《病源论》云∶妇人无子,其事有三也。一者坟墓不嗣,二者夫妇年命相克,三者夫病
妇疾,皆使无子。其若是坟墓不嗣,年命相克,此二者,非药能益。若夫病妇疾,须将饵,
故得有效也。然妇人挟 无子,皆由劳伤血气,冷热不调。而受风寒,客于子宫,致胞内生
疾。或月经涩闭,或崩内带下,致阴阳之气不和,经血之行乖候,故无子也。
又云∶男人无子者,其精清如水,冷如铁,皆无子。
又云∶泻精,精不射出,俱聚在阴头,亦无子也。
《千金方》云∶凡人无子,当夫妻俱有五劳七伤所致。治之法,男服七子散,女服紫石
门冬丸。
七子散方∶
五味(八分) 牡荆子(八分) 菟丝子(八分,渍酒三宿) 车前子(八分) 菥
子(八分) 薯蓣(八分) 石斛(八分) 干地黄(八分) 杜仲(八分) 鹿茸(八分)
远志(八分) 附子(六分,炮) 蛇床子(六分) 芎 (六分) 山茱萸(五分) 天
雄(五分,炮) 人参(五分) 茯苓(五分) 黄 (五分) 牛膝(五分) 桂心(十
分) 巴戟天(三两) 苁蓉(七分) 钟乳(二两)
凡二十四味,酒服方寸匕,日二,以知为度,禁如法。不能酒者,蜜丸服。
紫石门冬丸方∶
紫石英(三两,七日研之,少得上浮即熟) 天门冬(三两) 当归(八分) 芎 (八
分) 紫葳(八分) 卷柏(八分) 桂心(八分) 乌头(八分) 牡蒙(八分) 干地
黄(八分) 石斛(八分) 禹余粮(八分) 辛夷心(八分) 人参(五分) 寄生(五
分) 续断(五分) 细辛(五分) 浓朴(五分) 干姜(五分) 食茱萸(五分) 牡
丹(五分) 牛膝(五分) 薯蓣(六分) 乌贼骨(六分) 甘草(六分) 柏仁(四分)
凡二十六味,捣筛,蜜和,酒服如梧子十丸,日三,渐增至三十丸,以腹中热为度,禁
如药法。比来服者,皆不至尽剂即有身。
《僧深方》∶庆云散治大(丈)夫阳气不足,不能施化,施化无所成方∶
天门冬(九两,去心) 菟丝子(一升) 桑上寄生(四两) 紫石英(二两) 覆盆
子(一升) 五味子(一升) 天雄(一两,炮) 石斛(三两) 术(三两,熬,令反色)
素不耐冷者,去寄生,加细辛四两。
凡九物,冶合,下筛,以酒服方寸匕,先食日三。阳气少而无子者,去石斛,加槟榔十
五枚。
承泽丸 治妇人下焦三十六疾不孕育及绝产方∶
梅核(一升) 辛夷(一升) 本(一两) 泽兰(十五合) 溲疏(一两) 葛上
亭长(七枚)
凡六物,冶,下筛,和以蜜丸如蜱豆,先食服二丸,日三,不知稍增。
《极要方》疗无子不受精,精入即出,此子门闭也∶
山茱萸(一两) 酸枣(二两) 柏子仁(二两) 五味子(二两)
上,下筛,以好淳酒,丸如麻子,先食吞下二丸。颖川都尉张君夫人年四十八无子,服
此药即生二男。药无禁。
《葛氏方》治妇人不生子方∶
以戊子日令妇人敞胫卧上西北首,交接。五月、七月、庚子、壬子日尤佳。
又方∶桃花未舒者,阴干百日,捣末,以戊子日三指撮,酒服。
《耆婆方》云∶常以四月八日,二月八日奉佛香花,令人多子孙,无病。
《新录方》云∶正月始雨水,男女各饮一坏(杯),有子。
又方∶常以戊子日日中时合阴阳,解发振,立得。
又方∶灸中极穴,在脐下四寸。
《录验方》云∶治妇人无子方∶
柏子仁(一升) 茯苓末(一升)
捣,合乳汁和服,如梧子十丸。(《葛氏方》同之。)
《枕中方》云∶欲得生子日,子日正午时,面向南卧,合阴阳,(即)有验。
又云∶老子曰∶取井中虾蟆着户上,生子必贵。
《玉房秘诀》云∶治妇人无子,令妇人左手持小豆二七枚,右手扶男子阴头纳女阴中,
左手纳豆着口中,女自男阴同入,闻男阴精下,女仍当咽豆。有效万全,不失一也。女人自
闻知男人精出,不得失时候。
又云∶妇人怀子未满三月,以戊子取男子冠缨烧之,以取灰,以酒尽服之,生子富贵明
达。秘之秘之。
《本草拾遗》云∶夫尿处土令有子。壬子日,妇人取少许,水和服之,是日就房,即有
娠也。
又云∶正月十五日灯盏令人有子,夫妻共于灯下盗取,置卧床下,勿令人知,当此月有
娠。
《诸病源候论》说:妇人不能生育,原因有三条。一是祖坟风水问题导致无后嗣,二是夫妻双方的生辰八字相克,三是丈夫有病或妻子有疾,都会导致无法生育。如果是前两种情况(祖坟风水、生辰相克),这两者不是药物能够补救的。如果是丈夫有病或妻子有疾,必须通过服药治疗,这样才会有效。然而,妇女因其他原因导致的不孕,大多是由于劳损损伤了气血,冷热失调。风寒之邪侵入,客居于子宫,导致胞宫内部产生疾病。或者出现月经涩滞闭止,或者崩漏及白带过多,致使阴阳之气不和,经血运行的时机错乱,所以不能生育。
