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Jingui Yaolue · Essentials from the Golden Cabinet
22. Miscellaneous Women’s Disorders · Pulses, Signs and Treatment
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A woman's wind-strike continuing with periodic cold and heat after seven or eight days, menses just stopped, is heat entering Blood Chamber. Blood must bind, causing nüe-like periodic attacks. Xiao Chaihu Tang governs, with formula under vomiting.
A woman's cold damage with fever and menses just arriving, clear awareness by day but delirious ghost-like visions at evening, is heat entering Blood Chamber. Treatment must not offend Stomach qi or the upper two Burners; it must recover spontaneously, according to the text.
A woman's wind-strike with fever, aversion to cold and menses just arriving: at seven or eight days heat leaves, pulse slows, body cools harmoniously, but chest and flanks are full like bound chest, with delirium. Heat has entered Blood Chamber. Needle Qimen according to its repletion.
Yang Brightness illness with lower bleeding and delirium is heat entering Blood Chamber. Sweat only at head: needle and drain Qimen according to repletion. Flowing sweat brings recovery.
A woman feeling roasted meat in the throat is governed by Banxia Houpo Tang.
A woman's viscus agitation, frequent sadness and desire to weep as though caused by a spirit, and repeated yawning and stretching are governed by Gan Mai Dazao Tang.
A woman spitting foam is instead purged by a physician, causing focal blockage below Heart. First treat foam with Xiao Qinglong Tang; once stopped, treat focal blockage with Xiexin Tang.
Women's illnesses arise from deficiency, accumulated cold and bound qi, stopping menses, sometimes for years. Cold blood accumulates; the uterine gate is injured by cold; channels and networks congeal.
Above, vomiting saliva eventually becomes Lung abscess and damages form. In the middle, coiled binding causes cold-shan around navel; or pain beneath both flanks joins viscera; or heat binds within, pain at Guanyuan, rapid pulse, no sores and fish-scale skin. This sometimes affects men, not only women. Below, an unclear not-yet-many phrase accompanies irregular menses, pulling genital pain, cold lower abdomen, perhaps drawing to waist and spine and rooting below at Qi Street. Qi rushes with urgent pain; knees and shins ache. Sudden dizzy clouding resembles reversal or dian; or grief, sadness and anger arise. All are daixia, disorders below the girdle, not ghosts or spirits. Long duration wastes the body, leaves deficient pulse and much cold. Thirty-six illnesses change a thousand ways. Examine pulse yin and yang, deficiency, repletion, tightness and wiriness; apply needles and medicine to bring danger to peace. Even the same illness has differing pulse origins. Distinguish and remember; do not deny it.
Question: A woman about fifty has diarrhea unceasing for several tens of days, evening fever, urgent lower abdomen, fullness, vexing palm heat and dry lips and mouth. Why?
The Master replies: It belongs to daixia. Previous miscarriage left static blood in lower abdomen. Dry lips and mouth show this. Wenjing Tang governs.
Note: This copy explicitly says diarrhea, not a silently substituted bleeding phrase.
Daixia with menses obstructed, full painful lower abdomen and menstruation twice in one month is governed by Tugua Gen San.
Wiry, large cunkou: wiry reduction, large hollowness; reduction cold, hollowness deficiency. Their contention is leather pulse. In women it causes miscarriage and leaking blood. Xuanfuhua Tang governs.
A woman's sunken menses and unresolved black leaking discharge are governed by Jiao Jiang Tang. Editors Yi and colleagues found no such formula in the editions and conjectured it is Jiao Ai Tang from the pregnancy chapter. Their conjecture remains identified as such.
A woman's lower abdomen full like a dun vessel, urine slightly difficult, no thirst, after childbirth, means Water and blood bound together in Blood Chamber. Dahuang Gansui Tang governs.
Obstructed menstrual descent is governed by Didang Tang. It also treats a man's full, tense Bladder containing static blood.
Closed, obstructed menses, persistent hard viscus accumulations, dry blood within and white matter discharged are governed by Fanshi Wan.
A woman's sixty-two kinds of wind and stabbing abdominal blood-and-qi pain are governed by Honglanhua Jiu.
A woman's various abdominal illnesses and pain are governed by Danggui Shaoyao San.
A woman's abdominal pain is governed by Xiao Jianzhong Tang.
Question: A woman eats normally but has vexing heat, cannot lie and instead props herself to breathe. Why?
The Master replies: This is Bladder turning, unable to pass urine because its connecting structure is twisted. Promote urine for recovery; Shenqi Wan is suitable, with formula under deficiency-depletion.
Shechuangzi San Formula: a seated insertion medicine warming the yin region.
Shechuangzi kernels, quantity unspecified.
Powder the ingredient and mix with a little white powder, whose identity is not specified. Make jujube-sized, wrap in cotton and insert. The source says warmth follows.
Slippery, rapid Lesser Yin pulse means sores in the yin region. Eroded, ulcerated sores there are washed with Langya Tang.
Stomach qi leaking downward, blowing from the yin region with the warm/noisy graph, is repletion of grain qi. Introduce Gao Fa Jian, according to the source.
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