用蓖麻子叶有九角者好，飞过白矾为末，以纸片摊药托入。
掺药
先以淡竹根煎汤洗，仍用五倍子、白矾为末干掺，立效。
敷药
用温盐水洗软，却用五灵脂烧烟熏，次用蓖麻子研烂涂上，吸入。如入即洗去。
〔阴冷〕
〔大〕妇人阴冷，因劳伤子脏，风冷客之。
〔薛〕前证属肝经内有湿热，外乘风冷所致。若小便涩滞，或小腹痞痛，用龙胆泻
肝汤。若内热寒热，或经候不调，用加味逍遥散。若寒热体倦，饮食少思，用加味四君
子。若郁怒发热，少寐懒食，用加味归脾汤。
一妇人阴中寒冷，小便黄涩，内热寒热，口苦胁胀，此因肝经湿热，用龙胆汤祛利湿热，
用加味逍遥散调补气血而安。一妇人所患同前，更寒热呕吐，两股肿痛，先用小柴胡
加山栀一剂，寒热呕吐顿止，次用龙胆泻肝汤一剂，肿痛顿消。一妇人阴中寒冷，小
便澄清，腹中亦冷，饮食少思，大便不实，下元虚寒，治以八味丸月余，饮食渐加，大便
渐实，又月余诸证悉愈。
五加皮浸酒方
（《圣惠》）治妇人癖瘦阴冷。
五加皮 熟干地黄 丹参 杜仲（去粗皮，炙微黄） 蛇床子 干姜（各三两）
地骨皮（二两） 天门冬（一两） 钟乳（四两）
上细锉，以生绢袋盛，以酒一斗五升，渍二宿后，每服暖一大盏，空心及晚食前服。一
方用枸杞子，无地骨皮。
治妇人阴冷方（出《大全良方》）
远志 干姜（生用） 莲花（各半两） 蛇床子 五味子（各一两）
上捣罗为末，每用兼以兔粪涂阴门，用绵裹一钱纳阴中，热即为效。
又方
蛇床子（三分） 吴茱萸 甜葶苈（各半两） 没石子（一枚）
捣罗为末，绵裹枣许大，纳阴中，令腹内热为度。
又方
蛇床子（一两） 吴茱萸（一两半，生）
捣罗为末，炼蜜和丸如酸枣大，以绵裹纳阴中，下恶物为度。（一方用麝香。）
温中坐药
用蛇床子为末，白粉少许和匀相得，如枣大，绵裹纳之，自然温矣，为效。
八味丸 治血弱不能荣养脏腑，津液枯涩，风寒客于子脏，以致阴冷。（方见杂病虚劳。）
愚按∶此丸果系肝脾肾虚，殊有神效。
胎前产后方具本门。
〔交接辄血出痛〕〔薛〕一妇人每交接出血作痛，此肝火动脾而不能摄血，用补中
益气、济生归脾二汤而愈。若出血过多而见他证，但用前药，调补肝脾。
《千金》疗女人交接辄血出方。
桂心 伏龙肝（各二分） 为末，酒服方寸匕，搓止。
又方
黄连（六分） 牛膝 甘草（各四分）
上三味细切，以水四升，煮取二升洗，日
三四度瘥。
《补遗》∶以熟艾紧裹一团，然后以绢裹纳阴中。
〔交接他物所伤〕
〔薛〕治一妇人交接出血作痛，发热口渴欲呕，或用寒凉药前证益甚，不时作呕，饮
食少思，形体日瘦。余曰∶证属肝火，而药复伤脾所致也。先用六君加山栀、柴胡，脾
胃健而诸证愈，又用加味逍遥散而形气复。一妇人阴肿下坠，闷痛出水，胸腹不利，小
便频数，内热晡热，口苦耳鸣，此肝脾火证，用小柴胡加车前、胆草、苓、术、升麻，二
剂稍愈。又用加味逍遥加升麻，数剂渐愈。乃以加味归脾加升麻、柴胡，并补中益气加山
栀，数剂顿愈。仍用加味逍遥、加味归脾二药调理全愈。一妇人患前证热痛，或用寒
凉败毒药，饮食不入，时欲作呕，小腹重坠。余谓此脾胃复损，元气下陷，先用补中益气
汤加炮姜二剂，重坠顿愈。又加茯苓、半夏二十余剂而愈。乃以归脾汤少加柴胡、升麻，
并六味地黄丸而康。
《集验方》疗女人交接，阳道违理，及他物所伤犯，血流漓不止方。
