瘦人责其脾胃弱,气血虚。用十全大补汤及地黄丸(见前)。
肥人责其多痰,兼气血虚。用六君子加苍落导痰丸∶党参、川芎、半夏制各七分,甘草
五分,白术、茯苓、陈皮、苍术(米泔水浸)、归身、香附(童便炒)、枳壳各一钱,姜引。
苍莎导痰丸∶香附(童便炒)、苍术各二两,陈皮、云苓各一两五钱,枳壳、半夏(制)、
南星、炙草各一两,生姜自然汁浸面饼为丸,淡姜汤下。
悉从虚治,用加减八物汤∶台党、白术、茯苓、炙草、当归、川芎、陈皮、丹参、香附
(制)、丹皮各一钱,姜、枣引,水煎服。
乌鸡丸∶此丸专治妇人脾胃虚弱,冲任损伤,血气不足,经候不调以致无子者,服之屡
验。白毛乌骨雄鸡一只(查药物备要便知)以糯米喂养七日,勿令食虫蚁野物,用绳吊死,
去
砂
(盐水炒去丝)、台党、炙草、肉苁蓉(酒洗)、固脂(炒)、小茴(炒)、砂仁各一两,川芎、
白
每
乌鸡汤∶与上乌鸡丸同功。白毛乌骨鸡一只,一切与上同。益母草一两,小黑豆一茶杯
,共放鸡腹内,水酒各半蒸熟,空心食鸡与汤,食一二次以后,月经时刻不差,其效无比。
瘦人经水来少者,责其气血虚少也。用四物加人参汤∶台党、川芎、白芍、归身、生地
、香附(童便炒)、炙草各一钱,姜、枣引,水煎服。
肥人经水来少者,责其痰碍经隧也。用二陈加芎归汤∶陈皮、茯苓、归身、川芎、香附
(童便炒)、枳壳各一钱,半夏八分制,甘草五分,滑石三分,姜引,水煎服。
凡经水来太多者,不问肥瘦皆属热也。用四物加芩连汤∶归身、白芍、知母、生地、条
芩、黄连各一钱,川芎、熟地各五分,黄柏七分,水煎服,兼服三补丸(见前)。
逐日经来几点则止或五日或十日又来数点一月常三四次面色青黄
宜用艾胶汤∶阿胶(炒)、熟地各一钱,艾叶三钱,川芎八分,枣三枚,水煎,空心服
三
共
对于形体消瘦的女性,病因责之于脾胃虚弱、气血不足。治疗使用十全大补汤及地黄丸(见前文)。
对于形体肥胖的女性,病因责之于多痰,兼有气血虚弱。治疗使用六君子汤加苍莎导痰丸:党参、川芎、制半夏各七分,甘草五分,白术、茯苓、陈皮、苍术(用米泔水浸泡)、当归身、香附(用童子便炒制)、枳壳各一钱,以生姜为引。
苍莎导痰丸配方:香附(用童子便炒制)、苍术各二两,陈皮、云苓各一两五钱,枳壳、制半夏、天南星、炙甘草各一两,用生姜自然汁浸面饼制成丸药,淡姜汤送服。
总体原则均从虚证论治,使用加减八物汤:台党参、白术、茯苓、炙甘草、当归、川芎、陈皮、丹参、制香附、牡丹皮各一钱,以生姜、大枣为引,水煎服用。
乌鸡丸:此丸专门治疗妇人脾胃虚弱、冲任损伤、血气不足、月经失调导致不孕者,服用后屡见疗效。选用白毛乌骨公鸡一只(查阅《药物备要》可知其特性),用糯米喂养七日,不要让它吃虫蚁野物,用绳子吊死,去除内脏(用盐水炒去腥丝),加入台党参、炙甘草、肉苁蓉(酒洗)、脂麻(炒)、小茴香(炒)、砂仁各一两,川芎、白... [原文此处似有缺漏或排版错误,依上下文推测可能涉及其他药材,但严格按原文提取] ...每... [原文此处断裂]
乌鸡汤:功效与上述乌鸡丸相同。选用白毛乌骨鸡一只,其余处理步骤同上。加入益母草一两,小黑豆一茶杯,共同放入鸡腹内,用水和酒各半蒸熟,空腹吃鸡喝汤,食用一二次之后,月经周期准时不差,效果无比显著。
对于形体消瘦且经血量少的女性,病因责之于气血亏少。使用四物加人参汤:台党参、川芎、白芍、当归身、生地黄、香附(用童子便炒制)、炙甘草各一钱,以生姜、大枣为引,水煎服用。
对于形体肥胖且经血量少的女性,病因责之于痰湿阻滞经络。使用二陈加芎归汤:陈皮、茯苓、当归身、川芎、香附(用童子便炒制)、枳壳各一钱,制半夏八分,甘草五分,滑石三分,以生姜为引,水煎服用。
凡是经血量过多的女性,无论肥瘦,都属于热证。使用四物加芩连汤:当归身、白芍、知母、生地黄、黄芩、黄连各一钱,川芎、熟地黄各五分,黄柏七分,水煎服用,同时服用三补丸(见前文)。
逐日经来点滴即止,或者五日或十日又来几点,一月常来三四次,面色青黄,宜用艾胶汤:阿胶(炒)、熟地黄各一钱,艾叶三钱,川芎八分,大枣三枚,水煎,空腹服用。
For thin women, the etiology is attributed to weak Spleen and Stomach and deficiency of Qi and Blood. Treatment utilizes Shiquan Dabu Tang (Decoction for Ten-Absence Tonification) and Dihuang Wan (Rehmannia Pill) (see previous text).
