《病源论》云∶月水来腹痛者,由劳损血气,体虚受风冷,故令痛也。
《耆婆方》治妇人月节来腹痛血气方∶
防风(二两) 生姜(六两) 浓朴(三两,炙) 甘草(二两) 术(二两) 枳实
(二两,炙) 桔梗(一两)
七味,切,以水六升,煮取一升半,去滓,分为三服。
《僧深方》治月经至绞痛欲死茯苓汤方∶
茯苓(三两) 甘草(二两) 夕药(二两) 桂心(二两)
凡四物,切,以水七升,煮取二升半,分三服。
《百病针灸》治月水来腹痛方∶
灸中极穴,在脐下四寸。
《广济方》治月水来腹痛方∶
当归 甘草(各八两) 夕药 茯苓 桂心(各十二分)
以水六升,煮取二升,绞去滓,分温三服,服别相去,如人行六七里,忌生冷、海藻。
《病源论》云∶崩中之病,是复损冲脉,任脉。冲任之脉,起于胞内,为经脉之海。劳
伤过度,冲任气虚,不统制其经,故血忽然崩下,谓之崩中。而内有瘀血,故时崩时止,淋
沥不断,名曰崩中漏下也。
又云∶漏下不止,致损五脏,五脏之色,随脏不同,因虚其五色与血而俱下。其状,白
者如涕,赤者如红汁,黄者如烂瓜汁,青得如蓝色,黑者如 血也。
《短剧方》治妇人崩中,昼夜十数行,医所不能治方∶
芎 (八两)
上一物,以酒五升,煮取三升,分三服,不耐酒者,随多少服之。(《千金方》同之。)
又治妇人五崩下赤白青黄黑大枣汤方∶
大枣(百枚) 黄 (三两) 胶(八两) 甘草(一尺)
凡四物,以水一斗,煮取三升半,内胶令烊,分三服。今按∶《本草》云∶甘草一尺者,
重二两为正。
又治漏下神方∶
取槐耳,烧,捣,下筛,酒服方寸匕,日三,立愈。(今按∶《千金方》∶烧子酒服之。)
又治妇人漏下病不断,积年困笃方∶
取鹊重巢柴,合烧末,服方寸匕,日三。鹊重巢者,去年在巢中产,今岁更在其上复作
巢是也。(《集验方》同之。)
又治崩中去血方∶
舂生蓟根汁一升,温顿服之,亦可以酒煮,随意服之。
又方∶舂生地黄汁一升,顿温服之,即止。(已以《千金方》同之。)
《医门方》治久崩中昼夜不止,医不能疗方∶
芎 (八分) 生地黄汁(一升)
凡以酒五升,煮取二升,去滓,下地黄汁煎一沸,分三服,相去八九里。不耐酒者,随
多少,数数服即止,但此二味可单用服之。
《千金方》治妇人漏赤不止,昼夜上气虚竭方∶
龟甲(炙) 牡蛎
二味,分等,为散,酒服方寸匕,日三。
又方∶烧乱发,服方寸匕,日三。
又治五色 下方∶
大豆紫汤,日三服,佳。
又方∶煮甑 汁服之。
又方∶服蒲。
又灸崩中方∶
灸小腹横纹,当脐孔直下,一百壮。
又方∶灸关元两旁,相去三寸。
《葛氏方》治妇人崩中漏下及月,去青黄赤白使无子方∶
鹿茸(二两) 当归(二两) 蒲黄(二两)
捣筛,酒服五分匕,日三,加至方寸匕。(《录验方》同之。)
又方∶赤石脂蜜丸,服如梧子三丸,日三。
又方∶露蜂房烧末,三指撮,酒服之,良。
《广利方》治崩中漏下血方∶
凌霄花末,温酒服方寸匕,日三,即止。
《僧深方》治崩中方∶
桑耳 干姜(分等)
下筛,酒服方寸匕,日四五。
又方∶白茅根二十斤,小蓟根十斤,捣,绞取汁,煮取五升,服一升,日三四。
《经心方》治长血芎 丸方∶
鹿茸(二两) 当归(二两) 蒲黄(二两) 阿胶(二两) 芎 (二两) 白术(三
两) 干地黄(三两)
凡七物,捣,筛,和丸如大豆,服十丸,日三。
又方∶生地黄,莲根分等,捣,绞取汁,煎,服任意。
龙骨丸治长血方∶
龙骨 阿胶(炙) 赤石脂 牡蛎 干地黄 当归 甘草(炙,各二两) 蒲黄(三两)
凡八物,捣,筛,丸如梧子,服十五丸,日三。
《龙门方》疗妇人 下方∶
人参(一两) 茯苓(二两) 牡蛎(五两,别研)
余者末,和,饮服酒亦得,日再,以瘥为度。
又方∶灸脐左右各一寸五分,各三百壮。
《集验方》治妇人漏下不止散方∶
鹿茸(三两) 当归(二两) 蒲黄(一两) 阿胶(三两,炙) 乌贼骨(二两,去
甲)
下筛,为散,酒服方寸匕,日三夜再。(《千金方》同之。)
《苏敬本草注》云∶刮牛黄服之。
