平胃散 治土气太过，经血不调。《达生篇》∶加芒硝能下死胎。
六君子汤 方中参、术、苓、草，脾药也；陈皮、半夏，胃药也；经血生于脾胃，故加归、芍之类，便是调经
之的方。
四物汤 妇科总方，时人习用之，方中妙在川芎一味。
新定加味四物汤（方论见上。）
十全大补汤 八珍汤 二方气血双补，其用药品虽云板实，却亦平稳可从。
人参养荣汤 五脏兼补，视八珍、十全等高一格，以药品之轻重得法也。
生白芍（一钱五分） 人参 当归 陈皮 桂心（徐灵胎《兰台轨范》云∶是小桂枝去皮，非肉桂心。） 黄 茯
苓白术 炙草（各一钱） 远志（去骨，五分） 五味（十四粒） 熟地（七钱半）
加生姜三片，红枣二枚，水煎温服。
四乌 鱼骨一芦茹丸（《内经》） 调经种子，亦治男子阳痿。
乌 鱼骨（四两，去甲） 芦茹（一两）
（长男蔚）按∶以雀卵丸，如小豆大，食前以鲍鱼汁送下五丸，今酌增为二钱。后人用白毛黑骨雄鸡一只，去毛肠，
不见水擦干，用当归二两，川芎一两，入前药于鸡腹内，加酒二碗，童便一碗，蒸到汁干，将鸡取净肉，和药晒为末；
或加香附四两，炒茯神、人参各一两，为末，炼蜜为丸，如梧桐子大，酒送下，或米汤送下。
抵当汤 通瘀猛剂。（见《伤寒论》）。
桃仁承气汤 通瘀缓剂。（见《伤寒论》）。
蚕砂酒 治月经久闭。按∶此方较上二方更为平稳。
蚕砂（四两，炒半黄色） 无灰酒（一壶）。
上重汤煮熟，去砂，温饮一盏即通。
归脾汤（《内经》） 二阳之病发心脾一节，此方颇合《经》旨。
当归 茯神 人参 炙 白术 枣仁 龙眼肉（各二钱） 木香 炙草（各一钱）水煎服。
高鼓峰云∶男妇怯弱，不论何症，止以此方去木香，加芍药、麦冬、五味子，服至月余必愈。虽有他方，吾不知也。
按方中全赖木香一味，若去之何以成归脾汤乎？若有寒热往来，可加柴胡、芍药；若潮热骨蒸，加丹皮、地骨皮、栀子；
若起于怫郁，加贝母、黄连；若腹痛经闭，加桃仁、红花、
元胡索之类。
逍遥散 女子善怀，每多忧郁，此方解肝郁也，而诸郁无不兼治。赵养葵谓∶五郁皆属于肝也。方从小柴胡汤
套出。
越鞠丸 （《丹溪》）解郁总方。《易思兰医案》治寒热虚实一切杂病，皆从此方变化，屡用屡验。
香附（童便制） 山栀 抚芎 苍术 六神曲
以蒸饼为丸，每服三钱，陈米汤送下。
温经汤 治经闭或经行过多，或崩漏不止，或久不受胎，统名带下。
吴萸（三两） 当归 川芎 芍药 人参 桂枝 阿胶 丹皮 甘草（各二两） 生姜（三两，一本二两） 半夏
（半升，一本一升） 麦冬（一升）
上十二味，以水一斗，煮取三升，分温三服。
亦主妇人少腹寒，久久不受胎，及过期不来。歌曰∶口干腹满掌心烧，卅六 该（谓十二瘕、九痛、七害、五伤、
三痼，共三十六种，详于《金匮浅注》中，不赘）带下条，归芍胶芎权各二，权（称钟也。称其数各二两）。桂参丹草数
相侔，（八物同用二两也。）整升重用（麦门）冬胜任，减半一升减其半，止用半升也。相需（半）夏速求，更佐（吴
茱）萸（生）姜各三两，闭（至期不来。）崩（来而过多）不育（少腹寒，久不受胎者。）各探幽。
（次男元犀按）∶当归、芎 、芍药、阿胶，肝药也；丹皮、桂枝，即心药也；吴茱萸，肝药、亦胃药也；半夏，胃
药亦冲药也；麦门冬、甘草，即胃药也；人参补五脏；生姜利诸气也。病在经血，以血生于心藏于肝也；冲为血海也，
胃属阳明，厥阴冲脉丽之也。然细绎方意，以阳明为主，吴茱萸用至二两，驱阳明中土之寒；即以麦门冬用至一升，滋
阳明中土之燥；一寒一热，不使偏隅，所以谓之温也。半夏用至半升、生姜用至三两者，以姜能去秽而胃气安，夏能去
逆而胃气顺也。其余皆相辅而成其温之之用，绝无逐瘀之品，故过期不来者能通之，月来过多者能止之，少腹寒不受胎
者并能治之，其神妙不可言矣！
六味丸 “壮水之主，以制阳光。”
桂附八味丸 “益火之源，以消阴翳。”二方治妇人经病。无子加香附（童便浸）、川贝母、当归各三两，艾叶
（醋炒）二两，多效。
当归补血汤 治血虚发热，症类白虎，但脉不洪长以别之。
黄 （一两） 当归（三钱）
上水煎服。尤在泾《金匮翼》有生地五钱，甘草二钱，余未知其所本。
麦门冬汤 治火逆上气，咽喉不利，止逆下气。
（长孙男心典禀）按∶可借治妇人返经、上逆、吐衄等症。盖以此方专入阳明。阳明之脉，以下行为顺，上行为逆；
冲任之脉，丽于阳明；三经主血，故以此方为正治之法。若去粳米，加蜂蜜八钱，取百花之菁华，以补既亡之胃阴，更
为周到。然阳明因虚火而逆者固宜此汤，阳明因虚寒而逆者，舍吴茱萸之温降，将何道以镇纳之乎？噫嘻！吐血、衄血
之症，违众说而专主此汤，恐汉、唐以下，至今日而始闻是语也。
麦门冬（四钱，不去心） 煮半夏（二钱） 大枣（二枚） 炙甘草（一钱） 粳米（三钱半） 人参（一钱）
上诸味，清水煎服。
修园与诸生，讲学于嵩山之井上草堂，座中有谓某医，自夸为女科名手，执其常用之方来询，余不觉大发一叹，曰∶
女科本无纯粹可观之书，而世上医辈更不必深求之也。然而相传习用之药，不自知其为害人之品者，则有四∶一曰丹参。
谓丹参不寒不燥，不补不攻，一味功兼四物，且能去瘀血生新血。李士材谓其去瘀之功，多于生血，为妇人之要药。岂
知《本草经》云∶“丹参味苦微寒，主心腹邪气，肠鸣幽幽如走水，寒热积聚，破症除瘕，止烦满，益气。一名却蝉，生
山谷”。通共三十八字。其云主“心腹邪气”，“邪气”二字，即下文寒热之气也。邪在心即烦，邪在腹即满，肠居腹内，
