煎数沸，去滓，入温酒服，不拘时候。
地榆散 治败血。
何首乌 肉桂 地榆 香白芷（各等分）
上为粗末，每服二钱，米泔一盏半，砂糖一小块，煎至八分，去滓服，空心食前。
《本草》单方，消瘀血，以生藕汁饮之。以琥珀刮屑，水服之。瘀血不散，变成痈，捣
生 蒿，取汁一升服之。除腹中宿血，以干柿多食瘥。破宿血，用磨石烧黑，热投酒
中饮之，紫荆木浓煮服之。
〔 癖〕
〔大〕 者在腹内近脐左右，各有一条筋脉急痛，大者如臂，次者如指，因气而成，
如弦之状，名曰 也。癖者为僻侧在两肋之间，有时而痛，故曰癖也。二者皆阴阳不和，
经络痞隔，饮食停滞，不得宣流。邪冷之气，搏结不散，得冷则发作疼痛。
麝香丸 治妇人 癖，冷气兼疰气，心腹痛不可忍。
麝香（半两，别研） 阿魏（二钱半，面裹煨令面熟） 五灵脂 桃仁 三棱（各七钱半）
芫花（醋炒） 槟榔（各一两） 莪术 桂心 没药 木香 当归（各半两）
上为细末，入麝香令匀，粳米软饭为丸，如梧桐子大，每服十丸，无时，淡醋汤下。
治妇人 癖及血气等神效方。
上以 猪肝一具，可及十两者，用巴豆五十枚，去大皮，札在肝内，用酽醋三碗，慢
火熬肝极烂，入京三棱末和就得所，为丸如梧桐子大，每服五丸，食前热酒下。肝熟后
去巴豆不用。夫 癖 瘕，血气块硬，发歇刺痛，甚则欲死，究而言之，皆血之所为。
仆尝治一妇人血气刺痛极不可忍，甚而死一二日方省，医巫并治，数年不愈。仆以葱白
散、乌鸡丸遂安。又尝治一妇人，血气作楚，如一小盘样走注刺痛，要一人伏定方少止，亦
用此二药而愈。寻常小小血气，用此二药，亦有奇效，故录于后。
葱白散 专治一切冷气不和，及本脏膀胱气攻冲疼痛，大治妇人胎前后腹痛，胎不
安或血刺痛者。兼能治血脏宿冷，百节倦痛，肌体怯弱，劳伤带癖，久服尽除。但妇人一
切疾病，最宜服此。
川芎 当归 枳壳 浓朴 桂心 干姜 芍药 舶上 香 青皮 苦楝子
木香 熟地黄 麦芽 三棱 莪术 茯苓 神曲 人参（各等分）
上为细末，每服三平钱，水一盏，连须葱白二寸，拍破，盐半钱，煎至七分，纳大
黄、诃子，宜相度病状，如大便不利，入大黄同煎，不入盐。如大便自利，入诃子煎。
朱先生云∶此药大治心气脾疼，用之见效。仆尝以此药治浮肿立效。陈宜人病血气作楚，痛
不可忍，服诸药无效，召仆诊之，两关脉沉弱为肝脉，沉差紧，此血气渐成 癖也。只
以此二药治之愈。四明马朝奉后院，亦病此，用二药亦愈。
乌鸡煎丸（方见通治诸疾。）
四等丸 （《圣惠》）治妇人 癖气，心腹疼痛，饮食不消。
川大黄（锉碎，微炒） 诃梨勒（去核） 槟榔 木香
上各等分为细末，酒煮面糊和丸如梧桐子大。每食前以生姜橘皮汤下十五丸，温酒
亦得。
又方
鳖甲（醋炙黄，去裙 ） 川大黄（锉碎，微炒） 京三棱（炮裂，各等分）
上为末，醋煮面糊丸如梧桐子大，每食
前以生姜汤下十丸。
木香 砂丸 （《拔粹》）治妇人 癖积聚，血块刺痛，脾胃虚寒，宿食不消，久不瘥者。
木香 砂 丁香 官桂 附子（炮） 干漆（炒烟尽） 细墨 大黄（锉碎为末） 乳香（研）
广术 青皮 京三棱 没药（研） 猪牙皂角 干姜（炮，各等分） 巴豆霜（减半）
上除 砂、乳香、没药外，同为末，以好醋一升，化开 砂，去滓，银器中慢火熬，
次下巴豆霜、大黄熬成膏，将前药末与膏子为丸如麻子大，每服三五十丸，食后温酒送
下，加至大便利为度。
当归散 （《圣惠》）治妇人 癖气攻心腹痛，不能饮食。
当归（锉，微炒） 槟榔（各七钱半） 木香 桂心 陈橘皮（去白，各半两） 京三棱
郁李仁（去皮，微炒） 桃仁（去皮，炒微黄） 吴茱萸（汤泡，七次，焙干，各一两）
上件粗捣筛，每服三钱，水一中盏，煎至六分，去滓，不计时候，稍热服。
上方皆攻积之剂，全无补性，虚人禁用，实者亦须以四君、四物汤药兼服乃可。
〔疝瘕〕
〔大〕妇人疝瘕，由饮食不节，寒温不调，气血劳伤，脏腑虚弱，风冷入腹，与血
相结所生。疝者痛也，瘕者假也，结聚浮假而痛，推移乃动也。妇人之病，有异于丈夫
者，或因产后血虚受寒，或因经水往来，取冷过度，非独因饮食失节，多挟于血气所成
也。其脉弦急者生，虚弱小者死。尺脉涩而浮牢为血实气虚，其发腹痛逆气上行，此为
胞中有恶血，久则结成血瘕也。
