妇人翻胃,多由气郁血虚,胃口枯槁,脾气不行而致。朝食暮吐,暮食朝吐,故曰翻胃。
太仓丸 治妇人气郁,脾胃虚弱,不进饮食,翻胃呕吐。
白豆蔻 砂仁(各二两) 丁香(一两) 陈仓米(净土,一升,炒。)
上末,姜汁打老米糊丸,梧桐子大,每服七十丸,食后姜汤下。
白芷散 治妇人翻胃吐食。
白芷(杭州不蛀者,热汤泡,切片,新瓦上焙令黄)
上为细末,用猪血二十文切片,以沸汤泡七次,将血蘸药吃七片,如剩药末,留后次用。
白垩散 治妇人翻胃吐食。《千金方》云∶不特治妇人,男子亦可治。
白垩土(以米醋一升, 白土令赤,入醋浸冷再 再浸,以醋干为度。取一两,研细末)
干姜(炮,一钱)
上和研匀,每服一钱,饮汤调下。甚者二钱,服一斤以上为妙。
丁香煮散、青金丹、五苓散并治翻胃有效。(俱见本门。)
牡丹煎 治妇人血嗝。
牡丹皮 苦参 贝母 玄胡索 赤芍药(各等分)
为末,炼蜜丸,梧桐子大,米饮吞下二十丸。
抽刀散 治妇人血风、血气、血嗝等疾。
五灵脂(炒,一两) 莪术 桂心 芸苔子(炒。各半两)
上为末,每服二钱,酒半盏,水一盏,煎八分,疾作时热服。
癖之病,多因邪气积聚而成。 者,腹内左右各有一条作痛,大者如臂,次者如指,因
气而成,如弦之状,名曰 气也。癖者如僻侧在两肋之间,有时而痛,故曰癖也。夫 之
与癖,皆阴阳不和,经络痞隔,饮食停滞,不得宣流,邪冷之气,搏结不散,得冷则发作疼痛,
故曰 癖是也。
麝香丸 治妇人 癖,冷气兼疰气,心腹痛不可忍。
麝香(五分) 阿魏(一分,面包煨,面熟去面) 五灵脂 桃仁 三棱(各三分) 芫花(醋炒)
槟榔 莪术 桂心 没药 木香 当归(各半两)
上为细末,入麝香和匀,用梗米软饭为丸,如梧桐子大。每服十丸,无时,淡醋汤下。
葱白散 治妇人一切冷气不和,攻冲疼痛,大治妇人胎前产后腹痛,胎不安及血脏宿冷,
百节倦疼,肌体怯弱,劳伤 癖,久服尽除。但妇人一切疾病,皆宜服此。
当归 川芎 芍药 熟地黄 枳壳 浓朴 桂心 干姜 舶上茴香 青皮 苦楝子 木香
人参 茯苓 三棱 莪术 神曲 麦芽(各等分)
上为细末,每服三钱,水一盏,连根葱白二寸,掐破,盐五分,煎七分,温服。内大黄、
诃子宜度病状加之。如大便不利,入大黄却不入盐,如大便自利,入诃子。
桂枝桃仁汤 治妇人血癖,经行过期,小腹下痛。
桂枝 芍药 生地黄(各一钱) 桃仁(五枚) 甘草(五分)
上咀,水二盏,姜三片、枣一枚,煎一盏,空心温服。
积气丸、丁香丸并治妇人 癖、诸气甚妙。(方见气门。)
【妇人翻胃吐食候】
妇女患翻胃,多由气机郁滞、血液亏虚所致,导致胃脘干枯萎缩,脾气运化功能失常而引发。早晨进食晚上呕吐,晚上进食早上呕吐,因此称为翻胃。
太仓丸:治疗妇女因气机郁滞、脾胃虚弱导致的食欲不振、翻胃呕吐。
配方:白豆蔻、砂仁(各二两),丁香(一两),陈仓米(去净泥土一升,炒制)。
制法与用法:将上述药材研为细末,用姜汁调和老米糊制成丸药,大小如梧桐子。每次服用七十丸,饭后用姜汤送服。
白芷散:治疗妇女翻胃吐食。
配方:白芷(选用杭州不蛀坏的,用热开水浸泡,切片,在新瓦上焙至黄色)。
制法与用法:将白芷研为细末。取猪血二十文(约二十片)切成薄片,用沸水冲泡七次,蘸取药末食用七片。若剩余药末,留待下次使用。
白垩散:治疗妇女翻胃吐食。《千金方》记载:不仅适用于妇女,男子也可使用。
配方:白垩土(用一升米醋浸泡白土直至烧红,浸入醋中冷却,再次浸泡,如此反复直至醋被吸干为止。取一两,研为细末),干姜(炮制,一钱)。
制法与用法:将两者混合研匀。每次服用一钱,用温水调服。病情严重者服用二钱,累计服用一斤以上效果更佳。
丁香煮散、青金丹、五苓散均对治疗翻胃有效。(详见本门其他章节。)
牡丹煎:治疗妇女血嗝(因瘀血阻滞引起的噎膈)。
配方:牡丹皮、苦参、贝母、玄胡索、赤芍药(各等分)。
制法与用法:研为细末,用炼蜜制成丸药,大小如梧桐子。每次用米汤吞服二十丸。
抽刀散:治疗妇女血风、血气、血嗝等疾病。
配方:五灵脂(炒制,一两),莪术、桂心、芸苔子(炒制,各半两)。
制法与用法:将上述药材研为细末。每次服用二钱,加入半盏酒、一盏水,煎至八分满,在疾病发作时热服。
【癖诸气候】
癖病,多因邪气积聚而成。“疰”(zhù)病,表现为腹部左右两侧各有一条状疼痛,大的如手臂粗,小的如手指粗,因气机阻滞而成,形状如琴弦,称为“疰气”。癖病则像偏居一侧位于两肋之间,时有疼痛,因此称为“癖”。疰和癖,都是由于阴阳失调,经络痞塞阻隔,饮食停滞,无法宣通流布,寒邪冷气搏结不散,遇到寒冷则发作疼痛,所以称为疰癖。
麝香丸:治疗妇女疰癖,兼治冷气及注气(一种传染性或迁延性病症),引起的心腹剧烈疼痛难以忍受。
配方:麝香(五分),阿魏(一分,用面粉包裹煨熟,去掉面皮),五灵脂、桃仁、三棱(各三分),芫花(醋炒制),槟榔、莪术、桂心、没药、木香、当归(各半两)。
制法与用法:将除麝香外的药材研为细末,加入麝香混合均匀,用糯米软饭制成丸药,大小如梧桐子。每次服用十丸,不限时间,用淡醋汤送服。
葱白散:治疗妇女各种冷气不和,攻冲作痛。对妇女胎前产后腹痛、胎动不安以及血脏宿冷、全身关节倦怠疼痛、肌体怯弱、劳伤疰癖等有显著疗效,长期服用可彻底清除。妇女各类疾病,皆适宜服用此方。
