凡男女受胎,皆以妇人经绝一日三日五日为男,仍遇男宿在贵宿日,又以夜半后生气时
泻精者,有子皆男,必寿而贤明高爵也,若以经绝后二日四日六日泻精者,有子皆女,过六
日皆不成子,又遇王相日尤吉。
春甲乙,夏丙丁秋庚辛,冬壬癸。
正月一日六日九日十日十一日十二日十四日二十一日二十四日二十九日
二月四日七日八日九日十日十二日十四日十九日二十二日二十七日
三月一日六日七日八日十日十七日二十日二十五日
四月三日四日五日六日八日十日十五日十八日二十二日二十八日
五月一日二日三日四日五日六日十二日十三日十五日十六日二十日二十五日二十八日二十九
日三十日
六月一日三日十日十三日十八日二十三日二十六日二十七日二十八日二十九日
七月一日十一日十六日二十一日二十四日二十五日二十六日二十七日二十九日
八月五日八日十三日十八日二十一日二十二日二十三日二十四日二十五日二十六日
九月三日六日十一日十六日十九日二十日二十一日二十二日二十四日
十月一日四日九日十四日十七日十八日十九日二十日二十二日二十九日
十一月一日六日十一日十四日十五日十六日十七日十九日二十六日二十九日
十二月四日九日十二日十三日十四日十五日十七日二十四日二十七日
若春合甲寅乙卯 夏合丙午丁巳 秋合庚申辛酉 冬合壬子癸亥
与上件月宿日合者尤佳。(出第二卷中)
千金翼论曰,夫求子者,服药须有次第,不得不知,其次第谓男服七子散,女服荡胞汤
及坐药,并服紫石门冬丸,则无不得效矣,不知此者,得力鲜焉,其七子散,荡胞汤,紫石
门冬
广济疗无子,令子宫内炙丸方。
麝香(二分研) 皂荚(十分涂酥炙削去黑皮子) 蜀椒(六分汗)
上三味捣筛,蜜丸酸枣仁大,以绵裹纳产宫中,留少绵线出,觉憎寒不净下多,即抽绵
,线出却丸药,一日一度换之,无问昼夜皆纳,无所忌。
又方
蛇床子 石盐 细辛 干姜 土瓜根(各四两)
上五味捣散,取如枣核大,以绵裹纳子宫中,以指进之依前法,中间病未可必不得近丈
夫,余无所忌。(并出第三卷中)
又疗妇人百病,断绝绪产,白薇丸方。
白薇 细辛 浓朴(炙) 椒(汗) 桔梗 鳖甲(炙各五分) 防风 大黄 附子(炮)
石硫
黄(各六分研) 牡蒙(二分) 人参 桑上寄生(各四分) 半夏(洗) 白僵蚕 续断 秦
艽
紫菀 杜仲 牛膝 虻虫(去翅足熬) 水蛭(各二分) 紫石英(研) 朴硝 桂心 钟
乳当
归(各八分)
上二十七味捣筛,蜜丸,空腹温酒服如梧桐子十五丸,日二,渐加至三十丸,不吐不利
。忌生冷油腻,饧,生血物,人苋,生葱,生菜,猪肉,冷水,粘食陈臭。(出第二卷中)
千金七子散,疗丈夫风虚目暗,精气衰少无子,补不足方。
五味子 牡荆子 菟丝子 车前子 干地黄 薯蓣 石斛 杜仲 鹿茸(炙) 远志(去
心) 菥 子(各八分) 附子(炮) 蛇床子 芎 (各六分) 山茱萸 天雄(炮) 黄
人参
茯苓 牛膝(各五分) 桂心(十分) 巴戟天(十二分) 苁蓉(七分) 钟乳(三分)
上二十四味捣筛为散,酒服方寸匕,日二服,不知增至二匕,以知为度。忌生冷酢滑,
猪鸡鱼,蒜,油腻,不能酒者,蜜和丸服亦佳,行房法,一依素女经,女人月信断一日为男,
二日为女,三日为男,四日为女,以外无子,仍每日午时前,半夜后阳时,为男下精,欲得
