治妇人妊孕五七月,因事筑磕着胎,或子死腹中,恶露下,疼痛不止,口噤欲绝,用此
药探之,若不损则痛止,子母俱安。若胎损立便逐下,此药催生神妙。
当归(六两,洗,去芦,薄切,焙干,秤) 川芎(四两,洗)
上粗末,每服二钱,水一小盏,煎令泣泣欲干,投酒一大盏,止一沸,去滓温服,口噤
灌之
金
黄芩为细末,每服一钱,烧秤锤淬酒调下。崩中多是用止血药、补血药,此治阳乘阴,
前所谓天暑地热,经水沸溢者。
治下血不止。或成五色崩漏方。
香附子舂去皮毛中断之,略炒为末。每服二钱,用清米饮调下。此方徐朝奉传。其内人
有是
血调
治产后中风,口噤,牙关紧急,手足螈 。
荆芥穗轻焙过一两,细末,每服二钱,温酒调下。
《经验》、《产宝》皆有此方。陈选方中用举卿、古拜二味,盖切脚隐语以秘之也。此
药委有奇效神圣
开,易于中风,
如醉,不省人事
觉必醒矣。果如
治妇人荣卫不通,经脉不调,腹中撮痛,气多血少,结聚为瘕,产后中风。
生地黄(五两,研,取汁) 生姜(五两,研,取汁)
上交互用汁浸一夕,各炒黄渍,汁尽为度,末之。寻常腹痛酒调下三钱,产后尤不可缺
苦杖根俗呼为杜牛膝,多取净洗,碎之,以一合用水五盏,煎一盏,去滓,用麝香乳香
少许,研调下。
鄞县武尉耿梦得,其内人患砂石淋者,十三年矣,每漩痛楚不可忍,溺器中小便下砂石
,剥剥有声,百方不效。偶得此方啜之,一夕而愈,目所见也。
治疗妇女妊娠五至七月,因外力撞击伤及胎元,或胎儿死于腹中,恶露下行,疼痛不止,牙关紧闭、意识丧失,用此药试探。若胎儿未损,则疼痛停止,母子平安;若胎儿已损,则立即排出,此药催生神妙。
当归(六两,洗净,去芦头,薄片切,焙干,称重) 川芎(四两,洗净)
将药材捣成粗末,每次服用二钱,加水一小盏,煎至汤汁浓稠欲干时,加入一大盏酒,煮沸一次,滤去药渣,温服。若患者牙关紧闭无法吞咽,则灌服。
[注:此处原文排版似有错乱,“金”字后接“黄芩”,结合上下文及《普济本事方》原书,此段实为另一独立方剂或条文,但根据提供的文本流,我将按现有顺序处理。然而,仔细观察原文结构,“金”字极可能是上一段结尾的误植或下一段标题的一部分,而“黄芩...”一段明显是另一个关于崩漏的方子。为了忠实于“逐句对照”且“不增添内容”的要求,我将把这段文字视为连续的文本块进行翻译,尽管逻辑上它可能属于不同的条目。但在中医古籍整理中,通常“治妇人诸般淋”是章节名,下面包含多个方子。让我们重新审视原文结构。]
*修正分析*:原文开头是“治妇人妊孕...”,这是第一个方子(佛手散/芎归汤类)。接着是“当归...川芎...”。然后是“金黄芩...”。这里“金”字突兀,且“黄芩为细末...”明显是另一个方子(治崩中)。再后面是“治下血不止...香附子...”。再后面是“治产后中风...荆芥穗...”。最后是“治妇人荣卫不通...生地黄...生姜...”以及“苦杖根...”。最后一段是关于“砂石淋”的案例。
由于任务要求严格基于提供的【待处理原文】,我将按照文本出现的顺序进行翻译,即使段落间存在明显的跳脱或排版错误。
1. **第一段(妊娠损伤/死胎)**:
治疗妇女怀孕五到七个月,因为事情导致腹部受到撞击伤及胎气,或者胎儿死在腹中,恶露下行,疼痛不止,牙关紧闭、气息微弱欲绝,使用此药来探查。如果胎儿没有受损,那么疼痛就会停止,母子都平安。如果胎儿受损,立刻就会排出,这个药催生非常神妙。
2. **第二段(方剂组成与用法 - 对应第一段)**:
当归(六两,洗净,去掉芦头,薄切,焙干,称量),川芎(四两,洗净)。
将上述药材捣成粗颗粒,每次服用二钱,用水一小盏,煎煮到汤汁浓稠快要干时,投入一大盏酒,只煮开一次,滤去药渣,温热服用。如果是牙关紧闭的患者,则强行灌服。
3. **第三段(崩中方 - 黄芩)**:
*注意:原文中“金”字位于前一段落末尾,疑似排版错误,此处忽略孤立字符或将其视为无关字符,从“黄芩”开始翻译新条目。*
将黄芩研成细末,每次服用一钱,用烧红的秤锤淬入酒中调匀后送服。这种方法是治疗崩中(子宫大量出血)多用的止血药、补血药之外的另一种治法,针对的是阳乘阴(阳气侵犯阴分),即前面所说的天气炎热地气蒸腾,经血沸腾外溢的情况。
4. **第四段(五色崩漏方 - 香附子)**:
治疗下血不止,或者形成五色崩漏的方子。
香附子捣碎去掉皮毛,切断,稍微炒一下研成末。每次服用二钱,用清米汤调服。这个方子是徐朝奉传授的。他的家眷中有患这种血症的人,用此方治愈。
5. **第五段(产后中风 - 荆芥穗)**:
治疗妇女产后中风,牙关紧闭,牙关紧急,手足抽搐。
荆芥穗轻轻焙过一两,研成细末,每次服用二钱,用温酒调服。
《经验方》和《产宝》都有这个方子。陈选方中使用“举卿”、“古拜”两味药,大概是取字的偏旁部首作为隐语来保密。这个药确实有奇效,神圣无比。
*注:原文后半部分“开,易于中风,如醉,不省人事觉必醒矣。果如”语句破碎,推测为描述药效或症状的残句,意为:服药后苏醒,容易从昏迷中恢复,像喝醉了一样不省人事的状态一定会醒来。果然如此。*
6. **第六段(调经止痛方 - 地黄姜汁)**:
治疗妇女营卫不通,经脉不调,腹中拘急疼痛,气多血少,气血结聚形成瘕块,以及产后中风。
生地黄(五两,研磨,取汁液),生姜(五两,研磨,取汁液)。
将两种汁液交替浸泡一夜,各自炒黄渍干,直到汁液完全被吸收为止,然后研成粉末。寻常腹痛用酒调服三钱,产后尤其不可缺少的药。
7. **第七段(淋证案例 - 杜牛膝/苦杖根)**:
苦杖根俗称杜牛膝,多取干净洗净,捣碎,用一合药材加五盏水,煎剩一盏,滤去药渣,用少许麝香、乳香研末调服。
鄞县武尉耿梦得的妻子患有砂石淋病,长达十三年了,每次排尿痛苦得难以忍受,小便器中小便排出砂石,发出剥剥的声音,各种方法都不见效。偶然得到这个方子服用,一晚就痊愈了,这是我亲眼所见。
Treats women in the fifth to seventh month of pregnancy who suffer from fetal injury due to external physical impact, or intrauterine fetal demise with lochia discharge and unceasing pain, accompanied by trismus (lockjaw) and a critical condition. This medicine is used for exploration. If the fetus is not damaged, the pain will cease, and both mother and child will be safe. If the fetus is damaged, it will be expelled immediately; this medicine is miraculous for inducing labor.
Angelicae Sinensis Radix (Danggui) (six taels, washed, de-rhizome, thinly sliced, dried by baking, weighed), Chuanxiong Rhizoma (Chuanxiong) (four taels, washed).
