论曰妇人所以无子者,冲任不足,肾气虚寒也,内经谓女子二七天癸至,任脉通。太冲
脉盛,阴阳和,故能有子,若冲任不足,肾气虚寒,不通系胞,故令无子,亦有本于夫病者
,当原其所因而调之。
治妇人子宫虚冷,胎孕不成,或经水不调,血气积冷。朴硝荡胞汤方
朴硝 牡丹皮 当归(切炒) 大黄(锉炒) 桃仁(汤浸去皮尖双仁炒) 细辛(去
苗叶)
黑皮) 桂(去
切炒一两半) 虻虫(去
上一十七味,粗捣筛,每服三钱匕,水一盏,酒半盏,同煎至八分,去滓温服食前。
治妇人下焦三十六疾,不孕绝产。承泽丸方
泽兰 辛夷(去根蒂) 本(去苗土各一两) 葛上亭长(七枚炒) 溲疏(锉) 梅
核仁(
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服五十丸,温酒下,日再服。
治妇人久无子,小腹冷疼,气不调。干地黄汤方
熟干地黄(净洗焙) 当归(切炒各二两) 牛膝(酒浸一日切焙半两) 桂(去粗皮)
牵牛
上八味,粗捣筛,每服三钱匕,水两盏,煎至一盏,去滓服,食久再服,快利为度,次
服后方禹余粮汤。
治妇人胞胎寒冷,绝产无子。禹余粮汤方
禹余粮( 淬七遍) 白僵蚕(去黑者微炒) 乌贼(鱼骨去甲皮各一两) 龙骨(碎
研) 桂
芍药 半夏(浆水浸
上一十二味,粗捣筛,每服三钱匕,水一盏,入生姜三片,煎至六分,去滓食前温服,、
日再。
治妇人久无子。白薇丸方
白薇(去土锉) 当归(锉炒) 附子(炮裂去皮脐) 芎 本(去苗土) 人参 禹
余粮
参柏子仁(
半日炒) 甘草(炙) 牛膝(锉酒浸一宿焙) 桑寄生(炙锉各半两)
上二十味,捣罗为末,炼蜜杵丸,如梧桐子大,温酒下二十丸,加至三十丸,空心食前
服。
治妇人月水不利,闭塞绝产。白薇人参丸方
白薇(去土一两半) 人参 紫菀(去苗土) 紫参(锉) 防风(去叉) 牛膝(切
酒浸焙)
芦头) 白僵蚕(
归(微炒各一两) 附子
上一十七味,捣罗为末,炼蜜和捣,丸如梧桐子大,每服三十丸,温酒下,食前,日再
服。
治妇人久无子、断绪。杜蘅丸方
杜蘅(三月三日采根洗曝干锉) 半夏(汤洗二十遍碎用生姜炒) 白薇 桔梗(锉炒)
附
辛(去
(去粗皮各半
上一十四味,捣罗为末,炼蜜和匀,丸如梧桐子大,温酒下二十丸,渐加三十丸,早晨
日午各一服。
治妇人断绪无子。钟乳丸方
钟乳(研一复时) 白矾(烧令汁尽各一两) 阿胶(炙令燥) 紫石英(研细) 蜀
椒(去目
石亭脂(研极细
上一十味,除石药别研外,余药捣罗为末,同和匀,炼蜜和捣,丸如梧桐子大,每日空
心暖酒下二十丸,渐加至三十丸。
治妇人久无子。泽兰丸方
泽兰(去根) 陈橘皮(去白焙) 白龙骨(碎研) 禹余粮(烧赤醋淬七遍) 紫石
英(研细)
本(去苗土) 卷
冬(去心焙) 人参 桂(去
地黄(焙) 蜀椒(去目及闭口者炒出汗
薇赤石脂(研各半两)
上二十八味,捣罗为末,炼蜜和匀,丸如梧桐子大,每服二十丸,温酒下。
治妇人月水不利,结积无子。大黄汤方
大黄(锉炒一两) 桃仁(汤浸去皮尖双仁四十九枚) 虻虫(去翅足微炒三十枚) 水
蛭(
上四味,锉如麻豆,每服一钱匕,酒一盏,煎至七分,去滓空腹温服,如无结积,不可
服。
论述说:妇女之所以不能生育,是因为冲脉和任脉气血不足,肾气虚寒。《内经》中说女子十四岁天癸(促进生殖功能成熟的物质)来潮,任脉通畅,太冲脉旺盛,阴阳调和,所以能够怀孕生子;如果冲任二脉不足,肾气虚寒,导致胞宫(子宫)经络不通,因此造成不孕。也有的是因为丈夫患病导致的,应当探究其病因并进行调理。
治疗妇人子宫虚冷,胎孕不成,或者月经不调,血气积滞寒冷。朴硝荡胞汤方:
朴硝、牡丹皮、当归(切后炒)、大黄(锉碎后炒)、桃仁(用热水浸泡去皮尖及双仁者后炒)、细辛(去苗叶)、[原文此处缺味名,据方义推测可能为某药]、桂枝(去粗皮后切炒一两半)、虻虫(去翅足)。
以上十七味药,捣碎筛粗末,每次服用三钱匕,加水一盏、酒半盏,同煎至八分,去渣温服,饭前服用。
治疗妇人下焦三十六种疾病,不孕或绝产。承泽丸方:
泽兰、辛夷(去根蒂)、藁本(去苗土各一两)、葛上亭长(七枚,炒)、溲疏(锉碎)、梅核仁([原文此处缺量])。
以上六味药,捣碎过罗成粉末,炼蜜和丸,如梧桐子大小,每次服用五十丸,温酒送下,每日两次。
治疗妇人长期无子,小腹冷痛,气机不调。干地黄汤方:
熟干地黄(洗净焙干)、当归(切后炒各二两)、牛膝(酒浸一天后切焙半两)、桂枝(去粗皮)、牵牛子、[原文此处缺味名]、[原文此处缺味名]、[原文此处缺味名]。
