Golden Chamber 5 Violet Song 1 • Chapter 20 On Pulse Syndrome Complex and Treatment of Gynopathy During Pregnancy 2 • 1. Differentiation between fetus and tumor in abdomen (Zhen Disease) and treatment 【2】 – Differentiation of Pregnancy and Zheng disease • Zheng disease patient – No period less than three month Bloody vaginal discharge palpate around and above umbilicus • Pregnant – Three month Normal period before pregnant – Six month feel palpate – Cinnamon Twig and Poria Pill 桂枝茯苓丸gui zhi fu ling wan • • • • • 桂枝gui zhi (Ramulus Cinnamomi Cassiae) 茯苓fu ling (Sclerotium Poriae Cocos) 牡丹皮mu dan pi (Cortex Moutan Radicis) 白芍bai shao (Radix Paeoniae Lactiflorae) 桃仁tao ren (Semen Persicae) 3 • 2. Morning sickness – Mild syndrome • Normal pulse weak in Chi region • No fever chills – Cinnamon Twig Decoction 桂枝汤 (Gui Zhi Tang) 【1】 – If Dr. do wrong treatment • Vomiting • Diarrhea • Worse 4 • 2. Morning sickness – Severe syndrome • Vomiting – 干姜人参半夏丸 gan jian ren shen ban xia wan 【6】 • 干姜gan jiang (Rhizoma Zingiberis Officinalis) • 人参ren shen (Radix Ginseng) • 半夏ban xia (Rhizoma Pinelliae Ternatae) 5 • 3. Abdominal Pain – Cold due to yang deficiency • • • • • Pregnant six to seven month Wiry pulse Fever Abdominal pain with cold Chills in the lower abdomen like being fanned – 附子汤 fu zi tang 【3】 • • • • • 附子fu zi (Radix Lateralis Aconiti Carmichaeli Praeparata) 茯苓fu ling (Sclerotium Poriae Cocos) 白芍bai shao (Radix Paeoniae Lactiflorae) 白术bai zhu (Rhizoma Atractylodis Macrocephalae) 人参ren shen (Radix Ginseng) 6 • 3. Abdominal Pain – Disharmony between liver and spleen • Pregnant • Abdominal dull chronic pain – 当归芍药散dang gui shao yao san 【5】 • • • • • • 当归dang gui (Radix Angelicae Sinensis) 白芍bai shao (Radix Paeoniae Lactiflorae) 川芎chuan xiong (Radix Ligustici Chuanxiong) 茯苓fu ling (Sclerotium Poriae Cocos) 白术bai zhu (Rhizoma Atractylodis Macrocephalae) 泽泻ze xie (Rhizoma Alismatis Orientalis) 7 • 4. Bao Zu: vaginal bleeding and abdominal pain during pregnancy – – – – 漏下Chronic bleeding 半产Miscarriage bleeding 妊娠下血Bleeding when pregnant 胶艾汤 Jiao Ai Tang 【4】 • • • • • • • 阿胶e jiao (Gelatinum Corii Asini) 甘草gan cao (Radix Glycyrrhizae Uralensis) 艾叶ai ye (Folium Artemisiae Argyi) 川芎chuan xiong (Radix Ligustici Chuanxiong) 当归dang gui (Radix Angelicae Sinensis) 白芍bai shao (Radix Paeoniae Lactiflorae) 熟地黄shu di huang (Radix Rehmanniae Glutinosae Conquitae) 8 • 5. Urine difficulty – Treatment for difficult urination during pregnancy because of blood deficiency with heat retention • Difficult urine • Normal appetite – 当归贝母苦参丸 dang gui bei mu ku shen wan 【7】 • 当归dang gui (Radix Angelicae Sinensis) • 贝母 bei mu (Bulbus Fritillariae) • 苦参ku shen (Radix Sophorae Flavescentis) 9 • 6. Pregnant Edema – Heavy sensation over the body – Difficult urine – Chills – Dizzy – 葵子茯苓散kui zi fu ling san 【8】 • 冬葵子dong kui zi (Semen Abutili seu Malvae) • 茯苓fu ling (Sclerotium Poriae Cocos) 10 • 7. Abnormal fetal movement – blood deficiency and damp-heat – 当归散 dang gui san 【9】 • • • • • 当归dang gui (Radix Angelicae Sinensis) 白芍bai shao (Radix Paeoniae Lactiflorae) 川芎chuan xiong (Radix Ligustici Chuanxiong) 白术bai zhu (Rhizoma Atractylodis Macrocephalae) 黄芩huang qin (Radix Scutellariae Baicalensis) 11 • 7. Abnormal fetal movement – Spleen deficiency and damp-cold – 白术散 bai zhu san【10】 • • • • 白术bai zhu (Rhizoma Atractylodis Macrocephalae) 川芎chuan xiong (Radix Ligustici Chuanxiong) 川椒chuan jiao (Pericarpium Zanthoxyli Bungeani) 牡蛎mu li (Concha Ostreae) 12 • Chapter 21 On Pulse Syndrome Complex and Treatment of