甘麦大枣汤 治妇人脏燥。〔概治五脏阴血为言。〕悲伤欲哭,象如神灵所作。〔经言∶肺在声为
哭。又悲为肺志。又言∶肝悲哀动中则魂伤而邪狂不正。总因脏燥不能荣养心神,魂魄为之不宁也。〕数
欠伸。〔呵欠而张口伸腰也。经言∶得病善伸数欠。又言∶肺病肾病皆为欠伸,〕甘草〔缓泻心包之
火,而救肺和胃。〕陈小麦〔和肝阴,养心液。〕大枣〔补脾益胃润肺。〕
此方以甘润之剂,调补脾胃为主,以脾胃为生化气血之源也。血充则燥止,而病自除矣。
猪膏发煎〔见黄胆。〕治胃气下泄,阴吹而正喧,此谷气之实也。〔肠胃津液枯燥,谷食壅滞
不下,气不往后阴,而反从前阴泄出,声响如吹。〕
此方润燥养血,俾肠间得润,谷食下而气转后阴,此通则彼塞矣。沈氏谓∶有大便不结,中虚下陷
而阴吹者,当补中升提以治之,不可概指为胃实也。
半夏浓朴汤 治妇人咽中如有炙脔。〔气逆噎塞,吞之
不下,吐之不出,如干肉贴咽中。〕
半夏 浓朴〔消痰散结下气。〕苏叶〔活血温中行气。〕生姜〔行阳散气。〕茯
苓〔能理痰壅,导逆气下行。〕
徐氏谓∶妇人或产后或经后,寒气以从阴户乘虚侵入胞宫,相随任脉上冲,抵于咽嗌,致有此
病。而男子因寒痰冷气上逆,亦间有之。尝治一人,咽中每噎塞,嗽不出,以前汤投之即愈。愚谓∶阴
虚之人,咽中噎塞嗽不出者甚多,勿概混用。
野狼牙汤 治阴蚀疮烂〔湿热炽盛,流注阴中,即生疮矣。湿热蒸化为虫,侵蚀阴中,以致疮烂。〕
野狼牙〔草名,苦寒有毒。能治恶疮,除热杀虫。如无,用苦参、黄柏、桃叶等代之亦可耳。
煎浓汤、频洗之。更以绵裹紧如茧,浸汤沥入阴中,日四、五遍。〕
蛇床子散 治妇人阴中寒冷。
蛇床子〔为末,密水少许,丸如枣状,绵裹纳入阴中。〕如因胞门受寒,少腹畏冷,阴户掣
痛者,亦可用之。〔盖寒从阴户所受,故仍温其受邪之处则愈。〕
Ganmai Dazao Decoction (Licorice, Wheat, and Jujube Decoction) treats Zang Dryness (a syndrome characterized by dryness of the internal organs due to Yin and Blood deficiency) in women. [The general principle addresses the deficiency of Yin and Blood in the five Zang organs.] The patient feels sad and desires to cry, with behaviors resembling those possessed by spirits. [The Classic states: "The sound associated with the Lung is crying." It also states that grief is the emotion of the Lung. Furthermore, it says: "When the Liver is moved by sorrow and grief, the Hun (Ethereal Soul) is injured, leading to wild and irregular behavior." Ultimately, this is because the dryness of the Zang organs fails to nourish the Heart Spirit, causing the Hun and Po (Corporeal Souls) to become unsettled.] There is frequent yawning and stretching. [Yawning with an open mouth and stretching the waist. The Classic states: "Those who are ill often stretch and yawn frequently." It also states: "Both Lung diseases and Kidney diseases manifest as yawning and stretching."] Licorica Radix et Rhizoma (Gancao, Licorice Root) [relaxes and drains Fire from the Pericardium, thereby rescuing the Lung and harmonizing the Stomach.] Triticum Aestivum (Chen Xiaomai, Aged Wheat) [harmonizes Liver Yin and nourishes Heart Fluids.] Ziziphi Jujubae Fructus (Dazao, Jujube Fruit) [tonifies the Spleen and benefits the Stomach and Lungs.]
This formula primarily uses sweet and moistening agents to regulate and tonify the Spleen and Stomach, as the Spleen and Stomach are the source of Qi and Blood production. When Blood is sufficient, dryness ceases, and the disease is naturally eliminated.
Zhigao Fa Jian (Pork Fat and Hair Decoction) [seen under Jaundice] treats downward leakage of Stomach Qi, presenting as Yin Chuī (flatulence through the vagina) with noisy sounds, which is due to excess of Grain Qi. [When intestinal fluids are dry and food stagnates without descending, Qi does not exit through the posterior orifice but instead leaks out through the anterior orifice, making a blowing sound.]
This formula moistens dryness and nourishes Blood, allowing the intestines to become lubricated so that food descends and Qi turns toward the posterior orifice; thus, when one pathway is unblocked, the other is sealed. Shen stated: For cases where there is no constipation, but Yin Chuī results from deficiency and sinking of Middle Qi, treatment should involve tonifying the Middle and lifting the sinking Qi; it cannot be generally categorized as Stomach Excess.
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) treats the sensation of having a roasted meat slice stuck in the throat in women. [Qi rebellion causes obstruction; swallowing is difficult, and spitting it out is impossible, feeling like dried meat adhering to the throat.]
Banxia (Pinelliae Rhizoma) and Houpo (Magnoliae Officinalis Cortex) [resolve phlegm, dissipate nodules, and direct Qi downward.] Suzye (Perillae Folium) [invigorates Blood, warms the Middle, and moves Qi.] Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger) [moves Yang and disperses Qi.] Fuling (Poria) [regulates Phlegm congestion and guides rebellious Qi downward.]
Xu stated: In women, after childbirth or menstruation, Cold pathogens may invade the Uterus vacuously through the vaginal opening, ascend along the Ren Mai (Conception Vessel), and reach the throat, causing this condition. Men may also occasionally experience this due to upward rebellion of Cold-Phlegm and Cold Qi. I once treated a patient whose throat was frequently obstructed and cough could not expel anything; administering the aforementioned decoction resulted in immediate recovery. I believe: Many individuals with Yin Deficiency suffer from throat obstruction and inability to cough up secretions; this formula should not be used indiscriminately for all such cases.
Ye Langya Tang (Wolf's Tooth Herb Decoction) treats Yin erosion and ulceration. [Exuberant Damp-Heat flows into the genital region, generating sores. Steaming and transforming Damp-Heat into parasites erodes the genitals, leading to ulceration.]
Ye Langya (Herba Siegesbeckiae Orientalis, Oriental Siegesbeckia Herb) [a herb name, bitter and cold, slightly toxic. Treats malignant sores, clears Heat, and kills parasites. If unavailable, Kushen (Sophorae Flavescentis Radix), Huangbai (Phellodendri Cortex), or Tao Ye (Persicae Folium) can be used as substitutes. Decoct into a strong solution and wash frequently. Alternatively, wrap tightly in cotton like a cocoon, soak in the decoction, and drip into the vagina four to five times daily.]
Shechuangzi San (Cnidium Seed Powder) treats coldness in the vagina of women.
Shechuangzi (Cnidii Fructus, Cnidium Fruit) [grind into powder, mix with a small amount of honey water, form pills the size of jujubes, wrap in cotton, and insert into the vagina.] If the condition arises from Cold invading the Bao Men (Uterine Gate), accompanied by aversion to cold in the lower abdomen and pulling pain in the vaginal orifice, this formula can also be used. [Since Cold enters through the vaginal orifice, warming the site of pathogenic invasion leads to recovery.]