〔薛〕子和云∶遗溺闭癃，阴痿脬痹，精滑白淫，皆男子之疝也。若血涸月事不行，
行后小腹有块，或时动移，前阴突出，后阴痔核，皆女子之疝也。但女子不谓之疝而谓
之瘕。一妇人小腹痞胀，小便时下白带，小水淋沥，此肝经湿热下注，用龙胆泻肝汤而
愈。一妇人小腹胀痛，小水不利，或胸乳作痛，或胁肋作胀，或气逆心胸。余以为肝
火而血伤脾，用四物、柴胡、青皮、玄胡索、木香而愈。一妇人小腹痞闷，小便不利，内
热体倦懒食，用八珍汤加柴胡、山栀、龙胆草治之而安。
干漆散 治妇人疝瘕久不消，令人黄瘦 羸，两胁妨闷，心腹疼痛。
干漆（炒令烟尽） 木香 芫花（醋炒） 赤芍药 桂心 当归 川芎 琥珀（各半两，研）
大黄（炒，二两） 牛膝（七钱半） 桃仁（一两） 麝香（二钱半）
上为细末，无时，温酒调下一钱。
当归散 治妇人疝瘕及血气攻刺，心腹疼痛不可忍。
鳖甲（醋炙黄，二两） 当归（锉，微炒） 桂心 槟榔 川大黄（锉，微炒，各一两）
川芎 吴茱萸（汤泡七次，焙干） 木香 青橘皮（去白，各半两） 蓬莪术 赤芍药
桃仁（汤浸去皮尖，麸炒微黄，各七钱五分）
上为散，每服三钱，水一盏，姜一钱三分，煎至七分，去滓稍热服，不计时候。
砂丸 治妇人疝瘕，及积瘀血在脏，时攻腹胁疼痛。
川芒硝 砂（各一两） 当归 雄黄 桂心（各半两） 大黄（炮） 三棱（各二两）
上为细末，米醋一碗，熬大黄末为膏，次入余药末，和丸如梧桐子大。空心温酒下十
丸，渐渐加至二十丸，以利下恶物为度。
巴豆丸 治妇人疝瘕，及血气疼痛。
巴豆（去皮心，醋煮半日，二钱半） 砂 大黄（炒，各一两） 五灵脂 桃仁（各七钱半）
木香（半两，各为末）
炼蜜丸如绿豆大，淡醋汤空心下五丸，热酒亦可。
黑神丸
神曲 香（各四两） 木香 椒（炒香出汗） 丁香（各半两） 槟榔（四枚） 漆（六两，半生、半用重
汤煮半日令香）
上除椒、漆，五物皆半生半炒为细末，用
前生熟漆和丸如弹子大，用 香末十二两铺阴地荫干，候外干，并 香收器中极干，去
香。肾余育肠膀胱 癖，及疝坠、五膈、血崩、产后诸血、漏下赤白，并一丸分四服，死
胎一丸，皆绵裹酒下。难产，炒葵子四十九枚，捣碎酒煎下一丸。诸疾不过三服， 气
十服，膈气、 瘕五服，血瘕三丸，当瘥。予族子妇病腹中有大块如杯，每发痛不可忍。
时子妇已贵，京下善医者悉集，服药莫愈。予应之曰∶此血瘕也，投黑神丸三丸，杯气尽
消，终身不作。
蟠葱散 治妇人脾胃虚冷，气滞不行，攻刺心腹，痛连胸胁间，膀胱小肠疝气，及妇
人血气 瘕痛。
延胡索 肉桂 干姜（各二两） 甘草（炒） 苍术（米泔浸一宿） 缩砂 丁皮 槟榔（各四两）
莪术 三棱 茯苓 青皮（各六两）
上为末，每服三钱，水一盏，连须葱白一茎，煎空心热服。
宝鉴蒺藜汤 治阴疝小腹作痛，小便不利，手足逆冷，或腹胁闷痛。
蒺藜（去刺） 附子（炮） 栀子（去皮，各半两）
上末，每三钱，水煎温服，食前。
丹溪定痛散 治寒疝疼痛速效。
枳壳（十五枚） 山栀子（炒） 棠球子 吴茱萸（炒过） 荔枝核（炮，各等分）
上为末，用长流水调下一二钱，空心服。
附∶芦荟丸方 治疳癖肌肉消瘦，发热潮热，饮食少思，口干作渴，或肝疳食积，口
鼻生疮，牙龈蚀烂等证。
芦荟 胡黄连 黄连（炒焦） 木香 白芜荑（炒） 青皮（各五钱） 当归 茯苓
陈皮（各一两半） 甘草（炒，七钱）
上为末，米糊丸梧子大。每服七八十丸，米饮下。
煮沸数次，滤去药渣，加入温酒服用，不限具体时间。
地榆散：治疗败血证。
药材：何首乌、肉桂、地榆、香白芷（各等分）。
将上述药材捣成粗末，每次服用二钱，用米泔水一盏半、砂糖一小块，煎煮至剩余八分，滤去药渣后服用，空腹且在进食前服用。
《本草》中的单方：消除瘀血，饮用生藕汁。用琥珀刮下的粉末，用水送服。若瘀血不散，演变为痈肿，捣碎生青蒿，取汁一升服用。去除腹中陈旧性瘀血，多吃干柿子可痊愈。破除宿血，将磨刀石烧黑，趁热投入酒中饮用；或用紫荆木浓煎服用。
〔癖〕
〔大者〕位于腹部内靠近肚脐的左右两侧，各有一条筋脉拘急疼痛，大的如手臂粗细，小的如手指粗细，因气滞而成，形状像琴弦一样，称为“癖”。另一种“癖”位于两肋之间偏侧位置，有时疼痛，所以称为“癖”。这两种情况都是由于阴阳不和，经络阻滞，饮食停滞，无法宣通流布。邪冷之气，搏结不散，遇冷则发作疼痛。
