先期汤 治经水先期而来,宜凉血固经。(此方妙在分两之减半,虽谓血生于气而气旺生火,故不多焉。
按自总方四物汤以下诸丸方丸法,各有次序,各具妙理,诚为学人津梁,病患砭石,调剂者宜法之)
当归 白芍药(炒) 生地黄(各二钱) 黄柏(炒) 知母(炒,各一钱) 条芩(炒) 黄连(炒)
川芎 阿胶(炒,各八分) 艾叶 香附子 甘草(炙,各七分)
上作一服,水二钟,煎一钟,食前温服。(先期血热也,艾叶乃温下元之药,非先期所宜,而少加于寒凉
之中者,即复卦之义。亦有不必用者,在自酌之)
金匮土瓜根散 治带下经水不利,小腹满痛,经一月再见者。
土瓜根 芍药 桂枝 虫(各七钱半)
上四味,捣为散。酒服方寸匕,日三服。
过期饮 治经水过期不行,乃血虚气滞之故,法当补血行气。(此方补血行血,温气破气,故为气寒气滞者所
宜。而脾虚不能生血,以致过期者,无与也)
当归 白芍药 熟地黄 香附(各二钱) 川芎(一钱) 红花(七分) 桃仁泥(六分) 蓬莪术 木
通(各五分) 甘草(炙,各四分) 肉桂(四分)
上作一服,水二钟,煎一钟,食前温服。
滋血汤 治妇人心肺虚损,血脉虚弱,月水过期。(此八珍汤之变,如脾肺元气不足者,尤宜)
人参 黄 山药(各一钱) 白茯苓(去皮) 当归 川芎 白芍药(炒) 熟地黄(各二钱)
上作一服,水二钟,煎至一钟,食前服。
先期汤:治疗月经提前来潮,适宜采用凉血固经的方法。(此方的妙处在于剂量减半,虽然常说“血生于气,气旺则生火”,所以药量不宜过多。按语:从总方四物汤以下的各种丸剂及其制作法,各有次序,蕴含精妙道理,确实是学习者的指引,也是患者的良药,调理者应当效法。)
药材组成:当归、白芍药(炒制)、生地黄(各二钱);黄柏(炒制)、知母(炒制,各一钱);条芩(炒制)、黄连(炒制);川芎、阿胶(炒制,各八分);艾叶、香附子、甘草(炙制,各七分)。
煎服法:以上药材为一剂的量,加水两钟,煎煮至一钟,饭前温服。(月经提前多因血热所致,艾叶本是温暖下焦元气的药物,并非月经提前的适宜用药,但在寒凉药中少量加入,即符合《易经》复卦的义理。也有不需要使用的情况,由医生自行斟酌。)
金匮土瓜根散:治疗带下病且月经不畅,小腹满痛,一个月来两次月经的情况。
制法与服法:以上四味药,捣碎制成散剂。用酒送服一方寸匕,每日三次。
过期饮:治疗月经推迟不行的情况,这是由于血虚气滞的缘故,治法应当补血行气。(此方具有补血行血、温气破气的作用,因此适合气寒气滞的患者。而对于脾虚不能生血导致月经推迟的情况,则不适用。)
药材组成:当归、白芍药、熟地黄、香附(各二钱);川芎(一钱);红花(七分);桃仁泥(六分);蓬莪术、木通(各五分);甘草(炙制,各四分);肉桂(四分)。
煎服法:以上药材为一剂的量,加水两钟,煎煮至一钟,饭前温服。
滋血汤:治疗妇人心肺虚损,血脉虚弱,月经推迟。(此方是八珍汤的变方,对于脾肺元气不足者,尤其适宜。)
药材组成:人参、黄芪、山药(各一钱);白茯苓(去皮)、当归、川芎、白芍药(炒制)、熟地黄(各二钱)。
煎服法:以上药材为一剂的量,加水两钟,煎煮至一钟,饭前服用。
Xianqi Tang (Decoction for Early Menstruation): Treats menstruation arriving early; cooling blood and stabilizing the menses is appropriate. (The brilliance of this formula lies in halving the dosages. Although it is said that "blood is generated by qi, and vigorous qi generates fire," thus the dosage should not be excessive. Note: The various pill formulas from the general Siwu Tang (Four Substances Decoction) downwards, along with their preparation methods, each have their own sequence and contain profound principles, truly serving as a bridge for learners and a remedy for patients. Practitioners should emulate them.)
