痛有定处，遇夜则甚，其脉芤涩。妇人产后及跌仆努力者，多有此病。或忧怒伤其内，
风寒
袭于外，气逆血寒，凝结成积。内经云∶卒然外中于寒，若内伤于忧怒，则气逆，六输不通
，温气不行，凝血蕴里而不散，此之谓也。
加减四物汤（东垣） 治妇人血积。
熟地 当归 川芎 芍药 肉桂 广皮 三棱 干漆（炒烟尽，各等分）
为粗末，每服二钱，水煎服。丹溪当归丸，无桂、漆，有神曲、百草霜，酒和丸。
经云∶小肠移热于大肠为伏瘕。河间云∶大肠热气菀结，津液消耗，腹痛秘涩，槟榔丸
槟榔丸
槟榔 大黄（锉碎，炒） 枳壳（麸炒，各二两） 木香 桃仁（去皮尖炒） 大麻仁（另研
为末，蜜丸桐子大，每服十丸至十五丸，温酒下无时。
石瘕者， 血留止，结硬如石，即血瘕也。经云∶寒气客于子门，子门闭塞，气不得通，恶
血当泻不泻， 以留止，日以益大，状如怀子，月事不以时下，皆生于女子。可导而下，亦
名瘕聚。经云∶任脉为病，男子七疝，女子瘕聚。此之谓也。
（新定）
大黄（三钱，用酒同三棱、蓬术浸一宿，去棱、术不用，炒） 桃仁（三十粒，去皮尖，
桂（三钱） 附子（四钱，炮） 木香（一钱半） 青皮（二钱，醋炒） 当归（五钱） 干漆（二钱半，炒烟尽）
为末，酒糊丸桐子大，每服五十丸，淡醋汤下，温酒亦可。
Pain is localized to a fixed area and worsens at night; the pulse is Khōu (Cǒu, 芤) and Sè (Sè, 涩). This condition is common in women after childbirth or following trauma from falls and excessive exertion. It may result from internal injury due to worry and anger, or external invasion by wind-cold, leading to rebellious Qi and cold blood coagulation, forming an accumulation. The *Neijing* states: "If suddenly affected externally by cold, and internally injured by worry and anger, Qi becomes rebellious, the six transport points become obstructed, warm Qi fails to circulate, and congealed blood accumulates within without dispersing." This refers to such cases.
Jiājiǎn Sìwù Tāng (Modified Four Substances Decoction, Li Dongyuan's formula): Treats blood accumulation in women.
Ingredients: Shúdì Huáng (Rehmanniae Radix Praeparata), Dāngguī (Angelicae Sinensis Radix), Chuānxiōng (Ligustici Chuanxiong Rhizoma), Sháoyào (Paeoniae Radix Alba/Rubra), Ròuguì (Cinnamomi Cortex), Guǎngpí (Citri Reticulatae Pericarpium), Léng (Sparganii Rhizoma), Gānqī (Phasmi Coccinei Resina - stir-fried until smoke ceases), all in equal proportions.
Grind into coarse powder. Take two qian per dose, decoct in water, and take orally. Dānxī Dāngguī Wán (Danxi Angelica Pill): Contains no Ròuguì or Gānqī; instead contains Shénqū (Medicated Leaven) and Bǎicǎoshuāng (Charred Grass Ash); mixed with wine to form pills.
The Classics state: Heat transferring from the Small Intestine to the Large Intestine is called Fúxiá (Hidden Mass). Liu Hejian stated: When heat qi in the Large Intestine stagnates and consumes body fluids, causing abdominal pain and constipation with difficulty, Bīnláng Wán (Areca Seed Pill) should be used.
Bīnláng Wán Ingredients: Bīnláng (Arecae Semen), Dàhuáng (Rhei Radix et Rhizoma - crushed and stir-fried), Zhīqiào (Aurantii Fructus - bran-stir-fried), each two liang; Mùxiāng (Vladimiriae Radix), Táorén (Persicae Semen - skin and tip removed, stir-fried), Dàmárén (Cannabis Fructus - separately ground into powder).
Honey-pilled to the size of paulownia seeds. Take ten to fifteen pills per dose, at any time, washed down with warm wine.
Shíxiá (Stone Mass) refers to blood stagnation and accumulation, forming a hard mass like stone; this is also known as Xuèxiá (Blood Mass). The Classics state: Cold pathogen lodges in Zǐmén (Uterine Orifice), blocking it so Qi cannot circulate freely. Evil blood should be discharged but remains, accumulating daily and enlarging, resembling pregnancy, with menstruation not occurring on time. These conditions occur only in women. They can be treated by guiding downward expulsion, and are also called Jiǎjù (Mass Aggregation). The Classics state: Disease of the Ren Mai (Conception Vessel) manifests as Seven Types of Hernia in men and Jiǎjù in women. This refers to such cases.
(Newly Formulated Prescription)
Ingredients: Dàhuáng (Rhei Radix et Rhizoma - three qian, soaked overnight in wine with Sānléng [Sparganii Rhizoma] and Péngzhú [Curcumae Rhizoma], remove Sānléng and Péngzhú, use only the Da Huang stir-fried), Táorén (Persicae Semen - thirty grains, skin and tip removed), Guì (Cinnamomi Ramulus - three qian), Fùzǐ (Aconiti Lateralis Radix Praeparata - four qian, processed), Mùxiāng (Vladimiriae Radix - one and a half qian), Qīngpí (Citri Reticulatae Pericarpium Viride - two qian, vinegar-stir-fried), Dāngguī (Angelicae Sinensis Radix - five qian), Gānqī (Phasmi Coccinei Resina - two and a half qian, stir-fried until smoke ceases).
Grind into fine powder, mix with rice paste to form pills the size of paulownia seeds. Take fifty pills per dose, washed down with light vinegar soup; warm wine may also be used.