(方二十三首 灸法一首)
治妇人月经一月再来,或隔月不来,或多或少,淋沥不断,或来而腰腹痛,嘘吸不能
食,心腹痛,或青黄黑色,或如水,举体沉重方。
白垩 白石脂 牡蛎 禹余粮 龙骨 细辛 乌贼骨(各一两半) 当归 芍药 黄连
茯苓 干姜 桂心 人参 瞿麦 石苇 白芷 白蔹 附子 甘草(各一两) 川椒(半两)
上二十一味为末,蜜丸梧子大,空心酒下二十丸,日三。至月候来时,日四五服为佳。
治产后及堕身,月水不调,或淋沥不断,断后复来,状如泻水,四体嘘吸不能食,腹中
坚痛,不可行动,月水或前或后,或经月不来,举体沉重,惟欲眠卧,多思酸物方。
桃仁(五十枚) 泽兰 甘草 川芎 人参(各二两) 牛膝 桂心 牡丹皮 当归(各
三
两) 芍药 生姜 半夏(各四两) 地黄(八两) 蒲黄(七合)
上十四味 咀,以水二斗,煮取六升半,分六服。
治月经不调,或一月再来,或两月三月一来,或月前或月后,闭塞不通方。
杏仁(二两) 桃仁(一两) 大黄(三两) 水蛭 虻虫(各三十枚)
上五味 咀,以水六升,煮取二升,分三服。一服当有物随大小便有所下,下多者止
之,少者勿止,尽三服。
治经年月水不利,胞中有风冷所致,宜下之方。
大黄 牛膝(各五两) 朴硝 牡丹 甘草 紫菀(各三两,一作紫葳) 代赭(一两)
桃
仁虻虫 水蛭 干姜 细辛 焰硝(各二两,旧本作芒硝) 麻仁(五合)
上十四味 咀,以水一斗五升,煮取五升,去滓,纳硝令烊,分五服,五更为首,相
去一炊顷,自下后将息。忌见风。
(There are twenty-three prescriptions and one moxibustion method.)
A prescription for treating women whose menstruation occurs twice a month, or is delayed by two months, with varying amounts (either excessive or scanty), dripping continuously, accompanied by lower back and abdominal pain during onset, shortness of breath preventing eating, heart and abdominal pain, blood that is green, yellow, or black in color, or watery in consistency, and general heaviness of the body.
Bai'e (Halloysitum Rubrum), Baishizhi (Kaolinite), Muli (Ostreae Concha), Yuyuliang (Hematitum), Longgu (Fossilia Ossis Mastodi et Humeri), Xixin (Asari Radix et Rhizoma), Ouieigu (Sepiae Endoconcha) (each 1.5 liang); Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Huanglian (Coptidis Rhizoma), Fuling (Poria), Ganjiang (Zingiberis Radix), Guixin (Cinnamomi Ramulus), Renshen (Ginseng Radix), Qumai (Dianthi Herba), Shiwei (Pyrosiae Folium), Baizhi (Angelicae Dahuricae Radix), Bailian (Trollii Bulbus), Fuzi (Aconiti Lateralis Radix Praeparata), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang); Chuanjiao (Zanthoxyli Pericarpium) (0.5 liang).
Grind the above twenty-one herbs into powder, mix with honey to make pills the size of wutong seeds. Take 20 pills on an empty stomach with wine, three times daily. When menstruation arrives, taking 4-5 doses per day is optimal.
A prescription for treating irregular menstruation after childbirth or abortion/miscarriage, characterized by continuous dripping bleeding that stops and then resumes like flowing water, lethargy in the four limbs preventing eating, hard and painful abdomen making movement impossible, menstruation occurring early or late, or absent for months, general heaviness of the body, desire to sleep, and craving for sour foods.
Taoren (Persicae Semen) (50 pieces); Zelan (Lycopus Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Renshen (Ginseng Radix) (each 2 liang); Niuxi (Achyranthis Bidentatae Radix), Guixin (Cinnamomi Ramulus), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix) (each 3 liang); Shaoyao (Paeoniae Radix), Shengjiang (Zingiberis Rhizoma Recens), Banxia (Pinelliae Tuber) (each 4 liang); Dihuang (Rehmanniae Radix) (8 liang); Puhuang (Typhae Pollen) (7 he).
Cut the above fourteen herbs, decoct with 2 dou of water until 6.5 sheng remains. Divide into six doses.
A prescription for treating irregular menstruation, occurring twice a month, or once every two to three months, either before or after the expected time, with obstruction and blockage.
Xingren (Armeniacae Semen Amarum) (2 liang); Taoren (Persicae Semen) (1 liang); Dahuang (Rhei Radix et Rhizoma) (3 liang); Shuizhi (Hirudo), Mengchong (Sarcophagidae Larva) (each 30 pieces).
Cut the above five herbs, decoct with 6 sheng of water until 2 sheng remains. Divide into three doses. After the first dose, there should be discharge of material with stool or urine. If the discharge is excessive, stop the medication; if slight, do not stop. Continue until all three doses are taken.
A prescription for treating prolonged menstrual difficulty caused by wind-cold in the uterus, suitable for purgation.
Dahuang (Rhei Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (each 5 liang); Puxiao (Natrii Sulfas), Mudan (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Ziwan (Asternis Radix) (each 3 liang, alternatively Ziwui [Catalpae Speciosae Cortex]); Daizhe (Haematitum) (1 liang); Taoren (Persicae Semen), Mengchong (Sarcophagidae Larva), Shuizhi (Hirudo), Ganjiang (Zingiberis Radix et Rhizoma), Xixin (Asari Radix et Rhizoma), Yanxiao (Natrii Sulfas) (each 2 liang, old text refers to Mangxiao [Natrii Sulfas]); Mahuang (Ephedrae Herba - *Note: Text says Mahuang but context implies Hemp Seed likely 'Huo Ma Ren' given the formula name 'Da Huang Pu Xiao Tang' often uses Huo Ma Ren, however literal translation of character 'Ma Ren' is Cannabis Seed. The prompt text says '麻仁', which is Huo Ma Ren/Cannabis Sativa Seed. I will use Cannabis Sativae Semen*), Huomaren (Cannabis Semen) (5 he).
*Correction on last herb*: The text says "麻仁" (Ma Ren), which translates to Cannabis Sativae Semen (Huo Ma Ren).
Cut the above fourteen herbs, decoct with 1.5 dou of water until 5 sheng remains. Remove dregs, add the mineral salts (Xiao) to dissolve. Divide into five doses. Start with the first dose at Wugeng (early morning, approx. 3-5 AM). Allow about the time it takes to cook a meal between doses. Rest and recuperate after the purgation. Avoid exposure to wind.