上为细末,炼蜜丸如弹子大。每服一丸,用麦门冬去心煎汤嚼下。又治肺损吐血,日
渐乏力瘦弱,行步不得,喘嗽痰涎,饮食不美,或发寒热,小便赤涩,加车前子二钱半,
每服一丸,煎桑枝汤嚼下,日可六七服。桑枝锉,炒香,每用水三盏,煎至一盏,去滓
下药。
〔瘵骨蒸热〕
五劳、六极、七伤诸证治,已见杂病虚劳门,兹不赘叙。妇人致此,多因经行胎产,
或饮食起居,七情重伤肝脾之所致。又或失于调摄,或过于攻伐而成,与男子治法稍有
不同,故汇集古今禁方专治妇人者于此,若欲穷其源流,更当稽之彼籍。
〔补虚〕
治瘵疾得效方河车丸 治劳嗽,一切劳瘵虚损骨蒸等疾。
河车(一枚,初生男子者尤良,于长流水中荡洗血净,入瓷器内重汤煮烂入药)
雪白茯苓(半两) 拣参(一两) 干山药(二两)
上为细末,入河车汁,加面糊为丸,如梧子大,以少麝香末为衣。每服三五十丸,米
饮、温酒、盐汤送下,空心服。嗽甚者,五味子汤下。
十全大补汤(方见杂病虚劳。) 治气血虚热,加柴胡、地骨皮、秦艽。
〔补虚退热润燥〕
黄 丸 (《圣惠》)治妇人骨蒸烦热,四肢羸瘦疼痛,口干心躁,不得眠卧。
黄 麦门冬(去心) 茯神 北柴胡 甘草 生干地黄(各一两) 酸枣仁(炒)
郁李仁 杏仁(去皮尖、双仁,麸炒黄) 枸杞子 人参(去芦) 黄芩(各七钱半)
百合 枳壳(去幅,麸炒) 赤芍药 知母 秦艽(各半两) 鳖甲(二两,制)
上为细末,炼蜜为丸,如梧桐子大。清粥吞下三十丸,无时候。
地黄煎丸 (《永类》)解劳生肌进食,活血养心。
生地黄汁 杏仁汁 生姜汁 藕汁(各五升) 薄荷汁 鹅梨汁(各一升) 法酒(二升)
沙蜜(四升)
上慢火熬成膏,入后药;
北柴胡(三两) 木香 人参 茯苓 山药 柏子仁(去皮,炒研) 远志肉 枳实(制炒)
白术(各一两) 秦艽 苦梗(各二两) 麝香(半两,研) 熟地黄(洗、焙,酒蒸,四两)
上为细末,以前膏子和丸,如梧子大。食后甘草汤下二三十丸。
〔攻补兼施〕
人参散 (《普济》)治妇人骨蒸劳,身体壮热,手臂疼痛,月水不通,日渐瘦悴,两胁
气刺,四肢羸弱,腹内块生,时有咳嗽,不欲饮食。
人参(去芦) 鳖甲(醋炙黄,去裙 ) 柴胡(去苗) 地骨皮(各三两) 羚羊角屑
赤茯苓 枳壳(麸炒微黄,去幅) 牛膝(去芦) 贝母 栝蒌根(各二两) 知母(一两半)
赤芍药 桃仁(汤浸,去皮、尖、双仁,麸炒微黄,各一两) 黄芩 当归(各七钱五分)
上为细末,每服半两,以 猪肝一具,用盐、醋、葱白各少许和煮,空心食之,后饮
温酒二盏。
赤茯苓散 (《圣惠》)治妇人骨蒸及血劳等疾,面色黄瘦,四肢无力烦疼,痰壅涕唾稠
粘,不思饮食。
鳖甲(制如前,二两) 赤茯苓 柴胡(去苗) 麦门冬(去心) 川大黄(锉碎微炒,各一两)
人参(去芦) 木香 桃仁(制如前) 白术 瞿麦 赤芍药 当归 半夏(汤洗七遍,去滑,
各七钱半)
上为粗散,每服四钱,以水一中盏,入生姜半分,煎至六分,去滓温服,无时。
〔攻积〕
天门冬丸 (《大全》)治伏连传注,腹中有坚硬积气壅心胸作痹,痛引胁背,脘膈满闷。
鬼臼 天门冬(去心,各七钱半) 巴豆 莽
草不蛀皂角 叶子雄黄(各一两)
上为细末,炼蜜为丸,如小豆大。每服一丸,渐加至三五丸,空心汤水吞下,临卧
一服。常宜斟酌,勿令泄泻。忌鲤鱼、山猪、芦笋。
〔破血劫痰〕
麦煎散 (《永类》)治少男室女骨蒸,妇人血风攻疰四肢,心胸烦壅。
赤茯苓 当归 干漆(生) 鳖甲(醋炙) 常山 大黄(煨) 北柴胡 白术 石膏
生干地黄(各一两) 甘草(半两)
上为细末,每服二钱,水一盏,小麦五十粒煎,食后临卧温服。有虚汗,加麻黄根
一两。东坡云∶在黄州疗骨蒸黄瘦,口臭肌热盗汗,极效,宝此方如希世之珍。
〔通经破血〕
牡丹汤 (《普济》)治妇人骨蒸,经脉不通,渐增瘦弱。
牡丹皮(一两半) 桂(去粗皮) 木通(锉、炒,各一两) 芍药 土瓜根(各一两半)
鳖甲(醋炙、去裙 ,二两) 桃仁(制如前,一两)
上粗捣筛,每服五钱,水一盏半,煎至一盏,去滓温服,空心、食后。
鳖甲丸 (《圣惠》)治妇人骨蒸劳,月水不通,胁下 癖,往往腹痛。
鳖甲(二两,醋炙黄) 土瓜根 桂心 京三棱 牡丹皮 牛膝(去苗) 川大黄(锉碎,
微炒) 诃梨勒皮 琥珀(各一两,细研) 桃仁(制,一两)
上为末,炼蜜和捣三二百杵,丸如梧桐子大。不计时候,以桃仁汤下三十丸。
〔清肺〕
柴胡散 (《圣惠》)治妇人骨蒸劳热咳嗽,胸膈痰壅,腹胁妨闷,不欲饮食。
柴胡(去苗) 桑根白皮 麦门冬(去心) 赤茯苓(各一两) 川大黄(锉碎,微炒)
枳壳(麸炒,去幅) 百合 秦艽(去苗) 紫菀(洗) 黄芩 赤芍药 知母 木通(锉,各七钱半)
半夏(汤洗七遍,去滑) 甘草(炙微赤,各半两) 鳖甲(醋炙,二两)
上为粗散,每服三钱,以水一中盏,入生姜一钱三分,煎至六分,去滓温服,无时。
〔凉剂〕
黄连散 (《圣惠》)治妇人骨蒸劳热,四体昏沉,背膊疼痛,面色痿黄,渐渐无力。
黄连(去须) 知母(各一两) 鳖甲(醋炙,二两) 柴胡 木通(各一两半) 麦门冬(去心)
白术 地骨皮 黄芩 犀角屑(各七钱半) 龙胆(去芦) 甘草(炙微赤,各半两)
上为粗散,每服四钱,以水一中盏,生姜一钱,大淡竹叶二七片,煎至六分,去滓温服,无时。
青蒿散 (《圣惠》)治妇人骨蒸劳热,四肢烦疼,日渐羸瘦。
青蒿 鳖甲(醋炙,各二两) 柴胡(去苗,一两半) 黄连(去须) 黄 桑根白皮
白术(各一两) 栀子仁 知母(各七钱半) 地骨皮 甘草(炙,微赤,各半两) 龙胆草(去芦,二钱半)
上为粗散,每服四钱,以水一中盏,入生姜一钱三分,煎至六分,去滓温服,无时。
猪肚丸 (《永类》)治骨蒸劳,唇颊赤,气粗口干,壮热虚汗,大肠秘涩,小便赤黄,减
食。
青蒿 鳖甲(醋炙) 北柴胡 木香 生干地黄(各一两) 青皮(半两) 宣连(二两)
上为细末,以猪肚一个,洗净,入药在内,缚定,蒸令极软,研如泥,为丸如绿豆
大。汤下十五丸,空心,日三服,忌湿面、毒物。
石膏散 (《灵苑》)治女人骨蒸,外寒内热,附骨蒸盛之时,四肢微瘦,足趺肿者,病在
脏腑中。
真石膏不以多少,研极细。每用,新汲水和服方寸匕,取身无热为度。此方非实
热、能食、大便实者,不可服。
〔寒热并用〕
青蒿鳖甲煎丸 (《圣济》)治妇人骨蒸劳,退热解肌进食。
九肋鳖甲(一个) 北柴胡(二两) 甘草 杏仁 桔梗 当归 人参 地骨皮
赤芍药(各
一两) 胡黄连 宣连(各二钱半) 官桂 木香(各半两) 麝香(一字) 酥 蜜(各三两)
上为细末,用青蒿一斤,童子小便五升,好酒一升,熬青蒿汁约二升已来, 去青蒿
不用,入酥蜜再熬成膏,冷后入药末,搜和为丸,如梧桐子大。每服十五丸,温酒下,米
饮亦得,日三服。如秋后合,再入桃柳枝七茎。此药甚妙,即《局方》人参鳖甲丸也。
〔传尸〕
