（附疮癣）
论痈疽发背 诸赤肿毒，不问四肢、手、足、头面，初发便可与漏芦汤、三仙散、托里
散、保安膏、乳香内消膏、导赤丸，四顺饮、通气散。痈疽发，大便不通，可与麻仁丸、三
黄丸，壮实者，与神功丸，须用通利三、五行，方得毒瓦斯退也。已破，脓血出不快者，可与
三仙散、漏芦汤、托里散、保安膏、乳香内消膏贴之。疮口久不合者，可与桃仁散、麒麟散
论恶疮、疥癣 一切无名恶疮，漏疮、 疮、冷疮，久年不愈者，可与桃仁散、麒麟散
、保安膏贴之。风毒热疮，一名肾脏风，疮汁脓胞湿烂浸淫者，可与何首乌散、四生丸、胡
麻散、四顺饮。大便秘者，与皂荚煎丸、桃仁散，以滑肌散敷之。遍身生疮瘙痒，或生瘾疹
者，先服通大便药，可与皂荚煎丸、神功丸、麻仁丸、何首乌散、四顺饮、四生丸、消风散
、胡麻散、滑肌散、黄 丸、白龙丸。疮干痛者，与玉龙摩风膏。汤火烧成疮者，与佛手散
。疥疽顽癣，与摩风膏、白龙丸、滑肌散、清心丸。
论月经诸疾 皆因月经不调，或前或后，或多或少，或淋沥不止，或闭塞不通，肢体
倦怠，困乏少力，饮食无味。常服补者，可服四物汤、熟干地黄丸、内补当归丸、琥珀丸、
当归建中汤、沉香鳖甲散、活血丹、泽兰丸、益阴丹。血海冷惫者，可与暖宫丸、茴香丸、
大圣散、小白薇丸、黑锡丹、麝香鹿茸丸，内补当归丸。经血过多，淋漓不止者，与胶艾汤
、温经汤、小白薇丸、乌金散、益阴丹、泽兰丸、内补当归丸、熟干地黄丸。赤白带下，服
诸药不瘥者，可服泽兰丸，兼服平补镇心丹、速效大圣散、温经汤、泽兰散、小白薇丸、紫
石英丸。白带不止，腹常冷痛者，可与暖宫丸、麝香鹿茸丸、法炼黑锡丹、茴香丸、威喜丸
、泽兰丸、正元散、来复丹。带下五色者，可与益阴丹、滋血汤、伏龙肝散。崩漏下血过多
，头目昏眩，举头欲倒者，可与芎 汤、胶艾汤、乌金散、琥珀丸、暖宫丸、大圣散、内补
当归丸。崩中败血，连日不止，与滋血汤。血气虚惫久冷，崩漏下赤白，五色不定，或如豉
汁，可与温经汤、伏龙肝散、四物汤。月经不通，及室女月脉不行者，可与蒲黄散、逍遥散
、大圣散、黑神散、琥珀泽兰煎、通真丸、活血丹、四物汤、地黄丸。血风劳，胸膈不利，
经脉涩，四肢烦痛，心悸者，可与人参荆芥散、熟干地黄丸、逍遥散。血风气虚头旋，及产
前、产后头旋者，可与保生丸、四物汤、胶艾汤。虚劳发热，及寒热俱发者，可与黄 鳖甲
散、逍遥散、地黄丸、泽兰丸、荆芥散、嘉禾散、参苓白术散。热未退者，与人参当归散极
妙。气壮者，可与逍遥散。痰嗽或有血者，临卧服人参养脾丸。气壮年少女人，骨中作热者
，可与熟干地黄丸食前服，食后服人参黄 散。疝瘕，阴中冷痛，或头风入脑，寒痹筋挛，
血闭无子，漏下赤白者，可与熟干地黄丸、钟乳泽兰丸、牡丹煎丸。妇人无子，或诸虚上热
下冷，百病皆生者，可与小白薇丸、禹余粮丸、阳起石丸。先有寒冷，心腹刺痛，或肿或寒
，下痢不止，及少气者，可与吴茱萸汤、活血汤。血风攻注，五心烦热，遍身瘙痒，或生瘾
疹，或发赤肿，可与人参荆芥散、人参当归散、消风散、四物汤加荆芥煎逍遥散，甚者，可
与服皂荚煎丸。血气凝滞者，可服青木香丸疏通开导。
论产前药忌 产前所忌损动胎气药物，卢医《周鼎集》为歌曰∶ 蟹水蛭地胆虫，乌头
附子及天雄。踯躅野葛蝼蛄类，乌喙侧子与虻虫。牛黄水银并巴豆，大戟蛇蜕及蜈蚣。牛膝
藜芦加薏苡，金石锡粉对雌雄。牙朴芒硝牡丹煎，蜥蜴飞生更 虫。代赭蚱蝉胡脑麝，芫花
薇蘅草三棱。槐子牵牛并皂角，桃子蛴螬和茅根。 根 砂与干漆，亭长溲流莽草中。蘧麦
茼茹蟹爪甲， 皮鬼箭赤头红。马刀石蚕衣鱼等，半夏南星通草同。干姜蒜鸡及鸭子，驴马
兔肉不须供。切忌妇人产前用，此时宜记在心中。
论产前诸疾 妊娠三、两月，日心中烦愦，头目眩重，颠倒不安，呕吐烦闷，此恶阻病
，只可与人参丁香散、半夏茯苓汤、茯苓丸、小七香丸、药丁香。妊娠下血，胎动不安，名
