妇人壮盛经闭者，此血实气滞，宜专攻也。
通经丸 治经闭并干血气。
斑蝥（二十个，糯米炒） 大黄（五钱） 桃仁（四十九个）
上为末，酒糊为丸，如梧桐子大。空心，酒下五七丸；甚者十五丸。如血枯经闭者，四物汤送下。
通经甘露丸 治妇人经血不通，崩漏肠风，赤白带下，血气五淋，产后积血，男女五劳七伤及小儿骨
蒸劳热，夫妇阴血阳精不交，诸疾神效。
大黄（四两，用头红花四两，入水取汁浸一日，不用红花；四两，童便入盐二钱，浸一日取出晒干，不用
童便；四两，用好酒浸一日，令软，切片如杏核大，晒干，入巴豆，去皮，三十五粒，同炒黄色，去巴豆不用；
四两，用当归四两，入淡醋浸一日，晒干，不用当归） 上四分共合一处，入南木香二两、百草霜五钱，共为
细末，以当归、醋红花水煮米糊为丸，如梧桐子大。每服三四十丸，空心温酒下。
反经丸 治妇人经闭不通，不论新久。
乳香 没药 孩儿茶 巴豆（去壳） 葱白（各五分） 斑蝥（五个）
上为末，共捣为丸，绵裹三层，系放筒上，将线系住，送入阴户内三四寸许，俟一炷香时，经水即下。
一粒仙丹 治妇人干血痨，并赤白带下，种子如神。
巴豆（一百二十个，去壳，用新砖一块，将豆纸包放砖上，捶去油，令净如面白，方好用） 斑蝥（六十
个，去翅足为末） 穿山甲（五钱，油煎过，为末） 皂角（一两，刮粗皮，火炮为末） 苦葶苈（末，一两）
大黄（末，一两）
上合一处，以枣煮，去皮、核，丸药如弹子大。用绵茧张开裹药在内，穿入三寸竹简上，头后仍留系二三
寸余，挽一转，不令药气出外。用时先以温水洗阴内，令洁净拭干；
却以葱汁浸湿药头，送入子宫极深处整一日一夜取出，药不用。此药用后，少间耳，冷气下行，发寒发热如伤
寒之状不怕，饮食任意食用无妨，半日即通，或鲜血，或死血，一切恶物悉下。忌生冷发物。自此，子宫和暖
而交媾则有孕矣。
妇人虚弱经闭者，此血脉枯竭，宜补，经自通也。
通经调气汤 治妇人经闭虚弱者。
当归（酒洗） 川芎 白芍（酒炒） 生地黄（酒浸） 香附（童便炒，各一两） 牡丹皮（八钱）
柴胡（六钱） 黄柏（酒炒） 知母（酒、童便炒，八钱） 黄芩（酒炒，六钱） 牛膝（去芦酒洗，八钱）
桃仁 红花（二味量入）
上锉作十剂，水煎，空心一服，临卧一服。
牡丹皮汤 治室女经闭，咳嗽发热。
牡丹皮（一钱半） 当归（一钱半） 川芎（八分） 白芍 生地黄 陈皮 白术 香附（各一钱） 柴胡
黄芩（各一钱） 甘草（四分）
上锉一剂，水煎服。
养真汤 治妇人经闭不通，脐下一块，已经三载，颜色如故，百药无功。服此数剂经行，又投数服而
块消矣。
当归（酒洗） 川芎 白芍（酒炒） 益母草 香附（酒、醋、米泔、童便同浸，炒） 熟地黄（姜汁炒）
山茱萸（去核） 白茯苓（去皮） 栀子（炒） 小茴（酒炒） 陈皮（各等分）
上锉六剂，水煎服尽。经通后，此作丸服。
六味地黄 治妇女经闭发热或咳嗽等症。
妇人半虚半实经闭者，宜攻补兼施也。
通经汤 治妇女经闭者。
当归 川芎 白芍 生地黄 大黄 官桂 浓朴 枳壳 枳实 黄芩 苏木 红花 乌梅
上锉一剂，姜枣煎服。
调经养血丸 治妇女经脉不行或不调，或前或后，赤白
带下，久不成孕。服此有孕，任服。
香附（十二两，酒、醋、盐汤、童便各浸三日，取出，炒） 当归（酒洗） 白芍（酒炒。各二两）
川芎（一两） 生地黄（酒洗，二两） 茯苓（去皮） 白芷（一两） 牡丹皮（酒洗，二两） 干姜
（炒，一两） 肉桂（一两） 红花（一两） 桃仁（泡去皮、一两） 玄胡索（六钱） 没药（一两）
半夏（香油炒，一两） 甘草（蛤粉炒成珠，一两） 小茴（炒，三钱） 莪术（煨，醋炒，五钱） 阿胶
