右三味，末之，炼蜜为丸，如小豆大，饮服三丸，日三服。
妊娠，有水气，小便不利，洒淅恶寒，起即头眩，葵子茯苓散主之。
葵子获苓散方
右二味，杵为散，饮服方寸匙，日三服，小便利则愈。
妇人妊娠，身无他病，宜常服当归散，则临产不难，产后亦免生他病。
当归散方
右五味，杵为散，酒服方寸匙，日再服。
妊娠，身有寒湿，或腹痛，或心烦，心痛，不能饮食，其胎跃跃动者，宜养之，白术散主之。
白术散方
右四味，杵为散，酒服一钱匙，日三服，夜一服。
妇人怀身七月，腹满不得小便，从腰以下如有水状，此太阴当养不养，心气实也，宜泻劳官，关元，小便利则愈。
问曰：新产妇人有三病，一者病痉，二者郁冒，三者大便难，何谓也?师曰：新产血虚多汗出，喜中风，故令病痉；亡血，复汗，寒多，故令郁冒；亡津液胃燥，故大便难。
产妇郁冒，其脉微弱，呕不能食，大便反坚，但头汗出。所以然者，血虚而厥，厥则必冒，冒家欲解，必大汗出；以血虚下厥，孤阳上出，故头汗出也。所以产妇喜汗出者，亡阴血虚，阳气独盛，故当汗出，阴阳乃复；大便坚，呕不能食者，小柴胡汤主之。
小柴胡汤方
柴胡半斤黄芩三两人参三两甘草三两半夏半升(洗)生姜三两(切)大枣十二枚(劈)
右七味，以水一斗，煮取六升，去滓，再煎取三升，温服一升，日三服。
大承气汤方
右四味，以水一斗，先煮二物，取五升，去滓，纳大黄，更煮取二升，去滓，纳芒硝，更上微火一两沸，分温再服，得下，停后服。
右三味，以水八升煮取三升，去滓，温服一升，日三服。
右二味，杵为散，服方寸匙，日三服，麦粥和下之。
师曰：产后腹痛，法当以枳实、芍药散；假令不愈，必腹中有瘀血著脐下也，下瘀血汤主之。
下瘀血汤方
右三味，末之，炼蜜和丸，以酒一升，煮取八合，顿服之，当下血如豚肝。
产后七八日，无太阳证，少腹坚痛，此恶露不尽也；若不大便，烦躁，发热，脉微实者，宜和之；若日晡所烦躁，食则谵语，至夜即愈者，大承气汤主之。(方见前)
产后中风，数十日不解，头痛，恶寒，发热，心下满，干呕，续自微汗出，小柴胡汤主之。(方见前)
产后中风，发热，面赤，头痛，汗出而喘，脉弦数者，竹叶汤主之。
竹叶汤方
竹叶一把葛根三两桔梗一两人参一两甘草一两生姜五两大枣十五枚(劈)
右七味，以水八升，煮取三升，去滓，温服一升，日三服。
竹皮大丸方
右五味，末之，枣肉和丸，如弹子大，饮服一丸，日三服，夜二服，有热者倍白薇。
右六昧，以水五升，先煮五味，取三升，去滓，纳胶烊消，分温三服。
右五味，以水一斗，煮取四升，去滓，分温四服，日三服，夜一服，苦痛者，去苏叶，加桔梗二两。
妇人脏燥，悲伤欲哭，数欠伸，象如神灵所作者，甘草小麦大枣汤主之。
右三味，以水六升，煮取三升，去滓，分温三服。
妇人吐涎沫，医反下之，心下即痞，当先治其吐涎沫，后治其痞，治吐宜桔梗甘草茯苓泽泻汤；治痞宜泻心汤。
右四味，以水五升，煮取三升，去滓，温服一升，日三服。
泻心汤方
右二味，以麻沸汤二升，渍之，须臾绞去滓，分温再服。
妇人之病，因虚积冷结，为诸经水断绝，血结胞门。或绕脐疼痛，状如寒疝；或痛在关元，肌若鱼鳞；或阴中掣痛，少腹恶寒；或引腰脊，或下气街；此皆带下。万病一言，察其寒、热、虚、实、紧、弦、行其针药，各探其源，子当辨记，勿谓不然。
问曰：妇人年五十所，病下血数十日不止，暮即发热，少腹里急，腹满，手掌烦热，唇口干燥，何也?师曰：此病属带下，何以知之?曾经半产，瘀血在少腹不去，故唇口干燥也，温经汤主之。
温经汤方
吴茱萸三两当归二两芎䓖二两芍药二两人参二两桂枝二两阿胶二两牡丹皮二两甘草二两生姜二两
右十味，以水一斗，煮取三升，去滓，日三服，每服一升，温饮之。
经水不利，少腹满痛，或一月再经者，王瓜根散主之。阴肿者，亦主之。
王瓜根散方
右四味，杵为散，酒服方寸匙，日三服。
旋覆花汤方
旋覆花三两葱十四茎新绛少许。
右三味，以水三升，煮取一升，去滓，顿服之。
黄芪三两当归半两
右二味，以水五升，煮取三升，去滓，温服一升，日三服。
胶汤姜方
阿胶三两地黄六两芎䓖二两生姜三两(切)当归三两芍药三两甘草二两(炙)
右七味，以水五升，清酒三升，先煮六味，取三升，去滓，
纳胶烊消，温服一升，日三服。
妇人少腹满，如敦状，小便微难而不渴，或经后产后者，此为水与血俱结在血室也，大黄甘遂阿胶汤主之。
右三味，以水三升，煮二味，取一升，去滓，纳胶烊消，温顿服之。
抵当汤方
右四味，以水五升，煮取三升，去滓，温服一升，不下更服。
