甘草 干姜(各半两)
上 咀,水煮顿服。《局方》理中汤亦妙。(方见《和剂》)
夫妇人 癖者,本因邪气积聚而生也。 者,在腹内近脐左右各有一条筋脉急痛,大者
如臂,次者如指,因气而成,如弦之状,名曰 气也。癖者为僻,侧在两肋之间,有时而痛
,故曰癖也。夫 之与癖,皆阴阳不和,经络否膈,饮食停滞,不得宣流,邪冷之气,搏结
不散,得冷则发作疼痛,故曰 癖者也。
治妇人 癖,冷气兼疰气,心腹痛不可忍。
麝香(半两,别研) 阿魏(一分,面裹煨,令面熟) 五灵脂 桃仁 三棱(各三分)
芫花(醋炒) 槟榔(各一两) 莪术 桂心 没药 木香 当归(各半两)
上为细末,入麝香令停,用粳米软饭为丸,如梧桐子大,每服十丸。无时,淡醋汤下。
治妇人 癖及血气等神效方。
上以 猪肝一具,可及十两者;用巴豆五十枚,去大皮,扎在肝内。用酽醋三碗,慢火
熬,令肝烂熟;入砂钵内研令极烂,入京三棱末和就得所,为丸如梧桐子大。每服五丸,
食前,热酒下。(熬熟后去巴不用)
夫 癖症瘕,血气兜硬,发歇刺痛,甚则欲死。究而言之,皆血之所为。仆尝治一妇人
血气刺痛,极不可忍,甚而死一、二日方省。医巫并治,数年不愈。仆以葱白散、乌鸡丸遂
安。又尝治一妇人,血气作楚,如一小盘样,走注刺痛,要一人伏定方少止,亦用此二药而
愈。寻常小小血气,用此二药亦有奇效,故录于后。
乌鸡煎丸。(方见二十四卷拾遗门)
Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis Preparatum) (each, 0.5 liang)
Crush the herbs, decoct in water, and take in one dose. Lizhong Tang (Regulate the Middle Decoction) from *Ju Fang* (Formulary of the Bureau) is also excellent. (See *Heji Ju Fang*)
The so-called "Yuan" disease in women originates from the accumulation of pathogenic factors. "Yuan" refers to a condition where there is a painful, tense meridian or tendon on either side of the navel within the abdomen. The larger masses are as thick as an arm, while smaller ones are as thick as a finger. Formed by qi stagnation, they resemble a bowstring, hence named "Yuan Qi". "Pi" disease refers to masses located obliquely between the two hypochondria, which cause intermittent pain, thus named "Pi". Both "Yuan" and "Pi" result from disharmony of Yin and Yang, obstruction of meridians, stagnation of food and drink preventing free flow, and the binding and dispersal failure of cold pathogenic qi. When exposed to cold, pain is triggered; therefore, it is called "Yuan Pi" disease.
To treat women's "Yuan Pi" disease, accompanied by cold qi and Zhu Qi (infectious/pestilential qi), causing unbearable heart and abdominal pain.
Shexiang (Moschus) (0.5 liang, separately ground), Awèi (Resina Ferulae) (1 fen, wrapped in flour and roasted until the flour is cooked), Wulingzhi (Tardigrada) (3 qian each), Taoren (Semen Persicae), Sanleng (Rhizoma Sparganii) (3 qian each)
Yuanhua (Flos Genkwa), Binglang (Semen Arecae) (1 liang each), Ezhu (Rhizoma Curcumae Zedoariae), Guixin (Cortex Cinnamomi), Moyao (Resina Myrrhae), Muxiang (Radix Aucklandiae), Danggui (Radix Angelicae Sinensis) (each, 0.5 liang)
Grind all ingredients into a fine powder. Mix in the Shexiang evenly. Use soft rice as a binder to make pills the size of Sophora japonica seeds. Take 10 pills per dose at any time, washed down with light vinegar soup.
A miraculous formula for treating women's "Yuan Pi" and blood-qi disorders.
Take one pig liver, weighing approximately 10 liang. Insert 50 Baiduo (Fructus Crotonis Tiglii) seeds, peeled, into the liver. Simmer the liver in three bowls of strong vinegar over low heat until the liver is thoroughly cooked and soft. Grind the mixture extremely finely in a mortar. Mix with Jing Sanleng (Rhizoma Sparganii) powder to form pills the size of Sophora japonica seeds. Take 5 pills before meals, washed down with hot wine. (Remove the Baiduo after cooking).
The conditions of "Yuan", "Pi", "Zheng", and "Jia" involve hard, obstructed blood-qi, with paroxysmal stabbing pain that can be fatal if severe. Upon deeper investigation, these are all manifestations of blood pathology. I once treated a woman suffering from unbearable blood-qi stabbing pain, who even fell into a coma for one or two days before regaining consciousness. Despite treatment by both physicians and shamans, she remained ill for years. I used Congbai San (Scallion White Powder) and Wuji Wan (Black Chicken Pill) to cure her. I also treated another woman whose blood-qi pain felt like a small plate moving around with stabbing sensations, requiring someone to press firmly to find relief. She was also cured using these two remedies. For ordinary mild blood-qi disorders, these two formulas also yield remarkable effects, so they are recorded below.
Wuji Jian Wan (Black Chicken Decocted Pill). (See Volume 24, Supplementary Section)