1.清白散
当归 黄柏 ( 盐水泡 ) 白芍 ( 炒 ) 樗根皮 ( 酒炒 ) 生地
川芎 贝母各一钱 炮姜 甘草各五分
上锉, 生姜三片, 水煎服.
2.导水丸
牵牛 ( 头末 ) 滑石 ( 水飞 ) 黄芩 川大黄
上末, 蒸饼为丸, 量虚实服.
3.万安丸
牵牛 ( 头末 ) 胡椒 木香 小茴香 ( 焙 ) 各等分焙
上末, 水泛为丸, 量虚实服.
4.威喜丸
白茯苓 ( 去皮作块, 用猪苓二钱半, 同于磁器内煮二十余沸出, 晒
干,不用猪苓 ) 四两 黄蜡四两
上以茯苓为末, 炼黄蜡为丸, 如弹子大. 空心细嚼, 满口生津, 徐徐
咽服, 以小便清为度. 忌米醋, 只吃糠醋. 忌动气.
5.固精丸
牡蛎 (?? 粉 ) 菟丝子 ( 酒蒸, 焙 ) 韭子 ( 炒 ) 龙骨 五
味子 白茯苓 桑螵蛸 ( 酒炙 ) 赤石脂各等分
上为末, 酒糊丸如桐子大. 每服七十丸, 空心盐汤下.
1.五积六聚分脏腑, 七症八瘕气血凝, 症积不动有定处, 瘕聚推移
无定形. 痞闷不宣气壅塞, 未成坚块血瘀名, 蓄久不散成血蛊, 产后
经行风冷乘.
【注】五脏气积, 名曰积, 故积有五证. 六腑气聚, 名曰聚, 故聚有
六证. 难经有心, 肝, 脾, 肺, 肾五脏之积, 而无六聚. 盖以积为血
病,而聚为气病也. 故李杲有五积丸方治法. 「巢氏病源」载七症八
瘕,但有八瘕名证, 而无七症病形. 其他方书亦不概见. 大抵又以症
为气病, 而瘕为血病也. 夫病皆起于气, 也气聚而后血凝, 不必过泥
于黄, 青, 燥, 血, 脂, 狐, 蛇, 鳖等名, 但以牢固不移有定处者 ,
为症为积; 推移转动, 忽聚忽散者为瘕为聚可也. 故曰: 症者: 征也
,言有形可征也. 瘕者, 假也, 言假物成形也. 若夫痞者, 痞闷不通
,气道壅塞之谓也. 瘀血者, 血瘀腹中未成坚块也. 蓄之既久, 必成
血蛊矣. 凡此诸证, 皆有新产之后, 经行之时, 不知谨避, 以致风冷
外袭, 邪正相搏, 结于腹中而成也.
1. Qingbai San (Clear and White Powder)
Danggui (Radix Angelicae Sinensis), Huangbai (Cortex Phellodendri, soaked in salt water), Baishao (Radix Paeoniae Alba, stir-fried), Chugenpi (Cortex Ailanthi, fried with wine), Shengdihuang (Radix Rehmanniae Preparata), Chuanxiong (Rhizoma Chuanxiong), Beimu (Bulbus Fritillariae Cirrhosae), each 1 qian; Paojiang (Rhizoma Zingiberis Preparatum), Gancao (Radix Glycyrrhizae Uralensis), each 0.5 qian.
Crush the above herbs, add three slices of fresh ginger, decoct in water, and take orally.
2. Daoshui Wan (Water-Guiding Pill)
Qianniu (Semen Pharbitidis, finest powder), Huashi (Talcum, processed by water flotation), Huangqin (Radix Scutellariae), Chuandahuang (Radix et Rhizoma Rhei).
Grind the above herbs into fine powder, use steamed wheat cake paste as a binder to form pills, and take according to the patient's deficiency or excess condition.
3. Wan'an Wan (Ten Thousand Peace Pill)
Qianniu (Semen Pharbitidis, finest powder), Hujiao (Piperis Longi Fructus), Muxiang (Radix Aucklandiae), Xiaohuixiang (Fructus Foeniculi, roasted), each in equal parts, roasted together.
Grind the above herbs into fine powder, use water to granulate and form pills, and take according to the patient's deficiency or excess condition.
4. Weixi Wan (Mighty Joy Pill)
Baifuling (Poria, peeled and cut into pieces, boiled with Erzhuling (Polyporus) 2.5 qian in a porcelain vessel for more than twenty boils, then dried and removed from Erzhuling) 4 liang, Huangla (Beeswax) 4 liang.
Grind the Poria into fine powder, melt the beeswax to form pills the size of a bullet. Chew thoroughly on an empty stomach until saliva is produced, then swallow slowly. Stop when urine becomes clear. Avoid rice vinegar; only bran vinegar is permitted. Avoid emotional agitation.
5. Gujing Wan (Essence-Securing Pill)
Muli (Concha Ostreae, calcined and powdered), Tusizi (Semen Cuscutae, steamed with wine and roasted), Jiuizi (Semen Allii Tuberosi, stir-fried), Longgu (Os Draconis), Wuweizi (Fructus Schisandrae Chinensis), Baifuling (Poria), Sangpiaoxiao (Ootheca Mantidis, fried with wine), Chishizhi (Halloysit Rubrum), each in equal parts.
Grind the above herbs into fine powder, use wine paste to form pills the size of tung tree seeds. Take 70 pills each time on an empty stomach, washed down with salt water.
1. The five accumulations (Ji) and six aggregations (Ju) are distinguished by their association with zang and fu organs respectively; the seven signs (Zheng) and eight masses (Jia) result from the stagnation of qi and blood. Zheng and Ji remain fixed in place with definite locations, whereas Jia and Ju can be moved and lack a fixed shape. Pi refers to fullness and obstruction due to qi congestion; it has not yet formed a hard mass and is named blood stasis. If retained for a long time without dispersing, it becomes Xuegu (blood gu); this often occurs after childbirth or during menstruation when exposed to wind-cold.
[Note] Qi accumulation in the five zang organs is called "Ji" (accumulation), hence there are five types of Ji. Qi aggregation in the six fu organs is called "Ju" (aggregation), hence there are six types of Ju. The Nan Jing describes accumulations in the heart, liver, spleen, lung, and kidney but does not mention six aggregations. This is because Ji pertains to blood disorders, while Ju pertains to qi disorders. Therefore, Li Gao provided formulas and methods for treating five accumulations. The Zhu Bing Yuan Hou Lun records seven zheng and eight jia, but only lists names and syndromes for the eight jia, lacking descriptions of the seven zheng. Other medical texts rarely mention them. Generally, zheng is considered a qi disorder, while jia is considered a blood disorder. However, diseases all originate from qi; after qi aggregates, blood coagulates. One need not overly adhere to specific names such as huang, qing, zao, xue, zhi, hu, she, and bie. Instead, classify those that are firm, immovable, and have fixed locations as zheng and ji; and those that are movable, rotatable, appearing and disappearing intermittently as jia and ju. Thus, it is said: "Zheng" means evidence/signs, implying tangible forms can be verified; "Jia" means false, implying shapes formed by borrowed materials. As for "Pi," it refers to stuffiness and obstruction, meaning the blockage of the qi pathway. "Blood stasis" refers to blood stagnating in the abdomen without forming a hard mass. After prolonged retention, it inevitably becomes Xuegu. All these conditions arise because, following childbirth or during menstruation, one fails to take proper precautions, allowing wind-cold external pathogens to invade. The pathogenic factors and healthy qi struggle against each other, knotting within the abdomen to form these conditions.