治崩中去血,及产后余疾方。
丹参 艾叶 地榆 忍冬 地黄(各五斤)
上五味锉,先洗臼熟舂,以水渍三宿,出滓,煮取汁,以黍米一斛炊饭酿酒,酒熟,榨
之,初服四合,后稍稍添之。
治崩中血盛,并服三剂即瘥方。
牡丹皮 干地黄 斛脉(各三两) 禹余粮 艾叶 龙骨 柏叶 浓朴 白芷 伏龙肝
青竹茹 川芎 地榆(各二两) 阿胶(一两) 芍药(四两)
上十五味 咀,以水一斗五升,煮取五升,分五服,相去如人行十里久,再服。
治崩中单方∶
烧牛角末,以酒服方寸匕,日三服,亦治带下。
又方 桑耳烧令黑为末,酒服方寸匕,日二服,亦治带下。
又方 生蓟根一斤半,捣取汁温服,亦可酒煮服之。
又方 羊胰一具以醋煮,去血服之,即止,忌猪、鱼、醋滑物,犯之便死。亦治带下
治白崩方∶
灸小腹横纹当脐孔直下百壮,又灸内踝上三寸左右各百壮。
论曰∶治漏血不止,或新伤胎,乃产后余血不消作坚,使胞门不闭,淋漓去血,经逾日
月不止者,未可以诸断血汤,宜且与牡丹丸散等,待血坚消便停也。坚血消者,所去淋沥便
自止,亦渐变消少也。此后有余伤毁,不复处此,乃可作诸主治耳。妇人产乳去血多,伤胎
去血多,崩中去血多,金疮去血多,拔牙齿去血多,未止,心中悬虚,心闷眩冒,头重,目
暗,耳聋满,举头便闷欲倒,宜且煮当归、川芎各三两,以水四升,煮取二升,去滓,分
二服即定,展转续次合诸汤治之。
治疗崩中下血,以及产后各种余疾的方剂。
丹参、艾叶、地榆、忍冬、地黄(各五斤)。
以上五味药切碎,先将石臼洗净并煮熟捣烂,用水浸泡三天,滤去药渣,煎煮取汁,用黍米一斛蒸饭来酿酒,酒酿好后,压榨取酒。初次服用四合,之后逐渐增加剂量。
治疗崩中出血量大,同时服用三剂即可痊愈的方剂。
牡丹皮、干地黄、石斛(各三两)、禹余粮、艾叶、龙骨、侧柏叶、厚朴、白芷、伏龙肝、青竹茹、川芎、地榆(各二两)、阿胶(一两)、芍药(四两)。
以上十五味药切碎,用水一斗五升,煎煮取五升药液,分五次服用,每次服药间隔时间相当于人行走十里路所需的时间,连续服用两次(注:原文“再服”在此语境下通常指按此间隔重复服用或分次服完,结合“分五服”与“相去...”,意指按时辰/行程间隔服用,此处直译为按间隔服用,直至服完或达到疗效,根据“分五服”和“再服”的逻辑,通常理解为分多次服用,间隔固定。若严格按字面“再服”可能指第二次服用,但结合前文“分五服”,更合理的解释是按规定间隔服用。为保持准确,译为:分五次服用,每次间隔如人行十里之久,反复服用至尽)。*修正理解*:原文“分五服...再服”在古文中有时指分五次服,每次间隔一定时间;或者先服一部分,过段时间再服。鉴于“分五服”已定次数,“再服”可能指这种服药方式的延续或强调。此处译为:分五次服用,每次间隔相当于人行走十里路的时间,按此法服用。
治疗崩中的单方:
将牛角烧成粉末,用酒送服一方寸匕,每日三次,也可治疗带下病。
另一个方子:将桑耳烧成黑色后研末,用酒送服一方寸匕,每日两次,也可治疗带下病。
又一个方子:取生蓟根一斤半,捣碎取汁温服,也可以用酒煮后服用。
又一个方子:取一个羊胰,用醋煮,去掉血液后服用,出血即止,忌食猪、鱼、醋及滑腻之物,触犯这些食物会导致死亡。也可治疗带下病。
治疗白崩的方剂:
在小腹横纹处,正对肚脐直下的位置艾灸一百壮,另外在内踝上三寸左右两侧各艾灸一百壮。
论述说:治疗漏血不止,或者是新近损伤胎气,或是产后余血未消结成坚块,导致胞门(子宫口)不能闭合,淋漓不断出血,经过日月仍不止者,不可以立即使用各种止血汤药,应当先用牡丹丸、散剂等,等待血结消散后再停止出血。血结消散后,所流的淋沥之血自然就会停止,也会逐渐变少。此后若有其他损伤毁坏,不再处理这种情况,才可以进行各种主治治疗。妇女产褥期失血多,损伤胎气失血多,崩中失血多,金创(金属利器造成的创伤)失血多,拔牙失血多,如果出血未止,出现心中悬空虚怯、心闷头晕目眩、头重、眼睛昏暗、耳朵鸣响胀满,举头便感到昏闷欲倒的症状,应当先煎煮当归、川芎各三两,用水四升,煎煮取二升药液,滤去药渣,分两次服用即可安定,然后再依次配合其他汤药进行治疗。
Treatment for Benzhong (sudden heavy uterine bleeding) and residual diseases after childbirth.
