〔大〕妇人血风烦闷者,由腑脏劳伤,血气虚而风邪入之,搏于血脉,使气不通而
痞涩,则生于热,或肢节烦疼,口干少卧,皆因虚弱而气血壅滞,故烦闷也。
〔薛〕前证多属肝脾血虚发热,宜参照前寒热方论主治。
酸枣仁散 治妇人血风烦闷,四肢疼痛,心神多躁,饮食减少,并皆治之。
酸枣仁 赤芍药 赤茯苓(去皮) 当归(去芦) 红花子 生干地黄 羚羊角(屑,各七钱半)
防风(去叉) 羌活(去芦) 牛膝(酒浸) 芎 桂心 地骨皮 麦门冬(去心)
甘草(各半两,炙)
上为 咀,每服八钱,水一中盏半,生姜七片,薄荷七叶,煎至一大盏,去滓温服,
不拘时。
紫石英散 治妇人血风烦闷,心神恍惚,睡卧不安。
紫石英(一两) 茯神(去木) 麦门冬(去心) 人参(去芦) 远志(去心) 酸枣仁
当归(去芦) 黄芩(各七钱半) 羚羊角(屑) 防风(去芦) 黄 (各半两) 甘草(炙,二钱半)
上为 咀,每服五钱,水一中盏半,生姜五片,枣二枚,煎至一大盏,去滓温服,不拘时。
当归散 治妇人血风潮热。
当归(去芦,二两) 芍药 玄胡索 熟地黄(各一两) 大黄(蒸,七钱半) 桂心(半两)
甘草(炙,二钱半)
上为细末,每服一钱,水一盏,入干胭脂一钱,同煎至六分,去滓,食后温服。
赤芍药散 治妇人气血不和,心胸烦闷,不思饮食,四肢少力,头目昏眩,身体疼痛。
牡丹皮 白茯苓 赤芍药 白芷 甘草(各二两) 柴胡(一两半)
上为细末,每服二钱,水一盏,生姜一片,枣一枚,同煎至七分,温服,食后、临卧。
【大】妇女患血风烦闷证,是由于脏腑劳损受伤,气血虚弱导致风邪侵入,风邪与血脉相搏结,致使气机运行不畅而出现痞塞涩滞,进而产生内热;或者出现四肢关节烦痛、口干、睡眠减少等症状。这些都是因为身体虚弱,导致气血壅滞不通,从而引起烦闷。
【薛】上述症状多属于肝脾血虚引起的发热,应当参照前文关于寒热证的方论进行主治。
酸枣仁散:治疗妇女血风烦闷,四肢疼痛,心神烦躁不安,饮食减少,以上症状均可治疗。
药材组成:酸枣仁、赤芍药、赤茯苓(去皮)、当归(去芦头)、红花子、生干地黄、羚羊角(锉成屑,各七钱半)、防风(去叉口)、羌活(去芦头)、牛膝(酒浸)、川芎、桂心、地骨皮、麦门冬(去心)、甘草(各半两,炙烤)。
煎服法:将上述药物捣碎成粗末,每次服用八钱,加水一盏半,生姜七片,薄荷七叶,煎煮至一大盏,滤去药渣,温服,不限定具体时间。
紫石英散:治疗妇女血风烦闷,心神恍惚不定,睡眠卧息不安稳。
药材组成:紫石英(一两)、茯神(去木心)、麦门冬(去心)、人参(去芦头)、远志(去心)、酸枣仁、当归(去芦头)、黄芩(各七钱半)、羚羊角(锉成屑)、防风(去芦头)、黄芪(各半两)、甘草(炙烤,二钱半)。
煎服法:将上述药物捣碎成粗末,每次服用五钱,加水一盏半,生姜五片,大枣二枚,煎煮至一大盏,滤去药渣,温服,不限定具体时间。
当归散:治疗妇女血风潮热。
药材组成:当归(去芦头,二两)、芍药、玄胡索、熟地黄(各一两)、大黄(蒸制,七钱半)、桂心(半两)、甘草(炙烤,二钱半)。
煎服法:将上述药物研成细末,每次服用一钱,加水一盏,加入干胭脂一钱,一同煎煮至六分,滤去药渣,饭后温服。
赤芍药散:治疗妇女气血不和,心胸烦闷,不想进食,四肢乏力,头目昏眩,身体疼痛。
药材组成:牡丹皮、白茯苓、赤芍药、白芷、甘草(各二两)、柴胡(一两半)。
煎服法:将上述药物研成细末,每次服用二钱,加水一盏,生姜一片,大枣一枚,一同煎煮至七分,温服,于饭后及临睡前服用。
[Da] In women, the syndrome of blood wind and vexation/stuffiness arises from laborious injury to the fu and zang organs. Deficiency of qi and blood allows wind pathogen to invade; it contends with the blood vessels, causing qi mechanism to be obstructed and stagnant, thereby generating internal heat. Symptoms may include vexing pain in the limbs and joints, dry mouth, and reduced sleep. All these are due to physical weakness leading to stagnation and obstruction of qi and blood, resulting in vexation and stuffiness.
