夫妇人有气血阴阳。脏腑虚实。实则生热。虚则受邪。邪热加人。阴阳冷热自相乘也。
今云客热者。是体虚而将温过度。外热加之。非腑脏自生。故云客热。其状。上焦胸膈之间
虚热
治妇人客热。心神烦躁。体热。四肢疼痛。不思饮食。羚羊角散方。
羚羊角屑(三分) 红花子(半两) 赤芍药(半两) 当归(半两锉碎微炒) 枳壳
(半两麸
炒微黄去瓤) 赤茯苓(一两) 犀角屑(半两) 生干地黄(一两) 人参(三分去芦头)
麦门
冬(三
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服。
治妇人客热。四肢烦闷疼痛。不下饮食。麦门冬散方。
麦门冬(一两去心) 羚羊角屑(三分) 赤芍药〔二(三)分〕 桑根白皮(三分锉)
柴胡
(一两去苗) 生干地黄(半两) 赤茯苓(一两) 甘草(半两炙微赤锉) 黄 (三分
锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治妇人客热。四肢烦闷(疼)。不思饮食。犀角散方。
犀角屑(半两) 黄 (一两半锉) 地骨皮(半两) 柴胡(一两去苗) 麦门冬(三
分去心)
人
两) 赤
芍药
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候温服。
治妇人客热。心胸壅闷。肢节烦疼。少思饮食。黄 散方。
黄 (一两锉) 麦门冬(一两半去心焙) 生干地黄(一两) 犀角屑(半两) 人
参(三分
去芦头) 茯神(三分) 栝蒌子仁(半两) 黄芩(半两) 甘草(半两)
上件药。捣细罗为散。每服不计时候。以竹叶汤调下二钱。
治妇人客热。心神烦躁。口干舌涩。食少无味。丹砂散方。
丹砂(一两细研水飞过) 犀角屑(半两) 天竹黄(半两) 胡黄连(二两) 寒水
石(一两
细研) 麦门冬(一两去心焙) 马牙硝(一分细研) 铅霜(半两细研)
上件药。捣细罗为散。入研了药令匀。每服不计时候。以竹叶汤调下一钱。
治妇人客热。面赤头疼。口舌生疮。心胸烦壅。饮食无味。生干地黄丸方。
生干地黄(一两) 羚羊角屑(半两) 葳蕤(半两) 白藓皮(半两) 黄连(三分
去须) 黄
(
草(半
两炙
上件药。捣细罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温水下二
十丸。
治妇人客热。烦渴头疼方。
石膏(一两细研水飞过) 寒水石(一两细锉)
上件药。同研令匀。每服不计时候。以生地黄汁调下一钱。
妇女的生理基础在于气血与阴阳,脏腑存在虚实的变化。实证会产生内热,虚证则容易遭受外邪侵袭。当邪热侵入人体,体内的阴阳、冷、热之气便会相互冲撞激荡。
现在所说的“客热”,是指由于体质虚弱且过度温补,导致外来的热气叠加于体内,并非脏腑自身产生的热邪,因此称为“客热”。其症状表现为上焦胸膈部位出现虚热。
治疗妇人客热证,症见心神烦躁、身体发热、四肢疼痛、不思饮食,使用羚羊角散方。
药材:羚羊角屑(三分)、红花子(半两)、赤芍药(半两)、当归(半两,锉碎后微炒)、枳壳(半两,麸炒至微黄,去瓤)、赤茯苓(一两)、犀角屑(半两)、生干地黄(一两)、人参(三分,去芦头)、麦门冬(三钱,去心)。
以上药材,捣碎过筛制成散剂。每次服用三钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候,温服。
治疗妇人客热证,症见四肢烦闷疼痛、无法进食,使用麦门冬散方。
药材:麦门冬(一两,去心)、羚羊角屑(三分)、赤芍药(三分)、桑根白皮(三分,锉)、柴胡(一两,去苗)、生干地黄(半两)、赤茯苓(一两)、甘草(半两,炙至微红,锉)、黄芩(三分,锉)。
以上药材,捣碎粗罗制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候,温服。
治疗妇人客热证,症见四肢烦闷疼痛、不思饮食,使用犀角散方。
药材:犀角屑(半两)、黄芩(一两半,锉)、地骨皮(半两)、柴胡(一两,去苗)、麦门冬(三分,去心)、人参(三分,去芦头)、赤芍药(半两)。
以上药材,捣碎粗罗制成散剂。每次服用四钱,用水一中盏,加入生姜半分,煎煮至六分,滤去药渣。不分时候,温服。
治疗妇人客热证,症见心胸壅闷、肢节烦痛、食欲减退,使用黄芩散方。(注:原文此处方名似漏字或指代黄芩类方,根据上下文及药材推测可能为含黄芩之方,但依原文忠实翻译)
药材:黄芩(一两,锉)、麦门冬(一两半,去心焙干)、生干地黄(一两)、犀角屑(半两)、人参(三分,去芦头)、茯神(三分)、栝蒌子仁(半两)、黄芩(半两)、甘草(半两)。
以上药材,捣碎细罗制成散剂。每次服用不拘时候,用竹叶汤调服二钱。
治疗妇人客热证,症见心神烦躁、口干舌涩、食少无味,使用丹砂散方。
药材:丹砂(一两,细研,水飞法处理)、犀角屑(半两)、天竹黄(半两)、胡黄连(二两)、寒水石(一两,细研)、麦门冬(一两,去心焙干)、马牙硝(一分,细研)、铅霜(半两,细研)。
以上药材,捣碎细罗制成散剂,将已研细的药物混合均匀。每次服用不拘时候,用竹叶汤调服一钱。
治疗妇人客热证,症见面赤头疼、口舌生疮、心胸烦闷壅滞、饮食无味,使用生干地黄丸方。
药材:生干地黄(一两)、羚羊角屑(半两)、葳蕤(半两)、白藓皮(半两)、黄连(三分,去须)、黄芪(半两)、甘草(半两,炙)。
以上药材,捣碎细罗制成粉末,用炼蜜调和,捣杵三二百下,制成梧桐子大小的丸剂。每次服用不拘时候,用温水送服二十丸。
