蚕砂饮∶蚕砂四两,炒半黄色,用黄酒一斤半(甜酒亦可),用瓦罐煎滚汤,去蚕砂,
将
台
芽(
如因气郁血闭不行者,用开郁二陈汤∶陈皮、茯苓、苍术、香附(制)、川芎各一钱,
半
附丸
四制香附丸,此妇人常用之要药也。净香附一斤(用酒、醋、盐水、童便各浸三日,焙
研),乌药八两,共为末,醋糊为丸,开水下。
如因痰多者,用前苍莎导痰丸。更服上开郁二陈汤去莪术,加枳壳一钱服之。
有愆期未嫁之女,偏房失宠之外家,寡居之妇,庵院之尼,欲动而不能得遂,憾愤而不得
伸,多有闭经之疾,含羞强忍不欲人知,致成痨瘵之病,终不可救者,宜用四制香附丸、参
术大补丸,攻补兼行,庶几可瘳。此七情之变,无以法治者也。
有经闭不行,骨蒸潮热,脉虚者,用增减八物柴胡汤∶台党、茯苓各一钱,炙草五分,
归身、白芍、生地、麦冬、知母、柴胡,有汗加地骨皮,无汗加牡丹皮各二钱,淡竹叶十五
皮,水煎服。凡妇人血虚有热者皆可服之,如热太甚服此不平者,加黑干姜一钱,神效。
有经闭发热,喉燥唇干,脉实者,用四物凉膈散∶归身、川芎、赤芍、生地、黄芩(酒
炒)、黄连(酒炒)、山栀(炒黑)、连翘、桔梗各一钱,生甘草、薄荷叶各五分,淡竹叶十
皮
蚕砂饮:取蚕砂四两,炒至半黄色,加入一斤半黄酒(甜酒也可以),用瓦罐煎煮至沸腾,滤去蚕砂渣滓。
如果是因气机郁滞、血行闭塞不通导致的闭经,使用开郁二陈汤:陈皮、茯苓、苍术、制香附、川芎各一钱。
四制香附丸是妇女常用的重要药物。取净香附一斤(分别用酒、醋、盐水、童子尿浸泡三天后焙干研末),乌药八两,共同研磨成粉末,用醋糊制作成丸剂,开水送服。
如果痰湿较多者,服用前面的苍莎导痰丸。同时再服用上述开郁二陈汤,去掉莪术,加入枳壳一钱服用。
有到了婚龄却未出嫁的女子,偏房失宠的外室家眷,寡居的妇女,庵院中的尼姑,情欲萌动却无法得到满足,怨恨愤懑而无法抒发,大多患有闭经的疾病。她们含羞强忍,不愿让人知晓,导致发展成痨瘵(虚劳消耗性疾病),最终不可救治的情况,适宜使用四制香附丸、参术大补丸,攻邪与补益同时进行,或许可以痊愈。这是七情(喜、怒、忧、思、悲、恐、惊)变化引起的疾病,无法单纯用常规法治愈。
有月经闭止不行,伴有骨蒸潮热(感觉热自骨髓深处向外透发,定时发热),脉象虚弱者,使用增减八物柴胡汤:台党参、茯苓各一钱,炙甘草五分,当归身、白芍、生地黄、麦冬、知母、柴胡,有汗加地骨皮,无汗加牡丹皮各二钱,淡竹叶十五片,水煎服。凡是妇人血虚且有内热的都可以服用此方,如果热势太盛,服用此方后效果不平稳的,加入黑干姜一钱,效果神奇。
有月经闭止且发热,咽喉干燥,嘴唇干裂,脉象实有力者,使用四物凉膈散:当归身、川芎、赤芍、生地黄、黄芩(酒炒)、黄连(酒炒)、山栀(炒黑)、连翘、桔梗各一钱,生甘草、薄荷叶各五分,淡竹叶十片。
Can Sha Yin (Mulberry Silkworm Faeces Decoction): Take four liang of Can Sha (Bombyx Batryticatus, silkworm faeces), stir-fry until half-yellow in color. Add one jin and a half of Huang Jiu (Chinese Rice Wine; sweet wine is also acceptable). Boil in a clay pot, remove the residue of Can Sha, and drink the liquid.
