妇人诸病者，多是气盛而血虚也。
调气养血汤 专治妇人、室女血气不和，胎前产后诸病。盖妇人以血为主，殊不知血气先不调，然后
血脉不顺，即生诸病。
香附米（炒，一钱） 乌药（一钱） 砂仁（一钱） 当归 川芎 熟地黄（姜汁浸炒。各一钱） 白芍
（酒炒） 甘草
上锉一剂，生姜、枣煎服，或丸或散皆可。气痛加吴茱萸；痰盛加二陈汤全服。
妇人经水或前或后，或多或少，或逾不来，或一月两来者，俱是不调之故也。
千金调经散 治妇人经水不调，或曾经小产，或带下二十六病，腹痛口干，或发热、小腹痛急、手足
烦热、六腑不调、时时泄血、经水不调、久不怀孕。
当归 川芎 白芍（酒炒，各二钱） 人参 阿胶（炒） 牡丹皮 肉桂（各一钱） 吴茱萸（炒，一钱）
麦门冬（去心） 半夏（姜制。各一钱五分） 甘草（五分）
上锉一剂，生姜煎服。
经水先期而来者，血虚有热也。（治当补血清热，经自准也。）
当归（一钱半） 川芎（五分） 白芍（酒炒八分） 生地黄（一钱） 阿胶（炒，五分） 艾叶（三分）
条芩（一钱） 黄芩（姜炒，八分） 黄柏（五分） 知母（五分） 香附（一钱） 甘草（三分）
上锉一剂，水煎，空心温服。
经水过期不来作痛者，血虚有寒也。（治当温经养血，痛自止也。）
当归（一钱半） 川芎（五分） 白芍（酒炒，一钱） 熟地黄（一钱） 桃仁
（二十个，去皮尖研） 红花（三分） 香附（一钱） 肉桂（五分） 蓬术（一钱） 苏木（一钱
木通（八分) 甘草（五分）
上锉一剂，水煎，空心温服。
经水将来作痛者，血实气滞也。（腹中阵阵作痛，乍作乍止，气血俱实，治当行经顺气，痛自止也。）
当归 川芎 白芍 生地黄 黄连 香附 桃仁（去皮尖） 玄胡索 牡丹皮 莪术（各等分） 红花
（减半）
上锉一剂，水煎，空心温服。发热加柴胡、黄芩。
经行着气，作心腹腰胁疼痛者，乃瘀血也。（治当顺气消瘀，痛自止也。）
当归 川芎 白芍 生地黄 桃仁（去皮尖） 红花 玄胡索 莪术 青皮（各等分）
上锉一剂，水煎温服。
经水过期而来，紫黑成块者，气郁血滞也。（治当调经顺气，经自准也。）
当归 川芎 白芍 生地黄 桃仁（去皮尖） 红花 牡丹皮 青皮 香附 玄胡索 甘草
上锉一剂，水煎服。
经水过期而来，色淡者，痰多也。（治当活血化痰，经自调也。）
当归 川芎 白芍 生地黄 陈皮 半夏（姜炒） 白茯苓（去皮） 甘草（各等分）
上锉一剂，生姜三片，水煎服。
经水过期而来作痛者，血虚有热也。（治当生血清热，痛自止也。）
当归 川芎 白芍（酒炒） 生地黄 牡丹皮 桃仁（去皮尖） 红花 木香 玄胡索 香附 甘草
上锉，水煎温服。
经水过多，久不止者，成血崩也。（治当凉血补血，经自止也。）
当归 川芎 白芍（酒炒） 生地黄 白术 条芩 阿胶（炒） 白茯苓（皮不用） 山栀 地榆 荆芥
香附 甘草
上锉，水煎，空心服。久不止者，加茅根汁磨墨同服。
经水行后作痛，气血虚也。（治当调养气血，痛自止也。）
当归 川芎 白芍（酒炒） 熟地黄 人参 白术（去芦） 干姜（炒） 甘草
上锉一剂，姜枣煎服。
经水去多、久不止，发肿满者，是脾经血虚也。（治当补血健脾、利小水，肿自消也。）
当归 川芎 白芍（酒炒） 木香 熟地黄 茯苓 白术 砂仁 大腹皮 陈皮 浓朴（姜汁炒） 苏子
猪苓 木通 香附 玄胡索 牛膝（去芦） 甘草
上锉一剂，水煎温服。
经水月久不行、发肿者，是瘀血渗入脾经也。（治当活血健脾行气，肿自消也。）
当归 川芎 白芍 桃仁（去皮） 红花 牡丹皮 干姜 肉桂 浓朴 枳壳（麸炒） 木香 香附
牛膝（去芦） 玄胡索
上锉剂，水煎服。
经水月久不行，腹胁有块作疼者，是血作结 瘕也。（治当调经止痛，块渐消也。）
当归 川芎 砂仁 木香 小茴 乳香 枳实（麸炒） 浓朴（姜炒） 桃仁 红花 牡丹皮 肉桂
香附 玄胡索 牛膝（去芦）
上锉剂，水煎温服。
错经妄行于口鼻者，是火载血上，气之乱也。（治当滋阴降火、顺气调经，经自准也。脉必芤涩，久而不
治，乃成虚怯也。）
当归 川芎 白芍 生地黄 黄芩 山栀 牡丹皮 阿
胶（炒） 犀角 白茯苓（去皮） 麦门冬（去心） 陈皮
上锉一剂，水煎服。
经行身痛麻痹、寒热头疼者，乃触经感冒也。加减五积散，治妇人遇经行时沿身疼痛、手足痹麻，或
