妇人患带者最多,皆荣卫滞气所成。总之不外乎脾虚而兼湿热,使浊气渗入膀胱,流而带下。轻
则来而不来,无用施治。重
则来而无度,使人腰膝酸痛,精神短少,不能不治。分而论之,赤者属热,虚而兼火。白者属湿,虚而兼痰。
赤白兼下,脾虚有湿。治法总以补脾为主,又兼升提。然大抵瘦人多火,患赤带。肥人多痰,患白带。赤白兼
下者,用五味异功散加扁豆、苡仁、山药、泽泻等,无不愈者。倘挟五色,则加入本脏药,一二味亦可。若
有热加黄柏,莲心,又有带久不止者,以补为主,宜服补中益气丸。
五味异功散
治赤带白带不时
人参(三钱) 白术 茯苓(各二钱) 陈皮(一钱) 炙甘草(五分)
煎服。青色属肝,异功散加柴胡、山栀;黄色属脾、加石斛、
荷叶、陈米;赤色属心,加丹参、当归;白色属肺,加苡仁、猪苓。黑色属肾,加杜仲、续断。
大凡女子,禀性偏执,欲求长生,先戒性急,若动怒气,或因忧郁,忧郁气滞,怒伤肝血,血衰气盛,定
无生育,先为经闭,变成痨瘵。求其无病,经水调正,月应乎天,水应乎地,一月一来,如潮汛期,倘有不
准,先后当讯,参前因热,落后属寒,热当清凉,寒宜助温,血热血虚,或清或补。一朝有娠,先保其胎,
能遵胎教,方无后灾。不知保守,悔何及也。月足坐草,忍痛极妙,瓜熟自落,临盆忌早,生若稍慢,时候
未到。无知妇女,昏愚妪老,非时催逼,以致横倒,做成难产,祸系自遭。若即横倒,
勿再惊扰,镇静养神,药助能好。惊则血逆,更不得了。即若胎死,腹中横倒,宽心进食,尚可救疗,三四
五日,仍有药消,秽臭无碍,胎能化水,水出儿小,气壮门开,脱然而下。并不伤内,
尸气崩心,此言错哉。为此一语,枉死多也,切戒稳婆,用蛮取
捞、天良丧尽,甚至动刀,捞取损脏,痛楚难当。每见蛮取,死难计数,泉下衔冤,惨乎否乎,新产之后,
医法有余,先去恶露,后当补虚。补虚太早,秽不能除,倘若气脱,乃属大虚。即进温
补,回生起死,惜命之家,守此歌谣,可教女孩,熟读是句,先
使妇女,听于平素,免致临时,匆忙贻懊,转相传告,保全无数,撰此俚言,不无小补。
资生丸
治怀孕二三个月,气阻脾胃不和,饮食呕吐,胎气不固等症。
人参 白术(各三两) 橘红(蒸) 楂肉(蒸) 神曲(各二两) 茯苓(入人乳
蒸) 山药 白扁豆 湘莲肉 芡实 薏苡仁(各一两五钱均炒黄)
麦芽(炒研磨取净面一两) 藿香叶(不见火) 炙甘草 桔梗(蒸各五钱)
泽泻(炒) 白蔻仁(勿见火各三钱五分) 川连(如法炒七次三钱)
共十七味,如法修事细末,炼蜜捣丸,每丸重二钱,每食后
细嚼一丸,开水下,严寒时淡姜汤下,服至病愈为度。
妇女患带下病的很多,这都是营卫之气运行不畅、气机阻滞所形成的。总之,不外乎脾虚兼有湿热,导致浊气渗入膀胱,流注而下形成带下。轻症则时来时去,无需治疗。重症则来势无度,使人腰膝酸痛,精神萎靡,必须治疗。分别论述,赤色带下属于热证,是虚证兼有火邪;白色带下属于湿证,是虚证兼有痰湿。赤白夹杂而下,是脾虚且有湿邪。治疗方法总以补脾为主,同时兼顾升提阳气。但大致来说,瘦人多火邪,易患赤带;肥人多痰湿,易患白带。赤白夹杂而下的,使用五味异功散加入扁豆、薏苡仁、山药、泽泻等药,没有不痊愈的。如果夹杂五色带下,则在原方中加入对应脏腑的药物一两味即可。如果有热象,加入黄柏、莲心;如果是带下日久不止,应以补益为主,适宜服用补中益气丸。
五味异功散
治疗赤带、白带不时发作
人参(三钱) 白术 茯苓(各二钱) 陈皮(一钱) 炙甘草(五分)
煎汤服用。青色属肝,五味异功散加柴胡、山栀;黄色属脾,加石斛、荷叶、陈米;赤色属心,加丹参、当归;白色属肺,加薏苡仁、猪苓。黑色属肾,加杜仲、续断。
大凡女子,性情往往偏执急躁,想要追求长生,首先要戒除性子急,如果动怒,或者因为忧郁,会导致气机郁滞,愤怒会损伤肝血,血衰则气盛,必然无法生育,先出现经闭,进而变成痨瘵(消耗性疾病)。想要无病,月经就要调正,一月一次,顺应天道,如同潮汐涨落定期而来。如果不准确,要询问先后原因,提前来的多因热,推后来的多属寒,热证应当清凉,寒证宜助温阳,血热则清,血虚则补。一旦怀孕,先要保胎,若能遵守胎教,才不会有后患。不知道保守调养,后悔也来不及了。足月临产,忍受疼痛是极好的,瓜熟蒂落自然分娩,临盆忌讳过早催生,如果生产稍慢,是因为时候未到。无知的妇女和昏愚的老妪,非时强行催逼,导致横生逆产,造成难产,灾祸都是自找的。如果已经横倒(难产),不要再惊慌扰乱,镇静养神,药物辅助能好转。惊恐则血气逆乱,更加不得了。即使胎死腹中,横在体内,宽心进食,尚可救疗,三四五天后,仍有药物可以消除,秽臭无碍,胎体化为水液,水出后胎儿变小,产妇气壮子门打开,自然脱落排出。并不伤及内脏,所谓“尸气崩心”的说法是错误的。为此说一句话,枉死的人太多了,务必告诫稳婆(接生婆),不要用蛮力取捞,丧失天良,甚至动用刀具,捞取时损伤脏器,痛苦难以承受。经常见到用蛮力取出的,死亡人数难以计数,九泉之下含冤,惨状如何?新产之后,医疗方法有余地,先去恶露,后当补虚。补虚太早,秽物不能清除,倘若气脱,属于大虚。此时进服温补药物,回生起死。爱惜生命的人,遵守这首歌谣,可以教导女孩,熟读这些句子,先让妇女平时听熟,避免临时匆忙留下懊悔,辗转相传告知,保全无数生命。撰写这些通俗言语,不无小补。
资生丸
