凡崩久成漏,连年不休,此中气下陷,下元不固也。宜用前加味补中益气汤,兼服鹿角霜丸主之。
鹿角霜(一两) 柏子仁(一两,炒) 归身(一两) 茯神(一两) 龙骨(一两, ) 阿胶
(蛤
粉炒成珠,一两) 川芎(七分) 香附(二两,醋炒) 炙甘(五分) 续断(一两五钱) 共末
。山药(五两,研)
米饮煮糊为丸,每服五十丸,空心温酒下。
如经妄行,或吐血、鼻中血出,或口内血腥,用前四物凉膈散加生韭自然汁服之。
带下之病,妇人皆有之。赤者属热,兼虚兼火治之;白者属湿,兼虚兼痰治之。年久不
止者
,以补脾胃为主,兼升提。大抵疲人多痰,要知此候,白带灸中极穴七壮,在脐下四寸。极
效(《古今医鉴》)。
赤带用四物汤加芩连,再加升麻丹皮主之。兼服三补丸。白带用加味六君子汤主
之。
半夏(一钱) 陈皮(一钱) 苍术(一钱) 人参(一钱) 白术(一钱) 白茯(一钱) 炙甘
草(七分) 升麻(五分) 柴胡(五分)
加姜。兼服苍莎导痰丸。
带久不止者,专以补虚为主,宜十全大补汤,去地黄加陈皮、半夏、干姜(炒)。更服参
术大补丸,以补脾胃之虚。又服补宫丸,以固下元脱。
补宫丸
鹿角霜 白术 白茯苓 白芍 白芷 牡蛎( 、童便淬) 山药 龙骨( ) 赤石脂
(等分) 干姜(减半,炒)
醋糊为丸,空心米饮下。
凡是崩证日久转化为漏证,常年不愈的,这是中气下陷、下元不固所致。适宜使用前面提到的加味补中益气汤,并兼服鹿角霜丸来主治。
鹿角霜(一两) 柏子仁(一两,炒制) 当归身(一两) 茯神(一两) 龙骨(一两,煅) 阿胶(用蛤粉炒成珠状,一两) 川芎(七分) 香附(二两,醋炒) 炙甘草(五分) 续断(一两五钱) 以上药物共研为细末。山药(五两,研磨) 用米汤煮糊作为丸剂,每次服用五十丸,空腹时用温酒送服。
如果经血妄行,或者出现吐血、鼻出血,或者口中感觉血腥味,使用前面的四物凉膈散加入生韭菜的自然汁服用。
带下病,妇女都有发生。赤色带下属热证,治疗需兼顾虚证和火邪;白色带下属湿证,治疗需兼顾虚证和痰湿。病程长久不止的,以补益脾胃为主,兼用升提之法。大抵肥胖之人多痰湿,要知道这个证候,白带可灸中极穴七壮,该穴位在脐下四寸处。(《古今医鉴》记载此法极为有效)。
赤带使用四物汤加上黄芩、黄连,再加升麻、丹皮来主治。兼服三补丸。白带使用加味六君子汤来主治。
半夏(一钱) 陈皮(一钱) 苍术(一钱) 人参(一钱) 白术(一钱) 白茯苓(一钱) 炙甘草(七分) 升麻(五分) 柴胡(五分)
加入生姜。兼服苍莎导痰丸。
带下病日久不止的,专门以补虚为主,适宜使用十全大补汤,去掉地黄,加入陈皮、半夏、干姜(炒制)。再服用参术大补丸,以补益脾胃之虚。又服用补宫丸,以巩固下元的脱失。
补宫丸
鹿角霜 白术 白茯苓 白芍 白芷 牡蛎(煅,用童便淬) 山药 龙骨(煅) 赤石脂(等分) 干姜(减半,炒制)
用醋调糊制成丸剂,空腹时用米汤送服。
Whenever a Bing syndrome (sudden, heavy uterine bleeding) persists for a long time and transforms into a Lou syndrome (prolonged, scanty uterine bleeding) that does not cease year after year, this is due to the sinking of Middle Qi (the Qi of the Spleen and Stomach) and the insecurity of the Lower Yuan (Kidney essence and gate of vitality). It is appropriate to use the previously mentioned Modified Buzhong Yiqi Decoction, combined with Lu Jiao Shuang Wan (Deer Antler Frost Pill), as the main treatment.
