凡妇人赤白带下,或出白物如脂,可服导水丸、禹功散,或单用无忧散,量虚实
加减;泄讫,服桂苓散、五苓散、葶苈木香散,同治湿法。或用独圣散上涌亦是。室女白带
茶调散吐之;吐讫,可服导水丸、禹功散泻之;次服葶苈木香散、四物汤、白术散之类则
愈矣。治白带者,同泻湿法则是也。妇人有浊污水不止,亦同此法也。
凡妇人年二、三十,无病而无子,经血如常,或经血不调者,乃阴不升而阳不降
,此上下不得交通,有所滞碍,不能为用故也。可用独圣散,涌讫寒痰二、三升;后用导水
丸、禹功散,泄三、五行或十余行;单用无忧散,泄十余行,见寒热虚实用之;次服葱白粥
三、五日。胃气宣通,肠中得实,可服玉烛散,更助白术散、茯苓之类。降火益水,既济之
道,当不数月而有孕。《内经》曰∶妇人有癃、痔、遗溺、嗌干诸症,虽服妙药针灸,亦不
能孕。盖冲脉、督脉、任脉有此病不能孕故也。
凡妇人半产,俗呼曰“小产”。或三、四月,或五、六个月,皆为半产,以男女成形
故也。或因忧恐暴怒、悲哀太甚,或因劳力扑打损伤,及触冒暑热。慎勿用黑神散,以其犯
热药,恐转生他疾。止宜用玉烛散、和经汤之类。凡妇人天生无乳者,不治。或因啼泣、暴
怒、郁结,气血闭塞,以致乳脉不通,用精猪肉清汤,调和美味,于食后调益元散五七钱,连服三、五服
;更用木梳梳乳房周回,则乳汁自下也。
又一法∶猪蹄调下益元散,连服之。
又一法∶针肩井二穴,良验。
凡是妇女出现赤白带下,或者排出像油脂一样的白色分泌物,可以服用导水丸、禹功散,或者单独使用无忧散,根据患者虚实情况加减药量;泻下之后,再服用桂苓散、五苓散、葶苈木香散,这些都属于治疗湿邪的方法。或者使用独圣散通过催吐法也是可以的。未婚女子白带过多,用茶调散进行催吐;吐完之后,可以服用导水丸、禹功散进行泻下;接着服用葶苈木香散、四物汤、白术散之类的药物,病就能痊愈了。治疗白带的方法,就是按照泻除湿邪的方法来治疗。妇女如果有浑浊污水淋漓不止的症状,也采用同样的方法治疗。
凡是二三十岁的妇女,没有疾病但不怀孕,月经正常或月经不调的,这是因为阴气不升而阳气不降,上下不能交通,有所阻滞阻碍,导致功能无法发挥。可以使用独圣散,催吐后排出两到三升寒痰;之后用导水丸、禹功散,泻下三五行或十几次;或者单独使用无忧散,泻下十几次,根据寒热虚实的症状来使用;接着吃葱白粥三到五天。胃气宣通,肠道充实,可以服用玉烛散,再辅助服用白术散、茯苓等药物。这是降火益水、水火既济的方法,大约几个月内就能怀孕。《内经》说:妇女有癃闭、痔疮、遗尿、咽喉干燥等症状,即使服用灵丹妙药和针灸治疗,也不能怀孕。这是因为冲脉、督脉、任脉患有这些疾病,所以不能怀孕。
凡是妇女发生半产,俗称“小产”。无论是怀孕三、四个月,还是五、六个月,都称为半产,因为此时男女胎儿已经成形。原因可能是由于忧恐暴怒、悲哀过度,或者是劳累用力、跌扑损伤,以及触犯暑热之气。千万不要使用黑神散,因为它含有热性药物,恐怕会引发其他疾病。只适宜使用玉烛散、和经汤之类的药物。凡是妇女天生没有乳汁的,无法治疗。如果是由于哭泣、暴怒、郁结,导致气血闭塞,使得乳脉不通,可以用精瘦肉的清汤,调和美味,在饭后服用五到七钱益元散,连续服用三到五次;再用木梳梳理乳房周围,乳汁自然就会流下来。
另一种方法:用猪蹄汤送服益元散,连续服用。
又一种方法:针刺肩井穴两个穴位,效果很好。
For women suffering from red and white leukorrhea, or discharging white matter resembling grease, Daoshui Wan (Water-Guiding Pill), Yugong San (Yugong Powder), or Wuyou San (Wuyou Powder) alone may be administered, with dosage adjusted according to the patient's deficiency or excess; after purgation, Guiling San (Cassia Twig and Poria Powder), Wuling San (Five-Ingredient Powder with Poria), or Tingli Muxiang San (Descurainiae Semen and Aucklandiae Root Powder) should be taken. These constitute methods for treating dampness. Alternatively, Dusheng San (Single-Sovereign Powder) can be used to induce vomiting. For unmarried girls with leukorrhea, Chatiao San (Tea-Regulating Powder) is used to induce vomiting; after emesis, Daoshui Wan and Yugong San are administered to purge, followed by Tingli Muxiang San, Siwu Tang (Four-Substance Decoction), Baizhu San (Atractylodes Macrocephala Powder), etc., which will lead to recovery. The treatment of leukorrhea follows the method of purging dampness. Women with continuous discharge of turbid fluid are treated similarly.
For women aged twenty or thirty who are healthy but infertile, with regular or irregular menstruation, this results from Yin failing to ascend and Yang failing to descend, preventing communication between the upper and lower parts due to obstruction, thereby impairing function. Dusheng San may be used to induce vomiting, expelling two to three sheng of cold phlegm; subsequently, Daoshui Wan and Yugong San are used to purge three to five times or more than ten times; or Wuyou San alone is used to purge more than ten times, depending on signs of cold, heat, deficiency, or excess. This is followed by consuming scallion white congee for three to five days. Once stomach Qi is unblocked and the intestines become solid, Yuzhu San (Jade-Candle Powder) can be taken, assisted by Baizhu San and Poria. This approach lowers fire and benefits water, following the principle of mutual completion (Ji Ji), leading to pregnancy within a few months. The *Neijing* states: "Women with strangury, hemorrhoids, urinary incontinence, and dry throat cannot conceive even with excellent medicines and acupuncture." This is because disease in the Chong Mai (Penetrating Vessel), Du Mai (Governing Vessel), and Ren Mai (Conception Vessel) prevents conception.
"Half-birth," commonly called "miscarriage," refers to abortion occurring at three or four months, or five or six months, as the fetus has already formed. Causes include sudden fright, rage, excessive grief, physical exertion, trauma from falls or blows, or exposure to summer heat. Heishen San (Black-God Powder) must not be used, as its hot-natured ingredients may cause other diseases. Instead, Yuzhu San and Hejing Tang (Harmonizing Meridian Decoction) are appropriate. Women born without milk secretion are incurable. However, if lactation failure is caused by weeping, rage, or emotional stagnation leading to Qi and blood blockage and obstructed milk vessels, clear broth made from lean pork can be consumed with delicious flavors. After meals, Yi Yuan San (Benefit-Origin Powder) of 5–7 qian should be taken for three to five doses. Additionally, combing around the breasts with a wooden comb will promote natural milk flow.
Another method: Take Yi Yuan San with pig trotter soup continuously.
Another method: Needle the Jianjing (GB21) acupoints bilaterally, which yields good results.