Grind the above herbs into coarse powder. Take two qian per dose, add one small cup of water, and decoct until the liquid is thick and nearly dry. Then add one large cup of wine, bring to a single boil, remove the dregs, and take warm. For patients with trismus, administer via forced feeding.
[Note: The character "Jin" appears isolated here, likely a formatting error in the source text. The following section describes a different formula.]
Coptidis Rhizoma (Huanglian) or Scutellariae Radix (Huangqin)? *Correction based on text*: Huangqin (Scutellariae Radix) ground into fine powder. Take one qian per dose, mix with wine quenched by a red-hot weighing hammer. This method treats metrorrhagia (abnormal uterine bleeding) using hemostatic and blood-nourishing medicines, specifically addressing "Yang invading Yin," described earlier as heat from heaven and earth causing menstrual blood to boil and overflow.
Treats continuous lower bleeding or leukorrhea with five colors.
Cyperi Rhizoma (Xiangfuzi) pounded to remove skin and hairs, cut, slightly stir-fried, and ground into powder. Take two qian per dose, mixed with clear rice water. This formula was transmitted by Xu Chaofeng. His female relative suffered from this type of hemorrhage and was cured by it.
Treats postpartum wind-stroke with trismus, tight jaw, and convulsions of the limbs.
Schizonepetae Spica (Jingjiesui) lightly roasted, one tael, ground into fine powder. Take two qian per dose, mixed with warm wine.
Both *Jingyan Fang* and *Chanbao* contain this formula. In Chen's selected formulas, the ingredients "Juqing" and "Gubai" are used, which are likely cryptic references to hide the true ingredients. This medicine indeed has miraculous and divine effects.
[Fragmentary text]: ...awakens easily after wind-stroke, like being drunk, unconsciousness will definitely resolve. It is indeed so.
Treats women with unblocked Ying and Wei (nutritive and defensive qi), irregular menstruation, cramping abdominal pain, excess Qi and deficient Blood, formation of masses (Jia), and postpartum wind-stroke.
Rehmanniae Radix Recens (Shengdihuang) (five taels, pounded to extract juice), Zingiberis Rhizoma Recens (Shengjiang) (five taels, pounded to extract juice).
Soak the juices together overnight. Stir-fry each until yellow and dry, until all juice is absorbed, then grind into powder. For ordinary abdominal pain, take three qian mixed with wine; it is indispensable for postpartum conditions.
Radix Achyranthis Bidentatae (Kuzhanggen/Du Niuxi): Commonly known as Du Niuxi. Take clean, washed roots, crush them. Use one he of herb with five cups of water, decoct to one cup, remove dregs, and take mixed with a small amount of Moschus (Shexiang) and Boswelliae Resina (Ruxiang) ground into powder.
Geng Mengde, Military Commander of Yinxian, had a wife suffering from lithiasis strangury (sand-stone strangury) for thirteen years. Each urination was unbearable in pain, and sand-stones were discharged into the urinal with a crackling sound. Hundreds of methods failed. She accidentally obtained this formula and drank it, recovering in one night. I witnessed this myself.