If amenorrhea is caused by Qi stagnation and blood obstruction, use Kai Yu Er Chen Tang (Regulate Stagnation Two-Chen Decoction): Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Cang Zhu (Atractylodis Rhizoma), Zhi Xiang Fu (Prepared Cyperi Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), each one qian.
Si Zhi Xiang Fu Wan (Four-Processed Cyperi Pill) is an essential medicine commonly used by women. Take one jin of pure Xiang Fu (Cyperi Rhizoma), soaked for three days each in wine, vinegar, salt water, and Tong Bian (Child's Urine), then dried and powdered. Mix with eight liang of Wu Yao (Linderae Radix), grind into powder, make pills with vinegar paste, and swallow with boiled water.
If there is excessive phlegm, use Qian Sha Dao Tan Wan (Cang Zhu and Cyperi Phlegm-Guiding Pill) mentioned earlier. Additionally, take the aforementioned Kai Yu Er Chen Tang, removing E Zhu (Curcumae Rhizoma), adding one qian of Zhi Ke (Aurantii Fructus Immaturus), and taking it orally.
Women who have reached marriageable age but remain unmarried, concubines who have lost favor, widows living alone, and nuns in temples, whose desires are aroused but cannot be satisfied, harbor resentment and indignation that cannot be expressed, often suffer from amenorrhea. They hide their shame and endure it silently, unwilling to let others know, leading to Lao Zhai (Consumptive Disease/Tuberculosis-like condition), which ultimately becomes incurable. In such cases, Si Zhi Xiang Fu Wan (Four-Processed Cyperi Pill) and Shen Zhu Da Bu Wan (Ginseng and Atractylodes Great Tonifying Pill) should be used. Combining purging and tonifying methods may lead to recovery. These conditions resulting from the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright) cannot be treated by standard methods alone.
For cases of amenorrhea accompanied by bone-steaming tidal fever and a deficient pulse, use Zeng Jian Ba Wu Chai Hu Tang (Modified Eight-Ingredient Bupleurum Decoction): Tai Dang Shen (Codonopsis Radix or Codonopsis Pilosula), Fu Ling (Poria), each one qian; Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), five fen; Dang Gui Shen (Angelicae Sinensis Radix - root tip), Bai Shao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Chai Hu (Bupleuri Radix). If sweating occurs, add Di Gu Pi (Lycii Cortex); if no sweating, add Mu Dan Pi (Moutan Cortex), two qian each. Add fifteen Pian (slices) of Dan Zhu Ye (Lophatheri Herba), decoct in water, and take orally. This formula is suitable for all women with blood deficiency and internal heat. If the heat is severe and this formula does not stabilize the condition, add one qian of Hei Gan Jiang (Charred Zingiberis Rhizoma), yielding miraculous effects.
For amenorrhea accompanied by fever, dry throat, dry lips, and a full/excess pulse, use Si Wu Liang Ge San (Four-Substance Cooling Chest Powder): Dang Gui Shen (Angelicae Sinensis Radix - root tip), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chi Shao (Paeoniae Radix Rubra), Sheng Di Huang (Rehmanniae Radix), Huang Qin (Scutellariae Radix - wine-fried), Huang Lian (Coptidis Rhizoma - wine-fried), Shan Zhi (Gardeniae Fructus - charred black), Lian Qiao (Forsythiae Fructus), Jie Geng (Platycodonis Radix), each one qian; Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Bo He Ye (Menthae Haplocalycis Folium), each five fen; Dan Zhu Ye (Lophatheri Herba), ten slices.