《急救仙方》Vol. 5

The fifth volume of Ji Jiu Xian Fang (Emergency Immortal Prescriptions) records forty-one symptoms related to women's diseases along with corresponding formulas and mnemonic verses. Here is a simplified interpretation:

Regarding menstrual irregularities, the text notes that abnormal menstrual bleeding manifests in varied forms, making diagnosis challenging—it may present as neither cold nor heat syndromes, often accompanied by headaches. Treatment requires gradual regulation of menstrual flow without delay.

The Zhengwei Decoction formula:

• Pinellia rhizome (Banxia) 1 liang
• Chuanxiong rhizome (Chuanxiong) 4 qian
• Inula flower (Xuanfuhua) 4 qian
• Aged tangerine peel (Chenpi) 3 qian
• Clove (Dingxiang) 1 qian
• White poria (Bai Fuling) ½ qian

Decoct all ingredients with ginger juice and take on an empty stomach.

The Pingwei Decoction composition:

• Ginseng (Renshen)
• Amomum fruit (Caoguo)
• White atractylodes (Baizhu)
• Amomum seed (Sharen)
• White poria (Bai Fuling)
• Roasted jujube flesh (Hongzao)

Grind into powder and take with warm water before meals.

For pregnancy bleeding (loutai, "leaking fetus") with abdominal pain, the text warns that delayed treatment may lead to fetal death. Loutai refers to blood clots during pregnancy. The Suozhu Decoction formula uses:

• Amomum seed (Sharen) 1 liang
• Bitter cardamom (Yizhiren) ½ liang

Ground into powder, take 3 qian doses before meals. Alternatively, the Antai Drink prescribes solely 1 liang of fried cyperus tuber (Xiangfu) in powdered form.

Concerning limb pain, it explains that generalized joint soreness in women often stems from postpartum exhaustion (zuocao, "sitting on straw") or wind invasion in the meridians. The Meijian Powder combines:

• Angelica root (Danggui)
• Bupleurum root (Chaihu)
• Astragalus root (Huangqi) — each ½ liang
• Turtle shell (Biejia)
• Fibraurea stem (Tianxianteng)
• Licorice (Gancao) — each 1 liang

Take with heated wine. The Huoluo Pill uses:

• Aconite main root (Chuanwu)
• Aconite subsidiary root (Caowu) — each ½ liang
• Red adzuki beans (Chixiaodou)
• Earthworm (Dilong) — each 1 liang
• 1 roasted garlic bulb

Grind, decoct with wine, and form into pills.

For lumbago and leg pain, the text attributes it to cold exposure during menstruation causing Qi-blood stagnation, where foot pain radiates to the waist. It stresses prompt treatment with blood-activating and meridian-dredging herbs to prevent complications.

(Note: Measurements follow traditional Chinese units—1 liang ≈ 37.5g; 1 qian ≈ 3.75g. Herbal names are rendered in standard English with Pinyin in parentheses on first occurrence.)

This medical prescription primarily discusses treatment methods for several common ailments:

For foot ailments, if exposure to water has caused dampness leading to Qi-blood stagnation, resulting in painful foot meridians that cannot move properly—with patients moaning day and night or even developing fever—use the following herbs: Chinese angelica (Danggui, 3 qian), cinnamon bark (Rougui, 3 qian), Sichuan lovage rhizome (Chuanxiong, 3 qian), Chinese clematis root (Weilingxian, 3 qian), black morning glory (Heiqianniu, 3 qian), black soybean (Wudou, 0.5 qian), and rehmannia root (Dihuang, 0.5 qian), along with peony root bark (Mudanpi, 2 qian) and Beijing peony root (Jingshaoyao, 4 qian). Decoct half with wine and half with water for oral administration.

Headache treatment distinguishes two types: Temple headaches due to blood deficiency with wind invasion, accompanied by eye discomfort, require regulating the Yang meridians. Use "Yi Zi San" (One-Character Powder)—comprising arisaema rhizome (Shengnanxing), three whole scorpions (Quanxie), Sichuan lovage rhizome (Chuanxiong), dahurian angelica root (Baizhi), and schizonepeta spike (Jingjiesui, 2 qian each)—ground into powder and taken with tea.

