〔丹〕有孕白带。
苍术（三钱） 白芷（二钱） 黄连（炒，一钱半） 黄芩（炒，二钱） 黄柏（炒，一钱半） 白芍（二钱半）
樗根皮（炒，一钱半） 山茱萸（二钱半）
上为末，糊丸，空心，温酒下五十丸。
胎前之道，始于求子。求子之法，莫先调经。每见妇人之无子者，其经必或前或后，或多或少，
或将行作痛，或行后作痛，或紫，或黑，或淡，或凝而不调，不调则血气乖争，不能成孕矣。详夫不
调之由，其或前或后，及行后作痛者，虚也。其少而淡者，血虚也。多者，气虚也。其将行作痛，及
凝块不散者，滞也。紫黑色者，滞而挟热也。治法∶血虚者四物，气虚者四物加参、 ，滞者香附、
缩砂、木香、槟榔、桃仁、玄胡，滞久而沉痼者吐之下之，脉证热者四物加芩、连，脉证寒者四物
加桂、附及紫石英之类是也。直至积去、滞行、虚回，然后血气和平，能孕子也。予每治经不调者，
只一味香附末，醋为丸服之，亦百发百中也。
〔丹〕妇人肥盛者，多不能孕育，以身中有脂膜闭塞子宫，以致经事不行。瘦弱妇人，不能孕育，
以子宫无血，精气不聚故也。肥人无子，宜先服调理药。
当归（一两，酒洗） 川芎（七钱半） 白芍 白术 半夏（汤泡） 香附 陈皮（各一两）
茯苓（二两） 甘草（一两）
作十帖，每帖姜三片，水煎，吞后丸子。
白术（二两） 半夏曲（一两） 茯苓（半两） 橘红（四钱） 川芎 香附（各一两） 神曲（炒，半两）
甘草（二钱）
粥丸，每服八十丸。如热多者，加黄连、枳实各一两。服前药讫，却服后蠡斯丸。
浓朴 杜仲 桂心 秦艽（各二钱） 附子 茯苓（各六钱） 白薇 半夏 干姜 牛膝 沙参
（各二钱） 人参（四钱） 细辛（半两）
上为末，炼蜜丸小豆大。每服五丸，空心，酒下，加至十丸不妨。觉有娠，三月后不可更服。
忌食牛马肉。则难产当出月。
按此方即秦桂丸也。丹溪忌服之者，盖忌于瘦人无血者。若肥人湿多者，又兼前调理药，而所服丸数，
十减其九，只服五分无妨也。上三方得之于丹溪之子朱懋诚者，累试有效。
〔海〕大五补丸 同上三方丸。
天门冬 麦门冬 菖蒲 茯苓 人参 益智 枸杞 地骨皮 远志 熟地（各等分）
上为细末，炼蜜丸如桐子大。空心，酒下三十丸。服本方数服后，以七宣丸泄之。
增损三才丸
天门冬（酒浸，去心） 熟地（酒蒸） 人参（去芦） 远志（去心） 五味子 茯苓（酒浸，去心，干）
鹿角（酥炙） 一法加白马茎（酥炙）一法加附子，补相火不足。一法加麦门冬，令人有力。一法
加续断，以续筋骨。一法加沉香，暖下焦虚冷。
上为细末，炼蜜杵千下，丸如桐子大。每服五十丸，空心，好酒下。年老欲补，加混元衣全个入药。
（混元衣者，是胎衣，头生儿者佳，用酒浸晒干，细锉为末。）
紫石英丸 治妇人无子。
紫石英（研，水飞，三两） 天门冬（酒浸，去心，焙干，三两） 当归（切，焙） 川芎
紫葳 卷柏 熟地 禹余粮（醋淬，七次） 牡蒙 石斛（去根） 辛夷（各二两） 人参 肉桂
牡丹皮 桑寄生 细辛根 续断 川乌（炮） 食茱萸 浓朴（姜制） 干姜（炮） 牛膝（酒浸，各一两）
柏子仁（轻炒，另研） 山蓣 乌贼鱼骨（烧灰。各一两半） 甘草（炙）
上二十六味，为极细末，炼蜜丸桐子大。每服二十丸，酒、米饮任下，空心，食前，日二。
〔子和〕戴人过谯都营中饮，曾有一卒说出妻事，戴人问其故，答曰∶吾妇为室女时，心下有冷积如覆盆，
按之如水声，以热手熨之如冰，娶来已十五年矣，恐断吾孕，是以去之。戴人曰∶公勿黜也。如用吾药，
病可除，孕可得。卒从之，戴人诊其寸脉沉而迟，尺脉洪大有力，非无子之候也，可不逾年而孕。其良人
叹曰∶试之。先以三圣散吐涎一斗，心下平软；次服白术调中汤、五苓散；后以四物汤和之。不再月，气
血合度，数月而娠一子。戴人常曰∶用吾此法，无不子之妇，此言不诬。一妇人年三十四岁，梦与鬼神
交，惊怕异常，及见
神堂、阴司、舟楫、桥梁，如此一十五年，竟无妊娠。巫祈觋祷，无所不至，钻肌灸肉，孔穴万
千。黄瘦，发热引饮，中满足肿，委命于天。一日苦请戴人。戴人曰∶阳火盛于上，阴水盛于下，
