前共六味,入水五大盏,煎至一盏半,去渣,入阿胶再上火,煎至一大盏,稍热空心服。
水府丹 治妇人久虚积冷,经候不行, 瘕痞块,腹中暴痛,面有 黯,黎黑羸瘦。
砂(纸隔沸汤淋熬取) 红豆(以上各五钱) 桂心(另为末) 木香 干姜(各一两) 砂仁(二两) 花蕊
石( 研,一两半) 斑蝥(一百个,去头足) 生地黄汁 童子尿(各一升) 腊月狗胆(七枚) 元蜻(二百个,
去头足,糯米一抄同炒黄色,去米)
上九味为细末,同三汁熬为膏,和丸如鸡头实大,朱砂为衣,每服一丸,食前细嚼,温酒送下,米饮亦可。
黄 当归人参汤(东垣) 治妇人经水暴崩不止,先因损身失血,自后一次缩一十日而来,其后暴崩不止。盖
因
其人心窄性急多惊,而心气不足,及饮食不节得之。诊得掌中寒,脉沉细而缓,带数,九窍不利,四肢无力,上喘气促,
口鼻气不调,脾胃虚弱,胃腕当心而痛,左肋缩急,当脐有动气,腹鸣下气,大便难。宜先治其本,余证
可去,安心定志,和脾胃,益元气,补血养神,以大热剂去其寒,少加生地黄去命门相火,不令四肢痿弱。
黄连(二分) 生地黄(三分) 炒神曲 橘红 桂枝(各五分) 草豆蔻
(六分) 黄 人参 麻黄(不去节,各一钱) 当归身(一钱半) 杏仁(五枚,另研如泥)
上细切,作一服,水二盏半,先煎麻黄令沸,掠去沫,煎至二盏,
下诸药同煎至一盏,食前服,立止。又以草豆蔻丸十五丸,以止胃腕密寒之痛。再与肝积之药,除其病根。
当归芍药汤(东垣) 治妇人经水漏下不止,其色鲜红,时值炎
月,先因劳役,脾胃虚弱,气短气逆,自汗不止,身热闷乱,不思饮
食,四肢困倦,大便时泄。后复因心气不足,经水暴下不止,微觉气下行,气逆全无,气短懒于语言,此药主之。
柴胡(二分) 炙甘草 生地黄(各三分) 黄 (一钱) 陈皮(连白) 熟
地黄(各五分) 苍术(米泔浸) 白术 川归 白芍药(各一钱半)
上细切,作一服,水二盏,煎至一盏,空心温服。
柴胡调经汤(东垣) 治经水不止,其色鲜红,项筋急,脑痛,脊骨强痛不安。
炙甘草 当归身 葛根(各三分) 独活 本 升麻(各半钱) 柴
胡(七分) 羌活 苍术(各一钱) 红花(少许)
上细切,作一服,水二盏,煎至一盏,空心温服,取微汗立止。
益胃升阳汤(东垣) 治妇人经候凝结,黑血成块,左厢有血瘕,
水泄不止,食有时不化,后血块暴下,并水泄俱作,是前后二阴,有
形血脱竭于下既久,经候犹不调,水泄日三四行,食罢烦心,饮食减
少,人形瘦弱。血脱益气,古圣人之法也,先补胃气以助生发之气,
故曰阳生阴长,诸甘药为之先务,盖甘能生血,阳生阴长之理也。人身以谷气为宝,故先理胃气为要。
柴胡 升麻(各五分) 炙甘草 当归身(酒洗) 陈皮(各一钱) 人参
(有嗽不用) 炒神曲(各一钱二分) 黄 (一钱半) 白术(二钱) 生黄芩(二分)
上细切,作一服,水二大盏,煎至一盏,去渣热服。如腹中痛,
加白芍药三分,中桂少许。如渴或口干,加葛根三分,不拘时服。
升阳举经汤(东垣) 治经水不止,右尺脉按之空虚,是气血俱
脱,大寒之证。轻手其脉数疾,举指弦紧或涩,皆阳脱之证,阴火亦
亡,见热证于口鼻眼或渴,此皆阴躁、阳欲先去也。当温之、举之、
升之、浮之、燥之,此法乃大升浮血气,补命门之下脱。
肉桂(夏月不用) 白芍药(各二分) 红花(半分) 细辛(三分) 人参 熟
地黄 川芎(各半分) 独活根 黑附子(炮) 炙甘草(各七分半) 羌活
本 防风(各一钱) 白术 当归 黄 柴胡(各一钱二分) 桃仁泥(少许)
上细切,分作二服,每服用水二大盏,煎至一盏,空心热服。
当归附子汤(东垣) 治脐下冷痛,赤白带下。
当归(四分) 炒盐(三分) 蝎稍 升麻(各五分) 甘草(炙,六分) 柴胡
(七分) 黄柏(少许,为引用) 附子(炮,一钱) 干姜(炮) 良姜(各八分)
上细切,作一服,水三盏,煎至一盏,去渣稍热服。或为细末,酒曲糊为丸亦可。
调经补真汤(东垣) 冬后一月,微有地泥冰泮,其白带下,阴户中寒,一服立止。
独活 干姜(炮) 本 防风 苍术(各二分) 麻黄(不去节) 炙
甘草 人参(去芦) 当归身 白术 生黄芩 升麻(各五分) 黄 (七分)
良姜 泽泻 羌活(各一钱) 柴胡(四分) 杏仁(二枚,研) 桂枝(少许) 白葵花(七朵,去萼)
上细切,作一服,除黄芩、麻黄另外,先以水三大盏,煎麻黄一
味令沸,掠去沫,入余药,同煎至二盏,再入生黄芩,煎至一盏,空心服之,候一时许,可食早饭。
柴胡丁香汤(东垣) 治妇人年三十岁左右,临经先腰脐痛,甚
则腹中亦痛,经缩三二日。
生地黄(五分) 丁香(四分) 当归身 防风 羌活(各一钱) 柴胡(一钱二分) 全蝎(一枚)
上细切,作一服,水二盏,煎至一盏,去渣食前稍热服之。
延胡苦楝汤(东垣) 治脐下冷撮痛,阴冷大寒白带下。
黄柏(一分) 延胡索 苦楝子(各二分) 附子(炮) 肉桂(各三分) 炙甘草(五分) 熟地黄(一钱)
上细切,作一服,水二盏,煎至一盏,食前温服。
桂附汤(东垣) 治白带腥臭,多悲不乐,大寒证。
黄柏(为引用) 知母(各五分) 肉桂(五分) 附子(炮,三钱)
上细切,作一服,水三盏,煎至一盏,空心温服。如少食常饱,
腹中满闷,加白芍药半钱。如不思饮食,加五味子二十个。如烦恼面
上如虫行,乃胃中元气极虚,加黄 一钱半,人参七分,炙甘草、升麻各半钱。
人参补气汤(东垣) 治四肢懒倦,自汗无力。
丁香末(二分) 生甘草 炙甘草(各三分) 生地黄 白芍药(各半钱)
熟地黄(六分) 人参(去芦) 防风(去芦) 羌活 黄柏 知母 当归身
升麻(各七分) 柴胡(一钱) 黄 (一钱半) 全蝎(一个) 五味子(二十个)
上细切,作一服,水二大盏,煎至一盏,空心稍热服。
黄 白术汤(东垣) 治妇人四肢沉重,自汗上至头颈,恶风头痛躁热。
细辛(二分) 吴茱萸 川芎(各三分) 柴胡 升麻(各四分) 当归身
(六分) 黄柏(酒洗) 炙甘草 羌活(各八分) 五味子(一钱) 白术 人参(各一钱半) 黄 (二钱半)
上细切,作一服,水二大盏,生姜五片,煎至一盏,去渣食前稍热服。
增味四物汤(东垣) 治妇人血积血瘕。
当归 川芎 白芍药 熟地黄 京三棱 干漆(炒烟尽,另研) 肉桂(去粗皮) 广莪术(各等分)
上细切,每服五钱,水二大盏,煎至一盏,去渣空心温服。
补经固真汤(东垣) 治妇人白带下流不止,其心胞尺脉微细。
