(附论)
血积气痛者。恶血久积而成痛也。其状隐隐 痛。或成块攻筑。或聚或散。或沉或浮。
盖气
凝滞
方
当归煎丸 治妇人血积血癖。脐腹 痛。心膈满闷。四肢烦疼。口苦舌干。饮食减
少。渐成
当归(切焙) 附子(去皮脐生用各半两) 没药(研) 砂(研) 血竭(各一两)
禹余粮
(
膏。
和
淬七次)
牡丹皮
如豌豆
大。每
桃仁散 治妇人因月水不通。血积不散。气攻疼痛。积聚成块。
桃仁(汤浸去皮尖双仁炒二两) 刘寄奴(去瓤锉碎) 蓬莪术(炮细炒) 当归(炙
锉)
香子
锉) 附
子(
或醋汤
调
当归丸 治妇人血积。脐下结块。痛如锥刺。或下赤白。月水不调。腰背痛。
当归(切焙) 芍药 吴茱萸(汤洗焙干炒) 大黄(炒锉) 干姜(炒) 附子(炮
裂去皮脐)
细
(去皮
三
熟。
丸
地黄煎丸 治妇人因月水不调。血结不通。血积小腹成块如覆杯。
生地黄(肥者细切研烂绞汁一十斤) 生姜(去皮研烂绞汁一斤半二味汁于微火上煎令
如
稀饧)
姜地
黄(焙)
米炒)
虻虫(
得
所。
延胡索丸 治妇人血脏久冷。虚积气攻。心腹脐下疼痛。呕逆痰涎。不思饮食。
延胡索(米醋炙黄三分) 当归(切焙) 沉香(锉各半两) 木香 白术 芎 青
橘皮
(汤浸
(湿纸裹
煨别捣
十
丸。煎
胜金丸 治妇人血积。心腹疼痛。气刺气胀攻筑。或经候不行。肢节烦疼。痰逆
癖。
干漆(炒烟尽) 乌头(炮裂去皮脐) 野狼毒 京三棱(锉碎炒黄各一两) 紫葳(凌
霄花是
也)
黄(
巴豆、
砂同熬稠。其余八味。同捣细罗为末。同熬成膏。和剂如干硬。少入炼熟蜜同和剂。令得
所。丸如绿豆大。每服七丸至十丸。当归酒下。
桃仁丸 治妇人因月水不利。血结成积。气攻疼痛。
桃仁(汤浸去皮尖双仁麸炒黄) 泽泻 白茯苓(去黑皮) 芍药 瞿麦(用穗) 干
姜(炮
裂)
黄(锉炒
一两
增减四物汤(出兰室秘藏方) 治妇人血积。
当归 川芎 芍药 熟地黄 莪术 荆三棱 桂(去皮) 干漆(烟炒尽) 上各等分
为粗末。
没药丸 治妇人腹内血结。气攻疼痛。行经。
没药(一两研) 桂(去粗皮) 当归(切炒) 芫花(醋炙半焦) 干漆(炒烟透各
一两半) 上捣
没药丸 治妇人血气血积坚癖血瘕。发歇攻刺。疼痛呕逆噎塞迷闷。及血蛊胀满。
经脉不行
没药(研一两) 芫花(一两用米醋二升煎至一升半滤去滓不用将醋入石器内入 砂霜
一两巴
香肉豆
枚糯米炒令黄
焦去
大。
气攻
余粮
去滓
服只
下三
砂丸 治妇人血块攻筑疼痛。
砂(研) 没药(研各一两) 粉霜(半钱) 干漆(炒烟尽半两) 干姜(炮) 京
三棱(炮
各一
香(一分
姜黄散 治妇人冷癖血块虚胀。月经不调。瘦弱不能食。面无颜色。
姜黄 白术(各八两) 生姜(去皮细切三升) 当归(切十两) 陈曲末 大麦 末
(各二升)
橘皮(汤浸去白切
并甑置屋下三日。
取出药曝干。捣罗为散。酒服方寸匕。日二服。取利为度。十日内。忌生冷难消化物。过十
日。百无所忌。若炼蜜为丸亦得。每服三十丸。酒下日再服。
大黄丸 治妇人月水不通。结坚瘕如石。腹胀血积不散。
大黄(锉炒) 砂石(熬沸研细各二两) 蜀椒(去目及合口者炒去汗半两) 代赭(别
研) 干漆
两) 上为末。炼蜜
芍药汤 治妇人血积。气攻心刺疼痛不已。面黄体瘦。经水不调。
芍药 芎 当归(切焙) 防风(去叉) 桂(去粗皮各半两) 甘草(炙剂) 生
姜地黄(焙各
煎七分。去滓温
血竭散(出瑞竹堂方)治妇人脐下血积疼痛。
血竭 乳香 没药(别研) 白芍药 水蛭(盐炒烟出) 当归 麝香(以上各一分) 虎
骨(炭
砂丸 治妇人年久血积块攻刺。疼痛不可忍。或呕吐。不进饮食。面黄怠惰。
砂(去夹石者) 当归(切焙) 芫花(醋炒微焦各一两) 蓬莪术(炮半两) 木
香(一分)
巴
后
将四
临
没药膏 治妇人血气积。腹胁有坚癖攻筑疼痛。不思饮食。
没药(别研) 木香 当归(锉焙各半两) 五灵脂(二两半) 砂(别研半两) 上
捣罗三
味为
化下
当归丸 治妇人虚冷血气。及血积隐隐 痛。血块攻筑疼痛。
当归(切焙) 延胡索(各一两) 没药(研) 麒麟竭 砂(研各三分) 上为末
合研匀。
用狗
狗胆丸 治妇人血气。
狗胆(一枚入巴豆七粒空瓯后挂三七日干用) 木香 丁香 砂 槐花(各半两) 上
为
细末
煎醋
游蓖
青金丸 治妇人血积。气攻冲心。腹 痛。吐逆不下。食前发作。神思昏闷。四肢
逆冷。
五灵脂(二两取细末一两) 硝石(一分同上研) 斑蝥(不叫者去翅与糯米同炒取一
分为
末)
愈。
秘传降香汤(出卫生家藏方)治血气攻刺如钻针所刺。痛不可忍。及一切败
血
成积。无药可
真降香(一钱) 没药(一钱) 麒麟竭(一钱) 上为末。每服一钱。磨真降香温酒
下立止。
穿山甲散(出杨氏家藏方)治妇人血积。气块往来刺痛。经脉欲行。腹肠疼
痛。寒热。肌肉
