清白散
当归 盐黄柏 炒白芍 樗根皮 生地 川芎 贝母(各一钱) 炮姜 甘草(各五分)
上锉,生姜三片,水煎服。
导水丸
牵牛(头末) 滑石(水飞) 黄芩 川大黄
上末,蒸饼为丸,量虚实服。
万安丸
牵牛(头末) 胡椒 木香 小茴香(焙,各等分)
上末,水泛为丸,量虚实服。
威喜丸
白茯苓(去皮作块,用猪苓二钱半,同于磁器内煮二十余沸,出,晒干,不用猪苓,四两) 黄蜡(四两)
上以茯苓为末,炼黄蜡为丸,如弹子大。空心细嚼,满口生津,徐徐咽服,以小便清为度。忌米醋,只吃糠醋。
忌动气。
固精丸
牡蛎( 粉) 菟丝子(酒蒸,焙) 韭子(炒) 龙骨 五味子 白茯苓 桑螵蛸(酒炙) 白石脂(各
等分)
上为末,酒糊丸如桐子大,每服七十丸,空心盐汤下。
五积六聚分脏腑,七 八瘕气血凝。 积不动有定处,瘕聚推移无定形。痞闷不宣气雍塞,未成坚块
血瘀名。蓄久不散成血蛊,产后经行风冷乘。
【注】五脏气积名曰积,故积有五证。六腑气聚名曰聚,故聚有六证。《难经》有心、
肝、脾、肺、肾五脏之积,而无六聚。盖以积为血病,而聚为气病也。故李杲有五积丸
方治法。《巢氏病源》载七 八瘕,但有八瘕
名证,而无七 病形。其他方书亦不概见。大抵又以 为气病,而瘕为血病也。夫病皆起
于气,必气聚而后血凝,不必过泥于黄、青、燥、血、脂、狐、蛇、鳖等名,但以牢固不
移有定处者,为 为积;推移转动,忽聚忽散者,为瘕为聚可也。故曰∶ 者,征也,言
有形可征也。瘕者,假也,言假物成形也。若夫痞者,痞闷不通,气道壅塞之谓也。瘀血
者,血瘀腹中未成坚块也。蓄之既久,必成血蛊矣。凡此诸证,皆由新产之后,经行之
时,不知谨避,以致风冷外袭,邪正相搏,结于腹中而成也。
[Qingbai San (Clear and White Powder)]
Danggui (Radix Angelicae Sinensis), Yan Huangbai (Salt-processed Phellodendri Cortex), Chao Baishao (Stir-fried Radix Paeoniae Alba), Chugenpi (Cortex Bungeae), Shengdihuang (Radix Rehmanniae Preparata), Chuanxiong (Rhizoma Chuanxiong) (each 1 qian); Paojiang (Prepared Zingiberis Rhizoma), Gancao (Radix Glycyrrhizae Preparata) (each 0.5 qian).
Crush the above herbs, add three slices of fresh ginger, decoct in water, and take orally.
[Daoshui Wan (Water-Guiding Pill)]
Qianniu (Semen Pharbitidis) (first extraction powder), Huashi (Talcum) (processed by water flotation), Huangqin (Radix Scutellariae), Chuan Dahuang (Radix et Rhizoma Rhei Preparata).
Grind the above herbs into fine powder, make pills using steamed bread paste, and administer according to the patient's deficiency or excess condition.
[Wan'an Wan (Ten-Thousand-Safety Pill)]
Qianniu (Semen Pharbitidis) (first extraction powder), Hujiao (Piperis Longi Fructus), Muxiang (Radix Aucklandiae), Xiaohuixiang (Fructus Foeniculi) (roasted, equal parts).
Grind the above herbs into fine powder, make pills using water as a binder, and administer according to the patient's deficiency or excess condition.
[Weixi Wan (Mighty-Promise Pill)]
Baifuling (Poria) (skin removed, cut into blocks, boiled with 2.5 qian of Zhuling [Polyporus] in a porcelain vessel for more than twenty boils, taken out, dried, discard Zhuling, use 4 liang of Poria); Huangla (Beeswax) (4 liang).
Grind the Poria into fine powder, melt the beeswax, and make pills the size of quail eggs. Chew thoroughly on an empty stomach until saliva is abundant, then swallow slowly. Stop when urine becomes clear. Avoid rice vinegar; only bran vinegar is permitted.
Avoid emotional agitation (maintain calmness, avoid anger).
[Gujing Wan (Essence-Fixing Pill)]
Muli (Concha Ostreae) (calcined powder), Tusizi (Semen Cuscutae) (steamed with wine, roasted), Jiuizi (Semen Allii Tuberosi) (stir-fried), Longgu (Os Draconis), Wuweizi (Fructus Schisandrae Chinensis), Baifuling (Poria), Sangpiaoxiao (Ootheca Mantidis) (stir-fried with wine), Baishizhi (Kaolinite) (equal parts).
Grind the above herbs into fine powder, make pills the size of paulownia seeds using wine paste as a binder. Take 70 pills each time, on an empty stomach, washed down with salted water.
Five types of Ji (masses) and six types of Ju (gatherings) correspond to different zang-fu organs; Qi Ba Xia Jia (seven jias and eight jias) result from qi and blood stagnation.
Ji (masses) are characterized by fixed locations without movement; Jia (intermittent masses) and Ju (gatherings) are characterized by shifting forms that can be moved.
Pi (fullness) manifests as chest stuffiness and obstruction due to qi stagnation; Yuxue (blood stasis) refers to blood stagnating in the abdomen without forming hard masses.
If blood stasis accumulates and does not dissipate over time, it becomes Xuegu (blood gu disorder). This often occurs postpartum or during menstruation, caused by invasion of wind-cold pathogens.
[Annotation]
Qi accumulation in the five zang organs is called "Ji" (mass), hence there are five types of Ji. Qi gathering in the six fu organs is called "Ju" (gathering), hence there are six types of Ju. The *Nan Jing* (Classic of Difficult Issues) records the five accumulations of the heart, liver, spleen, lung, and kidney, but does not record six gatherings. This is because Ji belongs to blood pathology, while Ju belongs to qi pathology. Therefore, Li Gao provided formulas and methods for treating five accumulations. *Zhubing Yuanhou Lun* (Source Book of Pathogenesis and Symptoms of All Diseases) records Qi Ba Xia Jia, but only lists the names and symptoms of the eight jias, lacking the pathological forms of the seven jias. Other medical texts rarely mention them. Generally, it is considered that Jia is a qi disease, while Jia is a blood disease (Note: The original text contains a logical ambiguity here, typically Jia is associated with qi and mass with blood, but translated literally). Diseases originate from qi; only after qi gathers does blood coagulate. One need not overly adhere to names such as Huang Jia, Qing Jia, Zao Jia, Xue Jia, Zhi Jia, Hu Jia, She Jia, and Die Jia. Instead, classify firm, immobile masses with fixed locations as Jia and Ji; and shifting, rotating masses that appear and disappear intermittently as Jia and Ju. Thus, "Jia" implies "Zheng" (signs), meaning it has tangible signs. "Jia" also implies "Jia" (false/assumed), meaning it takes shape falsely. As for Pi (fullness), it refers to stuffiness and blockage of the qi pathway. Yuxue (blood stasis) refers to blood stagnating in the abdomen without forming hard masses. If accumulated for a long time, it inevitably becomes Xuegu (blood gu disorder). All these conditions arise from failing to take precautions after childbirth or during menstruation, leading to external invasion of wind-cold pathogens. The pathogenic factors contend with righteous qi, knotting in the abdomen to form the disease.