集验疗妇人产后阴下脱方。
取蛇床子一升，布裹炙熨之，亦疗阴中痛。
千金疗产后阴下脱方。
以铁精粉上推纳之。
又方
烧人屎末，酒服方寸匕，日三度。
又方
脐下横纹灸二七壮。
古今录验疗产后阴下脱方。
蜀椒（一升） 吴茱萸（一升） 戎盐（半鸡子大）
上三味捣，以绵裹如半鸡子大，纳阴中，日一易，二十日愈。
又方
鳖头（阴干二枚） 葛根（一斤）
上二味捣散，酒服方寸匕，日三。
素女经论妇人八瘕积聚，无子，断绝不主，令有子受胎养法。并曾伤落依月服药法，及
阴闭生息肉，阴痒生疮，阴痒 疮，带下阴子脏不正，阴门挺出，阴肿坚隐疾方。
黄帝问于素女曰，吾闻天下妇人产乳有子而病者，未曾生子而病者，又产乳后而中绝不
复产者，何也，诸病作生，而令妇人腹中有积聚，胸胁腰背挛而痛，久而生八瘕之聚。病深
可畏，不在肠胃，疗之或已复作，其状宁可得闻之乎，对曰，妇人之病，皆由于月病生产所
致，又从胞胎所起，其病不同，针灸食药，不得其方也。
黄帝曰，安心其要易，闻之为宝，受之良久，详思念其事曰。善哉，疗将奈何，素女曰
，诚为主说，妇人胞胎之数，皆在阴里，万物皆从生渊深，血脉精气所从行，肾为阴，阴主
开闭。左为胞门，右为子户，主定月水，生子之道，胞门生于子精，精神气所出入，合于中
黄门，玉门四边，主持关元，禁闭子精。脐下三寸，名曰关元，主藏魂魄，妇人之胞，三焦
之府，常所从上，然妇人经脉俞络合调，则月水如时来至，故能生子而无病，妇人营卫经络
断绝不通，其人思惟，邪气便得往来，入合于子脏，若生后恶露未已，合阴阳，即令妇人经
脉挛急，令人少腹里急支满，胸胁腰背相引痛苦，四肢酸削，饮食不调，结牢恶血不除，月
水不如时，或在前或在后，乍久不止，因生积聚如怀胎状，邪气盛甚，令人恍惚多梦，寒热
，四肢不欲时动，阴中生气，肿肉生风，甚者小便不利，苦痛如淋状，面目黄黑，岁月病即
不复生子，黄帝曰，吾深所忧也，疗之奈何，可得愈病，令人有子，愿拜受非其人不敢妄传
。何以神良耳。素女曰，今详面图。
一曰黄瘕，黄瘕者，妇人月水始下，若新伤坠，血气未止，卧寝未定，五脏六腑虚羸，
精神不定，因向大风便利阴阳开闭关节四远，中于风湿，气从下上，入于阴中，稽留不去，
名为阴虚，则生黄瘕之聚，令人病苦四肢寒热，身重淋露，卧不欲食，左胁下有气结牢，不
可得抑。苦病腰背相引痛，月水不利，则善令人不产，少腹急，下引阴中如刺，不得小便，
或时寒热，下赤黄汁，病苦如此，令人无子，疗当刺关元气冲，行以毒药，有法疗治，瘕当
下即愈矣。
又疗黄瘕皂荚散导之方
皂荚（一两炙去皮子） 蜀椒（一两汗） 细辛（六分）
上三味捣散，以三角囊大如指长二寸贮之取纳阴中。闷则出之，已则复纳之，恶血毕
出，乃洗以温汤，三日勿近男子，忌生菜等。
二曰青瘕，青瘕者。妇人新生未满十日起行，以汤浣洗太早，阴阳虚，玉门四边皆解
散，子户未安定，骨肉皆痛，手臂不举，饮食未复，五内吸吸，又当风卧不自隐障，若居湿
地及湿席，令人苦寒洒洒入腹中，心腹烦闷沉淖。恶血不除，结热不得散，则生青瘕之聚在
左右胁下，藏于背膂，上与肩甲腰下，挛急两足，腹下有气起，喜唾，不可多食，四肢不欲
动摇。恍惚善梦，手足肿，面目黄，大小便难，其候月水不通利，或不复禁，状如崩中，此
自过所致，令人少子，疗之当刺胃管，行以毒药，有法瘕当下即愈矣。
又疗青瘕导药方。
戎盐（一升） 皂荚（半两去皮子炙） 细辛（一两六铢）
上三味捣散，以三角囊大如指长三寸贮之，纳阴中，但卧瘕当下青如葵汁，养之如产法
三曰燥瘕，燥瘕者，妇人月水下，恶血未尽，其人虚惫。而以夏月热行疾步，若举重移
轻
气上达膈中背膂。少腹壅急，月水与气俱不通利，而反以饮清水快心，月水横流，溢入他脏
不去有热，则生燥瘕之聚，大如半杯，上下腹中苦痛在两胁下，上引心而烦害饮食，食欲呕
吐，胸及腹中不得太息，腰背重，喜卧盗汗，足酸削，久立而痛，小便失时，忽然自出若失
精，月水闭塞。大便涩难，有此病者，令人少子，疗之以长针按而刺之法度，行以毒药，瘕
当下即愈矣。
又疗燥瘕方。
大黄（如鸡子许） 干姜（二两） 鸡 中黄膜（一枚炙） 黄连（二两） 桂心（一
尺）
虫（三枚熬） 浓朴（十铢炙） 郁李仁（一两去皮尖熬）
上八味捣散，早朝空腹，以温酒一盏和三钱匕顿服，瘕当下，下毕，养之如产妇法，三
月无子者，当有子，三日勿合阴阳。
四曰血瘕，血瘕者妇人月水新下，未满日数而中止，因饮食过度，五谷气盛，溢入他脏
，若大肌寒，吸吸不足，呼吸未调，而自劳动，血下走肠胃之间，流落不去，内有寒热，与
月水合会，则生血瘕之聚，令人腰痛不可以俯仰，横胁下有积气。牢如石，少腹裹急苦痛，
背膂疼，腰股下痛，阴裹若生子风冷，子门僻，月水不时，乍来乍去，有此病者令人无子。
疗之，瘕当下即愈矣。（方缺）
崔氏疗妇人血瘕痛方。
干姜 乌贼鱼骨（各一两炙） 桃仁（一两去皮尖熬）
上三味捣散，酒服二方寸匕，日二。
又方
