治血山崩。
晚蚕砂(一两) 伏龙肝(半两)
同为细末,酒调二钱匕。
《千金方》治崩中去血不止。《千金翼》无茅根。
白茅根(二斤) 小蓟根(五斤。一方无小蓟根)
上二味细切,用酒五升,煮取四升。去滓,分温四服。
妇人崩中,无问久近,悉皆治之。
伏龙肝(一斤) 小蓟根 桑寄生 续断 地榆 艾叶(各三两) 阿胶 当归 赤石
脂浓朴(各二两) 生姜(五两)
上十味切,以水一斗,煮取三升,绞去滓,分作三服。忌如常法。
论曰∶崩中带下者何?答曰∶其患有五。夫病之中人,皆有受处,因起之候,须尽心讲
究。窃寻方书,唯言带下有色之与形,此不参先贤医中之理也。且五崩是妇人极重之患,疗
之最难。后之学人,莫识其源。殷幼习医方,济众服饵,当极济人之道,偏以思虑于兹弥久
,其功颇有精妙。夫此病者,起于风气、寒热之所伤,或产后早起,不避风邪,风邪之气入
于胞门;或中经脉,流传脏腑而发下血,名为带下。若伤足厥阴肝之经,其色则青如泥色;
若伤手少阴心之经,其色赤如红津;若伤手太阴肺之经,其色则白形如涕;若伤足太阴脾之
经,则其色黄如烂瓜;若伤足少阴肾之经,则其色黑如 血,此为其因也。
问曰∶风邪气之所中,是人皆受之,何为妇人独患此病?答曰∶五脏六腑,男女虽同,
其中细微各有差别。缘妇人有胞门、子脏,风冷中之,则为所病,若男子则为他病矣。
又问∶何以名为带下?复有冷热者何?答曰∶脉有数经,名字不同,奇经八脉,有带在
腰,如带之状,其病生于带脉之下。其有冷热者,即随其性也。又号崩中者,二带之下,别
名也。诸君子有留心于医,存志备者,以此推之,万不失一。
治疗血山崩(妇女非经期阴道大量出血,势如山崩)。
晚蚕砂(一两) 伏龙肝(半两)
将这两味药研磨成细末,用酒调服二钱匕。
《千金方》治疗崩漏下血不止。《千金翼方》中没有白茅根。
白茅根(二斤) 小蓟根(五斤。另一版本没有小蓟根)
以上两味药切碎,用酒五升,煎煮至剩余四升。滤去药渣,分四次温服。
妇人患崩中漏下,无论病程长短,都能治愈。
伏龙肝(一斤) 小蓟根 桑寄生 续断 地榆 艾叶(各三两) 阿胶 当归 赤石脂 厚朴(各二两) 生姜(五两)
以上十味药切碎,用水一斗,煎煮至剩余三升,绞取药汁去渣,分三次服用。禁忌事项如常规方法。
论述说:什么是崩中和带下病?回答说:这类疾病有五种类型。凡是疾病侵袭人体,都有受邪的部位,其发病的征兆,必须尽心研究探讨。我查阅医书,只提到带下有颜色和形态的区别,这是没有参悟先贤医学原理的缘故。况且“五崩”是妇女极严重的疾病,治疗起来最难。后世的学医者,不能认识其根源。我自幼学习医方,救济众人服药,应当极力遵循救人的道理,唯独对此事思虑良久,颇有精妙之处。这种病的发生,起于风气和寒热之邪的伤害,或者是产后早起,不躲避风邪,风邪之气侵入胞门;或者侵入经脉,流传到脏腑而引发下血,名为带下。如果损伤足厥阴肝经,颜色则青如泥色;如果损伤手少阴心经,颜色红如红津;如果损伤手太阴肺经,颜色白形如鼻涕;如果损伤足太阴脾经,则颜色黄如烂瓜;如果损伤足少阴肾经,则颜色黑如瘀血,这就是其病因。
问:风邪气所侵袭,是人都会受到,为什么只有妇女单独患此病?回答说:五脏六腑,男女虽然相同,其中细微之处各有差别。因为妇女有胞门、子脏,风冷邪气侵入其中,就会因此患病,如果是男子则会患其他疾病。
又问:为什么命名为带下?又有冷热之分吗?回答说:脉象有多条经络,名称不同,奇经八脉中,带脉环绕腰部,形状像腰带,其病生于带脉之下。所谓冷热,就是随着病性的不同而有所区别。另外称为“崩中”,也是带下的别名。各位留心医学、志在储备知识的人,由此推究,万无一失。
To treat Xueshan Beng (massive uterine bleeding resembling an avalanche).
