当归和血散，川芎白术升（麻），槐（花）青（皮）荆（芥）（穗）熟地，肠风病可轻。
发斑者，皮肤之上有云头红片也。瘾疹者，皮肤之间有点如蚤斑①之状也。皆因风热所乘。犀角消毒饮治之。大便秘结者，防风通圣散主之。
防风通圣散见19页
耳者，肾之窍也。肾气实则耳聪；肾气虚则耳聋。此大概言之也。其实手少阳三焦、足少阳胆二经之所过。故有气厥而聋，有挟风而聋，有劳伤而聋者，必因其症而治之。肾虚者四物汤加枸杞、苁蓉、知母、黄柏、菖蒲、柴胡。气聋者二陈汤加香附、木香、黄芩、龙胆草、柴胡、菖蒲。风聋者九味羌活汤加柴胡、菖蒲。劳聋者补中益气汤加远志、菖蒲。
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①蚤斑：跳蚤咬的红点。
四物汤见6页
二陈汤见7页
九味羌活汤见17页
补中益气汤见17页
张子和曰："目者，肝之外候也。"又曰："圣人虽言目得血而能视，然血亦有太过、不及也。太过，则目壅塞而发痛。不及，则目耗竭而失明。大抵年少之人多太过，年老（瘦弱）之人多不及"。大法实者泻之，虚者补之。治目用剂之法：散风用防风、荆芥、羌活、白芷、蔓荆子、菊花、薄荷之类。清热用黄芩黄连、栀子、黄柏、连翘、知母、胆草之类。养血用当归、川芎、白芍、生地、熟地、枸杞、夏枯草之类。理气用香附、枳壳、青皮、槟榔、白豆蔻、苍术、甘草之类。补气用人参、黄芪、白术之类。退翳用木贼、蒺藜、蝉退、蛇退之类、明目用密蒙花、谷精草、青葙子、草决明、羊肝、柴胡之类。
齿者，肾之标，骨之余也。肾实则齿固；肾虚则齿豁。其齿痛者，非干肾也，乃阳明经热也。以清胃散治之。有气虚而痛者，补中益气汤加熟地、丹皮、茯苓、白芍。有洞者，用川椒、烧石灰为末，蜜丸，塞于洞中即愈。牙疳用五倍子烧灰，加龙骨末少许，擦之神效。
清胃散用升麻（黄）连，当归生地牡丹（皮）全，或益石膏平胃热，口疮吐衄及牙宣。
喉痹者，乃喉咽闭塞不通也。曰乳蛾，曰缠喉风，名虽不一，其因则火与痰也。脉浮而微者不治。用药之法：清热用黄连、元参、山豆根、灯心。解毒用射干、牛蒡子、甘草。消痰用贝母、花粉、茯苓、桔梗、枳壳。滋阴用白芍、生地、黄柏、知母、竹沥。
一少年值天气暴热，远行而归，忽咽喉闭塞不通，面热滚泪。予谓暴病属火，怪病属痰。以辰砂五分、白矾二钱为末，冷水调下，顷刻而愈。又治一痰症不语者，药下即语，亦此方也。
鼻者肺之窍。鼻塞有二症：鼻塞不闻香臭，或但遇寒月多塞，或略感风寒而塞者，是肺经素有火邪，火甚则喜热而恶见寒，故遇冬便塞，遇风便发也。若一时感风寒而鼻塞声重者，自作风寒治。大抵鼻之为病，除伤风鼻塞之外，皆由火热所致，俱用清热之药也。
辛夷散
辛夷散里藁（本）防风，白芷升麻与木通，（川）芎细（辛）甘草茶调服，鼻生瘜①肉此方攻。
苍耳散
苍耳散中用薄荷，辛夷白芷四般和，葱茶调服疏肝肺，清升浊降鼻渊瘥。
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①瘜：xi1（音息）。瘜肉：鼻痔。
口者，脾之外候也。脾火上行，则口内生疮，泻黄散治之。黄连、干姜为末敷之。有虚火上炎，服凉药不愈者，理中汤从治之。心热则口苦，泻心汤治之。脾热则口甘，泻黄散治之。肺热则口辣，泻白散治之。肾热则口咸，滋肾丸治之。肝胆实热则口酸而苦，宜柴胡、龙胆草、青皮、黄芩之类。胃虚热则口淡，宜补中益气汤。唇燥裂生疮者，脾血不足也，宜归脾汤。
泻黄甘草与防风，石膏栀子藿香充，炒香蜜酒调和服，胃火口疮并见功。
泻白（散）桑皮地骨皮，甘草粳米四般宜（人）参茯（苓）知（母）（黄）芩皆可入，肺热喘嗽此方施。
滋肾丸（即通关丸）见42页
理中汤见15页
泻心汤见15页
补中益气汤见17页
归脾汤见35页
丹溪论经水之大义是：经水者阴血也。血为气之配，因气而行。经水来而成块者，气之凝也。将行而痛者气之滞也。经后作痛者，气血俱虚也。色淡者，多痰亦虚也。错经妄行者，气之乱也。紫者，气之热也。黑者，热之甚也。凡经候不调者，悉以四物汤为主。
用药法：补气用人参、白术、黄芪、甘草。补血用当归、川芎、白芍、熟地、艾叶、阿胶、蒲黄炭。气滞用陈皮、香附、乌药、莪术、青皮、枳壳、砂仁。血滞用红花、桃仁、归尾、丹皮、牛膝。清热用柴胡、黄芩、知母、黄柏、黄连、生地。温经用干姜、附子、肉桂。定痛用砂仁、元胡。去痰用南星、半夏。止涩用赤石脂、伏龙肝。
四物汤见6页
妇人多有抑郁之症，乍寒乍热，食减形瘦，宜用越鞠丸以开其郁，逍遥散以调其经。
越鞠丸见24页
逍遥散用当归芍（药），柴（胡）（茯）苓（白）术（甘）草加薄荷，散郁调经功最捷，调经丹皮栀子合。
带下之状，如涕之稠粘，治当清心补养为主。砂淋之状，如水之淡薄，治当清热燥湿为主。
妇人无病单下白者，是湿热下注也。妇人久病，赤白并下，是气虚下陷，用归脾汤、补中益气汤治之。
一妇人年五十，患白砂淋，兼胸膈不宽。予以越鞠丸一料，二症全愈。
越鞠丸见24页
归脾汤见35页
补中益气汤见17页
崩漏①之病，为损于冲任之脉。盖冲脉为十二经之血海，任脉为生养之元气。因损此二脉，故血妄行。初起属实热，宜清热也。稍久属虚热，宜养血而清火也。日久属虚寒，宜温经而补血也。