当归(洗焙) 干漆(米醋炒令烟尽) 穿山甲(锻石炒如田螺) 干姜(炮) 上件
各等分为细末
治一切血气。(出本草)
以蚶壳烧以米醋三度淬后埋令坏。醋膏丸服之。
(Attached Discussion)
Blood accumulation with Qi pain refers to pain caused by the long-term accumulation of evil blood (stagnant blood). The symptoms present as dull, lingering pain; sometimes forming masses that attack and build up; sometimes gathering and sometimes dispersing; sometimes deep-seated and sometimes superficial.
Danggui Decoction Pills treat women's blood accumulation and blood bi (masses). Symptoms include pain in the umbilical and abdominal regions, fullness and oppression in the heart and diaphragm, vexatious pain in the four limbs, bitter taste in the mouth, dry tongue, decreased appetite, gradually forming... [text missing].
[Composition] Dang Gui (Cut and roasted), Fu Zi (Skin and navel removed, used raw, each 0.5 liang), Mo Yao (Ground), Sha (Ground), Xue Jie (Each 1 liang), Yu Yu Liang (... paste. Mix... quench seven times), Mu Dan Pi (Size of pea). Take ... Tao Ren San treats women due to amenorrhea, blood accumulation not dispersing, Qi attacking causing pain, accumulations forming masses.
[Composition] Tao Ren (Soaked in water, skin and tip removed, double-kernel fried, 2 liang), Liu Ji Nu (Rut removed, cut into pieces), Peng E Zhu (Fried finely), Dang Gui (Roasted and cut), Xiang Zi (Cut), Fu Zi (... or mixed with vinegar decoction...).
Dang Gui Pills treat women's blood accumulation. Symptoms include masses结 (knotting) below the umbilicus, pain like needle pricking, or passage of red and white discharge, irregular menstruation, lower back and back pain.
[Composition] Dang Gui (Cut and roasted), Shao Yao, Wu Zhu Yu (Washed in water, roasted dry and fried), Da Huang (Fried and cut), Gan Jiang (Fried), Fu Zi (Pounded, cracked, skin and navel removed), Xi Xin (Skin removed... three... cooked. Pills... Di Huang Jian Wan treats women due to irregular menstruation, blood knotting and not flowing, blood accumulating in the lower abdomen forming a mass like an inverted cup.
