丹溪植芝汤 治妇人肥盛无子,以身中有脂膜,闭塞子宫也,宜先服此调理。(痰在上须用子和法)
当归(酒洗,一两) 川芎(七钱半) 白芍药 白术 半夏(汤泡) 香附 陈皮(各一两) 茯苓
草(半两)
上锉,作十帖,每帖加生姜三片,水煎,吞后丸子。
丹溪茂芝丸
白术(二两) 半夏曲 川芎 香附子(各一两) 茯苓 神曲(炒,各半两) 橘红(四钱) 甘草(不用四物)
上为末,粥丸如桐子大。每服八十丸,煎汤下。 如热多,加黄连、枳实各一两。(用枳实、黄连) 服此药后,
却
服螽斯丸。
螽斯丸
即前秦桂丸无当归、防风二味。
上每服五丸,空心酒下,加至十丸不妨。觉有娠三月后,不可更服。按此方即秦桂丸也
,丹溪忌服之者,盖忌于瘦人无血者,若肥人湿多者,又兼前调理药,而所服丸数,十减其
九,只服五丸,无妨也。累试有效。(丹溪深辟秦桂丸之非,而螽斯丸又为取用,岂自相左耶?抑各因其病而为去取耳)
消脂膜导痰汤
半夏(姜制) 南星(火炮) 橘红 枳壳(去穣,麸炒) 茯苓 滑石(研细,各一钱) 川芎 防风 羌活(各
五分) 车前子(七分)
上细切作一服,加生姜五片,水煎,空心服,以干物压之。(要知南星、滑石、防风、羌活之意)
一方 治肥盛妇人,禀受甚浓,恣于酒食,经水不调,不能成胎,谓之躯脂满溢,闭塞子宫。
南星 半夏 羌活 苍术(又加苍术) 台芎 防风 滑石
上锉,水煎服。或导痰汤亦可。
丹溪植芝汤:治疗身体肥胖的妇女不孕,原因是体内有脂膜,闭塞了子宫。应当先服用此方进行调理。(如果痰湿在上焦,须采用张子和的方法。)
当归(用酒洗,一两) 川芎(七钱半) 白芍药 白术 半夏(用热水浸泡) 香附 陈皮(各一两) 茯苓 甘草(半两)
以上药材切碎,制成十帖。每帖加入生姜三片,加水煎煮,服药时吞服后文所述的丸药。
丹溪茂芝丸:
白术(二两) 半夏曲 川芎 香附子(各一两) 茯苓 神曲(炒制,各半两) 橘红(四钱) 甘草(不使用四物汤中的其他药物)
以上药材研为细末,用米粥调和制成如梧桐子大小的丸药。每次服用八十丸,用煎好的药汤送服。如果热象较重,加入黄连、枳实各一两。(使用枳实、黄连)服用此药后,接着服用螽斯丸。
螽斯丸:
即前面的秦桂丸去掉当归、防风两味药。
以上每服五丸,空腹时用酒送服,加量至十丸也无妨。感觉怀孕三个月后,不可再服用。按语:此方即是秦桂丸,朱丹溪忌讳服用它,大概是忌讳用于瘦弱无血的人;如果是肥胖且湿气重的人,再加上前面的调理药,而且服用的丸药数量减少九成,只服五丸,就没有妨碍。多次试验均有效。(朱丹溪极力排斥秦桂丸的错误,而螽斯丸却被他取用,难道是自相矛盾吗?还是根据病情不同而有所取舍呢?)
消脂膜导痰汤:
半夏(姜汁制) 南星(火煨) 橘红 枳壳(去瓤,麸皮炒) 茯苓 滑石(研细,各一钱) 川芎 防风 羌活(各五分) 车前子(七分)
以上药材细细切碎为一服的量,加入生姜五片,加水煎煮,空腹服用,并用干粮压住药力。(要知道南星、滑石、防风、羌活的用意)
另一方案:治疗身体肥胖的妇女,先天禀赋浓厚,放纵于酒食,月经不调,不能受孕,这称为躯脂满溢,闭塞子宫。
南星 半夏 羌活 苍术(又加上苍术) 台芎 防风 滑石
以上药材切碎,加水煎煮服用。或者使用导痰汤也可以。
Danxi Zhizhi Decoction: Treats infertility in obese women, caused by fatty membranes blocking the uterus. It is appropriate to first take this formula for regulation. (If phlegm is located in the upper jiao [upper burner], the method of Zhang Hezi should be used.)
