人禀五行秀气而生,承五脏神气而养。若阴阳调和,则脏腑强盛,风邪鬼魅不能伤之。若
失调理,气血虚衰,则风邪乘其虚,鬼邪干其正。然妇人与鬼交通者,由脏腑虚,神不守,
故鬼气得为病也。其状不欲见人,如有对语,时独言笑,或时悲泣是也。脉息迟伏,或如雀啄,
皆鬼邪为病也。又脉来绵绵,不知度数,颜色不变,此其候也。
春甫按∶《良方》治妇人鬼交,多用僻邪之药,此非所以治本也。既云气血、脏腑、元神
俱虚,则神不守舍,故有梦交,实非邪魅有所干也。则如男子之梦遗,其机一也。凡妇人患此
证者甚多,但不肯直言耳。诊其脉沉弦无力,乍疏乍数,面带桃红,四肢无力,倦怠嗜卧,
饮食少进,静躁不常,月经不调,皆血虚也。法当
健脾胃,养气血,以固其本,兼之安神气,清痰火,以治其标,早为治之,庶几存济。失调理者,
三年之后,气血浸衰,脉必紧数,肉脱身不起者定死矣。
(《集验》)加味八珍汤 治妇人思虑过伤,饮食日减,气血两虚,月经不调,夜梦交感,
或出盗汗,浸成痨瘵。
人参 白术 茯苓 炙甘草(四分) 当归 生地黄(各一钱) 黄 川芎 白芍药
软柴胡(各五分) 牡丹皮 香附米(制。各八分)
上水盏半,大枣一枚,煎七分,食前服。
(《集验》)麦冬二陈汤 治妇人肺火咳嗽,呕吐痰饮。
麦门冬 陈皮 半夏 白茯苓 白术 当归身(各一钱) 黄芩(姜炒,八分) 甘草(炙,四分)
上水盏半,生姜一片,煎七分,食远服。
(《集验》)归神汤 治妇人盗汗、梦交,心神恍惚,四肢乏力,饮食减少。
人参 白术 白茯神 当归身(各钱) 酸枣仁 陈皮(各八分) 圆眼肉(七个,去核)
甘草(四分) 羚羊角(末) 琥珀末(各五分)
上羚羊,琥珀不煎,余药煎熟去渣,入二末,和匀,食前服。
(《良方》)茯神散 治妇人气虚,与鬼交通,妄有所见闻,言语杂乱。
茯神(钱半) 茯苓 人参 石菖蒲(各一钱) 赤小豆(四十九粒)
上咀,水盏半,煎七分,食前温服。
(《良方》)辟邪丹 治妇人与鬼交通。
虎头骨(二两) 朱砂 雄黄 雌黄 鬼臼 皂角 芜荑 鬼箭 藜芦(各一两)
上为末,炼蜜为丸,如弹子大。囊盛一丸,男左女右系臂上。再用一丸,当病患户前烧之,
一切鬼邪不敢近。
苏合香丸 治前证。(方见风门。)
妙香散、八毒赤丸并治前证。(方见邪祟门。)
人禀受五行之秀气而生,承接五脏之神气而滋养。若阴阳调和,则脏腑强盛,风邪鬼魅不能伤害人体。若失去调理,气血虚衰,则风邪乘其虚弱,鬼邪侵犯正气。然而妇人与鬼交通(指精神恍惚、产生幻觉或梦交等病症),是由于脏腑虚弱,神志不守,所以鬼气得以为病。其症状表现为不想见人,好像有人在对话,有时独自说笑,有时又悲伤哭泣。脉象迟伏,或如雀啄脉(脉来短促有力,节律不齐,状如鸟啄食),都是鬼邪为病的表现。另外,脉来绵绵不断,不知至数(次数),面色没有明显改变,这是该病的征候。
徐春甫按语:《良方》治疗妇人鬼交,多用辟邪的药物,这并非治本之法。既然说是气血、脏腑、元神都虚弱,那么神志不守舍,所以有梦交,实际上并不是邪魅有所干扰。这与男子梦遗的机理是一样的。凡是患此证的妇人很多,只是不肯直言罢了。诊察其脉象沉弦无力,忽疏忽数,面带桃红色,四肢无力,倦怠嗜卧,饮食减少,情绪静躁无常,月经不调,这都是血虚所致。治疗方法应当健脾胃,养气血,以固护根本,兼用安神气,清痰火,以治其标,及早治疗,或许可以挽救。若失于调理,三年之后,气血逐渐衰竭,脉必紧数,肌肉脱消、身体无法起床者,必定死亡。
(出自《集验》)加味八珍汤:治疗妇人思虑过度损伤,饮食日渐减少,气血两虚,月经不调,夜间梦交感通,或出盗汗,逐渐形成痨瘵(慢性消耗性疾病)。
人参、白术、茯苓、炙甘草(各四分)、当归、生地黄(各一钱)、黄芪、川芎、白芍药、软柴胡(各五分)、牡丹皮、香附米(制,各八分)。
以上药物用水一盏半,大枣一枚,煎至七分,饭前服用。
(出自《集验》)麦冬二陈汤:治疗妇人肺火咳嗽,呕吐痰饮。
麦门冬、陈皮、半夏、白茯苓、白术、当归身(各一钱)、黄芩(姜炒,八分)、甘草(炙,四分)。
以上药物用水一盏半,生姜一片,煎至七分,饭后服用。
(出自《集验》)归神汤:治疗妇人盗汗、梦交,心神恍惚,四肢乏力,饮食减少。
人参、白术、白茯神、当归身(各一钱)、酸枣仁、陈皮(各八分)、圆眼肉(七个,去核)、甘草(四分)、羚羊角(研末)、琥珀末(各五分)。
以上羚羊角、琥珀不煎煮,其余药物煎熟去渣,加入两种药末,和匀,饭前服用。
(出自《良方》)茯神散:治疗妇人气虚,与鬼交通,妄有所见闻,言语杂乱。
茯神(一钱半)、茯苓、人参、石菖蒲(各一钱)、赤小豆(四十九粒)。
以上药物捣碎,用水一盏半,煎至七分,饭前温服。
(出自《良方》)辟邪丹:治疗妇人与鬼交通。
虎头骨(二两)、朱砂、雄黄、雌黄、鬼臼、皂角、芜荑、鬼箭、藜芦(各一两)。
以上药物研为细末,炼蜜为丸,如弹子大小。用囊袋装一丸,男左女右系在手臂上。再用一丸,在病患门前烧之,一切鬼邪不敢靠近。
苏合香丸:治疗上述证候。(方剂见风门。)
妙香散、八毒赤丸并治上述证候。(方剂见邪祟门。)
