〔丹〕经水或紫或黑论经水者，阴血也。阴必从阳，故其色红，禀火色也。血为气之配，气热则热，气
寒则寒，气升则升，气降则降，气凝则凝，气滞则滞，气清则清，气浊则浊。往往见有成块者，气之凝也。将
行而痛者，气之滞也。来后作痛者，气血俱虚也。色淡者，亦虚也，而有水混之也。错经妄行者，气之乱也。
紫者，气之热也。黑者，热之甚也。今人但见其紫者，黑者，作痛者，成块者，率指为风冷，而行温热之剂，
则祸不旋踵矣。良由《病原》论月水诸病，皆曰风冷乘之，宜其相习而成俗也。或曰∶黑，北方水色也，紫淡
于黑，非冷而何？予曰∶经曰亢则害，承乃制。热甚者，必兼水化，所以热则紫，甚则黑也。况妇人性执而见
鄙，嗜欲加倍，脏腑厥阳之火，无日不起，非热而何？若曰风冷，必须外得，设或有之，盖千百一二者也。
〔海〕四物加黄芩黄连汤 治经水如黑豆汁。
四物汤（四两） 黄芩 黄连（各一两）
上为末，醋糊丸，服。
〔丹〕月经黑，口渴倦怠，形短色黑，脉不匀似数。
黄柏（炒） 黄芩（各三钱） 甘草（二钱） 赤芍药 香附末（各半两）
上为末，醋糊丸，白汤下五六十丸。
永康胡八娘子二十岁，二月经事不来，忽行小腹痛，有块，血紫色。
白芍药 白术 陈皮（各半两） 黄芩 川芎 木通（各二钱） 甘草（些炙）
何孺人，气滞血涩，脉不涩，经不调，或前或后，紫色，日苦两大腿外 麻木，有时痒，生疮，
大便秘滞。
麻子仁 桃仁 芍药（各二两） 枳壳 白术 归头 威灵仙 诃子肉 生地 陈皮（各五钱）
大黄（ ，七钱）
各为末，粥丸如桐子大。白汤下五六十丸。
〔丹〕经水色淡者，气血俱虚也。宜八物汤之类。八物者，四物、四君子也。如兼它症，随症加药。
楼妇人，年四十八。因有白带，口渴，月经多，初血黑色，后来血淡，倦怠食少，脐上急。
白术（一钱半） 红花（豆许） 陈皮（一钱） 木通 黄芩（各五分） 缩砂 甘草（炙。各三分）
枳壳（五分） 白芍药（一钱）
上煎汤，下保和丸三十丸、抑青丸二十丸。
〔海〕四物加黄芩白术汤 治经水过多。
四物汤（四两） 黄芩 白术（各一两）
〔丹〕经水过多。
黄芩（炒） 芍药（炒） 龟板（炙。各一两） 黄柏（三钱，炒） 香附（二钱半） 椿树根皮（七钱半）
上为末，酒糊丸，空心，白汤下五六十丸。
〔丹〕一妇人，脉弦而大，不数。形肥，初夏时倦怠，月经来时多。此禀受弱，气不足摄血，故行多。
白术（一钱半） 黄 （生） 陈皮（各一钱） 人参（五分） 甘草（三钱，炙）
〔海〕四物加葵花汤 治经水涩少。
四物汤（四两） 葵花（一两） 一方又加红花、血见愁。
四物汤加熟地黄当归汤 治经水少而色和。
四物汤（四两） 熟地 当归（各一两）
〔《脉》〕师曰∶有一妇人来诊，言经水少不如前者，何也？师曰∶曾更下利，若汗出，小便利者，可。
何以故？师曰∶亡其津液，故令经水反少。设经下多于前者，当所苦困当言，恐大便难，身无复汗也。
〔海〕四物四两，加玄胡索、苦楝、槟榔、木香各一两，治经事将行，脐腹绞痛。临经痛者，血涩故也。
〔丹〕抑气丸 临经之时腹痛。
以四物汤加玄胡索、陈皮、牡丹皮、甘草。痛甚以豆淋酒，痛少以童便煮香附，入条芩为丸。经水将来而
痛者，四物汤加桃仁、香附、黄连。
周壁妇人四十余，月经不调，行时腹疼，行后又有三四日淋沥皆秽水，口渴面黄，倦怠无力。
白术（一两） 归身尾（六钱） 陈皮（七钱） 黄连（三钱） 木通 黄 （生） 黄芩（各二钱）
甘草（一钱，炙）
分八帖，下五灵脂丸四十粒，食前服。
仁十三孺人，月经不匀，血紫色，来作痛，倦怠恶寒，为人性急。
青皮（五钱） 川芎 黄芩 牡丹皮 茯苓（三钱） 干姜（一钱） 甘草（五分，炙）
分二帖，水煎服。
一妇人二十岁，月经不匀，来时先呵欠，腹隐疼，血紫色，食少无力。
白术（四钱） 黄连 陈皮（各二钱半） 牡丹皮（二钱） 木通 黄芩 人参 茱萸（一钱半）
甘草（五分，炙）
分四帖，水二盏，煎取小盏，食前服。
〔云〕桂枝桃仁汤 治经候前先腹痛不可忍。
