（歌解见长沙方歌括。） 治妇人经水不利下者。主之。
水蛭 虻虫 桃仁 大黄
男元犀按。妇人经水不利下。脉证俱实者。宜此方。否则当养其冲任之源。不可攻下。
治妇人经水闭不利。脏坚癖不止。中有干血。下白物者主之。
矾石（三分。烧。） 杏仁（一分。）
上二味末之。炼蜜丸枣核大。服四丸。剧者再服之。
歌曰 经凝成癖闭而坚。白物时流岂偶然。（蓄泄不时。胞宫生湿。湿复生热。所积之
血。转为湿热所腐。而白物时时自下。）矾石用三（分）杏一分。服时病去不迁延。
尤在泾云。脏坚癖不止者。子脏干血坚凝成癖而不去也。干血不去。则新血不荣而经闭
不利矣。由是蓄泄不时。胞宫生湿。湿复生热。所积之血。转为湿热所腐。而成白物。时时
自下。是宜先去其脏之湿热。矾石却水除热。合杏仁破结润干血也。
治妇人六十二种风。腹中血气刺痛者主之。
红蓝花（一两。）
上一味。酒一大升。煎减半。顿服一半。未止。再服。
歌曰 六十二风义未详。腹中刺痛势彷徨。治风先要行其血。一两蓝花酒煮尝。
浅注引张隐庵侣山堂类辨甚妙。不再释。
（见妇人妊娠病。） 治妇人腹中诸疾痛者。此方主之。
犀按。妇人腹中诸疾痛者。不外气郁血凝带下等症。用当归芍药散者。以肝为血海。遂
其性而畅达之也。方中归、 入肝解郁以伸木。芍、泽散瘀而行水。白术倍土养木。妙在作
散以散之。酒服以调之。协诸药通气血。调营卫。以顺其曲直之性。使气血和。郁滞散。何
患乎腹中诸疾痛不除。
（歌诀解说参见《长沙方歌括》。）治疗妇女经血排出不畅、难以通下的病症，以此方主治。
水蛭 虻虫 桃仁 大黄
男元犀按语：妇女经血排出不畅，若脉象与证候均表现为实证者，适宜使用此方；否则应当滋养冲任二脉的源头，不可使用攻下之法。
治疗妇女经血闭阻不通，胞宫内坚结痞块久不消散，中有干血（陈旧性瘀血），并伴有白带下注的病症，以此方主治。
矾石（三分，烧制。） 杏仁（一分。）
将以上两味药研成细末，用炼蜜制成如枣核大小的丸剂。每次服用四丸，病情较重者可再服一次。
歌诀说：经血凝滞形成痞块且坚硬，白带时常流出岂是偶然？（蓄泄失常，胞宫生湿，湿邪郁久化热，所积之血被湿热腐浊，导致白物时时自行流出。）矾石用量三分，杏仁一分，服药后病去而不迁延。
尤在泾评论道：所谓“脏坚癖不止”，是指子宫内干血坚凝结成痞块而不去除。干血不去，则新血无法濡养而导致经闭不通。由此导致蓄泄失常，胞宫生湿，湿邪又化为热，积聚之血转为被湿热腐浊，从而形成白物，时时自行流出。此时应当先去除胞宫的湿热，矾石能利水除热，配合杏仁破结润燥以化解干血。
治疗妇女受六十二种风邪侵袭，腹中气血刺痛者，以此方主治。
红蓝花（一两。）
取一味药，用一大升酒，煎煮至减半，一次性服下一半剂量。若症状未止，可再服一次。
歌诀说：六十二种风邪的含义尚不明确，腹中刺痛令人彷徨无措。治疗风邪首先要行其血液，用一两红蓝花酒煮服用。
浅注引用张隐庵《侣山堂类辨》中的观点极为精妙，不再赘述解释。
（见《妇人妊娠病》篇。）治疗妇女腹中各种疼痛的病症，以此方主治。
按语：妇女腹中各种疼痛，不外乎气郁、血凝、带下等症。使用当归芍药散的原因，是因为肝为血海，顺应其本性使其畅达。方中当归入肝，解郁以舒展木气；芍药、泽泻散瘀而行水；白术加倍培土以养木。妙处在于制成散剂以疏散，酒送服以调和。协同诸药通行气血，调和营卫，以顺应肝木曲直之性，使气血调和，郁滞消散，何愁腹中各种疼痛不能消除。
(For the explanation of the song, refer to *Changsha Fang Ge Kuo*.) It is used to treat women with difficult or obstructed menstruation.
