治一切痈疽恶疮。
凡人初觉发背，欲结未结，赤肿 痛，以湿纸覆其上，先干处即痈头也。取独头大蒜切
片，安于头上，用艾灸之。三壮换一蒜片，痛者灸至不痛，不痛者灸至痛时方佳。最要早觉
早灸为上。若有十数头者，即用蒜研作饼，铺头上，聚艾于饼上烧之。若初发赤肿一片，中
间有黄粟米头子，便用独蒜片安于头上，着艾灸十四壮，或四十九壮，使毒瓦斯外出则易愈（李
迅曰∶痈疽用灸，胜于用药，三壮一易，百壮为率，但头项以上，切不可用，恐引气上，更
生大祸也。史源曰∶有灸至八百壮者，约艾一筛，初坏肉不痛，直灸至好肉方痛，至夜火
满背、高阜头孔百数，则毒外出，否则内逼五脏而危矣。《纲目》曰∶《精要》谓头上发毒
，不得灸，此言过矣！头为诸阳所聚，艾柱宜小，壮数宜少；小者如椒粒，少者三五壮而已。
按
发
一切痈疽肿毒。用芙蓉花，或叶、或根皮，捣烂，或干研末。蜜调涂四周，中间留头，
干则
凉膏、清露散、铁箍散，皆此物也。或加赤小豆末，或苍耳烧存性为末，加入亦妙（芙蓉辛
平，性
妇人之病，与男子同；惟行经、妊娠则不可以例治。故取胎产经带数方，以备采用。诸
方男女可通用者，兹不重出。
（海藏）
治妊娠伤寒，头痛身热，无汗脉紧，太阳经病。
四物汤（四两，每味一两） 麻黄 细辛（五钱。）
此足太阳药也。凡妇人伤寒，六经治例皆同，有怀妊者，则以安胎为主，药中有犯胎
者，
表，
四物四两，加桂枝、地骨皮各七钱，名表虚六合汤∶治妊娠伤寒，表虚自汗，身热恶寒
，头
湿六
翘各
柴胡
加大
沉数，太阳阳明本病也，急下之（大黄、桃仁，妊娠所忌，然伤寒间有用之者，谓药病相当
也。经曰∶妇人重身，毒之如何，岐伯曰∶有故无殒，亦无殒也。此之谓欤）。四物四两，
加人参、五味各五钱，名人参六合汤∶治妊娠伤寒，汗下后咳嗽不止。四物四两，加浓朴、
枳实（麸炒）各五钱，名朴实六合汤∶治妊娠伤寒后，虚痞胀满，阳明本虚者本、胃腑也。
四物四两，加栀子、黄芩各五钱，名栀子六合汤∶治妊娠伤寒汗下后不得眠。四物四两，加
石膏、知母各五钱，名石膏六合汤∶治妊娠伤寒，大渴而烦，脉长而大。四物四两，加茯苓、
泽泻各五钱，名茯苓六合汤∶治妊娠伤寒，小便不利，太阳本病（本，膀胱腑也）。四物四
两，加阿胶、艾叶各五钱，名胶艾四物汤∶（一方加甘草；一方加甘草、黄 、干姜）∶治妊
娠伤寒，汗下后，血漏不止，损动胎气者。四物四两，加附子、肉桂各五钱，名附子六合汤∶
治妊娠伤寒，四肢拘急，身凉微汗，腹中痛，脉沉迟者，少阴病也（桂附亦辛热动胎之药，
间有不得已而用之者）。四物四两，加生地、大黄（酒浸）各五钱，名四物大黄汤∶治妊娠
伤寒蓄血证（歌曰∶妇人妊娠若蓄血，抵挡桃仁莫妄施，要救母子俱无损，大黄四物对分之。
吴绶曰∶产后伤寒，不可轻易发汗，盖有产时伤力发热，有去血过多发热，有恶露不尽发热，
有三日乳蒸发热，或早起劳动、饮食停滞，亦皆发热状类伤寒，要须详辨。大抵产后大血空
虚，若汗之则变筋惕肉 ，或昏迷不醒，或搐搦不定，或大便闭塞，其害非轻。凡有发热，
且与四物汤，芎归为君最多，白芍须炒过，酒蒸熟地黄佐之，加软苗柴胡、干姜、人参主之，
最效。盖干姜辛热，能引血药入血分，气药入气分，且能去恶生新，有阳生阴长之道，以热
治热，深合《内经》之旨。如恶露不尽者，益母丸、黑神丸，必兼用之。胃虚食少者，加白
术、茯苓；有痰呕逆者，加陈皮、半夏；其余六经治例皆同。必以四物为主，乃养血务本之
要也
治疗各种痈疽和恶疮。