去
又朴硝荡胞汤,疗妇人立身以来,全不生,及断绪久不产三十年者方。
朴硝 牡丹 当归 大黄 桃仁(去皮尖生用合三两) 细辛 浓朴(炙) 桔梗 芍
药
人参 茯苓 桂心 甘草(炙) 牛膝 橘皮(各二两) 虻虫(去翅足微熬) 水蛭(炙
各六十
枚) 附子(一两半炮)
上十八味切,以清酒五升水六升合煮,取三升,分四服,日三夜一,每服相去三辰,少
时更服如常,覆被取少汗,汗不出,冬日着火笼,必下积血及冷赤脓如赤小豆汁,本为妇人
子宫内有此恶物令然,或天阴脐下痛,或月水不调,为有冷血不受胎,若斟酌下尽,气力弱
人困不堪,更服亦可,二三服即止,如大闷不堪,可食酢饭冷浆一口即止,然恐去恶物不尽
,不大得药力,若能忍服尽大好,一日后仍着导药,翼方无桔梗甘草。(并出第二卷中)
千金翼坐导药方。
皂荚(一两炙去皮子) 大黄 戎盐 矾石(烧) 当归(各二两) 五味子 干姜(各
三两) 细辛(三两) 蜀椒(汗二两) 葶苈子 苦瓠(各三分千金作山茱萸)
上十一味捣筛,纳轻绢袋子如中指许大,长三寸,盛之令满,纳子门中,坐任意,勿行
走急,小便时即出之,仍易新者,一日当下青黄冷汁,汁尽止,即可幸御,自有子,若未见
病出,亦可至十日安之,千金无葶苈,一方又有砒霜三分,(广济同)着药后一日,乃服紫
石
门冬丸,其方如下。
紫石英(七日研之) 天门冬(各三两去心) 紫葳 甘草(炙) 桂心 牡荆子(千
金作牡
蒙) 乌头(炮) 干地黄 辛夷仁 石斛 卷柏 禹余粮 当归 芎 (各三两) 乌贼
鱼骨
牛膝 薯蓣(各六分) 桑寄生 人参 牡丹皮 干姜 浓朴(炙) 续断 食茱萸 细辛
(各
五分) 柏子仁(一两)
上二十六味捣筛,蜜和,酒服十丸如梧桐子,日三,稍加至三十丸,慎如药法。(经心
录同并出第五卷中)
延年疗妇人子脏偏僻,冷结无子,坐药方。
蛇床子(三两) 芫花(三两)
上二味捣筛,取枣大,纱袋盛,纳产门中,令没指,袋少长,便时须去,任意卧着,慎
风冷。(出第四卷中)
凡男女受孕,都以月经结束后的第一天、第三天、第五天行房为男胎;如果恰逢“男宿”在“贵宿日”,又在半夜之后(阳气初生之时)泄精者,所生子女皆为男孩,必定长寿且贤明高贵。如果在月经结束后第二天、第四天、第六天泄精,所生子女皆为女孩;超过六天则不能受孕。又如果遇到“王相日”,尤为吉利。
春季对应天干甲乙,夏季对应丙丁,秋季对应庚辛,冬季对应壬癸。
正月:一日、六日、九日、十日、十一日、十二日、十四日、二十一日、二十四日、二十九日。
二月:四日、七日、八日、九日、十日、十二日、十四日、十九日、二十二日、二十七日。
三月:一日、六日、七日、八日、十日、十七日、二十日、二十五日。
四月:三日、四日、五日、六日、八日、十日、十五日、十八日、二十二日、二十八日。
五月:一日、二日、三日、四日、五日、六日、十二日、十三日、十五日、十六日、二十日、二十五日、二十八日、二十九日、三十日。
六月:一日、三日、十日、十三日、十八日、二十三日、二十六日、二十七日、二十八日、二十九日。
七月:一日、十一日、十六日、二十一日、二十四日、二十五日、二十六日、二十七日、二十九日。
