〔大〕妇人血风烦闷者,由腑脏劳伤,血气虚而风邪入之,搏于血脉,使气不通而
痞涩,则生于热,或肢节烦疼,口干少卧,皆因虚弱而气血壅滞,故烦闷也。
〔薛〕前证多属肝脾血虚发热,宜参照前寒热方论主治。
酸枣仁散 治妇人血风烦闷,四肢疼痛,心神多躁,饮食减少,并皆治之。
酸枣仁 赤芍药 赤茯苓(去皮) 当归(去芦) 红花子 生干地黄 羚羊角(屑,各七钱半)
防风(去叉) 羌活(去芦) 牛膝(酒浸) 芎 桂心 地骨皮 麦门冬(去心)
甘草(各半两,炙)
上为 咀,每服八钱,水一中盏半,生姜七片,薄荷七叶,煎至一大盏,去滓温服,
不拘时。
紫石英散 治妇人血风烦闷,心神恍惚,睡卧不安。
紫石英(一两) 茯神(去木) 麦门冬(去心) 人参(去芦) 远志(去心) 酸枣仁
当归(去芦) 黄芩(各七钱半) 羚羊角(屑) 防风(去芦) 黄 (各半两) 甘草(炙,二钱半)
上为 咀,每服五钱,水一中盏半,生姜五片,枣二枚,煎至一大盏,去滓温服,不拘时。
当归散 治妇人血风潮热。
当归(去芦,二两) 芍药 玄胡索 熟地黄(各一两) 大黄(蒸,七钱半) 桂心(半两)
甘草(炙,二钱半)
上为细末,每服一钱,水一盏,入干胭脂一钱,同煎至六分,去滓,食后温服。
赤芍药散 治妇人气血不和,心胸烦闷,不思饮食,四肢少力,头目昏眩,身体疼痛。
牡丹皮 白茯苓 赤芍药 白芷 甘草(各二两) 柴胡(一两半)
上为细末,每服二钱,水一盏,生姜一片,枣一枚,同煎至七分,温服,食后、临卧。
【大】妇女患血风烦闷的病症,是由于脏腑劳损受伤,气血虚弱导致风邪侵入体内。风邪与血脉相搏结,致使气机运行不畅而出现痞塞涩滞,进而产生内热。症状表现为四肢关节烦痛、口干、睡眠减少等,这些都是因为身体虚弱导致气血壅滞,从而引起烦闷。
【薛】上述证候多属于肝脾血虚引起的发热,应当参照前文关于寒热证的方论进行主治。
酸枣仁散:治疗妇女血风烦闷,四肢疼痛,心神烦躁不安,饮食减少等症状,均可治疗。
药材组成:酸枣仁、赤芍药、赤茯苓(去皮)、当归(去芦头)、红花子、生干地黄、羚羊角(锉成屑,各七钱半)、防风(去叉口)、羌活(去芦头)、牛膝(酒浸)、川芎、桂心、地骨皮、麦门冬(去心)、甘草(各半两,炙烤)。
煎服法:将上述药物捣碎成粗末,每次服用八钱,加水一盏半,生姜七片,薄荷七叶,煎煮至一大盏,滤去药渣,温服,不限定具体时间。
紫石英散:治疗妇女血风烦闷,心神恍惚不定,睡眠卧息不安稳。
药材组成:紫石英(一两)、茯神(去木心)、麦门冬(去心)、人参(去芦头)、远志(去心)、酸枣仁、当归(去芦头)、黄芩(各七钱半)、羚羊角(锉成屑)、防风(去芦头)、黄芪(各半两)、甘草(炙烤,二钱半)。
煎服法:将上述药物捣碎成粗末,每次服用五钱,加水一盏半,生姜五片,大枣二枚,煎煮至一大盏,滤去药渣,温服,不限定具体时间。
当归散:治疗妇女血风潮热(阵发性发热)。
药材组成:当归(去芦头,二两)、芍药、玄胡索、熟地黄(各一两)、大黄(蒸制,七钱半)、桂心(半两)、甘草(炙烤,二钱半)。
煎服法:将上述药物研为细末,每次服用一钱,加水一盏,加入干胭脂一钱,共同煎煮至六分,滤去药渣,饭后温服。
赤芍药散:治疗妇女气血不和,心胸烦闷,不想进食,四肢乏力,头目昏眩,身体疼痛。
药材组成:牡丹皮、白茯苓、赤芍药、白芷、甘草(各二两)、柴胡(一两半)。
煎服法:将上述药物研为细末,每次服用二钱,加水一盏,生姜一片,大枣一枚,共同煎煮至七分,温服,于饭后及临睡前服用。
[Da] In women, the condition of blood-wind vexation and stuffiness arises from labor and injury to the fu and zang organs. Deficiency of blood and qi allows wind pathogens to enter, clashing with the blood vessels. This obstructs the flow of qi, causing palpitations and astringency, which generates heat. Symptoms include vexing pain in the limbs and joints, dry mouth, and reduced sleep. All these result from weakness leading to stagnation of blood and qi, thus causing vexation and stuffiness.