治疗怀孕两三个月,气机阻滞脾胃不和,饮食呕吐,胎气不固等症状。
人参 白术(各三两) 橘红(蒸) 山楂肉(蒸) 神曲(各二两) 茯苓(用人乳蒸) 山药 白扁豆 湘莲肉 芡实 薏苡仁(各一两五钱均炒黄)
麦芽(炒研磨取净面一两) 藿香叶(不见火) 炙甘草 桔梗(蒸各五钱)
泽泻(炒) 白蔻仁(勿见火各三钱五分) 川连(如法炒七次三钱)
共十七味,按规定处理研成细末,炼蜜捣制成丸,每丸重二钱,每次饭后细嚼一丸,开水送服,严寒时用淡姜汤送服,服用至病愈为止。
Women suffer from leukorrhea (vaginal discharge) most frequently, which is formed by the stagnation of Ying and Wei (nutritive and defensive) qi. In summary, it is nothing more than Spleen deficiency combined with Damp-Heat, causing turbid Qi to seep into the Bladder and flow down as leukorrhea. In mild cases, it comes and goes intermittently, requiring no treatment. In severe cases, it flows without restraint, causing soreness and pain in the waist and knees, and a shortage of spirit and energy, necessitating treatment. Discussing them separately: red leukorrhea belongs to Heat, being a deficiency pattern combined with Fire; white leukorrhea belongs to Dampness, being a deficiency pattern combined with Phlegm-Damp. Red and white mixed discharge indicates Spleen deficiency with Dampness. The treatment method generally focuses on tonifying the Spleen, while also incorporating lifting procedures. However, generally speaking, thin people tend to have excessive Fire and suffer from red leukorrhea; fat people tend to have Phlegm-Damp and suffer from white leukorrhea. For mixed red and white discharge, using Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder) added with Faba Bean (Bian Dou), Coix Seed (Yi Yi Ren), Chinese Yam (Shan Yao), and Alisma (Ze Xie) will invariably lead to recovery. If mixed with five-colored discharge, add one or two herbs corresponding to the affected Zang organ to the base formula. If there is Heat, add Phellodendron Bark (Huang Bo) and Lotus Plumule (Lian Xin). For prolonged, unceasing leukorrhea, the treatment should focus on tonification, and Buzhong Yiqi Wan (Tonify the Middle and Augment the Qi Pill) is suitable.
Wuwei Yigong San (Five-Ingredient Extraordinary Efficacy Powder)
Treats intermittent red and white leukorrhea.
Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Fu Ling (Poria, 2 qian), Chen Pi (Citri Reticulatae Pericarpium, 1 qian), Zhi Gan Cao (Prepared Licorice Root, 0.5 qian).