八月:五日、八日、十三日、十八日、二十一日、二十二日、二十三日、二十四日、二十五日、二十六日。
九月:三日、六日、十一日、十六日、十九日、二十日、二十一日、二十二日、二十四日。
十月:一日、四日、九日、十四日、十七日、十八日、十九日、二十日、二十二日、二十九日。
十一月:一日、六日、十一日、十四日、十五日、十六日、十七日、十九日、二十六日、二十九日。
十二月:四日、九日、十二日、十三日、十四日、十五日、十七日、二十四日、二十七日。
若春季合于甲寅、乙卯日,夏季合于丙午、丁巳日,秋季合于庚申、辛酉日,冬季合于壬子、癸亥日,并与上述月份的宿日相合者,尤为佳妙。(出自第二卷中)
《千金翼方》论述说,求取子嗣者,服药必须有次序,不可不知。其次序是:男方服用七子散,女方服用荡胞汤及坐药,并共同服用紫石门冬丸,则没有不生效的。不懂此法的人,见效很少。
《广济方》治疗无子症,令子宫内使用炙丸方的方法:
麝香(二分,研细)、皂荚(十分,涂酥炙后削去黑皮及子)、蜀椒(六分,出汗)。
以上三味药捣碎过筛,用蜂蜜制成如酸枣仁大小的丸药,用丝绵包裹纳入产宫(阴道/子宫)中,留少许丝线在外。若感觉憎寒、分泌物不净且量多,即抽出丝线取出丸药。每天更换一次,无论昼夜皆可纳入,无所禁忌。
又一方:
蛇床子、石盐、细辛、干姜、土瓜根(各四两)。
以上五味药捣成散剂,取如枣核大小,用丝绵包裹纳入子宫中,用手指推入,依前法操作。中间病情未愈时,务必不得与丈夫同房,其余无所禁忌。(均出自第三卷中)
又治疗妇人百病,断绝生育之症的白薇丸方:
白薇、细辛、浓朴(炙)、椒(出汗)、桔梗、鳖甲(炙,各五分)、防风、大黄、附子(炮制)、石硫黄(各六分,研细)、牡蒙(二分)、人参、桑上寄生(各四分)、半夏(洗)、白僵蚕、续断、秦艽、紫菀、杜仲、牛膝、虻虫(去翅足,熬制)、水蛭(各二分)、紫石英(研细)、朴硝、桂心、钟乳、当归(各八分)。
以上二十七味药捣碎过筛,用蜂蜜制成丸药,空腹时用温酒送服十五丸,每日两次,逐渐增加至三十丸,以不引起呕吐和腹泻为度。忌食生冷、油腻、饴糖、生血之物、人苋、生葱、生菜、猪肉、冷水、粘性食物及陈腐臭秽之物。(出自第二卷中)
《千金方》七子散,治疗男子风虚、目暗、精气衰少、无子,补不足之方:
五味子、牡荆子、菟丝子、车前子、干地黄、薯蓣、石斛、杜仲、鹿茸(炙)、远志(去心)、葶苈子(原文作“菥 ”,疑为误字或异体,此处依常见方义推测可能指某子类,但按原文提取实体时保留原意或修正为通假,此处依上下文多为种子类药物,暂按原文字形处理,但在实体提取中需注意)、附子(炮制)、蛇床子、芎䓖(各六分)、山茱萸、天雄(炮制)、黄人参、茯苓、牛膝(各五分)、桂心(十分)、巴戟天(十二分)、肉苁蓉(七分)、钟乳(三分)。
以上二十四味药捣碎过筛为散剂,用酒送服一方寸匕,每日两次,若无效则增至二方寸匕,以见效为限度。忌食生冷、酸滑之物,猪、鸡、鱼、蒜、油腻之物。不能饮酒者,用蜜调和成丸服用也很好。行房之法,完全依照《素女经》,女子月经停止后第一天受孕为男,第二天为女,第三天为男,第四天为女,以外则不能受孕。仍需在每日午时之前、半夜之后(阳气时段)泄精,欲得...(原文此处似有缺漏,接下文“又朴硝荡胞汤...”)
