金莲稳步膏 治妇人脚趾缝坏痛。
黄连 黄柏 黄丹 荆芥(微炒,各等分)
上为细末,掺脚趾缝内,布扎缚,自然平稳不痛。
虞氏曰∶脉经云,诊其脉,手少阴之脉动甚者(手少阴动脉,诊在神门,于左右手掌后
内侧横纹下,与关相对者是),妊子也。盖手少阴心脉也,心主血脉故也,又肾为胞门、子户,
尺中肾脉(尺脉更真),按之不绝,当妊子也。又曰∶妇人妊娠、一月之时,足厥阴脉养之,二
月足少阳脉养之,三月手少阴脉养之,四月手少阳脉养之,五月足太阴脉养之,六月足阳明
脉养之,七月手太阴脉养之,八月手阳明脉养之,九月足少阴脉养之,十月足太阳脉养之,
是以诸经脉,各养三十日也。若夫至期当养之经,虚实不调,则胎孕为之不安,甚则下血而
堕矣。夫手足十二经,气血盈亏不同,如手足厥阴、太阳少气多血,手足太阴、少阴少血多
气,手足少阳气多血少,手足阳明气盛血多,安胎之法,宜各按月根据经,视其气血虚实而调
之,庶无胎堕之患。其或感冒风寒,别生异证,又宜各按法而调治之。(如此治皆得法)
洁古云∶治胎产之病,从厥阴经论之,是祖气生化之源也(厥阴肝木乃风化之始,故曰
化之源,而祖气乃天真之气,非谷气也。东方生风,风生虫,人亦 虫也,故从厥阴风木论
之)。厥阴与少阳相为表里,故治法,无犯胃气,及上二焦。有三禁,不可汗,不可下,不可
利小便,发汗则伤上焦之阳,利大便则脉数而动脾,利小便则内亡津液,胃中枯燥。制药之
法,能不犯此三禁,则荣卫自和,而寒热止矣。如发渴则白虎,气弱则黄 ,血刺痛而和以当
归,腹中疼而加之芍药。大抵产病天行,从增损柴胡;杂证,从增损四物,宜详察脉证而用之。
金莲稳步膏,治疗妇人脚趾缝间溃烂疼痛。
黄连、黄柏、黄丹、荆芥(微炒,各等分)
将上述药材研为细末,撒在脚趾缝内,用布包扎固定,自然平稳且不痛。
虞氏说:《脉经》记载,诊察脉搏,手少阴心经的脉搏跳动明显旺盛的(手少阴动脉,诊察部位在神门穴,位于左右手掌后内侧横纹下,与关脉相对的位置),是怀孕的迹象。因为手少阴属于心脉,心主血脉的缘故;另外肾为胞门、子户,尺部肾脉(尺脉更为真实可信),按之不绝,应当是怀孕。又说:妇女妊娠期间,第一个月由足厥阴肝经滋养,第二个月由足少阳胆经滋养,第三个月由手少阴心经滋养,第四个月由手少阳三焦经滋养,第五个月由足太阴脾经滋养,第六个月由足阳明胃经滋养,第七个月由手太阴肺经滋养,第八个月由手阳明大肠经滋养,第九个月由足少阴肾经滋养,第十个月由足太阳膀胱经滋养,因此各经脉各自滋养三十天。如果到了该滋养的月份,相应的经脉虚实不调,就会导致胎孕不安,严重时会出现下血并流产。手足十二经脉的气血盈亏情况不同,如手足厥阴经、太阳经气少血多,手足太阴经、少阴经血少气多,手足少阳经气多血少,手足阳明经气盛血多。安胎的方法,适宜每个月根据对应的经脉,观察其气血虚实情况进行调理,这样才没有流产的祸患。如果有感冒风寒,产生其他病症,又适宜分别按照法则进行调治。(像这样的治疗都符合法度)
洁古(张元素)说:治疗胎产疾病,从厥阴经论述,这是因为它是祖气生化之源(厥阴肝木乃风气的开始,所以称为化之源,而祖气是天真之气,不是谷气。东方生风,风生虫,人也是虫类,所以从厥阴风木来论述)。厥阴与少阳互为表里,所以治疗方法,不能损伤胃气,以及上二焦。有三项禁忌,不可发汗,不可攻下,不可利小便。发汗则损伤上焦阳气,利大便则脉数且扰动脾气,利小便则体内津液亡失,胃中干燥。制药的方法,如果不触犯这三项禁忌,那么营卫自然调和,寒热症状就会停止。如果出现口渴,就用白虎汤;气弱就用黄芪汤(原文“黄”后缺字,据语境补全或保留原意,此处依原文“黄”字处理,通常指黄芪或黄龙汤等,但结合下文当归芍药,此处可能指补气之剂,暂译作Huang Qi Decoction或保留Huang...);血刺痛且需调和时加入当归;腹中疼痛且需缓解时加入芍药。大抵产后病属天行(流行性疫病),从增损柴胡汤论治;杂证,从增损四物汤论治,适宜详细诊察脉象和症状后使用。
Jinlian Wenbu Gao (Golden Lotus Steady Step Ointment) treats women with ulceration and pain in the interdigital spaces of the toes.