配方:当归、川芎、芍药、熟地黄、枳壳、浓朴、桂心、干姜、舶上茴香、青皮、苦楝子、木香、人参、茯苓、三棱、莪术、神曲、麦芽(各等分)。
制法与用法:将上述药材研为细末。每次服用三钱,加水一盏,连根葱白二寸(掐破),盐五分,煎至七分满,温服。方中大黄、诃子应根据病情酌情添加。如果大便不通,加入大黄而不加盐;如果大便自利(腹泻),加入诃子。
桂枝桃仁汤:治疗妇女血癖,月经过期不行,小腹下方疼痛。
配方:桂枝、芍药、生地黄(各一钱),桃仁(五枚),甘草(五分)。
制法与用法:将药材切碎,加水二盏,生姜三片、大枣一枚,煎至一盏,空腹温服。
[Manifestation of Fanwei (Reversal Stomach) and Vomiting in Women]
Fanwei (Reversal Stomach) in women is mostly caused by Qi stagnation and Blood deficiency, leading to withering and shrinking of the stomach opening, and dysfunction of Spleen Qi transportation. Food eaten in the morning is vomited in the evening, and food eaten in the evening is vomited in the morning; hence it is called Fanwei.
Taicang Wan (Grand Granary Pill): Treats Qi stagnation, Spleen and Stomach weakness, loss of appetite, Fanwei, and vomiting in women.
Ingredients: Bai Dou Kou (Cardamomi Fructus Rotundus), Sha Ren (Amomi Fructus) (each 2 liang); Ding Xiang (Caryophylli Flos) (1 liang); Chen Cang Mi (Aged Rice from Storehouse) (1 sheng, cleaned of soil, stir-fried).
Preparation and Administration: Grind the above ingredients into fine powder. Use Ginger Juice (Zingiberis Rhizoma Recens Sucus) to mix with old rice paste to form pills the size of Sophora japonica seeds (Wutongzi). Take 70 pills per dose after meals, washed down with Ginger Decoction.
Baizhi San (Angelica Dahurica Powder): Treats Fanwei and vomiting in women.
Ingredients: Baizhi (Angelicae Dahuricae Radix) (Select non-borer specimens from Hangzhou, soak in hot water, slice, and bake on a new tile until yellow).
Preparation and Administration: Grind Baizhi into fine powder. Take 20 slices of pig blood, rinse seven times with boiling water, dip the blood slices into the medicine powder, and consume seven slices. Reserve any remaining powder for subsequent use.
Bai E San (White Kaolin Powder): Treats Fanwei and vomiting in women. The *Qianjin Fang* states that this is effective not only for women but also for men.
Ingredients: Bai E Tu (Kaolinite) (Soak white earth in 1 sheng of Rice Vinegar until red-hot, immerse in vinegar to cool, repeat until vinegar is absorbed dry. Take 1 liang, grind into fine powder); Gan Jiang (Zingiberis Rhizoma Preparatum) (prepared, 1 qian).