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胎孕不安治有二理
安胎之法有二：有孕母有病，以致胎气不安者，但治母病，其胎自安。有胎气不安，以致孕母有病者，但安股气，其病自愈。
子悬①紫苏饮，（川）芎当（归）芍药陈（皮），腹皮（人）参甘草。胀满即时宁。
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①孕妇胸膈胀满，叫子悬。
子淋①散麦冬，竹叶腹度（赤）苓，灯心（木）通甘草，溺涩即时行。
子痫②饮羚羊，（川）芎当（归）薏（米）茯（神）（木）香，酸（枣仁）防（风）甘（草）独（活）杏（仁），五加皮生姜。
子肿④饮甘（草）（茯）苓，（川）芎（当）归（白）芍（熟）地（黄）芩，麦冬栀（子）厚（朴）泽（泻），白术水煎吞。
子气用天仙（藤），陈皮香附煎，紫苏与乌药，木瓜（甘）草姜煎。
一妇人有孕二月患恶阻，予用二陈汤加当归、白芍、黄连、白术、竹茹、乌梅即愈。
一妇人有孕三月患心痛，予用食盐一钱（炒赤）、大枣十四枚（炒黑）研末，酒下即愈。
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②孕妇无故突然倒地，抽搐不省人事。少刻又如好人一样，叫子痫。
附：保产无忧汤
《傅氏女科·产后篇补集》载有：未产能安，临产能催。偶伤胎气，腰疼腹痛，甚至见红不止，势欲小产，危急之际，一服即愈，再服全安，临产时横生逆下，服之奇效。
当归川芎菟丝子（各钱半）厚朴（酒浸）酒芍（各二钱）枳壳羌活（各八分）贝母芥穗黄芪（各一钱）艾叶炙草（各五分）鲜姜引
乐天按：二十五年前余爱人怀孕三月，肩荷重物，雨路滑跌，伤胎。腹痛难忍，翻滚床上。予以此方按原分量服之，片时即安，两剂痊愈。
产后发热原有七因
产后发热原因有七，有去血过多而发热者，有恶露不行而发热者，有感冒风寒而发热者，有过伤饮食而发热者，有蒸乳而发热者，有乳膨而发热者，有早起蓐①劳而发热者。必询问其因、诊切其脉。如去血过多者，六脉必虚，宜益气养营汤。恶露不行者，腹中必痛，宜黑神散。感冒风寒者，必兼头痛，宜五积散。过伤饮食者，胸膈不宽，宜消食饮。蒸乳发热者，乳汁不通，宜通乳汤。乳膨发热者，无人饮乳，用炒麦芽五钱研末，米饮送下。起早蓐劳者，腰胯作痛，宜猪肾饮。大抵产后用药，必须温暖，使恶露疏通，大补气血为主，虽有他症，以末治之。
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①蓐：ru4（音辱）。
益气养营汤，（人）参（黄）芪白术当（归），芍（药）（川）芎陈（皮）熟地。甘草茯苓帮。
黑神散（熟）地黄，蒲黄炒黑姜，赤芍（当）归尾（肉）桂，炙草（黑）豆炒香。
五积陈（皮）苍（术）（白）芷，麻黄桔（梗）茯苓，桂枝（干）姜半夏，枳（壳）（厚）朴芍（药）当（归）（川）芎。
消食饮山查，青陈（皮）（神）曲麦芽，（苍）术（茯）苓甘（草）枳实，厚朴与（木）香砂（仁）。
猪肾饮（又名石子汤）
Danggui Hexue San (Angelica Blood-Regulating Powder), composed of Chuanxiong Rhizoma (Chuanxiong), Atractylodis Macrocephalae Rhizoma (Baizhu), Cimicifugae Rhizoma (Shengma), Sophorae Flavescentis Flos (Huaihua), Citri Reticulatae Pericarpium Viride (Qingpi), Saposhnikoviae Radix with Ligusticum Chinense Rhizome and Flower Buds (Jingjie Sui), and Rehmanniae Radix Preparata (Shudi), can alleviate Changfeng disease (intestinal wind).
Wumei Wan (Mume Pill)
Burn Mume Fructus (Wumei) to charcoal, grind into powder, form pills with vinegar paste, and take on an empty stomach with rice water; hematochezia (blood in stool) will be cured immediately.
Maculae and Urticaria Caused by Wind-Heat Invasion
