（宋《嘉 》。附月经衣）
【释名】月经（《素问》）、天癸（《素问》）、红铅。时珍曰∶女子，阴类也，以血为主。
其血上应太阴，下应海潮。月有盈亏，潮有朝夕，月事一月一行，与之相符，故谓之月水、
月信、月经。经者常也，有常轨也。天癸者，天一生水也。邪术家谓之红铅，谬名也。女人
之经，一月一行，其常也；或先或后，或通或塞，其病也。复有变常而古人并未言及者，不
可不知。有行期只吐血衄血，或眼耳出血者，是谓逆行。有三月一行者，是谓居经，俗名按
季。有一年一行，是谓避年。有一生不行而受胎者，是谓暗经。有受胎之后，月月行经而产
子者，是谓盛胎，俗名垢胎。有受胎数月，血忽大下而胎不陨者，是谓漏胎。此虽以气血有
余不足言，而亦异于常矣。女子二七天癸至，七七天癸绝，其常也。有女年十二、十三而产
子，如《褚记室》所载，平江苏达卿女，十二受孕者；有妇年五十、六十而产子，如《辽史》
所载，亟普妻六十余，生二男一女者，此又异常之尤者也。学医者之于此类，恐亦宜留心焉。
【气味】咸，平，无毒。
【主治】解毒箭并女劳复（弘景）。
月经衣
【主治】金疮血涌出，炙热熨之。又主虎野狼伤及箭镞入腹（藏器）。
【发明】时珍曰∶女人入月，恶液腥秽，故君子远之，为其不洁，能损阳生病也。煎膏
治药，出痘持戒，修炼性命者，皆避忌之，以此也。《博物志》云∶扶南国有奇术，能令刀
斫不入，惟以月水涂刀便死。此是秽液坏人神气，故合药忌触之。此说甚为有据。今有方士
邪术，鼓弄愚人，以法取童女初行经水服食，谓之先天红铅，巧立名色，多方配合，谓《参
同契》之金华，《悟真篇》之首经，皆此物也。愚人信之，吞咽秽滓，以为秘方，往往发出
丹疹，殊可叹恶。按萧了真《金丹诗》云∶一等旁门性好淫，强阳复去采他阴。口含天癸称
为药，似恁洳
【附方】旧七，新五。
热病劳复∶丈夫热病瘥后，交接复发，忽卵缩入肠，肠痛欲死。烧女人月经赤衣为末，
熟水服方寸匕，即定。（《梅师方》）
女劳黄胆，气短声沉∶用女人月经布和血衣烧灰，酒服方寸匕，一日再服，三日瘥。（孟
诜《必效方》）
霍乱困笃∶童女月经衣和血烧灰，酒服方寸匕。百方不瘥者用之。（《千金方》）
小儿惊痫发热∶取月候血和青黛，新汲水调服一钱，入口即瘥。量儿加减。（《普济方》）
令妇不妒∶取妇人月水布裹蛤蟆，于厕前一尺，入地五寸埋之。（张华《博物志》）
痈疽发背，一切肿毒∶用胡燕窠土、鼠坌土、榆白皮、栝蒌根，等分为末，以女人月经
衣，水洗取汁和，敷肿上，干即易之。溃者封其四围。五日瘥。（《千金方》）
男子阴疮∶因不忌月事行房，阴物溃烂。用室女血衲，瓦上烧存性，研末，麻油调，敷
之。解药箭毒∶交州夷人，以焦铜为镝，涂毒药于镞锋上，中人即沸烂，须臾骨坏。但服月
水、屎汁解之。（《博物志》）
箭镞入腹，或肉中有聚血∶以妇人月经衣烧灰，酒服方寸匕。（《千金方》）
马血入疮、剥马刺伤∶以妇人月水涂之，神效。（姚僧坦《集验方》）
虎野狼伤疮∶月经衣烧末，敷之。（陈藏器）
（出自宋代《嘉祐本草》，附载月经衣）
【释名】月经（出自《素问》）、天癸（出自《素问》）、红铅。李时珍说：女子属于阴类，以血为主要物质基础。其血液上应合太阴（手太阴肺经或太阴之气），下应合海潮。月亮有圆缺变化，潮汐有早晚涨落，女子的月事每月来潮一次，与这些自然现象相符，所以称为月水、月信、月经。“经”就是常的意思，指有固定的规律。所谓“天癸”，是指天一生水的道理。邪术家称之为“红铅”，这是错误的名称。女人的月经，每月来潮一次，这是正常情况；如果提前或推后，或者通畅或者闭塞，这就是病态。另外还有违背常规而古人未曾提及的情况，不可不知道。有的女性在经期只出现吐血、鼻出血，或者眼耳出血的，这叫做逆行。有的三个月来潮一次的，这叫做居经，俗称按季。有一年来潮一次的，这叫做避年。有一生都不来月经却能受孕的，这叫做暗经。有的怀孕之后，每个月仍然来月经并生下孩子的，这叫做盛胎，俗称垢胎。有的怀孕数月，突然大量出血但胎儿不流产的，这叫做漏胎。这些虽然可以用气血有余或不足来解释，但也不同于常态。女子十四岁天癸至，四十九岁天癸绝，这是正常情况。有的女子十二三岁就生孩子，如《褚记室》所载，平江苏达卿的女儿，十二岁受孕的；有的妇女五十多岁、六十多岁还生孩子，如《辽史》所载，亟普的妻子六十多岁，生了两个儿子一个女儿，这又是异常中的极端情况。学医的人对于这类情况，恐怕也应该留心注意。
【气味】咸味，性平，无毒。
月经衣
【主治】金创出血不止，加热熨烫患处。又主治虎、野狼咬伤及箭头射入腹部（陈藏器）。
【发明】李时珍说：女人进入经期，厌恶经血腥秽，所以君子远离它，因为不洁净，会损伤阳气导致生病。煎膏制药、出痘期间持戒、修炼性命的人，都避忌它，就是这个原因。《博物志》说：扶南国有一种奇术，能让刀砍不入，只要用经血涂在刀上就能杀人。这是因为污秽的液体破坏了人的神气，所以配药时忌讳接触它。这种说法很有依据。现在有方士邪术，鼓弄愚昧之人，用法术取童女初潮的经水服用，称之为先天红铅，巧立名目，多方配合，说是《参同契》中的金华，《悟真篇》中的首经，都是指这种东西。愚人相信，吞咽污秽残渣，当作秘方，往往引发丹疹，实在令人叹息厌恶。据萧了真《金丹诗》说：一等旁门性好淫，强阳复去采他阴。口含天癸称为药，似恁洳……
【附方】旧方七个，新方五个。
热病劳复：丈夫热病痊愈后，行房事复发，忽然睾丸缩入腹中，肠痛欲死。烧女人月经赤衣为末，用熟水送服一方寸匕，即可安定。（《梅师方》）
女劳黄胆，气短声沉：用女人月经布和血衣烧成灰，酒送服一方寸匕，一天服两次，三天痊愈。（孟诜《必效方》）
霍乱困笃：童女月经衣和血烧成灰，酒送服一方寸匕。百方不愈的用此方。（《千金方》）
小儿惊痫发热：取月候血和青黛，新汲水调服一钱，入口即愈。根据儿童年龄加减剂量。（《普济方》）
令妇不妒：取妇人月水布包裹蛤蟆，在厕所前一尺处，深入地下五寸埋之。（张华《博物志》）
痈疽发背，一切肿毒：用胡燕窠土、鼠坌土、榆白皮、栝蒌根，等分为末，用女人月经衣水洗取汁调和，敷在肿处，干了就换。溃烂的用此法封闭四周。五天痊愈。（《千金方》）
