小柴胡汤 治妇人伤寒发热,经水适来,白日明了,夜则谵语,如见鬼状,此为热入
血室。无犯胃气及上二焦,宜服。(方见伤寒门。)
干姜柴胡汤 治妇人伤寒,经脉方来初断,寒热如疟,狂言见鬼。
干姜 甘草 牡蛎(各五分) 桂枝(六分) 柴胡(一钱半) 栝蒌根(一钱)
上咀,水盏半,煎七分,温服。初服微烦,再出汗出而愈。
刺期门穴法
妇人伤风,发热恶寒,经水适来,七八日,热除脉迟,身凉和,胸胁下满如结胸状,
谵语者,此为热入血室也。当刺期门穴,随其虚实而取之。期门穴在乳直下肋骨近腹处是也。
凡妇人病,当刺期门,不用行子午法,恐缠脏膜引气上,但下针令病患吸五吸,停针良久,
随徐出针,此是平泻法也。凡刺期门,必泻勿补。肥人刺深二寸,瘦人深半寸。《活人书》云∶
期门穴,妇人屈乳头向下尽处是穴。丈夫及乳小者,以一指为率,陷中动脉是。
妇人咳嗽大法与丈夫同,其风寒湿热皆有成方。暂起者易治,若夫嗽久,脾虚发热脉数,
面时发红,身热者为可虑,凡此不易治也。大抵嗽不宜久,久则成痨。妇人咳嗽之证亦为第一
候也。善医者,须早图治,久而身热,盖不可用泻肺、破气、燥劫、苦寒之药,须从温补消息
之为美。
(《局方》)五拗汤 治伤风咳嗽,声哑气喘不能睡卧,胸膈板胀,气不相接,年交秋便
发,服此一帖即愈,神效。
华盖散、金沸草散并治前证。(以上方并见咳嗽门。)
(云林)金不换散 治男妇肺胃虚寒,久嗽不已,喘促满闷,咳嗽涎盛,及腹胁胀满,
腰背倦痛,或虚劳冷嗽,咳唾红痰,及远年近日一切喘嗽之疾,诸药不救者,并治之。
罂粟壳(制,半两) 杏仁(制) 甘草 枳壳(各三钱)
上,每服三钱,水盏半,姜三片、乌梅半个,煎八分,临卧热服。
(《本事》)贝母汤 治诸嗽久不瘥。
贝母(生姜汁浸半日) 北柴胡 黄芩 干姜 陈皮(各一两) 半夏 桑白皮 桂心
五味子(各半两) 木香 甘草(各一钱)
上为粗末,每服半两,水盏半,杏仁七枚,去皮、尖,打碎,姜二片,煎七分热服。
(宗 )含化丸 治妇人肺热久嗽,身如炙,肌瘦,将成肺痨,服之即愈。
枇杷叶(去毛) 桑白皮 款冬花 木通 紫菀 杏仁(等分) 大黄(减半)
上为细末,炼蜜丸,如樱桃大,食后夜卧含化一丸。
(《和剂》)定喘汤 治丈夫、妇人远近咳嗽,上气喘急,喉中涎声,胸满气逆,坐卧
不安,饮食不下。及治肺感寒邪,咳嗽声重,语音不出,鼻塞头昏,并皆治之。
半夏曲 阿胶(炒) 甘草(各七分) 罂粟壳(二钱,制) 北五味子 桑白皮 麻黄
人参(各三分。)
上水盏半,姜三片,乌梅半个,煎七分,食后临卧徐徐各一服。
(沧州)补肺汤 治前证。(一名清金汤。)
罂粟壳(二两,制) 人参 粉草(各半两) 陈皮 茯苓 杏仁 白术 阿胶(炒) 北五味子
桑白皮 薏苡仁 紫苏梗(各一两)
上为粗未,每服三钱,水盏半,毫三片、枣二枚、乌梅半个,煎一盏,临卧温服。良方加
百合、贝母、半夏曲、款冬花尤效。
凡妇人久嗽成痨,体瘦发热,脉数者,当详痨瘵门治之。
小柴胡汤:治疗妇女患伤寒发热,月经适来,白天神志清醒,夜间则胡言乱语,如见鬼怪之状,此为热入血室。不可损伤胃气及上二焦,适宜服用此方。(方剂详见伤寒门。)
干姜柴胡汤:治疗妇女患伤寒,月经刚来初断,寒热往来如疟疾发作,狂言乱语,如见鬼怪。
药物组成:干姜、甘草、牡蛎(各五分),桂枝(六分),柴胡(一钱半),栝蒌根(一钱)。
制法用法:将药材切碎,加水一盏半,煎至七分,温服。初次服药后微感烦闷,再次服药后汗出而愈。
刺期门穴法:
妇女患伤风,发热恶寒,月经适来,经过七八日,热退脉迟,身体凉爽平和,但胸胁下胀满如同结胸证状,且有胡言乱语者,此为热入血室。应当针刺期门穴,根据虚实情况采用相应的补泻手法。期门穴位于乳头直下,肋骨近腹处。