取釜底墨、断葫芦涂药纳之。
又疗女童交接，阳道违理，血出不止方。
烧发并青布末为粉涂之。
又方 割鸡冠血涂之。
《补遗》以赤石脂末掺之。又方，五倍子末掺亦良。
〔伤丈夫头痛〕
〔薛〕当用补中益气、六味地黄以滋化源为主。
《集验方》 疗女人伤丈夫，四体沉重，嘘吸头痛方。
生地黄（八两） 芍药（五两） 香豉（一升） 葱白（一斤） 生姜（四两） 甘草（二两）
上六味，以水七升，煮取二升半，分三服，不得重作，忌房事。
《千金翼》疗诸妇人伤丈夫，苦头痛欲呕、闷。桑白皮汤。
桑白皮（半两） 干姜（一 ） 桂心（五寸） 大枣（二十枚）
上四味切，以酒一斗，煮三四沸，去滓分温服。衣适浓薄，毋令汗出。
《补遗》局方来复丹 治妇人与男子交接相伤，因而四肢沉重，头痛昏晕，米饮吞下
五十丸。
使用有九个角的蓖麻子叶效果较好，将白矾飞制后研成粉末，用纸片托药送入阴道内。
掺药法
先用淡竹根煎汤清洗外阴，然后取五倍子和白矾研成细末，直接干撒于患处，立即见效。
敷药法
用温盐水清洗使患处变软，然后用五灵脂燃烧产生的烟熏烤，接着将蓖麻子研烂涂在患处，使其吸收。如果药物进入体内，应立即洗去。
〔阴冷〕
〔大论〕妇人阴部寒冷，是因为劳损伤及子宫，风冷之邪客居其中所致。
〔薛己〕上述证候属于肝经内有湿热，外受风冷侵袭所致。若小便涩滞不畅，或小腹部痞满疼痛，使用龙胆泻肝汤。若伴有内热、寒热往来，或月经失调，使用加味逍遥散。若出现寒热、身体疲倦、饮食减少且缺乏食欲，使用加味四君子汤。若因郁怒导致发热、睡眠少、懒于进食，使用加味归脾汤。
有一位妇人阴中寒冷，小便黄而涩滞，伴有内热和寒热往来，口苦胁肋胀满，这是因肝经湿热所致，使用龙胆汤清利湿热，再用加味逍遥散调理补益气血，病情得以安定。另一位妇人所患症状与前一位相同，但伴有寒热呕吐、大腿肿痛，先服用小柴胡汤加山栀一剂，寒热呕吐立刻停止；再服用龙胆泻肝汤一剂，肿痛立刻消除。还有一位妇人阴中寒冷，小便清长，腹中也冷，饮食减少，大便不成形，这是下元虚寒，治疗以八味丸服用月余，饮食逐渐增加，大便逐渐成形，又过月余，所有症状全部痊愈。
五加皮浸酒方
（出自《圣惠方》）治疗妇人症瘕积聚及阴冷。
五加皮 熟干地黄 丹参 杜仲（去除粗皮，炙至微黄） 蛇床子 干姜（各三两）
地骨皮（二两） 天门冬（一两） 钟乳石（四两）
以上药材切碎，装入生绢袋中，用酒一斗五升浸泡两个夜晚后，每次温服一大盏，空腹及晚饭前服用。另一配方使用枸杞子，不用地骨皮。
治妇人阴冷方（出自《大全良方》）
远志 干姜（生用） 莲花（各半两） 蛇床子 五味子（各一两）
以上药材捣碎过筛为末，每次使用时兼用兔粪涂抹阴门，用棉包裹一钱药粉纳入阴道内，感到发热即为有效。
又一方
蛇床子（三分） 吴茱萸 甜葶苈（各半两） 没石子（一枚）
捣碎过筛为末，用棉包裹如枣核大小，纳入阴道内，以腹部感到温热为度。
又一方
蛇床子（一两） 吴茱萸（一两半，生用）
捣碎过筛为末，炼蜜调和制成如酸枣大小的丸药，用棉包裹纳入阴道内，以下除恶露秽物为度。（另一配方加入麝香。）
温中坐药
用蛇床子为末，加少许白粉调和均匀，做成如枣大小的丸药，用棉包裹纳入阴道内，自然会有温热感，以此作为疗效标准。
