小柴胡加地黄汤 治妇人中风,发热恶寒,经水适来,昼则明了,夜则谵语,如见鬼状
,发作有时,此名热入血室。亦治产后恶露方来,忽然断绝。
柴胡(三钱) 半夏 黄芩(各二钱) 人参(一钱半) 甘草(五分) 生地黄(一钱半)
上作一服,水二钟,生姜五片,枣二枚,煎一钟,不拘时服。
四物汤用生地黄加柴胡煎服,亦可。(按此乃治太阳传经病,盖经血适来,则血室虚,邪乘虚入而为越经 ,然血室
与胃府有气血之分,故谵语有昼夜之别,日如见鬼者,以肝藏邪客而魂不安,本神自病也。用少柴胡以解表里之邪,
用生地黄以凉血中之热,设有不愈,则又有期门之刺矣。其加桃仁红花及承气、抵当等汤者,各因其微甚而泻之也)
干姜柴胡汤 治妇人伤寒,经脉方来,热入血室,寒热如疟,或狂言见鬼。
柴胡(一钱) 桂枝(三分) 栝蒌根(五分) 牡蛎( ) 干姜(炮) 甘草(炒,各三分)
上水煎服。汗出而愈。
牛黄膏 治热入血室,发狂不认人者。
牛黄(二钱半) 朱砂 郁金 牡丹皮(各三钱) 脑子 甘草(各一钱)
上为细末,炼蜜丸,如皂角子大。每服一丸,新水化下。(同一热入血室寒热也,而此有用前方,反用姜桂、牡
蛎何欤?又与柴胡姜桂汤不相上下,此但少知母、黄芩耳。可见古方增减一味,自有脉络,不可轻视,然其窍要在如疟
,并汗出而愈上探讨便知。与前方不同,真活法也,可发人之智能。此真是心经药,要知子母相传之理)
海蛤散 治妇人伤寒,血结胸膈,宜服此药,及针期门穴。
海蛤 滑石( ,水飞) 甘草(各五钱) 芒硝(一两)
上为末。每服二钱,用鸡子清调下。小肠通利,其结血自散,更用桂枝红花汤,发其汗
则愈。(此非热入血室证,乃是血结胸膈方。今集入此者,要以肝脉布胁循喉咙也。针法俱妙,发汗尤妙)
Xiaochaihu Jia Dihuang Tang (Minor Bupleurum Decoction with Rehmanniae Radix): Treats women suffering from Wind-stroke (Zhongfeng, a condition often involving external pathogenic factors affecting the channels), presenting with fever and aversion to cold. The menses happen to arrive. During the day, consciousness is clear; at night, there is delirium and hallucinations of seeing ghosts. Symptoms occur at specific times. This is named "Heat Entering the Blood Chamber" (Re Ru Xue Shi, where heat pathogens invade the uterus/blood chamber). It also treats postpartum lochia that has just begun but suddenly stops.
Ingredients and Dosages: Chai Hu (Bupleuri Radix) - 3 qian; Ban Xia (Pinelliae Rhizoma Praeparatum) - 2 qian; Huang Qin (Scutellariae Radix) - 2 qian; Ren Shen (Ginseng Radix et Rhizoma) - 1.5 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) - 0.5 qian; Sheng Di Huang (Rehmanniae Radix) - 1.5 qian.
Preparation and Administration: Combine all ingredients as one dose. Add two zhong (ancient liquid measure) of water, five slices of Sheng Jiang (Zingiberis Rhizoma Recens), and two dates (Da Zao). Decoct until one zhong remains. Take at any time without restriction.
Si Wu Tang (Four Substances Decoction) using Sheng Di Rehmanniae Radix instead of Shu Di Huang, added with Chai Hu Bupleuri Radix, decocted and taken orally, is also effective. (Note: This treats diseases transmitted from the Taiyang channel. Since the menses have just started, the Blood Chamber is deficient, allowing pathogens to enter due to deficiency and transmit across channels. However, the Blood Chamber differs from the Stomach Fu in terms of Qi and Blood attributes, hence the difference between daytime and nighttime delirium. Daytime symptoms resembling seeing ghosts occur because Liver-evil lodges and disturbs the Hun (Ethereal Soul), causing illness of the Ben Shen (Root Spirit). Xiao Chaihu Tang resolves exterior and interior pathogens; Sheng Di Huang cools heat in the blood. If not cured, needling Qimen (LR14) is an option. Those formulas adding Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos), or Chengqi Tang and Didang Tang, are used for purging based on the severity of the condition.)
Ganjiang Chaihu Tang (Dried Ginger and Bupleurum Decoction): Treats women with Cold Damage (Shanghan) whose menses have just started, with Heat entering the Blood Chamber, presenting with alternating chills and fever like malaria, or maniacal speech and hallucinations of seeing ghosts.
Ingredients and Dosages: Chai Hu (Bupleuri Radix) - 1 qian; Gui Zhi (Cinnamomi Ramulus) - 3 fen; Gua Lou Gen (Trichosanthis Radix) - 5 fen; Mu Li (Ostrea Concha) - dosage unspecified; Gan Jiang (Zingiberis Rhizoma) - processed; Gan Cao (Glycyrrhizae Radix et Rhizoma) - stir-fried, each 3 fen.
Preparation and Administration: Decoct with water and take orally. Recovery occurs with sweating.
Niuhuang Gao (Calculus Bovis Paste): Treats Heat entering the Blood Chamber leading to madness and inability to recognize people.
Ingredients and Dosages: Niu Huang (Calculus Bovis) - 2.5 qian; Zhu Sha (Cinnabaris) - 3 qian; Yu Jin (Curcumae Longae Radix) - 3 qian; Mu Dan Pi (Moutan Cortex) - 3 qian; Nao Zi (Borneolum Syntheticum) - 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) - 1 qian.
Preparation and Administration: Grind all ingredients into fine powder. Form pills with refined honey, size similar to Sophora japonica pods. Take one pill per dose, dissolved in fresh well water. (Although this addresses the same alternating chills and fever from Heat entering the Blood Chamber, why use the previous formula's approach but add Ginger, Cinnamon Twig, and Oyster Shell? This is comparable to Chaihu Jiangui Tang, merely lacking Zhi Mu and Huang Qin. This shows that ancient formulas have logical coherence even when changing by one herb; it should not be underestimated. The key lies in exploring the "like malaria" aspect and "recovery with sweating." This differs from the previous formula, representing true flexible application, capable of inspiring intelligence. These are truly herbs targeting the Heart channel; one must understand the principle of mother-son transmission.)
Haige San (Sea Clam Powder): Treats women with Cold Damage where blood stagnates in the chest and diaphragm. It is appropriate to take this medicine and needle the Qimen acupoint (LR14).
Ingredients and Dosages: Hai Ge (Concha Arcae) - 5 qian; Hua Shi (Talcum) - calcined, prepared by water flotation - 5 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) - 5 qian; Mang Xiao (Natrii Sulfas) - 1 liang.
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with egg white and swallowed. Once the Small Intestine becomes unobstructed and urination/stooling improves, the stagnant blood will naturally dissipate. Follow up with Guizhi Honghua Tang (Cinnamon Twig and Carthamus Decoction) to induce sweating for recovery. (This is not a case of Heat entering the Blood Chamber, but rather blood stagnation in the chest and diaphragm. It is included here because the Liver channel distributes through the hypochondrium and circulates along the throat. The needling methods are excellent, and the sweating therapy is particularly brilliant.)