用男子 裆烧灰为末,以水调方寸匕服,即愈。
治妇人病未平复,因有所动,致热气上冲胸,手足拘急搐搦如中风状,宜青竹茹汤。
栝蒌根(二两) 淡青竹茹(半升)
上以水二升半,煮取一升二合,去滓,分作三服。
妇人病未平复,因有所动,小腹急痛,腰胯疼,四肢不任,举动无力,发热者。宜当归
白术汤。
桂枝 白术 当归 甘草 芍药 人参 黄 (各一分) 生附子(一个,破作八片,
各一分) 生姜(半两)
上 咀,水三升,煮取一升半,去滓,通口服一汤盏。食顷再服,温覆微汗瘥。
妇人伤寒发热,经水适来,昼日明了,暮则谵语,如见鬼状,此为热入血室。无犯胃气
及上二焦,宜小柴胡汤。
妇人伤风七、八日,续得寒热,发作有时,经水适断,此为热入血室。其血必结,故使
如疟状。宜服小柴胡汤。
柴胡(八钱重) 黄芩 人参 生干地黄 甘草(各三钱) 半夏(二钱重)
上 咀,每服五钱。水盏半,姜三片,枣二枚,煎至八分,去滓温服。
《局方》四物汤不用熟地黄,只用生干地黄加北柴胡等分煎服,亦疗此证。
妇人伤寒,经脉方来初断,寒热如疟,狂言见鬼。宜服干姜柴胡汤。
柴胡(四两) 桂枝(一两半) 栝蒌根(二两) 牡蛎 干姜 甘草(各一两)
上 咀,每服五钱。水盏半,煎七分,去滓温服。初服微烦,再服汗出而愈。
妇人伤寒,血结胸膈,揉而痛,不可抚近,宜海蛤散。妇人血结胸,法当针期门,仲景
无药方。此方疑非仲景,然其言有理,姑存焉。
取男子内裤裆部布料烧成灰,研为细末,用水调服一方寸匕的量,病即可痊愈。
治疗妇人疾病尚未完全康复,因劳累或活动导致热气上冲至胸部,手足拘挛紧急、抽搐摇动,症状类似中风,适宜使用青竹茹汤。
栝蒌根(二两) 淡青竹茹(半升)
以上药材用水二升半,煎煮至剩一升二合,滤去药渣,分三次服用。
若妇人疾病尚未平复,因有所动作,导致小腹急迫疼痛,腰部和胯部疼痛,四肢无力支撑,举动乏力,伴有发热者,适宜使用当归白术汤。
桂枝 白术 当归 甘草 芍药 人参 黄芩(各一分) 生附子(一个,破开成八片,每片一分) 生姜(半两)
以上药材切碎,用水三升,煎煮至剩一升半,滤去药渣,一次性温服一茶盏的量。进食片刻后再服一次,服药后覆盖衣被使微微出汗,病情即可好转。
妇人患伤寒发热,正值月经来潮,白天神志清醒,傍晚则出现胡言乱语,如同看见鬼怪一般,这是热邪陷入血室的表现。此时不可误用攻下胃气及损伤上、中二焦的方法,适宜使用小柴胡汤。
妇人患伤风七八天后,持续出现寒热往来,发作有定时,月经恰好中断,这也是热邪陷入血室的表现。此时血液必然凝结,所以症状像疟疾一样。适宜服用小柴胡汤。
柴胡(八钱重) 黄芩 人参 生干地黄 甘草(各三钱) 半夏(二钱重)
以上药材切碎,每次服用五钱。用水一盏半,加生姜三片、大枣二枚,煎煮至剩余八分,滤去药渣,温服。
《太平惠民和剂局方》中的四物汤不使用熟地黄,只用生干地黄与北柴胡等量煎服,也能治疗此证。
妇人患伤寒,经脉刚来又初断,寒热往来如疟疾状,狂言乱语,看见鬼怪。适宜服用干姜柴胡汤。
柴胡(四两) 桂枝(一两半) 栝蒌根(二两) 牡蛎 干姜 甘草(各一两)
以上药材切碎,每次服用五钱。用水一盏半,煎煮至剩余七分,滤去药渣,温服。初次服用时感到轻微烦躁,再次服用后出汗即愈。
妇人患伤寒,血结于胸膈部位,按压则疼痛,不能让人靠近抚摸,适宜使用海蛤散。妇人血结胸,按照法则应当针刺期门穴,张仲景没有留下药方。这个方子怀疑不是张仲景所创,但其理论言之有理,暂且保留在此处。
Take the crotch part of a man's undergarment, burn it to ash, grind it into fine powder, mix with water, and administer one *cunbi* (a square-inch measure) orally; the disease will be cured.