（炙，五钱）
上为末，醋糊丸。每服八十丸，空心，白汤、黄酒任下。
妇女经闭有积块者，宜养血破积也。
四物调经汤 治妇女或十五六岁经脉不行，日夜生寒热, 手足麻痹，饮食少进，头痛恶心呕吐，腹中
忽然结一块。冲动痛者宜。此误食生冷感而致也。
当归（酒洗） 川芎 白芍（酒炒） 柴胡 枳壳（去穣麸炒。各八分） 黄芩 熟地黄（酒浸） 陈皮
莪术（醋炒） 三棱（醋炒） 白术（去芦） 白芷 小茴（盐水炒） 玄胡索（各五分） 香附（童便炒，
一钱二分） 青皮（麸炒） 砂仁 红花 甘草（各四分）
上锉一剂，生姜三片、葱白三根，水煎温服。若有块不通，须与调经丸间服；遍身疼痛加羌活、独活；咳
嗽加杏仁、五味子各五分；肚痛加炒干漆七分，疟疾加草果、常山；泄泻去枳壳，加肉蔻。
调经丸
当归（酒洗，二两） 川芎 熟地黄（姜汁炒） 青皮（麸炒） 陈皮 枳壳（去瓤炒） 白术（去芦）
浓朴（姜汁炒） 小茴香（炒） 艾叶（去筋，各一两） 香附（醋炒，五两） 三棱（煨醋炒） 莪术
（煨醋炒） 砂仁 白芷 牛膝（去芦，酒洗） 玄胡索（各一两） 粉草 琥珀（各五钱，另研入）
上为末，醋打糊为丸，如梧桐子大。每服八九十丸，米汤下，酒亦可。若肚痛加苍术、白术。
妇人经通之后，宜调理之剂也。加减四物汤加香附、陈皮之类。（方见补益。）
滋阴百补丸 治女人劳伤，气血不足，阴阳不和，乍寒乍热、心腹疼痛、不思饮食、 羸乏力。
香附（一斤，炒去毛，分四制，酒、醋、盐汤、童便各浸四两，俱炒焙干） 益母草（八两，捣末）
当归（六两，酒浸） 熟地黄（酒洗） 白术（去芦，各四两） 人参（去芦） 茯苓（去皮） 玄胡索
（各二两） 白芍（三两，炒） 甘草（炙，一两） 川芎（二两）
上为末，炼蜜丸，梧桐子大。每服六十丸，空心，宿砂汤下，或酒、醋、白滚水任下。
一妇人胃气素弱，为哭母，吐血咳嗽、盗汗发热、经水三月不行。余以为悲则伤肺，思则伤脾，遂朝服
补中益气汤（方见补益）加桔梗、贝母、知母；夕用归脾汤（方见健忘）服六味丸而愈（方见补益。）
一妇人久患疟疾，作则经不行，形虚脉大、头痛懒食、大便泄泻、小便淋沥、口干唇裂、内热腹胀，盖
由久疟，正气已虚，阴火独旺。用补中益气汤治之寻愈。唯不时头痛，乃加蔓荆子而痛止；又兼六味地黄丸而
经行。（方见补益。）
魏宪副宠夫人，患逆经吐血不止。予诊六脉微涩有力，此血虚火盛也。以四物去熟地、用生地共一两，加
酒蒸大黄一两同煎，入童便服之。服后，血止经通矣。
徐宪副宠夫人，患经闭，人皆拟有孕。乃七八个月渐觉黄瘦，腹中左右有块如鼓，发热面赤，不思饮食。
余诊六脉微涩，此血枯气郁也。以四物汤加香附、牡丹皮、白术之类十数服，又加桃仁、红花又数服，方与四
炒枳壳丸，不三四服，打下血块若许，始愈。
[Background Information]
Book: Wan Bing Hui Chun (Recovery from All Diseases)
Author: Gong Tingxian
Dynasty: Ming
Chapter: Amenorrhea
Category: Comprehensive
[English Translation]
For women in their prime whose menstruation has ceased, this is due to blood excess and qi stagnation; specialized purgative treatment should be employed.
