女子有在家未嫁，月经忽断，腹大如妊，面色乍赤乍白，六脉乍大乍小，人以为血结经闭也，谁知是灵鬼凭身
乎！夫人之身正，则诸邪不敢来侵；其身不正，则诸邪自来犯，或精神恍惚而梦里求亲，或眼目昏花而对面相狎，或
假托亲属而暗处贪欢，或明言仙人而静地取乐。其始则惊诧为奇遇而不肯告人，其后则报郝为淫亵而不敢告人。日
久年深，腹大如斗，有如怀妊之状，一身之精血仅足以供腹中之邪，则邪日旺而正日衰，势必至经闭而血枯，后虽欲
导其经而邪据其腹则经亦难通，欲生其血而邪食其精，则血实难长。医以为胎而实非真胎，又以为瘕而亦非瘕病，
往往因循等待，非因羞愤而亡其生，则成劳瘵而终不起，至死不悟，不重可悲哉！治法似宜补正以祛邪，然邪不先
去，补正亦无益也。必须先祛邪而后补正，斯为得之。
方用荡邪散。
雷丸（六钱） 桃仁（六十粒） 当归（一两） 丹皮（一两） 甘草（四钱）
水煎服。一剂必下恶物半桶，再服调正汤治之。
白术（五钱） 苍术（五钱） 茯苓（三钱） 陈皮（一钱） 贝母（一钱） 薏米（五钱）
水煎服。连服四剂则脾胃之气转而经水渐行矣。前方荡邪后方补正，实有次第。或疑身怀鬼胎，必大伤其血，
所以经闭。今既坠其鬼胎矣，自当大补其血。乃不补血而反补胃气何故？盖鬼胎中人，其正太虚，可知气虚则血
必不能产生。欲补血，必先补气，是补气而血自然生也。用二术以补胃阳，阳气旺则阴气难犯，尤善后之妙法也。
倘重用补阴之品，则以阴招阳，吾恐鬼胎虽下而鬼气未必不再侵，故必以补阳为上策，而血自随气而生也。
眉批∶此方阴骘大矣！见有因此病羞愤而蹈于非命，劳瘵而丧于少年，深为可悯。若服此方不应，宜服桂香
平胃散，无不见效，愈后宜调养气血，节饮食。
肉桂（去粗皮一钱） 麝香（一钱）
以上二味，共研细末，开水为丸，如桐子大，空心开
水下，服后半日时，煎平胃散一剂服之。
苍术（米泔炒，三钱） 浓朴（二钱，姜汁炒） 广皮（一钱） 枳实（二钱，土炒） 全当归（三钱，酒洗） 川
芎（一钱，酒洗）
服后必下恶物，若不见下恶物，次日再服平胃散，不用桂、香。
歌括∶室女未嫁腹如妊，误认胎瘕俱非真。
实未与人偕云雨，淫邪鬼祟暗戏人。
治法宜用荡邪散，桃仁当归与雷丸。
丹皮甘草水煎服，祛邪补正病自痊。
鬼胎落后血分伤，宜投白术调正汤。
茯苓陈皮薏贝母，连服气旺血亦旺。
女子中有在家未出嫁的，月经突然中断，腹部胀大如同怀孕，面色时而发红时而发白，六脉（寸、关、尺三部，左右手共六处）时而大而时而小，人们以为是血结导致的经闭症，哪里知道这是灵鬼附身呢！人的身体正气充足，那么各种邪气就不敢来侵犯；如果身体正气不正，那么各种邪气就会自动来犯。有的精神恍惚而在梦中寻求配偶，有的眼目昏花而对着面对面的人调情，有的假托是亲属而在暗处贪求欢愉，有的明言是仙人而在安静处取乐。起初则惊讶地认为是奇遇而不肯告诉别人，后来则因感到羞耻和亵渎而不敢告诉别人。日子久了，年份深了，腹部胀大如斗，有如同怀孕的样子，全身的精血仅够供给腹中的邪气，那么邪气日益旺盛而正气日益衰弱，势必导致经闭而血液枯竭。后来虽然想要引导月经通畅，但邪气占据腹部，那么月经也难以通利；想要生养血液，但邪气吞噬精气，那么血液实在难以生长。医生误以为是胎孕而实际上并非真胎，又以为是癥瘕积聚而也不是普通的癥瘕病，往往因为拖延等待，不是因羞愧愤懑而丧命，就是形成劳瘵（慢性消耗性疾病）而最终无法治愈，直到死都不醒悟，不也是极其可悲吗！治疗方法似乎应该先补益正气以祛除邪气，然而如果不先去除邪气，补益正气也没有益处。必须先祛除邪气而后补益正气，这才是得当的方法。
方剂用荡邪散。
雷丸（六钱） 桃仁（六十粒） 当归（一两） 丹皮（一两） 甘草（四钱）
用水煎服。一剂药后必然排出恶物半桶，再服用调正汤来调理。
白术（五钱） 苍术（五钱） 茯苓（三钱） 陈皮（一钱） 贝母（一钱） 薏米（五钱）
用水煎服。连续服用四剂，脾胃之气就会转旺，月经也会逐渐通行。前方荡涤邪气，后方补益正气，确实有先后次序。有人怀疑身怀鬼胎，必定大量损伤血液，所以导致经闭。现在既然堕落了鬼胎，自然应当大补其血液。为什么不补血反而补胃气呢？这是因为鬼胎中的人，正气太虚弱，可知气虚则血液必定不能产生。想要补血，必须先补气，这是补气而血液自然生成的道理。用白术和苍术来补益胃阳，阳气旺盛则阴气难以侵犯，这更是善后治疗的妙法。倘若重用补阴的药物，则是以阴招引阳气，我恐怕鬼胎虽然排下，但鬼气未必不再侵袭，所以必须以补阳为上策，而血液自然会随着气的生成而生。
眉批：这个方子的阴德很大啊！看见有人因为这个病羞愧愤懑而死于非命，或因劳瘵而在少年时丧生，深为怜悯。如果服用此方没有效果，适宜服用桂香平胃散，没有不见效的，痊愈后宜调养气血，节制饮食。
肉桂（去掉粗皮一钱） 麝香（一钱）
以上两味药，共同研成细末，用开水调和做成丸药，如梧桐子大小，空腹时用开水送服，服药后半个时辰，煎服平胃散一剂。
苍术（米泔水炒，三钱） 浓朴（二钱，姜汁炒） 广皮（一钱） 枳实（二钱，土炒） 全当归（三钱，酒洗） 川芎（一钱，酒洗）
服用后必然排出恶物，如果不见排出恶物，第二天再服用平胃散，不用肉桂和麝香。
歌括：
室女未嫁腹如妊，误认胎瘕俱非真。
实未与人偕云雨，淫邪鬼祟暗戏人。
治法宜用荡邪散，桃仁当归与雷丸。
丹皮甘草水煎服，祛邪补正病自痊。
