治寒疝腹中痛,及胁痛里急者;并治产后腹中 痛,虚劳不足。
当归(三两) 生姜(五两) 羊肉(一斤) 以水八升,煮取三升,温服七合,日三
服。(若寒
五升,煮
(孙思邈《千金要方》一名归姜参 羊肉汤) 治产后发热,自汗身痛,名
黄 (一两) 人参 当归(各七钱) 生姜(五钱) 羊肉一斤煮汁去肉,入前药煎
服。(若恶
(孙思邈《千金要方》)
川芎 当归 白芍 熟地 羊肉 桂 姜 甘草
当归生姜羊肉汤,产后腹痛蓐劳匡,(蓐,草蓐也。产后发热自汗身痛,因坐蓐致病,
因名
(王晋三《古方选注》曰∶“寒疝为沉寒在下,由阴虚得之。阴虚则不得用辛热燥烈之药重
劫其阴,故仲景另立一法,以当归、羊肉,辛甘重浊,温暖下元,而不伤阴,佐以生姜五两,
加至一斤,随血肉有情之品,引入下焦,温散冱寒。若痛多而呕,加陈皮、白术,奠安中气
以御寒逆。本方三味非但治疝气逆冲,移治产后下焦虚寒,亦称良剂。”)亦有加入参 者
,(名当归羊肉汤)蓐劳身痛汗多良。(身痛汗多,表气虚矣,故加参、 兼补其气。)《千金
》羊肉汤四物(汤),桂姜甘草治证同。
(韩 和《伤寒微旨论》 治伤寒汗下太过,亡阳失血,恶人蜷卧,时战如疟,及产妇
血去过多而厥脱者。
当归 白芍 牡蛎( 各一两) 龙骨( 五钱) 附子(炮二个) 桂枝(二分)
每服二两,用羊肉四两,生姜二两,葱白五寸,同锉烂,煮服。
羊肉汤方出韩氏,采取仲景方法制。(此即仲景当归生姜羊肉汤合桂枝龙骨牡蛎救逆汤、
白
“
二焦
治疗寒疝引起的腹部疼痛,以及胁肋部疼痛且伴有拘急感的症状;同时也用于治疗产后腹部疼痛,以及虚劳导致的身体亏虚不足。
当归(三两) 生姜(五两) 羊肉(一斤) 用水八升,煮取三升药液,每次温服七合,每日服用三次。(如果寒气较重,可改为用水五升,煮……)
(孙思邈《千金要方》中此方又名归姜参羊肉汤) 治疗产后发热、自汗、身体疼痛。
黄芪(一两) 人参 当归(各七钱) 生姜(五钱) 羊肉一斤,先煮汁去肉,再加入上述药物煎煮服用。(如果有恶露不尽……)
(孙思邈《千金要方》)
川芎 当归 白芍 熟地黄 羊肉 桂枝 生姜 甘草
当归生姜羊肉汤,是治疗产后腹痛和蓐劳的良方。(“蓐”指产褥期的草垫。产后出现发热、自汗、身体疼痛,因坐月期间致病,因此得名。)
(王晋三在《古方选注》中说:“寒疝是由于下焦沉寒所致,由阴虚引起。阴虚则不能使用辛热燥烈的药物来严重劫伤阴液,所以张仲景另立一法,用当归、羊肉,因其味辛甘且质地重浊,能温暖下元而不损伤阴液,佐以五两生姜,配合一斤羊肉这类血肉有情之品,引导药力进入下焦,温散冰冻般的寒邪。如果疼痛剧烈且伴有呕吐,加入陈皮、白术,以稳固中气抵御寒逆。本方仅三味药,不仅能治疗疝气上逆冲痛,移治产后下焦虚寒,也称为良剂。”)也有加入人参的版本,(名为当归羊肉汤),对于蓐劳引起的身体疼痛、出汗多疗效良好。(身体疼痛、出汗多,说明表气虚弱,所以加入人参兼补其气。)《千金方》中的羊肉汤合四物汤,加上桂枝、生姜、甘草,治疗的证候相同。
(韩祗和《伤寒微旨论》) 治疗伤寒发汗或攻下太过,导致亡阳失血,怕人、蜷缩而卧,时时颤抖如疟疾状,以及产妇失血过多导致厥脱的症状。
当归 白芍 牡蛎(各一两) 龙骨(五钱) 附子(炮制两个) 桂枝(二分)
每次服用二两药量,用羊肉四两,生姜二两,葱白五寸,一同切碎捣烂,煮后服用。
羊肉汤方出自韩氏,采用了张仲景的方法进行配制。(这即是张仲景的当归生姜羊肉汤合桂枝龙骨牡蛎救逆汤、四物汤……)
二焦……
Treats abdominal pain caused by cold hernia (Han Shan), as well as hypochondriac pain accompanied by a sensation of tension and urgency; also treats postpartum abdominal pain and deficiency with insufficient vitality due to chronic consumption (Xu Lao).
