四物加桂汤 治忽然寒热。
川芎 当归（洗，焙） 芍药 地黄（焙） 桂心（等分）
上为散。每服五钱，水二盏，煎至一盏，去滓温服。 史载之《指南方》内无川芎。
葶苈丸 治先因小便不利，后身面浮肿，致经血不行，此水乘于血，名曰水分。
甜葶苈（炒） 续随子（去皮，研，各半两） 干笋（一两）
上为细末，熟枣肉和丸，如梧桐子大。煎扁竹汤下七粒。如大便利者，减葶苈、续随子
各一分，加白术半两，食后服。
牡丹丸 治经候时行时止，或淋漓不断，腹中时痛，其脉沉涩，由寒热邪气客于胞中，
留而为血滞，当有所去乃愈。
大黄（蒸） 附子（炮，去皮脐） 茯苓 牡蒙 牡丹皮 桔梗（各二两） 芎 人
参浓
朴（去皮，姜汁涂，炙） 当归（焙，各半两） 甜葶苈（炒，各二两） 椒（去目，炒出
汗，半两） 虻虫（去头足翅，五十个） 吴茱萸（炒） 柴胡（去苗） 干姜 桂（去心，
各半两）
细辛（去苗，
上为细末，炼蜜和丸，如梧桐子大。酒下十粒，未知，加至二十粒，食后服。
小蓟汤 治经候过多，遂至崩漏，色鲜明如水下，得温则烦，至于昏闷，其脉数疾微小
为顺，大者逆，由阴虚阳搏，为热所乘，伤于冲任，血得热则流散，冲任不能收也。
小蓟茎叶（洗、切、研，服汁，一盏） 生地黄汁（一盏） 白术（半两，细锉）
上以水一盏同煎。取一半，去滓，分二服。
人参白术散 治妇人经候不来，身如病而无病，脉滑大而六位俱匀，谓之阴搏阳，有子
也。精神如故，恶闻食臭，但嗜一物，或大吐，时吐清水，此名恶阻，毋作他病治之。
白术（一两） 人参（半两） 丁香 甘草（炙，各一分）
上为末。每服三钱，水一盏，生姜三片，同煎至七分，去滓，食前温服。
秦艽散 治胎动不安。
秦艽 阿胶（炒） 艾叶（等分）
上为散。每服五钱，水二盏，糯米百粒，同煎至一盏，去滓温服。
白术散 治妊娠面目肿，如水状。
橘皮（洗） 大腹皮 茯苓 生姜（各半两） 白术（一两）
上为末。饮调方寸匕， 食前服。
兔血散 治难产最要，临产服之。
腊兔血
上用蒸饼，切片子，蘸血阴干为末。煎乳香汤，调服二钱。
半夏散 治胎死腹中，其母面赤舌青者是。
半夏（汤洗七遍，薄切片，姜汁浸三日，炒干）
上为末。温酒调下一钱。不能酒，用汤。亦治横生逆产。
桃仁汤 治恶露顿绝或渐少，腰重痛，下注两股，刺痛如锥刀刺，此留血于经络，不即
通之，大有痛处必作痈肿。
苏木 地黄 桃仁（去皮尖，炒，各半两） 虻虫（去头足翅，炒） 水蛭（炒，各三
十枚）
上为散。每服五钱，水二盏，煎至一盏，去滓温服，恶露行即住服。
五香汤 治同前。
木香 丁香 沉香 乳香 麝香 升麻 独活 连翘 桑寄生 木通（各二两） 大
黄（
一两）
上为散。每服五钱，水二盏，煎至一盏，去滓，食后温服。
没药丸 治恶露方行，忽然断绝，骤作寒热，脐腹大痛，胸中如以针刺，此大有蓄血留
于经络。
当归（焙，一两） 桂心 芍药（各半两） 没药（一分） 桃仁（去皮尖，炒，一分）
虻虫
（去头足翅，炒） 水蛭（炒，各三十枚）
上为细末，醋糊丸，如梧桐子大。醋汤下三丸。
皂角散 治乳妇吹奶，由哺儿时，鼻气冲乳中，忽然肿硬痛急，手揉，服皂角散、栝蒌
散及敷药。不即治之，结痈脓，能杀人。
皂角（烧，细研） 蛤粉（研，等分）
上研细，热酒调一匙或半钱，急以手揉之，取软为度。
瓜子汤 治肠头如以针刺，连谷道。又因痔痛，小便如淋状，时寒时热，此由产时用力
气并肠间。亦由阴虚，邪热乘客留聚肠间，热结恐成肠痈。
袁当时《大方》云∶崔左丞屡用有效。
薏苡仁（炒，四两） 桃仁（去皮尖） 牡丹皮（各三两） 瓜子（一两）
上为末。每服五钱，水二盏，煎至一盏，去滓温服。
皇清嘉庆十有三年岁在着雍执徐阳月照文张海鹏较梓
四物加桂汤：治疗突然出现的寒热交替症状。
川芎、当归（洗净，焙干）、芍药、地黄（焙干）、桂心（各等分）。
将上述药材研为散剂。每次服用五钱，加水两盏，煎煮至一盏，滤去药渣，温服。史载之《指南方》中此方不含川芎。
葶苈丸：治疗起初小便不利，随后身体和面部浮肿，导致月经停止，这是因为水邪侵犯血分，称为“水分”病。