盖始病血崩,久则血少,后亡其阳,故白滑之物下流不止,所谓崩中
日久为白带也。乃本经血海枯竭、津液后亡,不能滋养筋骨。以本
部行经药为引用,以大辛甘油腻之药润其枯而滋津液,以大辛热之
药补其阳道,生其血脉,以苦寒之药泄其肺而救上热,伤气以人参补之,以微苦温之药为佐而益元气。
白葵花(研烂,四分) 陈皮(五分,不去白) 生黄芩(细研另入) 郁李
仁(去皮尖,研如泥) 甘草(炙) 柴胡(各一钱) 干姜(细末) 人参(各二钱)
上细切,除黄芩外,以水三盏,煎至一盏半,入黄芩,同煎至一盏,去渣空心热服,少时以早饭压之。
温胃补血汤(东垣) 治妇人耳鸣,鼻不闻香臭,口不知谷味,胃
气不快,四肢困倦,行步欹侧,发脱落,食不下,膝冷阴汗带下,喉中
,不得卧,口燥咽干,太息,头不可以回顾,项筋紧急,脊骨强痛,头旋眼黑,头痛喷嚏。
生地黄 白术 藿香 黄柏(各二分) 牡丹皮 苍术 王瓜根
陈皮 吴茱萸(各三分) 当归身(四分) 柴胡 人参 炙甘草 地骨皮(各
五分) 升麻 生甘草(各六分) 黄 (一钱) 丁香(一个) 桃仁(三分) 白葵花(七朵)
上细切,作一服,水二大盏,煎至一盏,食前热服。
立效散(东垣) 治妇人血崩不止。
当归 莲花心 白绵子 红花 茅花(以上各一两)
上锉如豆大,白纸包裹,泥固,火 存性,为细末,每服三钱。如
干血气,研血竭为引,温酒调服,或加轻粉半钱。如血崩甚不止,加麝香为引,温酒调服。
四圣散(东垣) 治妇人赤白带下。
川乌(炮) 生白矾(各一钱) 红娘子(三个) 斑蝥(十个)
上为细末,炼蜜为丸,如皂子大,绵裹塞阴户中。
温经除湿汤(东垣) 治妇人值冬月,四肢无力,乃痿厥,湿热在
下焦也。醋心者,是浊气不下降,欲为中满也。合眼麻木作者,阳
道不行也。恶风寒者,上焦之分,皮肤中气不行也。开目不麻者,
阳道少行而阴寒之气暂退也。头旋目眩者,风气下陷于血分,不得伸越而作也,近火则有之。
黄连(二分) 柴胡 草豆蔻 神曲(炒) 木香(各三分) 麻黄(不去根
节) 独活 当归身 黄柏 升麻 羌活(各半钱) 炙甘草 人参
白术 猪苓 泽泻(各七分) 黄 陈皮 苍术(各一钱) 白芍药(一钱半)
上细切,作一服,水二大盏,煎至一盏,食远服,治肢节疼痛无力之胜药也。
桃仁散(产宝) 治妇人月水不调,或淋沥不断,断后复来,状如
泻水,虚弱不进饮食,腹中坚痛,不可行动,月水或前或后,或经月不来,举体沉重,惟欲眠卧,多思酸物。
桃仁(去皮尖,炒,另研) 甘草(炙) 半夏(各三分) 赤芍药 生地黄(
各一钱) 泽兰叶 川牛膝 当归 桂心 牡丹皮 人参 蒲黄 川芎(各七分)
上细切,作一服,加生姜三片,水二盏,煎至一盏,空心温服。
通经下取方(产宝) 曾经试验神效。
海蛤粉(半两) 苦葶苈 牙皂(各二钱半) 巴豆(略去油) 天花粉
苦丁香 红娘子(各一钱半) 麝香
上为细末,每用一钱,葱涎同捣为丸,簿绵裹,以五寸竹管纳阴户中,候热时先通黄水,次则经行。
通经丸(产宝) 治妇人室女,月经不通,或成血瘕疼痛。
桂心 青皮 大黄(酒湿纸裹煨) 川椒 莪术 干姜 川乌(炮
去皮) 干漆(碎,炒烟尽) 当归 桃仁(去皮尖,麸炒,研如泥,各等分)
上为细末,将四分之一以米醋熬成膏,和余药末成剂,臼中杵
匀,丸如梧桐子大,每服二十丸,空心淡醋汤下,渐加至三、四十丸,温酒亦可下。性畏漆者,入鸡子清和药内。
胶艾汤(良方) 治劳伤气血,冲任虚损,月水过多,淋沥不止。
阿胶(炒成珠) 川芎 甘草(炙,各半钱) 当归 艾叶(各七分半) 熟地黄 白芍药(各一钱)
上细切,作一服,水一盏半,煎至一盏,温服。一方加地榆、黄 。(见胎前门。)
加减四物汤(良方) 治经候微少,渐致不通,手足烦疼,形瘦潮热,脉息微数。
本方去地黄、川芎,加泽兰叶三倍,甘草半分。如经候过多,本方
去熟地黄,加生地黄。如经行身热脉数头昏,本方加柴胡、黄芩。如
经行微少,或胀或痛,四肢疼痛,本方加延胡索、没药、白芷,共为
末,以淡醋汤调下。如经候不调,心腹 痛,只用芎、归二味煎服,名君臣散,以归倍于芎也。
加味四物汤(元戎) 因气冲经脉,故月事频并,脐下多痛,本方
加白芍药。如经欲行,脐腹 痛,本方加玄胡、苦楝、槟榔、木香。如
经水过多,本方加黄芩、白术。如经水涩少,本方加葵花、红花。如
经水适来适断,或往来寒热,宜先服小柴胡汤以去寒热,然后以四物汤和之,或以二方并服,名柴胡四物汤。
香附一物丸(产宝) 治经候不调,血气刺痛,腹胁膨胀,头眩恶心,崩漏带下,并宜治之。
香附子(杵去皮毛,不拘多少,米醋浸一日夜,用瓦铫煮令熟,焙干。)
上为细末,醋糊为丸,如梧桐子大,日干,每服五十丸,淡醋汤下。
艾附丸(产宝) 治证如前。
香附子(一斤,醋煮) 艾叶(四两) 当归(二两)
上为细末,醋糊为丸服。
地黄通经丸(产宝) 治妇人经候不行,结成血瘕,在脐下如复杯。
熟地黄(三两) 虻虫(去头足,炒) 水蛭(糯米同炒,去米) 桃仁(各五十个)
上为细末,炼蜜为丸,如梧桐子大,每服五十丸,空心温酒下。未和,加至七、八十丸。
益母丸(良方) 治妇人赤白带,恶露时下不止,及治妇人胎前产后及经中诸般奇病,无所不疗。
益母草 一名茺蔚子,紫花方茎,俗名野天麻,五月采,阴干,
磨为细末,勿犯铁器,炼蜜为丸,如弹子大,每服一丸,用热酒加童
前面共六味药,加入五碗水,煎煮至一碗半,滤去药渣,加入阿胶再次上火煎煮,直至剩下一大碗,趁稍热时空腹服用。
水府丹:治疗妇人长期体虚积冷,月经闭止不通,腹部有痞块积聚,腹中突然剧痛,面色晦暗发黑,身体消瘦羸弱。
砂(用纸隔着沸汤淋熬取汁) 红豆(以上各五钱) 桂心(单独研为粉末) 木香 干姜(各一两) 砂仁(二两) 花蕊石(研细,一两半) 斑蝥(一百个,去掉头和足) 生地黄汁 童子尿(各一升) 腊月狗胆(七个) 元蜻(二百个,去掉头足,与一抄糯米同炒至黄色,去掉米)
以上九味药研成细末,同三种汁液熬制成膏,混合后制成如鸡头实大小的丸剂,用朱砂做外衣,每次服用一丸,饭前细细咀嚼,温酒送服,米饮也可以。