凡是人们刚开始感觉背部发背（生于背部的痈疽），肿块即将形成但尚未完全结成，局部红肿疼痛时，用湿纸覆盖在患处，最先变干的地方就是脓头所在。取独头大蒜切成薄片，放在脓头上，用艾条进行艾灸。每灸三壮更换一片蒜片，如果感到疼痛的就灸到不痛为止，如果不痛的则灸到有痛感时才最好。最重要的是尽早察觉并尽早施灸为上策。如果有十几个脓头的情况，就将大蒜捣烂做成饼状，铺在脓头上，将艾炷聚集在蒜饼上燃烧。如果是初起时赤肿一片，中间有像黄粟米大小的脓头，就用独头蒜片放在脓头上，用艾炷灸十四壮，或者四十九壮，使毒气向外发散就容易痊愈（李迅说：治疗痈疽使用艾灸，胜过用药，每三壮更换一次，以一百壮为限度，但是头部和颈部以上，千万不可使用，恐怕引气上行，反而酿成大祸。史源说：有人灸到八百壮，大约用了一筛子的艾绒，起初坏死的肉不痛，一直灸到健康的肉才感到疼痛，到了晚上火气布满背部，高耸处的孔洞有上百个，这样毒气就能向外排出，否则毒气内陷逼迫五脏就会危及生命。《本草纲目》说：《外科精要》认为头上生毒不能灸，这种说法是错误的！头是诸阳经汇聚之处，艾炷应该小些，壮数应该少些；小的像花椒粒那么大，少的三五壮就可以了。）
治疗一切痈疽肿毒。使用芙蓉花，或者是叶子、根皮，捣烂，或者干燥后研成粉末。用蜂蜜调和涂抹在四周，中间留出脓头，干了就涂凉膏、清露散、铁箍散，这些都是芙蓉制成的。或者加入赤小豆粉末，或者苍耳烧存性研成末，加入也很好（芙蓉辛平，性……）
妇女的疾病，与男子相同；只有行经、妊娠期间则不可以按常例治疗。所以选取胎产、月经、带下等几首方剂，以备采用。那些男女都可通用的方剂，这里不再重复列出。
（张元素/海藏）
治疗妊娠期间患伤寒，头痛身热，无汗脉紧，属于太阳经受邪的病证。
四物汤（共四两，每味药一两） 麻黄 细辛（五钱）
这是足太阳膀胱经的药物。凡是妇女患伤寒，六经的治疗原则都相同，但有怀孕者，则以安胎为主，药物中有伤胎的，[应慎用或禁用]。
表虚六合汤：由四物汤四两，加桂枝、地骨皮各七钱组成。治疗妊娠期间患伤寒，表虚自汗，身热恶寒，头……
湿六翘各……柴胡……加大……沉数，这是太阳阳明本经病证，应当急下之（大黄、桃仁，是妊娠所忌用的药物，然而治疗伤寒间或有使用的，说是药病相当。经文说：妇人重身，毒之如何？岐伯说：有故无殒，亦无殒也。说的就是这个道理）。
人参六合汤：由四物汤四两，加人参、五味子各五钱组成。治疗妊娠期间患伤寒，经过发汗或攻下治疗后咳嗽不止。
朴实六合汤：由四物汤四两，加浓朴、枳实（麸炒）各五钱组成。治疗妊娠期间患伤寒后，出现虚痞胀满，属于阳明本虚（本，指胃腑）。
栀子六合汤：由四物汤四两，加栀子、黄芩各五钱组成。治疗妊娠期间患伤寒，经过发汗或攻下治疗后失眠不得眠。
石膏六合汤：由四物汤四两，加石膏、知母各五钱组成。治疗妊娠期间患伤寒，大渴而烦躁，脉象长而大。
茯苓六合汤：由四物汤四两，加茯苓、泽泻各五钱组成。治疗妊娠期间患伤寒，小便不利，属于太阳本经病（本，指膀胱腑）。
胶艾四物汤：由四物汤四两，加阿胶、艾叶各五钱组成。（一方加甘草；一方加甘草、黄芩、干姜）。治疗妊娠期间患伤寒，经过发汗或攻下治疗后，阴道出血不止，损伤胎气的情况。
附子六合汤：由四物汤四两，加附子、肉桂各五钱组成。治疗妊娠期间患伤寒，四肢拘急，身体凉爽微汗，腹中疼痛，脉象沉迟，属于少阴病（桂枝、附子也是辛热动胎的药物，间有不得已而使用的情况）。
四物大黄汤：由四物汤四两，加生地、大黄（酒浸）各五钱组成。治疗妊娠期间患伤寒蓄血证（歌诀说：妇人妊娠若蓄血，抵挡桃仁莫妄施，要救母子俱无损，大黄四物对分之。吴绶说：产后患伤寒，不可轻易发汗，因为有产时用力发热，有失血过多发热，有恶露不尽发热，有三日乳蒸发热，或者早起劳动、饮食停滞，也都表现为发热类似伤寒，必须详细辨别。大概产后大血空虚，如果发汗则会导致筋惕肉瞤，或者昏迷不醒，或者抽搐不定，或者大便闭塞，其危害非轻。凡是有发热，暂且给予四物汤，川芎、当归作为君药用量最多，白芍须炒过，酒蒸熟地黄佐助，加上软苗柴胡、干姜、人参主治，效果最好。因为干姜辛热，能引导血药入血分，气药入气分，而且能去恶生新，符合阳生阴长的道理，以热治热，深合《内经》的宗旨。如恶露不尽者，益母丸、黑神丸，必须兼用。胃虚食少者，加白术、茯苓；有痰呕逆者，加陈皮、半夏；其余六经治疗原则都相同。必须以四物汤为主，这才是养血务本的要义。）
Treats all kinds of carbuncles, sores, and malignant ulcers.
