〔大〕妇人小腹疼痛者，此由胞络之间，夙有风冷，搏于血气，停结小腹，因风虚发
动，与血相击，故痛也。
〔薛〕前证若气寒血结，用威灵仙散。气滞血凝，用当归散。肝经血虚，用四物汤
（通治。）加参、术、柴胡。肝经湿热，用龙胆泻肝汤。（杂病淋。）肝脾气虚，用六君子汤（杂病虚
劳。）加柴胡、芍药。肝脾虚寒，用六君子加柴胡、肉桂。若兼呕吐，加木香。四肢逆冷，再
加炮姜。通府张孟威云∶其妹小腹痛，服附子理中汤，附子服过八十余枚。此乃沉寒
痼冷之甚，不多有者。
〔大〕威灵仙散 治妇人久冷，气滞血刺，小腹疼痛。
威灵仙（一两） 当归 没药 木香 桂心（各半两）
上为细末，无时，热酒调下一钱服，忌茶。
当归散 治妇人久积，血气 刺，小腹疼痛，四肢无力，不能饮食。
当归（炒） 赤芍药 刘寄奴 没药 枳壳 延胡索（各等分）
上为细末，热酒调下一钱，无时候。
追气丸 （《灵苑》）治妇人血刺，小腹疼痛不可忍。
芸苔子（微炒） 桂心（各一两） 良姜（半两）
为细末，醋糊丸如梧桐子大。每服五丸，不拘时，淡醋汤下。常服补血虚，破气块，甚
有效。
锻石散 治妇人血气痛不可忍者。陈五婆方。
上取猪贴脊血半盏，于汤上暖，用杖子搅停后，用锻石于火上烧令黄，为末，罗过
灰一钱，同血搅停，放温服，立愈。
予尝用紫金皮为细末，醋糊丸如樱桃大，又治妇人血气小腹疼痛，以温酒磨下一丸，及
有心腹痛者亦良。
吴茱萸汤 治妇人素虚，又为风冷乘气停滞，腹胁刺痛。
吴茱萸（汤洗） 当归（去芦，各二钱） 桔梗（去芦） 细辛（去苗） 防风（去芦）
干姜（炮，各一钱） 熟地黄（二钱半） 甘草（炙，半钱）
上作一服，水二盅，煎至一盅，空心服。
椒红丸 治妇人血气不调，脏腑积冷，脐腹 痛，肌体日瘦。
椒红 沉香 当归（去芦） 诃梨勒（煨，去核） 蓬术 附子（炮，去皮脐） 白术（各一两）
肉豆蔻 良姜 丁香（各半两） 麝香（另研，二钱半）
上为细末，炼蜜和丸如梧子大。每服三十丸，空心用温酒送下。
大腹皮饮 治妇人血癖，单腹痛。
大腹皮 防己 木通 桑白皮 浓朴 栝蒌 黄 陈皮 枳壳（麸炒） 大黄（蒸，各一钱）
青皮（一钱半） 五味子（半钱）
上作一服，水二盅，煎至一盅，入酒半盏，再煎一二沸，去滓食前服。
【大】妇女出现小腹部疼痛的症状，这是由于胞络（子宫及其周围脉络）之间，原本就有风冷之邪滞留，与血气相互搏结，停滞并积聚在小腹部位。当因体质虚弱而引发时，风邪与血液相互冲击，从而导致疼痛。
【薛】上述病症如果属于寒气凝滞、血液凝结的类型，使用威灵仙散。如果是气机阻滞、血液凝涩的类型，使用当归散。如果是肝经血液亏虚的类型，使用四物汤（通用方），加入人参、白术、柴胡。如果是肝经湿热的类型，使用龙胆泻肝汤（参考杂病淋证）。如果是肝脾气虚的类型，使用六君子汤（参考杂病虚劳），加入柴胡、芍药。如果是肝脾虚寒的类型，使用六君子汤加入柴胡、肉桂。如果兼有呕吐症状，加入木香。如果四肢逆冷，再加用炮姜。通政使张孟威说：他的妹妹患有小腹痛，服用附子理中汤，其中附子的用量超过八十枚。这是沉寒痼冷极其严重的情况，并不常见。
【大】威灵仙散：治疗妇女久患寒冷，气滞血刺痛，小腹部疼痛。
威灵仙（一两） 当归 没药 木香 桂心（各半两）
将上述药材研成细末，随时可用热酒调服一钱，忌食茶。
当归散：治疗妇女长期积滞，血气刺痛，小腹部疼痛，四肢无力，不能进食。
当归（炒制） 赤芍药 刘寄奴 没药 枳壳 延胡索（各等分）
将上述药材研成细末，用热酒调服一钱，不限时间。
追气丸（出自《灵苑》）：治疗妇女血刺痛，小腹部疼痛难以忍受。
芸苔子（微炒） 桂心（各一两） 良姜（半两）
研成细末，用醋糊制成梧桐子大小的丸剂。每次服用五丸，不限时间，用淡醋汤送下。经常服用可补血虚，破除气块，效果显著。
锻石散：治疗妇女血气痛难以忍受的方子。陈五婆所传。
取猪脊背上的血半盏，在汤上加热暖透，用棍棒搅拌至停止流动后，取锻石在火上烧至黄色，研成细末，筛取灰烬一钱，与血混合搅拌，待温度适宜后服用，立即痊愈。
我曾使用紫金皮研成细末，用醋糊制成樱桃大小的丸剂，也用于治疗妇女血气小腹部疼痛，用温酒磨化一丸服用；对于有心腹疼痛的患者也疗效良好。
吴茱萸汤：治疗妇女素体虚弱，又受风冷侵袭导致气机停滞，腹胁部刺痛。
吴茱萸（汤洗） 当归（去芦头，各二钱） 桔梗（去芦头） 细辛（去苗） 防风（去芦头）
干姜（炮制，各一钱） 熟地黄（二钱半） 甘草（炙制，半钱）
以上为一服的量，用水两盅，煎煮至一盅，空腹服用。
椒红丸：治疗妇女血气不调，脏腑积冷，脐腹部疼痛，身体日渐消瘦。
椒红 沉香 当归（去芦头） 诃梨勒（煨制，去核） 蓬术 附子（炮制，去皮和脐） 白术（各一两）
肉豆蔻 良姜 丁香（各半两） 麝香（另研，二钱半）
研成细末，用炼蜜调和制成梧桐子大小的丸剂。每次服用三十丸，空腹用温酒送下。
大腹皮饮：治疗妇女血癖（瘀血积块），单侧腹部疼痛。
大腹皮 防己 木通 桑白皮 浓朴 栝蒌黄 陈皮 枳壳（麸炒） 大黄（蒸制，各一钱）
青皮（一钱半） 五味子（半钱）
以上为一服的量，用水两盅，煎煮至一盅，加入半盏酒，再煮沸一两次，去渣滓，饭前服用。