黄芪当归人参汤(李东垣方):治疗妇人经血暴崩不止,起初因身体受损失血,之后每次月经推迟十天来潮,后来出现暴崩不止。大概是因为此人性格狭隘急躁易受惊吓,导致心气不足,加上饮食不节制所致。诊察发现掌心寒冷,脉象沉细而缓,兼有数象,九窍不利,四肢无力,上气喘促,口鼻气息不调,脾胃虚弱,胃脘当心处疼痛,左肋收缩拘急,肚脐周围有搏动感,肠鸣排气,大便困难。应当先治其根本,其余症状可随之消除,安心定志,调和脾胃,补益元气,补血养神,使用大热药剂去除寒邪,少加生地黄以清泄命门相火,防止四肢痿弱。
黄连(二分) 生地黄(三分) 炒神曲 橘红 桂枝(各五分) 草豆蔻(六分) 黄芪 人参 麻黄(不去节,各一钱) 当归身(一钱半) 杏仁(五枚,另研如泥状)
以上药材细切,作为一服的量,加水二碗半,先煎麻黄令其沸腾,撇去浮沫,煎至二碗,再下其他药物同煎至一碗,饭前服用,立止出血。又用草豆蔻丸十五丸,以停止胃脘深处寒冷的疼痛。再用治疗肝积的药物,除去病根。
当归芍药汤(李东垣方):治疗妇人经血漏下不止,颜色鲜红,正值炎热月份,起初因劳累役使,脾胃虚弱,气短气逆,自汗不止,身体发热闷乱,不思饮食,四肢困倦,大便时常泄泻。后来又因心气不足,经血暴下不止,微觉气向下行,气逆全无,气短懒于说话,此药主治。
柴胡(二分) 炙甘草 生地黄(各三分) 黄芪(一钱) 陈皮(连白) 熟地黄(各五分) 苍术(米泔水浸泡) 白术 川归 白芍药(各一钱半)
以上药材细切,作为一服的量,加水二碗,煎至一碗,空腹温服。
柴胡调经汤(李东垣方):治疗经血不止,颜色鲜红,项部筋脉拘急,头痛,脊骨强直疼痛不安。
炙甘草 当归身 葛根(各三分) 独活 藁本 升麻(各半钱) 柴胡(七分) 羌活 苍术(各一钱) 红花(少许)
以上药材细切,作为一服的量,加水二碗,煎至一碗,空腹温服,取微汗即立止。
益胃升阳汤(李东垣方):治疗妇人月经凝结,黑血成块,左侧胁下有血瘕,水样泄泻不止,进食有时不能消化,后来血块暴下,并与水泄同时发作,这是前后二阴,有形之血在下焦耗竭已久,月经仍然不调,水泄每天三四次,饭后心烦,饮食减少,人体形瘦弱。血脱则益气,这是古代圣人的法则,先补胃气以助生发之气,所以说“阳生阴长”,各种甘味药是首要任务,因为甘能生血,这是阳生阴长的道理。人身以谷气为宝,所以先调理胃气是关键。
柴胡 升麻(各五分) 炙甘草 当归身(酒洗) 陈皮(各一钱) 人参(有咳嗽者不用) 炒神曲(各一钱二分) 黄芪(一钱半) 白术(二钱) 生黄芩(二分)
以上药材细切,作为一服的量,加大碗水两碗,煎至一碗,滤去药渣热服。如果腹中疼痛,加白芍药三分,肉桂少许。如果口渴或口干,加葛根三分,不拘时候服用。
升阳举经汤(李东垣方):治疗经血不止,右尺脉按之空虚,这是气血俱脱,属于大寒证。轻取脉象数疾,重按弦紧或涩,都是阳气外脱的证候,阴火也已消亡,在口鼻眼见到热证或口渴,这都是阴躁、阳气欲先去的表现。应当温之、举之、升之、浮之、燥之,此法乃是大升浮血气,补命门之下的脱陷。
肉桂(夏季不用) 白芍药(各二分) 红花(半分) 细辛(三分) 人参 熟地黄 川芎(各半分) 独活根 黑附子(炮制) 炙甘草(各七分半) 羌活 藁本 防风(各一钱) 白术 当归 黄芪 柴胡(各一钱二分) 桃仁泥(少许)
以上药材细切,分为两份服用,每份用水两大碗,煎至一碗,空腹热服。
当归附子汤(李东垣方):治疗脐下冷痛,赤白带下。
当归(四分) 炒盐(三分) 蝎梢 升麻(各五分) 甘草(炙,六分) 柴胡(七分) 黄柏(少许,作为引经药) 附子(炮制,一钱) 干姜(炮制) 良姜(各八分)
以上药材细切,作为一服的量,加水三碗,煎至一碗,滤去药渣稍热服。或者研成细末,用酒曲糊做成丸剂也可以。
调经补真汤(李东垣方):冬季过后一个月,地面泥土刚解冻,白带下注,阴户中寒冷,服用一剂立即停止。
独活 干姜(炮制) 藁本 防风 苍术(各二分) 麻黄(不去节) 炙甘草 人参(去芦头) 当归身 白术 生黄芩 升麻(各五分) 黄芪(七分) 良姜 泽泻 羌活(各一钱) 柴胡(四分) 杏仁(二枚,研碎) 桂枝(少许) 白葵花(七朵,去掉萼)
以上药材细切,作为一服的量,除黄芩、麻黄另外处理外,先以三大碗水,单煎麻黄令其沸腾,撇去浮沫,加入其余药物,同煎至两碗,再放入生黄芩,煎至一碗,空腹服用,等候约一小时,可以吃早饭。
柴胡丁香汤(李东垣方):治疗妇人年三十岁左右,临近经期先腰脐疼痛,严重时腹中也痛,月经推迟二三日来潮。
生地黄(五分) 丁香(四分) 当归身 防风 羌活(各一钱) 柴胡(一钱二分) 全蝎(一枚)
以上药材细切,作为一服的量,加水二碗,煎至一碗,滤去药渣,饭前稍热服用。
延胡苦楝汤(李东垣方):治疗脐下冷缩疼痛,阴部寒冷,大量白带下注。
黄柏(一分) 延胡索 苦楝子(各二分) 附子(炮制) 肉桂(各三分) 炙甘草(五分) 熟地黄(一钱)
以上药材细切,作为一服的量,加水二碗,煎至一碗,饭前温服。
桂附汤(李东垣方):治疗白带腥臭,多悲伤不快乐,属于大寒证。
黄柏(作为引经药) 知母(各五分) 肉桂(五分) 附子(炮制,三钱)
以上药材细切,作为一服的量,加水三碗,煎至一碗,空腹温服。如果食少常饱,腹中满闷,加白芍药半钱。如果不思饮食,加五味子二十个。如果烦恼面上感觉如虫爬行,这是胃中元气极虚,加黄芪一钱半,人参七分,炙甘草、升麻各半钱。
人参补气汤(李东垣方):治疗四肢懒倦,自汗无力。
丁香末(二分) 生甘草 炙甘草(各三分) 生地黄 白芍药(各半钱) 熟地黄(六分) 人参(去芦头) 防风(去芦头) 羌活 黄柏 知母 当归身 升麻(各七分) 柴胡(一钱) 黄芪(一钱半) 全蝎(一个) 五味子(二十个)
以上药材细切,作为一服的量,加大碗水两碗,煎至一碗,空腹稍热服用。
黄芪白术汤(李东垣方):治疗妇人四肢沉重,自汗上至头颈,恶风头痛躁热。
细辛(二分) 吴茱萸 川芎(各三分) 柴胡 升麻(各四分) 当归身(六分) 黄柏(酒洗) 炙甘草 羌活(各八分) 五味子(一钱) 白术 人参(各一钱半) 黄芪(二钱半)
以上药材细切,作为一服的量,加大碗水两碗,生姜五片,煎至一碗,滤去药渣,饭前稍热服用。
增味四物汤(李东垣方):治疗妇人血积血瘕。
当归 川芎 白芍药 熟地黄 京三棱 干漆(炒至烟尽,另研) 肉桂(去掉粗皮) 广莪术(各等分)
以上药材细切,每次服用五钱,加大碗水两碗,煎至一碗,滤去药渣,空腹温服。
补经固真汤(李东垣方):治疗妇人白带下流不止,其心胞尺脉微细。