Dizziness often stems from liver deficiency, manifesting as vertigo and nausea upon morning awakening, caused by cold pathogens affecting the organs and phlegm-rheum rising. Use "Lou Jin Wan" (Golden Gourd Pill): fennel (Huixiang) and cyperus rhizome (Xiangfu, 0.5 qian each), one monkshood (Caowu), pinellia tuber (Banxiaqu, 1 liang), white poria (Fuling), and asarum herb (Xixin, 0.5 liang each). Mix with wine and flour paste to form pills, taking 20 pills with wine after meals, complemented by "San Wu Qi San" (Three-Five-Seven Powder).

For chronic abdominal pain in women caused by blood stasis accumulating in the Guanyuan point (Dantian area), use "Li Xiao San" (Instant-Effect Powder): green tangerine peel (Qingpi), aged tangerine peel (Chenpi), lindera root (Wuyao), dried ginger (Ganjiang), cyperus rhizome (Xiangfu), zedoary (Ezhu), and burreed tuber (Sanleng)—vinegar-boiled, baked, and ground into powder, taken with tangerine peel decoction on an empty stomach. For stubborn pain, use "Xiao Tong Wan" (Pain-Dissolving Pill): 0.5 liang of dried lacquer (Ganqi) and burreed tuber (Sanleng), 1 liang of galangal (Liangjiang), and three stir-fried blister beetles (Banmao). Boil in 1 sheng of vinegar until dry, then form pills—take 30 pills with vinegar or ginger decoction. A simpler formula uses just burreed tuber (Sanleng), zedoary (Ezhu), and green tangerine peel (Qingpi).

These prescriptions emphasize using pungent-warm herbs to move Qi and activate blood, combined with guiding agents like wine and vinegar to enhance efficacy, embodying the TCM principle that "free flow prevents pain." Caution is required with animal-derived ingredients like scorpions and blister beetles due to toxicity—modern usage should follow medical guidance.

The following are several ancient medicinal formulas for treating gynecological disorders, primarily addressing common female symptoms such as hypochondriac pain, lower abdominal pain, and feverish palms and soles.

The first formula treats stabbing pain below the ribs. Use four liang each of malt sprout (Maiya) and pinellia rhizome (Banxia), simmered in six sheng of vinegar until dry, then roasted and ground into powder. Form into pills using vinegar paste, taking twenty pills per dose with vinegar soup or ginger decoction. If bilateral hypochondriac pain, qi stagnation, or ascending qi occurs, add lignum aquilariae resinatum (Wuchenxiang) and corydalis rhizome (Xuanhusuo) as modifications to the Seven Qi Decoction (Qiqi Tang).

The second formula is a modified Seven Qi Decoction for women with hypochondriac pain and lower abdominal pain radiating to the chest and back due to qi stagnation. The prescription includes three qian each of ginseng (Renshen) and cinnamon twig (Guizhi), two qian each of licorice (Gancao), corydalis (Xuanhusuo), cyperus rhizome (Xiangfu), and lignum aquilariae resinatum (Chenxiang), five qian of lindera root (Wuyao), and four qian of pinellia (Banxia). Decoct with fresh ginger and take without time restrictions.

The third formula addresses distension and pain in the lower abdomen, often caused by blood stasis滞留 in the Triple Burner (Sanjiao, an TCM concept) or bladder leading to difficult urination. Use the All-Effective Powder (Wanling San) taken with heated wine, combined with dietary adjustments. Female lower abdominal pain frequently arises from blood heat, qi stagnation, or postpartum blood stasis. The All-Effective Powder配方 contains half a liang of cinnamon twig (Guizhi), one liang of Chinese angelica (Danggui), half a liang of zedoary (Ezhu), three qian of aucklandia root (Muxiang), and six qian of rehmannia (Dihuang), ground and taken with warm wine. It may also be paired with Minor Center-Fortifying Decoction (Xiao Jianzhong Tang). For difficult urination, use Eight Corrections Powder (Bazheng San) or Peach Kernel Decoction (Taoren Jian).

The fourth formula treats feverish palms and soles. When women experience damp-pathogen invasion during menstruation causing vexing heat in extremities, first use Magnetite Decoction (Cishi Tang)加bupleurum (Chaihu). The Magnetite Decoction contains two qian each of peony root (Shaoyao) and rehmannia (Dihuang), three qian each of white atractylodes (Baizhu), licorice (Gancao), and lycium root bark (Digupi), plus five qian of northern bupleurum (Beichaihu). Decoct in water and take on an empty stomach.

Finally, alternating chills and fever indicate yin-yang imbalance and can be effectively treated with modified Bupleurum Decoction (Chaihu Tang). In women, this alternating pattern often stems from阴阳失调 (yinyang shitiao), where yin excess causes cold symptoms.

