妇人小腹为冲任之海，血气用事。凡遇寒冷则血气凝结，为之击搏，故作痛，得温暖则气和
通而痛已也。又有胞络之间，阴户之中，房事所伤，或为外寒郁遏，亦令疼痛。凡用热物烙之，
及炒盐熨贴，皆可止者是也。
（《集验》）吴茱萸汤 治妇人室女小腹痛不可忍，内外着寒尤效。
吴茱萸（汤泡） 延胡索（各一钱） 官桂 木香（各五分）
上为细末，每服一钱，空心或食前，滚汤一杯调冲，酒二杯调服。未痊再服，永不发。
（《良方》）威灵仙散 治前证。
威灵仙 当归（各一钱） 木香 没药 桂心（各五分）
上为细末，每服一钱，酒调。
（《秘方》）茴香橘皮酒 治同前，兼治心腹痛。
八角茴香（一两） 红橘皮（二两） 白豆蔻（半两）
上为粗未，每服三钱，酒一盏，煎数十沸，滤去渣服。
心胸嘈杂，妇人多有之，皆因火动其痰也，或云是血嘈，多用猪心紫血炒食之即愈。此亦血
导血归源耳已。恰如盐梅下涎之义，不若许学士旋覆花汤治心腹中脘痰水冷气，心下汪洋，嘈杂
肠鸣，口吐清水或自出，胁肋胀急不欲食，此胃气虚冷所致。其脉沉迟弦细，是其证也。
（学士）旋复花汤 治嘈杂。
旋覆花 北细辛 橘红 桂心 人参 甘草 苦梗 白芍药 半夏（各五分） 赤茯苓（三分）
水盏半，姜七片，煎八分，食远服。
茱萸四物汤 治血嘈吞酸，吐酸水。
吴茱萸（泡） 当归 川芎 芍药 生地黄（姜炒。各等分。）
上咀，每服半两，水盏半，煎七分，温服。
妇女的小腹是冲脉和任脉汇聚之处，气血在此发挥作用。凡是遇到寒冷，气血就会凝结，相互冲击搏击，因此产生疼痛；得到温暖后，气机调和通畅，疼痛就会停止。另外，在胞宫络脉之间、阴户之中，因房事损伤，或者被外寒郁结遏制，也会导致疼痛。凡是用热物熨烫，以及用炒热的盐敷贴，都可以使疼痛停止，就是这样的道理。
（出自《集验方》）吴茱萸汤：治疗妇女及未婚女子小腹痛得难以忍受，内外受寒的情况尤其有效。
药材：吴茱萸（用汤浸泡）、延胡索（各一钱）、官桂、木香（各五分）。
制法与用法：将上述药物研成细末，每次服用一钱，空腹或饭前，用一杯滚开水调服，或用两杯酒调服。如果病未痊愈，再服用一次，即可永不复发。
（出自《良方》）威灵仙散：治疗上述证候。
药材：威灵仙、当归（各一钱）、木香、没药、桂心（各五分）。
制法与用法：将上述药物研成细末，每次服用一钱，用酒调服。
（出自《秘方》）茴香橘皮酒：治疗同上证候，兼治心腹痛。
药材：八角茴香（一两）、红橘皮（二两）、白豆蔻（半两）。
制法与用法：将上述药物捣成粗末，每次服用三钱，加一盏酒，煎煮数十沸，滤去药渣后服用。
心胸嘈杂感，妇女中多有发生，都是因为火邪扰动痰湿所致，也有人说这是血嘈，多用猪心带紫血炒食即可痊愈。这也是“血引血归源”的道理罢了。恰如用盐梅来引导涎液下行的意义一样。不如许学士的旋覆花汤，治疗心腹中脘部的痰水冷气，心下感觉水液荡漾，伴有嘈杂、肠鸣，口吐清水或自然流出，胁肋胀急不想进食，这是胃气虚冷所导致的。其脉象沉迟弦细，就是这种证候的表现。
（许学士）旋复花汤：治疗嘈杂。
药材：旋覆花、北细辛、橘红、桂心、人参、甘草、苦梗、白芍药、半夏（各五分）、赤茯苓（三分）。
制法与用法：用水一碗半，生姜七片，煎至八分满，在饭后较远的时间服用。
茱萸四物汤：治疗血嘈吞酸，吐酸水。
药材：吴茱萸（浸泡）、当归、川芎、芍药、生地黄（用姜炒，各等分）。
制法与用法：将药物切碎，每次服用半两，用水一碗半，煎至七分满，温服。
The lower abdomen of women is the sea of the Chong and Ren vessels, where Qi and Blood exert their functions. Whenever cold is encountered, Qi and Blood coagulate and strike against each other, thus causing pain; upon receiving warmth, Qi harmonizes and flows freely, and the pain subsides. Furthermore, within the collateral vessels of the uterus and among the vaginal orifice, injuries from sexual intercourse, or external cold stagnating and restraining, can also cause pain. Applying hot objects for moxibustion-like warming, as well as applying hot salt compresses, can all stop the pain; this is the principle involved.