以上八味药,捣碎筛粗末,每次服用三钱匕,加水两盏,煎至一盏,去渣服用,饭后较长时间再服,以大便通利顺畅为度,随后服用后面的禹余粮汤。
治疗妇人胞胎寒冷,绝产无子。禹余粮汤方:
禹余粮(醋淬七遍)、白僵蚕(去掉黑色的微炒)、乌贼骨(去甲皮各一两)、龙骨(碎研)、桂枝、芍药、半夏(用浆水浸泡)、[原文此处缺味名]。
以上十二味药,捣碎筛粗末,每次服用三钱匕,加水一盏,放入生姜三片,煎至六分,去渣饭前温服,每日两次。
治疗妇人长期无子。白薇丸方:
白薇(去土锉碎)、当归(锉碎炒)、附子(炮裂去皮脐)、川芎、藁本(去苗土)、人参、禹余粮、[原文此处缺味名]、柏子仁([原文此处缺量],炒半日)、甘草(炙)、牛膝(锉碎酒浸一夜焙干)、桑寄生(炙锉各半两)。
以上二十味药,捣碎过罗成粉末,炼蜜杵制成丸药,如梧桐子大小,温酒送下二十丸,可加至三十丸,空腹饭前服用。
治疗妇人月经不利,闭塞绝产。白薇人参丸方:
白薇(去土一两半)、人参、紫菀(去苗土)、紫参(锉碎)、防风(去叉)、牛膝(切后酒浸焙)、[原文此处缺味名]、芦头、白僵蚕、[原文此处缺味名]、当归(微炒各一两)、附子。
以上十七味药,捣碎过罗成粉末,炼蜜和捣,制成如梧桐子大小的丸药,每次服用三十丸,温酒送下,饭前服用,每日两次。
治疗妇人长期无子、断绝子嗣。杜蘅丸方:
杜蘅(三月三日采挖根部洗净晒干锉碎)、半夏(用水洗二十遍捣碎用生姜炒)、白薇、桔梗(锉碎炒)、附子、[原文此处缺味名]、[原文此处缺味名]、[原文此处缺味名]。
以上十四味药,捣碎过罗成粉末,炼蜜和匀,制成如梧桐子大小的丸药,温酒送下二十丸,逐渐加至三十丸,早晨和中午各服一次。
治疗妇人断绝子嗣无子。钟乳丸方:
钟乳石(研磨一小时)、白矾(烧至汁液流尽各一两)、阿胶(炙干)、紫石英(研细)、蜀椒(去目)、[原文此处缺味名]、石亭脂(研极细)。
以上十味药,除矿物药单独研磨外,其余药物捣碎过罗成粉末,混合均匀,炼蜜和捣,制成如梧桐子大小的丸药,每天空腹用暖酒送下二十丸,逐渐加至三十丸。
治疗妇人长期无子。泽兰丸方:
泽兰(去根)、陈皮(去白焙干)、白龙骨(碎研)、禹余粮(烧红后醋淬七遍)、紫石英(研细)、[原文此处缺味名]、藁本(去苗土)、卷丹、[原文此处缺味名]、冬葵子(去心焙)、人参、桂枝(去粗皮)、地黄(焙)、蜀椒(去目及闭口者炒出汗)、白薇、赤石脂(研各半两)。
以上二十八味药,捣碎过罗成粉末,炼蜜和匀,制成如梧桐子大小的丸药,每次服用二十丸,温酒送下。
治疗妇人月经不利,结块积聚无子。大黄汤方:
大黄(锉碎炒一两)、桃仁(热水浸泡去皮尖双仁四十九枚)、虻虫(去翅足微炒三十枚)、水蛭。
以上四味药,锉碎如麻豆大小,每次服用一钱匕,加酒一盏,煎至七分,去渣空腹温服,如果没有结块积聚,不可服用。
It is stated that the reason for a woman's infertility lies in the insufficiency of the Chong and Ren vessels, and the deficiency-cold of Kidney Qi. The *Neijing* states that when a girl reaches fourteen years of age, Tian Gui (substances promoting reproductive maturity) arrives, the Ren vessel becomes unobstructed, and the Tai Chong vessel becomes vigorous; with the harmony of Yin and Yang, conception can occur. If the Chong and Ren vessels are insufficient and Kidney Qi is deficient and cold, leading to obstruction of the Baoguo (uterus), infertility results. There are also cases originating from the husband's illness, which require identifying the cause and regulating accordingly.