生寒热头痛、目眩等症。根据本方去干姜，加羌活、独活、牛膝，姜枣煎服。（方见中寒。）
经水不调，或腹痛白带，或淋沥不止，或肌瘦者，此血气俱虚也。
大补经汤 治妇人气血虚弱、血海寒冷，经水不调，或时心腹疼痛，或下白带如鱼脑髓。或似米泔色
错乱不分，信期每月淋沥不止，面色痿黄，四肢无力，头目眩晕，肌体羸瘦。
当归（酒洗） 白芍 香附（各六分） 川芎 熟地黄（各五分） 白术（去芦） 白茯苓 黄 陈皮
玄胡索（各四分） 人参 砂仁 阿胶（炒） 沉香（另研） 小茴（酒炒） 吴茱萸（炒） 肉桂 粉甘
（炙。各三分）
上锉一剂，姜枣煎服。
经验调经汤 治妇人经水或前或后、或多或少。
当归 熟地黄 香附（各一钱二分） 白芍（酒炒） 吴茱萸（炒） 大腹皮 紫荆皮 肉苁蓉（各一钱）
川芎 条芩（各七分） 粉草（五分）
上锉一剂，生姜三片、枣一枚，水煎，待经至之日服起，一日一剂，服至四剂而止，即经对期。
艾附暖宫丸 治妇人经水不调，小腹时痛，赤白带下，子宫虚寒。
南香附米一斤（四两醋浸，四两汤浸，四两童便浸，四两酒浸。各浸一宿，焙干） 北艾叶（焙干捣烂，
去灰，醋浸炒，四两） 当归 川芎 白芍（酒炒） 熟地黄（姜汁炒。各一两） 玄胡索子（炒，二两）
甘草（生用，八钱）
上为细末，醋糊为丸，如梧桐子大。每服七八十丸，空心米汤下，酒亦可。
调经八物丸 养血调经，如期，除赤白带，久服立孕。
当归（酒洗，二两） 南芎（盐汤浸，切，一两） 白芍（酒炒，一两半） 熟地黄（酒浸，二两）
白茯苓（去皮，一两） 白术（米泔浸焙一两） 橘皮（盐汤洗晒，一两） 牡丹皮（一两） 条芩（酒炒，
一两） 玄胡索（酒炒，一两）
上为末，炼蜜为丸，如梧桐子大。每服八九十丸，空心，淡盐汤下；寒月酒下。
一妇人，晡热、肢体瘦倦、食少无味、月经不行、或鼻衄、或血崩，半载矣。或用顺气、清热等剂不应，
更加寒热，且时欲作呕。余以为郁怒亏损，脾胃湿火，错经妄行而然耳。遂朝用补中益气汤，夕用六味丸，各
数剂，半载而痊。（方见补益。）
一妇人，经行遇怒，其经即止，甚则口噤、筋挛、鼻衄、头痛、痰气搐搦、瞳子上视，此肝火炽甚。以小
柴胡汤加熟地黄、山栀、钩藤而愈，（方见伤寒。）
一妇人多怒，经行旬余方止，后淋沥无期，肌体倦瘦，口干内热，盗汗如洗，日晡热甚，皆由肝脾亏损，
无以生发元气。用补中益气汤加茯神、远志、酸枣仁、麦门、五味、牡丹皮、龙眼肉治之即痊。（方见补益。）
一妇人，经行感冒风邪，昼则安静，夜则谵语，此热入血室也。用小柴胡汤（方见伤寒）加生地黄治之顿
安。但内热头晕，用补中益气（方见补益）加蔓荆子而愈。后因怒恼寒热、谵语、胸胁胀痛、小便频数、月经
先期，此肝火血热妄行。用加味逍遥加生地黄而愈。（方见妇人虚劳。）
Various diseases in women are mostly caused by excessive Qi and deficient Blood.
Tiaoqi Yangxue Tang (Regulate Qi and Nourish Blood Decoction) is specifically used to treat Qi and Blood disharmony in married or unmarried women, as well as various conditions before and after childbirth. Generally, women take Blood as their foundation; however, if Qi and Blood are initially not harmonized, the blood vessels will become unsmooth, thereby generating various diseases.
