(附论)
夫妇人热劳者。由心肺壅热。伤于气血不调。脏腑壅滞。热毒积蓄在内。不得宣通之所
致也
少起
阳不
令寒
方
胡黄连丸 治妇人热劳烦闷。四肢黄瘦疼痛。时有咳嗽。不欲饮食。
胡黄连(半两) 柴胡(一两去苗) 赤芍药(三分) 鳖甲(二两涂醋炙令黄去裙) 知
母
(半两)
皮(三分)
当归(
心焙)
紫菀(
槟桔
梗(半
大。
不计
益母草煎丸 治妇人热劳烦闷。四肢疼痛。经脉滞涩。腹胁烦闷。不欲饮食。
益母草汁(一升) 青蒿(一升) 生姜(三分) 童子小便(一升) 以上四味。于
银器中以
慢火
柴胡(一两去苗) 人参(三分去芦头) 麦门冬(一两去心焙) 琥珀(三分细头) 桃
仁
(一两
去瓤)
桔梗(
干地黄
(一两)
梧桐
子大。食
青蒿丸(出圣惠方)治妇人热劳咳嗽。肌体消瘦。心膈烦热。夜多盗汗。四
肢
酸痛。食少无
青蒿(一两半) 天门冬(一两去心焙) 柴胡(一两去苗) 地骨皮(一两) 旋复
花(一两)
紫
麸炒黄)
秦艽(一两去头) 龙胆(半两) 天灵盖(一两半涂酥炙令黄) 葳蕤(一两) 鳖甲(一
两半涂
醋炙令黄去裙) 黄 (一两锉) 川大黄(一两锉碎微炒) 枳壳(一两麸炒微黄去瓤) 甘
草(
三分炙微赤锉) 朱砂(一两细研水飞过) 麝香(半两细研) 上为末。入研了药令匀。
炼蜜
和捣三五百杵。丸如梧桐子大。每服不计时候。以麦门冬汤下二十丸。
鳖甲丸 治热痨尤佳。
河车(根据前法修治) 鳖甲(醋炙半两) 桔梗 白芍药 大黄(煨) 甘草 苦参 贝
母
知母
胡黄连散(出圣惠方)治妇人热劳体瘦。经脉不通。四肢疼痛。口干烦渴。
不
得眠卧。饮食
胡黄连(三分) 天灵盖(一两涂酥炙令黄) 柴胡(一两去芦头) 鳖甲(一两半涂
醋炙令
黄去
两锉)
麝香(
分) 犀角
屑(一
去
滓。
半夏散(出圣惠方)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。
半夏 知母 苦梗 赤茯苓 人参 秦艽 赤芍药 麦门冬 乌梅肉(各半两) 鳖甲
(醋炙)
钱。用
水一盏半
犀角散(出圣惠方) 治妇人热劳。心胸烦热。不思饮食。四肢多疼。经脉
滞
涩。
犀角屑(半两) 柴胡(一两去苗) 赤芍药(三分) 虎杖(三分) 红蓝花(一两)
黄芩
(半两)
(三分)
麦门冬
以水一
中盏。
红蓝花散(出圣惠方)
柴胡(一两半去苗) 当归 生干地黄 赤芍药 红蓝花(一两) 鬼箭羽 虎杖 大
腹皮
麦
为
粗
鳖甲地黄汤 治妇人劳热。手足烦。心怔悸。妇人血室干枯。身体羸瘦。
柴胡 当归 麦门冬 鳖甲(醋炙) 石斛 白术 熟地黄 茯苓(去皮) 秦艽(各
一两)
人
至
七
鳖甲散(出圣惠方)治妇人热劳。发渴壮热。四肢烦疼。渐渐黄瘦。心胸躁
闷。
鳖甲(一两半涂醋炙令黄去裙) 知母(三分) 川大黄(三分锉碎微炒) 地骨皮 赤
芍药
(各
(锉
各三
盏。
入生
黄 散(出圣惠方)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(去皮一两半) 黄 地骨皮 赤茯苓 麦门
冬
生地
分。
去滓
鸡苏丸(出拔粹方)治虚热昏冒倦怠。下虚上壅。及衄血。
鸡苏叶(半斤) 黄 (半两) 甘草 川芎(各一分) 防风(一两) 苦梗(半两)
荆芥穗
(一
每服
一丸
不美
锉炒
知母散(出圣惠方)治妇人热劳。体瘦壮热。四肢烦疼。咽喉不利。少思饮
食。
知母 黄芩(各三分) 柴胡(去苗) 生干地黄(各一两) 赤芍药 麦门冬 射干 川
升
麻(
竹叶
二
子芩散(出拔粹方)
白芍药 子芩 人参 白茯苓 黄 (一两) 麦门冬 生干地黄 苦梗(各半两) 上
为
粗末
分。
治一切妇人骨蒸劳热。宫脏不调。因感痨气。子母相搏。邪气干心。非时惊恐。如
人将捕。
桑寄生(半两) 人参 茯苓 鳖甲(醋炙) 柴胡(去毛) 独活 天灵盖(酥炙黑
色) 川
芎(
急泻出
猪肚丸(出圣惠方)治妇人热劳羸瘦。
北柴胡 赤茯苓 人参 黄 (各一两) 黄连(三两) 地骨皮 木香(各半两) 桃
仁
鳖甲
熟。
于
逍遥散(出医方集成)治血虚劳倦。五心烦热。肢体疼痛。头目昏重。心忡
颊
赤。口燥咽干
又主室女血弱阴虚
白茯苓 白术 白芍药 当归(去芦酒浸半日微炒) 北柴胡(去苗各一两) 甘草(炙
一
两半)
加知母
客于经
茯苓、
半。生
妇人寒
日既久
调服。
久无子
当归、
人。则
盖痰
过。
真武
宜灸
日灸
然。
腹中
欲引
多致
秦艽散(出大全良方)治血脉有热。月水凝滞。五心烦倦。
麦门冬 秦艽(各一两) 生地黄 当归(各半两) 地骨皮 郁金 苏木(各半两) 上
为细
酒热物。
(Attached Discussion)