This passage presents several treatment methods for gynecological disorders:

For miscellaneous pregnancy and childbirth disorders caused by excessive yang heat, Chaihu San (Bupleurum Powder) can be used. The formula consists of 3 qian each of Chaihu (Bupleurum root), Huangqin (Scutellaria root), and Gancao (licorice), along with 3 qian each of Jingjie (Schizonepeta herb) and Guizhi (cinnamon twig), and 1 qian of Digupi (Lycium root bark). These ingredients should be finely chopped and decocted in water for oral administration, supplemented with Xiao Chaihu Tang (Minor Bupleurum Decoction) for 3–5 doses.

Symptoms of deficient heat manifest as persistent fever day and night with a weak pulse. In such cases, Xiaoyao San (Free and Easy Wanderer Powder) should be combined with Xiangfu (Cyperus rhizome) and Zhuye (bamboo leaves) for decoction. If deficient heat arises from excessive blood loss, Xiaoyao San should be modified by adding 3 qian each of Digupi and Gancao, 5 qian of Chaihu, and 3 qian each of Huangqin and Chuanxiong (Ligusticum rhizome). The mixture is finely chopped and taken on an empty stomach.

Back and heart pain results from dysfunction in the heart’s role of generating blood and the spleen’s role of nourishing blood, or from anger damaging the heart, causing qi and blood to clash in the chest and diaphragm. Wutou Wan (Aconite Pill) can be used for treatment. The formula includes one Chuanwu (Aconite main tuber), 1 liang of Chuanjiao (Sichuan pepper, roasted dry), 1 liang of Guizhi, half a liang of calcined Chishizhi (red halloysite), one Fuzi (Aconite lateral root, stewed), half a liang of Langdu (Euphorbia root), and half a liang of Liangjiang (galangal). These ingredients are ground into powder and mixed with honey to form pills. Ten pills should be taken on an empty stomach with warm wine or rice water.

Abdominal distension and pain often arise from qi-blood deficiency or dietary stagnation damaging the spleen. Naosha Wan (Sal Ammoniac Pill) can be used, composed of 3 liang of Naosha (sal ammoniac, ground separately), along with 3 qian each of Sanleng (burreed rhizome), Qingpi (green tangerine peel), Chuanjiao, and Ganqi (dried lacquer), plus 2 qian of Houpo (magnolia bark). The ingredients are ground into powder and mixed with vinegar paste to form pills. Thirty pills should be taken with ginger decoction. If the spleen and stomach are not regulated in time to smooth qi flow, the condition may progress into incurable gu zhang (tympanites).

For swelling and toxicity in the limbs, no specific formula is provided, but based on the context, it is likely also caused by qi-blood disharmony.

This medical prescription primarily addresses several gynecological conditions and their corresponding treatments. When women experience swelling and pain in the limbs, it is caused by obstructed menstrual flow and the invasion of dampness. This can be treated with Danggui Wan (Angelica Pill), composed of half an ounce of angelica root (Danggui), three qian of cinnamon bark (Rougui), two qian of lepidium seed (Tinglizi), and five other herbs. The ingredients are mixed with honey to form pill-sized pellets, which are then taken with rice water.

If symptoms include stinging skin pain or vomiting, this indicates blood stasis and pain due to cold affecting menstruation. Treatment involves two steps: first, take Jiagan San (Pain-Relieving Powder), which contains three qian each of myrrh (Moyao), angelica root (Danggui), and white peony root (Baishao), along with two qian of cinnamon bark (Rougui), mixed with wine. This is followed by Lixiao San (Rapid-Effect Powder).

Excessive and prolonged menstrual bleeding is attributed to Qi deficiency. In such cases, warming and tonifying herbs like deer antler (Lurong) and aconite (Fuzi) should be added to restorative formulas. Guirong Wan (Angelica and Deer Antler Pill) is specifically designed for this condition, combining one ounce of angelica root (Danggui), three qian of deer antler (Lurong), and one piece of aconite (Fuzi), ground into powder and taken with donkey-hide gelatin soup (Ejiao Tang).

Dysentery is classified into two types: red stools indicate heat syndrome, while white stools indicate cold syndrome. When women suffer from red-white dysentery accompanied by abdominal pain, it results from the accumulation of cold and heat pathogens in the organs. Treatment involves first clearing heat, then regulating the spleen and stomach. Babao Tang (Eight-Treasure Decoction) is prescribed, containing one ounce of angelica root (Danggui), half an ounce of rhubarb (Dahuang), and three qian each of bitter orange (Zhiqiao), red peony root (Chishaoyao), and costus root (Muxiang).

