妇人思郁过度,致伤心脾冲任之源,血气日枯,渐至经脉不调,何以成胎?宜合欢丸。
合欢丸
当归 熟地黄(各三两) 茯神 白芍(各一两五钱) 酸枣仁(炒) 远志肉(制,各一两) 香附(酒
炒) 炙甘草(各八分)
上为末,蜜丸,白汤下。
气虚加人参一两。
妇人血虚经滞蓄积不行,小腹疼痛,久不成胎。宜五物煎。
五物煎
当归 熟地黄(各三钱) 白芍(酒炒,二钱) 川芎 肉桂(各一钱)
气滞加香附(制)一钱,阴虚疝痛加小茴香一钱,水道不利加泽泻一钱,呕恶加干姜一钱。
水煎服。
妇人经水不调,气血乖和,不能受孕,或生过一胎之后,停隔多年,宜种玉酒服至百日,即能受孕。如气
血不足,经滞痰凝者,服至半年自能见效。
种玉酒
全当归五两(切片,此能行血养血) 远志肉(五两,甘草汤洗,此能散血中之滞,行气消痰)。
上二味用稀夏布袋盛之,甜酒十斤,安药浸之,密封口,浸过七日后,临卧温服,随量饮之。切弗间断,
服完再制。
又经净后,每日用青壳鸭蛋一个,针刺七孔,蕲艾五分,水一碗,将蛋安艾水碗内,饭上蒸熟,食之。每
月多则吃五、六个,少则吃二、三个亦可。
妇人惟经水为育嗣之期,经水不调,即非受孕之兆,纵使受之,亦不全美,宜大生丸。此通治调经之剂也。
若赤白带下,久不受孕,宜调经种玉丸。若阴虚不孕,宜加味地黄丸。若经行腹痛,宜坤浓资生丸。
大生丸
熟地黄(酒蒸) 当归身(各四两) 续断(盐水炒) 阿胶(蒲黄末炒珠) 杜仲(盐水炒) 丹参(炒,
各二两) 黄 (蜜炙) 白芍(酒炒) 延胡索(炒) 川芎(各一两五钱) 广皮(五钱) 香附(四制者,
各一两)
上为末,蜜丸,每服三钱,空心白汤下。行经时加二钱,若先期色紫(改为煎剂,一两改作一钱),加黄
芩(八分) 姜三片,水煎空心服,临卧再服。若后期色淡,加肉桂 熟艾 干姜(各五分) 生姜三片。水煎服。
若经未至而腹痛,则用丹参一两,为末,黄酒下二钱。俱以经尽为止,仍常服前丸。
调经种玉丸
香附(四制) 杜仲(姜汁炒,各八两) 川芎 白芍 当归身 干地黄 陈皮 小茴香(酒炒) 玄胡索
(微炒) 肉苁蓉(酒炒) 青皮(陈者,麸炒) 乌药(炒) 枯黄芩(酒炒) 乌 鱼骨(酥炙,各四两)
共为末,醋和面糊为丸,每服百丸,空心好酒下。(一方无地黄、陈皮、有人参、黄 各二两)
加味地黄丸
熟地黄(四两) 山萸肉 山药(各二两) 牡丹皮 茯苓(各一两五钱) 泽泻 香附(童便制,各一两)
蕲艾(去筋,醋炙,五钱)
为末,蜜丸,每服七十丸,白汤下。
坤浓资生丸
熟地黄 当归(酒蒸,各四两) 白芍(酒炒,三两) 川芎(酒蒸,一两五钱) 丹参(酒蒸,三两)
茺蔚子(酒蒸,四两) 香附(四两,醋、油、姜汁、盐水各浸各炒一两) 白术(四两,蜜水炙黄)。
为末,以益母草八两,酒、水各半,熬膏,和蜜为丸,每服四钱,空心白汤下。
月经先期脉数属热,加生地黄、牡丹皮。后期厥冷脉迟属寒,加肉桂。将行腹痛是气滞也,加乌药、木香。
食少气虚、面色 白、四肢无力,是气血两亏也,方内香附减半,加人参、黄 、茯神、远志肉 酸枣仁。
妇人思虑忧郁过度,导致心、脾以及冲脉、任脉(调节月经和孕育的经脉)的根本受损,气血日渐枯竭,逐渐发展到月经不调,怎么能怀孕呢?适宜服用合欢丸。
合欢丸
当归、熟地黄(各三两),茯神、白芍(各一两五钱),酸枣仁(炒制)、远志肉(炮制,各一两),香附(酒炒)、炙甘草(各八分)。
以上药物研成细末,用蜂蜜制成丸药,用温开水送服。
气虚者加人参一两。
妇人血虚导致经血停滞积聚而不能运行,小腹疼痛,长久不能受孕。适宜服用五物煎。
五物煎
当归、熟地黄(各三钱),白芍(酒炒,二钱),川芎、肉桂(各一钱)。
气滞者加制香附一钱,阴虚疝痛者加小茴香一钱,水道不通利者加泽泻一钱,呕吐恶心者加干姜一钱。
