樗根白皮 香椿根白皮 苦参 香附(醋炒) 栀子仁(炒) 山茱
黄柏(盐酒炒) 龟板(去弦酥炙各二两) 干姜(炒五钱) 贝母(去心一两) 白术(炒) 当归
(酒洗各一两五钱) 白芍药(酒炒二两)
上为末酒糊为丸如梧桐子大每服八十丸空心清米汤送下若孕妇赤白带加苍术条芩川连白
芷(各一两)去干姜樗皮贝母苦参龟板栀子亦为(丸服)
治妇人赤白带下行时脐下甚痛此方二服即效
人参(五分) 黄芩 黄柏 白葵花(各一钱) 郁李仁(八分) 柴胡(七分) 陈皮(去白
五分) 甘草(炙) 干姜(炒各三分)
上用水一钟半煎七分空心服葵花白者治白带赤者治赤带赤白混下二花并用
按此方治气血滞阴阳不清极效
妇人血崩来如山崩水涌之势明是血热妄行岂可作寒论治宜清补兼升提
不可骤止徐徐调理血清自归源矣
黄芩 甘草(生) 荆穗 蔓荆子(各七分) 黄柏 知母 本 川芎 细辛(各六分
)黄连 羌活 柴胡 升麻 防风(各五分) 生地黄 当归(各一钱) 红花(少许)
上用水一钟半煎八分空心稍热服渣随并服
治血崩不止诸药不效此方立(止此急则治其标也)
杏仁皮(烧存性) 香附(童便浸三日炒黑) 旧红 子(烧存性) 地肤子(炒) □棕荐(
烧存性) 牡血余(烧存性) 蟹壳(烧存性) 陈莲蓬(烧存性)
上为末每服三钱用酸浆草汁一钟冲上热酒一钟空心热服
按此方初服反觉多以渐而少由紫色而红以至于无即止既止之后用十全大补汤二十帖(调
补方杜根矣)
【六合散】
樗根白皮、香椿根白皮、苦参、香附(用醋炒制)、栀子仁(炒制)、山茱萸、黄柏(用盐和酒炒制)、龟板(去除筋膜,酥炙,各二两)、干姜(炒制,五钱)、贝母(去心,一两)、白术(炒制)、当归(用酒洗,各一两五钱)、白芍药(用酒炒,二两)。
以上药物研为细末,用酒调糊制成梧桐子大小的丸剂。每次服用八十丸,空腹时用清米汤送服。如果是孕妇出现赤白带下,需加入苍术、黄芩、黄连、白芷(各一两),去掉干姜、樗根白皮、贝母、苦参、龟板、栀子,同样制成丸剂服用。
此方治疗妇人赤白带下,行经时脐下剧烈疼痛,服用两剂即可见效。
人参(五分)、黄芩、黄柏、白葵花(各一钱)、郁李仁(八分)、柴胡(七分)、陈皮(去白,五分)、甘草(炙制)、干姜(炒制,各三分)。
以上药物用水一钟半煎至七分,空腹服用。白色的葵花治疗白带,红色的葵花治疗赤带,若赤白混杂而下,则两种花并用。
按语:此方治疗气血阻滞、阴阳不清之证,效果极佳。
妇人血崩之势如山水奔涌,显然是血热妄行所致,岂能当作寒证来治疗?应当采用清热兼以补益,并配合升提之法。不可骤然止血,应徐徐调理,待血清后自然归源。
黄芩、生甘草、荆芥穗、蔓荆子(各七分)、黄柏、知母、藁本、川芎、细辛(各六分)、黄连、羌活、柴胡、升麻、防风(各五分)、生地黄、当归(各一钱)、红花(少许)。
以上药物用水一钟半煎至八分,空腹时稍加热服用,药渣也一并服用。
治疗血崩不止,其他药物无效的情况,此方可立即止血(这是急则治其标的原则)。
杏仁皮(烧至存性)、香附(用童子尿浸泡三日,炒黑)、旧红纸/布(烧至存性,原文“旧红 子”疑为残损或特定药材,此处依字面提取)、地肤子(炒制)、棕垫(烧至存性,原文“□棕荐”缺字,依语境推断)、头发(烧至存性,原文“牡血余”应为“血余炭”之误或异写,指人发)、蟹壳(烧至存性)、陈莲蓬(烧至存性)。
以上药物研为细末,每次服用三钱,用酸浆草汁一钟冲开,再兑入热酒一钟,空腹热服。
按语:此方初次服用时出血量可能反而增多,随后逐渐减少,血色由紫变红,直至无血为止即停服。止血之后,使用十全大补汤二十帖进行调补,以巩固根本。
[Liuhe San (Six-Harmony Powder)]
Cortex Broussonetiae Papyriferae (Chugenbaipi), Cortex Toosendanii (Xiangchun Gen Baipi), Sophorae Flavescentis Radix (Kushen), Cyperi Rhizoma (Xiangfu, stir-fried with vinegar), Gardeniae Fructus (Zhizi Ren, stir-fried), Corni Fructus (Shanzhuyu), Phellodendri Amurensis Cortex (Huangbai, stir-fried with salt and wine), Testudinis Carapax et Plastrum (Guiban, de-membraned and roasted with su, each 2 liang), Zingiberis Rhizoma (Ganjiang, stir-fried, 5 qian), Fritillariae Thunbergii Bulbus (Beimu, heart removed, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried), Angelicae Sinensis Radix (Danggui, washed with wine, each 1.5 liang), Paeoniae Radix Alba (Baishaoyao, stir-fried with wine, 2 liang).
