甘草 干姜(各半两)
上 咀,水煮顿服。《局方》理中汤亦妙。(方见《和剂》)
夫妇人 癖者,本因邪气积聚而生也。 者,在腹内近脐左右各有一条筋脉急痛,大者
如臂,次者如指,因气而成,如弦之状,名曰 气也。癖者为僻,侧在两肋之间,有时而痛
,故曰癖也。夫 之与癖,皆阴阳不和,经络否膈,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 癖者也。
治妇人 癖,冷气兼疰气,心腹痛不可忍。
麝香(半两,别研) 阿魏(一分,面裹煨,令面熟) 五灵脂 桃仁 三棱(各三分)
芫花(醋炒) 槟榔(各一两) 莪术 桂心 没药 木香 当归(各半两)
上为细末,入麝香令停,用粳米软饭为丸,如梧桐子大,每服十丸。无时,淡醋汤下。
治妇人 癖及血气等神效方。
上以 猪肝一具,可及十两者;用巴豆五十枚,去大皮,扎在肝内。用酽醋三碗,慢火
熬,令肝烂熟;入砂钵内研令极烂,入京三棱末和就得所,为丸如梧桐子大。每服五丸,
食前,热酒下。(熬熟后去巴不用)
夫 癖症瘕,血气兜硬,发歇刺痛,甚则欲死。究而言之,皆血之所为。仆尝治一妇人
血气刺痛,极不可忍,甚而死一、二日方省。医巫并治,数年不愈。仆以葱白散、乌鸡丸遂
安。又尝治一妇人,血气作楚,如一小盘样,走注刺痛,要一人伏定方少止,亦用此二药而
愈。寻常小小血气,用此二药亦有奇效,故录于后。
乌鸡煎丸。(方见二十四卷拾遗门)
甘草、干姜(各半两)
将药材切碎,用水煎煮后一次性服用。《太平惠民和剂局方》中的理中汤效果也很好。(该方见《和剂局方》)
所谓妇女的“寃”病,原本是因为邪气积聚而形成的。“寃”是指在腹部靠近肚脐左右两侧各有一条筋脉拘急疼痛,大的像手臂一样粗,小的像手指一样粗,因气机阻滞而成,形状像琴弦,称为“寃气”。所谓“癖”病是指偏侧位于两肋之间,有时会出现疼痛,所以称为“癖”病。所谓的“寃”与“癖”,都是因为阴阳失调,经络阻隔,饮食停滞,不能宣通流布,寒邪冷气搏结不散,遇到寒冷就会发作疼痛,所以称为“寃癖”病。
治疗妇女的“寃癖”病,兼有冷气及疰气,导致心腹疼痛难以忍受。
麝香(半两,单独研磨)、阿魏(一分,用面粉包裹煨烤,直到面熟)、五灵脂、桃仁、三棱(各三分)
芫花(醋炒)、槟榔(各一两)、莪术、桂心、没药、木香、当归(各半两)
将上述药材研成细末,加入麝香混合均匀,用粳米软饭作为粘合剂制成丸药,大小如梧桐子。每次服用十丸,不拘时间,用淡醋汤送服。
治疗妇女“寃癖”及血气病的特效方。
取猪肝一个,重量约十两;用巴豆五十枚,去掉外皮,扎入肝内。用浓醋三碗,用慢火熬煮,直到肝烂熟;放入砂钵中研磨至极烂,加入京三棱粉末调和适中,制成如梧桐子大小的丸药。每次服用五丸,饭前,用热酒送服。(熬熟后去掉巴豆不用)
所谓的“寃”、“癖”、“症”、“瘕”病,表现为血气壅滞坚硬,发作时刺痛,严重时甚至危及生命。深入探究其原理,都是血分病变所致。我曾治疗一位妇女血气刺痛,极度难以忍受,甚至昏死一两天才苏醒。经过医生和巫医的共同治疗,几年都没有痊愈。我使用葱白散、乌鸡丸使她痊愈。又曾治疗一位妇女,血气作痛,感觉像一个小盘子样,游走性刺痛,需要一个人按住才能稍微缓解,也是用了这两种药而治愈。寻常轻微的血气病,使用这两种药也有奇效,所以记录在后面。
乌鸡煎丸。(该方见第二十四卷拾遗门)
Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis Preparatum) (each, 0.5 liang)
Crush the herbs, decoct in water, and take in one dose. Lizhong Tang (Regulate the Middle Decoction) from *Ju Fang* (Formulary of the Bureau) is also excellent. (See *Heji Ju Fang*)
The so-called "Yuan" disease in women originates from the accumulation of pathogenic factors. "Yuan" refers to a condition where there is a painful, tense meridian or tendon on either side of the navel within the abdomen. The larger masses are as thick as an arm, while smaller ones are as thick as a finger. Formed by qi stagnation, they resemble a bowstring, hence named "Yuan Qi". "Pi" disease refers to masses located obliquely between the two hypochondria, which cause intermittent pain, thus named "Pi". Both "Yuan" and "Pi" result from disharmony of Yin and Yang, obstruction of meridians, stagnation of food and drink preventing free flow, and the binding and dispersal failure of cold pathogenic qi. When exposed to cold, pain is triggered; therefore, it is called "Yuan Pi" disease.
