(本事) 治子淋,心烦闷乱。(子淋,膀胱小肠虚热也。虚则不能制水,热则不得通
利,故淋。心与小肠相表里,故烦闷。亦有因房劳,内伤胞门,冲任虚者。宜八珍汤,或肾
气丸等方。)
人参 细辛(一两) 当归 甘草 灯草(五钱) 木通 滑石 麦冬(三钱) 为末,
每二钱,麦冬汤调下。
陈来章曰∶虚热宜补,故用人参甘草之甘。淋 宜通,故用木通灯草之渗,滑石之滑。
肺燥
天气下为雨,上下交,阴阳和,而后便能通也。)血燥则沟渎不濡,而当归能滋之也。
治妇人冲任失守,胎元不安不固者,随证加减用之。或间日,或二三日,常服一二剂。
(脾肾两亏,而胎不固者,此方最宜。盖胎元不固,皆因脾虚,而因肾虚者,为尤多。)
人参(随宜) 当归 杜仲 芍药(二钱) 熟地(二三钱) 白术(钱半) 炙甘草
(一钱) 陈皮
如下元不固,而多遗浊者,加山药五味子补骨脂之属。气分虚甚者,倍白术,加黄 。
但
分,
加枸
二钱
治肝脾多火多滞,而屡堕胎者。
黄芩(二钱) 白术(一二钱) 当归(一钱五分) 砂仁(五分) 陈皮(一钱) 芍
药(一钱五分
(《本事方》记载)治疗子淋,心烦意乱、闷躁不安。(子淋,是指膀胱和小肠虚热所致。虚则不能制约水液,热则导致水道不通利,从而形成淋证。心与小肠互为表里,所以会出现烦闷症状。也有因房劳过度,内伤胞门,冲任二脉虚弱者。适宜使用八珍汤,或肾气丸等方剂。)
人参、细辛(各一两)、当归、甘草、灯草(五钱)、木通、滑石、麦冬(各三钱)。研为细末,每次服用二钱,用麦冬汤调服。
陈来章说:虚热应当补益,所以用人参、甘草的甘味。淋证应当通利,所以用木通、灯草的渗湿作用,以及滑石的滑利之性。肺燥则天气下降化为雨,上下交通,阴阳调和,然后小便才能通利。血燥则沟渠(指体内津液通道)不湿润,而当归能够滋润它。
治疗妇人冲任二脉失守,胎元不安、不稳固的情况,根据症状加减使用。可以隔日服用,或每两三天服用一剂,经常服用。
(脾肾两脏亏虚,导致胎元不稳固的,此方最为适宜。因为胎元不稳固,大多是因为脾虚,其中因肾虚导致的尤其多。)
人参(用量随宜)、当归、杜仲、芍药(各二钱)、熟地黄(二三钱)、白术(一钱半)、炙甘草(一钱)、陈皮。
如果下元不固,且多有遗浊现象的,加入山药、五味子、补骨脂之类的药物。气分虚损严重的,加倍使用白术,加入黄芪。
(此处原文有缺漏,推测为具体剂量或后续药材,如“加枸杞子二钱”等,依原文结构保留空缺或按常见补全逻辑,但严格遵循不增添原则,仅翻译可见部分)
如下元不固... 加枸... 二钱 (注:原文此处断裂,译为:若下元不固……加入枸杞[子]二钱)
治疗肝脾火旺且气机郁滞,导致屡次流产的情况。
黄芩(二钱)、白术(一二钱)、当归(一钱五分)、砂仁(五分)、陈皮(一钱)、芍药(一钱五分)。
治疗胎气内部有热导致不安等症状。
生地黄、芍药(各二钱)、黄芩、当归(一二钱)、枳壳、石斛(各一钱)、茯苓(一钱五分)、甘草(七[分/钱,原文截断])。
(From *Ben Shi Fang*) Treats Zi Lin (dysuria during pregnancy), with symptoms of mental restlessness and agitation. (Zi Lin refers to deficiency-heat in the Bladder and Small Intestine channels. Deficiency fails to control water metabolism, while heat obstructs free flow, resulting in strangury. The Heart and Small Intestine are exterior-interiorly related, hence the sensation of vexation and oppression. There are also cases caused by sexual exhaustion, internal injury to the Bao Men [uterine gate], and deficiency of the Chong and Ren vessels. Ba Zhen Tang or Shen Qi Wan are appropriate.)
Ren Shen (Ginseng Radix et Rhizoma), Xi Xin (Asari Radix et Rhizoma) (each 1 liang), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Deng Cao (Junci Medulla) (5 qian), Mu Tong (Akebiae Caulis), Hua Shi (Talcum), Mai Dong (Ophiopogonis Radix) (each 3 qian). Grind into powder. Take 2 qian each time, administered with Mai Dong decoction.
Chen Laizhang stated: For deficiency-heat, tonification is indicated; thus, the sweet properties of Ren Shen and Gan Cao are used. For strangury, unblocking is indicated; thus, the diaphoretic/drainage properties of Mu Tong and Deng Cao, and the slippery nature of Hua Shi are employed. Lung dryness prevents heavenly qi from descending as rain; only when upper and lower interact and Yin and Yang harmonize can urination flow freely. Blood dryness causes the "ditches" (fluid pathways) to lack moisture, whereas Dang Gui can nourish them.
Treats women whose Chong and Ren vessels have lost their hold, resulting in unstable and insecure fetal origin. Use this formula with modifications according to symptoms. It may be taken every other day, or once every two to three days, as a regular course.
(For cases where spleen and kidney deficiency lead to insecure fetus, this formula is most suitable. Generally, fetal insecurity is due to spleen deficiency, with kidney deficiency being particularly common.)
Ren Shen (dosage as appropriate), Dang Gui, Du Zhong (Eucommiae Cortex), Shao Yao (Paeoniae Radix Alba) (each 2 qian), Shu Di Huang (Rehmanniae Radix Preparata) (2-3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (1 qian), Chen Pi (Citri Reticulatae Pericarpium).
If the lower yuan is insecure and accompanied by frequent turbid discharge, add Shan Yao (Dioscoreae Rhizoma), Wu Wei Zi (Schisandrae Fructus), Bu Gu Zhi (Psoraleae Fructus), etc. If Qi deficiency is severe, double the dosage of Bai Zhu and add Huang Qi (Astragali Radix).
[Text fragment]: ... add Gou Qi [Zi] (Lycii Fructus) 2 qian.
Treats recurrent miscarriage due to excessive fire and stagnation in the Liver and Spleen.
Huang Qin (Scutellariae Radix) (2 qian), Bai Zhu (1-2 qian), Dang Gui (1.5 qian), Sha Ren (Amomi Fructus Rotundus) (0.5 qian), Chen Pi (1 qian), Shao Yao (1.5 qian).
Treats conditions such as fetal unrest caused by internal heat in the fetal qi.
Sheng Di Huang (Rehmanniae Radix), Shao Yao (each 2 qian), Huang Qin, Dang Gui (1-2 qian), Zhi Ke (Aurantii Fructus Immaturus), Shi Hu (Dendrobii Caulis) (each 1 qian), Fu Ling (Poria), Gan Cao (7 [qian/fen, text truncated]).