治妇人瘕结胁肋下疾
干姜(一两半) 芎 芍药(各二两) 前胡(熬) 干地黄(熬) 桃仁(熬,去
皮尖两仁
者) 茯苓(各一两) 人参 当归(各三两) 杏仁(熬,去皮尖,两仁者) 朴硝 蜀
椒(汗)
蛴螬
上二十六味,捣筛为末,炼蜜和丸如梧桐子。未食以饮服三丸,可增至十丸。(《千金
》用大黄柴胡各二两,无前胡地黄。)
主妇人脐下结坚,大如杯升,月经不通,发热往来,下痢羸瘦,此为气瘕也。若生肉症
不可瘥,未生症者可疗方。
生地黄(三十斤,捣绞取汁) 干漆(一斤,熬,捣节为末)
上二味,相和微火煎,令可丸药成丸,如梧桐子,食后以酒服五丸。(《千金》云)服三
丸,《集验方》至七八丸止。
主脐下坚癖,无所不疗。
恒山 巴豆(去心皮,熬) 大黄(各一分) 天雄(二枚,大者炮) 芦(一两半,
一方
二两) 干姜 人参 苦参 丹参 沙参 玄参 细辛 白薇(各三分) 龙胆 牡蒙(各
一
两) 芍
上二十味,捣筛为末,炼蜜和丸。宿勿食,酒服五丸,日三。主大羸瘦而黄,月水不调
,当十五日服之,下长虫,或下种种病出。二十五日腹中所苦悉愈,肌肤充盛,五十日万病
除矣,断绪者,皆有子也。
治疗妇女腹中结块(瘕结)位于胁肋下方的疾病。
干姜(一两半)、川芎、芍药(各二两)、前胡(炒制)、干地黄(炒制)、桃仁(炒制,去皮尖,选取双仁者)、茯苓(各一两)、人参、当归(各三两)、杏仁(炒制,去皮尖,选取双仁者)、朴硝、蜀椒(出汗/去汗味)。
以上二十六味药,捣碎过筛成粉末,用炼蜜调和制成如梧桐子大小的丸剂。饭前用温水送服三丸,剂量可逐渐增加至十丸。(《千金要方》中此方使用大黄、柴胡各二两,没有前胡和地黄。)
主治妇女脐下坚硬结块,大如杯升,月经不通畅,寒热往来,腹泻且身体消瘦,这属于气瘕病。如果是肉瘕症则难以治愈,尚未形成肉瘕的病症可以治疗。
生地黄(三十斤,捣碎绞取汁液)、干漆(一斤,熬制,捣碎节段成粉末)。
以上两味药,混合后用微火煎煮,使其能够制成丸药,制成如梧桐子大小的丸剂。饭后用酒送服五丸。(《千金要方》记载服用三丸,《集验方》记载服用七到八丸即止。)
主治脐下坚硬癖积,无所不疗。
恒山、巴豆(去心皮,炒制)、大黄(各一分)、天雄(二枚,大的需炮制)、芦根(一两半,另一版本为二两)、干姜、人参、苦参、丹参、沙参、玄参、细辛、白薇(各三分)、龙胆、牡蒙(各一两)、芍药。
以上二十味药,捣碎过筛成粉末,用炼蜜调和制成丸剂。隔夜禁食,用酒送服五丸,每日三次。主治极度消瘦且面色萎黄,月经不调,应当连续服用十五日,排出长虫,或排出各种病邪。二十五日后腹中的痛苦全部痊愈,肌肤丰满充实,五十日后万病消除;原本断绝生育能力的,都能怀孕生子。
Treats the disease of *jia* (abdominal mass) formed in women located below the hypochondrium.
Ganjiang (Dried Ginger, 1.5 liang), Xiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root, each 2 liang), Qianhu (Peucedani Radix, stir-fried), Gan Dihuang (Rehmanniae Radix, stir-fried), Taoren (Persicae Semen, stir-fried, skin and tip removed, selecting kernels with two embryos), Fuling (Poria, each 1 liang), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, each 3 liang), Xingren (Armeniacae Semen Amarum, stir-fried, skin and tip removed, selecting kernels with two embryos), Puxiao (Natrii Sulfas), Shujiao (Zanthoxyli Pericarpium [sweated/dried to remove pungency]).
The above twenty-six medicinal materials are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take three pills with water before meals; the dosage may be increased to ten pills. (*Qianjin Yaofang* uses Dahuang and Chaihu, each 2 liang, without Qianhu and Dihuang.)
It primarily treats hard masses in the lower abdomen of women, large as a cup or measuring vessel, with amenorrhea, alternating chills and fever, dysentery, emaciation, which is classified as Qi Jia (Qi-type abdominal mass). If it is a Rou Jia (Flesh-type abdominal mass), it cannot be cured; if the flesh mass has not yet formed, it can be treated.
Shengdihuang (Rehmanniae Radix Recens, 30 jin, crushed and juice extracted), Ganqi (Cannabis Resina, 1 jin, roasted, crushed into powder).
The above two medicinal materials are mixed and slowly boiled over mild fire until they can form pills, shaped like sophora seeds. Take five pills with wine after meals. (*Qianjin Yaofang* states take three pills; *Jiyan Fang* states stop at seven or eight pills.)
It treats hard accumulations in the lower abdomen and is effective for all conditions.
Hengshan (Dichroae Radix), Badou (Crotonis Fructus, heart and skin removed, roasted), Dahuang (Rhei Radix et Rhizoma, each 1 fen), Tianxiong (Aconiti Lateralis Radix Praeparata, 2 pieces, large ones prepared by roasting), Lu (Phragmitis Rhizoma, 1.5 liang; another version says 2 liang), Ganjiang (Zingiberis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Kushen (Sophorae Flavescentis Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shashen (Adenophorae Radix), Xuanshen (Scrophulariae Radix), Xixin (Asari Radix et Rhizoma), Baiwei (Clerodendri Radix, each 3 fen), Longdan (Gentianae Radix), Mengmeng (Bupleuri Radix? Note: Mengmeng usually refers to Bupleurum or similar, here likely Bupleuri Radix or specific local herb, keeping as Mengmeng), Shaoyao (Peony Root, each 1 liang).
The above twenty medicinal materials are crushed, sifted into powder, and mixed with refined honey to form pills. Do not eat overnight (fast from previous night's meal), take five pills with wine, three times a day. It treats severe emaciation and yellowish complexion, and irregular menstruation. It should be taken continuously for fifteen days to expel long roundworms or various pathogenic factors. After twenty-five days, all abdominal suffering will be cured, and the skin and muscles will become full and robust. After fifty days, all diseases will be eliminated; those who have lost fertility will conceive children.