Grind the above herbs into fine powder, mix with rice wine paste to form pills the size of paulownia seeds. Take 80 pills per dose, administered on an empty stomach with clear rice soup. For pregnant women suffering from red and white leukorrhea, add Atractylodis Rhizoma (Cangzhu), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Chuanlian), and Angelicae Dahuricae Radix (Baizhi) (each 1 liang); remove Zingiberis Rhizoma, Cortex Broussonetiae Papyriferae, Fritillariae Thunbergii Bulbus, Sophorae Flavescentis Radix, Testudinis Carapax et Plastrum, and Gardeniae Fructus; process into pills in the same manner.
This formula is effective for treating red and white leukorrhea in women, specifically alleviating severe pain below the umbilicus during menstruation after two doses.
Ginseng Radix et Rhizoma (Renshen, 5 fen), Scutellariae Radix (Huangqin), Phellodendri Amurensis Cortex (Huangbai), Hibisci Rosa-Sinensis Flos (Bai Kuihua) (each 1 qian), Pruni Semen (Yuliren, 8 fen), Bupleuri Radix (Chaihu, 7 fen), Citri Reticulatae Pericarpium (Chenpi, white part removed, 5 fen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried), Zingiberis Rhizoma (Ganjiang, stir-fried) (each 3 fen).
Decoct the above herbs in 1.5 zhong of water until reduced to 0.7 zhong; take on an empty stomach. White hibiscus flowers treat white leukorrhea, red hibiscus flowers treat red leukorrhea; if both are present, use both flowers.
Note: This formula is highly effective for conditions characterized by Qi and Blood stagnation and unclear Yin-Yang.
In cases of metrorrhagia (blood flooding) where the flow is as violent as a mountain collapse or rushing water, it is clearly due to Heat forcing blood to move recklessly. It should not be treated as a Cold syndrome. The treatment should involve clearing Heat while tonifying, combined with lifting methods. Do not attempt to stop bleeding abruptly; instead, regulate gradually so that when the blood clears, it naturally returns to its source.
Scutellariae Radix (Huangqin), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao), Schizonepetae Spica (Jingsui), Viticis Fructus (Manjingzi) (each 7 fen), Phellodendri Amurensis Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Ligustici Rhizoma et Radix (Ben), Chuanxiong Rhizoma (Chuanxiong), Leonuri Herba? No, Asari Radix et Rhizoma (Xixin) (each 6 fen), Coptidis Rhizoma (Huanglian), Notopterygii Rhizoma et Radix (Qianghuo), Bupleuri Radix (Chaihu), Cimicifugae Rhizoma (Shengma), Saposhnikoviae Radix (Fangfeng) (each 5 fen), Rehmanniae Radix Recens (Sheng Dihuang), Angelicae Sinensis Radix (Danggui) (each 1 qian), Carthami Flos (Honghua, a small amount).
Decoct the above herbs in 1.5 zhong of water until reduced to 0.8 zhong; take slightly warm on an empty stomach, including the dregs.
For metrorrhagia that does not cease despite other treatments, this formula stops bleeding immediately (this addresses the acute symptoms first).
Amygdalus Persicae Semen Pericarpium (Xingren Pi, charred but retaining nature), Cyperi Rhizoma (Xiangfu, soaked in urine of a young boy for three days, stir-fried until black), Old Red Paper/Cloth (Jiu Hong, charred but retaining nature - *textual corruption noted*), Kochiae Fructus (Difuzi, stir-fried), Palm Mat (Zongjian, charred but retaining nature - *character missing in source*), Pilus Carbonisatus (Xuanyu Tan, charred hair - *text reads 'Mu Xueyu', likely variant/error for Xuanyu*), Crab Shell (Xieke, charred but retaining nature), Dried Lotus Seed Pod (Chen Lianpeng, charred but retaining nature).
Grind the above herbs into fine powder. Take 3 qian per dose, mixed with 1 zhong of juice from Oxalis corniculata (Suanjiangcao), then blended with 1 zhong of hot liquor. Take hot on an empty stomach.
Note: Upon initial administration, bleeding may temporarily increase, then gradually decrease. The color changes from purple to red, eventually ceasing. After cessation, administer Shiquan Dabu Tang (Perfect Four-Substance Decoction Plus) for twenty doses to tonify and consolidate the root.