蛔厥者，当吐蛔，今病者静而复时烦，「非」〔此〕为藏寒，蛔上入膈，故烦，须臾
复止，得食而呕又烦者，蛔闻食臭出，其人当自吐蛔。蛔厥者，乌梅丸主之。
【按】
此为藏寒之「此」字，当是「非」字，若是「此」字，何以辨寒厥，当改之。
产后七、八日，无太阳证，少腹坚痛，此恶露不尽，「热在里，结在膀胱也，」不大
便烦躁发热，切脉微实，〔再倍〕发热，日晡时烦躁者不食，食则谵语，至夜即愈，
宜大承气汤主之。〔热在里，结在膀胱也。〕
【按】
「热在里，结在膀胱也」之八字，当在本条上文「恶露不尽」之下，未有大承气汤下
膀胱血之理，当移之。「再倍」二字，当是衍文。
产后中风「病痉者」，发热面正赤，喘而头痛，竹叶汤主之。
【按】
产后中风之下，当有「病痉者」三字，始与方合。若无此三字，则人参、附子施之于
中风发热可乎？而又以竹叶命名者何所谓也？且方内有颈项强用大附子之文，本篇有
证无方，则可知必有脱简，当补之。
妇人之病，因虚、积冷、结气，为诸经水断绝；至有历年血寒，积结胞门，寒伤经络
，凝坚在上，呕吐涎唾，久成肺痈，形体损分。在中盘结，绕脐寒疝，或两□疼痛，
与藏相连；或结热中，痛在关元，脉数无疮，肌若鱼鳞，时着男子，非止女身。在下
「未」〔来〕多，经候不匀，令阴掣痛，少腹恶寒；或引腰脊，下根气街，气冲急痛
，膝胫疼痛；奄忽眩冒，状如厥癫，或有忧惨，悲伤多嗔，〔此皆带下，〕非有鬼神
；「此皆带下，」久则羸瘦，脉虚多寒，三十六病，千变万端；审脉阴阳，虚实紧弦
，行其针药，治危得安，其虽同病，脉各异源，子当辨记，勿谓不然。
【按】
在下来多之「来」字，当是「未」字。本条皆经水继绝之病，若系「来多」，则与上
文不合，与下文经候不匀亦不合，当改之。又本条内「此皆带下」四字，当在非有鬼
神之下，文义始属，当移之。
妇人藏躁，喜悲伤欲哭，象如神灵所作，数欠伸，甘草小麦大枣汤主之。
【按】
甘草小麦大枣汤方，义未详，必是□错。
问曰：妇人年五十，所病下「血」〔利〕，数十日不止，暮即发热，少腹里急，腹满
，手掌烦热，唇口干燥，何也？师曰：此病属带下，何以故？曾经半产，瘀血在少腹
不去。何以知之？其证唇口干燥，故知之。当以温经汤主之。
【按】
所病下利之「利」字，当是「血」字，文义始属，当改之。
带下经水不利，少腹满痛，经一月「不」〔再〕见者，土瓜根散主之。
【按】
「再」字当是「不」字，若是「再」字，一月两来，与上文不利不合，当改之。
寸口脉弦而大，弦则为减，大则为芤，减则为寒，芤则为虚，寒虚相搏，此名曰革，
妇人则半产漏下〔，旋覆花汤主之〕。
【按】
此条详在『伤寒论·辨脉法篇』，错简在此。「旋覆花汤主之」一句，亦必是错简，
半产漏下，则气已下陷，焉有再用旋覆花下气之理？
妇人中风七、八日，续来寒热，发作有时，经水适断，此为热入血室，其血必结，故
使如疟状，发作有时，小柴胡汤主之。
【按】
此条注详见『伤寒论·少阳篇』内，故不复释。
妇人伤寒发热，经水适来，昼日明了，暮则□语，如见鬼状者，此为热入血室，治之
无犯胃气及上二焦，必自愈。
【按】
此条注详见『伤寒论·少阳篇』内，故不复释。
妇人中风，发热恶寒，经水适来，得之七、八日，热除，脉迟，身凉和，胸□满，如
结胸状，□语者，此为热入血室也，当刺期门，随其实而泻之。
【按】
此条注详见『伤寒论·少阳篇』内，故不复释。
阳明病，下血，□语者，此为热入血室，但头汗出，当刺期门，随其实而泻之，濈然
汗出则愈。
【按】
此条注详见『伤寒论·阳明篇』内，故不复释。
胃气下泄，阴吹而正喧，此谷气之实也，〔膏发煎导之，〕「长服诃黎勒丸」。
【按】
「膏发煎导之」五字，当是衍文。此「谷气之实也」之下，当有「长服诃黎勒丸」之
六字。后阴下气谓之气利，用诃黎勒散；前阴下气谓之阴吹，用诃黎勒丸，文义始属
。盖诃黎勒丸以诃黎勒固下气之虚，以厚朴、陈皮平谷气之实，药病相合，此方错简
在『杂疗篇』内。下小儿疳虫蚀齿一方，杀虫解毒，或另有小儿门，或列在杂方内，
兹列于妇人杂病之末，亦错简也。
蛔厥证，应当出现吐蛔虫的症状。现在病人安静时却时常感到心烦，这不是脏寒所致，而是蛔虫上行进入膈部，所以引起心烦；过了一会儿又停止。如果进食后发生呕吐并再次心烦，是因为蛔虫闻到食物的气味而出来，此人应当自行吐出蛔虫。治疗蛔厥证，用乌梅丸主治。
