治妇人带下
香附(四两用艾醋煮焙) 当归 川芎 芍药 熟地黄(酒浸) 陈皮 白术 黄柏(炒)
赤茯苓(各一两)
为末醋糊丸如桐子大每服五六十丸空心醋汤送下
夫男女之合二精交畅阴血先至阳精后冲血开裹精阴包阳也而男胎成阳精先至阴血后参
精开裹血阳包阴也而女胎成故一月之孕有珠露之称二月之胎有桃花之譬三月之胎阴包阳者男
也在母腹中背阴面阳左东而右西男子属阳阳根于阴男子得阴而生故先生右肾为之命门也阳包
阴者女也在母腹中背阳面阴左西右东女子属阴阴根于阳女子得阳而生故先生左肾为之命门也
背看之者左即右面之证也是以男子皆以右肾为命门右手尺部为命门之脉也叔和云女人反此背
看之尺脉第三同断病者是也且儿之在腹先生右肾肾生脾脾生肝肝生肺肺生心以肾属水盖天一
生水故五脏由是为阴其次心生小肠小肠生大肠大肠生胆胆生胃胃生膀胱膀胱生三焦三焦生八
脉八脉生十二经经生十二络络生一百八十丝络丝络生一百八十缠络缠络生三万四千丝络丝络
生三百六十
四月形象具五月筋骨成六月毛发生七月游其魂而能动左手八月游其魄而能动右手九月转身十
月满足而降生也夫至精才化一气方凝始受胞胎渐成形质子在腹中随母听闻自成胎之后则须行
坐端严情性和悦常处静室多听美言聆讲诗书陈述礼义如此则生男女福寿敦浓忠孝贤明不然则
多鄙贱而不寿此固内象而外感也然则妊娠有两胎者考今古方书并无的论惟巢氏论云阳施阴受
精气有余故生二胎且谓成一胎之理其精有几耶今观妇人有两胎者其精神气宇略无小异考书云
人有求子法妇人月信初至之后一日三日五日值男女旺相日阳日阳时交合有子多男若遇二四六
日或男女怯弱交合多女以此推之理可见焉又肘后方云男从父气女从母气易曰干道成男坤道成
女此男女之别也既成胎之后凡有疾病投以汤药有伤胎破血者忌之盖妊娠有疾不可妄投汤药必
医者审度疾势轻重酌量药性不必多品视疾势用药疾愈即便止如此则病去母安子亦无损复何惧
其攻治乎哉
瑜珈论尔时父母贪爱俱极最后各出一滴浓浓精血合和住母胎中犹如熟乳凝结宝脏经云是
诸众生托胎在母腹中三十八个七日有一十九种业风所吹次第成就第一七日状如酪浆二七日如
凝酪三七日如药杵四七日如鞋 五七日分头背 六七日肘相现七七日手足掌现八七日二十指
现九七日九孔方现十个七日声音具足十一七日九孔开通十二七日肠 十三七日生饥渴想十四
七日生九万筋十五七日生八万脉十六七日通出入息十七七日食道渐宽十八十九七日六根俱足
二十七日遍生骨节二十一二十二二十三个七日生血肉皮二十四二十五七日长血肉皮二十六七
日生毛发爪二十七七日分善恶相二十八七日妄生八想二十九三十个七日黑白随业三十一至三
十六个七日身相俱足三十七个七日念欲出生三十八个七日满十个月向母产门而生三十八个七
日在母腹中随其本行自然风起若宿行善者便有香风可其身意骨节端正莫不爱敬本行恶者则起
臭风不可心意以其骨节偏邪 曲使不端正人所不喜又云胎中经三十八个七日肢体悉皆俱足从
