妇人有腹似怀妊,终年不产,甚至二、三年不生者,此鬼胎也。其人必面色黄瘦,肌腹消削,腹大如斗,揆所
由来,必素与鬼交,或入神庙而兴云雨之思,或游山林而起交感之念,皆能召祟成胎。幸其人不至淫荡,见祟而有
惊惶遇合而生愧恶,则鬼祟不能久恋,一交媾即远去。然淫妖之气已结于腹,遂成鬼胎。其先尚未觉,迨后渐渐腹
大,经水不行,内外相危,一如怀妊之状,有似血臌之形,其实是鬼胎而非臌也。治法必须以逐秽为主,然人至怀胎
数年不产,即非鬼胎,亦必气血衰微,况此非真妊,则邪气必旺,正不敌邪,其虚弱之状,必有可掬,乌有纯用迅
利之药以祛荡乎?必于补中逐之为的也。
方用荡鬼汤。
人参(一两) 当归(一两) 大黄(一两) 雷丸(三钱) 川牛膝(三钱) 红花(三钱) 丹皮(三钱)
枳壳(一钱) 浓朴(一钱) 小桃仁(三十粒)
水煎服。一剂腹必大鸣,可泻恶物半桶而愈矣,断不可复用三剂也。盖虽补中用逐,未免迅利,多用恐伤损元
气。此方用雷丸以祛秽,又得大黄之扫除,且佐以浓朴、红花、桃仁等味,皆善行善攻之品,何邪之尚能留腹中而
不尽逐下也哉?尤妙在用参、归以补气血,则邪去而正不伤。若单用雷丸、大黄以迅下之,必有气脱血崩之患矣。
倘或知是鬼胎。如室女、寡妇辈,邪气虽盛而真气未漓,可用歧天师新传红花霹雳散。
红花(半斤) 大黄(五两) 雷丸(三两)
水煎服,亦能下胎。然未免太过于迅利,过伤气血,不若荡鬼汤之有益无损为愈也,在人临症时斟酌而善用之耳。
眉批∶鬼祟之事,儒者弗道,然城市乡庄往往有是症,不可不察,甚勿以此言为荒唐也。
歌括∶妇人有腹似怀妊,鬼祟恋情暗雨云。
淫妖气结成鬼孕,面黄肌瘦气血损。
荡鬼汤中用人参,当归牛膝小桃仁。
雷丸枳壳粉丹皮,浓朴红花与川军。
红花霹雳效如神,三两雷丸五两军,
此乃天师真妙法,煎服鬼胎立离身。
妇女中有人腹部大得像怀孕一样,但终年不生,甚至两三年都不生的,这是鬼胎。这类人必定面色黄而消瘦,肌肉和腹部都消减瘦弱,但肚子却大得像斗一样。推究其成因,一定是平素与鬼魅交合,或者进入神庙时产生云雨之思,或者游历山林时兴起交感之念,这些都能招致邪祟形成胎块。幸好其人不至于淫荡,见到邪祟时有惊惶之情,相遇时产生羞愧厌恶之心,那么鬼祟就不能长久留恋,一次交媾后即远远离去。然而淫妖之气已经结聚在腹部,于是形成了鬼胎。起初尚未察觉,后来渐渐腹部变大,月经停止,内外相互危困,完全像怀孕的样子,有类似血臌的形态,但实际上是鬼胎而不是臌胀病。治疗方法必须以祛除污秽为主,但是人到怀胎数年不生产,即使不是鬼胎,也必定气血衰微,何况这不是真正的妊娠,那么邪气一定旺盛,正气不敌邪气,其虚弱的状况,一定非常明显,怎么会有纯粹使用迅疾锋利的药物来祛荡呢?必须在补益正气的基础上进行祛除,这才是确切的方法。
方剂用荡鬼汤。
人参(一两) 当归(一两) 大黄(一两) 雷丸(三钱) 川牛膝(三钱) 红花(三钱) 丹皮(三钱)
枳壳(一钱) 浓朴(一钱) 小桃仁(三十粒)
用水煎服。服用一剂后腹部必定大声鸣响,可以排出恶物半桶而痊愈,绝对不可再服用第三剂。因为虽然是在补益中运用祛除之法,未免迅疾锋利,多用恐怕会损伤元气。此方使用雷丸来祛除污秽,又得到大黄的扫除作用,并且辅以浓朴、红花、桃仁等药味,都是善于行气攻伐的药物,什么邪气还能留在腹中而不被彻底驱逐下来呢?尤其妙在用参、归来补益气血,这样邪气去除而正气不受伤损。如果单用雷丸、大黄来迅疾下泄,必然会有气脱血崩的祸患。倘若知道是鬼胎,如处女、寡妇之类的人,邪气虽然旺盛但真气未流失,可以使用歧天师新传的红花霹雳散。
红花(半斤) 大黄(五两) 雷丸(三两)
用水煎服,也能堕胎。然而未免过于迅疾锋利,过度损伤气血,不如荡鬼汤那样有益无损更好,在于医生临症时斟酌并善于使用罢了。
眉批:鬼祟之事,儒家学者不谈,然而城市乡村往往有这样的病症,不可不仔细考察,千万不要认为这些话是荒谬的。
歌括:妇女中有腹部似怀孕,鬼祟恋情暗行云雨事。
淫妖气结成鬼孕,面黄肌瘦气血受损。
荡鬼汤中用人参,当归牛膝小桃仁。
雷丸枳壳粉丹皮,浓朴红花与川军。
红花霹雳效如神,三两雷丸五两军,
此乃天师真妙法,煎服鬼胎立离身。
Women may present with an abdomen distended as if pregnant, yet failing to deliver for a whole year, or even two or three years; this is termed "Ghost Fetus" (Guǐ Tāi). Such individuals invariably exhibit a sallow and emaciated complexion, with wasting of muscles and flesh, while the abdomen remains enlarged like a bushel. Investigating its origin, it must stem from prior coitus with spirits, or harboring erotic thoughts upon entering temples, or experiencing sympathetic urges while wandering in forests and mountains; all these can attract malevolent entities to form a fetal mass. Fortunately, if the individual is not excessively licentious, and feels alarm upon encountering the entity, along with shame and disgust during the union, the spirit will not linger long, departing after a single encounter. However, the qi of lust and demoniac influence has already condensed in the abdomen, thus forming the Ghost Fetus. Initially unnoticed, later the abdomen gradually enlarges, menstruation ceases, and internal and external conditions mutually endanger each other, resembling pregnancy exactly, with a morphology similar to Blood Distension (Xuè Gǔ), but actually being Ghost Fetus rather than abdominal distension. The treatment method must prioritize expelling filth. However, when a woman carries a fetus for years without delivery, even if not a Ghost Fetus, her Qi and Blood are inevitably deficient. Since this is not a true pregnancy, the pathogenic factor must be vigorous, and the healthy Qi unable to overcome the pathogen, resulting in severe weakness. How could one purely employ rapid and harsh drugs to purge it? One must employ expulsion within the context of tonification, which is the precise approach.