Xiangfu Mi (Cyperi Rhizoma, stir-fried, 1 qian) Wuyao (Linderae Radix, 1 qian) Sharen (Amomi Fructus, 1 qian) Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Shudihuang (Rehmanniae Radix Praeparata, soaked in ginger juice and stir-fried, each 1 qian) Baishao (Paeoniae Radix Alba, stir-fried with wine) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder for one dose. Decoct with fresh ginger and jujube for oral administration. It can also be made into pills or powders. For Qi-stagnation pain, add Wuzhuyu (Evodiae Fructus); for excessive phlegm, administer Erchen Tang (Two-Cured Decoction) in its entirety.
Menstrual cycles may come early or late, with heavy or light flow, or be delayed indefinitely, or occur twice a month; all of these are due to menstrual irregularity.
Qianjin Tiaojing San (Thousand-Gold Menstrual Regulation Powder) treats menstrual irregularity in women, or those who have had a miscarriage, or suffer from leukorrhea involving twenty-six types of diseases, abdominal pain, dry mouth, fever, acute lower abdominal pain, vexatious heat in hands and feet, dysfunction of the six fu-organs, frequent bleeding, menstrual irregularity, and infertility over a long period.
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine, each 2 qian) Renshen (Ginseng Radix) Ejiao (Colla Corii Asini, fried) Mudanpi (Moutan Cortex) Rougui (Cinnamomi Cortex), each 1 qian Wuzhuyu (Evodiae Fructus, stir-fried, 1 qian) Maimendong (Ophiopogonis Radix, heart removed) Banxia (Pinelliae Rhizoma, processed with ginger, each 1.5 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Crush these herbs into coarse powder for one dose. Decoct with fresh ginger for oral administration.
When menstruation arrives early, it indicates Blood deficiency with heat. (Treatment should focus on nourishing Blood and clearing heat, after which menstruation will naturally regulate.)
