侧柏地榆汤 治赤白带下,以致不能成孕。
黄 侧柏叶 地榆 乌贼鱼骨 白僵蚕 牡蛎(用盐泥固济,火煨透去泥研,各一
钱) 白芷 肉苁蓉(酒浸) 蛇床子(各一钱二分)
上锉。加生姜三片,水煎,半饥时服。(主闭藏者肾,若滑脱者,肾气不固也。牡蛎咸寒而益肾;蛇床辛温而壮气;
其清而燥涩者,则柏叶、地榆、乌贼;其温而补气者,则黄 、苁蓉;若白芷行阳明于血海,僵蚕散结气以消痰)
白芷散 治赤白带下。
白芷(二两) 海螵蛸(二个, ) 胎发(一团, )
上为细末。空心温酒调下二钱。(螵蛸涩气,胎发涩血,白芷行阳明之气而散湿,以助温升之用)
伏龙肝散 治赤白带下,久患不瘥, 悴乏力,六脉微濡。
棕榈(不拘多少,烧烂,急以盆盖,荫冷存性) 伏龙肝(于灶直下取赤土,炒令烟尽) 屋
梁上悬尘(炒令烟尽,去火毒)
上各等分研匀,入龙脑麝香各少许。每服三钱,温酒或淡醋汤下,患十年者,半月可安
。(火土之性而生燥,燥则足以培土。梁上尘得土气之飞扬而上升,升则土气不陷而湿不生;棕榈为止涩之用;脑、麝
少入,取其能散,然于久病成 悴之人,恐非补剂不可)
马蹄丸 治白带不绝。
白马蹄 禹余粮(各四两) 龙骨(三两) 乌贼鱼骨 白僵蚕 赤石脂(各二两)
上为细末,炼蜜丸如桐子大。每服十丸,空心酒下。不止,加至三十丸。(马蹄得干金在下之健体而入肝,僵蚕得
燥金之刚气而制木;余粮、赤石脂以固血之脱;龙骨、乌贼以固气之脱。盖肝主疏泄而藏血,疏泄者气脱,气脱则血
不藏,以金平之,而健其升,以血涩之,而固其气,宜其为治漏之要药也)
固真丸 治白带大下不止,脐腹疼痛,其寒扪之如冰,阴中亦然,目中溜火上壅,视物
无所见,齿皆恶热饮痛,须得黄连末擦之,其痛乃止,惟喜干食,大恶汤饮。
此病皆寒湿乘其胞内,故喜干而恶湿;肝经阴火上溢走于标,故上壅而目中溜火;肾水侵肝
而上溢,故目中 无所见;齿恶热饮者,是少阳阳明经中伏火也。当大泻寒湿,
以丸药治之。故曰寒在下焦,治主宜缓,大忌汤散。以酒制白石脂、白龙骨,以枯其湿,以
炮干姜大辛热泻寒水,以黄柏之大寒为因用,又为向导;故云∶古者虽有重罪,不绝人之后
。又为之伏其所主,先其所因之意。又泻齿中恶热饮也,以柴胡为本经之使,以芍药半钱导
之,恐辛热之药太甚,损其肝经,故微泻之;以当归身之辛温,大和其血脉,用药之法备矣
。
白石脂(烧赤水飞,研细焙干) 柴胡(各一钱) 白龙骨(二钱酒煮晒干,水飞为末) 当归
(酒洗,三钱) 干姜(炮,四钱) 黄柏(酒洗) 白芍药(各五分)
上为细末,水煮稀糊为丸,如鸡头大。每服三十丸,空心宿食消尽,煎白沸汤放温送下
,无令胃中停住,待少时,以早膳压之,是不令热药犯胃。忌生冷硬物,与酒湿面。(服药有法亦有期,读此又得一种
经纬)
一方 治赤白带下,不问远年近日,并皆治之。
龙骨(半两) 舶上硫黄(三钱)
上为细末。每服半钱,空心无灰酒下。(大温下元之寒湿,惟久病虚寒者宜之,若为丸服之更佳,恐其僭上也)
茅花散 治妇人血崩不止,赤白带下。(此方自是血崩药,当入血崩证)
茅花(一握) 棕榈皮(三寸) 嫩荷叶(三张) 甘草节(二寸)