治疗妇人客热证,症见烦渴头疼,使用此方。
药材:石膏(一两,细研,水飞法处理)、寒水石(一两,细锉)。
以上药材,共同研磨均匀。每次服用不拘时候,用生地黄汁调服一钱。
Women's physiological basis lies in Qi and Blood, as well as Yin and Yang, while the Zang-Fu organs exhibit patterns of deficiency and excess. Excess conditions generate internal heat, whereas deficiency conditions make one susceptible to external pathogens. When pathogenic heat invades the human body, the Yin and Yang, cold and heat within naturally clash and interact.
The term "Guest Heat" (Ke Re) mentioned here refers to heat added from the exterior due to a weak constitution and excessive warming tonification; it is not heat generated spontaneously by the Zang-Fu organs, hence it is called "Guest Heat." Its manifestation involves deficient heat in the Upper Jiao (Upper Burner), specifically between the chest and diaphragm.
To treat Guest Heat in women, presenting with mental restlessness and irritability, body heat, pain in the four limbs, and loss of appetite, use Antelope Horn Powder (Lingyangjiao San).
Ingredients: Antelope Horn shavings (3 fen), Safflower seeds (Ban liang), Red Peony Root (Chi Shaoyao) (Ban liang), Angelica Sinensis (Danggui) (Ban liang, crushed and lightly stir-fried), Bitter Orange (Zhiqiao) (Ban liang, bran-fried until slightly yellow, pith removed), Red Poria (Chi Fuling) (1 liang), Rhinoceros Horn shavings (Xijiao) (Ban liang), Dried Rehmannia Root (Sheng Gan Dihuang) (1 liang), Ginseng (Renshen) (3 fen, radix removed), Ophiopogon Tuber (Maimendong) (3 qian, heart removed).
Process these ingredients by crushing and sieving into a powder. Take 3 qian per dose, add 1 zhuan of water and 0.5 ban of fresh ginger, decoct until reduced to 6 fen, remove the dregs, and take warm at any time.
To treat Guest Heat in women, presenting with vexation and pain in the four limbs, and inability to eat, use Ophiopogon Powder (Maimendong San).
Ingredients: Ophiopogon Tuber (Maimendong) (1 liang, heart removed), Antelope Horn shavings (3 fen), Red Peony Root (Chi Shaoyao) (3 fen), Mulberry Root Bark (Sanggen Baipi) (3 fen, crushed), Bupleurum Root (Chaihu) (1 liang, radix removed), Dried Rehmannia Root (Sheng Gan Dihuang) (Ban liang), Red Poria (Chi Fuling) (1 liang), Licorice Root (Gancao) (Ban liang, honey-fried until slightly red, crushed), Scutellaria Root (Huangqin) (3 fen, crushed).