《崔禹锡食经》云∶海髑髅子刮服之。
《诸病源候论》说:月经来潮时腹痛,是因为劳损了气血,身体虚弱又受风冷侵袭,所以导致疼痛。
《耆婆方》治疗妇女每逢经期腹痛、血气不和的方子:
防风(二两) 生姜(六两) 厚朴(三两,炙过) 甘草(二两) 白术(二两) 枳实(二两,炙过) 桔梗(一两)
以上七味药,切碎,用水六升,煮取一升半,去掉药渣,分三次服用。
《僧深方》治疗月经至时绞痛欲死的茯苓汤方:
茯苓(三两) 甘草(二两) 芍药(二两) 桂心(二两)
以上四味药,切碎,用水七升,煮取二升半,分三次服用。
《百病针灸》治疗月经来潮腹痛的方子:
灸中极穴,位于脐下四寸处。
《广济方》治疗月经来潮腹痛的方子:
当归 甘草(各八两) 芍药 茯苓 桂心(各十二分)
用水六升,煮取二升,绞去药渣,分三次温服。每次服药间隔时间,相当于人行走六七里的路程。忌食生冷食物和海藻。
《诸病源候论》说:崩中的病,是由于反复损伤冲脉和任脉。冲脉和任脉,起始于胞宫内部,是十二经脉之海。过度劳累损伤,导致冲任之气虚弱,不能统摄控制经血,所以血液忽然大量崩下,称为崩中。如果体内有瘀血,就会时而崩下时而停止,淋漓不断,这叫做崩中漏下。
又说:漏下不止,会损伤五脏,五脏的颜色随脏腑不同而各异,因为虚损,五色与血液一起下行。其症状表现为:白色的像鼻涕,红色的像红汁,黄色的像烂瓜汁,青色的像蓝靛水,黑色的像凝血块。
《短剧方》治疗妇女崩中,昼夜发作十几次,医生无法治愈的方子:
川芎(八两)
以上一味药,用酒五升,煮取三升,分三次服用。不胜酒力的人,根据耐受程度适量服用。(《千金方》与此相同。)
又治疗妇女五种崩下(赤、白、青、黄、黑)的大枣汤方:
大枣(一百枚) 黄芪(三两) 阿胶(八两) 甘草(一尺)
以上四味药,用水一斗,煮取三升半,加入阿胶使其溶化,分三次服用。现在考证:《本草》说:一尺长的甘草,重量以二两为正确标准。
又治疗漏下的神效方:
取槐耳,烧成灰,捣碎过筛,用酒送服一方寸匕,每天三次,立即痊愈。(现在考证:《千金方》说:烧槐树子,用酒送服。)
又治疗妇女漏下病不断,多年病情严重的方子:
取喜鹊重叠筑巢用的柴草,合在一起烧成末,服用一方寸匕,每天三次。所谓喜鹊重巢,是指去年在巢中产卵,今年又在上面重新筑巢的柴草。(《集验方》与此相同。)
又治疗崩中去血的方子:
捣碎新鲜蓟根取汁一升,温热后一次性服完,也可以用酒煮,随意服用。
又一个方子:捣碎新鲜地黄取汁一升,温热后一次性服完,出血即止。(此前已在《千金方》中记载相同。)
《医门方》治疗长期崩中昼夜不止,医生无法治疗的方子:
川芎(八分) 生地黄汁(一升)
以上用酒五升,煮取二升,去掉药渣,加入生地黄汁再煎煮一沸,分三次服用,每次间隔相当于人行走八九里的路程。不胜酒力的人,根据耐受程度,多次少量服用即可止血,但这两味药也可以单独服用。
《千金方》治疗妇女漏下红色血液不止,昼夜上气虚竭的方子:
龟甲(炙过) 牡蛎
以上两味药,等分,研成散剂,用酒送服一方寸匕,每天三次。
又一个方子:烧乱发,服用一方寸匕,每天三次。
又一个方子:服用蒲黄。
又灸治崩中的方法:
灸小腹横纹,正对肚脐直下的位置,灸一百壮。
《葛氏方》治疗妇女崩中漏下及月经,去除青、黄、赤、白各种异常分泌物,使不再受孕的方子:
鹿茸(二两) 当归(二两) 蒲黄(二两)
捣碎过筛,用酒送服五分匕,每天三次,剂量可增加至一方寸匕。(《录验方》与此相同。)
又一个方子:赤石脂蜜丸,服用如梧桐子大小的三丸,每天三次。
又一个方子:露蜂房烧成末,用手指捏取三指撮的量,用酒送服,疗效良好。
《广利方》治疗崩中漏下血的方子:
凌霄花末,用温酒送服一方寸匕,每天三次,出血即止。
《僧深方》治疗崩中的方子:
桑耳 干姜(等分)
过筛,用酒送服一方寸匕,每天四到五次。
又一个方子:白茅根二十斤,小蓟根十斤,捣碎,绞取汁液,煮取五升,每次服用一升,每天三到四次。