曰漏胎，可与安胎饮、四物汤、胶艾汤、保生丸、琥珀丸、泽兰丸。临产月，常服滑胎散、
安胎饮、保生丸。产难或横或逆，或三、二日不产者，及胎死腹中，或胞衣不下，可与花蕊
石散，或用保安膏，一贴作一服，丸如梧桐子大，温酒吞下，如未下，再服。产妇生理不顺
，横生、逆生者，可与服兔髓丸。产儿已出，但胞衣不下，脐腹坚胀急痛者，可与服牛膝汤。
论产后诸疾 皆因新产去血过多，津液燥少，阴阳俱虚，脏腑怯弱，切不可发汗，及转
积令吐、泻药，亦不可服太燥热药补之，只可用温和药，渐次加减调理，不可取目前之急，
乱投汤药，反生他疾，罪福非轻，切宜戒之。新产血气俱虚，不可太补，恐增寒热，当令恶
露去尽为佳，可与黑神散、大圣散、泽兰散、蒲黄散。产后去血过多，昏迷晕闷，精神错乱
，皆因去血过多，气血无所主，可与芎 汤、大圣散饭饮调下。不效者，与花蕊石散、保安
膏。产妇常用闻醋炭气为佳。产后忽然发热，浑身拘急者，可与四物汤，兼用人参当归散、
逍遥散。产后腹中块上下作痛者，皆由恶露未尽，新血与败血相搏，可与黑神散、蒲黄散依
前煎，兼与蓬煎丸、琥珀丸。产后恶露方下，忽然断绝，寒热往来，昼静暮剧，语言狂乱，
如见鬼神状，此因热入血室，可与琥珀丸、四物汤净加柴胡一钱重煎服。如不退者，用小柴
胡汤加生地黄三、两茎，捶碎同煎服。产后去血多，津液少，阴阳皆虚，凡有伤寒、时气之
疾，虽当发汗者，切不可太过，但可与轻骨散、五积散、败毒散、神术散、和解散、大圣散
之类。产后六、七日，忽然脐腹作痛，皆因呼吸之间，冷气乘虚而入，可与当归建中汤、理
中丸、通真丸、温经汤、大沉香丸、盐煎散。不退者，与服平胃散吞下茴香丸。产后腹痛甚
者，可与花蕊石散、太岳活血丹。产后烦渴欲饮冷者，皆因去血过多，阴气衰少，客阳乘之
，当助其内，可与四物汤，每服加乌梅两个同煎。渴不止，与五苓散，熟汤调服。产后惊风
，狂言乱语，如对神鬼，精神不定者，可与龙虎丹，三丸作一服，研好朱砂，温酒调下，兼
服琥珀丸。产后血风频增，昏沉不省，身如针刺，发随梳落，或遍身虚肿者，可与龙虎丹，
三丸作一服，用当归煎酒嚼下。如瘙痒者，兼服人参荆芥散。产后乳汁不行者，不可服诸行
血药，致生他病，只可服滋养血气药，自然血脉旺盛，乳汁自调，可与四物汤、熟干地黄丸
、白薇丸、内补当归丸、益阴丹、大顺散、泽兰散之类。产后大便不通，或秘涩者，缘内无
津液，肠胃干燥，切不可用猛烈药下之，恐生他疾，可与四物汤，加青皮去白，每服入半钱
，拌匀同煎服。更不通者，可与麻仁丸、三和散。
（附疮癣）
论痈疽发背：各种红肿热毒，无论发生在四肢、手足还是头面部位，初起时即可使用漏芦汤、三仙散、托里散、保安膏、乳香内消膏、导赤丸、四顺饮、通气散。若痈疽发作且大便不通，可使用麻仁丸、三黄丸；体质壮实者，可使用神功丸，必须通过通利大便三到五次，才能使毒邪消退。如果痈疽已经破溃，脓血排出不畅的，可使用三仙散、漏芦汤、托里散、保安膏、乳香内消膏外贴。如果疮口长期不愈合的，可使用桃仁散、麒麟散。
论恶疮、疥癣：一切无名恶疮、瘘管疮、阴疮、冷疮，多年不愈的，可使用桃仁散、麒麟散、保安膏外贴。风毒热疮，又称肾脏风，疮面流脓水、水泡湿烂、浸淫蔓延的，可使用何首乌散、四生丸、胡麻散、四顺饮。大便秘结的，使用皂荚煎丸、桃仁散，并用滑肌散外敷。遍身生疮瘙痒，或出现瘾疹（风团）的，先服用通便药物，可使用皂荚煎丸、神功丸、麻仁丸、何首乌散、四顺饮、四生丸、消风散、胡麻散、滑肌散、黄柏丸、白龙丸。疮面干燥疼痛的，使用玉龙摩风膏。烫伤烧伤成疮的，使用佛手散。疥疮、顽固性癣疾，使用摩风膏、白龙丸、滑肌散、清心丸。
