治产后诸疾。
生地黄汁 生姜汁(各一升) 藕汁(半升) 大麻仁(三两,去壳为末)
上和停,以银器内慢火熬成膏,温酒调半匙服。更以北术煎膏半盏入之尤佳。《产宝方
》无麻仁,用白蜜。治产后虚惫,盗汗,呕吐。
治新产血气俱伤,五脏暴虚,肢体羸瘦,乏气多汗,才产直至百 日常服。壮气补虚,
和养脏气,蠲除余疾,消谷嗜食。
甘草(二两,一方三两) 白术 人参 干姜(各一两)
上为细末,炼蜜为丸如梧桐子大。温米饮下三十丸,空心服。才产了以童子小便打开
点服,七日内日三服。《产乳方》云∶此乃大理中丸加甘草两倍耳,然其功比之四味等分大
,故不同。盖取甘味以缓其中,而通行经络之功最胜者也。此产妇月内不可阙者,出月不须
服矣。古方中有妇人补益之药,如大泽兰丸、小白薇丸、熟干地黄丸、大圣散之类,其药味
稍众,而中下之家、村落之地卒何以致?且药肆中少有真者,不若以四顺理中丸易之,较其
功比泽兰丸之类主治颇多也。
治产后一切血疾,产难,胎衣不下,危急恶疾垂死者。但灌药得下,无不全活,神验不
可言。
当归 五灵脂 川芎 良姜 熟地黄(各一两)
上细锉,以沙合盛,赤石脂,泯缝纸筋,盐泥固济。炭火十斤, 令通赤,去火候冷,
取开看成黑糟色,取出细研,却入后药。
百草霜(五两) 硫黄 乳香(各一钱半) 花蕊石 琥珀(各一钱重)
上五味并细研,与前五味再研,如法修制、和匀;以米醋煮面糊丸如弹子大,每服一丸
。炭火烧令通赤,投于生姜自然汁,与童子小便入酒,漉出控干研细,只用此酒调下。
茂恂,熙宁初从事濮上幕府,郡之蓐医胡者为余言,数政之前,有朱汴水部施黑龙丹,
凡产后诸病危甚垂死者无不愈,郡中及村落人赖以全活者甚众。汴受代归,妇人数千号泣遮
道送行,尚有一、二粒未之施也。先人自三峰谪官淮阳,家嫂马氏蓐中大病,医者康从变投
丹立愈,访之乃得于汴也。且言每鬻一粒,辄受千钱,必其获浓利,不欲求之。后起守汝
海,从变饯别一驿,临行出此方为献,每以救人,无不验者。卢道原侍郎再帅泾原,时姨母
妊娠,至临潼就蓐。后数日,有盗夜入其室,惊怖成疾,众医不能治。乃以 弟尝遗此药,
服之遂安。家人金华君在秦生文度,数日苦头痛,未止又心痛。痛发两股,上下走注,疾热
甚恶。昏躁烦愦,目视灯如金色,勺饮不下,服药甚众无效。 弟曰∶黑龙丹可服。初以半
粒投之即能饮粥,而他药入辄吐出不受。觉痛稍缓又投半粒,又得安眠。自中夜服药至五鼓
,下恶物数升,头痛顿减;又至食时复下数升,涣然醒愈。盖败血所致,其效如此。建中靖
国元年五月二十日,郭茂恂记。
仲氏嫂金华君,在秦产七日而不食,始言头痛。头痛而心痛作,既而目睛痛如割,如是
者更作更止,相去才瞬息间。每头痛甚欲取大石压,食久渐定。心痛作则以十指抓壁,血流
掌;痛定,目复痛,又以两手自剜取之,如是者十日不已。国医二、三辈,郡官中有善医者
亦数人,相顾无以为计。且言其药犯芎,可以愈头痛;犯姜黄,可以治心痛。率皆悠悠不根
之言,竟不知病本所起。张益困顿,医益术殚。余度疾势危矣,非神丹不可愈。方治药而
张召余。夫妇付以诸子,与仲氏别惨,恒不复言。余 目戒张曰∶弟安心养疾。亟出召伯氏
曰∶事急矣,进此丹可乎?仲氏尚迟迟以两旬不食,恐不胜任。黄昏进半粒,疾少间;中夜
再服药下,瞑目寝如平昔;平旦一行三升许,如蝗虫子,三疾减半;巳刻又行如前,则顿愈
矣。遣荆钗辈视之,奄殆无气。午后体方凉、气方属,乃微言索饮,自此遂平复。大抵产者
,以去败恶为先,血滞不快乃至是尔。后生夫妇不习此理,老媪、庸医不能中病,所以疾苦
之人,十死八九。大数虽定,岂得无夭?不遇良医,终抱遗恨!今以施人,俾终天年,非祈
于报者,所冀救疾苦、养性命尔。崇宁元年五月五日,郭 序。
治疗产后各种疾病。
生地黄汁、生姜汁(各一升)、藕汁(半升)、大麻仁(三两,去壳研成粉末)。
将上述药物混合均匀,放入银器中用慢火熬制成膏状,用温酒调服半匙。如果再加入北术煎制的膏剂半盏,效果更佳。《产宝方》中没有麻仁,而是使用白蜜。此方用于治疗产后身体虚弱疲惫、盗汗、呕吐。
治疗新近分娩后气血俱伤,五脏突然虚损,肢体消瘦,气短多汗,从刚生产完直到产后一百天内日常服用。能够壮补气力、补益虚损,调和滋养脏腑之气,清除残留的病邪,促进消化、增进食欲。
甘草(二两,另一版本为三两)、白术、人参、干姜(各一两)。
将上述药物研成细末,用炼过的蜂蜜制成如梧桐子大小的丸药。空腹时,用温热的米汤送服三十丸。刚生产完后,可以用童便化开一点服用,七日内每日服用三次。《产乳方》说:这不过是大理中丸加倍使用甘草罢了,然而其功效比四味药等分使用的效果更好,所以有所不同。大概是取甘味来缓和其中焦,而通行经络的功效最为显著。这是产妇在一个月内不可缺少的药,出了月子就不需要再服了。古方中有用于妇人补益的药物,如大泽兰丸、小白薇丸、熟干地黄丸、大圣散之类,这些药味较多,而且普通百姓和乡村地区很难获取?况且药铺中也少有真品,不如用四顺理中丸来替代它,比较起来,它的功效比泽兰丸之类的药物治疗范围更广。
治疗产后一切血证疾病,难产,胎衣不下,危急重症濒临死亡者。只要灌下药能咽下,没有不能救活的,神效无法用言语形容。
当归、五灵脂、川芎、良姜、熟地黄(各一两)。
将上述药物细细切碎,放在沙罐中,用赤石脂涂抹缝隙,用纸筋泥密封加固。用十斤炭火煅烧,直到通体红透,离开火源冷却后,取出看内部呈黑糟色,取出细研,然后再加入后面的药物。