[Composition] Sheng Di Huang (Plump ones finely cut, pounded rotten, juice squeezed, 10 jin), Sheng Jiang (Skin removed, pounded rotten, juice squeezed, 1.5 jin. Boil the juices of these two ingredients over low heat until like thin syrup), Jiang Di Huang (Roasted), Rice fried), Meng Chong (... obtained properly. Yan Hu Suo Pills treat women's blood organs being cold for a long time, deficiency accumulation and Qi attacking, pain in the heart, abdomen, and below the umbilicus, vomiting and regurgitation of phlegm-saliva, lack of desire for food.
[Composition] Yan Hu Suo (Fried yellow with rice vinegar, 3 fen), Dang Gui (Cut and roasted), Chen Xiang (Cut, each 0.5 liang), Mu Xiang, Bai Zhu, Xiong Qiong, Qing Ju Pi (Soaked in water... wrapped in wet paper, baked separately pounded... ten pills. Decoct... Sheng Jin Pills treat women's blood accumulation. Symptoms include pain in the heart and abdomen, Qi stabbing and distension attacking, or cessation of menses, vexatious pain in joints, phlegm reversal and bi-masses.
[Composition] Gan Qi (Fried until smoke ceases), Wu Tou (Pounded, cracked, skin and navel removed), Ye Lang Du, Jing San Leng (Cut into pieces, fried yellow, each 1 liang), Zi Wei (Ling Xiao Hua is also this), Huang (... Ba Dou and Sha boiled together until thick. The remaining eight herbs are pounded fine and sifted into powder, boiled together into paste, mixed so if too hard, add a little refined honey to mix properly. Form pills size of mung beans. Each dose 7-10 pills, taken down with Dang Gui wine.
Tao Ren Pills treat women due to difficult menstruation, blood knotting into accumulations, Qi attacking causing pain.
[Composition] Tao Ren (Soaked in water, skin and tip removed, double-kernel bran-fried yellow), Ze Xie, Bai Fu Ling (Black skin removed), Shao Yao, Qu Mai (Use the ear/head), Gan Jiang (Pounded, cracked), Huang (Cut and fried 1 liang)... Zeng Si Wu Tang (From *Lan Shi Mi Cang Fang*) treats women's blood accumulation.
[Composition] Dang Gui, Chuan Xiong, Shao Yao, Shu Di Huang, E Zhu, Jing San Leng, Gui (Bark removed), Gan Qi (Smoked until smoke ceases). All equal parts coarsely powdered.
Mo Yao Pills treat intra-abdominal blood knotting in women, Qi attacking causing pain, occurring during menstruation.
[Composition] Mo Yao (1 liang ground), Gui (Coarse bark removed), Dang Gui (Cut and fried), Yuan Hua (Vinegar-fried half-charred), Gan Qi (Fried until smoke penetrates, each 1.5 liang). Pound all... Mo Yao Pills treat women's blood-Qi accumulation, firm bi-masses, blood xiab (masses). Symptoms include intermittent attacking stabbing, pain, vomiting, regurgitation, choking, confusion, and blood gu (distension), non-functioning menstrual channels.
[Composition] Mo Yao (1 liang ground), Yuan Hua (1 liang boiled in 2 sheng rice vinegar until 1.5 sheng remains, filter dregs, do not use dregs; put vinegar into stone vessel, add Sha Frost 1 liang, Ba Dou, Xiang Rou Dou Kou (one grain stir-fried with glutinous rice until yellow and charred, remove... large. Qi attack... Yu Yu Liang... filter dregs... take only... pass three... Sha Pills treat women's blood masses attacking and building up with pain.
[Composition] Sha (Ground), Mo Yao (Ground, each 1 liang), Fen Shuang (Half qian), Gan Qi (Fried until smoke ceases, 0.5 liang), Gan Jiang (Pounded), Jing San Leng (Pounded... each one... Xiang (One fen... Jiang Huang San treats women's cold bi-masses, blood masses, deficiency distension, irregular menstruation, emaciation unable to eat, face lacking color.
[Composition] Jiang Huang, Bai Zhu (Each 8 liang), Sheng Jiang (Skin removed, finely cut, 3 sheng), Dang Gui (Cut, 10 liang), Chen Qu Mo, Da Mai Mo (Each 2 sheng), Ju Pi (Soaked in water, white part removed, cut... and placed in steamer under the house for three days. Take out medicine, sun-dry, pound and sift into powder. Take with wine, one cun bi, twice daily, aim for purgation. Within ten days, avoid raw/cold and hard-to-digest foods. After ten days, no restrictions. If made into pills with refined honey is also acceptable, each dose 30 pills, taken down with wine twice daily.