[Xue] The aforementioned symptoms mostly belong to fever caused by blood deficiency of the Liver and Spleen. Treatment should refer to the formulas and discussions regarding chills and fever presented previously.
Suanzaoren San (Sour Jujube Seed Powder): Treats blood wind and vexation/stuffiness in women, pain in the four limbs, restless mind, decreased appetite, and all the above symptoms.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen), Chishao Yao (Paeoniae Radix Rubra), Chifuling (Poria with Hostwood Removed), Danggui (Angelicae Sinensis Radix, radix removed), Honghuazi (Carthami Flos), Sheng Gan Dihuang (Rehmanniae Radix Recens), Lingyangjiao (Saigae Tataricae Cornu, powdered), Fangfeng (Saposhnikoviae Radix, forked parts removed), Qianghuo (Notopterygii Rhizoma et Radix, radix removed), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Xiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Cortex), Digupi (Bark of Ground Cherry Root Bark), Maimendong (Ophiopogonis Radix, heart removed), Gancao (Licorice Root, each half tael, roasted).
Preparation and Administration: Crush the ingredients into coarse powder. Take 8 qian per dose, add 1.5 zhans of water, 7 slices of fresh ginger, and 7 leaves of mint. Decoct until one zhan remains, strain, and take warm at any time.
Zhi Shiyin San (Purple Quartz Powder): Treats blood wind and vexation/stuffiness in women, mental confusion, and restless sleep.
Ingredients: Zhi Shiyin (Fluoritum, 1 liang), Fushen (Poria with Pinus Root Removed), Maimendong (Ophiopogonis Radix, heart removed), Renshen (Ginseng Radix et Rhizoma, radix removed), Yuanzhi (Polygalae Radix, heart removed), Suanzaoren (Ziziphi Spinosae Semen), Danggui (Angelicae Sinensis Radix, radix removed), Huangqin (Scutellariae Radix, each 7.5 qian), Lingyangjiao (Saigae Tataricae Cornu, powdered), Fangfeng (Saposhnikoviae Radix, radix removed), Huangqi (Astragali Radix, each half tael), Gancao (Licorice Root, roasted, 2.5 qian).
Preparation and Administration: Crush the ingredients into coarse powder. Take 5 qian per dose, add 1.5 zhans of water, 5 slices of fresh ginger, and 2 dates. Decoct until one zhan remains, strain, and take warm at any time.
Danggui San (Angelica Powder): Treats tidal fever due to blood wind in women.
Ingredients: Danggui (Angelicae Sinensis Radix, radix removed, 2 liang), Shaoyao (Paeoniae Radix), Yanshusuo (Corydalis Rhizoma), Shudihuang (Rehmanniae Radix Preparata, each 1 liang), Dahuang (Rhei Radix et Rhizoma, steamed, 7.5 qian), Guixin (Cinnamomi Cortex, half tael), Gancao (Licorice Root, roasted, 2.5 qian).
Preparation and Administration: Grind into fine powder. Take 1 qian per dose, add 1 zhan of water and 1 qian of dried Carthamus tinctorius (dry rouge colorant). Decoct together until 0.6 zhan remains, strain, and take warm after meals.
Chishao Yao San (Red Peony Root Powder): Treats disharmony of qi and blood in women, chest and epigastric vexation/stuffiness, anorexia, weakness in the four limbs, dizziness of head and eyes, and body pain.
Ingredients: Mudanpi (Moutan Cortex), Bai Fuling (Poria with Hostwood Removed), Chishao Yao (Paeoniae Radix Rubra), Baizhi (Angelicae Dahuricae Radix), Gancao (Licorice Root, each 2 liang), Chaihu (Bupleuri Radix, 1.5 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, add 1 zhan of water, 1 slice of fresh ginger, and 1 date. Decoct together until 0.7 zhan remains, take warm after meals and before bedtime.