又说:男子不能生育的,其精液清稀如水,寒冷如铁,都不能生育。
又说:射精时,精液不射出,全部聚集在龟头处,也不能生育。
《千金方》说:凡是人不能生育,应当是夫妻双方都患有五劳七伤所致。治疗方法是,男方服用七子散,女方服用紫石门冬丸。
七子散方剂组成:
五味子(八分) 牡荆子(八分) 菟丝子(八分,用酒浸泡三个晚上) 车前子(八分) 葶苈子(八分) 薯蓣(八分) 石斛(八分) 干地黄(八分) 杜仲(八分) 鹿茸(八分) 远志(八分) 附子(六分,炮制) 蛇床子(六分) 川芎(六分) 山茱萸(五分) 天雄(五分,炮制) 人参(五分) 茯苓(五分) 黄芪(五分) 牛膝(五分) 桂心(十分) 巴戟天(三两) 肉苁蓉(七分) 钟乳石(二两)
以上共二十四味药,用酒送服一方寸匕大小的量,每日两次,以见效为度,禁忌事项按常规方法执行。不能饮酒的人,可用蜂蜜制成丸剂服用。
紫石门冬丸方剂组成:
紫石英(三两,研磨七日,直到少量粉末能浮在水面上即为熟透) 天门冬(三两) 当归(八分) 川芎(八分) 紫葳(凌霄花)(八分) 卷柏(八分) 桂心(八分) 乌头(八分) 牡蒙(八分) 干地黄(八分) 石斛(八分) 禹余粮(八分) 辛夷心(八分) 人参(五分) 桑寄生(五分) 续断(五分) 细辛(五分) 厚朴(五分) 干姜(五分) 食茱萸(五分) 牡丹(五分) 牛膝(五分) 薯蓣(六分) 海螵蛸(乌贼骨)(六分) 甘草(六分) 柏子仁(四分)
以上共二十六味药,捣碎过筛,用蜂蜜调和,用酒送服梧桐子大小的十丸,每日三次,逐渐增加至三十丸,以腹部感到温热为度,禁忌事项按常规药物禁忌执行。近来服用此药的人,都没有服完一剂就怀上了身孕。
《僧深方》:庆云散治疗大丈夫人阳气不足,不能施化精气,施化不成形的方法:
天门冬(九两,去心) 菟丝子(一升) 桑上寄生(四两) 紫石英(二两) 覆盆子(一升) 五味子(一升) 天雄(一两,炮制) 石斛(三两) 白术(三两,熬制,使其颜色反转)
平时不耐受寒冷的人,去掉寄生,加细辛四两。
以上共九味药,捣碎混合,过筛,用酒送服一方寸匕大小的量,饭前服用,每日三次。阳气少而不能生育的人,去掉石斛,加槟榔十五枚。
承泽丸 治疗妇人下焦三十六种疾病导致不孕育及绝产的方法:
梅核(一升) 辛夷(一升) 藁本(一两) 泽兰(十五合) 溲疏(一两) 葛上亭长(七枚)
以上共六味药,捣碎,过筛,用蜜和成丸,大小如蜱豆,饭前服用二丸,每日三次,若无效则稍增量。
《极要方》治疗无子且不受精,精液进入即流出,这是子门闭塞的原因:
山茱萸(一两) 酸枣(二两) 柏子仁(二两) 五味子(二两)
以上药物,捣碎过筛,用好而纯的酒,制成如麻子大小的丸剂,饭前吞服二丸。颍川都尉张君的夫人四十八岁没有孩子,服用此药后生了两个男孩。此药没有禁忌。
《葛氏方》治疗妇人生不了孩子的方子:
在戊子日让妇人裸露小腿仰卧,头朝西北方向,进行房事。五月、七月、庚子日、壬子日尤其好。
又一方:桃花未开放时,阴干一百天,捣成粉末,在戊子日用三指撮的量,用酒送服。
《耆婆方》说:常在四月八日、二月八日供奉佛香花,让人多子孙,无疾病。
《新录方》说:正月开始下雨时,男女各喝一杯水,会有孩子。
又一方:常在戊子日中午时分行房事,解开头发并抖动身体,立即就能怀孕。
又一方:灸中极穴,位于脐下四寸处。
《录验方》说:治疗妇人不能生育的方子:
柏子仁(一升) 茯苓末(一升)
捣碎,与乳汁混合服用,制成梧桐子大小的十丸。(《葛氏方》与此相同。)
《枕中方》说:想要得子的日子,在子日正午时分,面向南躺下,行房事,(就会)有验证。
又说:老子说:取井中的蛤蟆放在门框上,生子必定尊贵。
《玉房秘诀》说:治疗妇人不能生育,让妇人左手拿着十四颗小豆,右手扶着男子的龟头纳入女子阴道中,左手将豆子放入自己口中,女子随男子阴茎一同进入,听到男子精液射出的声音,女子应当咽下豆子。这种方法有效且万无一失,不会失败一次。女人自己知道男人精液射出时,不得错过时机。
又说:妇人怀孕未满三个月,在戊子日取男子帽带烧成灰,用酒全部服下,生子必定富贵明达。保密,务必保密。
