Fù Qīngzhǔ Nǚ Kē Gē Kuò

Author: Fu Shan
Editor-in-Chief: Song Zhiheng
Publisher:
Publishing Date: 2003-06-01
Features: Synopsis
The Fu Qingzhu Women's Medicine (Fu Qingzhu Nüke) is a renowned work on gynecology and obstetrics compiled by Fu Shan, a Qing Dynasty physician in China. The Nüke volume contains 2 chapters, covering 10 topics such as leukorrhea, hemorrhagic metrorrhagia, ectopic pregnancy, menstrual regulation, conception, pregnancy, miscarriage, dystocia, normal delivery, and postpartum conditions, with a total of 77 articles discussing the treatment of various gynecological disorders. The Postpartum Compilation volume also contains 2 chapters, detailing 43 obstetric diseases such as blood clots, postpartum hemorrhage, and syncope, along with their treatments. The content is concise, the reasoning is profound, the selected prescriptions are excellent, and it stands out as a unique work, widely welcomed by the medical community and highly circulated. After the liberation, it has been reprinted multiple times but remains in high demand. For this publication, the editors meticulously collated multiple versions, supplemented many missing chapters, restored the book's original form, and added rhyming couplets to each chapter, providing readers with a convenient learning tool. This book is an essential reference for studying traditional Chinese medicine (TCM) gynecology and obstetrics, suitable for clinical TCM practitioners, TCM university students and teachers, as well as self-taught TCM enthusiasts.
Excerpt:
Hemorrhagic Metrorrhagia
Hemorrhagic Metrorrhagia with Fainting (6)
A woman may experience sudden hemorrhagic metrorrhagia, with darkened eyes and fainting, unconsciousness. People often attribute this to excessive heat moving blood. However, this heat is not true fire but rather a deficiency fire. When people see hemorrhagic metrorrhagia, they often use astringent herbs, which may provide temporary relief but without nourishing yin, the deficiency fire may easily surge again, leading to recurring episodes that last for years. Therefore, astringent herbs should not be used alone but must be combined with yin-nourishing methods. The prescription is Guben Zhicheng Decoction.
One liang of raw prepared rehmannia, one liang of steamed white atractylodes, three qian of roasted yellow Astragalus, five qian of raw Angelica sinensis (soaked in wine), two qian of black aconite, three qian of prepared Ginseng. Decoct and take orally. One dose stops the bleeding, and ten doses prevent recurrence. If the taste is too strong and the dosage is halved, the effect will be weak and ineffective. The brilliance of this formula lies in not stopping bleeding but nourishing blood, not just nourishing blood but also replenishing qi, and not just replenishing qi but also restoring fire. When hemorrhagic metrorrhagia leads to darkened eyes and fainting, the blood is already depleted, leaving only a sliver of qi to sustain life. Without quickly replenishing qi to generate blood, if blood is replenished first while qi is neglected, the tangible blood may fail to regenerate quickly, while the intangible qi may dissipate entirely. This is why qi is replenished before blood. Yet, single qi replenishment alone makes blood difficult to generate, and single blood replenishment without fire makes blood stagnant and unable to grow with qi swiftly. Moreover, black aconite guides blood back to its meridians, adding astringent properties to qi and blood replenishment, hence the combination of qi and blood-nourishing herbs.
Marginal Note:
If hemorrhagic metrorrhagia persists for several days, with blood loss of several dou (a traditional unit of volume), and all six pulses are absent, with only faint breathing, do not rush to use this formula, as qi may be too weak to tolerate strong replenishment. For those with sufficient strength, use three qian of peeled Liao Ginseng decocted, and add one qian of dried rhubarb powder. Wait until breathing improves before taking the formula, then add another one qian of dried rhubarb powder for effectiveness. For those with weak strength, use three qian of dried rhubarb powder mixed with unfiltered wine and take it. Wait until breathing stabilizes and consciousness returns before taking the formula. Replace Ginseng with Partyang (a type of Astragalus) and add one qian of dried rhubarb powder when taking the formula.
Rhyme:
Women with sudden hemorrhagic metrorrhagia,
Unconscious and deeply fainting,
Due to deficient fire moving blood,
Stopping bleeding must nourish yin.
Guben Zhicheng Decoction is ideal for yin replenishment,
Prepared rehmannia, white atractylodes, Angelica, and Ginseng.
Yellow Astragalus and black aconite,
Decoct and take—no need for astringents,
The effect is profound.
Hemorrhagic Metrorrhagia in the Elderly (7)
An elderly woman may experience hemorrhagic metrorrhagia similar to the fainting type, but people often attribute it to her frailty. However, it may be due to careless sexual habits. The prescription is Modified Angelica Blood-Nourishing Decoction.