《宝鉴》曰∶师尼之病,自古未有言者。昔太仓公与褚澄略而论及,另立方药,难比妻
外家之治。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
。孟子正谓无夫曰寡,如师尼丧夫之妇,欲男子而不可得,恹恹成病也。易曰∶天地
,万物化醇,男女媾精,万物化生。孤阴独阳可乎?若此偏者,久久经闭,为白淫痰逆,头
风膈气,痞闷面 ,瘠瘦之病,诊其脉,独肝脉弦出寸口,而上鱼际。究其脉源,皆血盛而
得。经曰∶男子精盛则思室,女子血盛则怀胎。盖男子以精为主,妇人以血为主。若阴阳和
,岂成病耶?且妇人乃众阴所集,常与湿居,贵乎血盛气衰者也。血盛气衰是谓从,从则百
疾不生,血衰气盛是谓逆,逆则灾害至矣。且妇人嗜欲多于丈夫,生病倍于男子。及其病也
,比之男子十倍难疗,尤不可不考。若是四时节气,喜怒忧思,饮食房劳为患者,悉与丈夫
同也。有如七症八瘕,九痛十二带下,产蓐,乃男子所无之证,此其生病倍于男子也。又况
慈怨爱憎,嫉妒忧恚,抑郁不能自释,为病深固者,所以治疗十倍难于男子也。由是妇人别
立方焉。倘能推其所自而调之,可谓尽善尽美矣。
人有五脏,中有七神,禀五行秀气而生,皆承神气,所以保养。若阴阳调和,则脏腑强
盛,鬼魅不能伤之;若摄护失节而血气衰,鬼邪侵伤,故妇人梦中多与鬼魅交通,由脏腑虚
,神不守舍,故鬼气得为病也。其状不欲见人,如有对忤,或时独笑,或时悲泣者是也。其
脉伏迟,或如鸟啄,皆鬼邪为病也。又脉来绵绵,不知度数者,颜色不变,亦此候也。昔戴
人曾治一妇,年三十四岁,夜梦与鬼神交,惊怕异常,及见神堂鬼府,舟楫桥梁,如此一十
五年,竟不娠孕,巫祈觋祷,无所不致,钻肌灸肉,孔穴万千,黄瘦发热,引饮中满脚肿,
诊其两手,寸脉皆沉而伏,知胸中有痰实也。此其阳火盛于上,阴水盛于下。鬼神者阴之灵
,神堂者阴之所,舟楫桥梁水之用。病当三涌三泄三汗,不旬日而无梦,一月而有娠。戴人
治效,已载于书,信不巫矣。且寡妇尼僧,夜梦交通,邪气交感,久作症瘕,或成鬼胎,以
茯神散桃仁丸治之。又有一秘方熏药,开列于后。
松脂(三两,炒干,另研) 雄黄(一两,另研)
上二味为末,熔化安息香和丸,用虎爪和匀和弹子大。令患人裸其身,坐焙笼上,四围
以衣遮盖,下用火炉烧药,一丸熏之,甚者不过五丸。
According to the *Baojian* (Mirror of Precious Prescriptions): The diseases of nuns and widows have rarely been discussed since ancient times. In the past, Tai Cang Gong (Chunyu Yi) and Chu Cheng briefly discussed them and formulated separate prescriptions; their treatment methods are difficult to compare with those for ordinary wives. Widows live in solitude with yin but without yang; when desires arise, they are often unfulfilled, leading to a struggle between yin and yang. This manifests as alternating chills and fever, resembling warm malaria (Wen Nue). If prolonged, it evolves into consumptive disease (Lao). Mencius stated that "a woman without a husband is called a widow," referring to nuns or widowed women who desire men but cannot attain them, becoming ill due to depression and frustration. The *I Ching* states: "When heaven and earth interact, all things become pure and substantial; when male and female combine their essence, all things are born." Can isolated yin or solitary yang suffice? Such imbalance, if persistent, leads to amenorrhea, leukorrhea (Bai Yin), rebellious phlegm, cephalalgia (Tou Feng), diaphragmatic qi stagnation, chest fullness, sallow complexion, and emaciation. Upon pulse diagnosis, the liver pulse is wiry and extends beyond the cunkou position upward toward the fish-bi area. Investigating the origin of these pulses reveals they stem from abundant blood. The *Classic of Difficult Issues* states: "When a man's essence is abundant, he desires sexual intercourse; when a woman's blood is abundant, she conceives." Generally, men prioritize essence, while women prioritize blood. If yin and yang are harmonious, how could illness occur? Moreover, women are the gathering place of all yin, often associated with dampness, and thrive when blood is abundant and qi is subdued. Abundant blood and subdued qi constitute "following" (Cong); following ensures no hundred diseases arise. Scanty blood and excessive qi constitute "reversal" (Ni); reversal brings disaster. Women have more desires than men and suffer illnesses at double the rate. When ill, they are ten times harder to treat than men, warranting careful examination. Conditions caused by seasonal changes, emotions (joy, anger, worry, thought), diet, or sexual fatigue are similar to those in men. However, conditions such as seven types of masses, eight types of accumulations, nine types of pain, twelve types of leukorrhea, and postpartum disorders are unique to women, making their pathology more complex. Furthermore, women often harbor resentment, love, hate, jealousy, and sorrow, unable to release their depression, leading to deep-seated and stubborn illnesses, making treatment ten times more difficult than for men. Therefore, separate prescriptions for women are necessary. If one can trace the cause and regulate it, the result will be perfect.
Humans possess five zang organs, within which reside the seven spirits. Born from the refined qi of the five elements, they rely on spiritual energy for nourishment. If yin and yang are harmonious, the zang-fu organs are strong, and ghosts/demons cannot harm them. If preservation is irregular and blood/qi decline, evil ghosts invade. Thus, women often dream of sexual intercourse with ghosts/demons because the zang-fu are deficient, the spirit does not guard its residence, and ghostly qi causes disease. Symptoms include aversion to seeing people, as if confronting an adversary, occasional spontaneous laughter, or sudden weeping. The pulse may be hidden and slow, or intermittent like a bird pecking, indicating ghost/evil pathology. A continuous, indeterminate pulse with unchanged facial color is also a sign. Previously, Dai Ren (Zhang Congzheng) treated a thirty-four-year-old woman who dreamed of intercourse with ghosts/spirits nightly, experiencing extreme fear, visions of spirit halls and ghost mansions, boats, and bridges for fifteen years, resulting in infertility. She sought every possible exorcism, drilling skin and moxing flesh at thousands of acupoints, leading to sallow complexion, fever, polydipsia, chest fullness, and leg edema. Her cunkou pulses were both deep and hidden, indicating phlegm-solidity in the chest. This was excess fire above and excess water below. Ghosts/spirits belong to the spirit of yin; spirit halls are the abode of yin; boats/bridges utilize water. The treatment required three rounds of emesis, three rounds of purgation, and three rounds of sweating. Within ten days, the dreams ceased; within a month, pregnancy occurred. Dai Ren's efficacy is recorded in books, proving it was not cured by witchcraft alone. For widows and nuns dreaming of intercourse due to evil qi interaction, leading to masses or "ghost fetuses," use Fushen San Tao Ren Wan. Another secret fumigation prescription follows:
Pine Resin (San liang, stir-fried dry, separately ground) Realgar (Yi liang, separately ground)
Grind the two ingredients into powder, melt Benzoin (Anxi Xiang) to mix and form pills, blending evenly to the size of a bullet. Let the patient sit naked on a warming cage, cover the surroundings with clothes, burn the medicine under the cage with a stove, using one pill for fumigation; severe cases may use up to five pills.