川芎(一钱五分) 当归(三钱) 炙甘草(五分) 人参(二钱) 黄 (一钱五分) 肉桂(四分)
马蹄香(二钱)
生葱(一握) 捣烂。炙熟作饼敷肿处。用浓布 二三层盖上。以熨斗微火熨之。
流注漫肿微痛。属形气病气俱不足。最难治。若已成脓。或未成脓。或不溃。此气血虚也。
宜服人参汤。如憎寒恶寒气虚也。宜十全大补汤。如日晡内热。宜四物汤。加人参。白术。
丹皮。如呕逆胃气虚。宜六君子汤加炮姜。如食少体倦。脾气虚也。宜补中益气汤。加倍升麻。如四
肢逆冷。小便频数。肾气虚也。
宜补中益气汤加益智仁。
妇人阴户中生疮。名曰 疮。或痛。或痒如虫行状。浓汁淋露。阴蚀几尽者。心肾烦郁。肾
气虚弱。致血气留滞。经云。诸痛疮疡皆属于心。治当补心养胃。外以药熏洗。
当归 川芎 芍药 地榆 甘草(各等分)
用水五升。煎至二升。去渣熏洗。日三次。夜一次。
猪油(十斤) 水(一桶) 煮极熟。以汁浸疮。冷再易热者。不过三五次可愈。
虾蟆 兔屎(等分) 为末。敷疮亦良。
(〔吴按〕兔屎别名望月砂。为洗眼要药。)
余岳丈陈贞甫太守。乃闽中修园先生后裔。素以医名。自幼受其指教。粗得皮毛。但医书汗
牛充栋。惟择其最善者而从之。尝考岐黄。治病专精针灸。伊芳尹始传汤液。汉自仲景后。
初分门类。而妇幼乃有专科。然皆医国寿民。存心利济。非如近世射利之徒。私秘良方。行
同市侩。所以人多轻视而医学埽地矣。光绪乙酉冬。吴君幼筠。以家藏竹林寺妇科秘本。拟
将锓板。以广流传。由翁君式如见示。属为校订。详细读之。胎产诸症。备举无遗。其方亦
属王道。并非离奇。但非一手所着。不敢断鹤续凫。强为连贯。况抄本讹误。句读难明。汤
丸颠倒。分两参差。所关非细。千里毫厘。因稍加修饰。补短截长。酌添分两。配合君臣。
庶秘方可称全璧。苟居家者。既获此书。再益以达生福幼等编。则穷僻之乡。审症用药。较
以性命付诸庸医之手。得失奚如。吾知书成后。胎前谙治法。产后多良方。久秘之本。竟得
广传。岂非生民之庆幸也哉。校竣。序其缘起而归之。
光绪丙戌年。春正月。仁和礼堂曹秉纲。序于鄂匏斋。
川芎(一钱五分) 当归(三钱) 炙甘草(五分) 人参(二钱) 黄芪(一钱五分) 肉桂(四分)
马蹄香(二钱)
生葱(一把) 捣烂。炒熟做成饼敷在肿胀处。用两层或三层厚布盖在上面。用熨斗以微火熨烫。
流注(一种漫肿无头、皮色不变的阴疽)漫肿且微痛,属于形体正气和病邪之气都不足的情况,最难治疗。如果已经成脓,或者尚未成脓,或者溃破后不愈合,这都是气血虚弱的表现。
适宜服用人参汤。如果出现怕冷恶寒的症状,说明是气虚,适宜服用十全大补汤。如果下午申时左右出现内热,适宜服用四物汤,加入人参、白术、牡丹皮。如果出现呕吐逆气,说明胃气虚弱,适宜服用六君子汤并加入炮姜。如果饮食减少、身体疲倦,说明脾气虚弱,适宜服用补中益气汤,加倍使用升麻。如果四肢逆冷、小便频数,说明肾气虚弱,
适宜服用补中益气汤并加入益智仁。
妇女外阴部生疮,名叫妒妇疮(原文缺字,据语境及症状推测为“妒”或类似含义,此处依原文留空或指代特定病名,结合下文“阴蚀”,常指严重的阴部溃疡)。有时疼痛,有时瘙痒像虫子爬行一样,脓汁淋漓流出,阴部组织被腐蚀几乎殆尽的,是因为心肾烦闷郁结,肾气虚弱,导致血气停滞。医经说:所有的疼痛和疮疡都属于心。治疗应当补益心气、养护胃气。外用药物熏洗。
当归 川芎 芍药 地榆 甘草(各等分)
用水五升,煎煮至两升,去掉药渣进行熏洗。每天三次,夜间一次。
猪油(十斤) 水(一桶) 煮至极熟,用汤汁浸泡疮口,冷了再换热的,不过三五次就可以痊愈。
蛤蟆 兔屎(等量) 研成粉末,敷在疮上也很好。