天灵盖散 (《圣惠》)治妇人骨蒸劳,四肢无力,每至晚间即热,两颊红色,饮食不下,
心神烦躁。
天灵盖(酥炙) 安息香 地骨皮 当归 人参(去芦) 山栀子仁 贝母(去心)
黄连 桃仁(去皮尖、双仁,麸炒黄) 槟榔(各一两) 鳖甲(醋炙) 北柴胡 生干地黄
赤茯苓 麦门冬(各一两半) 阿魏(半两)
上为粗末,以童子小便一大盏,桃柳枝各七寸,姜五斤,葱白五寸,药四钱,煎至
七分,去滓温服。
益母草丸 (《普济》)治妇人骨蒸劳瘦,月候不通,心神烦热,四肢疼痛,不能饮食。
益母草 青蒿(各二斤) 桃枝(一握,长一尺) 柳枝(一握,长一尺)
以上四味,细锉,用童子小便一斗,于银锅中煎至三升,绞去滓,煎成膏;
柴胡(去苗) 赤芍药 犀角屑(各二两) 朱砂(一两,细研水飞过) 天灵盖(酥炙微黄)
木香 甘草(炙微赤,各一两) 鳖甲(三两,制) 桃仁(五两,制净) 麝香(半两,细研)
上为末,用益母草煎,都和捣五七百杵,丸如梧桐子大。每以乌梅、甘草汤下三十丸,
无时。
獭肝丸 (《圣惠》)治妇人骨蒸劳热,体瘦烦疼,不欲饮食。
獭肝(一具) 鳖甲(醋炙) 北柴胡(各一两半) 川升麻 桃仁(制) 天灵盖(酥炙)
犀角屑 栀子仁 地骨皮 知母(各一两) 黄 (七钱半) 甘草(半两) 麝香(二钱半,另研)
朱砂(一两,细研水飞)
上为细末,炼蜜丸如梧桐子大。温水下三十丸,无时。
杀鬼方 (《圣惠》)治妇人骨蒸,传尸劳瘦,鬼气伏连。
麝香(七钱半) 犀角屑 木香 白术 鬼箭羽(各一两) 虎头骨(酥炙黄色)
天灵盖(醋炙黄) 桃仁(去皮、尖、双仁,麸炒黄) 雄黄(另研) 朱砂(光明者,另研,
各一两半)
上为细末,入研了药和匀,炼蜜丸如梧桐子大。温水下二十九。此药辟瘟疫,亦可带。
〔止嗽〕
温金散 (《永类》)治劳嗽。
甘草 黄芩 桑白皮 防风(各一两) 杏仁(二十七枚,制) 人参 茯神(各半两)
麦门冬(一分)
上前五味以米泔浸一宿,晒干,次入人参、茯神、麦门冬三味,同为细末。每服二
钱,水一盏,蜡一豆大,煎八分,食后温服。
一方(《永类》)调荣卫,消瘀血,出声音,治痰嗽。
当归 牡丹皮 白芍 子芩 木通 麦门冬 甘草 细辛(各半两) 生干地黄(各一两)
上 咀,每服三钱,姜三片,水煎温服。
一方(《永类》)治肌瘦、咯血、肺痿等疾。
蛤蚧(一双全者,酒浸一宿,酥炙) 知母 贝母(去心) 人参 甘草 杏仁(制,炒)
枇杷叶(去毛,炒) 鹿角胶(炒,各一两)
上为细末,每服三钱,水一盏,入桑白皮温服。
补肺汤 (《永类》)治劳嗽。
桑白皮 熟地黄(各二两) 人参 紫菀 黄 五味子(各一两)
上为细末,每服二钱,水一盏,入蜜少许,食后温服。
四君子汤加秦艽、黄蜡煎服,尤妙。
〔治胸痹〕
一方(《永类》)治心胸积气作胸痹,引两
胁痛,昏闷不收,音声不清,虚热上壅,作鼻衄。
桑白皮(三分) 枳壳 木通 子芩 生干地黄 白芍药 甘草(各半两)
上为粗末,每服三钱,水煎,食后温服。
一方(《永类》)治伏瘀血在心肺,时作衄,心胸彻背痛。
白芍药 牡丹皮(各一两) 生犀屑(半两) 生地黄(三两,别捶)
上 咀,每服半两,水煎温服。
栝蒌汤 (《永类》)治胸痹。
栝蒌(一个) 枳壳(四枚) 浓朴 薤白(各一两) 桂枝(一两,有热者除)
上 咀,水煎温服。
一方(《永类》)治积气坚硬,作气噎,胸胁引背痛。
白芍药(一两半) 鳖甲(醋炙) 枳壳(制) 北柴胡(各一两) 甘草 赤茯苓(各半两)
上 咀,每服三钱,生姜三片,枣一枚,水煎温服。
〔出音声〕
一方(《永类》)治失声音。
诃子肉 木通(各一两) 甘草(半两)
上 咀,水三升,煎至升半,入生地黄一合,再煎数沸,放温,分六服,食后。日
作半料。
〔治喉痛〕
一方(《永类》)咽喉痛。
百药煎(去黑皮) 硼砂 甘草 生白矾(各等分)
上为细末,每服一钱,食后米饮调,细细呷咽。
以上诸方,辰阳李 传,屡救人甚效。服药止可食淡煮猪蹄肉,仍须煮熟肉去原汁,再
以白汤熟煮。仍忌房劳、生冷、鱼腥、咸、腌藏等。修合煎药,忌一切生人男女、猫犬鸡
畜见,仍不令病患知药味,方有效。
〔血风劳〕
〔大〕妇人血风劳证,因气血素虚,经候不调,或外伤风邪,内挟宿冷,致使阴阳
不和,经络痞涩,腹中坚痛,四肢酸疼,月水或断或来,面色痿黄羸瘦。又有因产后未
满百日,不谨将护,脏腑虚损,百脉枯竭,遂致劳损。久不瘥则变寒热,休作有时,饮食
减少,肌肤瘦瘁。遇经水当至,即头目昏眩,胸背拘急,四肢疼痛,身体烦热,足重面浮,
或经水不通,故谓之血风劳气也。
〔薛〕东垣云∶喜怒不节,起居不时,有所劳伤,皆损其气,气衰则火旺,火旺则
乘其脾土,脾主四肢,故困热懒言,动作喘乏,表热自汗,心烦不安,当病之时,宜安
心静坐,存养其气,以甘寒泻其热气,以酸味收其散气,以甘温补其中气。经言∶劳者
将药物研成细末,用炼蜜制成如弹丸大小的药丸。每次服用一丸,用去心的麦门冬煎汤送服或嚼服。又用于治疗肺损伤导致的吐血,身体日渐乏力、消瘦虚弱,行走困难,气喘咳嗽伴有痰涎,食欲不佳,有时出现寒热症状,小便赤涩疼痛。若出现上述症状,加车前子二钱半,每次服用一丸,用桑枝煎汤送服或嚼服,每日可服用六至七次。桑枝切碎,炒香,每次用水三盏,煎至一盏,滤去药渣后加入其他药物。
〔瘵骨蒸热〕
五劳、六极、七伤等各种证候的治疗,已在杂病虚劳门类中详述,此处不再赘述。妇女患此病,多因月经、怀孕、分娩期间,或因饮食起居不当,以及七情(喜、怒、忧、思、悲、恐、惊)严重损伤肝脾所致。也有因调摄失宜,或过度使用攻伐药物而形成的,与男子的治疗方法稍有不同,因此在此汇集古今专门治疗妇女的禁方。若想探究其源流,还需查阅相关书籍。
〔补虚〕
治疗瘵疾有效的河车丸:治疗劳嗽,一切劳瘵、虚损、骨蒸等疾病。
紫河车(一枚,初生男婴的尤佳,在长流水中洗净血迹,放入瓷器内隔水炖烂入药)
雪白茯苓(半两) 拣选的人参(一两) 干山药(二两)
将上述药材研成细末,加入紫河车汁,加面糊制成如梧桐子大小的药丸,以少量麝香粉末为衣。每次服用三五十丸,用米饮、温酒或盐汤送下,空腹服用。咳嗽严重者,用五味子汤送服。
十全大补汤(方剂见杂病虚劳门类):治疗气血虚热,加柴胡、地骨皮、秦艽。
〔补虚退热润燥〕
黄丸(出自《圣惠》):治疗妇人骨蒸烦热,四肢消瘦疼痛,口干心躁,无法安睡。
黄(原文缺字,据方义推测可能为黄芪或地黄类,此处保留原貌或依上下文补全,但根据WHO标准及常见配伍,结合下文“黄”单独列出,此处暂按原文处理,通常指代某味黄色药材,如黄芪或熟地,但在《圣惠方》中此方常含多种药材,此处依原文列举)麦门冬(去心) 茯神 北柴胡 甘草 生干地黄(各一两) 酸枣仁(炒)
郁李仁 杏仁(去皮尖、双仁,麸炒黄) 枸杞子 人参(去芦) 黄芩(各七钱半)
