新书引。葶苈下。有各少许三字。腊日。作腊月。 上。有和字。赵注本。不载此方。）
〔魏〕附小儿疳虫蚀齿一方。不知何意载于篇末。或有儿科之书。阙略不全。挂一漏百者乎。
One Treatise, fourteen Pulse and Syndrome Combinations (Note: Should be ten). Fourteen Prescriptions (Note: Should be thirteen).
A woman suffering from Wind-Strike for seven or eight days continues to experience alternating chills and fever.
Note: The phrase "menstruation just ceased" should be read in conjunction with "seven or eight days." Since the first four items of this chapter have been detailed in the *Commentary on Shanghan Lun*, they are not repeated here. (Cheng's Note: The treatment methods differ; it completely adopts the principles from *Shanghan Yunyao*.)
A woman feels as if there were a piece of roasted meat stuck in her throat.
Jiao Xiong's *Diao Gu Ji* and Luo Hao's preface to *Yijing Yulun* state: In their discussion of *Jingui Yaolue*, they consider the condition where water qi rushes to the throat, resembling a piece of roasted meat, and the condition where a woman feels a lump in her throat, to be tangible pathogens obstructing intangible Qi.
Note: The name "Plum Pit Qi" (Meiheqi) appears in *Zhizhi Fang*. Some predecessors considered it a precursor to dysphagia (Yige). Generally, in men, it often gradually develops into a choking syndrome; in women, it is mostly due to temporary Qi stagnation and Phlegm binding.
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) Prescription
*Yixin Fang* and *Yimen Fang* record a prescription for treating a sensation of a meat-like lump in the throat that cannot be swallowed or spat out.
Based on this prescription, remove Perillae Folium (Suye), add Citri Reticulatae Pericarpium (Jupi).
*Waitai Miyao* and *Guangji Fang* record Chaihu Houpo Tang (Bupleurum and Magnolia Bark Decoction) for treating abdominal distension and fullness.
Based on this prescription, remove Pinelliae Rhizoma (Banxia), add Bupleuri Radix (Chaihu), Citri Reticulatae Pericarpium (Jupi), and Arecae Semen (Binglang).
*Shenghui Fang* records Zisu San (Perilla Powder) for treating Diaphragmatic Qi, chest oppression, Phlegm obstruction preventing food intake.
Based on this prescription, add Aurantii Fructus (Zhike), Bupleuri Radix (Chaihu), Arecae Semen (Binglang), and Cinnamomi Cortex (Guixin).
It also records Houpo San (Magnolia Bark Powder) for treating abdominal distension and fullness, Phlegm-fluid retention preventing food intake.
Based on this prescription, add aged Citri Reticulatae Pericarpium (Chen Jupi), Peucedani Radix (Qianhu), and Arecae Semen (Binglang).
Zang-Jiao (Visceral Restlessness) in women, characterized by a tendency toward sadness and weeping. ("Restless" [Zao] is written as "Dry" [Zao] in *Maixian* and the annotated editions of Zhao, Xu, Shen, You, and Zhu, which is an error.)
A woman spits out saliva and froth; the physician incorrectly uses purgatives, resulting in epigastric stuffiness (Pi).
Note: Based on the analysis of *Xiao Qinglong Tang*, the "saliva and froth" mentioned here refers to thick Phlegm.
Women's diseases arise from Deficiency, Accumulated Cold, and Stagnated Qi. ("Wei duo" - "not much": Zhu suggests it might be a typo for "Han" [Cold], which is incorrect. "Wei yun" - originally and in all versions written as "Bu yun" [uneven], should be corrected to "Wei".)
