〔《大》〕治妊娠卒心痛,气欲绝。
川芎 当归 茯苓 浓朴(各等分)
上水六升,煎二升,分二服。
白术散治妊娠卒心痛欲死,不可忍者。
白术 赤芍药(各二两) 黄芩(一两半)
上水六升,煮取二升半,分三服,半日令尽,微下水,令易产。忌桃李雀肉。
〔罗〕火龙散治产后心痛。
艾叶(盐炒一半) 茴香(炒) 川楝子(炒。各一两)
上为末,水煎服。
〔《大》〕治妇人血崩心痛,甚者名曰杀血心痛。小产下血过多而心痛者亦然。用乌贼鱼墨
炒为末,醋汤调下。(此鱼腹多有墨汁,见人过必吐其墨以蔽身。)
失笑散 治心腹痛,百药不效,服之即愈。(方见心痛污血条。)
〔《救》〕治产后血不尽,心腹痛。荷叶熬令香为末,水煎下方寸匕。
〔《大》〕大岩蜜汤治产后血寒心痛。
熟地 当归 独活 吴茱萸 芍药 干姜 甘草 桂心 小草(各一两) 细辛(半两)
上为散,每服半两,水三盏煎至一盏,去渣稍热服。
〔《圣》〕治产后恶血冲心痛,气闷欲绝。用桂心三两,捣罗为散,狗胆汁和丸如樱桃大,
不拘时候,热酒磨下二丸。
〔丹〕气痛,一身腔子里气痛。少用木香于药内行得开。
〔河〕正气天香散 治妇人一切诸气,或上凑心胸,或攻筑胁肋,腹中结块,发渴,刺痛,月水
不调,或眩晕呕吐,往来寒热,减食。(方见治虚实气血条。)
〔丹〕调气方
香附(四两) 人参(一两) 乌药(三两) 砂仁(一两) 甘草(炙,二两)
上为细末,熟汤调服。
〔《本》〕治脾积气,妇人诸般气痛。
香附(五两,炒) 蓬术(醋煮) 甘草(各二两)
上各净研为细末,每服二钱,入盐少许,百沸汤空心热服。
治一切气疾,丈夫妇人撞心冷气,并皆治之。
香附(一斤炒,去毛) 陈皮(四两,去白) 甘草(一两,生)
上为细末,每服二钱,空心盐汤点服。
〔丹〕宽中丸
枳壳为末,酒糊丸。
妇人患气痛,喜食热物。二陈汤加木通,姜五片煎,下保和丸。
女子患气痛要揉者,曾服乌沉汤有效,又再发。
陈皮(六钱半) 半夏 青皮(半两) 芍药(二钱) 木通 川芎 茱萸(一钱) 甘草(五分)
上分五帖,姜三片煎服。
明五院君出外怒归,膈痞痛,不思食,脉沉弦稍数,此气抑不通也。
半夏(三钱) 青皮 枳壳(各二钱) 黄芩 芍药(各钱半) 木通 甘草(各一钱)
上姜三片煎,取半盏,下保和丸三十粒。
三七嫂,怒后气痛,脉沉,不思食。
青皮(一钱) 柴胡(半钱) 甘草(炙,二分) 半夏(一钱) 黄芩(五分) 木通(三钱) 陈皮(五分)
上姜三片,煎服。
感村妇人五十七岁,气痛不可按,渐渐痛至足。
青皮 芍药(各三钱) 川芎 陈皮(各三钱) 黄柏(炒) 木通(各一钱) 甘草(些,炙)
上分三帖,煎热饮。
〔《本》〕治妇人室女血气刺痛不可忍,日夜叫唤可怜者,一服效。
芸苔子 肉桂(板桂也) 良姜 没药(各等分)
上焙干为末,每服三钱,乳香汤调下,热服,不拘时候。
〔孟诜〕心腹中结伏气。杏仁、陈皮、桂心、诃黎勒皮为丸,空心服三十丸。
〔《本》〕和气散治男妇一切气疾,他药不瘳者。
甘草(炙,半两) 白芨(一两) 地骨皮 山蜈蚣 藿香(半两) 白芷(一两) 木香
红内消 山慈菰(各半两)
上焙干为末,每服二大钱,空心盐汤点服。余乡村有一老医,数世习医,凡妇人气疾,惟
凭此药,百发百中
【《太平惠民和剂局方》】治疗妊娠期间突然发作的心痛,气息微弱欲绝。
川芎、当归、茯苓、浓朴(各等分)
以上药材用水六升,煎煮至二升,分两次服用。
白术散:治疗妊娠期间突然发作的心痛,疼痛剧烈难以忍受。
白术、赤芍药(各二两)、黄芩(一两半)
以上药材用水六升,煮取二升半,分三次服用,半天内服完,使大便微通,利于分娩。忌食李子、桃子和雀肉。
【罗天益】火龙散:治疗产后心痛。
艾叶(一半用盐炒)、茴香(炒)、川楝子(炒,各一两)
以上药材研为末,用水煎服。
【《太平惠民和剂局方》】治疗妇人血崩引起的心痛,严重的称为“杀血心痛”。小产下血过多导致心痛的也采用此法。使用乌贼鱼墨(即海螵蛸),炒后研为末,用醋汤调服。(这种鱼的腹部多有墨汁,见到人经过必定吐出墨汁以遮蔽自身。)