桂枝 芍药 生地（各二两） 桃仁（四十个） 甘草（一两）
上为粗末，每服五钱，水二盏，姜三片，枣一枚，同煎，去渣温服。
〔垣〕柴胡丁香汤 治妇人年三十岁，临经预先脐腰痛，甚则腹中亦痛，经缩二三日。
柴胡（一钱半） 羌活（一钱） 丁香（四分） 全蝎（一个，洗） 当归身（一钱） 生地（一分）
上都作一服，水四盏，煎至一盏，去渣，稍热，食前服。
一妇人三十岁，每因浴后，必用冷水淋通身，又尝大惊，遂患经来时必先少腹大痛，口吐涎水，然后经行。
行后又吐水二日，其痛直至六七日经水止时方住，百药不效。予诊其脉，寸滑大而弦，关尺皆弦大而急，尺小
于关，关小于寸，所谓前大后小也。遂用香附三两，半夏二两，茯苓、黄芩各一两半，枳实、玄胡、牡丹皮、
人参、当归、白术、桃仁各一两，黄连七钱，川楝、远志、甘草各半两，桂三钱，茱萸一钱半，分十五帖，水
煎。入生姜汁两蚬壳，热服。后用热汤洗浴，得微汗乃已。忌当风坐卧，手足见水，并吃生冷。服三
十帖全愈。半年后，又因惊忧，前病复举，腰腹时痛，小便淋痛，心惕惕跳惊悸。予意其表已解，病独在
里。先与灸少冲、劳宫、昆仑、三阴交，止悸定痛。次用桃仁承气大下之，下后用香附三两，蓬术、当
归身各一两半，三棱、玄胡索、桂、大黄、青皮俱醋制，青木香、茴香、滑石、木通、桃仁各一两，乌
药、甘草、缩砂、槟榔、苦楝肉各半两，木香、吴茱萸各二钱，分作二十帖，入新取牛膝湿者二钱，生姜
五片，用荷叶汤煎服。服讫渐安。
〔丹〕经过后而作痛者，乃虚中有热，所以作痛。
新荷姐，头痛口干，经行后身痛，腰甚痛。
生地 白术 芍药（各一钱） 芎 归身尾（各五分） 黄柏（炒） 甘草（炙。各三分） 水、少酒，煎服。
〔《本》〕治妇人月经壅滞，每发心腹脐 痛不可忍，及治产后恶露不快，血上抢心，迷闷不省，气绝欲死者，
琥珀散。
京三棱 蓬莪术 赤芍药 刘寄奴 牡丹皮 熟地 官桂 菊花 真蒲黄 当归（各一两）
上前五味，用乌豆一升，生姜半斤，切片，米醋四升，同煮豆烂为度，焙干。入后五味，同为末。每服二
钱，温酒调下，空心食前服。一方不用菊花、蒲黄，用乌药、玄胡索，亦佳。予家之秘方也。若是寻常血气
痛，只一服，产后血冲心，二服便下。常服尤佳。予前后救人急切不少，此药亦宜多合，以救人。
〔《大》〕交加散 治荣卫不和，月经湛浊，逐散恶血，腹痛经血诸疾，并皆治之。
生姜（二斤） 生地（二斤，二味制） 白芍药 当归 桂心（各一两） 红花（炒，无恶血不用）
没药（另研。各半两） 蒲黄（隔纸炒） 玄胡索（醋纸包，煨热，用布擦去皮。各一两）
上将地黄汁炒生姜滓，姜汁炒地黄滓，各焙干，用诸药为细末，每服三钱，温酒调下。若月经不根据常，苏
木煎酒调下。若腰痛，糖酒调下。
〔丹〕瘀血。
香附（醋煮，四两） 桃仁（一两） 牡丹皮 大黄（蒸） 当归（各一两） 川芎 红花（各半两）
瓦垄子（ ，醋煮一昼夜，二两）
上炊饼为丸。空心，温酒下三四丸。
交加地黄丸 治妇人经不调，血块气痞，肚腹疼痛。
生地 老姜（各一斤） 玄胡索 当归 川芎 芍药（各二两） 明没药 木香（各一两）
桃仁（去皮尖） 人参（各两半） 香附（半斤）
上为末，先以生姜汁浸地黄渣，以地黄汁浸生姜渣，晒干，皆以汁尽为度。共十一味，作一处晒干，
研为末，醋糊为丸，空心以姜汤下。
〔《大》〕交加散 治妇人荣卫不通，经脉不调，腹中撮痛，气多血少，结聚为 ，产后中风。
生地 生姜（各五两。各研取汁）
上交互取汁浸一夕，各炒黄，渍汁尽为度，末之。寻常腹痛，酒调下三钱，产后尤不可阙。
〔丹〕益母草，一名天麻。未结子时，采一担，以水五斗，煮半干，去渣，再熬成膏，每用半小盏，和酒
并姜汁，放开服之，大治污血及血经不调。经不及期者，血热，四物汤加黄连。肥人不及日数而多
痰者，血虚有热，南星、白术、苍术、黄连、香附、川芎作丸。
妇人患经血紫黑，一月两次行，不思食，口干苦，时发热。
麦门冬 当归身 白芍药 陈皮 白术（各一两） 人参 地黄 茯苓（各半两） 木通（三钱）
