仲景曰∶阴吹者,胃气泄,阴吹而正喧。此谷气之实气,从溺处而泄也。治宜膏发煎。
猪膏(八两) 乱发(鸡子大三枝)
上二味和一处煎之,发消药成服之,病从小便出。
仲景曰∶交肠,乃大小便易位而出也。此因醉饱房劳,或大怒气乱,真脏气乖,不循常度,
泌别失职之所致也。治宜五苓散,或四物汤,加海金沙、木香、槟榔、木通、桃仁之类。
张子和曰∶妇人脾胃虚寒,气滞不行,攻刺心腹,痛连胸胁,或因瘀血作痛,状如黄瓜,在
小腹两旁横骨端纹中。孰谓妇人无疝乎?治宜蟠葱散、桃仁当归汤。
蟠葱散
青皮(一两五钱) 钉皮 砂仁 (各一两) 三棱 槟榔(各一两) 干姜 肉桂(各五钱) 元
胡(七钱五分) 苍术(五钱) 甘草(一两)
上为二剂,姜枣葱煎热服。脐下冷痛,加吴萸、茴香。
桃仁当归汤
桃仁(二钱) 归尾 元胡(各一钱半) 川芎 生地 赤芍(炒) 吴萸 青皮(醋炒,一钱)
丹皮(八分)
姜三片,水煎,食前服。
化气丸 治经行腹痛。
香附 青皮 陈皮 砂仁 木香 川芎 茴香
上为末,曲糊丸。
异功散 调理脾胃。
人参 白术 茯苓 甘草 陈皮
水煎服。
张仲景说:阴吹病,是胃气下泄,导致阴道排气且声音嘈杂。这是由于谷气(饮食积滞之气)实盛,从尿道口附近排泄所致。治疗适宜使用膏发煎。
猪脂(八两) 乱发(如鸡蛋大小的三团)
将这两味药混合在一起煎煮,待头发完全消融、药液制成后服用,病邪会从小便排出。
张仲景说:交肠病,是大便和小便位置互换而排出的病症。这通常是因为醉酒后饱食并行房事,或因大怒导致气机紊乱,致使真脏之气失常,不遵循正常规律,造成泌别清浊功能失职所引起。治疗适宜使用五苓散,或者四物汤,加入海金沙、木香、槟榔、木通、桃仁等药物。
张子和说:妇人脾胃虚寒,气机阻滞运行不畅,攻冲刺痛心腹,疼痛牵连胸胁,或者因为瘀血作痛,形状像黄瓜,位于小腹两侧横骨端的纹路中。谁说妇人没有疝气呢?治疗适宜使用蟠葱散、桃仁当归汤。
蟠葱散
青皮(一两五钱) 钉皮(注:疑为青皮之误或别名,此处保留原文“钉皮”,若指代不明可视为药材名,但结合上下文及常见方剂,此处可能为传抄错误,通常蟠葱散含青皮、砂仁等。根据指令保持原名,故列出“钉皮”作为药材/成分,但需注意其非常规名。*修正思考*:原文写的是“钉皮”,但在中医古籍中极少见此标准名,极可能是“青皮”的重复或误写,或者是某种特定炮制皮。为了严格忠实原文提取实体,我将提取“钉皮”作为药材,尽管它可能是错字。不过,更常见的解读是“青皮”被误写。鉴于指令要求提取明确出现的实体,我提取“钉皮”。) 砂仁 (各一两) 三棱 槟榔(各一两) 干姜 肉桂(各五钱) 元胡(七钱五分) 苍术(五钱) 甘草(一两)
将上述药物分为两剂,用生姜、大枣、葱白煎煮,热服。如果脐下冷痛,加入吴茱萸、小茴香。
桃仁当归汤
桃仁(二钱) 归尾 元胡(各一钱半) 川芎 生地 赤芍(炒) 吴茱萸 青皮(醋炒,一钱) 丹皮(八分)
生姜三片,水煎,饭前服用。
化气丸 治疗月经期间腹痛。
香附 青皮 陈皮 砂仁 木香 川芎 小茴香
将上述药物研成细末,用神曲糊制作成丸剂。
水煎服用。
研磨成细末,每晚用鸡蛋清涂抹,早晨清洗,能使面部皮肤变白。
Zhang Zhongjing stated: Yin Chui (Vaginal Flatulence) refers to the leakage of Stomach Qi downwards, causing flatulence from the vagina with audible noise. This condition arises when Gu Qi (Qi derived from food and grain) becomes excessive and is discharged from the area near the urethra. The appropriate treatment is Gao Fa Jian (Pig Fat and Hair Decoction).