取古铁秤锤，或大斧头，或铁杵，以炭火烧令赤，投好酒三升中，稍稍饮之。
又方
桂末，温酒服方寸匕佳，日二。（并出第十下卷中）
古今录验疗妇人血瘕攻刺腹胁时痛，导药方。
大黄 当归（各半分） 山茱萸（一两） 皂荚（一两去皮子炙） 细辛 戎盐（二六
铢）
上六味捣，以香脂丸如指大，每以绵裹纳阴中，正坐良久，瘕当下，养如乳妇之法。
五曰脂瘕，脂瘕者，妇人月水新下，若生未满三十日，其人未复，以合阴阳，络脉分，
胞门伤，子户失禁，关节散，五脏六腑津液流行，阴道 动，百脉关枢四解，外不见其形，
子精与血气相遇，犯禁子精化，不足成子，则生脂瘕之聚，令人支满裹急痛痹，引少腹重，
腰背如刺，四肢不举，饮食不甘。卧不安席，左右走，腹中切痛，时瘥时甚，或时少气，头
眩，身体疼解，苦寒恶风，膀胱胀，月水乍来乍去，不如常度，大小便血不止，有此病者，
令人无子，疗之当刺以长针，行以毒药，瘕当下即愈矣。
又疗脂瘕方。
皂荚（十八铢去皮尖） 矾石（六铢烧） 五味子 蜀椒（汗） 细辛 干姜（各半两）
上六味捣散，以香脂和如大豆，着男子阴头，以合阴阳。不三行，其瘕乃愈。
又疗妇人绝不复生，及未曾生，皆以脂瘕腹中有块，以汤煎自下，尚不受子，导散方。
皂荚（炙去子皮） 吴茱萸 当归（各一两） 蜀椒（汗各二两） 细辛（熬） 矾石
（烧） 五
味子（各三分） 大黄 戎盐（各二两） 干姜（二两）
上十味捣散，以轻绢袋如指大长三寸盛药令满，纳阴中，坐卧随意，勿行走，小便时去
之，别换新者。
六曰狐瘕，狐瘕者，妇人月水当日数来，而反悲哀自恐，若以远行，逢暴风疾雨，电雷
惊恐。被湿罢（音疲）倦少气，心中恍惚未定，四肢懈堕振寒，若寤寐脉气绝，精神游亡，
邪
气入于阴里不去，则生狐瘕之聚，食人子脏，令人月水闭不通。少腹瘀滞，胸胁腰背痛，阴
中肿，小便难，胞门子户不受男精，五脏气盛。令人嗜食，欲呕喜唾，多所思，如有身状，
四
行以毒药，有法瘕当下即愈矣。
又疗狐瘕方。
取新死鼠一枚，裹以新絮，涂以黄土，穿地坎，足没鼠形，置其中，桑薪灼其上，一日
一夜出，分去絮，纳桂心末六铢，酒服二方寸匕，病当下，甚者不过再服，瘥止。
七曰蛇瘕，蛇瘕者，妇人月水已下新止，适闭未复，胞门子户劳动，阴阳未平，营卫分
行，若其中风暴病羸劣。饮食未调，若起行当风，及度泥涂，因冲寒大早，若坐湿地，名曰
阴阳乱，腹中虚，若远行道路，伏饮污井之水，不洁之食，通吞蛇鼠之精，流落不去，则生
蛇瘕之聚，上食人之肝心，苦病长大，条条在脐下，上还绞左右胁，不得吐气，两股胫间苦
疼，少腹多热，小便赤黄，膀胱引阴中挛急，腰背俱痛，难以动作，喜发寒热，月水或多或
少，有此病者，不复生子，其瘕手足成形者杀人，未者可治之，疗有法度，行以毒药，瘕当
下即愈矣。
又疗蛇瘕方。
大黄 黄芩 芒硝（各半两） 甘草（大如指一尺炙） 乌贼鱼骨（二枚） 皂荚（六
枚去皮
子尖）
上六味捣，以水六升煮之三沸，下绞去滓，下硝，适寒温服之，十日一剂，空腹服之，
当下。
八曰鳖瘕，鳖瘕者，妇人月水新至，其人剧作罢音疲劳汗出。衣服润湿，不以时去之，
若当风睡，足践湿地，恍惚觉悟，踱立未安，颜色未平，复见所好，心为开荡，魂魄感动，
五内脱消，若入水浣洗沐浴，不以时出，而神不守，水气与邪气俱入至三焦之中，又暮出入，
玉门先闭，津液妄行留落不去，则生鳖瘕之聚。大如小杯，令人少腹内切痛，恶气左右走，
上下腹中苦痛，若存若亡，持之跃手，下引阴里腰背亦痛。不可以息，月水不通，面目黄黑，
脱声少气，有此病者，令人绝子，其瘕有手足，成形者杀人，未者可治之，疗有法度，以长
针按疗
又疗鳖瘕方。
大黄（六分） 干姜 侧子（各半分） 附子 人参（各九铢） 虫（一寸匕熬） 桂
心（一
两六铢） 细辛 土 （各十八铢） 白术（一两）
上十味捣散，以酒服方寸匕，日三，以上八般瘕疾。（出古今录验第三十卷中）
《集验方》治疗妇人产后子宫脱垂的方剂。
取蛇床子一升，用布包裹后加热熨烫患处，此法也能治疗阴道内疼痛。
《千金方》治疗产后子宫脱垂的方剂。
将铁精粉涂抹在脱出的部位并推回纳入。
又一方
烧成人粪便成末，用酒送服一方寸匕，每日三次。
又一方
在脐下横纹处施灸十四壮。
《古今录验》治疗产后子宫脱垂的方剂。
蜀椒（一升） 吴茱萸（一升） 戎盐（半个鸡蛋大小）
以上三味药捣碎，用棉布包裹如半个鸡蛋大小，放入阴道内，每日更换一次，二十天痊愈。
又一方
鳖头（阴干两枚） 葛根（一斤）
以上两味药捣碎成散剂，用酒送服一方寸匕，每日三次。
《素女经》论述妇人八瘕积聚导致不孕、断绝生育能力，以及令其受孕养胎的方法。包括曾经堕胎后依月份服药的方法，以及阴道闭塞生息肉、阴道瘙痒生疮、带下病、子宫不正、阴门挺出、阴肿坚硬等隐疾的方剂。
