其症因脾土不胜，不思饮食，由此血衰，月水往后期矣。或
次月饮食多进，月水又往前矣。用药不须调血，只宜理脾，脾土胜旺，血匀气顺，自然应期，当紫金丸。
紫金丸
青皮 陈皮 良姜 苍术（米泔水浸） 槟榔 枳壳 砂仁（微炒） 红豆 香附（制） 乌
药三棱（醋炒） 莪术（各二两）
上为末，早米糊丸，梧桐子大，食前米汤送下百丸。
左手寸脉洪，主胸中之怒气。关脉洪，主心中之冷气。尺脉
洪，主不孤。左三指般大，主孕有思在内。尺脉小如线发，主作脉，女人血堂病，月红或前或后。
右手寸脉洪，主上焦热，咳嗽有痰，身发潮热。关脉洪，主冷气作痛。尺脉洪，主孕。尺脉小，主子
宫冷。两手六脉一般洪缓而清利，主寿高。六脉俱小如线大，主胃弱不能饮食，腰痛头晕败血。六脉俱洪大浮
弦，主有风气。女人除此与产后，余与男子同。男子左手洪右手弱，主大利。女子右手洪左手弱，主大利。
左手实大是男胎，右手弦洪是女孩，两尺偏大分男女，命门滑实主怀胎。
赶前为热，退后为虚。血滞宜破，血枯宜补。常时与经前作
痛为血积，经后痛为血虚。常时发热为血虚有积，经行发热为血虚有热。
【主意】
妇人坤道血为基，气血调和体最宜。血盛气衰应可治，血衰气旺渐乖违。血热先期风热紫，寒痰黄淡湿违
期。作痛行经气血滞，行过作痛血气虚。经血有调宗四物，湿痰枳、术二陈推。脉数黄芩荆芥穗，气血力弱
入参。沉迟气滞槟榔佐，作痛满闷入青皮。虚热逍遥补心类，清之经血自如期。
逍遥散
白术（炒） 川归 柴胡 白芍 黄芩 薄荷 地骨皮 天花粉 龙胆草 石莲子
水煎服。
The symptoms arise because the Spleen Earth is unable to withstand [pathogenic factors], leading to a lack of appetite. Consequently, Blood becomes deficient, causing menstruation to be delayed. Or, if food intake increases in the following month, menstruation may arrive early. Medication does not need to specifically regulate Blood; it is only appropriate to regulate the Spleen. When Spleen Earth becomes strong and robust, Blood will be even and Qi smooth, and menstruation will naturally occur on schedule. At this time, Zijin Wan (Purple Gold Pill) should be administered.
Zijin Wan (Purple Gold Pill)
Qingpi (Green Tangerine Peel), Chenpi (Aged Tangerine Peel), Liangjiang (Galangal Rhizome), Cangzhu (Atractylodis Rhizoma) (soaked in rice wash water), Binglang (Areca Seed), Zhike (Bitter Orange Fruit), Sharen (Amomi Fructus) (lightly stir-fried), Hongdou (Red Bean), Xiangfu (Cyperi Rhizoma) (processed), Wuyao (Linderae Radix), Sanleng (Sparganii Rhizoma) (stir-fried with vinegar), Ezhu (Curcumae Rhizoma) (each 2 liang).
Grind the above into powder, use porridge made from early rice as a binder to form pills, sized like Chinese honeylocust seeds. Take 100 pills before meals, delivered with rice soup.
A Hong pulse at the Cun position of the left hand indicates anger in the chest. A Hong pulse at the Guan position indicates cold qi in the heart. A Hong pulse at the Chi position indicates non-solitude [having a partner]. If the three positions of the left hand are generally equal in size, it indicates pregnancy due to internal longing/thoughts. A Chi pulse small as a hair strand indicates menstrual irregularity; for women, this signifies disease of the Blood Chamber, where menstruation may be either early or late.
A Hong pulse at the Cun position of the right hand indicates heat in the Upper Jiao, cough with phlegm, and tidal fever. A Hong pulse at the Guan position indicates pain caused by cold qi. A Hong pulse at the Chi position indicates pregnancy. A small Chi pulse indicates uterine cold. If the six pulses of both hands are generally Hong, slow, clear, and slippery, it indicates longevity. If all six pulses are small as hair strands, it indicates weak Stomach Qi unable to digest food, accompanied by lower back pain, dizziness, and blood stasis. If all six pulses are Hong, large, floating, and wiry, it indicates the presence of Wind pathogen. For women, except during menstruation and postpartum periods, the diagnostic principles are the same as for men. In men, a Hong left hand pulse and weak right hand pulse indicate severe diarrhea. In women, a Hong right hand pulse and weak left hand pulse indicate severe diarrhea.
A solid and large pulse on the left hand indicates a male fetus; a wiry and Hong pulse on the right hand indicates a female fetus. Differences in the two Chi positions can distinguish gender; a slippery and solid Mingmen pulse indicates pregnancy.
Menstruation arriving early is Heat; arriving late is Deficiency. Blood stasis requires breaking; Blood dryness requires tonifying. Pain before menstruation at usual times indicates Blood accumulation; pain after menstruation indicates Blood deficiency. Fever at usual times indicates Blood deficiency with accumulation; fever during menstruation indicates Blood deficiency with Heat.
[Main Therapeutic Principles]
Women follow the Kun Dao, with Blood as the foundation; harmonizing Qi and Blood is most suitable for the body. If Blood is abundant and Qi is weak, it is treatable; if Blood is deficient and Qi is vigorous, it gradually deviates from normal. Blood Heat causes early menstruation with purple color; Cold Phlegm causes yellowish pale color; Dampness causes deviation from the cycle. Pain during menstruation indicates Qi and Blood stagnation; pain after menstruation indicates Qi and Blood deficiency. Regulating menstruation takes Siwu Tang (Four Substance Decoction) as the ancestor; for Damp-Phlegm, Erchen Tang (Two-Cured Decoction) with Zhishi (Immature Bitter Orange) and Baizhu (Atractylodis Macrocephalae Rhizoma) is recommended. For rapid pulses, add Huangqin (Scutellariae Radix) and Jingjie Sui (Schizonepeta Spike); for weak Qi and Blood, add Renshen (Ginseng Radix). For deep and slow pulses with Qi stagnation, assist with Binglang (Areca Seed); for pain and fullness/stuffiness, add Qingpi (Green Tangerine Peel). For Deficient Heat, use Xiaoyao San (Free and Easy Wanderer Powder); for Heart-tonifying categories, apply them. After clearing Heat, menstruation will naturally return on schedule.
Xiaoyao San (Free and Easy Wanderer Powder)
Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried), Chuan Gui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Digupi (Lycii Cortex), Tianhuafen (Trichosanthis Radix), Longdancao (Gentianae Radix), Shilianzi (Nelumbinis Plumula).
Decoct in water and take orally.