1．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，发作有时，
小柴胡汤主之。（方见呕吐中。）
2．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，治之无犯胃气及上二焦，
必自愈。
3．妇人中风，发热恶寒，经水适来，得七八日，
热除脉迟，身凉和，胸胁满，如结胸状，谵语者，此为热入血室也，当刺期门，随其实而取之。
4．阳明病，下血，谵语者，此为热入血室，但头汗出，当刺期门，随其实而泻之， 然汗出者愈。
5．妇人咽中如有炙脔，半夏浓朴汤主之。
半夏浓朴汤方（《千金》作胸满心下坚，咽中帖帖如有炙肉，吐之不出，吞之不下。）
半夏（一升） 浓朴（三两） 茯苓（四两） 生姜（五两） 干苏叶（二两）
上五味，以水七升，煮取四升，分温四服，日三夜一服。
6．妇人脏躁，喜悲伤欲哭，象如神灵所作，数欠伸，甘麦大枣汤主之。
甘草小麦大枣汤方
甘草（三两） 小麦（一升） 大枣（十枚）
上三味，以水六升，煮取三升，温分三服。亦补脾气。
7．妇人吐涎沫，医反下之，心下即痞，当先治其吐涎沫，小青龙汤主之。涎沫止，乃治痞，泻心
汤主之。
小青龙汤方（见肺痈中。）
泻心汤方（见惊悸中。）
8．妇人之病，因虚、积冷、结气，为诸经水断绝，至有历年，血寒积结，胞门寒伤，经络凝坚。
在上呕吐涎唾，久成肺痈，形体损分在中盘结绕脐寒疝；或两胁疼痛，与脏相连；或结热中，痛在关元，
脉数无疮，肌若鱼鳞，时着男子，非止女身。在下未多，经候不匀，令阴掣痛，少腹恶寒；或引腰脊，下根气
街，气冲急痛，膝胫疼烦，奄忽眩冒，状如厥癫；或有忧惨，悲伤多嗔。此皆带下，非有鬼神。
久则羸瘦，脉虚多寒，三十六病，千变万端，审脉阴阳，虚实紧弦，行其针药，治危得安，其虽同病，脉各
异源，子当辨记，勿谓不然。
9．问曰∶妇人年五十所，病下利数十日不止，暮即发热，少腹里急，腹满，手掌烦热，唇口干燥，何也？
师曰∶此病属带下。何以故？曾经半产，瘀血在少腹不去。何以知之？其证唇口干燥，故知之。当以温经汤主之。
温经汤方
吴茱萸（三两） 当归 川芎 芍药（各二两） 人参 桂枝 阿胶 牡丹皮（去心） 生姜 甘草（各
二两） 半夏（半升） 麦门冬（一升，去心）
上十二味，以水一斗，煮取三升，分温三服。亦主妇人少腹寒，久不受胎；兼取崩中去血，或月水来过多，
及至期不来。
10．带下经水不利，少腹满痛，经一月再见者，土瓜根散主之。
土瓜根散方（阴 肿亦主之。）
土瓜根 芍药 桂枝 虫（各三分）
上四味，杵为散，酒服方寸匕，日三服。
11．寸口脉弦而大，弦则为减，大则为芤；减则为寒，芤则为虚；寒虚相搏，此名曰革，妇人则半产漏下，
旋复花汤主之。
旋复花汤方
旋复花（三两） 葱（十四茎） 新绛（少许）
上三味，以水三升，煮取一升，顿服之。
12．妇人陷经漏下黑不解，胶姜汤主之。（臣亿等校诸本无胶姜汤方，想是妊娠中胶艾汤。）
13．妇人少腹满如敦状，小便微难而不渴，生后者，此为水与血俱结在血室也，大黄甘遂汤主之。
大黄甘遂汤方
大黄（四两） 甘遂（二两） 阿胶（二两）
上三味，以水三升，煮取一升，顿服之，其血当下。
14．妇人经水不利下，抵当汤主之。（亦治男子膀胱满急有瘀血者。）
抵当汤方
水蛭（三十个，熬） 虻虫（三十枚，熬，去翅足） 桃仁（二十个，去皮尖） 大黄（三两，酒浸）
上四味，为末，以水五升，煮取三升，去滓，温服一升。
15．妇人经水闭不利，脏坚癖不止，中有干血，下白物，矾石丸主之。
矾石丸方
矾石（三分，烧） 杏仁（一分）
上二味，末之，炼蜜和丸枣核大，纳脏中，剧者再纳之。
16．妇人六十二种风，及腹中血气刺痛，红蓝花酒主之。
红蓝花酒方（疑非仲景方。）
红蓝花（一两）
上一味，以酒一大升，煎减半，顿服一半，未止再服。
17．妇人腹中诸疾痛，当归芍药散主之。
当归芍药散方（见前妊娠中。）
18．妇人腹中痛，小建中汤主之。
小建中汤方（见前虚劳中。）
19．问曰∶妇人病饮食如故，烦热不得卧，而反倚息者，何也？师曰∶此名转胞，不得溺也，以胞系了戾，
故致此病。但利小便则愈，宜肾气丸主之。
肾气丸方
干地黄（八两） 薯蓣（四两） 山茱萸（四两） 泽泻（三两） 茯苓（二两） 牡丹皮（三两） 桂
枝附子（炮，各一两）
上八味，末之，炼蜜和丸梧子大，酒下十五丸，加至二十五丸，日再服。