百合 枳壳(去瓤,麸炒) 赤芍药 知母 秦艽(各半两) 鳖甲(二两,炮制)
将上述药材研成细末,用炼蜜制成如梧桐子大小的药丸。用清粥吞服三十丸,不拘时候。
地黄煎丸(出自《永类》):解除劳损,促进肌肉生长,增进食欲,活血养心。
生地黄汁 杏仁汁 生姜汁 藕汁(各五升) 薄荷汁 鹅梨汁(各一升) 法酒(二升)
沙蜜(四升)
用慢火熬成膏状,加入以下药物:
北柴胡(三两) 木香 人参 茯苓 山药 柏子仁(去皮,炒研) 远志肉 枳实(炮制炒)
白术(各一两) 秦艽 苦梗(各二两) 麝香(半两,研细) 熟地黄(洗、焙,酒蒸,四两)
将上述药材研成细末,以前面熬好的膏子和药粉制成如梧桐子大小的药丸。饭后用甘草汤送服二三十丸。
〔攻补兼施〕
人参散(出自《普济》):治疗妇人骨蒸劳,身体壮热,手臂疼痛,月经不通,日渐消瘦憔悴,两胁气刺痛,四肢羸弱,腹内有肿块,时有咳嗽,不想饮食。
人参(去芦) 鳖甲(醋炙黄,去裙边) 柴胡(去苗) 地骨皮(各三两) 羚羊角屑
赤茯苓 枳壳(麸炒微黄,去瓤) 牛膝(去芦) 贝母 栝蒌根(各二两) 知母(一两半)
赤芍药 桃仁(热水浸泡,去皮、尖、双仁,麸炒微黄,各一两) 黄芩 当归(各七钱五分)
将上述药材研成细末,每次服用半两,取猪肝一个,用盐、醋、葱白少许一起煮,空腹食用,随后饮用温酒两盏。
赤茯苓散(出自《圣惠》):治疗妇人骨蒸及血劳等疾病,面色黄瘦,四肢无力且烦疼,痰多涕唾稠粘,不思饮食。
鳖甲(炮制如前,二两) 赤茯苓 柴胡(去苗) 麦门冬(去心) 川大黄(锉碎微炒,各一两)
人参(去芦) 木香 桃仁(炮制如前) 白术 瞿麦 赤芍药 当归 半夏(热水洗七遍,去滑腻,各七钱半)
将上述药材制成粗散,每次服用四钱,用水一中盏,加入生姜半分,煎至六分,滤去药渣温服,不拘时候。
〔攻积〕
天门冬丸(出自《大全》):治疗伏连传注(指传染性痨病),腹中有坚硬积气壅塞心胸导致痹痛,疼痛牵引胁背,脘膈满闷。
鬼臼 天门冬(去心,各七钱半) 巴豆 莽草 不蛀皂角 叶子雄黄(各一两)
将上述药材研成细末,用炼蜜制成如小豆大小的药丸。每次服用一丸,逐渐增加至三至五丸,空腹用汤水吞服,临睡前服用一次。需酌情斟酌,勿令腹泻。忌食鲤鱼、山猪、芦笋。
〔破血劫痰〕
麦煎散(出自《永类》):治疗少男少女骨蒸,妇人血风攻疰四肢,心胸烦闷壅滞。
赤茯苓 当归 干漆(生用) 鳖甲(醋炙) 常山 大黄(煨) 北柴胡 白术 石膏
生干地黄(各一两) 甘草(半两)
将上述药材研成细末,每次服用二钱,用水一盏,小麦五十粒同煎,饭后临睡前温服。若有虚汗,加麻黄根一两。东坡云:在黄州治疗骨蒸黄瘦、口臭肌热盗汗,极为有效,将此方视为稀世珍宝。
〔通经破血〕
牡丹汤(出自《普济》):治疗妇人骨蒸,经脉不通,日渐消瘦虚弱。
牡丹皮(一两半) 桂(去粗皮) 木通(锉、炒,各一两) 芍药 土瓜根(各一两半)
鳖甲(醋炙、去裙边,二两) 桃仁(炮制如前,一两)
将上述药材粗捣筛过,每次服用五钱,用水一盏半,煎至一盏,滤去药渣温服,空腹或饭后服用。
鳖甲丸(出自《圣惠》):治疗妇人骨蒸劳,月经不通,胁下有痞块,经常腹痛。
鳖甲(二两,醋炙黄) 土瓜根 桂心 京三棱 牡丹皮 牛膝(去苗) 川大黄(锉碎,微炒) 诃梨勒皮 琥珀(各一两,细研) 桃仁(炮制,一两)
将上述药材研成粉末,用炼蜜调和并捣三二百杵,制成如梧桐子大小的药丸。不拘时候,用桃仁汤送服三十丸。
〔清肺〕
柴胡散(出自《圣惠》):治疗妇人骨蒸劳热咳嗽,胸膈痰多壅滞,腹胁胀闷,不想饮食。
柴胡(去苗) 桑根白皮 麦门冬(去心) 赤茯苓(各一两) 川大黄(锉碎,微炒)
枳壳(麸炒,去瓤) 百合 秦艽(去苗) 紫菀(洗) 黄芩 赤芍药 知母 木通(锉,各七钱半)
半夏(热水洗七遍,去滑腻) 甘草(炙微赤,各半两) 鳖甲(醋炙,二两)
将上述药材制成粗散,每次服用三钱,用水一中盏,加入生姜一钱三分,煎至六分,滤去药渣温服,不拘时候。
〔凉剂〕
黄连散(出自《圣惠》):治疗妇人骨蒸劳热,四肢昏沉,背膊疼痛,面色萎黄,渐渐无力。
黄连(去须) 知母(各一两) 鳖甲(醋炙,二两) 柴胡 木通(各一两半) 麦门冬(去心)
白术 地骨皮 黄芩 犀角屑(各七钱半) 龙胆(去芦) 甘草(炙微赤,各半两)
将上述药材制成粗散,每次服用四钱,用水一中盏,生姜一钱,淡竹叶十四片,煎至六分,滤去药渣温服,不拘时候。
青蒿散(出自《圣惠》):治疗妇人骨蒸劳热,四肢烦疼,日渐消瘦。
青蒿 鳖甲(醋炙,各二两) 柴胡(去苗,一两半) 黄连(去须) 黄(原文缺字,疑为黄芪或地黄,此处依原文) 桑根白皮
白术(各一两) 栀子仁 知母(各七钱半) 地骨皮 甘草(炙,微赤,各半两) 龙胆草(去芦,二钱半)
将上述药材制成粗散,每次服用四钱,用水一中盏,加入生姜一钱三分,煎至六分,滤去药渣温服,不拘时候。
猪肚丸(出自《永类》):治疗骨蒸劳,唇颊红赤,气粗口干,壮热虚汗,大肠便秘,小便赤黄,食欲减退。
青蒿 鳖甲(醋炙) 北柴胡 木香 生干地黄(各一两) 青皮(半两) 宣连(二两)
将上述药材研成细末,取猪肚一个,洗净,将药物装入其中,扎紧,蒸至极软,研成泥状,制成如绿豆大小的药丸。汤水送服十五丸,空腹,每日三次,忌湿面、毒物。
石膏散(出自《灵苑》):治疗女人骨蒸,外寒内热,附骨蒸盛之时,四肢微瘦,足背肿胀者,病在脏腑中。
真石膏不限多少,研极细。每次用时,用新汲水和服方寸匕,以身无热为度。此方非实热、能食、大便坚实者,不可服用。
〔寒热并用〕
青蒿鳖甲煎丸(出自《圣济》):治疗妇人骨蒸劳,退热解肌进食。
九肋鳖甲(一个) 北柴胡(二两) 甘草 杏仁 桔梗 当归 人参 地骨皮
赤芍药(各一两) 胡黄连 宣连(各二钱半) 官桂 木香(各半两) 麝香(一字) 酥 蜜(各三两)
将上述药材研成细末,用青蒿一斤,童子小便五升,好酒一升,熬青蒿汁约二升左右,去掉青蒿不用,加入酥蜜再熬成膏,冷却后加入药末,揉和制成如梧桐子大小的药丸。每次服用十五丸,温酒送下,米饮亦可,每日三次。若在秋季配制,再加入桃柳枝七茎。此药甚妙,即《局方》中的人参鳖甲丸。
〔传尸〕
天灵盖散(出自《圣惠》):治疗妇人骨蒸劳,四肢无力,每到晚间即发热,两颊红色,饮食不下,心神烦躁。
天灵盖(酥炙) 安息香 地骨皮 当归 人参(去芦) 山栀子仁 贝母(去心)
黄连 桃仁(去皮尖、双仁,麸炒黄) 槟榔(各一两) 鳖甲(醋炙) 北柴胡 生干地黄
赤茯苓 麦门冬(各一两半) 阿魏(半两)
将上述药材制成粗末,用童子小便一大盏,桃柳枝各七寸,姜五斤,葱白五寸,药四钱,煎至七分,滤去药渣温服。
益母草丸(出自《普济》):治疗妇人骨蒸劳瘦,月经不通,心神烦热,四肢疼痛,不能饮食。
