黄连 黄芩 黄柏(盐、酒炒) 芎 薄荷 连翘 花粉 栀仁
上方为风热退,睛痛不止,脏腑不秘结而作。夫上结而下不秘,是脏未移热于腑也。故只三黄、花粉、连翘、
栀仁之苦寒以清之。火退而痛不止,是肝复淫热于心也。更须薄荷、菊花、芎 之辛温以散之。
诗曰∶三黄连芩柏,花粉山栀列,再薄菊芎翘,何热清不得。
益母草 生黄 延胡索 郁金 当归 芎 茯苓 通草(各一两) 黄连(酒炒) 荆穗 枳壳(面炒) 柴
胡红花 甘草(各五钱)
妇人症治与男子等,惟月事胎产异焉。今曰消凝行经,盖不月致病之药尔。夫月乃太阴之精,以望而盈,过
望而亏。女子禀阴气成形,故血亦对月而盈亏也,曰月事。经曰月事以时下,能有子。稍一差错,则气血俱坏。
合用黄 、益母草、枳壳、甘草补气而利气,当归、延胡索、红花、郁金行血而养血。柴胡、芎 导入厥阴,使
荣从此归。茯苓、通草引入太阳,使邪由被出。若荆芥、黄连,正为血凝累目,平其风热耳。如是则经脉无恙,
琴瑟调而孕子。爰记其功以名方。然必少妇健而有火者,方可与服。倘涉疑似,盒饭慎思。
诗曰∶消凝通郁延胡索,益母芎归连枳壳,荆穗柴苓甘草归,黄 服亦红花落。
防风 荆芥 独活 红花 苏木 当归 蒲黄 滑石 桑皮 蚕砂 石斛 土茯苓 白芍药
金刀除蚬肉毕,此方主之。
金刀,凉物也;蚬肉,血毒也。血凉则凝,肉割则痛。凝且痛,风火至矣。故以防风、荆芥、独活疏其风,
桑皮、蒲黄、蚕砂清其热。且割时必受水湿,石斛、滑石、土茯苓
以利之。割后恐或瘀血,当归、红花、苏木以行之。如 肉、椒粟,虽血盛,只泻白加减,不必此方。诗曰∶荆
蒲土可苏,桑蚕滑当活,石斛落红花,防风拥芍药。
【三黄祛热煎】
黄连、黄芩、黄柏(用盐水和酒炒制)、川芎、薄荷、连翘、天花粉、栀子仁。
上方适用于风热症状消退后,眼睛仍然疼痛不止,且脏腑没有实热积滞的情况。如果上部有结聚而下部大便不秘结,说明脏气的热邪没有转移到腑气。因此,仅使用黄连、黄芩、黄柏、天花粉、连翘、栀子仁这些苦寒性质的药物来清热。如果火热退去但疼痛仍不止,说明肝经的余热又侵犯到了心经。此时更需要加入薄荷、菊花、川芎这些辛温性质的药物来疏散邪气。
诗曰:三黄连芩柏,花粉山栀列,再薄菊芎翘,何热清不得。
【消凝行经散】
益母草、生黄芪、延胡索、郁金、当归、川芎、茯苓、通草(各一两),黄连(用酒炒制)、荆芥穗、枳壳(用面粉炒制)、柴胡、红花、甘草(各五钱)。
妇女的疾病治疗原则与男子相同,只是月经和胎产方面有所不同。现在所说的“消凝行经”,是针对月经不调导致疾病的药物。月经是太阴脾经的精血,在满月时充盈,过了满月则亏虚。女子禀受阴气而成形,所以血液也随着月亮的盈亏而变化,因此称为“月事”。《内经》说:“月事以时下,能有子。”稍微有一点差错,气血就会受损。
方中合用黄芪、益母草、枳壳、甘草来补气并调理气机;当归、延胡索、红花、郁金来活血并养血。柴胡、川芎引导药力进入厥阴肝经,使营血从此归经。茯苓、通草将药力引入太阳膀胱经,使邪气从体表排出。至于荆芥、黄连,正是为了治疗因血凝累及眼睛的情况,平抑风热罢了。这样经脉就能无恙,身体调和从而能够受孕。记录其功效以此命名此方。但是,必须是年轻体壮且有内热的妇女,才可以服用。如果有疑似情况,应当谨慎思考。
诗曰:消凝通郁延胡索,益母芎归连枳壳,荆穗柴苓甘草归,黄芪服亦红花落。
【防风散结汤】
防风、荆芥、独活、红花、苏木、当归、蒲黄、滑石、桑白皮、蚕砂、石斛、土茯苓、白芍药。
被金属利器割伤蚬肉后,用此方主治。
金属利器性质寒凉;蚬肉含有血毒。血液遇冷则凝结,肉体被切割则疼痛。既凝结又疼痛,风火之邪就会随之而至。因此,用防风、荆芥、独活来疏解风邪,用桑白皮、蒲黄、蚕砂来清除热邪。而且切割时必然受到水湿侵袭,用石斛、滑石、土茯苓来利湿。切割后担心有瘀血残留,用当归、红花、苏木来活血化瘀。如果是鸡眼、椒粟等症,虽然血盛,只需使用泻白散加减即可,不必用此方。
诗曰:荆蒲土可苏,桑蚕滑当活,石斛落红花,防风拥芍药。
[Sanhuang Qure Decoction]
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Phellodendri Cortex (Huangbai) (stir-fried with salt water and wine), Ligustici Chuanxiong Rhizoma (Chuanxiong), Menthae Haplocalycis Herba (Bohe), Forsythiae Fructus (Lianqiao), Trichosanthis Radix (Huafen), Gardeniae Fructus (Zhiren).