生甘草（一钱）
上分十二帖，食前热饮下抑青与点各十五。
〔仲〕带下，经水不利，小腹满痛，经一月再见者，土瓜根散主之。（亦主阴 、肿疝。）
土瓜根 芍药 桂枝 虫（各三分）
上四味，杵为散，酒服方寸匕，日三服。
〔丹〕经水过期血少，川芎、当归、人参、白术，与痰药。过期淡色者，痰多也，二陈汤加芎、归。
过期紫色有块，血热也，必作痛，四物汤加香附、黄连。
〔《脉》〕师曰∶脉微，血气俱虚，年少者，亡血也。乳子下利为可，否者此为居经，三月一来。师曰∶
寸口脉微而涩，微则卫气不足，涩则血气无余。卫不足，其息短，其形燥。血不足，其形逆。荣卫俱虚，言语
谬误。趺阳脉浮而涩，涩则卫气虚，虚则短气咽燥而口苦，胃气涩则失液。少阴脉微而迟，微则无精，迟则阴
中寒，涩则血不来，此为居经，三月一来。问曰∶妇人妊娠三月，师脉之，言此妇人非躯，今月经当下，其脉
何类？何以别之？师曰∶寸口脉卫浮而大，荣反而弱。浮大则气强，反弱则少血，孤阳独呼，阴不能吸，二气
不停，卫降荣竭，阴为积寒，阳为聚热，阳盛不润，经络不足，阴虚阳往，（一作“实”。）故令少血，时
发洒淅，咽燥汗出，或溲稠数，多唾涎沫，此令重虚，津液漏泄，故知非躯，蓄烦满血，月禀一经，三月一来，
阴盛则泻，名曰居经。（谓右脉浮大，左脉反弱也。）
〔海〕四物加黄芩汤 治经暴下。
四物汤（四两） 黄芩 如腹痛，加黄连一两。（夏月不去黄芩。）
经水适来适断，或有往来寒热者，先服小柴胡汤以去其寒热，后以四物汤和之。
〔《本》〕妇人血脉不调，往来寒热，状如劳倦。
当归 川芎 甘草 黄 官桂（去粗皮，各一两） 熟地 白术 白芍药（各二两） 柴胡
阿胶（各半两）
上为细末，每服五钱，枣子一枚，水煎，空心温服，白汤点服亦得。常服不生带下，调血脉，养子
宫，终身无病。
〔垣〕升阳举经汤 治经水不止，右尺脉按之空虚。是气血俱脱，大寒症。轻手其脉数疾，举指弦紧
或涩，皆阳脱之症，阴火亦亡。见热症于口鼻眼，或渴，此皆阴躁阳欲去也。当温之、举之、升之、燥之。此法
大升浮血气，补命门之下脱也。诸药言根，近苗处去苗便是。
柴胡根 当归根 白术 黄 （各三钱） 本（去土） 羌活根 防风根（各二钱） 红花
白芍药（各五分） 独活根（钱半） 桃仁（去皮尖，研，十个） 细辛（六分） 川芎 熟地（水中沉者）
人参（去芦） 黑附子（炮，去皮脐） 甘草梢（炙。各一钱） 肉桂（去皮，夏不用，秋冬用，五分）
上为粗末，每服二钱，水三盏，煎至八分，空心，稍热服。
〔《本》〕治妇人病，多是月经乍多乍少，或前或后，时发疼痛，医者一类呼为经病，不曾说是阴
胜阳，是阳胜阴，所以服药少效。盖阴气乘阳，则胞寒气冷，血不营运，经所谓天寒地冻，水凝成冰，
故令乍少而在月后。若阳气乘阴，则血流散溢，经所谓天暑地热，经水沸溢，故令乍多而在月前。当
别其阴阳，调其血气，使不相乘，以平为期。宜紫石英丸。
紫石英（研，水飞） 禹余粮（烧，醋淬） 人参 龙骨 川乌头（炮） 桂心 桑寄生
杜仲（炒） 五味子 远志 泽泻 当归 石斛 肉苁蓉（酒浸） 干姜（各二两） 川椒 牡蛎（ ）
甘草（各半两）
上为末，炼蜜丸如桐子大。每服三十丸至五十丸，空心，食前服。
〔《竹》〕芩心丸 治妇人四十九岁以后，天癸当住，每月却行，或过多不止。
用黄芩心枝条者二两，米泔浸七日，炙干。又浸又炙，如此七次，为末，醋丸如桐子大，每服七十丸，空
心，温酒送下，日进二服。
〔《本》〕治妇人天癸已过期，经脉不匀，或三四月不行，或一月再至，腰腹疼痛。《素问》云∶七损
八益。谓女子七数尽，而经不根据时者，血有余也。不可止之，但令得根据时不腰痛为善。宜此当归散。
当归 川芎 白芍药（炒） 黄芩（炒。各一两） 白术（半两）
