当归 莪术 延胡 熟地 枳壳 青皮 白术 黄芩(各二钱) 川芎 三棱 小茴 砂仁(
各三钱) 干漆 红花(各一钱) 香附(五钱) 甘草(二钱) 共为末。每日空心酒下三钱。
五十一二。其经不定。常常淋沥。或块或条。或漏不止。阴阳相
反。血气妄行。失其调理。最难得痊。百中三五可治。急服和经汤兼四物汤。补经汤或乌鸡
当归 山药 茯神 黄芩 香附 白术(各一两) 白芍(一两五钱) 枣仁 炒蒲黄 炒阿胶
白芷 陈皮 小茴(各六钱) 甘草(三钱) 和匀。一两三钱一帖。加姜(三片) 空心热服
。若一二帖后不止。即去香附。陈皮。小茴一半。
夫肝为血兮肺为气。血为荣兮气为卫。阴阳配偶不参差。两脏通知两类例。血衰气旺定无孕
。血旺气急应有体。左疾为男。右疾为女。流利相通定来去。两指关脉大相应。已形双孕分
男女。左手带纵两个儿。右手带横一双女。左手脉逆生三男。右手脉顺生三女。一关风部皆
相应。一男一女分形证。有将儿死母身存。或即母亡存子命。往来三部通流利。滑数相参皆
勿替。阳实阴虚脉得明。遍满胸堂皆逆气。左手太阳浮大男。右手太阴沉细女。指下分明长
记取。三部沉正等无绝。尺内不止真胎矣。夫乘妻兮纵气露。妻乘夫兮横气助。子乘母兮逆
气参。母乘子兮顺气护。小儿日足胎成聚。身热脉乱无所苦。汗出不食吐逆时。精神结备其
中住。滑疾不散胎三月。但疾不散五月母。洪紧牢强滑各安。沉细而微归泉路。
(〔吴按〕亦有虚弱孕妇。三月之前。不现于脉者。然细诊两尺。必有流利不绝之象。若五
月之后。则满滑等脉为有余。沉细微等脉为不足。所以未产预分其吉凶也。)
当归、莪术、延胡索、熟地黄、枳壳、青皮、白术、黄芩(各二钱),川芎、三棱、小茴香、砂仁(各三钱),干漆、红花(各一钱),香附(五钱),甘草(二钱)。以上药物共同研磨成粉末。每天空腹时,用酒送服三钱。
第五十一条至五十二条:月经周期不固定,经常淋漓不尽,经血或呈块状或呈条状,或者漏下不止。这是阴阳失调,气血妄行,失去了正常的调理,最难以痊愈。一百个病例中只有三五个可以治愈。应当紧急服用和经汤并配合四物汤,或者补经汤,或者乌鸡丸。
当归、山药、茯神、黄芩、香附、白术(各一两),白芍(一两五钱),酸枣仁、炒蒲黄、炒阿胶、白芷、陈皮、小茴香(各六钱),甘草(三钱)。以上药物混合均匀。每帖用量为一两三钱。加入生姜三片,空腹热服。如果服用一二帖后出血仍不止,就去掉一半剂量的香附、陈皮和小茴香。
肝主血,肺主气。血为营气,气为卫气。阴阳配偶协调没有偏差,这两脏相通对应两类规律。血虚气旺一定没有怀孕;血盛气急则应该有身孕。左手脉象疾快为男胎,右手脉象疾快为女胎。脉象流利通畅表示气血来去正常。两手关脉大且相应,可能是双胞胎,可分辨男女。左手脉带纵势生两个儿子,右手脉带横势生一双女儿。左手脉逆生三个儿子,右手脉顺生三个女儿。一侧关部风脉皆相应,是一男一女的分形证候。有的胎儿已死而母亲存活,或者母亲死亡而胎儿幸存。三部脉往来通利流畅,滑数相参都不间断。阳实阴虚的脉象得以明确,遍满胸堂都是逆气。左手太阳脉浮大为男胎,右手太阴脉沉细为女胎。指下感觉分明,长久记住。三部脉沉正相等而没有断绝,尺内脉搏不止就是真正的胎象。夫乘妻即纵气显露,妻乘夫即横气相助,子乘母即逆气参杂,母乘子即顺气保护。小儿日子足月胎成聚集。身体发热脉乱但无痛苦。出汗不吃东西呕吐的时候,精神凝结备守其中居住。滑疾不散是胎三月,但疾不散五月伤母。洪紧牢强滑各安适,沉细而微归入泉路(死亡)。
(〔吴氏按〕也有虚弱的孕妇,在三个月之前,脉象上不显现出来。然而仔细诊察两尺脉,必然有流利不绝的征象。如果在五个月之后,那么满滑等脉象为有余,沉细微等脉象为不足。所以未生产前预先分辨吉凶。)
Dang Gui (Radix Angelicae Sinensis), Ezhu (Rhizoma Curcumae), Yan Hu Suo (Rhizoma Corydalis), Shu Di Huang (Radix Rehmanniae Preparata), Zhi Qiao (Fructus Aurantii), Qing Pi (Pericarpium Citri Reticulatae Viride), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Huang Qin (Radix Scutellariae) (each 2 qian), Chuan Xiong (Rhizoma Chuanxiong), San Leng (Rhizoma Sparganii), Xiao Hui Xiang (Fructus Foeniculi), Sha Ren (Fructus Amomi) (each 3 qian), Gan Qi (Resina Dryobalanops), Hong Hua (Flos Carthami) (each 1 qian), Xiang Fu (Rhizoma Cyperi) (5 qian), Gan Cao (Radix Glycyrrhizae) (2 qian). Grind all into powder. Take 3 qian daily on an empty stomach with wine.
