厂嗣丸（此方乃论中所谓奇砭纳之户内者也。）
沉香 丁香 吴萸 官桂 白芨（各一钱） 蛇床子 木鳖子 杏仁 砂仁 细辛（各二钱）
上十味，炼蜜为丸，如绿豆大。
固精丸（以下二方，乃论中所谓养精调经之平和药也。）
附子（一枚，重八钱，脐心作窍如皂角子大，入朱砂三钱，湿纸包煨，用一半） 牡蛎（一枚漳泉二府所出者，童
便遍涂，浓纸裹，米醋浸透，盐泥固济候干，以炭三斤煨之） 桂心（去皮） 龙齿 当归（酒焙洗） 石菖蒲（烧去
毛） 山茱（去枝梗） 乌药（天台者） 益智（去枝梗） 杜仲（酒洗去丝） 牛膝（浸酒） 秦艽 细辛 桔梗 半
夏（盐汤泡七次） 防风 川椒（去子并合口者） 茯神 白芍（各三钱） 干姜（一两半，炒半生） 辽参（一两）
上二十一味，研，糯米为丸，取附子肉、朱砂为衣，如桐子大，每服三十丸，加至七十丸，空心淡醋汤或盐汤任下。
增损地黄丸 治月经不调，久而无子。
当归（二两，全用） 熟地黄（半斤，怀庆者佳） 黄连（一两，净）
上三味，酒浸一宿，焙干为末，炼蜜为丸，桐子大，每服五十丸至一百丸。如经少，温酒下；经多，米汤下。
五子衍宗丸 治男人精虚无子，阳事不举。
菟丝子（八两） 枸杞子 覆盆子（各四两） 五味子 车前子（各三两）
炼蜜为丸，如梧桐子大，每早米汤送下三钱。时法以左尺虚，为天一之水衰，宜合六味地黄丸；右尺虚，为地二之
火衰，宜合桂附地黄丸；两尺俱虚，为水火俱衰，宜合十补丸。余每用加人参、鹿茸、鱼鳔各四两，或以黄 一斤，熬
膏和蜜炼为丸，为效较速。
（长孙男心典）按∶凡物之多子者，久服之亦令人多子。且菟丝子、车前煮汁，胶腻极似人精，故能益精而聚精；
况又得枸杞、覆盆，皆滋润之品以助之乎！尤妙在五味子收涩，与车前子之通利并用，大具天然开阖之妙，亦时方之颇
有意义者。
修园于女科择用数方之后，必短注数语，诸子读之，咸谓语短味长。起而问曰∶脾胃之药以米汤送下，正法也。而
治肝之剂亦用之者，聚震坤合德之义也。治肺之剂亦用之者，取火归土旺之义也。惟肾处最下，用药宜速其下行，若杂
以脾胃之药，恐逗留其下行之性，濡滞于中而作胀。前者时行之某医，治一老妇，评于方后云∶老年阴虚，当以六味地
黄丸为主，而脾胃又须兼顾，加入粳米八钱，为脾胃双补立法。夫子闻之而喷饭。兹何以补肾诸丸，而以米汤送下乎？
曰∶《内经》云∶“精不足者补之以味。”味者，五谷之正味也。扁鹊云∶“损其肾者益其精。”精者，五谷之精华也。
《洪范》论味，而曰稼穑作甘。甘者，正味也。世间物惟五谷得味之正，但能淡食谷味，最能养精。袁了凡云∶煮粥饭
中，有浓汁滚作一团者，此米之精液所聚，食之最能补精。余于补肾各丸，必以米汤送下者，此物此志也。若时医以熟
地黄与白术、粳米同用者，则有毫厘千里之差耳！
十补丸 治血气两虚，先天之水火俱衰，少年而有老态者。
鹿茸 泽泻 附子 肉桂 山茱 薯蓣 茯神 人参 当归 白术（各等分）
炼蜜为丸，如梧桐子大，米汤送下三钱。此方与十全大补同意。但十全大补汤从气血之流行处着眼，气血者，后天
有形之用也；此方从水火之根本处着眼，水火者，此是先天无形之体也；二方之分别在此。
新定加味交感丸 治妇人不育。
香附（去毛，水浸一昼夜，炒老黄色，半斤） 菟丝子（一斤，制） 当归（童便浸，晒干） 茯神（各四两，生
研）
（次孙男心兰禀）按∶水与土相调，则草木生；脾与肾相和，则胎息成。菟丝子一物而备水土之气，故取之为君；
