白浊时常淋出清冷稠粘,或小便后淋沥数点,此下元虚损,精不能摄,因滑而出,赤带之类也。宜服厘清饮。
厘清饮
川萆 (去芦) 益智仁(盐水炒) 乌药(炒) 石菖蒲(九节者,炒) 茯苓(各一钱五分)
枳壳(麸炒) 炙甘草(各一钱)
水煎,入盐少许,热服。
肝主血兮肺主气,血为荣兮气为卫。荣卫和谐胎必成,血衰气盛未有体。寸微关滑尺带数,流利往来如雀
啄。三部沉正等无疑,尺按不止胎始确。滑疾不散三月胎,但疾不散五月母。弦紧牢强滑利安,沉细而微归泉路。
妇人二三月经水不行,疑是有孕,又疑血滞。心烦寒热,恍惚不定,宜用验胎散以探之。服后一时许,觉
腹内中动,则有胎也。脐下动,乃血瘕也。不动,则血凝而非胎也。如一服未效,再用红花煎汤调服,无不神效。
验胎散 雀脑川芎(一两) 大当归(七钱)
上不见火,研末,分作二次服,浓煎,艾叶汤调服。
左手沉实是男胎,右手浮弦女孕来,两尺偏大分男女,命门滑疾主怀胎。左脉带纵两个男,右手带横一双
女,左手脉逆生三男,右手脉顺生三女。寸关尺部皆相应,一男一女分形证。诸阳为男诸阴女,指下分明常记
取。(愚按,男左女
右胎之所居,气血聚焉。故左盛则男,右盛则女。尝诊痈疽脉,痈疽在上,则寸脉盛,痈疽在下,则尺脉盛。
痈疽在左,则左脉盛,痈疽在右,则右脉盛。此左盛男,右盛女之理也)
Bai Zhuo (White Turbidity) is characterized by the frequent discharge of clear, cold, thick, and sticky fluid from the urethra, or a few drops lingering after urination. This condition arises from deficiency and damage in the Lower Yuan (Kidney and Mingmen), where essence fails to be secured and slips out; it belongs to the category of Chi Dai (Red Leukorrhea). It is appropriate to take Li Qing Yin (Clarifying Decoction).
Li Qing Yin (Clarifying Decoction)
Bixie Rhizoma (remove rhizome base) Yizhiren Semen Alpiniae Oxyphyllae (stir-fried with salt water) Wuyao Radial Saposhnikoviae (stir-fried) Shichangpu Rhizoma Acori Tatarinowii (select nine-joint specimens, stir-fried) Fuling Poria (each 1 qian 5 fen)
Zhike Fructus Aurantii (bran-fried) Zhigancao Radix Glycyrrhizae Preparata (each 1 qian)
Decoct in water, add a small amount of salt, and take hot.
The Liver governs Blood, while the Lung governs Qi. Blood constitutes Ying (Nutritive) Qi, and Qi constitutes Wei (Defensive) Qi. When Ying and Wei are harmonious, conception occurs; if Blood is deficient and Qi is excessive, no fetus forms. If the Cun pulse is weak, Guan pulse is slippery, and Chi pulse is rapid with a slipping quality, the pulse flows smoothly and rapidly like a sparrow pecking. If all three positions (Cun, Guan, Chi) show regular sinking pulses without doubt, and pressure on the Chi pulse does not cease, pregnancy is confirmed. A slippery and rapid pulse that does not scatter indicates a three-month fetus; a rapid pulse that does not scatter indicates a five-month fetus, with the mother remaining safe. A string-tight, firm-strong, or slippery-smooth pulse indicates safe delivery; a deep, fine, and faint pulse indicates death.
When a woman's menstruation stops in her second or third month, one may suspect pregnancy or blood stasis. If accompanied by mental restlessness, alternating chills and fever, and uncertain spirit, Yan Tai San (Fetal Verification Powder) should be used for testing. About one shi (two hours) after taking the medicine, if movement is felt inside the abdomen, there is a fetus. If movement is felt below the umbilicus, it is Xue Jia (Blood Mass). If there is no movement, it is coagulated blood rather than a fetus. If one dose is ineffective, administer Hong Hua decoction to wash down the powder; this will surely be miraculous.
Yan Tai San (Fetal Verification Powder)
Chuanxiong Rhizoma (sparrow-brain variety, 1 liang) Danggui Radix Angelicae Sinensis (large specimen, 7 qian)
Grind the above herbs into powder without roasting over fire. Divide into two doses. Take with strong decoction of Aiye Folium Artemisiae Argyi.
A deep and solid pulse on the left hand indicates a male fetus; a floating and wiry pulse on the right hand indicates a female pregnancy. Enlargement of either Chi pulse can distinguish gender; a slippery and rapid pulse at Mingmen indicates pregnancy. A longitudinal pulse on the left hand suggests two boys; a transverse pulse on the right hand suggests two girls. An inverted pulse on the left hand suggests three boys; a smooth pulse on the right hand suggests three girls. When Cun, Guan, and Chi pulses correspond harmoniously, the signs of one boy and one girl are distinct. Yang pulses correspond to males, and Yin pulses correspond to females; keep this clear distinction in mind when palpating. (Note: The location of the fetus follows the principle of "male left, female right," where Qi and Blood gather. Thus, excess on the left indicates a male, and excess on the right indicates a female. I have observed that in diagnosing carbuncles and sores, if the lesion is upper, the Cun pulse is strong; if lower, the Chi pulse is strong; if on the left, the left pulse is strong; if on the right, the right pulse is strong. This illustrates the principle that left excess corresponds to males and right excess to females.)