[Da] When women suffer from pain in the lower abdomen, this is caused by wind-cold pathogens that have long resided within the Bao Luo (uterine collaterals). These pathogens contend with Qi and Blood, stagnating and accumulating in the lower abdomen. When triggered by constitutional deficiency, the wind pathogen strikes against the blood, resulting in pain.
[Xue] For the aforementioned symptoms, if they are due to cold Qi stagnation and blood coagulation, use Weilingxian San (Clerodendron Powder). If due to Qi stagnation and blood stasis, use Danggui San (Angelica Powder). If due to Liver channel Blood deficiency, use Siwu Tang (Four Substances Decoction) as a general formula, adding Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Chaihu (Bupleurum Root). If due to Damp-Heat in the Liver channel, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction; refer to miscellaneous diseases: strangury). If due to Qi and Spleen deficiency, use Liujunzi Tang (Six Gentlemen Decoction; refer to miscellaneous diseases: consumptive disease), adding Chaihu (Bupleurum Root) and Shaoyao (Peony Root). If due to Liver and Spleen deficiency-cold, use Liujunzi Tang added with Chaihu (Bupleurum Root) and Rougui (Cinnamon Bark). If accompanied by vomiting, add Muxiang (Aucklandia Root). If there is cold reversal of the four limbs, additionally add Paojiang (Prepared Ginger). Zhang Mengwei, Commissioner of Communications, stated: His younger sister suffered from lower abdominal pain and took Fuzi Lizhong Tang (Aconite Middle-Warming Decoction); she consumed more than eighty pieces of Fuzi (Aconite Lateralis Radix Preparata). This represents an extreme case of deep-seated cold and entrenched chill, which is rare.
[Da] Weilingxian San (Clerodendron Powder): Treats chronic cold in women, Qi stagnation with stabbing blood pain, and lower abdominal pain.
Weilingxian (Caulis Clerodendri Trichotomi, 1 liang) Danggui (Radix Angelicae Sinensis), Moyao (Resina Olibani), Muxiang (Radix Aucklandiae), Guixin (Ramulus Cinnamomi Cassiae) (each 0.5 liang).
Grind into fine powder. Take 1 qian mixed with hot wine at any time. Avoid tea.
