答曰。王氏云。有一妇人。女年十五岁。来诊。言女年十四时。经水自下。今经反断。其母
言恐怖。师曰。此女为是夫人亲女非耶。若亲者当相为说之。妇人因答言是自女耳。师曰。
所以问者无他。夫人年十四。亦以经水下。所以女至此而断。是谓避年。勿怪。后当自下。
拱辰丹。夫方当壮年。而真气犹怯。此乃赋禀素弱。非虚衰而然也。僭燥之药。尤宜速戒。
勿谓手足厥逆。便云阴多。如斯治之。不惟不能愈疾。大病自此生矣。滋益之方。群品稍众
。药方微细。难见功效。但固天元一气。使水升火降。则五脏自和。百病自去。此方主之。
行在孙琳郎中方。葛丞相夫人少时服之。极效。
鹿茸(酥炙去皮毛四两) 山茱萸(新好红者四两) 当归(四两) 麝香(半两别研)
上三件为末。入麝拌和。酒煮面糊为丸。如桐子大。每服一百粒或五十粒。温酒或盐汤下。
答曰。室女者。乃未出闺门之女也。不以妍丑。至十四五岁。容貌皆红嫩者。谓之质朴未散
。庄子云。绰约如处子者是也。当此之际。经脉来时。俗呼为红脉。或因惊恐。或冷气击搏
。所以当行而不行也。
通经丸。治妇人室女月候不通。疼痛或成血瘕。严氏方内加玄胡索赤芍。减川乌。
桂心(不见火) 青皮(去白) 大黄(炮) 干姜(炮) 莪术 川乌(炮去皮脐) 干漆(炒) 当
归桃仁(去皮炒) 川椒(去目炒出汗各等分)
上为细末。将四分用米醋煮成膏。和余六分末剂。臼中治之。如梧桐子大。阴干每服二十丸
。用淡醋汤下。加至三十丸。温酒亦得。食前服。
桃仁散 治妇人室女血闭不通。五心烦热。
红花 当归 杜牛膝 桃仁(别研)
上四味各等分为细末。每服三钱。温酒调下。空心食前。
Answer: Wang Shi said, a woman brought her daughter for consultation. The daughter was fifteen years old and stated that she had her first menstruation at fourteen, but now the menstrual flow has suddenly ceased. Her mother was terrified. The physician asked, "Is this girl your biological daughter? If so, you should explain it yourself." The woman replied, "She is indeed my biological daughter." The physician said, "I ask this for no other reason than that you also experienced menarche at fourteen. Therefore, when your daughter's menstruation ceases at this age, it is called 'Bi Nian' (Avoidance of Yearly Menses). Do not be alarmed; it will resume naturally later."
(Recommended Formula) Gongchen Dan (Arch Support Pill). A young woman in her prime may still have deficient True Qi due to innate constitutional weakness, rather than pathological deficiency. Pungent-drying herbs should be strictly avoided. One should not diagnose excessive Yin-cold merely because of cold extremities (Jue Ni). Such treatment will not only fail to cure the disease but may also give rise to severe illnesses. Tonifying formulas contain various ingredients with subtle dosages, making immediate effects difficult to observe. The key lies in consolidating congenital Yuan Qi, ensuring Kidney Water ascends and Heart Fire descends, thereby harmonizing the Five Zang organs and eliminating diseases. This formula treats the aforementioned condition. It appeared in the medical cases of Langzhong Sun Lin; Lady Ge, wife of Chancellor Ge, took it in her youth with excellent results.
Deer Antler (Su Zhi, skin and hair removed, 4 liang), Cornus Officinalis Fructus (Xin Hao Hong Zhe, 4 liang), Angelica Sinensis Radix (Dang Gui, 4 liang), Moschus (She Xiang, 0.5 liang, separately ground).
Grind the first three ingredients into powder, mix with the Moschus, and use wine-boiled wheat paste to form pills the size of Sophora japonica seeds. Take 50 or 100 pills per dose, administered with warm wine or light salt water.
Answer: "Shi Nv" refers to an unmarried maiden. Regardless of beauty, at ages fourteen or fifteen, if her complexion remains rosy and tender, it is termed "Zhi Pu Wei San" (Innocence Not Yet Dissipated). As Zhuangzi described: "Graceful like a virgin," referring to this state. At this stage, when meridians and blood vessels are active, it is colloquially called "Hong Mai" (Red Pulse). If caused by fright or invasion of Cold Qi, menstruation may be delayed or obstructed despite being due.
(Recommended Formula) Tongjing Wan (Menstruation-Regulating Pill). Treats amenorrhea in married women and maidens, accompanied by pain or formation of Blood Stasis masses (Xue Jia). Based on Yan Shi's formula, add Corydalis Rhizoma (Yan Hu Suo) and Red Peony Root (Chi Shao), remove Aconitum Carmichaelii Radix (Chuan Wu).
Cinnamon Twig (Gui Xin, not roasted over fire), Tangerine Peel (Qing Pi, white part removed), Prepared Rhubarb (Da Huang, processed), Prepared Ginger (Gan Jiang, processed), Curcuma Zedoaria Rhizome (E Zhu), Processed Aconite Root (Chuan Wu, processed, skin and umbilicus removed), Dried Lacquer (Gan Qi, stir-fried), Angelica Sinensis Radix (Dang Gui), Peach Kernel (Tao Ren, peeled and stir-fried), Sichuan Pepper (Chuan Jiao, pips removed, stir-fried until sweat appears, all equal parts).
Grind all ingredients into fine powder. Take one-fourth of the powder, boil with rice vinegar to form a paste, and mix with the remaining three-fourths powder. Pound in a mortar, shape into pills the size of Sophora japonica seeds, and dry in the shade. Take 20 pills per dose with light vinegar water, increasing up to 30 pills if necessary. Warm wine may also be used. Take before meals.
(Recommended Formula) Tao Ren San (Peach Kernel Powder). Treats amenorrhea in married women and maidens, accompanied by five-palm heat (heat in palms, soles, and chest).
Safflower (Hong Hua), Angelica Sinensis Radix (Dang Gui), Achyranthes Bidentata Root (Du Niu Xi), Peach Kernel (Tao Ren, separately ground).
Grind all four ingredients equally into fine powder. Take 3 qian per dose, mixed with warm wine. Take on an empty stomach or before meals.