香附(五斤。分五分。一斤用盐水浸。一斤用醋浸。一斤用童便浸。一斤用无灰酒浸。一斤
用米泔水浸。每样春三日。夏二日。秋五日。冬七日。仍用原水煎。不犯铁器。晒干。用葱
五斤。取白切细。拌香附焙干。以葱白黄香为度。) 当归 白芍 生地(各四两) 青皮(一
两五钱) 黄连 黄芩(各三两) 川芎 杏仁 柴胡(各二两) 白芷(二两五钱) 滑石(水飞
净五两) 荆芥(五两) 为末。醋面糊丸。空心白汤下八十丸。
妇人羸弱。血虚有热。经水不调。赤白带下。不能成胎。及骨蒸等症。服下方有孕。
白毛乌骨鸡(一只,要肥重者。闭死。去毛肠洗净。同京酒。和水。并鸡。放砂罐内。浸过鸡
二寸。以文武火煮极熟。拆去骨。捣烂作饼。瓦上焙干。为细末。) 熟地 当归(各三两)
白芍(酒炒) 生地 川芎 白术 黄 人参 杜仲(姜炒) 知母(酒炒) 茯苓 砂仁
续断(酒
。再以山药半斤为末。酒糊丸。每早晨温酒送六十丸。渐加至八九十丸。或米汤送亦可。忌
煎。炒。辛。辣物。并苋菜。
论妇人崩漏。失血过多。由气血俱虚。损伤子宫血海也。血气之行。外循经络。内荣脏腑。
重则为崩。轻则为漏。而冲任之气虚。不能约制其经血。故脾不能统血。肝不能藏血。忽然
血崩暴下。此等症候。皆由气血虚。脾胃先损。能受补者可治。若医者误用止涩寒凉之剂。
复伤脾胃生气。使血反不归经矣。(〔吴按〕不受补者。将成痨症难治。)
【加味调经丸】
香附(五斤。分为五分。一斤用盐水浸泡,一斤用醋浸泡,一斤用童便浸泡,一斤用无灰酒浸泡,一斤用米泔水浸泡。每种处理春季浸三日,夏季浸二日,秋季浸五日,冬季浸七日。仍用原来的浸泡液煎煮,不接触铁器。晒干后,用葱五斤,取葱白切细,与香附拌合焙干,以葱白变黄为度。)当归、白芍、生地(各四两)、青皮(一两五钱)、黄连、黄芩(各三两)、川芎、杏仁、柴胡(各二两)、白芷(二两五钱)、滑石(水飞法净制五两)、荆芥(五两)。以上药材研为细末,用醋制成面糊作为粘合剂丸药。空腹时用白开水送服八十丸。
适用于妇人身体瘦弱,血虚伴有内热,月经失调,赤白带下,不能受孕,以及骨蒸潮热等症状。服用此方后可怀孕。
【乌鸡丸】
白毛乌骨鸡(一只,要选肥重者。使其闭气而死,去毛及内脏洗净。同京酒和水,连同鸡一起放入砂罐内,水量没过鸡身二寸,用文火和武火交替煮至极熟,拆去骨头,捣烂做成饼状,在瓦上焙干,研为细末。)熟地、当归(各三两)、白芍(酒炒)、生地、川芎、白术、黄芪、人参、杜仲(姜炒)、知母(酒炒)、茯苓、砂仁、续断(酒浸)。再以山药半斤研为细末,用酒制成糊状丸药。每天早晨用温酒送服六十丸,逐渐增加至八九十丸。也可以用米汤送服。忌食煎炸、炒制、辛辣食物,以及苋菜。
【论妇人崩漏】
论述妇女崩漏症,失血过多,是由于气血俱虚,损伤了子宫血海。血的运行,外循经络,内养脏腑。病情重的称为崩,轻的称为漏。由于冲任之气虚弱,不能约束经血,所以脾不能统摄血液,肝不能贮藏血液,忽然出现血崩暴下。这类证候,皆因气血虚弱,脾胃先受损。能够接受补益治疗的可以治愈。如果医生误用止涩寒凉的药剂,再次损伤脾胃的生气,使血液反而不能归经。(〔吴按〕:不能接受补益治疗的,将发展成痨症,难以治愈。)
[Modified Regulation of Menstruation Pill]
Xiangfu (Cyperi Rhizoma, 5 jin. Divided into five portions: one portion soaked in salt water, one in vinegar, one in child's urine, one in unadulterated wine, and one in rice washing water. Each portion is soaked for three days in spring, two days in summer, five days in autumn, and seven days in winter. Still decocted using the original soaking liquid, avoiding contact with iron vessels. After sun-drying, mix with five jin of scallion whites cut into fine pieces, and bake together until the scallion whites turn yellow.) Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shengdi (Rehmanniae Radix) (each 4 liang), Qingpi (Citri Reticulatae Pericarpium Viride, 1.5 qian), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 3 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xingren (Armeniacae Semen Amarum), Chaihu (Bupleuri Radix) (each 2 liang), Baizhi (Angelicae Dahuricae Radix, 2.5 liang), Huashi (Talcum, water-floated and purified, 5 liang), Jingjie (Schizonepetae Spica, 5 liang). Grind all herbs into fine powder. Make pills using vinegar and wheat flour paste as a binder. Take 80 pills on an empty stomach with plain warm water.
