（治法皆与男子相同但热入血室与胎前产后则不同也）
妇人伤寒。经水适来。昼则明了。夜则谵语。此名热入血室。（小柴胡汤加生地丹皮归
尾枳壳）妊娠伤寒。安胎为主。不可过于汗下。有表者。（羌活冲和汤加当归芍药）燥渴便闭。（小
承气汤大黄须酒炒）直中寒症。（理中汤加桂）护胎法。（井底泥青黛伏龙肝等分加面少许水调
涂脐下二寸许干则再涂）产后伤寒。血气空虚。勿轻汗下。有表症者。（四物汤加羌活苏叶苍
术葱头）燥渴便闭。（四物汤加枳壳酒炒大黄浓朴）汗下太过。遂变郁冒昏迷。筋惕肉 。（八珍汤
加干姜主之）
桂枝 芍药 甘草 生姜 大枣
太阳中风。阳浮者。热自发。阴弱者。汗自出。啬啬恶寒。淅淅恶风。翕翕发热者。此
方
自汗。风邪干卫者。乃为相宜。仲景以解肌为轻。发汗为重。故汗吐下后身痛者津液耗也。
虽有表邪。止可用桂枝解肌也。内经曰。风淫于内。以辛散之。以酸收之。以甘缓之故以桂
枝为君。芍药为臣。甘草为佐。姜枣为使。姜枣行脾之津液。而和营卫者也。麻黄汤。不用
姜枣者。为其专于发汗。不待行化。津液自通耳。桂枝麻黄二汤。为冬月伤寒而设。若春温
夏热之病。决不可用。
麻黄 桂枝 甘草 杏仁
主太阳头痛。发热身疼。腰痛。骨节痛。恶寒。无汗而喘。 本草云。轻可去实。麻黄
是也
枝所能独散。所以为臣。内经曰。寒淫于内。治以甘热。佐以辛苦。甘草甘平。杏仁甘
苦。用以为佐。经所谓肝苦急急食甘以缓之也。且桂枝汤。治风伤卫。则卫实营弱。故佐以芍药
。和其营血也。麻黄汤。治寒伤营。则营实卫虚。故佐以杏仁利其卫气也。
（治疗方法大多与男子相同，但热邪侵入血室以及妊娠、产后期间的处理则有所不同。）
妇女患伤寒。正值月经来潮。白天神志清醒。夜晚出现胡言乱语。这称为热入血室。（用小柴胡汤加生地黄、牡丹皮、当归尾、枳壳）妊娠期患伤寒。以安胎为主。不可过度使用发汗或攻下法。若有表证者。（用羌活冲和汤加当归、芍药）若见口干渴、大便闭结。（用小承气汤，大黄需用酒炒）若是寒邪直中脏腑的寒证。（用理中汤加桂枝）保护胎儿的方法。（用井底泥、青黛、伏龙肝各等分，加少许面粉，用水调匀后涂抹在脐下约两寸处，干了再涂）产后患伤寒。气血空虚。不要轻易使用发汗或攻下法。若有表证者。（用四物汤加羌活、紫苏叶、苍术、葱白）若见口干渴、大便闭结。（用四物汤加枳壳、酒炒大黄、厚朴）若发汗或攻下太过。导致变为郁冒昏迷。肌肉跳动抽搐。（用八珍汤加干姜主治）
太阳中风证。脉象浮取有力（阳浮）。发热自然发生。脉象沉取无力（阴弱）。汗液自然流出。怕冷轻微（啬啬恶寒）。怕风轻微（淅淅恶风）。发热如羽毛覆盖般温和（翕翕发热）。这是本方适用的证候。自汗出。因风邪干扰卫气者。适宜使用此方。张仲景认为解肌作用较轻。发汗作用较重。所以在汗、吐、下法之后身体疼痛者。是津液耗损所致。即使有表邪。只可用桂枝汤解肌。《内经》说。风邪内侵。用辛味药发散它。用酸味药收敛它。用甘味药缓和它。所以用桂枝为君药。芍药为臣药。甘草为佐药。姜枣为使药。姜枣运行脾脏的津液。从而调和营卫。麻黄汤。不用姜枣的原因。是因为它专门用于发汗。不需要通过姜枣来运化。津液自然通畅罢了。桂枝汤和麻黄汤。是为冬季伤寒而设立的。如果是春季温病、夏季热病。绝对不可使用。
主治太阳经头痛。发热身疼。腰痛。骨节痛。恶寒。无汗且气喘。本草书说。轻扬的药物可以去除实邪。麻黄就是这样的药物。桂枝枝条能够单独发散邪气。所以作为臣药。《内经》说。寒邪内侵。用甘热药治疗。用辛苦药辅助。甘草味甘平。杏仁味甘苦。用作佐药。经文所说肝脏苦于急迫。急食甘味药以缓和他。况且桂枝汤。治疗风伤卫分。则是卫气实而营血弱。所以佐以芍药。调和其营血。麻黄汤。治疗寒伤营分。则是营气实而卫气虚。所以佐以杏仁利导其卫气。
(The treatment methods are generally the same as for men, but differ when heat enters the Blood Chamber or during pregnancy and postpartum.)