见鬼神者阴之灵，神堂者阴之所，舟楫、桥梁水之用，两手寸脉皆沉而伏，知胸中有痰实也。凡三
涌三泄三汗，不旬日而无梦，一月而有娠。
〔《大》〕荡胞汤 治妇人立身以来，全不产育，及断绝久不产二三十年者。
朴硝 丹皮 当归 大黄（蒸一饭久） 桃仁（各三两） 细辛 浓朴 苦梗 赤芍药 人参
茯苓 桂心 甘草 川牛膝 陈皮（各二两） 附子（炮，一两半） 虻虫（炒焦，去翅足） 水蛭（炒。
各十枚）
上 咀，每服四大钱，水酒各半盏，煎至六分，去渣温服，空心，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，用坐导药。
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（各二两） 细辛（去苗） 五味子 干姜（炮。各二两） 黄葵花
白矾（枯） 戎盐 蜀椒（各半两）
上为细末，以绢袋大如指，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 菜煎汤熏之。
〔丹〕秦桂丸论 无子之因，多起于妇人，医者不求其因起于何处，遍阅古方，惟秦桂丸其辞确，
其意专，用温热药近乎人情，欣然授之，锐然服之，甘受燔灼之祸，犹懵然不悔。何者？阳精之施，
阴血能摄之，精成其子，血成其胞，胎孕乃成。今妇人之无子者，率由血少不足以摄精也。血之少
也，固非一端。然欲得子者，必须调补阴血，使无亏欠，乃可推其有余，以成胎孕。何乃轻用热剂，
煎熬脏腑，血气沸腾，祸不旋踵矣。或
曰∶春气温和，则万物发生，冬气寒凛，则万物消陨。非秦桂丸之温热，何以得子脏温暖而成胎耶？
予曰∶诗曰∶妇人和平，则乐有子。和则血气均平，则阴阳不争，今得此药，经血必转紫黑，渐成衰少，
或先或后，始则饮食骤进，久则口苦而干，阴阳不平，血气不和，疾病蜂起，焉能成胎。纵然成胎，
生子亦多病而不寿，以秦桂丸耗损天真之阴也，戒之慎之。（按秦桂丸施于肥人，而少其丸数，兼服
调理补药，亦无妨。但忌施于瘦人火多者也。）
〔《素》〕督脉生病，女子不孕。
〔世〕治男子无子者。用热艾一团，用盐填脐满，却于盐上随盐大小做艾丸灸之。如痛，即换盐，
直灸至艾尽为度。如一日灸不尽，二日三日灸之，曾效。
〔东〕妇人无子∶胞门（在关内左边一寸，灸五十壮。）又法∶气门（在关元傍各开三寸，灸五十壮。）
〔《集》〕又法∶子宫（在中极傍各开三寸，针入二寸，灸三七壮） 中极
〔垣〕又法∶关元（二十壮，三报穴。）
〔《甲》绝子，灸脐中，令人有子，女子手脚拘挛，腹满，疝，月水不下，乳余疾，绝子，阴痒，
阴交主之。腹满疝积聚余疾绝子，阴痒，刺石门。（《千金》云∶奔豚上，少腹坚痛，下引阴中，
不得小便。）女子绝子， 血在内不下，关元主之。（《千金》云∶转胞不得溺，小腹满名石水痛。）
妇人子门不端，少腹苦寒，阴痒及痛，经闭不通，中极主之。妇人无子，涌泉主之。大疝绝子，筑宾
主之。绝子，商丘主之。（穴在内踝前宛宛中。）妇人绝产，若未曾产，阴廉主之。（刺入分半，灸
下一寸。）
〔仲〕男子脉浮弱而涩，为无子，精气清冷。
〔《脉》〕妇人少腹冷，恶寒久，年少者得之，此为无子。年大者得之，绝产。脉微弱而涩，年
少得此为无子，中年得此为绝产。肥人脉细，胞有寒，故令少子，其色黄者，胸上有寒。少阴脉浮而紧，
紧则疝瘕，腹中痛，半产而堕伤，浮则亡血，绝产恶寒。
【丹溪】妊娠期间白带。
苍术（三钱） 白芷（二钱） 黄连（炒制，一钱半） 黄芩（炒制，二钱） 黄柏（炒制，一钱半） 白芍（二钱半）
樗根皮（炒制，一钱半） 山茱萸（二钱半）
以上药物研为细末，用米糊制成丸药，空腹时，用温酒送服五十丸。
治疗胎前疾病的原则，始于求子。求子的方法，没有比调理月经更优先的。常见那些不能生育的妇女，其月经必定或提前或推后，或量少或多量，
或在行经前疼痛，或在行经后疼痛，或颜色紫暗，或颜色黑，或颜色淡，或凝结不调，月经不调则血气乖争，不能受孕了。详细考察不
调的原因，那些或提前或推后，以及行经后疼痛的，是虚证。那些量少且颜色淡的，是血虚。量多的，是气虚。那些行经前疼痛，及