益母草 青蒿(各二斤) 桃枝(一握,长一尺) 柳枝(一握,长一尺)
以上四味,细切,用童子小便一斗,在银锅中煎至三升,绞去药渣,煎成膏;
柴胡(去苗) 赤芍药 犀角屑(各二两) 朱砂(一两,细研水飞) 天灵盖(酥炙微黄)
木香 甘草(炙微赤,各一两) 鳖甲(三两,炮制) 桃仁(五两,炮制净) 麝香(半两,细研)
将上述药材研成粉末,用益母草煎液调和,都捣五七百杵,制成如梧桐子大小的药丸。每次用乌梅、甘草汤送服三十丸,不拘时候。
獭肝丸(出自《圣惠》):治疗妇人骨蒸劳热,体瘦烦疼,不想饮食。
獭肝(一具) 鳖甲(醋炙) 北柴胡(各一两半) 川升麻 桃仁(炮制) 天灵盖(酥炙)
犀角屑 栀子仁 地骨皮 知母(各一两) 黄(七钱半) 甘草(半两) 麝香(二钱半,另研)
朱砂(一两,细研水飞)
将上述药材研成细末,用炼蜜制成如梧桐子大小的药丸。温水送服三十丸,不拘时候。
杀鬼方(出自《圣惠》):治疗妇人骨蒸,传尸劳瘦,鬼气伏连。
麝香(七钱半) 犀角屑 木香 白术 鬼箭羽(各一两) 虎头骨(酥炙黄色)
天灵盖(醋炙黄) 桃仁(去皮、尖、双仁,麸炒黄) 雄黄(另研) 朱砂(光明者,另研,各一两半)
将上述药材研成细末,加入已研好的药粉混合均匀,用炼蜜制成如梧桐子大小的药丸。温水送服二十九丸。此药辟瘟疫,也可随身携带。
〔止嗽〕
温金散(出自《永类》):治疗劳嗽。
甘草 黄芩 桑白皮 防风(各一两) 杏仁(二十七枚,炮制) 人参 茯神(各半两)
麦门冬(一分)
将前五味药以米泔水浸泡一夜,晒干,再有人参、茯神、麦门冬三味,一同研成细末。每次服用二钱,用水一盏,蜡一小豆大,煎至八分,饭后温服。
一方(出自《永类》):调和营卫,消除瘀血,恢复声音,治疗痰嗽。
当归 牡丹皮 白芍 子芩 木通 麦门冬 甘草 细辛(各半两) 生干地黄(各一两)
切碎,每次服用三钱,姜三片,水煎温服。
一方(出自《永类》):治疗肌瘦、咯血、肺痿等疾病。
蛤蚧(一双全者,酒浸一夜,酥炙) 知母 贝母(去心) 人参 甘草 杏仁(炮制,炒)
枇杷叶(去毛,炒) 鹿角胶(炒,各一两)
将上述药材研成细末,每次服用三钱,用水一盏,加入桑白皮温服。
补肺汤(出自《永类》):治疗劳嗽。
桑白皮 熟地黄(各二两) 人参 紫菀 黄 五味子(各一两)
将上述药材研成细末,每次服用二钱,用水一盏,加入少许蜂蜜,饭后温服。
四君子汤加秦艽、黄蜡煎服,尤为奇妙。
〔治胸痹〕
一方(出自《永类》):治疗心胸积气导致胸痹,牵引两胁疼痛,昏闷不适,声音不清,虚热上壅,导致鼻衄。
桑白皮(三分) 枳壳 木通 子芩 生干地黄 白芍药 甘草(各半两)
将上述药材制成粗末,每次服用三钱,水煎,饭后温服。
一方(出自《永类》):治疗伏瘀血在心肺,时常鼻衄,心胸彻背痛。
白芍药 牡丹皮(各一两) 生犀屑(半两) 生地黄(三两,别处捣碎)
切碎,每次服用半两,水煎温服。
栝蒌汤(出自《永类》):治疗胸痹。
栝蒌(一个) 枳壳(四枚) 浓朴 薤白(各一两) 桂枝(一两,有热者去除)
切碎,水煎温服。
一方(出自《永类》):治疗积气坚硬,导致气噎,胸胁牵引背痛。
白芍药(一两半) 鳖甲(醋炙) 枳壳(炮制) 北柴胡(各一两) 甘草 赤茯苓(各半两)
切碎,每次服用三钱,生姜三片,枣一枚,水煎温服。
〔出音声〕
一方(出自《永类》):治疗失音。
诃子肉 木通(各一两) 甘草(半两)
切碎,水三升,煎至升半,加入生地黄一合,再煎数沸,放温,分六次服用,饭后。每日制作一半剂量。
〔治喉痛〕
一方(出自《永类》):咽喉痛。
百药煎(去黑皮) 硼砂 甘草 生白矾(各等分)
将上述药材研成细末,每次服用一钱,饭后用米饮调匀,细细咽下。
以上诸方,由辰阳李氏传授,屡次救人非常有效。服药期间只可吃淡煮猪蹄肉,且必须煮熟肉去掉原汁,再用白开水重新煮熟。仍忌房事、生冷、鱼腥、咸味、腌藏食物等。配制煎药时,忌一切生人男女、猫犬鸡畜看见,也不让病患知道药味,才有效。
〔血风劳〕
〔大〕妇人血风劳证,因气血素来虚弱,月经不调,或外伤风邪,内挟宿冷,致使阴阳不和,经络痞塞涩滞,腹中坚痛,四肢酸疼,月经或断或来,面色萎黄消瘦。又有因产后未满百日,不慎调养,脏腑虚损,百脉枯竭,遂致劳损。久不痊愈则变为寒热,发作有时,饮食减少,肌肤瘦瘁。遇到月经应当来时,即头目昏眩,胸背拘急,四肢疼痛,身体烦热,足重面浮,或月经不通,故称之为血风劳气也。
〔薛〕东垣云:喜怒不节,起居不时,有所劳伤,都会损伤其气,气衰则火旺,火旺则乘袭脾土,脾主四肢,所以困热懒言,动作喘乏,表热自汗,心烦不安,发病之时,宜安心静坐,存养其气,用甘寒药泻其热气,用酸味药收敛其散气,用甘温药补其中气。经言:劳者……
Pulverize the ingredients into a fine powder, and mix with refined honey to make pills the size of a bullet. Take one pill each time, chewing it down with a decoction of Ophiopogonis Radix (Maidong, 麦门冬) from which the heart has been removed. It is also used to treat hemoptysis due to lung damage, accompanied by progressive fatigue, emaciation, difficulty walking, wheezing and coughing with phlegm, poor appetite, or alternating chills and fever, and scanty, painful urination. In such cases, add Semen Plantaginis (Cheqianzi, 车前子), two qian half per dose. Take one pill each time, chewing it down with a decoction of Mulberry Twig (Sangzhi, 桑枝). It may be taken six to seven times a day. The Mulberry Twig should be chopped, stir-fried until fragrant. For each dose, use three cups of water, decoct until one cup remains, strain, and then add the other medicines.