上为细末。空心酒调半匙服。
双白丸 治白带如神。(燥湿渗湿)
锻石(一两) 白茯苓(二两)
上为末,水丸如桐子大。每服三十丸,空心白水下。
白附子丸 有妇经年崩漏不止,诸药不效,脉濡微,此与前伏龙肝散兼服愈。
白附子(四两) 附子(二两) 黄狗骨头(四两,烧灰) (妙在狗骨头灰,盖有温涩之能耳)
上为细末,粥丸如桐子大。每服三十丸。
地榆膏 治赤白带下骨立者。(此涩血凉剂,湿热胜而滑脱者宜之。)
地榆(一斤)
用水三升,煎至一半,去渣,再煎如稠饧,绞净,空心服三合,日二服。
侧柏地榆汤:治疗赤白带下,导致无法受孕。
黄芩、侧柏叶、地榆、乌贼鱼骨(海螵蛸)、白僵蚕、牡蛎(用盐泥封固,火煨透后去泥研粉,各一钱)、白芷、肉苁蓉(酒浸)、蛇床子(各一钱二分)。
以上药材切碎。加生姜三片,水煎煮,在半饥半饱时服用。(肾主闭藏,若出现滑脱不禁,是肾气不固的表现。牡蛎味咸性寒而益肾;蛇床子味辛性温而壮气;那些性质清利且具燥涩作用的,则是侧柏叶、地榆、乌贼鱼骨;那些性质温补且能补气的是黄芩、肉苁蓉;至于白芷能行阳明经之气于血海,白僵蚕能散结气以消痰)
白芷散:治疗赤白带下。
白芷(二两)、海螵蛸(二个,需处理)、胎发(一团,需处理)。
以上研为细末。空腹时用温酒调服二钱。(海螵蛸具有收敛气的作用,胎发具有收敛血的作用,白芷能行阳明经之气而祛湿,以助温升的功效)
伏龙肝散:治疗赤白带下,久治不愈,面色憔悴乏力,六脉微濡。
棕榈(不限多少,烧烂,迅速用盆盖住,使其保持药性并冷却)、伏龙肝(从灶膛直下取红土,炒至烟尽)、屋梁上悬尘(炒至烟尽,去除火毒)。
以上各等分研匀,加入少许龙脑和麝香。每次服用三钱,用温酒或淡醋汤送下。患病十年者,半月可安。(火与土的性质结合产生燥性,燥性足以培补脾土。屋梁上的灰尘得土气之飞扬而上升,上升则土气不陷而湿气不生;棕榈用于止涩;少量加入龙脑、麝香,取其发散之功,但对于久病导致身体衰弱的人,恐怕非补剂不可)
马蹄丸:治疗白带不绝。
白马蹄、禹余粮(各四两)、龙骨(三两)、乌贼鱼骨、白僵蚕、赤石脂(各二两)。
以上研为细末,炼蜜制成如梧桐子大小的丸药。每次服用十丸,空腹时用酒送下。若不止,加至三十丸。(马蹄得干金在下之健体而入肝,白僵蚕得燥金之刚气而制约肝木;禹余粮、赤石脂用以固摄血的滑脱;龙骨、乌贼鱼骨用以固摄气的滑脱。肝主疏泄而藏血,疏泄过度则气脱,气脱则血不能藏,用金气来平抑它,以增强其升提之力,用涩血之法来固摄其气,适宜作为治疗漏下的要药)
固真丸:治疗白带大量滑脱不止,脐腹疼痛,触之如冰,阴部亦然,眼中感觉热气上冲壅滞,视物不清,牙齿厌恶热饮而痛,需用黄连末擦拭,疼痛才停止,只喜欢干食,非常厌恶汤饮。