有凝结血块不散的，是气滞。颜色紫黑的，是气滞兼有热邪。治疗方法：血虚的用四物汤，气虚的用四物汤加人参、黄芪，气滞的用香附、
缩砂仁、木香、槟榔、桃仁、玄胡索，气滞日久成为沉疴痼疾的，用吐法和下法，脉象和症状表现为热的用四物汤加黄芩、黄连，脉象和症状表现为寒的用四物
汤加肉桂、附子及紫石英之类。直到积滞去除、气滞通行、正气恢复，然后血气平和，才能受孕生子。我每次治疗月经不调者，
只用一味香附末，醋调为丸服用，也百发百中。
【丹溪】身体肥胖的妇女，多不能孕育，因为体内有脂膜闭塞子宫，导致月经不行。瘦弱的妇女，不能孕育，
是因为子宫无血，精气不聚的缘故。肥胖的人不孕，宜先服用调理药物。
当归（一两，酒洗） 川芎（七钱半） 白芍 白术 半夏（汤泡） 香附 陈皮（各一两）
茯苓（二两） 甘草（一两）
制成十帖，每帖用生姜三片，水煎，吞服后面的丸子。
白术（二两） 半夏曲（一两） 茯苓（半两） 橘红（四钱） 川芎 香附（各一两） 神曲（炒制，半两）
甘草（二钱）
用米粥泛丸，每次服用八十丸。如果热象较多者，加黄连、枳实各一两。服完前面的药后，再服用后面的蠡斯丸。
厚朴 杜仲 桂心 秦艽（各二钱） 附子 茯苓（各六钱） 白薇 半夏 干姜 牛膝 沙参
（各二钱） 人参（四钱） 细辛（半两）
以上药物研为细末，炼蜜制成如小豆大小的丸药。每次服用五丸，空腹时，用酒送服，增加到十丸也无妨。感觉怀孕后，三个月后不可再服用。
忌食牛肉和马肉。这样难产就会在预产期正常分娩。
按：此方即是秦桂丸。丹溪忌讳服用它，大概是忌讳用于瘦弱无血的人。如果是肥胖湿气重的人，又兼服前面的调理药，而所服丸数，
减少十分之九，只服用五分无妨。以上三方是从丹溪的儿子朱懋诚那里得到的，多次试验有效。
【海藏】大五补丸 同上三方丸。
天门冬 麦门冬 石菖蒲 茯苓 人参 益智仁 枸杞子 地骨皮 远志 熟地黄（各等分）
以上药物研为细末，炼蜜制成如梧桐子大小的丸药。空腹时，用酒送服三十丸。服用本方几服后，用七宣丸泄之。
增损三才丸
天门冬（酒浸，去心） 熟地黄（酒蒸） 人参（去芦头） 远志（去心） 五味子 茯苓（酒浸，去心，干燥）
鹿角（酥炙） 一种方法加白马阴茎（酥炙）一种方法加附子，补相火不足。一种方法
加麦门冬，使人有力气。一种方法
加续断，以接续筋骨。一种方法
加沉香，温暖下焦虚冷。
以上药物研为细末，炼蜜捣千下，制成如梧桐子大小的丸药。每次服用五十丸，空腹时，用好酒送服。年老想要进补，加混元衣全个入药。
（混元衣者，即胎衣，头生儿的为佳，用酒浸晒干，细锉为末。）
紫石英丸 治疗妇女不孕。
紫石英（研细，水飞，三两） 天门冬（酒浸，去心，焙干，三两） 当归（切，焙） 川芎
紫葳 卷柏 熟地黄 禹余粮（醋淬，七次） 牡蒙 石斛（去根） 辛夷（各二两） 人参 肉桂
牡丹皮 桑寄生 细辛根 续断 川乌（炮制） 食茱萸 厚朴（姜制） 干姜（炮制） 牛膝（酒浸，各一两）
柏子仁（轻炒，另研） 山蓣 乌贼鱼骨（烧灰。各一两半） 甘草（炙）
以上二十六味药，研为极细末，炼蜜制成如梧桐子大小的丸药。每次服用二十丸，酒、米饮任下，空腹，饭前，每日两次。
【子和】戴人经过谯都军营中饮酒，曾有一个士兵说出休妻的事，戴人问其原因，回答说：我的妻子做女儿时，心下有冷积如倒扣的盆，
按压时有水声，用热手熨烫像冰一样，娶来已经十五年了，恐怕断绝我的后代，所以休了她。戴人说：您不要休弃她。如果用我的药，
病可除去，孕可得。士兵听从了他，戴人诊察他的寸脉沉而迟，尺脉洪大有力，不是不孕的征候，可以不逾年而怀孕。她的丈夫
感叹说：试一试吧。先用三圣散吐出一斗涎沫，心下平软；接着服用白术调中汤、五苓散；后用四物汤调和。不到一个月，气
血合度，几个月后怀了一子。戴人常说：用我的这种方法，没有不能生育的妇女，这话不虚假。一个妇人三十四岁，梦与鬼神
交合，惊怕异常，以及见到
神堂、阴司、舟楫、桥梁，如此十五年，竟然没有妊娠。巫觋祈祷，无所不至，钻肌灸肉，孔穴万