此以后复经四月方出生此说极满足者或经九月或过此者名圆满若经七月名不圆满或复缺减
治疗妇女带下病
香附(四两,用艾叶醋煮后焙干) 当归 川芎 芍药 熟地黄(酒浸) 陈皮 白术 黄柏(炒制)
赤茯苓(以上各一两)
研为细末,用醋调糊制成梧桐子大小的丸剂。每次服用五六十丸,空腹时用醋汤送服。
半夏(姜汁炮制) 茯苓 紫苏 厚朴 炙甘草 远志 石菖蒲 茯神
男女交合时,两精交融通畅。若阴血先到,阳精随后冲入,血液张开包裹精子,阴包裹阳,则形成男胎;若阳精先到,阴血随后参入,精子张开包裹血液,阳包裹阴,则形成女胎。所以怀孕一个月称为“珠露”,比喻其微小;怀孕两个月称为“桃花”,比喻其形态初具;怀孕三个月,若是阴包阳的情况则是男胎。在母腹中,男胎背阴面阳,左侧向东,右侧向西。男子属阳,阳根于阴,男子得阴气而生,所以先生右肾,将其作为命门。若是阳包阴的情况则是女胎,在母腹中,女胎背阳面阴,左侧向西,右侧向东。女子属阴,阴根于阳,女子得阳气而生,所以先生左肾,将其作为命门。从背面看,左即右,从正面看,右即左。因此男子都以右肾为命门,右手尺部脉象为命门之脉。叔和说女人与此相反,从背面看,尺脉第三部位同断疾病,这是正确的。况且胎儿在腹中,先生右肾,肾生脾,脾生肝,肝生肺,肺生心。以肾属水,因为天一生水,所以五脏由此生成,次序为阴。其次心生小肠,小肠生大肠,大肠生胆,胆生胃,胃生膀胱,膀胱生三焦,三焦生八脉,八脉生十二经,十二经生十二络,十二络生一百八十丝络,丝络生一百八十缠络,缠络生三万四千丝络,丝络生三百六十(此处原文似有脱漏,通常指孙络等)。
四个月时形象具备,五个月时筋骨长成,六个月时毛发生长,七个月时魂游动而能动手,八月时魄游动而能动右手,九月时转身,十月时满足而降生。
至精才化生,一气方凝聚,始受胞胎,渐成形质。胎儿在腹中,随着母亲听闻外界声音,自成胎之后,必须行坐端庄严肃,性情平和喜悦,常处于安静居室,多听美好言语,聆听讲解诗书,陈述礼义。如此则出生的子女福寿深厚,忠孝贤明。否则则多鄙贱且不长寿。这确实是内象与外感的结果。然而妊娠双胞胎的情况,考察古今方书并无确切论述,只有巢元方论述说:阳施阴受,精气有余,所以生双胞胎。并且认为形成一个胎儿的道理,那精子有多少呢?现在观察怀双胞胎的妇女,其精神气度略微没有小差异。考证书籍说人有求子之法:妇女月经初来之后,一日、三日、五日遇到男女旺盛之日、阳日、阳时交合,多生男孩;如果遇到二、四、六日或男女怯弱之时交合,多生女孩。以此推论,道理可见。又《肘后方》说:男从父气,女从母气。《易经》说:乾道成男,坤道成女。这是男女的区别。既已形成胎体之后,凡是有疾病,投予汤药,有伤胎破血作用的药物要禁忌。大概妊娠有病不可妄投汤药,必须由医者审度疾势轻重,酌量药性,不必多用药品,视疾势用药,病愈即便停止。如此则病去母安,子亦无损,还怕什么攻治呢?
