治妇人室女月候不通,疼痛,或成血瘕。
桂心(不见火) 青皮(去白) 大黄(炮) 干姜(炮) 川椒(去目并合口,微炒,
地上出
汗) 蓬
干,秤)
桃仁
上细末,将四分用米醋熬成膏,和余六分末成剂,臼中治之,丸如桐子大,阴干。每服
二十丸,用淡醋汤送下。加至三十丸,温酒亦得,空心食前服。
徽州医巫张横,顷年缘事在推勘院,有王医者,以医职直宿,日夜与之稔熟,口传此方
,渠甚秘之,予后得此方,以治妇人疾,不可胜数,且欲广行,不敢自秘。寻常气血凝滞疼
痛,
有一师尼患恶风体倦,乍寒乍热,面赤心烦,或时自汗。是时疫气大行,医见其寒热,
作伤寒治之,以大小柴胡汤杂进,数日病剧。予诊视曰∶三部无寒邪脉,但厥阴脉弦长而上
出鱼
生干地黄(二两) 柴胡(去苗,净洗) 秦艽(净洗,去芦) 黄芩(各半两) 赤
芍药(一
两) 上细末,炼蜜丸如桐子大,每服三十丸,乌梅汤吞下,不拘时候,日三服。
昔宋褚澄疗尼师寡妇别制方,盖有谓也。此二种鳏居独阴无阳,欲心动而多不遂,是以
阴阳交争,乍寒乍热,全类温疟,久则为劳。尝读《史记仓公传》,载济北王侍人韩女,病
腰背
得?诊其
妇人血
信有
治疗妇女及未婚女子月经闭止不通,伴有疼痛,或者形成血瘕(腹内结块)。
桂心(不经过火烤) 青皮(去除白色内层) 大黄(炮制) 干姜(炮制) 川椒(去除籽粒和闭合处,轻微炒制,置于地上使其散发热气) 蓬莪术(刮去外皮,称量) 桃仁(去皮尖,炒制)
将上述药材研成细末,取四分之一的药粉用米醋熬制成膏状,与剩余六分之一的药粉混合制成丸剂,在臼中捣匀,制成如梧桐子大小的丸药,阴干。每次服用二十丸,用淡醋汤送服。可加量至三十丸,用温酒送服也可以,空腹或饭前服用。
徽州医生巫医张横,早年因事被关押在推勘院,有一位姓王的医生,因医疗职务值夜班,日夜与他非常熟悉,口头传授了这个方子,他对此方非常保密。我后来得到这个方子,用来治疗妇女疾病,数量多得数不清,并且想要广泛传播,不敢私自珍藏。
对于平常的气血凝滞疼痛,有一位师尼患有怕风、身体疲倦,忽冷忽热,面红心烦,有时自汗。当时瘟疫之气盛行,医生看到她的寒热症状,当作伤寒来治疗,混用大小柴胡汤,几天后病情加重。我诊视后说:三部脉象没有寒邪的表现,只是厥阴脉弦长而上出鱼际部位。
生地黄(二两) 柴胡(去苗,洗净) 秦艽(洗净,去芦头) 黄芩(各半两) 赤芍药(一两)
将上述药材研成细末,用炼蜜制成如梧桐子大小的丸药,每次服用三十丸,用乌梅汤吞服,不限时候,每天三次服用。
从前宋代的褚澄为尼姑寡妇另外制定方剂,大概是有原因的。这两种人独居寡欢,阴阳不调,欲望萌动而多不能遂愿,因此阴阳交争,忽冷忽热,完全类似温疟,时间久了就会变成劳损之证。曾经读《史记·仓公传》,记载济北王侍妾韩女,病腰背疼痛……询问她得病的原因?诊察发现她是妇人血气……确实有道理。
Treats amenorrhea in married women and unmarried girls, accompanied by pain, or the formation of blood masses (abdominal masses).
Guixin (Cinnamon Heart, not roasted) Qingpi (Green Tangerine Peel, white pith removed) Dahuang (Rhubarb Root, processed) Ganjiang (Dried Ginger, processed) Chuanjiao (Sichuan Pepper, seeds and closed ends removed, lightly stir-fried, placed on the ground to release heat) Peng'ershu (Curcuma Zedoaria, peeled, weighed) Taoren (Peach Seed, skin and tips removed, stir-fried)
Grind the above herbs into a fine powder. Take one-fourth of the powder and boil it with rice vinegar until it forms a paste. Mix this paste with the remaining three-fourths of the powder to form pills. Pound them in a mortar, shape them into pills the size of tung tree seeds, and dry them in the shade. Take twenty pills per dose, administered with light vinegar water. The dosage can be increased to thirty pills; warm wine is also acceptable. Take on an empty stomach or before meals.
Zhang Heng, a folk doctor from Huizhou, was once detained in the interrogation prison due to some matter. A doctor surnamed Wang, who stayed overnight for medical duties, became very familiar with him day and night and orally transmitted this prescription, which Zhang kept secret. I later obtained this prescription and used it to treat women's diseases, the number of cases being countless. I wish to disseminate it widely and dare not keep it secret.
For ordinary qi and blood stagnation causing pain, there was a nun suffering from aversion to wind, fatigue, alternating chills and fever, facial flushing, irritability, and spontaneous sweating. At that time, epidemic pathogens were prevalent. Physicians, seeing her chills and fever, treated her as Cold Damage (Shanghan), administering various combinations of Xiaochaihu Tang and Da Chaihu Tang. After several days, her condition worsened. Upon examination, I said: "There are no pulse signs of cold pathogen in the three positions; only the Jueyin pulse is wiry, long, and extending upwards beyond the thenar eminence."
Sheng Dihuang (Rehmannia Root, fresh, two liang) Chaihu (Bupleurum Root, buds removed, thoroughly washed) Qinjiao (Gentiana Macrophylla Root, thoroughly washed, rhizome removed) Huangqin (Scutellaria Root, half liang each) Chi Shaoyao (Red Peony Root, one liang)
Grind the above herbs into a fine powder. Use refined honey to make pills the size of tung tree seeds. Take thirty pills per dose, swallowed with sour plum juice. No specific timing is required; take three times a day.
In ancient times, Chu Cheng of the Song Dynasty formulated separate prescriptions for nuns and widows, which likely had a rationale. These two groups live in isolation, lacking yang energy while possessing yin. When sexual desire arises but is often unfulfilled, it leads to conflict between yin and yang, resulting in alternating chills and fever, closely resembling Warm Malaria (Wen Nue). If prolonged, it becomes a consumptive disease (Lao). I once read the "Biographies of Canghai Gong" in the *Records of the Grand Historian* (*Shiji*), which records that Han Nu, a concubine of the King of Jibei, suffered from lower back and abdominal pain... Asking about the cause of her illness? Upon diagnosis, it was found that she was a woman with blood issues... Indeed, there is truth to this.