Process these ingredients by coarsely grinding and sieving into a powder. Take 4 qian per dose, add 1 zhuan of water and 0.5 ban of fresh ginger, decoct until reduced to 6 fen, remove the dregs, and take warm at any time.
To treat Guest Heat in women, presenting with vexation and pain in the four limbs, and loss of appetite, use Rhinoceros Horn Powder (Xijiao San).
Ingredients: Rhinoceros Horn shavings (Xijiao) (Ban liang), Scutellaria Root (Huangqin) (1.5 liang, crushed), Cortex Lycii (Digupi) (Ban liang), Bupleurum Root (Chaihu) (1 liang, radix removed), Ophiopogon Tuber (Maimendong) (3 fen, heart removed), Ginseng (Renshen) (3 fen, radix removed), Red Peony Root (Chi Shaoyao) (Ban liang).
Process these ingredients by coarsely grinding and sieving into a powder. Take 4 qian per dose, add 1 zhuan of water and 0.5 ban of fresh ginger, decoct until reduced to 6 fen, remove the dregs, and take warm at any time.
To treat Guest Heat in women, presenting with chest and epigastric fullness and oppression, vexing pain in the joints, and reduced appetite, use Huang Qin San (Scutellaria Powder).
Ingredients: Scutellaria Root (Huangqin) (1 liang, crushed), Ophiopogon Tuber (Maimendong) (1.5 liang, heart removed and baked), Dried Rehmannia Root (Sheng Gan Dihuang) (1 liang), Rhinoceros Horn shavings (Xijiao) (Ban liang), Ginseng (Renshen) (3 fen, radix removed), Spirit of Poria (Fushen) (3 fen), Semen Trichosanthis (Gualou Zi Ren) (Ban liang), Scutellaria Root (Huangqin) (Ban liang), Licorice Root (Gancao) (Ban liang).
Process these ingredients by finely grinding and sieving into a powder. Take 2 qian per dose at any time, mixed with Decoction of Bamboo Leaves (Zhuye Tang).
To treat Guest Heat in women, presenting with mental restlessness and irritability, dry mouth and tongue, scanty eating, and lack of taste, use Cinnabar Powder (Dansha San).
Ingredients: Cinnabar (Dansha) (1 liang, finely ground and washed with water), Rhinoceros Horn shavings (Xijiao) (Ban liang), Tianshu Huang (Tianzhuhuang) (Ban liang), Picrorhiza Root (Huhuanglian) (2 liang), Arsenolite (Hanshuishi) (1 liang, finely ground), Ophiopogon Tuber (Maimendong) (1 liang, heart removed and baked), Natrii Sulfas (Mayaxiao) (1 fen, finely ground), Lead Frost (Qianshuang) (Ban liang, finely ground).
Process these ingredients by finely grinding and sieving into a powder, mixing thoroughly with the already ground medicines. Take 1 qian per dose at any time, mixed with Decoction of Bamboo Leaves (Zhuye Tang).
To treat Guest Heat in women, presenting with red face and headache, sores in the mouth and tongue, chest vexation and fullness, and lack of taste in food, use Dried Rehmannia Pill (Sheng Gan Dihuang Wan).
Ingredients: Dried Rehmannia Root (Sheng Gan Dihuang) (1 liang), Antelope Horn shavings (Ban liang), Polygonatum Rhizome (Weirui) (Ban liang), Dictamnus Root Bark (Baixianpi) (Ban liang), Coptis Rhizome (Huanglian) (3 fen, whiskers removed), Astragalus Root (Huangqi) (Ban liang), Licorice Root (Gancao) (Ban liang, honey-fried).
Process these ingredients by finely grinding into powder, mixing with refined honey, and pounding for three to two hundred strokes to form pills the size of Sophora seeds. Take 20 pills per dose at any time, with warm water.
To treat Guest Heat in women, presenting with vexation, thirst, and headache, use this formula.
Ingredients: Gypsum Fibrosum (Shigao) (1 liang, finely ground and washed with water), Arsenolite (Hanshuishi) (1 liang, finely crushed).
Process these ingredients by grinding them together uniformly. Take 1 qian per dose at any time, mixed with Juice of Fresh Rehmannia Root (Sheng Dihuang Zhi).