（附论）
冷热不调。饮食不节。思虑不绝。喜怒不时。气弱血虚。触冒风邪。冷气入于龙门。邪
气传
阳气
块硬
珀丸
儒门事亲云。沈丘王宰妻病胸膈不利。只流涎沫。自言咽下胃中。常雷声。心间时作微
痛。
药不损
中有
十
中
尽
方
当归丸（出千金方）治妇人脐下症结刺痛。如虫所啮。及如锥刀所刺。或赤
白
带下十二疾。
当归 葶苈 附子 吴茱萸 大黄（各二两） 黄芩 桂心 干姜 牡丹 芎 （各一
两半）
虫水蛭（各五
露丸（济生拔萃）治伤寒于内。气凝不流。结于肠外。久为症瘕。时作疼
痛。腰不得伸。
荆三棱 莪术（各一两锉二味并酒浸） 干漆（五分洗去腥炒烟尽） 茴香（三钱盐炒）
砂（
穿山甲
（炮
除别
酒亦
见 丹（出济生拔萃方）治客寒于下焦。血气闭塞。而成瘕。坚大久不消
者。
附子（四钱炮去皮脐） 鬼箭羽（三钱） 泽泻 肉桂 玄胡 木香（各二钱） 紫石
英（三
钱）
炒黄色三
十个）
同为
细末和
三圣丸 治积血症瘕块癖。诸药疗理不瘥者。
舶上硫黄（一两） 水银（半两） 砂（炒去石一分） 上三物乳盆内细研如粉。却
生铁铫
内。
次
半。
漉
结
温
干姜（半两） 真蒲黄 芫花（各二分醋炒焦黄） 上为末。以前一般糊丸如绿豆大。
治女
人血
枳实槟榔丸（出医方大成）治妇人症瘕。块有似妊孕。服此药安养胎气。调
和
经候。血气通
枳壳（炒一作枳实） 槟榔 黄连 黄柏（去皮） 黄芩 当归 阿胶（蛤粉炒别研） 木
香
（各
桂枝茯苓丸（出金匮方）治妇人宿有症瘕。妊娠经断未及三月即动。此症
也。
经断三月。时
前三月经水利时胎
症。
桂心（不焙） 茯苓 牡丹皮 桃仁（去皮尖麸炒） 芍药（各等分） 上为末。炼蜜
丸如弹
子大
治子门闭。血聚腹中。生肉症。脏寒所致方。（出千金方）
干漆（半斤） 生地黄汁（三斤） 生牛膝汁（一斤） 上先捣漆末纳汁中搅。微火煎
为丸如
梧桐
治卒暴症腹中有如刺。昼夜啼。
上用牛膝二斤。以酒二斗渍。密封热火灰中温。令味出。服五合至一升量。力服。
治症瘕（出华佗中藏经）
大黄（湿纸裹煨） 砂 三棱（湿纸裹煨乘热细锉） 干漆（炒至烟尽） 巴豆（去
皮出油
各一
一两
半）
治妇人小肠症瘕诸疾。（本草）
以 末服之。梁四公子传曰。交河之间。平碛中掘深一丈。下有 珀。黑逾纯漆。或大
如车
治卒暴症。腹中有物。坚如石痛欲死。（出本草）
取蒴 根一小束。洗沥去水。细擘。酒二升渍三宿。暖温服五合至一升。日三。若欲速
得服
治妇人月闭。风气。羸瘦症瘕。久服令人有子。\x（出本草）
取木麻以烧酒服。
（附论）
冷热不调和。饮食没有节制。思虑无休止。喜怒情绪不加控制。气弱血虚。触犯冒犯风邪。冷气进入龙门（指下焦或肾间动气之处）。邪气传导至阳气（此处原文似有脱漏，结合语境指阻碍阳气运行），形成块状硬物。
《儒门事亲》记载：沈丘王宰的妻子患胸膈部气机不畅。只流涎沫。自己说咽下到胃中。经常发出雷声（肠鸣音）。心间时常产生轻微疼痛。药物不损伤（正气/脾胃？此处原文“药不损”语意不明，疑为脱文或特定术语，暂译为药物未造成损害或药效不佳），中间有（积滞？），十（分？），中（病？），尽（痊愈？），方（法？）。
当归丸（出自《千金方》）治疗妇人脐下症结刺痛。像被虫咬一样。以及像锥子刀子刺一样。或者赤白带下十二种疾病。
当归、葶苈、附子、吴茱萸、大黄（各二两）、黄芩、桂心、干姜、牡丹皮、川芎（各一两半）。
露丸（出自《济生拔萃方》）治疗伤寒在体内。气凝滞不流动。结于肠外。日久成为症瘕。时常发作疼痛。腰部不能伸展。
京三棱、莪术（各一两，锉碎，两种药并用酒浸泡）、干漆（五分，洗净去腥，炒至烟尽）、小茴香（三钱，盐炒）、砂仁（...）、穿山甲（炮制...）。除别处... 酒也...
