凡妇人头风眩运，登车乘船，眩运眼涩，手麻发脱，健忘喜怒，皆胸中宿痰所致
。可用瓜蒂散吐之；次以长流水煎五苓散、大人参半夏丸。
凡妇人腰胯痛，两脚麻木，恶寒喜暖，《内经》曰∶风寒湿合而为痹。先可服除湿丹七、八
十丸，量虚实以意加减；次以禹功散投之，泻十余行，清冷积水，清黄涎沫为验；后用长流水煎生
姜、枣，同五苓散服之，风湿散而气血自和也。
凡妇人乳痈发痛者，亦生于心也，俗呼吹奶是也。吹者，风也。风热结于乳房之间，血脉凝
注，久而不散，溃腐为脓。宜用益元散，生姜汤调下，冷服；或新汲水，时时呷之勿辍，昼
夜可三、五十次，自解矣；或煎解毒汤，顿服之。
凡妇人月事沉滞，数月不行，肌肉渐减，《内经》曰∶小肠热已满，移热于大肠
，则伏瘕为沉。沉者，月事沉滞不行，故云“伏瘕”。急宜桃仁承气汤加当归，大作剂料煎服，不过
三服立愈。后用四物汤补之，更宜服宣明中槟榔丸。
凡妇人血崩，或年及四十以上，或悲哀太甚故然。《内经》曰∶悲哀太甚，则心系急，心系
急，则肺举而上焦不通，热气在中。故《经》云∶血崩下，心系者，血山也。如久不愈，则面黄、肌
热、瘦弱，慎不可以热治之。盖血得热而散，故禁之。宜以当归散等药治之。
凡妇人年五十以上，经脉暴下。妇人经血，终于七七之数。数外暴下者，此乃《内经》所谓火主
暴速，亦因暴喜暴怒，忧愁惊恐致然。慎勿作冷病治之。如下峻热药治之必死。止宜黄连解
毒汤以清上，更用莲壳、棕毛灰以渗其下，然后用四物汤、玄胡索散，凉血和经之药也。
凡妇人月事不来，室女亦同，《内经》曰∶谓月事不来，皆是胞脉闭也。胞脉者，属心而络于胞中。
令气上通于肺，心下不通，故月事不来也。可用茶调散吐之；次用玉烛散、芎 汤、三和汤、桂
苓白术散之类，降心火，益肾水，开胃进食，分阴阳，利水道之药皆是也。慎勿服峻热有毒
之药。若服之，变成肺痿，骨蒸潮热，咳嗽咯脓，呕血喘满，小便不利，寝汗不止，渐至形
瘦脉大，虽遇良医，亦成不救。呜呼！人之死者，岂命使之然也。
凡怀孕妇人病疟，可煎白虎汤、小柴胡、柴胡饮子等药。如大便结硬，可用大柴胡汤下。微
利过，不可大吐泻，恐伤其孕也。《经》曰∶夏伤于暑，秋必 疟。
凡双身妇人，伤寒、时气、温疫，头痛身热，可用升麻散一两，水半碗，大作剂料，去滓，分
作二服，先一服吐了，后一服勿吐；次以长流水加生姜、枣，煎五苓散，热服之，汗尽其痛立止。
凡妇人双身，大、小便不利，可用八正散，大作剂料，去滑石，加葵菜子煎服。《经》曰∶
膀胱不利为癃。癃者，小便闭而不通也。如八正散加木香取效更捷。《经》曰∶膀胱气化则能
出焉。然后服五苓散，三、五服则愈矣。
凡妇人身重，九月而喑哑不言者，是胞之络脉不相续也，故不能言。《经》曰∶无治也。然
有是言，不若煎玉烛散二两，水半碗，同煎至七分，去滓，入蜜，放温，时时呷之，令火下降，
肺金自清，故声复出也。肺主声音也。
凡妇人难产者，皆因燥涩紧敛，故产户不得开通。宜先于降诞之月，自月之日，用长流水调
益元散，日三服，产必易。产后亦无一切虚热气血不和之疾。如未入月，则不宜服之，以滑石滑胎故也。
凡妇人大产后，或脐腹腰痛，乃败血恶物之致然也。医者便作虚冷，以燥热药治之，误已久
矣！《难经》曰∶诸痛为实。实者，热也。可用导水丸、禹功散，泻三、五行；然后以玉烛
血通经、降火益水之药治之。独不可便服黑神散燥热之药，当同半产治之。
凡妇人产后心风者，不可便作风治之。宜调胃承气汤二两，加当归半两，细锉，用水三、四
盏，同煎去滓，分作二服，大下三、五行则愈矣。如未愈，以三圣散吐之。盖风狂便属阳。
凡妇人产后一、二日，渐热口干，可用新汲水调玉烛散，或水调甘露散亦妙。勿作虚寒治之。
凡是妇女患头风眩晕，乘车乘船时出现眩晕、眼涩、手麻、脱发、健忘、喜怒无常等症状，都是由于胸中积存的痰饮所致。可以使用瓜蒂散进行催吐；随后用长流水煎煮五苓散和大人参半夏丸服用。