加水煎煮后服用。
妇人月经不调,气血不和,不能受孕,或者生过一个孩子之后,间隔多年不再怀孕,适宜服用种玉酒,服用满一百天,就能受孕。如果气血不足,经血停滞且有痰凝的情况,服用半年自然能见效。
种玉酒
全当归五两(切片,此药能行血养血),远志肉(五两,用甘草汤清洗,此药能消散血中的瘀滞,行气消痰)。
将这两味药装入稀夏布袋中,放入十斤甜酒里,密封瓶口,浸泡七日后,睡前温热服用,根据酒量适量饮用。切忌间断,喝完后再配制。
另外,在月经干净后,每天用一个青壳鸭蛋,针刺七个孔,放入五分蕲艾,一碗水,将蛋放在艾草水中,在饭上蒸熟食用。每月多吃则吃五六个,少吃二三个也可以。
妇人只有月经正常才是孕育子嗣的时期,月经不调,就不是受孕的征兆,即使受孕了,胎儿也不健全完美,适宜服用大生丸。这是通治调理月经的方剂。
如果有赤白带下,长久不能受孕,适宜服用调经种玉丸。如果是阴虚不孕,适宜服用加味地黄丸。如果是经期腹痛,适宜服用坤浓资生丸。
大生丸
熟地黄(酒蒸)、当归身(各四两),续断(盐水炒)、阿胶(蒲黄末炒成珠状)、杜仲(盐水炒)、丹参(炒,各二两),黄芪(蜜炙)、白芍(酒炒)、延胡索(炒)、川芎(各一两五钱),广皮(五钱),香附(经过四种方法炮制的,各一两)。
以上药物研成细末,用蜂蜜制成丸药,每次服用三钱,空腹时用温开水送服。行经期间加服二钱。如果月经先期且颜色紫暗(改为煎剂,一两改作一钱),加黄芩(八分)、生姜三片,水煎空腹服用,睡前再服一次。如果月经后期且颜色淡,加肉桂、熟艾、干姜(各五分)、生姜三片,水煎服用。如果月经未至而腹痛,则用丹参一两,研为细末,用黄酒送服二钱。都以月经结束为止,平时仍常服用前面的丸药。
调经种玉丸
香附(四制)、杜仲(姜汁炒,各八两),川芎、白芍、当归身、干地黄、陈皮、小茴香(酒炒)、玄胡索(微炒)、肉苁蓉(酒炒)、青皮(陈年的,麸炒)、乌药(炒)、枯黄芩(酒炒)、乌贼骨(酥炙,各四两)。
共同研为细末,用醋调和面糊制成丸药,每次服用一百丸,空腹时用好酒送服。(另一版本没有地黄、陈皮,有人参、黄芪各二两)。
加味地黄丸
熟地黄(四两),山萸肉、山药(各二两),牡丹皮、茯苓(各一两五钱),泽泻、香附(童便制,各一两),蕲艾(去筋,醋炙,五钱)。
研为细末,用蜂蜜制成丸药,每次服用七十丸,用温开水送服。
坤浓资生丸
熟地黄、当归(酒蒸,各四两),白芍(酒炒,三两),川芎(酒蒸,一两五钱),丹参(酒蒸,三两),茺蔚子(酒蒸,四两),香附(四两,分别用醋、油、姜汁、盐水浸泡并炒制,各一两),白术(四两,蜜水炙至黄色)。
研为细末,用益母草八两,酒和水各一半,熬成膏,与蜂蜜混合制成丸药,每次服用四钱,空腹时用温开水送服。
月经先期且脉数属于热证,加生地黄、牡丹皮。月经后期且四肢厥冷、脉迟属于寒证,加肉桂。即将行经时腹痛是气滞所致,加乌药、木香。食少气虚、面色苍白、四肢无力,是气血两亏所致,方中香附减半,加人参、黄芪、茯神、远志肉、酸枣仁。
When a woman suffers from excessive worry and depression, it damages the source of the Heart, Spleen, Chong Mai (Penetrating Vessel), and Ren Mai (Conception Vessel). Qi and Blood gradually wither, leading to irregular menstruation. How can conception occur? Hehuan Wan (Albizia Pill) is suitable.