The so-called "Heat-Lao" (Chronic Febrile Disease due to Deficiency Heat) in women is caused by heat accumulation and stagnation in the Heart and Lungs, leading to disharmony of Qi and Blood, stagnation of Zang-Fu organs, and the retention of heat-toxins within the body that cannot be vented or circulated.
**Huhuanglian Wan (Picrorhiza Pill)**
Indications: Treats Heat-Lao in women characterized by irritability and oppression, yellowish emaciation and pain in the four limbs, occasional coughing, and loss of appetite.
Ingredients: Huhuanglian (Picrorhizae Rhizoma, 0.5 liang), Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Chi Shaoyao (Paeoniae Radix Rubra, 3 qian), Biejia (Testudinis Carapax et Plastrum, 2 liang, coated with vinegar and roasted until yellow, remove skirt edges), Zhimu (Anemarrhenae Rhizoma, 0.5 liang), [Original text missing character, likely Digupi or similar] (3 qian), Danggui (Angelicae Sinensis Radix, [missing processing instruction]), Ziwan (Asternis Herba, [missing part]), Binglang (Arecae Semen), Jiegeng (Platycodonis Radix, 0.5 [liang]).
Preparation: Grind the above herbs into fine powder. Mix with refined honey and pound for 300-500 strokes to form pills the size of tung tree seeds. Take 20 pills at any time, washed down with Yi Mu Cao (Leonuri Herba) decoction.
**Yimugcao Jian Wan (Leonurus Decoction Pill)**
Indications: Treats Heat-Lao in women with irritability, pain in the four limbs, stagnant and obstructed menstruation, abdominal and hypochondriac oppression, and loss of appetite.
Ingredients: Yimugcao Juice (Leonuri Herba Juice, 1 sheng), Qinghao (Artemisiae Annuae Herba, 1 sheng), Shengjiang (Zingiberis Rhizoma Recens, 3 qian), Tongzi Xiaonian (Child's Urine, 1 sheng).
Preparation: Place the above four ingredients in a silver vessel and simmer slowly over low fire to reduce to a paste. [Note: The original text here is fragmented; subsequent ingredients listed below appear to belong to other formulas.]