《经心方》治疗长期出血的川芎丸方:
鹿茸(二两) 当归(二两) 蒲黄(二两) 阿胶(二两) 川芎(二两) 白术(三两) 干地黄(三两)
以上七味药,捣碎,过筛,混合制成如大豆大小的丸药,每次服用十丸,每天三次。
又一个方子:生地黄、莲根等分,捣碎,绞取汁液,煎煮后,随意服用。
龙骨丸治疗长期出血的方子:
龙骨 阿胶(炙过) 赤石脂 牡蛎 干地黄 当归 甘草(炙过,各二两) 蒲黄(三两)
以上八味药,捣碎,过筛,制成如梧桐子大小的丸药,每次服用十五丸,每天三次。
《龙门方》治疗妇女漏下方的方子:
人参(一两) 茯苓(二两) 牡蛎(五两,另研细粉)
其余药物研成末,混合,用酒或饮水送服均可,每天两次,以病愈为标准。
《集验方》治疗妇女漏下不止的散剂方:
鹿茸(三两) 当归(二两) 蒲黄(一两) 阿胶(三两,炙过) 乌贼骨(二两,去壳)
过筛,制成散剂,用酒送服一方寸匕,白天三次,晚上两次。(《千金方》与此相同。)
The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: Abdominal pain during menstruation occurs due to the depletion of Qi and Blood from overwork, combined with wind-cold invasion in a constitutionally weak body, thus causing pain.
The *Qipo Fang* (Prescriptions of Qipo) for treating women's abdominal pain and Qi-Blood disharmony occurring monthly:
Fangfeng (Saposhnikoviae Radix, 2 liang), Shengjiang (Zingiberis Rhizoma Recens, 6 liang), Houpo (Magnoliae Officinalis Cortex, 3 liang, processed with heat), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang), Zhishi (Aurantii Fructus Immaturus, 2 liang, processed with heat), Jiegeng (Platycodonis Radix, 1 liang).
These seven ingredients are cut, boiled in six sheng of water until reduced to one and a half sheng, strained, and divided into three doses.
The *Seng Shen Fang* (Prescriptions of Monk Shen) for treating severe menstrual cramps resembling death: Fuling Tang (Poria Decoction):
Fuling (Poria, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Shaoyao (Paeoniae Radix Alba, 2 liang), Guixin (Cinnamomi Ramulus, 2 liang).
These four ingredients are cut, boiled in seven sheng of water until reduced to two and a half sheng, and divided into three doses.