Postpartum Diseases 13 • 3 principal Postpartum diseases【1】: – convulsive disease – syncope – Constipation • Etiology – Blood loss blood deficiency, body fluid injured 14 • Treatment for syncope – Sweating only in head – Dizzy – vomiting – No appetite – constipation – Xiao Chai Hu Tang 【2】 15 • Treatment for constipation – Syncope solved – Fever again in 7-8 days – ST excess – Da Cheng Qi Tang 【3】 16 • Postpartum Abdominal pain – Interior cold with blood deficiency • Abdominal pain • Prefer warmth, pressure – Dang Gui Sheng Jiang Yang Rou Tang 【4】 • Dang Gui • Sheng Jiang • Mutton 17 • Postpartum Abdominal pain – Qi and blood stagnation • Abdominal pain with fullness • restlessness – Zhi Shi Shao Yao San 【5】 • Zhi Shi • Shao Yao 18 • Postpartum Abdominal pain – Blood stasis • Abdominal pain – Xia Yu Xue Tang 【6】 • Da Huang • Tao Ren • Zhe Chong 19 • Postpartum Abdominal pain – Blood stasis with Yangming interior excess • • • • • • No Taiyang syndrome Lower abdominal hardness and pain w/o defecation Fever Slightly excessive pulse delirium – Da Cheng Qi Tang 【7】 20 • Postpartum exterior wind invading – Taiyang wind invading • • • • • • Slightly headache Aversion to cold Fever Nausea Sweating Oppressed chest – Yang Dan Tang 【8】 • Gui Zhi Tang? • Gui Zhi Tang + Fu Zi? 21 • Postpartum exterior wind invading – Wind invading with yang deficiency • • • • Fever Red complexion Wheezing headache – Zhu Ye Tang 【9】 • • • • • • • • • • Zhu Ye Ge Gen Fang Feng Jie Geng Gui Zhi Ren Shen Gan Cao Fu ZI Da Zao Sheng Jiang 22 • Vomiting and restlessness – Restlessness – Nausea, vomiting – Zhu Pi Da Wan 【10】 • • • • • Zhu Ru Shi Gao Gui Zhi Gan Cao Bai Wei 23 • Yin injury due to heat-diarrhea – Bai Tou Wen Jia Gan Cao E Jiao Tang 【11】 • • • • • • Bai Tou Weng Gan Cao E Jiao Qin Pi Huang Lian Huang Bai 24 • Chapter 22 On Pulse Syndrome Complex and Treatment of Miscellaneous Gynecological Diseases 25 • 1. Plum-pit – Feels meat in throat – Ban Xia Hou Po Tang 【5】 • • • • • Ban Xia Hou Po Fu Ling Sheng Jiang Zi Su Ye 26 • 2. Zang Zao – Sad, about to cry – Emotinal – fatigue – Gan Mai Da Zao Tang 【6】 • Gan Cao • Xiao Mai • Da Zao 27 • 3. Menstruation diseases – Ben Lou (Sudden excessive vaginal bleeding or persistent dripping of blood ) • Deficient cold with blood stasis – – – – – Fever in the evening Lower abdominal pain, fullness Fever in palms Dry mouth Wen Jing Tang 【9】 28 • 3. Menstruation diseases – Ben Lou (Sudden excessive vaginal bleeding or persistent dripping of blood ) • Deficient cold in Chong and Ren meridians – Black blood – Jiao Jiang Tang 【12】 » Jiao Ai Tang 29 • 3. Menstruation diseases – Irregular period: • Blood stagnation – Abdominal pain – Twice period in one month • Tu Gua Gen San 【10】 – – – – Tu Gua Gen Shao Yao Gui Zhi Zhe Chong 30 • 3. Menstruation diseases – Irregular period: • Blood stasis with heat – Di Dang Tang 【14】 » Shui Zhi » Meng Chong » Tao Ren » Da Huang 31 • 3. Menstruation diseases – water retention and blood stasis in uterus • Fullness in abdomen • Difficulty urination • No thirst – Da Huang Gan Sui Tang 【13】 • Da Huang • Gan Sui • E Jiao 32 • 4. Leucorrhea diseases – Damp-heat – Fan Shi Wan 【15】 • Fan Shi • Xing Ren 33 • 4. Leucorrhea diseases – Damp-cold – She Chuang Zi San 【20】 • She Chuang Zi 34 • 5. Abdominal pain – Blood stagnation – Hong Lan Hua Jiu 【16】 • Hong Hua • Liquor 35 • 5. Abdominal pain – Disharmony between liver and spleen – Dang Gui Shao Yao San 【17】 36 • 5. Abdominal pain – Deficient cold of spleen and stomach – Xiao Jian Zhong Tang 【18】 37