(附论)
夫妇人风痰者。由脏腑风冷。水饮停滞。在于胸膈所成也。人皆有痰。少者不能为妨。
多者
证。
此理
下汪洋
迟弦细
方
旋复花汤(出圣惠方)治妇人风痰呕逆。及中脘冷。心下嘈杂。口中清水自
出。胁腹急胀满
旋复花(去蒂) 广皮(去瓤麸炒) 前胡 人参(去芦) 羌活 桂心 枳壳 半夏
(各半两)
煎至七分。去
天南星丸(出圣惠方)治妇人风痰胸膈壅滞。
天南星 白附子(并炮) 皂荚仁(炒黄) 半夏曲(各一两) 晋矾(半两枯) 上
为细末。以酒
又方(出圣惠方)
半夏 天南星(各二两) 肥皂荚(五挺锉) 生姜(三两) 上以水五升。一同煮。
令水净。
去
荷
旋复花汤(出大全良方)治妇人心胸嘈杂。多是痰证。或云是血嘈。令人多
用
猪血炒食之则愈。此以血导血归源。用此汤治中脘心腹冷痰。心下嘈杂。口中清水自
出。胁腹急胀。胸满不欲食。悉主之。
旋复花 北细辛 橘皮 桂心 人参 甘草 桔梗 白芍药 半夏(各半两) 赤茯苓
(三分)
上 咀。每服四钱。水一盏半。生姜七片。煎至八分。去滓温服。
羚羊角散(出圣惠方)治妇人风痰气壅。心膈满闷。头目昏重。不下饮食。
羚羊角屑(二分) 赤茯苓(三分) 防风(半两去芦头) 藿香(半两) 半夏(半
两汤洗七
次去
滑) 赤箭(半
两) 诃黎勒皮(三分) 旋复花(半两) 前胡(三分去芦头) 芎
(半两)
赤草(半两炙微赤
)枇杷叶(半两刮去毛炙微黄) 枳壳(半两麸炒微黄去瓤) 上为散。
每服
三钱。水一中盏
。入生姜半分。煎至六分。去滓温服。不拘时。
半夏散(出圣惠方)治妇人风痰气逆。胸膈壅闷。难下饮食。
半夏(一两汤洗七次姜制) 前胡(一两去毛头) 旋复花(半两以绢包煎) 大腹皮
(一两
锉)
(半两麸炒
微黄
为
散。
赤茯苓散(出圣惠方)治妇人风痰。心胸不利。头目昏重。时欲呕吐。不下
饮
食。
赤茯苓(一两) 蔓荆子(半两) 细辛(半两) 人参(三分去芦) 白术(半两) 前
胡(一
两去
皮(半两
汤浸
中盏。
入
皂荚煎丸(出圣惠方)治妇人风痰。
皂荚(一两细锉去子用水七升漾浸取出于银锅内煎熬如胶) 天南星(二两炮制) 防
风
(二两
丸如梧
桐子大
又方(出圣惠方)治妇人风痰。\x
白矾(一两通明者生用) 朱砂(一两细研水飞过) 上同研匀。以水浸蒸饼和丸如绿
豆
大。每
(附论)
所谓妇女风痰证,是由于脏腑受风冷侵袭,导致水饮停滞在胸膈部位而形成的。人人都有痰,量少时不会造成妨碍。
[此处原文残缺,无法完整翻译]
方剂:
旋复花汤(出自《圣惠方》),治疗妇女风痰引起的呕吐逆气,以及中脘部寒冷、心下嘈杂、口中清水自出、胁腹急胀满等症状。
药材:旋复花(去除花蒂)、广皮(去除瓤,麸皮炒制)、前胡、人参(去除芦头)、羌活、桂心、枳壳、半夏(各半两)。
煎服法:[原文残缺] 煎至七分,去渣。
天南星丸(出自《圣惠方》),治疗妇女风痰导致的胸膈壅滞。
药材:天南星、白附子(均炮制)、皂荚仁(炒黄)、半夏曲(各一两)、晋矾(半两,枯矾)。
制作法:上药研为细末,用酒[原文残缺]。
又一方(出自《圣惠方》)
药材:半夏、天南星(各二两)、肥皂荚(五挺,锉碎)、生姜(三两)。
制作法:以上药物用水五升,一同煮,直到水干[原文残缺]。去[原文残缺]荷[原文残缺]。
旋复花汤(出自《大全良方》),治疗妇人心胸嘈杂,多属痰证。有人说这是血嘈,让人多用猪血炒食即可痊愈,这是以血导血归源。此汤用于治疗中脘及心腹冷痰,症状包括心下嘈杂、口中清水自出、胁腹急胀、胸满不想进食,这些症状均可主治。
药材:旋复花、北细辛、橘皮、桂心、人参、甘草、桔梗、白芍药、半夏(各半两)、赤茯苓(三分)。
制作法:以上药物切碎,每次服用四钱,加水一盏半,生姜七片,煎至八分,去渣温服。
羚羊角散(出自《圣惠方》),治疗妇女风痰气壅,心膈满闷,头目昏重,不能进食。
药材:羚羊角屑(二分)、赤茯苓(三分)、防风(半两,去芦头)、藿香(半两)、半夏(半两,汤洗七次去滑)、赤箭(半两)、诃黎勒皮(三分)、旋复花(半两)、前胡(三分,去芦头)、芎䓖(半两)、赤草(半两,炙微赤)、枇杷叶(半两,刮去毛,炙微黄)、枳壳(半两,麸炒微黄,去瓤)。
制作法:以上药物研为散剂。每次服用三钱,加水一中盏,加入生姜半分,煎至六分,去渣温服,不拘时间。
半夏散(出自《圣惠方》),治疗妇女风痰气逆,胸膈壅闷,难以进食。
药材:半夏(一两,汤洗七次,姜制)、前胡(一两,去毛头)、旋复花(半两,用绢包煎)、大腹皮(一两,锉碎)。
[原文残缺] (半两,麸炒微黄)为散。
赤茯苓散(出自《圣惠方》),治疗妇女风痰,心胸不利,头目昏重,时常想呕吐,不能进食。
药材:赤茯苓(一两)、蔓荆子(半两)、细辛(半两)、人参(三分,去芦)、白术(半两)、前胡(一两,去皮)。
[原文残缺] (半两,汤浸)。
[原文残缺] 中盏,入[原文残缺]。
皂荚煎丸(出自《圣惠方》),治疗妇女风痰。
药材:皂荚(一两,细锉去子,用水七升浸泡后取出,在银锅内煎熬如胶状)、天南星(二两,炮制)、防风(二两)。
制作法:[原文残缺] 制成梧桐子大小的丸剂。
又一方(出自《圣惠方》),治疗妇女风痰。
药材:白矾(一两,透明者生用)、朱砂(一两,细研,水飞)。
制作法:以上药物共同研匀,用水浸湿蒸饼和丸,如绿豆大小。每[原文残缺]
(Attached Discussion)
The condition of wind-phlegm in women arises from wind-cold invading the zang-fu organs, causing fluid retention to stagnate in the chest and diaphragm. Everyone has phlegm; when present in small amounts, it causes no obstruction.