Lu Jiao Shuang (Deer Antler Frost, *Cervi Cornus Degelatinati Cortex*), 1 liang; Baizi Ren (Biota Seed, *Platycladi Semen*), 1 liang, stir-fried; Guishen (Angelica Sinensis Root Body, *Radix Angelicae Sinensis*), 1 liang; Fushen (Poria with Hostwood, *Poria cum Radice Pinus*), 1 liang; Longgu (Fossilized Bones, *Os Draconis*), 1 liang, calcined; Ejiao (Donkey-hide Gelatin, *Colla Corii Asini*), 1 liang, stir-fried with蛤粉 (Clam Shell Powder) until it forms beads; Chuanxiong (Sichuan Lovage Rhizome, *Rhizoma Chuanxiong*), 7 qian; Xiangfu (Cyperus Rhizome, *Rhizoma Cyperi*), 2 liang, vinegar-fried; Zhi Gancao (Honey-fried Licorice Root, *Radix Glycyrrhizae Preparata*), 5 fen; Xuduan (Dipsacus Root, *Radix Dipsaci*), 1 liang 5 qian. The above herbs are ground into fine powder. Shanyao (Chinese Yam Rhizome, *Rhizoma Dioscoreae*), 5 liang, ground. Use rice water to cook into a paste to form pills. Take 50 pills per dose, swallowed with warm wine on an empty stomach.
If Jing Mai blood flows recklessly (irregular menstruation or metrorrhagia), or if there is hematemesis (vomiting blood), epistaxis (nosebleed), or a bloody taste in the mouth, use the previous Siwu Liangge San (Four Substances Cooling Diaphragm Powder) added with fresh juice extracted from raw Chinese chives (Allium tuberosum).
The disease of Dai Xia (leukorrhea) occurs in all women. Red leukorrhea belongs to Heat; treat it by addressing both deficiency and fire. White leukorrhea belongs to Dampness; treat it by addressing both deficiency and phlegm-damp. For cases lasting many years without cessation, the primary approach is to tonify the Spleen and Stomach, combined with lifting methods. Generally, obese individuals have much phlegm-damp. To know this condition well, for white leukorrhea, moxa-foxing the Zhongji acupoint (CV3, *Zhongji*) seven moxa cones is effective. This point is located four cun below the umbilicus. Extremely effective (Recorded in *Gujin Yijian*).
For red leukorrhea, use Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellaria Root, *Radix Scutellariae*) and Huanglian (Coptis Rhizome, *Rhizoma Coptidis*), plus Shengma (Cimicifuga Rhizome, *Rhizoma Cimicifugae*) and Danpi (Moutan Bark, *Cortex Moutan*). Combine with Sanbu Wan (Three Tonifying Pills). For white leukorrhea, use Jiawei Liujunzi Tang (Modified Six Gentlemen Decoction) as the main treatment.
Banxia (Pinellia Tuber, *Rhizoma Pinelliae*); Chenpi (Aged Tangerine Peel, *Pericarpium Citri Reticulatae*); Cangzhu (Atractylodes Rhizome, *Rhizoma Atractylodis*); Renshen (Ginseng Root, *Radix Ginseng*); Baizhu (White Atractylodes Rhizome, *Rhizoma Atractylodis Macrocephalae*); Bai Fu (White Poria, *Poria*); Zhi Gancao (Honey-fried Licorice Root, *Radix Glycyrrhizae Preparata*); Shengma (Cimicifuga Rhizome, *Rhizoma Cimicifugae*); Chaihu (Bupleurum Root, *Radix Bupleuri*).
Add fresh ginger. Combine with Cangsha Daotan Wan (Cangzhu and Shaoren Phlegm-Resolving Pill).
For leukorrhea that persists for a long time, the focus should be exclusively on tonifying deficiency. It is suitable to use Shiquan Dabu Tang (Ten Great Tonifying Decoction), removing Dihuang (Rehmannia Root, *Radix Rehmanniae*), and adding Chenpi (Aged Tangerine Peel, *Pericarpium Citri Reticulatae*), Banxia (Pinellia Tuber, *Rhizoma Pinelliae*), and Ganjiang (Dried Ginger, *Rhizoma Zingiberis Preparatum*, stir-fried). Further take Shen Zhu Dabu Wan (Ginseng and Atractylodes Great Tonifying Pill) to tonify the deficiency of the Spleen and Stomach. Also take Bugong Wan (Uterus-Tonifying Pill) to secure the leakage of the Lower Yuan.
Bugong Wan (Uterus-Tonifying Pill)
Lu Jiao Shuang (Deer Antler Frost, *Cervi Cornus Degelatinati Cortex*); Baizhu (White Atractylodes Rhizome, *Rhizoma Atractylodis Macrocephalae*); Bai Fuling (White Poria, *Poria*); Baishao (White Peony Root, *Radix Paeoniae Alba*); Baizhi (Angelica Dahurica Root, *Radix Angelicae Dahuricae*); Muli (Oyster Shell, *Concha Ostreae*), calcined and quenched with Tongbian (Child Urine); Shanyao (Chinese Yam Rhizome, *Rhizoma Dioscoreae*); Longgu (Fossilized Bones, *Os Draconis*), calcined; Chishizhi (Red Kaolin, *Kaolinite*); Ganjiang (Dried Ginger, *Rhizoma Zingiberis Preparatum*), half dosage, stir-fried. (Equal parts).
Use vinegar paste to form pills. Swallow on an empty stomach with rice water.