夫天地造端乎夫妇,乾坤配合于阴阳,虽清浊动静之不同,而成象效法之有类。原兹妇人之
病,如风、寒、暑、湿、燥、火六气之外侵;喜、怒、忧、思、悲、恐、惊七情之内扰,与夫饮
食劳役诸患,悉与男子同法治理。其不同者三焉。一、妇人气习偏僻,执滞难移,情志抑遏不舒
,心思郁结不畅。丹溪所谓妇人之病,因于郁者,十常八九,富贵贫贱皆有之,何也?盖贪、恋
、慈、爱、妒、嫉、忧、忌八者之中,一有所染,则蒂固根深,坚牢不破,是以有郁也。故多胸
满痞膈,胁胀腹膨诸证,医难豁然快效,此性质之不同也。二、妇人常多讳疾之弊,虽问之未必
尽吐。若豪贵之妇,深居奥室之中,覆护帏幔之内,不可望色闻声,则治病之法,阙其二焉。黄
帝曰∶凡治病。察其形气色泽。形气相得,谓之可治;色泽已孚,谓之易已。形气相失,谓之难
治;色夭不泽,谓之难已。又曰∶诊病之道,观人勇怯、骨肉皮肤,能知其虚实,以为诊法。若
妇人脉病不相应,既不见其形,医惟据脉供药;或未得其病情,欲究感受根源,不免琐屑繁问,
逮为医学不精故耳。往往得药,反不深加敬信,可谓最难,此治疗之不同也。三、妇人之病多于
男子者,经脉愆期,淋、带、崩漏,孕育胎产,乳、阴诸患,及妊娠所挟之证,此为病之不同也
。故诊视用药之际,难于调理。古人云∶宁医十男子,莫医一妇人。斯言诚然也。《脉经》曰∶
寸口脉微而涩,微则卫气不足,其息短,其形燥;涩则荣气不足,其形逆。荣卫俱虚,言语乏力
。微弱而涩,少年无子,中年绝产。六脉沉弦细涩急数,皆病脉。妇人之病,气多血少而成,治
法以理气养血为主。
主方 香附子(打细。行气生用,内热童便;郁气醋炒。三钱) 当归(二钱) 地黄(有
热用生,补血用熟) 白芍药(凉血用生,补血酒炒。各一钱半) 川芎(一钱) 水煎,空心
服。
调和气血,加乌药、砂仁,丸服亦可。胸膈郁闷不宽,减地黄,加陈皮、茯苓、枳壳、苏梗
、苍术;甚者加木香、砂仁、浓朴、萝卜子。气滞加乌药、三棱、蓬术。腹痛,加赤芍药。胃脘
痛加玄胡、五灵脂、草豆蔻。食不消,山楂、神曲、麦芽。痰加陈皮、半夏、茯苓、贝母。风加
防风、羌活。风湿痛,秦艽。遍身痛,苍术、羌活、酒芩。呕吐,陈皮、半夏、茯苓、藿香、生
姜、炒黄连。胃虚加白术。热呕,黄连(姜炒)。血虚头眩,体倦懒言动加人参、黄 、白术、炙草
。自汗,黄 。盗汗加酸枣仁(炒、研)浮小麦。有热心烦加栀子、黄连。阴虚内热,手足心热,口
燥咽干加麦冬、知母、地骨皮、黄柏(盐水炒。)骨蒸劳热,胡黄连、银柴胡、青蒿、鳖甲(醋炙
,打细。)口渴,麦冬、五味子、天花粉、乌梅。烦渴喜冷,石膏、知母。心气虚,丹参、人参
。神不安,茯神、远志、麦冬、枣仁、柏子仁,金与银同煎,调朱砂(水飞)服。不寐,黄连、
酸枣仁(炒香熟,研、)炙甘草。虚弱干嗽,减香附、川芎,加天、麦冬,百部、百合、冬花、
紫菀,上焦风热,黄芩、黄连、栀子、玄参、薄荷。风痰眩运加天麻、荆芥、秦艽、羌活。子宫
闭冷不孕,干姜、肉桂、蕲艾(醋煮。)赤白带下,臭椿根皮、牡蛎(火 、醋淬)赤石脂、乌
梅。血积成块加三棱、蓬术、官桂、干漆(炒)、苏木、红花,丸服。
艾附女珍丸∶治妇人气盛血衰,经期不准,或前或后,紫淡多少,赤白带下,崩漏淋
沥,面黄肌瘦,四肢无力,倦怠嗜卧,精神短少,目暗耳鸣,头眩懒言,五心烦热,咽干口燥,
夜寐不安等证,并皆治之。
香附(五两,分四份∶一童便、一米醋、一人乳、一盐酒浸) 蕲艾(醋煮) 当归(各二
两) 川芎 白芍 熟地黄(酒蒸) 黄芩(条,各两半) 阿胶(酒蒸) 臭椿根皮(各一两)
上为末,捣地黄、阿胶(酒蒸,)和匀,加醋糊丸如桐子大,每百丸,空心米汤下。
八珍益母丸 治气血两虚,脾胃并弱,饮食少思,四肢无力。月经违期,或先期而至,或
腰疼腹胀,愆期不收,赤白带下,身作寒热。服之罔不获效,一月之后即可受胎。虚甚者,用药
一斤,必能对期受孕。
益母草(四两,不见铁器,止用上半截带叶者) 人参(去芦) 白术(土炒) 茯苓(去
皮。各两半) 炙甘草(去皮,一两) 当归(酒洗) 白芍药(醋炒) 川芎 熟地(酒洗。
各二两)
上为末,蜂蜜和丸如弹子大,空心蜜汤下一丸。或丸如小豆大,每服七十丸。
脾胃虚寒者,加砂仁(一两,姜炒)。胸满加山楂肉(一两。)多气郁加香附子(二两,童便制。
)
丹参散 补新血,破瘀血,安生胎,下死胎,止崩带,调经脉。逐产后恶血,治冷热劳、
腰脊痛,骨节烦疼。与四物汤同功。
丹参(酒洗净,切) 上为末,每服二钱,空心温酒调下。
艾附暖宫丸 治经水不调,小腹时痛,赤白带下,子宫虚寒。
香附(一斤,四两醋浸,四两酒浸,四两童便浸,四两人乳浸。如无人乳,盐酒浸。夏一日
,春秋二日,冬三日。晒干) 当归(二两) 蕲艾(四两,醋煮) 川芎 白芍(酒炒) 熟
地黄(姜制) 玄胡(各二两) 甘草(八钱)
上为末,醋糊和丸如桐子大,每服百丸,空心米汤下,或酒下。
全元百补丸 妇女劳伤气血,阴阳不和,乍寒乍热,心腹疼痛,少食乏力。
香附(一斤,四制法如前) 当归(六两) 川芎 熟地(各四两) 茯苓 玄胡索(各二两
)白术(四两) 甘草(炙,一两) 益母草叶(八两,端五日采佳)
上为末,蜜丸桐子大,每七十丸,空心,砂仁汤下;醋汤、酒、滚水任下。
四物益母丸 妇人经水不调,小腹有块,久服痊愈,且有孕。
当归 熟地(各四两) 益母草(勿见铁) 香附子(制。各半斤) 白芍药(炒) 川芎
吴萸(各二两)
为末,蜜丸弹子大,每一丸空心酒下(作小丸服亦可。)
