妇人有素性恬淡,饮食少则平和,多则难受,或作呕泄,胸膈胀满,久不受孕。人以为赋禀之薄也,谁知是脾
胃虚寒乎!夫脾胃之虚寒,原因心肾之虚寒耳。盖胃土非心火不能生,脾土非肾火不能化。心肾之火衰,则脾胃失
生化之权,即不能消水谷以化精微矣。既不能化水谷之精微,自无津液以灌溉于胞胎之中。欲胞胎有温暖之气,以
养胚胎,必不可得。纵然受胎而带脉无力,亦必堕落。此脾胃虚寒之咎,故无玉麟之毓也。治法可不急温补其脾胃
乎?然脾之母原在肾之命门,胃之母,原在心之包络。欲温补脾胃,必须补二经之火。盖母旺子必不弱,母热子必
不寒,此子病治母之义也。
方用温土毓麟汤。
巴戟(一两,去心酒浸) 覆盆子(一两,酒浸蒸) 白术(五钱,土炒) 人参(三钱) 怀山药(五钱,炒) 神
曲(一钱,炒)
水煎服,一月可以种子矣。此方之妙,温补脾胃而又兼补命门与心包络之火。药味不多而四经并治。命门心包
之火旺,则脾与胃无寒冷之虞,子母相顾,一家和合,自然饮食多而善化,气血旺而能任,带脉有力,不虞落胎,
安有不玉麟之有哉!
眉批∶少食不孕与胸满不思饮食有间,一补肾中之气。一补命门与心包络之火,药味不多,其君、臣、佐、
使之妙。宜细参之。
歌括∶膈满少食不孕症,呕泄之病亦常生。
脾胃虚寒失运化,心肾火衰当辨明。
温土毓麟性偏温,巴戟白术与人参。
山药神曲覆盆子,连服一月自成孕。
妇女中有人天性恬淡安静,饮食量少时身体平和舒适,饮食稍多则感到难受,甚至出现呕吐、腹泻,胸膈部位胀满,长期无法受孕。人们往往认为这是先天禀赋薄弱所致,却不知这其实是脾胃虚寒造成的!脾胃的虚寒,根源在于心肾的虚寒。因为胃土(消化功能)非心火(心阳)不能温煦生成,脾土(运化功能)非肾火(肾阳)不能腐熟转化。如果心肾之火衰弱,那么脾胃就失去了生化运化的权力,也就不能消化水谷并将其转化为精微物质了。既然不能将水谷转化为精微,自然就没有津液来灌溉滋养胞胎。想要胞胎拥有温暖的气息来养育胚胎,是绝对不可能的。即使侥幸受孕,由于带脉无力固摄,也必然会导致流产堕胎。这就是脾胃虚寒的过错,所以无法孕育子嗣。治疗这种病症,难道不应当急切地温补脾胃吗?然而,脾的“母”原在肾之命门,胃的“母”,原在心之包络。想要温补脾胃,必须同时补益这两条经脉的火气。因为母亲旺盛,儿子必定不强盛;母亲温热,儿子必定不寒冷,这正是“子病治母”的道理。
方剂使用温土毓麟汤。
药材及用量:巴戟天(一两,去心,用酒浸泡)、覆盆子(一两,用酒浸泡后蒸制)、白术(五钱,用土炒制)、人参(三钱)、怀山药(五钱,炒制)、神曲(一钱,炒制)。
用水煎服,服用一个月即可受孕。此方的妙处在于,既温补脾胃,又兼补命门与心包络之火。药味不多,但能同时调理四条经脉。命门和心包络的火气旺盛,那么脾和胃就没有寒冷的忧虑,母子相互顾护,一家和睦和谐,自然饮食增多且善于消化,气血旺盛而能够承载胎儿,带脉有力,不必担忧流产堕胎,哪里还会有不能孕育子嗣的情况呢!