【按语】
原文中“此为藏寒”的“此”字，应当是“非”字。如果是“此”字，如何辨别寒厥？应当改正。
产后七八天，没有太阳病的表证，少腹部坚硬疼痛，这是恶露不尽的表现。“热在体内，结聚在膀胱”，（伴有）不大便、烦躁、发热，切脉微实，（或者）发热加倍，日晡时分（下午3-5点）烦躁且不能进食，进食则说胡话，到了夜晚症状就会缓解，适宜用大承气汤主治。
【按语】
“热在里，结在膀胱也”这八个字，应当放在本条上文“恶露不尽”之后。没有用大承气汤下膀胱血的道理，应当移动位置。“再倍”二字，应当是衍文（多余的文字）。
【按语】
“产后中风”之下，应当有“病痉者”三个字，才能与方剂相符合。如果没有这三个字，那么人参、附子用于中风发热合适吗？而且以竹叶命名方剂，又有什么含义呢？况且方内有治疗颈项强直需用大附子的记载，本篇中有证无方，可知必有脱漏简牍，应当补上。
妇女的疾病，因虚损、积冷、气结，导致各种月经断绝；有的历时多年，血寒，积结于胞门，寒气损伤经络。寒邪凝滞坚固在上部，导致呕吐涎沫，久则成为肺痈，形体受损消瘦。在中部盘结，形成绕脐的寒疝，或者两胁疼痛，与脏腑相连；或者结热于中，疼痛在关元穴处，脉数但没有疮疡，皮肤像鱼鳞一样干燥，这种病不仅女子得，男子也会得，不止限于女性。在下部经血未来过多，月经周期不匀，令阴部牵引疼痛，少腹怕冷；或者牵引腰脊，向下延伸至气街部位，气冲穴急痛，膝胫疼痛；突然头晕目眩，状如厥证或癫证，或者有忧愁悲惨的情绪，悲伤多哭易怒，这些都属于带下病范畴，并非鬼神作祟；带下病日久则身体消瘦，脉象虚弱多寒，三十六种妇科病，变化万千；审察脉象的阴阳、虚实、紧弦，施行针药治疗，可使危重病情得到安宁。虽然病症相同，但脉象来源各异，你们应当辨别记录，不要说不以为然。
【按语】
“在下来多”的“来”字，应当是“未”字。本条都是关于月经继绝的病证，如果是“来多”，则与上文不合，与下文“经候不匀”也不合，应当改正。另外本条内“此皆带下”四个字，应当移到“非有鬼神”之下，文义才通顺，应当移动。
妇人脏躁证，喜欢悲伤想哭，神态像神灵所作，频繁打哈欠伸懒腰，用甘草小麦大枣汤主治。
【按语】
甘草小麦大枣汤方的意义不详，必定是有文字错乱。
问：妇人五十岁，所患下利（此处校勘为下血），数十日不止，傍晚即发热，少腹里急，腹部胀满，手掌烦热，唇口干燥，这是什么原因？老师说：此病属于带下范畴，为什么？因为曾经有过小产，瘀血留在少腹不去。怎么知道的呢？其症状表现为唇口干燥，所以知道。应当用温经汤主治。
【按语】
“所病下利”的“利”字，应当是“血”字，文义才通顺，应当改正。
带下病月经不利，少腹满痛，月经一个月不来潮的，用土瓜根散主治。
【按语】
“再”字应当是“不”字。如果是“再”字，一月两次来潮，与上文“不利”不合，应当改正。
寸口脉弦而大，弦脉表示阳气减损，大脉表示中空如芤，减损则为寒，芤则为虚，寒与虚相互搏结，这名叫革脉。妇人患此则会出现半产漏下（此处校勘认为“旋覆花汤主之”为错简，不应在此）。
【按语】
此条详细内容在《伤寒论·辨脉法篇》中，此处为错简。“旋覆花汤主之”一句，也必然是错简。半产漏下，气机已经下陷，哪有再用旋覆花降气的道理？
妇人中风七八天，持续出现寒热往来，发作有时，月经恰好中断，这是热入血室，血液必然结聚，所以使症状像疟疾一样，发作有时，用小柴胡汤主治。
【按语】
此条注释详见《伤寒论·少阳篇》内，故不再解释。
妇人伤寒发热，月经恰好来潮，白天神志清楚，晚上则说胡话，像看见鬼怪一样的症状，这是热入血室。治疗时不要侵犯胃气及上二焦，必定自愈。
【按语】
此条注释详见《伤寒论·少阳篇》内，故不再解释。
妇人中风，发热恶寒，月经恰好来潮，得了七八天，热退，脉迟，身体凉爽平和，胸部胀满，像结胸的样子，说胡话，这是热入血室，应当针刺期门穴，根据其实证情况泻之。
【按语】
此条注释详见《伤寒论·少阳篇》内，故不再解释。
阳明病，下血，说胡话，这是热入血室，只有头部出汗，应当针刺期门穴，根据其实证情况泻之，周身濈然汗出则痊愈。