凡是妇女腰胯疼痛，两脚麻木，怕冷喜暖，《内经》说：风寒湿邪结合导致痹证。可以先服用除湿丹七、八十丸，根据虚实情况酌情加减剂量；接着使用禹功散攻下，泻下十余次，以排出清冷的积水和黄浊的涎沫为见效标志；之后用长流水煎煮生姜、大枣，配合五苓散服用，这样风湿散去，气血自然调和。
凡是妇女乳房痈肿疼痛的，病位也在于心，俗称“吹奶”。所谓“吹”，是指风邪。风热结聚在乳房之间，血脉凝滞不通，时间久了不散，溃烂腐败化为脓液。适宜使用益元散，用生姜汤调服，冷服；或者用新汲取的凉水，不时小口饮用不停止，白天黑夜可以喝三、五十次，症状自会解除；或者煎煮解毒汤，一次性顿服。
凡是妇女月经停滞，几个月不来，肌肉逐渐消瘦，《内经》说：小肠的热邪已经满溢，移热于大肠，就会形成伏瘕而变得沉滞。所谓的“沉”，就是月经停滞不行，所以称为“伏瘕”。应当紧急使用桃仁承气汤加入当归，加大剂量煎服，不超过三剂就能立即痊愈。之后用四物汤补养身体，更适宜服用宣明方中的槟榔丸。
凡是妇女血崩，有的到了四十岁以上，有的是因为悲哀太过所致。《内经》说：悲哀太过，会使心系拘急，心系拘急，则肺气上举而上焦不通，热气郁结在中焦。所以《经》说：血崩下行，若涉及心系，就是血山崩漏。如果久治不愈，会出现面色发黄、肌肤发热、身体瘦弱，切记不能用热药治疗。因为血遇热则散乱，所以要禁止使用热药。适宜用当归散等药物治疗。
凡是妇女年过五十，经脉突然大量出血。妇女经血，到七七四十九岁之数就会终结。超出这个年龄突然大量出血的，这是《内经》所说的火性主暴速，也是因突然大喜大怒、忧愁惊恐导致的。千万不要当作寒凉病来治疗。如果用峻烈的热药治疗必定致死。只适宜用黄连解毒汤清泄上焦火热，再用莲壳、棕毛灰渗利下焦湿热，然后用四物汤、玄胡索散，这些是凉血和经的药物。
凡是妇女月经不来，未婚女子也是如此，《内经》说：月经不来，都是胞脉闭塞所致。胞脉，属于心并联络于胞宫。现在气机上通于肺，心气下不通达，所以月经不来。可以用茶调散催吐；随后使用玉烛散、芎䓖汤、三和汤、桂苓白术散之类的药物，这些都是降心火、益肾水、开胃进食、分阴阳、利水道的药物。切记不要服用峻烈有毒的热药。如果服用，会变成肺痿、骨蒸潮热、咳嗽咯脓、呕血喘满、小便不利、盗汗不止，逐渐发展到形体消瘦、脉象大，即使遇到良医，也无法救治。唉！人的死亡，难道是命运使之如此吗？
凡是怀孕的妇女患疟疾，可以煎煮白虎汤、小柴胡汤、柴胡饮子等药物。如果大便干结坚硬，可以使用大柴胡汤攻下。轻微通利即可，不可剧烈吐泻，恐怕伤害胎儿。《经》说：夏天伤于暑气，秋天必然发生疟疾。
凡是身怀六甲的妇女，患伤寒、时气、温疫，出现头痛身热，可以使用升麻散一两，加水半碗，加大剂量煎煮，去渣，分两次服用，先服一次令其呕吐，后一次不要让它引起呕吐；随后用长流水加生姜、大枣，煎煮五苓散，热服，汗出尽后疼痛立即停止。
凡是孕妇大小便不利，可以使用八正散，加大剂量煎煮，去掉滑石，加入葵菜子煎服。《经》说：膀胱气化不利称为癃。癃，就是小便闭阻不通。如果在八正散中加入木香，取效更快。《经》说：膀胱气化正常才能排尿。然后服用五苓散，三、五剂就能痊愈。
凡是妇女身体沉重，怀孕九月出现声音嘶哑不能说话的，是胞宫的络脉不相接续所致，所以不能说话。《经》说：不需要治疗。然而如果有这种言论，不如煎煮玉烛散二两，加水半碗，同煎至七分，去渣，加入蜂蜜，放温，不时小口饮用，使火气下降，肺金自然清净，所以声音恢复。因为肺主声音。
凡是妇女难产的，都是因为产道干燥涩滞紧缩，所以产户不得开通。适宜先在预产之月，从该月开始，用长流水调服益元散，每天三次服用，生产必定容易。产后也不会出现各种虚热、气血不和的疾病。如果还没到预产月，就不宜服用，因为滑石有滑胎的作用。