[Text is fragmentary here, unable to translate completely.]
Formulas:
Xuanfu Hua Tang (Cistanche Flower Decoction, from *Shenghui Fang*) treats wind-phlegm in women causing vomiting and regurgitation, coldness in the Zhongwan area, epigastric discomfort, spontaneous flow of clear water from the mouth, and urgent distension/fullness in the hypochondrium and abdomen.
Herbs: Inulae Flos (Xuanfu Hua, remove pedicel), Citri Reticulatae Pericarpium (Guangpi, remove albedo, stir-bake with bran), Peucedani Radix (Qianhu), Ginseng Radix et Rhizoma (Renshen, remove rhizome), Notopterygii Rhizoma et Radix (Qianghuo), Cinnamomi Cortex (Guixin), Aurantii Fructus Immaturus (Zhike), Pinelliae Rhizoma Preparatum (Banxia) (each 0.5 liang).
Decoction method: [Text fragmentary] decoct until three-tenths remain, remove dregs.
Tiannanxing Wan (Arisaema Pill, from *Shenghui Fang*) treats chest and diaphragm congestion caused by wind-phlegm in women.
Herbs: Arisaemae Rhizoma (Tiannanxing), Aconiti Kusnezoffii Radix Preparata (Baifuzi) (both processed), Gleditsiae Sinensis Spina (Zaojia Ren) (stir-bake until yellow), Pinelliae Fermentatum (Banxia Qu) (each 1 liang), Alum (Jinfan, 0.5 liang, calcined).
Preparation: Grind the above herbs into fine powder, mix with wine [text fragmentary].
Another prescription (from *Shenghui Fang*)
Herbs: Pinelliae Rhizoma Preparatum (Banxia), Arisaemae Rhizoma (Tiannanxing) (each 2 liang), Gleditsiae Sinensis Fructus (Fanzao Jia) (5 pods, chopped), Zingiberis Rhizoma Recens (Shengjiang) (3 liang).
Preparation: Boil the above ingredients in 5 sheng of water together until the water is dry [text fragmentary]. Remove [text fragmentary] lotus [text fragmentary].
Xuanfu Hua Tang (Cistanche Flower Decoction, from *Diquan Liangfang*) treats epigastric discomfort in women's chest and heart, mostly due to phlegm syndromes. Some say this is blood-related discomfort; eating stir-fried pig blood cures it, guiding blood back to its source. This decoction treats cold-phlegm in the Zhongwan, heart, and abdomen, characterized by epigastric discomfort, spontaneous flow of clear water from the mouth, urgent distension in the hypochondrium and abdomen, chest fullness, and loss of appetite. It addresses all these symptoms.