甜葶苈（炒制）、续随子（去皮，研磨，各半两）、干笋（一两）。
将上述药材研为细末，用熟枣肉调和制成丸药，大小如梧桐子。用扁竹煎汤送服七粒。如果大便通畅者，减少葶苈、续随子各一分，增加白术半两，饭后服用。
牡丹丸：治疗月经来潮时断时续，或淋漓不断，腹部时常疼痛，脉象沉涩，这是由于寒热邪气客居胞宫，停留而致血液瘀滞，必须祛除瘀血才能痊愈。
大黄（蒸制）、附子（炮制，去皮脐）、茯苓、牡蒙、牡丹皮、桔梗（各二两）、川芎、人参、浓朴（去皮，姜汁涂后炙烤）、当归（焙干，各半两）、甜葶苈（炒制，各二两）、花椒（去目，炒至出油，半两）、虻虫（去头足翅，五十个）、吴茱萸（炒制）、柴胡（去苗）、干姜、桂枝（去心，各半两）、细辛（去苗）。
将上述药材研为细末，用炼蜜调和制成丸药，大小如梧桐子。用酒送服十粒，若无效，增至二十粒，饭后服用。
小蓟汤：治疗月经量过多，进而导致崩漏，血色鲜明如水状，遇温暖则烦躁，甚至昏闷，脉象数疾微小为顺证，脉大者为逆证，这是由于阴虚阳盛，被热邪所乘，损伤冲任二脉，血液受热则流散，冲任不能固摄所致。
小蓟茎叶（洗净、切碎、研磨，取汁一盏）、生地黄汁（一盏）、白术（半两，细切）。
以上用水一盏同煎。取出一半药液，滤去药渣，分两次服用。
人参白术散：治疗妇人月经不来，身体感觉像有病但实际上没有病，脉象滑大而六部脉位均匀，这叫做“阴搏阳别”，是怀孕的征象。精神如常，厌恶食物气味，只嗜食一种食物，或者剧烈呕吐，时常吐出清水，这名叫“恶阻”，不要当作其他疾病治疗。
白术（一两）、人参（半两）、丁香、甘草（炙烤，各一分）。
将上述药材研为粉末。每次服用三钱，加水一盏，生姜三片，同煎至七分，滤去药渣，饭前温服。
秦艽散：治疗胎动不安。
秦艽、阿胶（炒制）、艾叶（各等分）。
将上述药材研为散剂。每次服用五钱，加水两盏，糯米一百粒，同煎至一盏，滤去药渣，温服。
白术散：治疗妊娠期间面目浮肿，状如水气。
橘皮（洗净）、大腹皮、茯苓、生姜（各半两）、白术（一两）。
将上述药材研为粉末。用米饮调服一方寸匕，饭前服用。
兔血散：治疗难产非常重要，临产时服用。
腊月兔血。
以上用蒸饼切片，蘸取兔血，阴干后研为粉末。煎乳香汤，调服二钱。
半夏散：治疗胎死腹中，其母亲面色红赤、舌色青紫的是此证。
半夏（热水洗七遍，切成薄片，姜汁浸泡三天，炒干）。
将上述药材研为粉末。用温酒调服一钱。不能饮酒者，用开水送服。也治疗横生逆产。
桃仁汤：治疗恶露突然中断或逐渐减少，腰部沉重疼痛，痛感向下放射至大腿，刺痛如锥刀刺入，这是瘀血留滞于经络，如果不立即疏通，严重疼痛处必定会形成痈肿。
苏木、地黄、桃仁（去皮尖，炒制，各半两）、虻虫（去头足翅，炒制）、水蛭（炒制，各三十枚）。
将上述药材研为散剂。每次服用五钱，加水两盏，煎煮至一盏，滤去药渣，温服，恶露通畅后即停服。
五香汤：治疗同上（指恶露顿绝或渐少等症）。
木香、丁香、沉香、乳香、麝香、升麻、独活、连翘、桑寄生、木通（各二两）、大黄（一两）。
将上述药材研为散剂。每次服用五钱，加水两盏，煎煮至一盏，滤去药渣，饭后温服。
没药丸：治疗恶露刚开始行经，突然中断，骤然出现寒热，脐腹部剧烈疼痛，胸中如同针刺，这是大量瘀血留滞于经络。
当归（焙干，一两）、桂心、芍药（各半两）、没药（一分）、桃仁（去皮尖，炒制，一分）、虻虫（去头足翅，炒制）、水蛭（炒制，各三十枚）。
将上述药材研为细末，用醋糊调和制成丸药，大小如梧桐子。用醋汤送服三丸。
皂角散：治疗产妇吹乳（急性乳腺炎），由于哺乳时婴儿鼻气冲入乳汁中，突然肿胀坚硬疼痛急迫，用手揉按，服用皂角散、栝蒌散及外敷药物。如果不立即治疗，结为痈脓，能致人死亡。
皂角（烧存性，细研）、蛤粉（研磨，各等分）。
将上述药材研细，用热酒调服一匙或半钱，急忙用手揉按，以变软为度。
瓜子汤：治疗肛门如有针刺感，牵连谷道（肛门）。又因痔疮疼痛，小便如淋证状，时而发冷时而发热，这是由于分娩时用力过猛并伤及肠间。也由于阴虚，邪热客居停留聚积在肠间，热结恐怕形成肠痈。