[Phthisis and Bone-Steaming Fever]
The treatments for various syndromes of Five Exhaustions (Wulao, 五劳), Six Extremes (Liují, 六极), and Seven Injuries (Qishang, 七伤) have been detailed in the section on Deficiency Consumption in miscellaneous diseases; thus, they are not repeated here. Women suffering from this condition often do so because of menstruation, pregnancy, or childbirth, or due to irregularities in diet and lifestyle, or severe emotional trauma damaging the Liver and Spleen. It may also result from lack of proper care or excessive use of purgative methods. The treatment differs slightly from that for men. Therefore, ancient and modern secret formulas specifically for women are collected here. To explore their origins further, one must consult those texts.
[Nourishing Deficiency]
Heche Wan (Placenta Pill), an effective formula for treating phthisis: Treats laborious cough, all types of phthisis, deficiency consumption, and bone-steaming fevers.
Human Placenta (Heche, 河车): One piece (preferably from a newborn male infant). Wash thoroughly in running water to remove blood, place in a porcelain vessel, and steam over boiling water until soft before incorporating into the medicine.
Poria Cocos (Fuling, 茯苓): Half liang.
Ginseng Radix et Rhizoma (Renshen, 人参): One liang.
Dioscoreae Rhizoma (Shanyao, 山药): Two liang.
Pulverize the above ingredients into a fine powder, mix with the juice of the Human Placenta, add wheat paste, and form pills the size of Sophora seeds (Wutongzi, 梧桐子). Coat with a small amount of Moschus (Shexiang, 麝香) powder. Take thirty to fifty pills each time, swallowed with rice drink, warm wine, or salted water, on an empty stomach. For severe cough, take with Schisandrae Fructus (Wuweizi, 五味子) decoction.
Shiquan Dabu Tang (Decoction for Ten Thousand Complete Great Tonification) (See Deficiency Consumption in Miscellaneous Diseases): Treats deficiency heat of Qi and Blood. Add Bupleuri Radix (Chaihu, 柴胡), Cortex Lycii (Digupi, 地骨皮), and Gentianae Macrophyllae Radix (Qinjiao, 秦艽).
[Nourishing Deficiency, Reducing Heat, and Moistening Dryness]
Huangqi Wan (Astragalus Pill) (from *Shenghui Fang*): Treats bone-steaming irritability and heat in women, emaciation and pain in the four limbs, dry mouth, mental restlessness, and insomnia.
Astragali Membranacei Radix (Huangqi, 黄耆)
Ophiopogonis Radix (Maidong, 麦门冬), dehearted
Poria Cum Ramo Ulnosus (Fushen, 茯神)
Bupleuri Radix (Chaihu, 北柴胡)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄) (each one liang)
Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁), stir-fried
Prunus Triandra Seed (Yuziren, 郁李仁)
Prunus Armeniaca Seed (Xingren, 杏仁), skin and tip removed, non-double kernels, stir-fried with bran until yellow
Lycii Fructus (Gouqizi, 枸杞子)
Ginseng Radix et Rhizoma (Renshen, 人参), rhizome removed
Scutellariae Radix (Huangqin, 黄芩) (each seven qian half)
Lilii Bulbus (Baihe, 百合)
Aurantii Fructus (Zhike, 枳壳), albedo removed, stir-fried with bran
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Anemarrhenae Rhizoma (Zhimu, 知母)
Gentianae Macrophyllae Radix (Qinjiao, 秦艽) (each half liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), processed (two liang)
Pulverize the above ingredients into a fine powder, mix with refined honey, and form pills the size of Sophora seeds. Swallow thirty pills with clear rice gruel, at any time.
Dihuang Jian Wan (Rehmannia Decoction Pill) (from *Yonglei Fang*): Relieves consumption, promotes muscle growth, improves appetite, invigorates Blood, and nourishes the Heart.
Rehmanniae Radix Recens Juice (Shengdihuangzhi, 生地黄汁)
Prunus Armeniaca Seed Juice (Xingrenzhi, 杏仁汁)
Zingiberis Rhizoma Recens Juice (Shengjiangzhi, 生姜汁)
Nelumbinis Nuciferae Rhizoma Juice (Ouzhi, 藕汁) (each five sheng)
Menthae Haplocalycis Herba Juice (Bohezhi, 薄荷汁)
Pyrus Usitatissima Juice (Elizhi, 鹅梨汁) (each one sheng)
Processed Wine (Fajiu, 法酒) (two sheng)
Honey (Shami, 沙蜜) (four sheng)
Slowly boil into a paste, then add the following herbs:
Bupleuri Radix (Chaihu, 北柴胡) (three liang)
Costi Rhizoma (Muxiang, 木香)
Ginseng Radix et Rhizoma (Renshen, 人参)
Poria Cocos (Fuling, 茯苓)
Dioscoreae Rhizoma (Shanyao, 山药)
Platycladi Semen (Baiziren, 柏子仁), skin removed, stir-fried and ground
Polygalae Radix (Yuanzhi, 远志肉)
Immature Aurantii Fructus (Zhishi, 枳实), processed and stir-fried
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each one liang)
Gentianae Macrophyllae Radix (Qinjiao, 秦艽)
Bupleuri Radix (Kujie, 苦梗 - note: likely Angelicae Dahuricae Radix or similar contextually, but literal translation kept as Kujie/Bupleuri root variant if distinct, usually implies Peucedani Radix or Angelicae Dahuricae Radix in some contexts, here translated as Angelicae Dahuricae Radix/Kujie based on standard lists where Kujie might refer to specific processing or synonym, strictly adhering to text 'Kujie') -> *Correction*: Kujie usually refers to Peucedani Radix (Qianhu) or Angelicae Dahuricae Radix (Baizhi) in older texts, but often synonymous with Chuanxiong or others. Given WHO standards, if ambiguous, keep Pinyin or standard equivalent. Here 'Kujie' is likely a typo or variant for 'Jiegeng' (Platycodon) or 'Qianhu'. However, looking at common formulas, it is often Platycodon. Let's assume Platycodon Root (Jiegeng, 桔梗) or similar. Actually, 'Kujie' is not a standard modern name. It might be 'Kujie' = 'Jiegeng' (Platycodon). I will use Platycodon Root (Jiegeng, 桔梗) as it fits the respiratory/phthisis context, or stick to literal if unsure. Wait, 'Kujie' (苦梗) is an old name for Platycodon Root (Jiegeng, 桔梗). So: Platycodon Root (Jiegeng, 桔梗).
Moschus (Shexiang, 麝香), ground (half liang)
Prepared Rehmanniae Radix (Shudihuang, 熟地黄), washed, dried, steamed with wine (four liang)
Pulverize the above ingredients into a fine powder, mix with the previous paste to form pills the size of Sophora seeds. Take twenty to thirty pills after meals with Licorice Decoction.
[Combining Purging and Tonifying]
Renshen San (Ginseng Powder) (from *Puji Fang*): Treats bone-steaming consumption in women, high body heat, arm pain, amenorrhea, progressive emaciation, stabbing qi pain in the hypochondrium, weak and emaciated limbs, abdominal masses, occasional cough, and loss of appetite.
Ginseng Radix et Rhizoma (Renshen, 人参), rhizome removed
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed until yellow, skirt removed
Bupleuri Radix (Chaihu, 柴胡), tips removed
Cortex Lycii (Digupi, 地骨皮) (each three liang)
Saigae Tataricae Cornu (Lingyangjiao, 羚羊角屑)
Red Poria (Chifuling, 赤茯苓)
Aurantii Fructus (Zhike, 枳壳), stir-fried with bran until slightly yellow, albedo removed
Cyathulae Radix (Niuxi, 牛膝), rhizome removed
Fritillariae Bulbus (Beimu, 贝母)
Trichosanthis Radix (Gualougen, 栝蒌根) (each two liang)
Anemarrhenae Rhizoma (Zhimu, 知母) (one and a half liang)
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Pruni Semen (Taoren, 桃仁), soaked in hot water, skin and tip removed, non-double kernels, stir-fried with bran until slightly yellow (each one liang)
Scutellariae Radix (Huangqin, 黄芩)
Angelicae Sinensis Radix (Danggui, 当归) (each seven qian five fen)
Pulverize the above ingredients into a fine powder. Take half a liang each time. Boil one pig liver with a little salt, vinegar, and white onion. Eat on an empty stomach, followed by two cups of warm wine.
Chifuling San (Red Poria Powder) (from *Shenghui Fang*): Treats bone-steaming and blood-consumption in women, sallow and thin complexion, weakness and painful irritation in the four limbs, copious sticky phlegm and nasal discharge, and loss of appetite.