鬼胎落后血分伤，宜投白术调正汤。
茯苓陈皮薏贝母，连服气旺血亦旺。
A young woman who has not yet married may experience a sudden cessation of menstruation, with her abdomen distended as if pregnant, her complexion alternating between red and pale, and her six pulses (Cun, Guan, Chi positions on both hands) varying in size from large to small. People assume this is amenorrhea due to blood stasis, but little do they know it is possession by a spirit! When the body's upright Qi (vital energy) is strong, various pathogenic factors dare not invade; however, if the body's Qi is deficient or disordered, pathogens will naturally attack. Some may have vague spirits and seek partners in dreams, some may see blurriness and flirt with people face-to-face, some may impersonate relatives to secretly indulge in lust, and some may claim to be immortals to find pleasure in quiet places. Initially, they are startled by what they consider a fortunate encounter and keep it secret; later, ashamed of the indecency, they dare not tell anyone. As days pass and years accumulate, the abdomen becomes as large as a bushel, resembling pregnancy. The essence and blood of the entire body are barely sufficient to nourish the evil within the abdomen, causing the pathogen to grow stronger daily while the healthy Qi weakens. This inevitably leads to amenorrhea and blood exhaustion. Later, even if one attempts to regulate the menses, the pathogen occupies the abdomen, making menstrual flow difficult to restore; even if one tries to generate blood, the pathogen consumes the essence, making blood regeneration nearly impossible. Physicians mistake it for a true fetus when it is not, or for a mass (Zheng-Jia accumulation) when it is not a typical mass. Often, due to procrastination, patients either die from shame and indignation or succumb to consumptive diseases (Lao-Zhai) in their youth, never realizing the truth until death. Is this not truly pitiable? The treatment method seems to suggest tonifying the upright Qi to expel the pathogen; however, if the pathogen is not first removed, tonifying the upright Qi is of no benefit. One must first expel the pathogen and then tonify the upright Qi; this is the correct approach.
