治妇人风虚，与鬼交通，妄有所见闻，言语杂乱。
茯神（一两半） 茯苓 人参 石菖蒲（各一两） 赤小豆（半两）
上 咀，每服三大钱。水一盏，煎至六分，去滓，食前温服。
治妇人与鬼魅交通。
辰砂 槟榔 当归 桃仁（各三分） 水银（一分，枣肉研令星尽） 麝香 阿魏（面
裹煨） 沉香（各半两）
上为细末，炼蜜丸如梧桐子大。空心，桃仁汤吞下十丸。
又方∶似辟瘟丹。
虎头骨（二两） 朱砂 雄黄 雌黄 鬼臼 皂荚 芜荑仁 鬼箭 藜芦（各一两）
上件生，为末，炼蜜为丸如弹子大，囊盛一丸，男左女右系臂上。及用一丸，当病患
户前烧之，一切邪鬼不敢进。
太乙神积丹、苏合香丸皆可用也。
论曰∶古人治病，先论其所主，男子调其气，妇人调其血。血室不蓄，则二气谐和；血
室凝结，则水火相刑。伤寒气口紧盛，即宜下；人迎紧盛，即宜汗。妇女左关浮紧不可下
，当发其汗以救血室。荣卫得和，津液自通，浃然汗出而解。仲景云∶妇人伤寒，经水适断
，昼日明了，暮则谵语，如见鬼状，此为热入血室。无犯胃气及上二焦。无犯胃气者，言不
可下也，小柴胡汤主之。若行汤迟则热入胃，令津燥中焦。上焦不荣成血结胸状，须当针期
门也。五行相克以生，相扶以出。平居之日，水常养于木，水木相生，则荣养血室；血室不
蓄，则脾无蕴积；脾无蕴积，则刚燥不生。刚燥既生，若犯胃气则昼夜谵语喜忘，小腹满，
小便利，属抵挡汤证也（伤寒胃实，谵语，宜下之；妇人热入血室谵语者，不可下也）。虽
然妇人伤寒与男子治法不同，男子先调气，妇人先调血，此大略之辞耳。要知脉紧无汗名伤
寒，脉缓有汗为伤风。热病脉洪大，中暑脉细弱，其证一也。假如中 用白虎，胃实用承气，
岂必调血而后行汤邪？仲景《伤寒论》所以不分妇人者，良亦在学人皆可随病，于男子药证
中以意选用也。
若妊妇伤寒，药性须凉，慎不可行桂枝、半夏、桃仁等药。小柴胡去半夏名黄龙汤，盖
为妊妇而去也。大抵产前先安胎，产后先补益，次服伤寒药。若病稍退，则止药不可尽剂，
此为大法。
黄帝问∶妇人重身，毒之奈何？岐伯曰∶有故无殒，亦无殒也。大积大聚，其可犯，衰
其大半，过其厄。
男子、妇人伤寒，仲景治法别无异议。比见民间有妇人伤寒方书，称仲景所撰，而王叔
和为之序。以法考之，间有可取，疑非古方，特假圣人之名，以信其说于天下。今取《金匮
玉函》治妇人伤寒，与俗方中可采者列为一卷。虽不足以尽妇人伤寒之详，并可以《百问》
中参用也。
妇人伤寒，发热恶寒，四肢拘急，口燥舌干，经脉凝滞，不得往来，宜桂枝红花汤。
治疗妇人因风邪虚损，与鬼魅交感，出现幻觉妄见，言语错乱杂沓。
茯神（一两半） 茯苓 人参 石菖蒲（各一两） 赤小豆（半两）
以上药物切碎，每次服用三大钱。用水一盏，煎煮至六分，滤去药渣，饭前温服。
治疗妇人与鬼魅交感。
辰砂 槟榔 当归 桃仁（各三分） 水银（一分，用枣肉研磨至水银星点消失） 麝香 阿魏（用面粉包裹煨制） 沉香（各半两）
以上药物研成细末，用炼蜜制成如梧桐子大小的丸剂。空腹时，用桃仁汤送服十丸。
又一方：类似辟瘟丹。
虎头骨（二两） 朱砂 雄黄 雌黄 鬼臼 皂荚 芜荑仁 鬼箭 藜芦（各一两）
以上药材生用，研成粉末，用炼蜜制成如弹子大小的丸剂，装入袋中随身携带一丸，男性系在左臂，女性系在右臂。另外取一丸，在病患的生殖器前焚烧，一切邪鬼不敢靠近。
太乙神积丹、苏合香丸也都可以使用。
论述说：古人治病，先讨论其主治方向，男子调理气机，女子调理血液。血室不瘀滞，则气血和谐；血室凝结，则水火相克。伤寒病见寸口脉紧盛，就应当使用下法；人迎脉紧盛，就应当使用汗法。妇女左关脉浮紧不可使用下法，应当发汗以救助血室。营卫调和，津液自然通畅，周身微微出汗而病解。张仲景说：妇人患伤寒，月经刚好停止，白天神志清楚，晚上则胡言乱语，如同见到鬼怪一样，这是热邪陷入血室。不要损伤胃气及上、中二焦。所谓“不要损伤胃气”，意思是不可使用下法，以小柴胡汤为主治方。如果服药迟缓，则热邪入胃，导致中焦津液干燥。上焦失养形成血结胸的症状，应当针刺期门穴。五行相生相克以生成万物，相互扶持以排出病邪。平时生活中，水常滋养木，水木相生，则荣养血室；血室不瘀滞，则脾脏无蕴积；脾脏无蕴积，则刚燥之气不生。刚燥之气既已产生，若侵犯胃气，则昼夜胡言乱语、健忘，小腹满胀，小便通利，属于抵挡汤证（伤寒胃实，胡言乱语，宜用下法；妇人热入血室胡言乱语的，不可用下法）。虽然妇人伤寒与男子的治疗方法不同，男子先调气，妇人先调血，这只是大略的说法。要知道脉紧无汗名为伤寒，脉缓有汗为伤风。热病脉象洪大，中暑脉象细弱，其症状表现是一致的。假如中暑用白虎汤，胃实用承气汤，难道一定要先调血然后再用药吗？张仲景《伤寒论》之所以不单独区分妇人，确实是因为学者可以根据病情，在男子的药证中酌情选用。
如果是孕妇患伤寒，药性必须清凉，千万不要使用桂枝、半夏、桃仁等药物。小柴胡汤去掉半夏名为黄龙汤，大概就是为了孕妇而设立的。大抵产前先安胎，产后先补益，然后才服用治疗伤寒的药物。如果病情稍退，就应停药，不可服完整个疗程，这是大法。
