治妊娠胎动下血, 故因伤动, 子死腹中, 下血疼痛, 口
噤欲死, 服此探之, 不损则痛止, 已损则立下. 及横生倒生, 交骨不
开,产后血晕昏乱, 崩中金疮, 去血过多等证.
当归二两或三两 川芎一两, 右锉粗末合均, 每服五钱, 水一盏, 酒
半盏, 煎八分, 热服. 未效再服. 加败龟板一具, 梳发一团, 名开骨
散.
【注】命名不曰归芎, 而曰佛手者, 谓此方治妇人胎前, 产后诸疾,
如佛手之神妙也. 当归, 川芎为血分之主药, 性温而味甘辛, 以温能
和血, 甘能补血, 辛能散血也. 古人俱必以当归君川芎, 或一倍或再
倍者, 盖以川芎辛窜, 捷于升散, 过则伤气, 故蔻宗奭曰: 不可单服
,久服, 亦此义也. 然施之于气郁血凝, 无不奏效, 故用以佐当归而
收血病之功, 使瘀去新生, 血各有所归也. 血既有所归, 则血安其部
,而诸血病愈矣. 至妊娠胎动, 胎伤下血, 非血壅胎伤, 即血乱妄下
,服此以探之, 血乱胎未动者, 血顺则痛止, 血壅胎未损者, 血行痛
止,则胎因之而安也; 已动已损者, 血得顺行, 则胎亦因之而顺下也
.横生倒生, 或用力太早, 或误服催生之药, 致气逆血乱, 亦用此以
调之. 产后崩中金疮, 亡血昏冒, 亦用此以补之. 子死腹中, 腹痛欲
死,亦用此以逐之. 以上诸病, 皆血病而气不虚者也. 若夫气虚难产
,产后血脱, 唇面黄白, 少气烦乱, 动则昏冒, 若误与此, 反致立败
,则必倍加人参, 速固无形之气, 以救有形之血也. 至于交骨难开,
加龟板, 梳发, 下输阴道; 寒加姜, 桂, 热加黄耆, 汗加桂枝, 搐加
荆穗, 又当以意消息, 加减可也.
Treats conditions during pregnancy such as fetal restlessness and vaginal bleeding, or bleeding with abdominal pain due to trauma causing the fetus to die in the uterus. It also addresses symptoms like trismus (lockjaw) approaching death. After taking this formula, if the fetus is not damaged, the pain will cease; if the fetus is already damaged, it will be expelled rapidly. It is also used for transverse presentation, breech presentation, failure of the pelvic symphysis pubis to open, postpartum blood syncope with confusion, metrorrhagia (bing zhong), excessive blood loss from traumatic wounds, and other syndromes.
Dang Gui (Angelicae Sinensis Radix) 2 liang or 3 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 liang. The above herbs are coarsely chopped, mixed evenly. Take 5 qian per dose, add 1 zhan of water and 0.5 zhan of wine, decoct until 0.8 zhan remains, and take hot. If ineffective, take again. If added with one piece of turtle shell (Gui Ban) and a tuft of hair, it is named Ka Gu San (Bone-Opening Powder).
[Annotation] The formula is not named "Gui Xiong" but "Fo Shou" (Buddha's Hand), implying that its efficacy in treating various pre- and postpartum diseases in women is as miraculous as Buddha's hand. Dang Gui and Chuan Xiong are principal herbs for regulating the blood aspect. Their nature is warm, and their taste is sweet and acrid. Warmth can harmonize the blood, sweetness can tonify the blood, and acridity can disperse blood stasis. In ancient usage, Dang Gui was always used as the Jun herb (monarch drug) and Chuan Xiong as the Chen herb (minister drug), with Chuan Xiong often used at one or two times the dosage of Dang Gui. This is because Chuan Xiong is acrid and penetrating, with rapid ascending and dispersing properties; excessive use damages Qi. Therefore, Kou Zongshi stated: "It should not be taken alone or for a long time," which reflects this principle. However, for conditions of Qi stagnation and blood coagulation, this formula is invariably effective. Thus, it is used to assist Dang Gui to achieve therapeutic effects on blood disorders, promoting the elimination of stasis and generation of new blood, allowing blood to return to its vessels. Once the blood returns to its vessels and resides peacefully, all blood disorders are cured. Regarding fetal restlessness and bleeding due to fetal injury, whether caused by blood obstruction damaging the fetus or chaotic blood flow, taking this formula serves as a probe. If the blood is chaotic but the fetus is undisturbed, smooth blood flow stops the pain; if the blood is obstructed but the fetus is undamaged, circulation stops the pain, thereby stabilizing the fetus. If the fetus is already moving or damaged, smooth blood flow facilitates the expulsion of the fetus. For transverse or breech presentations caused by premature exertion or misuse of labor-inducing drugs leading to rebellious Qi and chaotic blood, this formula is also used to regulate. For postpartum metrorrhagia or traumatic blood loss causing fainting, this formula is used to tonify. For a dead fetus in the uterus causing severe abdominal pain, this formula is used to expel. All the above conditions involve blood disorders without Qi deficiency. However, in cases of difficult labor due to Qi deficiency, or postpartum blood collapse presenting with yellowish-white lips and face, shortness of breath, irritability, and fainting upon movement, misusing this formula may cause immediate deterioration. In such cases, Ren Shen (Ginseng Radix) must be doubled to rapidly secure formless Qi to save formed blood. As for the difficulty in opening the pelvic symphysis, adding turtle shell and hair guides the medicine downward to the vagina; for cold patterns, add Sheng Jiang (Zingiberis Rhizoma Recens) and Rou Gui (Cinnamomi Cortex); for heat patterns, add Huang Qi (Astragali Radix); for excessive sweating, add Gui Zhi (Cinnamomi Ramulus); for convulsions, add Jing Sui (Schizonepetae Spica). Dosage adjustments should be made according to clinical judgment.