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加味八珍丸

中醫世(shi)家(jia) 2023-05-17 04:49:57

加味八珍丸

處方 : 當歸(gui)(酒(jiu)洗)2兩(liang)(liang),南芎(xiong)1兩(liang)(liang)2錢(qian),白芍(酒(jiu)炒)1兩(liang)(liang)半(ban),熟地黃(酒(jiu)蒸,曬干(gan))2兩(liang)(liang),人參(去(qu)蘆)2兩(liang)(liang),白術(去(qu)蘆,炒)2兩(liang)(liang),白茯苓(去(qu)皮)2兩(liang)(liang),粉草(蜜炙)7錢(qian),陳皮2兩(liang)(liang)。

制法 : 上為(wei)細末(mo),用首男胎衣1具,長流水洗凈,次入麝香2-3分,再揉洗,用布絞干,以(yi)好酒(jiu)2升,煮極爛(lan)如(ru)泥,和(he)前藥,如(ru)干,再入酒(jiu),糊為(wei)丸,如(ru)梧桐(tong)子大。

功能主治 : 大補血(xue)氣,壯脾胃,益虛損。主

用法用量 : 每服100丸,空(kong)心鹽(yan)湯送(song)下(xia)(xia);或(huo)酒亦可,晚(wan)上米湯下(xia)(xia)。驚悸(ji)怔忡(chong),加遠志(zhi)(甘(gan)草水(shui)泡去(qu)骨(gu))2兩(liang),酸棗仁(炒)1兩(liang);陰虛火(huo)動屬(shu)虛勞者,去(qu)人參(can)1兩(liang),加黃柏、知母(mu)(俱(ju)酒炒)各1兩(liang)。

摘錄 : 《回春》卷四

治療(liao)月經不調又(you)閉經中(zhong)藥處(chu)方?

