《千金方》云∶论曰∶夫妇人所以有别方者,以其血气不调,胎妊产生,崩伤之异故也。
所以妇人之病,比之男子十倍难疗。若四时节气为病,虚实冷热为患者,与丈夫同也。唯怀
胎妊挟病者,避其毒药耳。
又云∶女人嗜欲多于丈夫,感病则倍于男子,加以慈恋、爱憎、嫉妒、忧恚、深着坚牢,
情不自抑,所以为病根深,疗之难瘥。故傅母之徒亦不可不学。
《短剧方》云∶古时妇人病易治者,嫁晚,肾气立,少病,不甚有伤故也。今时嫁早,
肾根未立,而产伤肾故也,是以今世少妇有病,必难治也。早嫁早经产虽无病者,亦夭也。
《病源论》云∶妇人面上黑 者,或脏腑有痰饮,或皮肤受风邪,血气不调,致生黑 。
若皮肤受风外治则瘥;腑腑有饮,内疗方愈。
《僧深方》治妇人面 方∶
取茯苓,冶筛,蜜和,以涂面,日四五。
又方∶取桃仁,冶筛,鸡子白和以涂面,日四五。
《经心方》治面 方∶
取杏仁末和鸡子白,敷之一宿,即落。
《病源论》云∶妇人面上黑子者,风邪搏血气变化所生。
《如意方》去黑子方∶
乌贼鱼骨 细辛 栝蒌 干姜 蜀椒
分等,苦酒渍三日,牛髓一斤煎黄色,绞以装面,令白悦,去黑子。(面 黑子方详在
上帙四卷。)
《千金方》中说:论述道:妇女之所以有区别于男子的特殊治疗方法,是因为她们的血气不调,以及怀孕、分娩、崩漏、外伤等情况的特殊性。
所以妇女的疾病,比男子难治十倍。如果是因四季节气变化引起的疾病,或因虚实、冷热失调引起的疾病,治疗方法与男子相同。只有怀孕患病的情况,需要避开使用有毒的药物罢了。
又说:女人的欲望比男人多,感邪发病的概率也比男子加倍,再加上慈爱眷恋、爱憎情绪、嫉妒、忧愁愤怒等情感深沉牢固,感情无法自我抑制,所以致病根源深固,治疗难以痊愈。因此,负责教导和照顾妇女的傅母等人也不可不通晓医术。
《短剧方》中说:古时候妇女容易治疗的疾病,是因为嫁得晚,肾气稳固,生病少,身体没有受到太大损伤的缘故。现在的人嫁得早,肾根尚未稳固,又因生产损伤肾脏,所以现在年轻妇女患病,一定难以治愈。早嫁且多次经产,即使目前没有生病,也会折损寿命。
《诸病源候论》中说:妇女脸上出现黑斑(黚),有的是因为脏腑内有痰饮,有的是皮肤受风邪侵袭,导致血气不调,从而产生黑斑。如果是皮肤受风邪所致,通过外治法即可痊愈;如果是脏腑内有痰饮,必须通过内服药物治疗才能康复。
《僧深方》治疗妇女面部黑斑的方子:
取茯苓,研磨过筛,用蜂蜜调和,涂抹于面部,每天四到五次。
另一个方子:取桃仁,研磨过筛,用鸡蛋清调和后涂抹于面部,每天四到五次。
《经心方》治疗面部黑斑的方子:
取杏仁末与鸡蛋清混合,敷贴一夜,黑斑自然脱落。
《诸病源候论》中说:妇女脸上的黑痣(黑子),是由风邪与血气搏结变化所生成的。
《如意方》去除黑痣的方子:
乌贼鱼骨 细辛 栝蒌 干姜 蜀椒
各分量相等,用醋浸泡三天,加入一斤牛骨髓煎至黄色,过滤后装入容器中涂抹面部,使面色洁白悦目,去除黑痣。(关于面部黑痣的方子详见上帙第四卷。)
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) states: The discussion holds that women have distinct treatment methods from men because of their irregular blood and qi, as well as the specific conditions of pregnancy, childbirth, metrorrhagia (abnormal uterine bleeding), and trauma.
Therefore, diseases in women are ten times more difficult to treat than those in men. If the illness is caused by the seasonal changes of the four seasons, or by patterns of deficiency/excess and cold/heat, the treatment is the same as for men. Only in cases of pregnancy complicated by disease should toxic drugs be avoided.
It further states: Women have more desires than men, and when affected by pathogens, they are twice as likely to fall ill as men. Additionally, due to deep attachments such as affection, love and hate, jealousy, worry, and anger, which are firmly rooted and beyond self-control, the root of the disease becomes deep-seated, making it difficult to cure. Therefore, even wet nurses and attendants (*Fumu*) must study medicine.
The *Duanju Fang* (Short Treatise Formulas) states: In ancient times, women's diseases were easier to treat because they married late, allowing their Kidney Qi to become established, resulting in fewer illnesses and less physical damage. Nowadays, women marry early, before their Kidney roots are established, and suffer kidney damage from childbirth; thus, illnesses in young women today are necessarily difficult to treat. Early marriage and frequent pregnancies may lead to premature death even if no disease is currently present.
The *Bingyuan Lun* (Treatise on the Origins and Manifestations of Various Diseases) states: Black spots (*zhan*) on a woman's face may arise from phlegm-fluid retention within the Zang-Fu organs, or from wind-pathogen invasion of the skin, leading to irregular blood and qi circulation. If caused by wind invading the skin, external treatment will suffice for recovery; if caused by fluid retention in the Zang-Fu organs, internal treatment is required for healing.
The *Seng Shen Fang* (Monk Shen's Formulas) for treating facial black spots:
Take Poria (*Poria*), grind and sieve it, mix with honey, and apply to the face four to five times daily.
Another formula: Take Peach Kernel (*Persicae Semen*), grind and sieve it, mix with egg white, and apply to the face four to five times daily.
The *Jingxin Fang* (Formulas of the Heart-Mind) for treating facial black spots:
Take Almond powder mixed with egg white, apply overnight, and the spots will fall off.
The *Bingyuan Lun* states: Black moles (*hei zi*) on a woman's face are generated by the interaction and transformation of wind-pathogen and blood/qi.
The *Ruyi Fang* (Formulas of Ruyi) for removing black moles:
Cuttlebone (*Sepiae Endoconcha*), Asarum (*Asari Radix et Rhizoma*), Trichosanthes Fruit (*Trichosanthis Fructus*), Dried Ginger (*Zingiberis Rhizoma*), Sichuan Pepper (*Zanthoxyli Pericarpium*).
Mix equal parts, soak in vinegar for three days, then decoct with one jin (approx. 500g) of Ox Marrow until yellow. Strain and apply to the face to whiten and beautify the complexion, removing black moles. (For formulas regarding facial black moles, see Volume 4 of the Upper Scroll.)