《本草拾遗》说:丈夫尿过的地方土壤能让妇人怀孕。壬子日,妇人取少许该土,用水调服,当天同房,就会受孕。
又说:正月十五日灯盏让人有子,夫妻一起在灯下偷取(灯油或相关物品),放置在卧床下,不要让人知道,当月就会受孕。
According to the *Bingyuan Lun* (Treatise on the Origins and Manifestations of Diseases), there are three reasons for a woman's infertility. First, ancestral grave Feng Shui issues preventing lineage continuation; second, the husband and wife's birth years and fates being mutually incompatible; third, illness in either the husband or the wife, all of which result in infertility. If the cause is related to ancestral graves or fate incompatibility, these two aspects cannot be remedied by medicine. However, if the cause is illness in the husband or wife, treatment with medication is necessary and can be effective. Nevertheless, female infertility due to other causes generally stems from exhaustion damaging Qi and Blood, and an imbalance of cold and heat. Pathogenic Wind-Cold invades and lodges in the Uterus, causing disease within the Bao Gong (Uterus). This may manifest as scanty or amenorrheic menstruation, or metrorrhagia and leukorrhea, leading to disharmony of Yin and Yang Qi and irregular menstrual flow, thus resulting in infertility.
It also states: For men who are infertile, their semen is clear like water and cold like iron, rendering them unable to procreate.
It further states: In cases where ejaculation occurs but semen does not project outward, remaining gathered at the glans penis, infertility results.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) states: Generally, infertility in couples is caused by both partners suffering from the Five Exhaustions and Seven Injuries. The treatment method involves the male taking Qizi San (Seven Seeds Powder) and the female taking Zishi Mendong Wan (Purple Stone Winter Sweet Pill).
