《史记》 川王美人，怀子而不乳，召淳于意往视，与莨菪药一撮，以酒饮之，旋乳。
意
乳，产也。怀子而不乳者，气血凝涩，宜产而不产也。莨菪能行痹气，酒性能行滞血，
故主之而旋乳。复诊其脉燥，燥属有力，故为有余，有余之疾宜攻矣，故用硝石以下其积血。
当归（二钱） 黄 （一两） 葱白（十枚）
产后无乳者，宜此方主之。
乳者，气血之所成也。故气血充盛之妇，未尝无乳，凡见无乳者，皆气体怯弱之妇也。
是方也，用当归、黄 大补其气血，此养乳汁之源也。葱白辛温，直走阳明，阳明达于乳房，
故
当归尾 赤芍药 酒红花 酒牛膝（各五钱）
欲摘乳者，此方主之。
妇人之血，下则为月，上则为乳。欲摘乳者，通其月事，则乳汁下行，免乳胀之苦矣。
是方也，归尾、赤芍、红花、牛膝，皆下行导血之品也，以故用之。名曰免怀者，子生三年，
然
叙曰∶嗣以衍宗，微嗣，匪孝也，君子恒重之。故效 之祀，尼丘之祷，古人胥急焉。
然有祈之、药之，终身不一嗣者，此何以故哉？嗟夫！天地有不毛之处，故亦有无子之人，
《灵枢》所以泄其微也，兹考方药五条，道其能嗣者尔。
人参（去芦） 天门冬（去心） 当归（酒洗） 泽泻（去毛） 山茱萸（去核） 石
菖蒲（炒） 赤石脂 五味子（去梗） 覆盆子（去萼） 白茯苓 车前子 广木香 柏子
仁（各一两） 山药（姜汁炒） 川巴戟（去心） 川椒（去目与梗及闭口者，炒出汗） 川
牛膝（去芦，酒洗） 生地黄 熟地黄 地骨皮（去木与土） 杜仲（各二两） 远志（去
芦，甘草汤泡，去心） 肉苁蓉（酒洗，去心膜，晒干） 枸杞子（各三两） 菟丝子（酒
洗，去土，仍用酒蒸，捣饼晒干，四两）
上药廿五味，炼蜜作丸，梧子大。每服三十丸，日三。
男妇艰嗣者，此方主之。
二五之精，妙合而凝，然后成形孕育，故求嗣者，宜实其精。世人益精，专于补肾，此
求其末也。经曰∶肾者主水，受五脏六腑之精而藏之，故五脏盛乃能写。如斯言之，则肾主
藏精耳，而生精之原，固本于五脏六腑也。是方也，人参、天门冬、五味子，用之补肺。石
菖蒲，柏子仁、当归、远志，用之养心；白茯苓、怀山药，用之养脾。山茱萸、熟地黄、覆
盆、杜仲、牛膝、巴戟、苁蓉、枸杞、菟丝，用之补肝肾，所以然者，肝肾同一治也。乃车
前、泽泻，利其灼阴之邪。生地、骨皮，平其五脏之火。石脂之涩，所以固精。木香之窜，
所以利六腑。川椒之辛，所以散湿痹也。此则兼五脏六腑而调之，五脏之精实，六腑之气和，
夫然后可以媾精而宜子矣！非得《内经》之旨者，不能识此。
《史记》记载：川王的宠妃，怀孕后却无乳汁分泌，于是召请淳于意前去诊治。淳于意给她一撮莨菪药，用酒送服，随即就分泌了乳汁。
“乳”，指分娩。怀孕后不能分娩的，是因为气血凝滞涩阻，应当分娩而不能分娩。莨菪能够通行痹阻之气，酒性能够运行停滞之血，所以主治此症而迅速分娩。再次诊察她的脉象燥急有力，燥急属于有力之脉，所以判断为有余之证，有余的病邪适宜攻逐，所以使用硝石来下行积血。
当归（二钱） 黄芪（一两） 葱白（十枚）
产后没有乳汁的，适宜用此方主治。
乳汁，是由气血所化生的。所以气血充盛的妇女，未曾没有乳汁；凡是见到没有乳汁的，都是体质怯弱的妇女。这个方子，使用当归、黄芪大补其气血，这是滋养乳汁的来源。葱白辛温，直走阳明经，阳明经通达乳房，所以……
当归尾 赤芍药 酒红花 酒牛膝（各五钱）
想要回奶（断乳）的，此方主治。
妇女的血，向下则为月经，向上则化为乳汁。想要回奶的，通调其月经，则乳汁下行，免除乳房胀痛之苦了。这个方子中，归尾、赤芍、红花、牛膝，都是下行引导血液的药物，因此使用它们。命名为“免怀”，是因为孩子出生三年后……
序言说：继承宗嗣以延续家族血脉，如果没有后代，就不是孝道，君子通常很重视这一点。所以效法先王祭祀祖先，在尼丘山祈祷得子，古人都对此很急切。然而有祈求的、用药的，终身没有后代的，这是什么原因呢？唉！天地有不生长草木的地方，所以也有没有子女的人，《灵枢》所以揭示其中的微妙道理，这里考证方药五条，讲述那些能够求得子嗣的方法罢了。
人参（去芦头） 天门冬（去心） 当归（酒洗） 泽泻（去毛） 山茱萸（去核） 石菖蒲（炒） 赤石脂 五味子（去梗） 覆盆子（去萼） 白茯苓 车前子 广木香 柏子仁（各一两） 山药（姜汁炒） 川巴戟天（去心） 川椒（去目与梗及闭口者，炒出汗） 川牛膝（去芦头，酒洗） 生地黄 熟地黄 地骨皮（去木与土） 杜仲（各二两） 远志（去芦头，甘草汤泡，去心） 肉苁蓉（酒洗，去心膜，晒干） 枸杞子（各三两） 菟丝子（酒洗，去土，仍用酒蒸，捣饼晒干，四两）
以上二十五味药，炼蜜制成丸药，如梧桐子大小。每次服用三十丸，每日三次。
男女难以生育的，此方主治。