When a woman contracts Cold Damage (Shanghan) while her menstrual flow is just beginning. She is lucid during the day. But speaks deliriously at night. This is called Heat Entering the Blood Chamber (a condition where pathogenic heat invades the uterus/blood chamber). (Use Xiaochaihu Tang [Minor Bupleurum Decoction] with added Shengdi Huang [Rehmanniae Radix], Mudan Pi [Moutan Cortex], Danggui Wei [Angelicae Sinensis Radix], and Zhike [Aurantii Fructus].) During pregnancy, if one contracts Cold Damage. The primary principle is to calm the fetus. One must not overuse diaphoresis (sweating) or purgation (downward draining). If there are exterior symptoms. (Use Qianghuo Chonghe Tang [Notopterygium Harmonizing Decoction] with added Danggui [Angelicae Sinensis Radix] and Shaoyao [Paeoniae Radix].) If there is dryness, thirst, and constipation. (Use Xiao Chengqi Tang [Minor Order the Qi Decoction]; the Dahuang [Rhei Radix et Rhizoma] must be stir-fried with wine.) If it is a direct transmission of cold pathogens (Zhizhong Hanzheng). (Use Lizhong Tang [Regulate the Middle Decoction] with added Guizhi [Cinnamomi Ramulus].) Methods to protect the fetus. (Mix Jingdini [Mud from the bottom of a well], Qingdai [Indigo Naturalis], and Fulonggan [Fired Long-stone Soil] in equal parts. Add a little flour. Mix with water. Apply to the area two cun below the umbilicus. Reapply when dry.) After childbirth, if one contracts Cold Damage. The blood and qi are deficient. Do not lightly use diaphoresis or purgation. If there are exterior symptoms. (Use Siwu Tang [Four Substances Decoction] with added Qianghuo [Notopterygii Rhizoma et Radix], Ziyey [Perillae Folium], Cangzhu [Atractylodis Rhizoma], and Congtou [Allii Fistulosi Bulbus].) If there is dryness, thirst, and constipation. (Use Siwu Tang [Four Substances Decoction] with added Zhike [Aurantii Fructus], Jiuchao Dahuang [Rhei Radix et Rhizoma fried with wine], and Houpo [Magnoliae Officinalis Cortex].) If diaphoresis or purgation was excessive. It may transform into Yu Mao Hunmi (depression, dizziness, coma, and confusion). With muscle twitching and tremors. (Treat with Bazhen Tang [Eight Treasures Decoction] with added Ganjiang [Zingiberis Rhizoma].)
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus)
In Taiyang Wind Strike (Taiyang Fengzhong). When the yang pulse floats. Fever arises spontaneously. When the yin pulse is weak. Sweat flows spontaneously. There is slight aversion to cold (Sese Ehan). Slight aversion to wind (Xixi Efeng). And mild fever like feathers covering (Xixi Fare). This formula is indicated. For spontaneous sweating. Caused by wind pathogens interfering with the Defensive Qi (Wei Qi). It is appropriate. Zhang Zhongjing considered resolving the muscle layer (Jieji) to be mild, while inducing sweating (Fahan) to be heavy. Therefore, after sweating, vomiting, or purging, body pain indicates consumption of body fluids. Even if exterior pathogens remain, only Guizhi Tang should be used to resolve the muscle layer. The *Neijing* states: "For wind invading internally, disperse with acrid flavors, astringe with sour flavors, and moderate with sweet flavors." Thus, Guizhi is the Sovereign (Jun) herb. Shaoyao is the Minister (Chen) herb. Gancao is the Assistant (Zuo) herb. Ginger and Jujube are the Envoy (Shi) herbs. Ginger and Jujube circulate the spleen's fluids and harmonize the Ying (Nutritive) and Wei (Defensive) levels. Mahuang Tang does not use ginger and jujube because its purpose is solely to induce sweating; it does not rely on transformation via these herbs, as fluids will naturally circulate. Guizhi Tang and Mahuang Tang were established for winter Cold Damage. They absolutely must not be used for spring warm diseases or summer heat diseases.
Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum)
It primarily treats Taiyang headache. Fever and body ache. Lower back pain. Joint pain. Aversion to cold. Anhidrosis (no sweat) and wheezing. Materia Medica states: "Light substances can remove excess/stagnation. Mahuang is such a substance." Guizhi branches can independently disperse pathogens. Therefore, it serves as the Minister herb. The *Neijing* states: "For cold invading internally, treat with sweet-hot substances, assist with acrid-bitter substances." Gancao is sweet and neutral. Xingren is sweet and bitter. They are used as Assistant herbs. As the classics say: "When the Liver suffers from urgency, eat sweet substances to moderate it." Furthermore, Guizhi Tang treats wind injuring the Wei level. In this case, the Wei is excess and the Ying is weak. Therefore, Shaoyao is added to harmonize the Ying blood. Mahuang Tang treats cold injuring the Ying level. In this case, the Ying is excess and the Wei is deficient. Therefore, Xingren is added to benefit/drain the Wei qi.