*Bai Bing Zhenjiu* (Acupuncture and Moxibustion for Hundred Diseases) for treating abdominal pain during menstruation:
Moxibustion at Zhongji (CV3), located four cun below the umbilicus.
The *Guangji Fang* (Broad Relief Prescriptions) for treating abdominal pain during menstruation:
Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (8 liang each); Shaoyao (Paeoniae Radix Alba), Fuling (Poria), Guixin (Cinnamomi Ramulus) (12 fen each).
Boil in six sheng of water until reduced to two sheng, strain, and take warm in three doses. The interval between doses should be equivalent to walking six or seven li. Avoid raw/cold foods and Sargassum (Haizao).
The *Zhubing Yuanhou Lun* states: The disease of Bengzhong (Metrorrhagia) results from repeated damage to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). These vessels originate within the Bao Gong (Uterus) and serve as the Sea of the Twelve Meridians. Excessive labor causes deficiency in Chong and Ren Qi, leading to an inability to control the menses, resulting in sudden profuse bleeding, termed Bengzhong. If there is retained blood stasis internally, bleeding may stop and start intermittently, dripping continuously; this is called Bengzhong Louxia (Metrorrhagia and Metrostaxis).
It further states: Persistent Louxia damages the Five Zang Organs. The color of the discharge varies according to the affected organ. Due to deficiency, the five colors mix with blood and descend. The manifestations are: white like phlegm, red like red juice, yellow like rotting melon juice, blue-green like indigo, and black like clotted blood.
The *Duanju Fang* (Short Drama Prescriptions) for treating women with Bengzhong, occurring ten or more times day and night, refractory to medical treatment:
Xiong (Chuanxiong Rhizoma, 8 liang).
One ingredient, boiled in five sheng of wine until reduced to three sheng, divided into three doses. Those intolerant to alcohol should take as tolerated. (Identical to *Qianjin Fang*).
Also for treating the five types of Beng (discharge of red, white, green, yellow, black): Dazao Tang (Jujube Decoction):
Dazao (Ziziphi Jujubae Fructus, 100 pieces), Huangqi (Astragali Radix, 3 liang), Ejiao (Colla Corii Asini, 8 liang), Gancao (Glycyrrhizae Radix et Rhizoma, one chi long).
Four ingredients, boiled in one dou of water until reduced to three and a half sheng. Add Ejiao and melt it. Divide into three doses. Note: According to *Bencao*, one chi of Gancao weighs two liang correctly.
Also a divine prescription for Louxia:
Take Huai'er (Phellinus Linteus), burn it, grind, and sieve. Take one fangcun bi with wine, three times daily, for immediate cure. (Note: *Qianjin Fang* suggests burning Huaihua seeds and taking with wine.)
Also for chronic Louxia persisting for years with severe condition:
Take wood from overlapping magpie nests, burn together to ash, take one fangcun bi three times daily. "Overlapping nest" refers to wood from a nest built anew upon last year's nest where eggs were laid. (Identical to *Jiyan Fang*).
Also for stopping bleeding from Beng:
Crush fresh Jigen (Cirsii Japonici Radix) to obtain one sheng of juice. Take warm in one dose, or boil with wine and take as desired.
Another prescription: Crush fresh Dihuang (Rehmanniae Radix) to obtain one sheng of juice. Take warm in one dose to stop bleeding. (Also recorded in *Qianjin Fang*).
*Yimen Fang* (Medical Gate Prescriptions) for prolonged Bengzhong with continuous day-and-night bleeding, refractory to treatment:
Xiong (Chuanxiong Rhizoma, 8 fen), Shengdihuang Juice (Rehmanniae Radix Recens Juice, 1 sheng).
Boil in five sheng of wine until reduced to two sheng. Strain, add Shengdihuang juice, boil once more. Divide into three doses, spaced by walking eight or nine li. For those intolerant to alcohol, take frequently in small amounts to stop bleeding; these two ingredients can also be taken singly.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) for women with persistent red Louxia and daytime/nighttime exhaustion of Upper Qi:
Guijia (Testudinis Carapax et Plastrum, roasted), Muli (Ostreae Concha).
Equal parts, ground into powder. Take one fangcun bi with wine, three times daily.
Another prescription: Burn human hair, take one fangcun bi three times daily.