千。面色黄瘦，发热引饮，中满足肿，委命于天。一天苦苦请求戴人。戴人说：阳火盛于上，阴水盛于下，
见鬼神者是阴之灵，神堂者是阴之所，舟楫、桥梁是水之用，两手寸脉皆沉而伏，知道胸中有痰实。凡三
次涌吐、三次泻下、三次发汗，不到十天就没有了梦，一个月就怀孕了。
【《太平惠民和剂局方》】荡胞汤 治疗妇女自出生以来，完全不能生育，以及断绝久不产二三十年者。
朴硝 丹皮 当归 大黄（蒸一顿饭的时间） 桃仁（各三两） 细辛 厚朴 桔梗 赤芍药 人参
茯苓 桂心 甘草 川牛膝 陈皮（各二两） 附子（炮制，一两半） 虻虫（炒焦，去翅足） 水蛭（炒。
各十枚）
以上药物切碎，每次服用四大钱，水酒各半盏，煎至六分，去渣温服，空腹，日三次夜一次。温覆得少许汗，必下
积血及冷赤脓如小豆汁，斟酌下尽。如果体弱困倦不堪者，只一二服停止。然而恐怕恶物不尽，不得药力，
能尽服尽好，不然，用坐导药。
坐导药 治疗完全不能生育及断绝经绪。服前荡胞汤，恶物不尽，用此方。
皂角（去皮子） 吴茱萸 当归（各二两） 细辛（去苗） 五味子 干姜（炮制。各二两） 黄葵花
白矾（枯） 戎盐 蜀椒（各半两）
以上药物研为细末，用绢袋大如手指，长三寸余，盛药令满，缚定纳入妇人阴道中，坐卧任意，勿行走，小便时去
之，再安。一日一度换新的，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，不可中途停止。每日早晚用葱菜煎汤熏之。
【丹溪】秦桂丸论 不孕的原因，多起于妇人，医者不求其原因起于何处，遍阅古方，只有秦桂丸其辞确切，
其意专一，用温热药近乎人情，欣然授之，锐然服之，甘愿承受燔灼之祸，仍然懵懂不悔。为什么呢？阳精的施予，
阴血能摄持它，精形成子，血形成胞，胎孕乃成。现在妇女的不孕，大都由于血少不足以摄精。血的少
，固然不止一端。然而想要得子，必须调补阴血，使无亏欠，才可以推其有余，以成胎孕。为何轻用热剂，
煎熬脏腑，血气沸腾，灾祸立刻到来。有人
说：春气温和，则万物发生，冬气寒凛，则万物消陨。不是秦桂丸的温热，何以得子脏温暖而成胎呢？
我说：诗曰：妇人和平，则乐有子。和则血气均平，则阴阳不争，现在得到此药，经血必转紫黑，渐成衰少，
或提前或推后，开始则饮食骤进，久则口苦而干，阴阳不平，血气不和，疾病蜂起，焉能成胎。纵然成胎，
生子也多病而不寿，因为秦桂丸耗损天真之阴，戒之慎之。（按秦桂丸施于肥人，而减少其丸数，兼服
调理补药，也无妨。但忌讳施于瘦人多火的人。）
【《素问》】督脉生病，女子不孕。
【世医】治疗男子不孕者。用热艾一团，用盐填脐满，却在盐上随盐大小做艾丸灸之。如果痛，即换盐，
直灸至艾尽为度。如果一天灸不尽，二日三日灸之，曾经有效。
【东垣】妇人不孕：胞门（在关元左边一寸，灸五十壮。）又法：气门（在关元旁各开三寸，灸五十壮。）
【《针灸集成》】又法：子宫（在中极旁各开三寸，针入二寸，灸三七壮） 中极
【垣】又法：关元（二十壮，三报穴。）
【《甲乙经》】绝子，灸脐中，令人有子，女子手脚拘挛，腹满，疝，月水不下，乳余疾，绝子，阴痒，
阴交主之。腹满疝积聚余疾绝子，阴痒，刺石门。（《千金》云：奔豚上，少腹坚痛，下引阴中，
不得小便。）女子绝子， 瘀血在内不下，关元主之。（《千金》云：转胞不得溺，小腹满名石水痛。）
妇人子门不端，少腹苦寒，阴痒及痛，经闭不通，中极主之。妇人不孕，涌泉主之。大疝绝子，筑宾
主之。绝子，商丘主之。（穴在内踝前宛宛中。）妇人绝产，若未曾产，阴廉主之。（刺入分半，灸下一寸。）
【仲景】男子脉浮弱而涩，为不孕，精气清冷。
【《脉经》】妇人少腹冷，恶寒久，年少者得之，此为不孕。年大者得之，绝产。脉微弱而涩，年
少得此为不孕，中年得此为绝产。肥人脉细，胞有寒，故令少子，其色黄者，胸上有寒。少阴脉浮而紧，
紧则疝瘕，腹中痛，半产而堕伤，浮则亡血，绝产恶寒。
[Danxi] Leukorrhea during pregnancy.