黄帝问素女说：我听说天下的妇人，有生子后患病的，有未生子就患病的，还有产后中途断绝不再怀孕的，这是为什么呢？各种疾病产生，使妇人腹中有积聚，胸胁腰背拘挛疼痛，日久形成八瘕之聚。病情深重令人畏惧，病位不在肠胃，治疗即使暂时好转也可能复发，这些症状可以告诉我吗？素女回答说：妇人的病，都由于月经病和生产所致，又从胞胎引起，病情各不相同，若针灸用药不得当，则无法治愈。
黄帝说：安心讲述要点，我将视为珍宝，接受良久，仔细思考此事说：好啊，如何治疗呢？素女说：确实为您解说，妇人的胞胎数量都在阴部深处，万物皆从深渊中生出，血脉精气由此运行，肾属阴，阴主开闭。左边为胞门，右边为子户，主管月经，是生育之道，胞门生于子精，精神气由此出入，合于中黄门，玉门四周，主持关元穴，禁闭子精。脐下三寸，名为关元，主藏魂魄，妇人的胞宫是三焦的府库，常由上而下运行。然而妇人经脉俞络调和，则月经按时来潮，故能生子而无病；若妇人营卫经络断绝不通，其人思虑过度，邪气便得以往来，侵入合于子脏，若产后恶露未尽，行房事，即令妇人经脉拘急，使人少腹里急胀满，胸胁腰背相互牵引痛苦，四肢酸软消瘦，饮食不调，结滞恶血不除，月经不按时而至，或提前或延后，有时久不止，因而产生积聚如怀胎状，邪气盛极，令人恍惚多梦，寒热交替，四肢不想时常活动，阴中生风气，肿肉生风，严重时小便不利，痛苦如淋证状，面目黄黑，岁月久病则不再能生子。黄帝说：我深感忧虑，如何治疗才能痊愈，让人能有子女，愿拜受教诲，若非其人不敢妄传。为何如此神妙良效呢？素女说：现在详细绘制图谱。
第一曰黄瘕。黄瘕，是指妇人月经刚来，若新近受伤坠落，血气未止，卧床未定，五脏六腑虚弱羸瘦，精神不定，因对着大风便利，阴阳开闭关节四远，中于风湿，气从下向上，进入阴中，稽留不去，名为阴虚，则生黄瘕之聚，令人病苦四肢寒热，身体沉重淋露，卧不欲食，左胁下有气结块牢硬，不可压制。苦痛腰背相互牵引痛，月经不利，则容易使人不孕，少腹急迫，向下牵引阴中如针刺，不能小便，有时寒热，下赤黄色汁液，病苦如此，使人无子，治疗应当刺关元、气冲穴，施用毒药，有法则治疗，瘕积下行即可痊愈。
又治疗黄瘕的皂荚散导引方
皂荚（一两炙去皮子） 蜀椒（一两炒出汗） 细辛（六分）
以上三味药捣碎成散，用三角囊大如指长二寸装贮，取纳阴道中。感到闷窒则取出，缓解后再纳入，恶血排尽后，再用温水清洗，三天内不要亲近男子，忌食生菜等。
第二曰青瘕。青瘕，是指妇人新生未满十天就起身行走，以热水浣洗太早，阴阳虚损，玉门四周皆解散，子户未安定，骨肉皆痛，手臂不能举起，饮食未恢复，五脏内部吸吸作响，又当风卧睡不自隐蔽遮挡，若居湿地及湿席，令人苦寒洒洒入腹中，心腹烦闷沉淖。恶血不除，结热不得散，则生青瘕之聚在左右胁下，藏于背膂，上与肩甲腰下，拘急两足，腹下有气起，喜唾，不可多食，四肢不想动摇。恍惚善梦，手足肿，面目黄，大小便难，其候象月经不通利，或不再禁固，状如崩中漏下，这自是过失所致，使人少子，治疗应当刺胃管穴，施用毒药，有法则瘕积当下即可痊愈。
又治疗青瘕的导药方。
戎盐（一升） 皂荚（半两去皮子炙） 细辛（一两六铢）
以上三味药捣碎成散，用三角囊大如指长三寸装贮，纳阴道中，只要躺着瘕积就会下行排出青色如葵汁样液体，调养如同产后方法。
第三曰燥瘕。燥瘕，是指妇人月经刚下，恶血未尽，其人虚惫。而在夏月热时疾步行走，若举重移轻，气上达膈中背膂。少腹壅急，月经与气都不通利，反而饮用清水快心，月经横流，溢入他脏不去有热，则生燥瘕之聚，大如半杯，上下腹中苦痛在两胁下，向上牵引心脏而烦害饮食，食欲呕吐，胸及腹中不得太息，腰背重，喜卧盗汗，足酸软消瘦，久立而痛，小便失时，忽然自出若失精，月经闭塞。大便涩难，有此病者，使人少子，治疗用长针按而刺的法度，施用毒药，瘕积当下即可痊愈。
又治疗燥瘕方。
大黄（如鸡蛋许） 干姜（二两） 鸡肫中黄膜（一枚炙） 黄连（二两） 桂心（一尺）
虻虫（三枚熬） 浓朴（十铢炙） 郁李仁（一两去皮尖熬）
以上八味药捣碎成散，早晨空腹，用温酒一盏和三钱匕顿服，瘕积当下，下完后，调养如同产妇法，三个月无子者，当会有子，三天内不要行房事。
第四曰血瘕。血瘕，是指妇人月经刚下，未满日数而中止，因饮食过度，五谷气盛，溢入他脏，若大肌寒，吸吸不足，呼吸未调，而自劳动，血下走肠胃之间，流落不去，内有寒热，与月经合会，则生血瘕之聚，令人腰痛不可以俯仰，横胁下有积气。牢如石，少腹裹急苦痛，背膂疼，腰股下痛，阴裹若生子风冷，子门僻，月经不时，乍来乍去，有此病者使人无子。
治疗它，瘕积当下即可痊愈。（方剂缺失）
崔氏治疗妇人血瘕痛方。
干姜 乌贼鱼骨（各一两炙） 桃仁（一两去皮尖熬）
以上三味药捣碎成散，用酒送服二方寸匕，每日两次。
又一方
取古铁秤锤，或大斧头，或铁杵，用炭火烧令赤红，投入好酒三升中，慢慢饮之。
又一方
桂末，用温酒送服一方寸匕佳，每日两次。（均出自第十下卷中）
《古今录验》治疗妇人血瘕攻刺腹胁时痛，导药方。
大黄 当归（各半分） 山茱萸（一两） 皂荚（一两去皮子炙） 细辛 戎盐（二六铢）