治月經不調妙方
1毓麟珠
【來源】明·張介賓《景岳全書》
【歌訣】毓麟珠中參術苓,川芎芍甘熟地黃,
當歸杜仲菟絲子,川椒再配鹿角霜。
【組成】人參60克,白術(土炒)60克,茯苓60克,芍藥(酒炒)60克,川芎30克,炙甘草30克,當歸120克,熟地(蒸搗)120克,菟絲子(制)120克,杜仲(酒炒)60克,鹿角霜60克,川椒60克。
【用法】上藥共研細末,煉蜜為丸。每服6~9克,日服2~3次,溫開水送服。
【功效】益氣補血,溫腎養肝,調補沖任。
【方解】方用八珍丸補益氣血,配以菟絲子、杜仲、鹿角霜、川椒溫養肝腎。綜觀全方,既補先天以益腎精,又補后天以生氣血,使精充血足,沖任調攝。
【主治】氣血俱虛、肝腎不足,癥見月經不調(后期)、量少色淡、腰腿酸軟、少腹冷感、性欲減退、食少體瘦、小便清長、舌淡苔白、脈沉細。可用于月經不調、不孕等病癥。
【加減】原書【加減】法:“如男子服用,宜加枸杞、胡桃肉、鹿角膠、山藥、山茱萸、巴戟肉各60克;如女人經遲腹痛,宜加酒炒破故紙、肉桂各30克,甚者,再加吳茱萸15克(湯泡一宿,炒用);如帶多腹痛,加破故紙30克,北五味15克,或加龍骨30克(醋煅用);如子宮寒甚,或泄或痛,加制附子、炮干姜隨宜;如多郁怒、氣有不順而為脹為滯者,宜加酒炒香附60克,或甚者再加沉香15克;如血熱多火、經早內熱者,加川續斷、地骨皮各60克,或另以湯劑暫清其火,而后服此,或以湯引酌量送下亦可”。
2益母丸
【來源】清·程國彭《集驗良方》
【歌訣】益母丸中益母草,當歸芍藥與木香,
活血調經兼止痛,月經病時用時多。
【組成】益母草40克,當歸5克,赤芍藥10克,木香10克。
【用法】上藥共研細末,制成丸劑,每粒45克,每服1丸,日服2次,溫開水送服。
【功效】活血調經,祛瘀止痛。
【方解】方用益母草活血散瘀,配以當歸、赤芍活血調經;木香理氣止痛,助歸芍以調經。合而用之,共奏活血調經,祛瘀止痛之功。
【主治】月經不調、經行腹痛或產后瘀滯腹痛、經色黯紅夾有血塊、舌暗紅有瘀點,脈細。可用于月經不調、痛經、功能性子宮出現、不孕癥、子宮肌瘤、產后腹痛等病癥。
3四物益母丸
【來源】現代·《全國中藥成藥處方集》
【歌訣】四物益母熟地黃,白芍川芎益母膏,
補血調經祛瘀血,藥少力專效稱佳。
【組成】熟地20克,白芍藥5克,川芎5克,益母草膏40克。
【用法】上藥制成丸劑。每服6克,日服2次。膏劑,每服15克,日服2次。
【功效】補血調經,祛瘀生新。
【方解】方用熟地、白芍、川芎滋陰活血,補血調經;配以益母草活血調經。合而用之,共奏補血調經,祛瘀生新之功。藥僅4味,其效不凡。
【主治】月經不調或經閉不行、或經行腹痛、經量少而色淡、產后惡露淋漓、小腹疼痛、舌淡苔溥、脈細。可用于月經不調、閉經、痛經、產后惡露淋漓、腹痛等病癥。
【加減】改作湯劑,臨床如見心悸、頭暈、眠差等血虛明顯者,加雞血藤、大棗、酸棗仁;腎虛腰腿酸軟,加菟絲子、川續斷、桑寄生;經行脅痛乳脹、小腹脹痛者,加川楝子、柴胡、小茴香、烏藥。
4益母勝金丹
【來源】清·吳謙《醫學心悟》
【歌訣】益母勝金用當歸,熟地川芎與白芍,
丹參術附茺蔚子,活血調經用時多。
【組成】益母草12克,茺蔚子9克,當歸9克,熟地12克,白芍9克,川芎6克,丹參9克,白術9克,香附9克。
【用法】水煎服。每日1劑,日服2次。
【功效】活血調經。
【方解】方用四物湯(當歸、熟地、白芍、川芎)養血活血;益母草、茺蔚子、丹參活血調經;配以香附疏肝理氣,調經止痛;白術健脾益氣。諸藥合用,共奏活血調經之功。
【主治】月經不調或前或后、經行不暢、閉經、小腹隱痛、胸脅脹痛。可用于月經不調、閉經等病癥。
【加減】若見血熱者,加丹皮、生地;血寒者,加厚樸、肉桂;潮熱盜汗心煩者,加女貞子、旱蓮草、何首烏、地骨皮;脾運不健、食少便溏者,加白術、扁豆、砂仁;心悸不寐者,加遠志、五味子等。
5荊芩四物湯
【來源】清·《醫宗金鑒》
【歌訣】荊芩四物用生地,當歸川芎白芍隨,
再加荊芥與黃芩,養血清熱止血良。
【組成】生地15克,當歸9克,川芎6克,白芍9克,荊芥9克,黃芩9克。
【用法】水煎服。每日1劑,日服2次。
【功效】清熱止血,養血調經。
【方解】方用四物湯養血調經,配以荊芥祛風,黃芩清熱,合生地清熱涼血止血。合而用之,共奏清熱止血,養血調經之功。
【主治】月經先期、色鮮紅、量多、舌紅苔黃、脈滑數。可用于月經不調、月經過多、功能性子宮出血、子宮肌瘤、子宮肌炎以及痤瘡、蕁麻疹、皮膚瘙癢癥等病癥。
【加減】若見血熱,加黃連、犀角、紫草、丹皮;風熱,加桑葉、鉤藤、白蒺藜;虛熱,加麥冬、玄參、阿膠;出血量多,加旱蓮草、地榆、茜草、三七、血余炭;血瘀,加大黃、蒲黃、赤芍、桃仁、紅花。
【附記】凡虛寒證者慎用本方。
6清經散
【來源】清·傅山《傅青主女科》
【歌訣】清經散中牡丹皮,青蒿白芍與地骨,
茯苓黃柏熟地黃,清熱涼血療效殊。
【組成】牡丹皮9克,地骨皮15克,白芍藥9克,熟地黃6克,青蒿6克,茯苓3克,黃柏(鹽水炒)15克。
【用法】水煎服。每日1劑,日服2次。
【功效】清熱涼血。
【方解】熱伏沖任,月經先期。故方用丹皮清經涼血;配以地骨皮、青蒿、黃柏瀉虛火;白芍、熟地養血斂營;茯苓淡滲寧心。綜觀全方,使火平則血靜,不致妄行,共奏清熱涼血之功。
【主治】月經先期、月經過多、色紅或有塊、舌質紅、脈細數。可用于月經先期、倒經、月經過多、行經期浮腫、下利等病癥。
【加減】若經末腹痛,加制香附、合烏藥;經來量多,加生熟蒲黃、茜草根;熱甚,加知母。
【附記】若屬氣血虛弱不能攝血所致的月經先期等,不宜應用。
7先期湯
【來源】明·王肯堂《證治準繩》
【歌訣】先期湯中生地歸,白芍黃柏知母隨,
黃芩黃連川芎配,艾葉甘附阿膠烊。
【組成】生地黃、當歸、白芍藥各6克,黃柏、知母、黃芩、黃連、川芎、阿膠(烊沖)各3克,艾葉、香附、炙甘草各2克。
【用法】水煎服。每日1劑,日服2次。
【功效】涼血固經。
【方解】陰虛血熱,月經先期。方用膠艾四物湯養血止血;配以知母、黃柏、黃芩、黃連清熱瀉火;香附理氣解郁;炙甘草益氣和中,既可防苦寒傷陰之弊,又可調和諸藥。諸藥合用,共奏涼血固經之功。
【主治】月經先期、色鮮量多、或經行血多如崩、經水色紫而稠。可用于月經先期、月經過多、痛經等病癥。
【加減】若見經量多,加仙鶴草、生側柏、生地榆;陰血不足,加女貞子、旱蓮草。
【附記】凡陽虛寒盛、舌淡、苔白者,忌用。
8正氣天香散
【來源】《紺珠經》
【歌訣】紺珠正氣天香散,香附干姜蘇葉陳,
烏藥舒郁兼除痛,氣行血活自經勻。
【組成】香附240克,烏藥60克,陳皮、紫蘇葉各30克,干姜15克。
【用法】上藥共研細末。每次15~18克,水煎服,日服2次。也可改用飲片作湯劑水煎服,各藥用量按常規劑量酌定。
【功效】順氣調經。
【方解】婦女多憂郁,憂郁則氣滯,氣滯則血澀不行,故胸脅脹痛、或脅肋刺痛、月經不調。方中烏藥、陳皮專入氣分以行氣舒郁;香附、紫蘇兼能入血而行氣和血;干姜溫中散寒,以增通經活血之力。五藥相合,使氣暢血和,月經自調,余癥亦除。
【主治】女子氣郁不舒、胸脅脹痛、或脅肋刺痛、月經不調。
9坤順丹
【來源】清·《集驗良方》
【歌訣】坤順丹益木紫阿,琥砂甘附術苓烏,
歸芎二地川牛膝,芩橘人參與沉香。