起初患病是血崩,久了则血少,后来亡其阳,所以白滑之物下流不止,所谓崩中日久变为白带。这是本经血海枯竭、津液随后亡失,不能滋养筋骨。以本部行经药作为引经药,以大辛甘油腻的药物滋润枯槁而生津液,以大辛热的药物补其阳道,生其血脉,以苦寒的药物清泄肺热而救上热,伤气用人参补益,以微苦温的药物为佐而益元气。
白葵花(研烂,四分) 陈皮(五分,不去白) 生黄芩(细研另入) 郁李仁(去皮尖,研如泥) 甘草(炙) 柴胡(各一钱) 干姜(细末) 人参(各二钱)
以上药材细切,除黄芩外,以水三碗,煎至一碗半,放入黄芩,同煎至一碗,滤去药渣,空腹热服,稍后用早饭压住药力。
温胃补血汤(李东垣方):治疗妇人耳鸣,鼻不闻香臭,口不知谷味,胃气不快,四肢困倦,行走倾斜侧歪,头发脱落,食不下,膝冷阴汗带下,喉中如有物阻,不得卧,口燥咽干,太息,头不可以回顾,项筋紧急,脊骨强痛,头旋眼黑,头痛喷嚏。
生地黄 白术 藿香 黄柏(各二分) 牡丹皮 苍术 王瓜根 陈皮 吴茱萸(各三分) 当归身(四分) 柴胡 人参 炙甘草 地骨皮(各五分) 升麻 生甘草(各六分) 黄芪(一钱) 丁香(一个) 桃仁(三分) 白葵花(七朵)
以上药材细切,作为一服的量,加大碗水两碗,煎至一碗,饭前热服。
立效散(李东垣方):治疗妇人血崩不止。
当归 莲花心 白绵子 红花 茅花(以上各一两)
以上药材锉如豆大,白纸包裹,泥封固,火存性,研为细末,每次服用三钱。如果是干血气,研血竭为引,温酒调服,或加轻粉半钱。如果血崩非常不止,加麝香为引,温酒调服。
四圣散(李东垣方):治疗妇人赤白带下。
川乌(炮制) 生白矾(各一钱) 红娘子(三个) 斑蝥(十个)
以上研为细末,炼蜜为丸,如皂子大小,用棉裹塞入阴户中。
温经除湿汤(李东垣方):治疗妇人在冬季,四肢无力,属于痿厥,湿热在下焦。醋心者,是浊气不下降,欲形成中满。合眼麻木作者,是阳道不行。恶风寒者,是上焦之分,皮肤中气不行。开目不麻者,是阳道少行而阴寒之气暂退。头旋目眩者,是风气下陷于血分,不得伸越而作,靠近火源则有此现象。
黄连(二分) 柴胡 草豆蔻 神曲(炒) 木香(各三分) 麻黄(不去根节) 独活 当归身 黄柏 升麻 羌活(各半钱) 炙甘草 人参 白术 猪苓 泽泻(各七分) 黄芪 陈皮 苍术(各一钱) 白芍药(一钱半)
以上药材细切,作为一服的量,加大碗水两碗,煎至一碗,饭后远时服用,是治疗肢节疼痛无力的良药。
桃仁散(《产宝》方):治疗妇人月经不调,或淋沥不断,断后复来,状如泻水,虚弱不进饮食,腹中坚痛,不可行动,月经或提前或推后,或经月不来,全身沉重,只想睡觉,多想吃酸物。
桃仁(去皮尖,炒,另研) 甘草(炙) 半夏(各三分) 赤芍药 生地黄(各一钱) 泽兰叶 川牛膝 当归 桂心 牡丹皮 人参 蒲黄 川芎(各七分)
以上药材细切,作为一服的量,加生姜三片,水二碗,煎至一碗,空腹温服。
通经下取方(《产宝》方):曾经试验神效。
海蛤粉(半两) 苦葶苈 牙皂(各二钱半) 巴豆(略去油) 天花粉 苦丁香 红娘子(各一钱半) 麝香
以上研为细末,每次用一钱,葱涎同捣为丸,薄棉裹,以五寸竹管纳入阴户中,候热时先通黄水,其次则经行。
通经丸(《产宝》方):治疗妇人室女,月经不通,或成血瘕疼痛。
桂心 青皮 大黄(酒湿纸裹煨) 川椒 莪术 干姜 川乌(炮制去皮) 干漆(碎,炒烟尽) 当归 桃仁(去皮尖,麸炒,研如泥,各等分)
以上研为细末,将四分之一用米醋熬成膏,和余下药末成剂,臼中杵匀,丸如梧桐子大,每次服用二十丸,空腹淡醋汤送下,逐渐加至三、四十丸,温酒也可以送下。对漆过敏者,加入鸡蛋清和药内。
胶艾汤(《良方》):治疗劳伤气血,冲任虚损,月水过多,淋沥不止。
阿胶(炒成珠) 川芎 甘草(炙,各半钱) 当归 艾叶(各七分半) 熟地黄 白芍药(各一钱)
以上药材细切,作为一服的量,加水一碗半,煎至一碗,温服。一方加地榆、黄芪。(见胎前门。)
加减四物汤(《良方》):治疗经候微少,渐致不通,手足烦疼,形瘦潮热,脉息微数。
本方去地黄、川芎,加泽兰叶三倍,甘草半分。如果经候过多,本方去熟地黄,加生地黄。如果经行身热脉数头昏,本方加柴胡、黄芩。如果经行微少,或胀或痛,四肢疼痛,本方加延胡索、没药、白芷,共为末,以淡醋汤调下。如果经候不调,心腹痛,只用芎、归二味煎服,名君臣散,以归倍于芎也。
加味四物汤(陈言《三因方》):因气冲经脉,故月事频并,脐下多痛,本方加白芍药。如果经欲行,脐腹痛,本方加玄胡、苦楝、槟榔、木香。如果经水过多,本方加黄芩、白术。如果经水涩少,本方加葵花、红花。如果经水适来适断,或往来寒热,宜先服小柴胡汤以去寒热,然后以四物汤和之,或以二方并服,名柴胡四物汤。
香附一物丸(《产宝》方):治疗经候不调,血气刺痛,腹胁膨胀,头眩恶心,崩漏带下,并宜治之。
香附子(杵去皮毛,不拘多少,米醋浸一日夜,用瓦铫煮令熟,焙干。)
以上研为细末,醋糊为丸,如梧桐子大,日干,每次服用五十丸,淡醋汤送下。
艾附丸(《产宝》方):治疗证候如前。
香附子(一斤,醋煮) 艾叶(四两) 当归(二两)
以上研为细末,醋糊为丸服用。
地黄通经丸(《产宝》方):治疗妇人经候不行,结成血瘕,在脐下如倒扣的杯子。
熟地黄(三两) 虻虫(去头足,炒) 水蛭(糯米同炒,去米) 桃仁(各五十个)
以上研为细末,炼蜜为丸,如梧桐子大,每次服用五十丸,空腹温酒送下。未愈,加至七、八十丸。
益母丸(《良方》):治疗妇人赤白带,恶露时下不止,及治妇人胎前产后及经中诸般奇病,无所不疗。
益母草 一名茺蔚子,紫花方茎,俗名野天麻,五月采,阴干,磨为细末,勿犯铁器,炼蜜为丸,如弹子大,每次服用一丸,用热酒加童
The previous six herbs are added to five bowls of water, decocted until one and a half bowls remain. The dregs are removed, Ejiao (Colla Corii Asini) is added, and it is decocted again over fire until one large bowl remains. It should be taken warm on an empty stomach.