以上六味药捣碎，用香脂丸如指大，每次用棉布包裹纳入阴道中，正坐良久，瘕积当下，调养如同乳妇之法。
第五曰脂瘕。脂瘕，是指妇人月经刚下，若生产未满三十日，其人未恢复，以合阴阳，络脉分离，胞门伤，子户失禁，关节散，五脏六腑津液流行，阴道动，百脉关枢四解，外不见其形，子精与血气相遇，犯禁子精化，不足成子，则生脂瘕之聚，令人支满裹急痛痹，牵引少腹重，腰背如刺，四肢不能举起，饮食不甘。卧不安席，左右走，腹中切痛，时好时坏，有时少气，头眩，身体疼解，苦寒恶风，膀胱胀，月经乍来乍去，不如常度，大小便血不止，有此病者使人无子，治疗应当刺以长针，施用毒药，瘕积当下即可痊愈。
又治疗脂瘕方。
皂荚（十八铢去皮尖） 矾石（六铢烧） 五味子 蜀椒（炒出汗） 细辛 干姜（各半两）
以上六味药捣碎成散，用香脂和如大豆，涂在男子阴头，以合阴阳。不超过三次，其瘕乃愈。
又治疗妇人绝不再生，及未曾生，皆因脂瘕腹中有块，以汤煎自下，尚不受子，导散方。
皂荚（炙去子皮） 吴茱萸 当归（各一两） 蜀椒（炒出汗各二两） 细辛（熬） 矾石（烧） 五味子（各三分） 大黄 戎盐（各二两） 干姜（二两）
以上十味药捣碎成散，用轻绢袋如指大长三寸盛药令满，纳阴道中，坐卧随意，勿行走，小便时去掉它，另换新者。
第六曰狐瘕。狐瘕，是指妇人月经当日数来，而反悲哀自恐，若以远行，逢暴风疾雨，电雷惊恐。被湿罢（音疲）倦少气，心中恍惚未定，四肢懈堕振寒，若寤寐脉气绝，精神游亡，邪气入于阴里不去，则生狐瘕之聚，食人子脏，令人月经闭不通。少腹瘀滞，胸胁腰背痛，阴中肿，小便难，胞门子户不受男精，五脏气盛。令人嗜食，欲呕喜唾，多所思，如有身状，
四次施用毒药，有法则瘕积当下即可痊愈。
又治疗狐瘕方。
取新死鼠一枚，裹以新絮，涂以黄土，穿地坎，足没鼠形，置其中，桑薪灼其上，一日一夜出，分去絮，纳桂心末六铢，酒送服二方寸匕，病当下，严重者不过再服，病愈停止。
第七曰蛇瘕。蛇瘕，是指妇人月经已下新止，适闭未复，胞门子户劳动，阴阳未平，营卫分行，若其中风暴病羸劣。饮食未调，若起行当风，及度泥涂，因冲寒大早，若坐湿地，名曰阴阳乱，腹中虚，若远行道路，伏饮污井之水，不洁之食，通吞蛇鼠之精，流落不去，则生蛇瘕之聚，上食人之肝心，苦病长大，条条在脐下，上还绞左右胁，不得吐气，两股胫间苦疼，少腹多热，小便赤黄，膀胱引阴中挛急，腰背俱痛，难以动作，喜发寒热，月经或多或少，有此病者，不再能生子，其瘕手足成形者杀人，未者可治之，治疗有法度，施用毒药，瘕积当下即可痊愈。
又治疗蛇瘕方。
大黄 黄芩 芒硝（各半两） 甘草（大如指一尺炙） 乌贼鱼骨（二枚） 皂荚（六枚去皮子尖）
以上六味药捣碎，用水六升煮之三沸，下绞去滓，下硝，适寒温服之，十日一剂，空腹服之，当下。
第八曰鳖瘕。鳖瘕，是指妇人月经刚到，其人剧作罢（音疲劳汗出）。衣服润湿，不以时去之，若当风睡，足践湿地，恍惚觉悟，踱立未安，颜色未平，复见所好，心为开荡，魂魄感动，五内脱消，若入水浣洗沐浴，不以时出，而神不守，水气与邪气俱入至三焦之中，又暮出入，玉门先闭，津液妄行留落不去，则生鳖瘕之聚。大如小杯，令人少腹内切痛，恶气左右走，上下腹中苦痛，若存若亡，持之跃手，下引阴里腰背亦痛。不可以息，月经不通，面目黄黑，脱声少气，有此病者使人绝子，其瘕有手足，成形者杀人，未者可治之，治疗有法度，以长针按疗
又治疗鳖瘕方。
大黄（六分） 干姜 侧子（各半分） 附子 人参（各九铢） 虻虫（一寸匕熬） 桂心（一两六铢） 细辛 土鳖虫（各十八铢） 白术（一两）
以上十味药捣碎成散，用酒送服一方寸匕，每日三次，以上八般瘕疾。（出自《古今录验》第三十卷中）
The *Jiyan Fang* (Collected Proven Prescriptions) treats prolapse of the vagina and uterus after childbirth.
Take one sheng of *Cnidii Fructus* (Shechuangzi, 蛇床子), wrap it in cloth, heat it, and apply as a hot compress to the affected area; this method also treats pain within the vagina.
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) treats prolapse of the vagina and uterus after childbirth.
Apply iron powder (Tiejing, 铁精) to the protruding part and push it back into place.