For treating uterine deficiency-cold in women, failure to conceive, irregular menstruation, and accumulation of cold in blood and Qi: Puxiao Dangbao Decoction Formula.
Puxiao (Mirabilite), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix, sliced and stir-fried), Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried), Taoren (Persicae Semen, soaked in water, skin and pointed ends removed, twin kernels discarded, stir-fried), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), [missing herb name], Guizhi (Cinnamomi Ramulus, coarse bark removed, sliced and stir-fried, 1.5 liang), Mengchong (Blatta Orientalis, wings and legs removed).
The above seventeen ingredients are coarsely pounded and sifted. Each dose consists of three qianbi (approx. 9g), decocted with one zhan of water and half a zhan of wine until reduced to eight parts. Strain and take warm before meals.
For treating thirty-six diseases of the lower jiao in women, infertility or sterility: Chengze Pill Formula.
Zelan (Lycopus Herba), Xinyi (Magnoliae Flos, root end removed), Gaoben (Ligustici Wallichii Rhizoma, seedlings and soil removed, each 1 liang), Gezhangtingchang (Euphorbia lathyris seeds, seven pieces, stir-fried), Soshu (Daphne Genkwa Flower), Hezao Ren (Juglandis Semen, quantity missing).
The above six ingredients are pounded, passed through a fine sieve into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Each dose is fifty pills, taken with warm wine, twice daily.
For treating long-term infertility in women, cold pain in the lower abdomen, and disharmony of Qi: Gan Dihuang Tang Formula.
Shu Dihuang (Prepared Rehmanniae Radix, washed and dried), Danggui (Angelicae Sinensis Radix, sliced and stir-fried, each 2 liang), Niuxi (Achyranthis Bidentatae Radix, soaked in wine for one day, sliced and dried, 0.5 liang), Guizhi (Cinnamomi Ramulus, coarse bark removed), Qianniu (Pharbitidis Semen), [missing herbs].
The above eight ingredients are coarsely pounded and sifted. Each dose is three qianbi, decocted with two zhan of water until reduced to one zhan. Strain and take. Take again after a long interval post-meal. Continue until loose stools are achieved, then follow with the subsequent Yuyuliang Tang.
For treating coldness of the fetal uterus in women, resulting in sterility: Yuyuliang Tang Formula.
Yuyuliang (Haematitum, quenched in vinegar seven times), Baijiangcan (Bombyx Batryticatus, remove black ones, slightly stir-fried), Wuzhegu (Sepiae Endoconcha, shell and skin removed, each 1 liang), Longgu (Fossilia Ossis Mastodi et Scapulae, crushed and ground), Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Tuber, soaked in fermented rice water), [missing herb].
The above twelve ingredients are coarsely pounded and sifted. Each dose is three qianbi, decocted with one zhan of water and three slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to six parts. Strain and take warm before meals, twice daily.
For treating long-term infertility in women: Baiwei Pill Formula.