Shuifu Dan (Water Palace Pill): Treats women with long-term deficiency and accumulated cold, amenorrhea (absence of menstruation), abdominal masses and痞块 (fixed lumps), sudden severe abdominal pain, dark and sallow complexion, emaciation, and thinness.
Sha (Sand, processed by pouring boiling water through paper) Hongdou (Red Bean, both 5 qian) Guixin (Cinnamon Twig Heart, separately ground into powder) Muxiang (Aucklandiae Radix) Ganjiang (Dried Ginger, both 1 liang) Sharen (Amomi Fructus, 2 liang) Huaruishí (Flower Ochre Stone, finely ground, 1.5 liang) Banmao (Mylabris, 100 pieces, heads and feet removed) Shengdihuang Zhi (Fresh Rehmanniae Radix Juice) Tongzini (Child's Urine, both 1 sheng) Layue Goudan (Dog Gallbladder from the twelfth lunar month, 7 pieces) Yuanqing (Dragonfly, 200 pieces, heads and feet removed, stir-fried with one scoop of glutinous rice until yellow, then remove rice).
The above nine ingredients are ground into fine powder, boiled with the three juices into a paste, mixed, and formed into pills the size of a chestnut. They are coated with Zhusha (Cinnabar). Take one pill before meals, chew thoroughly, and swallow with warm wine; rice drink is also acceptable.
Huangqi Dangshen Renshen Tang (Astragalus, Codonopsis, and Ginseng Decoction, by Li Dongyuan): Treats women with sudden and profuse uterine bleeding (menorrhagia). Initially caused by physical damage and blood loss, subsequent periods were delayed by ten days each time, eventually leading to continuous profuse bleeding. This is likely due to a narrow-minded, irritable, and easily frightened constitution resulting in insufficient Heart Qi, combined with irregular diet. Examination reveals cold palms, a deep, fine, and slow pulse with a rapid element, dysfunction of the nine orifices, weakness in the four limbs, shortness of breath and急促 panting, irregular breathing from mouth and nose, weak Spleen and Stomach, pain in the epigastrium corresponding to the heart, contraction and tension in the left hypochondrium, pulsation at the umbilicus, borborygmus and flatus, and difficulty defecating. One should first treat the root cause; the other symptoms will resolve. Calm the mind and stabilize the spirit, harmonize the Spleen and Stomach, replenish Yuan Qi, nourish blood and spirit. Use a major heat-inducing formula to dispel cold, adding a small amount of Shengdihuang (Rehmanniae Radix) to clear Mingmen (Gate of Life) ministerial fire, preventing flaccidity of the four limbs.
Huanglian (Coptidis Rhizoma, 2 fen) Shengdihuang (Rehmanniae Radix, 3 fen) Chao Shenqu (Fried Medicated Leaven) Juhong (Tangerine Peel, white part removed) Guizhi (Cinnamomi Ramulus, all 5 fen) Caodoukou (Cardamomi Fructus, 6 fen) Huangqi (Astragali Radix) Renshen (Ginseng Radix) Mahuang (Ephedrae Herba, not removing joints, each 1 qian) Dangguishen (Angelicae Sinensis Radix body, 1.5 qian) Xingren (Armeniacae Semen Amarum, 5 pieces, separately ground into paste).
Finely cut, as one dose. Add two and a half bowls of water. First decoct Mahuang until boiling, skim off the foam, decoct until two bowls remain. Add the remaining herbs and decoct together until one bowl remains. Take before meals; bleeding will stop immediately. Also use Caodoukou Wan (Cardamom Pills), fifteen pills, to relieve the cold pain in the deep epigastrium. Subsequently administer herbs for Liver accumulation to eliminate the root cause.
Danggui Shaoyao Tang (Angelica and Peony Decoction, by Li Dongyuan): Treats women with continuous dripping of menstrual blood, bright red in color, occurring during hot months. Initially due to overwork causing weak Spleen and Stomach, shortness of breath, rebellious Qi, spontaneous sweating, feverish oppression and confusion, loss of appetite, and lethargy in the four limbs with occasional diarrhea. Later, due to insufficient Heart Qi, menstrual blood flowed down profusely. There was slight downward movement of Qi, no more rebellious Qi, shortness of breath, and reluctance to speak. This formula is indicated.
Chaihu (Bupleuri Radix, 2 fen) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Shengdihuang (Rehmanniae Radix, each 3 fen) Huangqi (Astragali Radix, 1 qian) Chenpi (Citri Reticulatae Pericarpium, with white pith) Shudihuang (Prepared Rehmanniae Radix, each 5 fen) Cangzhu (Atractylodis Rhizoma, soaked in rice wash water) Baizhu (Atractylodis Macrocephalae Rhizoma) Chuangui (Angelicae Sinensis Radix) Shaoyao (Paeoniae Radix Alba, each 1.5 qian).
Finely cut, as one dose. Add two bowls of water, decoct until one bowl remains. Take warm on an empty stomach.
Chaihu Tiaojing Tang (Bupleurum Regulating Menstruation Decoction, by Li Dongyuan): Treats continuous menstruation with bright red blood, stiffness of neck tendons, headache, and rigid painful spine causing discomfort.
Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Dangguishen (Angelicae Sinensis Radix body) Gegen (Puerariae Lobatae Radix, each 3 fen) Duhuo (Angelicae Pubescentis Radix) Bencao (Ligustici Rhizoma et Radix) Shengma (Cimicifugae Rhizoma, each half qian) Chaihu (Bupleuri Radix, 7 fen) Qianghuo (Notopterygii Rhizoma et Radix) Cangzhu (Atractylodis Rhizoma, each 1 qian) Honghua (Carthami Flos, a little).
Finely cut, as one dose. Add two bowls of water, decoct until one bowl remains. Take warm on an empty stomach; induce mild sweating for immediate cessation.
Yiwei Shengyang Tang (Benefit Stomach and Raise Yang Decoction, by Li Dongyuan): Treats women with coagulated menstruation, black blood forming clots, blood masses in the left hypochondrium, continuous watery diarrhea, indigestion after eating, followed by sudden expulsion of blood clots along with watery diarrhea. This indicates that有形 (solid) blood has been exhausted in the lower jiao for a long time, yet menstruation remains irregular, with watery stools three to four times daily, postprandial vexation, reduced food intake, and emaciation. "Blood loss requires Qi tonification" is the method of ancient sages. First tonify Stomach Qi to assist the generating Qi. Thus it is said, "Yang generates Yin." Sweet herbs are prioritized because sweetness can generate blood, following the principle of Yang generating Yin. Grain Qi is the treasure of the human body, so regulating Stomach Qi is essential.
Chaihu (Bupleuri Radix) Shengma (Cimicifugae Rhizoma, each 5 fen) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Dangguishen (Angelicae Sinensis Radix body, wine-washed) Chenpi (Citri Reticulatae Pericarpium, each 1 qian) Renshen (Ginseng Radix, omit if coughing) Chao Shenqu (Fried Medicated Leaven, each 1.2 qian) Huangqi (Astragali Radix, 1.5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian) Sheng Huangqin (Scutellariae Radix, 2 fen).