论月经诸疾：多因月经不调引起，或提前或推后，或量多或少，或淋漓不尽，或闭塞不通，肢体倦怠，困乏无力，饮食无味。平时常服补益药的，可服用四物汤、熟干地黄丸、内补当归丸、琥珀丸、当归建中汤、沉香鳖甲散、活血丹、泽兰丸、益阴丹。血海寒冷虚惫的，可使用暖宫丸、茴香丸、大圣散、小白薇丸、黑锡丹、麝香鹿茸丸、内补当归丸。经血过多、淋漓不止的，使用胶艾汤、温经汤、小白薇丸、乌金散、益阴丹、泽兰丸、内补当归丸、熟干地黄丸。赤白带下，服用各种药物无效的，可服用泽兰丸，兼服平补镇心丹、速效大圣散、温经汤、泽兰散、小白薇丸、紫石英丸。白带不止，腹部经常冷痛的，可使用暖宫丸、麝香鹿茸丸、法炼黑锡丹、茴香丸、威喜丸、泽兰丸、正元散、来复丹。带下五色杂下的，可使用益阴丹、滋血汤、伏龙肝散。崩漏下血过多，导致头目昏眩，抬头欲倒的，可使用芎䓖汤、胶艾汤、乌金散、琥珀丸、暖宫丸、大圣散、内补当归丸。崩中败血，连续多日不止的，使用滋血汤。气血虚弱疲惫、久病体寒，崩漏下赤白带下，颜色不定，或如豆汁样的，可使用温经汤、伏龙肝散、四物汤。月经不通，以及未婚女子月经不行的，可使用蒲黄散、逍遥散、大圣散、黑神散、琥珀泽兰煎、通真丸、活血丹、四物汤、地黄丸。血风劳损，胸膈不畅，经脉涩滞，四肢烦痛，心悸的，可使用人参荆芥散、熟干地黄丸、逍遥散。血风气虚引起的头晕，以及产前、产后头晕的，可使用保生丸、四物汤、胶艾汤。虚劳发热，以及寒热交替发作的，可使用黄芪鳖甲散、逍遥散、地黄丸、泽兰丸、荆芥散、嘉禾散、参苓白术散。热势未退的，服用人参当归散效果极佳。气壮实的，可使用逍遥散。痰嗽或有咯血的，临睡前服用人参养脾丸。气壮实的年轻女性，骨蒸潮热的，饭前服用熟干地黄丸，饭后服用人参黄芪散。疝气瘕块，阴部冷痛，或头风入脑，寒痹筋脉拘挛，血闭不孕，漏下赤白带的，可使用熟干地黄丸、钟乳泽兰丸、牡丹煎丸。妇人无子嗣，或诸虚证上热下冷，百病皆生的，可使用小白薇丸、禹余粮丸、阳起石丸。先前有寒冷感，心腹刺痛，或肿胀或寒冷，下痢不止，及少气的，可使用吴茱萸汤、活血汤。血风攻注，五心烦热，遍身瘙痒，或生瘾疹，或发赤肿的，可使用人参荆芥散、人参当归散、消风散、四物汤加荆芥煎煮的逍遥散，严重的，可服用皂荚煎丸。血气凝滞的，可服用青木香丸疏通开导。
论产前药忌：产前所忌用的损伤胎气的药物，卢医《周鼎集》编为歌诀曰：蟹、水蛭、地胆虫，乌头、附子及天雄。踯躅、野葛、蝼蛄类，乌喙、侧子与虻虫。牛黄、水银并巴豆，大戟、蛇蜕及蜈蚣。牛膝、藜芦加薏苡，金石、锡粉对雌雄。牙硝、芒硝、牡丹煎，蜥蜴、飞生更䗪虫。代赭、蚱蝉、胡脑麝，芫花、薇蘅草三棱。槐子、牵牛并皂角，桃子、蛴螬和茅根。荛花、硇砂与干漆，亭长、溲流莽草中。蘧麦、茼茹、蟹爪甲，鮆皮、鬼箭、赤头红。马刀、石蚕、衣鱼等，半夏、南星、通草同。干姜、蒜、鸡及鸭子，驴、马、兔肉不须供。切忌妇人产前用，此时宜记在心中。
论产前诸疾：妊娠三、两个月，每日心中烦闷，头目眩晕沉重，辗转不安，呕吐烦闷，这是恶阻病，只可服用人参丁香散、半夏茯苓汤、茯苓丸、小七香丸、药丁香。妊娠下血，胎动不安，名叫漏胎，可使用安胎饮、四物汤、胶艾汤、保生丸、琥珀丸、泽兰丸。临产月份，常服用滑胎散、安胎饮、保生丸。难产或横位或逆位，或三、两天不能生产的，以及胎死腹中，或胞衣不下的，可使用花蕊石散，或使用保安膏，一贴作一服，丸如梧桐子大小，温酒吞服，如未排出，再服。产妇生理不顺，横生、逆产的，可服用兔髓丸。胎儿已产出，但胞衣不下，脐腹坚硬胀急疼痛的，可服用牛膝汤。
论产后诸疾：多因新产失血过多，津液干燥减少，阴阳俱虚，脏腑怯弱，切不可发汗，以及使用导致积滞、催吐、泻下的药物，也不可服用过于燥热的药物进补，只可用温和的药物，逐渐加减调理，不可贪图眼前的急切，乱投汤药，反而生出其他疾病，罪过非轻，务必戒除。新产气血俱虚，不可过度进补，恐增加寒热症状，应当以令恶露排尽为佳，可使用黑神散、大圣散、泽兰散、蒲黄散。产后失血过多，昏迷晕闷，精神错乱的，皆因失血过多，气血无所依附，可使用芎䓖汤、大圣散，用米汤调服。无效的，使用花蕊石散、保安膏。产妇常用闻醋炭气的方法为佳。