[Danxi] Discussion on Menstrual Blood Being Either Purple or Black: Menstrual blood is Yin blood. Yin must follow Yang, therefore its color is red, inheriting the color of Fire. Blood is the companion of Qi; when Qi is hot, blood is hot; when Qi is cold, blood is cold; when Qi ascends, blood ascends; when Qi descends, blood descends; when Qi coagulates, blood coagulates; when Qi stagnates, blood stagnates; when Qi is clear, blood is clear; when Qi is turbid, blood is turbid. Often, clots form due to Qi coagulation. Pain before menstruation begins is due to Qi stagnation. Pain after menstruation ends is due to deficiency of both Qi and Blood. A pale color indicates deficiency, mixed with dampness. Erratic and reckless flow is due to chaotic Qi. Purple color indicates Qi heat. Black color indicates extreme heat. Nowadays, people see purple, black, painful, or clotted menstrual blood and generally attribute it to Wind-Cold, administering warm-hot remedies, which leads to disaster swiftly. This largely stems from the *Pathogenesis* chapter, which attributes all menstrual disorders to Wind-Cold invasion, leading to a habitual custom. One might ask: Black is the color of Water in the North, and purple is lighter than black; is it not cold? I say: The medical classics state "Excess brings harm, succession brings control." When heat is extreme, it necessarily incorporates the transformation of Water; thus, severe heat manifests as purple, and extreme heat as black. Moreover, women are often stubborn and narrow-minded, with doubled desires, causing the Fire of Jueyang in the Zang-Fu organs to rise daily; is this not Heat? If it were Wind-Cold, it must be externally acquired; even if so, it accounts for only one or two in a thousand.