Also for treating five-colored discharge:
Da Dou Zi Tang (Black Soybean Purple Decoction), taken three times daily, is preferable.
Another prescription: Drink juice from Zengchen (sediment from steamers).
Another prescription: Take Puhuang (Typhae Pollen).
Also moxibustion for Bengzhong:
Moxibustion on the horizontal wrinkle of the lower abdomen, directly below the umbilicus, 100 moxa cones.
Another prescription: Moxibustion on both sides of Guanyuan (CV4), three cun away.
*Ge Shi Fang* (Ge's Prescriptions) for treating women's Bengzhong, Louxia, and menstruation, eliminating green, yellow, red, and white discharges to prevent conception:
Lurong (Cervi Cornu Pantotrichum, 2 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Puhuang (Typhae Pollen, 2 liang).
Grind and sieve. Take five fen bi with wine, three times daily, increasing to one fangcun bi. (Identical to *Lu Yan Fang*).
Another prescription: Chishizhi (Halloysit Rubrum) honey pills, three pills the size of wutong seeds, three times daily.
Another prescription: Lu Fengfang (Vespa Crabro Nest) burned to ash, pinch with three fingers, take with wine, effective.
*Guangli Fang* (Broad Benefit Prescriptions) for treating Bengzhong Louxia blood:
Lingxiaohua (Campsis Grandiflorae Flos) powder, take one fangcun bi with warm wine, three times daily, stops immediately.
*Seng Shen Fang* for treating Bengzhong:
Sanger (Armillariae Myliotis), Ganjiang (Zingiberis Rhizoma, equal parts).
Sieve, take one fangcun bi with wine, four to five times daily.
Another prescription: Baimaogen (Imperatae Rhizoma, 20 jin), Xiaoji Gen (Cirsii Japonici Radix, 10 jin). Crush, squeeze juice, boil until reduced to five sheng. Take one sheng, three to four times daily.
*Jingxin Fang* for treating prolonged bleeding: Xiongzhu Wan (Chuanxiong Pill):
Lurong (Cervi Cornu Pantotrichum, 2 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Puhuang (Typhae Pollen, 2 liang), Ejiao (Colla Corii Asini, 2 liang), Xiong (Chuanxiong Rhizoma, 2 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Ganhuidang (Rehmanniae Radix Preparata, 3 liang).
Seven ingredients, grind, sieve, mix, and form pills the size of soybeans. Take ten pills, three times daily.
Another prescription: Shengdihuang (Rehmanniae Radix Recens), Lian Gen (Nelumbinis Rhizoma), equal parts. Crush, squeeze juice, boil, and take as desired.
Longgu Wan (Dragon Bone Pill) for treating prolonged bleeding:
Longgu (Fossilia Ossis Mastodi et Scapulae), Ejiao (Colla Corii Asini, roasted), Chishizhi (Halloysit Rubrum), Muli (Ostreae Concha), Ganhuidang (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 liang each), Puhuang (Typhae Pollen, 3 liang).
Eight ingredients, grind, sieve, form pills the size of wutong seeds. Take fifteen pills, three times daily.
*Longmen Fang* for treating women's Louxia:
Renshen (Ginseng Radix et Rhizoma, 1 liang), Fuling (Poria, 2 liang), Muli (Ostreae Concha, 5 liang, separately ground).
Other ingredients ground into powder, mixed, taken with wine or water, twice daily, until cured.
Another prescription: Moxibustion one and a half cun left and right of the umbilicus, 300 cones each side.
*Jiyan Fang* for treating persistent women's Louxia powder:
Lurong (Cervi Cornu Pantotrichum, 3 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Puhuang (Typhae Pollen, 1 liang), Ejiao (Colla Corii Asini, roasted, 3 liang), Wuzhegu (Sepiae Endoconcha, 2 liang, shell removed).
Sieve, make powder. Take one fangcun bi with wine, three times by day, twice by night. (Identical to *Qianjin Fang*).
*Su Jing Bencao Zhu* (Su Jing's Commentary on Materia Medica) states: Scrape and take Niuhuang (Bovis Calculus).
*Cui Yuxi Shijing* (Cui Yuxi's Food Classic) states: Scrape and take Hai Dulongzi (Sea Skull Seed).