夫有夫妇,则有父子,婚姻之后,必求嗣续。故圣人谓不孝有三、无后为大者,言嗣续
之至重也。凡欲求子,当先察夫妻有无劳伤痼害之属,根据方调治,使内外和平,则妇人乐有子矣。
治妇人立身以来全不产,及断绪久不产三十年者。
朴硝 牡丹皮 当归 大黄(蒸一饭久) 桃仁(汤去皮尖,面炒,各半两) 细辛(去苗)
浓朴(去粗皮切,姜制炒) 赤芍药 桔梗 人参 茯苓 桂(去皮) 甘草(炙) 牛膝(酒浸)
橘皮(各三钱一字) 附子(炮去皮脐,一两) 虻虫(去嘴翅,炒焦) 人蛭(切炒,各四十枚)
上为锉散。每服四大钱,水酒各一盏半,煎取六分,去滓,空腹服,日三夜一,温覆,
得少汗,必下积血及冷赤脓如小豆汁;斟酌下尽,若力弱,大困不堪者,只一二服止。然恐
恶物不尽,不得药力,能尽服尽好;不尔,着坐导药。
治全不产及断绪,服前荡胞汤,恶物不尽,用此方。
皂角(去皮子) 吴茱萸 当归(各一两) 细辛(去苗) 五味子 干姜(炮,各二两) 大黄(
蒸) 矾石(枯) 戎盐 蜀椒(各半两)
上为细末,以绢袋盛,大如指,长三寸余,盛药令满,缚定,纳妇人阴中,坐卧任意,
勿行走,小便时去之,更安,一日一度易新者,必下清黄冷汁,汁尽,止;若未见病出,可
十日安之。本为子宫有冷恶物,故令无子,值天阴冷,则发疼痛,须候病出尽方已,不可中
辍。每日早晚用苦益菜煎汤熏洗。
既然有了夫妻,便会有父子关系,结婚之后,必然要寻求子嗣延续。所以圣人说不孝有三种,其中没有后代是最大的不孝,这是强调子嗣延续的重要性极大。凡是想要生育子女的人,应当先检查夫妻双方是否有劳损、内伤或顽固性疾病等情况,依据病症进行调理治疗,使身体内外达到平和状态,那么妇人就容易受孕生子了。
治疗妇人从成年立身以来从未生产过,以及断绝月经后长期不孕达三十年者。
朴硝、牡丹皮、当归、大黄(蒸制一顿饭的时间)、桃仁(热水去皮尖,面粉炒,各半两)、细辛(去苗)、浓朴(去粗皮切丝,姜汁制炒)、赤芍药、桔梗、人参、茯苓、桂枝(去皮)、甘草(炙烤)、牛膝(酒浸)、橘皮(以上药材各三钱一字)、附子(炮制后去皮脐,一两)、虻虫(去掉嘴和翅膀,炒焦)、水蛭(切碎炒,以上两种各四十枚)。
将上述药材捣碎成散剂。每次服用四大钱,用水一盏半、酒一盏半,煎煮至剩余六分,滤去药渣,空腹服用,白天三次,夜间一次,服药后注意保暖覆盖,若能微微出汗,必定会排出积存的瘀血以及冷赤色的脓液,状如小豆汁;根据情况排尽为止,如果患者体力虚弱,极度困倦难以承受,只需服用一到两次即可停止。然而担心恶露排不干净,导致药效不能充分发挥,最好能服完所有剂量以获良效;如果不能做到,则使用坐导药。
治疗完全不孕及断绝月经者,服用前文所述的荡胞汤后,若恶露排不干净,使用此方。
皂角(去皮去子)、吴茱萸、当归(以上各一两)、细辛(去苗)、五味子、干姜(炮制,以上各二两)、大黄(蒸制)、矾石(枯矾)、戎盐、蜀椒(以上各半两)。
将上述药材研成细末,用绢袋盛装,大小如手指,长约三寸多,装满药物后扎紧,放入妇人阴道中,坐卧随意,但不要行走,小便时取出,方便后再重新放入,每天更换一次新药,必定会排出清黄色的冷稀分泌物,待分泌物排尽即止;如果未见病邪排出,可以连续放置十天。本是因为子宫内有寒冷恶浊之物,所以导致不孕,遇到天气阴冷时,就会引发疼痛,必须等待病邪排尽才能停止,不可中途停止。每天早晚用苦益菜煎汤熏洗外阴。
Since there are husband and wife, there will be father and son. After marriage, one must seek the continuation of descendants. Therefore, the sages said that among the three types of unfilial conduct, having no descendants is the greatest. This emphasizes the extreme importance of continuing the lineage. Anyone wishing to conceive should first examine whether the husband and wife suffer from exhaustion, internal injury, or chronic diseases. According to the prescriptions, they should undergo treatment to make the interior and exterior harmonious and peaceful, so that the woman may easily conceive.
