古云∶宁医十男子，莫医一妇人。诚以女病倍于男子，而更多不可名言之隐也。其居富贵之
地者，更面藏帐帏，臂盖绮纨，医者望闻既难，切脉亦无从仔细，故女科益难从事焉。余幼
殚精举业，亦究心岐黄，缘历试不遇，遂以方药应世，数十年来，穷源竟委，上采前贤之着
述，旁录时人之议论，成《痢症汇参》一书。既为四方君子称评，劝授梓人，兹复念女病难
医，即平日所辑前哲要语，分门别类，汇为一帙，颜曰《女科切要》。质诸二三同志，俱云
语简而明。此书一出，将临症者，俱可唾手取验，而至难医者，从此不难，亟当传世，以为
普济之资，因不揣固陋，勉付剞劂云。
时乾隆癸巳小眷梅溪吴道源题年七十有五
经闭为女人病者，盖因女子以血为主也。使其经脉调和，往来有准，有以应水道潮汐之期，
旧血既尽，新血复生，有以合造化盈亏之数，则周身百脉，无不融液而和畅。夫何病之有?
设或闭焉，则新血滞而不流，旧血凝而日积，诸病丛生。凡血癖血风，与夫热入血室之证，
多自此而始矣。然要其经闭之由，必要所因，或月事适至之时，因渴饮水，并食生冷之物，
及坐冷水中洗浴，寒气内入，血即凝滞，遂令经闭。又或因堕胎多产而伤其血，或因久患潮
热而销其血，或因久发盗汗而耗其血，或脾胃不和，饮食减少，而不能生血。凡此类，皆能
令人经闭。其肥白妇人，经闭而不通者，必是湿痰与脂膜壅塞之故也。宜以枳实为君，佐以
苍术、半夏、香附、乌药、浓朴、牛膝、桃仁之类，则湿痰去而脂膜开，其经自通矣。黑瘦
之妇经闭者，血枯气滞也，治宜补血理气，君以归身、白芍、人参、广皮、香附之类，或因
堕胎多产而伤其血，或久患潮热而销其血者，不可用行血之剂，宜以四物为主，佐以木香、
香附、浓朴、甘草之类，兼调其气，久而自通矣。有因感暴怒而经闭者，治宜开郁活血，君
以郁金，佐以官桂、香附、木香、桃仁、牛膝之类，煮酒煎服，或因食生冷而经闭者，君以
官桂，佐以干姜、木香、浓朴、香附、红花、归尾之类。因坐冷水而经闭者，君以附子，佐
以官桂、木香、山楂、桃仁、当归、干姜、川芎之类。室女及笄而天癸不至，而饮食如常者
，只是气血未足，人间往往有之，必服药疗其杂病，时至，经自流通。亦有年长大而经竟不
来者，仍能受孕，名曰暗经。每月至期，必作腰痛，此前人之所未发也。有至期而经水不行
，上逆而呕血者，名曰倒经，治宜当归大黄汤。有室女经水既通，而至期复又不来者，必须
视其有证无证，验其似疾非疾。若面色不改，饮食如常，身无内热，名曰歇经，非疾也，乃
血不足也。若面黄肌瘦内热，是为童痨，诊其肝脉，弦出寸口上鱼际，非药所能治也，急与
之成婚，则阴阳和，自然经行而疾去矣，否则十死八九。亦有气血不足者，必面黄肌瘦，常
带微热，虽歇几年，服药亦可通之，但不可用破血刚猛之药，如虻虫、山甲、三棱、莪术之
类。只宜用补血生血之药，以四物、归脾加减可也。至寡妇尼姑经闭，乃因有怀不遂，法当
开郁而理其经为妥。
大凡妇人经闭，气不调和，因而血不流转故也。故调经须以理气为先，亦有血海虚寒，小腹
冷痛者是，宜服大温经汤。有气血虚损者，外发潮热，头痛昏重，肢体倦怠，五心烦热，心
忡面赤，口燥神焦，腰背酸疼，盗汗出者是也，宜服丹皮散。有气血凝滞，腹中结块，腰腿
重疼者是也，宜服通经六合汤。或红花当归散，以逐其瘀，通其经络也。亦有胃气不调者，
貌本壮实，饮食渐减者是也。盖胃气不调，亦能令人经水不通，当以异功散、逍遥散之类间
服。一以消食健脾，使饮食加而元气复。一以和其气血，使气血调而经自行矣。凡妇人女子
骨蒸潮热痰嗽，经水不行，诊其脉七八至，视其骨肉消瘦，必死之症，不必用药。大抵男子
与妇人同。
四物汤
熟地 当归 白芍 川芎
水煎服。
归脾汤
人参 白术（土炒） 枣仁 茯神 黄 （钱半） 当归 远志（一钱） 木香 炙草（五分） 龙
姜枣煎服。
大温经汤
鹿茸 香附 沉香 白术 陈皮 熟地 当归 白芍 川芎 吴茱萸 小茴 茯苓 元胡
丹皮散
丹皮 肉桂 归尾 元胡 牛膝 赤芍 三棱 莪术
水煎服。
通经六合汤