见丹（出自《济生拔萃方》）治疗客寒在下焦。血气闭塞。而成瘕。坚硬巨大长久不消退的。
附子（四钱，炮制去皮脐）、鬼箭羽（三钱）、泽泻、肉桂、玄胡索、木香（各二钱）、紫石英（三钱）。炒黄色三个... 十个）。共同成为细末调和...
三圣丸 治疗积血症瘕块癖。各种药物治疗不愈的。
舶上硫黄（一两）、水银（半两）、砂（炒去石一分）。以上三种物品在乳钵内细细研磨如粉。却放入生铁铫内。次... 半。漉... 结... 温...
干姜（半两）、真蒲黄、芫花（各二分，醋炒焦黄）。上面成为末。以前一般糊丸如绿豆大。治疗女人血...
枳实槟榔丸（出自《医方大成》）治疗妇人症瘕。块状类似怀孕。服用此药安养胎气。调和月经周期。血气通畅。
枳壳（炒，一作枳实）、槟榔、黄连、黄柏（去皮）、黄芩、当归、阿胶（蛤粉炒，别研）、木香（各...）。
桂枝茯苓丸（出自《金匮要略》方）治疗妇人素有症瘕。妊娠经断未满三月即动。这是症... 经断三月。时... 前三个月经水通利时胎... 症。
桂心（不焙）、茯苓、牡丹皮、桃仁（去皮尖，麸炒）、芍药（各等分）。上面成为末。炼蜜丸如弹子大。
治疗子门闭。血聚腹中。生肉症。脏寒所致方。（出自《千金方》）
干漆（半斤）、生地黄汁（三斤）、生牛膝汁（一斤）。上面先捣漆末纳入汁中搅拌。微火煎为丸如梧桐子大。
治疗卒暴症。腹中有如刺。昼夜啼哭。
上面用牛膝二斤。以酒二斗浸泡。密封热火灰中温热。令味道出来。服五合至一升量。强力服用。
治疗症瘕（出自《华佗中藏经》）
大黄（湿纸裹煨）、砂、三棱（湿纸裹煨乘热细锉）、干漆（炒至烟尽）、巴豆（去皮出油... 各一... 一两半）。
治疗妇人小肠症瘕诸疾。（出自《本草》）
以... 末服之。梁四公子传曰。交河之间。平碛中掘深一丈。下有... 珀。黑逾纯漆。或大如车...
治疗卒暴症。腹中有物。坚如石痛欲死。（出自《本草》）
取蒴藋根一小束。洗沥去水。细擘。酒二升渍三宿。暖温服五合至一升。日三。若欲速得服...
(Attached Discussion)
Imbalance of cold and heat. Irregular diet. Unceasing worry and thought. Uncontrolled anger and joy. Weak qi and deficient blood. Exposure to wind pathogens. Cold qi enters the Longmen (gate of dragon, referring to the lower jiao or kidney qi source). Pathogenic qi transmits to yang qi [text incomplete], forming hard masses.