Preparation and Administration: Mix and grind evenly. Take 1 qian per dose, mixed with warm water. For severe cases, take 2 qian. It is advisable to accumulate a total intake of over 1 jin.
Dingxiang Zhu San (Clove Decoction), Qingjin Dan (Green Golden Pill), and Wuling San (Five-Ingredient Powder with Poria) are all effective for treating Fanwei. (See respective sections.)
Mudan Jian (Peony Decoction Paste): Treats Xue Ge (Blood Obstruction Dysphagia) in women.
Ingredients: Mudan Pi (Moutan Cortex), Kushen (Sophorae Flavescentis Radix), Beimu (Fritillariae Bulbus), Yansu (Corydalis Rhizoma), Chishao (Paeoniae Radix Rubra) (equal parts).
Preparation and Administration: Grind into fine powder. Form pills with refined honey, the size of Sophora japonica seeds. Swallow 20 pills with Rice Drink.
Choudao San (Drawing Knife Powder): Treats diseases such as Xue Feng (Blood Wind), Xue Qi (Blood Qi), and Xue Ge (Blood Obstruction Dysphagia) in women.
Ingredients: Wuling Zhi (Trogopterori Faeces) (stir-fried, 1 liang); Ezhu (Curcumae Rhizoma), Guixin (Cinnamomi Ramulus), Yuntaizi (Brassicae Napus Semen) (stir-fried, each half liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose with half a cup of wine and one cup of water. Decoct until reduced to 80%. Take hot when symptoms occur.
[Manifestation of Pi (Masses) and Various Conditions]
Pi (Masses) disease is mostly formed by the accumulation of pathogenic factors. "Zhu" (Zhù) disease presents as painful bands on either side of the abdomen, large ones like an arm, smaller ones like a finger, caused by Qi obstruction, resembling a string, hence called Zhu Qi. "Pi" disease lies like a bias between the two ribs, causing intermittent pain, hence called Pi. Both Zhu and Pi result from disharmony of Yin and Yang, blockage of meridians, stagnation of food and fluids, inability to circulate freely, and binding of cold pathogenic Qi which does not dissipate. Pain occurs upon exposure to cold; thus they are termed Zhu-Pi.
Shexiang Wan (Musk Pill): Treats Zhu-Pi in women, combined with Cold Qi and Zhu Qi (infectious or lingering pathogens), causing unbearable heart and abdominal pain.
Ingredients: Shexiang (Moschus) (5 fen); Awei (Ferulae Resina) (1 fen, wrapped in dough and baked, remove dough); Wuling Zhi (Trogopterori Faeces), Taoren (Persicae Semen), Sanleng (Sparganii Rhizoma) (each 3 fen); Yuanhua (Genkwa Flos) (stir-fried with vinegar); Binglang (Arecae Semen), Ezhu (Curcumae Rhizoma), Guixin (Cinnamomi Ramulus), Moyao (Myrrha), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix) (each half liang).
Preparation and Administration: Grind all ingredients except Musk into fine powder. Mix in the Musk. Form pills using soft glutinous rice paste, the size of Sophora japonica seeds. Take 10 pills at any time, washed down with light vinegar soup.
Congbai San (Scallion White Powder): Treats all types of Cold Qi disharmony in women, attacking and causing pain. It greatly treats pre- and post-partum abdominal pain, fetal restlessness, chronic cold in the Blood Viscera, fatigue and pain in all joints, weak physique, and Lao Shang (labor injury) Zhu-Pi. Long-term use eliminates these conditions completely. This formula is suitable for all diseases in women.
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Shudihuang (Rehmanniae Radix Preparata), Zhike (Aurantii Fructus), Houpo (Magnoliae Officinalis Cortex), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma), Bo Shang Huixiang (Foeniculi Fructus), Qingpi (Citri Reticulatae Pericarpium Viride), Koushen (Meliae Cortex), Muxiang (Aucklandiae Radix), Renshen (Ginseng Radix), Fuling (Poria), Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus) (equal parts).
Preparation and Administration: Grind into fine powder. Take 3 qian per dose with one cup of water, two inches of scallion white with roots (broken), and 5 fen of salt. Decoct until reduced to 70%. Take warm. Da Huang (Rhei Radix et Rhizoma) and Hezi (Chebulae Fructus) should be added according to condition. If constipation exists, add Da Huang and omit salt; if diarrhea exists, add Hezi.
Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction): Treats Xue Pi (Blood Masses) in women, delayed menstruation, and lower abdominal pain.
Ingredients: Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Sheng Dihuang (Rehmanniae Radix) (each 1 qian); Taoren (Persicae Semen) (5 kernels); Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Preparation and Administration: Cut the herbs. Add two cups of water, three slices of ginger, and one jujube. Decoct until one cup remains. Take warm on an empty stomach.
Jiqi Wan (Accumulated Qi Pill) and Dingxiang Wan (Clove Pill) are both excellent for treating Zhu-Pi and various Qi disorders in women. (Formulas see Qi Men section.)