四物汤 统治妇人百病。
当归身 熟地 白芍(酒炒,各三钱) 川芎(一钱五分)
水三杯,煎八分服。加制香附二钱,研碎,炙草一钱。加减详《三字经》。
归脾汤
方见《虚痨》。
逍遥散(景岳) 治妇人思郁过度,致伤心脾冲任之源,血气日枯,渐至经脉不调者。
当归(三钱) 芍药(一钱五分) 熟地(五钱) 枣仁(二钱,炒) 茯神(一钱五分) 远志(五分) 陈皮
(八分) 炙草(一钱)
水三杯,煎八分服。气虚,加人参;经滞痛,加香附。(按方虽庸陋,能滋阳明之燥,
故从俗附录之。地黄生用佳)
当归散(《金匮》) 瘦而有火,胎不安者,宜此。
当归 黄芩 芍药 芎 (各一斤) 白术(半斤)
共研末。酒服方寸匕。今用一钱,日再服。妊娠常服即易产,胎无疾苦。产后百病悉主之。
白术散(《金匮》) 肥白有寒,胎不安者,此能养胎。
白术 川芎 川椒 牡蛎
为末,酒服一钱匕。今用一钱,日三服,夜一服。但苦痛,加芍药;心下毒痛,加川芎
;心烦吐痛不食,加细辛、半夏服之,后更以醋浆服之。复不解者,小麦汁服之。已后渴者
,大麦汁服之。病虽愈,服勿置。
保生无忧散 妇人临产,先服三两剂,自然易生。或遇横生倒产,连日不生,服二三剂,神效。
当归(一钱五分,酒洗) 川贝母(一钱) 黄 (八分,生用) 艾叶(七分) 酒芍(一钱二分,冬日
一钱) 菟丝子(一钱四分) 浓朴(姜汁炒,七分) 荆芥穗(八分) 枳壳(麸炒,六分) 川芎(二钱二
分) 羌活 甘草(各五分)
加生姜三片,水二杯,煎八分,空心服。
此方全用撑法。当归、川芎、白芍养血活血者也,浓朴去瘀血者也,用之撑开血脉,俾
恶露不致填塞。羌活、荆芥疏通太阳,将背后一撑,太阳经脉最长,太阳治则诸经皆治。枳
壳疏理结气,将面前一撑,俾胎气敛抑而无阻滞之虞。艾叶温暖子宫,撑动子宫则胞胎灵动
。贝母、菟丝最能滑胎顺气,将胎气全体一撑,大具天然活泼之趣矣。加黄 者,所以撑扶
元气,元气旺,则转动有力也。生姜通神明、去秽恶、散寒止呕,所以撑扶正气而安胃气。
甘草协和诸药,俾其左宜右有,而全其撑法之神也。此方人多不得其解,程钟龄注独超,故全录之。
加味归芎汤
川芎(三钱) 当归身(五钱) 龟板(三钱,生研) 妇人生过男女顶门发(烧如鸡子大)
水三杯,煎八分服。如人行五里即生。
当归补血汤
当归(三钱) 炙 (一两)
水煎服。加附子三钱,神效;或加桂一钱。
失笑散
方见《心腹痛》。
生化汤
当归(五钱) 川芎(二钱) 干姜(五分,炮) 桃仁(一钱五分,去皮尖) 甘草(一钱,炙)
水二杯,煎八分服。产后风,口噤、角弓反张者,宜加荆芥穗三钱。又方,中风口噤,
用华佗愈风散,即荆芥穗一味焙为末,勿焦黑,以童便和酒送下。口噤药不下者,用一两零
,再以童便煎好,从鼻孔灌下。
当归生姜羊肉汤
方见《心腹痛》。
竹叶汤(《金匮》) 治产后中风,病痉发热,面正赤,喘而头痛。
鲜竹叶(四十九片) 葛根(三钱) 防风(一钱) 桔梗 桂枝 人参 附子(炮) 甘草(各一钱)
大枣(五枚) 生姜(五钱)
水三杯,煎八分,温服,温覆使汗出,日夜作三服。头项强,加附子五分,煎药扬去沫
;呕者,加半夏二钱。
愚按∶自汗者,去葛根,加栝蒌根三钱,附子五分。产后痉症,十中只可救一,除此方外,无一善方。
甘麦大枣汤
甘草(三钱) 小麦(二两六钱) 大枣(十枚)
水三杯,煎一杯服,日作三服。
《金匮》方只录五首。余见拙着《金匮浅说》《金匮读》内,二书即欲梓行,集隘不能尽登。
四物汤 普遍适用于治疗妇女的各种疾病。
当归身、熟地黄、白芍(用酒炒制,各三钱)、川芎(一钱五分)。
加水三杯,煎煮至剩余八分药液时服用。若加入制香附二钱(研碎)和炙甘草一钱,其加减用法详见《医学三字经》。
归脾汤
该方剂记载于《虚劳》篇。
逍遥散(出自张景岳) 用于治疗妇女因思虑忧郁过度,导致心脾及冲任二脉本源受损,气血日渐枯竭,逐渐出现月经不调的情况。
当归(三钱)、芍药(一钱五分)、熟地黄(五钱)、酸枣仁(二钱,炒制)、茯神(一钱五分)、远志(五分)、陈皮(八分)、炙甘草(一钱)。
