藜藿之躯。易以白术黄芩。相沿至今。为便产良方。不知亦本是书所载之枳壳汤。又今时治产后血风。有所谓举
卿古拜者。核其所用。惟荆芥一味。即此书之青金散。盖荆芥主治风。素问东方主风。而肝属于木。平肝木。即
所以助肺金。故以青金为名。后人窃用其方。而又翻切荆芥字音。诡名以炫俗耳。凡此之类。可以证古今传授之
由。惟所用多降气破血之品,辛热震动之剂。则古人禀浓。可受攻伐。有未可概施于后来者。此则神而明之。存
乎其人矣。
〔陈氏(自明)妇人大全良方〕二十四卷 存
自序曰。世之医者。于妇人一科。有专治妇人方。有产宝方。治以专言。以专攻也。方以宝言。爱重之也。
盖医之术难。医妇人尤难。医产中数证。则又险而难。彼其所谓专治者。产宝者。非不可用也。纲领散漫而无统。
节目详略而未备。医者尽于简易。不能深求遍览。有才进方一不效。辄束手者,有无方可据。揣摩臆度者。有富
贵家鄙药贱。而不服者。有贫乏人惮药贵。而无可得服者。有医之贪利。以贱代贵。失其正方者。古云。看方三
年。无病可治。治病三年。无药可疗。又云。世无难治之病。有不善治之医。药无难代之品。有不善代之人。此
之谓也。仆三世学医。家藏医书若干卷。既又遍行东南。所至必尽索方书以观。暇时闭关
净室。翻阅涵泳。究极未合。采摭诸家之善。附以家传经验方。秤而成编。始自调经。讫于产后。凡八门。门数
十余证。总二百六十余论。论后有药。药不惟□贵贱惟□效。纲领节目。粲然可观。庶几病者随索随见。随试随
愈。仆于此编。非敢求异昔人也。盖亦补其偏。而会其全。聚于散而敛于约。期决无憾云。愚者千虑。必有一得。
君子毋以人废言。时嘉熙元年八月良日。建康府明道书院医谕临川陈自明良父序。
四库全书提要曰。妇人大全良方二十四卷。宋陈自明撰。自明字良父。临川人。官建康府医学教授。是编凡
分八门。首调经。次众疾。次求嗣。次胎教。次妊娠。次坐月。次产难。次产后。每门数十证。总二百六十余论。
论后附方。案妇人专科。始唐咎殷产宝。其后有李师圣之产育宝庆集。陆子正之胎产经验方。大抵卷帙简略。流
传亦鲜。自明采摭诸家。提纲挈领。于妇科证治。详悉无遗。明薛己医案。曾以己意删订。附入治验。自为一书。
是编刻于勤有书堂。犹为自明原本。前有嘉熙元年自序。称三世学医。家藏书若干卷。又遍行东南。所至必索方
书以观。其用心亦可云勤矣。
〔熊氏(宗立)妇人良方补遗大全〕医藏目录二十四卷 存
〔薛氏(己校)注妇人良方〕国史经籍志二十四卷 存
凡例曰。各论有重复阙略。悉遵素难。及历代名医治法增减。庶灼见本证病因。不致纷杂难晓。一各论有陈
无择熊鳌峰二先生评论治法。去繁就简。并入本论。以便观览。一诸治验。原随方者。悉从其旧。若词义重复者。
删之以便览阅。一补遗第二十四卷。各卷已备不录。今补茧唇等一十四证方论。足成其卷。
〔亡名氏济生产宝论方〕国史经籍志二卷 存
按是书亡撰人名氏。嘉靖乙未双峰王子冲序。称南都雷氏子鸣大震类集诸书。间尝检阅得宋板医书一帙。名
曰济生产宝论方云。国史经籍志。误为徐明善所着。盖徐亦嘉靖中人。校正是书者也。
〔张氏(元素)产育保生方〕佚
按上出于医学源流。
〔李氏(辰拱)胎产救急方〕一卷 存
李辰拱自序曰。延平正心李辰拱壮岁游三山。获从仁斋杨先生游。气味相投。因以伤寒总括见授。且语之曰。
治杂病有方。治伤寒有法。一法既通。其余可触类而长矣。来归旧隐。乃取先生活人治例。演而伸之。编为伤寒
集成方法。研精覃思。三十余年。方克成编。靖思先生所刊活人总括。直指方论。医学真经。婴儿证治。传施四
方。家传人诵。独于胎产一科阙焉。遂采摭古今效验方书。为胎产救急方。板行施人。以续先生未尽之仁。客有
诮余曰。扁鹊闻邯郸贵妇人。过彼即为带下医。子携此而游邯郸。予应之曰。滔滔者天下皆是也。前哲能事。非
敢僭拟。是编盖将补仁斋老师施方之阙也。客曰。如其仁何。因题篇端。以记岁月。延 五年戊午暮春之初。书
于济安乐院。
〔朱产(震亨)产宝百问〕五卷 存
按是书未知果是朱氏所着否。有王肯堂序。唯称产宝古名典公器也。又不言成于何人手。想是书估托二公盛
名。并序文而伪撰者欤。文渊阁书目。有产宝百问一部一册阙。当非是书。钱国宾女科百病问答。与是书全然相
同。可疑。
〔产宝〕一卷 存
按是书亦托于丹溪朱氏者。书凡三十五则。编中专用生化汤。为诸方之主。考此原出于景岳全书新方八阵中。
则其出于明季人者可知矣。南山单养贤着三论。以为增补。