For treating women who have never given birth since adulthood, or those who have been infertile for thirty years after the cessation of menstruation.
Poxiao (Natrii Sulfas), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, steamed for the duration of a meal), Taoren (Persicae Semen, skin and tip removed with hot water, stir-fried with flour, each 0.5 liang), Xixin (Asari Radix, radix removed), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, sliced, stir-fried with ginger juice), Chishao (Paeoniae Radix Rubra), Jiegeng (Platycodonis Radix), Renshen (Ginseng Radix), Fuling (Poria), Guizhi (Cinnamomi Ramulus, bark removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Ju pi (Citri Reticulatae Pericarpium; above herbs each 3 qian 1 zi), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and navel removed, 1 liang), Mengchong (Blatta Orientalis, mouth and wings removed, stir-fried until scorched), Renshi (Hirudo, cut and stir-fried, above two each 40 pieces).
Grind the above ingredients into a coarse powder. Take 4 da qian per dose, decoct with 1.5 zhan of water and 1.5 zhan of wine until reduced to 6 fen, remove the dregs, and take on an empty stomach. Take three times during the day and once at night. Keep warm after taking. If slight sweating occurs, accumulated blood stasis and cold red pus resembling mung bean juice will be discharged. Adjust according to the extent of discharge; if the patient is weak and unable to endure, stop after one or two doses. However, it is feared that evil substances may not be completely expelled, preventing the full efficacy of the medicine. It is best to complete the course for optimal results; if not possible, use Zudao Yao (Sitting Suppository Medicine).
For treating total infertility and amenorrhea, if Evil Substances are not fully expelled after taking the preceding Dangbao Tang, use this prescription.
Zaojiao (Gleditsiae Sinensis Fructus, skin and seeds removed), Wuzhuyu (Evodiae Fructus), Danggui (Angelicae Sinensis Radix; above each 1 liang), Xixin (Asari Radix, radix removed), Wuweizi (Schisandrae Chinensis Fructus), Ganjiang (Zingiberis Rhizoma, processed; above each 2 liang), Dahuang (Rhei Radix et Rhizoma, steamed), Fanshi (Alum, calcined), Rongyan (Halite), Shujiao (Zanthoxyli Pericarpium; above each 0.5 liang).
Grind the above ingredients into a fine powder. Place them in a silk bag, sized like a finger and about 3 cun long. Fill the bag with medicine and tie it securely. Insert it into the woman's vagina. Sitting or lying down is permissible, but walking should be avoided. Remove it when urinating and reinsert it afterwards. Replace with a new one once a day. Clear yellow cold discharge will definitely occur; stop when the discharge ceases. If no pathological discharge is observed, it can be inserted for ten days continuously. This is because cold evil substances in the uterus cause infertility. When the weather is cloudy and cold, pain occurs. One must wait until the disease is completely expelled before stopping; do not interrupt midway. Every morning and evening, fumigate and wash with a decoction of Kuyicai (Brassica parachinensis).