〔大〕妇人小腹疼痛者,此由胞络之间,夙有风冷,搏于血气,停结小腹,因风虚发
动,与血相击,故痛也。
〔薛〕前证若气寒血结,用威灵仙散。气滞血凝,用当归散。肝经血虚,用四物汤
(通治。)加参、术、柴胡。肝经湿热,用龙胆泻肝汤。(杂病淋。)肝脾气虚,用六君子汤(杂病虚
劳。)加柴胡、芍药。肝脾虚寒,用六君子加柴胡、肉桂。若兼呕吐,加木香。四肢逆冷,再
加炮姜。通府张孟威云∶其妹小腹痛,服附子理中汤,附子服过八十余枚。此乃沉寒
痼冷之甚,不多有者。
〔大〕威灵仙散 治妇人久冷,气滞血刺,小腹疼痛。
威灵仙(一两) 当归 没药 木香 桂心(各半两)
上为细末,无时,热酒调下一钱服,忌茶。
当归散 治妇人久积,血气 刺,小腹疼痛,四肢无力,不能饮食。
当归(炒) 赤芍药 刘寄奴 没药 枳壳 延胡索(各等分)
上为细末,热酒调下一钱,无时候。
追气丸 (《灵苑》)治妇人血刺,小腹疼痛不可忍。
芸苔子(微炒) 桂心(各一两) 良姜(半两)
为细末,醋糊丸如梧桐子大。每服五丸,不拘时,淡醋汤下。常服补血虚,破气块,甚
有效。
锻石散 治妇人血气痛不可忍者。陈五婆方。
上取猪贴脊血半盏,于汤上暖,用杖子搅停后,用锻石于火上烧令黄,为末,罗过
灰一钱,同血搅停,放温服,立愈。
予尝用紫金皮为细末,醋糊丸如樱桃大,又治妇人血气小腹疼痛,以温酒磨下一丸,及
有心腹痛者亦良。
吴茱萸汤 治妇人素虚,又为风冷乘气停滞,腹胁刺痛。
吴茱萸(汤洗) 当归(去芦,各二钱) 桔梗(去芦) 细辛(去苗) 防风(去芦)
干姜(炮,各一钱) 熟地黄(二钱半) 甘草(炙,半钱)
上作一服,水二盅,煎至一盅,空心服。
椒红丸 治妇人血气不调,脏腑积冷,脐腹 痛,肌体日瘦。
椒红 沉香 当归(去芦) 诃梨勒(煨,去核) 蓬术 附子(炮,去皮脐) 白术(各一两)
肉豆蔻 良姜 丁香(各半两) 麝香(另研,二钱半)
上为细末,炼蜜和丸如梧子大。每服三十丸,空心用温酒送下。
大腹皮饮 治妇人血癖,单腹痛。
大腹皮 防己 木通 桑白皮 浓朴 栝蒌 黄 陈皮 枳壳(麸炒) 大黄(蒸,各一钱)
青皮(一钱半) 五味子(半钱)
上作一服,水二盅,煎至一盅,入酒半盏,再煎一二沸,去滓食前服。
[Da] When women suffer from pain in the lower abdomen, this is caused by wind-cold pathogens that have long resided within the Bao Luo (uterine collaterals). These pathogens contend with Qi and Blood, stagnating and accumulating in the lower abdomen. When triggered by constitutional deficiency, the wind pathogen strikes against the blood, resulting in pain.
[Xue] For the aforementioned symptoms, if they are due to cold Qi stagnation and blood coagulation, use Weilingxian San (Clerodendron Powder). If due to Qi stagnation and blood stasis, use Danggui San (Angelica Powder). If due to Liver channel Blood deficiency, use Siwu Tang (Four Substances Decoction) as a general formula, adding Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), and Chaihu (Bupleurum Root). If due to Damp-Heat in the Liver channel, use Longdan Xiegan Tang (Gentian Liver-Draining Decoction; refer to miscellaneous diseases: strangury). If due to Qi and Spleen deficiency, use Liujunzi Tang (Six Gentlemen Decoction; refer to miscellaneous diseases: consumptive disease), adding Chaihu (Bupleurum Root) and Shaoyao (Peony Root). If due to Liver and Spleen deficiency-cold, use Liujunzi Tang added with Chaihu (Bupleurum Root) and Rougui (Cinnamon Bark). If accompanied by vomiting, add Muxiang (Aucklandia Root). If there is cold reversal of the four limbs, additionally add Paojiang (Prepared Ginger). Zhang Mengwei, Commissioner of Communications, stated: His younger sister suffered from lower abdominal pain and took Fuzi Lizhong Tang (Aconite Middle-Warming Decoction); she consumed more than eighty pieces of Fuzi (Aconite Lateralis Radix Preparata). This represents an extreme case of deep-seated cold and entrenched chill, which is rare.
[Da] Weilingxian San (Clerodendron Powder): Treats chronic cold in women, Qi stagnation with stabbing blood pain, and lower abdominal pain.