此病皆是寒湿侵袭胞宫所致,故喜干而恶湿;肝经阴火上溢走于上部,故上壅而眼中感觉热气上冲;肾水侵凌肝木而上溢,故眼中视物不清;牙齿厌恶热饮,是少阳、阳明经中有伏火。应当大泻寒湿,用丸药治疗。所以说寒在下焦,治疗宜缓,严禁使用汤剂和散剂。用酒炮制白石脂、白龙骨,以枯其湿;用炮干姜大辛大热以泻寒水;用黄柏之大寒作为因势利导之用,又作为向导;所以说:“古时候虽有重罪,也不断绝人的后代。”这体现了“伏其所主,先其所因”的意思。另外为了泻除齿中厌恶热饮的症状,以柴胡为本经引经药,以芍药半钱引导它,担心辛热药物太过,损伤肝经,所以轻微泻之;用当归身之辛温,大和其血脉,用药的方法完备了。
白石脂(烧红后水飞,研细焙干)、柴胡(各一钱)、白龙骨(二钱,酒煮晒干,水飞为末)、当归(酒洗,三钱)、干姜(炮,四钱)、黄柏(酒洗)、白芍药(各五分)。
以上研为细末,用水煮稀糊为丸,如鸡头大小。每次服用三十丸,空腹待宿食消化尽,煎开白开水放温送下,不要让药在胃中停留,稍等片刻,用早饭压住药力,这是不让热药犯胃。忌食生冷硬物,以及酒湿面食。(服药有法度也有期限,读到这里又得到一种经纬规律)
一方:治疗赤白带下,不问远年近日,都予以治疗。
龙骨(半两)、舶上硫黄(三钱)。
以上研为细末。每次服用半钱,空腹用无灰酒送下。(大温下元之寒湿,只适合久病虚寒者,如果做成丸药服用更佳,担心其药性僭越上行)
茅花散:治疗妇人血崩不止,赤白带下。(此方本是治血崩的药,应当归入血崩证)
茅花(一把)、棕榈皮(三寸)、嫩荷叶(三张)、甘草节(二寸)。
以上研为细末。空腹用酒调服半匙。
双白丸:治疗白带如神效。(燥湿渗湿)
锻石(一两)、白茯苓(二两)。
以上研为末,水泛为丸如梧桐子大小。每次服用三十丸,空腹用白开水送下。
白附子丸:有一位妇女经年崩漏不止,诸药无效,脉象濡微,此方与前文伏龙肝散兼服而愈。
白附子(四两)、附子(二两)、黄狗骨头(四两,烧成灰)。(妙在狗骨头灰,大概有温涩的能力)
以上研为细末,用米粥泛丸如梧桐子大小。每次服用三十丸。
地榆膏:治疗赤白带下导致身体消瘦如骨立者。(此方为涩血凉剂,湿热胜而滑脱者适宜。)
地榆(一斤)。
用水三升,煎至一半,去渣,再煎至像稠糖一样,绞净汁液,空腹服用三合,每日两次。
Cebai Duyu Decoction: Treats red and white leukorrhea, leading to infertility.
Huang Qin (Scutellariae Radix), Cebaiye (Platycladi Cacumen), Duyu (Sanguisorbae Radix), Hai Piao Xiao (Sepia Ego), Bai Jiangcan (Bombyx Batryticatus), Muli (Ostreae Concha - sealed with salt mud, calcined thoroughly, mud removed and powdered, each 1 qian), Baizhi (Angelicae Dahuricae Radix), Rongshong (Cistanches Herba - soaked in wine), Chuangzi (Cnidii Fructus, each 1.2 qian).
