当归 川芎 芍药 桂心 牡丹皮 莪术(各半两) 人参 甘草 牛膝(各一两)
上 咀,每服五钱。水一盏半,煎至八分,去滓温服。
桂枝 芍药 生地黄(各二两) 桃仁(制,五十个) 甘草(一两)
上为粗末,每服五钱。水二盏,姜三片,枣一个,煎至一盏,去滓温服。
若经候顿然不行,脐腹 痛,上攻心胁欲死。或因不行,结积渐渐成块,脐下如覆杯,
久成肉症,不可复治。由惊恐,忧思,意所不决,气郁抑而不舒,则乘于血,血随气行,滞
则血结。以气主先之,血主后之,宜服桂枝桃仁汤。不瘥,宜地黄通经丸。已成块者,宜万
病丸。(方见前)
熟地黄(三两) 虻虫(去头、足、翅,炒) 水蛭(用糯米同炒黄,去糯米) 桃仁
(制,各五十个)
上为细末,炼蜜丸如梧桐子大,空心温酒下五丸。未知,加至七丸。
治妇人月经壅滞,每发心腹脐 痛不可忍。及治产后恶露不快,血上抢心,迷闷不省,
气绝欲死。(出《本事方》)
三棱 莪术 赤芍药 牡丹皮 刘寄奴 当归 熟地黄 桂心 甘菊 真蒲黄(炒,各
一两,细锉)
上前五味,用乌豆一升,生姜半斤切片,米醋四升同煮,豆烂为度,焙干,入后五味,
同为细末,每服三钱。空心,食前温酒调下。
一方∶不用菊花、蒲黄,却用乌药、延胡索亦佳。予家之秘方也。
若是寻常血气痛,只一服。产后血冲心,二服便下,常服尤佳。前后救人,急切不少。
此药易合,宜多合以救人。乌豆一升,约用五两。
又一方∶延胡索 当归(各等分)
上二味为粗末,每服三钱。姜三片,水一大盏,煎至七分,去滓,稍热服。
陈氏方有桂,名如神汤,最治腰痛。
《雷公炮炙论》只有延胡索一味,治心痛。
仆详此方,大能治血气腰腹痛,药简功专,治疾有效。
当归、川芎、芍药、桂心、牡丹皮、莪术(各半两);人参、甘草、牛膝(各一两)。
以上药材切碎,每次服用五钱。加水一盏半,煎煮至八分满,滤去药渣,温服。
桂枝、芍药、生地黄(各二两);桃仁(炮制,五十个);甘草(一两)。
以上药材捣成粗末,每次服用五钱。加水二盏,生姜三片,大枣一个,煎煮至一盏满,滤去药渣,温服。
如果月经突然停止,脐腹部疼痛,痛感上攻至心部和胁部,令人痛苦欲死。或者因为经血不通,逐渐结聚成块,脐下感觉像倒扣的杯子,日久形成肉瘕(一种腹内肿块),则难以治愈。这是由于惊恐、忧思、犹豫不决,导致气机郁结而不舒展,进而影响血液,血随气行,气滞则血结。由于气为血之帅,先行主导,血为气之母,后行跟随,适宜服用桂枝桃仁汤。若症状未缓解,适宜服用地黄通经丸。已经形成肿块者,适宜服用万病丸。(方剂见前文)
熟地黄(三两);虻虫(去除头、足、翅,炒制);水蛭(与糯米同炒至黄,去掉糯米);桃仁(炮制,各五十个)。
以上药材研成细末,用炼蜜制成梧桐子大小的丸剂,空腹时用温酒送服五丸。若无效,增加至七丸。
治疗妇人月经壅滞,每次发作时心腹脐部疼痛难以忍受。以及治疗产后恶露排出不畅,瘀血上冲心脏,导致昏迷不省人事,气息微弱欲死。(出自《本事方》)
三棱、莪术、赤芍药、牡丹皮、刘寄奴、当归、熟地黄、桂心、甘菊、真蒲黄(炒制,各一两,细切)。
将前五味药,用乌豆一升,生姜半斤切片,米醋四升共同煮至豆子烂熟,烘干,加入后五味药,一起研成细末,每次服用三钱。空腹,饭前用温酒调服。
另一配方:不用菊花、蒲黄,改用乌药、延胡索也很好。这是我家的秘方。
如果是寻常的气血疼痛,只需服用一次。产后血气上冲心脏,服用两次即可见效,长期服用效果更佳。此前救人无数,急迫之时尤为有效。此药容易配制,宜多配制以救助人。乌豆一升,大约重五两。
又一方:延胡索、当归(各等分)。
以上两味药捣成粗末,每次服用三钱。加生姜三片,水一大盏,煎煮至七分,滤去药渣,稍热时服用。
陈氏的方子中有桂枝,名为如神汤,最擅长治疗腰痛。
《雷公炮炙论》中只有延胡索一味药,用于治疗心痛。
我详细考察此方,非常能治疗气血引起的腰腹痛,药味简单而功效专一,治病有效。
Radix Angelicae Sinensis (Danggui), Radix Saposhnikoviae (Chuanxiong), Radix Paeoniae Alba (Shaoyao), Cortex Cinnamomi (Guixin), Cortex Moutan (Mudanpi), Rhizoma Curcumae Zedoariae (Ezhu) (each 0.5 liang); Radix Ginseng (Renshen), Radix Glycyrrhizae Preparata (Gancao), Radix Achyranthis Bidentatae (Niuxi) (each 1 liang).