*Rumen Shiqin* records: The wife of Wang Zai from Shenqiu suffered from chest and diaphragm obstruction. She only produced saliva. She stated it was swallowed into the stomach. There were frequent borborygmi (rumbling sounds like thunder). Occasional mild pain in the heart region. Medicines did not cause damage [text unclear/incomplete], middle has [accumulation?], ten [parts?], middle [disease?], complete [cure?], method [formula?].
Danggui Wan (from *Qianjin Fang*) treats women with stabbing pain in the umbilical region due to zheng and jia masses. It feels like being bitten by insects, or pierced by awls and knives. Or twelve types of leukorrhea with red and white discharge.
Dang Gui (Angelicae Sinensis Radix), Ting Li (Descurainiae Semen seu Lepidii Semen), Fu Zi (Aconiti Lateralis Radix Praeparata), Wu Zhu Yu (Evodiae Fructus), Da Huang (Rhei Radix et Rhizoma) (each 2 liang); Huang Qin (Scutellariae Radix), Gui Xin (Cinnamomi Ramulus), Gan Jiang (Zingiberis Rhizoma), Mu Dan Pi (Moutan Cortex), Xiong Duan (Ligustici Chuanxiong Rhizoma) (each 1.5 liang).
Lu Wan (from *Jisheng Bahui*) treats internal shanghan (cold damage). Qi stagnates and does not flow. Knots outside the intestines. Over time becomes zhengjia (masses). Occasional pain. Waist cannot extend.
San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma) (each 1 liang, cut into pieces, soaked in wine for both); Gan Qi (Drynariae Rhizoma / Cinnabar? Context suggests Drynaria or similar resinous substance, but text says Gan Qi usually implies Cinnabar or processed lac; here likely Lacca / Dragon's Blood processed lac, "wash away fishy smell, stir-fry until smoke ceases"); Huixiang (Foeniculi Fructus) (3 qian, salt-stir-fried); Sha Ren (Amomi Fructus) (...); Chuan Shan Jia (Manis Squama) (prepared)... Remove separately... Wine also...
Jian Dan (from *Jisheng Bahui Fang*) treats external cold in the lower jiao. Blood and qi are blocked. Forming jia (masses). Hard, large, and persisting for a long time without resolving.
Fu Zi (Aconiti Lateralis Radix Praeparata) (4 qian, prepared, peel skin, remove navel); Gui Jian Yu (Euodiae Fructus / Araliae Spinae Ramulus? Text says Gui Jian Yu, usually Euodiae Fructus or specific branch; WHO term for Euodiae Fructus is Wu Zhu Yu, but Gui Jian Yu often refers to *Spatholobus* or *Euodia*. Given context of cold/blood stasis, likely *Euodiae Fructus* or similar warming blood breaker. Let's use *Euodiae Fructus* if distinct from Wu Zhu Yu, or *Spatholobi Caulis* if different. Standard TCM: Gui Jian Yu is often *Euodiae Fructus* or *Spatholobus*. In this formula context with Fu Zi/Rou Gui, it's likely a blood-moving herb. Let's stick to literal *Gui Jian Yu*); Ze Xie (Alismatis Rhizoma), Rou Gui (Cinnamomi Cortex), Yan Hu Suo (Corydalis Rhizoma), Mu Xiang (Aucklandiae Radix) (each 2 qian); Zi Shi Ying (Quartzum Rubrum) (3 qian). Stir-fry until yellow, three... ten). Grind together into fine powder and mix...
Sansheng Wan (Three Holy Pills) treats ji xue (accumulated blood), zheng jia, kuai pi (masses and癖). Cases where various medicines have failed to cure.
Bo Shang Liu Huang (Sulfur imported from overseas) (1 liang); Shui Yin (Hydrargyrum) (0.5 liang); Sha (Realgar / Auripigmentum? Text says Sha, likely Shi Gao or similar mineral, but context with Liu Huang/Shui Yin suggests cinnabar or realgar. "Sha" alone often means Realgar or Cinnabar. Let's assume Realgar *Realgar* or Cinnabar *Cinnabaris*). These three substances are ground finely in a mortar like powder. Then placed in a raw iron pot. Next... half. Filter... Knot... Warm...
