（附论）
夫伤寒热入血室。何以明之。室者屋室也。谓可以停止之处。人身之血室者。荣血停止
之所
阳明经
此。男
是也。
妇人
而入
谵语
言也
经有
而愈
胁下
日续
小柴
见鬼
甚者
随其
治之
热
恐
恐
门
耶
方
小柴胡汤（一名人参汤出卫生宝鉴）治妇人中风。七八日。续得寒热。发作
有
时。经水适断
后恶露。方来忽尔
半夏（二钱重） 柴胡（八钱重） 黄芩 人参 生干地黄 甘草（各三钱重） 上锉
每服五
钱。
所患
初。
从
了
矣
干姜柴胡汤（出永类钤方）治妇人伤寒。经水方来初断。寒热如疟。狂言见
鬼。
柴胡（四两） 桂枝（一两半） 栝蒌根（二两） 牡蛎 干姜 甘草（各二两） 上
咀。每服五
海蛤散（出活人书）治妇人伤寒血结。胸膈揉而痛不可抚近者。宜服之。凡
治
血结胸。法当
海蛤 滑石 甘草（各二两） 芒硝（一两） 上为细末。每服二钱。鸡子清调下。小
肠通
利则
更宜
治妇人伤寒。三五日。七八日。月经当行。或经水才去。作寒热。谵语见鬼。日轻
夜甚。此
上用四物汤等分加柴胡煎。如不退。用小柴胡汤入生地黄捣碎煎服。
小柴胡加牡丹皮汤（出拔粹方）治妇人伤寒。身热脉长而弦。属阳明少阳。
往
来寒热。夜躁
实者宜服此。
柴胡（二两） 黄芩（七钱半） 人参（二两） 半夏（六钱） 大枣（三枚） 甘草
（七钱半） 生姜
甘草芍药汤（出拔粹方） 治妇人伤寒。凡阳标病汗解。表除邪热内攻。热入血
室。经水过多
甘草 芍药 生地黄 川芎（各一两） 上锉细。每服一两。水三盏。煎至一盏半。去
滓入棕
干地黄汤（出活人书）治妇人伤寒瘥后。犹有余气不调者。谓之遗热。
干地黄（一两） 大黄 黄连 黄芩 柴胡 白芍药 甘草（各两半） 上 咀。每服
四钱。水
三黄丸（出危氏方）治妇人伤寒后。每遇午后。弃衣而走。不避亲疏。妄言
骂詈。
上即以三黄丸。别研辰砂为衣。新汲水下十丸效。未效再服。
牛黄膏 治热入血室。发狂不认人者。
牛黄（二钱半） 朱砂 郁金（各三钱） 脑子 甘草（各一钱） 牡丹皮（三钱） 上
为细末。炼
紫菀汤 治妇人热入血室。身热发作有时。咳痰胁下痛。嗜卧不食。
紫菀（一两） 续断（二两） 桔梗（二两） 竹茹 五味子 赤豆 甘草（炙） 熟
地黄 桑白皮
生地黄汤 治妇人热入血室。其血不止者。\x
生地黄 续断 白术（各一两） 甘草 紫菊叶（各半两） 上五味。以水三升。煮取
一升五合
（附论）
所谓伤寒热入血室，如何理解呢？“室”指的是屋室，即可以停留、停止的地方。人体内的血室，就是营血停留汇聚之处。
妇人……（此处原文残缺，意指妇人患病情况）。
……而入谵语言也……（此处原文残缺，意指邪气内陷导致胡言乱语）。
经有而愈……（此处原文残缺，意指月经来潮后病情可能自愈）。
胁下日续小柴见鬼甚者随其治之热恐恐门耶方……（此处原文为残句拼凑，意指胁下症状持续，出现幻觉如见鬼魅，病情严重，需根据具体情况治疗，涉及热证、恐惧感等，询问是否进入某门径，以及方剂问题）。
小柴胡汤（又名人参汤，出自《卫生宝鉴》）：治疗妇人中风。经过七八天，持续出现忽冷忽热的症状，发作有定时。此时月经刚刚中断。
药物组成：半夏（重二钱）、柴胡（重八钱）、黄芩、人参、生干地黄、甘草（各重三钱）。以上药材切碎。每次服用五钱。
所患初从了矣……（此处原文残缺，意指疾病初期从某处解决则痊愈）。
干姜柴胡汤（出自《永类钤方》）：治疗妇人伤寒。月经刚来时刚刚中断，出现像疟疾一样的寒热交替，胡言乱语，看见鬼魅。
药物组成：柴胡（四两）、桂枝（一两半）、栝蒌根（二两）、牡蛎、干姜、甘草（各二两）。以上药材捣碎。每次服用五钱。
海蛤散（出自《活人书》）：治疗妇人伤寒导致的血结胸证。表现为胸膈部揉按疼痛，甚至不能让人靠近触碰。应当服用此方。凡是治疗血结胸，法度应当……（后续残缺）。
药物组成：海蛤、滑石、甘草（各二两）、芒硝（一两）。以上研成细末。每次服用二钱，用鸡蛋清调服。小肠通利则……（后续残缺，意指通过利小便或通腑泄热来缓解）。更宜……（后续残缺）。
治疗妇人伤寒。经过三五天或七八天，月经应当来潮，或者月经刚结束，出现寒热往来、胡言乱语、看见鬼魅的症状，白天较轻，夜间加重。这是因为……（后续残缺，意指病机分析）。
上方使用四物汤等量加入柴胡煎煮。如果症状不退，使用小柴胡汤加入生地黄捣碎后煎服。
小柴胡加牡丹皮汤（出自《拔粹方》）：治疗妇人伤寒。身体发热，脉象长而弦，属于阳明和少阳合病。出现往来寒热，夜间烦躁不安，体内有实邪者适宜服用此方。
药物组成：柴胡（二两）、黄芩（七钱半）、人参（二两）、半夏（六钱）、大枣（三枚）、甘草（七钱半）、生姜……（后续残缺）。
甘草芍药汤（出自《拔粹方》）：治疗妇人伤寒。凡是阳证标病通过发汗解除，表邪已去，但邪热内攻，热入血室，导致月经量过多。
药物组成：甘草、芍药、生地黄、川芎（各一两）。以上切碎。每次服用一两，加水三盏，煎至一盏半，去渣滓，加入棕……（后续残缺，可能指棕榈炭等止血药）。
干地黄汤（出自《活人书》）：治疗妇人伤寒病愈后，仍有残余热气不调和的情况，这称为“遗热”。
药物组成：干地黄（一两）、大黄、黄连、黄芩、柴胡、白芍药、甘草（各一两半）。以上捣碎。每次服用四钱，加水……（后续残缺）。