The above formula is indicated for cases where wind-heat symptoms have subsided, but eye pain persists, without internal organ heat accumulation or constipation. If there is stagnation in the upper part but no constipation in the lower part, it indicates that the heat from the Zang organs has not transferred to the Fu organs. Therefore, only the bitter-cold herbs such as Huanglian, Huangqin, Huangbai, Huafen, Lianqiao, and Zhiren are used to clear heat. If the fire subsides but pain persists, it indicates that liver heat has invaded the heart. At this time, it is necessary to add Xin-warm (acrid-warm) herbs such as Bohe, Juhua (Chrysanthemi Flos), and Chuanxiong to disperse the pathogenic factors.
Poem: Sanhuang Lian Qin Bai, Huafen Shan Zhi Lie, Zai Bo Ju Xiong Qiao, He Re Qing Bu De.
[Xiaoning Xingjing Powder]
Leonuri Fructus (Yimucao), Astragali Membranacei Radix (Sheng Huangqi), Cyperi Rhizoma (Yanhusuo), Curcumae Longae Rhizoma (Yujin), Angelicae Sinensis Radix (Danggui), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria (Fuling), Tectona Grandis Stem (Tongcao) (each 1 liang), Coptidis Rhizoma (Huanglian) (stir-fried with wine), Schizonepetae Spica (Jingsui), Aurantii Fructus (Zhiqiao) (stir-fried with flour), Bupleuri Radix (Chaihu), Carthami Flos (Honghua), Glycyrrhizae Radix et Rhizoma (Gancao) (each 5 qian).
The treatment principles for women's diseases are the same as those for men, except for menstruation and childbirth/pregnancy. The term "Xiaoning Xingjing" (Eliminating Stasis and Regulating Menstruation) refers to medicines for diseases caused by menstrual irregularities. Menstrual blood is the essence of the Taiyin Spleen meridian; it becomes full at the full moon and deficient after the full moon. Women are formed by Yin Qi, so their blood also fluctuates with the moon's phases, hence it is called "Yueshi" (Monthly Affairs). The Classic says: "When monthly affairs occur on time, conception is possible." Even slight deviations can damage Qi and Blood.
The formula combines Huangqi, Yimucao, Zhiqiao, and Gancao to tonify Qi and regulate Qi movement; Danggui, Yanhusuo, Honghua, and Yujin to invigorate Blood and nourish Blood. Chaihu and Chuanxiong guide the medicinal power into the Jueyin Liver meridian, allowing Ying-Blood to return to its vessel. Fuling and Tongcao guide the medicinal power into the Taiyang Bladder meridian, allowing pathogens to exit via the exterior. Jingjie and Huanglian are specifically used to treat eye conditions caused by blood stasis, calming wind-heat. In this way, the meridians remain unharmed, the body harmonizes, and conception becomes possible. This efficacy is recorded to name the formula. However, it should only be taken by young, robust women with internal heat. If there is any doubt, caution should be exercised.
Poem: Xiaoning Tong Yu Yan Hu Suo, Yi Mu Xiong Gui Lian Zhi Ke, Jing Sui Chai Ling Gan Cao Gui, Huang Qi Fu Yi Hong Hua Luo.
[Fangfeng Sanjie Decoction]
Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Notopterygii Rhizoma et Radix (Duhuo), Carthami Flos (Honghua), Sappan Lignum (Sumu), Angelicae Sinensis Radix (Danggui), Typhae Pollen (Puhuang), Talcum (Huashi), Mori Cortex (Sangpi), Bombyx Batryticatus (Can Sha), Dendrobii Caulis (Shihu), Smilax Glabrae Rhizoma (Tufuling), Paeoniae Radix Alba (Baishaoyao).
This formula is the main treatment after being cut by a metal instrument while handling clam meat.
Metal instruments are cold in nature; clam meat contains blood toxins. Cold causes blood to coagulate, and cutting causes pain. Coagulation and pain lead to the arrival of Wind and Fire pathogens. Therefore, Fangfeng, Jingjie, and Duhuo are used to disperse Wind; Sangpi, Puhuang, and Can Sha are used to clear Heat. Since water-dampness is inevitably absorbed during cutting, Shihu, Huashi, and Tufuling are used to promote diuresis and drain dampness. To prevent blood stasis after cutting, Danggui, Honghua, and Sumu are used to invigorate blood circulation. For conditions like corns or milia, although there is abundant blood, modifications of Xiebai San suffice, and this formula is not necessary.
Poem: Jing Pu Tu Ke Su, Sang Chan Hua Dang Huo, Shi Hu Luo Hong Hua, Fang Feng Yong Shao Yao.