当归能滋子宫之干燥，故取之为使；至于香附、茯神，铁瓮翁名交感丸，其效详载于《内经拾遗》中，不待赘论。
门人问曰∶转女为男，果有此法否乎？
曰∶于传有之。有令孕妇佩极大之雄黄者；有令着本夫之衣冠，环水井而左旋三周，面觑井中之形，不令人见者；
又于床下暗存刀斧，刀背向上，刀口向下者；密存雄鸡毛羽于席下者。吾亦姑藏其说而弗论之。大抵浓积阴功广行善事，
而不没人善，更为第一善事，不必持斋祈祷，定叫熊罴之占。
嗣育丸（此方即《内经》中所谓“奇恒之腑”内藏精气之所用的方剂。）
沉香、丁香、吴茱萸、官桂、白芨（各一钱），蛇床子、木鳖子、杏仁、砂仁、细辛（各二钱）。
以上十味药，用炼蜜制成丸药，大小如绿豆。
固精丸（以下两个方剂，是《内经》中所谓调养精气、调理月经的平和药物。）
附子（一枚，重八钱，在脐心处钻一个孔，大小如皂角子，放入朱砂三钱，用湿纸包裹后煨制，只用一半），牡蛎（一枚，产自漳州、泉州两府的，用童子小便遍涂，厚纸包裹，米醋浸透，用盐泥封固候干，再用三斤炭火煨制），桂心（去皮），龙齿，当归（酒焙洗），石菖蒲（烧去毛），山茱萸（去枝梗），乌药（天台产者最佳），益智仁（去枝梗），杜仲（酒洗去丝），牛膝（浸酒），秦艽，细辛，桔梗，半夏（盐汤泡七次），防风，川椒（去籽及合口者），茯神，白芍（各三钱），干姜（一两半，炒至半生半熟），辽参（人参的一种，一两）。
以上二十一味药，研成粉末，用糯米粉糊制成丸药，取附子肉和朱砂作为包衣，大小如梧桐子大。每次服用三十丸，可加至七十丸，空腹时用淡醋汤或盐汤送服均可。
增损地黄丸 治疗月经不调，日久不孕。
当归（二两，全株使用），熟地黄（半斤，以怀庆地产者为佳），黄连（一两，净选）。
以上三味药，用酒浸泡一夜，焙干后研为粉末，用炼蜜制成丸药，大小如梧桐子。每次服用五十丸至一百丸。如果经量少，用温酒送下；如果经量多，用米汤送下。
五子衍宗丸 治疗男子精液稀少导致的不孕，以及阳事不举。
菟丝子（八两），枸杞子、覆盆子（各四两），五味子、车前子（各三两）。
用炼蜜制成丸药，大小如梧桐子。每天早晨用米汤送服三钱。当时的医法认为：左尺脉虚弱，是天一之水（肾阴）衰败，适宜配合六味地黄丸使用；右尺脉虚弱，是地二之火（肾阳）衰败，适宜配合桂附地黄丸使用；左右两尺脉都虚弱，是水火俱衰，适宜配合十补丸使用。我每次使用时，会加入人参、鹿茸、鱼鳔各四两，或者加入黄耆一斤，熬成膏状与蜜混合炼制成丸，疗效较快。
（长孙陈心典按语：凡是多子的植物，长期服用也能让人多子。况且菟丝子、车前子煮出的汁液，胶腻极像人的精液，所以能益精并聚精；再加上枸杞、覆盆子，都是滋润的物品来辅助它！尤其妙在五味子的收涩作用，与车前子的通利作用并用，大大具备天然开阖的奥妙，这也是时方中颇有意义的方剂。）
修园（陈念祖号）在女科选用几个方剂之后，必定简短注释几句，各位读者阅读后，都说话语简短而意味深长。有人起来问道：“脾胃的药物用米汤送下，是正法。但治疗肝的方剂也用米汤送下，这是聚集震卦（肝属木，位东方）与坤卦（脾属土，位西南）和谐相德的意义吗？治疗肺的方剂也用米汤送下，这是取‘火归土旺’的意义吗？唯独肾脏位置最下，用药宜使其迅速下行，如果混杂脾胃的药物，恐怕会逗留其下行的药性，使药力濡滞于中焦而导致腹胀。以前某位流行一时的医生，治疗一位老妇人，在方后评论说：‘老年人阴虚，应以六味地黄丸为主，但脾胃又须兼顾，加入粳米八钱，这是为脾胃双补立法。’我听了这话忍不住喷饭。现在为什么补肾的各丸药，却要用米汤送下呢？”