十全大补汤 治气血两虚,肢体无力,脾胃怯弱,饮食少思,一切虚羸之证并效。四君子
、四物汤加黄 、肉桂(方见虚损。)
天地万物的起源在于夫妇,乾坤的配合基于阴阳,虽然清浊、动静的性质不同,但形成的形象效法却有着相似之处。推究妇女的疾病,无论是风、寒、暑、湿、燥、火六气的外在侵袭,还是喜、怒、忧、思、悲、恐、惊七情(指人的情绪变化)的内在干扰,以及饮食、劳役等种种病患,治疗原则都与男子相同。其中不同的地方有三点。第一,妇女的气质习性往往偏颇固执,难以改变,情志容易压抑而不舒畅,心思郁结而不通畅。朱丹溪曾说妇女的疾病,因于郁结的,十有八九,无论富贵贫贱都有这种情况,为什么呢?大概是因为贪、恋、慈、爱、妒、嫉、忧、忌这八种心理中,只要沾染了一种,就会根深蒂固,坚牢不破,因此产生郁结。所以常出现胸满痞膈、胁肋胀满、腹部膨隆等症状,医生很难迅速取得显著疗效,这是体质性质的不同。第二,妇女常有隐瞒病情的弊病,即使询问也未必能全部说出。如果是豪门贵族的妇女,深居在内室之中,覆盖着帷幔之内,医生无法通过望诊观察面色、闻诊听取声音,那么治病的“望”和“闻”两种方法就缺失了两种。黄帝说:“大凡治病,要观察病人的形体、气息、色泽。形体与气息相协调,称为可治;色泽尚好,称为容易痊愈。形体与气息不相协调,称为难治;面色枯槁无光泽,称为难以痊愈。”又说:“诊断疾病的道理,要观察人的勇敢或怯懦、骨骼肌肉皮肤的状态,从而了解其虚实情况,以此作为诊断方法。”如果妇女脉象与病情不相符合,既看不见她的形体,医生只能依据脉象开药;或者未能掌握病情全貌,想要探究感受病邪的根源,不免要进行琐碎繁杂的询问,这往往是医术不精的缘故。病人得到药物后,反而不加深切敬重和信任,可以说是最难治疗的,这是治疗过程的不同。第三,妇女的疾病多于男子的,在于月经愆期(延期),淋证、带下、崩漏,孕育胎产,乳房、阴部等各种病患,以及妊娠期间夹杂的病证,这是疾病种类的不同。所以在诊视用药之际,调理起来比较困难。古人说:“宁可医治十个男子,也不要医治一个妇人。”这话确实如此。《脉经》说:“寸口脉微而涩,微则卫气不足,呼吸短促,形体干燥;涩则营气不足,形体逆乱。营卫俱虚,言语乏力。脉微弱而涩,少年时无子嗣,中年时绝育不孕。六脉沉弦细涩急数,都是病脉。妇女的疾病,多因气多血少而形成,治疗方法以理气养血为主。”
主方:香附子(捣碎成细末。行气生用,若内热用童便制;郁气醋炒。用量三钱)、当归(二钱)、地黄(有热用生地黄,补血用熟地黄)、白芍药(凉血用生白芍,补血酒炒。各一钱半)、川芎(一钱)。水煎,空腹服用。
调和气血,可加乌药、砂仁,制成丸剂服用也可以。胸膈郁闷不宽舒,减少地黄用量,加陈皮、茯苓、枳壳、苏梗、苍术;严重的加木香、砂仁、厚朴、萝卜子。气滞加乌药、三棱、蓬术。腹痛,加赤芍药。胃脘痛加玄胡索、五灵脂、草豆蔻。食不消化,加山楂、神曲、麦芽。有痰加陈皮、半夏、茯苓、贝母。受风加防风、羌活。风湿痛加秦艽。遍身疼痛,加苍术、羌活、酒黄芩。呕吐,加陈皮、半夏、茯苓、藿香、生姜、炒黄连。胃虚加白术。热呕,加黄连(姜炒)。血虚头晕目眩,身体疲倦懒言,动则气喘加人参、黄芪、白术、炙甘草。自汗,加黄芪。盗汗加酸枣仁(炒、研碎)、浮小麦。有心烦发热加栀子、黄连。阴虚内热,手足心热,口燥咽干加麦冬、知母、地骨皮、黄柏(盐水炒)。骨蒸劳热(阴虚发热的症状),加胡黄连、银柴胡、青蒿、鳖甲(醋炙,捣碎)。口渴,加麦冬、五味子、天花粉、乌梅。烦渴喜冷饮,加石膏、知母。心气虚,加丹参、人参。神志不安,加茯神、远志、麦冬、枣仁、柏子仁,金箔与银箔同煎,调服朱砂(水飞)。失眠,加黄连、酸枣仁(炒香熟,研碎)、炙甘草。虚弱干咳,减少香附、川芎,加天冬、麦冬、百部、百合、款冬花、紫菀。上焦风热,加黄芩、黄连、栀子、玄参、薄荷。风痰眩晕加天麻、荆芥、秦艽、羌活。子宫闭冷不孕,加干姜、肉桂、蕲艾(醋煮)。赤白带下,加臭椿根皮、牡蛎(火烧、醋淬)、赤石脂、乌梅。血积成块加三棱、蓬术、官桂、干漆(炒)、苏木、红花,制成丸剂服用。
艾附女珍丸:治疗妇女气盛血衰,经期不准,或提前或推后,经色紫淡多少不一,赤白带下,崩漏淋漓,面色黄肌肤消瘦,四肢无力,倦怠嗜卧,精神短少,目暗耳鸣,头眩懒言,五心烦热,咽干口燥,夜寐不安等症状,都一并治疗。
香附(五两,分四份:一份童便浸,一份米醋浸,一份人乳浸,一份盐酒浸)、蕲艾(醋煮)、当归(各二两)、川芎、白芍、熟地黄(酒蒸)、黄芩(条状,各一两半)、阿胶(酒蒸)、臭椿根皮(各一两)。以上药材研为细末,将地黄、阿胶(酒蒸)捣匀混合,加醋糊制成如梧桐子大的丸剂,每次一百丸,空腹米汤送服。
八珍益母丸:治疗气血两虚,脾胃并弱,饮食少思,四肢无力。月经违期,或先期而至,或腰疼腹胀,经期不准且不止,赤白带下,身体忽冷忽热。服用后无不获效,一个月后即可受孕。虚损严重的,用药一斤,必定能按时受孕。
益母草(四两,不可见铁器,只用上半截带叶者)、人参(去芦头)、白术(土炒)、茯苓(去皮。各一两半)、炙甘草(去皮,一两)、当归(酒洗)、白芍药(醋炒)、川芎、熟地(酒洗。各二两)。以上药材研为细末,蜂蜜和丸如弹子大,空腹蜜汤送服一丸。或制成小豆大小的丸剂,每次服用七十丸。
脾胃虚寒者,加砂仁(一两,姜炒)。胸满加山楂肉(一两)。多气郁加香附子(二两,童便制)。