产后忽然发热，浑身拘急的，可使用四物汤，兼用人参当归散、逍遥散。产后腹中有块状物上下作痛的，皆由恶露未尽，新血与败血相搏所致，可使用黑神散、蒲黄散依前法煎服，兼服蓬莪术煎丸、琥珀丸。产后恶露刚下，忽然断绝，寒热往来，白天安静晚上加重，语言狂乱，如见鬼神状，这是因为热入血室，可使用琥珀丸、四物汤净加柴胡一钱重煎服。如不退热的，用小柴胡汤加生地黄三、两茎，捶碎同煎服。产后失血多，津液少，阴阳皆虚，凡有伤寒、时气之疾，虽然应当发汗的，切不可太过，只可轻骨散、五积散、败毒散、神术散、和解散、大圣散之类。产后六、七天，忽然脐腹作痛的，皆因呼吸之间，冷气乘虚而入，可使用当归建中汤、理中丸、通真丸、温经汤、大沉香丸、盐煎散。不退的，服用平胃散吞下茴香丸。产后腹痛严重的，可使用花蕊石散、太岳活血丹。产后烦渴想喝冷水的，皆因失血过多，阴气衰少，客阳乘虚而入，当助其内，可使用四物汤，每服加乌梅两个同煎。渴不止的，使用五苓散，用熟汤调服。产后惊风，狂言乱语，如对神鬼，精神不定的，可使用龙虎丹，三丸作一服，研好朱砂，温酒调服，兼服琥珀丸。产后血风频繁增加，昏沉不省人事，身如针刺，头发随梳脱落，或遍身虚肿的，可使用龙虎丹，三丸作一服，用当归煎酒嚼服。如瘙痒的，兼服人参荆芥散。产后乳汁不行的，不可服用各种行血药，以致生出其他疾病，只可服用滋养血气药，自然血脉旺盛，乳汁自调，可使用四物汤、熟干地黄丸、白薇丸、内补当归丸、益阴丹、大顺散、泽兰散之类。产后大便不通，或秘涩的，缘于内无津液，肠胃干燥，切不可用猛烈药攻下，恐生其他疾病，可使用四物汤，加青皮去白，每服入半钱，拌匀同煎服。仍不通的，可使用麻仁丸、三和散。
(Attached: Sores and Tinea)
Discussion on Carbuncles, Furuncles, and Back Abscesses: For various red, swollen, hot, and toxic conditions, regardless of whether they occur on the limbs, hands, feet, head, or face, at the initial stage, one may use Loulu Tang (Ludwigia Decoction), Sanxian San (Three Immortals Powder), Tuoli San (Supporting the Interior Powder), Bao'an Gao (Security Ointment), Ruxiang Neixiao Gao (Frankincense Internal Resolution Ointment), Daochi Wan (Guiding Fire Out Pill), Sishun Yin (Four Smoothness Drink), and Tongqi San (Promoting Qi Circulation Powder). If a carbuncle or furuncle erupts accompanied by constipation, one may use Maren Wan (Hemp Seed Pill) or Sanhuang Wan (Three Yellows Pill); for those with robust constitutions, Shengong Wan (Divine Merit Pill) may be used. It is necessary to promote bowel movements three to five times to ensure the dissipation of