水蛭（熬）三十个 □虫（熬，去翅、足）三十枚 桃仁（去皮、尖）二十个 大黄
（酒浸）三两
右四味为末，以水五升，煮取三升，去滓，温服一升。
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妇人经水闭不利，藏坚癖不止，中有干血，下白物，矾石丸主之。
【注】
藏，阴内也。不止，不去也。经水闭而不通，瘀，宿血也。阴中坚块不去，血干凝也
。下白物，化血成带也。用矾石丸坐药治之，此方治下白物，若从湿化者可也，恐未
能攻坚癖干血也。
【集注】
尤怡曰：藏坚癖不止者，子藏干血坚凝，成癖而不去也。干血不去，则新血不荣，而
经闭不利矣，由是蓄泄不时，胞宫素湿，所积之血，与湿化而成白物，时时自下，是
宜先去其藏之湿，矾石燥湿水，杏仁润干血也。
矾石（烧）三分 杏仁一分
右二味，末之，炼蜜和丸，如枣核大，内藏中，剧者，再内之。
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妇人六十二种风及腹中血气刺痛，红蓝花酒主之。
【注】
六十二种风无可考。腹中血气刺痛，用红蓝花酒通经行血，诚要方也。
红蓝花一两
右一味，以酒一大升，煎减半，顿服一半，末去再服。
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妇人腹中诸疾痛，当归芍药散主之。
【注】
诸疾腹痛，谓妇人腹中诸种疾痛也。既曰诸疾痛，则寒、热、虚、实、气、食等邪，
皆令腹痛，岂能以此一方概治诸疾痛耶？当归芍归散主之，必是错简。
水蛭（经炮制）三十个，虻虫（经炮制，去除翅膀和足）三十枚，桃仁（去皮和尖端）二十个，大黄（用酒浸泡）三两。
以上四味药研成细末，加入五升水，煎煮至剩余三升，滤去药渣，每次温服一升。
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妇女月经闭阻不通，胞宫内有坚硬的积块久不消散，腹中有干血，阴道流出白色分泌物，以矾石丸为主治方剂。
【注解】
“藏”指阴内（子宫内部）。“不止”指不去除。月经闭阻不通，瘀指的是宿血。阴中坚硬的肿块不去除，是因为血液干枯凝结。下流白色分泌物，是血液化生为带下的表现。使用矾石丸作为坐药进行治疗，此方适用于治疗下注的白色分泌物，如果是从湿邪转化而来的情况是可以的，但恐怕难以攻逐坚硬的积块和干血。
【集注】
尤怡说：胞宫坚硬积块久不消散，是指子宫内干血坚硬凝结，形成癖块而不消散。干血不去除，新血就无法滋养，从而导致月经闭阻不通。因此蓄泄失常，胞宫素来潮湿，积聚的血液与湿气结合化为白色分泌物，时常自行流出，这时应当先去除胞宫的湿气，矾石能燥湿，杏仁能润燥干血。
矾石（煅烧）三分，杏仁一分。
以上两味药研成细末，用炼蜜调和制成丸药，大小如枣核，纳入阴道深处，病情重的，再次纳入。
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妇女受六十二种风邪侵袭以及腹中气血刺痛，以红蓝花酒为主治方剂。
【注解】
六十二种风邪已无法考证。腹中气血刺痛，使用红蓝花酒来通经行血，确实是重要的方剂。
红蓝花一两。
以上一味药，用一大升酒，煎煮至减半，一次性服用一半，病愈后若未痊愈再服用。
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妇女腹中各种疼痛，以当归芍药散为主治方剂。
【注解】
诸疾腹痛，是指妇女腹中的各种疼痛。既然称为各种疼痛，那么寒、热、虚、实、气滞、食积等邪气，都会导致腹痛，怎么能用这一个方剂概括治疗所有的疼痛呢？此处说是当归芍药散主治，必定是古籍简牍错乱所致。
Sanguis Hirudinis (Leech, prepared) 30 pieces; Sanguis Muscae (Blister beetle, prepared, wings and feet removed) 30 units; Semen Persicae (Peach seed, skin and tip removed) 20 pieces; Radix et Rhizoma Rhei (Rhubarb root, soaked in wine) 3 liang.
The above four ingredients are ground into powder. Add five sheng of water, boil to obtain three sheng, filter out the dregs, and take one sheng warm.
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In women with amenorrhea or irregular menstruation, where hard masses persist in the uterus without dissipating, with dry blood retained inside and leukorrhea (white vaginal discharge), Fanshi Wan (Alum Pill) is the primary formula.
[Annotation]
"Cang" refers to the interior of the yin organs (uterus). "Bu zhi" means not going away. Amenorrhea implies stasis, which refers to old blood. The persistence of hard masses in the vagina indicates dried and coagulated blood. Leukorrhea results from blood transforming into vaginal discharge. Using Fanshi Wan as a suppository treats leukorrhea; this formula is suitable if the condition arises from dampness transformation, but it may not be effective for attacking hard masses and dry blood.
[Collected Notes]
You Yi stated: "Hard masses persisting in the uterus" refers to dry blood in the uterus that has hardened and formed a mass that does not dissipate. If dry blood is not expelled, new blood cannot nourish the body, leading to amenorrhea or irregular menstruation. Consequently, accumulation and discharge become irregular. Since the uterine cavity is inherently damp, the accumulated blood combines with dampness to form white discharge, which flows out spontaneously at times. In such cases, the dampness in the uterus should first be eliminated. Alum dries dampness, while Apricot Seed moistens dry blood.
Fansi (Calcined Alum) 3 fen; Xingren (Apricot Seed) 1 fen.
The above two ingredients are ground into powder, mixed with refined honey to form pills the size of a jujube pit, and inserted into the vagina. For severe cases, re-insertion may be performed.
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For women suffering from sixty-two types of wind pathogens and stabbing pain in the abdomen due to blood and qi stagnation, Honglanhua Jiu (Carthamus Wine) is the primary formula.
[Annotation]
The sixty-two types of wind pathogens cannot be verified historically. For stabbing pain in the abdomen caused by blood and qi stagnation, using Honglanhua Jiu to unblock the meridians and promote blood circulation is indeed an important formula.
Honglanhua (Flower of Carthamus tinctorius) 1 liang.
The above single ingredient is decocted in one da sheng of wine until reduced by half. Take half at once; if symptoms persist, take the remainder.
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For various abdominal pains in women, Danggui Shaoyao San (Angelica and Paeonia Powder) is the primary formula.
[Annotation]
"Various abdominal pains" refers to all kinds of abdominal pain in women. Since it is described as "various pains," pathogenic factors such as cold, heat, deficiency, excess, qi stagnation, and food retention can all cause abdominal pain. How can a single formula comprehensively treat all these conditions? The statement that Danggui Shaoyao San is the primary formula for this is likely due to textual disorder in the bamboo slips.