(附论)
夫妇人有气血。阴阳脏腑虚则生热。虚则受邪热。如人阴阳冷热自相承也。今云客热者。
是
手足壮热者是也。
方
羚羊角散 治妇人客热。心神烦躁。体热。四肢疼痛。不思饮食。
羚羊角屑(三分) 红花子(半两) 赤芍(半两) 当归(半两锉碎微炒) 枳壳(半
两麸炒微黄
芦头) 麦门冬(三分
一中盏。入生姜半分。煎
生干地黄丸 治妇人客热。面赤头疼。口舌生疮。心胸烦壅。饮食无味。
生干地黄(一两) 羚羊角屑 白藓皮 葳蕤(各半两) 黄连(三分去头须) 黄
(半两炙微
草(半两炙微赤锉
水下三十丸。
黄 散 治妇人客热。心神壅闷。肢节烦疼。少思饮食。
黄 (一两) 生干地黄(一两) 犀角屑(半两) 人参(三分去芦头) 茯神(三
分) 栝蒌子仁
叶汤二钱。一方无麦门
丹砂散 治妇人客热。心神烦躁。口干舌涩。饮食无味。
丹砂(一两细研水飞过) 犀角屑 天竹黄 胡黄连(各半两) 麦门冬(三两去心焙)
寒水石
服不计时候。以竹叶汤调下一钱。
治妇人客热烦渴。头疼泪涌如泉。(一名玉双散)
石膏(二两细研水飞过) 寒水石(一两细研) 上同研匀。每服不计时候。以生地黄
调下一钱
犀角散 治妇人客热。四肢烦闷疼痛。不下饮食。
犀角 赤芍药 地骨皮 红花 冬草(半两) 北柴胡 黄 (一两半) 麦门冬 人
参赤茯
一方有生地
麦门冬散 治妇人客热。四肢烦闷头疼。不下饮食。
麦门冬 地柴胡 赤茯苓(各一两) 羚羊角屑 赤芍药 桑白皮 黄 (各三分) 生
干地黄
候。
治客热。
以白油麻作饮汁服之。
(附论)
妇女拥有气血,阴阳脏腑虚弱则产生内热。身体虚弱则容易受到邪热的侵袭。这就如同人的阴阳冷热之气相互承接一样。现在所说的“客热”,是指手足出现剧烈发热的症状。
方剂:羚羊角散
主治妇女客热症。症状表现为心神烦躁、身体发热、四肢疼痛、不思饮食。
药材及剂量:羚羊角屑(三分)、红花子(半两)、赤芍(半两)、当归(半两,锉碎后微炒)、枳壳(半两,麸炒至微黄,去芦头)、麦门冬(三分)。
煎服法:取一中盏水,加入生姜半分,煎煮至规定程度,去渣温服。
生干地黄丸
主治妇女客热症。症状表现为面红头痛、口舌生疮、心胸烦闷壅滞、饮食无味。
药材及剂量:生干地黄(一两)、羚羊角屑、白藓皮、葳蕤(各半两)、黄连(三分,去头须)、甘草(半两,炙至微赤,锉碎)。
煎服法:炼蜜为丸,如梧桐子大。每服三十丸,温水送下。
黄芪散
主治妇女客热症。症状表现为心神壅闷、肢节烦痛、食欲减退。
药材及剂量:黄芪(一两)、生干地黄(一两)、犀角屑(半两)、人参(三分,去芦头)、茯神(三分)、栝蒌子仁。
煎服法:取竹叶汤二钱,加一方无麦门冬者,煎煮后服用。(注:原文此处描述略有残缺,依常理推断为散剂冲服或煎服,此处保留原文结构翻译)
丹砂散
主治妇女客热症。症状表现为心神烦躁、口干舌涩、饮食无味。
药材及剂量:丹砂(一两,细研,水飞法处理)、犀角屑、天竹黄、胡黄连(各半两)、麦门冬(三两,去心焙干)、寒水石。
煎服法:不拘时候,用竹叶汤调服一钱。
玉双散
主治妇女客热烦渴、头痛流泪如泉涌。(又名玉双散)
药材及剂量:石膏(二两,细研,水飞法处理)、寒水石(一两,细研)。
煎服法:将上述药物共同研匀。每服不拘时候,用生地黄汁调服一钱。
犀角散
主治妇女客热症。症状表现为四肢烦闷疼痛、无法进食。
药材及剂量:犀角、赤芍药、地骨皮、红花、冬草(半两)、北柴胡、黄芪(一两半)、麦门冬、人参、赤茯苓。
(注:原文此处药材罗列有省略,一方含生地)
麦门冬散
主治妇女客热症。症状表现为四肢烦闷头痛、无法进食。
药材及剂量:麦门冬、地骨皮、北柴胡、赤茯苓(各一两)、羚羊角屑、赤芍药、桑白皮、黄芪(各三分)、生干地黄。
(注:原文此处煎服法描述缺失,仅留“候”字,意为等待时机或条件)
(Attached Discussion)
Women possess Qi and Blood. When the Yin and Yang, Zang-Fu organs are deficient, internal heat is generated. Deficiency makes one susceptible to pathogenic heat. This is analogous to how Yin-Yang cold and heat energies in humans mutually sustain each other. The "Guest Heat" (Ke Re, external or transient heat) mentioned here refers to the condition of intense heat in the hands and feet.