熟地 白芍 当归 川芎 半夏 茯苓 益母 贝母 白术 知母 橘红
水煎服。
红花当归散
当归 红花 桃仁 元胡 川芎 小茴 郁金
水煎服。
如圣散 治崩漏不止。
棕灰 姜灰 乌梅（各五钱）
水煎服。
逍遥散 解郁调经。
当归 白芍 茯苓 白术 甘草 柴胡 薄荷 丹皮 山栀
化气丸
大凡女子，禀性偏执，若欲治病，先戒性急，或因怒气，或因忧郁，忧郁生痰，怒气伤血，
或为疼痛，或为淋疾。淋有五种，变为五色。若欲无病，经水要正。月应乎天，水应乎地，
一月一来，如期潮信。怀孕安胎，坐草理顺，经或不准，前后当讯，参前属热，落后属寒。
热当清凉，寒宜助温。血热血虚，或清或补。有孕得疾，先保其胎，次调其疾，宜无后灾。
延及产后，畴能救哉。新产之后，医法有余，先去恶露，后当补虚。补虚太早，秽不能除，
恶心气喘，泻利汗珠，此为四恶。扁鹊难医，症见一恶，病亦难起，小心医治，免死而已。
十月怀胎，一朝坐草，瓜熟蒂落，慎勿起早。无知妇女，昏愚妪老，非理催逼，反成烦恼。
叮咛戒尔，守此正道。孕妇之脉，坚强最妙，细而微濡，命恐难保。新产之脉，沉迟细小，
倘遇洪大，其症必倒。败血冲心，语言乱道，或笑或歌，佛名神号，痰犯心包，同是状貌。
败
血攻心，始终烦恼，龙齿参归，十神汤效。痰犯心包，昏而有觉，重加芩连，导痰汤较。或
夹疾病，先慎风寒，炙爆油腻，万勿加餐，病久危困，先喻其难。医为仁术，细审病端。子
悬子冒，子烦子痫，治各有条，不容遗漏。已经怀孕，月水仍来，血有余也，名曰胎漏。生
郁，温血益气，削除其积。元气若虚，且从姑息，虚弱之证，自汗骨蒸，参 胡连，治之量情，神仙妙术，起
悉心体之，用无不灵。
古语说：宁可医治十个男子，也不要医治一个妇人。确实因为妇女的疾病比男子多一倍，而且更多有难以言说的隐情。那些居住在富贵之地的人，更是面藏帐幕之中，手臂遮盖在丝绸之上，医生通过望诊和闻诊已经很难，切脉也无法仔细进行，所以妇科更加难以从事。我年轻时耗尽精力于科举考试，也深入研究岐黄之术（中医），因为屡次应试不中，于是以方药应对世间疾病，几十年来，穷究本源，上采前贤的著作，旁录时人的议论，编成《痢症汇参》一书。既然被四方君子称赞评价，劝我刻印出版，现在又考虑到妇女疾病难医，便将平日所辑录的前哲重要言论，分门别类，汇编成一册，题名为《女科切要》。请教给几位志同道合的朋友，都说语言简练而明白。这本书一出，临证施治者，都可以轻易取得验证，而那些极难治疗的疾病，从此也不再困难，应当流传后世，作为普遍救济的资源，因此不顾自己固陋，勉强付梓刊印。
时在乾隆癸巳年小暑节气，梅溪吴道源题写，时年七十五岁。
经闭是妇女的疾病，大概是因为女子以血为主。如果她的经脉调和，往来有准，能够应合水道潮汐的时期，旧血既已尽，新血复生，能够符合造化盈亏的数量，那么周身百脉，没有不融液而和畅的。会有什么病呢？假如发生闭止，那么新血滞涩而不流，旧血凝结而日益积聚，各种病症丛生。凡是血癖、血风，以及热入血室等证候，大多由此开始。然而探究经闭的原因，必须追溯起因，或者正值月经来潮之时，因口渴饮水，并食用生冷之物，以及坐在冷水中洗浴，寒气内入，血液即凝滞，遂导致经闭。又或者因为堕胎、多产而损伤其血，或者因为久患潮热而消耗其血，或者因为久发盗汗而耗损其血，或者脾胃不和，饮食减少，而不能生血。凡此类情况，都能使人经闭。那些肥胖白皙的妇人，经闭不通的，必定是湿痰与脂膜壅塞的缘故。适宜以枳实为君药，佐以苍术、半夏、香附、乌药、浓朴、牛膝、桃仁之类，则湿痰去而脂膜开，月经自然通畅。黑瘦的妇人经闭的，是血枯气滞，治疗宜补血理气，以归身、白芍、人参、广皮、香附之类为君药；或者因为堕胎多产而伤血，或久患潮热而销血的，不可使用行血之剂，适宜以四物汤为主，佐以木香、香附、浓朴、甘草之类，兼调其气，久而久之自然通畅。有因感受暴怒而导致经闭的，治疗宜开郁活血，以郁金为君药，佐以官桂、香附、木香、桃仁、牛膝之类，煮酒煎服；或者因食生冷而导致经闭的，以官桂为君药，佐以干姜、木香、浓朴、香附、红花、归尾之类。