Danggui (Angelicae Sinensis Radix, 1.5 qian) Chuanxiong (Chuanxiong Rhizoma, 0.5 qian) Baishao (Paeoniae Radix Alba, stir-fried with wine, 0.8 qian) Shengdihuang (Rehmanniae Radix, 1 qian) Ejiao (Colla Corii Asini, fried, 0.5 qian) Aiye (Artemisiae Argyi Folium, 0.3 qian) Tiaoqin (Scutellariae Radix, 1 qian) Huangqin (Scutellariae Radix, stir-fried with ginger, 0.8 qian) Huangbai (Phellodendri Cortex, 0.5 qian) Zhimu (Anemarrhenae Rhizoma, 0.5 qian) Xiangfu (Cyperi Rhizoma, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 qian)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm on an empty stomach.
When menstruation is delayed and accompanied by pain, it indicates Blood deficiency with cold. (Treatment should focus on warming the meridians and nourishing Blood, after which the pain will cease.)
Danggui (Angelicae Sinensis Radix, 1.5 qian) Chuanxiong (Chuanxiong Rhizoma, 0.5 qian) Baishao (Paeoniae Radix Alba, stir-fried with wine, 1 qian) Shudihuang (Rehmanniae Radix Praeparata, 1 qian) Taoren (Persicae Semen, 20 seeds, skin and tip removed, crushed) Honghua (Carthami Flos, 0.3 qian) Xiangfu (Cyperi Rhizoma, 1 qian) Rougui (Cinnamomi Cortex, 0.5 qian) Pengzhu (Curcumae Zedoariae Rhizoma, 1 qian) Sumu (Sappan Lignum, 1 qian) Mutong (Akebiae Caulis, 0.8 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm on an empty stomach.
When pain occurs before menstruation arrives, it indicates Blood excess and Qi stagnation. (There is paroxysmal abdominal pain that comes and goes, indicating both Qi and Blood are excess. Treatment should promote menstruation and smooth Qi, after which the pain will cease.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Huanglian (Coptidis Rhizoma) Xiangfu (Cyperi Rhizoma) Taoren (Persicae Semen, skin and tip removed) Yuanhusuo (Corydalis Rhizoma) Mudanpi (Moutan Cortex) Ezhu (Curcumae Rhizoma, equal parts) Honghua (Carthami Flos, half amount)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm on an empty stomach. If there is fever, add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix).
If anger during menstruation causes pain in the heart, abdomen, waist, and hypochondrium, it is due to blood stasis. (Treatment should smooth Qi and resolve stasis, after which the pain will cease.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Taoren (Persicae Semen, skin and tip removed) Honghua (Carthami Flos) Yuanhusuo (Corydalis Rhizoma) Ezhu (Curcumae Rhizoma) Qingpi (Citri Reticulatae Pericarpium Viride, equal parts)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm.
When menstruation arrives late with purple-black clots, it is due to Qi depression and Blood stagnation. (Treatment should regulate menstruation and smooth Qi, after which menstruation will normalize.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Taoren (Persicae Semen, skin and tip removed) Honghua (Carthami Flos) Mudanpi (Moutan Cortex) Qingpi (Citri Reticulatae Pericarpium Viride) Xiangfu (Cyperi Rhizoma) Yuanhusuo (Corydalis Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder for one dose. Decoct with water and take.
When menstruation arrives late with pale color, it is due to excessive phlegm. (Treatment should invigorate Blood and resolve phlegm, after which menstruation will regulate.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, stir-fried with ginger) Baifuling (Poria, peeled) Gancao (Glycyrrhizae Radix et Rhizoma, equal parts)
Crush these herbs into coarse powder for one dose. Add three slices of fresh ginger, decoct with water, and take.
When menstruation arrives late and is accompanied by pain, it indicates Blood deficiency with heat. (Treatment should generate Blood and clear heat, after which the pain will cease.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine) Shengdihuang (Rehmanniae Radix) Mudanpi (Moutan Cortex) Taoren (Persicae Semen, skin and tip removed) Honghua (Carthami Flos) Muxiang (Aucklandiae Radix) Yuanhusuo (Corydalis Rhizoma) Xiangfu (Cyperi Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder. Decoct with water and take warm.
