治妇人血海虚寒不育。
生山药(八钱) 当归身(四钱) 乌附子(二钱) 肉桂(二钱,去粗皮后入) 补骨脂(三钱,炒捣)
小茴香(二钱,炒) 核桃仁(二钱) 紫石英(八钱, 研) 真鹿角胶(二钱,另炖,同服,若恐其伪可
代以鹿角霜三钱)
人之血海,其名曰冲。在血室之两旁,与血室相通。上隶于胃阳明经,下连于肾少阴经。有任脉以为之担
任,督脉为之督
摄,带脉为之约束。阳维、阴维、阳跷、阴跷,为之拥护,共为奇经八脉。此八脉与血室,男女皆有。在男子
则冲与血室为化精之所,在女子则冲与血室实为受胎之处。《内经》上古通天论所谓“太冲脉盛,月事以时下,
故有子”者是也。是以女子不育,多责之冲脉。郁者理之,虚者补之,风袭者祛之,湿胜者渗之,气化不固者
固摄之,阴阳偏胜者调剂之。冲脉无病,未有不生育者。而愚临证实验以来,凡其人素无他病,而竟不育者,
大抵因相火虚衰,以致冲不温暖者居多。因为制温冲汤一方。其人若平素畏坐凉处,畏食凉物,经脉调和,而
艰于生育者,即与以此汤服之。或十剂或数十剂,遂能生育者多矣。
一妇人,自二十出嫁,至三十未育子女。其夫商治于愚。因细询其性质禀赋,言生平最畏寒凉,热时亦
不敢食瓜果。至经脉则大致调和,偶或后期两三日。知其下焦虚寒,因思《神农本草经》谓紫石英“气味甘温,
治女子风寒在子宫,绝孕十年无子”。遂为拟此汤,方中重用紫石英六钱,取其性温质重,能引诸药直达于冲
中,而温暖之。服药三十余剂,而畏凉之病除。后数月遂孕,连生子女。益信《神农本草经》所谓治十年无子
者,诚不误也。
Treats infertility in women due to deficiency-cold of the Blood Sea (Chong Mai).
Raw Dioscorea Rhizome (Shanyao, 8 qian)
Angelica Sinensis Root Body (Danggui Shen, 4 qian)
Prepared Aconite Root (Wu Fuzi, 2 qian)
Cinnamon Twig (Rougui, 2 qian, added after removing the rough bark)
Psoralea Fruit (Buguzhi, 3 qian, stir-fried and crushed)
Fennel Fruit (Xiaohuixiang, 2 qian, stir-fried)
Walnut Kernel (Hetaoren, 2 qian)
Fluorite (Zishiyang, 8 qian, ground)
True Deer Antler Glue (Lu Jiao Jiao, 2 qian, stewed separately and taken together; if counterfeit is feared, replace with 3 qian of Deer Antler Powder/Lu Jiao Shuang).
The Blood Sea of humans is named Chong Mai (Penetrating Vessel). It is located on both sides of the Blood Chamber (Xueshi) and communicates with it. Upward, it belongs to the Stomach Yangming Meridian; downward, it connects to the Kidney Shaoyin Meridian. The Ren Mai (Conception Vessel) serves as its supporter, the Du Mai (Governing Vessel) as its controller, and the Dai Mai (Belt Vessel) as its binder. The Yang Wei Mai (Yang Linking Vessel), Yin Wei Mai (Yin Linking Vessel), Yang Qiao Mai (Yang Heel Vessel), and Yin Qiao Mai (Yin Heel Vessel) serve as its protectors, collectively forming the Eight Extraordinary Vessels. These eight vessels and the Blood Chamber exist in both men and women. In men, the Chong Mai and Blood Chamber are the sites for transforming essence; in women, they are actually the sites for conceiving offspring. This refers to what the *Neijing* (Inner Canon) states in the chapter on Ancient Heaven and Humanity: "When the Tai Chong Mai is abundant, menstruation occurs at regular intervals, thus enabling conception." Therefore, female infertility is often attributed to the Chong Mai. If there is stagnation, regulate it; if there is deficiency, tonify it; if attacked by wind, dispel it; if dampness prevails, leach it out; if Qi transformation is insecure, secure it; if Yin and Yang are imbalanced, harmonize them. If the Chong Mai has no disease, there is none who cannot conceive. Since my clinical experiments, most cases of individuals who otherwise have no other diseases but remain infertile are largely due to deficiency and decline of Ministerial Fire (Xiang Huo), resulting in a lack of warmth in the Chong Mai. Thus, I formulated the Wenchong Tang (Warming Chong Decoction). For those who usually fear sitting in cool places or eating cool foods, whose menstrual cycles are generally harmonious but who find conception difficult, administer this decoction. After taking ten or dozens of doses, many are able to conceive.
A woman married at twenty and had not borne children by thirty. Her husband consulted me for treatment. Upon detailed inquiry into her constitution and temperament, she stated that she was most afraid of cold and coolness throughout her life, even refraining from eating fruits and melons during hot weather. Her menstrual cycle was generally harmonious, occasionally delayed by two or three days. Recognizing lower jiao (Lower Burner) deficiency-cold, I recalled that the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) records Fluorite (Zishiyang) as having a sweet and warm nature, treating wind-cold in the uterus causing sterility for ten years without offspring. Therefore, I prescribed this decoction, heavily using six qian of Fluorite, leveraging its warm nature and heavy quality to guide the other herbs directly into the Chong Mai to warm it. After taking more than thirty doses, the aversion to cold was eliminated. Several months later, she became pregnant and gave birth to consecutive children. This further confirmed that the statement in the *Shennong Bencao Jing* regarding treating ten years of sterility is indeed accurate.