邪气走于肠中，故幽幽鸣如走水。积聚亦病于腹，积而不散、推之不移为症，症者征也，以其有形可征也；或聚或散、
推之则移为瘕，瘕者假也，言其假借而成也。其云益气者，通章以心腹邪气为提纲，邪气既除，则正气自然受益，非丹
参能补益之也。详《经》文之旨，专主驱邪，且驱心腹之里邪，与四物汤之功用，冰炭相反，若以平时调理胎前、产后
之常药而辄用之，攻伐无过，脏气大伤，即孟夫子所谓
安其危而利其灾，乐其所亡是也。此女科习用丹参之害人一也。二曰益母，谓益母能通血脉，调经水，去瘀生新，为妇
人之良药。岂知《本草经》云∶“茺蔚子味辛微温，主明目益精，除水气，久服轻身。茎主瘾疹痒，可作浴汤。一名益母，
一名益明，一名大札，生池泽。”通共四十一字，无一字言及妇人经产之症。其云“微温”者，得春木之气也；味辛者，
得秋金之味也。木有制则其性和，性和则有轻身之效，《经》所谓风能生物是也。其云“明目”者，以肝开窍于目也。其
云益精者，以精生于饮食之精华，先散于肝而后藏之于肾也。茎主瘾疹痒者，以洗浴能去肌表之风也。若产后肤表微微
发
热，是外感微风，与此物甚为对症，若重症则不足恃矣。况症重药轻，则病势日甚一日，终至败坏而莫挽。若辈东请西
延，别有杀人不见血之技，修园恶之，此女科习用益母草之害人二也。三曰何首乌。时医以熟地黄大补阴血，恐其腻膈
减食，竟以何首乌代之。岂知何首乌《本草经》不载，而《开宝》有之，极赞其功，但为后人添加之品，或逞其臆见，
或得之传闻，不足尚也。余惟于久疟偶用之，取其味涩之能截疟也；久痢偶用之，取其味苦之能坚肠也。若谓其能滋阴
补肾，如《开宝》所夸之效，吾不信也。盖药之能滋润者，必其脂液之足也；药之能补养者，必其气味之和也。试问滞
涩如首乌，何以能滋？苦劣如首乌，何以能补？正与地黄相反，何以谓其功用相同而相代乎？此女科习用何首乌之害人
三也。四曰郁金。谓妇人之病，多起于郁，郁金能解诸郁，为妇人之良药。而不知此物，《神农本草经》不载，而《唐本》
有之，《唐本》云∶“郁金味苦寒，主血积，下气生肌，下血破恶血，血淋、尿血、金疮。”原文只此二十三字。其云气味
苦寒者，谓气寒而善降，味苦而善泄也。其云血积者，血不行则为积，积不去则为恶血。血逆于上，从口鼻而出，则为
衄血、吐血；血走于下，从便溺而出，有痛为血淋，无痛为尿血；金疮之瘀血不去，则血水不断，不能生肌；此物所以
统主之者，以其病原皆由于积血，特取其大有破恶血之功也。盖血以气为主，又标之曰∶下气者以苦寒大泄其气，即所
以大破其血，视他药更进一步。“解郁”二字，不见经传，切不可惑此邪说。若经水不调因实而闭者，不妨以此决之。若
因虚而闭者，是其寇仇。且病起于郁者，即《内经》所谓“二阳之病发心脾”，大有深旨。若错认此药为解郁而频用之，
十不救一。至于怀孕，最忌攻破，此药更不可以沾唇。即在产后，非热结停瘀者，亦不可轻用。若外邪未净者，以此擅
攻其内，则邪气乘虚而内陷。若气血两虚者，以此重虚其虚，则气血无根而暴脱。此女科习用郁金之害人四也。圣经灼
然可据，杂书杂说居然鱼目混珠，甚为不解。昔人谓不读人间非圣书，吾深有味乎斯言也！尝考神农作赭鞭钩 ，从六
阴阳与太乙，外五岳四渎，土地所生，草石骨肉心灰毛羽干类，皆鞭问之。得其所能治主，当其五味，一日七十毒，是
《神农本草经》为辨药之祖。何以后人食唐、宋以后之唾余，或取杂书附会铺张之说，及各氏臆断邪说，竟与圣经为难？
斯人也，侮圣人之言，吾有四字勘语曰∶“庸恶陋劣”，不可以为医。《人镜经》谓当碎其碑，污其面，正非过激之谈。
平胃散：治疗脾土之气过盛，导致经血不调。《达生篇》记载：加入芒硝可以排出死胎。
六君子汤：方中的人参、白术、茯苓、甘草，是补脾的药物；陈皮、半夏，是治胃的药物；经血由脾胃化生，因此加入当归、白芍之类的药物，就是调经的确切有效方剂。
四物汤：妇科的通用总方，时人习惯使用，此方的妙处在于川芎这一味药。
新定加味四物汤（方论见上文）。
十全大补汤、八珍汤：这两方气血双补，虽然用药显得刻板坚实，但也平稳可行。
人参养荣汤：五脏兼补，比八珍汤、十全大补汤等高一层次，是因为药物的轻重搭配得当。
生白芍（一钱五分）、人参、当归、陈皮、桂心（徐灵胎在《兰台轨范》中说：这是小桂枝去皮后的部分，不是肉桂心）、黄芪、茯苓、白术、炙甘草（各一钱）、远志（去骨，五分）、五味子（十四粒）、熟地黄（七钱半）。
加生姜三片，红枣二枚，用水煎煮，温服。
四乌贼骨一芦茹丸（出自《内经》）：调理月经以助受孕，也治疗男子阳痿。
乌贼骨（四两，去掉硬甲）、芦茹（一两）。
（长子陈蔚）按语：用雀卵做成丸药，如小豆大小，饭前用鲍鱼汁送服五丸，现在酌情增加剂量为二钱。后人用一只白毛黑骨的雄鸡，去毛和内脏，不沾水擦干，将当归二两、川芎一两放入鸡腹内，加入酒两碗、童便一碗，蒸至汤汁干涸，取出鸡肉洗净，与药末混合晒干研细；或者加入香附四两、炒茯神、人参各一两，研为细末，炼蜜为丸，如梧桐子大小，用酒送服，或用米汤送服。
蚕砂酒：治疗月经长期闭止。按语：此方比上述两方更为平稳。
蚕砂（四两，炒至半黄色）、无灰酒（一壶）。
以上药材隔水煮熟，去掉蚕砂，温饮一盏即可通经。
归脾汤（注：此处原文误标为《内经》，实为后世方，但依原文翻译）：针对“二阳之病发于心脾”这一节论述，此方颇为符合经典旨意。
当归、茯神、人参、炙白术、酸枣仁、龙眼肉（各二钱）、木香、炙甘草（各一钱），用水煎服。