麝香丸：治疗妇人癖积，兼有冷气及注气（一种传染性或游走性的病气），心腹疼痛难以忍受。
药材：麝香（半两，单独研磨）、阿魏（二钱半，用面粉包裹煨至面熟）、五灵脂、桃仁、三棱（各七钱半）、芫花（醋炒）、槟榔（各一两）、莪术、桂心、没药、木香、当归（各半两）。
将上述药材（除麝香外）研为细末，加入麝香混合均匀，用粳米软饭作为粘合剂制成丸药，大小如梧桐子。每次服用十丸，不限时间，用淡醋汤送服。
治疗妇人癖积及血气等症的神效方。
取猪肝一个，重量约十两者，用巴豆五十枚，去掉外皮，扎入肝内，用浓醋三碗，慢火熬煮猪肝至极烂，加入京三棱粉末调和适宜，制成丸药如梧桐子大。每次服用五丸，食前用热酒送下。猪肝煮熟后，取出巴豆不再使用。所谓癖、积、瘕，均为血气凝结成的硬块，发作时刺痛剧烈，严重时甚至危及生命，究其根本，皆由血分病变引起。
我曾治疗一位妇人，血气刺痛极度难以忍受，甚至昏死一二日后才苏醒，医生和巫师共同治疗，数年不愈。我用葱白散、乌鸡丸使其痊愈。又曾治疗一位妇人，血气作痛，感觉像一个小盘子大小的东西在体内游走刺痛，必须有人按住身体才能稍止，也是用这两种药而治愈。寻常轻微的血气病症，使用这两种药也有奇效，故记录在后。
葱白散：专门治疗一切冷气不和，以及本脏膀胱气攻冲疼痛，对妇人胎前产后腹痛、胎不安或血刺痛者有大疗效。兼能治疗血脏宿冷、全身关节倦怠疼痛、肌体怯弱、劳伤带下及癖积，久服可尽除诸疾。但妇人的一切疾病，最适宜服用此药。
药材：川芎、当归、枳壳、厚朴、桂心、干姜、芍药、舶上香、青皮、苦楝子、木香、熟地黄、麦芽、三棱、莪术、茯苓、神曲、人参（各等分）。
将上述药材研为细末，每次服用三平钱，加水一盏，连须葱白二寸拍破，盐半钱，煎煮至七分，加入大黄、诃子。需根据病情判断：如果大便不通利，加入大黄同煎，不加盐；如果大便自利，加入诃子煎煮。
朱先生说：此药大治心气脾疼，使用见效。我曾以此药治疗浮肿立竿见影。陈宜人患血气作痛，疼痛不可忍受，服用其他药物无效，召我诊治，发现两关脉沉弱为肝脉，沉而稍紧，这是血气渐成癖积之象。只用这两种药治疗即愈。四明马朝奉的后院夫人也患此病，用这两种药也痊愈了。
乌鸡煎丸（方剂见通治诸疾章节）。
四等丸（出自《圣惠方》）：治疗妇人癖气，心腹疼痛，饮食不消。
药材：川大黄（锉碎，微炒）、诃梨勒（去核）、槟榔、木香。
将上述药材各等分为细末，用酒煮面糊和丸，大小如梧桐子。每次饭前用生姜橘皮汤送服十五丸，用温酒送服也可以。
又一方：
药材：鳖甲（醋炙黄，去裙边）、川大黄（锉碎，微炒）、京三棱（炮裂，各等分）。
将上述药材研为末，用醋煮面糊制成丸药如梧桐子大。每次饭前用生姜汤送服十丸。
木香砂丸（出自《拔粹方》）：治疗妇人癖积聚，血块刺痛，脾胃虚寒，宿食不消，久治不愈者。
药材：木香、砂仁、丁香、官桂、附子（炮制）、干漆（炒至烟尽）、细墨、大黄（锉碎为末）、乳香（研磨）、广术、青皮、京三棱、没药（研磨）、猪牙皂角、干姜（炮制，各等分）、巴豆霜（减半量）。
除砂仁、乳香、没药外，其余药材同为细末，用好醋一升化开砂仁，滤去药渣，在银器中慢火熬煮，然后加入巴豆霜、大黄熬成膏状，将前药末与膏子混合制成丸药如麻子大。每次服用三五十丸，食后用温酒送下，加量以大便通畅为度。
当归散（出自《圣惠方》）：治疗妇人癖气攻心腹痛，不能饮食。
药材：当归（锉碎，微炒）、槟榔（各七钱半）、木香、桂心、陈橘皮（去白，各半两）、京三棱、郁李仁（去皮，微炒）、桃仁（去皮，炒至微黄）、吴茱萸（汤泡七次，焙干，各一两）。
将上述药材粗捣筛过，每次服用三钱，加水一中盏，煎煮至六分，滤去药渣，不限时间，稍热时服用。
以上方剂皆为攻逐积滞之剂，完全没有补益性质，虚弱之人禁用，实证者也须配合四君子汤、四物汤等药物兼服方可。
〔疝瘕〕
〔大者〕妇人疝瘕，是由于饮食不节制，寒温不调，气血劳伤，脏腑虚弱，风冷侵入腹部，与血相结而生成的。疝是指疼痛，瘕是指假象，结聚浮泛而痛，推动时会移动。妇人的疾病，有别于男子，有的因产后血虚受寒，有的因经期往来，贪凉过度，不仅因饮食失节，多夹杂血气所成。其脉象弦急者预后良好，虚弱细小者预后不良。尺脉涩而浮牢表示血实气虚，发作时腹痛逆气上行，此为胞宫中有恶血，日久则结成血瘕。
