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治妇人崩中漏下不止诸方 · 太平圣惠方 · 医典·华经

太平圣惠方

治妇人崩中漏下不止诸方1140 / 1538

太平圣惠方 · 治妇人崩中漏下不止诸方 · 宋

古文

夫妇人崩中之病者。是伤损冲任之脉。冲任之脉。皆起于胞内。为经脉之海。劳伤过度。
冲
中漏下也。
治妇人崩中漏下不止。地榆散方。
地榆（一两锉）伏龙肝〔一两（半）〕白茯苓（一两）熟干地黄（一两）柏叶
（一两微
炙）
燥）当
归〔一（
两）蟹爪
（一两微炒
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹茹一分。
煎至六分。去滓。每于食前温服。
又方。
当归（一两锉微炒）阿胶（一两捣碎炒令黄燥）干姜（一两炮裂锉）细墨（半两）
艾叶
（一
上件药。捣粗罗为散。每服三钱。以水一中盏。
煎至六分。去滓。入赤马通汁一合。更煎一两沸。每于食前温服。
治妇人崩中漏下不止。羸乏。宜服此方。
乌贼鱼骨〔一（二）两烧灰〕芎（三分）熟干地黄（一两）艾叶（一两微炒）干
姜（半
两
上件药。捣粗罗为散。每服三钱。以水一中盏。
煎至六（五）分。去滓。入酒一合。更煎一两沸。每于食前温服。
治妇人崩中漏下赤白青黑。腐臭不可近。令人面黑。皮骨相连。月经失度。往来无
常。小腹
蔷薇根皮（一两锉）慎火草（半两）白薇（三分）黄连（一两去须微炒）败龟
（一两涂
酥炙
干地黄
（一两
醋淬七遍〕
牡
上件药。捣细罗为散。每于食前。以温酒调下三钱。
治妇人崩中漏下不止。渐加羸瘦。四肢烦痛。禹余粮散方。
禹余粮〔一（二）两烧醋淬七遍〕甘草〔二（三分）两炙微赤锉〕赤石脂（二两）龙
骨
（二
两（分）〕
干
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治妇人崩中漏下。不问年月远近。柏叶散方。
柏叶（一两半微炙）续断（一两半）芎（一两半）禹余粮（二两半烧醋淬七遍）
艾叶
（一
（一两
锉）
（一两半
涂酥
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治妇人崩中漏下不止。虚损羸瘦。鹿茸散方。
鹿茸（一两去毛涂酥炙微黄）鳖甲（一两涂醋炙令黄去裙）乌贼鱼骨（一两炙黄）
白
龙骨
苁蓉（一两
半酒
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
治妇人崩中漏下不止。渐加黄瘦。四肢无力。腹内疼痛。不思饮食。柏叶丸方。
柏叶（一两微炙）续断（三分）芎（三分）禹余粮（二两烧醋淬七遍）艾叶
（三分微
炒）
两）当
归（三
甲（一
两涂醋
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治妇人劳损因成崩中。不可禁止。积日不断。故成漏下。致五脏空虚。肉色黄瘦。
禹余粮丸
禹余粮〔一（二）两烧醋淬七遍〕龙骨（一两）紫石英（一两细研水飞过）人参
（半两
去芦
椒（一两
去目及
炙微黄
锉）
蛎（一
两烧
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每晚（于）食前。以热酒下二
（三）
丸
治妇人崩中漏下久不瘥。宜服此方。
白芍药〔一（二）两〕乌贼鱼骨（二两烧灰）棚叶（一两半炙微黄）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治妇人崩中下血不绝。小腹痛方。
鹿角胶（一两捣碎炒令黄燥）柏叶（一两微炙）白芍药（一两）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
又方。
牡蛎（二两半烧为粉）狗头骨（二两半炙令黄）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
又方。
槐鹅（烧作灰）
上细研。每于食前。以温酒调下二钱。

白话

凡是妇人患崩中病的，是由于损伤了冲脉和任脉。冲脉和任脉，都起始于胞宫（子宫），是十二经脉气血汇聚的海源。因过度劳累或内伤导致气血亏损，就会引起崩中和漏下。

治疗妇人崩中、漏下不止的方剂：地榆散方。
地榆（一两，锉碎）伏龙肝（一两）白茯苓（一两）熟干地黄（一两）柏叶（一两，微炙） [原文此处有缺字，推测为侧柏叶或其他相关药材，依文意保留] 当归（一两）蟹爪（一两，微炒）
以上药物，捣成粗末过筛制成散剂。每次服用三钱，用水一中盏，加入竹茹一分，煎煮至六分，去渣滓。每次在饭前温服。