To treat women's "Yuan Pi" disease, accompanied by cold qi and Zhu Qi (infectious/pestilential qi), causing unbearable heart and abdominal pain.
Shexiang (Moschus) (0.5 liang, separately ground), Awèi (Resina Ferulae) (1 fen, wrapped in flour and roasted until the flour is cooked), Wulingzhi (Tardigrada) (3 qian each), Taoren (Semen Persicae), Sanleng (Rhizoma Sparganii) (3 qian each)
Yuanhua (Flos Genkwa), Binglang (Semen Arecae) (1 liang each), Ezhu (Rhizoma Curcumae Zedoariae), Guixin (Cortex Cinnamomi), Moyao (Resina Myrrhae), Muxiang (Radix Aucklandiae), Danggui (Radix Angelicae Sinensis) (each, 0.5 liang)
Grind all ingredients into a fine powder. Mix in the Shexiang evenly. Use soft rice as a binder to make pills the size of Sophora japonica seeds. Take 10 pills per dose at any time, washed down with light vinegar soup.
A miraculous formula for treating women's "Yuan Pi" and blood-qi disorders.
Take one pig liver, weighing approximately 10 liang. Insert 50 Baiduo (Fructus Crotonis Tiglii) seeds, peeled, into the liver. Simmer the liver in three bowls of strong vinegar over low heat until the liver is thoroughly cooked and soft. Grind the mixture extremely finely in a mortar. Mix with Jing Sanleng (Rhizoma Sparganii) powder to form pills the size of Sophora japonica seeds. Take 5 pills before meals, washed down with hot wine. (Remove the Baiduo after cooking).
The conditions of "Yuan", "Pi", "Zheng", and "Jia" involve hard, obstructed blood-qi, with paroxysmal stabbing pain that can be fatal if severe. Upon deeper investigation, these are all manifestations of blood pathology. I once treated a woman suffering from unbearable blood-qi stabbing pain, who even fell into a coma for one or two days before regaining consciousness. Despite treatment by both physicians and shamans, she remained ill for years. I used Congbai San (Scallion White Powder) and Wuji Wan (Black Chicken Pill) to cure her. I also treated another woman whose blood-qi pain felt like a small plate moving around with stabbing sensations, requiring someone to press firmly to find relief. She was also cured using these two remedies. For ordinary mild blood-qi disorders, these two formulas also yield remarkable effects, so they are recorded below.
Wuji Jian Wan (Black Chicken Decocted Pill). (See Volume 24, Supplementary Section)