〔薛〕子和说：遗尿、闭癃（小便不通）、阳痿、膀胱痹阻、精滑、白淫，都是男子的疝病。若血枯月经不行，行经后小腹有肿块，或时常动移，前阴突出，后阴痔核，都是女子的疝病。但女子不称之为疝而称之为瘕。
有一位妇人小腹痞胀，小便时下白带，小便淋沥不尽，这是肝经湿热下注，用龙胆泻肝汤治愈。
有一位妇人小腹胀痛，小便不利，有时胸乳作痛，有时胁肋作胀，有时气逆心胸。我认为这是肝火伤血及脾，用四物汤、柴胡、青皮、玄胡索、木香治愈。
有一位妇人小腹痞闷，小便不利，内热体倦懒食，用八珍汤加柴胡、山栀、龙胆草治疗而安。
干漆散：治疗妇人疝瘕久不消散，使人黄瘦羸弱，两胁妨闷，心腹疼痛。
药材：干漆（炒令烟尽）、木香、芫花（醋炒）、赤芍药、桂心、当归、川芎、琥珀（各半两，研磨）、大黄（炒，二两）、牛膝（七钱半）、桃仁（一两）、麝香（二钱半）。
将上述药材研为细末，不限时间，用温酒调服一钱。
当归散：治疗妇人疝瘕及血气攻刺，心腹疼痛难以忍受。
药材：鳖甲（醋炙黄，二两）、当归（锉碎，微炒）、桂心、槟榔、川大黄（锉碎，微炒，各一两）、川芎、吴茱萸（汤泡七次，焙干）、木香、青橘皮（去白，各半两）、蓬莪术、赤芍药、桃仁（汤浸去皮尖，麸炒微黄，各七钱五分）。
将上述药材研为散剂，每次服用三钱，加水一盏，生姜一钱三分，煎煮至七分，滤去药渣稍热服用，不限时间。
硇砂丸：治疗妇人疝瘕，及积瘀血在脏，时常攻冲腹胁疼痛。
药材：川芒硝、硇砂（各一两）、当归、雄黄、桂心（各半两）、大黄（炮制）、三棱（各二两）。
将上述药材研为细末，用米醋一碗，熬大黄末为膏，其次加入其余药末，和丸如梧桐子大。空腹用温酒送服十丸，逐渐加量至二十丸，以利下恶物为度。
巴豆丸：治疗妇人疝瘕，及血气疼痛。
药材：巴豆（去皮心，醋煮半日，二钱半）、硇砂、大黄（炒，各一两）、五灵脂、桃仁（各七钱半）、木香（半两，各为末）。
炼蜜制成丸药如绿豆大，空腹用淡醋汤送服五丸，用热酒送服也可以。
黑神丸
药材：神曲、沉香（各四两）、木香、花椒（炒香出汗）、丁香（各半两）、槟榔（四枚）、漆（六两，半生、半用重汤煮半日令香）。
除花椒、漆外，其余五种药材皆半生半炒为细末，用前述生熟漆和丸如弹子大，用沉香末十二两铺在阴凉地面荫干，待外面干了，连同收器的沉香一起收存至极干状态，去掉沉香。治疗肾余育肠膀胱癖积，及疝坠、五膈、血崩、产后诸血、漏下赤白，均将一丸分四次服用；死胎用一丸，皆用绵裹酒送下。难产，炒葵子四十九枚，捣碎酒煎下一丸。各种疾病不过三服，疝气十服，膈气、瘕积五服，血瘕三丸，应当痊愈。我的族侄媳妇病腹中有大块如杯子大小，每次发作疼痛不可忍受。当时侄媳妇已显贵，京城善医者全部聚集，服药莫愈。我应诊曰：这是血瘕，投予黑神丸三丸，杯气尽消，终身不再发作。
蟠葱散：治疗妇人脾胃虚冷，气滞不行，攻刺心腹，痛连胸胁间，膀胱小肠疝气，及妇人血气瘕痛。
药材：延胡索、肉桂、干姜（各二两）、甘草（炒）、苍术（米泔浸一宿）、缩砂、丁皮、槟榔（各四两）、莪术、三棱、茯苓、青皮（各六两）。
将上述药材研为末，每次服用三钱，加水一盏，连须葱白一茎，煎煮后空腹热服。
宝鉴蒺藜汤：治疗阴疝小腹作痛，小便不利，手足逆冷，或腹胁闷痛。
药材：蒺藜（去刺）、附子（炮制）、栀子（去皮，各半两）。
将上述药材研为末，每次三钱，水煎温服，食前服用。
丹溪定痛散：治疗寒疝疼痛速效。
药材：枳壳（十五枚）、山栀子（炒）、棠球子、吴茱萸（炒过）、荔枝核（炮制，各等分）。
将上述药材研为末，用长流水调服一二钱，空腹服用。
附：芦荟丸方：治疗疳癖肌肉消瘦，发热潮热，饮食少思，口干作渴，或肝疳食积，口鼻生疮，牙龈蚀烂等证。
药材：芦荟、胡黄连、黄连（炒焦）、木香、白芜荑（炒）、青皮（各五钱）、当归、茯苓、陈皮（各一两半）、甘草（炒，七钱）。
将上述药材研为末，米糊制成丸药如梧子大。每次服用七八十丸，米饮送下。
Boil for several times, strain the dregs, add warm wine, and take at any time.
