（见血痹虚劳。） 治妇人腹中痛。此主之。
元犀按。妇人腹中痛主以建中汤者。其意在于补中生血。非养血定痛也。盖血无气不生。
无气不行。得建中之力。则中气健运。为之生生不息。即有瘀痛者。亦可平之。
治妇人病饮食如故。烦热不得卧而反倚息。名曰转胞。不得溺也。以胞系了戾。故
病。此方主之。
干地黄（八两。） 山药 山茱萸（各四两。） 茯苓 丹皮 泽泻（各三两。） 附
子（一枚。炮。） 桂枝（一两。）
上八味末之。炼蜜和丸梧子大。酒下十五丸。加至二十丸。日再服。
歌曰 温经暖肾整胞宫。丹泽苓三地八融。四两萸薯桂附一。端教系正肾元充。
男元犀按。胞为血海。与膀胱并列于脐下。俱悬空之腑。其气相通。全赖肾气充溢于其
间。其胞系乃正。若肾气不充。则胞系了戾。胞系了戾。必不得溺矣。是病虽在胞。其权则
专在肾也。故以肾气丸主之。方中地黄、山药固肾脏之阴。山茱萸、附子补肾脏之阳。桂枝
化腑气。茯苓行水道。妙在泽泻形圆善转。俾肾气旺则能充于胞而系自正。系正则小便不利
者而可利矣。又主虚劳腰痛。少腹拘急。小便不利者。以腰为肾之外府。肾司开阖。主骨髓。
为
腹拘急小便不利。本方补益真阴。蒸动水气。使阴平阳秘。开阖之枢自如。故能治虚劳之病。
然小便自利者。不宜服之。以其渗泄而更劫阴也。
（此方见血痹虚劳篇。）治疗妇女腹部疼痛。以此方为主治。
元犀按语：治疗妇女腹部疼痛以建中汤为主，其用意在于补益中气以生血，而非单纯养血止痛。因为血没有气就不能生成，没有气就不能运行。得到建中汤的力量，就能使中气健运，从而生生不息。即使有瘀血引起的疼痛，也可以平息。
治疗妇女患病饮食正常，但烦热不能安卧，反而需要倚靠呼吸，名为转胞，表现为小便不通。这是因为胞系扭转不顺，所以生病。此方主治。
干地黄（八两） 山药 山茱萸（各四两） 茯苓 牡丹皮 泽泻（各三两） 附子（一枚，炮制） 桂枝（一两）
以上八味药研成细末，用炼蜜和丸，如梧桐子大小。酒送服十五丸，加量至二十丸，每日服用两次。
歌诀曰：温经暖肾整胞宫，丹泽苓三地八融。四两萸薯桂附一，端教系正肾元充。
男元犀按语：胞为血海，与膀胱并列于脐下，都是悬空的腑，它们的气机相通，完全依赖肾气充盈其间，胞系才能端正。如果肾气不充足，那么胞系就会扭转不顺。胞系扭转不顺，必然导致小便不通。这个病虽然表现在胞，但其关键专在于肾。所以用肾气丸来主治。方中的地黄、山药固护肾脏之阴；山茱萸、附子补益肾脏之阳；桂枝化行腑气；茯苓通利水道。妙在泽泻形状圆活善于转动，使得肾气旺盛则能充盈于胞而胞系自然端正，胞系端正则小便不利的问题就可以解决。此外还主治虚劳腰痛、少腹拘急、小便不利者。因为腰是肾的外府，肾主管开阖，主司骨髓。对于腹部拘急、小便不利，本方补益真阴，蒸动水气，使阴阳平和秘固，开阖的枢纽自如运作，所以能治疗虚劳病。然而小便自利者，不宜服用，因为其渗泄作用会进一步劫伤阴液。
(See the section on Blood Bi and Deficiency Consumption.) It treats abdominal pain in women. This formula is the primary treatment.
Yu Xi's commentary: The reason for using Jianzhong Tang (Middle-Jian Decoction) as the primary treatment for abdominal pain in women lies in tonifying the middle Jiao to generate blood, rather than merely nourishing blood to relieve pain. Since blood cannot be generated without Qi, and cannot circulate without Qi, by obtaining the power of Jianzhong Tang, the Qi of the Middle Jiao becomes robust and functional, leading to endless generation. Even if there is pain caused by blood stasis, it can be resolved.
It treats a condition in women where diet remains normal, but they experience irritability, heat, inability to lie flat, and instead must lean forward to breathe. This is named "Zhuan Pao" (Displaced Bladder), characterized by the inability to urinate. This occurs because the ligaments of the bladder are twisted and disordered, hence the disease. This formula is indicated.
Rehmanniae Radix Preparata (8 liang), Dioscoreae Rhizoma, Corni Fructus (each 4 liang), Poria, Moutan Cortex, Alismatis Rhizoma (each 3 liang), Aconiti Lateralis Radix Praeparata (1 piece, processed), Cinnamomi Ramulus (1 liang).
The above eight ingredients are powdered. Mix with refined honey to make pills the size of wutong seeds. Take 15 pills with wine, increasing up to 20 pills. Administer twice daily.
Song verse: Warm meridians, warm kidney, straighten the bladder palace; Dan, Ze, Ling, Di, eight parts blend well. Four liang each Yu, Shu, one Gui, one Fu; Truly ensure the ligaments are straight and Kidney Yuan is filled.
Male Yu Xi's commentary: The bladder (Pao) is the Sea of Blood, located below the umbilicus alongside the urinary bladder (Pang Guang). Both are hollow organs suspended in space, and their Qi mechanisms are interconnected. They completely rely on the abundance of Kidney Qi filling the space between them so that the ligaments of the bladder remain straight. If Kidney Qi is insufficient, the ligaments of the bladder become twisted and disordered. When the ligaments of the bladder are twisted and disordered, urination inevitably becomes obstructed. Although this disease manifests in the bladder, its control lies specifically in the Kidney. Therefore, Shenqi Wan (Kidney Qi Pill) is used as the primary treatment. In the formula, Dihuang and Shanyao consolidate the Yin of the Kidney; Shanzhuyu and Fuzi tonify the Yang of the Kidney; Guizhi transforms and moves the Qi of the Fu organs; Fuling promotes water passage. The subtlety lies in Zexie, which is round and agile in movement, allowing abundant Kidney Qi to fill the bladder so that its ligaments naturally straighten. Once the ligaments are straight, the difficulty in urination can be resolved. Additionally, it treats deficiency consumption with lower back pain, tension in the lower abdomen, and difficulty in urination. Because the waist is the external mansion of the Kidney, the Kidney governs opening and closing, and controls bone marrow. For tension in the abdomen and difficulty in urination, this formula tonifies True Yin and steams/moves Water Qi, achieving balance and stability of Yin and Yang, making the pivot of opening and closing function freely. Thus, it can treat deficiency consumption diseases. However, those with spontaneous profuse urination should not take it, because its draining and leaching action would further deplete Yin fluids.