八味丸 治疗血虚不能荣养脏腑，津液枯涩，风寒客居于子宫，导致阴冷。（方剂见杂病虚劳篇。）
愚按：此丸果然对于肝脾肾虚者，有神奇疗效。
胎前产后方的内容在本门其他章节中详述。
〔交接辄血出痛〕〔薛己〕一位妇人每次性交时出血并疼痛，这是肝火动脾而不能统摄血液所致，使用补中益气汤、济生归脾汤两方治愈。若出血过多而出现其他证候，仅使用前药，调理补益肝脾即可。
《千金方》治疗女子性交即出血的方子。
桂心 伏龙肝（各二分） 研为细末，用酒送服方寸匕，搓揉止血。
又一方
黄连（六分） 牛膝 甘草（各四分）
以上三味药切碎，用水四升，煮取二升药液，用来清洗患处，每日三四次，痊愈为止。
《补遗》：用熟艾紧裹成一团，然后用绢布包裹纳入阴道内。
〔交接他物所伤〕
〔薛己〕治疗一位妇人性交出血疼痛，发热口渴欲呕，有人使用寒凉药后前述证候更加严重，不时作呕，饮食减少，形体日渐消瘦。我说：证候属于肝火，而药物又损伤了脾胃所致。先用六君子汤加山栀、柴胡，待脾胃健运则诸证痊愈，再用加味逍遥散使形体气色恢复。一位妇人阴部肿胀下坠，闷痛流水，胸腹不适，小便频数，内热及午后潮热，口苦耳鸣，这是肝脾火证，用小柴胡汤加车前子、龙胆草、茯苓、白术、升麻，两剂后稍有好转。又用加味逍遥散加升麻，数剂后逐渐痊愈。随后用加味归脾汤加升麻、柴胡，以及补中益气汤加山栀，数剂后立刻痊愈。仍用加味逍遥散、加味归脾汤两药调理直至全愈。一位妇人患前述证候，热痛明显，有人使用寒凉败毒药物，导致饮食不入，时时欲呕，小腹重坠。我认为这是脾胃再次受损，元气下陷，先用补中益气汤加炮姜两剂，重坠感立刻消失。又加茯苓、半夏二十余剂后痊愈。随后用归脾汤少加柴胡、升麻，并配合六味地黄丸，身体康复。
《集验方》治疗女子性交，阳道违理，及其他物体损伤，血流淋漓不止的方子。
取锅底黑墨、切断的葫芦涂药纳入阴道内。
又治疗女童性交，阳道违理，血出不止的方子。
烧头发并青布末制成粉末涂抹患处。
又一方 割鸡冠血涂抹患处。
《补遗》用赤石脂末撒敷患处。又一方，用五倍子末撒敷也很好。
〔伤丈夫头痛〕
〔薛己〕应当以补中益气汤、六味地黄丸为主，以滋养化源。
《集验方》 治疗女人因性交受伤，四肢沉重，呼吸时头痛的方子。
生地黄（八两） 芍药（五两） 香豉（一升） 葱白（一斤） 生姜（四两） 甘草（二两）
以上六味药，用水七升，煮取二升半，分三次服用，不得重复煎煮，忌房事。
《千金翼方》治疗诸妇人因性交受伤，苦于头痛欲呕、胸闷。桑白皮汤。
桑白皮（半两） 干姜（一钱） 桂心（五寸） 大枣（二十枚）
以上四味药切碎，用酒一斗，煮三四沸，去渣滓，分次温服。衣着要适宜厚薄，不要令其出汗。
Use the leaves of Ricinus communis (Castor Bean) that have nine angles; they are considered superior. Process Borneolum Stannicum (Feifei Baifan, 飞过白矾) and grind into powder. Apply the medicine onto a paper strip and insert it intravaginally.