矾石丸方
右二昧，末之，炼蜜为丸，枣核大，纳脏中，剧者再纳之。
红蓝花酒方
红蓝花一两
右一味，以酒一斗，煎减半，去滓，分温再服。
妇人腹中诸病痛者，当归芍药散主之；小建中汤亦主之；当归芍药散见前。
小建中汤方
桂枝三两芍药六两甘草三两(炙)生姜三两(切)大枣干二枚(劈)饴糖一升
右六味，以水七升，煮取三升，去滓，纳胶饴，更上微火消解，温服一升，日三服。
师曰：此名转胞，不得溺也，以胞系了戾，故致此病，但利小便则愈，肾气丸主之。
贤气丸方
地黄八两薯蓣四两山茱萸四两泽泻三两牡丹皮三两茯苓三两桂枝一两附子一枚(炮)
右八味，末之，炼蜜和丸，梧桐子大，温酒下十五丸，日再服，不知渐增，至二十五丸。
蛇床子散方
蛇床子一两
右一味，末之，以白粉少许，和合相得，如枣大，棉裹纳阴中，自温。
狼牙汤方
狼牙三两
右一味，以水四升，煮取半升，去滓，以绵缠箸如茧大，浸汤沥阴中，洗之，日四遍。
猪膏发煎方
猪膏半斤乱发三枚(如鸡子大)
右二味，和膏煎之，发消药成，分再服。
桂林古本伤寒杂病论上
以上三味药，研成细末，用炼过的蜂蜜制成丸药，大小如小豆，每次用水送服三丸，每日服用三次。
妊娠期间，体内有水气停留，小便不通利，身体感觉寒冷战栗，起身时感到头晕目眩，应当用葵子茯苓散主治。
葵子茯苓散方剂组成：
以上两味药，捣碎研成散剂，每次用水送服一方寸匕（约5-10克），每日服用三次，待小便通利后病即痊愈。
妇女怀孕，身体没有其他疾病，适宜常服当归散，这样分娩时就不会困难，产后也能避免发生其他疾病。
当归散方剂组成：
以上五味药，捣碎研成散剂，每次用酒送服一方寸匕，每日服用两次。
妊娠期间，身体感受寒湿，或者出现腹痛，或者心烦、心痛，不能进食，胎儿躁动不安者，应当予以调养，用白术散主治。
白术散方剂组成：
以上四味药，捣碎研成散剂，每次用酒送服一钱匕，每日服用三次，夜间加服一次。
妇女怀孕到第七个月，腹部胀满，小便不通，腰部以下感觉像有水状物积聚，这是太阴脾土当养胎而未能养好，导致心气实盛所致，适宜针刺劳宫穴、关元穴，待小便通利后病即痊愈。
问：刚生产完的产妇有三种病，一种是痉病，一种是郁冒，一种是大便难，这是什么意思呢？老师说：刚生产后血虚且多汗出，容易受风邪侵袭，所以导致痉病；失血之后又出汗，寒气较多，所以导致郁冒；津液亏损导致胃燥，所以导致大便难。
产妇出现郁冒，脉象微弱，呕吐不能进食，大便反而干结，只有头部出汗。之所以这样，是因为血虚导致厥逆，厥逆则必然昏冒，患郁冒病想要解除，必须全身大汗出；因为血虚导致下部厥冷，孤阳上浮外越，所以只有头部出汗。所以产妇喜欢出汗的原因，是因为亡失阴血导致血虚，阳气独盛，所以应当通过出汗来调和，阴阳才能恢复平衡；如果大便干结，呕吐不能进食，用小柴胡汤主治。
小柴胡汤方剂组成：
柴胡半斤，黄芩三两，人参三两，甘草三两，半夏半升（洗净），生姜三两（切片），大枣十二枚（掰开）。
以上七味药，用水一斗，煮取六升，滤去药渣，再煎煮取三升，温服一升，每日服用三次。
郁冒病解除后，能够进食，过了七八天又出现发热，这是胃中有实热，用大承气汤主治。
大承气汤方剂组成：
大黄四两（酒洗），厚朴半斤（炙过去皮），枳实五枚（炙过），芒硝三合。
以上四味药，用水一斗，先煮厚朴和枳实两味药，取五升，滤去药渣，加入大黄，再煮取二升，滤去药渣，加入芒硝，再用小火微沸一两分钟，分两次温服，如果大便通畅，停止后续服药。
当归生姜羊肉汤方剂组成：
以上三味药，用水八升，煮取三升，滤去药渣，温服一升，每日服用三次。
产后腹痛，伴有烦闷胀满，无法躺卧，不可使用攻下法，适宜用枳实芍药散调和。
枳实芍药散方剂组成：
以上两味药，捣碎研成散剂，每次服用一方寸匕，每日服用三次，用麦粥送服以调和脾胃。
老师说：产后腹痛，按照法则应当用枳实芍药散；假如服药后不愈，必定是腹中有瘀血凝结在脐下，用下瘀血汤主治。
下瘀血汤方剂组成：
以上三味药，研成细末，用炼蜜调和制成丸药，用酒一升，煮取八合，一次性服用，应当排出如猪肝色的瘀血。
产后七八天，没有太阳表证，少腹部坚硬疼痛，这是恶露不尽；如果不大便，烦躁，发热，脉象微实，适宜调和；如果傍晚时分烦躁，进食后说胡话，到了夜里就痊愈的，用大承气汤主治。（方剂见前文）
产后中风，几十天病情未解，头痛，恶寒，发热，心下痞满，干呕，持续有轻微汗出，用小柴胡汤主治。（方剂见前文）