**[Unnamed Formula following Yimugcao Jian Wan]**
(Note: The original text lists ingredients immediately after the preparation of Yimugcao Jian Wan without a specific formula name. These ingredients closely resemble those of Qinghao Wan but lack Qinghao.)
Ingredients: Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Renshen (Ginseng Radix, 3 qian, remove rhizome), Maimendong (Ophiopogonis Radix, 1 liang, remove heart and roast), Hupo (Succinum, 3 qian, finely ground), Taoren (Persicae Semen, 1 liang, remove skin and kernel), Jiegeng (Platycodonis Radix), Dihuang (Rehmanniae Radix, 1 liang), Wutongzi (Catalpae Semen, size reference).
Preparation: [Text implies grinding and pill formation]. Take 20 pills at any time, washed down with Maimendong (Ophiopogonis Radix) decoction.
**Qinghao Wan (Artemisia Annua Pill) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with coughing, emaciation of the body,烦热 (irritating heat) in the chest and diaphragm, night sweats, soreness and pain in the four limbs, and poor appetite.
Ingredients: Qinghao (Artemisiae Annuae Herba, 1.5 liang), Tianmendong (Asparagi Radix, 1 liang, remove heart and roast), Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Digupi (Lycii Cortex, 1 liang), Xuanjinhua (Inulae Flos, 1 liang), Zisu Ye (Perillae Folium, [missing part]), Qinjiao (Gentianae Macrophyllae Radix, 1 liang, remove head), Longdan (Gentianae Radix, 0.5 liang), Tianlinggai (Cranii Humanum, 1.5 liang, coated with butter and roasted until yellow), Weirui (Polygonati Odorati Rhizoma, 1 liang), Biejia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar and roasted until yellow, remove skirt edges), Huangqi (Astragali Radix, 1 liang, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, sliced, crushed, slightly stir-fried), Zhike (Aurantii Fructus, 1 liang, bran-roasted until slightly yellow, remove kernel), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly red and sliced), Zhusha (Cinnabar, 1 liang, finely ground and water-washed), Shexiang (Moschus, 0.5 liang, finely ground).
Preparation: Grind all herbs into powder. Mix the ground ingredients evenly. Combine with refined honey and pound for 300-500 strokes to form pills the size of tung tree seeds. Take 20 pills at any time, washed down with Maimendong (Ophiopogonis Radix) decoction.
**Biejia Wan (Turtle Shell Pill)**
Indications: Particularly effective for Heat-Lao (Consumptive Fever).
Ingredients: Heche (Placenta Humana, processed according to method), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, 0.5 liang), Jiegeng (Platycodonis Radix), Baishaoyao (Paeoniae Radix Alba), Dahuang (Rhei Radix et Rhizoma, baked), Gancao (Glycyrrhizae Radix et Rhizoma), Kushen (Sophorae Flavescentis Radix), Beimu (Fritillariae Bulbus), Zhimu (Anemarrhenae Rhizoma).
**Huhuanglian San (Picrorhiza Powder) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with emaciation, obstructed menstruation, pain in the four limbs, dry mouth with irritability and thirst, and insomnia.
Ingredients: Huhuanglian (Picrorhizae Rhizoma, 3 qian), Tianlinggai (Cranii Humanum, 1 liang, coated with butter and roasted until yellow), Chaihu (Bupleuri Radix, 1 liang, remove rhizome), Biejia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar and roasted until yellow, remove skirt edges), [Missing character] (sliced), Shexiang (Moschus, [missing amount]), Xijiao (Rhinocerotis Cornu, shaved, 1 [liang?]).
Preparation: [Text implies powder preparation and taking with liquid]. Strain the dregs.
**Banxia San (Pinellia Powder) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with irritability, thirst, dry mouth, emaciation, weakness, pain in the four limbs, alternating chills and fever, phlegm reversal, and vomiting.
Ingredients: Banxia (Pinelliae Rhizoma), Zhimu (Anemarrhenae Rhizoma), Kugeng (Jiegeng/Platycodonis Radix), Chi Fuling (Poria with Red Host, each 0.5 liang), Renshen (Ginseng Radix), Qinjiao (Gentianae Macrophyllae Radix), Chi Shaoyao (Paeoniae Radix Rubra), Maimendong (Ophiopogonis Radix), Wumei Rou (Mume Fructus Flesh, each 0.5 liang), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted).