When a person first feels the onset of a back carbuncle (a carbuncle occurring on the back), before it has fully formed, presenting with redness, swelling, and pain, cover the area with a wet paper; the spot that dries out first indicates the head of the abscess. Take a slice of single-clove garlic and place it on the head of the abscess, then apply moxibustion. Replace the garlic slice after every three moxa cones (Zhuang). If there is pain, moxa until the pain ceases; if there is no pain, moxa until pain appears, which is considered ideal. The most important principle is to detect it early and treat with moxibustion as soon as possible. If there are ten or more heads, grind the garlic into a paste, make it into a cake, spread it over the heads, and burn the moxa cones gathered on top of the garlic cake. If the initial presentation is a patch of redness and swelling with a small yellow millet-grain-sized pustule in the center, place a slice of single-clove garlic on the head and apply fourteen or forty-nine moxa cones, allowing the toxic factors to exit outward, which facilitates healing. (Li Xun stated: For treating carbuncles and sores, moxibustion is superior to medication. Change the moxa every three cones, with one hundred cones as the standard limit. However, moxibustion must absolutely not be used on the head and neck, lest it draw Qi upward and cause greater disaster. Shi Yuan stated: Some cases involve up to eight hundred cones, consuming approximately one sieve of moxa. Initially, necrotic tissue does not hurt; only when healthy flesh is reached does pain occur. By night, the heat fills the back, and hundreds of holes appear at the elevated points, allowing toxins to exit outward; otherwise, toxins will press inward against the five Zang organs, leading to danger. *Bencao Gangmu* states: *Waike Jingyao* claims that toxicity on the head cannot be treated with moxibustion, which is incorrect! The head is the gathering point of all Yang meridians; moxa cones should be small, and the number of cones few—small like a pepper grain, and few, only three to five cones.)
For all kinds of carbuncles, sores, and swelling/toxicity. Use hibiscus flower, or leaves, or root bark, crush them into a paste, or dry and grind into powder. Mix with honey and apply around the periphery, leaving the head exposed. When dry, apply Lianggao, Qinglu San, or Tiegu San, all of which are made from this substance. Alternatively, add powder of Adzuki Bean (*Vigna angularis*), or powder of prepared *Xanthium fructus* (burned to retain its nature), which is also excellent. (Hibiscus is acrid and neutral in nature...)
Women's diseases are the same as men's; however, during menstruation and pregnancy, they cannot be treated according to general rules. Therefore, several prescriptions for obstetrics, gynecology, menstruation, and leukorrhea are selected for reference. Prescriptions that can be used by both men and women are not repeated here.
(Haizang [Zhang Yuansu])
Treats cold damage (Shanghan) during pregnancy, characterized by headache, fever, absence of sweating, and a tight pulse, indicating a disease of the Taiyang meridian.
Siwu Tang (Four liang total, one liang per ingredient) Ephedrae Herba (Mahuang, 麻黄) Asari Radix et Rhizoma (Xixin, 细辛) (Five qian)
These are medicines for the Foot-Taiyang Bladder Meridian. Generally, the treatment principles for the Six Meridians in women with cold damage are the same. However, in pregnant women, the primary focus is to calm the fetus; medications that harm the fetus should be avoided.
Biaoxu Liuhe Tang (Table-Deficiency Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Cinnamon Twig (Guizhi, 桂枝) and Groundcherry Root Bark (Dugupi, 地骨皮) (Seven qian each). Treats cold damage during pregnancy with table-deficiency, spontaneous sweating, fever, aversion to cold, and headache...
Shiliu... Qiao... Chaihu... Jada... Chen Shu, this is a disease of the Taiyang and Yangming meridians; urgent purgation is required (Rhubiz Radix et Rhizoma (Dahuang, 大黄) and Peach Kernel (Taoren, 桃仁) are contraindicated in pregnancy, yet occasionally used in cold damage treatment, under the premise that the medicine matches the disease. The classic states: "If a woman is heavily pregnant, how should toxic drugs be used?" Qibo replied: "If there is an existing pathology, there will be no injury to the mother or fetus." This refers to such cases.)
