用蓖麻子叶有九角者好，飞过白矾为末，以纸片摊药托入。
掺药
先以淡竹根煎汤洗，仍用五倍子、白矾为末干掺，立效。
敷药
用温盐水洗软，却用五灵脂烧烟熏，次用蓖麻子研烂涂上，吸入。如入即洗去。
〔阴冷〕
〔大〕妇人阴冷，因劳伤子脏，风冷客之。
〔薛〕前证属肝经内有湿热，外乘风冷所致。若小便涩滞，或小腹痞痛，用龙胆泻
肝汤。若内热寒热，或经候不调，用加味逍遥散。若寒热体倦，饮食少思，用加味四君
子。若郁怒发热，少寐懒食，用加味归脾汤。
一妇人阴中寒冷，小便黄涩，内热寒热，口苦胁胀，此因肝经湿热，用龙胆汤祛利湿热，
用加味逍遥散调补气血而安。一妇人所患同前，更寒热呕吐，两股肿痛，先用小柴胡
加山栀一剂，寒热呕吐顿止，次用龙胆泻肝汤一剂，肿痛顿消。一妇人阴中寒冷，小
便澄清，腹中亦冷，饮食少思，大便不实，下元虚寒，治以八味丸月余，饮食渐加，大便
渐实，又月余诸证悉愈。
五加皮浸酒方
（《圣惠》）治妇人癖瘦阴冷。
五加皮 熟干地黄 丹参 杜仲（去粗皮，炙微黄） 蛇床子 干姜（各三两）
地骨皮（二两） 天门冬（一两） 钟乳（四两）
上细锉，以生绢袋盛，以酒一斗五升，渍二宿后，每服暖一大盏，空心及晚食前服。一
方用枸杞子，无地骨皮。
治妇人阴冷方（出《大全良方》）
远志 干姜（生用） 莲花（各半两） 蛇床子 五味子（各一两）
上捣罗为末，每用兼以兔粪涂阴门，用绵裹一钱纳阴中，热即为效。
又方
蛇床子（三分） 吴茱萸 甜葶苈（各半两） 没石子（一枚）
捣罗为末，绵裹枣许大，纳阴中，令腹内热为度。
又方
蛇床子（一两） 吴茱萸（一两半，生）
捣罗为末，炼蜜和丸如酸枣大，以绵裹纳阴中，下恶物为度。（一方用麝香。）
温中坐药
用蛇床子为末，白粉少许和匀相得，如枣大，绵裹纳之，自然温矣，为效。
八味丸 治血弱不能荣养脏腑，津液枯涩，风寒客于子脏，以致阴冷。（方见杂病虚劳。）
愚按∶此丸果系肝脾肾虚，殊有神效。
胎前产后方具本门。
〔交接辄血出痛〕〔薛〕一妇人每交接出血作痛，此肝火动脾而不能摄血，用补中
益气、济生归脾二汤而愈。若出血过多而见他证，但用前药，调补肝脾。
《千金》疗女人交接辄血出方。
桂心 伏龙肝（各二分） 为末，酒服方寸匕，搓止。
又方
黄连（六分） 牛膝 甘草（各四分）
上三味细切，以水四升，煮取二升洗，日
三四度瘥。
《补遗》∶以熟艾紧裹一团，然后以绢裹纳阴中。
〔交接他物所伤〕
〔薛〕治一妇人交接出血作痛，发热口渴欲呕，或用寒凉药前证益甚，不时作呕，饮
食少思，形体日瘦。余曰∶证属肝火，而药复伤脾所致也。先用六君加山栀、柴胡，脾
胃健而诸证愈，又用加味逍遥散而形气复。一妇人阴肿下坠，闷痛出水，胸腹不利，小
便频数，内热晡热，口苦耳鸣，此肝脾火证，用小柴胡加车前、胆草、苓、术、升麻，二
剂稍愈。又用加味逍遥加升麻，数剂渐愈。乃以加味归脾加升麻、柴胡，并补中益气加山
栀，数剂顿愈。仍用加味逍遥、加味归脾二药调理全愈。一妇人患前证热痛，或用寒
凉败毒药，饮食不入，时欲作呕，小腹重坠。余谓此脾胃复损，元气下陷，先用补中益气
汤加炮姜二剂，重坠顿愈。又加茯苓、半夏二十余剂而愈。乃以归脾汤少加柴胡、升麻，
并六味地黄丸而康。
《集验方》疗女人交接，阳道违理，及他物所伤犯，血流漓不止方。