"Facima" (maculae) refers to red patches on the skin resembling cloud patterns. "Yinzhen" (urticaria) refers to spots on the skin resembling flea bites. Both conditions are caused by invasion of Wind-Heat pathogenic factors. Treat with Xijiao Xiaodu Yin (Rhinoceros Horn Detoxifying Decoction). If accompanied by severe constipation, treat primarily with Fangfeng Tongsheng San (Saposhnikovia Unblocking the Interior Powder).
Xijiao Xiaodu Yin
Xijiao Xiaodu Yin consists of Rhinocerotis Cornu (Xijiao), Arctii Fructus (Niubangzi), Saposhnikoviae Radix (Fangfeng), Saposhnikoviae Radix with Ligusticum Chinense Rhizome and Flower Buds (Jingjie), and Glycyrrhizae Radix et Rhizoma (Gancao); it causes red maculae to clear rapidly.
See Fangfeng Tongsheng San on page 19.
Deafness Originates from Kidney Deficiency
The ears are the orifices of the Kidney. When Kidney Qi is substantial, hearing is acute; when Kidney Qi is deficient, deafness occurs. This is a general statement. In reality, the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian pass through the ears. Therefore, there is deafness due to Qi reversal, deafness due to Wind pathogen, and deafness due to labor injury; treatment must be based on specific symptoms. For deafness due to Kidney deficiency, use Siwu Tang (Four Substances Decoction) added with Lycii Fructus (Gouqi), Cynomorii Herba (Congrong), Anemarrhenae Rhizoma (Zhimu), Phellodendri Cortex (Huangbai), Acori Tatarinowii Rhizoma (Changpu), and Bupleuri Radix (Chaihu). For deafness due to Qi stagnation, use Erchen Tang (Two-Chen Decoction) added with Cyperi Rhizoma (Xiangfu), Aucklandiae Radix (Muxiang), Scutellariae Radix (Huangqin), Gentianae Radix (Longdancao), Bupleuri Radix (Chaihu), and Acori Tatarinowii Rhizoma (Changpu). For deafness due to Wind, use Jiwei Qianghuo Tang (Nine-Ingredient Qianghuo Decoction) added with Bupleuri Radix (Chaihu) and Acori Tatarinowii Rhizoma (Changpu). For deafness due to labor injury, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Polygalae Radix (Yuanzhi) and Acori Tatarinowii Rhizoma (Changpu).
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① Flea bites: Red spots from flea bites.
See Siwu Tang on page 6.
See Erchen Tang on page 7.
See Jiwei Qianghuo Tang on page 17.
See Buzhong Yiqi Tang on page 17.