Testudinis Carapax et Plastrum (Biejia, 鳖甲), processed as before (two liang)
Red Poria (Chifuling, 赤茯苓)
Bupleuri Radix (Chaihu, 柴胡), tips removed
Ophiopogonis Radix (Maidong, 麦门冬), dehearted
Rhei Radix et Rhizoma (Dahuang, 川大黄), chopped and slightly stir-fried (each one liang)
Ginseng Radix et Rhizoma (Renshen, 人参), rhizome removed
Costi Rhizoma (Muxiang, 木香)
Pruni Semen (Taoren, 桃仁), processed as before
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Dianthi Herba (Qumai, 瞿麦)
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Angelicae Sinensis Radix (Danggui, 当归)
Pinelliae Rhizoma (Banxia), washed seven times in hot water to remove acridity (each seven qian half)
Process into a coarse powder. Take four qian each time. Decoct with one cup of water and half a qian of fresh Ginger until six-tenths remain. Strain and take warm, at any time.
[Purging Accumulation]
Tianmendong Wan (Asparagi Pill) (from *Daqian Fang*): Treats persistent infectious phthisis, hard accumulative qi in the abdomen obstructing the chest and heart causing bi-syndrome, pain radiating to the hypochondrium and back, and fullness/stuffiness in the epigastrium and diaphragm.
Daemonorops Spina (Guijiao, 鬼臼)
Asparagi Radix (Tianmendong, 天门冬), dehearted (each seven qian half)
Crotonis Fructus (Badou, 巴豆)
Euphorbiae Humifusae Herba (Mangcao, 莽草)
Non-moth-eaten Gleditsiae Sinensis Fructus (Zaojiao, 皂角)
Leaves
Realgar (Xionghuang, 雄黄) (each one liang)
Pulverize the above ingredients into a fine powder, mix with refined honey, and form pills the size of small beans. Start with one pill each time, gradually increasing to three to five pills. Swallow on an empty stomach with water or decoction, and take one dose before bed. Adjust dosage carefully to avoid diarrhea. Avoid carp, wild boar, and reed shoots.
[Breaking Blood and Resolving Phlegm]
Maijian San (Wheat Decoction Powder) (from *Yonglei Fang*): Treats bone-steaming in young men and women, blood-wind attacking the limbs in women, and mental restfulness and obstruction in the chest and heart.
Red Poria (Chifuling, 赤茯苓)
Angelicae Sinensis Radix (Danggui, 当归)
Drynariae Rhizoma (Ganqi, 干漆), raw
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed
Oldenlandiae Herba (Changshan, 常山)
Rhei Radix et Rhizoma (Dahuang, 大黄), baked
Bupleuri Radix (Chaihu, 北柴胡)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Gypsum Fibrosum (Shigao, 石膏)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄) (each one liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (half liang)
Pulverize the above ingredients into a fine powder. Take two qian each time. Decoct with one cup of water and fifty grains of Wheat until ready. Take warm after meals and before bed. If there is deficient sweating, add Ephedrae Radix (Mahuanggen, 麻黄根), one liang. Dongpo said: In Huangzhou, this was extremely effective for treating bone-steaming, sallow emaciation, bad breath, muscle heat, and night sweats. Treasure this formula like a rare gem.
[Unblocking Menses and Breaking Blood]
Mudan Tang (Peony Decoction) (from *Puji Fang*): Treats bone-steaming in women, unblocked menstrual channels, and progressive emaciation.
Moutan Cortex (Mudanpi, 牡丹皮) (one and a half liang)
Cinnamomi Cortex (Gui, 桂), outer bark removed
Akebiae Caulis (Mutong, 木通), chopped and stir-fried (each one liang)
Paeoniae Radix (Shaoyao, 芍药)
Trichosanthes Kirilowii Root (Tuguagen, 土瓜根) (each one and a half liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed, skirt removed (two liang)
Pruni Semen (Taoren, 桃仁), processed as before (one liang)
Coarsely crush and sieve. Take five qian each time. Decoct with one and a half cups of water until one cup remains. Strain and take warm, on an empty stomach or after meals.
Biejia Wan (Turtle Shell Pill) (from *Shenghui Fang*): Treats bone-steaming consumption in women, amenorrhea, hypochondriac masses, and frequent abdominal pain.
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed until yellow (two liang)
Trichosanthes Kirilowii Root (Tuguagen, 土瓜根)
Cinnamomi Ramulus (Guixin, 桂心)
Curcumae Zedoariae Rhizoma (Sanleng, 京三棱)
Moutan Cortex (Mudanpi, 牡丹皮)
Cyathulae Radix (Niuxi, 牛膝), tips removed
Rhei Radix et Rhizoma (Dahuang, 川大黄), chopped and slightly stir-fried
Pericarpium Arecae (Helilepi, 诃梨勒皮)
Succinum (Hupo, 琥珀) (each one liang, finely ground)
Pruni Semen (Taoren, 桃仁), processed (one liang)
Grind into powder, mix with refined honey, and pound three to two hundred times. Form pills the size of Sophora seeds. Take thirty pills at any time with Pruni Semen Decoction.
[Clearing the Lungs]
Chaihu San (Bupleurum Powder) (from *Shenghui Fang*): Treats bone-steaming consumption heat with cough in women, phlegm obstruction in the chest and diaphragm, abdominal and hypochondriac stuffiness, and loss of appetite.
Bupleuri Radix (Chaihu, 柴胡), tips removed
Morus Alba Root Bark (Sangbaidipi, 桑根白皮)
Ophiopogonis Radix (Maidong, 麦门冬), dehearted
Red Poria (Chifuling, 赤茯苓) (each one liang)
Rhei Radix et Rhizoma (Dahuang, 川大黄), chopped and slightly stir-fried
Aurantii Fructus (Zhike, 枳壳), stir-fried with bran, albedo removed
Lilii Bulbus (Baihe, 百合)
Gentianae Macrophyllae Radix (Qinjiao, 秦艽), tips removed
Astern Radix (Ziwan, 紫菀), washed
Scutellariae Radix (Huangqin, 黄芩)
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Anemarrhenae Rhizoma (Zhimu, 知母)
Akebiae Caulis (Mutong, 木通), chopped (each seven qian half)
Pinelliae Rhizoma (Banxia), washed seven times in hot water to remove acridity
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), roasted until slightly red (each half liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed (two liang)
Process into a coarse powder. Take three qian each time. Decoct with one cup of water and one qian three fen of fresh Ginger until six-tenths remain. Strain and take warm, at any time.
[Cooling Agents]
Huanglian San (Coptis Powder) (from *Shenghui Fang*): Treats bone-steaming consumption heat in women, heavy and lethargic four limbs, back and shoulder pain, sallow complexion, and progressive weakness.
Coptidis Rhizoma (Huanglian, 黄连), whiskers removed
Anemarrhenae Rhizoma (Zhimu, 知母) (each one liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed (two liang)
Bupleuri Radix (Chaihu, 柴胡)
Akebiae Caulis (Mutong, 木通) (each one and a half liang)
Ophiopogonis Radix (Maidong, 麦门冬), dehearted
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Cortex Lycii (Digupi, 地骨皮)
Scutellariae Radix (Huangqin, 黄芩)
Rhinocerotis Cornu (Xijiao, 犀角屑) (each seven qian half)
Gentianae Radix (Longdan, 龙胆), rhizome removed
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), roasted until slightly red (each half liang)
Process into a coarse powder. Take four qian each time. Decoct with one cup of water, one qian of fresh Ginger, and fourteen leaves of Bamboo Leaves (Danzhuye, 淡竹叶) until six-tenths remain. Strain and take warm, at any time.
Qinghao San (Artemisia Annua Powder) (from *Shenghui Fang*): Treats bone-steaming consumption heat in women, painful irritation in the four limbs, and progressive emaciation.
Artemisiae Annuae Herba (Qinghao, 青蒿)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed (each two liang)
Bupleuri Radix (Chaihu, 北柴胡), tips removed (one and a half liang)
Coptidis Rhizoma (Huanglian, 黄连), whiskers removed
Astragali Membranacei Radix (Huangqi, 黄耆)
Morus Alba Root Bark (Sangbaidipi, 桑根白皮)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each one liang)
Gardeniae Fructus (Zhizi, 栀子仁)
Anemarrhenae Rhizoma (Zhimu, 知母) (each seven qian half)
Cortex Lycii (Digupi, 地骨皮)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), roasted until slightly red (each half liang)
Gentianae Radix (Longdancao, 龙胆草), rhizome removed (two qian half)
Process into a coarse powder. Take four qian each time. Decoct with one cup of water and one qian three fen of fresh Ginger until six-tenths remain. Strain and take warm, at any time.
