妇人二十七八岁,身体困倦,饮食少进,经水时下淋漓不止。或成片块,或流赤白黄水。面色青黄,目眩
眼花,四肢酸痛,将成崩漏。宜服润经汤。
润经汤
当归(一钱) 白芍 川芎 香附(醋制) 熟地(各八分) 阿胶(蛤粉炒珠) 黄芩 蒲黄(炒)
侧柏叶(盐水炒) 白术(蜜炙,各六分) 砂仁(四分) 炙甘草(三分)
姜三片,水煎服。如咳嗽,加五味子、杏仁(去皮尖)各六分;气急,加半夏(制)、苏叶各四分;泄泻,
加肉豆蔻(煨)。粟壳各四分,肚痛,加枳壳(麸炒)、玄胡索、干膝(炒,令烟尽)各六分;若虚冷,可服
补经汤、温经丸(方见此条前),以补心血;若口干潮热,不可用温经丸,可服八珍散(方见此条后四条中),
以扶其脾胃。切忌乱服药饵,若已半身不调,可用调经散(方见此条第五条中)治
之。
妇人二十九、三十岁,连年生育,气散血虚,经脉不和。或二三月不行,不时腹痛,结成血块,日倦夜热,
饮食不思。此血虚胃热,或由劳伤而致也。先服红花当归散,次服八物汤。
红花当归散
当归(八分) 川芎 赤芍 熟地 黄芩 香附(童便制) 玄胡索 浓朴(姜制,各五分) 小茴香
柴胡 陈皮 莪术 三棱 牛膝(各四分) 甘草(三分) 红花(二分)
姜二片,水煎,空心服一剂;除去三棱、莪术,再服二三剂。如恶心,如呕吐,加砂仁、良姜各二分;泄
泻,加肉豆蔻(煨)、粟壳各四分;遍身痛,加羌活、独活各四分;咳嗽气急,加杏仁(去皮尖)、五味子、
桔梗、苏叶各四分。
八物汤
人参 白术(蜜炙) 茯苓 炙甘草 熟地黄 当归 川芎 白芍(各一钱)
姜三片,枣二枚,水二钟,煎七分服。
妇女二十七八岁时,身体感到困倦乏力,食欲减退,月经淋漓不尽。有时排出成片血块,有时流出赤、白、黄色的水样分泌物。面色青黄,头晕眼花,四肢酸痛,病情即将发展为崩漏(非经期大量出血或淋漓不止)。适宜服用润经汤。
润经汤
当归(一钱) 白芍 川芎 香附(醋制) 熟地黄(各八分) 阿胶(蛤粉炒成珠状) 黄芩 蒲黄(炒) 侧柏叶(盐水炒) 白术(蜜炙,各六分) 砂仁(四分) 炙甘草(三分)
生姜三片,加水煎煮后服用。如果伴有咳嗽,加五味子、杏仁(去皮尖)各六分;如果气急,加半夏(制)、苏叶各四分;如果泄泻,加煨肉豆蔻、粟壳各四分;如果肚痛,加麸炒枳壳、玄胡索、干膝(炒至烟尽)各六分;如果是虚寒证,可以服用补经汤、温经丸(方剂见本条前文),以补养心血;如果出现口干和潮热症状,不可使用温经丸,可以服用八珍散(方剂见本条后四条中),以扶持脾胃。切忌乱服药饵,如果已经出现半身不调的症状,可以用调经散(方剂见本条第五条中)治疗。
妇女二十九、三十岁时,因连年生育,导致气散血虚,经脉不和。有时两三个月月经不行,不时腹痛,结成血块,白天疲倦晚上发热,不想吃东西。这是血虚胃热所致,也可能是由劳伤引起的。先服用红花当归散,再服用八物汤。
红花当归散
当归(八分) 川芎 赤芍 熟地黄 黄芩 香附(童便制) 玄胡索 浓朴(姜制,各五分) 小茴香 柴胡 陈皮 莪术 三棱 牛膝(各四分) 甘草(三分) 红花(二分)
生姜二片,加水煎煮,空腹服用一剂;去掉三棱、莪术,再服用二三剂。如果有恶心呕吐,加砂仁、良姜各二分;如果泄泻,加煨肉豆蔻、粟壳各四分;如果全身疼痛,加羌活、独活各四分;如果咳嗽气急,加杏仁(去皮尖)、五味子、桔梗、苏叶各四分。
For women aged twenty-seven or twenty-eight, the body feels heavy and fatigued, food intake is reduced, and menstruation flows continuously without stopping. Sometimes clots are discharged in pieces, or red, white, and yellow watery secretions flow. The complexion is greenish-yellow, with dizziness and blurred vision, and soreness and pain in the four limbs; this condition is about to develop into Benglou (metrorrhagia and metrostaxis). It is appropriate to take Runjing Tang (Moistening Menses Decoction).