加水三杯,煎煮至剩余八分药液时服用。若气虚,加入人参;若经期阻滞疼痛,加入香附。(按语:此方虽然平庸简陋,但能滋养阳明经的燥热,因此依从世俗习惯附录于此。生用地黄效果更佳。)
当归散(出自《金匮要略》) 适用于身体消瘦且有内热,胎动不安的孕妇,适宜使用此方。
当归、黄芩、芍药、川芎(各一斤)、白术(半斤)。
共同研磨成粉末。每次用酒送服一方寸匕的药量。现在改用一钱,每日服用两次。妊娠期间常服此药即可容易生产,胎儿无病痛困扰。产后各种疾病也都能主治。
白术散(出自《金匮要略》) 适用于体型肥胖面白且有寒邪,胎动不安者,此方能养胎安胎。
白术、川芎、川椒、牡蛎。
研磨成粉末,用酒送服一方寸匕的药量。现在改用一钱,每日三次,夜间一次。如果感到苦痛,加入芍药;如果心下剧烈疼痛,加入川芎;如果心烦、呕吐疼痛且不能进食,加入细辛、半夏服用,随后再用醋浆服用。如果症状仍未缓解,用小麦汁服用。此后若感到口渴,用大麦汁服用。病即使痊愈,也不要停止服药。
保生无忧散 妇女临产前,先服用三两剂,自然容易分娩。如果遇到横位或倒产,连续几天无法分娩,服用二三剂,疗效神奇。
当归(一钱五分,酒洗)、川贝母(一钱)、黄芪(八分,生用)、艾叶(七分)、酒白芍(一钱二分,冬季用一钱)、菟丝子(一钱四分)、厚朴(姜汁炒,七分)、荆芥穗(八分)、枳壳(麸炒,六分)、川芎(二钱二分)、羌活、甘草(各五分)。
加生姜三片,水二杯,煎煮至剩余八分药液,空腹服用。
此方全用“撑”法。当归、川芎、白芍是养血活血的药物,厚朴去除瘀血,使用它们来撑开血脉,使恶露不至于堵塞。羌活、荆芥疏通太阳经,从背后进行支撑,因为太阳经脉最长,太阳经得到治理则其他经络皆得治理。枳壳疏理结聚之气,从面前进行支撑,使胎气收敛抑制而没有阻滞的忧虑。艾叶温暖子宫,撑动子宫则胞胎灵动。贝母、菟丝子最能滑利胎气顺达气机,对胎气整体进行支撑,具有天然活泼的情趣。加入黄芪,是为了扶持元气,元气旺盛,则转动有力。生姜通神明、去秽恶、散寒止呕,是为了扶持正气而安定胃气。甘草调和诸药,使其左右适宜,从而保全“撑”法的奇妙功效。此方许多人不得其解,只有程钟龄的注解特别高超,因此全文收录。
加味归芎汤
川芎(三钱)、当归身(五钱)、龟板(三钱,生研)、妇人分娩过男婴或女婴后的顶门发(烧制成如鸡蛋大小的炭)。
加水三杯,煎煮至剩余八分药液时服用。如人行走五里路的时间即可分娩。
当归补血汤
当归(三钱)、炙黄芪(一两)。
水煎服用。加入附子三钱,疗效神奇;或者加入桂枝一钱。
生化汤
当归(五钱)、川芎(二钱)、干姜(五分,炮制)、桃仁(一钱五分,去皮尖)、甘草(一钱,炙)。
水二杯,煎煮至剩余八分药液时服用。产后受风,出现牙关紧闭、角弓反张症状的,适宜加入荆芥穗三钱。另一方法,对于中风口噤,使用华佗愈风散,即单味荆芥穗焙干研末,注意不要焙成焦黑色,用童子尿和酒送下。如果牙关紧闭药咽不下,用一两零的药量,再将童子尿煎好,从鼻孔灌入。
竹叶汤(出自《金匮要略》) 治疗产后中风,出现痉病发热,面色正红,气喘且头痛的症状。
鲜竹叶(四十九片)、葛根(三钱)、防风(一钱)、桔梗、桂枝、人参、附子(炮制)、甘草(各一钱)、大枣(五枚)、生姜(五钱)。
水三杯,煎煮至剩余八分药液,温服,覆盖衣被使出汗,日夜分三次服用。如果头项强直,加入附子五分,煎药时扬去浮沫;如果呕吐,加入半夏二钱。
愚按:自汗者,去掉葛根,加入栝蒌根三钱、附子五分。产后痉症,十人中只可救一人,除了此方外,没有更好的方子。
甘麦大枣汤
甘草(三钱)、小麦(二两六钱)、大枣(十枚)。
水三杯,煎煮至一杯药液时服用,每日分三次服用。
《金匮要略》中的方剂只收录了这五首。其余见作者拙作《金匮浅说》和《金匮读》内,这两本书即将刊印,篇幅狭窄不能全部刊登。
Siwu Tang (Four Substances Decoction) is universally applicable for treating various diseases in women.