丹参散:补新血,破瘀血,安生胎,下死胎,止崩带,调经脉。驱逐产后恶露,治疗冷热劳、腰脊痛,骨节烦疼。功效与四物汤相同。
丹参(酒洗净,切片)。以上药材研为细末,每次服用二钱,空腹温酒调服。
艾附暖宫丸:治疗经水不调,小腹时常疼痛,赤白带下,子宫虚寒。
香附(一斤,四两醋浸,四两酒浸,四两童便浸,四两人乳浸。如无人乳,用盐酒浸。夏天一日,春秋二日,冬天三日。晒干)、当归(二两)、蕲艾(四两,醋煮)、川芎、白芍(酒炒)、熟地黄(姜制)、玄胡索(各二两)、甘草(八钱)。以上药材研为细末,醋糊和丸如梧桐子大,每次服用一百丸,空腹米汤送服,或用酒送服。
全元百补丸:妇女劳伤气血,阴阳不和,乍寒乍热,心腹疼痛,少食乏力。
香附(一斤,四制法如前所述)、当归(六两)、川芎、熟地(各四两)、茯苓、玄胡索(各二两)、白术(四两)、甘草(炙,一两)、益母草叶(八两,端午日采集为佳)。以上药材研为细末,蜜丸如梧桐子大,每次七十丸,空腹,砂仁汤送服;也可用醋汤、酒、滚水任送服。
当归、熟地(各四两)、益母草(勿见铁)、香附子(制。各半斤)、白芍药(炒)、川芎、吴茱萸(各二两)。研为细末,蜜丸如弹子大,每一丸空腹酒送服(做成小丸服用也可以)。
十全大补汤:治疗气血两虚,肢体无力,脾胃怯弱,饮食少思,一切虚羸之证都有效。由四君子汤、四物汤加黄芪、肉桂组成(方剂见虚损篇)。
The origin of heaven and earth lies in the union of husband and wife, and the coordination of Qian (Heaven) and Kun (Earth) is based on Yin and Yang. Although their properties of clarity/turbidity and motion/stillness differ, the images they form and the laws they follow are similar. Investigating women's diseases, whether caused by the external invasion of the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) or the internal disturbance of the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright), as well as various ailments from diet and labor, are treated with the same principles as men. There are three differences. First, women's temperament tends to be biased and stubborn, difficult to change; their emotions are often suppressed and unexpressed, and their minds are depressed and blocked. Zhu Danxi said that for women's diseases, eight or nine out of ten are due to depression (Qi stagnation). This applies to both rich and poor. Why? Because among greed, attachment, kindness, love, jealousy, envy, worry, and caution, once one is tainted, it becomes deeply rooted and firm, leading to depression. Thus, symptoms such as chest fullness, epigastric distension, hypochondriac swelling, and abdominal bloating often occur, making it difficult for doctors to achieve rapid and effective results. This is a difference in physical constitution. Second, women often have the flaw of concealing their illness; even when asked, they may not reveal everything. Noblewomen, living deep in inner chambers behind curtains, cannot be examined via inspection (Wang) or listening/smelling (Wen), thus two of the four diagnostic methods are missing. The Yellow Emperor said: "In treating