Another prescription:
Burn human feces to ash, take one fangcun bi (a measure equivalent to the size of a square inch) with wine, three times daily.
Another prescription:
Moxibustion at the horizontal crease below the umbilicus, fourteen moxa cones.
The *Gujin Luyan* (Records of Antiquity and Modern Times) treats prolapse of the vagina and uterus after childbirth.
*Sichuan Pepper* (Shujiao, 蜀椒, one sheng), *Evodiae Fructus* (Wuzhuyu, 吴茱萸, one sheng), *Rongyan* (Rongyan, 戎盐, half the size of a chicken egg).
Pound the above three ingredients together, wrap in cotton like half a chicken egg, insert into the vagina, change once daily, cured in twenty days.
Another prescription:
*Softshell Turtle Head* (Bietou, 鳖头, two pieces dried in shade), *Puerariae Radix* (Gegen, 葛根, one jin).
Pound the above two ingredients into powder, take one fangcun bi with wine, three times daily.
The *Sunu Jing* (Classic of the Plain Woman) discusses the eight types of abdominal masses (Ba Jia, 八瘕) causing infertility and cessation of menstruation, methods for conceiving and nurturing pregnancy, methods for taking medicine according to months after miscarriage, and prescriptions for vaginal closure with polyps, vaginal itching with sores, leukorrhea, uterine malposition, vaginal protrusion, vaginal swelling and hardness, and other hidden diseases.
Yellow Emperor asked Sunu: "I have heard that women suffer from illness after childbirth, before childbirth, or cease to conceive after childbirth. Why is this? Various diseases arise, causing accumulations in the abdomen, spasms and pain in the chest, hypochondrium, waist, and back, which over time form the eight jia masses. The condition is deep and fearsome, not located in the intestines or stomach; even if treated, it may recur. Can you describe these symptoms?" Sunu replied: "Women's illnesses all result from menstrual disorders and childbirth, originating from the womb. The conditions vary; if acupuncture and medication are not applied correctly, they cannot be cured."