Decoct and take orally. Green color corresponds to the Liver; add Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus) to Wuwei Yigong San. Yellow corresponds to the Spleen; add Shi Hu (Dendrobii Caulis), He Ye (Nelumbinis Folium), and Chen Mi (Old Rice). Red corresponds to the Heart; add Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) and Dang Gui (Angelicae Sinensis Radix). White corresponds to the Lungs; add Yi Yi Ren (Coicis Semen) and Zhu Ling (Polyporus). Black corresponds to the Kidneys; add Du Zhong (Eucommiae Cortex) and Xu Duan (Dipsaci Radix).
Generally, women’s dispositions are often biased and stubborn. To seek longevity, one must first戒 (abstain from) impatience. If anger arises, or due to depression, Qi stagnation occurs. Anger damages Liver Blood; when Blood is deficient and Qi is hyperactive, conception becomes impossible, leading initially to amenorrhea and subsequently transforming into Lao Zhai (consumptive disease). To remain healthy, menstruation must be regulated, occurring once a month in accordance with Heaven, like water responding to Earth, coming monthly like the tide at its appointed time. If irregular, inquire about the cause: early arrival is due to Heat, late arrival is due to Cold. Heat requires cooling, Cold requires warming. Hot blood requires clearing, deficient blood requires tonifying. Once pregnant, first protect the fetus. If prenatal care (Tai Jiao) is observed, there will be no subsequent disaster. Ignoring conservation leads to regret. When full-term, endure labor pains; this is excellent. As the melon ripens, it falls naturally. Avoid inducing delivery too early. If birth is slightly slow, it is because the time has not yet arrived. Ignorant women and foolish old midwives, forcing delivery out of season, cause transverse presentation, resulting in dystocia. The disaster is self-inflicted. If transverse presentation occurs immediately, do not panic or disturb further. Calm the mind and nourish the spirit; medicinal assistance can bring improvement. Panic causes Blood to rebel, which is even worse. Even if the fetus dies in utero and lies transversely, eat with peace of mind; rescue is still possible. After three or four days, medicines can still dissolve it. The foul odor is harmless. The fetus transforms into water; when the water exits, the fetus shrinks. With strong Qi, the cervical os opens, and it falls out naturally. It does not damage the interior. The saying that "cadaverous Qi bursts the heart" is wrong. This statement alone has caused many wrongful deaths. Strictly warn midwives against using brute force to extract, losing their conscience, and even using knives. Extraction damages organs, causing unbearable pain. I often see those extracted by brute force, with death tolls incalculable. They hold grievances in the underworld, how tragic! After new childbirth, medical methods have room for maneuver: first remove lochia (E Lu), then tonify deficiency. Tonifying deficiency too early prevents the expulsion of turbidity. If Qi collapses, it is a severe deficiency. At this point, administer warm tonics to revive life. Those who cherish life should follow this song. Teach girls to read these verses thoroughly. Let women listen to them regularly beforehand to avoid panic and regret during labor. Pass it on to save countless lives. These vernacular words offer some small benefit.
Zisheng Wan (Nourishing Life Pill)
Treats symptoms such as Qi obstruction and Spleen-Stomach disharmony, vomiting after eating, and unstable fetal Qi during the second or third month of pregnancy.
Ren Shen (Ginseng Radix et Rhizoma, 3 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Ju Hong (Exocarpium Citri Grandis, steamed), Zha Rou (Crataegi Fructus, steamed), Shen Qu (Massa Medicata Fermentata, 2 liang), Fu Ling (Poria, steamed with human milk), Shan Yao (Dioscoreae Rhizoma), Bai Bian Dou (Faba Bean), Xiang Lian Rou (Lotus Seed), Qian Shi (Euryales Semen), Yi Yi Ren (Coicis Semen, 1.5 liang each, stir-fried until yellow).
Mai Ya (Hordei Fructus Germinatus, stir-fried, ground, refined powder 1 liang), Huo Xiang Ye (Agastaches Herba, avoid fire), Zhi Gan Cao (Prepared Licorice Root), Jie Geng (Platycodonis Radix, steamed, 5 qian each).
Ze Xie (Alismatis Rhizoma, stir-fried), Bai Kou Ren (Amomi Fructus Rotundus, avoid fire, 3.5 qian), Chuan Lian (Coptidis Rhizoma, stir-fried seven times according to method, 3 qian).
Seventeen ingredients in total. Process according to standard methods, grind into fine powder, mix with refined honey to form pills. Each pill weighs 2 qian. Chew one pill slowly after meals, swallow with boiled water. In severe cold, swallow with light ginger soup. Continue taking until the illness is cured.