Cangzhu (Atractylodis Rhizoma, 3 qian) Baizhi (Angelicae Dahuricae Radix, 2 qian) Huanglian (Coptidis Rhizoma, stir-fried, 1.5 qian) Huangqin (Scutellariae Radix, stir-fried, 2 qian) Huangbai (Phellodendri Cortex, stir-fried, 1.5 qian) Baishao (Paeoniae Radix Alba, 2.5 qian)
Chugenpi (Stemonae Radix Cortex, stir-fried, 1.5 qian) Shanzhuyu (Corni Fructus, 2.5 qian)
The above herbs are ground into fine powder, made into pills with paste, taken on an empty stomach, and swallowed with fifty pills using warm wine.
The principle of treating conditions before delivery begins with seeking conception. The method for seeking conception prioritizes regulating the menstruation. It is often observed that women who cannot conceive invariably have irregular menstruation, either advancing or delaying, with scanty or excessive flow,
pain before or after menstruation, purple, black, pale, or coagulated and irregular blood. Irregular menstruation leads to disharmony between Blood and Qi, preventing conception. Examining the causes of irregularity: those advancing, delaying, or painful after menstruation indicate Deficiency. Those with scanty and pale flow indicate Blood Deficiency. Excessive flow indicates Qi Deficiency. Pain before menstruation and un-dispersed clots indicate Stagnation. Purple-black color indicates Stagnation with Heat. Treatment methods: For Blood Deficiency, use Siwu Tang; for Qi Deficiency, Siwu Tang plus Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix); for Stagnation, use Xiangfu (Cyperi Rhizoma), Suosha (Amomi Fructus Rotundus), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Taoren (Persicae Semen), and Yuanhusuo (Corydalis Rhizoma); for chronic and entrenched Stagnation, use emetic and purgative methods; for patterns with Heat indicated by pulse and symptoms, use Siwu Tang plus Huangqin and Huanglian; for patterns with Cold indicated by pulse and symptoms, use Siwu Tang plus Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata) and Zishiyingsu (Hematitum). Only when stagnation is resolved, Qi moves freely, and Deficiency is restored, will Blood and Qi be in harmony, allowing conception. When I treat irregular menstruation,
I often use only Xiangfu powder made into pills with vinegar, which proves effective almost every time.
[Danxi] Obese women often cannot conceive because phlegm-dampness (lipid membranes) blocks the Uterus, causing amenorrhea. Emaciated women cannot conceive
because the Uterus lacks Blood, and Essence and Qi do not gather. Obese individuals infertile should first take regulating medicines.
Danggui (Angelicae Sinensis Radix, 1 liang, washed with wine) Chuanxiong (Ligustici Chuanxiong Rhizoma, 7.5 qian) Baishao (Paeoniae Radix Alba) Baizhu (Atractylodis Macrocephalae Rhizoma) Banxia (Pinelliae Rhizoma, soaked in water) Xiangfu (Cyperi Rhizoma) Chenpi (Citri Reticulatae Pericarpium, each 1 liang)
Fuling (Poria, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang)
Prepare as ten doses, each dose with three slices of fresh ginger, decocted in water, swallowing the following pills.
Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Banxiaqu (Pinelliae Fermentatum, 1 liang) Fuling (Poria, half liang) Juhong (Citri Reticulatae Pericarpium Rubrum, 4 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma) Xiangfu (Cyperi Rhizoma, each 1 liang) Shenqu (Massae Medicamentosa Fermentata, stir-fried, half liang)
Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian)
Make pills with congee, taking eighty pills per dose. If there is excess Heat, add Huanglian (Coptidis Rhizoma) and Zhishi (Aurantii Fructus Immaturus), one liang each. After finishing the previous medicine, take the subsequent Lisipill.