阴阳二精，奇妙结合而凝聚，然后形成形体孕育生命，所以求子的，适宜充实其精气。世人补充精气，专门补肾，这是追求末节。经文说：肾主水，接受五脏六腑的精气而贮藏它，所以五脏盛实才能排泄（施泄）。像这样的话，那么肾主要贮藏精气罢了，而生精的根本，确实源于五脏六腑。这个方子中，人参、天门冬、五味子，用来补肺；石菖蒲、柏子仁、当归、远志，用来养心；白茯苓、怀山药，用来养脾。山茱萸、熟地黄、覆盆子、杜仲、牛膝、巴戟天、肉苁蓉、枸杞子、菟丝子，用来补肝肾，之所以这样，是因为肝肾同治。至于车前子、泽泻，利除灼伤阴液的邪气；生地黄、地骨皮，平抑五脏之火；赤石脂的收敛固涩，用来固摄精气；木香的行窜，用来疏通六腑；川椒的辛散，用来驱散湿痹。这是兼调五脏六腑，使五脏的精气充实，六腑的气机调和，然后才可以交媾精气而适宜生子！不是精通《内经》旨意的人，不能认识这个道理。
According to the *Records of the Grand Historian* (*Shiji*), the favored concubine of the King of Chuan was pregnant but did not lactate. Chunyu Yi was summoned to examine her. He gave her a pinch of *Lángdàng* (Datura seed) medicine, administered with wine, and she lactated immediately.
"Lactation" here refers to childbirth. Pregnancy without parturition is due to coagulation and stagnation of Qi and Blood; it is a condition where delivery should occur but does not. *Lángdàng* can move obstructed Qi, and wine has the property of moving stagnant Blood; therefore, this treatment leads to immediate parturition. Upon re-examining her pulse, it was found to be dry and forceful. A dry and forceful pulse indicates excess conditions. Excess diseases are suitable for purgative treatment; thus, *Xiaoshí* (Niter/Sodium Nitrate) was used to descend accumulated blood.
*Danggui* (Angelicae Sinensis Radix, 2 qian), *Huangqi* (Astragali Radix, 1 liang), *Congbai* (Allii Cepae Bulbus, 10 stalks).
For postpartum agalactia (lack of milk), this formula is indicated.
Milk is formed from Qi and Blood. Therefore, women with abundant Qi and Blood invariably have milk. Those presenting with agalactia are generally women with weak constitution. This formula uses *Danggui* and *Huangqi* to greatly tonify Qi and Blood, thereby nourishing the source of milk. *Congbai* is pungent and warm, acting directly on the Yangming channel, which connects to the breasts; thus...
*Dangguiwei* (Tail of Angelicae Sinensis Radix), *Chishao* (Paeoniae Rubra Radix), *Jiu Honghua* (Safflower processed with wine), *Jiu Niuxi* (Cyathulae Radix processed with wine) (each 5 qian).
