三棱 莪术(各五钱) 川归 川芎 赤芍(各一两) 穿山甲(六钱) 芫花(四钱) 刘寄奴(
下。
此症若初起。宜服十灰散。若久崩者。宜服鸡子汤。如小腹痛。则用加味四物汤
(宜研极细末。连灰服下。)
阿胶 侧柏叶(各二钱) 棕 艾 绵 绢(各一钱) 胎发(三分) 苎根(一钱) 百草霜(
烧灰存性。)为末。白汤调下。(〔吴按〕若无胎发。可用无油头发。)
鸡子(或云落袋子五个) 葱(三根) 姜(一两) 共捣烂如泥。入麻油锅内炒。酒淬去渣热服。
一由脾胃虚损。经曰二阳之病。发于心脾。夫二阳者。阳明胃经也。主纳水谷。长养气血。
乃水谷之海。气血之升。唯忧愁思虑伤心。心气受伤。脾气失养。郁
而不通。腐化不行。胃虽能受。而谓长养灌溉者。安在哉。故脾胃虚弱。饮食少思。血气耗
衰。斯有血枯经闭之症。盖血少色必淡。或过期始行。或数月一行矣。
一由冲任损伤。气以顺之。血以濡之。故气行则血行。气滞则血逆。大抵妇人。情多执拗。
肝为血海。冲任之脉。冲任失守。血气妄行。或女子未及二七天
癸之期。而男强与之合。或月事适未尽。而男与合。纵欲不已。皆致冲任内损。血气不固。或
为崩。或为漏。有一个月再行。有未及期先行诸症。
一由脂痰凝滞。肥盛之妇。肠胃多痰。壅滞经络。或闭经带下。以上三症。皆不能孕育。
Sanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae) (each 5 qian), Chuan Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Chi Shao (Radix Paeoniae Rubra) (each 1 liang), Chuanshanjia (Squama Manis), Yuanhua (Flos Genkwa), Liu Jinu (Herba Siegesbeckiae) (appropriate amount).
If this condition is in its early stage, it is advisable to take Shihui San (Ten Ash Powder). If the metrorrhagia has persisted for a long time, it is advisable to take Jizi Tang (Chicken Egg Decoction). If there is lower abdominal pain, Jiawei Siwu Tang (Modified Four Substances Decoction) should be used (it is best to grind into an extremely fine powder and take together with the ash).
Ejiao (Colla Corii Asini), Ce Bai Ye (Cacumen Platycladi), Zong (Cortex Palmii), Ai Ye (Folium Artemisiae Argyi), Mian (Cotton Wadding), Juan (Silk Fabric) (each 1 qian), Taifa (Capilli Humanus), Zhugen (Radix Boehmeriae Niveae) (1 qian), Baicaoshuang (Carbonis Herbae) (burned to retain its properties). Grind into a fine powder, mix with warm water for administration. ([Wu's Note] If fetal hair is unavailable, oil-free human hair can be used as a substitute.)
Jizi (Chicken Egg) (or five "Luodai Zi" as some say), Cong (Rhizoma Allii Fistulosi) (3 stalks), Jiang (Rhizoma Zingiberis Recens) (1 liang). Pound them together until mushy. Stir-fry in a pan with Sesame Oil, quench with wine, remove the dregs, and drink hot.
One cause is deficiency and damage of the Spleen and Stomach. The classic states: "Diseases of the Two Yang originate from the Heart and Spleen." The term "Two Yang" refers to the Yangming Stomach Meridian, which governs the reception of food and fluids, generates Qi and Blood, serves as the Sea of Food and Fluids, and is the source of Qi and Blood generation. However, sorrow and overthinking injure the Heart; when Heart Qi is damaged, the Spleen loses nourishment, leading to Qi stagnation and obstruction, impairing digestion and transformation. Although the Stomach can receive food, where is the function of nourishing and irrigating the body? Therefore, Spleen and Stomach weakness leads to poor appetite, consumption of Qi and Blood, resulting in symptoms of Blood Dryness and Amenorrhea. Generally, due to insufficient Blood, the menstrual color must be pale, or menstruation may occur late, or only once every few months.
Another cause is injury to the Chong and Ren Mai (Penetrating and Conception Vessels). Qi moves smoothly, and Blood moistens. Thus, when Qi moves, Blood moves; when Qi stagnates, Blood rebels. Generally, women tend to have stubborn emotions. The Liver is the Sea of Blood, closely related to the Chong and Ren Mai. If the Chong and Ren lose their control, Qi and Blood flow recklessly. Or, if a girl engages in intercourse before reaching the age of fourteen (when Tian Gui matures) against her will, or engages in intercourse while menstruation has not yet fully ceased, or indulges in lust without restraint, all these lead to internal damage to the Chong and Ren, causing insecurity of Qi and Blood. This may manifest as metrorrhagia or metrostaxis, menstruation occurring twice a month, or premature menstruation before the expected date.
The third cause is stagnation of Phlegm and Lipids. Women who are overweight often have excessive phlegm-dampness in the intestines and stomach, obstructing the meridians, which can lead to amenorrhea or leukorrhea. The above three conditions all result in infertility.