Danggui (Radix Angelicae Sinensis, washed with wine, 1 liang) Chuanxiong (Rhizoma Chuanxiong, 7 qian 5 fen) Baishao (Radix Paeoniae Alba) Baizhu (Rhizoma Atractylodis Macrocephalae) Banxia (Fructus Pinelliae, soaked in hot water) Xiangfu (Rhizoma Cyperi) Chenpi (Pericarpium Citri Reticulatae, each 1 liang) Fuling (Poria) Gancao (Radix Glycyrrhizae, 0.5 liang)
The above herbs are cut into pieces to make ten doses. For each dose, add three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct with water, and swallow the pills described below after taking the decoction.
Danxi Maozhi Pills:
Baizhu (2 liang) Banxiaqu (Massa Medicata Fermentata cum Artemisia et Sophorae Semen) Chuanxiong Xiangfuzi (Fructus Cyperi Rotundus), each 1 liang; Fuling Shenqu (Massa Medicata Fermentata, stir-fried), each 0.5 liang; Juhong (Exocarpium Citri Grandis, 4 qian); Gancao (Radix Glycyrrhizae). (Do not use the other ingredients of Siwu Tang).
The above herbs are ground into powder, mixed with congee, and formed into pills the size of paulownia seeds. Take 80 pills per dose, administered with decocted soup. If there is excessive heat, add Huanglian (Radix Coptidis) and Zhishi (Fructus Aurantii Immaturus), each 1 liang. (Use Zhishi and Huanglian). After taking this medicine, subsequently take Zhongsi Pills.
Zhongsi Pills:
This is the previously mentioned Qin Gui Pills, excluding Danggui (Radix Angelicae Sinensis) and Fangfeng (Radix Saposhnikoviae).
Take 5 pills per dose, administered with wine on an empty stomach; increasing to 10 pills is acceptable. After feeling pregnant for three months, do not continue taking it. Note: This formula is indeed Qin Gui Pills. Zhu Danxi advised against its use, likely because he cautioned against using it for thin individuals lacking blood; however, for obese individuals with excessive dampness, combined with the preceding regulating medicines, and reducing the dosage of pills by ninety percent (taking only 5 pills), there is no harm. Repeated trials have proven effective. (Zhu Danxi strongly criticized the errors of Qin Gui Pills, yet adopted Zhongsi Pills; is this contradictory? Or does it reflect selection based on specific conditions?)
Xiaozhimao Daotan Decoction:
Banxia (prepared with ginger juice) Nanxing (Arisaematis Rhizoma, fire-roasted) Juhong Zhike (Fructus Aurantii, pith removed, stir-fried with bran) Fuling Huashi (Talcum, finely ground), each 1 qian; Chuanxiong Fangfeng Qianghuo (Radix Notopterygii), each 5 fen; Cheqianzi (Semen Plantaginis, 7 fen).
The above herbs are finely cut for one dose. Add five slices of Shengjiang (Zingiberis Rhizoma Recens), decoct with water, and take on an empty stomach, followed by dry food to settle the medicine. (Understand the intent behind using Nanxing, Huashi, Fangfeng, and Qianghuo).
Another prescription: Treats obese women whose constitution is rich and dense, who indulge in alcohol and food, resulting in irregular menstruation and inability to conceive. This is termed "excess body fat overflowing, blocking the uterus."
Nanxing Banxia Qianghuo Cangzhu (Rhizoma Atractylodis Lanceatae, added additionally) Taixiong (Chuanxiong) Fangfeng Huashi
The above herbs are cut into pieces, decocted with water, and taken orally. Alternatively, Daotan Decoction may also be used.