Indicated for women who are emaciated and weak, suffering from blood deficiency with internal heat, irregular menstruation, red and white leukorrhea, infertility, and bone-steaming tidal fever. Taking this formula may lead to pregnancy.
[Wuji Pill]
White-feathered black-boned chicken (one, select a fat and heavy one. Suffocate it to death, remove feathers and viscera, and wash clean. Place it in a clay pot with Jingjiu (Jing Wine) and water, ensuring the liquid covers the chicken by two cun. Cook thoroughly over alternating mild and strong fire. Remove bones, mash the meat into cakes, dry them on tiles, and grind into fine powder.) Shudi (Prepared Rehmanniae Radix), Danggui (Angelicae Sinensis Radix) (each 3 liang), Baishao (Paeoniae Radix Alba, stir-fried with wine), Shengdi (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Membranacei Radix), Renshen (Ginseng Radix), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Zhimu (Anemarrhenae Rhizoma, stir-fried with wine), Fuling (Poria), Sharen (Amomi Fructus), Xuduan (Dipsaci Radix, soaked in wine). Then add half a jin of Yamu (Dioscoreae Rhizoma) ground into powder. Make pills using wine paste. Take 60 pills every morning with warm wine, gradually increasing to 80-90 pills. Rice soup can also be used for delivery. Avoid fried, roasted, spicy foods, and amaranth.
[Discussion on Metrorrhagia and Leukorrhea in Women]
Metrorrhagia and metrorrhagia (bleeding disorders) in women, resulting from excessive blood loss, are caused by the deficiency of both qi and blood, damaging the uterus and the Sea of Blood. The circulation of blood runs externally along the meridians and nourishes the internal zang-fu organs. Severe cases are termed "Beng" (sudden heavy bleeding), while mild cases are termed "Lou" (continuous dripping). Due to the deficiency of Qi in the Chong and Ren meridians, which fail to constrain menstrual blood, the Spleen fails to control blood, and the Liver fails to store blood, leading to sudden severe hemorrhage. Such syndromes arise from qi and blood deficiency, with prior damage to the Spleen and Stomach. Cases that can tolerate tonification are treatable. If physicians mistakenly use astringent and cold-natured agents, they further damage the vital qi of the Spleen and Stomach, causing blood to fail to return to its vessels. ([Wu's Note]: Cases that cannot tolerate tonification will develop into consumptive disease (Lao Zheng) and become difficult to treat.)