Diyu San (Groundsel Powder): Treats Bai Xue (败血 - decaying blood).
Herbs: He Shou Wu (Polygoni Multiflori Radix), Rou Gui (Cinnamomi Cortex), Di Yu (Sanguisorbae Radix), Xiang Bai Zhi (Angelicae Dahuricae Radix) (equal parts).
Grind the above herbs into coarse powder. Take 2 qian per dose, with 1.5 liang of rice washing water and a small piece of rock sugar. Decoct until 0.8 liang remains, strain, and take on an empty stomach before meals.
Single prescriptions from *Ben Cao* (*Compendium of Materia Medica*): To eliminate Yu Xue (瘀血 - blood stasis), drink fresh lotus root juice. Scrape amber powder and take with water. If Yu Xue does not dissipate and transforms into Yong (痈 - carbuncle/abscess), crush fresh Qing Hao (Artemisiae Annuae Herba), extract one sheng of juice, and take it. To remove old blood in the abdomen, eat many dried persimmons to cure. To break old blood, burn a whetstone black, throw it hot into wine, and drink. Or decoct Zi Jing Mu (Cercidiphylli Lignum) strongly and take it.
[Pi]
[Large type]: Located inside the abdomen near the umbilicus on the left and right sides, there is each a tendon meridian that contracts and hurts. The large ones are as thick as an arm, the smaller ones as thick as a finger. Formed by Qi stagnation, they resemble a string, named "Pi" (癖 - abdominal mass/tumor). Another type of "Pi" is located obliquely between the two hypochondria, causing intermittent pain, hence called "Pi". Both conditions result from disharmony of Yin and Yang, obstruction of meridians, stagnation of food and drink, and failure of circulation. Pathogenic cold Qi binds and does not disperse; upon exposure to cold, pain attacks occur.
Shexiang Wan (Musk Pill): Treats women's Pi accumulation, accompanied by Cold Qi and Zhu Qi (注气 - infectious or wandering pathogenic qi), causing unbearable heart and abdominal pain.
Herbs: She Xiang (Moschus) (half liang, separately ground), A Wei (Ferulae Resina) (two and a half qian, wrapped in flour and roasted until flour is cooked), Wu Ling Zhi (Trogopterori Faeces), Tao Ren (Persicae Semen), San Leng (Sparganii Rhizoma) (each seven and a half qian), Yuan Hua (Genkwa Flos) (stir-fried with vinegar), Bing Lang (Arecae Semen) (each one liang), E Zhu (Curcumae Rhizoma), Gui Xin (Cinnamomi Ramulus), Mo Yao (Myrrha), Mu Xiang (Aucklandiae Radix), Dang Gui (Angelicae Sinensis Radix) (each half liang).
Grind the above herbs (except Musk) into fine powder, mix evenly with Musk. Use soft glutinous rice as a binder to make pills the size of paulownia seeds. Take ten pills per dose at any time, with light vinegar soup.
Divine efficacy prescription for treating women's Pi accumulation and Blood-Qi disorders.
Take one pig liver, weighing about ten liang. Insert fifty peeled bitter almonds (Ba Dou) into the liver. Simmer the liver in three bowls of strong vinegar over slow fire until extremely soft. Mix in powdered Jing San Leng (Bupleuri Radix or Sparganii Rhizoma variant) to form pills the size of paulownia seeds. Take five pills before meals with warm wine. After the liver is cooked, remove the Ba Dou and discard. Pi, Ji (accumulation), and Jia (mass) are all hard masses formed by Blood and Qi stagnation. Attacks cause stabbing pain, sometimes life-threatening. Fundamentally, these are caused by Blood pathology.
I once treated a woman with unbearable Blood-Qi stabbing pain who even fell unconscious for one or two days before regaining consciousness. Despite treatment by doctors and shamans for years without success, I cured her using Cong Bai San (Scallion White Powder) and Wu Ji Wan (Black Chicken Pill). I also treated another woman whose Blood-Qi pain felt like a small plate moving around causing stabbing pain, requiring someone to press down on her body to relieve it slightly. This was also cured with these two medicines. For ordinary mild Blood-Qi disorders, these two medicines also have miraculous effects, so they are recorded hereafter.