失笑散:治疗心腹痛,各种药物无效时,服用此方即刻痊愈。(方剂见心痛污血条。)
【《救荒本草》】治疗产后恶露不尽引起的心腹痛。将荷叶熬至有香气后研为末,用水煎服下方寸匕。
【《太平惠民和剂局方》】大岩蜜汤:治疗产后因血寒引起的心痛。
熟地黄、当归、独活、吴茱萸、芍药、干姜、甘草、桂心、小草(各一两)、细辛(半两)
以上药材研为散剂,每次服用半两,用水三盏煎至一盏,去渣后稍热服用。
【《圣济总录》】治疗产后恶血上冲引起的心痛,气闷欲绝。取桂心三两,捣碎过筛为散,用狗胆汁调和制成如樱桃大小的丸剂,不拘时候,用热酒磨服两丸。
【朱丹溪】气痛,指身体腔子里的气痛。在药方中少加木香即可行气通畅。
【李东垣】正气天香散:治疗妇人各种气病,或气上冲心胸,或攻击胁肋,腹中有结块,口渴,刺痛,月经不调,或眩晕呕吐,往来寒热,食欲减退。(方剂见治虚实气血条。)
【朱丹溪】调气方
香附(四两)、人参(一两)、乌药(三两)、砂仁(一两)、甘草(炙,二两)
以上药材研为细末,用熟开水调服。
【《本草衍义》】治疗脾积气,妇人各种气痛。
香附(五两,炒)、蓬术(醋煮)、甘草(各二两)
以上药材分别净研为细末,每次服用二钱,加入少许盐,空腹用滚水热服。
治疗一切气疾,男子妇人撞心冷气,均能治疗。
香附(一斤炒,去毛)、陈皮(四两,去白)、甘草(一两,生)
以上药材研为细末,每次服用二钱,空腹用盐汤送服。
妇人患气痛,喜欢食用热物。用二陈汤加木通,加生姜五片煎煮,送服保和丸。
女子患气痛需要揉按的,曾服用乌沉汤有效,但后来又复发。
陈皮(六钱半)、半夏、青皮(半两)、芍药(二钱)、木通、川芎、吴茱萸(一钱)、甘草(五分)
以上药材分为五帖,加生姜三片煎服。
明五院君外出归来时发怒,胸膈痞塞疼痛,不思饮食,脉象沉弦稍数,这是气机郁滞不通所致。
半夏(三钱)、青皮、枳壳(各二钱)、黄芩、芍药(各钱半)、木通、甘草(各一钱)
以上药材加生姜三片煎煮,取药液半盏,送服保和丸三十粒。
三七嫂,发怒后出现气痛,脉象沉,不思饮食。
青皮(一钱)、柴胡(半钱)、甘草(炙,二分)、半夏(一钱)、黄芩(五分)、木通(三钱)、陈皮(五分)
以上药材加生姜三片,煎服。
感村一位五十七岁的妇人,气痛不可按压,疼痛逐渐蔓延至足部。
青皮、芍药(各三钱)、川芎、陈皮(各三钱)、黄柏(炒)、木通(各一钱)、甘草(少许,炙)
以上药材分为三帖,煎热饮服。
【《本草衍义》】治疗妇人少女血气刺痛不可忍受,日夜叫唤令人可怜者,服用一次即见效。
芸苔子、肉桂(板桂)、良姜、没药(各等分)
以上药材焙干研为末,每次服用三钱,用乳香汤调服,热服,不拘时候。
【孟诜】心腹中伏气。用杏仁、陈皮、桂心、诃黎勒皮制作丸剂,空腹服用三十丸。
【《本草衍义》】和气散:治疗男女一切气疾,其他药物无效的。
甘草(炙,半两)、白芨(一两)、地骨皮、山蜈蚣、藿香(半两)、白芷(一两)、木香、红内消、山慈菰(各半两)
以上药材焙干研为末,每次服用两大钱,空腹用盐汤送服。我乡村有一位老医生,几代行医,凡是妇人气疾,只凭此药,百发百中。
[From *Taiping Huimin Heji Jufang*] Treats sudden onset of heart pain during pregnancy, with breath faint and near exhaustion.
Chuanxiong Rhizome (*Chuanxiong*), Angelicae Sinensis Radix (*Danggui*), Poria (*Fuling*), Magnoliae Officinalis Cortex (*Nanpu*) (equal parts).
Take six sheng of water, decoct to two sheng, divide into two doses.