男子阴疮：因不避经期行房，阴部溃烂。用处女血衲，在瓦上烧存性，研末，麻油调匀，敷之。解药箭毒：交州夷人，用焦铜做箭头，在箭头锋上涂毒药，中人即沸腾腐烂，片刻骨头坏掉。只要服用经血、屎汁即可解之。（《博物志》）
箭镞入腹，或肉中有聚血：用妇人月经衣烧成灰，酒送服一方寸匕。（《千金方》）
马血入疮、剥马刺伤：用妇人经血涂抹，神效。（姚僧坦《集验方》）
(Sourced from the Song Dynasty's *Jiayou Bencao*, with an appendix on Menstrual Cloth)
**[Names]** Juejing (Menstruation, from *Suwen*), Tiangui (Heavenly Water, from *Suwen*), Hongqian (Red Lead). Li Shizhen said: Women belong to the Yin category and are primarily governed by Blood. Their blood corresponds upward to Taiyin (Hand-Taiyin Lung Meridian or Taiyin Qi) and downward to the sea tides. The moon has waxing and waning phases, and the tides have morning and evening fluctuations. Menstruation occurs once a month, corresponding to these natural phenomena; hence it is called Yueshui (Moon Water), Yuexin (Moon Trust), and Juejing (Menstrual Period). "Jing" means constant, referring to having a fixed routine. "Tiangui" refers to the principle of Heaven generating Water in the first phase. Heretical practitioners call it "Hongqian," which is a false name. For women, menstruation occurring once a month is normal; if it comes early or late, or flows freely or is blocked, it is pathological. There are also variations from the norm not mentioned by ancients that must be known. Some women experience only epistaxis (nosebleed) or bleeding from eyes and ears during their period; this is called Ni Xing (Reverse Flow). Some menstruate once every three months; this is called Ju Jing (Residing Period), commonly known as An Ji (Seasonal). Some menstruate once a year; this is called Bi Nian (Avoiding Year). Some never menstruate throughout life yet can conceive; this is called An Jing (Hidden Period). Some continue to menstruate monthly after conception and give birth; this is called Sheng Tai (Abundant Fetus), commonly known as Gou Tai (Dirt Fetus). Some suffer sudden heavy bleeding several months into pregnancy without miscarriage; this is called Lou Tai (Leaking Fetus). Although these can be explained by excess or deficiency of Qi and Blood, they differ from the norm. At age fourteen (two sevens), Tiangui arrives; at age forty-nine (seven sevens), Tiangui ceases; this is normal. Some girls bear children at twelve or thirteen, as recorded in *Chu Jishi*; for example, the daughter of Su Daqing from Pingjiang conceived at twelve. Some women bear children at fifty or sixty, as recorded in *Liao Shi*; for instance, the wife of Ji Pu gave birth to two sons and one daughter over sixty. These are extreme abnormalities. Medical practitioners should pay attention to such cases.
