葶苈(炒,别研) 续随子(去壳,各半两。研) 干笋末(一两)
上为末,枣肉丸如梧桐子大。每服七丸,煎扁竹汤下。如大便利者,减续随子、葶苈
各一分,加白术半两。
又有肠覃、胪胀、脾气、血气、血蛊、水蛊、石蛊、血瘿(此数证亦与肿相类),并见
后拾遗门。(出二十四卷)
经脉不调,众疾生焉,故以次之。
夫天地造端于夫妇,乾坤配合于阴阳,虽清浊动静之不同,而成像效法之有类。原兹妇
人之病与男子不同者,亦有数焉。古方以妇人病比男子十倍难治,不亦言之深乎!但三十六
病,产蓐一门,男子无之。其余外伤风、暑、寒、湿,内积喜、怒、忧、思、饮食、房劳、
虚实、寒热,悉与丈夫一同也。根据源治疗,可得而知之。
古书治妇人别着方论者,以其胎妊、生产、崩伤之异,况妇人之病比之男子十倍难疗。
盖女子嗜欲多于丈夫,感病倍于男子,加之慈恋、爱憎、嫉妒、忧恚,染着坚牢,情不自抑,
所以为病根深,治之难瘥。况怀胎、妊娠而挟病也,不特避其毒药,仍须审其虚实、冷热而
调治之,无使妄投汤剂,以致夭枉。
夫人将摄顺理,则血气调和,风、寒、暑、湿不能为害。若劳伤血气,则风冷乘虚而干
之。或作之于经络,或循入于腹中,内受风邪,脾胃虚弱,故不能消于饮食也。食既不充,
荣卫凝涩,肌肤黄燥,面不光泽。若大肠气虚,则变为下利。若流入关元,致绝子嗣,随其
所伤而变成疾。医经云∶凡妇人三十六种病,皆由子脏冷热,劳损而挟带下,起于胞内也。
是故冲任之脉,为十二经之会海。妇人之病,皆见手少阴、太阳之经而候之。
葶苈(炒制,单独研磨) 续随子(去壳,各半两。研磨) 干笋末(一两)
以上药物研为细末,用枣肉制成如梧桐子大小的丸剂。每次服用七丸,用煎好的扁竹汤送服。如果大便通畅者,减少续随子、葶苈各一分,加入白术半两。
又有肠覃、胪胀、脾气、血气、血蛊、水蛊、石蛊、血瘿(这些证候也都与肿胀相似),均见后拾遗门。(出自第二十四卷)
经脉不调,各种疾病由此产生,所以按顺序将其列在此处。
天地始于夫妇的结合,乾坤配合于阴阳,虽然清浊动静有所不同,但成像效法有类似之处。推究妇女的疾病与男子不同的原因,也有几点。古方认为妇女的病比男子难治十倍,这话说得很有深意啊!只是三十六病中,产褥一门,男子是没有的。其余外感风、暑、寒、湿,内伤喜、怒、忧、思、饮食、房劳,以及虚实、寒热等,都与男子相同。根据病因治疗,就可以知道了。
古书中治疗妇女特别设立方论的,是因为胎孕、生产、崩漏、创伤的不同,况且妇女的病比男子难治十倍。大概女子欲望多于丈夫,感受病邪倍于男子,加上慈恋、爱憎、嫉妒、忧愤,情志执着坚固,情感不能自我抑制,所以致病根深蒂固,治疗难以痊愈。何况怀孕、妊娠期间兼夹疾病,不仅要避开有毒的药物,还必须审察其虚实、冷热而调治它,不要妄投汤剂,以致夭折枉死。
夫人若能摄养顺理,则血气调和,风、寒、暑、湿不能为害。如果劳损伤及血气,则风冷乘虚侵入。或者发于经络,或者循行进入腹中,体内受风邪侵袭,脾胃虚弱,所以不能消化饮食。食物既不能充养,营卫凝涩,肌肤黄燥,面色不光泽。如果大肠气虚,则变为下利。如果流入关元穴,导致绝育不孕,随着所受伤的部位不同而变成疾病。医经说:大凡妇人三十六种病,都是由子宫冷热,劳损而兼带下,起于胞宫内部。因此冲脉、任脉,是十二经的会海。妇人的病,都见于手少阴心经、手太阳小肠经而诊察它们。
Tingli (Stellariae Semen, fried and ground separately), Xuisui Zi (Euphorbiae Lathyridis Semen, shelled, each half tael, ground), Gansun Mo (Dried Bamboo Shoot Powder, one tael).