Yellow Emperor said: "Explain the essentials calmly; I will treasure them." After receiving the teaching for a long time and contemplating carefully, he said: "Excellent. How should it be treated?" Sunu said: "I will indeed explain. The number of wombs in women lies deep in the yin region. All things are born from the profound abyss; blood vessels and essence qi flow through here. The Kidney belongs to Yin, and Yin governs opening and closing. The left side is the Bao Men (Gate of the Womb), the right side is the Zi Hu (House of the Child), governing menstruation and the way of childbirth. Bao Men is born from seminal essence; spirit and qi enter and exit here, merging with the Zhong Huang Men (Central Yellow Gate). The four sides of the Yu Men (Jade Gate) hold the Guan Yuan (Gate of Origin) acupoint, sealing seminal essence. Three cun below the umbilicus is named Guan Yuan, governing the storage of Hun and Po. The woman's womb is the mansion of the San Jiao (Triple Burner), usually flowing from above. However, when a woman's meridians and collaterals are harmonized, menstruation arrives on time, enabling conception without disease. If a woman's Ying and Wei (Defensive and Nutritive) meridians are severed and blocked, excessive thinking allows pathogenic qi to wander and enter the Zi Zang (Substance Organ/Womb). If lochia has not cleared after birth and intercourse occurs, the woman's meridians become spasmodic, causing urgency and fullness in the lower abdomen, pulling pain in the chest, hypochondrium, waist, and back, soreness and wasting of the limbs, irregular diet, retention of stagnant bad blood, irregular menstruation (early or late, sometimes prolonged), leading to accumulations resembling pregnancy. Severe pathogenic qi causes trance-like states, frequent dreams, alternating cold and heat, reluctance to move limbs, wind generation in the vagina, fleshy swellings, severe difficulty urinating resembling strangury, yellow-black complexion, and eventual sterility. Yellow Emperor said: "I am deeply worried. How can it be treated to cure the disease and enable having children? I wish to receive your teaching; I dare not transmit it to the unworthy. Why is it so miraculous?" Sunu said: "Now I will detail the diagram."
First is Huang Jia (Yellow Mass). Huang Jia occurs when a woman's menstruation has just started, or if she recently suffered a fall, blood and qi have not stopped, and she has not settled in bed. With the five zang and six fu organs weak and spirit unsettled, if she exposes herself to strong winds while relieving herself, opening and closing joints widely, contracting wind-dampness, qi rises from below into the yin region, lingering there, named Yin Deficiency, generating the Huang Jia mass. This causes cold and heat in the limbs, heaviness and sweating, loss of appetite, a hard knot of qi under the left hypochondrium that cannot be suppressed, pulling pain in the waist and back, difficult menstruation, leading to infertility. Lower abdominal urgency pulls into the vagina like a needle, inability to urinate, occasional chills and fever, discharge of red-yellow fluid. Such suffering leads to sterility. Treatment involves needling Guan Yuan and Qi Chong acupoints, administering toxic drugs according to specific methods; the mass will descend and heal.
Another prescription for guiding out Huang Jia using Gaojiao Powder:
*Gleditsiae Fructus* (Gaojiao, 皂荚, one liang roasted, skin and seeds removed), *Sichuan Pepper* (Shujiao, 蜀椒, one liang stir-fried until oil appears), *Asari Radix* (Xixin, 细辛, six fen).
Pound the above three into powder, store in a triangular bag the size of a finger, two cun long, and insert into the vagina. Remove if stifling, reinsert when comfortable. When bad blood is completely discharged, wash with warm water. Avoid men for three days; avoid raw vegetables.
Second is Qing Jia (Green Mass). Qing Jia occurs if a woman gets up and walks less than ten days after childbirth, bathes too early with hot water, causing yin and yang deficiency. The Yu Men disperses, Zi Hu is unstable, bones and muscles ache, arms cannot be raised, diet has not recovered, internal organs feel hollow. Sleeping in drafts without covering, or lying on wet ground/mats, causes chilling cold to enter the abdomen, mental restlessness and heaviness. Retained bad blood and trapped heat generate the Qing Jia mass in the left and right hypochondrium, hiding in the back and spine, extending to shoulders and lower waist, causing leg spasms, rising qi in the lower abdomen, excessive salivation, inability to eat much, reluctance to move limbs, trance-like states, dreams, swollen hands and feet, yellow complexion, difficulty in urination and defecation. Symptoms resemble irregular menstruation or metrorrhagia. This is due to negligence, leading to fewer children. Treatment involves needling the Weiguan point and administering toxic drugs; the mass will descend and heal.
Another guiding prescription for Qing Jia:
*Rongyan* (Rongyan, 戎盐, one sheng), *Gleditsiae Fructus* (Gaojiao, 皂荚, half a liang roasted, skin and seeds removed), *Asari Radix* (Xixin, 细辛, one liang six zhu).
Pound into powder, store in a triangular bag the size of a finger, three cun long, insert into the vagina. While lying down, the mass will descend, discharging green fluid like mallow juice. Nourish as postpartum.