Gan Jiang (Zingiberis Rhizoma) (0.5 liang); Zhen Pu Huang (Typhae Pollen); Yuan Hua (Genkwa Flos) (each 2 fen, stir-fried with vinegar until scorched yellow). Make into powder. Use previous paste to make pills the size of mung beans. Treat women's blood...
Zhishi Binglang Wan (from *Yifang Dacheng*) treats women's zheng jia. Masses resembling pregnancy. Taking this medicine nourishes fetal qi. Harmonizes menstruation. Promotes free flow of blood and qi.
Zhi Qiao (Aurantii Fructus, stir-fried, alternatively Zhishi); Bing Lang (Arecae Semen); Huang Lian (Coptidis Rhizoma); Huang Bo (Phellodendri Cortex, peeled); Huang Qin (Scutellariae Radix); Dang Gui (Angelicae Sinensis Radix); E Jiao (Colla Corii Asini) (stir-fried with clam powder, ground separately); Mu Xiang (Aucklandiae Radix) (each...).
Guizhi Fuling Wan (from *Jinkui Yaolue*) treats women who have had zheng jia masses previously. During pregnancy, menstruation stops for less than three months and then movement occurs. This is a zheng condition. Menstruation stopped for three months. At times... When menstruation was smooth in the first three months, the fetus... Zheng.
Gui Xin (Cinnamomi Ramulus, unroasted); Fu Ling (Poria); Mu Dan Pi (Moutan Cortex); Tao Ren (Persicae Semen, peel and tip removed, bran-roasted); Shao Yao (Paeoniae Radix Alba) (equal parts). Make into powder. Refine honey to make pills the size of quail eggs.
Treats closure of the zi men (cervix). Blood accumulates in the abdomen. Generates flesh zheng. Caused by cold in the zang organs. Formula (from *Qianjin Fang*).
Gan Qi (Processed Lacca / Dragon's Blood) (0.5 jin); Sheng Di Huang Zhi (Rehmanniae Radix Juice) (3 jin); Sheng Niu Xi Zhi (Cyathulae Radix Juice) (1 jin). First pound the gan qi into powder, add to juice, stir. Simmer over low heat to make pills the size of paulownia seeds.
Treats sudden acute zheng. Stabbing pain in the abdomen. Crying day and night.
Use 2 jin of Niu Xi (Cyathulae Radix). Soak in 2 dou of wine. Seal tightly and warm in hot fire ash. Allow the flavor to extract. Take 5 he to 1 sheng according to strength. Administer strongly.
Treats zheng jia (from *Huato Zhongzangjing*).
Da Huang (Rhei Radix et Rhizoma, wrapped in wet paper and baked); Sha (Mineral); San Leng (Sparganii Rhizoma, wrapped in wet paper, baked, cut finely while hot); Gan Qi (Processed Lacca, stir-fried until smoke ceases); Ba Dou (Crotonis Fructus, peel removed, oil expressed... each 1... 1 liang 0.5 qian).
Treats various diseases of female small intestine zheng jia. (From *Bencao*).
Take ... powder and ingest. *Liang Si Gongzi Zhuan* says: Between Jiaohe, digging deep one zhang in the flat gravel, there is ... Po (Amber?). Blacker than pure lacquer. Sometimes as large as a cart wheel.
Treats sudden acute zheng. Object in abdomen. Hard as stone, painful to the point of death. (From *Bencao*).
Take a small bundle of Shuo Dao Gen (Araliae Chinensis Radix / or similar root). Wash and drain water. Break finely. Soak in 2 sheng of wine for three nights. Warm and take 5 he to 1 sheng. Three times a day. If desiring rapid effect, take...
Treats female amenorrhea (yue bi). Wind pathogen. Emaciation and zheng jia. Long-term use enables conception. (From *Bencao*).
Take Mu Ma (Hemp / Cannabis?) taken with roasted wine.