取釜底墨、断葫芦涂药纳之。
又疗女童交接，阳道违理，血出不止方。
烧发并青布末为粉涂之。
又方 割鸡冠血涂之。
《补遗》以赤石脂末掺之。又方，五倍子末掺亦良。
〔伤丈夫头痛〕
〔薛〕当用补中益气、六味地黄以滋化源为主。
《集验方》 疗女人伤丈夫，四体沉重，嘘吸头痛方。
生地黄（八两） 芍药（五两） 香豉（一升） 葱白（一斤） 生姜（四两）
甘草（二两）
上六味，以水七升，煮取二升半，分三服，不得重作，忌房事。
《千金翼》疗诸妇人伤丈夫，苦头痛欲呕、闷。桑白皮汤。
桑白皮（半两） 干姜（一 ） 桂心（五寸） 大枣（二十枚）
上四味切，以酒一斗，煮三四沸，去滓分温服。衣适浓薄，毋令汗出。
《补遗》局方来复丹 治妇人与男子交接相伤，因而四肢沉重，头痛昏晕，米饮吞下
五十丸。
使用有九个角的蓖麻子叶效果较好，将白矾煅烧后过筛研成粉末，用纸片托着药粉送入阴道内。
掺药法
先用淡竹根煎汤清洗外阴，然后用五倍子和白矾研成的干粉直接撒敷患处，可立即见效。
敷药法
先用温盐水清洗使患处变软，然后用五灵脂燃烧产生的烟雾熏蒸，接着将蓖麻子研烂涂在患处并吸入阴道内。如果药物进入体内，随即洗去。
〔阴冷〕
〔大论〕妇人阴部寒冷，是因为劳累损伤了子宫（子脏），风冷之邪侵袭所致。
〔薛己〕上述症状属于肝经内有湿热，外受风冷侵袭所致。如果小便涩滞不畅，或小腹部痞满疼痛，使用龙胆泻肝汤。如果伴有内热、寒热往来，或月经失调，使用加味逍遥散。如果伴有寒热、身体疲倦、饮食减少、食欲不振，使用加味四君子汤。如果因郁怒导致发热、睡眠少、懒于进食，使用加味归脾汤。
有一位妇人阴中寒冷，小便黄且涩滞，伴有内热和寒热往来，口苦胁肋胀满，这是因为肝经湿热所致，使用龙胆汤祛除利导湿热，再用加味逍遥散调理补益气血而痊愈。另一位患同样病症的妇人，还伴有寒热呕吐、大腿肿痛，先用小柴胡汤加山栀一剂，寒热呕吐立刻停止；再用龙胆泻肝汤一剂，肿痛立刻消除。又一位妇人阴中寒冷，小便清亮，腹中也冷，饮食减少，大便不成形，这是下元虚寒，治疗使用八味丸服用月余，饮食逐渐增加，大便逐渐成形，再过月余所有症状全部痊愈。
五加皮浸酒方
（出自《圣惠方》）治疗妇人癥瘕积聚及阴冷。
五加皮、熟干地黄、丹参、杜仲（去除粗皮，炙至微黄）、蛇床子、干姜（各三两）
地骨皮（二两）、天门冬（一两）、钟乳石（四两）
以上药材切碎，用生绢袋盛装，放入一斗五升酒中浸泡两个夜晚后，每次温服一大盏，空腹及晚饭前服用。另一版本方剂使用枸杞子，不用地骨皮。
治疗妇人阴冷方（出自《大全良方》）
远志、干姜（生用）、莲花（各半两）、蛇床子、五味子（各一两）
以上药材捣碎过筛成粉末，每次使用时兼用兔粪涂抹阴门，用棉包裹一钱药粉纳入阴道内，感到发热即为有效。
又一方
蛇床子（三分）、吴茱萸、甜葶苈（各半两）、没石子（一枚）
捣碎过筛成粉末，用棉包裹如枣核大小，纳入阴道内，以腹部感到温热为度。
又一方
蛇床子（一两）、吴茱萸（一两半，生用）
捣碎过筛成粉末，炼蜜调和制成如酸枣大小的丸剂，用棉包裹纳入阴道内，排出恶物为止。（另一方加入麝香。）
温中坐药
用蛇床子研成粉末，加少许白粉（铅粉或米粉，此处指辅料）混合均匀，做成如枣核大小的丸剂，用棉包裹纳入阴道内，自然会产生温热感，以此作为疗效标准。
