疗时气风温,寒热瘴疟,往来潮热,并宜服之。
陈皮 麻黄 香附子 甘草(各一两) 荆芥穗 浓朴(各二两) 草果仁(三个) 川
白芷 桂心(各半两)
上 咀,每服二钱。水一大盏,姜三片,枣两枚,煎至七分,去滓温服,无时候。
论曰∶寡妇之病,自古未有言者。惟《仓公传》与褚澄略而论及。言寡者,孟子正谓“
无夫曰寡”是也。如师尼、丧夫之妇,独阴无阳,欲男子而不可得,是以恹恹成病也。《易
》曰∶天地 ,万物化醇;男女媾精,万物化生。孤阳独阴可乎?夫既处闺门,欲心萌而
不遂,至阴阳交争,乍寒乍热,有类疟疾,久则为劳。又有经闭、白淫、痰逆、头风、膈气
痞闷,面 、瘦瘠等证,皆寡妇之病。诊其脉,独肝脉弦出寸口而上鱼际。究其脉源,其疾
皆血盛而得。经云∶男子精盛则思室,女子血盛则怀胎。观其经血,思过半矣。
许学士云∶有一师尼,患恶风体倦,乍寒乍热,面赤心烦,或时自汗。是时疫气大行,
医见寒热,作伤寒治之,大小柴胡汤杂进,数日病剧。余诊视之曰∶三部无寒邪脉,但厥阴
肝脉弦长而上鱼际,宜服抑阴等药。余制此方,治之愈。
北柴胡 秦艽 黄芩(各半两) 生地黄(二两) 赤芍药(一两)
上为细末,炼蜜为丸,如梧桐子大,乌梅煎汤下三十丸。无时候,日三服。
许学士云∶尝读《史记·仓公传》载,齐北王侍人韩女,病腰背痛,乍寒乍热,众医皆
以为寒热病也。仓公曰∶病得之欲男子而不可得也。何以知欲男子而不可得?诊其脉,肝脉
弦出寸口,是以知之。又有妇人热入血室,寒热如疟一证,在本卷第十论。
治疗时气风温、寒热瘴疟、往来潮热,都适宜服用此方。
陈皮 麻黄 香附子 甘草(各一两) 荆芥穗 浓朴(各二两) 草果仁(三个) 川白芷 桂心(各半两)
以上药物切碎,每次服用二钱。用水一大盏,生姜三片,大枣两枚,煎煮至七分满,滤去药渣,温热服用,不限时间。
论述说:寡妇的疾病,自古以来没有人谈论过。只有《仓公传》和褚澄略微提及。所谓“寡”,孟子明确定义为“没有丈夫称为寡”。如尼姑、丧夫之妇,独阴无阳,渴望男子而不可得,因此郁郁成病。《易经》说:天地交感,万物化育醇厚;男女交合精气,万物化生。孤阳独阴可以吗?既然身处闺门之内,欲望萌动而不能实现,导致阴阳交争,忽冷忽热,类似疟疾,日久则成为虚劳。又有经闭、白淫(阴道流出白色浊液)、痰逆、头风、膈气痞闷、面色晦暗、消瘦等证候,都是寡妇的病。诊察其脉象,唯独肝脉弦长,超出寸口而上达鱼际。探究其脉源,这些疾病都是因为血盛所致。经书说:男子精盛则思欲,女子血盛则怀胎。观察其经血情况,道理已明白大半了。
许学士说:有一位尼姑,患恶风体倦,忽冷忽热,面赤心烦,有时自汗。当时疫气盛行,医生见有寒热症状,当作伤寒治疗,大小柴胡汤混合进服,几天后病情加重。我诊视后说:三部脉象没有寒邪之脉,只是厥阴肝脉弦长而上达鱼际,适宜服用抑阴等药物。我制定此方,治疗后痊愈。
北柴胡 秦艽 黄芩(各半两) 生地黄(二两) 赤芍药(一两)
以上药物研为细末,用炼蜜制成丸药,如梧桐子大小,用乌梅煎汤送服三十丸。不限时间,每日三次服用。
许学士说:曾经读《史记·仓公传》记载,齐北王的侍妾韩女,患腰背痛,忽冷忽热,众医都认为是寒热病。仓公说:这病是因为想要男子而不可得所致。怎么知道是想要男子而不可得呢?诊察其脉象,肝脉弦长超出寸口,因此知道病因。又有妇人热入血室(热邪陷入胞宫),寒热如疟这一证候,在本卷第十论中讨论。
Treats epidemic wind-warmth, alternating chills and fever due to miasma malaria, and tidal alternating chills and fever; all are suitable for taking this formula.