toxic pathogens. If the abscess has already ruptured and pus and blood discharge are sluggish, one may apply Sanxian San, Loulu Tang, Tuoli San, Bao'an Gao, or Ruxiang Neixiao Gao externally. For sores that fail to heal over a long period, Taoren San (Peach Kernel Powder) or Qilin San (Qilin Powder) may be used.
Discussion on Malignant Sores, Scabies, and Tinea: For all unnamed malignant sores, fistulous sores, yin sores, and cold sores that have persisted for years without healing, one may apply Taoren San, Qilin San, or Bao'an Gao externally. For wind-toxic heat sores, also known as Kidney Wind, characterized by purulent exudate, blistering, wet rot, and spreading infiltration, one may use Heshouwu San (Polygonum Multiflorum Powder), Sisheng Wan (Four Generations Pill), Huma San (Sesame Powder), or Sishun Yin. For cases with severe constipation, use Zaojiao Jian Wan (Soap Pod Decoction Pill) and Taoren San, and apply Huaji San (Slippery Skin Powder) topically. For widespread itching sores or urticaria (wind wheals), first administer bowel-relieving medications such as Zaojiao Jian Wan, Shengong Wan, Maren Wan, Heshouwu San, Sishun Yin, Sisheng Wan, Xiaofeng San (Eliminating Wind Powder), Huma San, Huaji San, Huangbo Wan (Phellodendron Pill), or Bailong Wan (White Dragon Pill). For dry and painful sores, use Yulong Mofeng Gao (Jade Dragon Wind-Massaging Ointment). For burns and scalds resulting in sores, use Foshou San (Buddha's Hand Powder). For scabies and stubborn tinea, use Mofeng Gao (Wind-Massaging Ointment), Bailong Wan, Huaji San, or Qingxin Wan (Clear Heart Pill).