[Hai Cang] Siwu Tang plus Huangqin and Huanglian Decoction: Treats menstrual blood resembling black bean juice.
Siwu Tang (4 liang), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (1 liang each).
Grind into powder, make pills with vinegar paste, and take.
[Danxi] Menstrual blood is black, accompanied by thirst, fatigue, short stature, dark complexion, and an irregular pulse that appears rapid.
Huangbai (Phellodendri Cortex, stir-fried), Huangqin (3 qian each), Gancao (Licorice Root, 2 qian), Chishao (Red Peony Root), Xiangfu (Cyperi Rhizoma powder) (0.5 liang each).
Grind into powder, make pills with vinegar paste, take 50-60 pills with plain water.
Lady Hu Ba from Yongkang, aged twenty, missed her period in the second month, suddenly experienced lower abdominal pain with clots, and the blood was purple.
Baishao (White Peony Root), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Tangerine Peel) (0.5 liang each), Huangqin, Chuanxiong (Ligustici Chuanxiong Rhizoma), Mutong (Akebiae Caulis) (2 qian each), Gancao (Licorice Root, slightly roasted).
Lady He, with Qi stagnation and sluggish Blood, but a non-sluggish pulse, irregular menstruation (sometimes early, sometimes late), purple blood, daily numbness on the outer thighs, occasional itching and sores, and constipation.
Maziren (Cannabis Seed), Taoren (Peach Kernel), Shaoyao (Peony Root) (2 liang each), Zhike (Aurantii Fructus), Baizhu, Guitou (Angelicae Sinensis Radix head), Weilingxian (Saposhnikoviae Radix), Hezirou (Terminalia Chebula Fruit pulp), Shengdi (Rehmanniae Radix), Chenpi (5 qian each), Dahuang (Rhei Radix et Rhizoma, 7 qian).
Grind each into powder, make pills the size of paulownia seeds with congee, take 50-60 pills with plain water.
[Danxi] Pale menstrual blood indicates deficiency of both Qi and Blood. Formulas like Baywu Tang (Eight-Ingredient Decoction) are suitable. Baywu Tang consists of Siwu Tang and Sijunzi Tang. Add herbs according to accompanying symptoms.
Lady Lou, aged forty-eight, suffered from leukorrhea, thirst, heavy menstruation. Initially, the blood was black, later becoming pale, accompanied by fatigue, poor appetite, and tightness above the navel.
Baizhu (1.5 qian), Honghua (Carthami Flos, size of a soybean), Chenpi (1 qian), Mutong, Huangqin (5 fen each), Suosha (Amomi Fructus Rotundus), Gancao (roasted, 3 fen each), Zhike (5 fen), Baishao (1 qian).
Decoct and take, followed by 30 pills of Baohe Wan and 20 pills of Yiqing Wan.
[Hai Cang] Siwu Tang plus Huangqin and Baizhu Decoction: Treats excessive menstruation.
Siwu Tang (4 liang), Huangqin, Baizhu (1 liang each).
[Danxi] Excessive menstruation.