Third is Zao Jia (Dry Mass). Zao Jia occurs when menstruation has just flowed, bad blood is not exhausted, and the person is weak. Walking briskly in summer heat, lifting heavy objects, qi rises to the diaphragm and back. Lower abdomen is obstructed and urgent; menstruation and qi are both blocked. Drinking cold water for relief causes menstruation to flow transversely into other organs, generating heat, creating the Zao Jia mass, half a cup in size. Pain in upper and lower abdomen under hypochondria, pulling to heart causing aversion to food, nausea, inability to sigh deeply, heavy waist and back, night sweats, sore legs, pain upon standing, incontinence, sudden leakage resembling seminal emission, closed menstruation, difficult defecation. This leads to fewer children. Treatment uses long needles with pressing techniques and toxic drugs; the mass will descend and heal.
Another prescription for Zao Jia:
*Rhubarb Tuber* (Dahuang, 大黄, size of a chicken egg), *Dried Ginger* (Ganjiang, 干姜, two liang), *Chicken Gizzard Membrane* (Jizhong Huangmo, 鸡中黄膜, one piece roasted), *Coptis Rhizome* (Huanglian, 黄连, two liang), *Cinnamon Twig Bark* (Guixin, 桂心, one chi).
*Blatta Orientalis* (Machong, 䗪虫, three pieces fried), *Magnolia Bark* (Houpo, 厚朴, ten zhu roasted), *Prunus Seed* (Yuliren, 郁李仁, one liang peeled and fried).
Pound the above eight into powder. On an empty stomach in the morning, take three qian bi with a cup of warm wine in one dose. The mass will descend. Nourish as postpartum. Those without children for three months will conceive. Avoid intercourse for three days.
Fourth is Xue Jia (Blood Mass). Xue Jia occurs when menstruation has just started but stops prematurely due to overeating, causing grain qi to overflow into other organs. With muscle coldness, insufficient breathing, and unregulated respiration, exertion causes blood to flow between intestines and stomach, lingering with internal cold and heat, mixing with menstruation to form the Xue Jia mass. This causes lower back pain preventing bending or stretching, accumulated qi under the lateral ribs hard as stone, lower abdominal urgency and pain, back and spine pain, hip pain, cold wind sensation in the genitals, irregular menstruation coming and going. This leads to sterility. Treatment: the mass will descend and heal. (Formula missing)
Cui Shi's prescription for Xue Jia pain:
*Dried Ginger* (Ganjiang, 干姜), *Cuttlefish Bone* (Wuzhouyugu, 乌贼鱼骨, each one liang roasted), *Peach Kernel* (Taoren, 桃仁, one liang peeled, tips removed, fried).
Pound into powder, take two fangcun bi with wine, twice daily.
Another prescription:
Take an ancient iron steelyard weight, large axe head, or iron pestle, heat red-hot in charcoal, drop into three sheng of good wine, drink slowly.
Another prescription:
*Cinnamon Powder* (Gui Mo), take one fangcun bi with warm wine, twice daily. (All from Volume 10, Lower Scroll)
*Gujin Luyan* guiding prescription for Xue Jia stabbing abdominal and hypochondriac pain:
*Rhubarb Tuber* (Dahuang, 大黄), *Angelica Sinensis Root* (Danggui, 当归, each half fen), *Cornus Fruit* (Shanzhuyu, 山茱萸, one liang), *Gleditsiae Fructus* (Gaojiao, 皂荚, one liang roasted, skin and seeds removed), *Asari Radix* (Xixin, 细辛), *Rongyan* (Rongyan, 戎盐, two six zhu).
Pound the above six, mix with fragrant balm into pills the size of a finger. Wrap in cotton and insert into the vagina. Sit upright for a long time; the mass will descend. Nourish as postpartum.
Fifth is Zhi Jia (Fat Mass). Zhi Jia occurs when menstruation has just started or within thirty days postpartum, before recovery, engaging in intercourse. Collaterals separate, Bao Men is injured, Zi Hu loses control, joints disperse, fluids circulate, yin channel moves, hundred pulse gates open. Externally invisible, seminal essence meets blood and qi, violating taboos, essence transforms but is insufficient to form a child, generating the Zhi Jia mass. This causes fullness and tight pain in limbs, pulling lower abdomen heaviness, stabbing waist and back, inability to raise limbs, poor taste in mouth, restless sleep, wandering pain, cutting abdominal pain, fluctuating severity, shortness of breath, dizziness, body aches, aversion to cold and wind, bladder distension, irregular menstruation, continuous bleeding in urine and stool. This leads to sterility. Treatment involves needling with long needles and administering toxic drugs; the mass will descend and heal.
Another prescription for Zhi Jia:
*Gleditsiae Fructus* (Gaojiao, 皂荚, eighteen zhu peeled and tipped), *Alumen* (Fanshi, 矾石, six zhu calcined), *Schisandra Berry* (Wuweizi, 五味子), *Sichuan Pepper* (Shujiao, 蜀椒, fried), *Asari Radix* (Xixin, 细辛), *Dried Ginger* (Ganjiang, 干姜, each half liang).
Pound into powder, mix with fragrant balm into soybean-sized pellets. Apply to the male glans for intercourse. Within three times, the mass heals.
