是证频有秽血,点滴淋漓不净,非若崩中顿而多也。甚至经年累月,不能起身, 倦卧。
饮食虽进,面色痿黄,无力行动,四肢困乏(俗名血瘫。)有因于女子未笄早嫁,甚而天癸未至
,冲任未盛,血海未充,竟以合HT 。后月水虽降,颠倒错乱,孕育不成,最可悯惜。
主方 当归 川芎 白芍 熟地 丹参 艾叶(醋煮) 牡丹皮 阿胶(冲化服) 臭椿
皮地榆(等分) 加乌梅肉一个,水煎服。
七灰散 治妇女崩漏,淋沥。
莲蓬壳 益母草 旱莲草 粟壳 蟹壳 棕毛 藕节(七味烧灰,等分)
每服三钱,醋汤调下。崩中方可互用。
简便方 淋沥。
黄芩条(沉水者,)为末,每服三钱,烧秤锤淬酒下。
又 崩淋、棕灰、乌梅肉、干姜(炒焦),等分俱为末,每二钱,乌梅汤下。
又 乌梅肉(炒,)研末二钱;或棕灰、枯矾为末;或苍耳草(烧灰,三钱) 或荆芥(灯上
烧焦)为末;或槐角、地榆为末、并用酒或童便下。
妇人禀阴柔之体,畏寒常甚于男子,此概言之也。妇人尤多感寒之由,故特另条以明之。如
乳子则不时开怀解衣进风;如夜卧,儿在身侧,肩臂常露,或儿便溺,实时起身,因此感冒风寒
。但妇人畏寒有两种,若霄壤不侔,最宜详察。一外感风寒,恶寒则头疼、骨痛、拘急,腰膝酸
软,恶心,此言暴感也。宜从伤寒门用发表取汗药。或微恶寒,朝凉夜热,皮肤热,内不甚,虽累
月如是,脉浮而紧,宜服发表药一帖取微汗。一阳虚生外寒,阴虚内热,五心烦热,口干舌燥,夜
卧不安,干嗽红痰,渐至午后阴分微微恶寒,晡时手足心热,黄昏渐加,皮肤不甚,重按骨里蒸
蒸大热,脉必细数急涩,此宜主方治之。二者差误,系人之死生,最宜斟酌。
主方 当归 白芍药 怀生地 麦门冬 地骨皮 知母 牡丹皮(等分) 水煎服。
气郁加香附(童便炒)、抚芎、连翘;口渴加天花粉、五味子;嗽加天门冬、紫菀、冬花;
热甚加银柴、胡连、青蒿、鳖甲;有痰加贝母、陈皮、茯苓、甘草。
启脾汤 寡妇、室女思欲不遂,脾伤食少、寒热似疟,面黄时红。
当归 白术(各一钱半) 香附(制) 郁金 玄胡 柴胡梢 川芎 人参(各一钱) 甘
草梢 青皮(各五分) 上水煎服。
这种病症经常伴有污秽的血液,点滴淋漓不尽,不像崩中(大量阴道出血)那样突然且量大。甚至长年累月,无法起身,只能疲倦地躺着。
虽然饮食能够摄入,但面色萎黄,无力行动,四肢困乏(俗称血瘫)。有的因为女子未行笄礼(成年礼)就早早出嫁,甚至天癸(月经)尚未到来,冲任二脉尚未旺盛,血海尚未充盈,竟然就进行房事。后来月经虽然来潮,但周期颠倒错乱,无法孕育,最为令人怜悯惋惜。
主方:当归、川芎、白芍、熟地黄、丹参、艾叶(用醋煮)、牡丹皮、阿胶(冲服化开)、臭椿皮、地榆(等分),加乌梅肉一个,水煎服。
七灰散:治疗妇女崩漏、淋沥。
莲蓬壳、益母草、旱莲草、粟壳、蟹壳、棕毛、藕节(以上七味药烧成炭灰,等分)。
每次服用三钱,用醋汤调服。崩中症也可以互换使用此方。
简便方:治疗淋沥。
黄芩条(以沉入水中的为佳),研为细末,每次服用三钱,用烧红的秤锤淬过的酒送服。
又方:治疗崩淋。将棕灰、乌梅肉、干姜(炒焦)按等分都研为细末,每次服用二钱,用乌梅汤送服。
又方:乌梅肉(炒后)研为细末二钱;或者用棕灰、枯矾研为细末;或者用苍耳草(烧成灰,三钱);或者用荆芥(在灯上烧焦)研为细末;或者用槐角、地榆研为细末;均用酒或童便(健康儿童的尿液)送服。
妇人禀受阴柔之体,畏寒的症状通常比男子严重,这是概而言之。妇人更容易感受寒邪,因此特别另立一条以阐明其理。例如哺乳期间,不时解开衣襟让风吹;夜间睡觉时,孩子在身边,肩臂常暴露在外,或者孩子大小便时,立即起身,因此感冒风寒。但是妇人的畏寒有两种情况,差别如同天地悬殊,最应当详细辨别。一种是外感风寒,恶寒则头痛、骨痛、拘急,腰膝酸软,恶心,这是指暴感(急性感染)。应当从伤寒门选用发表取汗的药物。或者是轻微恶寒,早晨凉晚上热,皮肤发热,体内感觉不强烈,虽然持续数月如此,脉象浮而紧,适宜服用一帖发表药以取得微汗。另一种是阳虚生外寒,阴虚内热,五心烦热,口干舌燥,夜间睡眠不安,干咳且有红痰,逐渐发展到午后阴分微微恶寒,傍晚时分手足心发热,黄昏加重,皮肤表面不甚热,重按至骨里则蒸蒸大热,脉象必定细数急涩,这适宜用主方治疗。这两种情况的误判,关系到人的生死,最应当斟酌。
主方:当归、白芍药、怀地黄、麦门冬、地骨皮、知母、牡丹皮(等分),水煎服。
气郁加上香附(用童便炒)、抚芎、连翘;口渴加上天花粉、五味子;咳嗽加上天门冬、紫菀、款冬花;热甚加上银柴胡、胡黄连、青蒿、鳖甲;有痰加上贝母、陈皮、茯苓、甘草。
