妇人三十四五岁,血气脾胃俱虚。或经水动时,当风坐卧,失避风寒,身入寒邪,遍身麻痹,经脉受风,
咳嗽有痰。宜服五积交加散兼入八物汤(方见此条前二条中)
五积交加散
羌活(一钱二分) 当归 川芎 独活(各一钱) 白芷 浓朴(姜制) 苍术 枳壳(麸炒) 防风
陈皮 半夏(制) 柴胡 桔梗 白茯苓 麻黄(去节净) 桂枝(各七分) 甘草(五分)
姜三片,葱白连须五茎,水煎空心热服。
如不能行动,去柴胡,加僵蚕(炒)、乌梅各五分,酒煎服。咳嗽,加五味子、杏仁(去皮尖)各七分。
妇人三十六七岁,若行经太多,此因血气虚甚,胃气不足,故血妄行,宜调气血,养脾胃,庶年老可无
血崩之患。八珍散主之。
八珍散
人参 川芎 熟地 白芍 白茯苓 香附(各八分) 白术
(蜜炙) 当归(各一钱) 甘草(炙,五分)
姜三片,枣二枚,水煎服。如肚痛,加玄胡索八分;潮热,加柴胡、黄芩各八分。
妇人三十八九岁,经水断绝,腹中有块疼痛,头晕眼花,饮食不思,此气血两虚,恶血不散,急当散其瘀
血。治宜温调血脉,以除后患,排经散主之。
排经散
当归 莪术 玄胡索 熟地 枳壳(麸炒) 青皮 白术(蜜炙) 黄芩(各一钱) 川芎 山栀(炒黑)
小茴香 砂仁(各五钱) 干漆(炒,令烟尽) 红花(各四钱) 香附(童便制,二两) 甘草(炙,二钱)
共为末,每日空心酒调下二钱。
妇人到了三十四五岁,血气与脾胃功能都虚弱。如果在月经来潮时,吹风坐卧,未能避开风寒,导致寒邪侵入体内,出现全身麻痹,经脉受风邪侵袭,并伴有咳嗽有痰的症状。适宜服用五积交加散,同时配合八物汤(方剂见本条目前两条中)。
五积交加散
羌活(一钱二分) 当归 川芎 独活(各一钱) 白芷 浓朴(姜制) 苍术 枳壳(麸炒) 防风
陈皮 半夏(制) 柴胡 桔梗 白茯苓 麻黄(去节净) 桂枝(各七分) 甘草(五分)
生姜三片,葱白连须五茎,加水煎煮,空腹热服。
如果患者不能行动,去掉柴胡,加入僵蚕(炒)、乌梅各五分,用酒煎服。如果有咳嗽症状,加入五味子、杏仁(去皮尖)各七分。
妇人到了三十六七岁,如果月经量过多,这是因为血气非常虚弱,胃气不足,所以血液妄行。应当调理气血,滋养脾胃,这样年老时才可以避免血崩的祸患。以八珍散为主治方。
八珍散
人参 川芎 熟地 白芍 白茯苓 香附(各八分) 白术
(蜜炙) 当归(各一钱) 甘草(炙,五分)
生姜三片,大枣二枚,加水煎服。如果肚子痛,加入玄胡索八分;如果有潮热症状,加入柴胡、黄芩各八分。
妇人到了三十八九岁,月经断绝,腹中有肿块且疼痛,头晕眼花,不想饮食,这是气血两虚,恶血(瘀血)不散,应当紧急消散瘀血。治疗宜温调血脉,以消除后患,以排经散为主治方。
排经散
当归 莪术 玄胡索 熟地 枳壳(麸炒) 青皮 白术(蜜炙) 黄芩(各一钱) 川芎 山栀(炒黑)
小茴香 砂仁(各五钱) 干漆(炒,令烟尽) 红花(各四钱) 香附(童便制,二两) 甘草(炙,二钱)
共同研磨成粉末,每天空腹时用酒调服二钱。
When a woman reaches the age of thirty-four or thirty-five, her blood and qi, as well as the Spleen and Stomach functions, are both deficient. If during menstruation she sits or lies exposed to wind, failing to avoid wind-cold pathogens, cold evil enters the body, causing numbness throughout the body, wind invading the meridians, accompanied by coughing with phlegm. It is appropriate to administer Wuji Jiajiao San (Five Accumulations Mixed Powder) combined with Bawu Tang (Eight Substance Decoction) (formula see previous two entries in this section).