Preparation: [Text mentions using 1.5 cups of water]. Boil and take.
**Xijiao San (Rhinoceros Horn Powder) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with irritating heat in the chest and heart, loss of appetite, frequent pain in the four limbs, and stagnant menstruation.
Ingredients: Xijiao屑 (Rhinocerotis Cornu, shaved, 0.5 liang), Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Chi Shaoyao (Paeoniae Radix Rubra, 3 qian), Huzhang (Polygoni Cuspidati Rhizoma et Radix, 3 qian), Honglanhua (Carthami Flos, 1 liang), Huangqin (Scutellariae Radix, 0.5 liang), [Missing character] (3 qian), Maimendong (Ophiopogonis Radix).
Preparation: Use 1 cup of water. Boil to obtain [amount].
**Honglanhua San (Carthamus Powder) (From Shenghui Fang)**
Ingredients: Chaihu (Bupleuri Radix, 1.5 liang, remove seedlings), Danggui (Angelicae Sinensis Radix), Sheng Dihuang (Rehmanniae Radix Recens), Chi Shaoyao (Paeoniae Radix Rubra), Honglanhua (Carthami Flos, 1 liang), Guijianyu (Strychni Spina), Huzhang (Polygoni Cuspidati Rhizoma et Radix), Dafupi (Arecae Pericarpium), Maiya (Hordei Fructus Germinatus).
Preparation: [Grind into coarse powder].
**Biejia Dihuang Tang (Turtle Shell and Rehmannia Decoction)**
Indications: Treats Labor-Heat in women with vexation in hands and feet, palpitations, dryness of the Blood Chamber (uterus), and emaciation.
Ingredients: Chaihu (Bupleuri Radix), Danggui (Angelicae Sinensis Radix), Maimendong (Ophiopogonis Radix), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted), Shihu (Dendrobii Caulis), Baizhu (Atractylodis Macrocephalae Rhizoma), Shu Dihuang (Rehmanniae Radix Praeparata), Fuling (Poria, peeled), Qinjiao (Gentianae Macrophyllae Radix, each 1 liang).
Preparation: [Boil and take].
**Biejia San (Turtle Shell Powder) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with intense thirst and high fever, vexing pain in the four limbs, gradual yellowish emaciation, and restlessness in the chest and heart.
Ingredients: Biejia (Testudinis Carapax et Plastrum, 1.5 liang, coated with vinegar and roasted until yellow, remove skirt edges), Zhimu (Anemarrhenae Rhizoma, 3 qian), Chuan Dahuang (Rhei Radix et Rhizoma, 3 qian, sliced, crushed, slightly stir-fried), Digupi (Lycii Cortex), Chi Shaoyao (Paeoniae Radix Rubra, each [amount missing]).
Preparation: [Crushed and boiled with water]. Add raw [ingredient missing].
**Huang [Qi] San (Astragalus Powder) (From Shenghui Fang)**
(Note: Original text says "Huang ", likely Huangqi based on context of treating emaciation and fatigue).
Indications: Treats Heat-Lao in women with emaciation, vexing pain in the four limbs, mental restlessness, dry mouth, and loss of appetite.
Ingredients: Renshen (Ginseng Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix, each 3 qian), Bei Chaihu (Bupleuri Radix, peeled, 1.5 liang), Huangqi (Astragali Radix), Digupi (Lycii Cortex), Chi Fuling (Poria with Red Host), Maimendong (Ophiopogonis Radix), Sheng Dihuang (Rehmanniae Radix Recens).
Preparation: [Strain and take].
**Jisu Wan (Elsholtzia Pill) (From Bacui Fang)**
Indications: Treats deficiency-heat causing dizziness, fainting, fatigue, lower deficiency with upper stagnation, and epistaxis.
Ingredients: Jisu Ye (Elsholtsiae Splendens Folium, 0.5 jin), Huangqi (Astragali Radix, 0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 fen), Fangfeng (Saposhnikoviae Radix, 1 liang), Kugeng (Platycodonis Radix, 0.5 liang), Jingjie Sui (Schizonepetae Spica, [amount missing]).
Preparation: [Grind and make pills]. Take one pill.