Finely cut, as one dose. Add two large bowls of water, decoct until one bowl remains. Strain and take hot. If abdominal pain occurs, add Shaoyao (Paeoniae Radix Alba) 3 fen and a little Rougui (Cinnamomi Cortex). If thirsty or dry-mouthed, add Gegen (Puerariae Lobatae Radix) 3 fen; take at any time.
Shengyang Ju Jing Tang (Raise Yang and Lift Menstruation Decoction, by Li Dongyuan): Treats continuous menstruation. The Right Chi pulse is empty upon pressure, indicating exhaustion of both Qi and Blood, a major Cold syndrome. Light palpation reveals a rapid and hurried pulse; heavy pressure reveals a wiry, tight, or choppy pulse, all signs of Yang collapse. Ministerial Fire is also depleted. Heat symptoms appear in the mouth, nose, eyes, or thirst, indicating Yin restlessness and impending departure of Yang. Treatment should involve warming, lifting, raising, floating, and drying. This method greatly raises and floats Qi and Blood, supplementing the collapse below the Mingmen (Gate of Life).
Rougui (Cinnamomi Cortex, omit in summer) Shaoyao (Paeoniae Radix Alba, each 2 fen) Honghua (Carthami Flos, half fen) Xixin (Asari Radix et Rhizoma, 3 fen) Renshen (Ginseng Radix) Shudihuang (Prepared Rehmanniae Radix) Chuanxiong (Ligusticum Chuanxiong Rhizoma, each half fen) Duhuo Gen (Angelicae Pubescentis Radix) Hei Fuzi (Processed Aconiti Lateralis Radix Preparata) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 7.5 fen) Qianghuo (Notopterygii Rhizoma et Radix) Bencao (Ligustici Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix, each 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Danggui (Angelicae Sinensis Radix) Huangqi (Astragali Radix) Chaihu (Bupleuri Radix, each 1.2 qian) Taoren (Persicae Semen, a little).
Finely cut, divided into two doses. Each dose uses two large bowls of water, decocted until one bowl remains. Take hot on an empty stomach.
Danggui Fuzi Tang (Angelica and Processed Aconite Decoction, by Li Dongyuan): Treats cold pain below the umbilicus and red-and-white leukorrhea.
Danggui (Angelicae Sinensis Radix, 4 fen) Chao Yan (Stir-fried Salt, 3 fen) Xie Shao (Scorpion Tail) Shengma (Cimicifugae Rhizoma, each 5 fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 6 fen) Chaihu (Bupleuri Radix, 7 fen) Huangbai (Phellodendri Cortex, a little, as a guiding herb) Fuzi (Processed Aconiti Lateralis Radix Preparata, 1 qian) Ganjiang (Dried Ginger) Liangjiang (Alpiniae Officinarum Rhizoma, both processed, each 8 fen).
Finely cut, as one dose. Add three bowls of water, decoct until one bowl remains. Strain and take slightly warm. Alternatively, grind into fine powder and form pills using wine and flour paste.
Tiaojing Buzhen Tang (Regulate Menstruation and Tonify True Qi Decoction, by Li Dongyuan): In the first month after winter, when ground mud just thaws, leukorrhea flows, and the vaginal orifice feels cold. One dose stops it immediately.
Duhuo (Angelicae Pubescentis Radix) Ganjiang (Dried Ginger, processed) Bencao (Ligustici Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Cangzhu (Atractylodis Rhizoma, each 2 fen) Mahuang (Ephedrae Herba, not removing joints) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Renshen (Ginseng Radix, rhizome removed) Dangguishen (Angelicae Sinensis Radix body) Baizhu (Atractylodis Macrocephalae Rhizoma) Sheng Huangqin (Scutellariae Radix) Shengma (Cimicifugae Rhizoma, each 5 fen) Huangqi (Astragali Radix, 7 fen) Liangjiang (Alpiniae Officinarum Rhizoma) Zexie (Alismatis Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix, each 1 qian) Chaihu (Bupleuri Radix, 4 fen) Xingren (Armeniacae Semen Amarum, 2 pieces, ground) Guizhi (Cinnamomi Ramulus, a little) Bai Kuihua (White Chrysanthemum Flower, 7 flowers, calyx removed).
Finely cut, as one dose. Except for Huangqin and Mahuang which are handled separately: first decoct Mahuang alone in three large bowls of water until boiling, skim foam, add remaining herbs, decoct until two bowls remain. Then add Sheng Huangqin, decoct until one bowl remains. Take on an empty stomach; wait about an hour before eating breakfast.
Chaihu Dingxiang Tang (Bupleurum and Clove Decoction, by Li Dongyuan): Treats women around thirty years old who experience lower back and umbilical pain before menstruation, sometimes extending to abdominal pain, with menstruation delayed by two or three days.
Shengdihuang (Rehmanniae Radix, 5 fen) Dingxiang (Caryophylli Flos, 4 fen) Dangguishen (Angelicae Sinensis Radix body) Fangfeng (Saposhnikoviae Radix) Qianghuo (Notopterygii Rhizoma et Radix, each 1 qian) Chaihu (Bupleuri Radix, 1.2 qian) Quanxie (Scorpio, 1 piece).
Finely cut, as one dose. Add two bowls of water, decoct until one bowl remains. Strain and take slightly warm before meals.
Yanhu Koushen Tang (Corydalis and Toosendan Decoction, by Li Dongyuan): Treats cold, contracting pain below the umbilicus, cold genitalia, and profuse white leukorrhea.
Huangbai (Phellodendri Cortex, 1 fen) Yanhusuo (Corydalisis Rhizoma) Koushenzi (Toosendan Fructus, each 2 fen) Fuzi (Processed Aconiti Lateralis Radix Preparata) Rougui (Cinnamomi Cortex, each 3 fen) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, 5 fen) Shudihuang (Prepared Rehmanniae Radix, 1 qian).
Finely cut, as one dose. Add two bowls of water, decoct until one bowl remains. Take warm before meals.
Guifu Tang (Cinnamon and Aconite Decoction, by Li Dongyuan): Treats foul-smelling leukorrhea, excessive sadness and unhappiness, a major Cold syndrome.
Huangbai (Phellodendri Cortex, as guiding herb) Zhimu (Anemarrhenae Rhizoma, each 5 fen) Rougui (Cinnamomi Cortex, 5 fen) Fuzi (Processed Aconiti Lateralis Radix Preparata, 3 qian).
Finely cut, as one dose. Add three bowls of water, decoct until one bowl remains. Take warm on an empty stomach. If eating little but feeling full, with abdominal distension, add Shaoyao (Paeoniae Radix Alba) half qian. If loss of appetite, add Wuweizi (Schisandrae Chinensis Fructus) 20 berries. If vexation and sensation of insects crawling on the face indicate extreme deficiency of Stomach Yuan Qi, add Huangqi (Astragali Radix) 1.5 qian, Renshen (Ginseng Radix) 7 fen, Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) and Shengma (Cimicifugae Rhizoma) each half qian.
Renshen Buqi Tang (Ginseng Qi-Tonifying Decoction, by Li Dongyuan): Treats lethargy in the four limbs, spontaneous sweating, and weakness.
Dingxiang Mo (Cloves, powdered, 2 fen) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma, each 3 fen) Sheng Dihuang (Rehmanniae Radix) Shaoyao (Paeoniae Radix Alba, each half qian) Shu Dihuang (Prepared Rehmanniae Radix, 6 fen) Renshen (Ginseng Radix, rhizome removed) Fangfeng (Saposhnikoviae Radix, rhizome removed) Qianghuo (Notopterygii Rhizoma et Radix) Huangbai (Phellodendri Cortex) Zhimu (Anemarrhenae Rhizoma) Dangguishen (Angelicae Sinensis Radix body) Shengma (Cimicifugae Rhizoma, each 7 fen) Chaihu (Bupleuri Radix, 1 qian) Huangqi (Astragali Radix, 1.5 qian) Quanxie (Scorpio, 1 piece) Wuweizi (Schisandrae Chinensis Fructus, 20 berries).
