治妇人血刺血 上抢，血块走注，心胸疼痛，血海虚冷，脐下膨胀，小腹满闷，腿膝无
力，血多血少，背膊闷倦，血皴裂，手足麻痹，身体振掉，腰脊伛偻月经不调，或清或浊，
赤白带下，血山崩漏，面色痿黄，身生瘾疹，腹内虚鸣，面生 ，手足热疼，并筋挛骨疼，
两筋攀急，起坐托壁，腰背牵掣，舒卷不得。陈自明管见良方云∶治妇人冲任本虚，小腹挟
寒，或因产劳损子脏，风寒搏于血气，结生瘕聚，块硬发歇，背项强急，手足麻痹，或疼，
滞涩闷血，小腹疼痛，寒热盗汗，四体酸痛，羸乏少力，心多惊悸，不能饮食。
牡丹皮（一两） 黑附子（一两，包） 牛膝酒（浸一宿，一两） 龙骨（二两，细研，
水飞过） 五味子（一两，生） 官桂（去皮，一两） 人参（一两） 槟榔（二两） 白
术（一两） 白茯苓（一两） 当归（一两）
两） 延胡索（半两） 羌活（二两） 本（去土，用细梢，一两） 干熟地黄（二两） 赤
芍药（一两） 干姜（半两） 山茱萸（半两） 干薯蓣（一两） 缩砂仁（半两） 石斛
（三两） 萆 （一两末同炒熟） 白芷（一两）
上二十六味，并各州土新好者，洗净，令焙干，杵为细末，炼蜜为丸如桐子大。如是血
热及夜多烦躁，不用附子，山茱萸，萆 ，干姜，此四味，却入柴胡，黄连，甘草，牵牛子
四味，柴胡去苗，一两，甘草一两，余各半两，为末，同和，每服十丸至二十丸，温酒下，
醋汤亦可，空心临卧各一服，不嚼，并无所忌。
治疗妇人血刺痛、血液上冲，血块游走窜动，心胸部位疼痛，血海虚寒，脐下胀满，小腹部痞闷，腿膝无力，月经量过多或过少，背部和肩部闷倦，皮肤皲裂，手足麻木麻痹，身体震颤动摇，腰脊弯曲僵硬，月经不调，经色或清稀或浑浊，赤白带下，血崩漏下，面色萎黄，身上生出瘾疹（风团），腹内肠鸣虚响，面部生疮，手足热痛，以及筋脉拘挛骨痛，两条筋脉牵引紧缩，起身坐下需依靠墙壁支撑，腰背牵拉掣痛，伸展卷曲受限。陈自明在《良方》中指出：治疗妇人冲任二脉本虚，小腹夹杂寒气，或因生产劳累损伤子宫，风寒之邪与血气相搏结，形成瘕聚肿块，时硬时软发作不定，颈项背部强直紧急，手足麻木麻痹或疼痛，气血滞涩闷阻，小腹部疼痛，寒热往来及盗汗，四肢酸痛，形体消瘦乏力，心中易惊悸，不能进食。
牡丹皮（一两） 黑附子（一两，包裹） 牛膝（酒浸一夜，一两） 龙骨（二两，细研，水飞处理） 五味子（一两，生用） 官桂（去皮，一两） 人参（一两） 槟榔（二两） 白术（一两） 白茯苓（一两） 当归（一两） 延胡索（半两） 羌活（二两） 藁本（去土，取细梢，一两） 干熟地黄（二两） 赤芍药（一两） 干姜（半两） 山茱萸（半两） 干薯蓣（山药，一两） 缩砂仁（半两） 石斛（三两） 萆薢（一两，同炒熟后捣末） 白芷（一两）
以上二十六味药材，均选用各州县产地新鲜优质的，洗净后焙干，捣成细末，用炼蜜制成如梧桐子大小的丸剂。如果是血热证以及夜间多烦躁者，不用附子、山茱萸、萆薢、干姜这四味药，改为加入柴胡、黄连、甘草、牵牛子四味药，柴胡去苗，用量一两，甘草一两，其余各半两，研为细末，混合均匀。每次服用十丸至二十丸，温酒送服，醋汤亦可，空腹及临睡前各服一次，不咀嚼，饮食起居无所禁忌。
Indicated for women with blood-stabbing pain, upward rushing of blood, wandering and migrating blood clumps, pain in the chest and heart region, deficiency-cold of the Blood Sea (Xuehai), distension below the umbilicus, fullness and oppression in the lower abdomen, weakness in the legs and knees, excessive or scanty menstruation, heaviness and fatigue in the back and shoulders, skin cracking, numbness and paralysis of the hands and feet, tremors and shaking of the body, curvature and stiffness of the waist and spine, irregular menstruation with clear or turbid discharge, leukorrhea (red and white vaginal discharge), metrorrhagia and metrostaxis (uterine bleeding), sallow complexion, urticaria (wind wheals) on the body, empty borborygmus (rumbling) in the abdomen, facial sores, hot and painful hands and feet, tendon spasms and bone pain, tight contraction of tendons, difficulty rising or sitting without leaning against a wall, pulling and wrenching pain in the waist and back, and inability to extend or flex freely. Chen Ziming stated in *Liangfang*: For treating deficiency of the Chong and Ren vessels in women, cold trapped in the lower abdomen, or damage to the uterus due to labor during childbirth, where wind-cold combats with qi and