Houpo (Magnoliae Officinalis Cortex) Duzhong (Eucommiae Cortex) Guixin (Cinnamomi Ramulus) Qinjiao (Gentianae Macrophyllae Radix, each 2 qian) Fuzi (Aconiti Lateralis Radix Praeparata) Fuling (Poria, each 6 qian) Baiwei (Cleomatis Caulis et Radix) Banxia (Pinelliae Rhizoma) Ganjiang (Zingiberis Rhizoma) Niuxi (Achyranthis Bidentatae Radix) Shashen (Adenophorae Radix)
(each 2 qian) Renshen (Ginseng Radix et Rhizoma, 4 qian) Xixin (Asari Radix et Rhizoma, half liang)
Grind the above into powder, make pills with refined honey, size of small beans. Take five pills per dose on an empty stomach with wine, increasing to ten pills is acceptable. Once pregnancy is felt, stop taking it after three months.
Avoid beef and horse meat. This prevents difficult labor at term.
Note: This formula is Qingu Wan. Danxi advised against it, likely cautioning its use in emaciated individuals lacking Blood. For obese individuals with dampness, combined with the preceding regulating medicine, reducing the pill count by nine-tenths, taking only a small amount (five fen) is acceptable. These three formulas were obtained from Danxi's son Zhu Maocheng and have proven effective repeatedly.
[Haizang] Dawubu Pill Same as the three pills above.
Tianmendong (Asparagi Radix) Maidong (Ophiopogonis Radix) Changpu (Acori Tatarinowii Rhizoma) Fuling (Poria) Renshen (Ginseng Radix et Rhizoma) Yizhi (Alpiniae Oxyphyllae Fructus) Gouqi (Lycii Fructus) Digupi (Lycii Cortex) Yuanzhi (Polygalae Radix) Shudi (Rehmanniae Radix Praeparata, equal parts)
Grind into fine powder, make pills with refined honey, size of paulownia seeds. Take thirty pills on an empty stomach with wine. After several doses of this formula, administer Qixuan Wan to purge.
Zengsun Sancai Pill
Tianmendong (Asparagi Radix, soaked in wine, heart removed) Shudi (Rehmanniae Radix Praeparata, steamed with wine) Renshen (Ginseng Radix et Rhizoma, rhizome head removed) Yuanzhi (Polygalae Radix, heart removed) Wuweizi (Schisandrae Fructus) Fuling (Poria, soaked in wine, heart removed, dried)
Lujiao (Cervi Cornus Degelatinatum, roasted with butter) One method adds Baima Jing (Equi Penis, roasted with butter). One method adds Fuzi (Aconiti Lateralis Radix Praeparata) to tonify deficient Ministerial Fire. One method
adds Maidong (Ophiopogonis Radix) to enhance strength. One method
adds Xuduan (Dipsaci Radix) to strengthen sinews and bones. One method
adds Chenxiang (Aquilariae Lignum Resinatum) to warm deficiency-cold in the Lower Jiao.
Grind into fine powder, pound with refined honey a thousand times, make pills size of paulownia seeds. Take fifty pills on an empty stomach with good wine. For elderly wishing to tonify, add Hunyuan Yi (Placenta Humana, whole).
(Hunyuan Yi refers to the placenta; that from the first-born child is best. Soak in wine, dry, grind finely.)
Zishiyingsu Pill Treats female infertility.
Zishiyingsu (Hematitum, ground, water-washed, 3 liang) Tianmendong (Asparagi Radix, soaked in wine, heart removed, dried, 3 liang) Danggui (Angelicae Sinensis Radix, sliced, dried) Chuanxiong (Ligustici Chuanxiong Rhizoma)
Ziwei (Bignoniae Caulis) Juanbai (Selaginellae Herba) Shudi (Rehmanniae Radix Praeparata) Yuyuliang (Magnetitum, quenched in vinegar seven times) Mumeng (unknown, possibly Pseudostellariae Radix or similar) Shihu (Dendrobii Caulis, roots removed) Xinyi (Magnoliae Flos, each 2 liang) Renshen (Ginseng Radix et Rhizoma) Rougui (Cinnamomi Cortex)
Mudanpi (Moutan Cortex) Sangjisheng (Taxilli Caulis) Xixin root (Asari Radix et Rhizoma) Xuduan (Dipsaci Radix) Chuanwu (Aconiti Radix, processed) Shizhuyu (Zanthoxyli Fructus) Houpo (Magnoliae Officinalis Cortex, ginger-processed) Ganjiang (Zingiberis Rhizoma, processed) Niuxi (Achyranthis Bidentatae Radix, soaked in wine, each 1 liang)
Baiziren (Biotae Semen, lightly stir-fried, separately ground) Shanyao (Dioscoreae Rhizoma) Wuzheyu Gu (Sepiae Endoconcha, burnt to ash, each 1.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, roasted)
The above twenty-six ingredients are ground to extremely fine powder, made into pills with refined honey, size of paulownia seeds. Take twenty pills per dose, with wine or rice drink, on an empty stomach, before meals, twice daily.