Chapter 51-52: Irregular menstruation, often dripping continuously, with blood clots or strips, or unstoppable leakage. This is a reversal of Yin and Yang, with reckless movement of Blood and Qi, losing proper regulation; it is most difficult to cure. Only three or five out of one hundred cases are treatable. Urgently take He Jing Tang (Harmonizing Menses Decoction) combined with Si Wu Tang (Four Substances Decoction), Bu Jing Tang (Tonifying Menses Decoction), or Wu Ji Wan (Black Chicken Pill).
Dang Gui (Radix Angelicae Sinensis), Shan Yao (Rhizoma Dioscoreae), Fu Shen (Poria Cum Radix Pini), Huang Qin (Radix Scutellariae), Xiang Fu (Rhizoma Cyperi), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang), Bai Shao (Radix Paeoniae Alba) (1.5 liang), Zao Ren (Semen Ziziphi Spinosae), Chao Pu Huang (Pollen Typhae), Chao E Jiao (Colla Corii Asini), Bai Zhi (Radix Angelicae Dahuricae), Chen Pi (Pericarpium Citri Reticulatae), Xiao Hui Xiang (Fructus Foeniculi) (each 6 qian), Gan Cao (Radix Glycyrrhizae) (3 qian). Mix evenly. One decoction uses 1 liang 3 qian. Add 3 slices of fresh ginger, take hot on an empty stomach. If bleeding does not stop after one or two decoctions, reduce the dosage of Xiang Fu, Chen Pi, and Xiao Hui Xiang by half.
The Liver governs Blood, and the Lung governs Qi. Blood is Ying (Nutritive Qi), and Qi is Wei (Defensive Qi). Yin and Yang are paired without discrepancy; these two organs communicate corresponding patterns. Deficient Blood and Excess Qi definitely indicate no pregnancy; Abundant Blood and Rapid Qi indicate pregnancy. A rapid pulse on the left indicates a male fetus; a rapid pulse on the right indicates a female fetus. Smooth and unobstructed flow indicates normal coming and going. If both Guan (Cun) pulses are large and corresponding, it may be twins, distinguishable by gender. A longitudinal pulse pattern on the left generates two sons; a transverse pulse pattern on the right generates two daughters. A reverse pulse on the left generates three sons; a smooth pulse on the right generates three daughters. If the Feng (Wind) section of one Guan pulse corresponds entirely, it indicates one son and one daughter. In some cases, the fetus dies while the mother survives, or the mother dies while the fetus survives. The pulses in the three positions flow smoothly and rapidly, with Slippery and Rapid qualities intermixed without interruption. Excess Yang and Deficient Yin make the pulse clear; reversed Qi fills the chest. A floating and large Tai Yang pulse on the left indicates a male fetus; a deep and fine Tai Yin pulse on the right indicates a female fetus. Keep this distinct feeling in mind for a long time. If the three positions are deep and regular without cessation, and the Chi (Cun) pulse continues, it is a true fetal pulse. Husband overcomes Wife means longitudinal Qi reveals; Wife overcomes Husband means transverse Qi assists; Child overcomes Mother means reverse Qi participates; Mother overcomes Child means smooth Qi protects. When the child's term is full, the fetus gathers. Body heat and chaotic pulse cause no suffering. Sweating, lack of appetite, and vomiting occur; spirit condenses and resides within. Slippery and rapid without dispersing indicates three months of pregnancy; rapid without dispersing harms the mother at five months. Surging, tight, firm, strong, and slippery pulses are each safe; deep, fine, and faint pulses lead to the spring path (death).
(Wu's Commentary: There are also weak pregnant women whose pulses do not manifest before the third month. However, careful examination of the two Chi pulses will reveal a smooth and uninterrupted image. After the fifth month, full and slippery pulses indicate excess, while deep, fine, and faint pulses indicate deficiency. Thus, auspiciousness and misfortune can be predicted before delivery.)