For women whose illnesses have not yet fully recovered, and due to exertion or movement, heat rises to the chest causing stiffness, spasm, and convulsions of the hands and feet resembling stroke (*Zhongfeng*), Qingzhuru Tang (Green Bamboo Shavings Decoction) is indicated.
Gualou Gen (Trichosanthes Root, 2 liang)
Danqing Zhuru (Light Green Bamboo Shavings, 0.5 sheng)
Add 2.5 sheng of water, decoct until 1.2 sheng remains, strain, and divide into three doses.
If a woman’s illness has not stabilized, and due to movement, she experiences acute pain in the lower abdomen, pain in the waist and hips, inability to support her limbs, weakness in movement, and fever, Danggui Baizhu Tang (Angelica Sinensis and Atractylodes Macrocephala Decoction) is indicated.
Guizhi (Cinnamon Twig), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Radix), Gancao (Licorice Root), Shaoyao (Peony Root), Renshen (Ginseng Radix), Huangqin (Scutellaria Root) (each 1 fen), Sheng Fuzi (Prepared Aconite Lateral Root, 1 piece, broken into 8 slices, each slice 1 fen), Shengjiang (Fresh Ginger, 0.5 liang).
Chop the herbs, add 3 sheng of water, decoct until 1.5 sheng remains, strain, and take one tea cup full at once. After a short interval following a meal, take another dose. Cover warmly to induce slight sweating for recovery.
When a woman suffers from Shanghan (Cold Damage) with fever, and her menses happen to begin; if she is clear-minded during the day but becomes delirious at dusk, seeing visions as if of ghosts, this is Re Ru Xueshi (Heat Entering the Blood Chamber). Do not violate the Stomach Qi or affect the Upper and Middle Jiao; Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated.
When a woman suffers from Shangfeng (Wind Strike) for seven or eight days, subsequently developing alternating chills and fever occurring at regular times, and her menses happen to stop, this is also Re Ru Xueshi (Heat Entering the Blood Chamber). The blood must be congealed, thus causing symptoms resembling malaria. Xiaochaihu Tang (Minor Bupleurum Decoction) should be taken.
Chaihu (Bupleurum Root, weighing 8 qian), Huangqin (Scutellaria Root), Renshen (Ginseng Radix), Sheng Gan Dihuang (Raw Rehmannia Root), Gancao (Licorice Root) (each 3 qian), Banxia (Pinellia Tuber, weighing 2 qian).
Chop the herbs. For each dose, use 5 qian. Add 1.5 cups of water, 3 slices of ginger, and 2 jujubes. Decoct until 0.8 parts remain, strain, and take warm.
The *Siju Fang* (Formulas of the Bureau) version of Siwu Tang (Four Substances Decoction) does not use Shu Dihuang (Prepared Rehmannia Root), but only uses Sheng Gan Dihuang (Raw Rehmannia Root) in equal proportion with Beichaihu (Northern Bupleurum Root) decocted together; this also treats this condition.
When a woman suffers from Shanghan (Cold Damage), her menstrual flow has just begun and then abruptly stopped, presenting with alternating chills and fever like malaria, delirious speech, and visual hallucinations of ghosts. Ganjiang Chaihu Tang (Dried Ginger and Bupleurum Decoction) is indicated.
Chaihu (Bupleurum Root, 4 liang), Guizhi (Cinnamon Twig, 1.5 liang), Gualou Gen (Trichosanthes Root, 2 liang), Muli (Oyster Shell), Ganjiang (Dried Ginger), Gancao (Licorice Root) (each 1 liang).
Chop the herbs. For each dose, use 5 qian. Add 1.5 cups of water. Decoct until 0.7 parts remain, strain, and take warm. Initial administration may cause slight irritability; after the second dose, sweating occurs and the patient recovers.
When a woman suffers from Shanghan (Cold Damage) with blood stagnation in the chest and diaphragm, pressing causes pain, and the area is too tender to be touched, Haige San (Clam Shell Powder) is indicated. For blood stagnation in the chest, the method dictates needling Qimen (LR14); Zhang Zhongjing left no herbal formula for this. This formula is suspected not to be by Zhang Zhongjing, but its rationale is sound, so it is retained here.