Eye Diseases Originate from Liver Fire
Zhang Zihe said: "The eyes are the external manifestation of the Liver." He also said: "Although sages state that the eyes can see only when nourished by blood, blood can be either excessive or insufficient. Excess leads to ocular congestion and pain; insufficiency leads to ocular depletion and blindness. Generally, young people suffer from excess, while the elderly (or frail) suffer from insufficiency." The general principle is to drain excess and tonify deficiency. Principles for treating eye diseases: To disperse Wind, use Saposhnikoviae Radix (Fangfeng), Saposhnikoviae Radix with Ligusticum Chinense Rhizome and Flower Buds (Jingjie), Notopterygii Rhizoma (Qianghuo), Angelicae Dahuricae Radix (Baizhi), Viticis Fructus (Manjingzi), Chrysanthemi Flos (Juhua), and Menthae Haplocalycis Herba (Bohe). To clear heat, use Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), Phellodendri Cortex (Huangbai), Forsythiae Fructus (Lianqiao), Anemarrhenae Rhizoma (Zhimu), and Gentianae Radix (Longdancao). To nourish blood, use Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Shengdi), Rehmanniae Radix Preparata (Shudi), Lycii Fructus (Gouqi), and Prunellae Spica (Xiakucao). To regulate Qi, use Cyperi Rhizoma (Xiangfu), Aurantii Fructus (Zhiqiao), Citri Reticulatae Pericarpium Viride (Qingpi), Arecae Semen (Binglang), Amomi Fructus Rotundus (Baidoukou), Atractylodis Rhizoma (Cangzhu), and Glycyrrhizae Radix et Rhizoma (Gancao). To tonify Qi, use Ginseng Radix (Renshen), Astragali Radix (Huangqi), and Atractylodis Macrocephalae Rhizoma (Baizhu). To remove nebula (corneal opacity), use Equiseti Herba (Muzei), Tribuli Fructus (Jili), Cicadae Periostracum (Chantui), and Serpentis Skin (Shetui). To brighten vision, use Dicentrae Bulbus (Mimenghua), Eyebright Herb (Gujingcao), Veronicaceae Seed (Qingxiangzi), Cassiae Semen (Caojueming), Sheep Liver (Yanggan), and Bupleuri Radix (Chaihu).
Toothache is Due to Stomach Heat and Qi Deficiency
Teeth are the exterior markers of the Kidney and the remnants of bone. When Kidney Qi is substantial, teeth are firm; when Kidney Qi is deficient, teeth become loose. Toothache is not a Kidney issue but rather heat in the Yangming Meridian. Treat with Qingwei San (Clear the Stomach Powder). For pain due to Qi deficiency, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Rehmanniae Radix Preparata (Shudi), Moutan Cortex (Danpi), Poria (Fuling), and Paeoniae Radix Alba (Baishao). For dental caries cavities, use Zanthoxyli Fructus (Chuanjiao) and burnt lime ground into powder, formed into pills with honey, and inserted into the cavity for cure. For periodontal disease (gangrene), burn Myrobalanus Fructus (Wubeizi) to ash, add a small amount of Os Draconis (Longgu) powder, and apply externally for miraculous effect.
Qingwei San
Qingwei San uses Cimicifugae Rhizoma (Shengma) and Coptidis Rhizoma (Huanglian); Angelicae Sinensis Radix (Danggui), Rehmanniae Radix (Shengdi), and Moutan Cortex (Danpi) are complete. Adding Gypsum Fibrosum (Shigao)平和s Stomach heat; it treats mouth ulcers, hematemesis, epistaxis, and gingival recession.
Throat Bi is Due to Fire Stirring and Phlegm Rising
Throat Bi refers to blockage and obstruction of the throat and pharynx. Called Ru'e (tonsillar hypertrophy) or Chanhou Feng (winding throat wind), although names differ, the cause is Fire and Phlegm. Pulse floating and faint indicates untreatable cases. Medication principles: Clear heat with Coptidis Rhizoma (Huanglian), Scrophulariae Radix (Yuanshen), Sophorae Tonkinensis Radix (Shandougen), and Juncus Thallus (Dengxin). Detoxify with Belamcandae Rhizoma (Shegan), Arctii Fructus (Niubangzi), and Glycyrrhizae Radix et Rhizoma (Gancao). Eliminate phlegm with Fritillariae Bulbus (Beimu), Trichosanthis Radix (Huafen), Poria (Fuling), Platycodonis Radix (Jiegeng), and Aurantii Fructus (Zhiqiao). Nourish Yin with Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Shengdi), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), and Bamboo Juice (Zhuli).
A youth returned from a long journey during extreme heat, suddenly experiencing throat blockage, facial heat, and rolling tears. I stated that sudden illness belongs to Fire, and strange illness belongs to Phlegm. I used Chen Sha (Cinnabar) 5 fen and Bai Fan (Alumen) 2 qian ground into powder, taken with cold water; he recovered instantly. I also treated a patient mute due to Phlegm who spoke immediately after taking this formula.