产后中风，发热，面色红赤，头痛，出汗且气喘，脉象弦数，用竹叶汤主治。
竹叶汤方剂组成：
竹叶一把，葛根三两，桔梗一人两，人参一两，甘草一两，生姜五两，大枣十五枚（掰开）。
以上七味药，用水八升，煮取三升，滤去药渣，温服一升，每日服用三次。
产后心烦意乱，呕吐逆气，没有外感表证的，这是乳中气血虚弱，用竹皮大丸主治。
竹皮大丸方剂组成：
以上五味药，研成细末，用枣肉调和制成丸药，大小如弹子，每次用水送服一丸，每日服用三次，夜间服用两次，如果有热象，加倍使用白薇。
白头翁加甘草阿胶汤方剂组成：
白头翁二两，黄连三两，黄柏三两，秦皮三两，甘草二两，阿胶二两。
以上六味药，用水五升，先煮前五味药，取三升，滤去药渣，加入阿胶使其溶化，分三次温服。
妇女咽喉中感觉如有烤肉块梗阻者，用半夏厚朴茯苓生姜汤主治。
半夏厚朴茯苓生姜汤方剂组成：
以上五味药，用水一斗，煮取四升，滤去药渣，分四次温服，每日服用三次，夜间服用一次，如果疼痛剧烈，去掉苏叶，加入桔梗二两。
妇女脏躁，悲伤想哭，频繁打哈欠伸懒腰，症状像被神灵附体一样，用甘草小麦大枣汤主治。
甘草小麦大枣汤方剂组成：
以上三味药，用水六升，煮取三升，滤去药渣，分三次温服。
妇女吐涎沫，医生反而使用攻下法，导致心下痞塞，应当先治疗吐涎沫，后治疗痞证，治疗吐涎沫适宜用桔梗甘草茯苓泽泻汤；治疗痞证适宜用泻心汤。
桔梗甘草茯苓泽泻汤方剂组成：
以上四味药，用水五升，煮取三升，滤去药渣，温服一升，每日服用三次。
泻心汤方剂组成：
以上两味药，用滚开的麻沸汤二升浸泡，片刻后绞去药渣，分两次温服。
妇女的疾病，由于虚损积冷凝结，导致月经断绝，血液凝结在胞门。或者绕脐疼痛，形状像寒疝；或者疼痛在关元穴处，皮肤干燥如鱼鳞；或者阴中掣痛，少腹怕冷；或者牵引腰脊，或者向下气街穴放射；这些都是带下病。万病归结为一句话，观察其寒、热、虚、实、紧、弦的脉象，施行针药治疗，探求病因根源，你要辨别记住，不要说不以为然。
问：妇女五十岁左右，患病下血几十天不止，傍晚发热，少腹里急，腹部胀满，手掌烦热，嘴唇口舌干燥，这是什么原因？老师说：此病属于带下范畴，怎么知道的呢？曾经有过小产，瘀血留在少腹没有去除，所以导致嘴唇口舌干燥，用温经汤主治。
温经汤方剂组成：
吴茱萸三两，当归二两，川芎二两，芍药二两，人参二两，桂枝二两，阿胶二两，牡丹皮二两，甘草二两，生姜二两。
以上十味药，用水一斗，煮取三升，滤去药渣，每日服用三次，每次服用一升，温饮之。
月经不畅，少腹胀满疼痛，或者一个月来两次月经的，用王瓜根散主治。阴部肿胀的，也用此方主治。
王瓜根散方剂组成：
以上四味药，捣碎研成散剂，用酒送服一方寸匕，每日服用三次。
妇女小产或漏下出血的，用旋覆花汤主治；脉象虚弱的，用黄芪当归汤主治。
旋覆花汤方剂组成：
旋覆花三两，葱十四茎，新绛少许。
以上三味药，用水三升，煮取一升，滤去药渣，一次性服用。
黄芪当归汤方剂组成：
黄芪三两，当归半两。
以上两味药，用水五升，煮取三升，滤去药渣，温服一升，每日服用三次。
胶姜汤方剂组成：
阿胶三两，地黄六两，川芎二两，生姜三两（切片），当归三两，芍药三两，甘草二两（炙过）。
以上七味药，用水五升，清酒三升，先煮前六味药，取三升，滤去药渣，加入阿胶使其溶化，温服一升，每日服用三次。
妇女少腹部胀满，形状像敦（古代食器）一样，小便稍微困难但不口渴，或者是经期后或产后出现的，这是水与血共同结聚在血室，用大黄甘遂阿胶汤主治。
大黄甘遂阿胶汤方剂组成：
以上三味药，用水三升，煮大黄和甘遂两味药，取一升，滤去药渣，加入阿胶使其溶化，温顿服之。
抵当汤方剂组成：
水蛭三十个（熬制），虻虫三十个（去翅足），桃仁三十个，大黄三两。
以上四味药，用水五升，煮取三升，滤去药渣，温服一升，如果不通，再服用。
妇女月经闭止，脏腑有坚硬的癖块，阴道流出白色分泌物不止，这是因为里面有干血，用矾石丸主治。
矾石丸方剂组成：
以上两味药，研成细末，用炼蜜制成丸药，大小如枣核，纳入阴道中，病情严重的再次纳入。
妇女患有六十二种风证，腹中气血像刺痛一样的，用红蓝花酒主治。
红蓝花酒方剂组成：
红蓝花一两。
以上一味药，用酒一斗，煎至减半，滤去药渣，分两次温服。
妇女腹中各种疼痛病的，用当归芍药散主治；小建中汤也主治；当归芍药散见前文。
小建中汤方剂组成：
桂枝三两，芍药六两，甘草三两（炙过），生姜三两（切片），大枣十二枚（掰开），饴糖一升。