Hirudo (Leech), Ophiorrhiza (Mebugong), Prunus persica seed (Taoren), Rheum palmatum rhizome (Dahuang)
Nan Yuanxi notes: For women with difficult menstruation, if both the pulse and symptoms indicate excess patterns, this formula is appropriate; otherwise, one should nourish the source of the Chong and Ren meridians and must not use purgative methods.
It is used to treat women with amenorrhea, persistent firm masses in the viscera, presence of dried blood (old blood stasis), and leukorrhea (white vaginal discharge).
Alumen (Fanshi, 3 fen, calcined), Apricot seed (Xingren, 1 fen)
Powder the above two ingredients. Mix with refined honey to make pills the size of a jujube pit. Take four pills per dose; for severe cases, take another dose.
The song states: Menstrual stagnation forms masses that are hard and fixed; the frequent flow of white discharge is not accidental. (When accumulation and discharge are irregular, dampness arises in the uterus; dampness transforms into heat, corrupting accumulated blood, leading to the spontaneous discharge of white matter.) Use three fen of Alumen and one fen of Apricot seed. Upon administration, the disease resolves without lingering.
You Zaijing comments: "Persistent firm masses in the viscera" refers to dried blood in the uterus solidifying into masses that do not resolve. If dried blood does not resolve, new blood cannot nourish, resulting in amenorrhea and irregular menstruation. Consequently, accumulation and discharge become irregular, dampness arises in the uterus, and dampness transforms into heat. The accumulated blood becomes corrupted by damp-heat, forming white discharge that flows spontaneously. In such cases, one should first eliminate the damp-heat in the uterus. Alumen drains water and clears heat, combined with Apricot seed to break stagnation and moisten dried blood.
It is used to treat women affected by sixty-two types of wind pathogens, suffering from stabbing pain in the abdomen due to qi and blood stagnation.
Carthamus tinctorius flower (Honglanhua, 1 liang)
Take one ingredient. Decoct in one sheng of wine until reduced by half. Drink half at once. If symptoms persist, take another dose.
The song states: The meaning of sixty-two types of wind is unclear; stabbing abdominal pain causes hesitation. To treat wind, one must first move the blood; decoct one liang of Carthamus in wine and consume it.
The shallow annotation cites Zhang Yinan's *Lushantang Leibian*, which offers excellent insights; further explanation is omitted.
(See the chapter on Diseases of Pregnant Women.) It is used to treat various abdominal pains in women.
Note: Various abdominal pains in women generally stem from qi stagnation, blood coagulation, or leukorrhea. The reason for using Danggui Shaoyao San (Angelica and Paeonia Powder) is that the Liver is the Sea of Blood; thus, one follows its nature to promote smooth flow. In the formula, Angelica enters the Liver to relieve stagnation and soothe Wood energy; Paeonia and Alisma dissipate stasis and promote water metabolism; Atractylodes macrocephala rhizome strengthens Earth to nurture Wood. The brilliance lies in preparing it as a powder to disperse, and taking it with wine to harmonize. This coordinates the herbs to unblock qi and blood, harmonize Ying and Wei nutrients, and follow the flexible nature of Wood, ensuring qi and blood harmony and dispersion of stagnation. How could abdominal pains fail to be resolved?