Nasal Congestion is Due to Lung Qi Obstruction
The nose is the orifice of the Lung. There are two types of nasal congestion: inability to smell fragrances or odors, or congestion mainly in cold months, or congestion upon slight exposure to Wind-Cold; this is due to latent Fire pathogen in the Lung Meridian. Excessive Fire prefers warmth and dislikes cold, so it congests in winter and flares up with Wind. If nasal congestion and heavy voice occur suddenly due to Wind-Cold exposure, treat as Wind-Cold. Generally, except for Wind-Cold nasal congestion, nasal diseases are caused by Fire-Heat and should be treated with heat-clearing herbs.
Xinyi San (Magnolia Powder)
Xinyi San contains Litseae Fructus (Gaoben), Saposhnikoviae Radix (Fangfeng), Angelicae Dahuricae Radix (Baizhi), Cimicifugae Rhizoma (Shengma), and Akebiae Caulis (Mutong), plus Chuanxiong Rhizoma (Chuanxiong), Asari Radix et Rhizoma (Xixin), and Glycyrrhizae Radix et Rhizoma (Gancao), taken with tea; it attacks nasal polyps.
Canger San (Xanthium Powder)
Canger San uses Menthae Haplocalycis Herba (Bohe), combined with Magnolia Flower (Xinyi) and Angelicae Dahuricae Radix (Baizhi); taken with scallion and tea, it disperses Liver and Lung Qi, clears the upper and descends turbidity, curing Biyuan (sinusitis).
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① Xi: xi1 (sound 'xi'). Xi Rou: Nasal polyp.
Mouth Ulcers are Due to Wandering Spleen Fire
The mouth is the external manifestation of the Spleen. When Spleen Fire rises, ulcers form in the mouth; treat with Xiehuang San (Drain the Yellow Powder). Also, apply powder of Coptidis Rhizoma (Huanglian) and Zingiberis Rhizoma (Ganjiang). For deficiency Fire flaming upward unresponsive to cooling herbs, use Lizhong Tang (Regulate the Middle Decoction) for counter-treatment. Heart heat causes bitter taste; treat with Xiexin Tang (Drain the Heart Decoction). Spleen heat causes sweet taste; treat with Xiehuang San. Lung heat causes spicy/pungent taste; treat with Xiebai San. Kidney heat causes salty taste; treat with Zishen Wan (Nourish the Kidney Pill). Liver-Gallbladder excess heat causes sour and bitter taste; use Bupleuri Radix (Chaihu), Gentianae Radix (Longdancao), Citri Reticulatae Pericarpium Viride (Qingpi), and Scutellariae Radix (Huangqin). Stomach deficiency heat causes bland taste; use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Dry, cracked lips with ulcers indicate Spleen Blood insufficiency; use Guipi Tang (Restore the Spleen Decoction).
Xiehuang San
Xiehuang San consists of Glycyrrhizae Radix et Rhizoma (Gancao), Saposhnikoviae Radix (Fangfeng), Gypsum Fibrosum (Shigao), Gardeniae Fructus (Zhizi), and Agastaches Herba (Huoxiang); fried until aromatic, mixed with honey and wine, it works for Stomach Fire mouth ulcers.
Xiebai San
Xiebai San (Decoction) uses Morus Alba Cortex (Sangpigu) and Daturae Radix (Gugupi), suitable with Glycyrrhizae Radix et Rhizoma (Gancao) and Oryzae Fructus (Jingsmi). Ginseng Radix (Renshen), Poria (Fuling), Anemarrhenae Rhizoma (Zhimu), and Scutellariae Radix (Huangqin) can also be added; it is applied for Lung Heat wheezing and cough.
See Zishen Wan (Tongguan Wan) on page 42.
See Lizhong Tang on page 15.
See Xiexin Tang on page 15.
See Buzhong Yiqi Tang on page 17.
See Guipi Tang on page 35.
Women's Irregular Menstruation is All Due to Qi Reversal
Danxi discussed the essence of menstruation: Menstrual blood is Yin Blood. Blood is paired with Qi and moves with Qi. Menstrual blood forming clumps indicates Qi coagulation. Pain before menstruation indicates Qi stagnation. Pain after menstruation indicates Qi and Blood deficiency. Pale color indicates Phlegm and deficiency. Erratic flow indicates Qi chaos. Purple color indicates Qi heat. Black color indicates severe heat. For all irregular menstruation, Siwu Tang (Four Substances Decoction) is the main formula.