**Zhimu San (Anemarrhena Powder) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with emaciation, high fever, vexing pain in the four limbs, throat discomfort, and reduced desire for food and drink.
Ingredients: Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix, each 3 qian), Chaihu (Bupleuri Radix, remove seedlings), Sheng Dihuang (Rehmanniae Radix Recens, each 1 liang), Chi Shaoyao (Paeoniae Radix Rubra), Maimendong (Ophiopogonis Radix), Shegan (Belamcandae Rhizoma), Chuan Shengma (Cimicifugae Rhizoma, [amount missing]), Zhuye (Phyllostachys Folium).
Preparation: [Boil and take].
**Zixin San (Scutellariae Gallica Powder) (From Bacui Fang)**
Ingredients: Baishaoyao (Paeoniae Radix Alba), Zixin (Scutellariae Barbatae Herba), Renshen (Ginseng Radix), Baifuling (Poria with White Host), Huangqi (Astragali Radix, 1 liang), Maimendong (Ophiopogonis Radix), Sheng Dihuang (Rehmanniae Radix Recens), Kugeng (Platycodonis Radix, each 0.5 liang).
Preparation: Grind into coarse powder. [Take portion].
**[Unnamed Formula for Bone-Vapor Fever]**
Indications: Treats all forms of bone-vapor consumptive fever in women, uterine organ disharmony, infection by labor-qi, conflict between mother and fetus, evil qi invading the heart, untimely fright, feeling as if being hunted.
Ingredients: Sangjisheng (Taxilli Caulis Et Ramulus, 0.5 liang), Renshen (Ginseng Radix), Fuling (Poria), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted), Chaihu (Bupleuri Radix, remove hairs), Duohuo (Angelicae Pubescentis Radix), Tianlinggai (Cranii Humanum, butter-roasted until black), Chuanxiong (Ligustici Chuanxiong Rhizoma, [amount missing]).
Preparation: [Urgently purge out].
**Zhudu Wan (Pork Stomach Pill) (From Shenghui Fang)**
Indications: Treats Heat-Lao in women with emaciation.
Ingredients: Bei Chaihu (Bupleuri Radix), Chi Fuling (Poria with Red Host), Renshen (Ginseng Radix), Huangqi (Astragali Radix, each 1 liang), Huanglian (Coptidis Rhizoma, 3 liang), Digupi (Lycii Cortex), Muxiang (Aucklandiae Radix, each 0.5 liang), Taoren (Persicae Semen), Biejia (Testudinis Carapax et Plastrum), Shu Dihuang (Rehmanniae Radix Praeparata).
Preparation: Cook thoroughly. [Process with stomach].
**Xiaoyao San (Free and Easy Wanderer Powder) (From Yifang Jicheng)**
Indications: Treats blood deficiency with labor-fatigue, five-palm heat, limb pain, heavy head and eyes, palpitations, flushed cheeks, dry mouth and throat. Also treats virgins with weak blood and yin deficiency.
Ingredients: Baifuling (Poria with White Host), Baizhu (Atractylodis Macrocephalae Rhizoma), Baishaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix, remove rhizome, soak in wine for half a day, slightly stir-fry), Bei Chaihu (Bupleuri Radix, remove seedlings, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1.5 liang).
Add Zhimu (Anemarrhenae Rhizoma). [Guest enters meridian]. Fuling, [half raw]. Women's cold [duration long]. Adjust and take. Long-term infertility [Danggui, person, phlegm pass]. Zhenwu [Moxibustion recommended]. Daily moxa. Abdominal [desire to draw]. Often leads to [outcome].
**Qinjiao San (Gentian Powder) (From Daquan Liangfang)**
Indications: Treats heat in blood vessels, stagnant menstruation, five-palm heat and fatigue.
Ingredients: Maimendong (Ophiopogonis Radix), Qinjiao (Gentianae Macrophyllae Radix, each 1 liang), Sheng Dihuang (Rehmanniae Radix Recens), Danggui (Angelicae Sinensis Radix, each 0.5 liang), Digupi (Lycii Cortex), Yujin (Curcumae Radix), Sumu (Sappan Lignum, each 0.5 liang).
Preparation: Grind into fine powder. Take with hot wine.