虻虫(四百枚,去翅足,熬) 水蛭(三百枚,熬) 蛴螬(一升,熬) 干地黄 牡
丹皮
干漆(熬) 土瓜根 芍药 牛膝 桂心(各四两) 黄芩 牡蒙 桃仁(熬,去皮尖双仁,
各三
两) 茯苓 海藻(各五两) 葶苈(五合,熬令紫色) 吴茱萸(二两)
上一十七味,捣筛为末,别捣桃仁葶苈如脂,炼蜜和为丸如梧桐子大。酒服七丸,日三
服。(《千金》有芒硝、人参。)
治月水不通闭塞方∶
牛膝(一斤) 麻子仁(三升,蒸之) 土瓜(三两) 桃仁(二升,熬,去皮尖双仁)
上四味,以酒一斗五升渍五宿。一服五合,渐增至一升,日一服,多饮益佳。
治妇人产后风冷,留血不去,停结月水闭塞方∶
子 桃仁(去皮尖双仁,熬) 麻子仁(碎,各二升)
上三味,以酒三斗,合煮至二斗。一服五合,日三服,稍加至一升,佳。
治月水闭不通,结瘕,腹大如KT ,短气欲死。
虎杖(一百斤,去头脑,洗去土,曝燥,切) 土瓜根汁 牛膝汁(各二斗)
上三味,以水一斛渍虎杖一宿,明旦煎余二斗,纳土瓜牛膝汁,搅令调,于汤器中煎使
如饴糖。酒服一合,日二夜一服。当下,若病去,但令服尽。
治带下月经闭不通方∶
大黄(六升) 朴硝(五两) 桃仁(去皮尖及双仁) 虻虫(去翅足,各一升,并熬)
上四味,捣筛为末,别捣桃仁如膏,以淳苦酒四升,以铜铛着火上煎减一升,纳药三校
之,又减一升,纳朴硝,煎如锡可止,丸如鸡子,投一升美酒中。当宿不食服之。至日西下,
或
虻虫(四百枚,去除翅膀和足,炒制) 水蛭(三百枚,炒制) 蛴螬(一升,炒制) 干地黄 牡丹皮 干漆(炒制) 土瓜根 芍药 桂心(各四两) 黄芩 牡蒙 桃仁(炒制,去皮尖及双仁,各三两) 茯苓 海藻(各五两) 葶苈(五合,炒至紫色) 吴茱萸(二两)
以上十七味药,捣碎过筛成粉末,另外将桃仁和葶苈捣烂如脂状,用炼蜜调和制成梧桐子大小的丸剂。每次服用七丸,用酒送服,每日三次。(《千金方》中有芒硝、人参。)
治疗月经不通闭塞的方剂:
牛膝(一斤) 麻子仁(三升,蒸制) 土瓜(三两) 桃仁(二升,炒制,去皮尖及双仁)
以上四味药,用酒一斗五升浸泡五个夜晚。每次服用五合,逐渐增加至一升,每日一次,多饮用效果更佳。
治疗妇人产后受风冷,瘀血不去,停结导致月经闭塞的方剂:
[原文此处有脱漏或错简,似缺一味药名,仅列] 桃仁(去皮尖及双仁,炒制) 麻子仁(捣碎,各二升)
以上三味药,用酒三斗,共同煎煮至二斗。每次服用五合,每日三次,逐渐增加至一升,效果较好。
治疗月经闭止不通,结成瘕块,腹部胀大如KT(注:原文疑为“箕”或类似形容腹部膨隆之字),呼吸短促欲死。
虎杖(一百斤,去除根头,洗净泥土,晒干,切碎) 土瓜根汁 牛膝汁(各二斗)
以上三味药,用水一斛浸泡虎杖一个晚上,第二天早晨煎煮剩余药液至二斗,加入土瓜根汁和牛膝汁,搅拌调和,在汤器中煎煮使药液浓稠如饴糖。每次服用一合,每日两次,夜间一次。服药后应当排出瘀血,如果病愈,只需服完即可。
治疗带下病且月经闭止不通的方剂:
大黄(六升) 朴硝(五两) 桃仁(去皮尖及双仁) 虻虫(去除翅膀和足,各一升,并炒制)
以上四味药,捣碎过筛成粉末,另外将桃仁捣烂如膏状,用纯苦酒四升,在铜锅中加热煎煮减少一升,加入药粉三校(注:量词,疑为“撮”或特定计量单位,此处保留原意),再煎煮减少一升,加入朴硝,煎煮至像锡熔化时的状态停止,制成鸡蛋大小的丸剂,投入一升美酒中。前一晚禁食后服用。到了傍晚时分,或者
Cheng Ting (Blood-sucking Fly, *Dysdercus* spp.) (400 pieces, wings and feet removed, roasted) Shu Zhi (Leech, *Hirudo nipponica*) (300 pieces, roasted) Qi Cao (Larva of *Mylabris phalerata*, roasted) (1 sheng) Gan Di Huang (Dried Rehmanniae Radix) Mu Dan Pi (Moutan Cortex) Gan Qi (Dried Resina Commiphorae, roasted) Tu Gua Gen (Trichosanthes Root) Shao Yao (Paeoniae Radix) Gui Xin (Cinnamon Twig) (each 4 liang) Huang Qin (Scutellariae Radix) Mu Meng (likely *Akebiae Caulis* or similar, uncertain standard equivalent, kept as Mu Meng) Tao Ren (Peach Kernel, roasted, skin and pointed ends removed, non-double kernels, each 3 liang) Fu Ling (Poria) Hai Zao (Sargassum) (each 5 liang) Ting Li (Descurainiae Semen/Semen Lepidii) (5 he, roasted until purple) Wu Zhu Yu (Evodiae Fructus) (2 liang)
The above seventeen medicinal materials are crushed and sifted into powder. Separately, crush the Tao Ren and Ting Li into a paste-like consistency. Mix with refined honey to form pills the size of wutong tree seeds. Take 7 pills with wine, three times a day. (In *Qian Jin Fang*, Mang Xiao [Mirabilite] and Ren Shen [Ginseng] are included.)
