开郁正元散
6.积聚通用正元散, 苓术青陈麴麦延, 香砂海粉查甘桔, 痰饮食积
血气抟.
【注】五积六聚, 乃痰饮食积, 气血抟结而成, 通用开郁正元散. 其
方即茯苓, 白术, 青皮, 陈皮, 神麴, 麦芽, 延胡索, 香附, 砂仁,
海粉, 山查, 甘草, 桔梗也. 用以健脾消食, 化痰渗饮, 理气和血,
则积聚未有不愈者矣.
桃奴散
7.腹中瘀血未成形, 面黄发热腹胀疼, 产后经来风冷客, 血室之内
有瘀停. 产后恶露失笑散, 经闭瘀凝玉烛攻, 血蛊桃奴豭鼠粪, 延桂
砂香附五灵.
【注】妇人产后经行之时, 伤于风冷, 则血室之内必有瘀血停留, 未
成坚块, 故不名症瘕也. 其人必面色萎黄, 脐腹胀痛, 内热晡热. 若
产后恶露不行者, 宜失笑散; 若经闭不通, 瘀血凝聚者, 宜玉烛散.
瘀血不行, 蓄之既久, 必成血蛊, 宜用桃奴散, 即桃奴, 豭鼠粪, 延
胡索, 桂心, 砂仁, 桃仁, 香附, 五灵脂也. 豭鼠粪, 一名两头尖,
即雄鼠屎. 桃奴, 即桃树上未成不落之干桃子也.
失笑散方 见首卷崩漏 玉烛散 方见首卷汇方内
8.脐旁左右一筋疼, 突起如弦?? 证明, 僻在两肋名曰癖, 高起如山
疝病称, 必引少腹腰胁痛, 三证皆由风冷成, 或作或止因寒发, 痛时
方见不痛平.
【注】妇人脐之两旁, 有筋突起疼痛, 大者如臂, 小者如指, 状类弓
弦者, 名曰?? 癖. 在两肋之间者, 名曰癖. 若小腹牵腰胁, 疼痛高
起者, 谓之疝. 名虽有三, 其实皆因风冷客于胞中而然, 故其发作皆
因再受风冷. 发则痛, 痛则见, 不痛则平复如初也.
6. 治疗积聚通用的正元散，由茯苓、白术、青皮、陈皮、神曲、麦芽、延胡索、香附、砂仁、海粉、山楂、甘草、桔梗组成，能化解痰饮、饮食积滞以及气血的搏结。
【注】五积和六聚，是由于痰饮、饮食积滞以及气血搏结凝聚而形成的，通用开郁正元散治疗。该方剂即由茯苓、白术、青皮、陈皮、神曲、麦芽、延胡索、香附、砂仁、海粉、山楂、甘草、桔梗组成。用以健脾消食，化痰渗湿利水，理气和血，那么积聚之证没有不痊愈的。
7. 腹中瘀血尚未成形，面色萎黄，发热，腹胀疼痛，产后或经期感受风冷，导致血室之内有瘀血停滞。产后恶露不行用失笑散，经闭不通瘀血凝聚用玉烛散攻逐，血蛊症用桃奴散加豭鼠粪、延胡索、桂心、砂仁、香附、五灵脂。
【注】妇女在产后或行经之时，若遭受风冷侵袭，则血室之内必然有瘀血停留，但尚未形成坚硬的肿块，所以不称为症瘕（zhēng jiǎ，腹内结块）。患者必定面色萎黄，脐腹部胀痛，伴有内热及午后潮热。如果产后恶露排出不畅，适宜用失笑散；如果月经闭止不通，瘀血凝聚者，适宜用玉烛散。瘀血运行不畅，蓄积日久，必然形成血蛊，适宜使用桃奴散，该方由桃奴、豭鼠粪、延胡索、桂心、砂仁、桃仁、香附、五灵脂组成。豭鼠粪，又名两头尖，即雄鼠的粪便。桃奴，即桃树上未成熟而未脱落的干枯桃子。
失笑散方见首卷崩漏章节；玉烛散方见首卷汇方篇内。
8. 脐旁左右有一根筋脉疼痛，突起如琴弦般紧绷，这是疝病的一种证明。偏侧位于两肋之间称为癖，高起如山丘状的称为疝病。这些病症必定牵引少腹及腰胁部疼痛，这三种证候皆由风冷邪气所致，时发时止，因寒邪引发，疼痛发作时症状显现，不痛时则平复如初。
【注】妇女脐部两旁，有筋脉突起并疼痛，大的如手臂粗，小的如手指粗，形状像弓弦一样的，名为疝（此处原文可能有误或特指某种疝气表现，通常“??”处可能为特定疝名，依文意理解为一种筋脉拘急之疝）。位于两肋之间的，名为癖。如果小腹部牵引腰胁部，疼痛且高起的，称为疝。名称虽然有三种，但实际上都是因为风冷邪气客居于胞宫之中所致，所以其发作都是因为再次受到风冷侵袭。发作时则疼痛，疼痛时则可见到病状，不痛时则恢复平静如初。
Kaoyu Zhengyuan San (Regulate Qi and Resolve Stagnation Decoction)
6. The Zhengyuan San used generally for treating accumulations (Ji Ju, masses formed by stagnation of qi and blood) contains Poria (Fuling), Atractylodes Macrocephala Rhizome (Baizhu), Tangerine Peel (Qingpi), Citrus Reticulata Peel (Chenpi), Medicated Leaven (Shenqu), Malt (Maiya), Corydalis Rhizome (Yanhusuo), Cyperus Rhizome (Xiangfu), Amomum Fruit (Sharen), Talcum (Haifen), Hawthorn Fruit (Shanzha), Licorice Root (Gancao), and Platycodon Root (Jiegeng). It resolves phlegm-fluids, food stagnation, and the binding knotting of qi and blood.