启脾汤:治疗寡妇、未婚女子思欲不得满足,导致脾伤、食少、寒热似疟疾、面色黄时而发红。
当归、白术(各一钱半)、香附(制过)、郁金、玄胡索、柴胡梢、川芎、人参(各一钱)、甘草梢、青皮(各五分)。以上药物水煎服。
This syndrome frequently presents with foul blood, dripping drop by drop without being completely cleared, unlike Bengzhong (sudden and heavy vaginal bleeding). In severe cases, it may persist for years, rendering the patient unable to rise from bed, lying down in exhaustion.
Although dietary intake is maintained, the complexion is sallow and withered, accompanied by weakness in movement and fatigue in the four limbs (colloquially known as "blood paralysis"). Some cases arise because women marry early before undergoing the capping ceremony (coming-of-age ritual), or even before Tian Gui (menstruation) has arrived, while the Chong and Ren meridians are not yet vigorous and the Sea of Blood is not yet full, yet they engage in sexual intercourse. Subsequently, although menstruation occurs, it becomes irregular and chaotic, leading to infertility, which is most pitiable.
Main Formula: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Aiye (Artemisiae Argyi Folium, boiled with vinegar), Mudanpi (Moutan Cortex), Ejiao (Colla Corii Asini, dissolved and taken orally), Chou Chun Pi (Ailanthi Cortex), Diyu (Sanguisorbae Radix) in equal proportions, plus one piece of Wumei meat (Prunus mume seed), decocted in water and taken orally.
Qihui San (Seven Ashes Powder): Treats Benglou (metrorrhagia and metrostaxis) and Lindi (dribbling discharge) in women.
Lianpengke (Nelumbinis Nuciferae Calyx), Yimucao (Leonuri Herba), Hanliancao (Ecliptae Herba), Suke (Papaveris Capsula), Xieke (Portunus Shell), Zongmao (Cocos nucifera fiber), Oujie (Nelumbinis Rhizomatis Node) (the above seven herbs are burnt to ash and mixed in equal proportions).
Take 3 qian per dose, mixed with vinegar soup. This formula can be used interchangeably for Bengzhong.