以上六味药，用水七升，煮取三升，滤去药渣，加入饴糖，再用小火加热使其溶解，温服一升，每日服用三次。
问：妇女生病，饮食正常，却烦热不能躺卧，反而需要倚靠呼吸，这是什么原因？
老师说：这名叫转胞，导致不能排尿，因为胞系扭转不顺，所以导致此病，只要通利小便就能痊愈，用肾气丸主治。
肾气丸方剂组成：
地黄八两，薯蓣四两，山茱萸四两，泽泻三两，牡丹皮三两，茯苓三两，桂枝一两，附子一枚（炮制）。
以上八味药，研成细末，用炼蜜调和制成丸药，大小如梧桐子，用温酒送服十五丸，每日服用两次，如果效果不明显逐渐增加剂量，直到二十五丸。
蛇床子散方剂组成：
蛇床子一两。
以上一味药，研成细末，用少许白粉调和均匀，做成如枣大小的丸药，用棉布包裹纳入阴道内，自然温热。
少阴脉滑而数的，是阴中生疮，腐蚀溃烂的，用狼牙汤主治。
狼牙汤方剂组成：
狼牙三两。
以上一味药，用水四升，煮取半升，滤去药渣，用棉条缠绕筷子头如蚕茧大小，浸蘸药汤冲洗阴道，每日四次。
胃气下泄，阴吹（阴道排气）有声，像放屁一样，这是谷道（肛门）实热，用猪膏发煎主治。
猪膏发煎方剂组成：
猪膏半斤，乱发三枚（如鸡蛋大小）。
以上两味药，混合猪膏煎煮，头发消融药成就成，分两次服用。
桂林古本伤寒杂病论上
Dang Gui (Radix Angelicae Sinensis) 4 liang, Bei Mu (Fritillariae Bulbus) 4 liang, Ku Shen (Sophorae Flavescentis Radix) 4 liang.
The above three herbs are ground into powder, mixed with refined honey to form pills the size of small beans. Take 3 pills with water, three times a day.
During pregnancy, if there is fluid retention in the body, difficulty in urination, chills and shivering, and dizziness upon rising, Kui Zi Fu Ling San (Okra Seed and Poria Powder) should be used as the primary treatment.
Formula for Kui Zi Fu Ling San:
Kui Zi (Abutilonis Fructus) 1 jin, Fu Ling (Poria) 3 liang.
The above two herbs are pounded into a powder. Take one fang cun chi (approximately 5-10 grams) with water, three times a day. The condition will resolve when urination becomes smooth.
For pregnant women who have no other illnesses, it is advisable to regularly take Dang Gui San (Angelica Powder). This will make delivery easier and prevent other postpartum diseases.
Formula for Dang Gui San:
Dang Gui (Radix Angelicae Sinensis) 1 jin, Huang Qin (Scutellariae Radix) 1 jin, Shao Yao (Paeoniae Radix Alba) 1 jin, Xiong Qiong (Ligustici Chuanxiong Rhizoma) 1 jin, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 0.5 jin.
The above five herbs are pounded into a powder. Take one fang cun chi with wine, twice a day.