Medication principles: Tonify Qi with Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Huangqi), and Glycyrrhizae Radix et Rhizoma (Gancao). Nourish Blood with Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Preparata (Shudi), Artemisiae Argyi Folium (Aiye), Colla Corii Asini (Ejiao), and Polygoni Multiflori Caulis Carbonized (Puhuang Tan). Resolve Qi stagnation with Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Linderae Radix (Wuyao), Curcumae Radix (Ezhu), Citri Reticulatae Pericarpium Viride (Qingpi), Aurantii Fructus (Zhiqiao), and Amomi Fructus (Sharen). Resolve Blood stasis with Carthami Flos (Honghua), Persicae Semen (Taoren), Angelicae Sinensis Radix Tail (Guiwei), Moutan Cortex (Danpi), and Achyranthis Bidentatae Radix (Niuxi). Clear heat with Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Anemarrhenae Rhizoma (Zhimu), Phellodendri Cortex (Huangbai), Coptidis Rhizoma (Huanglian), and Rehmanniae Radix (Shengdi). Warm meridians with Zingiberis Rhizoma (Ganjiang), Aconiti Lateralis Radix Preparata (Fuzi), and Cinnamomi Cortex (Rougui). Stop pain with Amomi Fructus (Sharen) and Corydalis Rhizoma (Yuanhu). Remove Phlegm with Pinelliae Rhizoma (Nanxing) and Pinelliae Rhizoma Preparatum (Banxia). Astringe with Halloysitum Rubrum (Chishizhi) and Longtan Earth (Fulonggan).
See Siwu Tang on page 6.
Women's Irritability and Tidal Fever are Mostly Due to Depression
Women often suffer from depression symptoms: alternating chills and fever, reduced appetite, and emaciation. Use Yueju Wan (Resolve Six Pills) to open depression, and Xiaoyao San (Free and Easy Wanderer Powder) to regulate menstruation.
See Yueju Wan on page 24.
Xiaoyao San
Xiaoyao San uses Angelicae Sinensis Radix (Danggui) and Paeoniae Radix (Baishao), plus Bupleuri Radix (Chaihu), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu), and Glycyrrhizae Radix et Rhizoma (Gancao), adding Menthae Haplocalycis Herba (Bohe); its merit in dispersing depression and regulating menstruation is swift. Combining with Moutan Cortex (Danpi) and Gardeniae Fructus (Zhizi) creates Tiaojing Dan (Regulate Menstruation Pill).
Leukorrhea and Gravel Lin are Due to Damp-Heat
Leukorrhea resembles thick, sticky mucus; treatment should focus on clearing the Heart and tonifying/nourishing. Gravel Lin resembles thin water; treatment should focus on clearing heat and drying dampness.
In healthy women, pure white discharge indicates Damp-Heat sinking downward. In chronically ill women, mixed red and white discharge indicates Qi deficiency sinking downward; treat with Guipi Tang (Restore the Spleen Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A fifty-year-old woman suffered from white gravel Lin with chest oppression. I prescribed one dose of Yueju Wan (Resolve Six Pills), and both symptoms were completely cured.
See Yueju Wan on page 24.
See Guipi Tang on page 35.
See Buzhong Yiqi Tang on page 17.
Metrorrhagia and Metrostaxis (Beng Lou) are Due to Damage to Chong and Ren Mai
Beng Lou disease results from damage to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). The Chong Mai is the Sea of Blood for the twelve meridians; the Ren Mai is the source of generative Qi. Damage to these two vessels causes blood to flow recklessly. Initially, it is excess-heat, requiring heat-clearing. After a short time, it becomes deficiency-heat, requiring blood-nourishing and fire-clearing. After a long time, it becomes deficiency-cold, requiring warming of meridians and blood-tonification.
Clear Heat: Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Rehmanniae Radix (Shengdi), Ophiopogonis Tuber (Maidong).
Nourish Blood: Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Preparata (Shudi), Artemisiae Argyi Folium (Aiye), Colla Corii Asini (Ejiao), Polygoni Multiflori Caulis Carbonized (Puhuang Tan).
Tonify Qi: Ginseng Radix (Renshen), Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Atractylodis Macrocephalae Rhizoma (Baizhu).
Regulate Qi: Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Amomi Fructus (Sharen).
Raise Yang: Notopterygii Rhizoma (Qianghuo), Saussureae Radix (Duohuo), Saposhnikoviae Radix (Fangfeng), Cimicifugae Rhizoma (Shengma), Bupleuri Radix (Chaihu).
Astringe: Halloysitum Rubrum (Chishizhi), Longtan Earth (Fulonggan).
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① Beng Lou: Sudden massive bleeding is called Beng; prolonged dripping is called Lou.
