罗谦甫曰∶宋褚澄疗师尼寡妇,别制方者,盖有谓也。此二种寡居,独阴无阳,欲心萌
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,病腰背寒热,众医皆以为寒热病。仓公曰∶病得之欲男子不得也,何以知?
诊其脉,肝脉弦出寸口,是以知之。盖男子以精为主,妇人以血为主,男子精盛以思室,女
人血盛以怀胎也。夫肝,摄血者也。吴厥阴肝脉弦出寸口,上鱼际,则阴盛可知,故知褚氏
之言,信有谓矣。(此专主肝经而言,以相火寄于肝也,男女之欲,皆从此出。观天地之气,始于春,则知欲之义,必
由于肝也。鸟兽孳尾亦然。故治此者,当以柴胡汤为法)
济生方论曰∶《内经》云∶百病皆生于气。经有所谓七气,有所谓九气。喜怒忧思悲
恐惊者,七气也;七情之外,益之以寒热二证,而为九气也。气之为病,男子妇人皆有之,
惟妇人血气为患尤甚。盖人身血随气行,气一壅滞,则血与气并,或月事不调,心腹作痛;
或月事将行,预先作痛;或月事已行,淋漓不断,心腹作痛;或遵腰胁,或引背脊,上下攻
刺,吐逆不食,甚则手足搐搦,状类惊痫;或作寒热,或为 瘕,肌肉消瘦,非特不能
受孕,久而不治,转而为瘵疾者多矣。(其抑气治法,须随证采后方治之,故此不备列)
罗谦甫说:宋代褚澄为尼姑、寡妇单独制定方剂,是有所依据的。这两种寡居的女性,处于独阴无阳的状态,欲望萌动却难以实现,因此导致阴阳交争,时而发冷时而发热,症状完全类似温疟,时间久了就会演变成虚劳病。我曾经阅读《史记·仓公传》,其中记载济北王的侍妾韩女,患病表现为腰背部的寒热感,众位医生都认为是寒热病。仓公说:这病是因为想男子而得不到所致,怎么知道的呢?诊察她的脉象,肝脉(肝脏经脉的气血表现)弦硬且超出寸口部位,因此得知此病。大概男子以精为主,女子以血为主,男子精气旺盛时思念房事,女子血液充盈时能够怀胎。肝是统摄血液的脏器。吴郡(或指某处,原文疑为衍文或特定指代,此处依文意理解为对脉象的描述)厥阴肝脉弦硬且超出寸口,上行至鱼际部位,那么阴气盛可知晓,所以知道褚氏的话,确实是有道理的。(这里专门从肝经的角度来说,因为相火寄居于肝,男女的欲望都由此产生。观察天地之气,始于春季,就知道欲望的意义必然与肝有关。鸟兽繁衍也是如此。所以治疗这类疾病,应当以柴胡汤(Chaihu Tang, Bupleurum Decoction)为基本法则)
《济生方》论述说:《内经》说:百病都生于气。经文中所谓七气,所谓九气。喜、怒、忧、思、悲、恐、惊,这是七气;在七情之外,加上寒、热两种证候,就构成了九气。气致病,男人和女人都有,只有妇女因血气失调造成的危害尤其严重。大概人体血液随着气运行,气一旦壅滞,血和气就会并聚,或者月经不调,心腹部疼痛;或者月经将要来潮,预先疼痛;或者月经已经来潮,淋漓不断,心腹部疼痛;或者疼痛牵连腰胁,或者牵引背部脊柱,上下攻刺般疼痛,呕吐逆气不能进食,严重时手足抽搐,症状类似惊痫;或者出现寒热往来,或者形成瘕积(腹内结块),肌肉消瘦,不仅不能受孕,如果长时间不治疗,转变成痨瘵(消耗性结核病)的情况很多了。(这种抑制气机紊乱的治疗方法,必须根据具体证候采用后面的方治法,所以这里不全部列出)
Luo Qianfu said: Song dynasty physician Chu Cheng formulated separate prescriptions for nuns and widows, which was based on specific reasoning. These two types of women living in seclusion are in a state of "Yin alone without Yang." When their sexual desire arises but is not satisfied, it leads to a struggle between Yin and Yang, manifesting as alternating chills and fever, closely resembling Warm Malaria (Wen Nue). If prolonged, it develops into Consumption (Lao Bing). I once read the "Biography of Cang Gong" in the *Records of the Grand Historian*, which records that Han Nu, a maid of the King of Jibei, suffered from cold and heat sensations in her waist and back. Most physicians diagnosed this as a cold-heat disease. Cang Gong said: "The illness resulted from desiring a man but being unable to obtain one." How did he know? Upon examining her pulse, the Liver Pulse (Gan Mai) was wiry (Xian) and extended beyond the Cun Kou position, thus revealing the diagnosis. Generally speaking, men are governed by Essence (Jing), while women are governed by Blood (Xue). When men's Essence is abundant, they yearn for intercourse; when women's Blood is abundant, they are capable of conceiving. The Liver governs the storage and regulation of Blood. [Note: Text implies] The Jueyin Liver Pulse is wiry and extends beyond the Cun Kou, ascending to the Yu Ji area, indicating an excess of Yin. Therefore, Chu's statement is indeed well-founded. (This specifically refers to the Liver Meridian, as the Ministerial Fire resides in the Liver, and desires of both men and women originate from here. Observing the Qi of heaven and earth, which begins in Spring, we understand that the nature of desire must be related to the Liver. This is also true for the mating of birds and beasts. Therefore, treatment for such conditions should follow the method of Chaihu Tang (Bupleurum Decoction)).
The *Jisheng Fang* discusses: The *Neijing* states: "All diseases arise from Qi." The classics mention the "Seven Qi" and the "Nine Qi." Joy, anger, worry, thought, sorrow, fear, and shock constitute the Seven Qi; adding Cold and Heat syndromes to these seven emotions constitutes the Nine Qi. Disorders caused by Qi affect both men and women, but the harm caused by Blood and Qi disorders in women is particularly severe. Generally, Blood follows Qi in circulation. If Qi becomes stagnant, Blood and Qi congregate together, leading to irregular menstruation and pain in the heart and abdomen; or premenstrual pain; or prolonged, dripping menstrual flow with abdominal pain; or pain radiating to the flanks and hypochondrium, or drawing to the spine, with stabbing pains up and down, vomiting, inability to eat, and in severe cases, convulsions of the hands and feet resembling Epilepsy (Jing Xian); or alternating chills and fever, or formation of masses (Jia), muscle emaciation. Not only can conception fail, but if left untreated for a long time, it often transforms into Tuberculous Consumption (Zhai Ji). (The therapeutic method of suppressing Qi stagnation must be selected according to the specific syndrome from the following treatments, so they are not listed in full here).