回答说：“《内经》说：‘精不足者，补之以味。’这里的‘味’，是指五谷的正味。扁鹊说：‘损其肾者，益其精。’这里的‘精’，是指五谷的精华。《洪范》论味道，说‘稼穑作甘’。甘味，就是正味。世间万物只有五谷得味之正，只要清淡食用谷味，最能养精。袁了凡说：煮粥饭时，有浓稠的汁液滚成一团的，这是米的精液所聚，吃这个最能补精。我对于补肾的各丸药，一定要用米汤送下，就是这个意思。如果当时的医生将熟地黄与白术、粳米同用，那就是毫厘之差、千里之谬了！”
十补丸 治疗气血两虚，先天水火俱衰，少年人却有老人神态者。
鹿茸、泽泻、附子、肉桂、山茱萸、薯蓣（山药）、茯神、人参、当归、白术（各等分）。
用炼蜜制成丸药，大小如梧桐子。用米汤送服三钱。此方与十全大补汤意旨相同。但十全大补汤是从气血流行的角度着眼，气血是后天有形之用；此方是从水火根本的角度着眼，水火是先天无形之体；两方的区别就在这里。
新定加味交感丸 治疗妇人不育。
香附（去毛，水浸泡一昼夜，炒至老黄色，半斤），菟丝子（一斤，炮制过），当归（用童子便浸泡，晒干），茯神（各四两，生研）。
（次孙陈心兰禀告）按语：水与土相互调和，则草木生长；脾与肾相互和谐，则胎息形成。菟丝子这一味药兼备水土之气，所以取它作为君药；当归能滋养子宫的干燥，所以取它作为使药；至于香附、茯神，铁瓮翁命名为交感丸，其疗效详细记载于《内经拾遗》中，不必赘述。
门人问道：“转女为男，真的有这种方法吗？”
回答说：“古籍中有记载。有的让孕妇佩戴极大的雄黄；有的让孕妇穿着丈夫的衣帽，围绕水井向左旋转三圈，面视井中的倒影，不让别人看见；还有的在床下暗藏刀斧，刀背向上，刀口向下；秘密地将雄鸡毛羽藏在席子下面。我也暂且收藏这些说法而不加评论。大体上，积累阴德、广行善事，且不掩盖他人的善行，是第一等的善事，不必持斋祈祷，也一定能得到生男孩的吉兆。”
Siyu Wan (This formula corresponds to the concept in the *Neijing* regarding the storage of essence within the "extraordinary fu organs".)
Chenxiang (Agarwood), Dingxiang (Clove), Wuyu (Evodia Fruit), Guangui (Official Cinnamon Bark), Baiji (Bletilla Rhizome) (each 1 qian), Shechuangzi (Cnidium Fruit), Mubiezi (Momordica Seed), Xingren (Apricot Seed), Sharen (Amomum Fruit), Xixin (Asarum Root) (each 2 qian).
The above ten herbs are processed with refined honey into pills, sized like mung beans.
Gu Jing Wan (The following two formulas are the mild medicines mentioned in the *Neijing* for nourishing essence and regulating menstruation.)