袁当时《大方》记载：崔左丞多次使用有效。
薏苡仁（炒制，四两）、桃仁（去皮尖）、牡丹皮（各三两）、瓜子（一两）。
将上述药材研为粉末。每次服用五钱，加水两盏，煎煮至一盏，滤去药渣，温服。
皇清嘉庆十三年（1808年），岁次戊辰，农历十月，照文堂张海鹏校勘刊印。
Siwu Jia Gui Tang (Four Substances Decoction with Cinnamon Twig): Treats sudden onset of alternating chills and fever.
Chuanxiong Rhizoma (Chuanxiong), Danggui Radix (Danggui) [washed, dried], Shaoyao Radix Alba (Shaoyao), Dihuang Radix Preparata (Dihuang) [dried], Guixin Cortex Cinnamomi (Guixin) [equal parts].
Grind the above ingredients into a powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. In Shi Zaizhi's *Zhinan Fang*, this formula does not contain Chuanxiong.
Tingli Wan (Descurainia Seed Pill): Treats initial difficulty in urination followed by edema of the body and face, leading to amenorrhea. This is because water pathogen invades the blood level, termed "Shuifen" (Water Disease).
Tian Tingli Fructus Descurainiae (Tian Tingli) [stir-fried], Suisui Zhu Semen Euphorbiae Lathyridis (Suisui Zhu) [peeled, ground, each 0.5 liang], Gan Sun Dried Bamboo Shoots (Gan Sun) [1 liang].
Grind the above ingredients into fine powder, mix with cooked jujube flesh to form pills the size of Sophora seeds. Administer 7 pills with decoction of Bianzhu (Bamboo leaves). If bowel movements are unobstructed, reduce Tian Tingli and Suisui Zhu by 1 fen each, add Baizhu Atractodis Rhizoma (Baizhu) 0.5 liang, and take after meals.
Mudan Wan (Tree Peony Bark Pill): Treats irregular menstruation that starts and stops, or dripping continuously, with intermittent abdominal pain and a deep, choppy pulse. This is caused by cold-heat pathogens lodging in the uterus, remaining and causing blood stasis; healing requires the removal of stasis.