另一个方子：
当归（一两，锉碎微炒）阿胶（一两，捣碎炒至黄色干燥）干姜（一两，炮裂后锉碎）细墨（半两）艾叶（一两）
以上药物，捣成粗末过筛制成散剂。每次服用三钱，用水一中盏，煎煮至六分，去渣滓，加入赤马通汁（马粪汁）一合，再煎一两沸。每次在饭前温服。

治疗妇人崩中、漏下不止，身体瘦弱乏力，适宜服用此方：
乌贼鱼骨（一两至二两，烧成灰）川芎（三分）熟干地黄（一两）艾叶（一两，微炒）干姜（半两）
以上药物，捣成粗末过筛制成散剂。每次服用三钱，用水一中盏，煎煮至五六分，去渣滓，加入酒一合，再煎一两沸。每次在饭前温服。

治疗妇人崩中、漏下，血色红白青黑混杂，气味腐臭难闻，使人面色发黑，皮包骨头，月经失去常规，来去无常，小腹疼痛：
蔷薇根皮（一两，锉碎）慎火草（半两）白薇（三分）黄连（一两，去须微炒）败龟板（一两，涂酥炙）干地黄（一两，醋淬七遍）牡蛎（一两）
以上药物，捣成细末过筛制成散剂。每次在饭前，用温酒调服三钱。

治疗妇人崩中、漏下不止，逐渐消瘦，四肢烦痛：禹余粮散方。
禹余粮（一两至二两，烧后醋淬七遍）甘草（二两，炙微赤锉碎）赤石脂（二两）龙骨（二两）
以上药物，捣成细末过筛制成散剂。每次在饭前，用米汤调服二钱。

治疗妇人崩中、漏下，不论发病时间长短：柏叶散方。
柏叶（一两半，微炙）续断（一两半）川芎（一两半）禹余粮（二两半，烧后醋淬七遍）艾叶（一两）干姜（一两，锉碎）鹿茸（一两半，涂酥炙）
以上药物，捣成细末过筛制成散剂。每次在饭前，用米汤调服二钱。

治疗妇人崩中、漏下不止，虚损消瘦：鹿茸散方。
鹿茸（一两，去毛涂酥炙微黄）鳖甲（一两，涂醋炙令黄，去裙边）乌贼鱼骨（一两，炙黄）白茯苓（一两）龙骨（一两）肉苁蓉（一两，半酒浸）
以上药物，捣成细末过筛制成散剂。每次在饭前，用米汤调服二钱。

治疗妇人崩中、漏下不止，逐渐发黄消瘦，四肢无力，腹内疼痛，不思饮食：柏叶丸方。
柏叶（一两，微炙）续断（三分）川芎（三分）禹余粮（二两，烧后醋淬七遍）艾叶（三分，微炒）当归（三两）鳖甲（一两，涂醋炙）
以上药物，捣罗成粉末，炼蜜调和，捣三五百杵，制成梧桐子大小的丸药。每次在饭前，用温酒送服三十丸。

治疗妇人劳损导致崩中，无法禁止，日久不断，从而形成漏下，致使五脏空虚，肌肉色黄消瘦：禹余粮丸。
禹余粮（一两至二两，烧后醋淬七遍）龙骨（一两）紫石英（一两，细研水飞）人参（半两，去芦头）花椒（一两，去目及闭口者，炙微黄，锉碎）牡蛎（一两，烧）
以上药物，捣罗成粉末，炼蜜调和，捣三五百杵，制成梧桐子大小的丸药。每晚在饭前，用热酒送服二三丸。

治疗妇人崩中、漏下久不痊愈，适宜服用此方：
白芍药（一两至二两）乌贼鱼骨（二两，烧灰）棚叶（一两半，炙微黄）
以上药物，捣成细末过筛制成散剂。每次在饭前，用米汤调服一钱。

治疗妇人崩中下血不绝，小腹痛：
鹿角胶（一两，捣碎炒令黄燥）柏叶（一两，微炙）白芍药（一两）
以上药物，捣成细末过筛制成散剂。每次在饭前，用温酒调服二钱。

另一个方子：
牡蛎（二两半，烧成粉）狗头骨（二两半，炙令黄）
以上药物，捣成细末过筛制成散剂。每次在饭前，用温酒调服二钱。

另一个方子：
槐鹅（烧作灰）
以上药物细研。每次在饭前，用温酒调服二钱。

英文

For women suffering from the disease of "Beng Zhong" (sudden, heavy uterine bleeding), it is caused by damage to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). The Chong Mai and Ren Mai both originate within the Bao Gong (Uterus/Womb) and serve as the Sea of the Twelve Meridians. Excessive labor or internal injury leading to Qi and Blood deficiency results in Beng Zhong and Lou Xia (prolonged, scanty uterine bleeding).

