(此方善调经如有热者忌用。)
人参 砂仁(各五钱) 白术 川芎 熟地 当归 浓朴 香附(各一两) 海金砂 银虫砂
柏叶(各二两) 僵蚕 防风(各五钱) 粉草(二钱五分) 共为末。外用乌骨雄鸡(一只) 三年陈者。用竹刀杀之。去
毛血头足肚杂。洗净。用陈酒一大升。将药末分
三分。以一分纳鸡肚内。一分入汤内。一分留下。听用。文武火煮熟。将鸡骨拆开。熬干原
汁。取鸡骨肉药末。晒干为细末。同留下一分药末和匀。以米饭为丸。每日空心酒下五十丸
(〔吴按〕前卷乌鸡丸药味纯和。与广东白凤丸同功。乃妇科良剂。此丸重用金石。岂可常
服。若删去二砂。为八珍加减。亦可用也。)
妇人二十七八。身体困倦。少食。经水时时淋沥不止。或块或片。或流赤白黄水。面色青黄
。眼花。四肢酸痛。将成崩漏。
当归(五钱) 白芍 川芎(各四钱) 阿胶(炒) 黄芩 蒲黄(炒) 柏叶(盐水炒) 白术(各
三钱) 砂仁(二钱) 香附 熟地(各四钱) 炙甘草(一钱) 分四帖。加姜(三片) 如嗽。
加五味子。杏仁。(各三钱) 气急。加半夏。苏叶。(各二钱) 泄泻。加豆蔻。粟壳。(各
二钱) 肚痛。加枳壳。延胡。干漆。(各三钱) 若虚冷。可服前补经汤。或乌鸡丸。以补
心血。若口干潮热。不可用乌鸡丸。可服八珍散。以扶脾胃。切忌乱服药。若已半年不调。
用调经散可治。
妇人二十九三十。连年生育。气散血虚。经脉不和。或二三月不行。不时腹痛。结成血块。日
倦夜热。饮食少思。此血虚胃热。抑或劳倦而致。先服红花当归散。后服八物汤。
(此方善于调理月经,但若有热象者忌用。)
人参、砂仁(各五钱)、白术、川芎、熟地黄、当归、厚朴、香附(各一两)、海金沙、银虫砂、侧柏叶(各二两)、僵蚕、防风(各五钱)、粉草(二钱五分)。以上药物共研为细末。外用乌骨雄鸡一只,需为三年陈年的老鸡。用竹刀宰杀,去除羽毛、血液、头、足及内脏杂物,清洗干净。取陈酒一大升,将药末分为三份,将其中一份装入鸡肚内,一份加入酒汤中,一份留作备用。用文火和武火煮熟,拆开鸡骨,熬干原汁。取出鸡骨肉与药末,晒干后研为细末,与预留的一份药末混合均匀,以米饭为粘合剂制成丸药。每日空腹时,用酒送服五十丸。
(〔吴氏按语〕前卷所载乌鸡丸药性纯和平和,功效与广东白凤丸相同,是妇科良药。此丸重用金石类药物,岂可长期服用?若删去海金沙和银虫砂,改为八珍汤加减,也可以使用。)
妇人年二十七八岁,身体困倦乏力,食欲不振,月经淋漓不尽,或呈块状、片状,或流出赤、白、黄色水样分泌物,面色青黄,眼花,四肢酸痛,即将发展为崩漏(非经期大量出血或持续淋漓不止)。
当归(五钱)、白芍、川芎(各四钱)、阿胶(炒制)、黄芩、蒲黄(炒制)、侧柏叶(盐水炒制)、白术(各三钱)、砂仁(二钱)、香附、熟地黄(各四钱)、炙甘草(一钱)。分为四帖煎服,加生姜三片。若伴有咳嗽,加五味子、杏仁(各三钱);若气急,加半夏、紫苏叶(各二钱);若泄泻,加豆蔻、罂粟壳(各二钱);若腹痛,加枳壳、延胡索、干漆(各三钱)。若属虚寒证,可服用前文的补经汤,或乌鸡丸,以补益心血。若出现口干、潮热症状,不可使用乌鸡丸,可服用八珍散,以扶持脾胃。切忌乱服药。若月经已半年未来,可用调经散治疗。
妇人年二十九三十岁,连年生育,导致气散血虚,经脉不和,或两三个月月经不行,不时腹痛,结成血块,白天疲倦,夜间发热,饮食减少思虑不足。此为血虚胃热,或因劳累过度所致。先服用红花当归散,后服用八物汤。
(This formula is effective in regulating menstruation, but it should be avoided in cases with heat signs.)