黄帝问：妇人怀孕身重，有毒之药该如何使用？岐伯说：有病则病受之，不会伤害母体，也不会伤害胎儿。对于大的积聚，可以攻伐，但病势消退大半后，就要停止，以免超过限度。
男子、妇人患伤寒，张仲景的治疗方法没有异议。近来看到民间有关妇人伤寒的方书，声称是张仲景所撰，王叔和作序。以方法考证，间或有可取之处，怀疑不是古方，只是假借圣人的名字，来使学说取信于天下。现在选取《金匮玉函》中治疗妇人伤寒的内容，以及俗方中可采纳的部分，列为一卷。虽然不足以详尽说明妇人伤寒的所有情况，也可以结合《百问》参酌使用。
妇人患伤寒，发热恶寒，四肢拘挛急迫，口燥舌干，经脉凝滞，气血运行不畅，适宜用桂枝红花汤。
Treats women suffering from wind deficiency, interaction with spirits, hallucinations and delusions, and disordered speech.
Fushen (Radix Poriae Cum Radice, 1.5 liang) Fuling (Poria, 1 liang) Renshen (Radix Ginseng, 1 liang) Shichangpu (Rhizoma Acori Tatarinowii, 1 liang) Chixiaodou (Phaseoli Semen Rubrum, 0.5 liang)
The above herbs are chopped. Take three qian per dose. Add one sheng of water, decoct until six fen remains, remove the dregs, and take warm before meals.
Treats women interacting with ghosts or demons.
Chensha (Cinnabar, 3 fen) Binglang (Arecae Semen, 3 fen) Danggui (Radix Angelicae Sinensis, 3 fen) Taoren (Persicae Semen, 3 fen) Shuiyin (Hydrargyrum, 1 fen, ground with jujube flesh until no mercury particles remain) Shexiang (Moschus, 0.5 liang)awei (Ferulae Resina, 0.5 liang, baked in flour coating) Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang)
Grind the above herbs into a fine powder. Mix with refined honey to form pills the size of sophora seeds. Take ten pills on an empty stomach, swallowed with Tao Ren Tang (Decoction of Persicae Semen).
Another prescription: Similar to Biwen Dan (Plague-Expelling Pill).
Hutougu (Ossis Tigridis, 2 liang) Zhusha (Cinnabar, 1 liang) Xionghuang (Realgar, 1 liang) Cihuang (Orpiment, 1 liang) Guijiu (Podophylli Rhizoma et Radix, 1 liang) Zaojiao (Gleditsiae Fructus Spinosus, 1 liang) Wuyiren (Chrysanthemi Indici Fructus, 1 liang) Guijian (Euonymi Ramulus cum Spina, 1 liang) Lilu (Veratri Rhizoma, 1 liang)
Process the above herbs raw, grind into powder, mix with refined honey to form pills the size of bullet seeds. Store one pill in a pouch and tie it to the arm; men on the left, women on the right. Additionally, burn one pill near the patient's genitalia; all evil spirits will dare not approach.