Formulas for treating Beng Zhong and persistent Lou Xia:

**Diyu San Powder**
*Ingredients:*
- Diyu (Sanguisorbae Radix, 1 liang, crushed)
- Fulonggan (Dracaenae Caulis Cum Resina, 1 liang)
- Baifuling (Poria, 1 liang)
- Shugan Dihuang (Prepared Rehmanniae Radix, 1 liang)
- Baiye (Cacumen Platycladi, 1 liang, slightly roasted)
- Danggui (Angelicae Sinensis Radix, 1 liang)
- Xiezhao (Crab Claws, 1 liang, slightly stir-fried)

*Preparation and Administration:*
Grind the above herbs into a coarse powder and sieve. Take 3 qian per dose. Add 1 zhong of water and 1 fen of Zhuru (Bambusa Textilis Caulis interior succus) to the water. Decoct until reduced to 6 fen. Strain the dregs. Warm and take before meals.

**Another Formula:**
*Ingredients:*
- Danggui (Angelicae Sinensis Radix, 1 liang, crushed and slightly stir-fried)
- Ejiao (Asini Corii Colla, 1 liang, crushed and fried until yellow and dry)
- Ganjiang (Zingiberis Rhizoma, 1 liang, processed, cracked, and crushed)
- Xi Mo (Fine Ink Stick, 0.5 liang)
- Aiye (Folium Artemisiae Argyi, 1 liang)

*Preparation and Administration:*
Grind the above herbs into a coarse powder and sieve. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 6 fen. Strain the dregs. Add 1 he of Chi Matong Zhi (Juice from equine feces) and boil for one more boiling point. Warm and take before meals.

**For Women with Persistent Beng Zhong and Lou Xia, Weakness, and Fatigue:**
*Ingredients:*
- Wuzhe Yu Gu (Sepiae Endoconcha, 1–2 liang, calcined to ash)
- Xiong (Ligustici Chuanxiong Rhizoma, 3 qian)
- Shugan Dihuang (Prepared Rehmanniae Radix, 1 liang)
- Aiye (Folium Artemisiae Argyi, 1 liang, slightly stir-fried)
- Ganjiang (Zingiberis Rhizoma, 0.5 liang)

*Preparation and Administration:*
Grind the above herbs into a coarse powder and sieve. Take 3 qian per dose. Add 1 zhong of water. Decoct until reduced to 5–6 fen. Strain the dregs. Add 1 he of wine and boil for one more boiling point. Warm and take before meals.

**For Women with Beng Zhong and Lou Xia Mixed with Red, White, Green, Black Discharge, Foul Odor, Dark Complexion, Emaciation, Irregular Menstruation, and Lower Abdominal Pain:**
*Ingredients:*
- Qiangwei Genpi (Cortex Rosae Rugosae, 1 liang, crushed)
- Shenhuo Cao (Herba Siegesbeckiae Orientalis, 0.5 liang)
- Baiwei (Radix Cynanchi Atrati, 3 qian)
- Huanglian (Rhizoma Coptidis, 1 liang, remove roots, slightly stir-fried)
- Baiguiban (Carapax et Plastrum Testudinis, 1 liang, coated with butter and roasted)
- Gan Dihuang (Rehmanniae Radix, 1 liang, quenched in vinegar seven times)
- Muli (Concha Ostreae, 1 liang)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 3 qian before meals, mixed with warm wine.

**Yuyuliang San Powder for Persistent Beng Zhong and Lou Xia with Progressive Emaciation and Limb Pain:**
*Ingredients:*
- Yuyuliang (Hematitum, 1–2 liang, calcined and quenched in vinegar seven times)
- Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-roasted until slightly red and crushed)
- Chishizhi (Halloysit Rubrum, 2 liang)
- Longgu (Os Draconis, 2 liang)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 2 qian before meals, mixed with rice decoction.