Human beings are born by inheriting the exquisite Qi of the Five Elements and are nourished by receiving the Shen (Spirit) Qi of the Five Zang Organs. If Yin and Yang are harmonious, the Zang-Fu organs will be strong, and Wind pathogenic factors or demonic entities cannot harm the body. If regulation is lost, leading to deficiency and decline of Qi and Blood, Wind pathogens will take advantage of the deficiency, and demonic pathogens will invade the righteous Qi. However, in cases where women have intercourse with ghosts (referring to mental confusion, hallucinations, or nocturnal emissions involving spirits), it is due to the weakness of the Zang-Fu organs and the failure of the Shen to reside within, allowing demonic Qi to cause disease. The manifestations include a reluctance to see people, as if conversing with someone, sometimes laughing or talking alone, and at other times weeping bitterly. The pulse may be slow and deep (Chi Fu) or resemble the sparrow-pecking pulse (a short, forceful, irregular pulse resembling a bird pecking food), both indicating disease caused by demonic pathogens. Additionally, a continuous and fine pulse without a discernible rate, accompanied by unchanged facial color, are signs of this condition.
Xu Chunfu notes: In *Liang Fang*, the treatment for women having intercourse with ghosts often uses drugs to repel evil, which is not treating the root cause. Since it is stated that Qi, Blood, Zang-Fu organs, and Yuan Shen (Original Spirit) are all deficient, causing the Shen to fail to reside in its abode and thus resulting in dream intercourse, it is actually not due to interference by demonic entities. The mechanism is the same as that of nocturnal emission in men. Many women suffer from this syndrome but are unwilling to speak of it directly. Upon diagnosis, the pulse is deep, wiry, and weak; intermittently sparse and rapid; the face has a peach-blossom red hue; the limbs are weak; there is fatigue and a desire to lie down; food intake is reduced; mood fluctuates between quietness and agitation; and menstruation is irregular. All these indicate Blood deficiency. The therapeutic method should focus on strengthening the Spleen and Stomach, nourishing Qi and Blood to consolidate the root, while simultaneously calming the Shen and regulating Qi, clearing Phlegm and Fire to treat the branch. Early treatment may offer hope of salvation. If neglected, after three years, Qi and Blood will gradually decline, the pulse will become tight and rapid, and those with emaciated flesh unable to rise from bed will certainly die.
