治妇人带下五贲,一曰热病下血;二曰寒热下血;三曰月经未断为房室,即漏血;四曰
经来举重伤妊脉,下血;五曰产后脏开经利。五贲之病,外实内虚,小牛角 散方∶
小牛角 (五枚,烧令赤) 龙骨(一两) 禹余粮 干姜 当归(各二两) 阿胶(炙)
续
断(各三两)
上七味,捣筛为散。空腹酒服方寸匕,日三服(《千金》有赤小豆、鹿茸、乌贼鱼骨,
为十味。)
治妇人缦下十二病绝产,一曰白带,二曰赤带,三曰经水不利,四曰阴胎,五曰子脏坚
,六曰子脏僻,七曰阴阳患痛,八曰腹强(一作内强),九曰腹寒,十曰五脏闭,十一曰五
脏
酸痛,十二曰梦与鬼为夫妇。
(“缦下”《千金》作“淳下”)∶
龙骨(三两) 白僵蚕(五枚) 乌贼鱼骨 代赭(各四两) 半夏(洗) 桂心 伏
龙肝 干
姜黄柏(各二两) 石苇(去毛) 滑石(各一两)
上一十一味,捣筛为散。温酒服方寸匕,日三服。多白加乌贼鱼骨、白僵蚕各二两;
多赤加代赭五两;小腹寒,加黄柏二两;子脏坚,加姜桂各二两。各随疾增之。服药三月,
有子住药。药太过多,生两子。当审方取药。寡妇童女不可妄服。
治产后下血不止方∶
菖蒲(五两,锉)
上一味,以清酒五升,煮取二升。分二服。
治疗妇人带下五贲病。所谓“五贲”,是指:一为热病导致的下血;二为寒热往来导致的下血;三为月经未断绝时进行房事,导致漏血;四为经期举起重物损伤妊脉,导致下血;五为产后子宫口开张、经血淋漓不尽。这五种贲病的病机特点是外实内虚。小牛角散方组成如下:
小牛角(五枚,烧至通红)、龙骨(一两)、禹余粮、干姜、当归(各二两)、阿胶(炙烤)、续断(各三两)。
以上七味药,捣碎过筛制成散剂。空腹时用酒送服一方寸匕,每日服用三次。(《千金要方》中此方含有赤小豆、鹿茸、乌贼鱼骨,共十味药。)
治疗妇人带下十二种疾病导致的不孕症。所谓“十二病”是指:一为白带,二为赤带,三为经水不通利,四为阴胎,五为子脏坚硬,六为子脏偏斜,七为阴阳部位患痛,八为腹部强硬(一说为体内僵硬),九为腹部寒冷,十为五脏闭塞,十一为五脏酸痛,十二为梦见与鬼魅交合。
(注:“缦下”在《千金要方》中写作“淳下”。)
龙骨散方组成如下:
龙骨(三两)、白僵蚕(五枚)、乌贼鱼骨、代赭石(各四两)、半夏(洗净)、桂心、伏龙肝、干姜、黄柏(各二两)、石苇(去毛)、滑石(各一两)。
以上十一味药,捣碎过筛制成散剂。温酒送服一方寸匕,每日服用三次。若白带多,加乌贼鱼骨、白僵蚕各二两;若赤带多,加代赭石五两;若小腹寒冷,加黄柏二两;若子脏坚硬,加干姜、肉桂各二两。均根据病情增减药量。服药三个月后,若受孕则停药。药物过量可能导致生双生子。应当仔细审察方剂选取药物。寡妇和童女不可随意服用。
To treat women with leukorrhea and the "Five Ben" (five types of excessive bleeding/leakage) disorders. The "Five Ben" refers to: first, bleeding from below due to heat pathogen; second, bleeding from below due to alternating chills and fever; third, leakage of blood resulting from sexual intercourse while menstruation has not yet ceased; fourth, bleeding from below caused by lifting heavy objects during menstruation, damaging the Ren vessel; fifth, continuous dripping of menstrual blood after childbirth due to the opening of the viscera (uterus). The pathology of these five Ben disorders is characterized by exterior excess and interior deficiency. Formula for Xiao Niujiao San (Small Bull Horn Powder):
Xiao Niujiao (Horn of Small Bull, 5 pieces, calcined until red-hot), Longgu (Fossilized Bones/Mammal Remains, 1 liang), Yuyuliang (Halloysitum), Ganjiang (Dried Ginger), Danggui (Angelica Sinensis Root, 2 liang each), Ejiao (Donkey-hide Gelatin, roasted), Xuduan (Dipsacus Root, 3 liang each).
The above seven ingredients are crushed, sifted, and made into a powder. Take one fangcun bi (a measure equivalent to a square inch spoonful) with wine on an empty stomach, three times a day. (In *Qianjin Yaofang*, this formula contains Chixiaodou [Adzuki Bean], Lurong [Deer Antler], and Wuzheiyugu [Cuttlefish Bone], totaling ten ingredients.)
To treat twelve types of leukorrhea in women that lead to sterility. The "Twelve Diseases" refer to: first, white leukorrhea; second, red leukorrhea; third, irregular or obstructed menstruation; fourth, yin fetus (ectopic pregnancy or abnormal conception); fifth, hardness of the Zizang (uterus); sixth, deviation of the Zizang (uterus); seventh, pain in the yin and yang regions; eighth, abdominal stiffness (alternatively described as internal stiffness); ninth, coldness of the abdomen; tenth, obstruction of the five zang organs; eleventh, soreness and pain of the five zang organs; twelfth, dreaming of sexual union with ghosts/spirits.
(Note: "Manxia" is written as "Chunxia" in *Qianjin Yaofang*.)
Formula for Longgu San (Dragon Bone Powder):
Longgu (Fossilized Bones/Mammal Remains, 3 liang), Baijiangcan (White Silkworm, 5 pieces), Wuzheiyugu (Cuttlefish Bone), Daizhe (Haematitum, 4 liang each), Banxia (Pinellia Tuber, washed), Guixin (Cinnamon Twig/Bark), Fulonggan (Stove Earth), Ganjiang (Dried Ginger), Huangbai (Phellodendron Bark, 2 liang each), Shiwei (Pyrrosiae Folium, de-haired), Huashi (Talcum, 1 liang each).
The above eleven ingredients are crushed, sifted, and made into a powder. Take one fangcun bi with warm wine, three times a day. If there is excessive white discharge, add Wuzheiyugu and Baijiangcan, 2 liang each; if there is excessive red discharge, add Daizhe, 5 liang; if there is coldness in the lower abdomen, add Huangbai, 2 liang; if the Zizang is hard, add Ganjiang and Ronggui (Cinnamon), 2 liang each. Adjust the dosage according to the specific disease. After taking the medicine for three months, if pregnancy occurs, stop the medication. Excessive intake of the medicine may result in twins. One must carefully examine the formula and select herbs accordingly. Widows and virgin girls should not take this indiscriminately.
Formula to treat persistent postpartum bleeding:
Changpu (Acori Tatarinowii Rhizoma, 5 liang, chopped).
The above single ingredient is boiled in 5 sheng of clear wine until reduced to 2 sheng. Divide into two doses.