Weilingxian (Caulis Clerodendri Trichotomi, 1 liang) Danggui (Radix Angelicae Sinensis), Moyao (Resina Olibani), Muxiang (Radix Aucklandiae), Guixin (Ramulus Cinnamomi Cassiae) (each 0.5 liang).
Grind into fine powder. Take 1 qian mixed with hot wine at any time. Avoid tea.
Danggui San (Angelica Powder): Treats long-standing accumulation in women, stabbing pain from Qi and Blood, lower abdominal pain, weakness in the four limbs, and inability to eat.
Danggui (Radix Angelicae Sinensis, stir-fried), Chi Shaoyao (Radix Paeoniae Rubra), Liu Jinu (Herba Siegesbeckiae), Moyao (Resina Olibani), Zhike (Fructus Aurantii), Yanhusuo (Rhizoma Corydalis) (equal parts).
Grind into fine powder. Take 1 qian mixed with hot wine at any time.
Zhuiqi Wan (Qi-Chasing Pill) (from *Lingyuan*): Treats stabbing blood pain in women and unbearable lower abdominal pain.
Yuntaizi (Semen Brassicae Napus), Guixin (Ramulus Cinnamomi Cassiae) (each 1 liang) Liangjiang (Rhizoma Alpiniae Officinarum) (0.5 liang).
Grind into fine powder, make pills with vinegar paste the size of Sophora seeds. Take 5 pills at any time, washed down with light vinegar water. Regular consumption tonifies Blood deficiency and breaks up Qi masses; it is very effective.
Duanshi San (Hammered Iron Powder): A prescription by Chen Wu Po for treating unbearable blood-Qi pain in women.
Take half a cup of blood from the spine of a pig, warm it over boiling water, and stir with a stick until it stops flowing. Then, take Duanshi (Ferrum Oxidatum), roast it on fire until yellow, grind into powder, and sieve to obtain 1 qian of ash. Mix with the blood, let it cool to a warm temperature, and drink. Recovery is immediate.
I once used Zijinpi (Cortex Erythrinae) ground into fine powder, made into pills with vinegar paste the size of cherries. This also treats blood-Qi lower abdominal pain in women; one pill is taken by grinding it in warm wine. It is also beneficial for heart and abdominal pain.
Wuzhuyu Tang (Evodia Decoction): Treats women who are constitutionally deficient and have experienced Qi stagnation due to wind-cold invasion, causing stabbing pain in the abdomen and hypochondrium.
Wuzhuyu (Fructus Evodiae, washed with water), Danggui (Radix Angelicae Sinensis, remove radix head, each 2 qian) Jiegeng (Radix Platycodonis), Xixin (Herba Asari), Fangfeng (Radix Saposhnikoviae, remove radix head) Ganjiang (Rhizoma Zingiberis, prepared, each 1 qian) Shudihuang (Radix Rehmanniae Preparata, 2.5 qian) Gancao (Radix Glycyrrhizae, honey-fried, 0.5 qian).
Combine as one dose. Add two cups of water, decoct to one cup. Take on an empty stomach.
Jiaohong Wan (Zanthoxylum Pericarpium Pill): Treats irregular blood-Qi, accumulated cold in the Zang-Fu organs, umbilical and abdominal pain, and daily emaciation of the body.
Jiaohong (Pericarpium Zanthoxyli), Chenxiang (Lignum Aquilariae Resinatum), Danggui (Radix Angelicae Sinensis, remove radix head), Helile (Fructus Terminaliae Chebulae, baked, remove core), Pengzhu (Rhizoma Curcumae), Fuzi (Radix Aconiti Lateralis Preparata, peeled and navel removed), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang) Roudoukou (Nucis Arecae Semen), Liangjiang (Rhizoma Alpiniae Officinarum), Dingxiang (Flos Caryophylli) (each 0.5 liang) Shexiang (Moschus, separately ground, 2.5 qian).
Grind into fine powder, mix with refined honey to make pills the size of Sophora seeds. Take 30 pills on an empty stomach, washed down with warm wine.
Dafupi Yin (Betel Nut Decoction): Treats blood pi (blood stasis masses) in women and unilateral abdominal pain.
Dafupi (Pericarpium Arecae), Fangji (Radix Stephaniae Tetrandrae), Mutong (Caulis Akebiae), Sangbaipi (Cortex Mori), Houpo (Cortex Magnoliae Officinalis), Gualouhuang (Fructus Trichosanthis), Chenpi (Pericarpium Citri Reticulatae), Zhike (Fructus Aurantii, bran-fried), Dahuang (Radix et Rhizoma Rhei, steamed, each 1 qian) Qingpi (Pericarpium Citri Reticulatae Viride, 1.5 qian) Wuzizhong (Fructus Schisandrae, 0.5 qian).
Combine as one dose. Add two cups of water, decoct to one cup. Add half a cup of wine, boil for one or two more boils. Strain and take before meals.