During pregnancy, if the body is affected by cold-dampness, or if there is abdominal pain, irritability, heart pain, loss of appetite, and restless fetal movement, nourishment and regulation are required. Bai Zhu San (Atractylodes Powder) should be used as the primary treatment.
Formula for Bai Zhu San:
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Shu Jiao (Zanthoxyli Pericarpium) (remove seeds and sweat), Mu Li (Ostreae Concha), each in equal parts.
The above four herbs are pounded into a powder. Take one qian chi with wine, three times a day, and once at night.
When a woman reaches the seventh month of pregnancy, if she experiences abdominal fullness, inability to urinate, and a sensation of fluid accumulation below the waist, this indicates that the Tai Yin Spleen fails to nourish the fetus properly, resulting in excess Heart Qi. Acupuncture at Lao Gong (Pericardium 8) and Guan Yuan (Ren 4) is indicated. The condition will resolve when urination becomes smooth.
Question: What are the three diseases affecting women immediately after childbirth? One is Jing disease (spasm), the second is Yu Mao (depression and vertigo), and the third is difficult defecation. What does this mean? The Master said: After childbirth, blood deficiency and excessive sweating make the body susceptible to wind pathogens, leading to Jing disease; loss of blood combined with sweating and excessive cold leads to Yu Mao; depletion of body fluids causing dryness in the Stomach leads to difficult defecation.
In cases of postpartum Yu Mao, the pulse is weak and faint, accompanied by vomiting and inability to eat, constipation, but only sweating on the head. This occurs because blood deficiency leads to Jue (reversal cold), which causes vertigo. For Yu Mao to resolve, profuse sweating must occur throughout the body. Due to blood deficiency causing lower reversal cold, isolated Yang floats upward, resulting in head sweating. Postpartum women prefer sweating because the loss of Yin blood leads to relative excess of Yang; sweating helps restore Yin-Yang balance. If constipation and vomiting preventing eating occur, Xiao Chai Hu Tang (Minor Bupleurum Decoction) should be used.
Formula for Xiao Chai Hu Tang:
Chai Hu (Bupleuri Radix) 0.5 jin, Huang Qin (Scutellariae Radix) 3 liang, Ren Shen (Ginseng Radix) 3 liang, Gan Cao (Glycyrrhizae Radix) 3 liang, Ban Xia (Pinelliae Rhizoma) 0.5 sheng (washed), Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split).
The above seven herbs are boiled in 1 dou (10 liters) of water until 6 sheng remain. Strain the dregs, then boil again until 3 sheng remain. Take 1 sheng warm, three times a day.
If Yu Mao resolves and the patient can eat, but fever returns after seven or eight days, this indicates Stomach excess (fullness). Da Cheng Qi Tang (Major Order the Qi Decoction) should be used.
Formula for Da Cheng Qi Tang:
Da Huang (Rhei Radix et Rhizoma) 4 liang (washed with wine), Hou Po (Magnoliae Officinalis Cortex) 0.5 jin (roasted, skin removed), Zhi Shi (Aurantii Fructus Immaturus) 5 pieces (roasted), Mang Xiao (Natrii Sulfas) 3 he.
The above four herbs are boiled in 1 dou of water. First, boil Hou Po and Zhi Shi until 5 sheng remain. Strain, add Da Huang, and boil until 2 sheng remain. Strain again, add Mang Xiao, and boil briefly over low heat. Divide into two warm doses. Stop subsequent doses if bowel movements occur.
For postpartum abdominal cramping due to deficiency-cold, Dang Gui Sheng Jiang Yang Rou Tang (Angelica, Ginger, and Mutton Decoction) should be used.
Formula for Dang Gui Sheng Jiang Yang Rou Tang:
Dang Gui (Radix Angelicae Sinensis) 3 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 5 liang, Yang Rou (Ovis/Capis Carcass) 1 jin.
The above three ingredients are boiled in 8 sheng of water until 3 sheng remain. Strain and take 1 sheng warm, three times a day.
For postpartum abdominal pain accompanied by irritability, fullness, and inability to lie down, purgatives are contraindicated. Instead, use Zhi Shi Shao Yao San (Immature Bitter Orange and Peony Powder) to harmonize.
Formula for Zhi Shi Shao Yao San:
Zhi Shi (Aurantii Fructus Immaturus) and Shao Yao (Paeoniae Radix Alba) in equal parts.
The above two herbs are pounded into a powder. Take one fang cun chi, three times a day, taken with millet porridge to harmonize the stomach.
The Master said: For postpartum abdominal pain, Zhi Shi Shao Yao San is the standard treatment. If it fails to resolve, it indicates blood stasis fixed below the navel. Xia Yu Xue Tang (Drain Blood Stasis Decoction) should be used.
Formula for Xia Yu Xue Tang:
Da Huang (Rhei Radix et Rhizoma) 3 liang, Tao Ren (Persicae Semen) 20 pieces (skin and tip removed), E Chong (Asiatic Ground Beetle) 20 pieces (legs removed).