百草霜(五两)、硫黄、乳香(各一钱半)、花蕊石、琥珀(各一钱重)。
将以上五味药一起细研,与前五味药再次研磨,按照方法制备、混合均匀;用米醋煮面糊制成如弹子大小的丸药,每次服用一丸。将此丸药在炭火烧至通体红透,投入生姜自然汁中,并加入童子小便和酒,捞出控干后研细,只用这种酒调服。
茂恂,熙宁初年在濮上幕府任职时,郡中的产科医生胡某对我说过,在数任官员之前,有朱汴水部施发黑龙丹,凡是产后各种病情危重濒临死亡的无不痊愈,郡中和乡村依靠此药得以保全性命的人很多。朱汴卸任回乡时,数千名妇女哭泣着拦路送行,尚有一两粒未施舍出去。先父被贬官到淮阳时,家嫂马氏在坐月子期间得了重病,医生康从变投喂此丹立刻痊愈,打听后才得知是从朱汴那里得到的。并且说每卖出一粒,就收取一千文钱,必定是获利丰厚,不想让人求得。后来康从变起复担任汝海太守,临行前在一驿站为我饯别,临走时拿出此方献给我,每次用来救人,无不灵验。卢道原侍郎再次统帅泾原时,当时姨母怀孕,到临潼待产。几天后,有盗贼夜间闯入其房间,受惊恐怖而成病,众医不能治疗。于是用弟弟曾留下的此药,服用后便安定下来。家人金华君秦生文度,几天来苦于头痛,不止又心痛。疼痛发作时放射至两腿,上下游走注痛,疾病热势很恶。昏乱烦躁烦闷,看灯光如同金色,连一勺水都喝不下,服用了很多药无效。弟弟说:黑龙丹可以服用。起初给半粒,就能喝粥,而其他药吃下去就吐出不接受。感觉疼痛稍缓解又给半粒,又能安睡。从半夜服药到天亮,排出恶物几升,头痛顿时减轻;又到吃饭时又排出几升,完全清醒痊愈。这是因为败血所致,疗效如此。建中靖国元年五月二十日,郭茂恂记。
仲氏的嫂子金华君,在秦国生产七天后不进食,才开始说头痛。头痛且心痛发作,接着眼睛痛如刀割,像这样反复发作,停止,间隔才一瞬间。每次头痛严重时想拿大石头压住,吃久了逐渐平静。心痛发作时用十指抓墙壁,血流满掌;疼痛停止,眼睛又痛,又用双手自己挖取眼睛,像这样十天不停。国家医生两三人,郡官中有擅长医术的也有几人,面面相觑没有办法。并且说她的药犯芎,可以治愈头痛;犯姜黄,可以治疗心痛。都是些没有根据的空话,最终不知道病的根本起因。张益困顿,医生的技术也用尽了。我估计病情危险了,非神丹不可治愈。正在准备药物时张召叫我。夫妇把孩子们托付给我,与仲氏告别时非常悲痛,常常不再说话。我瞪着眼睛告诫张说:弟弟安心养病。急忙出来叫伯氏说:事情紧急了,进这个丹可以吗?仲氏还犹豫因为二十天不进食,恐怕承受不住。黄昏时进服半粒,病情稍减;半夜再次服药后,闭眼睡觉像平时一样;天亮时排泄一次约三升,像蝗虫卵一样,三种疾病减半;巳刻又排泄像之前那样,则顿时痊愈了。派遣荆钗辈去看她,奄奄一息气息微弱。午后身体才凉,气息才接续,才小声要喝水,从此便平复。大概生产,以去除败血污秽为先,血滞不畅以至于这样。后来的夫妇不熟悉这个道理,老妇人和庸医不能切中病症,所以患病的人,十死八九。大数虽然注定,难道能不夭折?不遇到良医,终究怀抱遗憾!现在以此施人,使他们终享天年,不是祈求报答的,所希望的是救助疾苦、保养性命罢了。崇宁元年五月五日,郭序。
Treats various diseases occurring postpartum.
Fresh Rehmanniae Radix juice, fresh Zingiberis Rhizoma juice (one sheng each), Nelumbinis Nuciferae Rhizomatis Juice (half a sheng), Cannabis Fructus (three liang, shell removed and ground into powder).
Mix the above evenly, place in a silver vessel, and slowly simmer over low heat until it forms a paste. Take half a spoonful mixed with warm wine. It is even better if half a cup of Bistortae Rhizoma paste is added to it. *Chanbao Fang* does not use Cannabis Fructus but uses Honey instead. This formula treats postpartum deficiency and exhaustion, night sweats, and vomiting.
Treats new mothers whose Qi and Blood are both injured, where the Five Zang organs suffer sudden deficiency, limbs are emaciated, breath is short with excessive sweating. It is taken daily from the moment of delivery until one hundred days postpartum. It strengthens Qi, tonifies deficiency, harmonizes and nourishes the Zang organ Qi, eliminates residual pathogens, promotes digestion, and increases appetite.