Tongjing Wan (Menstruation-Promoting Pill) treats amenorrhea accompanied by dry blood qi (qi constrained by intra-abdominal blood stasis).
Mylabris (twenty grains, stir-fried with glutinous rice) Rhubarb (five qian) Peach Kernel (forty-nine grains)
Grind the above into powder, mix with wine paste to form pills the size of Sophora japonica seeds. Take five to seven pills on an empty stomach with warm wine; for severe cases, take fifteen pills. If amenorrhea is caused by blood deficiency, administer with Siwu Tang (Four-Substance Decoction).
Tongjing Ganlu Wan (Menstruation-Promoting Sweet Dew Pill) treats menstrual obstruction, metrorrhagia (profuse non-menstrual bleeding), intestinal wind (hematochezia), red and white leukorrhea, bloody strangury and qi strangury (painful/difficult urination), postpartum retained blood, as well as the five labors and seven injuries (various deficiency syndromes) in men and women, and bone-steaming fever in children. It is also effective for conditions arising from the failure of yin blood and yang essence to interact between husband and wife.
Rhubarb (four liang, soaked for one day in juice extracted from four liang of Safflower; discard safflower; four liang, soaked for one day in urine of a young boy mixed with two qian of salt; discard urine; four liang, soaked for one day in good wine until soft, sliced like apricot kernels, dried; add Croton seed, peeled, thirty-five grains, stir-fry together until yellow, discard Croton seed; four liang, soaked for one day in light vinegar with four liang of Angelica sinensis; discard Angelica). Combine the four portions of Rhubarb together, add two liang of Aquilariae Lignum Resinatum (Nanmuxiang) and five qian of Carbonized Herb (Baicaoshuang), grind into fine powder. Form pills with rice paste made from decoction of Angelica sinensis and vinegar-soaked Safflower, size of Sophora japonica seeds. Take thirty to forty pills on an empty stomach with warm wine.
Fanjing Wan (Reverse Menstruation Pill) treats amenorrhea in women, regardless of whether it is recent or chronic.
Frankincense Myrrh Child's Tea Croton Seed (shelled) Scallion White (each five fen) Mylabris (five grains)
Grind the above into powder, pound together to form pills. Wrap in three layers of silk gauze, tie to a bamboo tube, insert approximately three to four cun into the vagina. Wait for the time it takes to burn one incense stick, and menstruation will commence.
Yili Xiandan (One Pill Immortal Elixir) treats dry blood consumption (chronic consumptive disease due to blood stasis) in women, as well as red and white leukorrhea. It is miraculous for promoting conception.