Wuji Jiajiao San (Five Accumulations Mixed Powder)
Qianghuo (Notopterygii Rhizoma et Radix, 1 qian 2 fen)
Danggui (Angelicae Sinensis Radix)
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Duhuo (Angelicae Pubescentis Radix) (each 1 qian)
Baizhi (Angelicae Dahuricae Radix)
Nongpo (Magnoliae Officinalis Cortex, processed with ginger juice)
Cangzhu (Atractylodis Rhizoma)
Zhiqiao (Aurantii Fructus, bran-fried)
Fangfeng (Saposhnikoviae Radix)
Chenpi (Citri Reticulatae Pericarpium)
Banxia (Pinelliae Rhizoma, processed)
Chaihu (Bupleuri Radix)
Jiegeng (Platycodonis Radix)
Baifuling (Poria, white part)
Mahuang (Ephedrae Herba, nodes removed and cleaned)
Guizhi (Cinnamomi Ramulus) (each 7 fen)
Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen)
Add three slices of fresh ginger (Shengjiang), five stalks of scallion white including roots (Congbai Lianxu). Decoct in water and take hot on an empty stomach.
If the patient is unable to move, remove Chaihu, add Jiangcan (Bombyx Batryticatus, fried) and Wumei (Mume Fructus), each 5 fen. Decoct in wine and take. For cough, add Wuweizi (Schisandrae Chinensis Fructus) and Xingren (Armeniacae Semen Amarum, skin and tip removed), each 7 fen.
When a woman reaches the age of thirty-six or thirty-seven, if menstruation is excessively heavy, this is due to severe deficiency of blood and qi, and insufficiency of Stomach qi, causing blood to flow recklessly. One should regulate blood and qi, nourish the Spleen and Stomach, so that in old age one may avoid the disaster of metrorrhagia (blood collapse). Bazhen San (Eight Treasures Powder) is the primary formula.
Bazhen San (Eight Treasures Powder)
Renshen (Ginseng Radix)
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Shudi (Rehmanniae Radix Praeparata)
Baishao (Paeoniae Radix Alba)
Baifuling (Poria, white part)
Xiangfu (Cyperi Rhizoma) (each 8 fen)
Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted)
Danggui (Angelicae Sinensis Radix) (each 1 qian)
Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 5 fen)
Add three slices of fresh ginger (Shengjiang) and two jujubes (Dazao). Decoct in water and take. For abdominal pain, add Yanshusu (Corydalis Rhizoma), 8 fen; for tidal fever, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix), each 8 fen.
When a woman reaches the age of thirty-eight or thirty-nine, menstruation ceases, there are masses in the abdomen accompanied by pain, dizziness, blurred vision, and loss of appetite. This indicates dual deficiency of blood and qi, and retention of evil blood (stasis). Urgent action is required to dissipate the stasis. Treatment should warm and regulate the blood vessels to eliminate future complications. Paijing San (Menstruation Dispersing Powder) is the primary formula.
Paijing San (Menstruation Dispersing Powder)
Danggui (Angelicae Sinensis Radix)
Ezhu (Curcumae Rhizoma)
Yanshusu (Corydalis Rhizoma)
Shudi (Rehmanniae Radix Praeparata)
Zhiqiao (Aurantii Fructus, bran-fried)
Qingpi (Citri Reticulatae Pericarpium Viride)
Baizhu (Atractylodis Macrocephalae Rhizoma, honey-roasted)
Huangqin (Scutellariae Radix) (each 1 qian)
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Shanzhi (Gardeniae Fructus, stir-fried until black)
Xiaohuixiang (Foeniculi Fructus)
Sharen (Amomi Fructus Rotundus) (each 5 qian)
Ganqi (Kadsurae Longipedunculati Caulis, stir-fried until smoke ceases)
Honghua (Carthami Flos) (each 4 qian)
Xiangfu (Cyperi Rhizoma, prepared with child's urine, 2 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 qian)
Grind all into powder. Take 2 qian daily on an empty stomach, mixed with wine.