因坐冷水而导致经闭的，以附子为君药，佐以官桂、木香、山楂、桃仁、当归、干姜、川芎之类。处女及笄之年而天癸不至，但饮食如常的，只是气血未足，人间往往有这样的情况，必须服药治疗其杂病，时机到了，月经自然流通。也有年纪较大而月经竟不来的，仍能受孕，名叫暗经。每月到时期，必定腰痛，这是前人未曾阐发的。有到时期而经水不行，上逆而呕血的，名叫倒经，治疗宜用当归大黄汤。有处女经水既通，而至期复又不来的，必须观察其有证无证，验证其似疾非疾。如果面色不改，饮食如常，身无内热，名叫歇经，不是疾病，乃是血不足。如果面黄肌瘦内热，是为童痨，诊其肝脉，弦出寸口上鱼际，不是药物所能治疗的，急忙为她成婚，则阴阳和，自然经行而疾病去除，否则十死八九。也有气血不足的，必见面黄肌瘦，常带微热，虽然歇几年，服药也可以通之，但不可使用破血刚猛的药物，如虻虫、山甲、三棱、莪术之类。只适宜使用补血生血的药物，以四物汤、归脾汤加减即可。至于寡妇尼姑经闭，乃因有怀不遂（心愿未遂），法当开郁而调理其月经为妥。
大凡妇人经闭，气不调和，因而血不流转的缘故。所以调经须以理气为先，也有血海虚寒，小腹冷痛的，适宜服用大温经汤。有气血虚损的，外发潮热，头痛昏重，肢体倦怠，五心烦热，心悸面赤，口燥神焦，腰背酸疼，盗汗出的，适宜服用丹皮散。有气血凝滞，腹中结块，腰腿重疼的，适宜服用通经六合汤。或者红花当归散，以逐其瘀，通其经络。也有胃气不调的，貌本壮实，饮食渐减的。盖胃气不调，也能令人经水不通，应当以异功散、逍遥散之类间服。一以消食健脾，使饮食增加而元气恢复。一以和其气血，使气血调而月经自行。凡妇人女子骨蒸潮热痰嗽，经水不行，诊其脉七八至，视其骨肉消瘦，必死之症，不必用药。大抵男子与妇人相同。
归脾汤
人参 白术（土炒） 枣仁 茯神 黄芪（钱半） 当归 远志（一钱） 木香 炙甘草（五分） 生姜 大枣 煎服。
大温经汤
鹿茸 香附 沉香 白术 陈皮 熟地黄 当归 白芍 川芎 吴茱萸 小茴香 茯苓 元胡索
丹皮散
丹皮 肉桂 归尾 元胡索 牛膝 赤芍 三棱 莪术
水煎服。
通经六合汤
熟地黄 白芍 当归 川芎 半夏 茯苓 益母草 贝母 白术 知母 橘红
水煎服。
红花当归散
当归 红花 桃仁 元胡索 川芎 小茴香 郁金
水煎服。
如圣散 治疗崩漏不止。
棕榈灰 干姜灰 乌梅（各五钱）
水煎服。
逍遥散 解郁调经。
当归 白芍 茯苓 白术 甘草 柴胡 薄荷 丹皮 山栀
大凡女子，禀性偏执，若想治病，先戒性急，或因怒气，或因忧郁，忧郁生痰，怒气伤血，或为疼痛，或为淋疾。淋有五种，变为五色。若想无病，经水要正。月应乎天，水应乎地，一月一来，如期潮信。怀孕安胎，坐草理顺，经或不准，前后当讯，参前属热，落后属寒。热当清凉，寒宜助温。血热血虚，或清或补。有孕得疾，先保其胎，次调其疾，宜无后灾。延及产后，谁能救哉。新产之后，医法有余，先去恶露，后当补虚。补虚太早，秽不能除，恶心气喘，泻利汗珠，此为四恶。扁鹊难医，症见一恶，病亦难起，小心医治，免死而已。十月怀胎，一朝分娩，瓜熟蒂落，慎勿起早。无知妇女，昏愚妪老，非理催逼，反成烦恼。叮咛告诫你，守此正道。孕妇之脉，坚强最妙，细而微濡，命恐难保。新产之脉，沉迟细小，倘遇洪大，其症必倒。败血冲心，语言乱道，或笑或歌，佛名神号，痰犯心包，同是状貌。败血攻心，始终烦恼，龙齿参归，十神汤效。痰犯心包，昏而有觉，重加芩连，导痰汤较。或夹疾病，先慎风寒，炙爆油腻，万勿加餐，病久危困，先喻其难。医为仁术，细审病端。子悬子冒，子烦子痫，治各有条，不容遗漏。已经怀孕，月水仍来，血有余也，名叫胎漏。生郁，温血益气，削除其积。元气若虚，且从姑息，虚弱之证，自汗骨蒸，参 胡连，治之量情，神仙妙术，起悉心体之，用无不灵。
