妇人翻胃,多由气郁血虚,胃口枯槁,脾气不行而致。朝食暮吐,暮食朝吐,故曰翻胃。
太仓丸 治妇人气郁,脾胃虚弱,不进饮食,翻胃呕吐。
白豆蔻 砂仁(各二两) 丁香(一两) 陈仓米(净土,一升,炒。)
上末,姜汁打老米糊丸,梧桐子大,每服七十丸,食后姜汤下。
白芷散 治妇人翻胃吐食。
白芷(杭州不蛀者,热汤泡,切片,新瓦上焙令黄)
上为细末,用猪血二十文切片,以沸汤泡七次,将血蘸药吃七片,如剩药末,留后次用。
白垩散 治妇人翻胃吐食。《千金方》云∶不特治妇人,男子亦可治。
白垩土(以米醋一升, 白土令赤,入醋浸冷再 再浸,以醋干为度。取一两,研细末)
干姜(炮,一钱)
上和研匀,每服一钱,饮汤调下。甚者二钱,服一斤以上为妙。
丁香煮散、青金丹、五苓散并治翻胃有效。(俱见本门。)
牡丹煎 治妇人血嗝。
牡丹皮 苦参 贝母 玄胡索 赤芍药(各等分)
为末,炼蜜丸,梧桐子大,米饮吞下二十丸。
抽刀散 治妇人血风、血气、血嗝等疾。
五灵脂(炒,一两) 莪术 桂心 芸苔子(炒。各半两)
上为末,每服二钱,酒半盏,水一盏,煎八分,疾作时热服。
癖之病,多因邪气积聚而成。 者,腹内左右各有一条作痛,大者如臂,次者如指,因
气而成,如弦之状,名曰 气也。癖者如僻侧在两肋之间,有时而痛,故曰癖也。夫 之
与癖,皆阴阳不和,经络痞隔,饮食停滞,不得宣流,邪冷之气,搏结不散,得冷则发作疼痛,
故曰 癖是也。
麝香丸 治妇人 癖,冷气兼疰气,心腹痛不可忍。
麝香(五分) 阿魏(一分,面包煨,面熟去面) 五灵脂 桃仁 三棱(各三分) 芫花(醋炒)
槟榔 莪术 桂心 没药 木香 当归(各半两)
上为细末,入麝香和匀,用梗米软饭为丸,如梧桐子大。每服十丸,无时,淡醋汤下。
葱白散 治妇人一切冷气不和,攻冲疼痛,大治妇人胎前产后腹痛,胎不安及血脏宿冷,
百节倦疼,肌体怯弱,劳伤 癖,久服尽除。但妇人一切疾病,皆宜服此。
当归 川芎 芍药 熟地黄 枳壳 浓朴 桂心 干姜 舶上茴香 青皮 苦楝子 木香
人参 茯苓 三棱 莪术 神曲 麦芽(各等分)
上为细末,每服三钱,水一盏,连根葱白二寸,掐破,盐五分,煎七分,温服。内大黄、
诃子宜度病状加之。如大便不利,入大黄却不入盐,如大便自利,入诃子。
桂枝桃仁汤 治妇人血癖,经行过期,小腹下痛。
桂枝 芍药 生地黄(各一钱) 桃仁(五枚) 甘草(五分)
上咀,水二盏,姜三片、枣一枚,煎一盏,空心温服。
积气丸、丁香丸并治妇人 癖、诸气甚妙。(方见气门。)
[Manifestation of Fanwei (Reversal Stomach) and Vomiting in Women]
Fanwei (Reversal Stomach) in women is mostly caused by Qi stagnation and Blood deficiency, leading to withering and shrinking of the stomach opening, and dysfunction of Spleen Qi transportation. Food eaten in the morning is vomited in the evening, and food eaten in the evening is vomited in the morning; hence it is called Fanwei.
Taicang Wan (Grand Granary Pill): Treats Qi stagnation, Spleen and Stomach weakness, loss of appetite, Fanwei, and vomiting in women.
Ingredients: Bai Dou Kou (Cardamomi Fructus Rotundus), Sha Ren (Amomi Fructus) (each 2 liang); Ding Xiang (Caryophylli Flos) (1 liang); Chen Cang Mi (Aged Rice from Storehouse) (1 sheng, cleaned of soil, stir-fried).
Preparation and Administration: Grind the above ingredients into fine powder. Use Ginger Juice (Zingiberis Rhizoma Recens Sucus) to mix with old rice paste to form pills the size of Sophora japonica seeds (Wutongzi). Take 70 pills per dose after meals, washed down with Ginger Decoction.
Baizhi San (Angelica Dahurica Powder): Treats Fanwei and vomiting in women.
Ingredients: Baizhi (Angelicae Dahuricae Radix) (Select non-borer specimens from Hangzhou, soak in hot water, slice, and bake on a new tile until yellow).
Preparation and Administration: Grind Baizhi into fine powder. Take 20 slices of pig blood, rinse seven times with boiling water, dip the blood slices into the medicine powder, and consume seven slices. Reserve any remaining powder for subsequent use.
Bai E San (White Kaolin Powder): Treats Fanwei and vomiting in women. The *Qianjin Fang* states that this is effective not only for women but also for men.