凡是妇女大产后，出现脐腹腰痛，这是败血恶物导致的。医生就当作虚冷证，用燥热药治疗，错误已经很久了！《难经》说：各种疼痛属于实证。实，就是热证。可以使用导水丸、禹功散，泻下三、五次；然后用玉烛散等通经、降火、益水的药物进行治疗。唯独不可以直接服用黑神散这类燥热的药物，应当像治疗半产一样处理。
凡是妇女产后患心风病，不可以简单地按风病治疗。适宜用调胃承气汤二两，加入当归半两，细细切碎，用水三、四盏，同煎去渣，分两次服用，大便泻下三、五次就能痊愈。如果没好，用三圣散催吐。因为风狂便属于阳证。
In cases where women suffer from head wind (Toufeng) and vertigo, experiencing dizziness, dry eyes, numbness in the hands, hair loss, forgetfulness, and mood swings when riding in carriages or boats, these symptoms are all caused by phlegm-fluids retained in the chest. One may use Gudi San (Melon Peduncle Powder) to induce vomiting; subsequently, administer Wuling San (Five-Ingredient Poria Decoction) and Darenshen Banxia Wan (Ginseng and Pinellia Pill) decocted in long-flowing water.
For women suffering from pain in the waist and hips, numbness in both legs, aversion to cold and preference for warmth, as stated in the *Neijing* (Classic of Internal Medicine): "Wind, cold, and dampness combine to form Bi syndrome" (Obstruction syndrome). Initially, one may take Shichu Dan (Dampness-Expelling Pill), 70–80 pills, adjusting the dose according to deficiency or excess. Next, administer Yugong San (Yu Gong Powder) to purge, aiming for more than ten bowel movements; the expulsion of clear, cold accumulated fluid and yellowish frothy saliva indicates efficacy. Afterwards, decoct fresh ginger and jujube in long-flowing water and take it together with Wuling San (Five-Ingredient Poria Decoction); this disperses wind-dampness and naturally harmonizes Qi and Blood.