disease, observe the patient's form, Qi, color, and luster. If form and Qi are harmonious, it is treatable; if color is good, it heals easily. If form and Qi are discordant, it is difficult to treat; if the complexion is dull and lacks luster, it is hard to heal." He also said: "The way to diagnose is to observe courage or timidity, bones, muscles, and skin to determine deficiency or excess." If a woman's pulse does not match her condition, and her form is unseen, the doctor relies solely on the pulse; or if the full condition is unknown and the root cause is sought, tedious questioning is unavoidable, often due to imprecise medical skills. Patients receiving medicine often lack deep respect and trust, which is considered the most difficult aspect. This is a difference in the treatment process. Third, women suffer from more diseases than men due to menstrual irregularities, strangury (Lin syndrome), leukorrhea (Dai xia), metrorrhagia and metrostaxis (Beng Lou), pregnancy and childbirth issues, breast and genital ailments, and complications during pregnancy. These are differences in disease types. Therefore, diagnosis and medication are harder to regulate. As the ancients said: "Better to treat ten men than one woman." This is true. The *Mai Jing* (Pulse Classic) states: "If the Cun Kou pulse is faint and choppy, faint indicates insufficient Wei Qi, short breath, and dry form; choppy indicates insufficient Ying Qi and reversed form. When Ying and Wei are both deficient, speech is weak. Faint, weak, and choppy pulses indicate infertility in youth and cessation of reproduction in middle age. Deep, wiry, fine, choppy, rapid, and hurried pulses are all pathological. Women's diseases often result from abundant Qi and scarce Blood; the treatment method focuses on regulating Qi and nourishing Blood."
Main Formula: Xiang Fu Zi (Cyperi Rhizoma, crushed fine. For moving Qi, use raw; for internal heat, process with child's urine; for Qi stagnation, stir-fry with vinegar. 3 qian), Dang Gui (Angelicae Sinensis Radix, 2 qian), Di Huang (Rehmanniae Radix. Use raw Sheng Di Huang for heat, cooked Shu Di Huang for nourishing blood), Bai Shao Yao (Paeoniae Radix Alba, 1.5 qian each. Raw for cooling blood, wine-fried for nourishing blood), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian). Decoct in water, take on an empty stomach.