Ingredients: Bai E Tu (Kaolinite) (Soak white earth in 1 sheng of Rice Vinegar until red-hot, immerse in vinegar to cool, repeat until vinegar is absorbed dry. Take 1 liang, grind into fine powder); Gan Jiang (Zingiberis Rhizoma Preparatum) (prepared, 1 qian).
Preparation and Administration: Mix and grind evenly. Take 1 qian per dose, mixed with warm water. For severe cases, take 2 qian. It is advisable to accumulate a total intake of over 1 jin.
Dingxiang Zhu San (Clove Decoction), Qingjin Dan (Green Golden Pill), and Wuling San (Five-Ingredient Powder with Poria) are all effective for treating Fanwei. (See respective sections.)
Mudan Jian (Peony Decoction Paste): Treats Xue Ge (Blood Obstruction Dysphagia) in women.
Ingredients: Mudan Pi (Moutan Cortex), Kushen (Sophorae Flavescentis Radix), Beimu (Fritillariae Bulbus), Yansu (Corydalis Rhizoma), Chishao (Paeoniae Radix Rubra) (equal parts).
Preparation and Administration: Grind into fine powder. Form pills with refined honey, the size of Sophora japonica seeds. Swallow 20 pills with Rice Drink.
Choudao San (Drawing Knife Powder): Treats diseases such as Xue Feng (Blood Wind), Xue Qi (Blood Qi), and Xue Ge (Blood Obstruction Dysphagia) in women.
Ingredients: Wuling Zhi (Trogopterori Faeces) (stir-fried, 1 liang); Ezhu (Curcumae Rhizoma), Guixin (Cinnamomi Ramulus), Yuntaizi (Brassicae Napus Semen) (stir-fried, each half liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with half a cup of wine and one cup of water. Decoct until reduced to 80%. Take hot when symptoms occur.
[Manifestation of Pi (Masses) and Various Conditions]
Pi (Masses) disease is mostly formed by the accumulation of pathogenic factors. "Zhu" (Zhù) disease presents as painful bands on either side of the abdomen, large ones like an arm, smaller ones like a finger, caused by Qi obstruction, resembling a string, hence called Zhu Qi. "Pi" disease lies like a bias between the two ribs, causing intermittent pain, hence called Pi. Both Zhu and Pi result from disharmony of Yin and Yang, blockage of meridians, stagnation of food and fluids, inability to circulate freely, and binding of cold pathogenic Qi which does not dissipate. Pain occurs upon exposure to cold; thus they are termed Zhu-Pi.
Shexiang Wan (Musk Pill): Treats Zhu-Pi in women, combined with Cold Qi and Zhu Qi (infectious or lingering pathogens), causing unbearable heart and abdominal pain.
Ingredients: Shexiang (Moschus) (5 fen); Awei (Ferulae Resina) (1 fen, wrapped in dough and baked, remove dough); Wuling Zhi (Trogopterori Faeces), Taoren (Persicae Semen), Sanleng (Sparganii Rhizoma) (each 3 fen); Yuanhua (Genkwa Flos) (stir-fried with vinegar); Binglang (Arecae Semen), Ezhu (Curcumae Rhizoma), Guixin (Cinnamomi Ramulus), Moyao (Myrrha), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix) (each half liang).
Preparation and Administration: Grind all ingredients except Musk into fine powder. Mix in the Musk. Form pills using soft glutinous rice paste, the size of Sophora japonica seeds. Take 10 pills at any time, washed down with light vinegar soup.
Congbai San (Scallion White Powder): Treats all types of Cold Qi disharmony in women, attacking and causing pain. It greatly treats pre- and post-partum abdominal pain, fetal restlessness, chronic cold in the Blood Viscera, fatigue and pain in all joints, weak physique, and Lao Shang (labor injury) Zhu-Pi. Long-term use eliminates these conditions completely. This formula is suitable for all diseases in women.
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Shudihuang (Rehmanniae Radix Preparata), Zhike (Aurantii Fructus), Houpo (Magnoliae Officinalis Cortex), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma), Bo Shang Huixiang (Foeniculi Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), Koushen (Meliae Cortex), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix), Fuling (Poria), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus) (equal parts).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose with one cup of water, two inches of scallion white with roots (broken), and 5 fen of salt. Decoct until reduced to 70%. Take warm. Da Huang (Rhei Radix et Rhizoma) and Hezi (Chebulae Fructus) should be added according to condition. If constipation exists, add Da Huang and omit salt; if diarrhea exists, add Hezi.
Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction): Treats Xue Pi (Blood Masses) in women, delayed menstruation, and lower abdominal pain.
Ingredients: Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Sheng Dihuang (Rehmanniae Radix) (each 1 qian); Taoren (Persicae Semen) (5 kernels); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Preparation and Administration: Cut the herbs. Add two cups of water, three slices of ginger, and one jujube. Decoct until one cup remains. Take warm on an empty stomach.
Jiqi Wan (Accumulated Qi Pill) and Dingxiang Wan (Clove Pill) are both excellent for treating Zhu-Pi and various Qi disorders in women. (Formulas see Qi Men section.)