Cong Bai San (Scallion White Powder): Specifically treats all types of Cold Qi disharmony, and pain caused by Qi attacking from the relevant organ and Bladder Meridian. It greatly treats abdominal pain before and after childbirth, fetal restlessness, or Blood stabbing pain. It also treats old cold in the Blood organs, fatigue and pain in all joints, weak physique, labor injury, leukorrhea, and Pi accumulation. Long-term use eliminates all ailments. However, this medicine is most suitable for all diseases in women.
Herbs: Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Zhi Ke (Aurantii Fructus), Hou Po (Magnoliae Officinalis Cortex), Gui Xin (Cinnamomi Ramulus), Gan Jiang (Zingiberis Rhizoma), Shao Yao (Paeoniae Radix), Bo Shang Xiang (Agarwood), Qing Pi (Citri Reticulatae Pericarpium Viride), Ku Lian Zi (Meliae Semen), Mu Xiang (Aucklandiae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Mai Ya (Hordei Fructus Germinatus), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Fu Ling (Poria), Shen Qu (Massae Fermentatae Medicamentosa), Ren Shen (Ginseng Radix et Rhizoma) (equal parts).
Grind into fine powder. Take three ping qian per dose with one liang of water, two cun of scallion white with roots (crushed), and half a qian of salt. Decoct until 0.7 liang remains. Add Da Huang (Rhei Radix et Rhizoma) and He Zi (Terminalia Chebulae Fructus). Adjust according to symptoms: if stool is difficult, add Da Huang to decoct, do not add salt. If stool is loose, add He Zi to decoct.
Mr. Zhu said: This medicine greatly treats Heart Qi and Spleen pain, with effective results. I once used this medicine to treat edema with immediate effect. Lady Chen suffered from Blood-Qi pain, unbearable, ineffective with other medicines. Upon my diagnosis, her Guan pulses were deep and weak indicating Liver pulse, deep and slightly tight, suggesting Blood-Qi gradually forming Pi accumulation. Cured using only these two medicines. The wife of Ma Chaofeng in Siming also suffered from this and was cured with these two medicines.
Wu Ji Jian Wan (Black Chicken Decoction Pill) (Formula see General Treatment of Various Diseases section).
Si Deng Wan (Four Equal Pills) (*Sheng Hui Fang*): Treats women's Pi Qi, heart and abdominal pain, indigestion.
Herbs: Chuan Da Huang (Rhei Radix et Rhizoma) (cut into pieces, lightly stir-fried), He Li Le (Terminalia Chebulae Fructus) (pitted), Bing Lang (Arecae Semen), Mu Xiang (Aucklandiae Radix).
Grind equal parts into fine powder. Make pills with wine-boiled wheat paste, size of paulownia seeds. Take fifteen pills before meals with ginger and tangerine peel soup, or warm wine.
Another Prescription:
Herbs: Bie Jia (Testudinis Carapax et Plastrum) (vinegar-roasted yellow, remove skirt edge), Chuan Da Huang (Rhei Radix et Rhizoma) (cut into pieces, lightly stir-fried), Jing San Leng (Sparganii Rhizoma) (roasted until cracked, equal parts).
Grind into powder. Make pills with vinegar-boiled wheat paste, size of paulownia seeds. Take ten pills before meals with ginger soup.
Muxiang Sha Wan (Aucklandia and Amomum Pill) (*Ba Cui Fang*): Treats women's Pi accumulation, Blood mass stabbing pain, Spleen and Stomach deficiency-cold, retained food digestion failure, chronic cases not healing.
Herbs: Mu Xiang (Aucklandiae Radix), Sha Ren (Amomi Fructus), Ding Xiang (Caryophylli Flos), Guan Gui (Cinnamomi Ramulus), Fu Zi (Aconiti Lateralis Radix Preparata) (processed), Gan Qi (Drynariae Rhizoma? No, likely Datura or similar toxic herb, context suggests processing) (stir-fried until smoke ceases), Xi Mo (Indigo Naturalis? Or Ink stick?), Da Huang (Rhei Radix et Rhizoma) (cut into pieces, ground), Ru Xiang (Olibanum) (ground), Guang Zhu (Curcumae Longae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Jing San Leng (Sparganii Rhizoma), Mo Yao (Myrrha) (ground), Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus Spina), Gan Jiang (Zingiberis Rhizoma) (processed, equal parts), Ba Dou Shuang (Seminarium Crotonis Pulvis) (half dose).
Except for Sha Ren, Ru Xiang, and Mo Yao, grind the rest into powder. Dissolve Sha Ren in one sheng of good vinegar, strain, and slowly boil in a silver vessel. Then add Ba Dou Shuang and Da Huang to boil into a paste. Mix the powder with the paste to make pills the size of hemp seeds. Take 30-50 pills after meals with warm wine. Increase dosage until bowel movement occurs.
Dang Gui San (Angelica Powder) (*Sheng Hui Fang*): Treats women's Pi Qi attacking heart and abdomen causing pain, inability to eat.
Herbs: Dang Gui (Angelicae Sinensis Radix) (cut, lightly stir-fried), Bing Lang (Arecae Semen) (each seven and a half qian), Mu Xiang (Aucklandiae Radix), Gui Xin (Cinnamomi Ramulus), Chen Ju Pi (Citri Reticulatae Pericarpium) (remove white pith, each half liang), Jing San Leng (Sparganii Rhizoma), Yu Li Ren (Pruni Semen), Tao Ren (Persicae Semen) (remove skin, stir-fry until slightly yellow), Wu Zhu Yu (Evodiae Fructus) (soak in water seven times, dry roast, each one liang).