凡妇人患病,当刺期门穴,不使用子午流注针法,恐怕缠绕脏腑膜络引气上行,只需在下针时令患者吸气五次,留针良久,随后缓慢出针,这是平泻法。凡刺期门穴,必须用泻法,不可用补法。肥胖之人刺深二寸,瘦人刺深半寸。《活人书》记载:期门穴,妇女屈乳头向下尽头处即是穴位。男子及乳房较小者,以一指宽度为标准,凹陷中有动脉跳动处即是。
妇人咳嗽的大法与男子相同,风寒湿热所致咳嗽均有成方。暂时发作的容易治疗,如果咳嗽日久,脾虚发热脉数,面色时而发红,身体发热者则令人担忧,这些情况不易治疗。大抵咳嗽不宜持久,久咳则形成肺痨。妇人咳嗽之证也是首要关注的病候。善于医术的医生,须及早谋划治疗,若拖延日久导致身体发热,大概不可使用泻肺、破气、燥烈劫津、苦寒的药物,应当从温补的角度斟酌处理为妙。
(《太平惠民和剂局方》)五拗汤:治疗伤风咳嗽,声音嘶哑气喘不能睡卧,胸膈板滞胀满,气息不相接续,每逢秋季便发作,服用这一帖即愈,神效。
(云林经验方)金不换散:治疗男女肺胃虚寒,久咳不止,喘促满闷,咳嗽痰涎多,以及腹胁胀满,腰背倦怠疼痛,或虚劳冷嗽,咳唾红痰,以及远年近日一切喘嗽之疾,诸药无效者,均能治疗。
药物组成:罂粟壳(制,半两),杏仁(制),甘草,枳壳(各三钱)。
制法用法:以上药材,每次服用三钱,加水一盏半,生姜三片,乌梅半个,煎至八分,临睡前热服。
(《济生方》/《本事方》)贝母汤:治疗各种咳嗽日久不愈。
药物组成:贝母(生姜汁浸泡半天),北柴胡,黄芩,干姜,陈皮(各一两),半夏,桑白皮,桂心,五味子(各半两),木香,甘草(各一钱)。
制法用法:以上药材研为粗末,每次服用半两,加水一盏半,杏仁七枚,去皮尖,打碎,生姜二片,煎至七分,热服。
(宗氏经验方)含化丸:治疗妇人肺热久咳,身体如火烤般发热,肌肉消瘦,即将形成肺痨,服用即愈。
药物组成:枇杷叶(去毛),桑白皮,款冬花,木通,紫菀,杏仁(等分),大黄(减半)。
制法用法:以上药材研为细末,炼蜜为丸,如樱桃大小,饭后及夜卧时含化一丸。
(《和剂局方》)定喘汤:治疗男子、妇人远近咳嗽,上气喘急,喉中痰鸣,胸满气逆,坐卧不安,饮食不下。以及治疗肺感寒邪,咳嗽声重,语音不出,鼻塞头昏,均能治疗。
药物组成:半夏曲,阿胶(炒),甘草(各七分),罂粟壳(二钱,制),北五味子,桑白皮,麻黄,人参(各三分)。
制法用法:加水一盏半,生姜三片,乌梅半个,煎至七分,食后临睡前徐徐服用各一份。
(沧州经验方)补肺汤:治疗上述证候。(又名清金汤。)
药物组成:罂粟壳(二两,制),人参,粉草(各半两),陈皮,茯苓,杏仁,白术,阿胶(炒),北五味子,桑白皮,薏苡仁,紫苏梗(各一两)。
制法用法:以上药材研为粗末,每次服用三钱,加水一盏半,生姜三片,大枣二枚,乌梅半个,煎至一盏,临睡前温服。良方中加入百合、贝母、半夏曲、款冬花尤为有效。
凡是妇人久咳形成肺痨,身体消瘦发热,脉数者,应当详细参照肺痨门的方法治疗。
Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats women suffering from Shanghan (Cold Damage) with fever, whose menstruation has just begun. They are lucid during the day but experience delirium at night, seeing things as if possessed by spirits. This is termed Re Ru Xue Shi (Heat Entering the Blood Chamber). Do not damage the Stomach Qi or the Upper and Middle Jiao; it is appropriate to take this formula. (See Shanghan Section for the formula.)