Ancient saying: "Better to treat ten men than one woman." Indeed, women's diseases are twice as numerous as men's, and involve more unspoken hidden conditions. Those residing in wealthy places further conceal their faces behind curtains and cover their arms with silk; thus, the physician finds it difficult to observe and listen (Wang Wen - inspection and auscultation/olfaction), and pulse diagnosis cannot be performed carefully. Consequently, gynecology is even more difficult to practice. In my youth, I devoted myself to civil service examinations and also studied deeply into Qihuang (Traditional Chinese Medicine). Due to repeated failures in exams, I turned to prescribing medicines for the world. Over decades, I investigated origins and details, collecting ancient sages' writings and contemporary discussions, compiling the book *Li Zheng Hui Can* (Comprehensive Reference on Dysentery). Having been praised by gentlemen from all directions and urged to print it, I now consider that women's diseases are hard to treat. Therefore, I have compiled important sayings of past philosophers that I collected daily, categorized them, and bound them into a volume titled *Nü Ke Qie Yao* (Essentials of Gynecology). Consulting with several like-minded friends, they agreed that the language was concise and clear. Once this book is published, practitioners can easily verify its efficacy, and even the most difficult cases will no longer be insurmountable. It should be passed down to posterity as a resource for universal relief. Thus, disregarding my own limitations, I reluctantly had it printed.
Written by Wu Daoyuan of Meixi during the Xiaoshu solar term of the Guisi year of Qianlong, aged seventy-five.