Croton Seed (one hundred twenty grains, shelled. Place wrapped beans on a new brick and pound to remove oil until clean like flour, then use) Mylabris (sixty grains, wings and feet removed, ground to powder) Pangolin Scale (five qian, fried in oil, ground to powder) Gleditsia Sinensis Fruit (one liang, scraped coarse skin, fire-pounded to powder) Lepidium Seed (ground to powder, one liang) Rhubarb (ground to powder, one liang)
Mix all ingredients. Boil dates, remove skin and pits, and form pills the size of quail eggs. Wrap each pill in an opened silkworm cocoon, thread onto a three-cun bamboo tube, leaving two to three cun of string at the tail end, twisted to prevent gas leakage. Before use, wash the vagina with warm water, clean and dry thoroughly. Moisten the tip of the pill with scallion juice, insert deeply into the uterus, leave for exactly one day and night, then remove and discard the pill. After using this pill, cold qi descends shortly thereafter, causing chills and fever resembling Taiyang syndrome (common cold); do not fear. Diet can be taken freely without harm. Menstruation will clear within half a day, expelling fresh blood, dead blood, and all foul matter. Avoid raw, cold, and stimulating foods. From then on, the uterus becomes warm, and pregnancy can occur upon intercourse.
For women who are physically weak and suffer from amenorrhea, this is due to exhaustion of blood vessels; tonification is appropriate, and menstruation will naturally resume.
Tongjing Tiaoqi Tang (Menstruation-Promoting Qi-Regulating Decoction) treats amenorrhea in women with weakness.
Angelica sinensis (washed with wine) Ligusticum chuanxiong Paeonia lactiflora (stir-fried with wine) Rehmannia glutinosa (soaked in wine) Cyperi Rhizoma (stir-fried with urine, each one liang) Moutan Cortex (eight qian)
Bupleurum root (six qian) Phellodendron bark (wine-fried) Anemarrhena rhizome (fried with wine and urine, eight qian) Scutellaria root (wine-fried, six qian) Achyranthes root (deprived of radicle, washed with wine, eight qian)
Peach Kernel Safflower (add these two according to condition)
Cut the above into ten doses. Decoct in water. Take one dose on an empty stomach, and another before bed.
Mudanpi Tang (Moutan Cortex Decoction) treats amenorrhea in unmarried girls accompanied by cough and fever.
Moutan Cortex (one qian and half) Angelica sinensis (one qian and half) Ligusticum chuanxiong (eight fen) Paeonia lactiflora Rehmannia glutinosa Citrus reticulata peel Atractylodes macrocephala Cyperi Rhizoma (each one qian) Bupleurum root
Scutellaria root (each one qian) Licorice root (four fen)
Cut the above into one dose, decoct in water, and take orally.
Yangzhen Tang (Nourish True Decoction) treats amenorrhea with a mass below the umbilicus persisting for three years, with normal complexion and ineffectiveness of other medicines. After taking several doses of this prescription, menstruation resumes, and after further doses, the mass dissipates.
Angelica sinensis (washed with wine) Ligusticum chuanxiong Paeonia lactiflora (stir-fried with wine) Motherwort Cyperi Rhizoma (soaked in wine, vinegar, rice wash, and urine, then stir-fried) Prepared Rehmannia root (stir-fried with ginger juice) Cornus officinalis fruit (pitted) Poria cocos (peeled) Gardenia fruit (stir-fried) Fennel (stir-fried with wine) Citrus reticulata peel (equal parts)
Cut the above into six doses, decoct in water, and consume completely. After menstruation resumes, convert this formula into pills for maintenance.
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) treats amenorrhea accompanied by fever or cough in women.
For women with amenorrhea presenting both deficiency and excess patterns, simultaneous purgation and tonification should be applied.
Tongjing Tang (Menstruation-Promoting Decoction) treats amenorrhea in women.
Angelica sinensis Ligusticum chuanxiong Paeonia lactiflora Rehmannia glutinosa Rhubarb Cinnamon twig Zanthoxylum bark Aurantium fruit Aurantium indehiscent Fructus Scutellaria root Calamus flower Safflower Mume fruit
Cut the above into one dose, decoct with ginger and jujube, and take orally.