Gan Jiang Chai Hu Tang (Dried Ginger and Bupleurum Decoction): Treats women suffering from Shanghan, whose menstruation has just started and then stopped, presenting with alternating chills and fever resembling malaria, along with raving speech and hallucinations of ghosts.
Ingredients: Gan Jiang (Dried Ginger Root), Gan Cao (Licorice Root), Mu Li (Oyster Shell) (each 5 fen); Gui Zhi (Cinnamon Twig) (6 fen); Chai Hu (Bupleurum Root) (1.5 qian); Gua Lou Gen (Trichosanthes Root) (1 qian).
Preparation and Administration: Coarsely crush the herbs. Add 1.5 cups of water, decoct until 0.7 cup remains, and take warm. After the first dose, mild restlessness may occur; after the second dose, sweating will ensue and the patient will recover.
Acupuncture Method for Qimen Point (Liv-14):
When a woman suffers from Shangfeng (Wind Strike) with fever and aversion to cold, and her menstruation has just begun, after seven or eight days, the fever subsides, the pulse becomes slow, and the body feels cool and harmonious, yet she experiences fullness below the chest and hypochondrium resembling Jie Xiong (Chest Binding) syndrome, accompanied by delirium, this indicates Heat Entering the Blood Chamber. One should needle the Qimen point (Liv-14), applying tonification or sedation according to excess or deficiency. The Qimen point is located directly below the nipple, near the abdomen on the ribs.
For all women's diseases requiring acupuncture at Qimen, do not use the Zi Wu Liu Zhu (Midnight-Noon Ebb-Flow) method, lest it entangle the organ membranes and draw Qi upward. Simply insert the needle while the patient inhales five times, retain the needle for a considerable period, and then withdraw it slowly. This constitutes the Ping Xie (Level Sedation) method. When needling Qimen, always use sedation, never tonification. For obese individuals, insert deeply to a depth of 2 cun; for thin individuals, insert to a depth of 0.5 cun. The *Huo Ren Shu* states: For women, the Qimen point is at the end of the line drawn downward from the flexed nipple. For men and those with small breasts, use one finger-width as the standard; the point is in the depression where the artery beats.
The general principles for treating cough in women are the same as in men, with established formulas for coughs caused by Wind-Cold, Damp-Heat, etc. Coughs that arise temporarily are easy to treat. However, if cough persists for a long time, accompanied by Spleen deficiency with fever, rapid pulse, occasional facial redness, and body heat, these cases are concerning and difficult to treat. Generally, cough should not persist; prolonged cough leads into Lao (Consumption/Tuberculosis). Cough in women is also a primary condition to monitor. Skilled physicians must plan treatment early. If delayed until body heat develops, one generally should not use herbs that drain Lung Qi, break Qi, dry fluids aggressively, or are bitter-cold. Instead, treatment should be carefully considered from the perspective of Warm Tonification.
(Tai Ping Hui Min He Ji Ju Fang) Wu Ao Tang (Five Unyielding Decoction): Treats cough due to Wind Strike, hoarseness, asthma preventing sleep, board-like distension in the chest and diaphragm, disconnected breath, recurring every autumn. One dose brings immediate cure, miraculous effect.
Hua Gai San (Canopy Powder) and Jin Fei Cao San (Golden Fern Herb Powder) both treat the aforementioned conditions. (See Cough Section for these formulas.)
(Yun Lin Experience Formula) Jin Bu Huan San (Gold Cannot Exchange Powder): Treats Lung and Stomach deficiency-cold in men and women, chronic persistent cough, panting and fullness, copious phlegm from cough, abdominal and hypochondriac distension, fatigue and pain in the lower back, or consumption-type cold cough with hemoptysis (red sputum), and all chronic or recent wheezing and coughing disorders unresponsive to other medicines.
Ingredients: Ying Su Ke (Poppy Capsule, processed) (0.5 liang); Xing Ren (Apricot Seed, processed), Gan Cao (Licorice Root), Zhi Ke (Aurantii Fructus) (each 3 qian).