又朴硝荡胞汤,治疗妇人自出生以来从未生育,以及断绝生育长久不产达三十年者的方子:
朴硝、牡丹、当归、大黄、桃仁(去皮尖,生用,合计三两)、细辛、浓朴(炙)、桔梗、芍药、人参、茯苓、桂心、甘草(炙)、牛膝、橘皮(各二两)、虻虫(去翅足,微炒)、水蛭(炙,各六十枚)、附子(一两半,炮制)。
以上十八味药切碎,用清酒五升、水六升混合煎煮,取汁三升,分四次服用,每日三次,夜间一次,每次服药间隔三个时辰。稍后照常再服。服药后盖被取微汗,若不出汗,冬日需加火笼取暖。必然排出积血及冷赤脓,状如赤小豆汁。这原本是因为妇人子宫内有这些恶物所致,或者因天气阴冷导致脐下疼痛,或月经不调,因为有冷血而不能受孕。若能斟酌排尽,气力虚弱者感到困倦不堪,也可继续服用,二三服后即止。若感到极度烦闷不适,可吃一口醋饭或冷浆水即可停止。然而恐怕恶物排不尽,药效未能充分发挥,若能忍耐服完效果最好。一天后仍可使用导药。《千金翼方》中无桔梗、甘草。(均出自第二卷中)
《千金翼方》坐导药方:
皂荚(一两,炙后去皮及子)、大黄、戎盐、矾石(烧制)、当归(各二两)、五味子、干姜(各三两)、细辛(三两)、蜀椒(出汗,二两)、葶苈子、苦瓠(各三分,《千金方》作山茱萸)。
以上十一味药捣碎过筛,装入轻绢袋中,大小如中指许,长三寸,装满后纳入子门(阴道)中,坐着随意活动,不要快走急行。小便时即取出,然后换新的。一天后应排出青黄色的冷汁,汁液排尽即止,此时即可行房,自然会有子嗣。若未见病邪排出,也可放置十天。《千金方》中无葶苈子,另一版本又有砒霜三分(《广济方》相同)。用药后一天,再服用紫石门冬丸,其方如下。
紫石英(研磨七日)、天门冬(各三两,去心)、紫葳、甘草(炙)、桂心、牡荆子(《千金方》作牡蒙)、乌头(炮制)、干地黄、辛夷仁、石斛、卷柏、禹余粮、当归、芎䓖(各三两)、乌贼鱼骨、牛膝、薯蓣(各六分)、桑寄生、人参、牡丹皮、干姜、浓朴(炙)、续断、食茱萸、细辛(各五分)、柏子仁(一两)。
以上二十六味药捣碎过筛,用蜂蜜调和,酒送服十丸,如梧桐子大,每日三次,逐渐增加至三十丸,谨慎遵循服药法则。(《经心录》相同,均出自第五卷中)
《延年方》治疗妇人子宫偏僻、冷结导致无子的坐药方:
蛇床子(三两)、芫花(三两)。
以上两味药捣碎过筛,取如枣大,用纱袋盛装,纳入产门中,使药没入指节深,袋子稍长,排便时需取出。任意卧着,注意防风防寒。(出自第四卷中)
Whenever a man and woman conceive, if intercourse occurs on the first, third, or fifth day after the cessation of the woman's menstruation, the offspring will be male. If this coincides with a "Male Star" falling on a "Noble Day," and ejaculation takes place after midnight (when vital energy begins to rise), all children born will be males, destined to be long-lived, virtuous, wise, and hold high rank. If ejaculation occurs on the second, fourth, or sixth day after menstruation ceases, the offspring will be female. After the sixth day, conception cannot occur. Furthermore, encountering a "Wang Xiang Day" (auspicious days associated with the ruling element) is especially propitious.
Spring corresponds to Heavenly Stems Jia and Yi; Summer to Bing and Ding; Autumn to Geng and Xin; Winter to Ren and Gui.
First Month: 1st, 6th, 9th, 10th, 11th, 12th, 14th, 21st, 24th, 29th.
Second Month: 4th, 7th, 8th, 9th, 10th, 12th, 14th, 19th, 22nd, 27th.
Third Month: 1st, 6th, 7th, 8th, 10th, 17th, 20th, 25th.
Fourth Month: 3rd, 4th, 5th, 6th, 8th, 10th, 15th, 18th, 22nd, 28th.
Fifth Month: 1st, 2nd, 3rd, 4th, 5th, 6th, 12th, 13th, 15th, 16th, 20th, 25th, 28th, 29th, 30th.
Sixth Month: 1st, 3rd, 10th, 13th, 18th, 23rd, 26th, 27th, 28th, 29th.
Seventh Month: 1st, 11th, 16th, 21st, 24th, 25th, 26th, 27th, 29th.
Eighth Month: 5th, 8th, 13th, 18th, 21st, 22nd, 23rd, 24th, 25th, 26th.