Coptidis Rhizoma (Huanglian), Phellodendri Cortex (Huangbai), Minium (Huandan), Schizonepetae Herba (Jingjie) (lightly stir-fried, equal parts).
Grind the above ingredients into a fine powder, sprinkle it into the toe webs, bind with cloth, and it will naturally become stable and painless.
Yu states: The *Mai Jing* (Pulse Classic) records that if the pulse of the Hand-Shaoyin Heart Meridian is markedly vigorous (the Hand-Shaoyin arterial pulse is diagnosed at Shenmen [Shenmen, HT4], located on the medial side of the transverse crease of the wrist posteriorly, opposite to the Guan position), it indicates pregnancy. This is because the Hand-Shaoyin belongs to the Heart meridian, and the Heart governs blood vessels; furthermore, the Kidney serves as the gate of the uterus and the house of the fetus. If the Kidney pulse at the Chi position (the Chi pulse is more authentic) is unceasing upon palpation, it indicates pregnancy. It is also stated that during pregnancy, in the first month, the Foot-Jueyin Liver Meridian nourishes the fetus; in the second month, the Foot-Shaoyang Gallbladder Meridian; in the third month, the Hand-Shaoyin Heart Meridian; in the fourth month, the Hand-Shaoyang Sanjiao Meridian; in the fifth month, the Foot-Taiyin Spleen Meridian; in the sixth month, the Foot-Yangming Stomach Meridian; in the seventh month, the Hand-Taiyin Lung Meridian; in the eighth month, the Hand-Yangming Large Intestine Meridian; in the ninth month, the Foot-Shaoyin Kidney Meridian; and in the tenth month, the Foot-Taiyang Bladder Meridian. Thus, each meridian nourishes for thirty days. If the corresponding meridian’s deficiency or excess is not harmonized when its designated time arrives, fetal instability occurs, potentially leading to bleeding and miscarriage. The twelve meridities of the hands and feet differ in their balance of Qi and Blood: the Foot-Jueyin and Foot-Taiyang have little Qi and much Blood; the Foot-Taiyin and Foot-Shaoyin have little Blood and much Qi; the Hand-Shaoyang has much Qi and little Blood; and the Hand-Yangming and Foot-Yangming have abundant Qi and much Blood. The method for stabilizing the fetus should be adjusted monthly according to the specific meridian, observing its Qi and Blood deficiency or excess, thereby avoiding the risk of miscarriage. If contracted wind-cold causing other symptoms, treatment should follow specific protocols accordingly. (Such treatments are all in accordance with proper methods.)
Jiegu (Zhang Yuansu) states: When treating diseases related to pregnancy and childbirth, one discusses them from the perspective of the Jueyin Meridian, as this is the source of the generation and transformation of ancestral Qi (The Jueyin Liver Wood is the beginning of Wind, hence called the source of transformation; ancestral Qi refers to innate true Qi, not grain-derived Qi. The East generates Wind, Wind generates insects, and humans are also insects, thus discussion proceeds from Jueyin Wind-Wood). Jueyin and Shaoyang are exterior-interior pairs. Therefore, in treatment, one must not damage Stomach Qi or the Upper Erjiao (Upper Triple Burner). There are three prohibitions: do not induce sweating, do not purge, and do not promote urination. Inducing sweating damages Yang Qi in the Upper Jiao; purging causes rapid pulse and disturbs Spleen Qi; promoting urination leads to loss of body fluids and dryness in the Stomach. In preparing medicines, if these three prohibitions are avoided, Ying and Wei (Nutritive and Defensive Qi) will naturally harmonize, and chills and fever will cease. If thirst occurs, use Baihu Tang (White Tiger Decoction); if Qi is weak, use Huang [Decoction]; if blood stasis causes stabbing pain requiring harmonization, add Danggui (Angelica Sinensis); if abdominal pain requires relief, add Shaoyao (Peony Root). Generally, postpartum diseases due to epidemic pathogens are treated using modified Chaihu Tang (Bupleurum Decoction); miscellaneous conditions are treated using modified Siwu Tang (Four Substance Decoction). One should carefully examine the pulse and symptoms before application.