妇人患此,皆由脏腑亏虚及气滞不畅,兼以七情动于中,六淫袭于外,邪气干之故痛作。随
气升降,冲上则心膈疼,攻下则脐腹痛,皆邪正相搏而使然也。内服药,外得暖气则痛止,脉沉
紧实。
主方 延胡索 乌药 香附 肉桂 当归 川芎 木香(另磨) 桃仁(各八分) 赤芍(
一钱五分) 姜三片,枣一枚,煎服。
是证孕妇因胞胎所压,或承高取物,以致尿脬转而小便不通。或由膀胱有热;或忍小便久之
故。小
腹急痛,兼小便不通门治。
主方 木通 寒水石 秋葵子 车前子 石苇(等分) 上研细,水煎服,见效即止。或
秋葵子、车前子、乱发烧灰为末,每服两钱,茶下。或五苓散,取鲜车前草捣汁调服;或紫菀为末
,葱汤下。一法用盐炒热,包熨小腹自通。
是证属心肾气虚,传送失度。如妇人产理不顺,致伤膀胱,亦无时而出。或因脬寒脏冷而致
,宜详察之。先用补中益气汤合六味地黄丸方煎服。
主方 (次服) 白龙骨 赤石脂 牡蛎(火 、醋淬) 益智(各一两) 枯矾 诃子(
煨,去核) 砂仁(各五钱) 上为末,每服二钱,米汤调。丸服亦可。
鹿茸丸 妇人久虚,小便稠浊,滑泄不禁。
鹿茸(一对) 川椒 桂心 附子(制) 牡蛎(制) 石斛 肉苁蓉 鸡肫(内黄皮)
沉香(各一两) 上为末,酒糊丸,每三十丸酒下。
妇女患此病,皆因脏腑亏虚及气机阻滞不畅,加上七情内伤、六淫外袭,邪气干扰所致而引发疼痛。疼痛随气机升降而变化,气冲向上则心膈部疼痛,攻向下则脐腹部疼痛,这都是邪气与正气相搏结造成的。服用内服药后,若得暖气(打嗝)则疼痛停止,脉象表现为沉、紧、实。
主方:延胡索、乌药、香附、肉桂、当归、川芎、木香(另磨)、桃仁(各八分),赤芍(一钱五分),生姜三片,大枣一枚,煎服。
这种证候多见于孕妇,因胞胎压迫,或登高取物,导致尿脬扭转而小便不通。也可能是因为膀胱有热,或长期忍尿所致。症状为小腹急痛,兼见小便不通,参照“小便不通”门的方法治疗。
主方:木通、寒水石、秋葵子、车前子、石苇(等分)。以上药材研细,水煎服,见效即止。或者用秋葵子、车前子、乱发烧成灰研末,每次服用两钱,茶送下。或者使用五苓散,取鲜车前草捣汁调服;或者用紫菀研末,葱汤送下。还有一种方法是用盐炒热,包裹熨烫小腹,小便自然通畅。
这种证候属于心肾气虚,传导功能失常。如妇人产程不顺,损伤膀胱,也会不时漏尿。也可能是因为尿脬寒冷、内脏虚冷所致,应当详细察辨。先用补中益气汤合六味地黄丸方剂煎服。
次服主方:白龙骨、赤石脂、牡蛎(火煅、醋淬)、益智仁(各一两),枯矾、诃子(煨,去核)、砂仁(各五钱)。以上药材研为末,每次服用二钱,米汤调服。制成丸剂服用也可以。
鹿茸丸:适用于妇人久病体虚,小便浑浊,滑泄不禁的情况。
鹿茸(一对)、川椒、桂心、附子(制)、牡蛎(制)、石斛、肉苁蓉、鸡肫(内黄皮)、沉香(各一两)。以上药材研为末,酒糊为丸,每次三十丸,酒送下。
Women suffering from this condition all do so due to deficiency of the zang-fu organs and stagnant qi, compounded by internal emotional disturbances (Seven Emotions) and external invasion of pathogenic factors (Six Evils), causing pain when evil qi interferes. The pain follows the rising and falling of qi; if it rushes upward, pain occurs in the heart and diaphragm; if it attacks downward, pain occurs around the umbilicus. This is caused by the struggle between evil qi and righteous qi. After taking internal medicine, if belching (warm qi) occurs, the pain stops, and the pulse is deep, tight, and solid.
Main Formula: Yanhusuo (Corydalis Rhizome), Wuyao (Lindera Root), Xiangfu (Cyperi Rhizoma), Rougui (Cinnamon Bark), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Muxiang (Aucklandiae Radix, ground separately), Tao Ren (Persicae Semen) (each 8 fen), Chishao (Paeoniae Radix Rubra) (1 qian 5 fen), with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 1 Zao (Jujubae Fructus), decocted and taken orally.
This syndrome often affects pregnant women due to pressure from the fetus, or lifting heavy objects from a height, causing the bladder (Niaopao) to twist and resulting in urinary retention. It may also be due to heat in the Bladder, or holding urine for a long time. Symptoms include acute pain in the lower abdomen accompanied by inability to urinate. Treat according to the methods for "Urinary Retention" chapter.
Main Formula: Mutong (Akebiae Caulis), Hanshuishi (Calcitum), Qiukui Zi (Abelmoschi Semen), Cheqian Zi (Plantaginis Semen), Shiwei (Pyrospermae Folium) (equal parts). Grind these into fine powder, decoct with water, and take orally. Stop immediately upon seeing results. Alternatively, use Qiukui Zi, Cheqian Zi, and human hair burned to ash, ground into powder. Take 2 qian per dose, washed down with tea. Or use Wuling San (Five-Ingredient Powder with Poria), mix with juice extracted from fresh Cheqian Cao (Plantaginis Herba); or use Ziwan (Astern Radix) ground into powder, washed down with Congbai (Scallion Juice). Another method involves heating salt, wrapping it in cloth, and applying hot compresses to the lower abdomen until urination naturally resumes.
This syndrome belongs to deficiency of Heart and Kidney qi, with impaired transportation and transformation. For example, if a woman experiences difficult labor, damaging the Bladder, leakage may occur at any time. It may also be caused by cold in the bladder and coldness of the viscera; careful examination is required. First, decoct and take Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting the Qi) combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).
Secondary Formula: Bailonggu (Fossilia Ossis Mastodi), Chishizhi (Halloysit Rubrum), Muli (Concha Ostreae) (calcined with vinegar), Yizhi (Alpiniae Oxyphyllae Fructus) (each 1 liang), Kufan (Alumen), Hezi (Terminaliae Chebulae Fructus) (roasted, pips removed), Sharen (Amomi Fructus Rotundus) (each 5 qian). Grind into powder, take 2 qian per dose, mixed with rice soup. Can also be made into pills.
Lurong Wan (Deer Antler Pill): Suitable for women with chronic deficiency, turbid urine, and involuntary leakage.
Lurong (Cornu Cervi Pantotrichum, one pair), Chuanjiao (Sichuan Pepper), Guixin (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Muli (Concha Ostreae), Shihu (Dendrobii Caulis), Rongzhu (Cistanches Herba), Jizhennei Huangpi (Endothelium Corneum Gigeriae Galli), Chenxiang (Aquilariae Lignum Resinatum) (each 1 liang). Grind into powder, bind with wine paste into pills. Take 30 pills per dose, washed down with wine.