The formula used is Dangxie San (Evil-Expelling Powder).
Marasmius mylittae (6 qian), Peach Kernel (60 grains), Angelica sinensis (1 liang), Moutan Cortex (1 liang), Licorice Root (4 qian).
Decoct in water and take orally. After one dose, half a bucket of foul matter will be discharged. Subsequently, treat with Tiaozheng Tang (Regulating Decoction).
Atractylodes macrocephala (5 qian), Atractylodes lancea (5 qian), Poria (3 qian), Tangerine Peel (1 qian), Fritillaria Bulb (1 qian), Coix Seed (5 qian).
Decoct in water and take orally. After four consecutive doses, the Qi of the Spleen and Stomach will strengthen, and menstruation will gradually resume. The former formula expels evil, and the latter tonifies upright Qi; there is indeed a proper sequence. Some doubt that carrying a "ghost fetus" must severely damage the Blood, causing amenorrhea. Now that the ghost fetus has been expelled, should one not greatly tonify the Blood? Why tonify Stomach Qi instead? Because the person harboring the ghost fetus has extremely deficient upright Qi. It is known that Qi deficiency leads to an inability to produce Blood. To tonify Blood, one must first tonify Qi; thus, tonifying Qi allows Blood to generate naturally. Using Atractylodes macrocephala and Atractylodes lancea tonifies Stomach Yang. When Yang Qi is robust, Yin pathogens cannot easily invade, which is a superb method for post-treatment care. If one were to heavily use Yin-tonifying herbs, it would attract Yang Qi through Yin. I fear that although the ghost fetus might be expelled, the ghostly Qi might invade again. Therefore, tonifying Yang is the best strategy, allowing Blood to follow Qi in generation.
Marginal Note: This formula accumulates great merit! Seeing people die prematurely out of shame and indignation due to this illness, or perish in their youth from consumptive disease, is deeply pitiable. If this formula is ineffective, Guixiang Pingwei San (Cinnamon and Musk Pingwei Powder) should be taken, which is invariably effective. After recovery, one should regulate Qi and Blood and control diet.
Cinnamon Bark (de-barked, 1 qian), Moschus (1 qian).
Grind these two ingredients into fine powder, mix with boiled water to form pills the size of Torreya seeds. Take on an empty stomach with warm water. Half an hour after taking the pills, decoct and take one dose of Pingwei San.
Atractylodes lancea (stir-fried with rice wash water, 3 qian), Magnolia Bark (2 qian, stir-fried with ginger juice), Tangerine Peel (1 qian), Immature Bitter Orange (2 qian, stir-fried with soil), Whole Angelica sinensis (3 qian, washed with wine), Ligusticum chuanxiong (1 qian, washed with wine).
After taking, foul matter will be discharged. If no foul matter is discharged, take Pingwei San again the next day, without Cinnamon and Musk.
Verse:
A maiden unmarried, abdomen like pregnancy,
Mistaken for fetus or mass, neither is true.
Never having joined in sexual union with a man,
Lewd evils and ghosts secretly play upon her.
Treatment should employ Dangxie San,
With Peach Kernel, Angelica, and Marasmius.
Moutan and Licorice, decocted in water,
Expel evil, tonify upright Qi, and the disease heals itself.
After the ghost fetus falls, the Blood aspect is injured,
Use Baizhu Tiaozheng Tang.
Poria, Tangerine Peel, Coix, and Fritillaria,
Continuous intake strengthens Qi, and Blood also flourishes.