藜藿之躯(指贫苦百姓或体质虚弱者),容易使用白术和黄芩。这种用法沿袭至今,被视为利于生产的良方。却不知道这原本也是本书中记载的枳壳汤。另外,当今治疗产后血风病时,有一种被称为“举卿古拜”的方法。核查其用药,仅用荆芥一味药,即本书中的青金散。大概是因为荆芥主治风邪,《素问》说东方主风,而肝属木,平抑肝木,就是帮助肺金,所以以“青金”命名。后人窃取了这一方剂,又翻转切音荆芥二字,伪造名称来炫耀世俗罢了。像这类情况,可以证明古今传承的由来。只是所用的药物多属于降气破血的品类,以及辛热震动的药剂,那么古人禀赋浓厚,能够承受攻伐,有不可一概施加于后来者的情况。这就在于神妙地领悟并灵活运用,全凭个人的悟性了。
〔陈氏(自明)《妇人大全良方》〕二十四卷 存世
自序说道:世间的医生,在妇人这一科,有专门治疗妇人的方书,有产宝类方书。用“专”字来称呼,是为了专门攻克;用“宝”字来称呼,是表示珍爱重视。大概医术很难,医治妇人尤其难,医治生产中的几种病症,则更是危险且困难。他们所说的专门治疗、产宝类书籍,并非不可用,但纲领松散而无统绪,细节详略而未完备。医生们满足于简易,不能深入探究遍览,有的才学进益却开一方不效,就束手无策;有的没有方书依据,只能揣摩臆测;有的富贵人家轻视药物廉价而不服用;有的贫乏之人畏惧药物昂贵而无处求得服用;有的医生贪图利益,以廉价药代替贵重药,失去了正确的方剂。古话说:看方三年,无病可治;治病三年,无药可疗。又说:世上没有难治的病,只有不善于治疗的医生;药物没有难以替代的品种,只有不善于替代的人。说的就是这个道理。我陈家三代学医,家中藏有医书若干卷。之后又遍行东南各地,所到之处必定尽力搜集方书观看。闲暇时在闭关净室中翻阅涵泳,穷究未合之处,采摘各家之长,附上家传经验方,称量编次成书。从调经开始,直到产后结束,共分八门,每门十余种证候,总共二百六十余篇论述。论述后有药物,药物不论贵贱,只论疗效,纲领和细节,鲜明可观。希望病患者随索随见,随试随愈。我对这部书稿,不敢求异于前人,大概是弥补其偏颇,汇聚其全面,聚散为整,收敛于简约,期望决无遗憾。愚者千虑,必有一得,君子不要因人废言。时值嘉熙元年八月吉日,建康府明道书院医谕临川陈自明良父序。
四库全书提要说道:《妇人大全良方》二十四卷,宋代陈自明撰写。陈自明字良父,临川人,官至建康府医学教授。此书共分八门,首列调经,其次众疾,其次求嗣,其次胎教,其次妊娠,其次坐月,其次产难,其次产后。每门数十种证候,总共二百六十余篇论述。论述后附方。案:妇人专科,始于唐代咎殷的《产宝》,其后有李师圣的《产育宝庆集》,陆子正的《胎产经验方》,大抵卷帙简略,流传也很少。陈自明采摘各家之长,提纲挈领,对于妇科证治,详尽无遗。明代薛己的医案中,曾以自己的意思删订,附入治验,自成一书。此书刻于勤有书堂,还是陈自明的原本。前有嘉熙元年的自序,自称三世学医,家中藏书若干卷,又遍行东南,所到之处必定搜集方书观看,其用心也可以说是勤勉了。
〔熊氏(宗立)《妇人良方补遗大全》〕医藏目录二十四卷 存世
〔薛氏(己校)注《妇人良方》〕国史经籍志二十四卷 存世
凡例说道:各篇论述如有重复或缺漏,完全遵循《素问》、《难经》及历代名医的治疗方法增减,以便透彻看见本证病因,不至于纷杂难懂。一、各篇论述中有陈无择、熊鳌峰二位先生的评论治疗方法,去除繁冗简化内容,并入本论,以便观览。一、各种治验,原来随方附带的,完全依从旧制,如果词义重复的,删除以便阅览。一、补遗第二十四卷,各卷已备的不录。现在补充茧唇等十四种证候的方论,补足其卷数。
〔亡名氏《济生产宝论方》〕国史经籍志二卷 存世
按:这本书不知作者姓名。嘉靖乙未年双峰王子冲作序,称南京雷氏子鸣大震汇集诸书,间或检阅得到宋版医书一帙,名叫《济生产宝论方》。《国史经籍志》误认为是徐明善所著。大概徐明善也是嘉靖年间中人,校正此书的人。
〔张氏(元素)《产育保生方》〕佚失
按:上文出自《医学源流》。
〔李氏(辰拱)《胎产救急方》〕一卷 存世
李辰拱自序说道:延平正心李辰拱壮年游历三山,得以跟随仁斋杨先生交游,气味相投,因此将《伤寒总括》传授给我,并且对我说:治疗杂病有方,治疗伤寒有法,一种方法既通晓,其余可以触类旁通。归来隐居后,于是取先生活人治例,演绎伸展,编为《伤寒集成方法》,研精覃思,三十多年,方才编成。静思先生所刊行的《活人总括》、《直指方论》、《医学真经》、《婴儿证治》,传施四方,家传人诵,唯独在胎产这一科有所缺失。于是采摘古今有效验的方书,编写为《胎产救急方》,刻板施行于人,以延续先生未尽的仁爱。客人讥笑我说:扁鹊听说邯郸贵族妇女多病,经过那里就做带下医(妇科医生)。你带着这个去游历邯郸,我回答说:滔滔者天下皆是也,前哲能事,不敢僭越比拟。这部书大概是用来补充仁斋老师施方之缺漏的。客人说:如果是这样,那真是仁德啊。因此在篇端题写,以记录岁月。延祐五年戊午暮春之初,书写于济安乐院。