[Xue] The aforementioned syndromes mostly belong to fever caused by deficiency of liver and spleen blood. Treatment should refer to the formulas and discussions on chills and fever presented earlier.
Suanzaoren San (Sour Jujube Seed Powder): Treats blood-wind vexation and stuffiness in women, pain in the four limbs, restless mind, decreased appetite, and all related symptoms.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen), Chishao Yao (Red Peony Root), Chi Fuling (Poria with Red Hostwood, peeled), Danggui (Angelicae Sinensis Radix, removed radix head), Honghuazi (Carthami Flos), Sheng Gan Dihuang (Rehmanniae Radix, raw), Lingyangjiao (Antelope Horn, shaved, 7.5 qian each), Fangfeng (Saposhnikoviae Radix, removed forked ends), Qianghuo (Notopterygii Rhizoma et Radix, removed radix head), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Xiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Cortex), Digupi (Bark of Ground Cherry Root), Maidong (Ophiopogonis Radix, removed heart), Gancao (Licorice Root, half liang each, honey-fried).
Preparation and Administration: Grind the above herbs into coarse powder. Take 8 qian per dose, add 1.5 zhans of water, 7 slices of fresh ginger, and 7 leaves of mint. Decoct until one zhan remains, strain, and take warm at any time.
Zhi Shiyin San (Purple Quartz Powder): Treats blood-wind vexation and stuffiness in women, mental confusion, and restless sleep.
Ingredients: Zhi Shiyin (Purple Quartz, 1 liang), Fushen (Poria with Pine Root, removed wood), Maidong (Ophiopogonis Radix, removed heart), Renshen (Ginseng Radix, removed radix head), Yuanzhi (Polygalae Radix, removed heart), Suanzaoren (Ziziphi Spinosae Semen), Danggui (Angelicae Sinensis Radix, removed radix head), Huangqin (Scutellariae Radix, 7.5 qian each), Lingyangjiao (Antelope Horn, shaved), Fangfeng (Saposhnikoviae Radix, removed radix head), Huangqi (Astragali Radix, half liang each), Gancao (Licorice Root, 2.5 qian, honey-fried).
Preparation and Administration: Grind the above herbs into coarse powder. Take 5 qian per dose, add 1.5 zhans of water, 5 slices of fresh ginger, and 2 jujubes. Decoct until one zhan remains, strain, and take warm at any time.
Danggui San (Angelica Powder): Treats tidal fever due to blood-wind in women.
Ingredients: Danggui (Angelicae Sinensis Radix, removed radix head, 2 liang), Shaoyao (Peony Root), Yanhusuo (Corydalis Rhizoma), Shu Dihuang (Rehmanniae Radix Preparata, 1 liang each), Dahuang (Rhei Radix et Rhizoma, steamed, 7.5 qian), Guixin (Cinnamomi Cortex, half liang), Gancao (Licorice Root, 2.5 qian, honey-fried).
Preparation and Administration: Grind the above herbs into fine powder. Take 1 qian per dose, add 1 zhan of water and 1 qian of dried carmine. Decoct together until six-tenths remain, strain, and take warm after meals.
Chishao Yao San (Red Peony Powder): Treats disharmony of qi and blood in women, chest and heart vexation and stuffiness, loss of appetite, weakness in the four limbs, dizziness of head and eyes, and body pain.
Ingredients: Mudanpi (Moutan Cortex), Bai Fuling (Poria with White Hostwood), Chishao Yao (Red Peony Root), Baizhi (Angelicae Dahuricae Radix), Gancao (Licorice Root, 2 liang each), Chaihu (Bupleuri Radix, 1.5 liang).
Preparation and Administration: Grind the above herbs into fine powder. Take 2 qian per dose, add 1 zhan of water, 1 slice of fresh ginger, and 1 jujube. Decoct together until seven-tenths remain, take warm after meals and before bedtime.