鳖甲(醋炙,一两) 沉香 柴胡 人参 川芎 羌活 当归 附子(炮,去皮) 木
香安息香 桔梗 茯苓 藿香叶 陈橘皮 牡丹皮 三棱 浓朴(姜汁炙) 桂心 桃仁(去
皮尖,炒) 牛膝(去苗,各半两) 槟榔 和皮大腹子(各一分)
上为细末,每服二钱。水一盏,生姜、乌梅各少许,煎至八分,温服。余一半更加干漆
(炒,一分)阿魏(半分)赤芍药(一分)同为末,炼蜜丸如梧桐子大。空心,煎乌梅地黄
汤下二、三十丸。与散子相间服。(《博济方》)
夫妇人热劳者,由心肺壅热伤于气血,气血不调,脏腑壅滞,热毒积蓄在内不得宣通之
所致也。其候心神烦躁,颊赤头痛,眼涩唇干,四肢壮热,烦渴不止,口舌生疮,神思昏沉
,多卧少起,饮食无味,举体酸疼。或时心怔,或时盗汗,肌肤日渐消瘦,故名热劳也。
治妇人热劳羸瘦,四肢烦疼,心躁口干,不欲饮食。
人参 黄芩 当归(各三分) 北柴胡(去苗,两半) 黄 地骨皮 赤茯苓 麦门
冬生地黄 赤芍药(各一两) 甘草(一分)
上 咀,每服四钱。水一盏,姜五片,煎六分,去滓温服,无时。
治妇人热劳,烦渴口干,体瘦无力,四肢疼痛;或时寒热,痰逆呕吐,不思饮食。
半夏 知母 苦梗 人参 赤茯苓 秦艽 赤芍药 麦门冬 乌梅肉(各半两) 鳖甲
(醋炙) 北柴胡 黄 (各一两) 大腹皮(三分) 甘草(一分)
上为粗末,每服四大钱。水一盏半,生姜三片,煎至七分,去滓温服,无时候。
[Da Xiang Jia Wan San]
Bie Jia (Ventriculus et Carapax Trionycis, vinegar-processed, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum), Chai Hu (Radix Bupleuri), Ren Shen (Radix Ginseng), Chuan Xiong (Rhizoma Chuanxiong), Qiang Huo (Rhizoma et Radix Notopterygii), Dang Gui (Radix Angelicae Sinensis), Fu Zi (Radix Aconiti Lateralis Preparata, processed, skin removed), Mu Xiang (Aucklandiae Radix), An Shi Xiang (Resina Burserae), Jie Geng (Radix Platycodonis), Fu Ling (Poria), Huo Xiang Ye (Perillae Folium), Chen Ju Pi (Citri Reticulatae Pericarpium), Mu Dan Pi (Cortex Moutan), San Leng (Rhizoma Sparganii), Nong Po (Cortex Magnoliae Officinalis, ginger juice-processed), Gui Xin (Cinnamomi Ramulus), Tao Ren (Semen Persicae, skin and tip removed, stir-fried), Niu Xi (Radix Achyranthis Bidentatae, stems removed, each half liang), Bing Lang (Arecae Semen), He Pi Da Fu Zi (Arecae Pericarpium cum corte, each 1 fen).
The above are ground into a fine powder. Each dose is 2 qian. Add 1 zhan of water, a little fresh ginger (Zingiberis Rhizoma Recens) and 1 wumei (Fructus Mume), decoct until 8 fen remains, and take warm. Take the remaining half of the powder, add Gan Xi (Lac Catechu, stir-fried, 1 fen), A Wei (Asafoetida, 0.5 fen), Chi Shao Yao (Radix Paeoniae Rubra, 1 fen), grind together into a powder, and make pills with refined honey the size of paulownia seeds. Take 20–30 pills on an empty stomach, washed down with decoction of Wumei Di Huang Tang (Fructus Mume and Rehmanniae Radix Decoction). Alternate taking this with the powder. (From *Bo Ji Fang*)
Regarding "Re Lao" (Heat Consumption) in women, it is caused by heat accumulation and stagnation in the Heart and Lung, damaging Qi and Blood. This leads to disharmony of Qi and Blood, stagnation in the Zang-Fu organs, and internal accumulation of heat toxins that cannot be vented or circulated. Symptoms include mental restlessness and irritability, flushed cheeks, headache, dry and gritty eyes, dry lips, intense heat in the four limbs, incessant thirst and irritability, sores in the mouth and tongue, lethargy and drowsiness with little desire to rise, loss of appetite, and generalized body aches. Sometimes there is palpitations (Xin Zheng), sometimes night sweats, and gradual emaciation of the skin and muscles; hence it is called Re Lao.
Treatment for women's Re Lao characterized by emaciation, vexatious pain in the four limbs, mental restlessness, dry mouth, and anorexia:
Ren Shen (Radix Ginseng), Huang Qin (Scutellariae Radix), Dang Gui (Radix Angelicae Sinensis) (each 3 fen), Bei Chai Hu (Radix Bupleuri, stems removed, 2.5 liang), Huang Qin (Scutellariae Radix), Di Gu Pi (Cortex Lycii), Chi Fu Ling (Poria cum rubro ligno), Mai Men Dong (Radix Ophiopogonis), Sheng Di Huang (Radix Rehmanniae Recens), Chi Shao Yao (Radix Paeoniae Rubra) (each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen).
The above are cut into small pieces. Each dose is 4 qian. Add 1 zhan of water and 5 slices of fresh ginger, decoct until 6 fen remains, strain, and take warm at any time.
Treatment for women's Re Lao characterized by thirst, dry mouth, emaciation, weakness, pain in the four limbs; or alternating chills and fever, phlegm reversal with vomiting, and anorexia:
Ban Xia (Rhizoma Pinelliae), Zhi Mu (Rhizoma Anemarrhenae), Ku Jing (Radix Platycodonis), Ren Shen (Radix Ginseng), Chi Fu Ling (Poria cum rubro ligno), Qin Jiao (Radix Gentianae Macrophyllae), Chi Shao Yao (Radix Paeoniae Rubra), Mai Men Dong (Radix Ophiopogonis), Wu Mei Rou (Endocarpium Mume) (each half liang), Bie Jia (Ventriculus et Carapax Trionycis, vinegar-processed), Bei Chai Hu (Radix Bupleuri), Huang Qin (Scutellariae Radix) (each 1 liang), Da Fu Pi (Pericarpium Arecae, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen).
The above are ground into a coarse powder. Each dose is 4 da qian. Add 1.5 zhan of water and 3 slices of fresh ginger, decoct until 7 fen remains, strain, and take warm at any time.