Formula for treating amenorrhea due to obstruction:
Niu Xi (Achyranthis Bidentatae Radix) (1 jin) Ma Zi Ren (Cannabis Seed) (3 sheng, steamed) Tu Gua (Trichosanthes Fruit/Root) (3 liang) Tao Ren (Peach Kernel) (2 sheng, roasted, skin and pointed ends removed, non-double kernels)
The above four medicinal materials are soaked in 1 dou 5 sheng of wine for five nights. Take 5 he per dose, gradually increasing to 1 sheng, once a day. Drinking more is beneficial.
Formula for treating postpartum wind-cold in women, where retained blood does not disperse, leading to menstrual obstruction:
[Tao Ren] (Peach Kernel, skin and pointed ends removed, roasted) Ma Zi Ren (Cannabis Seed, crushed) (each 2 sheng)
The above three medicinal materials are boiled together in 3 dou of wine until reduced to 2 dou. Take 5 he per dose, three times a day, gradually increasing to 1 sheng, which is preferable.
For treating amenorrhea with formation of masses (jia), abdominal distension resembling a basket, shortness of breath, and feeling of impending death:
Hu Zhang (Polygoni Cuspidati Rhizoma et Radix) (100 jin, remove root heads, wash off soil, dry in sun, slice) Tu Gua Gen Juice (Juice of Trichosanthes Root) Niu Xi Juice (Juice of Achyranthis Bidentatae Radix) (each 2 dou)
The above three medicinal materials are soaked in 1 hu of water overnight. On the next morning, decoct the remaining liquid to 2 dou. Add the Tu Gua Gen juice and Niu Xi juice, stir well, and further decoct in a soup vessel until the consistency resembles maltose syrup. Take 1 he with wine, twice during the day and once at night. The patient should experience evacuation of blood stasis. If the disease resolves, simply finish the course.
Formula for treating leukorrhea accompanied by amenorrhea:
Da Huang (Rhei Radix et Rhizoma) (6 sheng) Pu Xiao (Mirabilite) (5 liang) Tao Ren (Peach Kernel, skin, pointed ends, and double kernels removed) Cheng Ting (Blood-sucking Fly, *Dysdercus* spp., wings and feet removed, each 1 sheng, roasted)
The above four medicinal materials are crushed and sifted into powder. Separately, crush the Tao Ren into a paste. Use 4 sheng of pure sour vinegar (Ku Jiu). Heat in a copper pot and reduce by one sheng. Add the powdered medicine (three scoops/cups), reduce by another sheng. Add Pu Xiao, and cook until it reaches the consistency of molten tin. Form into pills the size of chicken eggs. Soak them in 1 sheng of fine wine. Take on an empty stomach after fasting overnight. In the late afternoon, or