妇人思郁过度,致伤心脾冲任之源,血气日枯,渐至经脉不调,何以成胎?宜合欢丸。
合欢丸
当归 熟地黄(各三两) 茯神 白芍(各一两五钱) 酸枣仁(炒) 远志肉(制,各一两) 香附(酒
炒) 炙甘草(各八分)
上为末,蜜丸,白汤下。
气虚加人参一两。
妇人血虚经滞蓄积不行,小腹疼痛,久不成胎。宜五物煎。
五物煎
当归 熟地黄(各三钱) 白芍(酒炒,二钱) 川芎 肉桂(各一钱)
气滞加香附(制)一钱,阴虚疝痛加小茴香一钱,水道不利加泽泻一钱,呕恶加干姜一钱。
水煎服。
妇人经水不调,气血乖和,不能受孕,或生过一胎之后,停隔多年,宜种玉酒服至百日,即能受孕。如气
血不足,经滞痰凝者,服至半年自能见效。
种玉酒
全当归五两(切片,此能行血养血) 远志肉(五两,甘草汤洗,此能散血中之滞,行气消痰)。
上二味用稀夏布袋盛之,甜酒十斤,安药浸之,密封口,浸过七日后,临卧温服,随量饮之。切弗间断,
服完再制。
又经净后,每日用青壳鸭蛋一个,针刺七孔,蕲艾五分,水一碗,将蛋安艾水碗内,饭上蒸熟,食之。每
月多则吃五、六个,少则吃二、三个亦可。
妇人惟经水为育嗣之期,经水不调,即非受孕之兆,纵使受之,亦不全美,宜大生丸。此通治调经之剂也。
若赤白带下,久不受孕,宜调经种玉丸。若阴虚不孕,宜加味地黄丸。若经行腹痛,宜坤浓资生丸。
大生丸
熟地黄(酒蒸) 当归身(各四两) 续断(盐水炒) 阿胶(蒲黄末炒珠) 杜仲(盐水炒) 丹参(炒,
各二两) 黄 (蜜炙) 白芍(酒炒) 延胡索(炒) 川芎(各一两五钱) 广皮(五钱) 香附(四制者,
各一两)
上为末,蜜丸,每服三钱,空心白汤下。行经时加二钱,若先期色紫(改为煎剂,一两改作一钱),加黄
芩(八分) 姜三片,水煎空心服,临卧再服。若后期色淡,加肉桂 熟艾 干姜(各五分) 生姜三片。水煎服。
若经未至而腹痛,则用丹参一两,为末,黄酒下二钱。俱以经尽为止,仍常服前丸。
调经种玉丸
香附(四制) 杜仲(姜汁炒,各八两) 川芎 白芍 当归身 干地黄 陈皮 小茴香(酒炒) 玄胡索
(微炒) 肉苁蓉(酒炒) 青皮(陈者,麸炒) 乌药(炒) 枯黄芩(酒炒) 乌 鱼骨(酥炙,各四两)
共为末,醋和面糊为丸,每服百丸,空心好酒下。(一方无地黄、陈皮、有人参、黄 各二两)
加味地黄丸
熟地黄(四两) 山萸肉 山药(各二两) 牡丹皮 茯苓(各一两五钱) 泽泻 香附(童便制,各一两)
蕲艾(去筋,醋炙,五钱)
为末,蜜丸,每服七十丸,白汤下。
坤浓资生丸
熟地黄 当归(酒蒸,各四两) 白芍(酒炒,三两) 川芎(酒蒸,一两五钱) 丹参(酒蒸,三两)
茺蔚子(酒蒸,四两) 香附(四两,醋、油、姜汁、盐水各浸各炒一两) 白术(四两,蜜水炙黄)。
为末,以益母草八两,酒、水各半,熬膏,和蜜为丸,每服四钱,空心白汤下。
月经先期脉数属热,加生地黄、牡丹皮。后期厥冷脉迟属寒,加肉桂。将行腹痛是气滞也,加乌药、木香。
食少气虚、面色 白、四肢无力,是气血两亏也,方内香附减半,加人参、黄 、茯神、远志肉 酸枣仁。
When a woman suffers from excessive worry and depression, it damages the source of the Heart, Spleen, Chong Mai (Penetrating Vessel), and Ren Mai (Conception Vessel). Qi and Blood gradually wither, leading to irregular menstruation. How can conception occur? Hehuan Wan (Albizia Pill) is suitable.