20．妇人阴寒，温阴中坐药，蛇床子散主之。
蛇床子散方
蛇床子仁
上一味，末之，以白粉少许，和令相得，如枣大，绵裹纳之，自然温。
21．少阴脉滑而数者，阴中即生疮，阴中蚀疮烂者，野狼牙汤洗之。
野狼牙汤方
野狼牙（三两）
上一味，以水四升，煮取半升，以绵缠筋如茧，浸汤沥阴中，日四遍。
22．胃气下泄，阴吹而正喧，此谷气之实也，膏发煎导之。
膏发煎方（见黄胆中。）
小儿疳虫蚀齿方（疑非仲景方。）
雄黄 葶苈
上二味，末之，取腊月猪脂，熔，以槐枝绵裹头四五枚，点药烙之。
1. A woman suffering from Wind-stroke (Taiyang disease caused by wind pathogen) develops intermittent chills and fever after seven or eight days, occurring at regular intervals, while her menses happen to cease. This is Heat entering the Blood Chamber (uterus and Liver meridian), causing blood coagulation; thus, symptoms resemble malaria with regular paroxysms. Xiao Chai Hu Tang (Minor Bupleurum Decoction) is the primary treatment. (Formula see in Vomiting section.)
2. A woman suffering from Cold damage (Shanghan) with fever, whose menses happen to begin, is clear-minded during the day but becomes delirious at dusk, hallucinating as if seeing ghosts. This is Heat entering the Blood Chamber. Treatment should not injure the Stomach Qi or the Upper and Middle Jiao; the condition will resolve spontaneously.
3. A woman suffering from Wind-stroke presents with fever and aversion to cold, and her menses happen to begin. After seven or eight days, the fever subsides, the pulse becomes slow, and the body feels cool and harmonious, yet she experiences fullness and distension in the chest and hypochondrium resembling Jie Xiong syndrome (chest binding syndrome), accompanied by delirium. This is Heat entering the Blood Chamber. One should puncture Qi Men (LR-14) and apply reducing methods according to the excess pattern.
4. In Yangming disease, vaginal bleeding accompanied by delirium indicates Heat entering the Blood Chamber. If only the head sweats, one should puncture Qi Men (LR-14) and apply reducing methods to drain excess. Recovery occurs when a generalized mild sweat appears.