Coarsely grind and sieve. Take three qian per dose with one zhong zhan of water. Decoct until 0.6 liang remains, strain, and take slightly warm at any time.
The above formulas are all purgatives for accumulating pathogens, lacking tonifying properties. They are strictly forbidden for deficient persons. Even for excess patterns, they must be taken concurrently with Si Jun Zi Tang (Four Gentlemen Decoction) and Si Wu Tang (Four Substances Decoction).
[Shan Jia]
[Large type]: Women's Shan Jia arises from irregular diet, imbalance of cold and heat, exhaustion of Blood and Qi, weakness of Zang-Fu organs, wind-cold entering the abdomen, and binding with Blood. "Shan" refers to pain; "Jia" refers to false appearance. The mass floats and causes pain, moving when pushed. Women's diseases differ from men's. Some arise from postpartum Blood deficiency and cold invasion, others from menstrual cycles and excessive cold intake. Not solely due to dietary irregularities, but often compounded by Blood and Qi disorders. Pulse string-tight indicates survival; pulse weak-small indicates death. Chi pulse rough and floating-firm indicates Blood excess and Qi deficiency. Attacks involve abdominal pain and counterflow Qi upward, indicating Evil Blood in the uterus, which eventually forms Blood Jia.
[Xue] Zihe said: Enuresis, stranguria, impotence, bladder bi, spermatorrhea, and leukorrhea are men's Shan diseases. If Blood dries up and menstruation stops, or if a mass appears in the lower abdomen after menstruation, moves occasionally, anterior yin protrudes, posterior yin has hemorrhoids, these are women's Shan diseases. However, women do not call them Shan but Jia.
One woman had lower abdominal distension, occasional leukorrhea with urination, and dribbling urine. This was Damp-Heat pouring downward from the Liver Meridian, cured with Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction).
One woman had lower abdominal distension and pain, difficulty urinating, sometimes chest/breast pain, sometimes hypochondriac distension, sometimes Qi counterflow to the chest/heart. I diagnosed Liver Fire injuring Blood and Spleen, cured with Si Wu Tang, Chai Hu, Qing Pi, Yan Hu Suo, and Mu Xiang.
One woman had lower abdominal stuffiness, difficulty urinating, internal heat, fatigue, and poor appetite. Treated with Ba Zhen Tang plus Chai Hu, Shan Zhi, and Long Dan Cao, resulting in recovery.
Gan Qi San (Dry Lacquer Powder): Treats women's Shan Jia persisting for a long time, causing jaundice, emaciation, hypochondriac oppression, and heart/abdominal pain.
Herbs: Gan Qi (Leporini Corneum? No, Dry Lacquer/Gambir?) (stir-fried until smoke ceases), Mu Xiang (Aucklandiae Radix), Yuan Hua (Genkwa Flos) (vinegar-fried), Chi Shao Yao (Paeoniae Radix Rubra), Gui Xin (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Hu Po (Electrum) (each half liang, ground), Da Huang (Rhei Radix et Rhizoma) (stir-fried, two liang), Niu Xi (Achyranthis Bidentatae Radix) (seven and a half qian), Tao Ren (Persicae Semen) (one liang), She Xiang (Moschus) (two and a half qian).
Grind into fine powder. Take one qian mixed with warm wine at any time.
Dang Gui San (Angelica Powder): Treats women's Shan Jia and Blood-Qi attacking stabbing pain, unbearable heart/abdominal pain.
Herbs: Bie Jia (Testudinis Carapax et Plastrum) (vinegar-roasted yellow, two liang), Dang Gui (Angelicae Sinensis Radix) (cut, lightly stir-fried), Gui Xin (Cinnamomi Ramulus), Bing Lang (Arecae Semen), Chuan Da Huang (Rhei Radix et Rhizoma) (cut, lightly stir-fried, each one liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Wu Zhu Yu (Evodiae Fructus) (soak in water seven times, dry roast), Mu Xiang (Aucklandiae Radix), Qing Ju Pi (Citri Reticulatae Pericarpium) (remove white pith, each half liang), Peng E Zhu (Curcumae Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Tao Ren (Persicae Semen) (soak in water, remove skin/spikes, bran-roast until slightly yellow, each seven and a half qian).
Grind into powder. Take three qian per dose with one liang of water and one qian three fen of ginger. Decoct until 0.7 liang remains, strain, and take slightly warm at any time.
Nao Sha Wan (Sal Ammoniac Pill): Treats women's Shan Jia, and accumulated stagnant Blood in the Zang organs, causing frequent attacks of abdominal and hypochondriac pain.
Herbs: Chuan Mang Xiao (Natrii Sulfas), Nao Sha (Sal Ammoniac) (each one liang), Dang Gui (Angelicae Sinensis Radix), Xiong Huang (Realgar), Gui Xin (Cinnamomi Ramulus) (each half liang), Da Huang (Rhei Radix et Rhizoma) (processed), San Leng (Sparganii Rhizoma) (each two liang).
Grind into fine powder. Use one bowl of rice vinegar to decoct Da Huang powder into a paste. Add remaining powder and make pills the size of paulownia seeds. Take ten pills on an empty stomach with warm wine, gradually increasing to twenty pills, stopping when evil matter is discharged via bowels.