Discussion on Menstrual Disorders: These often arise from irregular menstruation, occurring either early or late, in excessive or insufficient amounts, persisting as dripping leakage, or being completely obstructed. Symptoms include limb fatigue, weakness, and loss of appetite. For those who frequently take tonics, Siwu Tang (Four Substances Decoction), Shugan Dihuang Wan (Prepared Rehmannia Pill), Neibu Danggui Wan (Internal Supplementing Angelica Pill), Hupo Wan (Amber Pill), Danggui Jianzhong Tang (Angelica Decoction to Tonify the Middle), Chenxiang Biejia San (Aquarium Shell with Agarwood Powder), Huoxue Dan (Blood-Activating Elixir), Zeluan Wan (Marsilea Pill), or Yiyin Dan (Nourishing Yin Elixir) may be taken. For a cold and deficient Blood Sea, Nuangong Wan (Warming the Palace Pill), Huixiang Wan (Fennel Pill), Dasheng San (Great Sage Powder), Xiaobaiwei Wan (Little White Anemone Pill), Heixi Dan (Black Tin Elixir), Shexiang Lurong Wan (Musk and Deer Antler Pill), or Neibu Danggui Wan may be used. For excessive menstrual bleeding and persistent dripping, Jiao'ai Tang (Collagen and Mugwort Decoction), Wenjing Tang (Warming the Meridians Decoction), Xiaobaiwei Wan, Wujin San (Black Gold Powder), Yiyin Dan, Zeluan Wan, Neibu Danggui Wan, or Shugan Dihuang Wan may be administered. For leukorrhea (white discharge) mixed with blood that does not respond to various treatments, Zeluan Wan may be taken, combined with Pingbu Zhenxin Dan (Balanced Tonification and Calming Heart Elixir), Su Xiao Dasheng San (Rapid Action Great Sage Powder), Wenjing Tang, Zeluan San, Xiaobaiwei Wan, or Zhiyanshi Wan (Purple Quartz Pill). For persistent white discharge accompanied by frequent cold pain in the abdomen, Nuangong Wan, Shexiang Lurong Wan, Falian Heixi Dan (Refined Black Tin Elixir), Huixiang Wan, Weixi Wan (Vitality Joy Pill), Zeluan Wan, Zhengyuan San (Upright Origin Powder), or Laifu Dan (Returning Life Elixir) may be used. For multicolored leukorrhea, Yiyin Dan, Zixue Tang (Nourishing Blood Decoction), or Fulonggan San (Dragon's House Earth Powder) may be given. For metrorrhagia with excessive bleeding leading to dizziness and vertigo where the patient feels like falling, Xiongdi Tang (Peony and Ligusticum Decoction), Jiao'ai Tang, Wujin San, Hupo Wan, Nuangong Wan, Dasheng San, or Neibu Danggui Wan may be used. For uterine hemorrhage with stagnant blood persisting for days, Zixue Tang is indicated. For chronic deficiency of qi and blood with cold constitution, presenting as metrorrhagia with indeterminate colors or bean-soup-like discharge, Wenjing Tang, Fulonggan San, or Siwu Tang may be used. For amenorrhea or primary amenorrhea in unmarried women, Puhuang San (Cattail Pollen Powder), Xiaoyao San (Free and Easy Wanderer Powder), Dasheng San, Heishen San (Black Deity Powder), Hupo Zeluan Jian (Amber and Marsilea Decoction), Tongzhen Wan (Reaching Truth Pill), Huoxue Dan, Siwu Tang, or Dihuang Wan (Rehmannia Pill) may be prescribed. For blood-wind consumptive disease with chest oppression, meridian stagnation, limb irritability and pain, and palpitations, Ren Shen Jingjie San (Ginseng and Schizonepeta Powder), Shugan Dihuang Wan, or Xiaoyao San may be used. For dizziness due to blood-wind and qi deficiency, including pre- and postpartum dizziness, Baosheng Wan (Protecting Life Pill), Siwu Tang, or Jiao'ai Tang may be used. For consumptive fever or alternating chills and fever, Huangqi Biejia San (Astragalus and Turtle Shell Powder), Xiaoyao San, Dihuang Wan, Zeluan Wan, Jingjie San, Jiahe San (Harmonious Grain Powder), or Shenling Baizhu San (Ginseng, Atractylodes, and Poria Powder) may be taken. If heat persists, Ren Shen Danggui San (Ginseng and Angelica Powder) is excellent. For those with strong constitutions, Xiaoyao San may be used. For cough with phlegm or hemoptysis, Ren Shen Yangpi Wan (Ginseng Spleen-Nourishing Pill) should be taken before bed. For young women with strong constitutions experiencing bone-steaming fever, Shugan Dihuang Wan should be taken before meals, and Ren Shen Huangqi San (Ginseng and Astragalus Powder) after meals. For hernia masses, cold pain in the yin region, headache penetrating to the brain, cold bi syndrome with tendon contraction, blood obstruction causing infertility, or leaking red and white discharge, Shugan Dihuang Wan, Zhongru Zeluan Wan (Stalagmites and Marsilea Pill), or Mudan Jian Wan (Tree Peony Decoction Pill) may be used. For women unable to conceive, or those with deficiency patterns featuring upper heat and lower cold with myriad ailments, Xiaobaiwei Wan, Yuyuliang Wan (Halloysite Pill), or Yangqishi Wan (Yangqi Stone Pill) may be administered. For prior cold sensations, stabbing heart and abdominal pain, swelling or coldness, persistent dysentery, and shortness of breath, Wuzhuyu Tang (Evodia Decoction) or Huoxue Tang (Blood-Activating Decoction) may be used. For blood-wind invasion causing five-palm heat, whole-body itching, urticaria, or red swelling, Ren Shen Jingjie San, Ren Shen Danggui San, Xiaofeng San, or Xiaoyao San decocted with Siwu Tang plus Jingjie may be used; for severe cases, Zaojiao Jian Wan may be taken. For qi and blood stagnation, Qingmuxiang Wan (Indigofera Root Pill) may be taken to unblock and guide.