Ren Shen (Ginseng Radix), Sha Ren (Amomi Fructus) (each 5 qian), Bai Zhu (Atractylodis Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Hou Po (Magnoliae Officinalis Cortex), Xiang Fu (Cyperi Rhizoma) (each 1 liang), Hai Jin Sha (Lygodii Spora), Yin Chong Sha (unknown substance, likely a specific mineral or processed insect product mentioned in local texts), Ce Bai Ye (Biota Top Leaf) (each 2 liang), Jiang Can (Bombyx Batryticatus), Fang Feng (Saposhnikoviae Radix) (each 5 qian), Fen Cao (Licorice Root) (2.5 qian). All herbs are ground into fine powder together. Use one black-bone rooster as an external vehicle, preferably from three years ago. Kill it with a bamboo knife. Remove feathers, blood, head, feet, and internal organs. Wash clean. Take one sheng of aged wine. Divide the herb powder into three parts. Put one part into the chicken's stomach, one part into the wine decoction, and reserve one part for later use. Cook thoroughly using mild and strong fire. Dismantle the chicken bones, boil down to extract the original juice. Take the chicken meat, bones, and herb powder, dry them, and grind into fine powder. Mix evenly with the reserved herb powder. Form pills using rice paste. Take fifty pills daily on an empty stomach, washed down with wine.
([Wu's Note] The Wuji Wan (Black Chicken Pill) in the previous volume has pure and mild properties, functioning similarly to Guangdong Baifeng Wan (White Phoenix Pill), making it an excellent gynecological agent. This pill heavily uses metallic and mineral substances; how can it be taken regularly? If Hai Jin Sha and Yin Chong Sha are removed, it becomes a modification of Bazhen Tang (Eight Treasure Decoction), which is also usable.)
For women aged twenty-seven or twenty-eight, experiencing physical fatigue and lassitude, poor appetite, and continuous dripping of menstrual blood (Jing Shui Shi Shi Lin Li Bu Zhi), which may appear as clumps or flakes, or flow as red, white, or yellow watery discharge. The complexion is greenish-yellow, eyes are blurry, limbs ache, and this condition is about to develop into Beng Lou (Metrorrhagia and Metrostaxis - heavy uterine bleeding or prolonged spotting).
Dang Gui (Angelicae Sinensis Radix) (5 qian), Bai Shao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 4 qian), E Jiao (Colla Corii Asini, stir-fried), Huang Qin (Scutellariae Radix), Pu Huang (Typhae Pollen, stir-fried), Ce Bai Ye (Biota Top Leaf, stir-fried with salt water), Bai Zhu (Atractylodis Rhizoma) (each 3 qian), Sha Ren (Amomi Fructus) (2 qian), Xiang Fu (Cyperi Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata) (each 4 qian), Zhi Gan Cao (Prepared Licorice Root) (1 qian). Divide into four doses for decoction. Add three slices of fresh ginger. If coughing occurs, add Wu Wei Zi (Schisandrae Chinensis Fructus) and Xing Ren (Armeniacae Semen Amarum) (each 3 qian). If there is shortness of breath, add Ban Xia (Pinelliae Rhizoma) and Su Ye (Perillae Folium) (each 2 qian). If diarrhea occurs, add Dou Kou (Tsaoko Fructus) and Su Ke (Papaveris Pericarpium) (each 2 qian). If abdominal pain occurs, add Zhi Qiao (Aurantii Fructus), Yan Hu Suo (Corydalis Rhizoma), and Gan Qi (Phytolaccae Radix) (each 3 qian). If the condition is deficiency-cold, one may take the previously mentioned Bu Jing Tang (Supplement Menstruation Decoction) or Wuji Wan (Black Chicken Pill) to nourish heart blood. If dry mouth and tidal fever occur, Wuji Wan should not be used; instead, take Bazhen San (Eight Treasure Powder) to support the spleen and stomach. Strictly avoid taking medications indiscriminately. If menstruation has been absent for half a year, Tiao Jing San (Regulate Menstruation Powder) can be used for treatment.
For women aged twenty-nine or thirty, who have given birth repeatedly over consecutive years, leading to scattered qi and deficient blood, resulting in disharmony of the meridians. Menstruation may cease for two or three months, accompanied by intermittent abdominal pain and formation of blood clumps. There is daytime fatigue and nighttime fever, along with reduced appetite and lack of desire to think. This is due to blood deficiency and stomach heat, or caused by overwork and exhaustion. First, take Hong Hua Dang Gui San (Red Flower and Angelica Powder), followed by Ba Wu Tang (Eight Substance Decoction).