八味丸 治疗血虚不能荣养脏腑，津液枯涩，风寒侵袭子宫，导致阴冷。（方剂见杂病虚劳篇。）
我按语：此丸果然对于肝肾脾三脏虚损有神奇疗效。
胎前产后方的内容在本门其他章节中已有记载。
〔性交出血疼痛〕〔薛己〕一位妇人每次性交都出血并疼痛，这是肝火扰动脾脏导致不能统摄血液，使用补中益气汤、济生归脾汤两方治愈。如果出血过多而出现其他症状，仅使用前药，调理补益肝脾即可。
《千金方》治疗女性性交即出血的方剂。
桂心、伏龙肝（各二分）研成粉末，用酒送服一方寸匕，搓揉止血。
又一方
黄连（六分）、牛膝、甘草（各四分）
以上三味药切碎，用水四升，煮取二升药液，用于清洗患处，每日三四次，痊愈为止。
《补遗》：用熟艾紧裹成一团，外面再用绢包裹纳入阴道内。
〔性交被异物所伤〕
〔薛己〕治疗一位妇人性交出血疼痛，发热口渴想呕吐，有人使用寒凉药后前述症状更加严重，不时呕吐，饮食减少，身体日渐消瘦。我说：证候属于肝火，而药物又损伤了脾胃所致。先用六君子汤加山栀、柴胡，待脾胃健运则诸症痊愈，又用加味逍遥散使形体和气机恢复。一位妇人阴部肿胀下坠，闷痛流水，胸腹不适，小便频数，内热午后潮热，口苦耳鸣，这是肝脾火证，用小柴胡汤加车前子、龙胆草、茯苓、白术、升麻，两剂后稍有好转。又用加味逍遥散加升麻，数剂后逐渐痊愈。于是用加味归脾汤加升麻、柴胡，以及补中益气汤加山栀，数剂后立刻痊愈。仍用加味逍遥散、加味归脾汤两药调理直至全愈。一位妇人患前述证候热痛，有人使用寒凉败毒药物，导致饮食不入，时时欲呕，小腹沉重下坠。我认为这是脾胃再次受损，元气下陷，先用补中益气汤加炮姜两剂，沉重下坠感立刻痊愈。又加茯苓、半夏二十余剂后痊愈。于是用归脾汤少加柴胡、升麻，以及六味地黄丸而康复。
《集验方》治疗女性性交时，阳道违理，以及被其他物体伤害，血流淋漓不止的方剂。
取锅底黑墨、切断的葫芦涂抹伤口并纳入阴道内。
又治疗女童性交，阳道违理，出血不止的方剂。
烧头发并青布末制成粉末涂抹患处。
又一方 割鸡冠血涂抹患处。
《补遗》用赤石脂粉末撒敷患处。又一方，用五倍子粉末撒敷也很好。
〔伤丈夫头痛〕
〔薛己〕应当以补中益气汤、六味地黄丸为主，以滋养化源。
《集验方》治疗女人因性交受伤，四肢沉重，呼吸时头痛的方剂。
生地黄（八两）、芍药（五两）、香豉（一升）、葱白（一斤）、生姜（四两）、甘草（二两）
以上六味药，用水七升，煮取二升半，分三次服用，不得重复煎煮，忌房事。
《千金翼方》治疗各类妇人因性交受伤，痛苦头痛欲呕、胸闷的桑白皮汤。
桑白皮（半两）、干姜（一）、桂心（五寸）、大枣（二十枚）
以上四味药切碎，用酒一斗，煮三四沸，去渣滓，分次温服。衣着要适宜厚薄，不要令其出汗。
Use the leaves of castor bean (Ricinus communis) that have nine angles, which are considered superior. Calcined alum (Calculated Alum) is sifted into powder, spread on a paper strip, and inserted into the vagina for support.