〔朱产(震亨)《产宝百问》〕五卷 存世
按:这本书不知道是否确实是朱氏所著。有王肯堂序,只称产宝是古代名典公器,又不说成于何人之手,猜想这本书是估托二公盛名,连同序文一起伪撰的吧。《文渊阁书目》中有《产宝百问》一部一册阙,应当不是这本书。钱国宾《女科百病问答》,与这本书全然相同,可疑。
〔《产宝》〕一卷 存世
按:这本书也是托名于丹溪朱氏的。书共三十五则,编中专用生化汤,作为诸方的主方。考证此方原出于《景岳全书》新方八阵中,那么它出于明代晚期的人可知了。南山单养贤着《三论》,以为增补。
The bodies of those who subsist on coarse food (referring to the poor or constitutionally weak) are prone to being treated with Atractylodis Macrocephalae Rhizoma and Scutellariae Radix. This practice has been passed down to the present day and is regarded as an excellent prescription for facilitating childbirth. However, they do not realize that this was originally the Zhiqiao Tang (Bitter Orange Decoction) recorded in this book. Furthermore, in contemporary treatment of postpartum blood wind disease, there is a method known as "Juqing Gubai." Upon examining its ingredients, it consists solely of Schizonepetae Herba (Jingjie), which corresponds to the Qingjin San (Blue Gold Powder) in this book. This is likely because Schizonepetae Herba primarily treats wind pathogens. The *Suwen* states that the East governs wind, and the Liver belongs to Wood. Calming Liver Wood thereby assists Lung Metal, hence the name "Qingjin" (Blue/Green Metal). Later generations stole this prescription but altered the phonetic pronunciation of the characters for Schizonepetae Herba, creating a deceptive name to dazzle the vulgar. Such instances can demonstrate the origins of transmission between ancient and modern times. Nevertheless, since the substances used are mostly those that descend Qi and break blood stasis, as well as acrid-hot and stirring agents, people in ancient times had robust constitutions and could withstand attack and depletion. It is not appropriate to apply these indiscriminately to later generations. This requires divine understanding and flexible application, depending entirely on the individual practitioner.