The above three herbs are powdered, mixed with refined honey to form pills. Boil in 1 sheng of wine until 0.8 sheng remains. Take all at once. Stool resembling pig liver should be passed.
Seven or eight days postpartum, without Tai Yang exterior symptoms, if there is hardness and pain in the lower abdomen, this is due to incomplete expulsion of lochia. If there is constipation, irritability, fever, and a slightly solid pulse, harmonization is needed. If there is evening irritability, delirium after eating, which resolves at night, Da Cheng Qi Tang (Major Order the Qi Decoction) should be used. (See formula above).
For postpartum wind-stroke persisting for dozens of days, with headache, chills, fever, epigastric fullness, dry retching, and continuous mild sweating, Xiao Chai Hu Tang (Minor Bupleurum Decoction) should be used. (See formula above).
For postpartum wind-stroke with fever, red face, headache, sweating, panting, and a wiry-rapid pulse, Zhu Ye Tang (Bamboo Leaf Decoction) should be used.
Formula for Zhu Ye Tang:
Zhu Ye (Bambusae Folium) 1 handful, Ge Gen (Puerariae Lobatae Radix) 3 liang, Jie Geng (Platycodonis Radix) 1 liang, Ren Shen (Ginseng Radix) 1 liang, Gan Cao (Glycyrrhizae Radix) 1 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 5 liang, Da Zao (Jujubae Fructus) 15 pieces (split).
The above seven herbs are boiled in 8 sheng of water until 3 sheng remain. Strain and take 1 sheng warm, three times a day.
For postpartum restlessness and vomiting without exterior signs, indicating deficiency in the Milk Center (breast/stomach area), Zhu Pi Da Wan (Bamboo Peel Large Pill) should be used.
Formula for Zhu Pi Da Wan:
Zhu Ru (Bambusae Caulis in Taenia) 2 fen, Shi Gao (Gypsum Fibrosum) 2 fen, Gui Zhi (Cinnamomi Ramulus) 1 fen, Gan Cao (Glycyrrhizae Radix) 7 fen, Bai Wei (Cynanchi Atrati Radix) 1 fen.
The above five herbs are powdered and mixed with jujube flesh to form pills the size of a bullet. Take 1 pill with water, three times a day and twice at night. Increase Bai Wei if there is heat.
For postpartum diarrhea with an extremely weak pulse, Bai Tou Weng Jia Gan Cao E Jiao Tang (Pulsatilla Decoction with Added Licorice and Donkey-Hide Gelatin) should be used.
Formula for Bai Tou Weng Jia Gan Cao E Jiao Tang:
Bai Tou Weng (Pulsatillae Radix) 2 liang, Huang Lian (Coptidis Rhizoma) 3 liang, Huang Bo (Phellodendri Cortex) 3 liang, Qin Pi (Fraxini Cortex) 3 liang, Gan Cao (Glycyrrhizae Radix) 2 liang, E Jiao (Colla Corii Asini) 2 liang.
The above six herbs are boiled in 5 sheng of water. First, boil the first five herbs until 3 sheng remain. Strain, dissolve E Jiao, and divide into three warm doses.
For women feeling a sensation of a roasted meat lump in the throat, Ban Xia Hou Po Fu Ling Sheng Jiang Tang (Pinellia, Magnolia Bark, Poria, and Ginger Decoction) should be used.
Formula for Ban Xia Hou Po Fu Ling Sheng Jiang Tang:
Ban Xia (Pinelliae Rhizoma) 1 sheng, Hou Po (Magnoliae Officinalis Cortex) 3 liang, Fu Ling (Poria) 4 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 5 liang, Su Ye (Perillae Folium) 2 liang.
The above five herbs are boiled in 1 dou of water until 4 sheng remain. Strain and divide into four warm doses, taking three times a day and once at night. If pain is severe, remove Su Ye and add Jie Geng (Platycodonis Radix) 2 liang.
For women suffering from Zang Zao (Visceral Agitation), characterized by sadness, desire to cry, frequent yawning and stretching, and symptoms resembling spirit possession, Gan Cao Xiao Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction) should be used.
Formula for Gan Cao Xiao Mai Da Zao Tang:
Gan Cao (Glycyrrhizae Radix) 3 liang, Xiao Mai (Tritici Fructus) 1 sheng, Da Zao (Jujubae Fructus) 10 pieces (split).
The above three herbs are boiled in 6 sheng of water until 3 sheng remain. Strain and divide into three warm doses.
For women spitting saliva/phlegm, if the physician incorrectly uses purgatives, leading to epigastric stuffiness, treat the spitting first, then the stuffiness. For spitting, Jie Geng Gan Cao Fu Ling Ze Xie Tang (Platycodon, Licorice, Poria, and Alisma Decoction) is suitable. For stuffiness, Xie Xin Tang (Drain the Epigastrium Decoction) is suitable.
Formula for Jie Geng Gan Cao Fu Ling Ze Xie Tang:
Jie Geng (Platycodonis Radix) 3 liang, Gan Cao (Glycyrrhizae Radix) 2 liang, Fu Ling (Poria) 3 liang, Ze Xie (Alismatis Rhizoma) 2 liang.