Finely cut, as one dose. Add two large bowls of water, decoct until one bowl remains. Take slightly warm on an empty stomach.
Huangqi Baizhu Tang (Astragalus and Atractylodes Macrocephala Decoction, by Li Dongyuan): Treats women with heavy four limbs, spontaneous sweating extending to head and neck, aversion to wind, headache, and irritability with heat.
Xixin (Asari Radix et Rhizoma, 2 fen) Wuzhuyu (Evodiae Fructus) Chuanxiong (Ligusticum Chuanxiong Rhizoma, each 3 fen) Chaihu (Bupleuri Radix) Shengma (Cimicifugae Rhizoma, each 4 fen) Dangguishen (Angelicae Sinensis Radix body, 6 fen) Huangbai (Phellodendri Cortex, wine-washed) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix, each 8 fen) Wuweizi (Schisandrae Chinensis Fructus, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) Renshen (Ginseng Radix, each 1.5 qian) Huangqi (Astragali Radix, 2.5 qian).
Finely cut, as one dose. Add two large bowls of water and five slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct until one bowl remains. Strain and take slightly warm before meals.
Zengwei Siwu Tang (Modified Four Substance Decoction, by Li Dongyuan): Treats blood stasis and blood masses in women.
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligusticum Chuanxiong Rhizoma) Shaoyao (Paeoniae Radix Alba) Shudihuang (Prepared Rehmanniae Radix) Jing Sanleng (Sparganii Rhizoma) Ganqi (Meliosmae Caulis, stir-fried until smoke ceases, separately ground) Rougui (Cinnamomi Cortex, bark removed) Guang Ezhu (Curcumae Longae Rhizoma, equal parts).
Finely cut. Take 5 qian per dose. Add two large bowls of water, decoct until one bowl remains. Strain and take warm on an empty stomach.
Bu Jing Gu Zhen Tang (Tonify Menstruation and Secure True Qi Decoction, by Li Dongyuan): Treats continuous flow of leukorrhea in women, with a faint and fine Chi pulse of the Pericardium.
Initially suffering from metrorrhagia, prolonged blood loss leads to blood deficiency, followed by Yang depletion. Thus, white slippery substances flow continuously, known as leukorrhea resulting from prolonged metrorrhagia. This is exhaustion of the Blood Sea in the Chong and Ren meridians, followed by loss of Jin-Ye (body fluids), failing to nourish sinews and bones. Use herbs that regulate menstruation from this channel as guides. Use major pungent-sweet and greasy herbs to moisten dryness and generate fluids. Use major pungent-hot herbs to tonify Yang pathways, generate blood vessels. Use bitter-cold herbs to drain Lung heat and rescue upper heat. Replenish damaged Qi with Renshen (Ginseng Radix). Use slightly bitter-warm herbs as assistants to benefit Yuan Qi.
Bai Kuihua (White Chrysanthemum Flower, ground, 4 fen) Chenpi (Citri Reticulatae Pericarpium, 5 fen, do not remove white pith) Sheng Huangqin (Scutellariae Radix, finely ground, added separately) Yuliren (Prunus Armeniaca Kernel, skin and tip removed, ground into paste) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Chaihu (Bupleuri Radix, each 1 qian) Ganjiang (Dried Ginger, fine powder) Renshen (Ginseng Radix, each 2 qian).
Finely cut. Except for Huangqin, add three bowls of water, decoct until one and a half bowls remain. Add Huangqin, decoct together until one bowl remains. Strain and take hot on an empty stomach; suppress with breakfast shortly after.
Wen Wei Bu Xue Tang (Warm Stomach and Tonify Blood Decoction, by Li Dongyuan): Treats tinnitus, anosmia, ageusia, uncomfortable Stomach Qi, lethargy in four limbs, stooping gait, hair loss, anorexia, cold knees, sweaty genitals with leukorrhea, globus sensation in throat, inability to lie flat, dry mouth and throat, sighing, inability to turn head, stiff neck tendons, rigid painful spine, vertigo, blurred vision, headache, and sneezing.
Sheng Dihuang (Rehmanniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Huoxiang (Agastaches Herba) Huangbai (Phellodendri Cortex, each 2 fen) Mudanpi (Moutan Cortex) Cangzhu (Atractylodis Rhizoma) Wangguagen (Trichosanthes Kirilowii Root) Chenpi (Citri Reticulatae Pericarpium) Wuzhuyu (Evodiae Fructus, each 3 fen) Dangguishen (Angelicae Sinensis Radix body, 4 fen) Chaihu (Bupleuri Radix) Renshen (Ginseng Radix) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Digupi (Lycii Cortex, each 5 fen) Shengma (Cimicifugae Rhizoma) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, each 6 fen) Huangqi (Astragali Radix, 1 qian) Dingxiang (Caryophylli Flos, 1 piece) Taoren (Persicae Semen, 3 fen) Bai Kuihua (White Chrysanthemum Flower, 7 flowers).
Finely cut, as one dose. Add two large bowls of water, decoct until one bowl remains. Take hot before meals.
Lixiao San (Instant Efficacy Powder, by Li Dongyuan): Treats continuous metrorrhagia in women.
Danggui (Angelicae Sinensis Radix) Lianhua Xin (Nelumbinis Plumula) Bainianzi (Gossypii Folium) Honghua (Carthami Flos) Maohua (Imperatae Rhizoma Flower, all 1 liang).
Cut into bean-sized pieces, wrap in white paper, seal with mud, calcine to retain nature, grind into fine powder. Take 3 qian per dose. For dry blood qi, use Xuejie (Dragon's Blood) as guide, mix with warm wine, or add Qingfen (Calomelas) half qian. If metrorrhagia is extremely persistent, add Shexiang (Moschus) as guide, mix with warm wine.
Sisheng San (Four Sages Powder, by Li Dongyuan): Treats red and white leukorrhea in women.
Chuanwu (Aconiti Radix, processed) Sheng Baifan (Alumen, each 1 qian) Hongniangzi (Lyttae Cartharis) Banmao (Mylabris, 10 pieces).
Grind into fine powder, form pills with refined honey, size of soap seeds. Wrap in cotton and insert into vaginal orifice.
Wen Jing Chu Shi Tang (Warm Meridians and Expel Dampness Decoction, by Li Dongyuan): Treats women in winter with weak four limbs, constituting Wei Jue (flaccidity and cold extremities), due to damp-heat in the Lower Jiao. Acid regurgitation indicates turbid Qi failing to descend, predisposing to abdominal fullness. Numbness with closed eyes indicates failure of Yang pathways. Aversion to wind and cold indicates failure of Qi in the skin of the Upper Jiao. Absence of numbness with open eyes indicates slight Yang pathway function and temporary retreat of Yin-Cold. Vertigo and dizziness indicate Wind-Qi sinking into Blood level, unable to extend, exacerbated by proximity to fire.
Huanglian (Coptidis Rhizoma, 2 fen) Chaihu (Bupleuri Radix) Caodoukou (Cardamomi Fructus) Shenqu (Medicated Leaven, fried) Muxiang (Aucklandiae Radix, each 3 fen) Mahuang (Ephedrae Herba, roots and joints not removed) Duhuo (Angelicae Pubescentis Radix) Dangguishen (Angelicae Sinensis Radix body) Huangbai (Phellodendri Cortex) Shengma (Cimicifugae Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix, each half qian) Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Zhuling (Polyporus) Zexie (Alismatis Rhizoma, each 7 fen) Huangqi (Astragali Radix) Chenpi (Citri Reticulatae Pericarpium) Cangzhu (Atractylodis Rhizoma, each 1 qian) Shaoyao (Paeoniae Radix Alba, 1.5 qian).
Finely cut, as one dose. Add two large bowls of water, decoct until one bowl remains. Take well after meals. It is a superior medicine for treating joint pain and weakness.