To harmonize Qi and Blood, add Wu Yao (Linderae Radix) and Sha Ren (Amomi Fructus), which can also be made into pills. For chest and diaphragm oppression, reduce Di Huang, add Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhi Ke (Aurantii Fructus), Su Geng (Perillae Caulis), and Cang Zhu (Atractylodis Rhizoma); for severe cases, add Mu Xiang (Aucklandiae Radix), Sha Ren, Hou Po (Magnoliae Officinalis Cortex), and Luo Bo Zi (Raphani Semen). For Qi stagnation, add Wu Yao, San Leng (Sparganii Rhizoma), and Peng Ze (Curcumae Radix). For abdominal pain, add Chi Shao Yao (Paeoniae Radix Rubra). For epigastric pain, add Yan Hu Suo (Corydalis Rhizoma), Wu Ling Zhi (Trogopterori Faeces), and Cao Dou Kou (Cardamomi Fructus). For indigestion, add Shan Zha (Crataegi Fructus), Shen Qu (Massa Medicata Fermentata), and Mai Ya (Hordei Fructus Germinatus). For phlegm, add Chen Pi, Ban Xia (Pinelliae Rhizoma), Fu Ling, and Bei Mu (Fritillariae Bulbus). For wind, add Fang Feng (Saposhnikoviae Radix) and Qiang Huo (Notopterygii Rhizoma et Radix). For wind-damp pain, add Qin Jiao (Gentianae Macrophyllae Radix). For generalized body pain, add Cang Zhu, Qiang Huo, and Jiu Huang Qin (Scutellariae Radix processed with wine). For vomiting, add Chen Pi, Ban Xia, Fu Ling, Huo Xiang (Agastaches Herba), Sheng Jiang (Zingiberis Rhizoma Recens), and Chao Huang Lian (Coptidis Rhizoma stir-fried). For Stomach deficiency, add Bai Zhu (Atractylodis Macrocephalae Rhizoma). For hot vomiting, add Huang Lian (processed with ginger). For Blood deficiency causing dizziness, fatigue, and reluctance to speak/move, add Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Bai Zhu, and Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparata). For spontaneous sweating, add Huang Qi. For night sweats, add Suan Zao Ren (Ziziphi Spinosae Semen, fried and ground) and Xiao Mai (Tritici Fructus). For heart heat and irritability, add Zhi Zi (Gardeniae Fructus) and Huang Lian. For Yin deficiency with internal heat, hot palms/soles, dry mouth/throat, add Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Di Gu Pi (Lycii Cortex), and Huang Bo (Phellodendri Cortex, salt-processed). For