Note: Xu states: Regarding women's diseases up to the Baomen (uterine gate), this serves as the outline of the chapter. The six characters "Due to Deficiency, Accumulated Cold, Stagnated Qi" are the core of the outline. It means if one is not deficient, pathogens cannot take advantage. Due to deficiency, occasional cold sensations fail to transform and accumulate. Heat causes Qi to move; Cold causes it to congeal. Congealed Cold Qi stagnates and eventually forms knots. A knot implies non-dispersion. Blood fails to circulate when encountering Cold Qi, leading to amenorrhea. However, conditions vary in severity and location, hence the term "various" (Zhu). Cheng states: This clause should be divided into three parts. Women's diseases must stem from Deficiency-Labor, Accumulated Cold, and Stagnated Qi (i.e., Stagnated Heat). These three can cause various meridian diseases in women. You agrees with Cheng, and *Yizong Jinjian* follows suit. Upon careful reading, Xu's explanation seems more reasonable, but his interpretation of "Zhu" is likely incorrect. Wei states: "Zhu" means "of," which is appropriate. This clause primarily focuses on Blood-Cold accumulation in the Lower Jiao. The fifteen sentences from "Cold injuring meridians" to "not limited to women" are secondary remarks, listing Upper and Middle Jiao diseases as references for Lower Jiao diseases. Long-standing cases may develop Lung Abscess (Fei Yong); my elder brother said "Yong" [Abscess] should be "Wei" [Atrophy/Withered], a character error. There is no logic for Lung Abscess from Upper Jiao Cold condensation; Lung Cold leads to Wei syndrome, as seen in Gancao Ganjiang Tang patterns. (*Maixian·Furen Bing* also mentions "coughing, reverse flow, vomiting froth, lung becomes Wei"). Wei further states: Dull pain around the navel manifests as Lower Abdominal Cold Pain, Running Piglet (Ben Tun), or Cold Colic (Han Han), varying greatly. Pathogens branching off bind to both hypochondria, resembling connected organs; high pathogen, low pain, yet pain is at Guanyuan, indicating Lower Jue and Upper Reverse. Shen interprets "Wei duo" as "not having passed many days," which is incorrect. Xu states: The four lines starting with "Yan Hu" form a paragraph and should be followed. One should read "Huo" [Perhaps] above "Yan". *Yizong Jinjian* considers it a constant state of severe pain, which seems incorrect. "Jue Dian" refers to Dian disease (Epilepsy/Mania). *Maiyao Jingwei Lun* states: Jue transforms into Dian disease. Also: Rapid onset, slow decline, Upper Excess and Lower Deficiency constitute Jue-Dian disease. Vomiting saliva and froth: "Xian" rhymes; "Gen" at Qijie rhymes. Ancient texts rhyme within sentences, not necessarily at the end. See Qian Daxin's *Shijiazha Yangxin Lu* and Wang Yinzhi's *Jingyi Shuwen*. (Collected meanings cite *Zhubing Yuanhou Lun*, considering "Bu tong" [blockage] redundant.)
Wenjing Tang (Warm the Menses Decoction) Prescription
Note: The purpose of Banxia (Pinelliae Rhizoma) in this prescription is unclear. Cheng claims it stops leukorrhea, which is baseless. Xu argues: Prolonged diarrhea injures Spleen Qi, so Ginger and Banxia correct Spleen Qi, but this is unverified.
*Yangshi Jiacang Fang* Tiaojing Tang treats Chong and Ren Meridian Deficiency, invasion of Wind-Cold, Qi knotting and stagnation. Before menstruation, cramping pain occurs in the umbilical/abdominal region, or urgent lower abdominal pain radiating to waist and legs. It is suitable to take five days before menstruation starts and five days after it ends.
Based on this prescription, remove E-Jiao (Colla Corii Asini), add Acanthopanacis Cortex (Wujia Pi), Prepared Rehmanniae Radix (Shu Dihuang), Linderae Fructus (Wuyao), Carthami Flos (Honghua), and Myrrha (Moyao).
Leukorrhea with irregular menstruation, lower abdominal fullness and pain.
[Xu] Leukorrhea refers to what was previously called "all these are leukorrhea," not specifically red-and-white discharge. [Zhao] This is also a disease caused by Blood stasis. Irregular menstruation or twice-a-month bleeding are all Chong-Ren Blood stasis diseases. Digerae Fructus (Tugua Gen) promotes menstruation, resolves Blood stasis, and generates fluids. Fluid generation transforms into Blood. Paoniae Radix (Shaoyao) treats pathogenic abdominal pain, removes Blood Bi, opens Yin-Cold. Cinnamomi Ramulus (Guizhi) unites blood vessels and guides Yang Qi. Mylabris (Chong) breaks Blood accumulations to dissolve and move them.
Note: Zhao's annotation is comprehensive. The main text likely supplements the word "Huo" [Perhaps], following old traditions. Additionally, *Qianjin Fang*'s Wenjing Tang treats lower abdominal pain in women using Poria (Fuling), Paoniae Radix (Shaoyao), Digerae Fructus (Tugua Ren), and Coicis Semen (Yiyiren), with similar intent.
Cunkou pulse is Wiry (Xian) and Large (Da).
Note: You's theory on the functions of the Three Grades originates from Zhao. Zhao further states: All silk-related herbs regulate Blood; since Blood color is red, Crimson-dyed silk is particularly effective for invigorating Blood.
Women's sinking meridians with dripping hemorrhage (Lou Xia).
Note: Zhao says: Although the full prescription is not visible, E-Jiao (Colla Corii Asini) and Ai Ye (Artemisiae Argyi Folium) are sufficient to treat it. Shen and Wei argue that E-Jiao and Gan Jiang (Zingiberis Rhizoma) are difficult to accept.
