四季四物湯作為婦人血虛經病「因時制宜」的治療及預防養生的探討

The Si-Wu-Tang Suited for Four Seasons used in woman who has deficiency of blood for adaptation to timing and treatment preventing cultivating and the exploration

婦人以血虛為本，歷代婦科醫家多以四物湯為調經補血第一方，明朝．武之望《濟陰綱目．調經門》以四物湯加減為調經通用諸方，並以四季四物湯「若春則防風四物，加防風倍川芎。若夏則黃芩四物，加黃芩倍芍藥。若秋則門冬四物，加天門冬倍地黃。若冬則桂枝四物，加桂枝倍當歸」作為婦人血虛月經病「因時制宜」的治療及預防養生。此治病思想，乃源於劉完素《素問病機氣宜保命集．婦人胎產論》四物湯的四時增損法。本文根據《濟陰綱目》四季四物湯的四時妙理及四物湯四時增損法，並以《內經》養生理論，詮釋四季四物湯的立方精神，希望透過本文的探討，將來能進一步擴大建立四季四物湯在婦科疾病臨床實際運用的模式。

Woman with blood deficiency-oriented, The first prescription for improving blood circulation and menstrual period is Si-Wu-Tang, which is the basic prescription of gynecologic diseases. In the original text of “Ji-Yin-Gang-Mu‧Tiao-Jing-Men” for Si-Wu-Tang, it was used as general prescription applicable for four seasons. The author, Ming Dynasty of Wu, Zhi-Wang suggested the followings: “In spring, to take Si-Wu-Tang including Fangfeng, plus addition of Fangfeng with double portion of Chuanqiong; in summer, to take Si-Wu-Tang including Huangqin, plus addition of Huangqin with double portion of Shaoyao; in autumn, to take Si-Wu-Tang including Mendong, with double portion of Dihuang; in winter, to take Si-Wu-Tang including Guizhi, plus addition of Guizhi with double portion of Danggui” adaptation to timing in the treatment and prevention of health as a woman deficiency of Menstrual Disease.The theory of Medical treatment is originated from “Su-Wen-Bing-Ji-Qi-Yi-Bao-Ming-Ji ． Fu-Ren-Tai-Chan-Lun” by Liu, Wan-Su, in which suggested that how to apply the portion of herbs properly during all seasons for usage Si-Wu-Tang. The paper of theory applied according to “Ji-Yin-Gang-Mu” of Si-Wu-Tang Suited for Four Seasons. According to the theories of “Neijing” as well as the argumentations in relation to ancient books of herbs, to make translation of Si-Wu-Tang Suited for Four Seasons of spiritual writings. Hope to explore in this paper, in the future to expand the established Si-Wu-Tang Suited for Four Seasons practical application in clinical gynecologic disease patterns.