Baizhu San: Treats sudden severe heart pain during pregnancy that is unbearable.
Atractylodis Macrocephalae Rhizoma (*Baizhu*), Red Peony Root (*Chishaoyao*) (each 2 liang), Scutellariae Radix (*Huangqin*) (1.5 liang).
Take six sheng of water, boil to obtain 2.5 sheng, divide into three doses, consume within half a day to induce mild bowel movement, facilitating delivery. Avoid plums, peaches, and sparrow meat.
[Luo Tianyi] Huolong San: Treats postpartum heart pain.
Artemisiae Argyi Folium (*Aiye*) (half salt-fried), Foeniculi Fructus (*Huixiang*) (fried), Toosendan Fructus (*Chuanlianzi*) (fried, each 1 liang).
Grind into powder, decoct in water and take.
[From *Taiping Huimin Heji Jufang*] Treats heart pain caused by metrorrhagia in women; severe cases are called "Sha Xue Xin Tong" (Heart Pain from Blood Killing). The same applies to heart pain due to excessive bleeding after miscarriage. Use Sepia Ecribrosa (*Wouyu Mo*, cuttlefish bone), stir-fry and grind into powder, take mixed with vinegar broth. (This fish has much ink in its abdomen; it vomits ink to cover itself when encountering people.)
Shixiao San: Treats heart and abdominal pain unresponsive to other medicines; effective immediately upon ingestion. (Formula see section on Heart Pain due to Stagnant Blood.)
[From *Jiu Huang Ben Cao*] Treats postpartum heart and abdominal pain due to incomplete expulsion of lochia. Fry Lotus Leaf (*Heye*) until fragrant, grind into powder, take one fangcun bi (approx. 1 cubic inch) decocted in water.
[From *Taiping Huimin Heji Jufang*] Dayanmi Tang: Treats postpartum heart pain due to blood-cold.