[Zihe] Dairen passed through the Qiao military camp drinking. A soldier mentioned divorcing his wife. Dairen asked why. He replied: "When my wife was a maiden, she had cold accumulation under the heart like an inverted basin,
making a sloshing sound when pressed, feeling like ice when warmed by hot hands. We have been married fifteen years; I fear it will cut off my lineage, so I divorced her." Dairen said: "Do not divorce her. If you use my medicine,
the disease can be removed, and pregnancy achieved." The soldier agreed. Dairen palpated the Cun pulse as deep and slow, the Chi pulse as full and forceful, indicating this was not a case of infertility; pregnancy could occur within a year. Her husband
sighed and said: "Let us try." First, administer Sansheng San to induce vomiting of one dou of saliva/phlegm, until the area under the heart became soft; then administer Baizhu Tiaozhong Tang and Wuling San; finally harmonize with Siwu Tang. Within a month, Qi and Blood were balanced, and she conceived a son after several months. Dairen often said: "Using my method, there are no women who cannot conceive," and this statement is not false. A woman aged thirty-four dreamed of intercourse with spirits, experiencing extreme fear,
and visions of spirit halls, underworld offices, boats, and bridges, for fifteen years, without conceiving. She consulted shamans and priests extensively, drilling skin and moxing flesh, thousands of acupoints. She was sallow, feverish, thirsty, with abdominal fullness and swollen legs, resigning herself to fate. One day she bitterly requested Dairen. Dairen said: "Yang Fire is excessive above, Yin Water is excessive below. Seeing spirits is the manifestation of Yin. Spirit halls are Yin residences. Boats and bridges relate to water. Both Cun pulses are deep and hidden, indicating Phlegm-Excess in the Chest. Perform three rounds of emesis, three rounds of purgation, and three rounds of sweating. Within ten days, the dreams ceased, and she conceived within a month."
[Tai Ping Hui Min He Ji Ju Fang] Dangbao Tang Treats women who have never borne children since birth, or have been sterile for twenty to thirty years.
Piaoxiao (Natrii Sulfas) Danpi (Moutan Cortex) Danggui (Angelicae Sinensis Radix) Dahuang (Rhei Radix et Rhizoma, steamed for one meal duration) Taoren (Persicae Semen, each 3 liang) Xixin (Asari Radix et Rhizoma) Houpo (Magnoliae Officinalis Cortex) Kujie (Platycodonis Radix) Chishao (Paeoniae Radix Rubra) Renshen (Ginseng Radix et Rhizoma)
Fuling (Poria) Guixin (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma) Chuanniuxi (Cyathulae Radix) Chenpi (Citri Reticulatae Pericarpium, each 2 liang) Fuzi (Aconiti Lateralis Radix Praeparata, processed, 1.5 liang) Mengchong (Blaberidae, stir-fried until charred, wings and feet removed) Shuizhi (Hirudo, stir-fried.
each ten pieces)
Cut the above ingredients. Take four qian per dose, with half cup water and half cup wine, decoct to six-tenths, strain, and take warm on an empty stomach, three times daily and once at night. Cover warmly to induce slight sweating. Expelled material will include accumulated blood and cold red pus resembling mung bean juice. Adjust dosage until fully expelled. If the patient is weak and unable to tolerate, stop after one or two doses. However, fearing incomplete expulsion of pathogenic factors and insufficient medicinal effect,
complete the course if possible; otherwise, use Sitao Yao (Vaginal Suppository Medicine).
Sitao Yao Treats complete infertility and cessation of menstruation. After taking Dangbao Tang, if pathogenic matter is not fully expelled, use this formula.
Zaojiao (Gleditsiae Sinensis Spina, skin and seeds removed) Wuzhuyu (Evodiae Fructus) Danggui (Angelicae Sinensis Radix, each 2 liang) Xixin (Asari Radix et Rhizoma, weeds removed) Wuweizi (Schisandrae Fructus) Ganjiang (Zingiberis Rhizoma, processed. each 2 liang) Huang Kui Hua (Malvae Rosae Flower)
Baifan (Alumen, calcined) Rongyan (Halitum) Shuzhao (Zanthoxyli Fructus, each half liang)
Grind into fine powder. Place in a silk bag the size of a finger, over three inches long, fill with medicine, tie securely, and insert into the vagina. Sit or lie as desired, avoid walking. Remove during urination and reinsert. Replace with a new one once daily. Clear yellow cold discharge will ensue; stop when discharge ceases. If no pathology is expelled, may leave in place for ten days. This is due to cold pathogenic matter in the Uterus
causing infertility. In cold weather, pain occurs. Must wait until all pathology is expelled before stopping; do not interrupt. Daily morning and evening, fumigate with Cong Cai (Allium fistulosum) decoction.