Method of Sprinkling Medicine
First, wash the vulva with a decoction prepared from the roots of Bambusa textilis (Danzhugen, 淡竹根). Then, use Powder of Galae Cinnamomi (Wubeizi, 五倍子) and Borneolum Stannicum (Baifan, 白矾) ground into fine powder, sprinkled dry directly onto the affected area for immediate effect.
Method of Applying Medicine
Cleanse the affected area with warm saline solution to soften it. Subsequently, fumigate the area with smoke generated by burning Flos Trogopterori (Wulingzhi, 五灵脂). Next, grind Semen Ricini (Bimazi, 蓖麻子) into a paste and apply it topically to facilitate absorption. If the medication enters the vagina, wash it out immediately.
[Coldness of the Yin]
[General Discussion] Coldness in the female yin is caused by labor injury damaging the Zi Zang (uterus), allowing Wind-Cold pathogens to lodge within.
[Xue Ji] The aforementioned syndrome belongs to Damp-Heat within the Liver Channel, compounded by external invasion of Wind-Cold. If there is dysuria or distending pain in the lower abdomen, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction). If there is internal heat with alternating chills and fever, or irregular menstruation, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If there is alternating chills and fever, physical fatigue, poor appetite, and lack of desire to eat, use Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction). If there is fever due to depression and anger, insomnia, and reluctance to eat, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction).
One woman suffered from coldness in the yin, yellow and obstructed urine, internal heat with alternating chills and fever, bitter taste in the mouth, and flank distension. This was due to Damp-Heat in the Liver Channel. She was treated with Longdan Tang (Gentian Decoction) to drain and eliminate Damp-Heat, followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to regulate and tonify Qi and Blood, resulting in recovery. Another woman presented with similar symptoms but also had alternating chills and fever, vomiting, and swelling and pain in both thighs. She was first given one dose of Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Gardeniae Fructus (Shanzhi, 山栀), which instantly stopped the chills, fever, and vomiting. Subsequently, one dose of Longdan Xiegan Tang (Gentian Liver-Draining Decoction) instantly eliminated the swelling and pain. A third woman suffered from coldness in the yin, clear urine, coldness in the abdomen, poor appetite, and loose stools. This indicated deficiency-cold of the Lower Yuan. She was treated with Bawei Wan (Eight-Ingredient Pill) for over a month; her appetite gradually increased, and stools became formed. After another month, all symptoms resolved completely.
Wujia Pi Infused Wine Formula
(From *Shenghui Fang*) Treats hysterotheca (masses in the abdomen) and coldness of the yin in women.
Radix Acanthopanacis Senticosi (Wujia pi, 五加皮), Radix Rehmanniae Preparata (Shugan Dihuang, 熟干地黄), Radix Salviae Miltiorrhizae (Danshen, 丹参), Radix Eucommiae (Duzhong, 杜仲 - remove coarse bark, stir-bake until slightly yellow), Semen Cnidii (Shechuangzi, 蛇床子), Rhizoma Zingiberis Recens (Ganjiang, 干姜) (each 3 liang);
Cortex Lycii (Digupi, 地骨皮) (2 liang);
Herba Asparagi (Tianmendong, 天门冬) (1 liang);
Concha Ostreae (Zhongru, 钟乳) (4 liang).
Finely chop the above ingredients, place them in a raw silk bag, and soak in 15 sheng of wine for two nights. Warm one large cup per dose and take on an empty stomach and before evening meal. An alternative formula uses Fructus Lycii (Gouqizi, 枸杞子) instead of Cortex Lycii (Digupi, 地骨皮).