Prepared Rehmanniae Radix (*Shudi*), Angelicae Sinensis Radix (*Danggui*), Angelicae Pubescentis Radix (*Duhuo*), Evodiae Fructus (*Wuzhuyu*), Paeoniae Radix (*Shaoyao*), Zingiberis Rhizoma Recens (*Ganjiang*), Glycyrrhizae Radix et Rhizoma (*Gancao*), Cinnamomi Cortex (*Guixin*), Xiaocao (each 1 liang), Asari Radix et Rhizoma (*Xixin*) (0.5 liang).
Grind into powder, take 0.5 liang per dose, decoct with three cups of water to one cup, remove dregs, and take slightly warm.
[From *Shengji Zonglu*] Treats postpartum heart pain and suffocation due to ascending malignant blood, with breath nearly stopping. Take 3 liang of Cinnamomi Cortex (*Guixin*), grind and sieve into powder, mix with Gall Bladder Porci (*Gou Danzhi*) to make pills the size of cherries. Take two pills ground in hot wine at any time.
[Zhu Danxi] Qi pain refers to pain from qi stagnation within the body cavities. Adding a small amount of Aquilariae Lignum Resinatum (*Muxiang*) to the prescription allows the qi to move freely.
[Li Dongyuan] Zhengqi Tianxiang San: Treats all kinds of qi disorders in women, such as qi rushing to the chest and heart, attacking the hypochondrium, abdominal masses, thirst, stabbing pain, irregular menstruation, dizziness, vomiting, alternating chills and fever, and loss of appetite. (Formula see section on Treating Deficiency-Excess Qi and Blood.)
[Zhu Danxi] Tiaoqi Fang
Cyperi Rhizoma (*Xiangfu*) (4 liang), Ginseng Radix (*Renshen*) (1 liang), Linderae Radix (*Wuyao*) (3 liang), Amomi Fructus (*Sharen*) (1 liang), Glycyrrhizae Radix et Rhizoma (*Gancao*) (roasted, 2 liang).
Grind into fine powder, take mixed with boiled water.
[From *Bencao Yan yi*] Treats spleen accumulation of qi and various qi pains in women.
Cyperi Rhizoma (*Xiangfu*) (5 liang, fried), Curcumae Longae Rhizoma (*Pengzhu*) (boiled in vinegar), Glycyrrhizae Radix et Rhizoma (*Gancao*) (each 2 liang).
Grind each separately into fine powder, take 2 qian per dose with a little salt, drink hot on an empty stomach with boiling water.
Treats all qi diseases, including cold qi striking the heart in men and women.
Cyperi Rhizoma (*Xiangfu*) (1 jin, fried, remove hairs), Citri Reticulatae Pericarpium (*Chenpi*) (4 liang, remove white pith), Glycyrrhizae Radix et Rhizoma (*Gancao*) (1 liang, raw).
Grind into fine powder, take 2 qian per dose on an empty stomach with salt water.
[Zhu Danxi] Kuanzhong Wan
Grind Aurantii Fructus (*Zhiqiao*) into powder, make pills with rice paste.
Women suffering from qi pain who prefer hot foods: Decoct Erchen Tang with Tongcao (*Mutong*) and five slices of Zingiberis Rhizoma (*Jiang*), take with Baohe Wan.
Women suffering from qi pain requiring massage: Wu Chen Tang was previously effective but relapsed.
Citri Reticulatae Pericarpium (*Chenpi*) (6.5 qian), Pinelliae Rhizoma (*Banxia*), Citri Reticulatae Pericarpium Viride (*Qingpi*) (0.5 liang), Paeoniae Radix (*Shaoyao*) (2 qian), Akebiae Caulis (*Mutong*), Chuanxiong Rhizome (*Chuanxiong*), Evodiae Fructus (*Zhuyu*) (1 qian), Glycyrrhizae Radix et Rhizoma (*Gancao*) (0.5 fen).