Renshen Liuhe Tang (Ginseng Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Ginseng Radix (Renshen, 人参) and Schisandrae Fructus (Wuweizi, 五味子) (Five qian each). Treats persistent coughing after sweating or purging in pregnant women with cold damage.
Pishi Liuhe Tang (Magnolia Bark Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Magnoliae Officinalis Cortex (Houpo, 厚朴) and Immature Bitter Orange (Zhishi, 枳实) (Five qian each, stir-fried with bran). Treats deficiency-type bloating and fullness after cold damage in pregnancy, indicating Yangming deficiency (Ben refers to the Stomach Fu organ).
Zhizi Liuhe Tang (Gardenia Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Gardeniae Fructus (Zhizi, 栀子) and Scutellariae Radix (Huangqin, 黄芩) (Five qian each). Treats insomnia after sweating or purging in pregnant women with cold damage.
Shigao Liuhe Tang (Gypsum Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Gypsum Fibrosum (Shigao, 石膏) and Anemarrhenae Rhizoma (Zhimu, 知母) (Five qian each). Treats severe thirst and irritability with a long and large pulse in pregnant women with cold damage.
Fuling Liuhe Tang (Poria Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Poria (Fuling, 茯苓) and Alisma Rhizoma (Zexie, 泽泻) (Five qian each). Treats difficult urination in pregnant women with cold damage, indicating a disease of the Taiyang meridian (Ben refers to the Bladder Fu organ).
Jiao'ai Siwu Tang (Donkey-Hide Gel and Mugwort Siwu Decoction): Composed of Siwu Tang (Four liang) plus Donkey-Hide Gel (Ejiao, 阿胶) and Mugwort Leaf (Aiyè, 艾叶) (Five qian each). (One formula adds Licorice Root (Gancao, 甘草); another adds Licorice Root, Scutellariae Radix, and Dried Ginger (Ganjiang, 干姜)). Treats continuous vaginal bleeding damaging the fetal qi after sweating or purging in pregnant women with cold damage.
Fuzi Liuhe Tang (Aconite Six-Harmony Decoction): Composed of Siwu Tang (Four liang) plus Prepared Aconite Root (Fuzi, 附子) and Cinnamon Bark (Rougui, 肉桂) (Five qian each). Treats cold damage during pregnancy with limb stiffness, cool body with slight sweating, abdominal pain, and a deep, slow pulse, indicating Shaoyin disease (Cinnamon and Aconite are also acrid-hot herbs that may disturb the fetus, but are occasionally used when necessary).
Siwu Dahuang Tang (Siwu with Rhubarb Decoction): Composed of Siwu Tang (Four liang) plus Rehmanniae Radix Preparata (Shengdi, 生地) and Rhizoma et Radix Notopterygii (Dahuang, 大黄) (Five qian each, soaked in wine). Treats blood stasis syndrome in pregnant women with cold damage. (The verse states: "If a pregnant woman has blood stasis, do not recklessly use Digang Decoction [containing Persicae Semen and Euphorbiae Kansui]; to save both mother and child without harm, divide Rhubarb and Siwu Tang equally." Wu Shou stated: "Postpartum cold damage should not be lightly treated with diaphoresis. Fever may arise from exertion during delivery, excessive blood loss, incomplete lochia expulsion, breast engorgement on the third day, or early labor/dietary stagnation, all mimicking cold damage. Careful differentiation is essential. Generally, postpartum blood deficiency means sweating can lead to muscle twitching, coma, convulsions, or constipation, causing serious harm. For any fever, initially administer Siwu Tang, using Angelicae Sinensis Radix (Danggui, 当归) and Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) as sovereign herbs in high doses. White Peony Root (Baishao, 白芍) should be stir-fried, supported by Wine-processed Rehmanniae Radix Preparata (Shudihuang, 熟地黄), combined with soft-stalk Bupleuri Radix (Chaihu, 柴胡), Dried Ginger, and Ginseng for best effect. Dried Ginger is acrid-hot, guiding blood-invigorating herbs into the blood level and Qi-regulating herbs into the Qi level; it eliminates old blood and generates new blood, following the principle of Yang generating Yin, and treating heat with heat aligns deeply with the *Neijing*. For incomplete lochia, Yimu Wan or Heishen Wan must be used concurrently. For stomach deficiency and poor appetite, add Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) and Poria; for phlegm and vomiting, add Tangerine Peel (Chenpi, 陈皮) and Pinelliae Rhizoma (Banxia, 半夏). The treatment principles for the Six Meridians remain the same. Siwu Tang must be the foundation, as it is the key to nourishing blood and addressing the root.")