《经》云∶女子二七而天癸至,任脉通,太冲脉盛,月事以时下,若因房事太过,或生育太多,或暴怒
内损真气,致任脉崩损,故血大下,卒不可止,如山崩之骤也。治宜阿胶汤、补宫丸半斤而愈。切不可用止血
药,恐变生他病,久之一崩不可为矣。若势来太多,其人作晕,急灸石门穴,其血立止。(血崩之证,乃先后
天冲任经隧周身之血,悉皆不能收持,一时暴下,有如山崩水溢,不可止遏,非重剂参附补救不能生也,间有
属实者,当以形证求之。)
子宫虚寒,浊气凝结下焦,冲任脉(即子宫也)不得相荣,故腥物时下。以补宫丸、胶艾汤治之。甚者灸
胞门、子户穴各
三十壮,不独病愈而且多子。(带下之证,十有九患,皆由根气虚而带脉不收引,然亦有脾虚陷下者,有湿浊
不清者,有气虚不摄者。有阳虚不固者,先生单作子宫虚寒,诚为卓见。)
良田藏气虚衰,血脉凝滞,或为风寒所客着而成痈矣。若阳明蕴热,亦能成此。先觉憎寒壮热,服救生
汤一剂,若迟三五日,宜多服取效。
妊娠后,多于房事,或食冷物不消,令人吐逆不止,下部出恶物,可服金液丹、霹雳散即好。(胎逆即恶
阻,俗所谓病儿是也。苟能慎起居,戒房事,节饮食,不但无病儿之患,而生子亦多易育,若谨摄已当,而仍
病者,是系孕妇体弱,气血多虚故耳。)
《黄帝内经》记载:女子十四岁时天癸(促进生殖功能成熟的物质)到来,任脉通畅,太冲脉旺盛,月经按时来潮。如果因为房事过度,或者生育太多,或者暴怒内伤真气,导致任脉崩裂受损,所以血液大量下泄,突然无法止住,就像山崩一样骤然发生。治疗适宜用阿胶汤、补宫丸半斤即可痊愈。切不可使用止血药,恐怕会引发其他疾病,久而久之一旦崩漏严重就无法救治了。如果出血势头太大,病人出现头晕,紧急艾灸石门穴,血液立刻停止。(血崩的证候,是先天和后天冲任经脉及周身之血,全部不能收摄固持,一时之间暴烈下行,如同山崩水溢,不可遏制,非重用参附等药物补救不能生存,间或有属于实证的,应当通过形体症状来辨别。)
子宫虚寒,浊气凝结在下焦,冲任脉(即子宫)不得相互滋养,所以腥臭分泌物时下。用补宫丸、胶艾汤治疗。严重的艾灸胞门、子户穴各三十壮,不仅病愈而且容易多子。(带下的证候,十有九个患病,都是由根本之气虚弱而带脉不能收引所致,然而也有脾虚下陷的,有湿浊不清的,有气虚不摄的,有阳虚不固的。先生只将其归结为子宫虚寒,确实是有独到的见解。)
良田(窦材自指)藏气(脏腑之气)虚衰,血脉凝滞,或者被风寒邪气客居附着而成痈疽了。如果阳明经蕴积热邪,也能形成这种病症。起初感觉憎恶寒冷且高热,服用救生汤一剂,如果拖延三五天,宜多服用以取得疗效。
妊娠后,如果过多进行房事,或者食用生冷食物无法消化,令人呕吐逆乱不止,下部排出污秽之物,可以服用金液丹、霹雳散即刻好转。(胎逆即恶阻,俗称为“病儿”。如果能够谨慎起居,戒除房事,节制饮食,不但没有“病儿”的祸患,而且生子也容易养育,如果已经谨慎摄养却仍然生病的,这是系于孕妇体质虚弱,气血大多亏虚的缘故。)
The *Classic* states: When a girl reaches fourteen, Tian Gui (substances that promote reproductive function) arrives, the Ren Mai (Conception Vessel) becomes unobstructed, and the Chong Mai (Penetrating Vessel) flourishes, causing menstruation to occur at regular intervals. If excessive sexual intercourse, too many births, or sudden anger damages the True Qi internally, leading to the rupture and damage of the Ren Mai, blood will flow heavily downward, suddenly stopping only with difficulty, resembling the abruptness of a landslide. Treatment should employ Ejiao Tang (Donkey-Hide Gelatin Decoction) and Bugong Wan (Uterus-Nourishing Pill), half a jin in dosage, for recovery. One must absolutely avoid using hemostatic herbs, lest other diseases arise; if prolonged, severe metrorrhagia may become incurable. If the bleeding is excessively heavy and the patient feels dizzy, urgently moxa-stimulate the Shimen (CV5) acupoint, and the bleeding will stop immediately. (Metrorrhagia refers to a condition where the blood of the congenital and postnatal Chong and Ren vessels, as well as the whole body, fails to retain and control it, causing sudden violent downward flow like a landslide or overflowing water, which cannot be halted without heavy doses of Renshen (Ginseng Root) and Fuzi (Prepared Aconite Root) to rescue the collapsing Yang. Occasionally, there are excess patterns, which should be differentiated based on physical signs.)
Uterine deficiency-cold causes turbid qi to coagulate in the lower jiao, preventing the Chong Mai (Penetrating Vessel) and Ren Mai (which corresponds to the uterus here) from nourishing each other, resulting in the continuous discharge of foul-smelling leukorrhea. Treat with Bugong Wan (Uterus-Nourishing Pill) and Jiao'ai Tang (Donkey-Hide Gelatin and Mugwort Decoction). For severe cases, moxa-stimulate the Baomen (SP14) and Zihu (SP12) acupoints, thirty moxa cones each; this not only cures the disease but also facilitates fertility. (Leukorrhea affects nine out of ten women, primarily due to root Qi deficiency causing the Dai Mai (Girdle Vessel) to fail in its restraining function. However, there are also cases of Spleen Qi sinking, damp-turbidity retention, Qi deficiency failing to hold, and Yang deficiency failing to secure. Master Dou’s attribution solely to uterine deficiency-cold is indeed a profound insight.)
My internal organs' Qi is deficient and declining, blood vessels are stagnant, and I have developed an abscess due to pathogenic Wind-Cold lodging. Alternatively, heat accumulation in the Stomach Meridian of Foot-Yangming can also cause such conditions. Initially, one feels aversion to cold with high fever; take one dose of Jiusheng Tang (Life-Saving Decoction). If three to five days pass, continue taking it in larger amounts to achieve efficacy.
After pregnancy, excessive sexual activity or consumption of cold foods that cannot be digested leads to incessant vomiting and regurgitation, along with the discharge of foul matter from the lower part. Jin Ye Dan (Golden Elixir Pill) and Pili San (Thunderbolt Powder) can be taken for immediate relief. (Tai Ni (Fetal Reversal) is equivalent to morning sickness, commonly known as "illness of the fetus." If one maintains careful daily routine, abstains from sexual intercourse, and regulates diet, not only will the risk of "fetal illness" be avoided, but childbirth will also be easier. If strict precautions are taken yet illness persists, it is because the pregnant woman has a weak constitution and significant deficiency of Qi and Blood.)