Hehuan Wan (Albizia Pill)
Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata) (each 3 liang); Fu Shen (Poria Cum Radix), Bai Shao (Paeoniae Radix Alba) (each 1.5 liang); Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried), Yuan Zhi Rou (Polygalae Radix, processed) (each 1 liang); Xiang Fu (Cyperi Rhizoma, wine-stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (each 8 fen).
Grind the above into powder, form pills with honey, and take with warm water.
For Qi deficiency, add Ren Shen (Ginseng Radix) 1 liang.
If a woman has Blood deficiency causing stagnation and accumulation of menstrual blood that fails to flow, accompanied by lower abdominal pain and long-term infertility, Wuwu Jian (Five-Ingredient Decoction) is suitable.
Wuwu Jian (Five-Ingredient Decoction)
Dang Gui (Angelicae Sinensis Radix), Shu Di Huang (Rehmanniae Radix Praeparata) (each 3 qian); Bai Shao (Paeoniae Radix Alba, wine-stir-fried) (2 qian); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Rou Gui (Cinnamomi Cortex) (each 1 qian).
For Qi stagnation, add processed Xiang Fu (Cyperi Rhizoma) 1 qian; for Yin deficiency with hernia pain, add Xiao Hui Xiang (Foeniculi Fructus) 1 qian; for difficult urination, add Ze Xie (Alismatis Rhizoma) 1 qian; for nausea and vomiting, add Gan Jiang (Zingiberis Rhizoma) 1 qian.
Decoct in water and take.
If a woman has irregular menstruation due to disharmony between Qi and Blood, preventing conception, or if she has conceived once but remains infertile for many years, Zhongyu Jiu (Seed-Jade Wine) is suitable. Taking it for 100 days may lead to conception. If there is Qi and Blood deficiency with menstrual stagnation and Phlegm condensation, taking it for half a year will naturally show effects.
Zhongyu Jiu (Seed-Jade Wine)
Quan Dang Gui (whole Angelicae Sinensis Radix) 5 liang (sliced; this herb moves and nourishes Blood); Yuan Zhi Rou (Polygalae Radix) 5 liang (washed in Licorice decoction; this herb disperses Blood stasis, moves Qi, and resolves Phlegm).
Place these two herbs in a linen bag, immerse them in 10 jin of sweet wine, seal tightly, and steep for seven days. Take warm before bed, drinking according to tolerance. Do not interrupt the course; prepare again after finishing.
Additionally, after menstruation ends, use one green duck egg daily. Pierce seven holes in the egg, place 5 fen of Qi Ai (Artemisiae Argyi Folium) inside, add one bowl of water, steam the egg in the water over rice until cooked, and eat it. Consuming five or six per month is optimal, while two or three is also acceptable.
Menstruation is the period for conception in women. Irregular menstruation indicates an unfavorable sign for conception; even if conception occurs, the fetus may not be healthy. Dasheng Wan (Great Life Pill) is suitable. This is a general formula for regulating menstruation.
For leukorrhea (white and red discharge) with long-term infertility, Tiaojing Zhongyu Wan (Regulating Menstruation Seed-Jade Pill) is suitable. For infertility due to Yin deficiency, Jiawei Dihuang Wan (Modified Rehmannia Pill) is suitable. For dysmenorrhea during menstruation, Kunnong Zisheng Wan (Kunlong Nourishing Life Pill) is suitable.
Dasheng Wan (Great Life Pill)
Shu Di Huang (Rehmanniae Radix Praeparata, steamed in wine), Dang Gui Shen (Radix Angelicae Sinensis, root part) (each 4 liang); Xu Duan (Dipsaci Radix, salt-water stir-fried), E Jiao (Colla Corii Asini, fried with Polygoni Multiflori Folii Pulvis into beads), Du Zhong (Eucommiae Cortex, salt-water stir-fried), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, stir-fried) (each 2 liang); Huang Qi (Astragali Radix, honey-roasted), Bai Shao (Paeoniae Radix Alba, wine-stir-fried), Yan Hu Suo (Corydalis Rhizoma, stir-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1.5 liang); Guang Pi (Citri Reticulatae Pericarpium) (5 qian), Xiang Fu (Cyperi Rhizoma, four-process processed) (each 1 liang).