Danggui San (Angelica Powder): Treats long-standing accumulation in women, stabbing pain from Qi and Blood, lower abdominal pain, weakness in the four limbs, and inability to eat.
Danggui (Radix Angelicae Sinensis, stir-fried), Chi Shaoyao (Radix Paeoniae Rubra), Liu Jinu (Herba Siegesbeckiae), Moyao (Resina Olibani), Zhike (Fructus Aurantii), Yanhusuo (Rhizoma Corydalis) (equal parts).
Grind into fine powder. Take 1 qian mixed with hot wine at any time.
Zhuiqi Wan (Qi-Chasing Pill) (from *Lingyuan*): Treats stabbing blood pain in women and unbearable lower abdominal pain.
Yuntaizi (Semen Brassicae Napus), Guixin (Ramulus Cinnamomi Cassiae) (each 1 liang) Liangjiang (Rhizoma Alpiniae Officinarum) (0.5 liang).
Grind into fine powder, make pills with vinegar paste the size of Sophora seeds. Take 5 pills at any time, washed down with light vinegar water. Regular consumption tonifies Blood deficiency and breaks up Qi masses; it is very effective.
Duanshi San (Hammered Iron Powder): A prescription by Chen Wu Po for treating unbearable blood-Qi pain in women.
Take half a cup of blood from the spine of a pig, warm it over boiling water, and stir with a stick until it stops flowing. Then, take Duanshi (Ferrum Oxidatum), roast it on fire until yellow, grind into powder, and sieve to obtain 1 qian of ash. Mix with the blood, let it cool to a warm temperature, and drink. Recovery is immediate.
I once used Zijinpi (Cortex Erythrinae) ground into fine powder, made into pills with vinegar paste the size of cherries. This also treats blood-Qi lower abdominal pain in women; one pill is taken by grinding it in warm wine. It is also beneficial for heart and abdominal pain.
Wuzhuyu Tang (Evodia Decoction): Treats women who are constitutionally deficient and have experienced Qi stagnation due to wind-cold invasion, causing stabbing pain in the abdomen and hypochondrium.
Wuzhuyu (Fructus Evodiae, washed with water), Danggui (Radix Angelicae Sinensis, remove radix head, each 2 qian) Jiegeng (Radix Platycodonis), Xixin (Herba Asari), Fangfeng (Radix Saposhnikoviae, remove radix head) Ganjiang (Rhizoma Zingiberis, prepared, each 1 qian) Shudihuang (Radix Rehmanniae Preparata, 2.5 qian) Gancao (Radix Glycyrrhizae, honey-fried, 0.5 qian).
Combine as one dose. Add two cups of water, decoct to one cup. Take on an empty stomach.
Jiaohong Wan (Zanthoxylum Pericarpium Pill): Treats irregular blood-Qi, accumulated cold in the Zang-Fu organs, umbilical and abdominal pain, and daily emaciation of the body.
Jiaohong (Pericarpium Zanthoxyli), Chenxiang (Lignum Aquilariae Resinatum), Danggui (Radix Angelicae Sinensis, remove radix head), Helile (Fructus Terminaliae Chebulae, baked, remove core), Pengzhu (Rhizoma Curcumae), Fuzi (Radix Aconiti Lateralis Preparata, peeled and navel removed), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang) Roudoukou (Nucis Arecae Semen), Liangjiang (Rhizoma Alpiniae Officinarum), Dingxiang (Flos Caryophylli) (each 0.5 liang) Shexiang (Moschus, separately ground, 2.5 qian).
Grind into fine powder, mix with refined honey to make pills the size of Sophora seeds. Take 30 pills on an empty stomach, washed down with warm wine.
Dafupi Yin (Betel Nut Decoction): Treats blood pi (blood stasis masses) in women and unilateral abdominal pain.
Dafupi (Pericarpium Arecae), Fangji (Radix Stephaniae Tetrandrae), Mutong (Caulis Akebiae), Sangbaipi (Cortex Mori), Houpo (Cortex Magnoliae Officinalis), Gualouhuang (Fructus Trichosanthis), Chenpi (Pericarpium Citri Reticulatae), Zhike (Fructus Aurantii, bran-fried), Dahuang (Radix et Rhizoma Rhei, steamed, each 1 qian) Qingpi (Pericarpium Citri Reticulatae Viride, 1.5 qian) Wuzizhong (Fructus Schisandrae, 0.5 qian).
Combine as one dose. Add two cups of water, decoct to one cup. Add half a cup of wine, boil for one or two more boils. Strain and take before meals.