Da Huang Pills treat women's amenorrhea, firm masses like stone, abdominal distension, blood accumulation not dispersing.
[Composition] Da Huang (Cut and fried), Sha Shi (Boiled, pounded fine, each 2 liang), Shu Jiao (Remove eyes and closed-mouth ones, fry to remove sweat, 0.5 liang), Dai Zhe (Specially ground), Gan Qi (Two liang). Make into powder, refine honey... Shao Yao Tang treats women's blood accumulation, Qi attacking heart with stabbing pain unceasing, sallow complexion, emaciated body, irregular menstruation.
[Composition] Shao Yao, Xiong Qiong, Dang Gui (Cut and roasted), Fang Feng (Remove forks), Gui (Coarse bark removed, each 0.5 liang), Gan Cao (Roasted to proper degree), Sheng Jiang Di Huang (Roasted each... Decoct to 0.7 portion, remove dregs, warm... Xue Jie San (From *Rui Zhu Tang Fang*) treats women's blood accumulation below the umbilicus with pain.
[Composition] Xue Jie, Ru Xiang, Mo Yao (Specially ground), Bai Shao Yao, Shui Zhi (Salt-fried until smoke appears), Dang Gui, She Xiang (All above 1 fen each), Hu Gu (Charcoal... Sha Pills treat women with long-standing blood accumulation masses attacking and stabbing, unbearable pain, or vomiting, inability to eat, sallow face, lethargy.
[Composition] Sha (Remove stones mixed in), Dang Gui (Cut and roasted), Yuan Hua (Vinegar-fried slightly charred, each 1 liang), Peng E Zhu (Pounded 0.5 liang), Mu Xiang (1 fen), Ba Dou... later... take four... upon arrival... Mo Yao Paste treats women's blood-Qi accumulation, firm bi-masses in abdomen and hypochondrium attacking with pain, lack of desire for food.
[Composition] Mo Yao (Specially ground), Mu Xiang, Dang Gui (Cut and roasted, each 0.5 liang), Wu Ling Zhi (2.5 liang), Sha (Specially ground 0.5 liang). Pound all three ingredients into... melt down... Dang Gui Pills treat women's deficiency-cold blood-Qi, and blood accumulation with dull pain, blood masses attacking with pain.
[Composition] Dang Gui (Cut and roasted), Yan Hu Suo (Each 1 liang), Mo Yao (Ground), Qi Lin Jie, Sha (Ground, each 3 fen). Make into powder and mix evenly. Use dog... Gou Dan Pills treat women's blood-Qi.
[Composition] Gou Dan (One gallbladder, insert 7 Ba Dou grains, hang empty jar for 37 days to dry), Mu Xiang, Ding Xiang, Sha, Huai Hua (Each 0.5 liang). Make into fine powder... boil vinegar... You Bi... Qing Jin Pills treat women's blood accumulation, Qi attacking rushing to the heart, abdominal pain, vomiting unable to swallow, onset before eating, mental confusion, cold extremities.
[Composition] Wu Ling Zhi (2 liang, take fine powder 1 liang), Xiao Shi (1 fen, grind together as above), Ban Mao (Non-calling ones, remove wings, stir-fry with glutinous rice, take 1 fen into powder)... cured.
Secretly Transmitted Jiang Xiang Tang (From *Wei Sheng Jia Cang Fang*) treats blood-Qi attacking stabbing like drill needle pricking, unbearable pain, and all kinds of敗血 (defeated blood) forming accumulations, where no medicine can... Zhen Jiang Xiang (1 qian), Mo Yao (1 qian), Qi Lin Jie (1 qian). Make into powder, each dose 1 qian, grind Zhen Jiang Xiang, take down with warm wine, stops immediately.
Chuan Shan Jia San (From *Yang Shi Jia Cang Fang*) treats women's blood accumulation, Qi masses coming and going with stabbing pain, menstrual channels about to flow, abdominal and intestinal pain, chills and fever, muscle... Dang Gui (Washed and roasted), Gan Qi (Stir-fried with rice vinegar until smoke ceases), Chuan Shan Jia (Calcined with lime until like river snail), Gan Jiang (Pounded). All above equal parts finely powdered... Treats all blood-Qi. (From *Ben Cao*). Burn clam shells, quench three times with rice vinegar, then bury to rot, make paste with vinegar, take as pills.