The above are ground into powder, mixed with jujube flesh to make pills the size of a Chinese quince seed. Take seven pills per dose, administered with decoction of Bianzhu (Bamboo Leaf). If bowel movements are unobstructed, reduce Xuisui Zi and Tingli by one fen each, and add Baizhu (Atractylodis Macrocephalae Rhizoma) half a tael.
There are also Changtan (Intestinal Polyp/Tumor), Luzhang (Abdominal Distension), Piqi (Spleen Qi disorder), Xueqi (Blood Qi disorder), Xuegu (Blood Gu/Poison), Shuigu (Water Gu/Poison), Shigu (Stone Gu/Poison), and Xueying (Blood Goiter) (these several syndromes are also similar to swelling), all seen in the Supplementary Section later. (From Volume 24)
When meridians and collaterals are not regulated, various diseases arise; therefore, they are listed in sequence here.
Heaven and Earth begin with the union of husband and wife, Qian and Kun combine through Yin and Yang. Although clear and turbid, still and moving differ, their imaging and emulation have similarities. Investigating why women's diseases differ from men's, there are several reasons. Ancient formulas state that women's diseases are ten times harder to treat than men's; is this not said profoundly? However, among the Thirty-Six Diseases, the postpartum category is unique to women. The rest—external contraction of Wind, Summerheat, Cold, Dampness; internal accumulation of Joy, Anger, Worry, Thought, dietary irregularities, sexual fatigue; and deficiency-excess, cold-heat patterns—are identical to those in men. By treating according to the root cause, this can be understood.
Ancient texts establish separate formulas and discussions for women because of the differences in pregnancy, childbirth, metrorrhagia, and trauma. Moreover, women's diseases are ten times harder to treat than men's. Generally, women have more desires than men and contract diseases twice as often. Additionally, due to affection, love-hate, jealousy, worry, and indignation, their emotional attachments are firm and difficult to suppress, leading to deep-rooted pathology that is hard to cure. Furthermore, when pregnant or gestating while suffering from illness, one must not only avoid toxic drugs but also carefully assess deficiency-excess and cold-heat patterns for regulation, avoiding reckless administration of decoctions that could lead to premature death.
If a woman manages her health according to proper principles, Blood and Qi will harmonize, and Wind, Cold, Summerheat, and Dampness cannot cause harm. If labor and injury damage Blood and Qi, Wind-Cold will invade via deficiency. It may manifest in meridians and collaterals or travel into the abdomen. Internally affected by Wind pathogen, with Spleen-Stomach weakness, digestion fails. Food fails to nourish, Ying and Wei (Nutritive and Defensive Qi) become stagnant, skin turns yellow and dry, and the face lacks luster. If Large Intestine Qi is deficient, it transforms into diarrhea. If it flows into Guanyuan (CV-4), it may cause infertility. Depending on the site of injury, different diseases arise. Medical classics state: All thirty-six types of women's diseases originate from cold-heat imbalances in the Zang (Uterus), damage from overwork, accompanied by leukorrhea, starting within the Bao (Uterus). Therefore, the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are the seas of the Twelve Meridians. Women's diseases are all observed through the Hand-Shaoyin (Heart) and Hand-Taiyang (Small Intestine) meridians for diagnosis.