大黄(三两),上一味切,以酒一升,煮一沸,顿服。
又疗妇人小户嫁痛,海螵蛸散方。
疾病既无,须知求嗣,故以次之。
夫有夫妇则有父子,婚姻之后,必求嗣续。故圣人谓“不孝有三,无后为大”者,言嗣
续之至重也。凡欲求子,当先察夫妇有无劳伤、痼害之属。根据方调治,使内外和平,则妇人
乐有子矣。
建平孝王妃姬寺,皆丽,无子。择良家未笄女入御,又无子。问曰∶求男有道乎?澄对
曰∶合男女必当其年。男虽十六而精通,必三十而娶;女虽十四而天癸至,必二十而嫁。皆
欲阴阳完实,然后交合,则交而孕,孕而育,育而为子,坚壮强寿。今未笄之女,天癸始至,
已近男色,阴气早泄,未完而伤,未实而动,是以交而不孕,孕而不育,育而子脆不寿,此
王之所以无子也。然妇人有所产皆女者,有所产皆男者,大王诚能访求多男妇人,媒之官府,
有男之道也。王曰∶善。未再期生六男。夫老阳遇少阴,老阴遇少阳,亦有子之道也。
夫妇人无子者,其事有三也。一者,坟墓不嗣;二者,夫妇年命相克;三者,夫病妇疹
,皆令无子。若是坟墓不嗣,年命相克,此二者非药能益。若夫病妇疹,须将药饵,故得有
效也。然妇人挟疾无子,皆由劳伤血气生病;或月经闭涩,或崩漏带下,致阴阳之气不和,
经血之行乖候,故无子也。诊其右手关后尺脉浮,浮则为阳。阳脉绝,无子也。尺脉微涩,
中年得此,为绝产也。少阴脉如浮紧则绝产。恶寒,脉尺寸俱微弱者,则绝产也。又有因将
摄失宜,饮食不节,乘风取冷,或劳伤过度,致令风冷之气乘其经血,结于子脏,子脏得冷
,故令无子也。
Da Huang (Radix et Rhizoma Rhei, 3 liang), cut this single herb, boil in one sheng of wine until it boils once, and take the decoction at one time.
It also treats "Xiaohu Jiatong" (abdominal pain occurring shortly after marriage) in women, with the formula Hai Piao Xiao San.
Wu Zei Gu (Os Sepiae, 2 pieces).
Burn this single herb to ash, grind into a fine powder, take one fangcun bi (a square-inch measure) with wine, three times a day.
Since diseases have been resolved, one must know how to seek offspring; therefore, this section follows.
Where there are husband and wife, there are father and son. After marriage, one must necessarily seek lineage continuation. Thus, the sages said, "Among the three forms of unfilial conduct, having no descendants is the greatest," emphasizing the supreme importance of lineage. Generally, those wishing for children should first examine whether the couple suffers from exhaustion, internal injury, or chronic ailments. Based on the condition, provide treatment to harmonize the interior and exterior; then the woman will happily be able to conceive.
The concubines and attendants of the Princess Consort of Prince Xiao of Jianping were all beautiful but bore no children. He selected unmarried girls from good families to serve him, yet still no children were born. He asked, "Is there a method to obtain male heirs?" Cheng replied, "Union between man and woman must occur at the appropriate age. Although a man's essence may flow freely at sixteen, he should not marry until thirty; although a woman's Tian Gui (menstruation) may arrive at fourteen, she should not marry until twenty. Both parties must possess complete and solid Yin and Yang Qi before intercourse. Only then will conception occur upon union, pregnancy lead to childbirth, and the child be strong and long-lived. Now, young girls who have not yet undergone the capping ceremony have just begun their Tian Gui; approaching men prematurely causes premature leakage of Yin Qi, injuring them before they are fully developed and disturbing them before their vitality is solid. Hence, intercourse fails to conceive, or if pregnant, fails to deliver, or if delivered, the child is frail and short-lived. This is why the Prince has no heir. However, some women bear only daughters, others only sons. If Your Highness could seek out women who frequently bear sons and arrange marriages through official channels, that would be the way to obtain male heirs." The Prince said, "Very well." Within a year, six sons were born. When old Yang meets young Yin, or old Yin meets young Yang, there is also a path to having children.
There are three main reasons for a woman's infertility. First, ancestral tomb Feng Shui issues preventing lineage; second, the couple's birth years and lifespans are mutually conflicting; third, illness in the husband or disease in the wife, both leading to infertility. Regarding ancestral tomb issues and conflicting birth years, these two cannot be remedied by medicine. If the husband is ill or the wife diseased, medicinal treatment is required, thus yielding effective results. However, female infertility due to concurrent illnesses stems from exhaustion damaging Qi and Blood, causing disease; or from amenorrhea, metrorrhagia, or leukorrhea, leading to disharmony of Yin and Yang Qi and irregular menstruation, resulting in infertility. Palpating the Chi pulse behind the Guan position on the right hand: if floating, it indicates Yang. If the Yang pulse is absent, there is no fertility. If the Chi pulse is faint and choppy, appearing in middle age, it indicates barrenness. If the Shaoyin pulse is like floating and tight, it indicates barrenness. If accompanied by aversion to cold, and both Cun and Chi pulses are weak and minute, it indicates barrenness. Additionally, improper care, unregulated diet, exposure to wind and cold, or excessive labor can cause Wind-Cold Qi to invade the menstrual blood and congeal in the Zi Zang (uterus). A cold uterus leads to infertility.