**Qizi San Formula:**
Wuweizi (Schisandrae Fructus, 8 fen) Mujingzi (Vitexis Fructus, 8 fen) Tusizi (Cuscutae Semen, 8 fen, soaked in wine for three nights) Cheqianzi (Plantaginis Semen, 8 fen) Tinglizi (Lepidii Semen, 8 fen) Shuyu (Dioscoreae Rhizoma, 8 fen) Shihu (Dendrobii Caulis, 8 fen) Gadihuang (Rehmanniae Radix Preparata, 8 fen) Duzhong (Eucommiae Cortex, 8 fen) Lurong (Cervi Cornu Degelatinatum, 8 fen) Yuanzhi (Polygalae Radix, 8 fen) Fuzi (Aconiti Lateralis Radix Preparata, 6 fen, processed) Chuangzi (Cnidii Fructus, 6 fen) Xiong (Chuanxiong Rhizoma, 6 fen) Shanzhuyu (Corni Fructus, 5 fen) Tianxiong (Aconiti Radix, 5 fen, processed) Renshen (Ginseng Radix, 5 fen) Fuling (Poria, 5 fen) Huangqi (Astragali Radix, 5 fen) Niuxi (Achyranthis Bidentatae Radix, 5 fen) Guixin (Cinnamomi Ramulus, 10 fen) Bajitian (Morindae Officinalis Radix, 3 liang) Congrong (Cynomorii Herba, 7 fen) Zhongru (Ostreae Concha Preparata, 2 liang)
Total twenty-four ingredients. Take one cun bi (approx. 3-5 grams) with wine, twice daily. Discontinue when efficacy is observed. Adhere to standard dietary and lifestyle prohibitions. Those who cannot consume alcohol may take honey-pilled forms.
**Zishi Mendong Wan Formula:**
Zhiyingshi (Fluoritum, 3 liang, ground for seven days until fine powder floats on water) Tiandongdong (Asparagi Radix, 3 liang) Danggui (Angelicae Sinensis Radix, 8 fen) Xiong (Chuanxiong Rhizoma, 8 fen) Ziwei (Bignoniae Caulis, 8 fen) Juanbai (Selaginellae Herba, 8 fen) Guixin (Cinnamomi Ramulus, 8 fen) Wutou (Aconiti Radix, 8 fen) Mumeng (unknown, likely a variant name, 8 fen) Gadihuang (Rehmanniae Radix Preparata, 8 fen) Shihu (Dendrobii Caulis, 8 fen) Yuyuliang (Halloysitum Rubrum, 8 fen) Xinyixin (Magnoliae Flos, 8 fen) Renshen (Ginseng Radix, 5 fen) Jisheng (Taxilli Herba, 5 fen) Xuduan (Dipsaci Radix, 5 fen) Xixin (Asari Radix et Rhizoma, 5 fen) Houpo (Magnoliae Officinalis Cortex, 5 fen) Ganjiang (Zingiberis Rhizoma Preparatum, 5 fen) Shizhuyu (Zanthoxyli Fructus, 5 fen) Mudan (Moutan Cortex, 5 fen) Niuxi (Achyranthis Bidentatae Radix, 5 fen) Shuyu (Dioscoreae Rhizoma, 6 fen) Wuzhegu (Sepiae Endoconcha, 6 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 6 fen) Bairén (Platycladi Semen, 4 fen)
Total twenty-six ingredients. Pound and sieve, mix with honey. Take ten pills the size of wu zi (wheat grains) with wine, three times daily. Gradually increase to thirty pills per dose. Stop when warmth is felt in the abdomen. Adhere to standard drug prohibitions. Recent users have conceived before completing a full course.
**Seng Shen Fang:** Qingyun San treats impotence in men due to insufficient Yang Qi, preventing successful fertilization.
Tiandongdong (Asparagi Radix, 9 liang, heart removed) Tusizi (Cuscutae Semen, 1 sheng) Sangshang Jisheng (Taxilli Herba growing on mulberry, 4 liang) Zhiyingshi (Fluoritum, 2 liang) Fupenzi (Rubiae Fructus, 1 sheng) Wuweizi (Schisandrae Fructus, 1 sheng) Tianxiong (Aconiti Radix, 1 liang, processed) Shihu (Dendrobii Caulis, 3 liang) Zhu (Atractylodis Rhizoma, 3 liang, roasted until color changes)
For those intolerant to cold, remove Jisheng and add Xixin (Asari Radix et Rhizoma) 4 liang.