When menstrual flow is excessive and persists for a long time, it becomes metrorrhagia (blood flooding). (Treatment should cool Blood and nourish Blood, after which menstruation will stop.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine) Shengdihuang (Rehmanniae Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Tiaoqin (Scutellariae Radix) Ejiao (Colla Corii Asini, fried) Baifuling (Poria, peel not used) Zhizi (Gardeniae Fructus) Diyü (Sanguisorbae Radix) Jingjie (Schizonepetae Spica) Xiangfu (Cyperi Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder. Decoct with water and take on an empty stomach. If it persists for a long time, add juice of Maogen (Imperatae Rhizoma) mixed with ink for simultaneous administration.
When pain occurs after menstruation, it indicates Qi and Blood deficiency. (Treatment should regulate and nourish Qi and Blood, after which the pain will cease.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine) Shudihuang (Rehmanniae Radix Praeparata) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, rhizome removed) Ganjiang (Zingiberis Rhizoma, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder for one dose. Decoct with ginger and jujube.
When menstrual flow is excessive and persists for a long time, leading to swelling and fullness, it is due to Blood deficiency in the Spleen meridian. (Treatment should nourish Blood, strengthen the Spleen, and promote urination, after which the swelling will subside.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine) Muxiang (Aucklandiae Radix) Shudihuang (Rehmanniae Radix Praeparata) Fuling (Poria) Baizhu (Atractylodis Macrocephalae Rhizoma) Sharen (Amomi Fructus) Dafupi (Arecae Pericarpium) Chenpi (Citri Reticulatae Pericarpium) Nongpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice) Suzi (Perillae Fructus) Zhuling (Polyporus) Mutong (Akebiae Caulis) Xiangfu (Cyperi Rhizoma) Yuanhusuo (Corydalis Rhizoma) Niuxi (Achyranthis Bidentatae Radix, rhizome removed) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm.
When menstruation does not occur for months and swelling develops, it is due to blood stasis infiltrating the Spleen meridian. (Treatment should invigorate Blood, strengthen the Spleen, and move Qi, after which the swelling will subside.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Taoren (Persicae Semen, skin removed) Honghua (Carthami Flos) Mudanpi (Moutan Cortex) Ganjiang (Zingiberis Rhizoma) Rougui (Cinnamomi Cortex) Nongpo (Magnoliae Officinalis Cortex) Zhike (Aurantii Fructus, bran-fried) Muxiang (Aucklandiae Radix) Xiangfu (Cyperi Rhizoma) Niuxi (Achyranthis Bidentatae Radix, rhizome removed) Yuanhusuo (Corydalis Rhizoma)
Crush these herbs into coarse powder for one dose. Decoct with water and take.
When menstruation does not occur for months and masses appear in the abdomen and hypochondrium causing pain, it is due to Blood forming Jia masses (fixed masses). (Treatment should regulate menstruation and relieve pain, after which the masses will gradually dissipate.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Sharen (Amomi Fructus) Muxiang (Aucklandiae Radix) Xiaohui (Foeniculi Fructus) Ruxiang (Olibanum) Zhishi (Aurantii Fructus Immaturus, bran-fried) Nongpo (Magnoliae Officinalis Cortex, stir-fried with ginger) Taoren (Persicae Semen) Honghua (Carthami Flos) Mudanpi (Moutan Cortex) Rougui (Cinnamomi Cortex) Xiangfu (Cyperi Rhizoma) Yuanhusuo (Corydalis Rhizoma) Niuxi (Achyranthis Bidentatae Radix, rhizome removed)
Crush these herbs into coarse powder for one dose. Decoct with water and take warm.
