治带下经闭不通方。
桃仁 虻虫(各一升) 朴硝(五两) 大黄(六两)
上四味为末,别治桃仁,以醇苦酒四升纳铜铛中,炭火煎至二升,下大黄、桃仁、虻虫
等,搅勿住手,当欲可丸,下朴硝,更搅勿住手,良久出之,可丸乃止。取一丸如鸡子黄投
酒中,预一宿勿食服之,至晡时,下如大豆汁,或如鸡肝凝血虾蟆子,或如膏,此是病下也
治月经不通甚极闭塞方∶
牛膝(一斤) 麻子(三升蒸) 土瓜根(三两) 桃仁(二升)
上四味 咀,以好酒一斗五升浸五宿,一服五合,渐加至一升,日三,能多益佳。
治产后风冷,留血不去停结,月水闭塞方∶
桃仁 麻子仁(各二升) 子(一升)
上三味 咀,以好酒三斗浸五宿,每服五合,日三,稍加至一升。
治月经不通,脐下坚结,大如杯盘,发热往来,下痢羸瘦,此为血瘕。若生肉 不可为
也,疗之之方∶
生地黄(三十斤取汁) 干漆(一斤为末)
上二味,以漆末纳地黄汁中,微火煎,令可丸,每服酒下如梧子大三丸,不知加之,常
以食后服。
治妇人腹中积聚,九痛七害,及腰中冷引小腹,害食,得冷便下方。
干姜 川椒(各三两) 附子(一两) 吴茱萸(一升) 当归 野狼毒 黄芩 牡蛎(各
二两)
上八味为末,蜜和丸如梧子,初服三丸,日二,加至十丸。此出京氏五君,故名五京,
久寒冷困者当服之。
治疗带下病及月经闭止不通的方剂。
桃仁、虻虫(各一升)、朴硝(五两)、大黄(六两)。
以上四味药研成细末,另外捣碎桃仁,将四升醇苦酒倒入铜锅中,用炭火煎煮至二升,加入大黄、桃仁、虻虫等药,不停搅拌,待药液变得可以制成丸状时,加入朴硝,继续不停搅拌,过一段时间后取出,能制成丸状即可停止。取如鸡蛋黄大小的一丸投入酒中,预先一晚禁食后服用,到了傍晚时分,排出像大豆汁样的东西,或者像鸡肝凝血、虾蟆子一样的物质,或者像膏脂一样,这是病邪排出的表现。
治疗月经不通,极度闭塞的方剂:
牛膝(一斤)、麻子(三升,蒸制)、土瓜根(三两)、桃仁(二升)。
以上四味药切碎,用一斗五升好酒浸泡五个夜晚,每次服用五合,逐渐增加至一升,每日三次,能多喝效果更好。
治疗产后风冷之邪滞留,瘀血不去停结,导致月水闭塞的方剂:
桃仁、麻子仁(各二升)、[原文缺字,推测为某子](一升)。
以上三味药切碎,用三斗好酒浸泡五个夜晚,每次服用五合,每日三次,逐渐增加至一升。
治疗月经不通,脐下坚硬结块,大如杯盘,发热往来,腹泻消瘦,这属于血瘕(腹内结块,由瘀血积聚而成)。如果长出肉赘则不可治愈,治疗此病的方剂:
生地黄(三十斤,取汁)、干漆(一斤,研成末)。
以上两味药,将漆末纳入地黄汁中,用微火煎煮,使其能制成丸状,每次用酒送服如梧桐子大小的三丸,若无效则增加剂量,常在饭后服用。
治疗妇人腹中积聚,九痛七害,以及腰部寒冷牵引小腹,损害食欲,受冷即泻的方剂。
干姜、川椒(各三两)、附子(一两)、吴茱萸(一升)、当归、野狼毒、黄芩、牡蛎(各二两)。
以上八味药研成细末,用蜂蜜调和制成如梧桐子大小的丸药,初次服用三丸,每日两次,逐渐增加至十丸。此方出自京氏五君,所以名叫五京丸,久患寒冷困顿者应当服用它。
Formula for treating leukorrhea and amenorrhea (absence of menstruation) due to obstruction.
