(自制)
治七疝八瘕。书云。任脉为病。男子内结七疝。女子带下瘕聚。七疝者
上冲心。二便不通。二曰狐疝。卧则入腹。立则出腹也。三曰 疝。阴囊肿
厥疝。肝气上逆也。五曰瘕疝。素有症痞。痛而下浊也。六曰溃疝。内有脓
内停脓血。小便不通也。症者。征也。有形可征。按之不动也。瘕者假也
可移也。血食内积为症。气郁于中为瘕也。
橘核(二两盐酒炒) 小茴香 川楝子(煨去核) 桃仁(光炒) 山楂(炒) 香附
(醋炒各一两)
曲(四两)
共末。以米饮为丸。如绿豆大。每服四五十丸。温酒送下。○女子用红花(一钱)泡汤
送下。
崩漏 附倒经辨症
崩者。如山川卒崩。横决之势。莫能制也。此女科最凶最暴之症。有因木郁侮土。木盛
土衰
又有
脾肝
肾。宜通。治屡崩屡愈者。必静摄任阴。温煦冲阳。法已大备。然妇女患是症者。必清宜仓
皇告急。而治之者。切勿因其仓皇告急之情。而畏首畏尾。仓猝施治。妄用补攻之法。若误
补之。则留瘀贻患。误攻之。则心气下脱。危在旦夕也。必须问明有瘀无瘀。腹中痛与不痛。
崩势之缓急。病之新久。审断其属虚属实。药之宜补宜通。
宜温宜清。宜摄宜固之理。以痛而有瘀为实。不痛而无瘀为虚。虚者补之。实者攻
缓则温之。急则缓之。新者消补兼治之。久者固摄两施之。余治是症。必诊其脉之沉微
四肢逆冷如冰者。以大温大补之中。参以活血消瘀之品。诊其脉之紧革弦数。四肢
痛者。以八味逍遥散。和养之也。故自制黄 补血汤一方。总治崩症。而设加减之法
诊简于其治。恐方药一多。致有难于选用耳。余治之数十年。愈者十常八九靡不应手
至于漏下之症。如漏卮之状。或一日一漏。或一日数见。或五日十日半月一漏者名
与妊娠胎漏有间。经漏者。系奇脉不固。冲任失职。脾土太虚所致。或症瘕为害。
宜固摄为主。次疏肝阳。继补奇脉。余以自制固元煎治之。更以虚实之法加减而用也。
凡妇
情怀失畅。致冲任失司。逆行而上也。治宜和肝潜阳盐柔润下之法。俾经水一正。而倒者顺
矣
(自制方)
治疗七种疝气和八种瘕聚。医书记载:任脉发生病变,男子体内结聚形成七种疝气,女子则出现带下病和瘕聚。所谓七种疝气,第一种是厥疝,表现为气向上冲至心胸部位,大小便不通畅;第二种是狐疝,平卧时睾丸缩入腹中,站立时又滑出腹外;第三种是㿗疝,表现为阴囊肿大;第四种是肝疝,由肝气上逆引起;第五种是瘕疝,患者素有症块痞硬,疼痛并伴有下部浊液排出;第六种是溃疝,体内停积脓血,导致小便不通。所谓“症”,即征象,指有形之物可以验证,按压时位置固定不动;所谓“瘕”,即假象,指包块可以移动。血液饮食内积形成症,气机郁结在中焦形成瘕。
橘核(二两,用盐水酒炒制)、小茴香、川楝子(煨制去核)、桃仁(光炒)、山楂(炒制)、香附(醋炒制,各一两)、神曲(四两)。
以上药物共研为细末,用米汤作为粘合剂制成丸药,大小如绿豆。每次服用四五十丸,用温酒送服。○女性患者用红花(一钱)泡汤送服。
崩漏 附倒经辨证
崩证,如同山川突然崩塌,横决之势猛烈,无法控制。这是妇科中最凶险、最暴烈的病症。有的因为肝木郁结克制脾土,导致木气过盛而脾气衰弱;有的涉及脾、肝、肾三脏,治疗原则应当以通利为主。治疗屡发屡愈的患者,必须采用静养摄护任脉之阴,温煦激发冲脉之阳的方法,治法已经非常完备。然而妇女患此病时,往往惊慌失措地告急,而施治者切勿因为患者惊慌紧急的情状,而畏首畏尾,仓促施治,胡乱使用补益或攻伐的方法。如果误用补法,则会留滞瘀血留下后患;误用攻法,则会导致心气下脱,危及生命。必须详细询问是否有瘀血,腹部是否疼痛,崩漏势头的缓急,病程的新久,审慎判断属于虚证还是实证,以及药物适宜补益还是通利,适宜温法还是清法,适宜收敛还是固涩的道理。以疼痛且有瘀血为实证,不痛且无瘀血为虚证。虚证用补法,实证用攻法,缓证用温法,急证用缓法,新病用消补兼治,久病用固摄两施。我治疗此症,必定诊察其脉象若沉微,四肢冰冷如冰,则在大力温补之中,参入活血消瘀的药物;诊察其脉象若紧、革、弦、数,且四肢疼痛,则使用八味逍遥散调和滋养。因此我自制了黄[芪]补血汤一方,总治崩证,并设立加减之法,旨在诊断简捷便于治疗,恐怕方药过多,导致难以选用。我治疗此症数十年,治愈者十有八九,无不随手见效。
至于漏下之症,形状如同漏斗漏水,或者一天漏一次,或者一天数次,或者五日、十日、半月漏一次的,称为经漏。这与妊娠期间的胎漏有所不同。经漏是由于奇经八脉不固,冲任二脉失职,脾土过于虚弱所致;或者是由于症瘕危害所致。治疗应以固摄为主,其次疏理肝阳,继而补益奇经八脉。我用自制的固元煎治疗它,再根据虚实之法进行加减运用。凡是妇女情志不畅,导致冲任二脉失去调控,经血逆行而上,即为倒经。治疗宜采用调和肝脏、潜降肝阳、咸寒柔润下行的方法,使经血恢复正常,倒行之血得以顺行而下。
(Self-made prescription)
Treats seven types of hernia (hernia) and eight types of mass accumulation (mass accumulation). Medical texts state: When the Ren Mai (Conception Vessel) is diseased, men develop internal结聚 (accumulation) forming seven types of hernia, while women suffer from leukorrhea (vaginal discharge) and mass accumulation. The so-called seven types of hernia are: First, Jue Hernia (Jue Hernia), characterized by Qi rushing upward to the heart and chest, with obstruction of urination and defecation; Second, Hu Hernia (Fox Hernia), where the testicles retract into the abdomen when lying down and protrude when standing; Third, Chu Hernia (Scrotal Hernia), manifested as swelling of the scrotum; Fourth, Gan Hernia (Liver Hernia), caused by rebellious Liver Qi ascending; Fifth, Jia Hernia (Mass Hernia), where the patient has pre-existing fixed masses, pain accompanied by turbid discharge from the lower orifices; Sixth, Kui Hernia (Ulcerating Hernia), with stagnant pus and blood internally causing urinary obstruction. "Zheng" (Fixed Mass) refers to a tangible lesion that can be verified and remains fixed upon palpation. "Jia" (Migratory Mass) refers to a pseudo-mass that can move. Blood and food stagnation internally form Zheng, while Qi stagnation in the middle jiao forms Jia.