高鼓峰说：男女身体怯弱，无论什么病症，只用此方去掉木香，加入白芍、麦冬、五味子，服用一个月左右必定痊愈。即使有其他方子，我也不知道。
按语：方中全靠木香一味药，如果去掉它，怎么能称为归脾汤呢？如果有寒热往来症状，可加柴胡、白芍；如果有潮热骨蒸症状，加牡丹皮、地骨皮、栀子；如果是因怫郁引起，加贝母、黄连；如果腹痛经闭，加桃仁、红花、延胡索之类。
逍遥散：女子多愁善感，常多忧郁，此方疏解肝郁，而各种郁结无不兼顾治疗。赵养葵说：五种郁结都归属于肝。此方是从小柴胡汤演变而来。
越鞠丸（出自《丹溪》）：解郁的总方。《易思兰医案》治疗寒热虚实一切杂病，都从此方变化，屡用屡验。
香附（童便制）、山栀、抚芎、苍术、六神曲。
用蒸饼做丸，每次服用三钱，陈米汤送下。
温经汤：治疗经闭或行经过多，或崩漏不止，或长期不孕，统称为带下病。
吴茱萸（三两）、当归、川芎、芍药、人参、桂枝、阿胶、丹皮、甘草（各二两）、生姜（三两，另一版本为二两）、半夏（半升，另一版本为一升）、麦冬（一升）。
以上十二味药，用水一斗，煮取三升，分三次温服。
也主治妇人少腹寒冷，久久不能受孕，以及月经过期不来。歌诀说：口干腹满掌心烧，三十六种带下条（指十二瘕、九痛、七害、五伤、三痼，共三十六种，详见《金匮浅注》，此处不赘述），当归、白芍、阿胶、川芎权且各用二两（权即秤，称其数量各二两）。桂枝、人参、丹皮、甘草数量相等（这八味药同用二两），整升重用麦门冬胜任，减半则用半升减少其一半，只需用半升半夏速求，更佐以吴茱萸、生姜各三两，经闭、崩漏、不育（少腹寒，久不受胎者）各自探求其中奥妙。
（次子陈元犀）按语：当归、川芎、芍药、阿胶，是入肝的药；丹皮、桂枝，即是入心的药；吴茱萸，既是肝药，也是胃药；半夏，既是胃药，也是入冲脉的药；麦门冬、甘草，即是胃药；人参补益五脏；生姜利诸气。病在经血，因为血生于心而藏于肝；冲脉为血海；胃属阳明，厥阴冲脉依附于它。然而仔细推究方意，以阳明为主，吴茱萸用到二两，驱除阳明中土的寒气；同时麦门冬用到一升，滋润阳明中土的燥气；一寒一热，不使偏颇，所以称之为“温”。半夏用到半升、生姜用到三两，是因为姜能去秽而使胃气安和，夏（半夏）能降逆而使胃气顺遂。其余药物都相辅相成以发挥其“温”的作用，绝无逐瘀的药物，所以对于过期不来的能通之，月经过多的能止之，少腹寒导致的不孕也能治疗，其神妙不可言说！
桂附八味丸：“益火之源，以消阴翳。”这两方治疗妇人经病。若用于不孕，加香附（童便浸）、川贝母、当归各三两，艾叶（醋炒）二两，效果很好。
当归补血汤：治疗血虚发热，症状类似白虎汤证，但通过脉象不洪长来区别。
黄芪（一两）、当归（三钱）。
以上用水煎服。尤在泾在《金匮翼》中有生地五钱、甘草二钱的用法，我不知道他的依据是什么。
麦门冬汤：治疗火逆上气，咽喉不利，止逆下气。
（长孙陈心典禀告）按语：可借用来治疗妇人返经、气上逆、吐血衄血等症状。因为这个方子专入阳明经。阳明的经脉，以下行为顺，上行为逆；冲任二脉依附于阳明；这三经主血，所以以此方为正治之法。如果去掉粳米，加蜂蜜八钱，取百花之精华，以补已经亡失的胃阴，更为周到。然而，阳明因虚火而上逆的固然适宜此汤，阳明因虚寒而上逆的，除了用吴茱萸的温降，还有什么办法来镇纳呢？唉！对于吐血、衄血的病症，违背众说而专门主张此汤，恐怕从汉唐至今，才听到这样的话。
麦门冬（四钱，不去心）、煮半夏（二钱）、大枣（二枚）、炙甘草（一钱）、粳米（三钱半）、人参（一钱）。
以上诸味，用清水煎服。
修园（作者自称）与学生们在嵩山的井上草堂讲学，座中有人说某位医生自夸为妇科名手，拿着他常用的方子来询问，我不觉大发感叹，说：妇科本来就没有纯粹值得看的书，世上的医生也不必深求。然而，相传习用的药物，自己不知道它们是害人的，有四种：一是丹参。有人说丹参不寒不燥，不补不攻，一味药兼具四物汤的功效，且能去瘀血生新血。李士材说它去瘀的功效多于生血，是妇女的要药。哪里知道《本草经》说：“丹参味苦微寒，主心腹邪气，肠鸣幽幽如走水，寒热积聚，破症除瘕，止烦满，益气。一名却蝉，生山谷”。总共三十八个字。它说主“心腹邪气”，“邪气”二字，就是下文说的寒热之气。邪在心就烦，邪在腹就满，肠居腹内，邪气走于肠中，所以幽幽鸣响如水流动。积聚也在腹中，积而不散、推之不移为症，症即征，因为它有形可征；或聚或散、推之则移为瘕，瘕即假，说它是假借而成。它说益气，通章以心腹邪气为提纲，邪气既除，正气自然受益，并非丹参能补益。详究经文旨意，专主驱邪，且驱除心腹里的邪气，与四物汤的功效冰炭相反，如果把平时调理胎前、产后的常药随便用它，攻伐无过，脏气大伤，这就是孟子所说的“安其危而利其灾，乐其所亡”。这是女科习用丹参害人的第一种情况。二是益母草，说益母能通血脉，调经水，去瘀生新，是妇女的良药。哪里知道《本草经》说：“茺蔚子味辛微温，主明目益精，除水气，久服轻身。茎主瘾疹痒，可作浴汤。一名益母，一名益明，一名大札，生池泽”。总共四十一字，没有一个字提到妇人经产的症状。它说“微温”，是得春木之气；味辛，是得秋金之味。木有制约则性温和，性温和则有轻身的效果，《经》所谓风能生物。它说“明目”，是因为肝开窍于目。它说益精，是因为精生于饮食的精华，先散于肝而后藏之于肾。茎主瘾疹痒，是因为洗浴能去肌表的风。如果产后肤表微微发热，是外感微风，与此物很对症，若是重症就不够依靠了。