When menstruation aberrantly flows from the mouth and nose, it is due to Fire carrying Blood upward and chaotic Qi. (Treatment should nourish Yin, descend Fire, smooth Qi, and regulate menstruation, after which menstruation will normalize. The pulse will likely be Kou and Se [floating and choppy]. If left untreated for long, it will become a deficiency-wasting condition.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Huangqin (Scutellariae Radix) Zhizi (Gardeniae Fructus) Mudanpi (Moutan Cortex) Ejiao (Colla Corii Asini, fried) Xijiao (Rhinocerotis Cornu) Baifuling (Poria, peeled) Maimendong (Ophiopogonis Radix, heart removed) Chenpi (Citri Reticulatae Pericarpium)
Crush these herbs into coarse powder for one dose. Decoct with water and take.
When body pain, numbness, chills, fever, and headache occur during menstruation, it is due to catching a cold during the menstrual period. Jiajian Wuji San (Modified Five Accumulations Powder) treats women experiencing whole-body pain, hand and foot numbness, chills, fever, headache, dizziness, etc., during menstruation. Based on this formula, remove Ganjiang (Zingiberis Rhizoma), add Qianghuo (Notopterygii Rhizoma), Duhuo (Angelicae Pubescentis Radix), and Niuxi (Achyranthis Bidentatae Radix). Decoct with ginger and jujube. (See Middle Cold chapter.)
Menstrual irregularity, or abdominal pain with leukorrhea, or dripping continuously, or emaciation, indicates joint deficiency of Qi and Blood.
Dabu Jing Tang (Great Tonifying Menstrual Decoction) treats Qi and Blood deficiency in women, cold uterus, menstrual irregularity, occasional heart and abdominal pain, or leukorrhea resembling fish brain matter, or turbid rice-water-like discharge without clear distinction, continuous dripping during expected periods, sallow complexion, weakness in limbs, dizziness of head and eyes, and emaciated body.
Danggui (Angelicae Sinensis Radix, washed with wine) Baishao (Paeoniae Radix Alba) Xiangfu (Cyperi Rhizoma, each 0.6 qian) Chuanxiong (Chuanxiong Rhizoma) Shudihuang (Rehmanniae Radix Praeparata, each 0.5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, rhizome removed) Baifuling (Poria) Huangqi (Astragali Radix) Chenpi (Citri Reticulatae Pericarpium) Yuanhusuo (Corydalis Rhizoma, each 0.4 qian) Renshen (Ginseng Radix) Sharen (Amomi Fructus) Ejiao (Colla Corii Asini, fried) Chenxiang (Aquilariae Lignum Resinatum, separately ground) Xiaohui (Foeniculi Fructus, stir-fried with wine) Wuzhuyu (Evodiae Fructus, stir-fried) Rougui (Cinnamomi Cortex) Fen Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 0.3 qian)
Crush these herbs into coarse powder for one dose. Decoct with ginger and jujube.
Jingyan Tiaojing Tang (Experience Menstrual Regulation Decoction) treats menstrual irregularity, either early or late, heavy or light.
Danggui (Angelicae Sinensis Radix) Shudihuang (Rehmanniae Radix Praeparata) Xiangfu (Cyperi Rhizoma, each 1.2 qian) Baishao (Paeoniae Radix Alba, stir-fried with wine) Wuzhuyu (Evodiae Fructus, stir-fried) Dafupi (Arecae Pericarpium) Zijingpi (Bauhiniae Purpureae Cortex) Rongzhu (Cynomorii Herba, each 1 qian) Chuanxiong (Chuanxiong Rhizoma) Tiaoqin (Scutellariae Radix, each 0.7 qian) Fen Cao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Crush these herbs into coarse powder for one dose. Add three slices of fresh ginger and one jujube. Decoct with water. Start taking on the day menstruation begins. Take one dose per day for four doses to stop, and menstruation will return to its regular schedule.
Aifu Nuangong Wan (Mugwort and Cyperi Pill to Warm the Uterus) treats menstrual irregularity, occasional lower abdominal pain, red and white leukorrhea, and uterine deficiency-cold.
