加味归脾汤 桂心釜墨散
17.交接出血伤心脾, 伏龙肝末入归脾, 「千金」桂心釜底墨, 酒服
方寸匕相宜.
【注】妇人每交接辄出血者, 由伤损心, 脾二经也. 宜用归脾汤加伏
龙肝煎服, 或用『千金方』中桂心, 釜底墨二味为末, 酒冲服方寸匕
,自愈.
1.龙胆泻肝汤
生地二钱 木通 车前子各一钱五分 泽泻 黄芩各二钱 当归 二
钱 黑栀仁 龙胆草各一钱 生甘草五分, 加灯草一团, 水煎服.
2.洗方
防风三钱 蕲艾一团 大戟一钱, 上熬汤熏洗.
3.腾方
枳实 广皮各等分, 上为末, 炒热腾之.
4.敷方
四物汤一料, 乳香一钱, 上捣饼, 纳户中, 其痛即定.
5.桃仁雄黄膏
桃仁 ( 研膏 ) 五钱 雄黄 ( 末 ) 三钱, 上二味研匀, 用鸡肫肝切
片,蘸药纳户中, 其虫即钻入肝, 而痒自止.
6.阴挺洗法
蛇床子五钱 乌梅九枚, 上二味, 熬汤乘热熏洗.
7.敷方
藜芦 ( 为末 ), 上用猪脂油调敷自收.
8.阴痔熏法
乌头, 上用酽醋熬熏自消.
9.温中坐药方
远志 干姜 吴茱萸 蛇床子各等分, 上为末, 绵裹纳户内, 一日二
次换.
10.膏发煎
妇人发乱一团, 上用猪膏熬化服之, 小便利则愈.
11.桂心釜墨散
桂心 釜底墨各等分, 上二味为末, 酒服方寸匕.
Jiawei Guipi Decoction (Modified Spleen-Tonifying Decoction), Guixin Fudi Mo Powder (Cinnamon Heart and Pot-Bottom Soot Powder)
17. Bleeding following sexual intercourse is caused by injury to the Heart and Spleen meridians. The treatment should involve adding Fulonggan (Fired Earth from the Bottom of a Cooking Stove) to Guipi Tang (Spleen-Tonifying Decoction) for decoction and administration. Alternatively, one may use Guixin (Cinnamon Heart) and Fudi Mo (Pot-Bottom Soot) from the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), grind them into powder, and administer with wine. Taking one fangcunbi (a traditional measure, approx. 2-3g) per dose is appropriate.
[Annotation] When women experience bleeding immediately after every act of sexual intercourse, it is due to damage affecting the Heart and Spleen meridians. It is suitable to use Guipi Tang (Spleen-Tonifying Decoction) added with Fulonggan (Fired Earth from the Bottom of a Cooking Stove), decocted and taken orally. Or, use Guixin (Cinnamon Heart) and Fudi Mo (Pot-Bottom Soot) from the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), grind them into powder, and take with wine in a dose of one fangcunbi; the condition will heal spontaneously.
1. Longdan Xiegan Tang (Gentian Liver-Draining Decoction)
Shengdihuang (Rehmanniae Radix Praeparata) 2 qian, Mutong (Akebiae Caulis) and Cheqianzi (Plantaginis Semen) each 1.5 qian, Zexie (Alismatis Rhizoma) and Huangqin (Scutellariae Radix) each 2 qian, Danggui (Angelicae Sinensis Radix) 2 qian, Heizhiren (Gardeniae Fructus Carbonized) and Longdancao (Gentianae Radix) each 1 qian, Sheng Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Add a bundle of Dengcao (Junci Medulla), decoct in water, and take orally.
2. External Wash Formula
Fangfeng (Saposhnikoviae Radix) 3 qian, Qi Ai (Artemisiae Argyi Folium) one bundle, Daji (Euphorbiae Pekinensis Radix) 1 qian. Decoct the above herbs in water to prepare a decoction for fumigation and washing of the affected area.
3. Hot Compress Formula (Teng Fang)
Zhishi (Aurantii Fructus Immaturus) and Guangpi (Citri Reticulatae Pericarpium) in equal parts. Grind the above herbs into powder, heat them by stir-frying, wrap in cloth, and apply as a hot compress to the affected area.
4. External Application Formula
One dose of Siwu Tang (Four Substances Decoction), plus Rushiang (Olibanum) 1 qian. Pound the above ingredients into a cake, insert into the vagina, and the pain will subside immediately.
5. Taoren Xionghuang Ointment (Peach Kernel and Realgar Ointment)
Taoren (Persicae Semen) 5 qian (ground into paste), Xionghuang (Realgar) 3 qian (ground into powder). Grind these two ingredients uniformly. Slice Ji Zhengan (Galli Gigerii Endothelium Corneum), dip into the medicine, and insert into the vagina. The parasites will burrow into the liver, and the itching will cease naturally.
6. External Wash Method for Yin Ting (Uterine Prolapse)
Shechuangzi (Cnidii Fructus) 5 qian, Wumei (Mume Fructus) nine pieces. Decoct the above two ingredients in water. While hot, fumigate and wash the affected area.
7. External Application Formula
Lilu (Veratris Radix) (ground into powder). Mix with Zhizhiyou (Porci Adeps) and apply topically to the affected area; the prolapsed tissue will retract spontaneously.
8. Fumigation Method for Yin Zhi (Genital Hypertrophy/Hemorrhoids)
Wutou (Aconiti Radix). Boil with strong vinegar and fumigate the affected area with the steam; the swelling will subside spontaneously.
9. Warm-Middle Sitting Medicine Formula
Yuanzhi (Polygalae Radix), Ganjiang (Zingiberis Rhizoma), Wuzhuyu (Evodiae Fructus), and Shechuangzi (Cnidii Fructus) in equal parts. Grind the above herbs into powder, wrap in cotton gauze, insert into the vagina, and replace twice daily.
10. Gaofa Jian (Hair and Fat Decoction)
Take a tangled mass of human hair (from a woman), melt it in Zhigao (Porci Adeps), and take orally. Recovery occurs when urination becomes smooth.
11. Guixin Fudi Mo Powder (Cinnamon Heart and Pot-Bottom Soot Powder)
Guixin (Cinnamomi Cortex) and Fudi Mo (Pot-Bottom Soot) in equal parts. Grind the above two ingredients into powder and administer with wine, one fangcunbi per dose.