blood, forming masses and accumulations that are hard and fluctuate, accompanied by stiffness and urgency in the neck and back, numbness or pain in the hands and feet, stagnation and obstruction of blood causing lower abdominal pain, alternating chills and fever, night sweats, soreness and pain in the four limbs, emaciation and lack of strength, frequent palpitations and fright, and anorexia.
*Radix Paeoniae Rubra* (Mu Dan Pi, one tael) *Radix Aconiti Lateralis Preparata* (Hei Fuzi, one tael, wrapped) *Radix Achyranthis Bidentatae* (Niu Xi, soaked in wine overnight, one tael) *Os Draconis* (Longgu, two taels, finely ground, washed with water) *Fructus Schisandrae Chinensis* (Wuweizi, one tael, raw) *Cortex Cinnamomi* (Guan Gui, peeled, one tael) *Radix Ginseng* (Renshen, one tael) *Fructus Arecae* (Binglang, two taels) *Rhizoma Atractylodis Macrocephalae* (Baizhu, one tael) *Poria* (Baifuling, one tael) *Radix Angelicae Sinensis* (Danggui, one tael) *Rhizoma Corydalis Yanhusuo* (Yanhusuo, half a tael) *Radix Notopterygii* (Qianghuo, two taels) *Rhizoma Ligustici Wallichii* (Gabeng, de-soiled, using fine tips, one tael) *Radix Rehmanniae Preparata* (Gan Shudihuang, two taels) *Radix Paeoniae Rubra* (Chishaoyao, one tael) *Rhizoma Zingiberis* (Ganjiang, half a tael) *Fructus Corni* (Shanzhuyu, half a tael) *Rhizoma Dioscoreae Hypoglaucae* (Gan Shuyue/Shanyao, one tael) *Fructus Amomi Rotundus* (Suosharen, half a tael) *Radix Dendrobii* (Shihu, three taels) *Rhizoma Dioscoreae Hypoglaucae* (Bixie, one tael, stir-fried until cooked then powdered) *Radix Angelicae Dahuricae* (Baizhi, one tael).
The above twenty-six ingredients should be fresh and high-quality from their respective regions. Wash them clean, bake until dry, pound into a fine powder, and mix with refined honey to form pills the size of paulownia seeds. For cases involving blood-heat and nighttime irritability, exclude the four herbs: *Radix Aconiti Lateralis Preparata* (Fuzi), *Fructus Corni* (Shanzhuyu), *Rhizoma Dioscoreae Hypoglaucae* (Bixie), and *Rhizoma Zingiberis* (Ganjiang). Instead, add *Radix Bupleuri* (Chaihu), *Rhizoma Coptidis* (Huanglian), *Radix Glycyrrhizae* (Gancao), and *Semen Kochiae* (Qianniuzi). Use *Radix Bupleuri* (de-seeded, one tael), *Radix Glycyrrhizae* (one tael), and the others at half a tael each. Grind into powder, mix uniformly. Take ten to twenty pills per dose, swallowed with warm wine; vinegar decoction is also acceptable. Take once on an empty stomach and once before bed, do not chew, and there are no dietary restrictions.