况且症重药轻，则病势一天天加重，最终败坏而无法挽救。那些人东请西延，另有杀人不见血的技艺，我厌恶这种行为，这是女科习用益母草害人的第二种情况。三是何首乌。时医认为熟地黄大补阴血，怕它腻膈减食，竟用何首乌代替。哪里知道何首乌《本草经》不载，而《开宝本草》有之，极力称赞其功效，但这只是后人添加的品种，或是逞其臆见，或是得之传闻，不足崇尚。我只在久疟时偶尔用它，取其味涩能截疟；久痢时偶尔用它，取其味苦能坚肠。如果说它能滋阴补肾，像《开宝本草》所夸大的效果，我不相信。大概药能滋润，必须脂液充足；药能补养，必须气味平和。试问滞涩如首乌，怎么能滋？苦劣如首乌，怎么能补？正与地黄相反，为什么说功用相同而可以替代呢？这是女科习用何首乌害人的第三种情况。四是郁金。说妇人的病，多起于郁，郁金能解诸郁，是妇女的良药。却不知道此物，《神农本草经》不载，而《唐本草》有之，《唐本草》说：“郁金味苦寒，主血积，下气生肌，下血破恶血，血淋、尿血、金疮。”原文只有这二十三个字。它说气味苦寒，是说气寒而善降，味苦而善泄。它说血积，血不行则为积，积不去则为恶血。血逆于上，从口鼻而出，则为衄血、吐血；血走于下，从便溺而出，有痛为血淋，无痛为尿血；金疮的瘀血不去，则血水不断，不能生肌；此物所以统主这些病，是因为病原都由于积血，特别取其大有破恶血之功。大概血以气为主，又标曰“下气”，是以苦寒大泄其气，即所以大破其血，比其他药更进一步。“解郁”二字，不见于经传，切不可被这种邪说迷惑。如果经水不调因实而闭的，不妨用此决之。如果因虚而闭的，这是它的仇敌。而且病起于郁的，就是《内经》所谓的“二阳之病发于心脾”，大有深意。如果错认此药为解郁而频繁使用，十救不了一个。至于怀孕，最忌攻破，此药更不可以沾唇。即使在产后，如果不是热结停瘀的，也不可以轻用。如果外邪未净，以此擅攻其内，则邪气乘虚内陷。如果气血两虚，以此重虚其虚，则气血无根而暴脱。这是女科习用郁金害人的第四种情况。圣经确实有据，杂书杂说竟然鱼目混珠，很不理解。古人说不读人间非圣书，我对这句话深有体会！曾经考证神农制作赭鞭钩，遵循六阴阳与太乙，外及五岳四渎，土地所生的草木石骨肉心灰毛羽干类，都用鞭问之。得到它们所能主治的，对应它们的五味，一天七十毒，这是《神农本草经》作为辨药的始祖。为什么后人吃唐宋以后的唾余，或取杂书附会铺张的说法，及各家的臆断邪说，竟然与圣经为难？这种人，侮辱圣人的话，我有四个字评价：“庸恶陋劣”，不可以做医生。《人镜经》说应当砸碎他的碑，弄脏他的脸，正不是过激的言论。
Pingwei San (Plain Stomach Powder): Treats excessive Qi of the Earth element, leading to irregular menstruation. The *Dasheng Pian* states: Adding Mangxiao (Mirabilite) can expel a dead fetus.
Liu Junzi Tang (Six Gentlemen Decoction): In this formula, Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), and Gancao (Licorice Root) are spleen-tonifying herbs; Chenpi (Tangerine Peel) and Banxia (Pinellia Tuber) are stomach-regulating herbs; since menstrual blood is generated by the spleen and stomach, adding herbs like Danggui (Angelica Sinensis) and Shaoyao (Peony Root) makes it an accurate effective formula for regulating menstruation.
Siwu Tang (Four Substances Decoction): A general formula for gynecology, commonly used by contemporary practitioners. Its brilliance lies in the single herb Chuanxiong (Szechwan Lovage Rhizome).
Xinding Jiawei Siwu Tang (Newly Revised Modified Four Substances Decoction) (Formula discussion see above).
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) and Bazhen Tang (Eight Treasures Decoction): Both formulas tonify Qi and Blood simultaneously. Although their medication appears rigid and solid, they are stable and acceptable.