Glycyrrhizae Radix et Rhizoma (two liang, another version says three liang), Atractylodis Macrocephalae Rhizoma, Ginseng Radix, Zingiberis Rhizoma Preparatum (each one liang).
Grind the above into a fine powder, mix with refined honey, and form pills the size of Sophora japonica seeds. Take thirty pills with warm rice water on an empty stomach. Immediately after delivery, dissolve a small amount in child's urine for administration. For seven days, take three times daily. *Chanru Fang* states: This is essentially Dali Zhong Wan with double the amount of Glycyrrhizae Radix et Rhizoma. However, its efficacy is greater than when the four ingredients are used in equal proportions, hence the difference. It likely utilizes the sweet flavor to moderate the middle jiao, possessing the most potent effect in unblocking meridians. This is a medicine indispensable for parturient women within one month; it is not needed after the first month. Ancient formulas contain tonifying herbs for women, such as Dalze Lan Wan, Xiaobaiwei Wan, Shugan Dihuang Wan, Dasheng San, etc. These formulas contain many ingredients and are difficult for ordinary families or those in rural areas to obtain? Moreover, true versions are rare in pharmacies. It is better to substitute them with Sishun Lizhong Wan, which has broader therapeutic indications compared to Zelan Wan and similar formulas.
Treats all blood-related diseases postpartum, dystocia, retained placenta, critical conditions nearing death. As long as the medicine can be administered orally, no case will fail to survive; the miraculous efficacy cannot be described in words.
Angelicae Sinensis Radix, Trogopterori Faeces, Chuanxiong Rhizoma, Alpiniae Officinarum Rhizoma, Prepared Rehmanniae Radix (each one liang).
Finely chop the above, place in a clay pot, seal the cracks with Red Halloysite, reinforce with paper pulp mud, and secure with salt mud. Roast over ten jin of charcoal fire until thoroughly red-hot. Remove from heat and let cool. Open to check if the interior is black and crumbly. Grind finely, then add the following herbs.