Nan Xiangfu Mi (Southern Cyperi Rhizoma, 1 jin): 4 liang soaked in vinegar, 4 liang soaked in water, 4 liang soaked in child's urine, 4 liang soaked in wine. Soak each overnight, then dry by baking. Bei Aye (Northern Artemisiae Argyi Folium, baked until dry, pounded, ash removed, soaked in vinegar and stir-fried, 4 liang) Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, stir-fried with wine) Shudihuang (Rehmanniae Radix Praeparata, stir-fried with ginger juice, each 1 liang) Yuanhusuo Zi (Corydalidis Semen, stir-fried, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, raw, 8 qian)
Grind these herbs into fine powder. Make pills with vinegar paste, size of Sophora japonica seeds. Take 70-80 pills each time on an empty stomach with rice soup; wine is also acceptable.
Tiaojing Babao Wan (Menstrual Regulation Eight-Substance Pill) nourishes Blood and regulates menstruation to arrive on time, eliminates red and white leukorrhea, and promotes conception with long-term use.
Danggui (Angelicae Sinensis Radix, washed with wine, 2 liang) Nan Xiong (Chuanxiong Rhizoma, soaked in salt water, sliced, 1 liang) Baishao (Paeoniae Radix Alba, stir-fried with wine, 1.5 liang) Shudihuang (Rehmanniae Radix Praeparata, soaked in wine, 2 liang) Baifuling (Poria, peeled, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, soaked in rice wash water and baked, 1 liang) Jupi (Citri Reticulatae Pericarpium, washed with salt water and dried, 1 liang) Mudanpi (Moutan Cortex, 1 liang) Tiaoqin (Scutellariae Radix, stir-fried with wine, 1 liang) Yuanhusuo (Corydalis Rhizoma, stir-fried with wine, 1 liang)
Grind these herbs into powder. Make pills with refined honey, size of Sophora japonica seeds. Take 80-90 pills each time on an empty stomach with light salt water; in cold months, take with wine.
A woman suffered from afternoon fever, emaciated and fatigued limbs, poor appetite with no taste, amenorrhea, epistaxis, or metrorrhagia for half a year. Treatments using Qi-smoothing and heat-clearing formulas were ineffective, and she developed alternating chills and fever with frequent nausea. I diagnosed this as damage from depression and anger, leading to damp-fire in the Spleen and Stomach, causing aberrant menstrual flow. Therefore, I prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) in the morning and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) in the evening, administering several doses of each. She recovered after half a year. (See Tonification chapter.)
A woman experienced cessation of menstruation upon anger during her period, progressing to lockjaw, tendon spasms, epistaxis, headache, phlegm-induced convulsions, and upward deviation of the pupils. This indicated excessive Liver Fire. She was cured using Xiaochaihu Tang (Minor Bupleurum Decoction) supplemented with Shudihuang (Rehmanniae Radix Praeparata), Zhizi (Gardeniae Fructus), and Gouteng (Uncariae Ramulus cum Uncis). (See Shaoyang chapter.)
A woman prone to anger had menstruation lasting over ten days, followed by indefinite dripping. She became emaciated and fatigued, with dry mouth, internal heat, night sweats profuse like washing, and severe afternoon fever. All symptoms resulted from Liver and Spleen deficiency, failing to generate Yuan Qi. She was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) supplemented with Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), Maimendong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Mudanpi (Moutan Cortex), and Longyanrou (Longan Arillus), resulting in a cure. (See Tonification chapter.)
A woman caught wind-cold during menstruation. She was quiet during the day but delirious at night. This indicated Heat entering the Blood Chamber. She was instantly relieved using Xiaochaihu Tang (Minor Bupleurum Decoction) supplemented with Shengdihuang (Rehmanniae Radix). However, due to remaining internal heat and dizziness, she was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) supplemented with Manjingzi (Viticis Fructus). Later, due to anger, she developed chills, fever, delirium, chest and hypochondriac distension and pain, frequent urination, and early menstruation. This indicated Liver Fire and Blood Heat causing reckless flow. She was cured using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) supplemented with Shengdihuang (Rehmanniae Radix). (See Female Deficiency-Wasting chapter.)