Preparation and Administration: Take 3 qian per dose. Add 1.5 cups of water, 3 slices of fresh ginger, half a Wumei (Mume Fruit). Decoct until 0.8 cup remains. Take hot before retiring.
(Ji Sheng Fang / Ben Shi Fang) Bei Mu Tang (Fritillaria Decoction): Treats various chronic coughs that do not heal.
Ingredients: Bei Mu (Fritillaria Bulb, soaked in fresh ginger juice for half a day), Bei Chai Hu (Northern Bupleurum Root), Huang Qin (Scutellaria Root), Gan Jiang (Dried Ginger Root), Chen Pi (Tangerine Peel) (each 1 liang); Ban Xia (Pinellia Tuber), Sang Bai Pi (Mulberry Root Bark), Gui Xin (Cinnamon Heart), Wu Wei Zi (Schisandra Berry) (each 0.5 liang); Mu Xiang (Costus Root), Gan Cao (Licorice Root) (each 1 qian).
Preparation and Administration: Grind into coarse powder. Take 0.5 liang per dose. Add 1.5 cups of water, 7 Xing Ren (Apricot Seeds, peeled and crushed), 2 slices of fresh ginger. Decoct until 0.7 cup remains. Take hot.
(Zong's Experience Formula) Han Hua Wan (Lozenge Pill): Treats chronic cough due to Lung heat in women, feeling of burning heat in the body, emaciation, impending Pulmonary Consumption (Lao). Takes effect immediately upon ingestion.
Ingredients: Pi Pa Ye (Loquat Leaf, de-hairy), Sang Bai Pi (Mulberry Root Bark), Kuan Dong Hua (Coltsfoot Flower), Mu Tong (Akebia Stem), Zi Wan (Aster Root), Xing Ren (Apricot Seed) (equal parts); Da Huang (Rhubarb Root) (half amount).
Preparation and Administration: Grind into fine powder. Make pills with refined honey, size of a cherry. Let one pill dissolve in the mouth after meals and before sleep.
(He Ji Ju Fang) Ding Chuan Tang (Calming Wheeze Decoction): Treats chronic or recent cough in men and women, upper body asthma and urgency, rattling phlegm in the throat, chest fullness with counterflow Qi, restlessness in sitting or lying, inability to eat or drink. Also treats Lung affected by Cold Evil, heavy cough voice, loss of voice, nasal congestion, and dizziness.
Ingredients: Ban Xia Qu (Pinellia Fermented Paste), E Jiao (Donkey-Hide Gelatin, stir-fried), Gan Cao (Licorice Root) (each 7 fen); Ying Su Ke (Poppy Capsule, processed) (2 qian); Bei Wu Wei Zi (Northern Schisandra Berry), Sang Bai Pi (Mulberry Root Bark), Ma Huang (Ephedra Stem), Ren Shen (Ginseng Root) (each 3 fen).
Preparation and Administration: Add 1.5 cups of water, 3 slices of fresh ginger, half a Wumei (Mume Fruit). Decoct until 0.7 cup remains. Take one portion slowly after meals and before retiring.
(Cang Zhou Experience Formula) Bu Fei Tang (Tonify Lung Decoction): Treats the aforementioned conditions. (Also known as Qing Jin Tang/Clear Metal Decoction.)
Ingredients: Ying Su Ke (Poppy Capsule, processed) (2 liang); Ren Shen (Ginseng Root), Fen Cao (Powdered Licorice Root) (each 0.5 liang); Chen Pi (Tangerine Peel), Fu Ling (Poria), Xing Ren (Apricot Seed), Bai Zhu (Atractylodes Rhizome), E Jiao (Donkey-Hide Gelatin, stir-fried), Bei Wu Wei Zi (Northern Schisandra Berry), Sang Bai Pi (Mulberry Root Bark), Yi Yi Ren (Coix Seed), Zi Su Geng (Perilla Stem) (each 1 liang).
Preparation and Administration: Grind into coarse powder. Take 3 qian per dose. Add 1.5 cups of water, 3 slices of fresh ginger, 2 Jujubes, half a Wumei (Mume Fruit). Decoct until 1 cup remains. Take warm before retiring. Adding Bai He (Lily Bulb), Bei Mu (Fritillaria), Ban Xia Qu (Pinellia Paste), and Kuan Dong Hua (Coltsfoot Flower) as per excellent prescriptions yields even better results.
For women whose chronic cough has developed into Pulmonary Consumption (Lao), characterized by emaciation, fever, and rapid pulse, treatment should be detailed according to the Pulmonary Consumption Section.