【按语】
此条注释详见《伤寒论·阳明篇》内，故不再解释。
胃气下泄，阴吹（前阴出气）而且声音喧响，这是谷气实盛所致。（此处校勘认为“膏发煎导之”五字为衍文，“长服诃黎勒丸”六字应在“谷气之实也”之下。）
【按语】
“膏发煎导之”五个字，应当是衍文。在“谷气之实也”之下，应当有“长服诃黎勒丸”这六个字。后阴排气称为气利，用诃黎勒散；前阴排气称为阴吹，用诃黎勒丸，文义才通顺。大概诃黎勒丸以诃黎勒固摄下气之虚，以厚朴、陈皮平抑谷气之实，药病相合。此方错简在《杂疗篇》内。下面小儿疳虫蚀齿一方，杀虫解毒，或许另有小儿门，或列在杂方内，现在列在妇人杂病之末，也是错简。
**Tortoise Shell Decoction (Hui Jue Syndrome)**
In cases of Hui Jue syndrome (蛔厥, a condition characterized by cold extremities and vomiting of roundworms), vomiting of roundworms is expected. Currently, the patient is quiet but experiences intermittent irritability. This is not due to Cold in the Zang organs, but rather because the roundworms have moved upward into the Diaphragm, causing irritability; this subsides after a short while. If eating induces vomiting followed by renewed irritability, it is because the roundworms emerge upon smelling food odor, and the person will likely vomit roundworms spontaneously. For Hui Jue syndrome, Wumei Wan (乌梅丸, Mume Pill) is the primary treatment.
[Commentary]
The character "Ci" (此, this) in "This is Cold in the Zang organs" should be "Fei" (非, not). If it were "this," how would one distinguish Cold Jue? It should be corrected.
**Postpartum Condition**
Seven or eight days postpartum, without Taiyang syndrome symptoms, there is hardness and pain in the lower abdomen, indicating that lochia (恶露, postpartum uterine discharge) has not cleared. [Heat is in the interior, congealing in the Bladder.] There is constipation, irritability, and fever. The pulse is slightly solid. With doubled fever, or irritability at Shen hour (15:00–17:00) accompanied by an inability to eat, and delirium upon eating, which resolves at night, Da Cheng Qi Tang (大承气汤, Major Order the Qi Decoction) is appropriate.