Danggui Radix (Radix Angelicae Sinensis), Shudi Prepared Root (Prepared Radix Rehmanniae), Baishao White Peony Root (Radix Paeoniae Alba, stir-fried with wine, each 3 qian), Chuanxiong Rhizome (Rhizoma Chuanxiong, 1.5 qian).
Add three cups of water, decoct until eight-tenths remains, and take orally. If Zhixiangfu Processed Cyperi Rhizome (Processed Rhizoma Cyperi, crushed, 2 qian) and Zhigancao Honey-fried Licorice Root (Radix Glycyrrhizae Preparata, 1 qian) are added, the modifications are detailed in *Yixue Sanzijing* (Three Character Classic of Medicine).
Guipi Tang (Restore the Spleen Decoction)
This formula is recorded in the chapter on Xu Lao (Deficiency Consumption).
Xiaoyao San (Free Wanderer Powder, attributed to Zhang Jingyue) Treats women suffering from excessive worry and depression, which damages the source of the Heart, Spleen, and the Chong and Ren vessels. Qi and blood gradually wither, leading progressively to irregular menstruation.
Danggui Radix (Radix Angelicae Sinensis, 3 qian), Shaoyao Peony Root (Radix Paeoniae, 1.5 qian), Shudi Prepared Root (Prepared Radix Rehmanniae, 5 qian), Zaoren Fried Sour Jujube Seed (Semen Ziziphi Spinosae Preparata, 2 qian), Fushen Poria with Hostwood (Poria Cocos cum Radice, 1.5 qian), Yuanzhi Polygala Root (Radix Polygalae, 0.5 qian), Chenpi Tangerine Peel (Pericarpium Citri Reticulatae, 0.8 fen), Zhigancao Honey-fried Licorice Root (Radix Glycyrrhizae Preparata, 1 qian).
Add three cups of water, decoct until eight-tenths remains, and take orally. For Qi deficiency, add Renshen Ginseng Root (Radix Ginseng); for menstrual stagnation with pain, add Xiangfu Cyperi Rhizome (Rhizoma Cyperi). (Note: Although this formula is mediocre and crude, it can nourish the dryness of the Yangming channel; therefore, it is appended here following popular custom. Raw Dihuang Rehmannia Root is preferable.)
Danggui San (Angelica Powder, from *Jinkui Yaolue*) Suitable for thin individuals with internal heat and restless fetus.
Danggui Radix (Radix Angelicae Sinensis), Huangqin Scutellaria Root (Radix Scutellariae), Shaoyao Peony Root (Radix Paeoniae), Chuanxiong Rhizome (Rhizoma Chuanxiong) (each 1 jin), Baizhu Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae, 0.5 jin).
Grind together into powder. Take orally with wine, one fangcunbi (a measure equivalent to a square inch spoonful) per dose. Currently, use 1 qian, taken twice daily. Regular consumption during pregnancy facilitates easy delivery and ensures the fetus suffers no illness. It also treats various postpartum diseases.
Baizhu San (Atractylodes Powder, from *Jinkui Yaolue*) Suitable for obese, fair-skinned individuals with cold pathogens and restless fetus; this formula nourishes and secures the fetus.
Baizhu Atractylodes Rhizome (Rhizoma Atractylodis Macrocephalae), Chuanxiong Rhizome (Rhizoma Chuanxiong), Chuanjiao Sichuan Pepper Fruit (Fructus Zanthoxyli), Muli Oyster Shell (Concha Ostreae).
