武安胡产祥之妻,临难月病喘。以凉膈散二两,四物汤二两,朴硝一两,分作二
服,煎令冷服之。一服病减大半,次又服之,病痊效矣。产之后第六日,血迷。又用凉膈散
二两,四物汤三两,朴硝一两,都作一服,大下紫黑水。其人至今肥健。戴人常曰∶孕妇有
病当十月、九月内,朴硝无碍,八月者当忌之,七月却无妨,谓阳月也,十月者已成形矣。
孟官人母,年五十余岁,血崩一载,佥用泽兰丸、黑神散、保安丸、白薇散,补之不效
。戴人见之曰∶天癸已尽,本不当下血。盖血得热而流散,非寒也。夫女子血崩,多因大悲
哭。悲甚则肺叶布,心系为之恐,血不禁而下崩。《内经》曰∶阴虚阳搏为之崩。阴脉不足,阳
脉有余,数则内崩,血乃下流。举世以虚损治之,莫有知其非者。可服大剂。大剂者,黄连解毒汤是也。次以
拣香附子二两(炒),白芍二两焙,
当归一两(焙),三味同为细末,水调下;又服槟榔丸,不拘日而安。
一妇月事不行,寒热往来,口干、颊赤、喜饮,旦暮闻咳一、二声。诸医皆云∶经血
不行,宜虻虫、水蛭、干漆、 砂、芫青、红娘子、没药、血竭之类。惟戴人不然,曰∶
古方中虽有此法,奈病患服之,必脐腹发痛,饮食不进。乃命止药,饮食稍进。《内经》曰∶二阳之病发心
脾,心受之则血不流,故女子不月。既心受积热,宜抑火升水,流湿润燥,开胃进食。乃涌出痰一
、二升,下泄水五、六行。湿水上下皆去,血气自行沸流,月事不为水湿所隔,自根据期而至矣。
亦不用虻虫、水蛭之类有毒之药。如用之,则月经纵来,小溲反闭,他证生矣。凡精血不足
,当补之以食,大忌有毒之药,偏胜而成夭阏。
武安人胡产祥的妻子,在临产前一个月患上了喘证。使用凉膈散二两、四物汤二两、朴硝一两,分为两次服用,煎煮后放冷服用。服一次后病情减轻大半,再次服用后,病愈见效。产后第六天,出现血迷(因瘀血阻滞导致的神志昏蒙)。又用凉膈散二两、四物汤三两、朴硝一两,合并为一次服用,排出大量紫黑色的瘀血水。此人至今身体肥壮健康。戴人(张从正)常说:孕妇有病应在十月、九月内使用朴硝无妨,八月时应当禁忌,七月却无妨碍,因为七月是阳月,十月时胎儿已经成形了。
孟官人的母亲,五十多岁,血崩持续一年,众医都使用泽兰丸、黑神散、保安丸、白薇散进行补益治疗,但无效。戴人见到后说:天癸已尽(指绝经),本来就不应该再下血。大概是因为血受热而流散,并非寒证。女子血崩,多因极度悲伤哭泣所致。悲伤过度则肺叶张开,心系受到惊恐,血液无法控制而下崩。《内经》说:阴虚阳搏为之崩。阴脉不足,阳脉有余,数脉则导致内部崩漏,血液因此下行。世人皆以虚损来治疗,没有人知道这是错误的。可以服用大剂量的药物。所谓大剂,就是黄连解毒汤。接着使用拣选过的香附子二两(炒制)、白芍二两(焙干)、当归一两(焙干),三味药共同研成细末,用水调服;又服用槟榔丸,不拘泥于日期便痊愈了。
一位妇女月经停止,寒热往来,口干、脸颊发红、喜欢饮水,早晚各咳嗽一两次。各位医生都说:经血不行,适宜使用虻虫、水蛭、干漆、硇砂、芫青、红娘子、没药、血竭之类药物。只有戴人不这样认为,他说:古方中虽然有这种方法,但病人服用后,必然会导致脐腹部疼痛,饮食不进。于是命令停止用药,饮食稍进。《内经》说:二阳之病发心脾,心受之则血不流,故女子不月。既然心脏受到积热的影响,应当抑制火气、提升水气,流动湿气、润燥,开胃进食。于是通过涌吐法吐出痰液一、二升,通过泻下法排泄水样便五、六次。湿水和废水上下皆去,气血自行沸腾流动,月经不被水湿阻隔,自然按时到来。也没有使用虻虫、水蛭之类有毒的药物。如果使用这些药物,即使月经来了,小便反而闭塞,其他病症就会产生。凡是精血不足,应当用食物来补益,大忌使用有毒的药物,偏胜而导致夭折。
The wife of Hu Chanxiang from Wu'an suffered from asthma one month before her delivery. She was prescribed Liangge San (Cooling the Diaphragm Powder) 2 liang, Siwu Tang (Four Substances Decoction) 2 liang, and Poxiao (Mirabilite) 1 liang, divided into two doses. The mixture was decocted and taken cold after cooling. After one dose, the condition reduced by more than half; after the second dose, she recovered completely. On the sixth day postpartum, she experienced Xue Mi (blood confusion/stupor due to blood stasis). Again, Liangge San 2 liang, Siwu Tang 3 liang, and Poxiao 1 liang were combined into a single dose, resulting in the profuse discharge of dark purple-black bloody fluid. She remains robust and healthy to this day. Dairen (Zhang Congzheng) often said: For pregnant women with illness, using Poxiao is harmless in the tenth or ninth months, should be avoided in the eighth month, but is acceptable in the seventh month because it is a Yang month, and by the tenth month, the fetus has already formed.