(Jia Wei Ba Zhen Tang) Modified Eight-Treasure Decoction [from *Ji Yan*]: Treats women injured by excessive worry, with decreasing daily food intake, dual deficiency of Qi and Blood, irregular menstruation, nocturnal dream intercourse, night sweats, progressing into consumption (Lao Zhai).
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 4 fen), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix) (each 1 qian), Huang Qi (Astragali Membranacei Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Ruan Chai Hu (Bupleuri Radix) (each 5 fen), Mu Dan Pi (Moutan Cortex), Xiang Fu Mi (Cyperi Rhizoma, processed) (each 8 fen).
Take one and a half cups of water, one large date, decoct until seven-tenths remain, and take before meals.
(Mai Dong Er Chen Tang) Ophiopogon Two-Chen Decoction [from *Ji Yan*]: Treats women with Lung Fire cough and vomiting of phlegm-fluids.
Mai Men Dong (Ophiopogonis Tuber), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Tuber), Bai Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix) (each 1 qian), Huang Qin (Scutellariae Radix, stir-fried with ginger juice, 8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, 4 fen).
Take one and a half cups of water, one slice of fresh ginger, decoct until seven-tenths remain, and take long after meals.
(Gui Shen Tang) Return-to-Spirit Decoction [from *Ji Yan*]: Treats women with night sweats, dream intercourse, mental vagueness, limb weakness, and decreased appetite.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Shen (Poria cum Pinellia), Dang Gui Shen (Angelicae Sinensis Radix) (each 1 qian), Suan Zao Ren (Ziziphi Spinosae Semen), Chen Pi (Citri Reticulatae Pericarpium) (each 8 fen), Yuan Yan Rou (Longan Aril, 7 pieces, pitted), Gan Cao (Glycyrrhizae Radix et Rhizoma, 4 fen), Ling Yang Jiao (Saiga Antelope Horn, powdered), Hu Po Mo (Amber powder) (each 5 fen).
The Ling Yang Jiao and Hu Po Mo are not decocted. Decoct the remaining herbs, remove the dregs, add the two powders, mix well, and take before meals.
(Fu Shen San) Poria Powder [from *Liang Fang*]: Treats women with Qi deficiency, intercourse with ghosts, delusional perceptions, and disordered speech.
Fu Shen (Poria cum Pinellia, 1.5 qian), Fu Ling (Poria), Ren Shen (Ginseng Radix), Shi Chang Pu (Acori Tatarinowii Rhizoma) (each 1 qian), Chi Xiao Dou (Vigna umbellata Seed, 49 grains).
Crush the ingredients, take one and a half cups of water, decoct until seven-tenths remain, and take warm before meals.
(Bi Xie Dan) Evil-Repelling Pill [from *Liang Fang*]: Treats women having intercourse with ghosts.
Hu Tou Gu (Tiger Skull Bone, 2 liang), Zhu Sha (Cinnabaris), Xiong Huang (Realgar), Ci Huang (Orpiment), Gui Jiu (Podophylli Fructus), Zao Jiao (Gleditsiae Sinensis Spina), Wu Yi (Myrobalanus Chebulae Reticulata), Gui Jian (Arctostaphylos Uva-Ursi Ramulus), Li Lu (Veratrum Nigrum Rhizoma) (each 1 liang).
Grind into fine powder, make pills with refined honey, size of a bullet. Place one pill in a pouch and tie it to the arm (left for men, right for women). Burn another pill in front of the patient's door; all demonic pathogens will dare not approach.
Su He Xiang Wan (Styrax Pill): Treats the aforementioned syndrome. (Formula see Wind Gate.)
Miao Xiang San (Miraculous Fragrance Powder) and Ba Du Chi Wan (Eight-Toxic Red Pill) also treat the aforementioned syndrome. (Formulas see Evil Influence Gate.)