Soot (five liang), Sulphur, Frankincense (each one qian and half), Huari Shi (Flower Corundum), Succinum (each one qian weight).
Grind these five herbs finely together, then re-grind with the previous five herbs. Prepare according to standard methods and mix evenly. Use rice vinegar and wheat flour paste to form pills the size of a bullet. Take one pill per dose. Roast the pill in charcoal until red-hot, then quench it in fresh Ginger juice mixed with child's urine and wine. Retrieve, drain, and grind finely. Administer only by mixing with this prepared wine.
Mao Xun, during the early Xining era while serving in the Puzhou government office, was told by Hu, a local obstetrician, that before his time, Zhu Bian, a Water Department official, distributed Heilong Dan (Black Dragon Pill). All critical postpartum cases nearing death were cured. Many people in the commandery and villages relied on it to survive. When Zhu Bian retired and returned home, thousands of women wept and blocked the road to see him off, with one or two pills remaining unsold. My father was demoted to Huaiyang. His sister-in-law, Ma Shi, fell critically ill during confinement. The physician Kang Congbian administered the pill, and she recovered immediately. We later learned he obtained it from Zhu Bian. He said each pill sold for one thousand coins, implying high profit, so he was reluctant to share it. Later, Kang Congbian was reinstated as Governor of Ruhai. At a farewell banquet at a relay station, he presented this formula to me before leaving. I used it to save lives, and it was always effective. Lu Daoyuan, Vice Minister, commanded Jingyuan again. At that time, my aunt was pregnant and went to Lintong for confinement. Days later, burglars broke into her room at night. She became terrified and ill. Conventional physicians could not treat her. Her brother used the medicine left by my younger brother, and she stabilized. Another family member, Jin Hua Jun Qin Sheng Wendu, suffered from severe headache for several days, followed by heart pain. The pain radiated to both thighs, moving up and down, accompanied by intense heat and aversion. He was confused, irritable, and restless. Lights appeared golden to him. He could not swallow even a spoonful of liquid. Many medicines failed. My younger brother said: Heilong Dan can be taken. Initially, half a pill allowed him to drink porridge, while other medicines caused vomiting. Feeling some relief, another half pill was given, allowing peaceful sleep. From midnight until dawn, he passed several sheng of foul matter, and the headache instantly decreased. By mealtime, he passed several more sheng, woke up completely, and recovered. This was due to stagnant blood; the efficacy was thus. Recorded on May 20, Jianzhong Jingguo Year 1, by Guo Maoxun.
The wife of my second brother, Jin Hua Jun, did not eat for seven days after giving birth in Qin. She complained of headache. The headache triggered heart pain, followed by eye pain like cutting. This cycle repeated rapidly. During severe headaches, she wished to press a large stone on her head. Eating gradually calmed her. During heart pain, she scratched the walls with her fingers until they bled. When pain subsided, her eyes hurt again, and she tried to gouge them out with her hands. This continued for ten days. Two national physicians and several skilled local doctors consulted but had no solution. They claimed herbs containing Chuanxiong could cure headache, and Curcuma longa could treat heart pain. These were baseless statements, and the root cause remained unknown. Zhang Yi was exhausted, and medical skills were depleted. I judged the condition critical and believed only a divine pill could cure it. While preparing the medicine, Zhang summoned me. The couple entrusted their children to me. Parting from my second brother's wife was heartbreaking, and we rarely spoke. I warned Zhang sternly: Brother, rest and recover. I urgently called Bo Shi: The situation is critical. Can we administer this pill? My second brother hesitated, fearing she could not tolerate it after twenty days without food. At dusk, half a pill was given, and symptoms slightly eased. At midnight, another dose was administered, and she slept peacefully as usual. At dawn, she passed about three sheng of stool resembling locust eggs. Three major symptoms reduced by half. By Si hour, she passed stool again and recovered instantly. We sent female attendants to check on her; she was nearly lifeless. Afternoon came, her body cooled, and breath stabilized. She whispered asking for water, and subsequently recovered fully. Generally, postpartum care prioritizes eliminating foul blood. Stagnant blood leads to such conditions. New couples lack understanding of this principle. Old women and mediocre physicians miss the pathology. Thus, ten out of eight suffer severely. Although fate may be fixed, premature death occurs. Without good physicians, regret remains. Now I distribute this to help people live out their natural lifespan. I do not seek reward. I hope to relieve suffering and preserve life. Recorded on May 5, Chongning Year 1, by Guo Xu.