Tao Ren (Persicae Semen), Meng Chong (Onychogomphus), each 1 sheng; Pu Xiao (Natrii Sulfas), 5 liang; Da Huang (Rhei Radix et Rhizoma), 6 liang.
The above four ingredients are ground into powder. Tao Ren is separately pounded. Pour 4 sheng of strong vinegar into a copper pot, boil over charcoal fire until reduced to 2 sheng. Add Da Huang, Tao Ren, Meng Chong, etc., stir continuously without stopping. When the mixture becomes paste-like enough to form pills, add Pu Xiao, continue stirring without stopping. After some time, remove from heat. Stop when it can be formed into pills. Take one pill the size of a chicken egg yolk, dissolve in wine. Fast for one night prior to taking. By dusk, discharge fluid resembling soybean juice, or clotted blood like chicken liver, or shrimp eggs, or grease-like substance; this indicates the expulsion of pathogenic factors.
Formula for treating amenorrhea with extreme obstruction:
Niu Xi (Achyranthis Bidentatae Radix), 1 jin; Ma Zi (Cannabis Fructus), 3 sheng (steamed); Tu Gua Gen (Trichosanthis Radix), 3 liang; Tao Ren (Persicae Semen), 2 sheng.
The above four ingredients are chopped. Soak in 1 dou 5 sheng of good wine for five nights. Initial dose is 5 he, gradually increase to 1 sheng. Take three times daily. More is better if tolerated.
Formula for treating postpartum wind-cold stagnation, retained blood not dispersing and accumulating, leading to menstrual obstruction:
Tao Ren (Persicae Semen), Ma Zi Ren (Cannabis Fructus), each 2 sheng; [Character missing in original text, likely a seed], 1 sheng.
The above three ingredients are chopped. Soak in 3 dou of good wine for five nights. Initial dose is 5 he, take three times daily, gradually increase to 1 sheng.
Formula for treating amenorrhea, hardness and accumulation below the umbilicus, large as a cup or plate, alternating fever and chills, dysentery, emaciation; this is Xue Jia (Blood Mass). If flesh grows, it cannot be cured. Formula for treatment:
Sheng Di Huang (Rehmanniae Radix), 30 jin (extract juice); Gan Qi (Drynariae Rhizoma processed with lime, note: context implies Dried Lacca or similar resinous substance often translated as Dry Lacquer/Kan Qi in ancient texts, here specifically Gan Qi which usually refers to processed Lacca or sometimes Drynaria depending on era, but given "Gan Qi" and "Di Huang", it often refers to processed Lacca used for breaking blood stasis. However, standard WHO term for Gan Qi is often associated with Lacca or specific processed herbs. In *Qian Jin*, Gan Qi usually refers to *Lacca* or processed resin. Let's use *Gan Qi* (Processed Lacca/Drynaria - context suggests blood-breaking, so Lacca is more likely in modern TCM, but historically ambiguous. I will use *Gan Qi* (Processed Lacca)).
Mix the Gan Qi powder into the Sheng Di Huang juice. Simmer over low heat until it can be formed into pills. Take three pills the size of wu zi (wu-zi sized) with wine per dose. Increase dosage if ineffective. Take after meals regularly.
Formula for treating abdominal masses and accumulations in women, nine pains and seven harms, coldness in the waist radiating to the lower abdomen, impaired appetite, diarrhea upon exposure to cold:
Gan Jiang (Zingiberis Rhizoma), Chuan Jiao (Zanthoxyli Pericarpium), each 3 liang; Fu Zi (Aconiti Lateralis Radix Praeparata), 1 liang; Wu Zhu Yu (Evodiae Fructus), 1 sheng; Dang Gui (Angelicae Sinensis Radix); Ye Lang Du (Stellerae Radix); Huang Qin (Scutellariae Radix); Mu Li (Ostreae Concha), each 2 liang.
The above eight ingredients are ground into powder. Mix with honey to form pills the size of wu zi. Initial dose is three pills, twice daily. Increase to ten pills. This formula originates from Jing Shi's Five Lords, hence named Wu Jing Wan (Five Jing Pills). It should be taken by those suffering from long-term cold and debility.