经闭 31

李欣，卢垦君，金春节经闭节选《证治准绳·女科》卷之一·调经门原文：《内经·阴阳别论》云∶二阳之病发心脾，有不得隐曲，女子不月；其传为风消，为息贲者，死不治。

白话文：《内经·阴阳别论》说：胃肠有病，则可影响心脾，病人往往有难以告人的隐情，如果是女子就会月经不调，甚至经闭。

若病久传变，或者形体逐渐消瘦，成为“风消”；或者呼吸短促，气息上逆，成为“息贲”，就不可治疗了。

英文：“Neijing-Yin and Yang Bielun”(the Internal Canon of Medicine-Different Theory of Yin and Yang ) said,“The diseases of stomach and intestine can affect the heart and the spleen . The patients often have the private secrets which cannot be told. As for women, they will suffer from menstrual disorders or even menostasis. If the diseases last for a long time , people will gradually become emaciation and result in Fengxiao(a name of a disease in TCM，it’s caused by the consumption of the body fluids ) , or suffer from shortnessof breath and the reverse ascending of Qi which will result in Xiben (a name of a disease in TCM , means rushing respiration ) , and then it will be incurable.原文：洁古曰∶女子月事不来者，先泻心火，血自下也。

《内经》曰∶二阳之病发心脾，有不得隐曲，故女子不月，其传为风消。

王启玄注曰∶大肠、胃热也，心脾受之。

心主血，心病则血不流。

脾主味，脾病则味不化。

味不化则精不足，故其病则不能隐曲，脾土已亏，则风邪胜而气愈消也。

又经曰∶月事不来者，胞脉闭也。

胞脉属于心，络于胞中。

今气上迫肺，心气不得下通，故月事不来。

先服降心火之剂，后服《局方》中五补丸，后以卫生汤治脾养血也。

白话文：洁古（张元素，中医易水学派创始人）说：女子月经闭止，先清泻心火，血便能自行而下。

《内经》说：胃肠有病，则可影响心脾，病人往往有难以告人的隐情，如果是女子就会月经不调，甚至经闭。

若病久传变，会导致形体逐渐消瘦，成为“风消”。

王启玄注释说：“大肠、胃热，心脾都会受到影响。

心主血，如果心的生理功能异常血就不能正常循行流通。

脾主运化，如果脾的生理功能异常就不能吸收五味之营养物质，那么肾精就会不足，不能行房事。

脾属土，已经受损，邪风越旺盛，气就越发耗竭。

《内经》中说：“如果月经闭止，那么胞脉（子宫的脉络）也会闭塞。

胞脉归属于心，它通连到子宫里。

因为胞脉（子宫的脉络）之气上炎逼迫肺，心气不能通降，所以月经闭止。

治疗此病应先服用降心火的药，然后服用《局方》中的五补丸，最后使用卫生汤治疗脾病，养血。

英文：Jiegu (also called Zhang Yuansu ,the founder of Yasumizu School ) said ,“ To treat women's menostasis, we should firstly clear and purge the heat of the heart and then the blood will be able to follow through by itself . “Neijing”(the Internal Canon of Medicine) said,“The diseases of stomach and intestine can affect the heart and the spleen . The patients often have the private secrets which cannot be told. As for women, they will suffer from menstrual disorders or even menostasis . If the diseases last for a long time , people will gradually become emaciation and result in Fengxiao(a name of a disease in TCM ，it’s caused by the consumption of the body fluids ).Wang Qixuan (a famous physician of Tang Dynasty )explained ,“The heat of large intestine and stomach can affect the heart and the spleen .The heart governs blood . The dysfunction of the heart will cause the abnormal circulation of blood. The spleen governs transportation and transformation. The dysfunction of the spleen will cause the nonabsorbency of the five flavors nutrients. Therefore, it will cause the deficiency of kidney essence and make them cannot have sexual life. The spleenbelongs to earth, since it has been damaged, the stronger the pathological wind ,the more consuming of the Qi . “Neijing(the Internal Canon of Medicine)also said , “The menostasis will also result in the stock of the uterine collateral . The uterine collateral belongs to the heart which leads to the inside of the uterus. Because the heart Qi flames up to the lungs, and it cannot downflow freely, it will then cause the menostasis. In order cure this kind of disease, we should firstly take the medicine which can reduce the pathogenic heart fire, and then take the Wu Tonify Pill,a formula from the book called “Formularies of the Bureau of People's Welfare Pharmacies”, and finally we can use the Health Soup ( a prescription in TCM ) to treat the diseases of the spleen and nourish the blood .原文：李东垣曰∶经闭不行有三，补前人之阙。

妇人脾胃久虚，形体羸弱，气血俱衰，而致经水断绝不行。

或病中消，胃热，善食渐瘦，津液不生。

夫经者血脉津液所化，津液既绝，为热所烁，肌肉渐瘦，时见渴燥，血海枯竭，名曰血枯经绝。

宜泻胃之燥热，补益气血，经自行矣。

此病或经适行而有子，子亦不成，而为胎病者有矣。

（此中焦胃热结也。

）白话文：李东垣说：“月经闭止的原因可分为三类。

首先，妇女脾胃长期虚弱，身体瘦弱，气血不足，会导致月经停滞。

或是病时胃热消耗精液，频繁饮食却逐日消瘦，不能化生津液。

月经是气血津液化生的，津液已经停止产生，又被热邪消耗，形体逐日消瘦，常有口渴、烦躁之症，血海枯竭，此症被称为血枯经绝。

治疗此病适宜清泻胃的燥热，补充气血，之后月经便会正常了。

这种病症，或者月经正常却不能怀孕，都是因为子宫先天虚弱。

（这是中焦胃热所致）英文：Li Dongyuan(a famous physician in Jinyuan Dynasty) said，“There are three reasons account for the menostasis. Firstly, if women suffer from the weakness of the stomach and the spleen for a long time, body weak and the deficiency of both Qi and blood, they will get the menostasis. Or when they get the disease, the body fluids are consumed by the heat of the stomach, they eat more frequently but become much thinner, and the body fluids cannot be generated. The menstruation is transformed from the Qi , blood and the body fluids , since the body fluids are already cannot be generated but consumed by the heat at the same time , the body become weaker and weaker ,which often followed with the symptoms of thirstiness and fidgetiness, and it will caused the exhaustion of the sea of blood , thesesymptoms are called the amenorrhea due to blood exhaustion .To cure this disease , we should clear the heat of the stomach and tonify the blood , and then the menstruation will be normal . The reasons for women who get this disease or cannot get pregnant even though their menstruation is normal are the congenital weakness of urinate. (This is caused by the heat of the stomach in the middle energizer)原文：或心包络脉洪数，躁作时见，大便秘涩，小便虽清不利，而经水闭绝不行，此乃血海干枯，宜调血脉，除包络中火邪，而经自行矣。