Ju He (Knotweed Seed, 2 liang, stir-fried with salt water and wine), Xiao Hui Xiang (Fennel Fruit), Chuan Lian Zi (Sichuan Chinaberry Seed, roasted and pitted), Tao Ren (Peach Kernel, stir-fried until smooth), Shan Zha (Hawthorn Fruit, stir-fried), Xiang Fu (Cyperus Rhizome, vinegar-fried, each 1 liang), Qu (Medicated Leaven, 4 liang).
Grind all ingredients into fine powder. Use rice broth as a binder to make pills the size of mung beans. Take 40-50 pills per dose, washed down with warm wine. ○ For female patients, take with decoction of Hong Hua (Carthamus Flower, 1 qian).
Beng Lou (Metrorrhagia and Metrostaxis) - Appendix: Differentiation of Reverted Menstruation
Beng syndrome resembles the sudden collapse of mountains and rivers, with a violent, uncontrollable force. It is the most critical and acute condition in gynecology. Some cases arise from Liver Wood depression attacking Spleen Earth, leading to excessive Wood and deficient Earth; others involve the Spleen, Liver, and Kidney. The treatment principle should prioritize unblocking. For patients who recover repeatedly after recurrence, one must employ methods to calm and nourish Yin of the Ren Mai, and warm and stimulate Yang of the Chong Mai. These therapeutic methods are well-established. However, women suffering from this condition often panic and seek urgent help. Practitioners must not hesitate or act rashly due to the patient's urgency, nor should they indiscriminately use tonifying or purging methods. Misuse of tonification will retain blood stasis and cause future complications; misuse of purgation may lead to sinking of Heart Qi, resulting in imminent danger. One must carefully inquire about the presence of stasis, abdominal pain, the speed of bleeding, and the duration of the disease. Determine whether it is deficiency or excess, and decide whether to use tonification or unblocking, warming or clearing, astringing or consolidating. Pain with stasis indicates excess; no pain without stasis indicates deficiency. Treat deficiency with tonification, excess with purgation, chronicity with warming, acuity with soothing, new onset with simultaneous elimination and tonification, and long-standing cases with simultaneous consolidation and astringency. In my treatment, I always examine the pulse. If the pulse is deep and faint, and the limbs are cold as ice, I incorporate blood-invigorating and stasis-resolving herbs within strong warming and tonifying formulas. If the pulse is tight,革 (leather-like), wiry, or rapid, and there is limb pain, I use Ba Wei Xiao Yao San (Eight-Ingredient Rambling Powder) to harmonize and nourish. Therefore, I self-formulated Huang [Qi] Bu Xue Tang (Astragalus Blood-Nourishing Decoction) to generally treat Beng syndrome, establishing methods for modification. This aims for simple diagnosis and easy treatment, avoiding an excessive number of prescriptions that might hinder selection. Having treated this condition for decades, I have cured eight or nine out of ten cases, achieving results effortlessly.
Regarding Lou Xia (Leukorrheal dripping/spotting), resembling a leaking vessel, occurring once a day, several times a day, or every five, ten, or fifteen days, it is called Jing Lou (Menstrual Spotting). This differs from Tai Lou (Fetal Spotting) during pregnancy. Jing Lou is caused by insecurity of the Extraordinary Vessels, dysfunction of the Chong and Ren Mai, and severe deficiency of Spleen Earth, or it may be caused by Zheng Jia (masses). Treatment should primarily focus on consolidation and astringency, followed by soothing Liver Yang, and subsequently tonifying the Extraordinary Vessels. I treat this with my self-made Gu Yuan Jian (Solidify Origin Decoction), modifying it based on deficiency or excess principles. Whenever women experience emotional stagnation, causing the Chong and Ren Mai to lose control, leading to retrograde flow of menstrual blood upwards, it is called Dao Jing (Reverted Menstruation). Treatment should employ methods to harmonize the Liver, subdue Yang, and use salty-cold and moistening agents to guide blood downward. This ensures the menstrual cycle returns to normal, and the reverted blood flows smoothly downwards.