【組成】益母草(帶子)90克,木香75克,紫蘇(莖、子)75克,阿膠珠75克,琥珀75克,砂仁45克,甘草45克,香附15克,茯苓15克,烏藥15克,炒白術15克,白芍藥15克,當歸15克,川芎15克,生地黃15克,熟地黃15克,黃芩15克,橘紅15克,人參6克,川牛膝6克,沉香
15克。
【用法】上藥共研細末,煉蜜為丸。每服75克,日服2次。
【功效】補氣養血,活血行氣。
【方解】方用人參、白術、白芍、生熟地、阿膠益氣補血;配以益母草、當歸、川芎、琥珀活血調經;紫蘇、砂仁、橘紅、木香、香附、烏藥、沉香調理氣機;黃芩清熱;甘草、茯苓滲濕健脾。諸藥合用,共奏補氣養血,活血行氣之功。
【主治】婦女胎前產后諸疾,兼見疲乏無力、頭目眩暈、面色萎黃、脈細弱。可用于月經不調、痛經、閉經、白帶、先兆流產、產后腹痛等病癥。
【加減】原書注稱:“喘(chuan)嗽(sou)(sou),杏仁、桑白皮煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);嘔吐,淡姜湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);氣喘(chuan),蘇(su)子煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);咳(ke)嗽(sou)(sou),款(kuan)冬(dong)花、貝(bei)母煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);泄瀉(xie),米(mi)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);不(bu)(bu)思飲(yin)食、身(shen)體羸(lei)瘦(shou)、手足厥冷、骨節(jie)酸軟,開水送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);遍身(shen)虛腫、赤小豆煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);氣血(xue)(xue)(xue)虛衰、月經(jing)(jing)不(bu)(bu)調,當(dang)(dang)歸(gui)、地(di)黃煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);赤白痢疾,連翹煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);大便(bian)秘結,陳皮煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);小便(bian)不(bu)(bu)利(li),木通、燈(deng)心煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);赤白帶下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia),阿膠、艾(ai)葉(xie)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);月經(jing)(jing)閉止,桃仁、紅花、當(dang)(dang)歸(gui)尾(wei)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);行經(jing)(jing)時身(shen)疼腰痛,防(fang)風、羌(qiang)活煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);胎動(dong)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia)血(xue)(xue)(xue),阿膠湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);胎前臍(qi)(qi)腹刺痛、胎動(dong)不(bu)(bu)安、下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia)血(xue)(xue)(xue)不(bu)(bu)止,糯米(mi)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);橫(heng)逆難(nan)產(chan),葵子煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);胞衣(yi)不(bu)(bu)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia)及(ji)產(chan)后惡血(xue)(xue)(xue)不(bu)(bu)盡,臍(qi)(qi)腹刺痛,童(tong)(tong)便(bian)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后不(bu)(bu)能飲(yin)食,山楂、麥芽煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后便(bian)秘、郁李仁煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后惡血(xue)(xue)(xue)上沖、心胸(xiong)疼悶、結瘀血(xue)(xue)(xue)塊、臍(qi)(qi)腹刺痛、發寒熱,紫蘇(su)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)合(he)童(tong)(tong)便(bian)、陳酒送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后中風、牙關緊(jin)閉、半身(shen)不(bu)(bu)遂、失音不(bu)(bu)語(yu),童(tong)(tong)便(bian)、酒送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后血(xue)(xue)(xue)崩漏(lou)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia),糯米(mi)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)或荊芥、蒲黃煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia);產(chan)后血(xue)(xue)(xue)暈、不(bu)(bu)省人事,當(dang)(dang)歸(gui)煎(jian)(jian)(jian)(jian)湯(tang)(tang)(tang)(tang)合(he)童(tong)(tong)便(bian)送(song)(song)(song)(song)(song)(song)(song)下(xia)(xia)(xia)(xia)(xia)(xia)(xia)(xia)”。

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