昔宋褚澄疗师尼寡妇。别制方者。盖有谓也。此二种寡居。独阴无阳。欲心萌而多不遂。
是以阴阳交争。乍寒乍热。全类温疟。久则为劳。尝读史记仓公传。载济北王侍人韩女。病腰背痛
寒热。众医皆为寒热病。治之不瘥。仓公曰。此病得之欲男子不可得也。众曰。何以知欲男子不可
得。仓公曰。诊其脉。肝脉弦出寸。故是以知之。盖男子以精为主。妇人以血为主。男子精盛以思
室。妇人血盛以怀胎。夫肝、摄血者也。是厥阴肝脉。弦出寸口。上鱼际。则阴盛可知矣。故知
褚澄之言。信有谓矣。
【通经丸】治妇人室女月水不调。疼痛。或成血瘕。
桂心 川乌头 桃仁 当归
广术(炮) 干姜(炮) 川椒(炒出汗) 大黄(煨)
青皮(去白。各等分)
上九味为末。每一两用四钱。以米醋熬成膏。和余药六钱入臼中。杵千下。可丸则丸如桐子大
。每服二十丸。淡醋汤送下。加至三十丸。温酒亦得。一妇人血气凝疼痛。数服便效。
【生地黄丸】许学士治一尼。患恶风体倦。乍寒乍热。面赤心怔忪。或时自汗。是时疫气
大行。医见其寒热。作伤寒治之。用大小柴胡汤。杂进数日。病急。召予治之。诊视之曰。三部无
寒邪脉。但厥阴弦长而上鱼际。宜服抑阴等药治之。故予制此方。
生地黄(二两) 柴胡 秦艽 黄芩(各半两)
芍药(一两)
上为细末。蜜丸如桐子大。每服三十丸。用乌梅汤吞下。日三服。不拘时。
【熟地黄丸】治妇人月经不调。每行数日不止。兼有白带。渐渐瘦瘁。饮食少味。累年无
子。
熟地黄(二两二分) 山茱萸 白芜荑 干姜(炮)
代赭石(醋淬) 白芍药(炒。各一两) 浓朴(姜制) 白僵蚕(炒,各半两)
上八味为末。炼蜜丸如桐子大。每服四五十丸。酒下。食前。日三服。
In the past, Chu Cheng of the Song Dynasty treated nuns, monks, and widows by creating separate prescriptions, which was based on specific reasoning. These two types of individuals (nuns and widows) lived in solitude, possessing only Yin without Yang. Their sexual desire would arise but often remained unfulfilled. Consequently, Yin and Yang would contend with each other, resulting in alternating chills and fever, resembling warm malaria (Wen Nue). If prolonged, this condition would develop into consumptive disease (Lao). I once read the "Biography of Cang Gong" in the *Records of the Grand Historian* (*Shiji*), which recorded that Han Nu, a maid-servant of King Jibei, suffered from lower back and abdominal pain accompanied by alternating chills and fever. Many physicians diagnosed her with a cold-heat disorder, but treatment failed to cure her. Cang Gong stated, "This illness arises from desiring a man but being unable to obtain one." The crowd asked, "How do you know she desires a man but cannot obtain one?" Cang Gong replied, "Upon palpating her pulse, the Liver pulse is wiry and extends beyond the Cun position, reaching up to the Yuji area; thus, I know this." Generally, men are governed by Essence (Jing), while women are governed by Blood (Xue). When a man's Essence is abundant, he yearns for sexual intercourse; when a woman's Blood is abundant, she is capable of conceiving. The Liver stores and regulates Blood. If the Jueyin Liver pulse is wiry and extends beyond the Cun position, reaching up to the Yuji, it indicates an abundance of Yin. Therefore, I understand that Chu Cheng's words indeed have a basis.
[Tongjing Pill] Treats irregular menstruation and pain in married or unmarried women, or the formation of blood masses (Xue Xia).
Guixin (Cinnamon Heart), Chuan Wutou (Aconiti Radix Lateralis Preparata), Taoren (Persicae Semen), Danggui (Angelicae Sinensis Radix), Guangzhu (Curcumae Rhizoma, processed), Ganjiang (Zingiberis Rhizoma, processed), Chuanjiao (Sichuan Pepper, stir-fried until oil appears), Dahuang (Rhei Radix et Rhizoma, baked), Qingpi (Citri Reticulatae Pericarpium Viride, white pith removed, all in equal parts).
Grind the above nine ingredients into powder. For every liang of powder, use 4 qian of rice vinegar to boil into a paste. Mix this paste with the remaining 6 qian of powder in a mortar, pound a thousand times. Form pills the size of paulownia seeds. Take 20 pills per dose, administered with light vinegar water. The dosage can be increased to 30 pills. Warm wine may also be used. A woman suffering from pain due to coagulation of Qi and Blood recovered after several doses.
[Shengdihuang Pill] Scholar Xu treated a nun who suffered from aversion to wind, fatigue, alternating chills and fever, flushed face, palpitations, and spontaneous sweating. At that time, epidemic pathogenic factors were prevalent. Physicians saw her chills and fever and treated her as a Shanghan (Cold Damage) disease, administering Da Chaihu Tang and Xiao Chaihu Tang mixed together for several days. Her condition worsened, so she summoned me for treatment. Upon examination, I said: "The pulses in the three positions show no signs of cold pathogens; rather, the Jueyin pulse is wiry, long, and reaches the Yuji. It is appropriate to treat with Yin-suppressing medications." Therefore, I formulated this prescription.
Shengdihuang (Rehmanniae Radix, 2 liang), Chaihu (Bupleuri Radix), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix, each 0.5 liang), Shaoyao (Paeoniae Radix, 1 liang).
Grind the above ingredients into fine powder. Form pills with honey the size of paulownia seeds. Take 30 pills per dose, swallowed with sour plum tea. Take three times daily, at any time.
[Shudihuang Pill] Treats irregular menstruation in women, where bleeding lasts for several days without stopping, accompanied by leukorrhea. The patient gradually becomes emaciated and weak, loses appetite, and has been childless for years.
Shudihuang (Rehmanniae Radix Preparata, 2 liang 2 fen), Shanzhuyu (Corni Fructus), Baiwuyi (Meliosmae Fructus), Ganjiang (Zingiberis Rhizoma, processed), Daizheshi (Haematitum, quenched in vinegar), Baishaoyao (Paeoniae Radix Alba, stir-fried, each 1 liang), Houpo (Magnoliae Officinalis Cortex, prepared with ginger juice), Baijiangcan (Bombyx Batryticatus, stir-fried, each 0.5 liang).
Grind the above eight ingredients into powder. Form pills with refined honey the size of paulownia seeds. Take 40-50 pills per dose, administered with wine, before meals. Take three times daily.