The formula used is Dangui Tang (Ghost-Purging Decoction).
Renshen (Ginseng Radix et Rhizoma) (1 liang), Danggui (Angelicae Sinensis Radix) (1 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang), Leiwan (Ovum Ascaris) (3 qian), Chuan Niuxi (Achyranthis Bidentatae Radix) (3 qian), Honghua (Carthami Flos) (3 qian), Danpi (Moutan Cortex) (3 qian), Zhike (Aurantii Fructus) (1 qian), Houpo (Magnoliae Officinalis Cortex) (1 qian), Xiaotaoren (Persicae Semen) (30 grains).
Decoct in water and take orally. After one dose, the abdomen will likely rumble loudly, and half a bucket of foul matter can be evacuated, leading to cure. Do not administer more than three doses. Although this formula combines tonification with purgation, it remains potent; excessive use risks damaging Yuan Qi (Original Qi). This formula uses Leiwan to dispel filth, aided by Dahuang’s sweeping action, and assisted by Houpo, Honghua, Taoren, etc., all substances skilled at moving Qi and attacking pathogens. How could any pathogen remain in the abdomen without being thoroughly expelled? Particularly ingenious is the use of Renshen and Danggui to tonify Qi and Blood, ensuring that as pathogens leave, healthy Qi remains unharmed. If one were to use only Leiwan and Dahuang for rapid evacuation, there would inevitably be the risk of Qi collapse and blood flooding. If it is known to be a Ghost Fetus, particularly in cases such as virgins or widows, where although pathogenic factors are strong, True Qi has not yet been depleted, one may use the newly transmitted Honghua Pili San (Red Flower Thunderbolt Powder) by Master Qi.
Honghua (Carthami Flos) (8 liang), Dahuang (Rhei Radix et Rhizoma) (5 liang), Leiwan (Ovum Ascaris) (3 liang).
Decoct in water and take orally; it can also induce abortion. However, it is overly rapid and harsh, causing excessive damage to Qi and Blood. It is inferior to Dangui Tang, which benefits without harm. The choice depends on the physician’s judgment and skillful application during clinical practice.
Marginal Note: Scholars of Confucianism do not discuss matters of spirits, yet such symptoms occur frequently in cities and villages. They must not be overlooked, nor should these words be dismissed as absurd.
Verse:
In women, the abdomen swells like pregnancy,
Secretly influenced by spirits’ love, clouds and rain engage.
Lustful demonic qi forms ghostly conception,
Sallow face, thin muscles, Qi and Blood depletion.
Dangui Tang employs Renshen,
Along with Danggui, Niuxi, and small Taoren.
Leiwan, Zhike, Fen Danpi,
Houpo, Honghua, and Chuan Jun join them.
Honghua Pili proves efficacious as a god,
Three liang Leiwan, five liang Jun,
This is truly the wise method of the Master,
Decocted and taken, the ghost fetus leaves instantly.