[Danxi] Discussion on Qingu Wan Causes of infertility often originate in women. Physicians fail to investigate the root cause, instead consulting ancient formulas. Only Qingu Wan has precise wording
and focused intent. Using warming herbs appeals to human desire, so patients gladly accept and eagerly take them, enduring burning harm, yet remaining ignorant and unrepentant. Why? Yang Essence is applied,
Yin Blood captures it. Essence forms the fetus, Blood forms the sac, thus conception occurs. Now, women infertile mostly suffer from insufficient Blood to capture Essence. Scarcity of Blood
has various causes. To conceive, one must regulate and tonify Yin Blood, ensuring no deficiency, thereby utilizing surplus to form the fetus. Why use heat-inducing agents recklessly,
scorching Zang-Fu organs, boiling Blood and Qi, bringing immediate disaster? Some
say: Spring warmth allows all things to grow; Winter cold causes all things to wither. Without the warmth of Qingu Wan, how can the Zi Zang (Uterus) become warm to conceive?
I say: The Book of Songs states: "When a woman is harmonious, she joyfully bears children." Harmony means balanced Blood and Qi, non-conflicting Yin and Yang. With this medicine, menstrual blood turns purple-black, gradually becoming scanty,
either early or late. Initially, appetite increases rapidly; later, bitter taste and dry mouth appear. Yin and Yang become imbalanced, Blood and Qi disharmonious, diseases arise frequently, how can conception occur? Even if conception occurs,
the child will likely be sickly and short-lived, as Qingu Wan depletes the True Yin. Beware and be cautious. (Note: Qingu Wan applied to obese individuals, with reduced dosage, combined with
regulating tonics, is acceptable. But contraindicated for emaciated individuals with excess Fire.)
[Su Wen] Disease of the Du Mai (Governor Vessel) causes female infertility.
[Shi Yi] Treating male infertility. Use a ball of warm mugwort, fill the navel with salt, then place moxa cones on the salt according to the salt's size. If painful, replace the salt.
Moxibustion continues until the moxa is exhausted. If not finished in one day, continue on the second or third day. Proven effective.
[Dong Yuan] Female infertility: Baomen (One cun to the left of Guanyuan, moxibustion 50 zhuang.) Another method: Qimen (Three cun lateral to Guanyuan, moxibustion 50 zhuang.)
[Ji Cheng] Another method: Zigong (Three cun lateral to Zhongji, needle insertion two cun, moxibustion 21 zhuang) Zhongji
[Yuan] Another method: Guanyuan (20 zhuang, Sanbao point.)
[Jia Yi Jing] Infertility, moxibustion at Qizhong (CV10), promotes fertility. Women with limb spasms, abdominal fullness, hernia, amenorrhea, breast disorders, infertility, vaginal itching,
Yinjiao (KI10) governs these. Abdominal fullness, hernia, masses, other disorders, infertility, vaginal itching, puncture Shimen (CV5). [Qian Jin] says: Ben Tun (Rushing Pig) ascending, lower abdominal hardness and pain, radiating to genitals, inability to urinate. Female infertility, blood stasis retained internally not descending, Guanyuan (CV4) governs. [Qian Jin] says: Reversed bladder unable to urinate, lower abdominal fullness named Shui Tong (Stone Water Pain).
Women with misaligned Zi Men (vaginal opening), suffering cold in lower abdomen, vaginal itching and pain, amenorrhea, Zhongji (CV3) governs. Female infertility, Yongquan (KI1) governs. Large hernia causing infertility, Zhubin (KI5) governs. Infertility, Shangqiu (SP5) governs. (Point located in the depression anterior to the medial malleolus.) Female sterility, whether nulliparous or parous, Yinlian (LR11) governs. (Insert needle half cun, moxibustion one cun below.)
[Zhong Jing] Male pulse floating, weak, and choppy indicates infertility, clear and cold Essence and Qi.
[Mai Jing] Women with cold lower abdomen and prolonged aversion to cold: if young, this indicates infertility. If older, this indicates sterility. Pulse faint, weak, and choppy: if young, infertility; if middle-aged, sterility. Obese women with thin pulse, Cold in the Bao Mai (Uterus), thus few children. Yellow complexion indicates Cold in the Upper Jiao. Shaoyin pulse floating and tight: tight indicates Hernia/Mass, abdominal pain, miscarriage injury; floating indicates Blood loss, sterility, aversion to cold.