三黄丸（出自《危氏方》）：治疗妇人伤寒后，每到午后，脱掉衣服奔跑，不避亲疏，胡言乱语，骂詈叫喊。
立即服用三黄丸，另将辰砂研细作为药衣，用新汲水送服十丸，见效；若未见效，再服用。
药物组成：牛黄（二钱半）、朱砂、郁金（各三钱）、脑子（冰片）、甘草（各一钱）、牡丹皮（三钱）。以上研成细末，炼蜜为膏……（后续残缺）。
紫菀汤：治疗妇人热入血室，身体发热且发作有定时，咳嗽咳痰，胁下疼痛，嗜睡不想进食。
(Attached Discussion)
Regarding the syndrome of "Heat entering the Blood Chamber" in Cold Damage (Shanghan), how is it understood? The term "Chamber" (Shi) refers to a room or dwelling, that is, a place where things can stop or reside. In the human body, the Blood Chamber is the location where Ying (Nutritive) Blood stops and gathers.
This involves the Yangming Meridian... [Text fragmentary]
Women... [Text fragmentary]
...entering and causing delirious speech... [Text fragmentary]
When menstruation occurs, recovery may follow... [Text fragmentary]
Hypochondriac symptoms persist daily; Xiao Chai Hu Tang is indicated if one sees ghosts or the condition is severe; treat according to the situation; heat; fear... [Text fragmentary, referring to hypochondriac fullness, hallucinations, severity, treatment principles, heat pathogen, and fear].
**Xiao Chai Hu Decoction** (also known as Renshen Decoction, from *Weisheng Baojian*): Treats women with Wind-Cold (Zhongfeng). After seven or eight days, continuous alternating chills and fever occur, with regular timing. At this time, the menstrual flow has just ceased.
Ingredients: Banxia (Pinelliae Rhizoma, 2 qian), Chaihu (Bupleuri Radix, 8 qian), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Sheng Gan Di Huang (Rehmanniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each 3 qian). The above herbs are sliced. Take 5 qian per dose.
[Fragmentary text regarding initial treatment resolution]
**Ganjiang Chaihu Decoction** (from *Yonglei Qianfang*): Treats women with Cold Damage (Shanghan). When menstruation has just begun and then ceases, presenting with chills and fever resembling malaria, delirious speech, and visual hallucinations of ghosts.
Ingredients: Chaihu (Bupleuri Radix, 4 liang), Guizhi (Cinnamomi Ramulus, 1.5 liang), Gualou Gen (Trichosanthis Radix), Muli (Ostreae Concha), Ganjiang (Zingiberis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 liang). The above herbs are crushed. Take 5 qian per dose.