For weaning (cessation of lactation), this formula is indicated.
In women, blood flows downward as menstruation and upward as milk. To achieve weaning, one regulates menstruation so that milk flows downward, avoiding the discomfort of breast distension. In this formula, *Dangguiwei*, *Chishao*, *Honghua*, and *Niuxi* are all herbs that guide blood downward; hence they are used. It is named "Mianhuai" (Avoiding Pregnancy/Weaning) because...
Preface: Lineage continuation is essential for extending the family line; lacking heirs is unfilial. Thus, gentlemen value this highly. Therefore, emulating ancestral sacrifices and praying at Niqiu Mountain, the ancients were eager for offspring. However, some who pray or take medicine remain childless throughout their lives. Why is this? Alas! Just as there are barren places in heaven and earth, there are also childless people. The *Lingshu* reveals these subtleties. Here, five formulas are examined to describe methods for obtaining offspring.
*Renshen* (Ginseng Radix et Rhizoma, de-rooted), *Tianmendong* (Asparagi Radix, de-core), *Danggui* (Angelicae Sinensis Radix, washed with wine), *Zexie* (Alismatis Rhizoma, de-hairy), *Shanzhuyu* (Corni Fructus, de-seeded), *Shichangpu* (Acori Tatarinowii Rhizoma, stir-fried), *Chishizhi* (Halloysit Rubrum), *Wuweizi* (Schisandrae Chinensis Fructus, de-stemmed), *Fupenzi* (Rubiae Fructus, de-caliced), *Baifuling* (Poria), *Cheqianzi* (Plantaginis Semen), *Guomuxiang* (Costi Rhizoma), *Baiziren* (Biota Seed) (each 1 liang), *Shanyao* (Dioscoreae Rhizoma, stir-fried with ginger juice), *Chuan Bajitian* (Morindae Officinalis Radix, de-core), *Chuanjiao* (Zanthoxyli Pericarpium, removing eyes, stems, and closed ones, stir-fried until oil appears), *Chuan Niuxi* (Cyathulae Radix, de-rooted, washed with wine), *Sheng Dihuang* (Rehmanniae Radix), *Shu Dihuang* (Prepared Rehmanniae Radix), *Digupi* (Lycii Cortex, de-wood and soil), *Duzhong* (Eucommiae Cortex) (each 2 liang), *Yuanzhi* (Polygalae Radix, de-rooted, soaked in licorice decoction, de-core), *Roucongrong* (Cistanches Herba, washed with wine, de-membrane, sun-dried), *Gouqizi* (Lycii Fructus) (each 3 liang), *Tusizi* (Cuscutae Semen, washed with wine, cleaned, steamed with wine, pounded into cakes, sun-dried, 4 liang).
The above twenty-five herbs are processed with refined honey to make pills, sized like wutong seeds. Take thirty pills per dose, three times daily.
This formula is indicated for male and female infertility.
The essence of Yin and Yang combines miraculously to form the body and nurture life. Therefore, those seeking offspring should solidify their essence. People today often supplement essence by focusing solely on tonifying the Kidney; this seeks the branch rather than the root. The Classics state: The Kidney governs water and receives the essence of the Zang and Fu organs to store it. Thus, only when the Five Zang are abundant can essence be excreted. From this, it follows that the Kidney primarily stores essence, but the origin of generating essence lies fundamentally in the Five Zang and Six Fu organs. In this formula, *Renshen*, *Tianmendong*, and *Wuweizi* are used to tonify the Lung; *Shichangpu*, *Baiziren*, *Danggui*, and *Yuanzhi* are used to nourish the Heart; *Baifuling* and *Huai Shanyao* are used to nourish the Spleen. *Shanzhuyu*, *Shu Dihuang*, *Fupenzi*, *Duzhong*, *Niuxi*, *Bajitian*, *Roucongrong*, *Gouqizi*, and *Tusizi* are used to tonify the Liver and Kidney, because the Liver and Kidney share the same treatment principle. Meanwhile, *Cheqianzi* and *Zexie* drain pathogenic factors that scorch Yin; *Sheng Dihuang* and *Digupi* clear fire from the Five Zang; *Chishizhi* astringes to consolidate essence; *Guomuxiang* moves to unblock the Six Fu organs; *Chuanjiao* disperses dampness and bi-syndrome. This formula harmonizes both the Five Zang and Six Fu organs. When the essence of the Five Zang is sufficient and the Qi of the Six Fu organs is harmonious, then conception can occur and children can be born. Only those who understand the principles of the *Neijing* can recognize this.