(From *Ji Yan Fang*) **Wuzhuyu Tang (Evodia Decoction)**: Treats unbearable lower abdominal pain in married or unmarried women, especially effective for conditions involving internal and external cold.
Ingredients: Wuzhuyu (Evodiae Fructus, soaked in water), Yanshusuo (Corydalis Rhizoma, 1 qian each); Guigui (Cinnamomi Ramulus), Muxiang (Aucklandiae Radix, 0.5 qian each).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian per dose, either on an empty stomach or before meals, mixed with one cup of boiling water or two cups of wine. If not cured, take again to prevent recurrence permanently.
(From *Liang Fang*) **Weilingxian San (Peucedani Powder)**: Treats the aforementioned condition.
Ingredients: Weilingxian (Pedalii Herba), Danggui (Angelicae Sinensis Radix, 1 qian each); Muxiang (Aucklandiae Radix), Moyao (Myrrha), Guixin (Cinnamomi Cortex, 0.5 qian each).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian per dose, mixed with wine.
(From *Mifang*) **Huixiang Jupi Jiu (Fennel and Tangerine Peel Wine)**: Treats the same condition as above, and additionally treats heart and abdominal pain.
Ingredients: Bajiao Huixiang (Illicii Fructus, 1 liang), Hong Jupi (Pericarpium Citri Reticulatae Rubrum, 2 liang), Baidoukou (Amomi Fructus Rotundus, 0.5 liang).
Preparation and Administration: Coarsely crush the above ingredients. Take 3 qian per dose, decocted with one cup of wine for dozens of boils, strain off the dregs, and drink.
Heart and chest restlessness (Zaocao) is common among women, caused by fire stirring up phlegm. Some call it blood-related restlessness (Xuecao), which is often cured by eating stir-fried pig heart with dark blood. This follows the principle of "blood guiding blood back to its source," similar to how salt and plum induce salivation. However, it is preferable to use Xue Shi's Xuanfuhua Tang (Inula Decoction) to treat phlegm-cold qi in the heart, abdomen, and Zhongwan area, characterized by a sensation of fluid surging below the heart, restlessness, borborygmus, spitting clear saliva or spontaneous drooling, distension and urgency in the hypochondrium, and loss of appetite. These are caused by deficiency-cold of Stomach Qi. The pulse is deep, slow, wiry, and thin, confirming the diagnosis.
(Xue Shi) **Xuanfuhua Tang (Inula Decoction)**: Treats restlessness.
Ingredients: Xuanfuhua (Inulae Flos), Beixixin (Asari Radix et Rhizoma), Juhong (Exocarpium Citri Reticulatae Rubrum), Guixin (Cinnamomi Cortex), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Kugeng (Platycodonis Radix), Baishao (Paeoniae Radix Alba), Banxia (Pinelliae Rhizoma, 0.5 qian each); Chi Fuling (Poria Cocos cum Ligno Rubra, 0.3 qian).
Preparation and Administration: Decoct with 1.5 cups of water and seven slices of fresh ginger until reduced to 0.8 parts. Take far after meals.
**Zhuyu Siwu Tang (Evodia Four Substances Decoction)**: Treats blood-related restlessness with acid regurgitation and vomiting of sour fluids.
Ingredients: Wuzhuyu (Evodiae Fructus, soaked), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Shengdihuang (Rehmanniae Radix Recens, stir-fried with ginger, equal parts).
Preparation and Administration: Cut the herbs into small pieces. Take 0.5 liang per dose, decoct with 1.5 cups of water until reduced to 0.7 parts. Take warm.