治妇人积年症块及恶血气,久不除者。
五灵脂 干漆(炒,烟尽) 川乌(各一两,炮) 麝香 硫黄 砂(并研,各半两)
巴豆(三十枚,去皮,醋煮赤)
上为末,研停。醋煮面糊丸如绿豆大。每服五丸,空心,温酒下。
治妇人血症、血瘕,食积痰滞。(出《选奇后集》)
三棱 莪术(各二两) 青橘皮(去白) 半夏 麦芽(炒,各一两)
上用好醋六升煮干,焙为末,醋糊丸如梧桐子大。每服三、四十丸,淡醋汤下。痰积多
,姜汤下。
治妇人久虚积冷,经候不行,症瘕癖块,腹中卒暴疼痛,而有 黎黑,羸瘠百病方。
经 花蕊石(研,两半) 砂(纸隔沸汤淋熬,取霜半两) 桂心(别为末) 木香 干
姜(各一两) 缩砂仁(二两) 红豆(半两) 斑蝥(百个) 腊月狗胆(七枚) 生地
黄汁 童子小便(各一升) 青(三百个。斑蝥、 青二物并去头、足、翅,以糯米一升,
同炒米黄,去米不用)
上九味为末,同三汁熬为膏,和上末,丸如鸡头大,朱砂为衣。每服一丸,温酒嚼破,
食前服,米饮亦可。孕妇莫服。
夫妇人血气心痛者,由脏腑虚,血气不调,风冷邪气乘于心也。其痛发有死者,有不死
者,成疹者。心为诸脏之主,而主于神。其正经不可伤,伤之而痛者,名为真心痛。(朝发
夕死,夕发旦死)心之支别络,为风冷所乘而痛者,故痛发乍轻乍甚而成疹者也。
To treat women with mass formations accumulated over many years and evil blood qi that persist for a long time without resolution.
Wulingzhi (Trogopterus Dung), Ganqi (Dried Resin of Toxicodendron, stir-fried until smoke ceases), Chuanwu (Aconiti Radix, each 1 liang, processed), Shexiang (Musk), Liuhuang (Sulfur), Sha (Realgar, all ground, each half liang)
Badou (Crotonis Fructus, 30 seeds, skin removed, boiled in vinegar until red)
Grind the above ingredients into fine powder and mix thoroughly. Use vinegar and wheat flour paste to form pills the size of mung beans. Take 5 pills per dose, on an empty stomach, with warm wine.
To treat women's blood masses, blood jia (abdominal masses), food stagnation, and phlegm obstruction. (From *Xuanqi Houji*)
Lengsui (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma, each 2 liang), Qingju pi (Citri Reticulatae Pericarpium, white pith removed), Banxia (Pinelliae Rhizoma), Maiya (Hordei Fructus Germinatus, stir-fried, each 1 liang)
Boil in 6 sheng of high-quality vinegar until dry, bake, grind into powder, and form pills with vinegar paste the size of paulownia seeds. Take 30-40 pills per dose, with light vinegar water. If there is excessive phlegm accumulation, take with ginger water.
A formula for treating women with chronic deficiency and accumulated cold, amenorrhea, abdominal masses and hidden lumps, sudden severe abdominal pain, dark complexion, emaciation, and various diseases.
Huaruishi (Floris Rubiginosi Magnetitum, ground, 1.5 liang), Sha (Realgar frost obtained by pouring boiling water through paper, half liang), Guixin (Cinnamomi Cortex, separately ground into powder), Muxiang (Aucklandiae Radix), Jiangjiang (Zingiberis Rhizoma, each 1 liang), Suosharen (Amomi Fructus Rotundus, 2 liang), Hongdou (Adenophorae Radix? Note: Context suggests specific herb, kept as Hongdou), Banmao (Mylabris, 100 individuals), Goudan (Dog gallbladder from December, 7 units), Shengdihuang zhi (Rehmanniae Radix juice), Tongzi xiaobian (Urine of a young boy, each 1 sheng), Qing (Note: Text implies an insect or substance, likely related to Banmao processing, kept as Qing; 300 units. Remove heads, feet, and wings of Banmao and Qing, stir-fry together with 1 sheng of glutinous rice until rice turns yellow, discard rice)
Grind the above nine medicinal materials into powder. Simultaneously simmer with the three juices to form a paste. Mix with the powder to form pills the size of a cocklebur seed, coated with Zhusha (Cinnabar). Take one pill per dose, chew it up, and swallow with warm wine before meals. Rice drink may also be used. Pregnant women must not take this.
Regarding blood qi heart pain in women, it arises from visceral deficiency, disharmony of blood and qi, and invasion of wind-cold pathogenic factors into the heart. Upon onset of pain, some cases result in death, others do not, and some develop rashes/masses. The Heart is the master of all viscera and governs the spirit. The regular meridians of the Heart should not be injured; if injured and causing pain, it is called Zhenxintong (True Heart Pain). (If it occurs in the morning, death follows in the evening; if it occurs in the evening, death follows in the morning.) When the branch collaterals of the Heart are invaded by wind-cold and cause pain, the pain fluctuates between mild and severe, leading to the formation of rashes/masses.