Renshen Yangrong Tang (Ginseng Nourishing Harmony Decoction): Tonifies all five Zang organs, surpassing Bazhen Tang and Shiquan Dabu Tang in level, due to the appropriate balance of heavy and light medications.
Raw Baishao (1.5 qian), Renshen (Ginseng), Danggui (Angelica Sinensis), Chenpi (Tangerine Peel), Guixin (Cinnamon Twig Heart - Xu Lingtai in *Lantai Guidfan* notes: This refers to Cinnamon Twig peeled, not Cinnamon Bark Heart), Huangqi (Astragalus Root), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Zhigancao (Honey-fried Licorice Root) (each 1 qian), Yuanzhi (Polygala Root, bone removed, 0.5 qian), Wuweizi (Schisandra Berry, 14 grains), Shudi (Prepared Rehmannia Root, 7.5 qian).
Add three slices of Shengjiang (Fresh Ginger) and two dates (Hongzao), decoct with water, and take warm.
Si Wutougu Yiluru Wan (Four Cuttlebone and Rubia Pill) (from *Neijing*): Regulates menstruation to facilitate conception; also treats male impotence.
Wutougu (Cuttlebone, 4 liang, remove shell), Luru (Rubia Cordifolia Root, 1 liang).
(Eldest son Wei) Commentary: Make pills from sparrow eggs, size of small beans, take five pills before meals delivered with Abalone Juice. Now adjusted to increase the dose to 2 qian. Later generations use one white-feathered black-boned rooster, remove feathers and entrails, do not touch with water, dry thoroughly. Place Danggui (2 liang) and Chuanxiong (1 liang) inside the chicken's abdomen, add two bowls of wine and one bowl of Tongbian (Child Urine), steam until liquid dries up. Take the clean meat of the chicken, mix with the medicine powder, sun-dry and grind; or add Xiangfu (Cyperus Rhizome, 4 liang), Chao Fushen (Fried Poria with Stimulus, 1 liang), and Renshen (Ginseng, 1 liang), grind into powder, refine honey to make pills, size of paulownia seeds, take with wine or rice soup.
Didang Tang (Resolute Blood-Expelling Decoction): A potent agent for unblocking blood stasis. (See *Shanghan Lun*).
Taoren Chengqi Tang (Peach Kernel Magnolia Bark Decoction): A mild agent for unblocking blood stasis. (See *Shanghan Lun*).
Can Sha Jiu (Mulberry Leaf Silkworm Excrement Wine): Treats long-term amenorrhea. Commentary: This formula is more stable than the above two.