**[Flavor and Properties]** Salty, neutral, non-toxic.
**[Indications]** Antidote for poisoned arrows and relapse due to sexual activity after female illness (Tao Hongjing).
**Menstrual Cloth**
**[Indications]** For traumatic wounds with profuse bleeding, apply heated cloth as a compress. Also treats bites from tigers, wild wolves, and embedded arrowheads (Chen Cangqi).
**[Elucidation]** Li Shizhen said: When women enter their menstrual cycle, they produce foul-smelling fluids; thus, gentlemen avoid them because they are unclean and can damage Yang Qi, causing disease. Those preparing medicinal plasters, observing abstinence during smallpox outbreaks, or cultivating life and nature all avoid contact for this reason. *Bowuzhi* states: In Funan, there is a strange art where blades cannot cut flesh; applying menstrual blood to the blade causes death. This is because the filthy fluid destroys the body's Shen Qi (Spiritual Energy), so it is taboo in compounding medicines. This view is well-founded. Currently, heretical alchemists deceive fools by using rituals to collect the first menstrual blood of virgin girls for consumption, calling it "Xiantian Hongqian" (Primordial Red Lead). They invent elaborate names and combinations, claiming it is the "Jinhua" (Golden Flower) in *Cantong Qi* and the "Shoujing" (First Period) in *Wuzhen Pian*. Fools believe this, swallowing filth thinking it is a secret recipe, often resulting in skin eruptions (Dan Zhen), which is truly lamentable and disgusting. According to Xiao Liaozhen's *Jindan Shi*: "One type of heterodox sect loves lust, forcing Yang to harvest Yin. Holding Tiangui in the mouth calls it medicine..."
**[Attached Prescriptions]** Seven old prescriptions, five new ones.
**Relapse of Heat Disease (Laofu):** After a man recovers from a heat disease, if he engages in intercourse and the condition relapses, causing sudden retraction of the testicles into the abdomen and excruciating intestinal pain, burn the woman's red menstrual cloth to powder, take one Fangcunbi (approx. 2-3 grams) with warm water to settle the symptoms. (*Meishi Fang*)
**Female Labor Jaundice (Nulao Huangdan), shortness of breath and deep voice:** Burn menstrual cloth and blood-stained garments to ash, take one Fangcunbi with wine, twice daily. Cure within three days. (Meng Shen's *Bixiao Fang*)
**Severe Cholera (Huoluan):** Burn the menstrual cloth of a virgin girl mixed with blood to ash, take one Fangcunbi with wine. Use this if other methods fail. (*Qianjin Fang*)
**Pediatric Convulsions with Fever:** Mix menstrual blood with Qingdai (Indigo Naturalis), administer one Qian (approx. 3-5 grams) mixed with fresh well-water. It cures upon entry. Adjust dosage according to the child's age. (*Puji Fang*)
**To Prevent Wife Jealousy:** Wrap a toad in a woman's menstrual cloth and bury it five inches deep in the ground, one foot away from the toilet entrance. (Zhang Hua's *Bowuzhi*)
**Carbuncles on the Back and All Swellings/Poisons:** Equal parts of soil from swallow nests, rat burrows, Ulmus davidiana bark (Yubai Pi), and Trichosanthes root (Gualou Gen) are powdered. Mix with water extracted from washing women's menstrual cloth and apply to the swelling. Change when dry. For ulcerated cases, seal the perimeter. Cure in five days. (*Qianjin Fang*)
**Male Genital Sores:** Caused by intercourse during menstruation leading to genital ulceration. Burn the blood-stained undergarment of a virgin until charred but retaining essence, powder it, mix with sesame oil, and apply.
**Antidote for Poisoned Arrows:** People in Jiaozhou use scorched copper for arrowheads coated with poison; upon injury, the wound boils and rots, destroying bone quickly. Taking menstrual blood and urine juice can detoxify it. (*Bowuzhi*)
**Embedded Arrowheads or Blood Stasis in Flesh:** Burn women's menstrual cloth to ash, take one Fangcunbi with wine. (*Qianjin Fang*)
**Horse Blood Entering Wounds or Horsewhip Scratches:** Apply women's menstrual blood topically for miraculous effect. (Yao Sengtan's *Jiyan Fang*)
**Tiger, Wild Wolf Bite Wounds:** Powder menstrual cloth and apply. (Chen Cangqi)