Powder Application Method
First, wash with a decoction of bamboo root (Phyllostachys heterocycla var. pubescens). Then, apply dry powder of Chinese gall (Galla Chinensis) and alum (Alumen) directly to the affected area; immediate efficacy is expected.
Topical Application Method
First, soften the area by washing with warm saline solution. Then, fumigate with smoke from burning Trogopterus Dung (Lingzhi), followed by applying mashed castor bean seeds (Semen Ricini) into the vagina. If the medicine enters internally, wash it out immediately.
[Coldness of the Yin]
[General Theory] Coldness of the woman's yin is caused by labor-induced injury to the uterus (Zi Zang), allowing wind-cold pathogens to invade.
[Xue Ji] The aforementioned symptoms belong to damp-heat within the Liver Meridian, compounded by external invasion of wind-cold. If there is difficult or painful urination, or distending pain in the lower abdomen, use Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver). If there is internal heat, alternating chills and fever, or irregular menstruation, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If there are chills and fever, physical fatigue, poor appetite, and lack of desire to eat, use Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction). If there is fever due to depression and anger, insomnia, and reluctance to eat, use Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction).
A woman suffered from coldness in the vagina, yellow and difficult urination, internal heat, alternating chills and fever, bitter taste in the mouth, and flank distension. This was due to damp-heat in the Liver Meridian. She was treated with Long Dan Tang (Gentian Decoction) to drain and eliminate damp-heat, followed by Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to regulate and tonify Qi and Blood, resulting in recovery. Another woman with similar symptoms additionally presented with alternating chills and fever, vomiting, and swelling and pain in both thighs. She was first given one dose of Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Gardenia (Shan Zhi), which instantly stopped the chills, fever, and vomiting. Subsequently, one dose of Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) eliminated the swelling and pain instantly. A third woman suffered from coldness in the vagina, clear urine, coldness in the abdomen, poor appetite, and loose stools. This indicated deficiency-cold of the Lower Yuan. She was treated with Ba Wei Wan (Eight-Ingredient Pill) for over a month; her diet gradually improved, stools became formed, and after another month, all symptoms resolved.
Wujiapi Infused Wine Formula
(From *Sheng Hui Fang*) Treats hysterocele masses and coldness of the yin in women.
Wujiapi (Cortex Acanthopanacis), Shu Dihuang (Prepared Rehmanniae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Duzhong (Cortex Eucommiae, removed coarse bark, stir-fried until slightly yellow), Chuangzi (Semen Cnidii), Jiang (Dried Ginger, each 3 liang); Digupi (Cortex Lycii Radicis, 2 liang); Tianmendong (Radix Asparagi, 1 liang); Zhongru (Stalactitum, 4 liang).
Finely chop the above ingredients, place them in a raw silk bag, and soak in 1 dou 5 sheng of wine for two nights. Warm and drink one large cup per dose, taken on an empty stomach and before evening meals. An alternative formula uses Gouqi Zi (Fructus Lycii) instead of Digupi.