《瑜珈论》说:那时父母贪爱俱极,最后各出一滴浓稠的精血,合和住在母胎中,犹如熟乳凝结。《宝脏经》说:这些众生托胎在母腹中,经历三十八个七日,有一十九种业风所吹,次第成就。第一七日状如酪浆,二七日如凝酪,三七日如药杵,四七日如鞋(形),五七日分头背,六七日肘相现,七七日手足掌现,八七日二十指现,九七日九孔方现,十个七日声音具足,十一七日九孔开通,十二七日肠(成),十三七日生饥渴想,十四七日生九万筋,十五七日生八万脉,十六七日通出入息,十七七日食道渐宽,十八、十九七日六根俱足,二十七日遍生骨节,二十一、二十二、二十三个七日生血肉皮,二十四、二十五七日长血肉皮,二十六七日生毛发爪,二十七七日分善恶相,二十八七日妄生八想,二十九、三十个七日黑白随业,三十一至三十六个七日身相俱足,三十七个七日念欲出生,三十八个七日满十个月向母产门而生。三十八个七日在母腹中,随其本行自然风起。若宿行善者,便有香风可其身,意骨节端正,莫不爱敬;本行恶者,则起臭风不可意,以其骨节偏邪曲使不端正,人所不喜。又云:胎中经过三十八个七日,肢体悉皆俱足。从此以后复经四月方出生。此说极满足者,或经九月,或过此者名圆满;若经七月名不圆满,或复缺减。
Treatment for Leukorrhea in Women
Cyperi Rhizoma (4 liang, boiled with mugwort and vinegar, then dried) Angelicae Sinensis Radix Ligusticum Chuanxiong Rhizoma Paeoniae Radix (White or Red as per context, here likely White for harmonizing blood) Rehmanniae Radix Preparata (soaked in wine) Citri Reticulatae Pericarpium Atractylodis Macrocephalae Rhizoma Phellodendri Cortex (stir-fried)
Poria Cocos (with red center) (each 1 liang)
Grind into fine powder, make pills with vinegar paste the size of paulownia seeds. Take 50-60 pills each time on an empty stomach, delivered with vinegar water.
Pinelliae Tuberum Preparatum (processed with ginger juice) Poria Cocos Perillae Folium Magnoliae Officinalis Cortex Glycyrrhizae Radix et Rhizoma Preparata (honey-fried) Polygalae Radix Pogostemonis Herba Godetiae Semen
When man and woman unite, their essences blend smoothly. If the Yin blood arrives first and the Yang essence follows to rush in, the blood opens to wrap the sperm, Yin wraps Yang, and a male fetus is formed. If the Yang essence arrives first and the Yin blood follows to enter, the sperm opens to wrap the blood, Yang wraps Yin, and a female fetus is formed. Therefore, a one-month pregnancy is called "Pearl Dew" due to its minuteness; a two-month fetus is compared to "Peach Blossom" due to its initial shape; a three-month fetus, if Yin wraps Yang, is male. In the mother's womb, the male fetus faces away from Yin towards Yang, left facing East and right facing West. Men belong to Yang, and Yang is rooted in Yin. Men are born from receiving Yin, so the right Kidney is formed first and serves as the Mingmen (Gate of Life). If Yang wraps Yin, it is a female fetus. In the mother's womb, the female fetus faces away from Yang towards Yin, left facing West and right facing East. Women belong to Yin, and Yin is rooted in Yang. Women are born from receiving Yang, so the left Kidney is formed first and serves as the Mingmen. Viewed from the back, left is right; viewed from the front, right is left. Thus, men regard the right Kidney as the Mingmen, and the pulse at the Chi position of the right wrist corresponds to the Mingmen. Shuhe stated that women are the reverse of this; viewing from the back, the third position of the Chi pulse is used to diagnose disease, which is correct. Furthermore, within the womb, the right Kidney forms first. The Kidney generates the Spleen, the Spleen generates the Liver, the Liver generates the Lungs, and the Lungs generate the Heart. The Kidney belongs to Water, as Heavenly One generates Water. Thus, the Five Zang organs are generated in this order, representing Yin. Subsequently, the Heart generates the Small Intestine, the Small Intestine generates the Large Intestine, the Large Intestine generates the Gallbladder, the Gallbladder generates the Stomach, the Stomach generates the Bladder, the Bladder generates the Sanjiao (Triple Burner), the Sanjiao generates the Eight Extraordinary Vessels, the Eight Extraordinary Vessels generate the Twelve Regular Meridians, the Twelve Regular Meridians generate the Twelve Collaterals, the Twelve Collaterals generate 180 Silk-like Collaterals, the Silk-like Collaterals generate 180 Entangling Collaterals, the Entangling Collaterals generate 34,000 Silk-like Collaterals, and these generate 360 [sub-collaterals].
At four months, the physical form is complete. At five months, the sinews and bones are formed. At six months, hair grows. At seven months, the Hun (Ethereal Soul) wanders and the left hand can move. At eight months, the Po (Corporeal Soul) wanders and the right hand can move. At nine months, the fetus turns. At ten months, it is fully developed and is born.