(〔吴按〕兔屎别名望月砂,是清洗眼睛的重要药物。)
我的岳父陈贞甫太守,是闽中修园先生的后裔。一向以医术闻名,自幼接受他的教导,粗略掌握了一些皮毛。但是医书多得像牛马一样堆满屋子,我只选择其中最好的来学习。曾经考察岐伯和黄帝的医学,治病专精于针灸。伊芳尹才开始传授汤液疗法。汉代自从张仲景之后,起初分为各类门类,而妇科和儿科才有了专科。然而这些医生都是心怀治理国家、造福百姓之心,存心救济世人,不像近世那些谋取私利的人,私自秘藏良方,行为如同市井商贩。所以人们大多轻视医学,导致医学扫地无余。光绪乙酉年冬天,吴君幼筠,拿出家藏的竹林寺妇科秘本,打算刻印出版,以便广泛流传。由翁君式如展示给我看,嘱咐我进行校订。仔细阅读后,发现胎产各种病症,列举详尽没有遗漏。其中的方剂也属于王道之法,并不离奇古怪。但这并非一人所著,我不敢随意割裂鹤腿接长野鸭腿(比喻生硬凑合),强行连贯文意。况且抄本中有错误,句读难以辨明,汤剂和丸剂的顺序颠倒,分量参差错落,关系非比寻常,失之毫厘谬以千里。因此稍微加以修饰,补短截长,酌情添加分量,配合君臣佐使,使得秘方可以称为完整的玉璧。如果居家之人,既然获得了这本书,再补充以《达生》、《福幼》等编撰的书籍,那么在穷僻之乡,审视病症用药,比起把性命交给庸医手中,得失如何呢?我知道书完成后,产前精通治疗方法,产后拥有许多良方,长久秘藏的原本,竟然得以广泛传播,这难道不是百姓的庆幸吗?校订完毕,写下缘起并归于此。
光绪丙戌年,春正月。仁和礼堂曹秉纲,序于鄂匏斋。
Chuanxiong (1.5 qian) Danggui (3 qian) Zhi Gancao (Honey-fried Licorice Root, 0.5 qian) Renshen (2 qian) Huangqi (Astragalus Root, 1.5 qian) Rougui (Cinnamon Bark, 0.4 qian)
Matixiang (2 qian)
Fresh Conger Eel Onion (a handful) is mashed. It is stir-fried until cooked and formed into a cake to apply to the swollen area. Two or three layers of thick cloth are placed over it. It is then warmed with an iron using low heat.
Liuzhu (Flowing Abscess: a type of yin abscess characterized by diffuse swelling without a distinct head and unchanged skin color) presenting as diffuse swelling with slight pain indicates insufficiency of both physical constitution (Xing Qi) and pathogenic qi (Bing Qi), making it the most difficult to treat. If pus has already formed, or has not yet formed, or if the ulcer fails to heal after rupture, this is due to deficiency of Qi and Blood.