Treatment for Unstable Pregnancy has Two Principles
There are two methods for securing pregnancy: If the mother is ill causing fetal instability, treat the mother's illness, and the fetus will naturally stabilize. If fetal instability causes maternal illness, secure the fetus, and the illness will heal itself.
Jiao'ai Siwu Tang
Jiao'ai Tang for bleeding uses Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix (Baishao), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix (Dihuang), and Glycyrrhizae Radix et Rhizoma (Gancao); fetal restlessness becomes peaceful.
Zisu Yin
Zisu Yin for Zixuan (fetal distension) uses Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Baishao), Citri Reticulatae Pericarpium (Chenpi), Citrulli Pericarpium (Fupi), Ginseng Radix (Renshen), and Glycyrrhizae Radix et Rhizoma (Gancao); distension calms instantly.
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① Zixuan: Chest and diaphragm distension in pregnant women.
Zilin San
Zilin San (for urinary frequency/dysuria in pregnancy) uses Ophiopogonis Tuber (Maidong), Laminated Leaf of Bambusa (Zhuye), Citrulli Pericarpium (Fupi), Poria Cum Wood (Chiling), Juncus Thallus (Dengxin), Akebiae Caulis (Mutong), and Glycyrrhizae Radix et Rhizoma (Gancao); urinary difficulty flows immediately.
Lingyangjiao San
Lingyangjiao San for Zijian (pregnancy eclampsia) uses Antilope Cornu (Lingyangjiao), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Coicis Semen (Yimi), Poria (Fushen), Costi Rhizoma (Muxiang), Ziziphi Spinosae Semen (Suanzaoren), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), Saussureae Radix (Duohuo), Armeniacae Semen Amarum (Xingren), Eucommiae Cortex (Wujia Pi), and Zingiberis Rhizoma Recens (Shengjiang).
Zhuye Tang
Zhuye Tang for Zifen (pregnancy irritability) uses Poria (Fuling), Saposhnikoviae Radix (Fangfeng), and Ophiopogonis Tuber (Maidong), plus Scutellariae Radix (Huangqin) and Laminated Leaf of Bambusa (Zhuye); sleep becomes peaceful.
Fuling Tang
Fuling Tang for Zizhong (pregnancy edema) uses Glycyrrhizae Radix et Rhizoma (Gancao), Poria (Fuling), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Preparata (Shudi), Scutellariae Radix (Huangqin), Ophiopogonis Tuber (Maidong), Gardeniae Fructus (Zhizi), Magnoliae Officinalis Cortex (Houpo), Alismatis Rhizoma (Zexie), and Atractylodis Macrocephalae Rhizoma (Baizhu), decocted in water and swallowed.
Li Shi Tianxianteng San
Tianxianteng San for Ziqi (edema from knee to foot) uses Aristolochiae Stem (Tianxianteng), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), decocted with Perillae Folium (Zisu) and Linderae Radix (Wuyao), plus Chaenomelis Fructus (Mu Gua), Glycyrrhizae Radix et Rhizoma (Gancao), and Zingiberis Rhizoma (Shengjiang).
A woman at two months of pregnancy suffered from morning sickness; I used Erchen Tang (Two-Chen Decoction) added with Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Coptidis Rhizoma (Huanglian), Atractylodis Macrocephalae Rhizoma (Baizhu), Bambusae Caulis (Zhuru), and Mume Fructus (Wumei), resulting in cure.
A woman at three months of pregnancy suffered from heart pain; I used 1 qian of Salt (stir-fried red) and 14 Jujubae Fructus (Da Zao, stir-fried black) ground into powder, taken with wine, resulting in cure.
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① Zilin: Frequent, dribbling, painful urination in pregnancy.
② Zijian: Pregnant woman suddenly falls unconscious with convulsions, recovering shortly after.
③ Zifen: Pregnant woman feels frequent irritability without other illness.
④ Zizhong: Generalized edema in pregnancy. Edema only from knees to feet is called Ziqi.
Appendix: Baochan Wuyou Tang
Recorded in *Fu Shi Nu Ke* (Postpartum Chapter Supplement): It secures pregnancy before birth and induces labor at term. For accidental fetal injury, lower back/abdominal pain, even persistent bleeding threatening miscarriage, it cures in one dose and fully stabilizes in two. For breech presentation, it is miraculous.
Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Dioscoreae Hypoglaucae Rhizoma (Tusizi) (each 1.5 qian), Magnoliae Officinalis Cortex (Houpo, wine-soaked), Paeoniae Radix (Jiu Shao) (each 2 qian), Aurantii Fructus (Zhiqiao), Notopterygii Rhizoma (Qianghuo) (each 8 fen), Fritillariae Bulbus (Beimu), Saposhnikoviae Radix with Ligusticum Chinense Rhizome and Flower Buds (Jiesui), Astragali Radix (Huangqi) (each 1 qian), Artemisiae Argyi Folium (Ai Ye), Glycyrrhizae Radix et Rhizoma Roasted (Zhigan Cao) (each 5 fen), Fresh Ginger (Xian Jiang) as guide.
Letian's Note: Twenty-five years ago, my wife was three months pregnant, carried heavy loads, slipped on a rainy road, and injured the fetus. She suffered unbearable abdominal pain, rolling on the bed. I administered this formula according to the original dosage; she stabilized instantly and was cured in two doses.
Seven Causes of Postpartum Fever
There are seven causes of postpartum fever: fever due to excessive blood loss, fever due to lochia retention, fever due to Wind-Cold invasion, fever due to dietary injury, fever due to lactation (milk steaming), fever due to breast engorgement, and fever due to early postpartum labor. One must inquire about the cause and palpate the pulse. For excessive blood loss, the six pulses will be deficient; use Yiqi Yangying Tang (Tonify Qi and Nourish Ying Decoction). For lochia retention, there will be abdominal pain; use Heishen San (Black Divine Powder). For Wind-Cold invasion, there will be headache; use Wuji San (Five Accumulations Powder). For dietary injury, there will be chest oppression; use Xiaoshi Yin (Digest Food Drink). For lactation fever, milk ducts are blocked; use Tongru Tang (Unblock Milk Decoction). For breast engorgement fever, no one suckles; use 5 qian of stir-fried Hordeum Vulgare Fructus (Maiya) ground into powder, taken with rice water. For early postpartum labor, there will be lower back/hip pain; use Zhushen Yin (Pig Kidney Drink). Generally, postpartum medication must be warm to promote lochia flow, focusing on major tonification of Qi and Blood; other symptoms are treated secondarily.
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① Ru: ru4 (sound 'ru').
Yiqi Yangying Tang
Yiqi Yangying Tang uses Ginseng Radix (Renshen), Astragali Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Baishao), Chuanxiong Rhizoma (Chuanxiong), Citri Reticulatae Pericarpium (Chenpi), Rehmanniae Radix Preparata (Shudi), Glycyrrhizae Radix et Rhizoma (Gancao), and Poria (Fuling).
Heishen San
Heishen San uses Rehmanniae Radix Preparata (Shudi), Polygoni Multiflori Caulis (Puhuang), stir-fried Black Ginger (Heijiang), Paeoniae Radix Rubra (Chishao), Angelicae Sinensis Radix Tail (Guiwei), Cinnamomi Cortex (Rougui), Glycyrrhizae Radix et Rhizoma Roasted (Zhigan Cao), and stir-fried Fragrans Soybean (Heidou).
Wuji San
Wuji San uses Citri Reticulatae Pericarpium (Chenpi), Atractylodis Rhizoma (Cangzhu), Angelicae Dahuricae Radix (Baizhi), Ephedrae Herba (Mahuang), Platycodonis Radix (Jiegeng), Poria (Fuling), Cinnamomi Ramulus (Guizhi), Zingiberis Rhizoma (Ganjiang), Pinelliae Rhizoma Preparatum (Banxia), Aurantii Fructus (Zhiqiao), Magnoliae Officinalis Cortex (Houpo), Paeoniae Radix (Baishao), Angelicae Sinensis Radix (Danggui), and Chuanxiong Rhizoma (Chuanxiong).
Xiaoshi Yin
Xiaoshi Yin uses Crataegi Fructus (Shanzha), Citri Reticulatae Pericarpium (Qingchenpi), Massae Fermentatae Medicinales (Shenqu), Hordeum Vulgare Fructus (Maiya), Atractylodis Rhizoma (Cangzhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Immature Bitter Orange (Zhishi), Magnoliae Officinalis Cortex (Houpo), Aucklandiae Radix (Muxiang), and Amomi Fructus (Sharen).
Tongru Tang
Tongru Tang uses Akebiae Caulis (Tongcao), Pig Trotter (Zhuti), Chuanxiong Rhizoma (Chuanxiong), Glycyrrhizae Radix et Rhizoma (Gancao), and Pangolin Scale (Shanjia), decocted together; milk flows like a trickle after ingestion.
Zhushen Yin (also known as Shizi Tang)
Zhushen Yin for postpartum labor uses Paeoniae Radix Alba (Baishao), Angelicae Sinensis Radix (Danggui), Oryzae Fructus (Jingsmi), Fermented Soybean (Xiangchi), and Scallion White (Congbai).