Amenorrhea is a disease of women, primarily because women take blood as their essence. If her meridians are harmonious and regular, responding to the tides of water channels, when old blood is exhausted, new blood regenerates, conforming to the waxing and waning of nature, then all meridians throughout the body will be fluid and smooth. What disease would there be? If amenorrhea occurs, new blood stagnates and does not flow, while old blood coagulates and accumulates day by day, giving rise to various ailments. Conditions such as Blood Bi (Blood Stasis Obstruction), Wind-Blood disorders, and Heat entering the Blood Chamber often originate here. However, investigating the cause of amenorrhea requires tracing the origin. For instance, drinking water due to thirst or eating raw/cold foods during menstruation, or bathing in cold water, allows cold qi to enter internally, causing blood to stagnate and leading to amenorrhea. Alternatively, damage to blood from abortions or multiple births, consumption of blood due to prolonged tidal fever, depletion of blood from chronic night sweats, or spleen-stomach disharmony with reduced diet failing to generate blood—all these can cause amenorrhea. In obese, fair-skinned women with amenorrhea, it is likely due to damp-phlegm and fatty membranes obstructing the pathways. It is appropriate to use Zhi Shi (Immature Bitter Orange) as the sovereign herb, assisted by Cang Zhu (Atractylodes Rhizome), Ban Xia (Pinellia Tuber), Xiang Fu (Cyperus Rhizome), Wu Yao (Lindera Root), Hou Po (Magnolia Bark), Niu Xi (Achyranthes Root), Tao Ren (Peach Seed), etc., so that damp-phlegm is removed and fatty membranes open, allowing menstruation to flow naturally. In dark, thin women with amenorrhea, it is due to blood deficiency and qi stagnation. Treatment should nourish blood and regulate qi, using Dang Gui Shen (Angelica Sinensis Root), Bai Shao (White Peony Root), Ren Shen (Ginseng Root), Guang Pi (Tangerine Peel), Xiang Fu, etc., as sovereign herbs. If caused by abortion/multiple births damaging blood or tidal fever consuming blood, blood-moving agents should not be used. Instead, Si Wu Tang (Four Substances Decoction) should be the main formula, assisted by Mu Xiang (Aucklandia Root), Xiang Fu, Hou Po, Gan Cao (Licorice Root), etc., to simultaneously regulate qi; over time, menstruation will naturally resume. For amenorrhea caused by sudden anger, treatment should resolve depression and invigorate blood, using Yu Jin (Curcuma Longa Rhizome) as sovereign, assisted by Guan Gui (Cinnamon Twig), Xiang Fu, Mu Xiang, Tao Ren, Niu Xi, etc., decocted in wine. For amenorrhea caused by eating raw/cold foods, Guan Gui is sovereign, assisted by Gan Jiang (Dried Ginger), Mu Xiang, Hou Po, Xiang Fu, Hong Hua (Safflower), Dang Gui Wei (Angelica Sinensis Tail), etc. For amenorrhea caused by sitting in cold water, Fu Zi (Aconite Lateral Root) is sovereign, assisted by Guan Gui, Mu Xiang, Shan Zha (Hawthorn Fruit), Tao Ren, Dang Gui, Gan Jiang, Chuan Xiong (Sichuan Lovage Rhizome), etc. For unmarried girls reaching puberty where Tian Gui (Menstrual Fluid) has not arrived but diet is normal, it is merely insufficient qi and blood, which is common; treating other miscellaneous illnesses first will allow menstruation to flow naturally when the time comes. Some older women who never menstruate but can still conceive are called An Jing (Hidden Menstruation). They experience lower back pain at the expected time, a point previously unmentioned by ancients. When menstrual blood fails to arrive at the expected time and flows upward causing hematemesis, it is called Dao Jing (Reverse Menstruation); treat with Dang Gui Da Huang Tang (Angelica and Rhubarb Decoction). For virgins whose menstruation started but stops again at the expected time, one must assess symptoms versus non-symptoms. If complexion is unchanged, diet is normal, and there is no internal heat, it is called Xie Jing (Intermittent Menstruation), not a disease, but simply blood insufficiency. If there is sallow complexion, emaciation, and internal heat, it is Tong Lao (Childhood Consumption); if the liver pulse is wiry and extends above the cun position onto the fish belly area, it is incurable by medicine alone. Urgently arranging marriage harmonizes yin and yang, allowing menstruation to resume and illness to depart; otherwise, eight or nine out of ten will die. Cases of qi and blood deficiency present with sallow complexion, emaciation, and slight fever; even if menstruation stops for years, medication can restore it, but harsh blood-breaking drugs like Meng Chong (Blowfly), Shan Jia (Pangolin Scales), San Leng (Burreed Tuber), and E Zhu (Curcuma Zedoaria Rhizome) must be avoided. Only blood-nourishing and generating herbs should be used, modifying Si Wu Tang or Gui Pi Tang. For widows and nuns with amenorrhea due to unfulfilled desires, the method should focus on resolving depression and regulating menstruation.