Danshen Radix Salviae Miltiorrhizae, Aiye Folium Artemisiae Argyi, Diyuh Cortex Periplocae, Renjin Tong Herba Honeysuckle, Dihuang Rhizoma Rehmanniae Recens (each 5 jin).
The above five herbs are chopped. First, wash the mortar until clean and cook it thoroughly to pound them. Soak in water for three nights, remove the dregs, and boil to obtain the juice. Use one hu of Shumi (broomcorn millet) to steam rice and brew wine. When the wine is ready, press it to extract the liquid. Initially take 4 he, then gradually increase the dose.
Treatment for severe Benzhong bleeding, which heals after taking three doses.
Mudanpi Cortex Moutan, Ganhuihuang Rhizoma Rehmanniae Preparata, Humai Lapis Dendrobii (each 3 liang), Yuyuliang Haematitum, Aiye Folium Artemisiae Argyi, Longgu Os Mastodi et Ossis Femoris, Boye Ramulus et Folium Platycladi, Nonghou Cortex Magnoliae Officinalis, Baizhi Radix Angelicae Dahuricae, Fulonggan Terra Ustila (each 2 liang), Qingzhuru Caulis Bambusae in Taeniam, Chuanxiong Rhizoma Chuanxiong, Diyuh Cortex Periplocae (each 2 liang), Ejiao Colla Corii Asini (1 liang), Shaoyao Radix Paeoniae Alba (4 liang).
The above fifteen herbs are chopped. Add 1 dou 5 sheng of water, boil to obtain 5 sheng of decoction. Divide into five doses. The interval between each dose should be equivalent to the time it takes a person to walk ten li. Repeat this dosing regimen.
Single formula for treating Benzhong:
Burn ox horn into powder, take one fangcun bi (a square-inch measure) with wine, three times a day. It also treats Dai Xia (leukorrhea).
Another formula: Burn Sang'er Auricularia Judae into black powder, take one fangcun bi with wine, twice a day. It also treats Dai Xia.
Yet another formula: Take 1.5 jin of fresh Jigen Radix Cirsii Japonici, crush to extract juice, take warm. It can also be boiled with wine and taken.
Yet another formula: Take one Yangying Pancreas Ovis, boil with vinegar, remove blood residue, and take. Bleeding stops immediately. Avoid pork, fish, vinegar, and slippery foods; violating this may cause death. It also treats Dai Xia.
Formula for treating Bai Beng (white leukorrhea-like bleeding):
Moxibustion on the horizontal wrinkle of the lower abdomen, directly below the umbilicus, 100 moxa cones. Also, moxibustion on both sides 3 cun above the medial malleolus, 100 moxa cones each side.
Discussion: For continuous bleeding (Lou Xue), whether due to recent fetal injury or postpartum residual blood forming hard masses that prevent the closure of the Bao Men (uterine opening), resulting in persistent dripping blood that does not stop over days and months, do not immediately use various hemostatic decoctions. Instead, first administer Mudan Wan (Moutan Pill) or San (powders), waiting for the hard blood masses to dissipate before stopping the bleeding. Once the hard blood dissipates, the dripping will naturally cease and gradually decrease. Afterward, if there are other injuries or damages, do not treat this specific condition further, but proceed with general treatments. Women who lose excessive blood during childbirth, from fetal injury, from Benzhong, from Jin Chuang (metal wounds), or from tooth extraction, if bleeding has not stopped and they experience symptoms such as a feeling of emptiness in the heart, chest oppression, dizziness, heavy head, dim vision, tinnitus/fullness in ears, and faintness upon lifting the head, first decoct Danggui Radix Angelicae Sinensis and Chuanxiong Rhizoma Chuanxiong (each 3 liang) in 4 sheng of water to obtain 2 sheng of decoction. Remove dregs and divide into two doses to stabilize the condition. Then, sequentially combine with other decoctions for treatment.