5. A woman feels as if there were a roasted meat piece obstructing her throat. Ban Xia Hou Po Tang (Pinellia and Magnolia Bark Decoction) is the primary treatment.
Ban Xia Hou Po Tang Formula (Recorded in *Qian Jin Fang* as chest oppression, hardness below the heart, and a sensation of a stuck roasted meat piece in the throat that cannot be spat out or swallowed.)
Ban Xia (Pinelliae Rhizoma, 1 sheng) Hou Po (Magnoliae Officinalis Cortex, 3 liang) Fu Ling (Poria, 4 liang) Sheng Jiang (Zingiberis Recens Rhizoma, 5 liang) Zi Su Ye (Perillae Folium, 2 liang)
These five ingredients are decocted in 7 sheng of water to obtain 4 sheng. Divide into four warm doses: three during the day and one at night.
6. A woman suffering from Zang燥 (Visceral Dryness/Agitation) frequently feels sad and wants to cry, exhibiting erratic behavior as if possessed by spirits, along with frequent yawning and stretching. Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) is the primary treatment.
Gan Cao Xiao Mai Da Zao Tang Formula
Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 liang) Xiao Mai (Tritici Fructus, 1 sheng) Da Zao (Jujubae Fructus, 10 pieces)
These three ingredients are decocted in 6 sheng of water to obtain 3 sheng. Divide into three warm doses. This formula also tonifies Spleen Qi.
7. A woman vomits saliva and froth. The physician erroneously applies purgation, resulting in epigastric stuffiness (Pi syndrome). One must first treat the vomiting of saliva and froth using Xiao Qing Long Tang (Minor Green Dragon Decoction). Once the discharge stops, treat the epigastric stuffiness using Xie Xin Tang (Drain the Epigastrium Decoction).
Xiao Qing Long Tang Formula (See in Lung Abscess section.)
Xie Xin Tang Formula (See in Palpitations section.)
8. Women's diseases arise from deficiency, accumulated cold, and qi stagnation, leading to the cessation of menstruation, sometimes lasting for years. Cold blood accumulates and binds, injuring the uterine gate with cold, causing meridians to become congealed and firm.
If the pathology is upper, it manifests as vomiting saliva and froth, which over time may develop into Lung Abscess; the body deteriorates.
If the pathology is middle, it knots around the umbilicus causing Han Shan (Cold Colic); or causes pain in both hypochondria connected to the viscera; or creates heat accumulation in the center, causing pain at Guan Yuan (CV-4), with a rapid pulse but no ulceration, and skin resembling fish scales. This condition affects men as well, not just women.
If the pathology is lower, menstrual flow is scanty and irregular, causing pulling pain in the yin region and aversion to cold in the lower abdomen; or pain radiating to the lumbar spine, down to the Qi Chong point, with urgent pain at Qi Chong (ST-30) and painful restlessness in the knees and shins; sudden dizziness and vertigo resembling Jue syndrome or Dian syndrome; or melancholy, sadness, and irritability. All these belong to Dai Xia (Leukorrhea/Gynecological disorders), not demonic influence.
Over time, emaciation occurs, and the pulse is deficient and cold. The thirty-six gynecological diseases change endlessly. One must examine the pulse for Yin/Yang, deficiency/excess, tightness, and wiriness, applying acupuncture and herbs to transform danger into safety. Although diseases may appear similar, their pulse origins differ. Students must distinguish and remember them; do not say otherwise.
9. Question: A woman around fifty years old suffers from diarrhea persisting for dozens of days, evening fever, urgency and fullness in the lower abdomen, hot palms, and dry lips and mouth. What is the cause?
Master says: This disease belongs to Dai Xia. Why? Because she previously had a miscarriage, leaving blood stasis in the lower abdomen that has not resolved. How do we know? The symptom of dry lips and mouth indicates this. Wen Jing Tang (Warming the Menses Decoction) is the primary treatment.