Formula for Treating Coldness of the Yin in Women (From *Da Quan Liang Fang*)
Yuanzhi (Radix Polygalae), Jiang (Dried Ginger, used raw), Lianhua (Lotus Flower, each half liang); Chuangzi (Semen Cnidii), Wweizi (Fructus Schisandrae, each 1 liang).
Pulverize the above ingredients. For each application, mix with rabbit feces to smear the vulva, wrap one qian of the powder in cotton, and insert it into the vagina. Heat indicates efficacy.
Another Formula
Chuangzi (Semen Cnidii, 3 fen), Wuzhuyu (Fructus Evodiae), Tingli (Semen Lepidii/Descurainiae, each half liang); Meishi (Concha Ostreae, one piece).
Pulverize the above ingredients. Wrap in cotton to the size of a jujube, insert into the vagina, until warmth is felt in the abdomen.
Another Formula
Chuangzi (Semen Cnidii, 1 liang), Wuzhuyu (Fructus Evodiae, 1.5 liang, used raw).
Pulverize the above ingredients. Mix with refined honey to form pills the size of a sour jujube. Wrap in cotton and insert into the vagina, until foul matter is discharged. (Another version adds Moschus/Shexiang.)
Warm-Middle Sit Medicine
Use pulverized Semen Cnidii (Chuangzi) mixed with a small amount of Bai Fen (White Powder, likely lead carbonate or rice starch) to form pills the size of a jujube. Wrap in cotton and insert into the vagina; natural warmth will ensue, indicating efficacy.
Ba Wei Wan (Eight-Ingredient Pill) Treats blood deficiency failing to nourish the zang-fu organs, withered and dry fluids, and wind-cold invading the uterus, leading to coldness of the yin. (See General Diseases, Deficiency Labor section for the formula.)
My Commentary: This pill indeed has miraculous effects for deficiencies of the Liver, Spleen, and Kidney.
Formulas for the antepartum and postpartum periods are provided in their respective sections.
[Bleeding and Pain upon Intercourse] [Xue Ji] A woman experienced bleeding and pain during every intercourse. This was due to Liver Fire disturbing the Spleen, causing failure to control the blood. She was cured using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Ji Sheng Gui Pi Tang (Sage’s Preserve Restore the Spleen Decoction). If excessive bleeding occurs with other symptoms, simply use the aforementioned medicines to regulate and tonify the Liver and Spleen.
*Qian Jin Fang* Formula for treating women who bleed upon intercourse.
Guixin (Cinnamomi Cortex), Fulonggan (Plasma Ferri, each 2 fen). Pulverize. Take one fang cun bi (square-inch spoonful) with wine to stop bleeding.
Another Formula
Huanglian (Rhizoma Coptidis, 6 fen), Niuxi (Radix Achyranthis Bidentatae), Gancao (Radix Glycyrrhizae, each 4 fen).
Finely chop the above three herbs. Boil in 4 sheng of water to reduce to 2 sheng. Use the decoction to wash the affected area, 3-4 times daily, until healed.
*Bu Yi*: Wrap cooked Ai Ye (Folium Artemisiae Argyi) tightly into a ball, then wrap in silk and insert into the vagina.
[Injury from Foreign Objects during Intercourse]
[Xue Ji] Treating a woman who bled and had pain during intercourse, accompanied by fever, thirst, and nausea. The use of cold-natured medicines exacerbated these symptoms, causing frequent vomiting, poor appetite, and emaciation. I stated: The syndrome belongs to Liver Fire, further injured by the medicinal drugs damaging the Spleen. First, use Liu Jun Zi Tang (Six Gentlemen Decoction) with Shan Zhi (Fructus Gardeniae) and Chai Hu (Radix Bupleuri). Once the Spleen and Stomach function recovered, all symptoms resolved. Then, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to restore physical constitution and Qi.