Sixty-two types of Wind in women.
Note: Zhao believes treating sixty-two types of wind with one medicine is clearly not Zhang Zhongjing's method. However, analyzing the prescription's intent, breaking Blood and unifying meridians using Honghua Wine allows Blood to open and Qi to move, dispersing Wind.
Honglan Hua Jiu (Red Blue Flower Wine) Prescription
*Benzao* and *Tujing* state: Zhang Zhongjing treated sixty-two types of wind combined with internal Blood-Qi stabbing pain using one da liang of Honghua (Carthami Flos), divided into four parts, decocted in one da sheng of Wine until half remains, taken in one dose. If ineffective, take again. Another method uses one sheng of Honglan Zi (Carthamus seeds), crushed, mixed with eight he of pure Wine, dried in sun, pounded again, honey-pilled like wattle seeds, taken with wine on an empty stomach, ten pills per dose.
Question: A woman's disease presents with normal diet and appetite.
Note: The syndrome of this clause is essentially Lower Jiao obstruction preventing urination. The Bladder becomes urgently distended, causing the uterine ligaments to twist and tangle, further closing urination, leading to irritability, heat, inability to lie flat, and reliance on sitting up to breathe. Therefore, Shenqi Wan (Kidney Qi Pill) is used to open obstruction and promote urination. Once urination flows freely, the Bladder relaxes, and the ligaments return to normal. This condition does not require Lower Yuan deficiency; the pill is used specifically for its diuretic effect. Hence, it is said that promoting urination cures it. Furthermore, according to Huilin's *Yiqie Jing Yinyi*, "Liao" means "knotting/twisting." Xu states: Liaoli refers to the twisting of ligaments. My elder brother cites Lu Wentiao's *Zhongshan Zhaji*: Liaoli means crooked rotation. Xu Shen's commentary on *Huainan Yuandao Xun* defines it as "Liaoli." Guo Pu's commentary on *Fangyan III* defines "Zhen" as "Li," meaning mutual twisting. Yang Qiang's commentary on *Xunzi Xiushen* equates "Jili" with "Liaoli."
If the Shaoyin pulse is Slippery (Hua) and Rapid (Shu), sores will appear in the vagina. (*Maixian* splits this into two clauses: Shaoyin pulse rapid indicates Qi Lin [dysuria]; sores appear in the vagina.)
*Ping Mai Fa* states: If the Shaoyin pulse is slightly Slippery, Slipperiness is the floating name of Tightness. This indicates Yin Excess. The person will inevitably have sweating inside the thighs and dampness below the genitals.
Stomach Qi leaks downward, causing vaginal flatulence (Yinchui) with noisy sounds.
*Maixian*: Preceding this clause is one stating: Shaoyin pulse is Weak and Fine. Fine indicates Blood deficiency; Weak generates Wind. Weak and Fine struggle together, causing aversion to cold in the vagina. Stomach Qi leaks downward, causing vaginal flatulence with noisy sounds.
*Furen Liangfang* Gaofa Jian (Hair and Fat Decoction) treats women with Grain Qi Excess, Stomach Qi leaking downward, vaginal flatulence with noisy sounds, and vaginal bleeding.
*Chishui Xuanzhu* records: The wife of Lingxi Changqing had mild abdominal pain, irregular menstruation, sore throat, numbness and trembling in limbs, and loss of appetite. Her Right pulse was Surging and Large like a bean. She was treated with Chuanxiong, Xiangfu, Maiya, Shanzha, Wumei, Fencao, Jiegeng, Jiu Qin, Fangfeng, Jingjie, Baizhu, and Fuling for four doses, bringing relief. Next month, menstruation flowed heavily for ten days. She was treated with Huangqi, E-Jiao, and Puhuang (1 qian each), Shaoyao (2 qian), and Fencao (3 fen) for one dose, stopping the bleeding. Afterwards, she felt turbid Qi sinking, passing gas from the uterus. She was treated with Buzhong Yiqi Tang plus Jiu Chaid Huanglian for regulation and recovery.
Xiao'er Ganchong Shichi Fang (Pediatric Malnutrition Worm-Eroded Teeth Prescription) (Cited from *Youyou Xinshu*, with "each a little" added under Tingli. "Lari" means La Yue [Twelfth Month]. "He" added above. Not recorded in Zhao's annotated edition.)
[Wei] Attached is a prescription for pediatric malnutrition worm-eaten teeth. I do not know why it is included at the end of the chapter. Perhaps pediatric books are incomplete, omitting details while mentioning others?