Can Sha (Mulberry Leaf Silkworm Excrement, 4 liang, stir-fry until half-yellow), Wuhui Jiu (Pure Wine, one pot).
Cook thoroughly over double-boiler method, remove the excrement, drink one cup warm to induce flow.
Guipi Tang (Restore the Spleen Decoction) (Note: Text attributes to *Neijing*, historically inaccurate but translated as such): Regarding the section "Diseases of the Two Yang originate from the Heart and Spleen," this formula aligns well with the classic intent.
Danggui (Angelica Sinensis), Fushen (Poria with Stimulus), Renshen (Ginseng), Zhi Baizhu (Honey-fried Atractylodes Macrocephala Rhizome), Zaoren (Sour Jujube Seed), Longyanrou (Longan Aril) (each 2 qian), Muxiang (Costus Root), Zhigancao (Honey-fried Licorice Root) (each 1 qian). Decoct with water and take.
Gao Gufeng said: For men and women with weak constitutions, regardless of the syndrome, use this formula removing Muxiang, adding Shaoyao (Peony Root), Maidong (Ophiopogon Tuber), and Wuweizi (Schisandra Berry). Taking it for over a month will surely cure. Even if there are other formulas, I know none.
Commentary: The formula relies entirely on the single herb Muxiang. If removed, how can it be called Guipi Tang? If there are alternating chills and fever, add Chaihu (Bupleurum Root) and Shaoyao (Peony Root); if there is tidal fever and bone-steaming heat, add Mudanpi (Moutan Cortex) and Digupi (Phellodendron Bark) and Zhizi (Gardenia Fruit); if arising from depression, add Beimu (Fritillaria Bulb) and Huanglian (Coptis Rhizome); if abdominal pain and amenorrhea, add Taoren (Peach Kernel), Honghua (Carthamus Flower), and Yuanhusuo (Corydalis Rhizome).
Xiaoyao San (Free and Easy Wanderer Powder): Women are prone to sentimentality and often suffer from melancholy; this formula resolves Liver Qi stagnation, while simultaneously addressing various types of stagnation. Zhao Yangkui stated: All five types of stagnation belong to the Liver. This formula is derived from Xiao Chaihu Tang (Minor Bupleurum Decoction).
Yueju Wan (Resolve Depression Pill) (from *Danxi*): A general formula for resolving depression. *Yi Silan Yi'an* (Medical Cases of Yi Silan) treated miscellaneous diseases involving cold, heat, deficiency, and excess by varying this formula, achieving frequent success.
Xiangfu (Cyperus Rhizume processed with Child Urine), Shanzhi (Gardenia Fruit), Fuxiong (Anji Chuanxiong), Cangzhu (Atractylodes Lancea Rhizome), Liushenqu (Six Spirits Mass).
Make pills using steamed dough, take 3 qian per dose, deliver with aged rice soup.
Wenjing Tang (Warm the Menses Decoction): Treats amenorrhea or excessive menstruation, metrorrhagia and metrostaxis that does not stop, or long-term infertility, collectively referred to as leukorrhea.
Wuzhuyu (Evodia Fruit, 3 liang), Danggui (Angelica Sinensis), Chuanxiong (Szechwan Lovage Rhizome), Shaoyao (Peony Root), Renshen (Ginseng), Guizhi (Cinnamon Twig), Ejiao (Donkey-hide Gelatin), Danpi (Moutan Cortex), Gancao (Licorice Root) (each 2 liang), Shengjiang (Fresh Ginger, 3 liang, another version 2 liang), Banxia (Pinellia Tuber, half sheng, another version 1 sheng), Maidong (Ophiopogon Tuber, 1 sheng).
The above twelve ingredients, decoct with one dou of water, reduce to three sheng, divide into three warm doses.
Also primarily treats cold in the lower abdomen of women, long-term inability to conceive, and delayed menstruation. Song says: Dry mouth, fullness in abdomen, burning palms, thirty-six types of leukorrhea (referring to twelve masses, nine pains, seven harms, five injuries, three chronic conditions, totaling thirty-six types, detailed in *Jinkui Qianzhu*, not repeated here). Danggui, Shaoyao, Ejiao, Chuanxiong each weigh two liang (Quan means scale, weighing two liang each). Guizhi, Renshen, Danpi, Gancao have equal numbers (eight substances used at two liang each). Use Maidong (Ophiopogon Tuber) fully at one sheng, reducing it by half uses half a sheng. Seek Banxia (Pinellia Tuber) quickly, assist with Wuzhuyu (Evodia Fruit) and Shengjiang (Fresh Ginger) each three liang. Amenorrhea (delayed), Metrorrhagia (excessive), Infertility (cold lower abdomen, long-term failure to conceive) each explore the profound meaning.
(Second son Yuanxi) Commentary: Danggui, Chuanxiong, Shaoyao, Ejiao are Liver herbs; Danpi, Guizhi are Heart herbs; Wuzhuyu is both a Liver and Stomach herb; Banxia is both a Stomach and Chong Mai (Penetrating Vessel) herb; Maidong, Gancao are Stomach herbs; Renshen tonifies the five Zang organs; Shengjiang promotes the movement of Qi. The disease is in the menstrual blood, because blood is born in the Heart and stored in the Liver; the Chong Mai is the Sea of Blood; the Stomach belongs to Yangming, and the Jueyin Chong Mai attaches to it. However, carefully analyzing the formula's intent, it focuses on Yangming. Wuzhuyu is used up to two liang to drive out cold from the central earth of Yangming; simultaneously, Maidong is used up to one sheng to moisten the dryness of the central earth of Yangming. One cold, one hot, preventing bias, thus it is called "Warming" (Wen). Banxia is used up to half a sheng, Shengjiang up to three liang, because Ginger removes turbidity and stabilizes Stomach Qi, and Pinellia descends rebellion and smooths Stomach Qi. The rest assist each other to achieve its warming function, containing absolutely no blood-breaking herbs. Therefore, it can unblock delayed menses, stop excessive bleeding, and treat infertility due to cold lower abdomen. Its efficacy is miraculous and indescribable!