The above herbs are cut into pieces. Add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, and take when half-hungry. (The Kidney governs closure and storage; if sliding and incontinence occur, it is due to insecurity of Kidney Qi. Muli is salty and cold, benefiting the Kidney; Chuangzi is acrid and warm, strengthening Qi; those that are clear, drying, and astringent are Cebaiye, Duyu, and Hai Piao Xiao; those that are warm and tonifying Qi are Huang Qin and Rongshong; as for Baizhi, it circulates Qi of the Yangming channel to the Blood Sea, and Bai Jiangcan disperses knotted Qi to eliminate phlegm.)
Baizhi Powder: Treats red and white leukorrhea.
Baizhi (2 liang), Hai Piao Xiao (2 pieces, processed), Taifa (Fetal Hair, one tuft, processed).
Grind into fine powder. Take 2 qian mixed with warm Jiujiu (wine) on an empty stomach. (Hai Piao Xiao has astringent properties for Qi, Taifa has astringent properties for Blood, Baizhi circulates Qi of the Yangming channel and dispels dampness, assisting the function of warming and ascending.)
Fulonggan San: Treats red and white leukorrhea, chronic cases not healing, with sallow complexion, fatigue, and faint, soggy pulses in all six positions.
Zonglv (Livistonae Palm Leaf - burnt until soft, quickly covered with a basin to preserve its nature and cool down), Fulonggan (Dragon's Liver Earth - taken from directly under the stove, stir-fried until smoke ceases), Wuliang Shang Xuanchen (Dust hanging from roof beams - stir-fried until smoke ceases, removing fire toxicity).
Mix equal parts and grind evenly. Add a small amount of Longnao (Borneolum Syntheticum) and Shexiang (Moschus). Take 3 qian per dose, with warm Jiujiu or light vinegar water. For ten-year illness, peace can be achieved in half a month. (The nature of Fire and Earth generates dryness; dryness is sufficient to fortify Earth. Dust from roof beams rises with the Qi of Earth; rising prevents Earth Qi from sinking and thus prevents generation of Dampness; Zonglv is used for stopping and astringing; adding small amounts of Longnao and Shexiang utilizes their dispersing ability, but for those debilitated by long-term illness, tonics are likely necessary.)
Matiqi Wan: Treats continuous white leukorrhea.
Baimati (White Horse Hoof), Yuyuliang (Yiyu Lithargite, each 4 liang), Longgu (Fossilized Bones, 3 liang), Hai Piao Xiao, Bai Jiangcan, Chishizhi (Red Halloysite, each 2 liang).
Grind into fine powder, make pills with refined honey the size of tung seeds. Take 10 pills per dose, with Jiujiu on an empty stomach. If not stopped, increase to 30 pills. (Horse hoof enters the Liver via its robust body below; Bai Jiangcan obtains the rigid Qi of Dry Metal to control Wood; Yuyuliang and Chishizhi secure the slipping of Blood; Longgu and Hai Piao Xiao secure the slipping of Qi. The Liver governs free flow and stores Blood; excessive free flow leads to Qi slipping, and Qi slipping leads to Blood failing to store. Using Metal to level it enhances its ascending power, and using blood-astringents secures its Qi, making it an essential medicine for treating leakage.)
Guzhen Wan: Treats profuse white leukorrhea with incontinence, pain in the umbilical and abdominal regions, feeling cold like ice upon touch, similarly in the vagina, sensation of heat rising in the eyes causing visual obstruction, teeth pained by hot drinks requiring application of Huanglian (Scutellariae Radix) powder to stop pain, preferring dry food, and strongly disliking liquid drinks.