Wen Jing Tang Formula
Wu Zhu Yu (Evodiae Fructus, 3 liang) Dang Gui (Angelicae Sinensis Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Bai Shao (Paeoniae Radix Alba) (each 2 liang) Ren Shen (Ginseng Radix) Gui Zhi (Cinnamomi Ramulus) E Jiao (Colla Corii Asini) Mu Dan Pi (Moutan Cortex) (remove heart) Sheng Jiang (Zingiberis Recens Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 liang) Ban Xia (Pinelliae Rhizoma, half sheng) Mai Men Dong (Ophiopogonis Radix, 1 sheng, remove heart)
These twelve ingredients are decocted in 1 dou of water to obtain 3 sheng. Divide into three warm doses. It also treats cold in the lower abdomen preventing conception; metrorrhagia/metrostaxis, excessive menstrual flow, or amenorrhea.
10. Dai Xia with difficult menstruation, lower abdominal fullness and pain, and menstruation occurring twice a month is treated with Tu Gua Gen San (Trichosanthes Root Powder).
Tu Gua Gen San Formula (Also treats Yin swelling.)
Tu Gua Gen (Trichosanthis Radix) Bai Shao (Paeoniae Radix Alba) Gui Zhi (Cinnamomi Ramulus) E Chong (Eupolyphaga seu Steleophaga) (each 3 fen)
These four ingredients are crushed into powder. Take 1 fang cun bi (square-inch spoonful) with wine, three times daily.
11. The Cun Kou pulse is wiry and large. Wiry indicates decline; large indicates hollow (Kou). Decline implies cold; hollow implies deficiency. Cold and deficiency intertwining is named Ge Pulse (Leather Pulse). In women, this leads to spontaneous abortion or continuous dripping bleeding. Xuan Fu Hua Tang (Inula Flower Decoction) is the primary treatment.
Xuan Fu Hua Tang Formula
Xuan Fu Hua (Inulae Flos, 3 liang) Cong Bai (Allii Fistulosi Bulbus, 14 stems) Xin Jiang (Safflower/Sappan wood essence, a little)
These three ingredients are decocted in 3 sheng of water to obtain 1 sheng. Take all at once.
12. Women with sinking menses and black leukorrhea/dripping bleeding that does not resolve are treated with Jiao Jiang Tang (Gelatin and Ginger Decoction). (Chen Yi et al. note that no formula for Jiao Jiang Tang exists in various editions; it is likely Jiao Ai Tang from the Pregnancy section.)
13. A woman’s lower abdomen is full and distended like a Dun (ancient vessel), with slight difficulty in urination but no thirst, occurring postpartum. This is water and blood binding together in the Blood Chamber. Da Huang Gan Sui Tang (Rhubarb and Kansui Decoction) is the primary treatment.
Da Huang Gan Sui Tang Formula
Da Huang (Rhei Radix et Rhizoma, 4 liang) Gan Sui (Kansui Radix, 2 liang) E Jiao (Colla Corii Asini, 2 liang)
These three ingredients are decocted in 3 sheng of water to obtain 1 sheng. Take all at once; the blood stasis will then pass.
14. Women with obstructed menstruation are treated with Di Dang Tang (Di Dang Decoction). (Also treats men with bladder fullness/urgency due to blood stasis.)
Di Dang Tang Formula
Shui Zhi (Hirudo, 30 pieces, stir-fried) Meng Chong (Tabanidae, 30 pieces, stir-fried, remove wings and legs) Tao Ren (Persicae Semen, 20 pieces, remove skin and tips) Da Huang (Rhei Radix et Rhizoma, 3 liang, soaked in wine)
These four ingredients are powdered. Decoct in 5 sheng of water to obtain 3 sheng. Strain and take 1 sheng warm.
15. Women with amenorrhea and obstruction, persistent hard masses in the viscera, dry blood inside, and leukorrhea are treated with Fan Shi Wan (Alum Pill).