The mother of Official Meng, over fifty years old, had suffered from metrorrhagia for one year. Various physicians used Zelan Wan (Dandelion Pill), Heishen San (Black Divine Powder), Baoan Wan (Peaceful Security Pill), and Baiwei San (Baiwei Powder) for tonification, but without effect. Upon seeing her, Dairen said: Tian Gui (heavenly water/menstrual essence) has ceased; originally, there should be no bleeding. It is likely that heat causes the blood to flow and scatter, rather than cold. Female metrorrhagia is often caused by extreme grief and weeping. Severe grief causes the lung lobes to expand and the heart system to become fearful, leading to uncontrolled downward bleeding of blood. The *Neijing* states: "Yin deficiency and Yang pulsation lead to metrorrhagia." Insufficiency of Yin pulses and excess of Yang pulses, along with a rapid pulse, cause internal collapse, leading to downward flow of blood. The world treats this as deficiency consumption, unaware of its error. Large doses can be administered. A large dose refers to Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity). Subsequently, selected Xiangfuzi (Cyperi Rhizoma) 2 liang (stir-fried), Baishao (Paeoniae Radix Alba) 2 liang (baked), and Danggui (Angelicae Sinensis Radix) 1 liang (baked) were ground together into fine powder and taken with water. She also took Binglang Wan (Areca Seed Pill) and recovered without adhering to specific days.
A woman had amenorrhea, alternating chills and fever, dry mouth, flushed cheeks, thirst, and coughed once or twice morning and evening. All physicians stated that since menstrual blood did not flow, drugs such as Mengchong (Blatta Orientalis), Shuizhi (Hirudo), Ganqi (Drywood), Naosha (Natrii Chloridum Crystallisatum), Yuanqing (Mylabris), Hongniangzi (Lytta), Moyao (Myrrha), and Xuexie (Sanguis Draconis) should be used. Only Dairen disagreed, saying: Although ancient formulas contain this method, patients taking them will inevitably suffer from abdominal pain and loss of appetite. He ordered the cessation of medication, after which her appetite slightly improved. The *Neijing* states: "Illness of the Two Yangs originates in the Heart and Spleen; if the Heart is affected, blood does not flow, thus women do not menstruate." Since the Heart is affected by accumulated heat, one should suppress Fire and raise Water, circulate dampness and moisten dryness, and open the stomach to promote eating. Thus, emesis expelled one to two sheng of phlegm, and purgation resulted in five to six watery stools. With dampness and waste water removed from above and below, Qi and Blood naturally began to circulate vigorously. Menstruation arrived on schedule, unobstructed by dampness. No toxic drugs like Mengchong or Shuizhi were used. If these were used, although menstruation might occur, urinary retention would ensue, and other pathologies would arise. Whenever Essence and Blood are insufficient, they should be supplemented with food. Toxic drugs must be strictly avoided, as their excessive dominance leads to premature death.