Pulse and Syndrome Diagnosis of Miscellaneous Female Diseases, Chapter Twenty-Two
Pulse and Syndrome Diagnosis of Miscellaneous Female Diseases, Chapter Twenty-Two
A woman suffering from wind invasion develops chills and fever lasting seven or eight days, recurring periodically, with menstruation just stopped. This indicates heat entering the blood chamber, causing blood stasis, thus presenting symptoms similar to malaria, recurring at regular intervals. Treat with Xiao Chai Hu Tang. Formula found in the section on vomiting. A woman with influenza and fever, with menstruation occurring, is alert during the day but delirious at night, appearing as if seeing ghosts. This is heat entering the blood chamber. Avoid harming the stomach qi and upper and middle energizers; recovery will occur naturally. A woman with wind invasion, fever and aversion to cold, with menstruation occurring, experiences this condition after seven or eight days. Fever subsides, pulse slows, body cools, chest and hypochondrium feel full, resembling true chest binding, with delirium. This is heat entering the blood chamber. Acupuncture should be applied at Qimen point, based on actual excess conditions.
For Yangming disease with bleeding and delirium, this is heat entering the blood chamber. Only head sweating occurs. Acupuncture at Qimen point should be performed, draining excess heat. Perspiration will follow and the condition will resolve.
A woman feels a sensation in her throat as if a roasted lump is stuck there. Treat with Ban Xia Hou Po Tang.
Ban Xia Hou Po Tang Formula: 1 sheng of pinellia, 3 taels of magnolia bark, 4 taels of poria, 5 taels of ginger, 2 taels of dried perilla leaf. Mix the five ingredients with 7 sheng of water, decoct to 4 sheng, divide into four portions, warm and take three times daily, once at night.
A woman suffers from emotional distress, frequently feeling sad, wanting to cry, as if possessed by spirits, often yawning and stretching. Treat with Gan Mai Da Zao Tang.
Gan Mai Da Zao Tang Formula: 3 taels of licorice, 1 sheng of wheat, 10 jujubes. Mix the three ingredients with 6 sheng of water, decoct to 3 sheng, warm and divide into three portions. Also nourishes spleen qi.
A woman spits saliva, yet the physician mistakenly administers purgatives, resulting in epigastric痞 (fullness). First treat the salivation. Use Xiao Qing Long Tang. Once salivation stops, treat the fullness with Xie Xin Tang. Female diseases arise from deficiency, accumulated cold, and stagnant qi, leading to blockage of menstrual flow for years. Cold accumulates and binds in the uterine gate, injuring meridians, forming solid masses above, causing vomiting of phlegm and saliva, eventually developing into lung abscess, wasting away the body. In the middle, it forms cold hernia around the navel. Or causes pain in both flanks connected to internal organs. Or forms heat accumulation internally, pain centered at Guanyuan, with rapid pulse but no sores, skin resembling fish scales, sometimes affecting men, not limited to women. Below, it is not severe, menstruation irregular. Causes pulling pain in the lower abdomen, cold sensation in the lower back; may radiate to waist and spine, down to the inguinal region, sudden sharp pain in the groin, knee and calf pain and restlessness, sudden dizziness and fainting, resembling syncope or epilepsy. Or feelings of sorrow, sadness, frequent anger—these are all types of leukorrhea, not due to spirits or gods. If prolonged, leads to emaciation, weak pulse, and cold constitution.
Thirty-six diseases, countless variations. Carefully examine the pulse—whether yin or yang, whether deficient or full, tight or string-like. Apply acupuncture and herbal medicine accordingly to turn critical situations into safety. Although diseases may appear similar, their underlying causes differ. You must distinguish and remember this; do not dismiss it as untrue.
Question: A woman aged fifty has had diarrhea for dozens of days without stopping, with fever in the evening, urgency in the lower abdomen, abdominal distension, hand palms hot, lips and mouth dry. Why?
Teacher says: This condition belongs to leukorrhea. Why? Because she previously experienced abortion, leaving residual blood stagnating in the lower abdomen. How do we know? Her symptoms include dry lips and mouth, indicating this diagnosis. Treat with Wen Jing Tang.
Wen Jing Tang Formula: 3 taels of dried ginger, 2 taels each of angelica, ligusticum, peony root, ginseng, cinnamon twig, donkey-hide gelatin, peony bark (without heart), ginger, licorice, ½ sheng of pinellia, 1 sheng of ophiopogon (without heart). Mix twelve ingredients with 1 dou of water, decoct to 3 sheng, divide into three warm doses. Also treats cold in the lower abdomen, infertility, and bleeding disorders such as excessive menstrual flow or amenorrhea.