Dahuang Radix et Rhizoma Rhei (Dahuang) [steamed], Fuzii Lateralis Radix Preparata (Fuzi) [processed, peeled and umbilicus removed], Fuling Poria (Fuling), Mumeng [unknown herb, likely a variant or typo for another herb, kept as Mumeng], Mudanpi Cortex Moutan (Mudanpi), Jiegeng Radix Platycodonis (Jiegeng) [each 2 liang], Xionggong Rhizoma Chuanxiong (Xiong), Renshen Ginseng Radix (Renshen), Nongpo Cortex Magnoliae Officinalis (Nongpo) [peeled, coated with ginger juice, roasted], Danggui Radix (Danggui) [dried, each 0.5 liang], Tian Tingli Fructus Descurainiae (Tian Tingli) [stir-fried, each 2 liang], Jiao Fructus Zanthoxyli (Jiao) [remove eyes, stir-fried until oil appears, 0.5 liang], Mengchong Tabanus (Mengchong) [remove head, legs, wings, 50 units], Wuzhuyu Fructus Evodiae (Wuzhuyu) [stir-fried], Chaihu Radix Bupleuri (Chaihu) [remove sprouts], Ganjiang Rhizoma Zingiberis Recens (Ganjiang), Guizhi Ramulus Cinnamomi (Guizhi) [remove heart, each 0.5 liang], Xixin Herba Asari (Xixin) [remove sprouts].
Grind the above ingredients into fine powder, mix with refined honey to form pills the size of Sophora seeds. Administer 10 pills with wine. If ineffective, increase to 20 pills, take after meals.
Xiaoji Tang (Cibotium Herb Decoction): Treats menorrhagia progressing to metrorrhagia, with bright red blood like water. Warmth causes irritability, even fainting. A rapid, minute pulse is favorable; a large pulse is unfavorable. This is due to yin deficiency with yang hyperactivity, attacked by heat pathogen, damaging the Chong and Ren vessels. Blood flows freely when heated, and Chong/Ren cannot retain it.
Xiaoji Herba Centipedae (Xiaoji) [wash, cut, grind, take 1 zhan of juice], Shengdihuang Radix Rehmanniae Recens (Shengdihuang) [1 zhan of juice], Baizhu Atractodis Rhizoma (Baizhu) [0.5 liang, finely sliced].
Decoct the above with 1 zhan of water together. Take half the volume, remove dregs, and divide into two doses.
Renshen Baizhu San (Ginseng and Atractodes Powder): Treats amenorrhea in women. The body feels ill but there is no disease; the pulse is slippery and large, uniform in all six positions. This is called "Yin Bo Yang Bie" (Pulsation of Yin distinguishing from Yang), indicating pregnancy. Spirit remains normal, aversion to food odors, craving only one type of food, or severe vomiting with clear fluid. This is named "Ezu" (Morning Sickness); do not treat as other diseases.
Baizhu Atractodis Rhizoma (Baizhu) [1 liang], Renshen Ginseng Radix (Renshen) [0.5 liang], Dingxiang Flos Caryophyllati (Dingxiang), Gancao Radix Glycyrrhizae (Gancao) [roasted, each 1 fen].
Grind the above into powder. Take 3 qian per dose, add 1 zhan of water and 3 slices of fresh ginger, decoct until 0.7 zhan remains, remove dregs, and take warm before meals.
Qinjiao San (Gentian Powder): Treats restless fetus.
Qinjiao Radix Gentianae Macrophyllae (Qinjiao), Ejiao Colla Corii Asini (Ejiao) [stir-fried], Aiye Folium Artemisiae Argyi (Aiye) [equal parts].
Grind the above into powder. Take 5 qian per dose, add 2 zhan of water and 100 grains of glutinous rice, decoct until 1 zhan remains, remove dregs, and take warm.
Baizhu San (Atractodes Powder): Treats facial and ocular edema during pregnancy, resembling water retention.
Jupi Pericarpium Citri Reticulatae (Jupi) [wash], Dafupi Pericarpium Arecae Similis (Dafupi), Fuling Poria (Fuling), Shengjiang Rhizoma Zingiberis Recens (Shengjiang) [each 0.5 liang], Baizhu Atractodis Rhizoma (Baizhu) [1 liang].
Grind the above into powder. Mix with rice drink using a square-inch scoop, take before meals.
Tuxue San (Rabbit Blood Powder): Crucial for difficult labor, taken at the onset of delivery.
La Tuxue Rabbit Blood (from December).
Slice steamed wheat cake, dip in rabbit blood, dry in shade, and grind into powder. Administer 2 qian mixed with Frankincense Decoction.