Baiwei (Cynanchi Atrati Radix, remove soil and chop), Danggui (Angelicae Sinensis Radix, chopped and stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, peel and umbilicus removed), Xiong (Chuanxiong Rhizoma), Gaoben (Ligustici Wallichii Rhizoma, remove seedlings and soil), Renshen (Ginseng Radix), Yuyuliang (Haematitum), [missing herb], Baiziren (Platycladi Semen, stir-fried for half a day), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted), Niuxi (Achyranthis Bidentatae Radix, chopped, soaked in wine overnight, dried), Sangjisheng (Taxilli Herba, honey-roasted and chopped, each 0.5 liang).
The above twenty ingredients are pounded, passed through a fine sieve into powder, mixed with refined honey, and pounded into pills the size of paulownia seeds. Take twenty pills with warm wine, increasing to thirty pills if necessary. Take on an empty stomach before meals.
For treating irregular menstruation, obstruction, and sterility in women: Baiwei Renshen Pill Formula.
Baiwei (Cynanchi Atrati Radix, remove soil, 1.5 liang), Renshen (Ginseng Radix), Ziwan (Asturi Radix, remove seedlings and soil), Zishen (Radix Periplocae Sepium), Fangfeng (Saposhnikoviae Radix, remove forked roots), Niuxi (Achyranthis Bidentatae Radix, sliced, soaked in wine, dried), [missing herb], Lutou (Scirpi Rhizoma), Baijiangcan (Bombyx Batryticatus), [missing herb], Danggui (Angelicae Sinensis Radix, slightly stir-fried, each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata).
The above seventeen ingredients are pounded, passed through a fine sieve into powder, mixed with refined honey and pounded into pills the size of paulownia seeds. Take thirty pills with warm wine before meals, twice daily.
For treating long-term infertility and loss of lineage in women: Duheng Pill Formula.
Duhereng (Herba Dictamni Radicis, harvested on the third day of the third lunar month, roots washed, sun-dried, and chopped), Banxia (Pinelliae Tuber, washed twenty times in water, crushed, stir-fried with Shengjiang), Baiwei (Cynanchi Atrati Radix), Jiegeng (Platycodonis Radix, chopped and stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata), [missing herbs].
The above fourteen ingredients are pounded, passed through a fine sieve into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty pills with warm wine, gradually increasing to thirty pills. Take once in the morning and once at noon.
For treating loss of lineage and infertility in women: Zhongru Pill Formula.
Zhongru (Concha Ostreae, ground for one hour), Baifan (Alumen, roasted until liquid evaporates, each 1 liang), Ejiao (Colla Corii Asini, roasted until dry), Zhi Shiyin (Fluoritum, finely ground), Shujiao (Zanthoxyli Pericarpium, remove eyes), [missing herb], Shitingzhi (Calamina, extremely finely ground).
The above ten ingredients, except for mineral drugs which are ground separately, are pounded, passed through a fine sieve into powder, mixed evenly, combined with refined honey, and pounded into pills the size of paulownia seeds. Take twenty pills daily on an empty stomach with warm wine, gradually increasing to thirty pills.
For treating long-term infertility in women: Zelan Pill Formula.
Zelan (Lycopus Herba, remove roots), Chenpi (Citri Reticulatae Pericarpium, remove white pith and dry), Bailonggu (Fossilia Ossis Mastodi et Scapulae, crushed and ground), Yuyuliang (Haematitum, heated red and quenched in vinegar seven times), Zhi Shiyin (Fluoritum, finely ground), [missing herb], Gaoben (Ligustici Wallichii Rhizoma, remove seedlings and soil), Juanhua (Stemonae Radix), Dongguazi (Trichosanthis Semen), Renshen (Ginseng Radix), Guizhi (Cinnamomi Ramulus, remove coarse bark), Dihuang (Rehmanniae Radix, dried), Shujiao (Zanthoxyli Pericarpium, remove eyes and closed-mouth ones, stir-fried to release oil), Baiwei (Cynanchi Atrati Radix), Chishizhi (Halloysit Rubrum, ground, each 0.5 liang).
The above twenty-eight ingredients are pounded, passed through a fine sieve into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty pills with warm wine.
For treating irregular menstruation, accumulation masses, and infertility in women: Dahuang Tang Formula.
Dahuang (Rhei Radix et Rhizoma, chopped and stir-fried, 1 liang), Taoren (Persicae Semen, soaked in water, skin and pointed ends removed, twin kernels discarded, 49 pieces), Mengchong (Blatta Orientalis, wings and legs removed, slightly stir-fried, 30 pieces), Shuizhi (Hirudo, quantity missing).
The above four ingredients are chopped like hemp seeds. Each dose is one qianbi (approx. 3g), decocted with one zhan of wine until reduced to seven parts. Strain and take warm on an empty stomach. Do not use if there are no accumulation masses.