The most refined essence transforms, Qi condenses, and the fetal sac is received, gradually forming physical structure. While in the womb, the fetus perceives what the mother hears. After conception, the mother must maintain dignified posture in walking and sitting, keep her temperament peaceful and joyful, reside in quiet rooms, listen to pleasant words, hear lectures on poetry and books, and discuss propriety and righteousness. In this way, the child born will be blessed with longevity and virtue, loyal, filial, and wise. Otherwise, the child may be base and short-lived. This is indeed the result of internal imagery and external influence. However, regarding twin pregnancies, ancient and modern medical texts lack definitive theories. Only Chao Yuanfang discussed that when Yang impregnates and Yin receives, if Jing-Qi is abundant, twins are born. He questioned how much essence constitutes a single fetus. Observing women with twins, their spirit and demeanor show little difference. Texts state there are methods for seeking offspring: after a woman's menstruation begins, intercourse on the 1st, 3rd, or 5th day during auspicious times for both sexes, specifically Yang days and Yang hours, tends to produce males. Intercourse on the 2nd, 4th, or 6th day, or during times of weakness for both sexes, tends to produce females. By this reasoning, the principle is clear. The *Handbook of Prescriptions for Emergencies* states: Males follow the Father's Qi, Females follow the Mother's Qi. The *I Ching* states: The Way of Qian creates Man, the Way of Kun creates Woman. This distinguishes male and female. Once the fetus is formed, if illness occurs, decoctions should be administered cautiously. Drugs that damage the fetus or break blood stasis are contraindicated. Generally, pregnant women with illness should not receive arbitrary decoctions. The physician must assess the severity of the disease and moderate the properties of the drugs. There is no need for many ingredients; use drugs according to the disease severity, and stop immediately upon recovery. In this way, the disease is eliminated, the mother remains safe, and the fetus is undamaged. Why fear treatment?
The *Yoga Treatise* states: When parents' lust is extreme, finally each emits a drop of thick essence and blood, which mix and reside in the maternal womb, like coagulated rich milk. The *Treasure Organ Sutra* states: These sentient beings take conception in the mother's womb over thirty-eight seven-day periods, driven by nineteen types of Karma Wind, achieving completion step by step. In the first seven days, it resembles whey; in the second seven days, like curdled milk; in the third seven days, like a mortar pestle; in the fourth seven days, like a shoe; in the fifth seven days, head and back differentiate; in the sixth seven days, elbows appear; in the seventh seven days, hands and feet palms appear; in the eighth seven days, twenty fingers appear; in the ninth seven days, nine orifices appear; in the tenth seven days, voice is complete; in the eleventh seven days, nine orifices open; in the twelfth seven days, intestines form; in the thirteenth seven days, the desire for hunger and thirst arises; in the fourteenth seven days, 90,000 sinews form; in the fifteenth seven days, 80,000 vessels form; in the sixteenth seven days, breathing passages connect; in the seventeenth seven days, the esophagus widens; in the eighteenth and nineteenth seven days, the Six Roots are complete; in the twentieth seven days, bone joints grow all over; in the twenty-first, twenty-second, and twenty-third seven days, flesh, blood, and skin form; in the twenty-fourth and twenty-fifth seven days, flesh, blood, and skin lengthen; in the twenty-sixth seven days, hair and nails grow; in the twenty-seventh seven days, good and bad characteristics distinguish; in the twenty-eighth seven days, delusional thoughts arise; in the twenty-ninth and thirtieth seven days, black and white follow Karma; from the thirty-first to thirty-sixth seven days, the body form is complete; in the thirty-seventh seven days, the desire to be born arises; in the thirty-eighth seven days, full ten months have passed, and it is born through the maternal birth canal. During the thirty-eight seven-day periods in the womb, natural winds arise according to past actions. If past actions were good, fragrant winds surround the body, intentions are upright, bones and joints are straight, and there is mutual respect. If past actions were evil, foul winds arise, intentions are displeased, bones and joints are crooked and misaligned, disliked by people. It is also said: After thirty-eight seven-day periods in the womb, limbs and body parts are complete. From then on, another four months pass before birth. This description represents full term. Some are born after nine months or later, named "Complete." If born after seven months, it is named "Incomplete," or possibly deficient.