[Chen Shi (Ziming) *Furen Daquan Liangfang* (Complete Good Prescriptions for Women)] 24 volumes. Extant.
Preface by the author states: Physicians of the world, regarding the specialty of women's diseases, have prescriptions dedicated to women and "Chanbao" (Precious Prescriptions for Childbirth). They use the term "Zhuan" (Dedicated/Specialized) to indicate focused attack; they use the term "Bao" (Precious/Treasure) to express love and respect. Generally, medical art is difficult; treating women is even more difficult; and treating certain conditions during childbirth is particularly dangerous and difficult. The so-called specialized treatments and Chanbao books are not unusable, but their general principles are scattered without unity, and their details are either too brief or incomplete. Physicians often settle for simplicity and fail to seek deep understanding through comprehensive reading. Some, despite advancing in talent, find one prescription ineffective and then become helpless; some have no prescriptions to rely on and resort to speculation and conjecture; some wealthy families despise cheap medicines and refuse to take them; some impoverished people fear expensive medicines and cannot obtain them; some greedy physicians substitute cheap drugs for expensive ones, losing the correct prescription. An ancient saying goes: "Study prescriptions for three years, yet there are no diseases to treat; treat diseases for three years, yet there are no medicines to heal." Another says: "There are no incurable diseases in the world, only incompetent physicians; there are no irreplaceable medicines in the world, only incompetent prescribers." This is what is meant. My family has practiced medicine for three generations, and we possess several volumes of medical books at home. Subsequently, I traveled extensively throughout the southeast, ensuring that wherever I went, I would exhaustively collect and read prescription books. In my leisure time, I closed myself off in a pure room, turning over and immersing myself in the texts, exploring until I reached the ultimate truth. I collected the merits of various schools, appended my family's experienced prescriptions, weighed and compiled them into a volume. Starting from regulating menstruation and ending with postpartum care, it comprises eight categories, each containing more than ten syndromes, totaling over two hundred and sixty discussions. After each discussion follows the corresponding medicine. The medicines are chosen not based on price but on efficacy. The general principles and details are clear and impressive. It is hoped that patients will find what they seek immediately and recover upon trial. Regarding this compilation, I dare not claim originality against predecessors; rather, I aim to supplement its deficiencies and integrate its completeness, gathering scattered information into a concise whole, expecting no regrets. Even a fool may have one good idea; gentlemen should not dismiss words because of the speaker. On an auspicious day in August of the first year of Jiaxi, Chen Ziming, courtesy name Liangfu, Medical Instructor at Mingdao Academy, Jiankang Prefecture, Preface.
Summary of the *Siku Quanshu* states: *Furen Daquan Liangfang* (Complete Good Prescriptions for Women), 24 volumes, written by Chen Ziming of the Song Dynasty. Chen Ziming, courtesy name Liangfu, was from Linchuan and held the office of Professor of Medicine at Jiankang Prefecture. This work is divided into eight sections: first, Regulating Menstruation; second, Various Diseases; third, Seeking Conception; fourth, Prenatal Education; fifth, Pregnancy; sixth, Postpartum Rest ("Zuoyue"); seventh, Difficult Labor; eighth, Postpartum Care. Each section contains dozens of syndromes, totaling over two hundred and sixty discussions. Prescriptions follow the discussions. Note: The specialty of gynecology began with Ji Yin's *Chanbao* (Precious Prescriptions for Childbirth) in the Tang Dynasty. Later came Li Shisheng's *Chanyu Baoqingji* and Lu Zizheng's *Taichan Jingyanfang*. These were generally brief in volume and rarely circulated. Chen Ziming collected the strengths of various sources, grasping the essentials, and provided exhaustive detail on gynecological syndromes and treatments. In the Ming Dynasty, Xue Ji edited and revised it according to his own views, appending clinical cases to form a separate book. This edition was printed at Qinyou Book Hall and remains Chen Ziming's original text. It includes a preface dated the first year of Jiaxi, where he claims his family practiced medicine for three generations, possessed numerous books, and traveled widely in the southeast collecting medical texts. His diligence is commendable.
[Xiong Shi (Zongli) *Furen Liangfang Buyi Daquan* (Supplement to Complete Good Prescriptions for Women)] 24 volumes in *Yicang Mulu*. Extant.
[Xue Shi (Ji) Annotated *Furen Liangfang*] 24 volumes in *Guoshi Jingzhizhi*. Extant.