Tiaojing Yangxue Wan (Regulate Menstruation and Nourish Blood Pill) treats irregular menstruation, early or late onset, red and white leukorrhea, and infertility. Taking this promotes conception; it may be taken as needed.
Cyperi Rhizoma (twelve liang, soaked separately in wine, vinegar, salt water, and urine for three days each, then stir-fried) Angelica sinensis (washed with wine) Paeonia lactiflora (stir-fried with wine. Each two liang)
Ligusticum chuanxiong (one liang) Rehmannia glutinosa (washed with wine, two liang) Poria cocos (peeled) Angelica dahurica (one liang) Moutan Cortex (washed with wine, two liang) Dried Ginger
(stir-fried, one liang) Cinnamon bark (one liang) Safflower (one liang) Peach Kernel (soaked, skin removed, one liang) Corydalis rhizome (six qian) Myrrh (one liang)
Pinellia tuber (fried in sesame oil, one liang) Licorice root (fried with clam powder into pearls, one liang) Fennel (stir-fried, three qian) Curcuma zedoaria (roasted, vinegar-fried, five qian) Donkey-hide gelatin
(roasted, five qian)
Grind into powder, form pills with vinegar paste. Take eighty pills on an empty stomach, with plain water or yellow wine as desired.
For women with amenorrhea accompanied by abdominal masses, blood nourishment and mass-breaking methods should be used.
Siwu Tiaojing Tang (Four-Substance Menstruation-Regulating Decoction) treats women aged fifteen or sixteen who have not yet begun menstruation, experiencing alternating chills and fever day and night, numbness in limbs, reduced appetite, headache, nausea, vomiting, and sudden formation of a lump in the abdomen. This is suitable for cases caused by accidental ingestion of raw/cold foods leading to cold invasion.
Angelica sinensis (washed with wine) Ligusticum chuanxiong Paeonia lactiflora (stir-fried with wine) Bupleurum root Aurantium fruit (deprived of pith, bran-fried. Each eight fen) Scutellaria root Prepared Rehmannia root (soaked in wine) Citrus reticulata peel
Curcuma zedoaria (vinegar-fried) Burreed Tuber (vinegar-fried) Atractylodes macrocephala (deprived of radicle) Angelica dahurica Fennel (salt-water fried) Corydalis rhizome (each five fen) Cyperi Rhizoma (stir-fried with urine,
one qian and two fen) Green Tangerine Peel (bran-fried) Amomum fruit Safflower Licorice root (each four fen)
Cut the above into one dose, add three slices of ginger and three stalks of scallion white, decoct in water, and take warm. If there is a blockage preventing flow, alternate with Tiaojing Wan; for body-wide pain, add Notopterygium root and Angelica pubescens root; for cough, add Apricot Kernel and Schisandra berry (each five fen); for abdominal pain, add stir-fried Dry Lacquer (seven fen); for malaria, add Tsaoko fruit and Dichroa root; for diarrhea, remove Aurantium fruit and add Nutmeg.
Tiaojing Wan (Menstruation-Regulating Pill)
Angelica sinensis (washed with wine, two liang) Ligusticum chuanxiong Prepared Rehmannia root (stir-fried with ginger juice) Green Tangerine Peel (bran-fried) Citrus reticulata peel Aurantium fruit (deprived of pith, stir-fried) Atractylodes macrocephala (deprived of radicle)
Zanthoxylum bark (stir-fried with ginger juice) Fennel (stir-fried) Mugwort leaf (deprived of veins, each one liang) Cyperi Rhizoma (vinegar-fried, five liang) Burreed Tuber (roasted, vinegar-fried) Curcuma zedoaria
(roasted, vinegar-fried) Amomum fruit Angelica dahurica Achyranthes root (deprived of radicle, washed with wine) Corydalis rhizome (each one liang) Licorice root Amber (each five qian, ground separately and added)
Grind into powder, form pills with vinegar-beaten paste, size of Sophora japonica seeds. Take eighty to ninety pills with rice soup; wine is also acceptable. For abdominal pain, add Atractylodes lancea and Atractylodes macrocephala.