[Annotation] Five types of accumulations (Wu Ji) and six types of聚 (Liu Ju) are formed by the binding and knotting of phlegm-fluids, food stagnation, and qi and blood. Kaoyu Zhengyuan San is generally used to treat them. This formula consists of Poria (Fuling), Atractylodes Macrocephala Rhizome (Baizhu), Tangerine Peel (Qingpi), Citrus Reticulata Peel (Chenpi), Medicated Leaven (Shenqu), Malt (Maiya), Corydalis Rhizome (Yanhusuo), Cyperus Rhizome (Xiangfu), Amomum Fruit (Sharen), Talcum (Haifen), Hawthorn Fruit (Shanzha), Licorice Root (Gancao), and Platycodon Root (Jiegeng). By strengthening the Spleen, promoting digestion, resolving phlegm and draining fluid retention, regulating qi and harmonizing blood, any accumulation will surely be cured.
Taonü San (Peach Bud Decoction)
7. When blood stasis remains in the abdomen without forming a solid mass, accompanied with sallow complexion, fever, abdominal distension and pain; when wind-cold invades during postpartum lochia discharge or menstruation, causing blood stasis to stagnate within the Blood Chamber (Xueshi). For postpartum lochia retention, Shixiao San (Laughing Out Powder) is indicated; for amenorrhea due to coagulated blood stasis, Yuzhu San (Jade Candle Decoction) is used to attack and resolve it. For blood gu (blood-related parasitic-like disease/mass), Taonü San combined with Rat Feces (Jiaoshufen), Corydalis Rhizome (Yanhusuo), Cinnamon Twig (Guixin), Amomum Fruit (Sharen), Cyperus Rhizome (Xiangfu), and Trogopterus Dung (Wulingzhi) is indicated.
[Annotation] During the postpartum period or menstruation, if a woman is injured by wind-cold, blood stasis must remain within the Blood Chamber. Since it has not yet formed a hard lump, it is not named Zhengjia (hard masses). The patient must present with a sallow complexion, distending and painful pain in the umbilical and abdominal region, internal heat, and afternoon tidal fever. If postpartum lochia does not flow smoothly, Shixiao San (Laughing Out Powder) is appropriate; if menstruation is closed and blocked due to coagulated blood stasis, Yuzhu San (Jade Candle Decoction) is appropriate. If blood stasis fails to move and accumulates over a long time, it will inevitably form Xuegu (Blood Gu). In this case, Taonü San (Peach Bud Decoction) should be used, which consists of Taonü (Dried Unripe Peach on the Tree), Jiaoshufen (Male Rat Feces), Corydalis Rhizome (Yanhusuo), Cinnamon Twig (Guixin), Amomum Fruit (Sharen), Peach Seed (Taoren), Cyperus Rhizome (Xiangfu), and Trogopterus Dung (Wulingzhi). Jiaoshufen is also known as Liangtoujian (Two-Ended Sharp), which is the feces of a male rat. Taonü refers to dried, unripe peaches that have not fallen from the peach tree.
*Shixiao San (Laughing Out Powder) formula is seen in the first volume under the section on Metrorrhagia and Metrostaxis.*
*Yuzhu San (Jade Candle Decoction) formula is seen in the first volume under the compiled formulas section.*
8. Pain in a tendon on either side of the umbilicus, protruding like a tight string, is a manifestation of Shan disease (Hernia/Colic). When located obliquely between the two hypochondria, it is called Pi (Sided Mass); when protruding high like a mountain, it is called Shan (Hernia). These conditions invariably cause pain radiating to the lower abdomen and lumbar/flank regions. All three syndromes are caused by wind-cold, appearing intermittently triggered by cold. Symptoms appear only when pain occurs and return to normal when pain subsides.
[Annotation] On both sides of the woman's umbilicus, tendons may protrude and cause pain. Large ones are as thick as an arm, small ones as thick as a finger, resembling a bowstring, named [specific type of] Shan/Pi. Located between the two hypochondria, it is named Pi (Sided Mass). If the lower abdomen pulls into the lumbar and flank regions, with pain and protrusion, it is called Shan (Hernia). Although the names differ in three ways, they are essentially all caused by wind-cold pathogenic factors lodging in the Uterus (Baozhong). Therefore, their attacks are always triggered by re-exposure to wind-cold. When attacking, there is pain and visible signs; when not painful, it returns to calmness as before.