Taiyi Shenji Dan (Great One Divine Accumulation Pill) and Suhexiang Wan (Styrax Pill) can also be used.
Discussion states: In ancient times, when treating diseases, physicians first discussed the primary focus. For men, qi is regulated; for women, blood is regulated. If the Blood Chamber (Xueshi, uterus/blood reservoir) is not stagnant, then qi and blood harmonize; if the Blood Chamber is coagulated, then water and fire conflict. In cold damage disease, if the Cun Kou (radial artery at the wrist) pulse is tight and full, purgation should be used; if the Ren Ying (carotid artery) pulse is tight and full, diaphoresis should be used. For women, if the Left Guan pulse is floating and tight, purgation is contraindicated; instead, diaphoresis should be used to rescue the Blood Chamber. When Ying (nutritive) and Wei (defensive) harmonize, body fluids flow naturally, and the disease resolves through mild sweating. Zhang Zhongjing said: "When a woman suffers from cold damage and her menstruation has just ceased, she is clear during the day but delirious at night, seeing things as if they were ghosts. This is heat entering the Blood Chamber." Do not injure Stomach Qi or the Upper and Middle Jiao. "Do not injure Stomach Qi" means do not use purgation; Xiao Chaihu Tang (Minor Bupleurum Decoction) is the main formula. If treatment is delayed, heat enters the Stomach, causing dryness in the Middle Jiao. The Upper Jiao fails to nourish, resulting in symptoms resembling Blood Congestion Chest Syndrome, requiring acupuncture at Qimen (LR14). Five Elements generate each other through mutual restriction and support each other to expel pathogens. In normal health, Water nourishes Wood; Water and Wood generate each other, thus nourishing the Blood Chamber. If the Blood Chamber is not stagnant, the Spleen has no accumulation; if the Spleen has no accumulation, rigid dryness does not arise. Once rigid dryness arises, if it invades Stomach Qi, it causes day-and-night delirium and forgetfulness, lower abdominal fullness, and free urination, which belongs to the Dandang Tang (Resist the Dead Decoction) syndrome (In cold damage with Stomach excess and delirium, purgation is indicated; however, in women with heat entering the Blood Chamber and delirium, purgation is contraindicated). Although the treatment for women's cold damage differs from men's, with men regulating qi first and women regulating blood first, this is only a general statement. One must know that a tight pulse without sweat indicates Cold Damage, while a slow pulse with sweat indicates Wind Injury. Heat diseases present with a large, flooding pulse; heatstroke presents with a thin, weak pulse, yet their clinical manifestations may appear similar. For example, if heatstroke is treated with Baihu Tang (White Tiger Decoction), and Stomach excess is treated with Chengqi Tang (Order the Qi Decoction), why must blood regulation precede herbal administration? The reason Zhang Zhongjing's Shanghan Lun (Treatise on Cold Damage) does not separate women is likely because scholars can select appropriate formulas based on the patient's condition from the male prescriptions.
If a pregnant woman suffers from cold damage, the medicinal properties must be cooling. Avoid using Guizhi (Cinnamon Twig), Banxia (Pinellia Rhizome), Taoren (Persicae Semen), etc. Xiao Chaihu Tang with Banxia removed is named Huanglong Tang (Yellow Dragon Decoction), presumably established for pregnant women. Generally, before delivery, the fetus should be stabilized; after delivery, tonification should be prioritized, followed by treatment for cold damage. If the illness subsides slightly, stop medication and do not complete the full course; this is the general principle.
The Yellow Emperor asked: How should toxic medicines be used for a heavily pregnant woman? Qibo replied: "If there is a disease, the disease bears the toxicity, so neither the mother nor the fetus is harmed." For large accumulations and masses, attack may be permitted, but once the pathogen is reduced by more than half, stop to avoid exceeding the limit.
For cold damage in both men and women, Zhang Zhongjing's treatment methods are consistent without dispute. Recently, I have seen folk books on women's cold damage claiming to be written by Zhang Zhongjing with a preface by Wang Shuhe. Examining the methods, some are useful, but they are suspected not to be ancient prescriptions, merely borrowing the sage's name to gain credibility. Now, I have selected treatments for women's cold damage from Jin Gui Yu Han (Golden Cabinet Jade Box) and useful parts from common prescriptions, compiling them into one volume. Although this is insufficient to detail all aspects of women's cold damage, it can be used in conjunction with Bai Wen (Hundred Questions).
When women suffer from cold damage with fever and aversion to cold, limb stiffness and spasms, dry mouth and tongue, stagnant meridians, and impaired circulation, Guizhi Honghua Tang (Cinnamon Twig and Safflower Decoction) is suitable.