Total nine ingredients. Process and sieve. Take one cun bi with wine, three times daily before meals. For those with deficient Yang Qi and infertility, remove Shihu and add Binglang (Arecae Semen) fifteen pieces.
**Chengze Wan:** Treats female infertility and sterility caused by thirty-six diseases of the Lower Jiao.
Meihe (Pruni Mume Fructus, 1 sheng) Xinyi (Magnoliae Flos, 1 sheng) Ben (Ligustici Chuanxiong Rhizoma, 1 liang) Zelan (Lycopus Herba, 15 he) Soushu (Deutziae Caulis, 1 liang) Ge Shang Tingchang (Euphorbiae Peplus, 7 pieces)
Total six ingredients. Process and sieve, mix with honey into pills the size of tick beans. Take two pills before meals, three times daily. Increase dosage slightly if ineffective.
**Ji Yao Fang:** Treats infertility due to failure to conceive, where semen exits immediately upon entry, indicating closure of the Zi Men (Os Uteri).
Shanzhuyu (Corni Fructus, 1 liang) Suanzao (Ziziphi Spinosae Semen, 2 liang) Baiziren (Platycladi Semen, 2 liang) Wuweizi (Schisandrae Fructus, 2 liang)
Process and sieve. Mix with pure wine into pills the size of hemp seeds. Swallow two pills before meals. Lady Zhang, wife of the Commandant of Yingchuan, was forty-eight and childless; after taking this medicine, she bore two sons. There are no prohibitions for this medicine.
**Ge Shi Fang:** A prescription for women who cannot bear children.
On a Wu Zi day, let the woman lie supine with bare legs, head pointing northwest, during intercourse. The fifth month, seventh month, Geng Zi days, and Ren Zi days are especially auspicious.
Another formula: Pick peach blossoms before they open, dry in shade for one hundred days, pound into powder. On a Wu Zi day, take a pinch (three fingers' width) and swallow with wine.
**Qipo Fang:** States that offering incense and flowers to Buddha on the eighth day of the fourth month and the eighth day of the second month will bring many descendants and good health.
**Xin Lu Fang:** States that at the beginning of rain in the first month, if man and woman each drink one cup of water, they will conceive.
Another formula: Have intercourse at noon on a Wu Zi day, untie hair and shake the body; conception will occur immediately.
Another formula: Moxibustion on Zhongji (CV3), located four cun below the umbilicus.
**Lu Yan Fang:** Prescription for treating female infertility.
Baiziren (Platycladi Semen, 1 sheng) Fulingmo (Poria powder, 1 sheng)
Pound and mix with milk to take, forming pills the size of wheat grains, ten per dose. (Same as *Ge Shi Fang*.)
**Zhenzhong Fang:** To conceive, on a Zi day at noon, lie facing south, and engage in intercourse; this will be effective.
Also states: Laozi said: Place a toad from a well on the doorframe; the child born will be noble.
**Yufang Mijue:** To treat female infertility, have the woman hold fourteen small beans in her left hand and support the man's glans penis with her right hand while inserting it into her vagina. She should place the beans in her mouth with her left hand. As the man inserts his penis, she should swallow the beans upon hearing the sound of ejaculation. This method is highly effective and infallible. The woman must know when the man ejaculates and not miss the timing.
Also states: If a woman has been pregnant for less than three months, on a Wu Zi day, burn the tassel of a man's hat to ash, and consume the ash completely with wine. The child born will be wealthy and wise. Keep this secret, keep it secret.
**Bencao Shiyi:** Soil from where a man urinates can induce pregnancy. On a Ren Zi day, the woman takes a small amount of this soil, mixes it with water, and ingests it. Intercourse on that day will lead to conception.
Also states: Lanterns on the fifteenth day of the first month can help conceive. The couple should secretly take something from under the lanterns, place it under the bed without others knowing, and they will conceive that month.