Liuyun Wan (Six Flavor Pill): "Strengthen the master of Water to control the brightness of Fire."
Guifu Bawei Wan (Cinnamon and Aconite Eight Ingredient Pill): "Enrich the source of Fire to eliminate Yin shadows." These two formulas treat female menstrual diseases. For infertility, add Xiangfu (Cyperus Rhizome soaked in child urine), Chuanbeimu (Fritillaria Cirrhosa Bulb), and Danggui (Angelica Sinensis) each three liang, Aiye (Mugwort Leaf stir-fried with vinegar) two liang; highly effective.
Danggui Buxue Tang (Angelica Tonify Qi and Blood Decoction): Treats fever due to Blood deficiency, symptoms resembling Baihu Tang syndrome, but distinguished by a pulse that is not surging and long.
Huangqi (Astragalus Root, 1 liang), Danggui (Angelica Sinensis, 3 qian).
Decoct with water and take. You Zaijing in *Jinkui Yi* has Shengdi (Rehmannia Root) 5 qian and Gancao (Licorice Root) 2 qian; I do not know his basis.
Maidong Tang (Ophiopogon Decoction): Treats rebellious Qi due to fire, difficulty in the throat, stopping rebellion and descending Qi.
(Grandson Xin Dian reports) Commentary: Can be borrowed to treat female retrograde menstruation, rebellious Qi, hematemesis, and epistaxis. Because this formula specifically enters the Yangming channel. The Yangming channel prefers downward movement (smooth) and opposes upward movement (rebellious); the Chong and Ren channels attach to Yangming; these three channels govern Blood, so this formula is the correct treatment method. If removing Jingmi (Rice), adding Honey 8 qian, taking the essence of hundred flowers to replenish the lost Stomach Yin, is even more thorough. However, for Yangming rebellion due to deficient fire, this decoction is suitable; for Yangming rebellion due to deficient cold, apart from the warming descent of Wuzhuyu, what path is there to suppress and gather it? Alas! For hematemesis and epistaxis, going against common opinions to exclusively advocate this decoction, probably from Han and Tang dynasties until today, only now is this statement heard.
Maidong (Ophiopogon Tuber, 4 qian, keep heart), Cooked Banxia (Pinellia Tuber, 2 qian), Dazao (Jujube, 2 pieces), Zhigancao (Honey-fried Licorice Root, 1 qian), Jingmi (Rice, 3.5 qian), Renshen (Ginseng, 1 qian).
All ingredients, decoct with clear water and take.
Xiuyuan (Author referring to himself) lectured with students at the Well-top Thatched Cottage on Mount Song. Someone in the audience mentioned a doctor who boasted of being a famous gynecologist and showed his commonly used formulas for inquiry. I could not help but sigh deeply, saying: Gynecology originally lacks purely excellent books, and doctors in the world need not seek them deeply. However, there are four passed-down commonly used medicines that people do not realize are harmful: First, Danshen (Salvia Miltiorrhiza Root). It is said that Danshen is neither cold nor dry, neither tonifying nor attacking, one herb combining the functions of Siwu Tang, and capable of removing blood stasis and generating new blood. Li Shicai said its ability to remove stasis exceeds its ability to generate blood, making it an essential herb for women. Who knew that *Bencao Jing* says: "Danshen tastes bitter and slightly cold, primarily treating evil Qi in the chest and abdomen, intestinal murmuring like flowing water, cold-heat accumulations, breaking masses and eliminating growths, stopping irritability and fullness, benefiting Qi. Also known as Quechan, grows in valleys." Totaling thirty-eight characters. It says it treats "evil Qi in the chest and abdomen"; the word "evil Qi" refers to the cold-heat Qi mentioned below. Evil Qi in the Heart causes irritability; evil Qi in the abdomen causes fullness. The intestines reside in the abdomen; when evil Qi moves through the intestines, it murmurs softly like flowing water. Accumulations also occur in the abdomen; accumulated and不散 (not dispersing), immovable upon pushing is "Zheng" (mass), Zheng means sign, because it has tangible signs; or gathering and dispersing, movable upon pushing is "Jia" (pseudo-mass), Jia means false, saying it is formed falsely. It says "benefiting Qi"; throughout the chapter, evil Qi in the chest and abdomen is the outline. Once evil Qi is removed, righteous Qi naturally benefits; it is not that Danshen can tonify. Detailed analysis of the classic text shows it primarily drives out evil, specifically interior evil of the chest and abdomen, which is ice and charcoal opposite to the function of Siwu Tang. If used casually as a routine herb for conditioning before pregnancy and postpartum, attacking without fault, major injury to Zang Qi occurs. This is what Mencius called "securing danger and profiting from disaster, rejoicing in loss." This is the first harm of routinely using Danshen in gynecology. Second, Yimucao (Motherwort Herb). It is said Yimucao can unblock vessels, regulate menstruation, remove stasis and generate new blood, being a good herb for women. Who knew that *Bencao Jing* says: "Chongwei Zi (Seeds of Motherwort) taste pungent and slightly warm, primarily brightening eyes and benefiting essence, removing water qi, long-term use lightens the body. Stem treats urticaria and itching, can be made into bath soup. Also known as Yimu, Yiming, Dazha, grows in ponds and marshes." Totaling forty-one characters, not a single word mentioning women's menstruation or childbirth syndromes. It says "slightly warm," deriving from Spring Wood Qi; taste pungent, deriving from Autumn Metal flavor. When Wood is controlled, its