Grind into powder. Take orally with wine, one fangcunbi per dose. Currently, use 1 qian, taken three times daily and once at night. If bitter pain occurs, add Shaoyao Peony Root (Radix Paeoniae); if severe pain under the heart occurs, add Chuanxiong Rhizome (Rhizoma Chuanxiong); if irritability, vomiting, pain, and anorexia occur, add Xixin Asarum Root (Radix et Rhizoma Asari) and Banxia Pinellia Tuber (Tuber Pinelliae Preparata) for administration, followed by vinegar grain juice. If there is still no relief, take wheat juice. If thirst arises subsequently, take barley juice. Even after recovery, do not discontinue use.
Baosheng Wuyou San (Preserve Life and Ensure Safety Powder) Before labor, women should take three liang doses beforehand to ensure natural and easy delivery. In cases of transverse or breech presentation where delivery is delayed for days, taking two or three doses yields miraculous effects.
Danggui Radix (Radix Angelicae Sinensis, 1.5 qian, washed with wine), Chuanbeimu Fritillaria Bulb (Bulbus Fritillariae Thunbergii, 1 qian), Huangqi Astragalus Root (Radix Astragali, 0.8 fen, raw), Aiye Mugwort Leaf (Folium Artemisiae Argyi, 0.7 fen), Jiubaishao Wine-processed White Peony Root (Radix Paeoniae Alba Preparata, 1.2 qian, 1 qian in winter), Tusizi Dodder Seed (Semen Cuscutae, 1.4 qian), Houpo Magnolia Bark (Cortex Magnoliae Officinalis, stir-fried with ginger juice, 0.7 fen), Jingjie Sui Schizonepeta Spike (Spica Schizonepetae, 0.8 fen), Zhiqiao Bitter Orange Fruit (Fructus Aurantii, bran-fried, 0.6 fen), Chuanxiong Rhizome (Rhizoma Chuanxiong, 2.2 qian), Qianglive Notopterygium Rhizome (Rhizoma et Radix Notopterygii), Gancao Licorice Root (Radix Glycyrrhizae, each 0.5 fen).
Add three slices of Shengjiang Fresh Ginger Rhizome (Rhizoma Zingiberis Recens), two cups of water, decoct until eight-tenths remains, and take on an empty stomach.
This formula entirely employs the "supporting/expanding" method. Danggui Radix (Radix Angelicae Sinensis), Chuanxiong Rhizome (Rhizoma Chuanxiong), and Baishao White Peony Root (Radix Paeoniae Alba) nourish blood and invigorate blood circulation; Houpo Magnolia Bark (Cortex Magnoliae Officinalis) removes blood stasis. Using them expands the blood vessels so that lochia does not become obstructed. Qianglive Notopterygium Rhizome (Rhizoma et Radix Notopterygii) and Jingjie Sui Schizonepeta Spike (Spica Schizonepetae) unblock the Taiyang (Greater Yang) channel, providing support from the back. Since the Taiyang channel is the longest, governing the Taiyang channel governs all other channels. Zhiqiao Bitter Orange Fruit (Fructus Aurantii) regulates stagnant qi, providing support from the front, ensuring fetal qi is restrained without risk of obstruction. Aiye Mugwort Leaf (Folium Artemisiae Argyi) warms the uterus; stimulating the uterus makes the fetus and membranes agile. Beimu Fritillaria Bulb (Bulbus Fritillariae Thunbergii) and Tusizi Dodder Seed (Semen Cuscutae) best lubricate the fetus and smooth qi, supporting the entire fetal qi, imbuing it with natural vitality. Huangqi Astragalus Root (Radix Astragali) supports primordial Qi; when primordial Qi is robust, movement is powerful. Shengjiang Fresh Ginger Rhizome (Rhizoma Zingiberis Recens) clarifies the spirit, eliminates turbidity, disperses cold, and stops vomiting, thereby supporting righteous Qi and stabilizing Stomach Qi. Gancao Licorice Root (Radix Glycyrrhizae) harmonizes the various herbs, ensuring mutual appropriateness, thus preserving the miraculous efficacy of the "supporting" method. Many people do not understand this formula; only Cheng Zhongling's annotation is exceptionally superior, so it is fully recorded.
Jiawei Guixiong Tang (Modified Angelica and Chuanxiong Decoction)
Chuanxiong Rhizome (Rhizoma Chuanxiong, 3 qian), Danggui Radix (Radix Angelicae Sinensis, 5 qian), Guiban Tortoise Shell (Carapax et Plastrum Testudinis, ground raw), Furen Dingmenfa Hair from the vertex of a woman who has given birth to a male or female infant (charred to the size of an egg).