The above four herbs are boiled in 5 sheng of water until 3 sheng remain. Strain and take 1 sheng warm, three times a day.
Formula for Xie Xin Tang:
Da Huang (Rhei Radix et Rhizoma) 2 liang, Huang Lian (Coptidis Rhizoma) 1 liang.
The above two herbs are soaked in 2 sheng of boiling hemp tea infusion. After a moment, strain and divide into two warm doses.
Women's diseases caused by deficiency, accumulated cold, and stagnation lead to amenorrhea and blood stasis in the Bao Men (uterine gate). Symptoms may include periumbilical pain resembling Han Shan (cold colic); pain at Guan Yuan with skin like fish scales; pulling pain in the vagina with coldness in the lower abdomen; pain radiating to the lower back and spine, or down to the Qi Jie (vital passage). These are all classified as Dai Xia (leukorrhea/gynecological disorders). All diseases can be summarized by observing Cold, Heat, Deficiency, Excess, Tension, and Wiry pulses, applying acupuncture and herbal medicine to address the root cause. You must distinguish and remember this.
Question: A woman around fifty years old suffers from vaginal bleeding for dozens of days without stopping, evening fever, urgency and fullness in the lower abdomen, palm heat, and dry lips/mouth. What is the cause? The Master said: This belongs to Dai Xia. How do we know? It is due to previous miscarriage leaving blood stasis in the lower abdomen, causing dry lips and mouth. Wen Jing Tang (Warming the Meridians Decoction) should be used.
Formula for Wen Jing Tang:
Wu Zhu Yu (Evodiae Fructus) 3 liang, Dang Gui (Radix Angelicae Sinensis) 2 liang, Xiong Qiong (Ligustici Chuanxiong Rhizoma) 2 liang, Shao Yao (Paeoniae Radix Alba) 2 liang, Ren Shen (Ginseng Radix) 2 liang, Gui Zhi (Cinnamomi Ramulus) 2 liang, E Jiao (Colla Corii Asini) 2 liang, Mu Dan Pi (Moutan Cortex) 2 liang, Gan Cao (Glycyrrhizae Radix) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 2 liang.
The above ten herbs are boiled in 1 dou of water until 3 sheng remain. Strain and take 1 sheng warm, three times a day.
For irregular menstruation, lower abdominal fullness and pain, or menstruation occurring twice a month, Wang Gua Gen San (Trichosanthes Root Powder) should be used. It is also used for vulvar swelling.
Formula for Wang Gua Gen San:
Wang Gua Gen (Trichosanthis Radix) 3 fen, Shao Yao (Paeoniae Radix Alba) 3 fen, Gui Zhi (Cinnamomi Ramulus) 3 fen, E Chong (Asiatic Ground Beetle) 3 pieces.
The above four herbs are pounded into a powder. Take one fang cun chi with wine, three times a day.
For women with miscarriage or metrorrhagia (bleeding between periods), Xuan Fu Hua Tang (Inula Flower Decoction) should be used. If the pulse is weak, Huang Qi Dang Gui Tang (Astragalus and Angelica Decoction) should be used.
Formula for Xuan Fu Hua Tang:
Xuan Fu Hua (Inulae Flos) 3 liang, Cong Bai (Allii Fistulosi Bulbus) 14 stalks, Xin Jiang (Safflower-infused silk) a small amount.
The above three herbs are boiled in 3 sheng of water until 1 sheng remains. Strain and take all at once.
Formula for Huang Qi Dang Gui Tang:
Huang Qi (Astragali Radix) 3 liang, Dang Gui (Radix Angelicae Sinensis) 0.5 liang.
The above two herbs are boiled in 5 sheng of water until 3 sheng remain. Strain and take 1 sheng warm, three times a day.
For women with Jian Jing (sunken menses) presenting with black, clotted leukorrhea, Jiao Jiang Tang (Gelatin and Ginger Decoction) should be used.
Formula for Jiao Jiang Tang:
E Jiao (Colla Corii Asini) 3 liang, Di Huang (Rehmanniae Radix) 6 liang, Xiong Qiong (Ligustici Chuanxiong Rhizoma) 2 liang, Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Dang Gui (Radix Angelicae Sinensis) 3 liang, Shao Yao (Paeoniae Radix Alba) 3 liang, Gan Cao (Glycyrrhizae Radix) 2 liang (roasted).
The above seven herbs are boiled in 5 sheng of water and 3 sheng of clear wine. First, boil the first six herbs until 3 sheng remain. Strain, dissolve E Jiao, and take 1 sheng warm, three times a day.
For women with lower abdominal fullness shaped like a Dun (ancient vessel), slight difficulty in urination without thirst, or occurring after menstruation or childbirth, this indicates Water and Blood jointly stagnating in the Blood Chamber. Da Huang Gan Sui E Jiao Tang (Rhubarb, Kansui, and Donkey-Hide Gelatin Decoction) should be used.