The above herbs are cut into pieces. Take 5 qian per dose. Add 1.5 zhan of water, decoct until 0.8 zhan remains, remove the dregs, and take warm.
Ramulus Cinnamomi (Guizhi), Radix Paeoniae Alba (Shaoyao), Radix Rehmanniae Preparata (Shengdihuang) (each 2 liang); Semen Persicae (Taoren) (processed, 50 seeds); Radix Glycyrrhizae Preparata (Gancao) (1 liang).
The above herbs are crushed into coarse powder. Take 5 qian per dose. Add 2 zhan of water, 3 slices of Rhizoma Zingiberis Recens (Jiang), and 1 Fructus Jujubae (Zao), decoct until 1 zhan remains, remove the dregs, and take warm.
If menstruation suddenly stops, with pain in the umbilical and abdominal regions, radiating upwards to the heart and hypochondrium causing unbearable suffering. Or due to menstrual obstruction, masses gradually form, feeling like an inverted cup below the navel, which over time becomes a "rou zha" (fleshy mass), becoming incurable. This is caused by fright, worry, and indecision, leading to Qi stagnation and depression, which then affects the Blood. Blood follows Qi; when Qi stagnates, Blood coagulates. Since Qi acts as the commander and leads first, while Blood follows behind, it is appropriate to take Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction). If symptoms do not improve, Di Huang Tong Jing Wan (Rehmannia Menstruation-Unblocking Pill) is appropriate. For those who have already formed masses, Wan Bing Wan (Ten Thousand Diseases Pill) is appropriate. (Formula seen previously)
Radix Rehmanniae Preparata (Shudihuang) (3 liang); Blatta orientalis (Mengchong) (remove head, feet, wings, stir-fry); Hirudo (Shuizhi) (stir-fry together with glutinous rice until yellow, remove rice); Semen Persicae (Taoren) (processed, each 50 seeds).
The above herbs are ground into fine powder. Make pills the size of paulownia seeds using refined honey. Take 5 pills on an empty stomach with warm wine. If ineffective, increase to 7 pills.
Treats women's menstrual stasis, where every episode causes unbearable pain in the heart, abdomen, and umbilicus. Also treats postpartum lochia retention, where blood rushes to the heart, causing coma, unconsciousness, and fainting resembling death. (From *Ben Shi Fang*)
Rhizoma Sparganii (Sanleng), Rhizoma Curcumae Zedoariae (Ezhu), Radix Paeoniae Rubra (Chishaoyao), Cortex Moutan (Mudanpi), Herba Siegesbeckiae (Liujinu), Radix Angelicae Sinensis (Danggui), Radix Rehmanniae Preparata (Shudihuang), Cortex Cinnamomi (Guixin), Flos Chrysanthemi Indici (Ganju), Spora Typhae (Zhen Puhuang) (stir-fried, each 1 liang, finely chopped).
Take the first five herbs, boil together with 1 sheng of black soybeans, half a jin of sliced fresh ginger, and 4 sheng of rice vinegar until the beans are soft. Dry them, add the remaining five herbs, grind together into fine powder. Take 3 qian per dose. On an empty stomach, before meals, mix with warm wine.
Another prescription: Do not use Chrysanthemum or Typha pollen; instead, using Rhizoma Linderae (Wuyao) and Rhizoma Corydalis Yanhusuo (Yanhusuo) is also good. This is my family's secret formula.
For ordinary Qi and Blood pain, one dose suffices. For postpartum blood rushing to the heart, two doses will bring relief; long-term use is even better. It has saved many lives in urgent situations. This medicine is easy to prepare; it is advisable to prepare more to help others. One sheng of black soybeans weighs approximately 5 liang.
Another prescription: Rhizoma Corydalis Yanhusuo (Yanhusuo), Radix Angelicae Sinensis (Danggui) (equal parts).
The above two herbs are crushed into coarse powder. Take 3 qian per dose. Add 3 slices of ginger and one large zhan of water, decoct until 0.7 zhan remains, remove dregs, and take slightly warm.
Chen's formula includes Cinnamon Twig, named Rushen Tang (Miraculous God Decoction), most effective for treating lower back pain.
*Lei Gong Pao Zhi Lun* mentions only Corydalis Rhizome for treating heart pain.
I have carefully examined this formula; it is highly effective for treating Qi and Blood-related waist and abdominal pain. The prescription is simple yet potent, and effective in curing diseases.