Regarding breast abscesses causing pain in women, the pathology also resides in the Heart, commonly known as "Chui Nai" (Blowing Milk). "Chui" refers to wind pathogen. Wind-heat accumulates between the breasts, causing blood vessels to coagulate and stagnate; over time, if not resolved, it ulcerates and rots into pus. It is appropriate to use Yiyuan San (Yi Yuan Powder), taken with ginger juice tea, served cold; or sip newly drawn cool water frequently without stopping, three to fifty times day and night, until relief occurs; alternatively, decoct Jiedu Tang (Detoxification Decoction) and take it in one dose.
When women experience menstrual stagnation, with menses absent for several months and gradual emaciation, the *Neijing* states: "Heat in the Small Intestine is full and transfers heat to the Large Intestine, resulting in Fu Xia" (Hidden Mass) becoming stagnant. "Chen" (Sinking/Stagnant) refers to the stagnation of menstruation, hence termed "Fu Xia". Urgent treatment with Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) added with Dang Gui (Angelica Sinensis) is required, prepared in a large dose; recovery will occur within no more than three doses. Subsequently, tonify with Si Wu Tang (Four Substance Decoction), and it is advisable to also take Bing Lang Wan (Areca Seed Pill) from the Xuanming formulas.
For women suffering from metrorrhagia (blood flooding), whether aged forty or above, or caused by excessive grief, the *Neijing* states: "Excessive grief causes the Heart Tie (Heart Tendon/Connection) to contract; contraction of the Heart Tie causes the Lung to rise, blocking the Upper Jiao, leading to heat accumulation in the middle." Thus, the classics say: "Downward flow of blood involving the Heart Tie constitutes 'Blood Mountain' (severe hemorrhage)." If chronic and unhealed, symptoms include sallow complexion, hot skin, and emaciation; one must strictly avoid heat-inducing treatments. Since blood scatters when exposed to heat, such methods are contraindicated. Treatment should employ Dang Gui San (Angelica Powder) and similar remedies.
For women over fifty experiencing sudden heavy vaginal bleeding, which exceeds the normal cessation of menstruation at the age of forty-nine (seven sevens), this aligns with the *Neijing*'s principle that "Fire governs sudden speed," often triggered by sudden joy, anger, worry, or fear. Do not treat this as a cold condition. Using harsh heat-inducing drugs will certainly lead to death. Instead, clear the upper burner with Huanglian Jiedu Tang (Coptis Detoxification Decoction), use Lotus Shell and Charred Palm Fiber Ash to drain dampness from the lower burner, and then administer Si Wu Tang (Four Substance Decoction) and Yanhusuo San (Corydalis Powder), which are cooling-blood and meridian-harmonizing agents.
When women, including unmarried maidens, do not have their menses, the *Neijing* states: "This is due to the closure of the Bao Mai" (Uterine Vessels). The Bao Mai belongs to the Heart and connects to the Uterus. Currently, Qi ascends to connect with the Lung, but Heart Qi fails to descend, thus preventing menstruation. One may use Chatiao San (Tea-Regulating Powder) to induce vomiting; subsequently, use Yuzhu San (Jade Candle Powder), Xiong Tang (Ligusticum Decoction), Sanhe Tang (Three-Harmony Decoction), or Guiling Baizhu San (Cinnamon, Poria, and Atractylodes Macrocephala Powder) to reduce Heart Fire, nourish Kidney Water, stimulate appetite, differentiate Yin and Yang, and promote urination. Strictly avoid harsh, toxic heat-inducing drugs. Ingestion may transform the condition into Fei Wei (Lung Atrophy), bone-steaming tidal fever, cough with purulent sputum, hematemesis, wheezing and distension, difficult urination, and continuous night sweats, progressing to emaciation and a large pulse; even with a skilled physician, it becomes incurable. Alas! Is human death truly determined by fate?