[Commentary]
The eight characters "Heat is in the interior, congealing in the Bladder" should be placed after "lochia has not cleared" in the preceding text. There is no rationale for using Da Cheng Qi Tang to purge blood from the Bladder; the position should be shifted. The two characters "Zai Bei" (再倍, doubled) are likely interpolations.
**Postpartum Wind-Stroke with Spasm**
In postpartum wind-stroke with spasm (病痉), there is fever, a bright red face, wheezing, and headache. Zhuye Tang (竹叶汤, Bamboo Leaf Decoction) is the primary treatment.
[Commentary]
After "postpartum wind-stroke," the three characters "with spasm" should be added to align with the formula. Without these three characters, is it appropriate to use Ren Shen (Ginseng) and Fu Zi (Aconite) for wind-stroke with fever? And what is the significance of naming the formula after Zhu Ye (Bamboo Leaf)? Furthermore, the formula contains instructions for using large amounts of Fu Zi for neck stiffness. Since this section presents symptoms without a formula, it is evident that bamboo slips are missing and should be supplemented.
**Women's Diseases**
Women's diseases arise from deficiency, accumulated cold, and qi stagnation, leading to the cessation of menstruation. In some cases, over many years, blood cold accumulates in the Bao Men (uterine gate), damaging meridians with cold. If cold coagulates firmly in the upper body, it causes vomiting of saliva and sputum, eventually developing into Lung Abscess (Fei Yong), resulting in physical wasting. If it knots in the middle, it forms Han Shan (cold hernia) around the navel, or pain in both flanks connected to the Zang organs. If heat knots in the center, pain occurs at the Guan Yuan point; the pulse is rapid without sores, and the skin resembles fish scales. This disease affects men as well, not just women. In the lower body, if menstruation comes excessively before time, cycles become irregular, causing pulling pain in the yin, and coldness in the lower abdomen. Pain may radiate to the waist and spine, extending down to the Qi Chong point, causing urgent pain there, and pain in the knees and shins. Sudden dizziness and vertigo, resembling Jue or Dian syndromes, or feelings of sorrow, grief, excessive crying, and irritability occur. These all fall under Dai Xia (leukorrhea/gynecological disorders), not ghostly influences. Prolonged Dai Xia leads to emaciation, a deficient pulse, and excess cold. The thirty-six gynecological diseases present myriad variations. One must examine the pulse for Yin/Yang, Deficiency/Excess, Taut/String-like, and Tight characteristics, and apply acupuncture and herbs to stabilize critical conditions. Although diseases may appear similar, their pulse origins differ; you must discern and record this, do not dismiss it.
[Commentary]
The character "Lai" (来, come) in "menstruation comes excessively" should be "Wei" (未, not). This section concerns the cessation of menstruation; if it were "comes excessively," it would contradict the preceding text and the subsequent mention of "irregular cycles." It should be corrected. Also, the four characters "These all belong to Dai Xia" should be moved below "not ghostly influences" for logical coherence.
**Zang Anxiety**
For Women's Zang Anxiety (Zang Zao), characterized by a tendency toward sadness and weeping, behavior resembling spirit possession, frequent yawning and stretching, Gan Cao Xiao Mai Da Zao Tang (甘草小麦大枣汤, Licorice, Wheat, and Jujube Decoction) is the primary treatment.
[Commentary]
The rationale for Gan Cao Xiao Mai Da Zao Tang is unclear; there must be textual errors.
**Question on Post-Menopausal Bleeding**
Question: A fifty-year-old woman suffers from bleeding (corrected from diarrhea) for dozens of days without stopping, evening fevers, urgency and fullness in the lower abdomen, palm heat, and dry lips and mouth. What is the cause? The Master said: This disease belongs to Dai Xia. Why? Because she previously had a miscarriage, and blood stasis remains in the lower abdomen. How do we know? The symptom of dry lips and mouth indicates this. Wen Jing Tang (温经汤, Warm the Meridians Decoction) is the primary treatment.
[Commentary]
The character "Li" (利, diarrhea) in "suffers from diarrhea" should be "Xue" (血, blood) for the meaning to make sense. It should be corrected.
**Irregular Menstruation**
For Dai Xia with difficult menstruation, lower abdominal fullness and pain, where menstruation does not return for a month, Tu Gua Gen San (土瓜根散, Trichosanthes Root Powder) is the primary treatment.