Formula: Lingyangjiao San (Antelope Horn Powder)
Indications: Guest heat in women, manifesting as mental restlessness and irritability, body heat, pain in the four limbs, and loss of appetite.
Ingredients: Lingyangjiao Xie (Antelope Horn Shavings, 3 fen), Honghua Zi (Carthamus Seed, 0.5 liang), Chishao (Red Peony Root, 0.5 liang), Danggui (Angelica Sinensis, 0.5 liang, sliced and slightly stir-fried), Zhike (Bitter Orange, 0.5 liang, bran-stir-fried until slightly yellow, remove radix), Maimendong (Ophiopogon Tuber, 3 fen).
Preparation and Administration: Take one zhongzhan (approx. 200-300ml) of water, add Banfen (0.5 fen) of fresh ginger, decoct, strain, and take warm.
Shenggan Dihuang Wan (Raw Rehmannia Pill)
Indications: Guest heat in women, manifesting as flushed face, headache, sores in the mouth and tongue, chest and heart stuffiness and oppression, and tasteless diet.
Ingredients: Shenggan Dihuang (Dried Raw Rehmannia Root, 1 liang), Lingyangjiao Xie (Antelope Horn Shavings), Baixianpi (Dictamnus Bark), Weirui (Polygonatum Rhizome) (each 0.5 liang), Huanglian (Coptis Rhizome, 3 fen, remove head and whiskers), Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red, sliced).
Preparation and Administration: Process into pills similar to wutong seeds. Take 30 pills per dose with warm water.
Huangqi San (Astragalus Powder)
Indications: Guest heat in women, manifesting as mental stuffiness and oppression, painful joints, and reduced appetite.
Ingredients: Huangqi (Astragalus Root, 1 liang), Shenggan Dihuang (Dried Raw Rehmannia Root, 1 liang), Xijiao Xie (Rhinoceros Horn Shavings, 0.5 liang), Renshen (Ginseng, 3 fen, remove radix), Fushen (Poria with Hostwood, 3 fen), Gualou Ziren (Trichosanthes Seed Kernel).
Preparation and Administration: Decoct with Yezi Tang (Bamboo Leaf Decoction) 2 qian; another variant excludes Maimendong.
Dansha San (Cinnabar Powder)
Indications: Guest heat in women, manifesting as mental restlessness and irritability, dry mouth and astringent tongue, and tasteless diet.
Ingredients: Dansha (Cinnabar, 1 liang, finely ground and washed by water flotation), Xijiao Xie (Rhinoceros Horn Shavings), Tianzhuhuang (Calculus Bovis), Huhuanglian (Picrorhiza Rhizome) (each 0.5 liang), Maimendong (Ophiopogon Tuber, 3 liang, remove heart and baked), Hanshuishi (Calcitum).
Preparation and Administration: Take at any time, mix 1 qian with Yezi Tang (Bamboo Leaf Decoction) for administration.
Yushuang San (Jade Double Powder)
Indications: Guest heat causing irritability and thirst, headache, and tears flowing like a spring in women. (Also known as Yushuang San).
Ingredients: Shigao (Gypsum Fibrosum, 2 liang, finely ground and washed by water flotation), Hanshuishi (Calcitum, 1 liang, finely ground).
Preparation and Administration: Grind the above ingredients uniformly together. Take at any time, mix 1 qian with Shengdihuang juice (Fresh Rehmannia Juice) for administration.
Xijiao San (Rhinoceros Horn Powder)
Indications: Guest heat in women, manifesting as irritability and pain in the four limbs, and inability to eat.
Ingredients: Xijiao (Rhinoceros Horn), Chishaoyao (Red Peony Root), Digupi (Lycium Bark), Honghua (Carthamus Flower), Dongcao (Winter Cinnamon/Herba Cinnamomi Cassiae), Beichaihu (Bupleurum Root), Huangqi (Astragalus Root, 1.5 liang), Maimendong (Ophiopogon Tuber), Renshen (Ginseng), Chifuling (Poria with Red Hostwood).
(Note: Another variant includes Shengdi.)
Maimendong San (Ophiopogon Powder)
Indications: Guest heat in women, manifesting as irritability, headache in the four limbs, and inability to eat.
Ingredients: Maimendong (Ophiopogon Tuber), Digupi (Lycium Bark), Chaihu (Bupleurum Root), Chifuling (Poria with Red Hostwood) (each 1 liang), Lingyangjiao Xie (Antelope Horn Shavings), Chishaoyao (Red Peony Root), Sangbaipi (Mulberry Root Bark), Huangqi (Astragalus Root) (each 3 fen), Shenggan Dihuang (Dried Raw Rehmannia Root).
(Note: Preparation instructions are incomplete in the source text.)
Other Therapies:
To treat Guest Heat.
Prepare juice from Bai Youma (Black Sesame) and drink it.