Taoren San (Peach Kernel Powder, from *Chanbao*): Treats irregular menstruation in women, or continuous dripping, recurring after stopping, resembling watery discharge. Weakness prevents food intake, firm abdominal pain prevents movement. Menstruation may come early or late, or cease for a month. Whole body feels heavy, desire to sleep, craving for sour foods.
Taoren (Persicae Semen, skin and tip removed, fried, separately ground) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Banxia (Pinelliae Rhizoma, each 3 fen) Chishaoyao (Red Peony Root) Shengdihuang (Rehmanniae Radix, each 1 qian) Zelan Ye (Leonuri Herba) Chuan Niuxi (Achyranthis Bidentatae Radix) Danggui (Angelicae Sinensis Radix) Guixin (Cinnamon Twig Heart) Mudanpi (Moutan Cortex) Renshen (Ginseng Radix) Puhuang (Typhae Pollen) Chuanxiong (Ligusticum Chuanxiong Rhizoma, each 7 fen).
Finely cut, as one dose. Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and two bowls of water. Decoct until one bowl remains. Take warm on an empty stomach.
Tongjing Xia Qu Fang (Unblock Menstruation and Drain Formula, from *Chanbao*): Tested and effective.
Haige Fen (Concha Meretricis et Cyprinae Powder) Kutingsli (Descurainiae Semen) Yazao (Gleditsiae Spina) Baidu (Crotonis Fructus, oil partially removed) Tianhuafen (Trichosanthis Radix) Ku Dingxiang (Galbanum) Hongniangzi (Lyttae Cartharis, each 1.5 qian) Shexiang (Moschus).
Grind into fine powder. Use 1 qian per application. Mix with Scallion Sap and knead into pills. Wrap in thin cotton, insert into vaginal orifice using a five-inch bamboo tube. When heat arises, yellow fluid will pass first, then menstruation will commence.
Tongjing Wan (Unblock Menstruation Pill, from *Chanbao*): Treats unmarried women with amenorrhea or blood mass pain.
Guixin (Cinnamon Twig Heart) Qingpi (Citri Reticulatae Pericarpium Viride) Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and baked) Chuanjiao (Sichuan Pepper) Ezhu (Curcumae Longae Rhizoma) Ganjiang (Dried Ginger) Chuanwu (Aconiti Radix, processed and peeled) Ganqi (Meliosmae Caulis, crushed, stir-fried until smoke ceases) Danggui (Angelicae Sinensis Radix) Taoren (Persicae Semen, skin and tip removed, bran-fried, ground into paste, equal parts).
Grind into fine powder. Take one-quarter of the powder, boil with rice vinegar into a paste. Mix with remaining powder to form a dough. Pound evenly in a mortar. Form pills the size of Sophora seeds. Take 20 pills on an empty stomach with light vinegar water. Gradually increase to 30-40 pills. Warm wine is also acceptable. For those allergic to lacquer, add Egg White to the mixture.
Jiao Ai Tang (Ejiao and Mugwort Decoction, from *Liangfang*): Treats Qi and Blood injury from overstrain, deficiency and damage of Chong and Ren meridians, menorrhagia, and continuous dripping.
Ejiao (Colla Corii Asini, fried until bubbling) Chuanxiong (Ligusticum Chuanxiong Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each half qian) Danggui (Angelicae Sinensis Radix) Aye (Mugwort Leaf, each 7.5 fen) Shudihuang (Prepared Rehmanniae Radix) Shaoyao (Paeoniae Radix Alba, each 1 qian).
Finely cut, as one dose. Add one and a half bowls of water, decoct until one bowl remains. Take warm. Another prescription adds Diyü (Sanguisorbae Radix) and Huangqi (Astragali Radix). (See Prenatal Section.)
Jiajian Siwu Tang (Modified Four Substance Decoction, from *Liangfang*): Treats scanty menstruation gradually progressing to amenorrhea, vexing pain in hands and feet, emaciation, tidal fever, and faint rapid pulse.
Remove Dihuang (Rehmanniae Radix) and Chuanxiong (Ligusticum Chuanxiong Rhizoma) from the base formula. Add Zelan Ye (Leonuri Herba) three times the amount, and Gancao (Glycyrrhizae Radix et Rhizoma) half fen. If menstruation is excessive, remove Shudihuang (Prepared Rehmanniae Radix) and add Shengdihuang (Rehmanniae Radix). If fever, rapid pulse, and dizziness occur during menstruation, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix). If menstruation is scanty, or accompanied by distension/pain and limb pain, add Yanhusuo (Corydalisis Rhizoma), Moyao (Myrrha), and Baizhi (Angelicae Dahuricae Radix), grind into powder, and take with light vinegar water. If menstruation is irregular with abdominal pain, use only Chuanxiong (Ligusticum Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix) decocted, named Junchen San (Monarch-Minister Powder), with Danggui double the amount of Chuanxiong.
Jiawei Siwu Tang (Added Four Substance Decoction, by Chen Yuan): Due to Qi rushing through meridians, frequent menstruation and lower abdominal pain occur. Add Shaoyao (Paeoniae Radix Alba) to the base formula. If approaching menstruation with umbilical/abdominal pain, add Yanhu (Corydalis), Koushen (Toosendan), Binglang (Arecae Semen), and Muxiang (Aucklandiae Radix). If menstruation is excessive, add Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). If menstruation is scanty and rough, add Kuihua (Hibiscus Flower) and Honghua (Carthami Flos). If menstruation starts and stops abruptly, or with alternating chills and fever, first take Xiao Chaihu Tang (Minor Bupleurum Decoction) to resolve chills and fever, then harmonize with Siwu Tang, or take both formulas together, named Chaihu Siwu Tang.
Xiangfu Yi Wu Wan (Single Cyperi Pill, from *Chanbao*): Treats irregular menstruation, stabbing pain from Qi and Blood stagnation, abdominal and hypochondriac distension, vertigo, nausea, metrorrhagia, and leukorrhea. All these conditions are suitable for treatment.
Xiangfu Zi (Cyperi Rhizoma, pounded to remove skin and hairs, any amount, soaked in rice vinegar for one day and night, boiled in a clay pot until cooked, dried).
Grind into fine powder. Form pills with vinegar paste, size of Sophora seeds. Dry in sun. Take 50 pills per dose with light vinegar water.
Ai Fu Wan (Mugwort and Aconite Pill, from *Chanbao*): Treats conditions as described above.
Xiangfu Zi (Cyperi Rhizoma, 1 jin, boiled in vinegar) Aye (Mugwort Leaf, 4 liang) Danggui (Angelicae Sinensis Radix, 2 liang).
Grind into fine powder. Form pills with vinegar paste and take.
Dihuang Tongjing Wan (Rehmannia Unblock Menstruation Pill, from *Chanbao*): Treats amenorrhea in women, forming blood masses below the umbilicus like an inverted cup.
Shudihuang (Prepared Rehmanniae Radix, 3 liang) Mengchong (Blatta, heads and feet removed, fried) Shuizhi (Hirudo, stir-fried with glutinous rice, remove rice) Taoren (Persicae Semen, each 50 pieces).
Grind into fine powder. Form pills with refined honey, size of Sophora seeds. Take 50 pills per dose with warm wine on an empty stomach. If not cured, increase to 70-80 pills.
Yimu Wan (Motherwort Pill, from *Liangfang*): Treats red and white leukorrhea, continuous lochia discharge, and various strange diseases during pregnancy, postpartum, and menstruation in women. It treats all such conditions.
Yimucao (Leonuri Herba), also known as Chongweizi. Purple flowers, square stems. Commonly called Wild Tianma. Harvest in May, shade-dry, grind into fine powder. Avoid iron vessels. Form pills with refined honey, size of a marble. Take one pill per dose with warm wine and child's urine.