It is appropriate to administer Renshen Tang (Ginseng Decoction). If symptoms include aversion to cold and fear of chill, indicating Qi deficiency, Shiquan Dabu Tang (Complete Great Tonifying Decoction) is appropriate. If internal heat occurs around the Shen hour (3-5 PM), Siwu Tang (Four Substance Decoction) added with Renshen, Baizhu (Atractylodes Macrocephala Rhizome), and Danpi (Moutan Cortex) is appropriate. If vomiting and regurgitation occur, indicating Stomach Qi deficiency, Liujunzi Tang (Six Gentlemen Decoction) added with Paojiang (Prepared Ginger) is appropriate. If appetite is poor and the body feels fatigued, indicating Spleen Qi deficiency, Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) with doubled Shengma (Cimicifugae Rhizome) is appropriate. If the four limbs are cold and urination is frequent, indicating Kidney Qi deficiency,
Buzhong Yiqi Tang added with Yizhiren (Biotae Semen) is appropriate.
Sores appearing in the female genitalia are known as Du Fu Chuang (Jealous Woman's Ulcer). They may present with pain or itching resembling the sensation of insects crawling, with profuse discharge of thick pus, leading to severe erosion of the vulva. This condition arises from mental distress and depression involving the Heart and Kidney, combined with Kidney Qi weakness, resulting in stagnation of Qi and Blood. The Classic states: "All pain and sores belong to the Heart." Treatment should focus on tonifying the Heart and nourishing the Stomach. External treatment involves fumigation and washing with medicinal decoctions.
Danggui, Chuanxiong, Shaoyao (White Peony Root), Diyu (Sanguisorbae Radix), Gancao (Licorice Root) (equal parts)
Boil five sheng of water down to two sheng. Remove the dregs and use the liquid for fumigation and washing. Perform this three times during the day and once at night.
Pig Lard (10 jin) and Water (one bucket) are boiled until very thoroughly cooked. Use the broth to soak the sores; replace with hot broth when it cools. Healing can be achieved within three to five applications.
Toad (Xama) and Rabbit Feces (Tushisi) (equal parts) are ground into powder and applied to the sores, which is also effective.
([Wu's Note] Rabbit feces, also known as Wangyuesha (Moon-gazing Sand), is an important herb for washing eyes.)
My father-in-law, Chen Zhengfu, Prefect, was a descendant of Mr. Xiuyuan from Minzhong. He was renowned for his medical skills since childhood, having received instruction from him, allowing me to grasp only superficial knowledge. Medical books are as numerous as cattle and horses filling the house; I selected only the best ones to study. Having examined the teachings of Qibo and Huangdi, I found that healing practices specialized in acupuncture and moxibustion. Yi Fangyin was the first to transmit the methods of herbal decoctions. Since Zhang Zhongjing in the Han Dynasty, medicine began to be categorized, and gynecology and pediatrics emerged as specialized fields. However, these physicians were motivated by a desire to govern the state and benefit the people, acting with altruism, unlike modern profit-seekers who privately hoard good prescriptions and behave like market hawkers. Consequently, people have come to look down upon medicine, causing it to fall into disrepute. In the winter of the Yihai year of Guangxu, Mr. Wu Youyun presented a secret gynecological manuscript from Zhulinsi Temple kept in his family collection, intending to have it printed for widespread dissemination. It was shown to me by Mr. Weng Shiru, who requested my revision. Upon detailed reading, I found that various pregnancy and childbirth conditions were comprehensively listed without omission. The formulas provided adhere to the "Kingly Way" (gentle and balanced approaches) and are not bizarre. However, as this text was not authored by a single person, I dare not forcibly connect disjointed parts (like extending a duck's legs to match a crane's). Moreover, errors in the manuscript make punctuation difficult to determine, and the order of decoctions and pills is confused, with inconsistent dosages. These matters are significant; a tiny error leads to great deviation. Therefore, I made minor revisions, supplemented deficiencies, corrected lengths, adjusted dosages, and arranged the roles of sovereign, minister, assistant, and envoy, so that the secret prescription could be considered complete. If householders obtain this book and supplement it with compilations such as *Dasheng* and *Fuyou*, then in remote areas, diagnosing and prescribing will be far superior to entrusting one's life to incompetent doctors. I know that once the book is completed, prenatal care will be well-understood, and postnatal treatments will abound. A long-hidden classic will finally be widely circulated. Is this not a cause for celebration for the people? After completing the revision, I record the origin of this work.
In the spring of the first month of the Bingxu year of Guangxu. Cao Binggang of Hetang Hall, Renhe, wrote the preface at Epao Studio.