Zhu Gao (Pig Fat, *Suis Adipis*) (8 liang) Luan Fa (Tangled Human Hair, equivalent to three pieces the size of a chicken egg)
Combine these two ingredients and decoct them together. Once the hair has dissolved and the medicine is prepared, take it orally. The pathogenic factor will be expelled through urination.
Zhang Zhongjing stated: Jiao Chang (Intestinal Reversal) is a condition where stool and urine are excreted from reversed orifices. This is caused by sexual intercourse after drunkenness and overeating, or by severe anger leading to Qi chaos, resulting in the deviation of the Zang-Fu Qi from normal patterns and the failure of the function to separate clear from turbid. The appropriate treatment is Wu Ling San (Five-Ingredient Poria Pill), or Si Wu Tang (Four-Substance Decoction), added with Hai Jin Sha (Lygodii Spora), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen), Mu Tong (Akebiae Caulis), Tao Ren (Persicae Semen), and similar herbs.
Zi He De stated: In women, Spleen-Stomach deficiency-cold causes Qi stagnation and impaired circulation, attacking and stabbing the heart and abdomen, with pain radiating to the chest and hypochondrium. It may also be due to blood stasis causing pain, resembling a cucumber, located in the creases at the ends of the transverse bones on both sides of the lower abdomen. Who says women do not suffer from hernia? The appropriate treatments are Pan Cong San (Scallion-Coiling Powder) and Tao Ren Dang Gui Tang (Peach Kernel and Angelica Decoction).
Pan Cong San
Qing Pi (Citri Reticulatae Pericarpium Viride) (1 liang 5 qian) Ding Pi (Note: Likely a textual variant or error for Qing Pi, retained as per source text) Sha Ren (Amomi Fructus) (1 liang each) San Leng (Sparganii Rhizoma) Bing Lang (Arecae Semen) (1 liang each) Gan Jiang (Zingiberis Rhizoma) Rou Gui (Cinnamomi Cortex) (5 qian each) Yuan Hu (Corydalis Rhizoma) (7 qian 5 fen) Cang Zhu (Atractylodis Rhizoma) (5 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang)
Divide into two doses. Decoct with Sheng Jiang (Zingiberis Rhizoma), Da Zao (Jujubae Fructus), and Cong Bai (Allii Fistulosi Bulbus), and take hot. If there is cold pain below the umbilicus, add Wu Yu (Evodiae Fructus) and Hui Xiang (Foeniculi Fructus).
Tao Ren Dang Gui Tang
Tao Ren (Persicae Semen) (2 qian) Gui Wei (Angelicae Sinensis Radix - tail end) Yuan Hu (Corydalis Rhizoma) (1 qian 5 fen each) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Sheng Di Huang (Rehmanniae Radix) Chi Shao (Paeoniae Radix Rubra - stir-fried) Wu Yu (Evodiae Fructus) Qing Pi (Citri Reticulatae Pericarpium Viride - vinegar-fried, 1 qian) Dan Pi (Moutan Cortex) (8 fen)
Add three slices of Sheng Jiang (Zingiberis Rhizoma). Decoct in water and take before meals.
Hua Qi Wan (Qi-Transforming Pill) Treats abdominal pain during menstruation.
Xiang Fu (Cyperi Rhizoma) Qing Pi (Citri Reticulatae Pericarpium Viride) Chen Pi (Citri Reticulatae Pericarpium) Sha Ren (Amomi Fructus) Mu Xiang (Aucklandiae Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Hui Xiang (Foeniculi Fructus)
Grind into powder and make pills using Shen Qu (Massa Medicata Fermentata) paste.
Yi Gong San (Extraordinary Efficacy Powder) Regulates Spleen and Stomach.
Ren Shen (Ginseng Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fu Ling (Poria) Gan Cao (Glycyrrhizae Radix et Rhizoma) Chen Pi (Citri Reticulatae Pericarpium)
Decoct in water and take orally.
Lu Gan Shi (Calamina) (2 liang) Bai Lian (Bai Lian Rhizoma) (12 liang)
Grind into fine powder. Apply with egg white at night and wash off in the morning to whiten the complexion.