Danggui Radix Angelicae Sinensis (3 liang) Shengjiang Rhizoma Zingiberis Recens (5 liang) Yangrou Os Ovis/Aries Carcass (1 jin) Boil in 8 sheng of water, reduce to 3 sheng, take 7 he warm, three times daily. (If cold is severe, use 5 sheng of water, boil...)
(Sun Simiao's *Qianjin Yaofang* names this formula Guijiang Shen Yangrou Tang (Ginseng, Ginger, and Mutton Decoction)). Treats postpartum fever, spontaneous sweating, and body pain.
Huangqi Radix Astragali Membranacei (1 liang) Renshen Radix Ginseng Danggui Radix Angelicae Sinensis (each 7 qian) Shengjiang Rhizoma Zingiberis Recens (5 qian) Yangrou Os Ovis/Aries Carcass (1 jin) Boil the mutton to extract juice, remove the meat, then decoct the aforementioned herbs in the juice and take. (If there is lochia retention...)
(Sun Simiao's *Qianjin Yaofang*)
Chuanxiong Rhizoma Chuanxiong Danggui Radix Angelicae Sinensis Baishao Radix Paeoniae Alba Shudi Radix Rehmanniae Preparata Yangrou Os Ovis/Aries Carcass Guizhi Ramulus Cinnamomi Shengjiang Rhizoma Zingiberis Recens Gancao Radix Glycyrrhizae
Danggui Shengyang Rou Tang (Angelica, Ginger, and Mutton Decoction) is a remedy for postpartum abdominal pain and Ru Lao (postpartum consumptive disease). ("Ru" refers to the straw mat used during childbirth. Postpartum fever, spontaneous sweating, and body pain occurring due to illness contracted during confinement are named thus.)
(Wang Jinsan in *Gu Fang Xuan Zhu* states: "Cold hernia is caused by deep cold in the lower jiao, resulting from yin deficiency. Yin deficiency means one cannot use acrid-hot and drying drugs that severely deplete yin. Therefore, Zhang Zhongjing established a new method using Danggui and Yangrou. Their acrid-sweet nature and heavy/turbid quality warm the lower yuan without injuring yin. Assisted by five liang of Shengjiang and one jin of Yangrou—substances with blood and flesh affinity—they guide the medicine into the lower jiao to warm and disperse frozen cold. If pain is severe with vomiting, add Chenpi Pericarpium Citri Reticulatae and Baizhu Rhizoma Atractylodis Macrocephalae to stabilize middle qi and resist cold rebellion. This three-ingredient formula not only treats hernia qi rebelling upward but is also an excellent agent for postpartum lower jiao deficiency-cold.") There is also a version with added Renshen, (named Danggui Yangrou Tang), which is effective for Ru Lao accompanied by body pain and excessive sweating. (Body pain and excessive sweating indicate exterior qi deficiency, so Renshen is added to tonify qi simultaneously.) The Yangrou Tang in *Qianjin Fang* combined with Siwu Tang (Four Substances Decoction), plus Guizhi, Shengjiang, and Gancao, treats the same syndrome.
(Han Zhihe's *Shanghan Weizhi Lun*) Treats complications from excessive sweating or purgation in Shanghan (Cold Damage), leading to loss of yang and bleeding, aversion to people, curling up while lying, tremors resembling malaria, and collapse due to excessive blood loss in postpartum women.
Danggui Radix Angelicae Sinensis Baishao Radix Paeoniae Alba Muli Concha Ostreae (each 1 liang) Longgu Os Mastodi et Scapulae Mammutis (5 qian) Fuzii Radix Aconiti Lateralis Preparata (2 processed tubers) Guizhi Ramulus Cinnamomi (2 fen)
Take 2 liang per dose, with 4 liang Yangrou, 2 liang Shengjiang, and 5 cun Congbai Bulbus Allii Fistulosi, chop and mash together, decoct and take.
The Yangrou Tang formula originates from Han Shi, adopting Zhang Zhongjing's methods for preparation. (This is essentially Zhang Zhongjing's Danggui Shengjiang Yangrou Tang combined with Guizhi Longgu Muli Jiuni Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Rescue Deviation Decoction) and Siwu Tang...)
Lower and Upper Jiao...