Formula for Treating Coldness of the Yin in Women (From *Daquan Liangfang*)
Radix Polygalae (Yuanzhi, 远志), Rhizoma Zingiberis Recens (Ganjiang, 干姜 - used raw), Lotus Flower (Lianhua, 莲花) (each 0.5 liang);
Semen Cnidii (Shechuangzi, 蛇床子), Fructus Schisandrae (Wuweizi, 五味子) (each 1 liang).
Pulverize the above ingredients. For each application, mix with rabbit feces applied to the vulva, wrap 1 qian of the powder in cotton, and insert it into the vagina. Heat sensation indicates efficacy.
Another Formula
Semen Cnidii (Shechuangzi, 蛇床子) (3 fen), Fructus Evodiae (Wuzhuyu, 吴茱萸), Herba Descurainiae (Tiantili, 甜葶苈) (each 0.5 liang);
Fructus Chebulae (Moushi, 没石子) (1 piece).
Pulverize the above ingredients. Wrap in cotton to the size of a jujube, insert into the vagina, until warmth is felt in the abdomen.
Another Formula
Semen Cnidii (Shechuangzi, 蛇床子) (1 liang), Fructus Evodiae (Wuzhuyu, 吴茱萸) (1.5 liang, used raw).
Pulverize the above ingredients, mix with refined honey to form pills the size of a sour jujube seed. Wrap in cotton and insert into the vagina, until foul discharge is expelled. (An alternative formula adds Moschus (Shexiang, 麝香).)
Warm-Middle Vaginal Suppository
Use Semen Cnidii (Shechuangzi, 蛇床子) powder mixed with a small amount of white starch powder. Form into pills the size of a jujube, wrap in cotton, and insert into the vagina. Natural warmth will ensue, indicating efficacy.
Bawei Wan (Eight-Ingredient Pill) Treats blood deficiency failing to nourish the Zang-Fu organs, withered and obstructed body fluids, and Wind-Cold lodging in the uterus, leading to coldness of the yin. (See General Diseases, Deficiency Consumption chapter.)
Note: This pill indeed has miraculous effects for cases of Liver, Spleen, and Kidney deficiency.
Formulas for the antenatal and postnatal periods are detailed in their respective sections.
[Bleeding and Pain upon Intercourse] [Xue Ji] One woman experienced bleeding and pain during every act of intercourse. This was due to Liver Fire disturbing the Spleen, causing failure to control blood. She was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Jisheng Guipi Tang (Sage’s Guipi Decoction). If excessive bleeding leads to other syndromes, simply use the aforementioned medicines to regulate and tonify the Liver and Spleen.
*Qianjin Fang* treats women who bleed upon intercourse.
Cortex Cinnamomi (Guixin, 桂心), Dragon’s Liver and Gall (Fulonggan, 伏龙肝) (each 2 fen). Pulverize and take 1 cunbi (square-inch spoonful) with wine to stop bleeding.
Another Formula
Rhizoma Coptidis (Huanglian, 黄连) (6 fen), Radix Achyranthis Bidentatae (Niuxi, 牛膝), Radix Glycyrrhizae (Gancao, 甘草) (each 4 fen).
Finely chop the above three ingredients. Boil in 4 sheng of water to obtain 2 sheng of decoction. Use this liquid to wash the affected area 3-4 times daily until healed.
*Supplement*: Wrap cooked Artemisia argyi (Aiye, 艾叶) tightly into a ball, then wrap in silk and insert into the vagina.
[Injury from Foreign Objects during Intercourse]
[Xue Ji] Treat a woman who experienced bleeding and pain after intercourse, accompanied by fever, thirst, and nausea. Previous use of cold-natured medicines exacerbated the symptoms, causing frequent vomiting, poor appetite, and emaciation. I stated: The syndrome belongs to Liver Fire, aggravated by medicines injuring the Spleen-Stomach. First, use Liu Junzi Tang (Six Gentlemen Decoction) plus Gardeniae Fructus (Shanzhi, 山栀) and Radix Bupleuri (Chaihu, 柴胡). Once the Spleen and Stomach function recovered, all symptoms resolved. Then, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to restore physique and Qi.