Fuzi (Aconite Lateralis Radix Praeparata) (one piece, weighing 8 qian; a hole is made in the navel center, size like a soap bean, containing Zhusha (Cinnabar) 3 qian, wrapped in wet paper and roasted; only half is used), Muli (Ostreae Concha) (one piece from Zhangzhou or Quanzhou, coated thoroughly with Tongbian (Child's Urine), wrapped in thick paper, soaked in Rice Vinegar, sealed with salt mud until dry, then roasted with 3 jin of charcoal), Guixin (Cinnamomi Cortex), Longchi (Draconis Os), Danggui (Angelicae Sinensis Radix) (roasted with wine and washed), Shichangpu (Acori Tatarinowii Rhizoma) (burned to remove hairs), Shanzhuyu (Corni Fructus) (branches and stems removed), Wuyao (Linderae Radix) (best from Tiantai), Yizhiren (Alpiniae Oxyphyllae Fructus) (branches and stems removed), Duzhong (Eucommiae Cortex) (washed with wine to remove silk fibers), Niuxi (Achyranthis Bidentatae Radix) (soaked in wine), Qinjiao (Gentianae Macrophyllae Radix), Xixin (Asari Radix et Rhizoma), Jiegeng (Platycodonis Radix), Banxia (Pinelliae Rhizoma Preparatum) (soaked seven times in salt water), Fangfeng (Saposhnikoviae Radix), Chuanjiao (Zanthoxyli Pericarpium) (seeds and closed fruits removed), Fushen (Poria cum Radix Pini), Baishao (Paeoniae Radix Alba) (each 3 qian), Ganjiang (Zingiberis Rhizoma) (1.5 liang, stir-fried until half raw and half cooked), Liaoshen (Panax Ginseng Radix et Rhizoma) (1 liang).
The above twenty-one herbs are ground into powder, bound with glutinous rice paste into pills, coated with Rou Fuzi (meat of Aconite) and Zhusha (Cinnabar), sized like paulownia seeds. Take 30 pills per dose, increasing up to 70 pills. Take on an empty stomach with light vinegar soup or salt soup as desired.
Zengsun Dihuang Wan Treats irregular menstruation leading to infertility after a long duration.
Danggui (Angelicae Sinensis Radix) (2 liang, whole plant used), Shudihuang (Rehmanniae Radix Praeparata) (8 liang, best from Huaiqing), Huanglian (Coptidis Rhizoma) (1 liang, cleaned).
The above three herbs are soaked in wine overnight, dried by baking, ground into powder, and formed into pills with refined honey, sized like paulownia seeds. Take 50 to 100 pills per dose. If menstrual flow is scanty, take with warm wine; if abundant, take with rice soup.
Wuzi Yanzong Wan Treats male infertility due to seminal deficiency and impotence.
Tusizi (Cuscutae Semen), Gouqizi (Lycii Fructus), Fupenzi (Rubiae Fructus) (each 4 liang), Wuweizi (Schisandrae Fructus), Cheqianzi (Plantaginis Semen) (each 3 liang).
Form into pills with refined honey, sized like paulownia seeds. Take 3 qian daily in the morning with rice soup. Contemporary medical practice holds that: deficiency in the left chi pulse indicates decline of Tianyi Water (Kidney Yin), suitable for combining with Liuwei Dihuang Wan; deficiency in the right chi pulse indicates decline of Di'er Fire (Kidney Yang), suitable for combining with Guifu Dihuang Wan; deficiency in both chi pulses indicates decline of both water and fire, suitable for combining with Shibu Wan. I often add Renshen (Ginseng), Lurong (Deer Antler Velvet), and Yubiao (Fish Swim Bladder), each 4 liang, or add Huangqi (Astragali Radix) 1 jin, decocted into a paste and mixed with honey to form pills, which yields faster results.
(Grandson Xin Dian's Note: Plants that produce many seeds, when taken over a long period, can also promote fertility in humans. Moreover, the juice boiled from Tusizi and Cheqianzi is gelatinous and resembles human semen, thus benefiting and gathering essence; furthermore, Gouqizi and Fupenzi are moistening agents that assist this process. The subtlety lies in the astringent action of Wuweizi combined with the draining action of Cheqianzi, embodying the natural wonder of opening and closing. This is a meaningful contemporary formula.)