**Baiye San Powder for Beng Zhong and Lou Xia Regardless of Duration:**
*Ingredients:*
- Baiye (Cacumen Platycladi, 1.5 liang, slightly roasted)
- Xuduan (Radix Dipsaci, 1.5 liang)
- Xiong (Ligustici Chuanxiong Rhizoma, 1.5 liang)
- Yuyuliang (Hematitum, 2.5 liang, calcined and quenched in vinegar seven times)
- Aiye (Folium Artemisiae Argyi, 1 liang)
- Ganjiang (Zingiberis Rhizoma, 1 liang, crushed)
- Lurong (Cornu Cervi Pantotrichum, 1.5 liang, coated with butter and roasted)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 2 qian before meals, mixed with rice decoction.

**Lurong San Powder for Persistent Beng Zhong and Lou Xia with Deficiency and Emaciation:**
*Ingredients:*
- Lurong (Cornu Cervi Pantotrichum, 1 liang, remove hair, coat with butter, roast until slightly yellow)
- Biejia (Carapax et Plastrum Testudinis, 1 liang, coat with vinegar, roast until yellow, remove skirt edges)
- Wuzhe Yu Gu (Sepiae Endoconcha, 1 liang, roasted until yellow)
- Baifuling (Poria, 1 liang)
- Longgu (Os Draconis, 1 liang)
- Rongcong (Cynomorii Herba, 1 liang, half soaked in wine)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 2 qian before meals, mixed with rice decoction.

**Baiye Wan Pills for Persistent Beng Zhong and Lou Xia with Yellowish Emaciation, Limb Weakness, Abdominal Pain, and Loss of Appetite:**
*Ingredients:*
- Baiye (Cacumen Platycladi, 1 liang, slightly roasted)
- Xuduan (Radix Dipsaci, 3 qian)
- Xiong (Ligustici Chuanxiong Rhizoma, 3 qian)
- Yuyuliang (Hematitum, 2 liang, calcined and quenched in vinegar seven times)
- Aiye (Folium Artemisiae Argyi, 3 qian, slightly stir-fried)
- Danggui (Angelicae Sinensis Radix, 3 liang)
- Biejia (Carapax et Plastrum Testudinis, 1 liang, coated with vinegar and roasted)

*Preparation and Administration:*
Grind the herbs into powder. Mix with refined honey and pound 300–500 times. Shape into pills the size of paulownia seeds. Take 30 pills before meals with warm wine.

**Yuyuliang Wan Pills for Beng Zhong Caused by Labor Damage, Incessant Bleeding Leading to Lou Xia, Empty Five Zang Organs, and Yellowish Emaciation:**
*Ingredients:*
- Yuyuliang (Hematitum, 1–2 liang, calcined and quenched in vinegar seven times)
- Longgu (Os Draconis, 1 liang)
- Zhi Shiyin (Fluoritum, 1 liang, finely ground and washed with water)
- Renshen (Ginseng Radix, 0.5 liang, remove rhizome)
- Jiao (Zanthoxyli Fructus, 1 liang, remove eyes and closed ones, honey-roast until slightly yellow, crush)
- Lishi (Concha Ostreae, 1 liang, calcined)

*Preparation and Administration:*
Grind the herbs into powder. Mix with refined honey and pound 300–500 times. Shape into pills the size of paulownia seeds. Take 2–3 pills every night before meals with hot wine.

**For Persistent Beng Zhong and Lou Xia Not Healing After a Long Time:**
*Ingredients:*
- Baishaoyao (Radix Paeoniae Alba, 1–2 liang)
- Wuzhe Yu Gu (Sepiae Endoconcha, 2 liang, calcined to ash)
- Pengye (Leaf of a specific plant, likely a typo for a local herb, 1.5 liang, roasted until slightly yellow)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 1 qian before meals, mixed with rice decoction.

**Formula for Persistent Uterine Bleeding with Lower Abdominal Pain:**
*Ingredients:*
- Lu Jiao Jiao (Colla Cornus Cervi, 1 liang, crushed and fried until yellow and dry)
- Baiye (Cacumen Platycladi, 1 liang, slightly roasted)
- Baishaoyao (Radix Paeoniae Alba, 1 liang)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 2 qian before meals, mixed with warm wine.

**Another Formula:**
*Ingredients:*
- Muli (Concha Ostreae, 2.5 liang, calcined to powder)
- Goutou Gu (Canis Cranium, 2.5 liang, roasted until yellow)

*Preparation and Administration:*
Grind the above herbs into a fine powder and sieve. Take 2 qian before meals, mixed with warm wine.

**Another Formula:**
*Ingredients:*
- Huaie (Likely referring to Sophora flower or similar, burned to ash)

*Preparation and Administration:*
Grind finely. Take 2 qian before meals, mixed with warm wine.