Herbs: Inulae Flos (Xuanfu Hua), Asari Radix et Rhizoma (Beixixin), Citri Reticulatae Pericarpium (Jupi), Cinnamomi Cortex (Guixin), Ginseng Radix et Rhizoma (Renshen), Glycyrrhizae Radix et Rhizoma (Gancao), Platycodonis Radix (Jiegeng), Paeoniae Radix Alba (Baishyaoyao), Pinelliae Rhizoma Preparatum (Banxia) (each 0.5 liang), Poria (Chifuling) (3 fen).
Preparation: Coarsely crush the above herbs. Take 4 qian per dose, add 1.5 zhan of water and 7 slices of fresh ginger. Decoct until 0.8 zhan remains, remove dregs, and take warm.
Lingyangjiao San (Antelope Horn Powder, from *Shenghui Fang*) treats wind-phlegm qi congestion in women, causing chest and diaphragm fullness and oppression, heavy sensation in the head and eyes, and inability to eat.
Herbs: Antelopis Cornu (Lingyangjiao Xie) (2 fen), Poria (Chifuling) (3 fen), Saposhnikoviae Radix (Fangfeng) (0.5 liang, remove rhizome), Agastachis Herba (Huoxiang) (0.5 liang), Pinelliae Rhizoma Preparatum (Banxia) (0.5 liang, washed seven times in hot water to remove slipperiness), Rhizoma Gastrodiae (Chijian) (0.5 liang), Terminalia Chebulae Fructus Pericarpium (Helile Pi) (3 fen), Inulae Flos (Xuanfu Hua) (0.5 liang), Peucedani Radix (Qianhu) (3 fen, remove rhizome), Ligustici Chuanxiong Rhizoma (Xiong) (0.5 liang), Glycyrrhizae Radix et Rhizoma (Chicao) (0.5 liang, stir-fry until slightly red), Eriobotryae Folium (Pipaye) (0.5 liang, scrape off hairs, stir-fry until slightly yellow), Aurantii Fructus Immaturus (Zhike) (0.5 liang, stir-bake with bran until slightly yellow, remove albedo).
Preparation: Grind the above herbs into powder. Take 3 qian per dose, add one zhan of water and half a fen of fresh ginger. Decoct until 0.6 zhan remains, remove dregs, and take warm at any time.
Banxia San (Pinellia Powder, from *Shenghui Fang*) treats wind-phlegm qi rebellion in women, causing chest and diaphragm congestion and difficulty in eating.
Herbs: Pinelliae Rhizoma Preparatum (Banxia) (1 liang, washed seven times in hot water, prepared with ginger), Peucedani Radix (Qianhu) (1 liang, remove hairy tips), Inulae Flos (Xuanfu Hua) (0.5 liang, decoct wrapped in silk), Arecae Pericarpium (Dafupi) (1 liang, chopped).
[Text fragmentary] (0.5 liang, stir-bake with bran until slightly yellow) into powder.
Chifuling San (Red Poria Powder, from *Shenghui Fang*) treats wind-phlegm in women, causing poor circulation in the chest and heart, heavy sensation in the head and eyes, frequent desire to vomit, and inability to eat.
Herbs: Poria (Chifuling) (1 liang), Viticis Fructus (Manjingzi) (0.5 liang), Asari Radix et Rhizoma (Xixin) (0.5 liang), Ginseng Radix et Rhizoma (Renshen) (3 fen, remove rhizome), Atractylodis Macrocephalae Rhizoma (Baizhu) (0.5 liang), Peucedani Radix (Qianhu) (1 liang, remove skin).
[Text fragmentary] (0.5 liang, soak in hot water).
[Text fragmentary] one zhan, add [text fragmentary].
Zaojia Jian Wan (Soap Pod Decoction Pill, from *Shenghui Fang*) treats wind-phlegm in women.
Herbs: Gleditsiae Sinensis Fructus (Zaojia) (1 liang, finely chopped, seeds removed, soaked in 7 sheng of water, then extracted and boiled in a silver pot until like glue), Arisaemae Rhizoma (Tiannanxing) (2 liang, processed), Saposhnikoviae Radix (Fangfeng) (2 liang).
Preparation: [Text fragmentary] form pills the size of tung tree seeds.
Another prescription (from *Shenghui Fang*) treats wind-phlegm in women.
Herbs: Alum (Bai Fan) (1 liang, transparent variety, used raw), Cinnabaris (Zhusha) (1 liang, finely ground, water-triturated).
Preparation: Grind the above herbs uniformly together. Mix with steamed dough soaked in water to form pills the size of mung beans. Each [text fragmentary]