Simple Formula: For Lindi.
Huangqin Tiao (Scutellariae Radix, preferably those that sink in water), ground into powder. Take 3 qian per dose, administered with wine quenched by a red-hot weight.
Another Formula: For Benglin. Mix Zonghui (ash of palm fiber), Wumei meat, and Jiang (Zingiberis Rhizoma, stir-fried until charred) in equal proportions, grind into powder. Take 2 qian per dose, administered with Wumei soup.
Another Formula: Wumei meat (stir-fried), ground into powder (2 qian); or use Zonghui and Kunfan (Alumen) ground into powder; or use Cangercao (Xanthii Herba) burnt to ash (3 qian); or Jingjie (Schizonepetae Herba) burnt until charred on a lamp wick and ground into powder; or Huaijiao (Sophorae Tonkinensis Fructus) and Diyu ground into powder; all administered with wine or Tongbian (urine of a healthy child).
Women possess a yin-soft constitution, so their aversion to cold is generally more severe than that of men, this is a general statement. Women are particularly prone to contracting cold pathogens, hence this condition is treated in a separate section for clarification. For instance, during lactation, they often open their clothes to expose themselves to wind; at night, when sleeping with the child nearby, shoulders and arms are often exposed, or they get up immediately when the child urinates or defecates, thereby contracting wind-cold. However, there are two types of aversion to cold in women, differing vastly like heaven and earth, requiring careful differentiation. One type is external contraction of wind-cold, characterized by aversion to cold, headache, bone pain, stiffness, soreness and weakness of the lower back and knees, and nausea; this refers to acute contraction. It should be treated with diaphoretic drugs from the Shanghan (Cold Damage) category to induce sweating. Or, if there is slight aversion to cold, morning chill and evening heat, skin fever, but internal sensation is not intense, persisting for months, with a floating and tight pulse, it is suitable to take one dose of a diaphoretic drug to induce slight sweating. The other type is exogenous cold due to yang deficiency and endogenous heat due to yin deficiency, characterized by five-palm heat, dry mouth and tongue, restless sleep at night, dry cough with bloody sputum, gradually progressing to slight aversion to cold in the yin aspect after noon, heat in the palms and soles at dusk, worsening in the evening, superficial skin heat is not significant, but deep pressure reveals steaming heat from within the bones, with a fine, rapid, urgent, and choppy pulse. This should be treated with the main formula. Misjudgment between these two conditions concerns life and death, requiring utmost caution.
Main Formula: Danggui, Baishao Yao (Paeoniae Radix Rubra), Huaishengdi (Rehmanniae Radix), Maidong (Ophiopogonis Tuber), Digupi (Bark of Ground Tree Bark), Zhimu (Anemarrhenae Rhizoma), Mudanpi in equal proportions, decocted in water and taken orally.
For qi stagnation, add Xiangfu (Cyperi Rhizoma, stir-fried with Tongbian), Fuxiong (Ligustici Chuanxiong Rhizoma), Lianqiao (Forsythiae Fructus); for thirst, add Tianhuafen (Trichosanthis Radix), Wuweizi (Schisandrae Fructus); for cough, add Tiandong (Asparagi Tuber), Ziwan (Asternis Radix), Donghua (Dendranthema Flos); for severe heat, add Yin Chai (Stellariae Radix), Hulian (Phellodendri Chinensis Cortex), Qinghao (Artemisiae Annuae Herba), Biejia (Carapax et Plastrum Testudinis); for phlegm, add Beimu (Fritillariae Bulbus), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma).
Qipi Tang (Spleen-Initiating Decoction): Treats widows and unmarried women whose desires are unfulfilled, leading to spleen injury, poor appetite, alternating chills and fever resembling malaria, and a sallow complexion with occasional redness.
Danggui, Baizhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian each), Xiangfu (prepared), Yujin (Curcumae Radix), Yuanhu (Corydalidis Rhizoma), Chaishu Shao (Bupleuri Radix tip), Chuanxiong, Renshen (Panacis Ginseng Radix, 1 qian each), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip), Qingpi (Citri Reticulatae Pericarpium Viride, 0.5 qian each). Decoct in water and take orally.