Ninth Month: 3rd, 6th, 11th, 16th, 19th, 20th, 21st, 22nd, 24th.
Tenth Month: 1st, 4th, 9th, 14th, 17th, 18th, 19th, 20th, 22nd, 29th.
Eleventh Month: 1st, 6th, 11th, 14th, 15th, 16th, 17th, 19th, 26th, 29th.
Twelfth Month: 4th, 9th, 12th, 13th, 14th, 15th, 17th, 24th, 27th.
If Spring coincides with Jiayin or Yimao days; Summer with Bingwu or Dingsi days; Autumn with Gengshen or Xinyou days; Winter with Renzi or Guihai days, and these align with the aforementioned monthly star days, it is exceptionally auspicious. (From Volume II)
The *Qianjin Yi Fang* states that those seeking offspring must administer medicines in a specific sequence, which must not be ignored. The sequence is as follows: the man takes Qizi San (Seven Seeds Powder); the woman takes Dangbao Tang (Plaster-Clearing Decoction) and applies sitz medications; both take Zishimen Dongwan (Purple Stone Winter Sweet Pill). In this manner, efficacy is assured. Those unaware of this method rarely achieve results.
*Guangji Fang* treats infertility by inserting a moxa-processed pill into the uterus:
Moschus (She Xiang, 2 fen, ground); Gleditsiae Sinensis Fructus (Zaojiao, 10 fen, baked with butter, black skin and seeds removed); Zanthoxyli Pericarpium (Shujiao, 6 fen, sweat-dried).
Grind these three ingredients and sieve them. Form pills the size of Sour Jujube Seed (Suanzaoren) using honey. Wrap each pill in silk cotton and insert it into the reproductive organ (vagina/uterus), leaving a short thread outside. If chills or excessive, unclean discharge occur, withdraw the thread to remove the pill. Replace once daily, regardless of day or night, with no taboos.
Another prescription:
Cnidii Fructus (Chuanshuangzi); Halitum (Shiyan); Asari Radix (Xixin); Zingiberis Rhizoma Dryum (Ganjiang); Thladianthae Radix (Tuguagen) (each 4 liang).
Grind these five ingredients into a powder. Take an amount the size of a jujube pit, wrap in silk cotton, and insert into the uterus, pushing it in with a finger according to the previous method. During treatment, coitus must be avoided until the condition resolves; otherwise, there are no taboos. (From Volume III)
Another prescription for treating various women's diseases and restoring fertility: Baiwei Wan (Baiwei Pill):
Baiwei; Xixin; Houpo (baked); Jiao (sweat-dried); Jiegeng; Biejiar (baked, each 5 fen); Fangfeng; Dahuang; Fuzi (processed); Shiliuhuang (each 6 fen, ground); Mumeng; Renshen; Sangshang Jisheng (each 4 fen); Banxia (washed); Baijiangcan; Xuduan; Qinjiao; Ziwan; Duzhong; Niuxi; Mengchong (wings and feet removed, roasted); Shuizhi (each 2 fen); Zhiyingshi (ground); Poxiao; Guixin; Zhongru; Danggui (each 8 fen).
Grind these 27 ingredients and sieve them. Form pills with honey. Take 15 pills (size of Sophora Seed) with warm wine on an empty stomach, twice daily. Gradually increase to 30 pills, ensuring no vomiting or diarrhea occurs. Avoid raw/cold foods, greasy foods, maltose, blood-generating foods, Amaranthus manihot, raw green onions, raw vegetables, pork, cold water, sticky foods, and stale/foul-smelling items. (From Volume II)
*Qianjin Fang* Qizi San (Seven Seeds Powder) treats men suffering from wind-deficiency, dim vision, deficient essence and qi, and infertility, supplementing deficiencies:
Wuweizi; Mujingzi; Tusizi; Cheqianzi; Dihuang; Shuyu; Shihu; Duzhong; Lurong (baked); Yuanzhi (heart removed); Tinglizi (text error in original, likely referring to a seed); Fuzi (processed); Chuanshuangzi; Xiong (each 6 fen); Shanzhuyu; Tianxiong (processed); Huangrenshen; Fuling; Niuxi (each 5 fen); Guixin (10 fen); Bajitian (12 fen); Congrong (7 fen); Zhongru (3 fen).