Ingredients: Danggui (Radix Angelicae Sinensis), Baishaoyao (Radix Paeoniae Alba, stir-fried), Shengdihuang (Rhizoma Rehmanniae Recens, each 2 qian); Huangbai (Cortex Phellodendri, fried), Zhimu (Rhizoma Anemarrhenae, fried, each 1 qian); Tiaoqin (Scutellariae Radix, fried), Huanglian (Rhizoma Coptidis, fried); Chuanxiong (Rhizoma Chuanxiong), Ejiao (Colla Corii Asini, fried, each 8 fen); Aiye (Folium Artemisiae Argyi), Xiangfuzi (Rhizoma Cyperi, each 7 fen).
Preparation and Administration: Combine all ingredients as one dose. Add two zhong of water, decoct to obtain one zhong. Take warm before meals. (Early menstruation is due to blood heat. Aiye is a herb that warms the lower jiao yuan qi and is generally not suitable for early menstruation; however, adding a small amount among cold-cooling herbs aligns with the principle of the Fu Hexagram in the I Ching. There are cases where it is unnecessary; use your discretion.)
Jinkui Tugua Gen San (Tugua Root Powder from the Golden Cabinet): Treats leukorrhea with difficult menstruation, fullness and pain in the lower abdomen, and menstruation occurring twice in one month.
Ingredients: Tugua Gen (Radix Trichosanthis Kirilowii), Shaoyao (Radix Paeoniae), Guizhi (Ramulus Cinnamomi), Chong (Eupolyphaga, each 7.5 qian).
Preparation and Administration: Pulverize the four ingredients into a powder. Administer one fangcun bi (square-inch spoonful) with wine, three times daily.
Guoqi Yin (Decoction for Delayed Menstruation): Treats delayed or absent menstruation caused by blood deficiency and qi stagnation. The treatment method should involve tonifying blood and moving qi. (This formula tonifies blood and moves blood, warms qi and breaks stagnation, making it suitable for those with cold qi and qi stagnation. It is not applicable to cases of delayed menstruation due to spleen deficiency failing to generate blood.)
Ingredients: Danggui (Radix Angelicae Sinensis), Baishaoyao (Radix Paeoniae Alba), Shudihuang (Radix Rehmanniae Praeparata), Xiangfu (Rhizoma Cyperi, each 2 qian); Chuanxiong (Rhizoma Chuanxiong, 1 qian); Honghua (Flos Carthami, 7 fen); Taoren Ni (Semen Persicae paste, 6 fen); Peng'e Zhu (Rhizoma Curcumae Longae), Mutong (Caulis Akebiae, each 5 fen); Gancao (Radix Glycyrrhizae, honey-fried, each 4 fen); Rougui (Cortex Cinnamomi, 4 fen).
Preparation and Administration: Combine all ingredients as one dose. Add two zhong of water, decoct to obtain one zhong. Take warm before meals.
Zixue Tang (Blood-Nourishing Decoction): Treats women with deficiency and damage to the heart and lungs, weak blood vessels, and delayed menstruation. (This is a modification of Bazhen Tang (Eight Treasures Decoction); it is particularly suitable for those with insufficient yuan qi of the spleen and lungs.)
Ingredients: Renshen (Radix Ginseng), Huangqi (Radix Astragali), Shanyao (Rhizoma Dioscoreae, each 1 qian); Bai Fuling (Poria, peeled), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishaoyao (Radix Paeoniae Alba, stir-fried), Shudihuang (Radix Rehmanniae Praeparata, each 2 qian).
Preparation and Administration: Combine all ingredients as one dose. Add two zhong of water, decoct to obtain one zhong. Take before meals.