These formulas exemplify the TCM principle of "pattern differentiation and treatment" (Bianzheng Shizhi), tailoring herbal combinations to specific symptoms while emphasizing administration methods (such as rice water, wine, or donkey-hide gelatin soup as carriers). The precise dosages (e.g., just one fen of musk) and the balanced use of warming and cooling herbs—including blood-nourishing agents like angelica root and purgatives like rhubarb—demonstrate the nuanced approach of classical prescriptions.

This passage records several ancient medical prescriptions and symptom analyses for treating gynecological disorders:

The first is the "Stomach-Regulating Middle Nourishing Decoction" (Tiaowei Yangzhong Tang), composed of ginseng, white atractylodes, aged tangerine peel, cardamom, chebulic myrobalan, and poria cocos, ground into fine powder and taken with rice water. It primarily treats symptoms like excessive phlegm, coughing, and labored breathing caused by wind-cold invasion of the lungs. Notably, pregnant women requiring fetal stabilization and stomach regulation should take it with perilla leaf decoction.

For coughs in women caused by cold pathogens invading the lungs, untimely treatment may develop into blood stasis, consumptive disorders, or even loss of voice. The "Hidden Dragon Decoction" (Fulong Tang) uses powdered ingredients including apricot kernel, chebulic myrobalan, aged tangerine peel, bitter orange, donkey-hide gelatin, ephedra, and indigo naturalis, taken with perilla leaf decoction after meals alongside menstrual-regulating powder.

Persistent postpartum bleeding was attributed to cold-damaged uterus, potentially leading to emaciation and abnormal vaginal discharge over time. The "Jade Spirit Powder" (Yushen San) combines ashes of hair paper and mulberry bark paper with schizonepeta spike and pinellia rhizome, decocted with rice wine. For accompanying coughs, the inula flower powder with ginger and jujube is recommended.

Reddish, painful urination—occurring both pre- and postpartum—can be treated with "Malva Seed Powder" (Kuizi San) containing akebia stem, Chinese angelica, malva seed, rice-paper plant pith, and gardenia, decocted and taken with scallion compress applied to the navel.

Finally, constipation was understood as resulting from lung deficiency-heat and spleen deficiency with insufficient body fluids, suggesting treatment with mint decoction. These formulas collectively reflect traditional Chinese medicine's holistic approach to gynecological conditions, emphasizing spleen-stomach warming, qi-blood harmonization, and systemic regulation.

This text records several ancient medicinal formulas and symptom analyses for common gynecological conditions. First addressing constipation: women's bowel obstruction often stems from lung heat or blood deficiency with wind-heat patterns. One formula called "Three Yellow Powder" (Sanhuang San) uses equal parts of ledebouriella root (Fangfeng) and bitter orange (Zhike) with double dose of rhubarb (Dahuang), ground into powder and taken with mint tea.

For intestinal disorders, there's a "Hollow Intestine Pill" (Kongchang Wan) combining equal measures of hemp seed (Maren), magnolia bark (Houpo), bitter orange (Zhike), rhubarb (Dahuang), apricot kernel (Xingren), and aconite (Chuanwu), prepared with honey into pills and swallowed with rice water. Special mention is made of women's toothache with facial swelling, attributed to spleen deficiency with blood weakness, qi-blood stagnation compounded by wind-heat. Treatment begins with gargling "Banquet Powder" (Fuyan San) - a decoction of asarum herb (Xixin), long pepper (Bibo), prepared aconite skin (Fuzi Pi) and raw aconite skin (Chuanwu Pi), followed by internal "Liver-Nourishing Decoction" (Bugan Tang) containing nutmeg (Roudoukou), aged tangerine peel (Chenpi), white atractylodes (Baizhu), schizonepeta (Jingjie), inula flower (Xuanfuhua), galangal (Liangjiang) and poria (Fuling), ground and taken with rice water.

Regarding bloody stools (called "intestinal wind" in classical terms), this was considered a qi-blood imbalance. Treatment used pills of schizonepeta (Jingjie) and aconite (Chuanwu) taken with astragalus wine. The text specifically notes this condition in women often results from excessive sexual activity causing blood deficiency with qi excess, manifesting as anal discomfort. Another "Intestine-Clearing Pill" (Xuanchang Wan) combines raw aconite (Sheng Chuanwu), schizonepeta spikes (Jingjie Sui) and bitter orange (Zhike) in equal measures, formed with rice paste into pills and similarly taken with astragalus wine.

