治妇人血虚凝滞,蓄积不行。小腹急痛,产难经滞等证。此即四物汤加肉桂也。
当归(三五七钱)熟地(三四钱) 白芍(二钱 酒炒) 川芎(一钱) 肉桂(一二
三钱) 如兼胃
或丁香木香砂仁
仁,或酒炒红花
(良方) 治血瘕。(瘀血凝聚而成,伏于隐僻之处,盘结胶固,须破血活血之品治
丹皮 桂心 归尾 延胡索(三分) 牛膝 赤芍药 莪术(六分) 三棱(四分) 水
酒各半煎
丹皮桂心赤芍牛膝,以行其血。三棱莪术归尾延胡,以行其血中气滞,气中血滞。气血
周流
治经水后期。其来涩少,形体肥盛。(体肥而经水后期涩少者,气虚而痰滞
当归 川芎 人参 白术 茯苓 甘草 橘红 半夏 加姜煎。
二陈治其痰滞,参术补其气虚,(气行则痰行。)芎归活其经血。
治妇人思郁过度,致伤心脾冲任之源。血气日枯,渐至经脉不调者。
当归(二三钱) 熟地(三五钱) 枣仁(二钱) 芍药 茯神(一钱五分) 甘草(一
钱炙) 陈皮
加酒炒香附一二
治崩漏不止。(凡非时血行,淋沥不已,谓之漏下。忽然暴下,如山崩然,谓之崩
有五色以应五脏。)
棕榈(烧) 乌梅(一两) 黑姜(两半) 每服二钱。乌梅汤下。
涩能止血,故用棕榈。酸能收敛,故用乌梅。温能守中,故用干姜。黑能止血,故并
用。
【如圣散】治疗妇人血虚导致的气血凝滞、蓄积不通。症状包括小腹急痛、难产、月经阻滞等证候。此方即四物汤加入肉桂而成。
当归(三至七钱)熟地黄(三至四钱)白芍(二钱,酒炒)川芎(一钱)肉桂(一至三钱)。如果兼有胃寒或气滞,可加丁香、木香、砂仁,或者酒炒的红花。
【良方】治疗血瘕。(由瘀血凝聚而成,潜伏在隐蔽之处,盘结胶固,必须用破血活血的药物来治疗。)
丹皮、桂心、当归尾、延胡索(三分)、牛膝、赤芍药、莪术(六分)、三棱(四分)。用水和酒各半煎服。
丹皮、桂心、赤芍、牛膝,用来行血。三棱、莪术、当归尾、延胡索,用来行血中的气滞和气中的血滞。使气血周流顺畅。
治疗月经后期。经血来潮涩少,形体肥胖。(身体肥胖且月经后期、量少涩滞的,是气虚而痰湿阻滞所致。)
当归、川芎、人参、白术、茯苓、甘草、橘红、半夏,加生姜煎服。
二陈汤治疗其痰湿阻滞,人参、白术补益其气虚(气行则痰行),川芎、当归活化经血。
治疗妇人思虑忧郁过度,导致伤心脾及冲任二脉之源。气血日渐枯竭,逐渐发展到经脉不调者。
当归(二至三钱)熟地黄(三至五钱)酸枣仁(二钱)芍药茯神(一钱五分)甘草(一钱,炙)陈皮。加酒炒香附一至二钱。
治疗崩漏不止。(凡是不按时出血,淋漓不断的,称为漏下。忽然大量出血,如山崩一般,称为崩中。五色对应五脏。)
棕榈(烧存性)乌梅(一两)黑姜(半两)。每次服用二钱,用乌梅汤送下。
涩味能止血,所以用棕榈。酸味能收敛,所以用乌梅。温性能守中焦,所以用干姜。黑色能止血,所以并用这些药物。
[Rusheng San] Treats blood deficiency in women leading to stagnation and accumulation of blood, manifesting as acute pain in the lower abdomen, difficult labor, and menstrual obstruction. This formula is Siwu Tang (Four Substances Decoction) with the addition of Rougui (Cinnamon Twig).
Danggui (Angelicae Sinensis Radix) 3-7 qian, Shudi (Rehmanniae Radix Praeparata) 3-4 qian, Baishao (Paeoniae Radix Alba) 2 qian, stir-fried with wine; Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian; Rougui (Cinnamomi Cortex) 1-3 qian. If accompanied by stomach cold or qi stagnation, add Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), or Honghua (Carthami Flos) stir-fried with wine.
[Liangfang] Treats Xuejia (Blood Mass). [Formed by the coagulation of blood stasis, lying hidden in obscure places, knotted and firmly fixed, requiring herbs that break and invigorate blood.]
Danpi (Moutan Cortex), Guixin (Cinnamomi Ramulus), Dangguiwei (Radix Angelicae Sinensis caulis), Yanhusuo (Corydalis Rhizoma) 3 fen, Niuxi (Achyranthis Bidentatae Radix), Chishao (Paeoniae Radix Rubra), Ezhu (Curcumae Rhizoma) 6 fen, Sanleng (Sparganii Rhizoma) 4 fen. Decoct with half water and half wine.
Danpi, Guixin, Chishao, and Niuxiv act to move blood. Sanleng, Ezhu, Dangguiwei, and Yanhusuo act to move qi stagnation within blood and blood stagnation within qi, ensuring the free flow of qi and blood.
Treats delayed menstruation. The flow is scanty and astringent, accompanied by obesity. [Obesity with delayed, scanty, and astringent menstruation indicates qi deficiency with phlegm stagnation.]
Danggui, Chuanxiong, Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Tuber). Decoct with fresh ginger.
Erchen Tang (Two-Aged Decoction) treats phlegm stagnation; Renshen and Baizhu tonify qi deficiency (when qi moves, phlegm moves); Chuanxiong and Danggui invigorate menstrual blood.
Treats women who have suffered excessive worry and depression, damaging the source of the Heart, Spleen, Chong Mai (Penetrating Vessel), and Ren Mai (Conception Vessel). Qi and blood gradually become depleted, leading to irregular menstruation.
Danggui 2-3 qian, Shudi 3-5 qian, Zaoren (Ziziphi Spinosae Semen) 2 qian, Shaoyao (Paeoniae Radix), Fushen (Poria cum Radice) 1.5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian, roasted; Chenpi (Citri Reticulatae Pericarpium). Add Xiangfu (Cyperi Rhizoma) stir-fried with wine, 1-2 qian.
Treats persistent metrorrhagia and metrostaxis. [Bleeding not at the proper time, dripping continuously, is called Louxia (Leaking Down). Sudden profuse bleeding, like a mountain collapse, is called Bengzhong (Central Collapse). The five colors correspond to the five Zang organs.]
Zonglu (Livistonae Folium) charred, Wumei (Mume Fructus) 1 liang, Heijiang (Zingiberis Rhizoma Carbonisatum) 0.5 liang. Take 2 qian per dose, washed down with Wumei decoction.
Astringency stops bleeding, hence Zonglu is used. Sourness consolidates, hence Wumei is used. Warmth maintains the middle jiao, hence Ganjiang (Zingiberis Rhizoma) is used. Black color stops bleeding, hence they are used together.