Xiuyuan (Chen Nianzu's pseudonym) adds brief notes after selecting several formulas for gynecology. Readers comment that the words are few but the meaning is profound. Someone asked: "Using rice soup to administer spleen-stomach medicines is correct. But why use it for liver formulas? Is it to gather the harmonious virtue of Zhen (Liver/Wood) and Kun (Spleen/Earth)? Why use it for lung formulas? Is it to take the meaning of 'fire returning to earth and earth prospering'? The kidney is located lowest; medicines should act swiftly downward. Mixing them with spleen-stomach medicines might detain their downward nature, causing stagnation in the middle and bloating. Previously, a certain popular doctor treated an elderly woman and noted: 'Elderly patients have yin deficiency; Liuw ei Dihuang Wan should be the main prescription, but the spleen and stomach must also be considered. Adding 8 qian of Jingmi (Japonica Rice) establishes a method for dual tonification of spleen and stomach.' I laughed at this. Now, why take kidney-tonifying pills with rice soup?"
I replied: "The *Neijing* states: 'For insufficiency of essence, tonify with flavor.' Flavor here refers to the true flavor of the five grains. Bian Que stated: 'For damage to the kidney, benefit the essence.' Essence here refers to the essence of the five grains. The *Hongfan* discusses flavors, stating 'planting and harvesting yield sweetness.' Sweetness is the true flavor. Among all things in the world, only the five grains possess the true flavor. Consuming grain flavors lightly can best nourish essence. Yuan Liaofan said: In cooked porridge or rice, the thick liquid that rolls into a ball is the gathered essence of the rice; eating it best tonifies essence. My reason for using rice soup to deliver kidney-tonifying pills is precisely this intent. If contemporary doctors use Shudihuang together with Baizhu (Atractylodis Macrocephalae Rhizoma) and Jingmi, there is a difference of a hair's breadth resulting in a thousand miles of error!"
Shibu Wan Treats dual deficiency of qi and blood, congenital decline of water and fire, where young people exhibit old-age demeanor.
Lurong (Cervi Cornu Pantotrichum), Zexie (Alismatis Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Rougui (Cinnamomi Cortex), Shanzhuyu (Corni Fructus), Shuyu (Dioscoreae Rhizoma), Fushen (Poria cum Radix Pini), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (equal parts).
Form into pills with refined honey, sized like paulownia seeds. Take 3 qian with rice soup. This formula shares the same principle as Shiquan Dabu Tang. However, Shiquan Dabu Tang focuses on the circulation of qi and blood, which are the functional aspects of acquired essence and blood (postnatal); this formula focuses on the root of water and fire, which are the substantial aspects of congenital essence and blood (prenatal). The distinction between the two lies here.
Xinding Jiawei Jiaogan Wan Treats female infertility.
Xiangfu (Cyperi Rhizoma) (remove hairs, soak in water for one day and night, stir-fry until old yellow, 8 liang), Tusizi (Cuscutae Semen) (1 jin, prepared), Danggui (Angelicae Sinensis Radix) (soaked in child's urine, sun-dried), Fushen (Poria cum Radix Pini) (each 4 liang, raw and ground).
(Second Grandson Xin Lan's Report) Note: When water and earth are harmonized, grasses and trees grow; when spleen and kidney are in harmony, fetal respiration forms. Tusizi possesses the qi of both water and earth, so it is chosen as the sovereign herb; Danggui can moisten uterine dryness, so it is chosen as the envoy herb. As for Xiangfu and Fushen, Tie Weng named the formula Jiaogan Wan, and its efficacy is detailed in *Neijing Shiyi*, requiring no further elaboration.
A disciple asked: "Is there really a method to change a female fetus to male?"
I answered: "It is recorded in ancient texts. Some advise pregnant women to wear large pieces of Xionghuang (Realgar); some advise wearing the husband's clothes and hat, walking counter-clockwise around a well three times while looking at one's reflection in the well, unseen by others; some advise hiding knives and axes under the bed, blade up, edge down; some advise secretly placing rooster feathers under the mat. I shall temporarily store these theories without discussion. Generally, accumulating hidden merit and performing good deeds, without concealing others' kindness, is the highest good deed. One need not fast or pray; the omen of bearing a son will surely come."