One woman suffered from vulvar swelling and prolapse, stifling pain with discharge, chest and abdominal discomfort, frequent urination, internal heat, afternoon tidal fever, bitter taste, and tinnitus. This was a Liver-Spleen Fire syndrome. She was treated with Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Radix Alismatis (Qiancao, 车前子), Radix Gentianae (Dancao, 胆草), Poria (Fuling, 茯苓), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术), and Radix Bupleuri (Shengma, 升麻). After two doses, she improved slightly. Then, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) plus Radix Bupleuri (Shengma, 升麻) was used for several doses, leading to gradual recovery. Finally, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) plus Radix Bupleuri (Shengma, 升麻) and Radix Bupleuri (Chaihu, 柴胡), along with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Gardeniae Fructus (Shanzhi, 山栀), were administered for several doses, resulting in immediate cure. Maintenance therapy with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction) ensured full recovery.
One woman suffered from the aforementioned syndrome with heat and pain. The use of cold-natured detoxifying medicines damaged her digestion, causing inability to eat, frequent nausea, and heavy bearing-down sensation in the lower abdomen. I reasoned this was further damage to the Spleen-Stomach and sinking of Yuan Qi. First, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus processed Zingiberis Rhizoma (Paojiang, 炮姜) for two doses, resolving the bearing-down sensation. Then, add Poria (Fuling, 茯苓) and Pinelliae Rhizoma (Banxia, 半夏) for over twenty doses, achieving cure. Finally, Guipi Tang (Restore the Spleen Decoction) with minor additions of Radix Bupleuri (Chaihu, 柴胡) and Radix Bupleuri (Shengma, 升麻), combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), restored health.
*Jiyan Fang* treats women injured during intercourse, improper sexual conduct, or injury from foreign objects, resulting in continuous profuse bleeding.
Apply soot from the bottom of a cauldron (Fudi Mo, 釜底墨) and cut gourd flesh as medicine and insert.
Another formula for young girls injured during intercourse, improper sexual conduct, with continuous bleeding:
Burn hair and powder of blue cloth, apply as powder.
Another Formula: Apply blood from a rooster’s comb.
*Supplement*: Apply powder of Halloysit Rubra (Chishizhi, 赤石脂). Another formula suggests using powder of Galae Cinnamomi (Wubeizi, 五倍子), which is also effective.
[Headache Injured by Husband]
[Xue Ji] Primarily use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to nourish the source of transformation.
*Jiyan Fang* treats women injured by intercourse, suffering from heavy limbs and headache upon respiration.
Radix Rehmanniae Recens (Shengdihuang, 生地黄) (8 liang), Radix Paeoniae Alba (Shaoyao, 芍药) (5 liang), Fermented Soybean (Xiangchi, 香豉) (1 sheng), Scallion White (Congbai, 葱白) (1 jin), Ginger Root (Shengjiang, 生姜) (4 liang), Radix Glycyrrhizae (Gancao, 甘草) (2 liang).
Boil the above six ingredients in 7 sheng of water to obtain 2.5 sheng. Divide into three doses. Do not re-boil. Avoid sexual intercourse.
*Qianjin Yi Fang* treats various women injured by intercourse, suffering from severe headache, nausea, and oppression. Sangbaipi Tang (Mulberry Bark Decoction).
Cortex Mori (Sangbaipi, 桑白皮) (0.5 liang), Rhizoma Zingiberis Recens (Ganjiang, 干姜) (1 qian), Cortex Cinnamomi (Guixin, 桂心) (5 cun), Fructus Jujubae (Dazao, 大枣) (20 pieces).
Chop the above four ingredients. Boil in 1 dou of wine for three to four boils. Strain and take warm in divided doses. Dress appropriately to avoid sweating.
*Supplement*: Ju Fang Laifu Dan (Local Bureau Laifu Pill) treats women injured by intercourse with men, resulting in heavy limbs, headache, and dizziness. Take 50 pills swallowed with rice drink.