Formula for Da Huang Gan Sui E Jiao Tang:
Da Huang (Rhei Radix et Rhizoma) 4 liang, Gan Sui (Kansui Radix) 2 liang, E Jiao (Colla Corii Asini) 2 liang.
The above three herbs are boiled in 3 sheng of water. Boil Da Huang and Gan Sui until 1 sheng remains. Strain, dissolve E Jiao, and take warm all at once.
For women with intermittent abdominal pain and irregular menstruation (starting and stopping repeatedly), Di Dang Tang (Di Dang Decoction) should be used.
Formula for Di Dang Tang:
Shui Zhi (Hirudo) 30 pieces (roasted), Meng Chong (Blatta Orientalis) 30 pieces (wings and legs removed), Tao Ren (Persicae Semen) 30 pieces, Da Huang (Rhei Radix et Rhizoma) 3 liang.
The above four herbs are boiled in 5 sheng of water until 3 sheng remain. Strain and take 1 sheng warm. If not effective, take again.
For women with amenorrhea, hard masses in the viscera, and continuous white vaginal discharge due to dried blood, Fan Shi Wan (Alum Pill) should be used.
Formula for Fan Shi Wan:
Fan Shi (Alumen) 3 fen (calcined), Xing Ren (Armeniacae Semen Amarum) 1 fen.
The above two herbs are powdered, mixed with refined honey to form pills the size of a date pit. Insert into the vagina. Repeat if severe.
For women suffering from sixty-two types of wind syndromes with stabbing pain in the abdomen due to Qi and Blood stagnation, Hong Lan Hua Jiu (Safflower Wine) should be used.
Formula for Hong Lan Hua Jiu:
Hong Lan Hua (Carthami Flos) 1 liang.
Boil 1 liang of Hong Lan Hua in 1 dou of wine until reduced by half. Strain and divide into two warm doses.
For various abdominal pains in women, Dang Gui Shao Yao San (Angelica and Peony Powder) should be used. Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) is also applicable. (See Dang Gui Shao Yao San above).
Formula for Xiao Jian Zhong Tang:
Gui Zhi (Cinnamomi Ramulus) 3 liang, Shao Yao (Paeoniae Radix Alba) 6 liang, Gan Cao (Glycyrrhizae Radix) 3 liang (roasted), Sheng Jiang (Zingiberis Rhizoma Recens) 3 liang (sliced), Da Zao (Jujubae Fructus) 12 pieces (split), Yi Tang (Maltose) 1 sheng.
The above six herbs are boiled in 7 sheng of water until 3 sheng remain. Strain, add Yi Tang, and melt over low heat. Take 1 sheng warm, three times a day.
Question: A woman has normal diet but suffers from irritability, inability to lie down, and orthopnea (difficulty breathing while lying flat). What is the cause?
The Master said: This is called Zhuan Bao (displaced bladder), causing urinary retention. It is caused by the twisting of the bladder ligaments. Promoting urination will cure it. Shen Qi Wan (Kidney Qi Pill) should be used.
Formula for Shen Qi Wan:
Di Huang (Rehmanniae Radix) 8 liang, Shu Yu (Dioscoreae Rhizoma) 4 liang, Shan Zhu Yu (Corni Fructus) 4 liang, Ze Xie (Alismatis Rhizoma) 3 liang, Mu Dan Pi (Moutan Cortex) 3 liang, Fu Ling (Poria) 3 liang, Gui Zhi (Cinnamomi Ramulus) 1 liang, Fu Zi (Aconiti Lateralis Radix Praeparata) 1 piece (prepared).
The above eight herbs are powdered, mixed with refined honey to form pills the size of wutong seeds. Take 15 pills with warm wine, twice a day. Increase gradually to 25 pills if necessary.
For women with external genital coldness, She Chuang Zi San (Cnidium Powder) should be used.
Formula for She Chuang Zi San:
She Chuang Zi (Cnidii Fructus) 1 liang.
Powder the herb, mix with a small amount of Bai Fen (white powder/starch) to form pills the size of a date. Wrap in cotton and insert into the vagina for natural warming.
If the Shao Yin pulse is slippery and rapid, it indicates sores in the vagina. For erosion and ulceration, Lang Ya Tang (Wolf Tooth Decoction) should be used.
Formula for Lang Ya Tang:
Lang Ya (Wolf Tooth Herb) 3 liang.
Boil in 4 sheng of water until 0.5 sheng remains. Strain. Wrap the decoction in cotton around a chopstick (size of a silkworm cocoon) and irrigate/wash the vagina four times a day.
If Stomach Qi descends abnormally, causing Yin Chu (flatulence from the vagina) sounding like passing gas, this is due to excess in the Gu Dao (anus/rectum). Zhu Gao Fa Jian (Pork Fat and Hair Decoction) should be used.
Formula for Zhu Gao Fa Jian:
Zhu Gao (Pork Fat) 0.5 jin, Luan Fa (Human Hair) 3 pieces (size of an egg).
Mix the hair with the fat and fry until the hair dissolves. Divide into two doses.
Guilin Ancient Edition of Shanghan Zabing Lun, Volume Upper