Hehuan Wan (Albizia Pill)
Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata) (each 3 liang); Fu Shen (Poria Cum Radix), Bai Shao (Paeoniae Radix Alba) (each 1.5 liang); Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried), Yuan Zhi Rou (Polygalae Radix, processed) (each 1 liang); Xiang Fu (Cyperi Rhizoma, wine-stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (each 8 fen).
Grind the above into powder, form pills with honey, and take with warm water.
For Qi deficiency, add Ren Shen (Ginseng Radix) 1 liang.
If a woman has Blood deficiency causing stagnation and accumulation of menstrual blood that fails to flow, accompanied by lower abdominal pain and long-term infertility, Wuwu Jian (Five-Ingredient Decoction) is suitable.
Wuwu Jian (Five-Ingredient Decoction)
Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata) (each 3 qian); Bai Shao (Paeoniae Radix Alba, wine-stir-fried) (2 qian); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Rou Gui (Cinnamomi Cortex) (each 1 qian).
For Qi stagnation, add processed Xiang Fu (Cyperi Rhizoma) 1 qian; for Yin deficiency with hernia pain, add Xiao Hui Xiang (Foeniculi Fructus) 1 qian; for difficult urination, add Ze Xie (Alismatis Rhizoma) 1 qian; for nausea and vomiting, add Gan Jiang (Zingiberis Rhizoma) 1 qian.
Decoct in water and take.
If a woman has irregular menstruation due to disharmony between Qi and Blood, preventing conception, or if she has conceived once but remains infertile for many years, Zhongyu Jiu (Seed-Jade Wine) is suitable. Taking it for 100 days may lead to conception. If there is Qi and Blood deficiency with menstrual stagnation and Phlegm condensation, taking it for half a year will naturally show effects.
Zhongyu Jiu (Seed-Jade Wine)
Quan Dang Gui (whole Angelicae Sinensis Radix) 5 liang (sliced; this herb moves and nourishes Blood); Yuan Zhi Rou (Polygalae Radix) 5 liang (washed in Licorice decoction; this herb disperses Blood stasis, moves Qi, and resolves Phlegm).
Place these two herbs in a linen bag, immerse them in 10 jin of sweet wine, seal tightly, and steep for seven days. Take warm before bed, drinking according to tolerance. Do not interrupt the course; prepare again after finishing.
Additionally, after menstruation ends, use one green duck egg daily. Pierce seven holes in the egg, place 5 fen of Qi Ai (Artemisiae Argyi Folium) inside, add one bowl of water, steam the egg in the water over rice until cooked, and eat it. Consuming five or six per month is optimal, while two or three is also acceptable.
Menstruation is the period for conception in women. Irregular menstruation indicates an unfavorable sign for conception; even if conception occurs, the fetus may not be healthy. Dasheng Wan (Great Life Pill) is suitable. This is a general formula for regulating menstruation.
For leukorrhea (white and red discharge) with long-term infertility, Tiaojing Zhongyu Wan (Regulating Menstruation Seed-Jade Pill) is suitable. For infertility due to Yin deficiency, Jiawei Dihuang Wan (Modified Rehmannia Pill) is suitable. For dysmenorrhea during menstruation, Kunnong Zisheng Wan (Kunlong Nourishing Life Pill) is suitable.
Dasheng Wan (Great Life Pill)
Shu Di Huang (Rehmanniae Radix Praeparata, steamed in wine), Dang Gui Shen (Radix Angelicae Sinensis, root part) (each 4 liang); Xu Duan (Dipsaci Radix, salt-water stir-fried), E Jiao (Colla Corii Asini, fried with Polygoni Multiflori Folii Pulvis into beads), Du Zhong (Eucommiae Cortex, salt-water stir-fried), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, stir-fried) (each 2 liang); Huang Qi (Astragali Radix, honey-roasted), Bai Shao (Paeoniae Radix Alba, wine-stir-fried), Yan Hu Suo (Corydalis Rhizoma, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1.5 liang); Guang Pi (Citri Reticulatae Pericarpium) (5 qian), Xiang Fu (Cyperi Rhizoma, four-process processed) (each 1 liang).