Another prescription for women who absolutely cannot conceive again, or never conceived, due to Zhi Jia masses in the abdomen, guided by decoction:
*Gleditsiae Fructus* (Gaojiao, 皂荚, roasted, seeds and skin removed), *Evodiae Fructus* (Wuzhuyu, 吴茱萸), *Angelica Sinensis Root* (Danggui, 当归, each one liang), *Sichuan Pepper* (Shujiao, 蜀椒, fried, two liang), *Asari Radix* (Xixin, 细辛, fried), *Alumen* (Fanshi, 矾石, calcined), *Schisandra Berry* (Wuweizi, 五味子, each three fen), *Rhubarb Tuber* (Dahuang, 大黄), *Rongyan* (Rongyan, 戎盐, each two liang), *Dried Ginger* (Ganjiang, 干姜, two liang).
Pound the above ten into powder. Fill a light silk bag (finger-sized, three cun long) with the medicine, insert into the vagina. Sit or lie as desired, do not walk. Remove during urination and replace with a new one.
Sixth is Hu Jia (Fox Mass). Hu Jia occurs when menstruation arrives on schedule, but the woman feels sorrowful and fearful. Traveling far, encountering storms, rain, thunder, and fright. Exhausted from dampness, short of breath, mind in trance, limbs flaccid and shaking with chills. Upon waking or sleeping, pulse qi seems cut off, spirit wanders. Pathogenic qi enters the yin interior and does not leave, generating the Hu Jia mass, consuming the Zi Zang, causing amenorrhea. Lower abdominal stasis, chest/hypochondrium/waist/back pain, vaginal swelling, difficult urination, Bao Men and Zi Hu reject male essence, excess qi in five zang. Causes craving food, nausea, excessive salivation, excessive thoughts, feeling pregnant.
Four times administering toxic drugs according to method; the mass will descend and heal.
Another prescription for Hu Jia:
Take one newly dead rat, wrap in new cotton, coat with yellow earth, dig a pit deep enough to submerge the rat, place it inside, burn mulberry wood above it for one day and one night. Retrieve, remove cotton, add six zhu of *Cinnamon Twig Bark* (Guixin, 桂心) powder, take two fangcun bi with wine. The disease will descend; severe cases may require no more than two doses until cured.
Seventh is She Jia (Snake Mass). She Jia occurs when menstruation has just stopped, closure not yet restored, Bao Men and Zi Hu strained, yin and yang not balanced, Ying and Wei dividing. Suffering from wind-cold weakness, diet unregulated, walking in drafts, crossing mud, enduring cold drought, sitting on wet ground, named Yin-Yang Chaos, empty abdomen. Traveling far, drinking dirty well water, eating unclean food, swallowing snake/rat essence, which lingers, generating the She Jia mass. It consumes liver and heart, grows large, strips along below umbilicus, twists around hypochondria, prevents exhaling, painful calves and thighs, lower abdominal heat, red-yellow urine, bladder pulling vagina into spasm, waist/back pain, difficulty moving, chills and fever, variable menstruation. This leads to sterility. If the mass has formed hands and feet, it kills; if not, it is treatable. Treatment has methods; administer toxic drugs; the mass will descend and heal.
Another prescription for She Jia:
*Rhubarb Tuber* (Dahuang, 大黄), *Scutellaria Root* (Huangqin, 黄芩), *Mirabilite* (Mangxiao, 芒硝, each half liang), *Licorice Root* (Gancao, 甘草, one chi roasted, size of finger), *Cuttlefish Bone* (Wuzhouyugu, 乌贼鱼骨, two pieces), *Gleditsiae Fructus* (Gaojiao, 皂荚, six pieces peeled and tipped).
Pound the above six, boil in six sheng of water for three boils, strain, add Mangxiao, take when temperature is suitable. One dose every ten days, taken on an empty stomach; the mass will descend.
Eighth is Bie Jia (Turtle Mass). Bie Jia occurs when menstruation has just arrived, the person is exhausted and sweating. Clothes remain wet, not changed in time. Sleeping in drafts, feet on wet ground, trance-like state, pacing uneasily, complexion not stabilized, seeing loved ones, heart opens and agitates, soul moves, internal organs consume. Entering water to wash/bathe, not exiting in time, spirit not guarded, water qi and pathogenic qi enter San Jiao. Evening and morning出入, Yu Men closes first, fluids wander and linger, generating the Bie Jia mass. Size of a small cup, cutting pain in lower abdomen, evil qi moving left and right, pain in upper/lower abdomen, intermittent existence, jumping sensation upon holding, pulling into vagina, waist, and back pain, difficulty breathing, amenorrhea, yellow-black complexion, hoarse voice, shortness of breath. This leads to absolute sterility. If the mass has hands and feet and is formed, it kills; if not, it is treatable. Treatment has methods; use long needles for pressing therapy.
Another prescription for Bie Jia:
*Rhubarb Tuber* (Dahuang, 大黄, six fen), *Dried Ginger* (Ganjiang, 干姜), *Aconite Lateral Root* (Cezǐ, 侧子, each half fen), *Aconite Root* (Fuzi, 附子), *Ginseng Radix* (Renshen, 人参, each nine zhu), *Blatta Orientalis* (Machong, 䗪虫, one cun bi fried), *Cinnamon Twig Bark* (Guixin, 桂心, one liang six zhu), *Asari Radix* (Xixin, 细辛), *Euphorbia Root* (Tuxiong, 土𧏙, each eighteen zhu), *Atractylodes Macrocephala Rhizome* (Baizhu, 白术, one liang).
Pound the above ten into powder, take one fangcun bi with wine, three times daily. Regarding the above eight types of jia diseases. (From *Gujin Luyan*, Volume 30)