Grind these 24 ingredients into a powder. Take one Cunbi (square-inch measure) with wine, twice daily. If ineffective, increase to two Cunbi. Stop when effective. Avoid raw/cold, sour/slippery foods, pork, chicken, fish, garlic, and greasy foods. Those who cannot drink wine may mix with honey to form pills. Coital methods should strictly follow the *Su Nü Jing*: conception on the first day after menstruation ends yields a male, the second day a female, the third day a male, the fourth day a female; other days do not result in pregnancy. Ejaculation should occur during Yang hours (before noon and after midnight).
Another prescription, Poxiao Dangbao Tang (Mirabilite Plaster-Clearing Decoction), treats women who have never conceived since birth or have been infertile for thirty years:
Poxiao; Mudan; Danggui; Dahuang; Taoren (skin and kernel removed, raw, total 3 liang); Xixin; Houpo (baked); Jiegeng; Shaoyao; Renshen; Fuling; Guixin; Gancao (baked); Niuxi; Juapi (each 2 liang); Mengchong (wings and feet removed, lightly roasted); Shuizhi (baked, 60 pieces); Fuzi (1.5 liang, processed).
Chop these 18 ingredients. Boil with 5 sheng of clear wine and 6 sheng of water until reduced to 3 sheng. Divide into four doses: three times daily and once at night. Space each dose by three Chen periods (two hours). Cover with blankets to induce slight sweating. If sweating does not occur in winter, use a fire brazier. This will expel accumulated blood and cold red pus resembling adzuki bean juice, caused by evil substances in the uterus, or abdominal pain due to cold weather, or irregular menstruation due to cold blood preventing conception. If the patient is weak and exhausted, continue taking it for 2-3 doses then stop. If severe nausea occurs, eat a mouthful of vinegar rice or cold slurry to stop. However, incomplete expulsion of evil substances reduces efficacy; enduring the full course is best. After one day, continue using suppositories. Note: *Qianjin Yi Fang* omits Jiegeng and Gancao. (From Volume II)
*Qianjin Yi Fang* Sitz Suppository Prescription:
Zaojiao (1 liang, baked, skin and seeds removed); Dahuang; Rongyan; Fanshi (calcined); Danggui (each 2 liang); Wuweizi; Ganjiang (each 3 liang); Xixin (3 liang); Shujiao (sweat-dried, 2 liang); Tinglizi; Kuapu (each 3 fen, *Qianjin* uses Shanzhuyu).
Grind these 11 ingredients and sieve them. Place in a light silk bag (size of middle finger, length 3 cun), fill it, and insert into the vagina. Sit comfortably, avoiding rapid walking. Remove upon urination and replace with a new one. Within one day, yellow-green cold fluid should discharge; stop when finished. Coitus may then resume, leading to pregnancy. If no discharge occurs, leave for up to ten days. (*Qianjin* lacks Tinglizi; another version adds Bisufu/Arsenic Trioxide 3 fen, same as *Guangji*). One day after using the suppository, take Zishimen Dongwan, as follows:
Zhiyingshi (ground for 7 days); Tiantaodong (each 3 liang, heart removed); Ziwei; Gancao (baked); Guixin; Mujingzi (*Qianjin* Mumeng); Wutou (processed); Dihuang; Xinyiren; Shihu; Juanbai; Yuyuliang; Danggui; Xiong (each 3 liang); Ooctopus Bone (Wuzeiyu); Niuxi; Shuyu (each 6 fen); Sangjisheng; Renshen; Mudanpi; Ganjiang; Houpo (baked); Xuduan; Shizhuyu; Xixin (each 5 fen); Baiziren (1 liang).
Grind these 26 ingredients and sieve them. Mix with honey. Take 10 pills (size of Sophora Seed) with wine, three times daily, gradually increasing to 30 pills. Observe dietary precautions strictly. (Same as *Jingxin Lu*, From Volume V)
*Yannian Fang* Sitz Medication for uterine deviation and cold stagnation causing infertility:
Chuanshuangzi (3 liang); Yuanhua (3 liang).
Grind and sieve. Form into pills the size of a jujube, place in a gauze bag, and insert into the vagina to the depth of a finger. The bag should be slightly longer; remove during defecation. Lie down as comfortable, avoiding wind and cold. (From Volume IV)