Grind into powder, form pills with honey. Take 3 qian each time with warm water on an empty stomach. During menstruation, add 2 qian. If menstruation arrives early with dark purple color (switch to decoction, change 1 liang to 1 qian), add Huang Qin (Scutellariae Radix) (8 fen) and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct and take on an empty stomach, then take again before bed. If menstruation arrives late with pale color, add Rou Gui (Cinnamomi Cortex), Shu Ai Ye (Artemisiae Argyi Folium Preparatum), Gan Jiang (Zingiberis Rhizoma) (each 5 fen) and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct and take. If abdominal pain occurs before menstruation starts, use 1 liang of Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), grind into powder, and take 2 qian with yellow wine. Continue until menstruation ends, and continue taking the previous pill regularly.
Tiaojing Zhongyu Wan (Regulating Menstruation Seed-Jade Pill)
Xiang Fu (Cyperi Rhizoma, four-process processed), Du Zhong (Eucommiae Cortex, ginger juice stir-fried) (each 8 liang); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Dang Gui Shen (Radix Angelicae Sinensis, root part), Gan Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Xiao Hui Xiang (Foeniculi Fructus, wine-stir-fried), Xuan Hu Suo (Corydalis Rhizoma, lightly stir-fried), Rou Cong Rong (Cistanches Herba, wine-stir-fried), Qing Pi (Citri Reticulatae Pericarpium Viride, aged, bran-stir-fried), Wu Yao (Linderae Radix, stir-fried), Ku Huang Qin (Scutellariae Radix, wine-stir-fried), Wu Yu Gu (Sepiae Endoconcha, fried in fat) (each 4 liang).
Grind into powder, mix with vinegar and wheat paste to form pills. Take 100 pills each time with good wine on an empty stomach. (Another prescription excludes Di Huang and Chen Pi, adding Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) each 2 liang).
Jiawei Dihuang Wan (Modified Rehmannia Pill)
Shu Di Huang (Rehmanniae Radix Praeparata) (4 liang); Shan Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma) (each 2 liang); Mu Dan Pi (Moutan Cortex), Fu Ling (Poria) (each 1.5 liang); Ze Xie (Alismatis Rhizoma), Xiang Fu (Cyperi Rhizoma, prepared with child's urine) (each 1 liang); Qi Ai (Artemisiae Argyi Folium, tendons removed, vinegar-roasted) (5 qian).
Grind into powder, form pills with honey. Take 70 pills each time with warm water.
Kunnong Zisheng Wan (Kunlong Nourishing Life Pill)
Shu Di Huang (Rehmanniae Radix Praeparata), Dang Gui (Angelicae Sinensis Radix, steamed in wine) (each 4 liang); Bai Shao (Paeoniae Radix Alba, wine-stir-fried) (3 liang); Chuan Xiong (Ligustici Chuanxiong Rhizoma, steamed in wine) (1.5 liang); Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, steamed in wine) (3 liang); Chong Wei Zi (Leonuri Fructus, steamed in wine) (4 liang); Xiang Fu (Cyperi Rhizoma) (4 liang, soaked and stir-fried separately in vinegar, oil, ginger juice, and salt water, 1 liang each); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (4 liang, roasted with honey water until yellow).
Grind into powder. Use 8 liang of Yi Mu Cao (Leonuri Herba), half wine and half water, to boil down into a paste. Mix with honey to form pills. Take 4 qian each time with warm water on an empty stomach.
Early menstruation with rapid pulse indicates Heat; add Sheng Di Huang (Rehmanniae Radix) and Mu Dan Pi (Moutan Cortex). Late menstruation with cold extremities and slow pulse indicates Cold; add Rou Gui (Cinnamomi Cortex). Abdominal pain before menstruation indicates Qi stagnation; add Wu Yao (Linderae Radix) and Mu Xiang (Aucklandiae Radix). Poor appetite, Qi deficiency, pale complexion, and weak limbs indicate dual deficiency of Qi and Blood; reduce Xiang Fu (Cyperi Rhizoma) by half in the formula, and add Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Fu Shen (Poria Cum Radix), Yuan Zhi Rou (Polygalae Radix), and Suan Zao Ren (Ziziphi Spinosae Semen).