bone-steaming tidal fever, add Hu Huang Lian (Coptidis Teetae Rhizoma), Yin Chai Hu (Stellariae Radix), Qing Hao (Artemisiae Annuae Herba), and Bie Jia (Trionycis Carapax et Plastrum, vinegar-processed and crushed). For thirst, add Mai Dong, Wu Wei Zi (Schisandrae Fructus), Tian Hua Fen (Trichosanthis Radix), and Wu Mei (Mume Fructus). For irritability, thirst, and preference for cold drinks, add Shi Gao (Gypsum Fibrosum) and Zhi Mu. For Heart Qi deficiency, add Dan Shen (Salviae Miltiorrhizae Radix) and Ren Shen. For unsettled spirit, add Fu Shen (Poria cum Radice), Yuan Zhi (Polygalae Radix), Mai Dong, Zao Ren (Ziziphi Spinosae Semen), Bai Zi Ren (Platycladi Semen), decocted with Gold and Silver foil, taken with Zhu Sha (Cinnabaris, water-washed). For insomnia, add Huang Lian, Suan Zao Ren (fried fragrant, ground), and Zhi Gan Cao. For weak dry cough, reduce Xiang Fu and Chuan Xiong, add Tian Dong (Asparagi Radix), Mai Dong, Bai Bu (Stemonae Radix), Bai He (Lilii Bulbus), Dong Hua Hua (Senecionis Scandentis Flos), and Zi Wan (Adenophorae Radix). For Upper Jiao Wind-Heat, add Huang Qin (Scutellariae Radix), Huang Lian, Zhi Zi, Xuan Shen (Scrophulariae Radix), and Bo He (Menthae Haplocalycis Herba). For wind-phlegm dizziness, add Tian Ma (Gastrodiae Rhizoma), Jing Jie (Schizonepetae Herba), Qin Jiao, and Qiang Huo. For uterine cold infertility, add Gan Jiang (Zingiberis Rhizoma), Rou Gui (Cinnamomi Cortex), and Qi Ai (Artemisiae Argyi Folium, boiled in vinegar). For red and white leukorrhea, add Chou Chun Gen Pi (Toosendan Cortex), Mu Li (Ostreae Concha, fired and quenched in vinegar), Chi Shi Zhi (Halloysit Rubrum), and Wu Mei. For blood stasis forming masses, add San Leng, Peng Ze, Guan Gui (Cinnamomi Ramulus), Gan Qi (Cryptomeriae Lignum), Su Mu (Sappan Lignum), and Hong Hua (Carthami Flos), made into pills.
Ai Fu Nv Zhen Wan: Treats women with excessive Qi and deficient Blood, irregular menstruation (early or late), varying amounts and colors (purple or pale), red and white leukorrhea, metrorrhagia and metrostaxis, yellow face and emaciation, limb weakness, lethargy, shortness of spirit, dim vision and tinnitus, dizziness and reluctance to speak, five-palm heat, dry throat and mouth, and restless sleep.