Runjing Tang (Moistening Menses Decoction)
Danggui (Radix Angelicae Sinensis, one qian), Baishao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Xiangfu (Rhizoma Cyperi, vinegar-processed), Shudihuang (Radix Rehmanniae Preparata, each eight fen), Ejiao (Colla Corii Asini, fried with clam powder into pearls), Huangqin (Radix Scutellariae), Puhuang (Pollen Typhae, stir-fried), Cebeiyè (Folium Platycladi, salt-water fried), Baizhu (Rhizoma Atractylodis Macrocephalae, honey-roasted, each six fen), Sharen (Fructus Amomi, four fen), Zhigancao (Radix Glycyrrhizae Preparata, three fen).
Add three slices of Shengjiang (Rhizoma Zingiberis Recens), decoct with water, and take orally. If cough is present, add Wuweizi (Fructus Schisandrae) and Xingren (Semen Armeniacae Amarum, peeled and tip removed), each six fen; if there is shortness of breath, add Banxia (Rhizoma Pinelliae Preparata) and Ziye (Folium Perillae), each four fen; if diarrhea occurs, add RouDoukou (Semen Myristicae, baked) and Sushe (Fructus Pruni Persicae, processed), each four fen; if abdominal pain occurs, add Zhike (Fructus Aurantii, bran-fried), Xuanshen (Radix Scrophulariae), and Ganxi (Rhizoma Gastrodiae, stir-fried until smoke disappears), each six fen; if it is a deficiency-cold syndrome, Bujing Tang (Tonifying Menses Decoction) and Wenjing Wan (Warming Menses Pill) (formulas see preceding text of this section) can be taken to nourish Heart blood; if dry mouth and tidal fever occur, Wenjing Wan should not be used; Bazhen San (Eight-Treasure Powder) (formula see among the last four items of this section) can be taken to support Spleen and Stomach. Strictly avoid taking medicines indiscriminately. If half-body dysfunction has already occurred, Tiaojing San (Regulating Menses Powder) (formula see item five of this section) can be used for treatment.
For women aged twenty-nine or thirty, due to continuous childbirth over the years, Qi scatters and Blood becomes deficient, causing disharmony of the meridians and collaterals. Menstruation may cease for two or three months at a time, accompanied by intermittent abdominal pain and formation of blood clots. The patient feels tired during the day and has fever at night, with no desire for food. This is caused by Blood deficiency and Stomach heat, or possibly by labor injury. First take Honghua Danggui San (Carthamus and Angelica Powder), then take Bayu Tang (Eight-Ingredient Decoction).
Honghua Danggui San (Carthamus and Angelica Powder)
Danggui (Radix Angelicae Sinensis, eight fen), Chuanxiong (Rhizoma Chuanxiong), Chishao (Radix Paeoniae Rubra), Shudihuang (Radix Rehmanniae Preparata), Huangqin (Radix Scutellariae), Xiangfu (Rhizoma Cyperi, prepared with child's urine), Xuanshen (Radix Scrophulariae), Houpo (Cortex Magnoliae Officinalis, ginger-processed, each five fen), Xiaohuixiang (Fructus Foeniculi), Chaihu (Radix Bupleuri), Chenpi (Pericarpium Citri Reticulatae), Ezhu (Rhizoma Curcumae Zedoariae), Sanleng (Rhizoma Sparganii), Niuxi (Radix Achyranthis Bidentatae, each four fen), Gancao (Radix Glycyrrhizae, three fen), Honghua (Flos Carthami, two fen).
Add two slices of Shengjiang (Rhizoma Zingiberis Recens), decoct with water, and take one dose on an empty stomach; remove Sanleng (Rhizoma Sparganii) and Ezhu (Rhizoma Curcumae Zedoariae), and take another two or three doses. If nausea or vomiting occurs, add Sharen (Fructus Amomi) and Liangjiang (Rhizoma Alpiniae Officinarum), each two fen; if diarrhea occurs, add RouDoukou (Semen Myristicae, baked) and Sushe (Fructus Pruni Persicae, processed), each four fen; if whole-body pain occurs, add Qianghuo (Rhizoma Notopterygii) and Duhuo (Radix Angelicae Pubescentis), each four fen; if cough and shortness of breath occur, add Xingren (Semen Armeniacae Amarum, peeled and tip removed), Wuweizi (Fructus Schisandrae), Jiegeng (Radix Platycodonis), and Ziye (Folium Perillae), each four fen.
Bayu Tang (Eight-Ingredient Decoction)
Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae, honey-roasted), Fuling (Sclerotium Poriae), Zhigancao (Radix Glycyrrhizae Preparata), Shudihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba, each one qian).
Add three slices of Shengjiang (Rhizoma Zingiberis Recens) and two dates (Fructus Jujubae), decoct with two zhong of water until seven parts remain, and take orally.