Generally, female amenorrhea results from qi disharmony leading to stagnant blood circulation. Therefore, regulating menstruation must prioritize regulating qi. There are also cases of empty-cold in the Sea of Blood with cold pain in the lower abdomen, suitable for Da Wen Jing Tang (Great Warming Menses Decoction). Cases of qi and blood deficiency presenting with tidal fever, heavy headache, limb fatigue, five-palm heat, palpitations, flushed face, dry mouth, mental exhaustion, sore back/waist, and night sweats are suitable for Dan Pi San (Moutan Powder). Cases of qi and blood stagnation with abdominal masses and heavy/sore waist/legs are suitable for Tong Jing Liu He Tang (Unblocking Menses Six-Harmonies Decoction) or Hong Hua Dang Gui San (Safflower and Angelica Powder) to dispel stasis and unblock meridians. Cases of stomach qi disharmony, appearing robust but with gradually decreasing appetite, indicate that stomach qi disharmony can also cause amenorrhea; Yi Gong San (Extraordinary Power Powder) or Xiao Yao San (Free and Easy Wanderer Powder) should be taken intermittently. One aims to digest food and strengthen the spleen to restore diet and primal qi; the other harmonizes qi and blood to allow menstruation to proceed naturally. For women with bone-steaming tidal fever, cough with phlegm, and amenorrhea, if the pulse is rapid (7-8 beats per breath) and flesh/bone are emaciated, it is a fatal condition requiring no medication. Generally, men and women share similar principles.
Si Wu Tang (Four Substances Decoction)
Shu Di Huang (Prepared Rehmannia Root) Dang Gui (Angelica Sinensis Root) Bai Shao (White Peony Root) Chuan Xiong (Sichuan Lovage Rhizome)
Decoct in water and take.
Gui Pi Tang (Restore the Spleen Decoction)
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Macrocephala Rhizome, stir-fried in soil) Suan Zao Ren (Ziziphus Seed) Fu Shen (Poria with Hostwood) Huang Qi (Astragalus Root, 1.5 qian) Dang Gui (Angelica Sinensis Root) Yuan Zhi (Polygala Root, 1 qian) Mu Xiang (Aucklandia Root) Zhi Gan Cao (Honey-fried Licorice Root, 0.5 qian) Sheng Jiang (Fresh Ginger) Da Zao (Jujube)
Decoct with ginger and jujube and take.
Da Wen Jing Tang (Great Warming Menses Decoction)
Lu Rong (Deer Antler Velvet) Xiang Fu (Cyperus Rhizome) Chen Xiang (Agarwood) Bai Zhu (Atractylodes Macrocephala Rhizome) Chen Pi (Tangerine Peel) Shu Di Huang (Prepared Rehmannia Root) Dang Gui (Angelica Sinensis Root) Bai Shao (White Peony Root) Chuan Xiong (Sichuan Lovage Rhizome) Wu Zhu Yu (Evodia Fruit) Xiao Hui Xiang (Fennel Fruit) Fu Ling (Poria) Yuan Hu Suo (Corydalis Rhizome)
Dan Pi San (Moutan Powder)
Dan Pi (Moutan Cortex) Rou Gui (Cinnamon Bark) Dang Gui Wei (Angelica Sinensis Tail) Yuan Hu Suo (Corydalis Rhizome) Niu Xi (Achyranthes Root) Chi Shao (Red Peony Root) San Leng (Burreed Tuber) E Zhu (Curcuma Zedoaria Rhizome)
Decoct in water and take.