Divide into five doses, decoct with three slices of ginger and take.
Lord Mingwu returned home angry after being away, suffering from chest oppression and pain, loss of appetite, with a deep, wiry, and slightly rapid pulse. This indicates qi depression and obstruction.
Pinelliae Rhizoma (*Banxia*) (3 qian), Citri Reticulatae Pericarpium Viride (*Qingpi*), Aurantii Fructus (*Zhiqiao*) (each 2 qian), Scutellariae Radix (*Huangqin*), Paeoniae Radix (*Shaoyao*) (each 1.5 qian), Akebiae Caulis (*Mutong*), Glycyrrhizae Radix et Rhizoma (*Gancao*) (each 1 qian).
Decoct with three slices of ginger, take half a cup, and swallow 30 pills of Baohe Wan.
Sanqi Sao suffered from qi pain after anger, with a deep pulse and loss of appetite.
Citri Reticulatae Pericarpium Viride (*Qingpi*) (1 qian), Bupleuri Radix (*Chaihu*) (0.5 qian), Glycyrrhizae Radix et Rhizoma (*Gancao*) (roasted, 2 fen), Pinelliae Rhizoma (*Banxia*) (1 qian), Scutellariae Radix (*Huangqin*) (0.5 fen), Akebiae Caulis (*Mutong*) (3 qian), Citri Reticulatae Pericarpium (*Chenpi*) (0.5 fen).
Decoct with three slices of ginger and take.
A 57-year-old woman from Gancun suffered from qi pain that could not be pressed, with pain gradually extending to the feet.
Citri Reticulatae Pericarpium Viride (*Qingpi*), Paeoniae Radix (*Shaoyao*) (each 3 qian), Chuanxiong Rhizome (*Chuanxiong*), Citri Reticulatae Pericarpium (*Chenpi*) (each 3 qian), Phellodendri Cortex (*Huangbai*) (fried), Akebiae Caulis (*Mutong*) (each 1 qian), Glycyrrhizae Radix et Rhizoma (*Gancao*) (a little, roasted).
Divide into three doses, decoct and drink hot.
[From *Bencao Yan yi*] Treats unbearable stabbing pain from blood and qi in unmarried women, who cry day and night; effective after one dose.
Brassicae Pekinensis Seed (*Yuntaizi*), Cinnamomi Cortex (*Rougui* / Ban Gui), Alpiniae Officinarum Rhizoma (*Liangjiang*), Myrrha (*Moyao*) (equal parts).
Roast until dry, grind into powder, take 3 qian per dose mixed with Frankincense (*Ruxiang*) broth, take hot at any time.
[Meng Shen] For latent qi in the heart and abdomen. Make pills from Apricot Seed (*Xingren*), Citri Reticulatae Pericarpium (*Chenpi*), Cinnamomi Cortex (*Guixin*), and Terminalia Chebulae Pericarpium (*Helile Pi*). Take 30 pills on an empty stomach.
[From *Bencao Yan yi*] Heqi San: Treats all qi diseases in men and women unresponsive to other medicines.
Glycyrrhizae Radix et Rhizoma (*Gancao*) (roasted, 0.5 liang), Bletillae Rhizoma (*Baiji*) (1 liang), Lycii Cortex (*Digupi*), Scolopendra (*Shanwugong*), Agastachis Herba (*Huoxiang*) (0.5 liang), Angelicae Dahuricae Radix (*Baizhi*) (1 liang), Aquilariae Lignum Resinatum (*Muxiang*), Hongneixiao, Smilacis Glabrae Rhizoma (*Shancigu*) (each 0.5 liang).
Roast until dry, grind into powder, take two large qian per dose on an empty stomach with salt water. In my village, there is an old doctor whose family has practiced medicine for generations; for all female qi disorders, he relies solely on this medicine, achieving success every time.