眉批:饮食少导致的不孕与胸膈胀满不想吃东西是有区别的,前者侧重于补肾中之气,后者侧重于补命门与心包络之火。药味虽不多,但其君、臣、佐、使配伍的精妙之处,值得细细参悟。
歌括:胸膈胀满、饮食少导致的不孕症,呕吐腹泻的疾病也常常发生。
脾胃虚寒失去运化功能,应当辨明心肾火气衰弱的情况。
温土毓麟汤药性偏于温热,包含巴戟天、白术与人参。
怀山药、神曲、覆盆子,连续服用一个月自然就能怀孕。
Women who are naturally tranquil and indifferent may find their bodies comfortable when food intake is small, but feel uncomfortable when intake increases, sometimes experiencing vomiting and diarrhea, fullness in the chest and diaphragm, and long-term infertility. People often attribute this to weak congenital endowment, little knowing that it is actually due to deficiency-cold of the Spleen and Stomach (Spleen-Stomach Deficiency-Cold). The deficiency-cold of the Spleen and Stomach originates from the deficiency-cold of the Heart and Kidney. Indeed, the Earth of the Stomach cannot be generated without the Fire of the Heart, and the Earth of the Spleen cannot be transformed without the Fire of the Kidney. When the Fire of the Heart and Kidney declines, the Spleen and Stomach lose their power of generation and transformation, and thus cannot digest water and grain to transform them into essence and fluids. Since they cannot transform the essence and fluids of water and grain, there will naturally be no body fluids to irrigate and nourish the conception palace (Uterus). It is impossible for the conception palace to possess warm qi to nourish the embryo. Even if conception occurs, due to the weakness of the Dai Mai (Girdle Vessel), miscarriage is inevitable. This is the fault of Spleen-Stomach deficiency-cold, hence the failure to conceive offspring. Should not the treatment urgently focus on warming and tonifying the Spleen and Stomach? However, the "mother" of the Spleen lies originally in the Mingmen (Gate of Life) of the Kidney, and the "mother" of the Stomach lies originally in the Pericardium (Xin Bao) of the Heart. To warm and tonify the Spleen and Stomach, one must necessarily tonify the fire of these two meridians. For when the mother is prosperous, the son will certainly not be weak; when the mother is hot, the son will certainly not be cold. This is the principle of treating the mother when the child is diseased.
The formula used is Wendu Yulin Tang (Warming Earth to Nurture the Unicorn Decoction).
Ingredients: Ba Ji Tian (Morinda Officinalis Radix, 1 liang, heart removed, soaked in wine); Fu Pen Zi (Rubus Chingii Fructus, 1 liang, soaked in wine and steamed); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian, stir-fried with soil); Ren Shen (Ginseng Radix et Rhizoma, 3 qian); Huai Shan Yao (Dioscoreae Polystachyae Rhizoma, 5 qian, stir-fried); Shen Qu (Massa Medicata Fermentata, 1 qian, stir-fried).
Decoct in water and take orally. Conception can be achieved within one month. The brilliance of this formula lies in its ability to warm and tonify the Spleen and Stomach while simultaneously supplementing the fire of the Mingmen and Pericardium. With few ingredients, it treats four meridians concurrently. When the fire of the Mingmen and Pericardium is vigorous, the Spleen and Stomach have no fear of cold. Mother and son care for each other, and the family lives in harmony. Naturally, food intake increases and digestion improves, Qi and Blood become abundant and capable of bearing the fetus, the Dai Mai becomes strong, and there is no need to worry about miscarriage. How could there be a failure to conceive offspring?
Commentary: Infertility due to low food intake differs from chest fullness and loss of appetite. The former focuses on tonifying the Qi of the Kidney, while the latter focuses on tonifying the fire of the Mingmen and Pericardium. Although the number of ingredients is small, the subtlety of the Jun (Monarch), Chen (Minister), Zuo (Assistant), and Shi (Envoy) roles should be carefully studied.
Verse:
Chest fullness and low food intake causing infertility,
Vomiting and diarrhea diseases also frequently arise.
Spleen and Stomach deficiency-cold loses transport and transformation,
Heart and Kidney fire decline must be clearly distinguished.
Wendu Yuling has a warm nature,
Ba Ji, Bai Zhu, and Ren Shen are included.
Huai Shan Yao, Shen Qu, and Fu Pen Zi,
Continuous consumption for one month leads to natural pregnancy.