This disease is caused by Cold-Damp invading the Bao Palace (Uterus), hence preference for dryness and aversion to dampness; Yin-Fire of the Liver Channel overflows upwards, causing upper congestion and heat sensation in the eyes; Kidney Water invades the Liver and overflows upwards, causing visual impairment; teeth disliking hot drinks indicate latent Fire in the Shaoyang and Yangming channels. One should greatly purge Cold-Damp using pill medication. Thus, it is said that Cold in the Lower Jiao requires slow treatment, strictly forbidding decoctions and powders. Use Jiu (wine) to process Baishi Zhi (Kaolinite) and Bai Longgu (Fossilized Bones) to dry up dampness; use Pao Ganjiang (Prepared Zingiberis Rhizoma), extremely acrid and hot, to purge Cold-Water; use Huangbai (Phellodendri Cortex), extremely cold, as an expedient measure and guide. It is said: "Even in ancient times with heavy crimes, one does not cut off the lineage." This embodies the intent of "subduing the governing factor and addressing the cause first." To further purge the aversion to hot drinks in the teeth, use Chaihu (Bupleuri Radix) as the guiding herb of this classic, and Shaoyao (Paeoniae Radix Alba, half qian) to guide it, fearing that the acrid-hot drugs might be too harsh and damage the Liver Channel, so slightly purging it; use Danggui Shen (Angelicae Sinensis Radix Body), acrid and warm, to harmonize the blood vessels extensively. The method of medication is complete.
Baishi Zhi (burned, washed with water, finely ground, baked dry), Chaihu (each 1 qian), Bai Longgu (2 qian, boiled in wine, dried, washed with water and powdered), Danggui (washed in wine, 3 qian), Ganjiang (prepared, 4 qian), Huangbai (washed in wine), Baishaoyao (each 0.5 qian).
Grind into fine powder, make pills with water-boiled thin paste, the size of chicken heads. Take 30 pills per dose, on an empty stomach after residual food is digested, send down with boiled warm water, do not let it stay in the stomach, wait a while, then press it with breakfast, so as not to let hot drugs offend the Stomach. Avoid raw, cold, hard foods, and alcoholic or damp wheat products. (Medication has methods and timelines; reading this provides another set of principles.)
Another Prescription: Treats red and white leukorrhea, regardless of whether recent or long-standing, all are treated.
Longgu (half liang), Boshang Liuhuang (Imported Sulfur, 3 qian).
Grind into fine powder. Take half qian per dose, with unadulterated Jiujiu on an empty stomach. (Greatly warms Cold-Damp in the Lower Yuan, suitable only for chronic deficiency-cold cases; taking as pills is better, fearing its upward surging action.)
Maohua San: Treats women with unstoppable metrorrhagia (blood flooding), red and white leukorrhea. (This prescription is originally for metrorrhagia and should be classified under Metrorrhagia syndromes.)
Maohua (Millet Flower, one handful), Zonglv Pi (Livistonae Palm Leaf Bark, 3 cun), Nen Heye (Young Nelumbinis Folium, 3 leaves), Gancao Jie (Glycyrrhizae Radix et Rhizoma Node, 2 cun).
Grind into fine powder. Take half spoon mixed with Jiujiu on an empty stomach.
Shuangbai Wan: Treats white leukorrhea miraculously. (Dries dampness and promotes diuresis.)
Duanshi (Calcined Alumen, 1 liang), Baifuling (Poria, 2 liang).
Grind into powder, make pills with water the size of tung seeds. Take 30 pills per dose, with plain water on an empty stomach.
Baifuzi Wan: A woman suffered from intermittent uterine bleeding for years without success of various medicines, with soggy and faint pulse. This prescription combined with the previous Fulonggan San cured her.
Baifuzi (Aconiti Kusnezoffii Radix, 4 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 2 liang), Huang Gou Gutou (Yellow Dog Bone, 4 liang, burnt to ash). (The妙 [wonder] lies in the ash of dog bone, which presumably has warming and astringent capabilities.)
Grind into fine powder, make pills with congee the size of tung seeds. Take 30 pills per dose.
Duyu Gao: Treats red and white leukorrhea leading to emaciation (body standing out like bones). (This is an astringent-blood and cooling preparation, suitable for cases where Damp-Heat prevails with sliding incontinence.)
Duyu (1 jin).
Use 3 sheng of water, decoct until half remains, remove dregs, decoct again until thick like syrup, strain cleanly. Take 3 he on an empty stomach, twice daily.