For hematemesis, three causes are identified: reversed menstrual flow, internal injury to the thoroughfare vessel, or lung channel heat. Treatment emphasizes lung qi regulation, recommending "Safflower Powder" (Honghua San). Finally mentioned is a "Spleen-Regulating Powder" (Tiaopi San) containing burreed rhizome (Sanleng), zedoary (Ezhu), malt (Maiya), pepper (Hujiao), cardamom (Sharen) and ligusticum (Chuanxiong) for spleen-stomach disharmony.

The Jijiuxianfang (Emergency Immortal Prescriptions) documents several common gynecological treatments:

For the Tongjing Wan (Menstruation-Regulating Pill) formula: Equal parts of Chinese angelica (Danggui), cinnamon bark (Rougui), green tangerine peel (Qingpi), rhubarb (Dahuang), dried lacquer (Ganqi), dried ginger (Ganjiang), Sichuan aconite (Chuanwu), peach kernel (Taoren), zedoary (Ezhu), and Sichuan pepper (Huajiao). Preparation method: First lightly stir-fry the herbs, then grind into powder. Half the mixture is cooked with vinegar into a paste, then combined with the remaining powder and egg white to form pills. After drying in shade, take thirty pills with vinegar-infused warm water.

Regarding edema in pregnant women during the seventh or eighth month, the text attributes this to fetal Qi affecting the Three Yin Channels (Taiyin Spleen Channel, Shaoyin Kidney Channel, and Jueyin Liver Channel). Treatment requires first eliminating dampness, recommending the Fenqi Yin (Qi-Dividing Decoction): Three qian each of aged tangerine peel (Chenpi), licorice (Gancao), and red poria (Chifuling), with five qian each of atractylodes (Cangzhu), chaenomeles (Mugua), and white atractylodes (Baizhu), decocted with fresh ginger and jujube.

For convulsions caused by Liver Channel wind invasion, the text advises first dispelling wind using Shenfu Tang (Ginseng-Aconite Decoction): Two qian each of ginseng (Renshen), raw aconite (Shengfuzi), licorice (Gancao), asarum herb (Xixin), white atractylodes (Baizhu), and dried ginger (Ganjiang), ground into powder and taken with warmed wine.

Generalized jaundice, termed "menstrual irregularity" in the text, is attributed to improper sexual activity. Treatment involves Cunjin San (Inch-Gold Powder): Five qian each of yellow wax (Huangla) and alum (Baifan), with three qian of aged tangerine peel (Chenpi), formed into wax pills to be taken with Zixue Tang (Blood-Nourishing Decoction) or Tiaojing Tang (Menstruation-Regulating Decoction).

This passage describes several treatment methods for gynecological conditions. First, for cases of voice loss—often occurring after wind-cold induced coughing that leaves the throat hoarse—one may gargle with salt water or take Jiaojing Wan (a type of Chinese herbal pill). Alternatively, salt-preserved ginger slices left overnight can be consumed in the morning. Those with chronic voice loss may benefit from Zhugui Tang, a decoction containing two liang of genuine Perilla seeds, thirty apricot kernels, three Terminalia chebula fruits, and two liang of Galla Chinensis, taken with warm wine.

Next is the symptom of choking obstruction, caused by stagnant Qi (vital energy) and cold affecting the upper diaphragm, leading to persistent phlegm expulsion. This can be treated with Dingxiang San, a powder made from equal parts clove, persimmon calyx, loquat leaf, and aged tangerine peel, finely ground and chewed slowly.

For emaciation and blood-Qi deficiency—where weak blood and Qi prevent muscle growth—taking Guling Wan for two months is recommended. This pill formula includes one liang each of astragalus root, ginseng, achyranthes root, and angelica sinensis; one aconite tuber; half a liang of rehmannia; three qian each of eucommia bark, atractylodes rhizome, white atractylodes, cinnamon bark, and wolfberry; and five qian of poria, mixed with wine paste to form pills and taken with ginseng decoction.

Regarding menstruation during pregnancy—where bleeding continues normally for months despite healthy pregnancy and diet—this may indicate pathogenic influences. Taking Suhexiang Wan with well water in the morning is advised.