Leukorrhea with irregular menstruation, lower abdominal fullness and pain, menstruation reappearing monthly—treat with Tu Gua Gen San.
Tu Gua Gen San Formula: 3 taels each of tuberous root of *Cynanchum wilfordii*, peony root, cinnamon twig, and *Pheretima* (Bajiao). Grind into powder, take 1 square inch with wine, three times daily. Also treats vaginal swelling.
If the cun-kou pulse is string-like and large, string implies deficiency, large implies collapse, deficiency indicates cold, collapse indicates deficiency. Combined deficiency and cold is called "ge." In women, this leads to miscarriage or continuous bleeding. Treat with Xuan Fu Hua Tang.
Xuan Fu Hua Tang Formula: 3 taels of *Inula britannica*, 14 stems of green onion, a little new silk. Mix three ingredients with 3 sheng of water, decoct to 1 sheng, take all at once.
A woman suffers from retrograde menstruation and continuous bleeding, black in color, not resolving. Treat with Jiao Jiang Tang.
A woman has a swollen lower abdomen like a drum, slightly difficult urination but no thirst. She has given birth recently. This indicates water and blood stagnating in the blood chamber. Treat with Da Huang Gan Sui Tang.
Da Huang Gan Sui Tang Formula: 4 taels of rhubarb, 2 taels of *Gan Sui*, 2 taels of donkey-hide gelatin. Mix with 3 sheng of water, decoct to 1 sheng, take all at once. Blood will descend.
A woman with obstructed menstruation should be treated with Di Dang Tang. Also applicable for men with bladder fullness and acute pain due to blood stasis.
Di Dang Tang Formula: 30 earthworms (roasted), 30 horseflies (roasted, wings and legs removed), 20 apricot kernels (without skin and tip), 3 taels of rhubarb (soaked in wine). Grind into powder, mix with 5 sheng of water, decoct to 3 sheng, filter, warm and take 1 sheng.
A woman with closed menstruation, hard mass in the interior, persistent dry blood, white discharge—treat with Fan Shi Wan.
Fan Shi Wan Formula: 3 parts alum (calcined), 1 part apricot kernel. Grind into powder, mix with honey to form pills the size of a date pit, insert into the vagina. Repeat if severe.
A woman suffering from sixty-two kinds of wind diseases, along with abdominal pain due to blood and qi stagnation—treat with Hong Lan Hua Wine.
Hong Lan Hua Wine Formula: Likely not a formula by Zhang Zhongjing. 1 liang of *Flos Carthami*. One ingredient, decoct with 1 sheng of wine until reduced by half, take half at once. If symptoms persist, take another dose.
A woman with abdominal pain—treat with Dang Gui Shao Yao San. Dang Gui Shao Yao San Formula: See earlier section on pregnancy.
A woman with abdominal pain—treat with Xiao Jian Zhong Tang. Xiao Jian Zhong Tang Formula: See earlier section on deficiency labor.
Question: A woman has normal appetite, but feels restless and feverish, unable to lie down, instead leaning forward. What is the cause?
Teacher says: This is called "retroverted bladder," due to twisted uterine ligaments causing this condition. Simply promote urination to cure it. Recommended treatment: Shen Qi Wan.
Shen Qi Wan Formula: 8 taels of raw rehmannia, 4 taels of Chinese yam, 4 taels of cornus, 3 taels of alisma, 3 taels of poria, 3 taels of peony bark, 1 tael each of cinnamon twig and prepared aconite root. Grind into powder. Mix with honey to form pills the size of a millet seed. Take 15 pills with wine, increase to 25 pills, twice daily.
A woman with cold in the vagina—treat with local application. Use She Chuang Zi San.
She Chuang Zi San Formula: 1 ingredient—shechuangzi seeds. Grind into powder, mix with a little white powder until blended, shape into a ball the size of a jujube, wrap in cotton, insert into the vagina. It becomes naturally warm.
If the yin-yang pulse is slippery and rapid, ulcers develop inside the vagina. For severe vaginal erosion and ulceration, wash with Lang Ya Tang.
Lang Ya Tang Formula: 3 taels of *Lonicera japonica*. One ingredient, decoct with 4 sheng of water to ½ sheng. Soak a cotton thread like a cocoon in the liquid, drip into the vagina, apply four times daily.
When stomach qi descends abnormally, flatulence occurs with loud noise—this is due to food stagnation. Treat with Gao Fa Jian.
Childhood malnutrition worm tooth decay formula: 1 part realgar, 1 part *Datura stramonium*. Grind into powder. Melt lard from the twelfth lunar month, wrap the mixture with 4–5 pieces of willow twig, and apply directly to the affected teeth.
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