Add three cups of water, decoct until eight-tenths remains, and take orally. Delivery will occur within the time it takes a person to walk five li.
Danggui Buxue Tang (Angelica Tonifying Blood Decoction)
Danggui Radix (Radix Angelicae Sinensis, 3 qian), Huangqi Astragalus Root (Radix Astragali, honey-fried, 1 liang).
Decoct in water and take orally. Adding Fuzi Prepared Aconite Lateral Root (Radix Aconiti Lateralis Preparata, 3 qian) yields miraculous effects; or adding Guizhi Cinnamon Twig (Ramulus Cinnamomi, 1 qian).
Shixiao San (Laughing Out Powder)
This formula is recorded in the chapter on Xin Xiong Tong (Heart and Abdominal Pain).
Shenghua Tang (Generate Transformation Decoction)
Danggui Radix (Radix Angelicae Sinensis, 5 qian), Chuanxiong Rhizome (Rhizoma Chuanxiong, 2 qian), Jianggan Dried Ginger Rhizome (Rhizoma Zingiberis Preparatum, 0.5 fen, processed), Taoren Peach Seed (Semen Persicae, 1.5 qian, skin and tips removed), Gancao Licorice Root (Radix Glycyrrhizae, 1 qian, honey-fried).
Two cups of water, decoct until eight-tenths remains, and take orally. For postpartum wind syndrome presenting with trismus (lockjaw) and opisthotonos (arched back), add Jingjie Sui Schizonepeta Spike (Spica Schizonepetae, 3 qian). Another prescription for stroke-induced trismus uses Huatuo Yufeng San (Master Hua’s Wind-Resolving Powder), which consists solely of Jingjie Sui Schizonepeta Spike (Spica Schizonepetae) roasted into powder (without burning black), administered with child’s urine and wine. If trismus prevents swallowing, use over one liang of the powder, decoct well with child’s urine, and instill through the nasal cavity.
Danggui Shengjiang Yangrou Tang (Angelica, Ginger, and Lamb Meat Decoction)
This formula is recorded in the chapter on Xin Xiong Tong (Heart and Abdominal Pain).
Zhuye Tang (Bamboo Leaf Decoction, from *Jinkui Yaolue*) Treats postpartum wind-stroke presenting with spasm, fever, flushed face, wheezing, and headache.
Xianzhuye Fresh Bamboo Leaves (Folium Bambusae, 49 leaves), Gegen Kudzu Root (Radix Puerariae, 3 qian), Fangfeng Saposhnikovia Root (Radix Saposhnikoviae, 1 qian), Jiegeng Platycodon Root (Radix Platycodi), Guizhi Cinnamon Twig (Ramulus Cinnamomi), Renshen Ginseng Root (Radix Ginseng), Fuzi Prepared Aconite Lateral Root (Radix Aconiti Lateralis Preparata), Gancao Licorice Root (Radix Glycyrrhizae) (each 1 qian), Dazao Chinese Jujube Fruit (Fructus Ziziphi Jujubae, 5 pieces), Shengjiang Fresh Ginger Rhizome (Rhizoma Zingiberis Recens, 5 qian).
Three cups of water, decoct until eight-tenths remains, take warm, cover warmly to induce sweating, divided into three doses throughout day and night. For stiffness of head and neck, add Fuzi Prepared Aconite Lateral Root (Radix Aconiti Lateralis Preparata, 0.5 fen), and skim off foam while decocting; for vomiting, add Banxia Pinellia Tuber (Tuber Pinelliae Preparata, 2 qian).
Commentary: For spontaneous sweating, remove Gegen Kudzu Root (Radix Puerariae) and add Gualougen Trichosanthes Root (Radix Trichosanthis, 3 qian) and Fuzi Prepared Aconite Lateral Root (Radix Aconiti Lateralis Preparata, 0.5 fen). Postpartum spasm syndrome is curable in only one out of ten cases; apart from this formula, there is no other excellent prescription.
Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction)
Gancao Licorice Root (Radix Glycyrrhizae, 3 qian), Xiaomai Common Wheat Grain (Fructus Tritici aestivi, 2 liang 6 qian), Dazao Chinese Jujube Fruit (Fructus Ziziphi Jujubae, 10 pieces).
Three cups of water, decoct until one cup remains, and take orally, divided into three doses daily.
Only five formulas from *Jinkui Yaolue* (Essential Prescriptions of the Golden Cabinet) are recorded here. The rest can be found in my works *Jinkui Qianshuo* (Brief Explanation of the Golden Cabinet) and *Jinkui Du* (Reading the Golden Cabinet). These two books are about to be printed, but due to limited space, they cannot be fully included.