A woman suffered from vulvar swelling, prolapse, stifling pain, discharge, chest and abdominal discomfort, frequent urination, internal heat, afternoon tidal fever, bitter taste, and tinnitus. This was a Liver-Spleen Fire syndrome. She was treated with Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Che Qian Zi (Semen Plantaginis), Dan Cao (Radix Scutellariae), Fu Ling (Poria), Bai Zhu (Rhizoma Atractylodis Macrocephalae), and Sheng Ma (Rhizoma Cimicifugae). After two doses, she improved slightly. Then, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) with Sheng Ma (Rhizoma Cimicifugae) was used for several doses, leading to gradual recovery. Finally, Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) with Sheng Ma (Rhizoma Cimicifugae) and Chai Hu (Radix Bupleuri), along with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Shan Zhi (Fructus Gardeniae), were used for several doses, resulting in instant recovery. Maintenance with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) and Jia Wei Gui Pi Tang (Modified Restore the Spleen Decoction) led to complete cure.
A woman suffered from hot pain from the aforementioned syndrome. The use of cold-natured detoxifying medicines caused loss of appetite, frequent nausea, and heavy sensation/prolapse in the lower abdomen. I reasoned this was further damage to the Spleen and Stomach with sinking of Yuan Qi. First, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Pao Jiang (Prepared Ginger) for two doses, resolving the heaviness instantly. Then, add Fu Ling (Poria) and Ban Xia (Rhizoma Pinelliae) for over twenty doses to achieve cure. Finally, Gui Pi Tang (Restore the Spleen Decoction) with slight additions of Chai Hu (Radix Bupleuri) and Sheng Ma (Rhizoma Cimicifugae), combined with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), restored health.
*Ji Yan Fang* Formula for treating women whose yang dao is violated or injured by foreign objects during intercourse, causing continuous dripping blood.
Apply Fu Di Mo (Kettle Bottom Soot) and broken gourd pieces to the wound and insert into the vagina.
Another formula for treating young girls injured during intercourse, with continuous bleeding.
Burn hair and green cloth powder, and apply as a topical powder.
Another Formula: Apply blood from a cut chicken comb.
*Bu Yi*: Sprinkle Chi Shi Zhi (Halloysitum Rubrum) powder. Another formula suggests using Wu Bei Zi (Galla Chinensis) powder, which is also effective.
[Headache Injured by Husband]
[Xue Ji] Treatment should primarily focus on Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to nourish the source of transformation.
*Ji Yan Fang* Formula for treating women injured by intercourse, presenting with heavy limbs and headache upon breathing.
Sheng Di Huang (Radix Rehmanniae Recens, 8 liang), Shaoyao (Radix Paeoniae Alba/Lactiflorae, 5 liang), Xiang Chi (Fermented Soybean, 1 sheng), Cong Bai (Scallion White, 1 jin), Sheng Jiang (Fresh Ginger, 4 liang), Gancao (Radix Glycyrrhizae, 2 liang).
Boil the above six herbs in 7 sheng of water to obtain 2.5 sheng. Divide into three doses. Do not re-boil. Avoid sexual intercourse.
*Qian Jin Yi* Sangbaipi Tang (Mulberry Bark Decoction) for treating various women injured by intercourse, suffering from severe headache, nausea, and oppression.
Sangbaipi (Cortex Mori Radicis, half liang), Jiang (Dried Ginger, 1 unit), Guixin (Cinnamomi Cortex, 5 cun), Da Zao (Fructus Jujubae, 20 pieces).
Chop the above four herbs. Boil in 1 dou of wine for three or four boils. Strain and take warm in divided doses. Dress appropriately to avoid sweating.
*Bu Yi*: Ju Fang Lai Fu Dan (Bureau Prescription Reviving Pill) treats injuries from intercourse between women and men, causing heavy limbs, headache, and dizziness. Swallow 50 pills with rice water.