Zhudu Wan (Pig Stomach Pill) (from *Yonglei Fang*): Treats bone-steaming consumption, red lips and cheeks, rough breathing and dry mouth, high heat with deficient sweating, constipation, dark yellow urine, and reduced appetite.
Artemisiae Annuae Herba (Qinghao, 青蒿)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed
Bupleuri Radix (Chaihu, 北柴胡)
Costi Rhizoma (Muxiang, 木香)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄) (each one liang)
Citri Reticulatae Pericarpium Viride (Qingpi, 青皮) (half liang)
Coptidis Rhizoma (Xuanlian, 宣连) (two liang)
Pulverize the above ingredients into a fine powder. Take one pig stomach, wash clean, insert the medicine inside, tie securely, and steam until very soft. Grind into a paste and form pills the size of mung beans. Take fifteen pills with water, on an empty stomach, three times a day. Avoid damp noodles and toxic foods.
Shigao San (Gypsum Powder) (from *Lingyuan Fang*): Treats bone-steaming in women, external cold with internal heat. When bone-steaming is severe, with slight emaciation of the four limbs and swelling of the dorsum pedis, the disease is in the zang-fu organs.
True Gypsum Fibrosum (Shigao, 真石膏), quantity unspecified, grind extremely fine. Each time, mix with fresh well-water and take one fangcunbi (square-inch spoonful). Stop when the body is no longer hot. This formula should not be taken unless there is excess heat, good appetite, and solid stool.
[Using Cold and Hot Together]
Qinghao Biejia Jian Wan (Artemisia and Turtle Shell Decoction Pill) (from *Shengji Fang*): Treats bone-steaming consumption in women, reduces heat, releases the muscles, and improves appetite.
Nine-ribbed Testudinis Carapax et Plastrum (Biejia, 九肋鳖甲): One piece
Bupleuri Radix (Chaihu, 北柴胡) (two liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Pruni Semen (Xingren, 杏仁)
Platycodon Root (Jiegeng, 桔梗)
Angelicae Sinensis Radix (Danggui, 当归)
Ginseng Radix et Rhizoma (Renshen, 人参)
Cortex Lycii (Digupi, 地骨皮)
Paeoniae Radix Rubra (Chishaoyao, 赤芍药) (each one liang)
Picrorhizae Rhizoma (Huhuanglian, 胡黄连)
Coptidis Rhizoma (Xuanlian, 宣连) (each two qian half)
Cinnamomi Cortex (Guangui, 官桂)
Costi Rhizoma (Muxiang, 木香) (each half liang)
Moschus (Shexiang, 麝香): One zi (character-sized measure)
Butyrum (Su, 酥)
Mel (Mi, 蜜) (each three liang)
Pulverize the above ingredients into a fine powder. Use one jin of Artemisiae Annuae Herba (Qinghao, 青蒿), five sheng of urine from a healthy boy (Tongzi Xiaon, 童子小便), and one sheng of good wine. Decoct the Qinghao juice until about two sheng remain. Remove the Qinghao, add Su and Mi, and boil again into a paste. After cooling, add the powder, knead, and form pills the size of Sophora seeds. Take fifteen pills each time with warm wine or rice drink, three times a day. If prepared after autumn, add seven stalks of Peach and Willow branches. This medicine is excellent; it is the same as Ren Shen Bie Jia Wan in *Ju Fang*.
[Transmitted Corpse/Infectious Phthisis]
Tianlinggai San (Heavenly Skull Cover Powder) (from *Shenghui Fang*): Treats bone-steaming consumption in women, weakness in the four limbs, evening fever, red cheeks, inability to eat, and mental restlessness.
Tianlinggai (Tianlinggai, 天灵盖), processed with butter
Benzoin Resin (Anxixiang, 安息香)
Cortex Lycii (Digupi, 地骨皮)
Angelicae Sinensis Radix (Danggui, 当归)
Ginseng Radix et Rhizoma (Renshen, 人参), rhizome removed
Gardeniae Fructus (Shanzhizi, 山栀子仁)
Fritillariae Bulbus (Beimu, 贝母), dehearted
Coptidis Rhizoma (Huanglian, 黄连)
Pruni Semen (Taoren, 桃仁), skin and tip removed, non-double kernels, stir-fried with bran until yellow
Areca Seed (Binglang, 槟榔) (each one liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed
Bupleuri Radix (Chaihu, 北柴胡)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄)
Red Poria (Chifuling, 赤茯苓)
Ophiopogonis Radix (Maidong, 麦门冬) (each one and a half liang)
Ferulae Resin (awei, 阿魏) (half liang)
Process into coarse pieces. Decoct with one large cup of urine from a healthy boy, seven cun of Peach and Willow branches each, five jin of Ginger, five cun of white Onion, and four qian of medicine until seven-tenths remain. Strain and take warm.
Yimucao Wan (Motherwort Pill) (from *Puji Fang*): Treats bone-steaming consumption and emaciation in women, amenorrhea, mental restlessness and heat, limb pain, and inability to eat.
Leonuri Herba (Yimucao, 益母草)
Artemisiae Annuae Herba (Qinghao, 青蒿) (each two jin)
Peach Branch (Taozhi, 桃枝): One handful, one chi long
Willow Branch (Liuzhi, 柳枝): One handful, one chi long
Finely chop the above four ingredients. Decoct with ten dou of urine from a healthy boy in a silver pot until three sheng remain. Strain and boil into a paste.
Bupleuri Radix (Chaihu, 柴胡), tips removed
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Rhinocerotis Cornu (Xijiao, 犀角屑) (each two liang)
Cinnabaris (Zhusha, 朱砂), one liang, finely ground and floated in water
Tianlinggai (Tianlinggai, 天灵盖), processed with butter until slightly yellow
Costi Rhizoma (Muxiang, 木香)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), roasted until slightly red (each one liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), processed (three liang)
Pruni Semen (Taoren, 桃仁), processed clean (five liang)
Moschus (Shexiang, 麝香), finely ground (half liang)
Grind into powder. Use the Motherwort decoction to mix, knead five to seven hundred times, and form pills the size of Sophora seeds. Take thirty pills each time with Sour Plum and Licorice Decoction, at any time.
Tagan Gan Wan (Otter Liver Pill) (from *Shenghui Fang*): Treats bone-steaming consumption heat in women, emaciation and painful irritation, and loss of appetite.
Otter Liver (Tagan Gan, 獭肝): One piece
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed
Bupleuri Radix (Chaihu, 北柴胡) (each one and a half liang)
Polygoni Cuspidati Rhizoma (Chuan Shengma, 川升麻)
Pruni Semen (Taoren, 桃仁), processed
Tianlinggai (Tianlinggai, 天灵盖), processed with butter
Rhinocerotis Cornu (Xijiao, 犀角屑)
Gardeniae Fructus (Zhizi, 栀子仁)
Cortex Lycii (Digupi, 地骨皮)
Anemarrhenae Rhizoma (Zhimu, 知母) (each one liang)
Astragali Membranacei Radix (Huangqi, 黄耆) (seven qian half)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (half liang)
Moschus (Shexiang, 麝香), separately ground (two qian half)
Cinnabaris (Zhusha, 朱砂), one liang, finely ground and floated in water
Pulverize the above ingredients into a fine powder, mix with refined honey, and form pills the size of Sophora seeds. Take thirty pills with warm water, at any time.
Sha Gui Fang (Ghost-Killing Formula) (from *Shenghui Fang*): Treats bone-steaming in women, transmitted corpse consumption and emaciation, and latent ghost qi.
Moschus (Shexiang, 麝香) (seven qian half)
Rhinocerotis Cornu (Xijiao, 犀角屑)
Costi Rhizoma (Muxiang, 木香)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Eucommiae Ulmoides Bark? No, *Gui Jian Yu* is Eucommiae? No, *Gui Jian Yu* is Icicis Ramulus (Guajianyu, 鬼箭羽) (each one liang)
Tiger Head Bone (Hutou Gu, 虎头骨), processed with butter until yellow
Tianlinggai (Tianlinggai, 天灵盖), vinegar-processed until yellow
Pruni Semen (Taoren, 桃仁), skin, tip, and non-double kernels removed, stir-fried with bran until yellow
Realgar (Xionghuang, 雄黄), separately ground
Cinnabaris (Zhusha, 朱砂), bright quality, separately ground (each one and a half liang)
Pulverize the above ingredients into a fine powder, mix with the ground medicines evenly, mix with refined honey, and form pills the size of Sophora seeds. Take twenty-nine pills with warm water. This formula wards off plagues and can be carried for protection.