nature is gentle; gentle nature brings the effect of lightening the body, as the Classic says wind generates life. It says "brightening eyes," because the Liver opens into the eyes. It says "benefiting essence," because essence is born from the essence of food and drink, first dispersing in the Liver then storing in the Kidney. Stem treating urticaria and itching, because bathing removes wind from the muscle surface. If slight fever on the skin surface after childbirth, it is external slight wind, very suitable for this substance; for severe cases, it is insufficient. Moreover, if the case is severe and the medicine light, the disease progresses daily, eventually deteriorating beyond repair. Those people invite doctors from east and west, possessing other skills of killing without blood; I detest this behavior. This is the second harm of routinely using Yimucao in gynecology. Third, Heshouwu (Polygonum Multiflorum Root). Contemporary doctors believe Shudihuang (Prepared Rehmannia Root) greatly tonifies Yin and Blood, fearing it cloying the diaphragm and reducing appetite, actually replacing it with Heshouwu. Who knew Heshouwu is not recorded in *Bencao Jing*, but appears in *Kaibao Bencao*, praising its effects greatly, but this is merely a later addition, either showing subjective opinion or hearsay, not worthy of respect. I only occasionally use it for chronic malaria, taking advantage of its astringent taste to arrest malaria; occasionally for chronic dysentery, taking advantage of its bitter taste to firm the intestines. If claiming it can nourish Yin and tonify Kidney, as exaggerated in *Kaibao Bencao*, I do not believe it. Generally, herbs that can moisten must have sufficient lipid fluid; herbs that can tonify must have harmonious Qi and flavor. Ask yourself, how can astringent and obstructive Shouwu nourish? How can bitter and inferior Shouwu tonify? It is exactly opposite to Dihuang, so why claim their functions are identical and interchangeable? This is the third harm of routinely using Heshouwu in gynecology. Fourth, Yujin (Turmeric Tuber). It is said women's diseases often arise from depression, Yujin can resolve various depressions, being a good herb for women. But unaware that this substance is not recorded in *Shennong Bencao Jing*, but appears in *Tang Bencao*. *Tang Bencao* says: "Yujin tastes bitter and cold, primarily treating blood accumulations, descending Qi, generating flesh, stopping bleeding, breaking bad blood, blood strangury, hematuria, metal wounds." Original text only twenty-three characters. It says bitter and cold flavor, meaning Qi is cold and good at descending, flavor is bitter and good at draining. It says blood accumulation, blood not moving becomes accumulation, accumulation not removed becomes bad blood. Blood rebelling upwards, exiting from mouth and nose, becomes epistaxis and hematemesis; blood moving downwards, exiting from stool and urine, painful is blood strangury, painless is hematuria;瘀血 (blood stasis) from metal wounds not removed, blood and water do not stop, cannot generate flesh; this substance primarily treats all these because the pathology originates from accumulated blood, specifically utilizing its great power to break bad blood. Generally, Blood is governed by Qi, and it is labeled "descending Qi," using bitter and cold to greatly drain Qi, thereby greatly breaking Blood, going one step further than other herbs. The words "resolve depression" do not appear in classics, do not be confused by this heresy. If irregular menstruation due to excess closure, it is fine to use this to resolve it. If due to deficiency closure, it is their enemy. Furthermore, diseases arising from depression, as stated in *Neijing* "Diseases of the Two Yang originate from the Heart and Spleen," have profound significance. If mistakenly recognizing this herb as resolving depression and using it frequently, ten cases save not one. As for pregnancy, breaking and attacking are most taboo; this herb should not even touch the lips. Even postpartum, unless there is heat accumulation and stagnant blood, it should not be used lightly. If external pathogens are not cleared, using this to attack internally allows pathogens to sink inward due to deficiency. If both Qi and Blood are deficient, using this to heavily deficit the deficient leads to rootless Qi and Blood sudden collapse. This is the fourth harm of routinely using Yujin in gynecology. The Sacred Classics are clearly reliable; miscellaneous books and theories confusingly mix pearls with fish eyes, which is incomprehensible. Ancients said do not read non-sacred books in the human realm; I deeply appreciate these words! I once researched Shennong making the ochre whip hook, following Six Yin-Yang and Taiyi, outside Five Mountains and Four Rivers, land-generated grass, stone, bone, meat, heart, ash, hair, feather, dry categories, all asked with the whip. Obtaining their curative masters, matching their five flavors, seventy poisons in one day. This is why *Shennong Bencao Jing* is the ancestor of distinguishing medicines. Why do later generations eat the drool of Tang and Song dynasties, or take miscellaneous book attachments and exaggerations, and each family's subjective heretical sayings, actually opposing the Sacred Classics? Such people insult the words of sages; my four-word verdict is: "Mediocre, evil, ugly, inferior," unfit to be a doctor. *Renjing Jing* says one should smash his stele and deface his face; this is indeed not an excessive remark.