Fan Shi Wan Formula
Fan Shi (Alumen, 3 parts, calcined) Xing Ren (Armeniacae Semen Amarum, 1 part)
These two ingredients are powdered, mixed with refined honey to form pills the size of a jujube pit. Insert into the vagina. For severe cases, re-insert.
16. Women affected by sixty-two types of wind pathogens, and experiencing stabbing pain in the abdomen from blood and qi stagnation, are treated with Hong Lan Hua Jiu (Safflower Wine).
Hong Lan Hua Jiu Formula (Suspected not to be Zhang Zhongjing's original formula.)
Hong Lan Hua (Carthami Flos, 1 liang)
This single ingredient is decocted in 1 da sheng of wine until reduced by half. Take half at once. If unresolved, take the remainder.
17. Women with various abdominal pains are treated with Dang Gui Shao Yao San (Angelica and Paeonia Powder).
Dang Gui Shao Yao San Formula (See in previous Pregnancy section.)
18. Women with abdominal pain are treated with Xiao Jian Zhong Tang (Minor Construct the Middle Decoction).
Xiao Jian Zhong Tang Formula (See in previous Deficiency Labor section.)
19. Question: A woman suffers from normal appetite,烦热 (restless heat), inability to lie flat, and orthopnea (relying on support to breathe). What is the cause? Master says: This is called Zhuan Bao (Displaced Bladder), causing urinary retention because the bladder ligament is twisted. Promoting urination will cure it. Shen Qi Wan (Kidney Qi Pill) is appropriate.
Shen Qi Wan Formula
Gan Di Huang (Rehmanniae Radix Preparata, 8 liang) Shu Yu (Dioscoreae Rhizoma, 4 liang) Shan Zhu Yu (Corni Fructus, 4 liang) Ze Xie (Alismatis Rhizoma, 3 liang) Fu Ling (Poria, 2 liang) Mu Dan Pi (Moutan Cortex, 3 liang) Gui Zhi (Cinnamomi Ramulus) Fu Zi (Aconiti Lateralis Radix Preparata, processed, each 1 liang)
These eight ingredients are powdered, mixed with refined honey to form pills the size of wutong seeds. Take 15 pills with wine, increasing to 25 pills, twice daily.
20. Women with cold in the yin area use suppositories to warm the vagina. She Chuang Zi San (Cnidium Seed Powder) is the primary treatment.
She Chuang Zi San Formula
She Chuang Zi Ren (Cnidii Fructus)
This single ingredient is powdered, mixed with a little white powder, formed into pills the size of a jujube pit, wrapped in silk, and inserted into the vagina. It will naturally produce warmth.
21. If the Shao Yin pulse is slippery and rapid, sores will appear in the yin. If the yin is eroded and ulcerated, Ye Lang Ya Tang (Wolf Tooth Herb Decoction) washes the area.
Ye Lang Ya Tang Formula
Ye Lang Ya (Pyrolae Herba, 3 liang)
This single ingredient is decocted in 4 sheng of water to obtain half a sheng. Wrap the liquid in cotton tied to a stick like a silkworm cocoon, dip in the decoction, and drip/wash the yin area four times daily.
22. When Stomach Qi descends improperly, causing "Yin Chu" (flatulence from the vagina) with loud noise, this is due to excess Gu Qi (Grain Qi/Food stagnation). Gao Fa Jian (Fat and Hair Decoction) guides the treatment.
Gao Fa Jian Formula (See in Jaundice section.)
Xiao Er Gan Chong Shi Chi Fang (Pediatric Malnutrition Worm-Eroded Teeth Formula) (Suspected not to be Zhang Zhongjing's original formula.)
Xiong Huang (Realgar) Ting Li (Descurainiae/Semen Lepidii)
These two ingredients are powdered. Take lard rendered from December pigs, melt it, wrap 4-5 tips of locust branches in cotton, dip in the medicine, and cauterize the teeth.