Discussion on Contraindications for Medications During Pregnancy: The medicinal substances contraindicated during pregnancy for damaging fetal qi are summarized in a song from Lu Yi's "Zhou Ding Ji": Crab, Leech, Di Dan Chong (Ground Beetle), Aconitum (Wutou), Prepared Aconite (Fuzi), and Wild Aconite (Tianxiong). Daphne (Zhizhu), Wild Knapweed (Yege), and Mole Cricket types, Aconitum Carmichaelii Lateral Root (Wuhui), Side-root Aconite (Cezhi), and Horsefly (Mengchong). Musk Ox Gallstone (Niuhuang), Mercury, and Croton Seed (Badou). Giant Spurge (Daji), Snake Slough, and Centipede (Wugong). Achyranthes Root (Niuxi), Veratrum (Lilu), and Coix Seed (Yiyi). Metal stones, Tin powder, paired with male and female counterparts. Glauber Salt (Yapo), Mirabilite (Mangxiao), and Tree Peony Decoction. Gecko, Flying Gecko, and Ground Beetle (Shichong). Ochre (Daizhe), Grasshopper, Cicada, Camphor, and Musk. Genkwa Flower, Weilingxian, and Grass-based Sanleng. Sophora Seed, Pharbitis Seed (Qianniu), and Soap Pod. Peach kernel, Larva of Silkworm Moth (Qicao), and Imperata Rhizome (Maogen). Ranunculus (Raohua), Nuo Sha, and Dried Lacquer. Tingchang, Zhouliu, and Arum (Mangcao). Buckwheat, Coriander, Crab Claw Shell. Fish skin, Arrow Wood (Guijian), and Red-headed varieties. Knife-shell, Stone Silkworm, and Silkworm moth, along with Pinellia (Banxia), Star Aconite (Nanxing), and Tetrapanax (Tongcao). Dried Ginger, Garlic, Chicken, and Duck. Donkey, Horse, and Rabbit meat need not be provided. Strictly avoid these for pregnant women; keep this in mind at this time.
Discussion on Prenatal Diseases: During the third and second months of pregnancy, if there is daily mental restlessness, heavy dizziness, insomnia, vomiting, and irritability, this is Ezu disease (Morning Sickness). Only Ren Shen Dingxiang San (Ginseng and Clove Powder), Banxia Fuling Tang (Pinellia and Poria Decoction), Fuling Wan (Poria Pill), Xiao Qixiang Wan (Small Seven Fragrances Pill), or Yao Dingxiang may be used. For prenatal bleeding and restless fetus, named Lotai (Leaking Fetus), An Tai Yin (Fetus-Calming Drink), Siwu Tang, Jiao'ai Tang, Baosheng Wan, Hupo Wan, or Zeluan Wan may be used. In the month of delivery, one may regularly consume Huatai San (Fetus-Slippery Powder), An Tai Yin, or Baosheng Wan. For dystocia, whether transverse or breech, or failure to deliver after two to three days, or fetal death in utero, or retained placenta, Huaruishi San (Flower Rhyolite Powder) may be used, or Bao'an Gao applied as one dose, formed into pills the size of Chinese bayberry seeds, swallowed with warm wine; if not delivered, administer another dose. For abnormal labor presentation such as transverse or breech birth, Tutui Wan (Rabbit Marrow Pill) may be taken. After the infant is born but the placenta remains, accompanied by hard, distended, and urgent abdominal pain, Niuxi Tang (Achyranthes Decoction) may be administered.