Tong Jing Liu He Tang (Unblocking Menses Six-Harmonies Decoction)
Shu Di Huang (Prepared Rehmannia Root) Bai Shao (White Peony Root) Dang Gui (Angelica Sinensis Root) Chuan Xiong (Sichuan Lovage Rhizome) Ban Xia (Pinellia Tuber) Fu Ling (Poria) Yi Mu Cao (Leonurus Herb) Bei Mu (Fritillaria Bulb) Bai Zhu (Atractylodes Macrocephala Rhizome) Zhi Mu (Anemarrhena Rhizome) Ju Hong (Aged Tangerine Peel)
Decoct in water and take.
Hong Hua Dang Gui San (Safflower and Angelica Powder)
Dang Gui (Angelica Sinensis Root) Hong Hua (Safflower) Tao Ren (Peach Seed) Yuan Hu Suo (Corydalis Rhizome) Chuan Xiong (Sichuan Lovage Rhizome) Xiao Hui Xiang (Fennel Fruit) Yu Jin (Curcuma Longa Rhizome)
Decoct in water and take.
Ru Sheng San (Like-Saint Powder) Treats persistent metrorrhagia and metrostaxis.
Zong Hui (Charred Palm Fiber) Jiang Hui (Charred Dried Ginger) Wu Mei (Mume Fruit) (5 qian each)
Decoct in water and take.
Xiao Yao San (Free and Easy Wanderer Powder) Resolves depression and regulates menstruation.
Dang Gui (Angelica Sinensis Root) Bai Shao (White Peony Root) Fu Ling (Poria) Bai Zhu (Atractylodes Macrocephala Rhizome) Gan Cao (Licorice Root) Chai Hu (Bupleurum Root) Bo He (Mint) Dan Pi (Moutan Cortex) Shan Zhi (Gardenia Fruit)
Hua Qi Wan (Transform Qi Pill)
Generally, women have stubborn temperaments. To cure illness, one must first abandon impatience. Anger damages blood, while depression generates phlegm, leading to pain or strangury. Strangury has five types, transforming into five colors. To remain healthy, menstruation must be regular. The moon corresponds to heaven, water to earth; once a month, it arrives like the tide. Pregnancy and safe delivery require smooth regulation. If menstruation is irregular, check timing: early indicates heat, late indicates cold. Heat requires cooling, cold requires warming. Blood heat requires clearing, blood deficiency requires tonifying. If illness occurs during pregnancy, protect the fetus first, then treat the illness, avoiding later disasters. Regarding postpartum care, after delivery, remove lochia first, then tonify deficiency. Tonifying too early prevents expulsion of filth, causing nausea, asthma, diarrhea, and sweating—these are the Four Evils. Even Bian Que would find them hard to treat; seeing one Evil makes recovery difficult. Careful treatment may only save life. Ten months of pregnancy end in one moment of labor; let the melon fall when ripe, do not rush. Ignorant women and foolish old nurses may force delivery irrationally, causing distress. Listen to my advice: follow this correct path. The pregnant woman's pulse should be firm and strong; fine and slightly soggy pulses threaten life. The postpartum pulse should be deep, slow, fine, and small; if surging and large, the condition will collapse. Defeated blood rushing to the heart causes confused speech, laughing, singing, or chanting Buddha names; phlegm invading the Pericardium presents similarly. Defeated blood attacking the heart causes persistent vexation; Long Chi (Dragon Tooth), Ren Shen, and Dang Gui in Shi Shen Tang (Ten-God Decoction) are effective. Phlegm invading the Pericardium causes coma with awareness; adding Huang Qin and Huang Lian to Dao Tan Tang (Phlegm-Guiding Decoction) is better. If complicated by other diseases, guard against wind-cold; avoid fried/greasy foods. If illness becomes critical, explain the difficulty. Medicine is a benevolent art; carefully examine the disease source. Zi Xuan (Fetal Distension), Zi Mao (Fetal Protrusion), Zi Fan (Fetal Vexation), Zi Xian (Fetal Convulsion) each have specific treatments. If menstruation continues during pregnancy, it is due to excess blood, called Tai Lou (Fetal Leakage). Generate depression, warm blood, tonify qi, and eliminate accumulation. If primal qi is deficient, adopt a conservative approach. For weakness with spontaneous sweating and bone-steaming, use Ren Shen, Hu, and Lian; treat according to circumstances. Divine miracles arise from careful understanding; application is always effective.