[Stopping Cough]
Wenjin San (Warming Metal Powder) (from *Yonglei Fang*): Treats consumption cough.
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Scutellariae Radix (Huangqin, 黄芩)
Morus Alba Root Bark (Sangbaipi, 桑白皮)
Saposhnikoviae Radix (Fangfeng, 防风) (each one liang)
Pruni Semen (Xingren, 杏仁), twenty-seven pieces, processed
Ginseng Radix et Rhizoma (Renshen, 人参)
Poria Cum Ramo Ulnosus (Fushen, 茯神) (each half liang)
Ophiopogonis Radix (Maidong, 麦门冬): One fen
Soak the first five ingredients in rice washing water overnight, dry them, then add Ginseng, Fushen, and Maidong. Pulverize together into a fine powder. Take two qian each time. Decoct with one cup of water and a bean-sized piece of beeswax until eight-tenths remain. Take warm after meals.
Another Formula (from *Yonglei Fang*): Harmonizes Ying and Wei, resolves blood stasis, restores voice, and treats phlegm-cough.
Angelicae Sinensis Radix (Danggui, 当归)
Moutan Cortex (Mudanpi, 牡丹皮)
Paeoniae Radix Alba (Baishao, 白芍)
Scutellariae Radix (Ziqin, 子芩)
Akebiae Caulis (Mutong, 木通)
Ophiopogonis Radix (Maidong, 麦门冬)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Asari Radix et Rhizoma (Xixin, 细辛) (each half liang)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄) (each one liang)
Coarsely chop. Take three qian each time with three slices of Ginger. Decoct in water and take warm.
Another Formula (from *Yonglei Fang*): Treats emaciation, hemoptysis, and lung flaccidity.
Gecko (Gejie, 蛤蚧), a complete pair, soaked in wine overnight, processed with butter
Anemarrhenae Rhizoma (Zhimu, 知母)
Fritillariae Bulbus (Beimu, 贝母), dehearted
Ginseng Radix et Rhizoma (Renshen, 人参)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Pruni Semen (Xingren, 杏仁), processed and stir-fried
Loquat Leaf (Pipaye, 枇杷叶), hairs removed, stir-fried
Deer Antler Glue (Lu jiaojiao, 鹿角胶), stir-fried (each one liang)
Pulverize the above ingredients into a fine powder. Take three qian each time with one cup of water and Morus Alba Root Bark. Take warm.
Bufei Tang (Tonify Lung Decoction) (from *Yonglei Fang*): Treats consumption cough.
Morus Alba Root Bark (Sangbaipi, 桑白皮)
Prepared Rehmanniae Radix (Shudihuang, 熟地黄) (each two liang)
Ginseng Radix et Rhizoma (Renshen, 人参)
Astern Radix (Ziwan, 紫菀)
Astragali Membranacei Radix (Huangqi, 黄耆)
Schisandrae Fructus (Wuweizi, 五味子) (each one liang)
Pulverize the above ingredients into a fine powder. Take two qian each time with one cup of water and a little honey. Take warm after meals.
Sijunzi Tang (Four Gentlemen Decoction) added with Qinjiao and beeswax, decocted and taken, is especially effective.
[Treating Chest Bi]
Another Formula (from *Yonglei Fang*): Treats accumulated qi in the chest and heart causing chest bi, radiating pain to both hypochondria, dizziness and heaviness, unclear voice, upward congestion of deficient heat, and epistaxis.
Morus Alba Root Bark (Sangbaipi, 桑白皮): Three fen
Aurantii Fructus (Zhike, 枳壳)
Akebiae Caulis (Mutong, 木通)
Scutellariae Radix (Ziqin, 子芩)
Rehmanniae Radix Recens (Shengdihuang, 生干地黄)
Paeoniae Radix Alba (Baishao, 白芍药)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each half liang)
Process into coarse pieces. Take three qian each time. Decoct in water and take warm after meals.
Another Formula (from *Yonglei Fang*): Treats latent blood stasis in the heart and lungs, frequent epistaxis, and penetrating back pain from the chest and heart.
Paeoniae Radix Alba (Baishao, 白芍药)
Moutan Cortex (Mudanpi, 牡丹皮) (each one liang)
Raw Rhinocerotis Horn Powder (Shengxi, 生犀屑) (half liang)
Rehmanniae Radix Recens (Shengdihuang, 生地黄) (three liang, pounded separately)
Coarsely chop. Take half a liang each time. Decoct in water and take warm.
Gualou Tang (Trichosanthes Decoction) (from *Yonglei Fang*): Treats chest bi.
Trichosanthes Fruit (Gualou, 栝蒌): One piece
Aurantii Fructus (Zhike, 枳壳): Four pieces
Magnoliae Officinalis Cortex (N Hou, 浓朴)
Allii Macrostemonis Bulbus (Xiebai, 薤白) (each one liang)
Cinnamomi Ramulus (Guizhi, 桂枝) (one liang, remove if there is heat)
Coarsely chop. Decoct in water and take warm.
Another Formula (from *Yonglei Fang*): Treats hard accumulated qi causing qi blockage, with pain radiating from the chest and hypochondrium to the back.
Paeoniae Radix Alba (Baishao, 白芍药) (one and a half liang)
Testudinis Carapax et Plastrum (Biejia, 鳖甲), vinegar-processed
Aurantii Fructus (Zhike, 枳壳), processed
Bupleuri Radix (Chaihu, 北柴胡) (each one liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Red Poria (Chifuling, 赤茯苓) (each half liang)
Coarsely chop. Take three qian each time with three slices of Ginger and one Jujube. Decoct in water and take warm.
[Restoring Voice]
Another Formula (from *Yonglei Fang*): Treats loss of voice.
Pericarpium Arecae (Hezi Rou, 诃子肉)
Akebiae Caulis (Mutong, 木通) (each one liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (half liang)
Coarsely chop. Decoct with three sheng of water until one and a half sheng remain. Add one he of fresh Rehmannia Radix, boil a few more times, cool, and divide into six doses. Take after meals. Prepare half the dose daily.
[Treating Sore Throat]
Another Formula (from *Yonglei Fang*): Sore throat.
Myrobalan Pill (Baiyaojian, 百药煎), black skin removed
Borax (Pengsha, 硼砂)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Raw Alum (Sheng Baifan, 生白矾) (equal parts)
Pulverize the above ingredients into a fine powder. Take one qian each time after meals, mixed with rice drink, and swallow slowly.
The above formulas were passed down by Li from Chenyang and have repeatedly saved lives with great effect. During medication, only light, boiled pork trotters should be eaten, and the meat must be boiled thoroughly, discarded of the original broth, and re-boiled in clean water. Also avoid sexual activity, raw/cold foods, fishy smells, salty foods, and preserved foods. When preparing and decocting medicines, avoid being seen by any men or women who are not involved, as well as cats, dogs, chickens, and other livestock. Do not let the patient know the taste of the medicine for it to be effective.
[Blood-Wind Consumption]
[General Discussion] The syndrome of Blood-Wind Consumption in women arises from inherent deficiency of Qi and Blood, irregular menstruation, external wind pathogen invasion, and internal retention of cold pathogens. This causes disharmony of Yin and Yang and stagnation and obstruction of the meridians, leading to firm abdominal pain, soreness and pain in the four limbs, intermittent or irregular menstruation, and a sallow, emaciated complexion. Additionally, if proper care is not taken within one hundred days postpartum, visceral deficiency and exhaustion of the hundred vessels occur, resulting in consumption. If not cured for a long time, it transforms into alternating chills and fever with regular intervals, reduced appetite, and emaciated skin and muscles. When menstruation is due, dizziness and vertigo, stiffness and tension in the chest and back, limb pain, bodily heat and irritation, heavy legs, and facial edema may occur, or menstruation may stop. Hence it is called Blood-Wind Consumption Qi.
[Xue Ji's Commentary] Dongyuan said: Unregulated emotions, irregular daily routine, and any form of overexertion damage Qi. When Qi declines, Fire flares up. Flaring Fire attacks the Spleen Earth. Since the Spleen governs the four limbs, this leads to fatigue, heat, reluctance to speak, panting and fatigue upon movement, surface heat, spontaneous sweating, and mental restlessness. At the onset of illness, one should sit quietly, nurture Qi, use Sweet-Cold herbs to drain Heat, use Sour herbs to consolidate scattered Qi, and use Sweet-Warm herbs to tonify Middle Qi. The Classics state: For consumption...