Lastly, for genital sores causing pain and itching—often due to excessive sexual activity depleting primordial Qi (Yuanqi)—treatment involves washing the affected area two or three times with scallion-boiled water, followed by applying oil mixed with charred apricot kernel ash.

Ulcerations of the female genitalia often result from exposure to wind during menstruation or excessive sexual activity. This condition is termed "yin erosion." The treatment involves first cleansing with a decoction of scallion, followed by topical application of Xingren Powder. The formula for Xingren Powder is: one liang of apricot kernels burned to ash and mixed with clear oil for application.

Regarding bodily pain: Pain on the right side of the body stems from reversed blood flow (blood stagnation), while pain on the left arises from qi stagnation (blocked qi circulation). Such discomfort is frequently caused by overthinking or exposure to wind-cold, leading to disharmony of qi and blood. For qi stagnation, use Even Qi Decoction; for reversed blood flow, administer Even Blood Decoction.

The Even Blood Decoction formula comprises equal parts of fennel, magnolia bark, frankincense, cinnamon bark, licorice, black morning glory, rehmannia, and notopterygium rhizome, ground into powder and taken with costus root decoction. An alternative Even Blood Decoction formula includes equal parts of angelica root, asarum, angelica dahurica, myrrh, lycopus, licorice, and fibraurea stem, powdered and consumed with heated wine.

Chills and trembling resembling demonic possession indicate blood-cold syndrome. Treat with Zigui Pills taken sparingly with warm wine. Women experiencing chills often suffer from wind-cold exposure or qi-blood deficiency. The Zigui Pill formula combines schizonepeta, moutan bark, cinnamon bark, and white peony root, powdered and taken with warm wine.

Sourness in the chest results from cold in the spleen-stomach or phlegm retention in the stomach. Tangerine peel and malt resolve stagnation, while atractylodes and evodia alleviate symptoms. Women with phlegm retention between spleen and stomach frequently experience chest sourness or clear vomitus. Treat with Evodia Pills: evodia (washed in salt water) and atractylodes (one liang each), tangerine peel (white removed), malt, cinnamon bark, and medicated leaven (five qian each), formed into pills with boiled flour paste and taken with rice water.

Deafness commonly follows blood loss with wind exposure. Enhance Baji Pills by adding aconite and musk for greater efficacy. For women experiencing deafness due to deficient constitution with ascending wind pathogens, administer Baji Pills with aconite using warm wine, supplemented with Astragalus Decoction. Refer to official pharmacopeia (Ju Fang) for Baji Pill's complete formula.

Generalized numbness...

This passage records two ancient medical prescriptions for treating gynecological disorders along with related case studies.

The first prescription addresses systemic numbness in women, known in traditional Chinese medicine as "buren" (insensitivity). Symptoms include full-body numbness, loss of pain sensation, and blurred vision, primarily caused by Qi (vital energy) and blood deficiency coupled with invasion of wind-damp pathogens. The treatment involves taking "Five Tonics Pill" (Wubu Wan) with "Wind-Dispelling Powder" (Qufeng San). Five Tonics Pill consists of astragalus root (30g), ginseng (15g), aconite (1 piece), Chinese angelica (9g), and white peony root (15g), prepared with honey into pills. Wind-Dispelling Powder contains raw Sichuan aconite, atractylodes, angelica dahurica, and licorice (9g each), taken with warm wine to send down the Five Tonics Pill.

The second prescription, called "Qin-Gui Pill" (Qingui Wan), treats female infertility. The text documents three successful cases: a 27-year-old childless woman conceived after 20 days of medication; a 34-year-old woman who had missed her period for 16 years conceived after treatment; and a 40-year-old childless woman also conceived. The formula contains 14 ingredients: large-leaf gentian root, cinnamon bark, eucommia bark, saposhnikovia root, and magnolia bark (0.9g each), raw aconite (45g), poria (45g), cynanchum atratum, dried ginger, adenophora root, achyranthes root, and pinellia tuber (15g each), ginseng (30g), and asarum root (30.3g). Preparation involves grinding these herbs into powder, forming honey pills the size of mung beans. Take 30 pills on an empty stomach with rice water, increasing dosage if ineffective, but discontinuing immediately upon conception.

The text notably comments that although the original recommender boasted "punish my whole family if no results appear within 49 days"—which may sound like empty bragging—this formula indeed demonstrates miraculous efficacy and deserves to be called an immortal prescription (xianfang).