Can Sha (Silkworm Excrement) (1 liang), Fulonggan (Dragon's House Soil) (0.5 liang).
Grind both into fine powder, mix with wine, and take 2 qianbi.
Qianjin Fang treats continuous bleeding from Beng (uterine bleeding). Qianjin Yi Fang does not include Baomao Gen.
Baomao Gen (White Thatch Root) (2 jin), Xiaoji Gen (Cirsii Herba) (5 jin. Another version lacks Xiaoji Gen).
Finely cut the above two ingredients, use 5 sheng of wine, boil to obtain 4 sheng. Remove the dregs, divide into four warm doses.
For women suffering from Bengzhong (central uterine bleeding), regardless of duration, all can be treated.
Fulonggan (Dragon's House Soil) (1 jin), Xiaoji Gen (Cirsii Herba), Sangjisheng (Taxilli Caulis), Xuduan (Dipsaci Radix), Diyu (Sanguisorbae Radix), Aiye (Artemisiae Argyi Folium) (each 3 liang), Ejiao (Donkey-hide Gelatin), Danggui (Angelicae Sinensis Radix), Chishizhi (Kaolinite), Houpo (Magnoliae Officinalis Cortex) (each 2 liang), Shengjiang (Zingiberis Rhizoma Recens) (5 liang).
Finely cut the above ten ingredients, use 1 dou of water, boil to obtain 3 sheng, strain to remove dregs, divide into three doses. Observe usual dietary restrictions.
The discussion states: What are Bengzhong and Daixia? The answer is: There are five types of this disease. When a disease invades the human body, there is always a specific site of invasion; the signs of its onset must be studied with utmost care. I have searched medical texts, which only mention differences in color and form of Daixia (leukorrhea); this fails to comprehend the principles of medicine expounded by sages. Moreover, Wubeng (Five Types of Uterine Bleeding) is an extremely severe affliction for women, and it is the most difficult to treat. Later scholars fail to recognize its origin. I studied medical prescriptions since childhood to benefit the public through medication; I should strive to follow the way of saving lives. However, I have pondered this matter for a long time and found it quite profound. This disease arises from injury by wind-qi and cold-heat pathogens, or from rising early after childbirth without avoiding wind-cold, allowing wind-cold qi to enter the Baomen (uterine gate); or it enters the meridians, spreads to the zang-fu organs, and causes lower bleeding, named Daixia. If the Foot-Jueyin Liver Meridian is injured, the color is green like mud; if the Hand-Shaoyin Heart Meridian is injured, the color is red like red fluid; if the Hand-Taiyin Lung Meridian is injured, the color is white like mucus; if the Foot-Taiyin Spleen Meridian is injured, the color is yellow like rotting melon; if the Foot-Shaoyin Kidney Meridian is injured, the color is black like clotted blood. These are the causes.
Question: Wind-cold qi invades everyone, why do only women suffer from this disease? Answer: The Zang-Fu organs are the same in men and women, but there are subtle differences. Because women have Baomen and Zizang (uterus), when wind-cold invades them, they become ill; whereas men would suffer from other diseases.
Another question: Why is it named Daixia? Are there distinctions between cold and heat? Answer: There are many meridians with different names. Among the Eight Extraordinary Vessels, the Dai Mai (Girdle Vessel) encircles the waist like a belt, and the disease arises below the Dai Mai. The terms cold and heat refer to the nature of the pathogen. Also called "Bengzhong," this is another name for Daixia. Gentlemen who pay attention to medicine and wish to prepare themselves can deduce this principle; doing so will ensure no mistakes.