Discussion on Postpartum Diseases: These often result from excessive blood loss during childbirth, leading to dryness and deficiency of body fluids, deficiency of both yin and yang, and weakness of the zang-fu organs. Sweating must absolutely not be induced, nor should laxatives, emetics, or purgatives be used. Overly hot and drying tonics must also be avoided. Only mild and gentle medicines should be used for gradual adjustment. One must not seek immediate relief by indiscriminately administering decoctions, which may cause other diseases; the consequences are serious, so caution is essential. Since new postpartum qi and blood are both deficient, over-tonification should be avoided as it may exacerbate chills and fever. It is best to allow lochia to clear completely. Heishen San, Dasheng San, Zeluan San, or Puhuang San may be used. For postpartum coma, fainting, and mental confusion due to excessive blood loss where qi and blood lose their mastery, Xiongdi Tang or Dasheng San may be taken with rice water. If ineffective, Huaruishi San or Bao'an Gao may be used. It is beneficial for postpartum women to inhale the smoke of vinegar-treated charcoal. For sudden postpartum fever and general stiffness, Siwu Tang may be used, combined with Ren Shen Danggui San or Xiaoyao San. For postpartum abdominal masses causing moving pain, caused by incomplete expulsion of lochia where new blood clashes with stale blood, Heishen San or Puhuang San may be decocted as previously described, combined with Peng Jian Wan (Curcuma Decoction Pill) or Hupo Wan. If lochia suddenly stops after initially flowing, accompanied by alternating chills and fever, quietness during the day and worsening at night, and delirious speech resembling hallucinations, this is due to heat entering the Blood Chamber. Hupo Wan or Siwu Tang with an additional 3 grams of Chaihu (Bupleurum) decocted cleanly may be used. If the fever does not subside, Xiao Chaihu Tang (Minor Bupleurum Decoction) with three to four stalks of Sheng Dihuang (Fresh Rehmannia), crushed and decocted together, may be used. For postpartum patients with excessive blood loss, low fluids, and dual yin-yang deficiency, even if sweating is indicated for cold damage or seasonal epidemics, it must not be excessive. Light formulas such as Qinggu San, Wuji San (Five Accumulations Powder), Baidu San (Defeating Toxin Powder), Shenzhu San (Divine Artisan Powder), Hejie San (Harmonizing Solution), or Dasheng San may be used. For sudden umbilical and abdominal pain six to seven days postpartum, caused by cold air entering through respiration due to deficiency, Danggui Jianzhong Tang, Lizhong Wan (Regulating the Middle Pill), Tongzhen Wan, Wenjing Tang, Da Chenxiang Wan (Large Agarwood Pill), or Yanjian San (Salt-Fried Powder) may be used. If symptoms persist, Pingwei San may be taken to swallow Huixiang Wan. For severe postpartum abdominal pain, Huaruishi San or Taiyue Huoxue Dan (Taiyue Blood-Activating Elixir) may be used. For postpartum irritability, thirst, and desire for cold drinks, caused by excessive blood loss leading to yin deficiency and opportunistic yang, internal support is needed. Siwu Tang with two Wumei (Chinese Plum) added per dose may be decocted. If thirst persists, Wuling San (Five Ingredients Powder) may be taken with warm water. For postpartum convulsions, delirium, hallucinations, and unsettled spirit, Longhu Dan (Dragon and Tiger Elixir) may be used, three pills taken as one dose, mixed with finely ground Cinnabar (Zhusha) and taken with warm wine, combined with Hupo Wan. For frequent exacerbation of postpartum blood-wind, lethargy, unconsciousness, sensation of needle pricks, hair falling out with combing, or generalized edema, Longhu Dan may be used, three pills as one dose, chewed with Danggui decocted wine. If itching occurs, Ren Shen Jingjie San may be combined. For postpartum lactation failure, blood-moving drugs must not be used to avoid causing other diseases. Only blood and qi-nourishing drugs should be taken to naturally promote abundant blood vessels and regulate milk. Siwu Tang, Shugan Dihuang Wan, Baiwei Wan, Neibu Danggui Wan, Yiyin Dan, Dashun San (Great Smoothness Powder), or Zeluan San may be used. For postpartum constipation or difficult defecation, caused by lack of internal fluids and dry intestines, harsh purgatives must absolutely not be used to avoid other diseases. Siwu Tang with peeled Qingpi (Citrus Reticulata Green Peel) added, half a qian per dose, may be mixed and decocted. If still obstructed, Maren Wan or Sanhe San (Three Harmonies Powder) may be used.