Grind into powder, form pills with honey. Take 3 qian each time with warm water on an empty stomach. During menstruation, add 2 qian. If menstruation arrives early with dark purple color (switch to decoction, change 1 liang to 1 qian), add Huang Qin (Scutellariae Radix) (8 fen) and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct and take on an empty stomach, then take again before bed. If menstruation arrives late with pale color, add Rou Gui (Cinnamomi Cortex), Shu Ai Ye (Artemisiae Argyi Folium Preparatum), Gan Jiang (Zingiberis Rhizoma) (each 5 fen) and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens). Decoct and take. If abdominal pain occurs before menstruation starts, use 1 liang of Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), grind into powder, and take 2 qian with yellow wine. Continue until menstruation ends, and continue taking the previous pill regularly.
Tiaojing Zhongyu Wan (Regulating Menstruation Seed-Jade Pill)
Xiang Fu (Cyperi Rhizoma, four-process processed), Du Zhong (Eucommiae Cortex, ginger juice stir-fried) (each 8 liang); Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Dang Gui Shen (Radix Angelicae Sinensis, root part), Gan Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Xiao Hui Xiang (Foeniculi Fructus, wine-stir-fried), Xuan Hu Suo (Corydalis Rhizoma, lightly stir-fried), Rou Cong Rong (Cistanches Herba, wine-stir-fried), Qing Pi (Citri Reticulatae Pericarpium Viride, aged, bran-stir-fried), Wu Yao (Linderae Radix, stir-fried), Ku Huang Qin (Scutellariae Radix, wine-stir-fried), Wu Yu Gu (Sepiae Endoconcha, fried in fat) (each 4 liang).
Grind into powder, mix with vinegar and wheat paste to form pills. Take 100 pills each time with good wine on an empty stomach. (Another prescription excludes Di Huang and Chen Pi, adding Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) each 2 liang).
Jiawei Dihuang Wan (Modified Rehmannia Pill)
Shu Di Huang (Rehmanniae Radix Praeparata) (4 liang); Shan Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma) (each 2 liang); Mu Dan Pi (Moutan Cortex), Fu Ling (Poria) (each 1.5 liang); Ze Xie (Alismatis Rhizoma), Xiang Fu (Cyperi Rhizoma, prepared with child's urine) (each 1 liang); Qi Ai (Artemisiae Argyi Folium, tendons removed, vinegar-roasted) (5 qian).
Grind into powder, form pills with honey. Take 70 pills each time with warm water.
Kunnong Zisheng Wan (Kunlong Nourishing Life Pill)
Shu Di Huang (Rehmanniae Radix Praeparata), Dang Gui (Angelicae Sinensis Radix, steamed in wine) (each 4 liang); Bai Shao (Paeoniae Radix Alba, wine-stir-fried) (3 liang); Chuan Xiong (Ligustici Chuanxiong Rhizoma, steamed in wine) (1.5 liang); Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, steamed in wine) (3 liang); Chong Wei Zi (Leonuri Fructus, steamed in wine) (4 liang); Xiang Fu (Cyperi Rhizoma) (4 liang, soaked and stir-fried separately in vinegar, oil, ginger juice, and salt water, 1 liang each); Bai Zhu (Atractylodis Macrocephalae Rhizoma) (4 liang, roasted with honey water until yellow).
Grind into powder. Use 8 liang of Yi Mu Cao (Leonuri Herba), half wine and half water, to boil down into a paste. Mix with honey to form pills. Take 4 qian each time with warm water on an empty stomach.
Early menstruation with rapid pulse indicates Heat; add Sheng Di Huang (Rehmanniae Radix) and Mu Dan Pi (Moutan Cortex). Late menstruation with cold extremities and slow pulse indicates Cold; add Rou Gui (Cinnamomi Cortex). Abdominal pain before menstruation indicates Qi stagnation; add Wu Yao (Linderae Radix) and Mu Xiang (Aucklandiae Radix). Poor appetite, Qi deficiency, pale complexion, and weak limbs indicate dual deficiency of Qi and Blood; reduce Xiang Fu (Cyperi Rhizoma) by half in the formula, and add Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Fu Shen (Poria Cum Radix), Yuan Zhi Rou (Polygalae Radix), and Suan Zao Ren (Ziziphi Spinosae Semen).