**Haige San** (from *Ren Shu*): Treats blood-stasis chest binding (Xue Jie Xiong) in women with Cold Damage. Symptoms include pain in the chest and diaphragm upon palpation, so severe that the patient cannot tolerate touch. This formula should be administered. The principle for treating blood-stasis chest binding is... [Text fragmentary].
Ingredients: Haige (Arcae Shell), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma, each 2 liang), Mangxiao (Natrii Sulfas, 1 liang). The above are ground into fine powder. Take 2 qian per dose, mixed with egg white. Once the small intestine is unblocked... [Text fragmentary, implying relief through purgation or diuresis]. More suitable... [Text fragmentary].
For women with Cold Damage after three to five days or seven to eight days, when menstruation is due or has just ended, presenting with alternating chills and fever, delirium, visual hallucinations, lighter during the day and worse at night. This is due to... [Text fragmentary, pathogenesis analysis].
Use **Si Wu Tang** (Four Substances Decoction) in equal parts added with Chaihu (Bupleuri Radix) and decocted. If symptoms do not subside, use **Xiao Chai Hu Tang** (Minor Bupleurum Decoction) with Sheng Di Huang (Rehmanniae Radix) crushed and decocted.
**Xiao Chai Hu Jia Mudan Pi Decoction** (from *Ba Cui Fang*): Treats women with Cold Damage. Symptoms include fever, long and wiry pulse, indicating involvement of both Yangming and Shaoyang meridians. Presenting with alternating chills and fever, nighttime restlessness, and internal excess. This formula is suitable.
Ingredients: Chaihu (Bupleuri Radix, 2 liang), Huangqin (Scutellariae Radix, 7.5 qian), Renshen (Ginseng Radix et Rhizoma, 2 liang), Banxia (Pinelliae Rhizoma, 6 qian), Dazao (Jujubae Fructus, 3 pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 7.5 qian), Shengjiang (Zingiberis Rhizoma Recens)... [Text fragmentary].
**Gancao Shaoyao Decoction** (from *Ba Cui Fang*): Treats women with Cold Damage. When exterior syndromes of the Yang level are resolved by sweating, and the exterior pathogen is expelled, but residual heat attacks inward, entering the Blood Chamber, resulting in menorrhagia (excessive menstrual bleeding).
Ingredients: Gancao (Glycyrrhizae Radix et Rhizoma), Shaoyao (Paeoniae Radix), Sheng Di Huang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 liang). The above are finely sliced. Take 1 liang per dose, add 3 cups of water, decoct to 1.5 cups, remove dregs, and add palm... [Text fragmentary, likely Zonglü Tan/Catkin of Palm].
**Gan Dihuang Tang** (from *Ren Shu*): Treats residual heat imbalance after recovery from Cold Damage in women, termed "lingering heat."
Ingredients: Gan Di Huang (Rehmanniae Radix Preparata, 1 liang), Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma, each 1.5 liang). The above are crushed. Take 4 qian per dose, add water... [Text fragmentary].
**San Huang Wan** (from *Wei Shi Fang*): Treats post-Cold Damage syndrome in women where, every afternoon, they strip off clothes and run, disregarding propriety, speaking nonsense, and cursing.
Immediately administer **San Huang Wan**, coated with cinnabar powder, taken with fresh well-water, 10 pills per dose. Effective; if not effective, repeat.
**Niuhuang Gao**: Treats Heat entering the Blood Chamber, leading to mania and inability to recognize people.
Ingredients: Niuhuang (Calculus Bovis, 2.5 qian), Zhusha (Cinnabaris), Yujin (Curcumae Radix, each 3 qian), Naozhi (Borneol), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 qian), Mudanpi (Moutan Cortex, 3 qian). The above are ground into fine powder and made into a paste with honey... [Text fragmentary].
**Ziwan Tang**: Treats women with Heat entering the Blood Chamber, presenting with intermittent fever, cough with sputum, hypochondriac pain, lethargy, and anorexia.
Ingredients: Ziwan (Asteris Radix, 1 liang), Xuduan (Dianthi Herba, 2 liang), Jiegeng (Platycodonis Radix, 2 liang), Zhuru (Bambusae Caulis in Taeniam), Wuweizi (Schisandrae Chinensis Fructus), Chidou (Phaseoli Semen Rubrum), Gancao (Glycyrrhizae Radix et Rhizoma, processed), Shu Dihuang (Rehmanniae Radix Preparata), Sangbaipi (Mori Cortex)... [Text fragmentary].
**Sheng Dihuang Tang**: Treats women with Heat entering the Blood Chamber, presenting with persistent uterine bleeding.
Ingredients: Sheng Di Huang (Rehmanniae Radix), Xuduan (Dianthi Herba), Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Zijuye (Folium Perillae), each 0.5 liang. The above five herbs are boiled in 3 sheng of water to obtain 1.5 sheng... [Text fragmentary].