For pregnant women suffering from malaria, one may decoct Baihu Tang (White Tiger Decoction), Xiao Chaihu Tang (Minor Bupleurum Decoction), or Chaihu Yinzi (Bupleurum Drink). If the stool is hard and constipated, Da Chaihu Tang (Major Bupleurum Decoction) may be used to purge. Mild purgation is sufficient; severe vomiting or purging must be avoided to prevent harming the pregnancy. The classics state: "Summer injury by summer-heat leads to autumn malaria."
For pregnant women suffering from Shanghan (Cold Damage), Shi Qi (Seasonal Epidemic), or Wen Yi (Warm Epidemic), presenting with headache and fever, one may use Shengma San (Cimicifuga Powder), one liang, decocted in half a bowl of water in a large dose, strained, and divided into two doses. The first dose induces vomiting; the second does not. Subsequently, decoct Wuling San (Five-Ingredient Poria Decoction) with fresh ginger and jujube in long-flowing water, take it hot; once sweating is complete, the pain stops immediately.
For pregnant women with difficulty in urination and defecation, Bazheng San (Eight-Righteousness Powder) may be used in a large dose, omitting Huashi (Talcum), and adding Kuicai Zi (Malva Seeds). The classics state: "Bladder dysfunction is called Long" (Urinary retention). Long refers to the obstruction and non-passage of urine. Adding Muxiang (Aucklandia Root) to Bazheng San accelerates efficacy. The classics state: "The Bladder excretes through Qi transformation." Subsequently, take Wuling San (Five-Ingredient Poria Decoction); three to five doses will result in cure.
For women whose bodies feel heavy and who become aphasic (mute) in the ninth month of pregnancy, this is due to the discontinuity of the collateral vessels of the Uterus, hence the inability to speak. The classics state: "No treatment is needed." However, rather than ignoring this, one may decoct Yuzhu San (Jade Candle Powder), two liang, in half a bowl of water until reduced to seven-tenths, strain, add honey, warm, and sip occasionally to direct Fire downward, clearing Lung Metal, thereby restoring voice, as the Lung governs sound.
For women suffering from dystocia (difficult labor), caused by dryness, astringency, and tightness preventing the opening of the birth canal, it is advisable to start in the month of expected delivery. From the beginning of that month, take Yiyuan San (Yi Yuan Powder) mixed with long-flowing water, three times daily, ensuring easy delivery. Postpartum, various deficiencies, heat, and Qi-Blood disharmony will be prevented. If taken before the due month, it is contraindicated because Huashi (Talcum) has a slippery effect on the fetus.
After major postpartum hemorrhage, if umbilical, abdominal, or lower back pain occurs, it is caused by retained evil blood and foul matter. Physicians mistakenly treating this as deficiency-cold using drying-hot drugs have been in error for a long time. The *Nanjing* (Classic of Difficult Issues) states: "All pain is Excess. Excess implies Heat." One may use Daoshui Wan (Water-Guiding Pill) or Yugong San (Yu Gong Powder) to purge three to five times; then treat with Yuzhu San (Jade Candle Powder) and other herbs that unblock meridians, descend fire, and benefit water. One must not directly use Heishen San (Black Divine Powder) or other drying-hot drugs; it should be treated similarly to miscarriage management.
For postpartum women suffering from Xin Feng (Heart Wind), do not simply treat it as generic Wind disease. Use Tiaowei Chengqi Tang (Regulate the Stomach Decoction to Order the Qi), two liang, added with Dang Gui (Angelica Sinensis), half a liang, finely chopped, decocted in three to four bowls of water, strained, and divided into two doses. Profuse purgation of three to five stools will cure it. If unresolved, use Sansheng San (Three-Saints Powder) to induce vomiting. This is because manic wind belongs to Yang.
For postpartum women, one or two days after delivery, experiencing gradual fever and dry mouth, one may mix Yuzhu San (Jade Candle Powder) with newly drawn cool water, or Ganlu San (Sweet Dew Powder) mixed with water, which is also excellent. Do not treat this as deficiency-cold.