Banxia San (Pinellia Powder): Treats fetal death in utero, characterized by the mother's red face and blue tongue.
Banxia Rhizoma Pinelliae (Banxia) [wash seven times in hot water, slice thinly, soak in ginger juice for three days, dry by stir-frying].
Grind the above into powder. Administer 1 qian mixed with warm wine. If alcohol is not tolerated, use water decoction. Also treats malpresentation (transverse or breech).
Taoren Tang (Peach Kernel Decoction): Treats sudden cessation or gradual decrease of lochia, heavy and painful lower back with pain radiating to the thighs, stabbing pain like needles or knives. This is blood stasis in the collaterals. If not cleared immediately, severe pain will lead to abscess formation.
Sumu Lignum Santali Rubrum (Sumu), Dihuang Radix Preparata (Dihuang), Taoren Semen Persicae (Taoren) [remove skin and tip, stir-fried, each 0.5 liang], Mengchong Tabanus (Mengchong) [remove head, legs, wings, stir-fried], Shuizhi Hirudo (Shuizhi) [stir-fried, each 30 units].
Grind the above into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm. Stop taking once lochia flow resumes.
Wuxiang Tang (Five Fragrances Decoction): Treats the same condition as above (lochia obstruction).
Muxiang Radix Aucklandiae (Muxiang), Dingxiang Flos Caryophyllati (Dingxiang), Chenxiang Lignum Aquilariae Resinatum (Chenxiang), Ruxiang Resina Olibani (Ruxiang), Shexiang Moschus (Shexiang), Shengma Rhizoma Cimicifugae (Shengma), Duhuo Radix Angelicae Pubescentis (Duhuo), Lianqiao Fructus Forsythiae (Lianqiao), Sangjisheng Ramulus Taxilli (Sangjisheng), Mutong Caulis Akebiae (Mutong) [each 2 liang], Dahuang Radix et Rhizoma Rhei (Dahuang) [1 liang].
Grind the above into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm after meals.
Moyao Wan (Myrrh Pill): Treats lochia that has just started but suddenly stops, accompanied by abrupt chills and fever, severe abdominal pain, and chest pain like needle pricks. This indicates significant blood stasis in the collaterals.
Danggui Radix (Danggui) [dried, 1 liang], Guixin Cortex Cinnamomi (Guixin), Shaoyao Radix Alba (Shaoyao) [each 0.5 liang], Moyao Resina Myrrhae (Moyao) [1 fen], Taoren Semen Persicae (Taoren) [remove skin and tip, stir-fried, 1 fen], Mengchong Tabanus (Mengchong) [remove head, legs, wings, stir-fried], Shuizhi Hirudo (Shuizhi) [stir-fried, each 30 units].
Grind the above into fine powder, mix with vinegar paste to form pills the size of Sophora seeds. Administer 3 pills with vinegar-water solution.
Zaojiao San (Gleditsia Sinensis Pod Powder): Treats puerperal mastitis ("blown milk"), caused by infant nasal breath entering the breast milk, leading to sudden swelling, hardness, and acute pain. Massage the area, take Zaojiao San, Gualou San, and apply external medicine. If not treated immediately, it forms an abscess and can be fatal.
Zaojiao Fructus Gleditsiae Sinensis (Zaojiao) [burned, finely ground], Ge Fen Talcum (Ge Fen) [ground, equal parts].
Grind the above finely, mix with hot wine to take 1 spoon or 0.5 qian. Immediately massage the area until soft.
Gua Zi Tang (Melon Seed Decoction): Treats anal sensation like needle pricks extending to the anus. Also treats hemorrhoid pain, urinary symptoms like strangury, and alternating chills and fever. This is due to excessive effort during childbirth affecting the intestines. It may also result from yin deficiency with pathogenic heat lodging in the intestines, potentially forming intestinal abscess.
Yuan Dangshi's *Da Fang* states: Cui Zuocheng used this effectively multiple times.
Yiyiren Semen Coicis (Yiyiren) [stir-fried, 4 liang], Taoren Semen Persicae (Taoren) [remove skin and tip], Mudanpi Cortex Moutan (Mudanpi) [each 3 liang], Gua Zi Semen Cucumeris (Gua Zi) [1 liang].
Grind the above into powder. Take 5 qian per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm.
Proofread and printed by Zhang Haipeng of Zhaowen Hall in the tenth lunar month of the year Wuchen (1808) during the Jiaqing reign of the Qing Dynasty.