[Commentary]
The character "Zai" (再, again/twice) should be "Bu" (不, not). If it were "twice," implying menstruation twice a month, it would contradict the preceding "difficult menstruation." It should be corrected.
**Pulse Diagnosis and Miscarriage**
At the Cun Kou (inch position), the pulse is Xian (Wiry) and Da (Large). Xian indicates reduction (Jian), Da indicates Kong (Hollow). Reduction implies Cold, Kong implies Deficiency. The combination of Cold and Deficiency is named Ge (Leather) pulse. In women, this leads to spontaneous abortion and continuous bleeding (Note: "Xuan Fu Hua Tang is the primary treatment" is considered a textual error here).
[Commentary]
This passage is detailed in *Shanghan Lun · Bian Mai Fa Pian* (Differentiating Pulse Methods); its presence here is a textual error. The phrase "Xuan Fu Hua Tang is the primary treatment" is also certainly misplaced. In spontaneous abortion with continuous bleeding, Qi has sunk; why would one use Xuan Fu Hua (Inula Flower) to direct Qi downward?
**Heat Entering the Blood Chamber**
A woman with wind-stroke for seven or eight days develops alternating chills and fever at regular intervals, coinciding with the sudden cessation of menstruation. This is Heat Entering the Blood Chamber (Re Ru Xue Shi), where blood becomes congealed, causing malaria-like symptoms at regular intervals. Xiao Chai Hu Tang (小柴胡汤, Minor Bupleurum Decoction) is the primary treatment.
[Commentary]
See commentary in *Shanghan Lun · Shao Yang Pian* (Shaoyang Chapter); further explanation is omitted.
**Heat Entering the Blood Chamber during Menses**
A woman with Shanghan (Cold Damage) fever, whose menstruation has just begun, is clear-minded during the day but delirious at night, seeing things as if possessed by ghosts. This is Heat Entering the Blood Chamber. Treatment should avoid violating Stomach Qi and the Upper Two Jiao; it will heal spontaneously.
[Commentary]
See commentary in *Shanghan Lun · Shao Yang Pian*; further explanation is omitted.
**Heat Entering the Blood Chamber with Chest Fullness**
A woman with wind-stroke, fever, and aversion to cold, whose menstruation has just begun, develops symptoms after seven or eight days: fever subsides, pulse becomes slow, body temperature normalizes, but chest fullness resembles Jie Xiong (Chest Binding), accompanied by delirium. This is Heat Entering the Blood Chamber. Acupuncture the Qi Men point to drain excess according to the pattern.
[Commentary]
See commentary in *Shanghan Lun · Shao Yang Pian*; further explanation is omitted.
**Yangming Disease and Heat Entering the Blood Chamber**
In Yangming disease, bleeding and delirium indicate Heat Entering the Blood Chamber. Only head sweating occurs. Acupuncture the Qi Men point to drain excess. General sweating indicates recovery.
[Commentary]
See commentary in *Shanghan Lun · Yang Ming Pian*; further explanation is omitted.
**Yin Blow (Vaginal Flatulence)**
When Stomach Qi leaks downward, causing Yin Chui (flatulence from the vagina) with audible noise, this is due to Excess of Grain Qi. (Note: "Guided by Gao Fa Jian" is considered an interpolation; "Long-term administration of He Li Le Wan" should follow "Excess of Grain Qi".)
[Commentary]
The five characters "Guided by Gao Fa Jian" are interpolations. Below "Excess of Grain Qi," the six characters "Long-term administration of He Li Le Wan" should be inserted. Flatulence from the posterior orifice is called Qi Li, treated with He Li Le San; flatulence from the anterior orifice is called Yin Chui, treated with He Li Le Wan, making the text coherent. He Li Le Wan uses He Li Le (Chebula Fruit) to secure sinking Qi deficiency, and Hou Po (Magnolia Bark) and Chen Pi (Citrus Peel) to regulate Grain Qi excess, matching the pathology. This formula was misplaced in the *Miscellaneous Treatments Chapter*. The formula for pediatric malnutrition with tooth decay, which kills parasites and detoxifies, might belong in a Pediatric Section or Miscellaneous Formulas; listing it at the end of Women's Miscellaneous Diseases is also a textual error.