Xiang Fu (5 liang, divided into four parts: one part soaked in child's urine, one in rice vinegar, one in human milk, one in salt wine), Qi Ai (boiled in vinegar), Dang Gui (2 liang each), Chuan Xiong, Bai Shao, Shu Di Huang (steamed in wine), Huang Qin (stripes, 1.5 liang each), E Jiao (steamed in wine), Chou Chun Gen Pi (1 liang each). Grind into powder. Mash Di Huang and E Jiao (steamed in wine), mix evenly, add vinegar paste to make pills the size of tung seeds. Take 100 pills with rice soup on an empty stomach.
Ba Zhen Yi Mu Wan: Treats dual deficiency of Qi and Blood, weak Spleen and Stomach, poor appetite, limb weakness. Irregular menstruation, early onset, lower back pain and abdominal distension, prolonged periods, red and white leukorrhea, alternating chills and fever. Effective upon taking; conception possible after one month. For severe deficiency, using one jin of medicine ensures timely conception.
Yi Mu Cao (4 liang, avoid iron, use only upper half with leaves), Ren Shen (deprived of rhizome), Bai Zhu (soil-fried), Fu Ling (peeled, 1.5 liang each), Zhi Gan Cao (peeled, 1 liang), Dang Gui (wine-rinsed), Bai Shao Yao (vinegar-fried), Chuan Xiong, Shu Di (wine-rinsed, 2 liang each). Grind into powder, mix with honey to make pills the size of a bullet. Take one pill with honey water on an empty stomach. Or make small bean-sized pills, take 70 per dose.
For Spleen and Stomach deficiency-cold, add Sha Ren (1 liang, ginger-fried). For chest fullness, add Shan Zha Rou (1 liang). For excessive Qi depression, add Xiang Fu Zi (2 liang, child's urine processed).
Dan Shen San: Tonifies new blood, breaks blood stasis, calms the fetus, expels dead fetus, stops bleeding and leukorrhea, regulates menstruation. Expels postpartum lochia, treats cold-heat lao (consumptive disease), lower back and spine pain, joint pain. Equivalent to Si Wu Tang.
Dan Shen (washed in wine, sliced). Grind into powder. Take 2 qian with warm wine on an empty stomach.
Ai Fu Nuan Gong Wan: Treats irregular menstruation, frequent lower abdominal pain, red and white leukorrhea, uterine deficiency-cold.
Xiang Fu (1 jin: 4 liang soaked in vinegar, 4 liang in wine, 4 liang in child's urine, 4 liang in human milk. Substitute salt wine if no human milk. Summer 1 day, Spring/Autumn 2 days, Winter 3 days. Sun-dry), Dang Gui (2 liang), Qi Ai (4 liang, boiled in vinegar), Chuan Xiong, Bai Shao (wine-fried), Shu Di Huang (ginger-processed), Yan Hu Suo (2 liang each), Gan Cao (8 qian). Grind into powder, mix with vinegar paste to make tung seed-sized pills. Take 100 pills with rice soup or wine on an empty stomach.
Quan Yuan Bai Bu Wan: Treats women with Qi and Blood injury from overwork, Yin-Yang disharmony, alternating chills and fever, heart and abdominal pain, poor appetite and fatigue.
Xiang Fu (1 jin, four-process method as above), Dang Gui (6 liang), Chuan Xiong, Shu Di (4 liang each), Fu Ling, Yan Hu Suo (2 liang each), Bai Zhu (4 liang), Gan Cao (roasted, 1 liang), Yi Mu Cao Ye (8 liang, best harvested on Dragon Boat Festival). Grind into powder, make honey pills tung seed-sized. Take 70 pills on an empty stomach with Sha Ren soup; or with vinegar soup, wine, or boiling water.
Si Wu Yi Mu Wan: Treats women with irregular menstruation and lower abdominal masses. Long-term use leads to recovery and pregnancy.
Dang Gui, Shu Di (4 liang each), Yi Mu Cao (avoid iron), Xiang Fu Zi (processed, 0.5 jin each), Bai Shao Yao (fried), Chuan Xiong, Wu Yu (2 liang each). Grind into powder, make honey pills bullet-sized. Take one pill with wine on an empty stomach (small pills also acceptable).
Shi Quan Da Bu Tang: Treats dual deficiency of Qi and Blood, limb weakness, weak Spleen and Stomach, poor appetite, and all deficiency-wasting syndromes. Composed of Si Jun Zi Tang and Si Wu Tang plus Huang Qi and Rou Gui (see Deficiency Syndrome chapter).