For obese women, the etiology is attributed to excessive Phlegm combined with deficiency of Qi and Blood. Treatment utilizes Liujunzi Tang (Six-Gentlemen Decoction) added with Cangsha Daotan Wan (Atractylodes and Cyperus Pill for Resolving Phlegm): Dangshen (Codonopsis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Zhi Banxia (Prepared Pinellia Tuber) each 0.7 qian; Gancao (Licorice Root) 0.5 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Cangzhu (Atractylodis Rhizoma, soaked in rice water), Guishen (Angelica Sinensis Radix tip), Xiangfu (Cyperi Rhizoma, stir-fried with child's urine), Zhike (Aurantii Fructus) each 1 qian; use Shengjiang (Fresh Ginger) as a guide.
Cangsha Daotan Wan Formula: Xiangfu (stir-fried with child's urine), Cangzhu each 2 liang; Chenpi, Yunling (Poria) each 1.5 liang; Zhike, Zhi Banxia (Prepared Pinellia Tuber), Nanting (Arisaema Cum Bile), Zhi Cao (Honey-fried Licorice Root) each 1 liang. Form pills using wheat flour paste soaked in fresh ginger juice; take with light ginger decoction.
Generally, treatment follows the principle of addressing deficiency, utilizing Jiajian Bawu Tang (Modified Eight-Ingredient Decoction): Taidang (Codonopsis Radix), Baizhu, Fuling, Zhi Cao, Danggui (Angelica Sinensis Radix), Chuanxiong, Chenpi, Danshen (Salvia Miltiorrhiza Radix), Zhi Xiangfu (Prepared Cyperi Rhizoma), Danpi (Moutan Cortex) each 1 qian; use Shengjiang (Fresh Ginger) and Dazao (Jujube) as guides; decoct in water and take orally.
Wuji Wan (Black Chicken Pill): This pill specifically treats women with weak Spleen and Stomach, damage to Chong and Ren vessels, insufficiency of Blood and Qi, irregular menstruation leading to infertility; it has proven effective repeatedly. Select one white-feathered black-boned rooster (refer to *Yao Wu Bei Yao* for details); feed it with glutinous rice for seven days, preventing it from eating insects, ants, or wild food. Hang it to death with a rope, remove viscera (stir-fry with salt water to remove fibrous threads), add Taidang, Zhi Cao, Rousongrong (Cistanche Stem), Zhima (Sesamum Indicum Seed, fried), Xiaohui (Foeniculum Vulgare Fruit, fried), Sharen (Amomi Fructus) each 1 liang, Chuanxiong, Bai... [Text appears truncated here in original].
Wuji Soup: Has the same efficacy as the aforementioned Wuji Wan. Use one white-feathered black-boned chicken, processed identically as above. Add Yimucao (Leonurus Japonicus Herba) 1 liang, Heixiaodou (Black Soybean) one teacupful; place together inside the chicken's cavity. Steam until cooked with half water and half wine. Consume the chicken and soup on an empty stomach. After one or two doses, menstrual cycles will become regular without error, showing unparalleled efficacy.
For thin women with scanty menstruation, the etiology is attributed to insufficient Qi and Blood. Use Siwu Jia Renshen Tang (Four-Substance Decoction plus Ginseng): Taidang, Chuanxiong, Baishao (White Peony Root), Guishen, Shengdi (Rehmanniae Radix), Xiangfu (stir-fried with child's urine), Zhi Cao each 1 qian; use Shengjiang and Dazao as guides; decoct in water and take orally.
For obese women with scanty menstruation, the etiology is attributed to Phlegm obstructing the meridians. Use Erchen Jia Xiong Gui Tang (Two-Aged Decoction plus Ligusticum and Angelica): Chenpi, Fuling, Guishen, Chuanxiong, Xiangfu (stir-fried with child's urine), Zhike each 1 qian; Zhi Banxia 0.8 fen; Gancao 0.5 fen; Huashi (Talcum) 0.3 fen; use Shengjiang as a guide; decoct in water and take orally.
For all cases of excessive menstruation, regardless of body type, the etiology is attributed to Heat. Use Siwu Jia Qinlian Tang (Four-Substance Decoction plus Scutellaria and Coptis): Guishen, Baishao, Zhimu (Anemarrhenae Rhizoma), Shengdi, Tiao Qin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) each 1 qian; Chuanxiong, Shudi (Prepared Rehmanniae Radix) each 0.5 fen; Huangbai (Phellodendri Cortex) 0.7 fen; decoct in water and take orally, concurrently taking Sanbu Wan (Three-Tonic Pill) (see previous text).
For daily spotting cessation, or recurrence of spotting after five or ten days, occurring three to four times a month, accompanied by greenish-yellow complexion, use Aijiao Tang (Ejiao Decoction): Ejiao (Donkey-Hide Gelatin, fried), Shudi each 1 qian; Aiye (Artemisia Argyi Leaf) 3 qian; Chuanxiong 0.8 fen; Dazao (Jujube) 3 pieces; decoct in water and take on an empty stomach.