General Rules state: Any repetitions or omissions in the discussions are adjusted according to the *Suwen*, *Nanjing*, and methods of famous physicians of past dynasties, so that the root cause and syndrome are clearly seen, avoiding confusion. One: Comments and treatment methods by Mr. Chen Wuyue and Mr. Xiong Aofeng in the discussions are condensed and merged into the main text for easier reading. One: Clinical cases originally attached to prescriptions are kept as per tradition; repetitive phrases are deleted for clarity. One: Volume 24 of the Supplement, if already covered in other volumes, is not repeated. Now, fourteen syndromes such as Cocoon Lip are supplemented with prescriptions and discussions to complete the volume.
[Anonymous *Jisheng Chanbao Lunfang* (Discussion and Prescriptions for Saving Life and Childbirth)] 2 volumes in *Guoshi Jingzhizhi*. Extant.
Note: The author of this book is unknown. Wang Zichong of Shuangfeng wrote a preface in the Yiwu year of the Jiajing era, stating that Lei Dazhen (courtesy name Ziming) of Nanjing collected various books and occasionally found a set of Song dynasty printed medical books titled *Jisheng Chanbao Lunfang*. *Guoshi Jingzhizhi* mistakenly attributes it to Xu Mingshan. Xu was also a person of the Jiajing era and likely the corrector of this book.
[Zhang Shi (Yuansu) *Chanyu Baosheng Fang* (Prescriptions for Protecting Life in Childbirth)] Lost.
Note: Mentioned above in *Yixue Yuanliu*.
[Li Shi (Chengong) *Taichan Jiujifang* (Emergency Prescriptions for Fetal Production)] 1 volume. Extant.
Li Chengong's Preface states: Li Chengong of Zhengxin, Yanping, traveled to Sanshan in his youth and studied under Master Renzhai Yang. Our temperaments matched, so he taught me the *Shanghan Zongkuo* (Comprehensive Overview of Cold Damage) and said to me: "Treating miscellaneous diseases has its methods; treating cold damage has its rules. Once one rule is understood, others can be mastered by analogy." Returning to my old hermitage, I took the master's *Huo-ren* treatment examples, expanded and elaborated on them, and compiled them into *Shanghan Jicheng Fangfa* (Integrated Methods for Cold Damage). Through profound thought and study over thirty years, I finally completed the compilation. Reflecting on the works published by the Master—*Huo-ren Zongkuo*, *Zhizhi Lunfang*, *Yixue Zhenjing*, and *Yinger Zhengzhi*—which were disseminated everywhere and recited by every household, I noticed a gap in the field of fetal production. Thus, I collected effective prescriptions from ancient and modern texts, compiled them into *Taichan Jiujifang* (Emergency Prescriptions for Fetal Production), had them printed and distributed to continue the Master's benevolence. A guest mocked me, saying: "When Bian Que heard that many noblewomen suffered in Handan, he became a specialist in leukorrhea when passing through. You carry this [book] to travel to Handan." I replied: "The Way is abundant in the world. I dare not presume to imitate the sages of old. This book aims to fill the gap in Master Renzhai's prescribed methods." The guest said: "If so, how benevolent!" Therefore, I inscribed the title at the beginning to record the date. Early spring of the Wuwu year of the Yuanyou era, written at Jile Ancestral Hall.
[Zhu Chan (Zhenheng) *Chanbao Baiwen* (Hundred Questions on Childbirth Precious Prescriptions)] 5 volumes. Extant.
Note: It is unknown if this book was indeed authored by Zhu. Wang Kentang's preface only states that *Chanbao* is an ancient classic and public instrument, without mentioning the author. It is suspected that this book falsely claims the fame of these two figures, including the preface. The *Wenyuan Ge Shumu* lists *Chanbao Baiwen* as one volume, missing. This is likely not the same book. Qian Guobin's *Nuke Baibing Wenda* is identical to this book, raising suspicion.
[*Chanbao* (Childbirth Precious Prescriptions)] 1 volume. Extant.
Note: This book is also attributed to Danxi Zhu. It contains thirty-five items. The compilation exclusively uses Shenghua Tang (Life-Birth Decoction) as the primary formula for all other prescriptions. Research shows this originates from the New Formulas Eight Arrays in Zhang Jingyue's *Quanshu*. Thus, it is evident that it was produced by someone in the late Ming Dynasty. Shan Yangxian of Nanshan wrote *Sanlun* (Three Discussions) to supplement it.