After menstruation resumes in women, regulating formulas should be used. Modified Siwu Tang with additions such as Cyperi Rhizoma and Citrus reticulata peel. (Formula see Tonification section.)
Ziyin Baibu Wan (Nourish Yin Hundred-Tonics Pill) treats female labor injury, insufficiency of qi and blood, disharmony of yin and yang, alternating chills and fever, heart/abdominal pain, loss of appetite, emaciation, and weakness.
Cyperi Rhizoma (one jin, stir-fried to remove hairs, divided into four preparations: soaked in wine, vinegar, salt water, and urine respectively, four liang each, all stir-fried and baked dry) Motherwort (eight liang, pounded to powder)
Angelica sinensis (six liang, soaked in wine) Prepared Rehmannia root (washed with wine) Atractylodes macrocephala (deprived of radicle, each four liang) Ginseng root (deprived of radicle) Poria cocos (peeled) Corydalis rhizome
(each two liang) Paeonia lactiflora (three liang, stir-fried) Licorice root (roasted, one liang) Ligusticum chuanxiong (two liang)
Grind into powder, form pills with refined honey, size of Sophora japonica seeds. Take sixty pills on an empty stomach, with Suisha Tang (Sand-Carved Cardamom Decoction) or with wine, vinegar, or plain boiled water as desired.
A woman with inherently weak stomach qi cried for her mother, resulting in hemoptysis, cough, night sweats, fever, and cessation of menstruation for three months. I reasoned that grief injures the Lung and overthinking injures the Spleen. Thus, she took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (see Tonification section) with added Platycodon root, Fritillaria bulb, and Anemarrhena rhizome in the morning; and Guipi Tang (Restore the Spleen Decoction) (see Forgetfulness section) combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) in the evening, resulting in recovery. (See Tonification section.)
A woman suffered from long-term malaria; menstruation ceased during attacks. She presented with physical weakness, large pulse, headache, reluctance to eat, loose stools, dribbling urination, dry mouth and cracked lips, internal heat, and abdominal distension. This was likely due to prolonged malaria depleting healthy qi, allowing ministerial fire to flare independently. Treatment with Buzhong Yiqi Tang led to quick recovery. However, intermittent headaches persisted, so Vitex fruit was added to stop the pain; subsequently, Liuwei Dihuang Wan was added to restore menstruation. (See Tonification section.)
The favored wife of Vice Minister Wei suffered from inverted menstruation with continuous hemoptysis. I palpated the six pulses as slightly choppy yet forceful, indicating blood deficiency with flourishing fire. I prescribed Siwu Tang (Four-Substance Decoction) removing Prepared Rehmannia, using Raw Rehmannia totaling one liang, plus one liang of Rhubarb steamed with wine, decocted together, administered with urine. After administration, bleeding stopped and menstruation resumed.
The favored wife of Vice Minister Xu suffered from amenorrhea. Others suspected pregnancy. By the seventh or eighth month, she gradually became sallow and thin, with drum-like masses on both sides of the abdomen, fever, flushed face, and loss of appetite.
I palpated the six pulses as slightly choppy, diagnosing blood exhaustion with qi depression. I prescribed Siwu Tang (Four-Substance Decoction) with additions of Cyperi Rhizoma, Moutan Cortex, and Atractylodes macrocephala for more than ten doses. Then, Peach Kernel and Safflower were added for several more doses. Finally, Four-Stir-Fried Aurantium Pills were given. Within three or four doses, numerous blood clots were expelled, and she recovered.