Chenpi (Exocarpium Citri Reticulatae), Mahuang (Ephedrae Herba), Xiangfuzi (Cyperi Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang); Jingjiesui (Schizonepetae Spica), Nongpu (Magnoliae Officinalis Cortex) (each 2 liang); Caoguoren (Tsaoko Fructus Cardamomi) (3 pieces); Chuan Baizhi (Angelicae Dahuricae Radix), Guixin (Cinnamomi Ramulus) (each half liang).
The above herbs are chopped. For each dose, take 2 qian. Add one large cup of water, 3 slices of fresh ginger, and 2 jujubes. Decoct until the volume reduces to seven-tenths. Remove the dregs and take warm at any time without restriction.
Discussion: The diseases of widows have not been discussed since ancient times. Only *The Biography of Cang Gong* and Chu Cheng briefly mentioned them. The term "widow" is defined by Mencius as "a woman without a husband." Such as nuns or widowed women, possessing only Yin without Yang, desiring men but unable to obtain them, thus becoming ill with depression. The *I Ching* states: "Heaven and Earth interact, and the transformation of all things becomes pure and abundant; men and women unite their essence, and all things are generated." Can isolated Yang and isolated Yin exist? Having dwelled within the inner chambers, desires arise but remain unfulfilled, leading to conflict between Yin and Yang, resulting in alternating chills and fever resembling malaria, which over time becomes consumptive disease (Lao). Additionally, there are symptoms such as amenorrhea, leukorrhea (white discharge from the vagina), phlegm rebellion, headache due to wind, chest qi stagnation with fullness, dark complexion, and emaciation; these are all diseases of widows. Upon palpating the pulse, only the Liver pulse is wiry and extends beyond the Cun position up to the Yuji area. Investigating the source of the pulse, these ailments stem from excessive blood. The classics state: "When a man's essence is abundant, he desires sexual intercourse; when a woman's blood is abundant, she conceives." Observing her menstrual blood, more than half of the principle is understood.
Academician Xu stated: There was a nun suffering from aversion to wind, body fatigue, alternating chills and fever, red face, vexation, and spontaneous sweating. At that time, epidemic qi was prevalent. Physicians, seeing chills and fever, treated it as Cold Damage (Shanghan), administering various combinations of Xiaochaihu Tang and Dachaihu Tang. After several days, the condition worsened. I examined her and said: "There are no pulses indicating external cold pathogens in the three positions; however, the Jueyin Liver pulse is wiry and long, extending to the Yuji area. It is appropriate to administer drugs that suppress Yin." I formulated this prescription, and upon treatment, she recovered.
Beichaihu (Bupleuri Radix), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix) (each half liang); Shengdihuang (Rehmanniae Radix) (2 liang); Chishao (Paeoniae Radix Rubra) (1 liang).
The above herbs are ground into fine powder. Form pills using refined honey, sized like paulownia seeds. Take 30 pills with decoction of Wumei (Mume Fructus) at any time, three times daily.
Academician Xu stated: I once read in *Records of the Grand Historian · The Biography of Cang Gong* that Han Nu, a concubine of the King of North Qi, suffered from lower back and waist pain, and alternating chills and fever. All physicians considered it a disease of chills and fever. Cang Gong said: "This illness arises from desiring a man but being unable to obtain him." How did he know she desired a man but could not obtain him? By palpating her pulse, the Liver pulse was wiry and extended beyond the Cun position; thus, he knew the cause. Additionally, the syndrome of heat entering the Blood Chamber (Xueshi) in women, presenting with chills and fever resembling malaria, is discussed in Chapter 10 of this volume.