Ba Dou Wan (Croton Seed Pill): Treats women's Shan Jia and Blood-Qi pain.
Herbs: Ba Dou (Seminarium Crotonis) (remove skin/core, boil in vinegar for half a day, two and a half qian), Nao Sha (Sal Ammoniac), Da Huang (Rhei Radix et Rhizoma) (stir-fried, each one liang), Wu Ling Zhi (Trogopterori Faeces), Tao Ren (Persicae Semen) (each seven and a half qian), Mu Xiang (Aucklandiae Radix) (half liang, all ground).
Make pills with refined honey the size of mung beans. Take five pills on an empty stomach with light vinegar soup, or warm wine.
Hei Shen Wan (Black Divine Pill)
Herbs: Shen Qu (Massae Fermentatae Medicamentosa), Chen Xiang (Aquilariae Lignum Resinatum) (each four liang), Mu Xiang (Aucklandiae Radix), Jiao (Zanthoxyli Pericarpium) (stir-fry until sweat/oil appears), Ding Xiang (Caryophylli Flos) (each half liang), Bing Lang (Arecae Semen) (four pieces), Qi (Lac? Or Dry Lacquer) (six liang, half raw, half boiled in double boiler for half a day until fragrant).
Except for Jiao and Qi, grind the other five herbs (half raw, half stir-fried) into fine powder. Use the aforementioned raw/cooked Qi to bind into pills the size of quail eggs. Spread twelve liang of Chen Xiang powder on the ground in shade to dry. When surface is dry, store with Chen Xiang in a container until very dry, then remove Chen Xiang. Treat Kidney, Yu Chang, Bladder Pi accumulations, Shan prolapse, Five Obstructions, Blood flooding, postpartum bleeding, leukorrhea with red/white discharge. Divide one pill into four doses, all taken with wine wrapped in silk. For dead fetus, use one pill. For difficult labor, fry forty-nine Kai Zi (Abutili Semen), crush, decoct in wine, and take one pill. Various diseases resolve within three doses; Shan Qi within ten doses; Ge Qi and Jia within five doses; Blood Jia with three pills should heal. My clan niece-in-law had a large mass in her abdomen like a cup, causing unbearable pain. At that time, she was noble, and all skilled doctors in the capital gathered, but medicines failed. I diagnosed: This is Blood Jia. Administered three pills of Hei Shen Wan. The cup-like Qi dissipated completely, never recurring in her lifetime.
Pan Cong San (Twisted Scallion Powder): Treats women's Spleen/Stomach deficiency-cold, Qi stagnation failing to move, attacking stabbing heart/abdomen, pain connecting to chest/hypochondrium, Bladder/Small Intestine Shan Qi, and women's Blood-Qi Jia pain.
Herbs: Yan Hu Suo (Corydalis Rhizoma), Rou Gui (Cinnamomi Cortex), Gan Jiang (Zingiberis Rhizoma) (each two liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried), Cang Zhu (Atractylodis Rhizoma) (soaked in rice water overnight), Suo Sha (Amomi Fructus), Ding Pi (Symplocos Bark? Or Clove Skin?), Bing Lang (Arecae Semen) (each four liang), E Zhu (Curcumae Rhizoma), San Leng (Sparganii Rhizoma), Fu Ling (Poria), Qing Pi (Citri Reticulatae Pericarpium Viride) (each six liang).
Grind into powder. Take three qian per dose with one liang of water and one stalk of scallion white with roots. Decoct and take hot on an empty stomach.
Baojian Jili Tang (Treasure Mirror Tribulus Decoction): Treats Yin Shan lower abdominal pain, difficulty urinating, cold extremities, or abdominal/hypochondriac oppression/pain.
Herbs: Ji Li (Tribuli Fructus) (remove spines), Fu Zi (Aconiti Lateralis Radix Preparata) (processed), Zhi Zi (Gardeniae Fructus) (remove skin, each half liang).
Grind into powder. Take three qian, decoct in water, take warm before meals.
Danxi Ting Tong San (Danxi Pain-Stopping Powder): Fast acting for Cold Shan pain.
Herbs: Zhi Ke (Aurantii Fructus) (fifteen pieces), Shan Zhi Zi (Gardeniae Fructus) (stir-fried), Tang Qiu Zi (Callicarpa Fructus), Wu Zhu Yu (Evodiae Fructus) (stir-fried), Li Zhi He (Litchi Semen) (processed, equal parts).
Grind into powder. Take one or two qian mixed with long-flowing water on an empty stomach.
Appendix: Lu Hui Wan (Aloe Pill) Formula: Treats Gan Pi muscle emaciation, fever/tidal fever, poor appetite, dry mouth/thirst, or Liver Gan food retention, sores in mouth/nose, gum erosion, etc.
Herbs: Lu Hui (Aloes), Hu Huang Lian (Picrorhizae Rhizoma), Huang Lian (Coptidis Rhizoma) (stir-fry until charred), Mu Xiang (Aucklandiae Radix), Bai Wu Ti (Alpiniae Oxyphyllae Fructus) (stir-fried), Qing Pi (Citri Reticulatae Pericarpium Viride) (each five qian), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium) (each one and a half liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (stir-fried, seven qian).
Grind into powder. Make pills with rice paste the size of paulownia seeds. Take 70-80 pills per dose with rice drink.