Huangqin (stir-fried), Shaoyao (stir-fried), Guiban (Testudinis Carapax et Plastrum, roasted, 1 liang each), Huangbai (stir-fried, 3 qian), Xiangfu (2.5 qian), Chunshugenpi (Toonae Radicis Cortex, 7.5 qian).
Grind into powder, make pills with wine paste, take 50-60 pills on an empty stomach with plain water.
[Danxi] A woman with a wiry and large pulse, not rapid. She was obese, fatigued in early summer, and had heavy menstruation. This indicates weak constitution and insufficient Qi to control Blood, causing excessive flow.
Baizhu (1.5 qian), Huangqi (Astragali Radix, raw), Chenpi (1 qian each), Renshen (Ginseng Radix, 5 fen), Gancao (roasted, 3 qian).
[Hai Cang] Siwu Tang plus Kuihua Decoction: Treats scanty and sluggish menstruation.
Siwu Tang (4 liang), Kuihua (Sunflower, 1 liang). Another prescription adds Honghua and Xuejianchou.
Siwu Tang plus Shudi and Danggui Decoction: Treats scanty menstruation with harmonious color.
Siwu Tang (4 liang), Shudi (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix) (1 liang each).
[Maijue] The Master said: A woman consulted, saying her menstrual flow is less than before. Why? The Master said: Did she have diarrhea, sweating, or frequent urination? These are acceptable. Why? Because loss of Jin-Ye (Body Fluids) causes the menstrual flow to decrease. If the flow were heavier than before, she should report her distress, fearing difficulty in defecation and cessation of sweating.
[Hai Cang] Siwu Tang (4 liang) plus Yanhusuo (Corydalis Rhizoma), Koushen (Meliae Cortex), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix) (1 liang each): Treats colicky pain in the umbilical and abdominal region before menstruation. Pain at the onset of menstruation is due to sluggish Blood.
[Danxi] Yi Qi Pill: Treats abdominal pain during menstruation.
Use Siwu Tang plus Yanhusuo, Chenpi, Mudanpi (Moutan Cortex), Gancao. For severe pain, use Doulin Jiu (Bean-infused Wine); for mild pain, decoct Xiangfu in child's urine, add Tiaoqin (Scutellariae Radix), and make pills. For pain before menstruation, use Siwu Tang plus Taoren, Xiangfu, Huanglian.
Zhou Bi, a woman in her forties, with irregular menstruation, abdominal pain during flow, followed by 3-4 days of dripping foul fluid, thirst, yellow face, fatigue, and weakness.
Baizhu (1 liang), Guishenwei (Angelicae Sinensis Radix body and tail, 6 qian), Chenpi (7 qian), Huanglian (3 qian), Mutong, Huangqi (raw), Huangqin (2 qian each), Gancao (roasted, 1 qian).
Divide into 8 doses, take with 40 pills of Wulingzhi Pill before meals.
Ren Shisan, a young woman, with irregular menstruation, purple blood, pain upon onset, fatigue, aversion to cold, and an impatient temperament.
Qingpi (Citri Reticulatae Pericarpium Viride, 5 qian), Chuanxiong, Huangqin, Mudanpi, Fuling (Poria, 3 qian each), Ganjiang (Dried Ginger, 1 qian), Gancao (roasted, 5 fen).
Divide into 2 doses, decoct in water and take.
A twenty-year-old woman, with irregular menstruation, yawning before onset, dull abdominal pain, purple blood, poor appetite, and weakness.
Baizhu (4 qian), Huanglian, Chenpi (2.5 qian each), Mudanpi (2 qian), Mutong, Huangqin, Renshen, Zhuyu (Corni Fructus, 1.5 qian each), Gancao (roasted, 5 fen).
Divide into 4 doses, decoct 2 cups of water to 1 cup, take before meals.
[Yun Qizi] Guizhi Tao Ren Decoction: Treats unbearable abdominal pain before menstruation.
Guizhi (Cinnamomi Ramulus), Shaoyao, Shengdi (2 liang each), Taoren (Peach Kernel, 40 pieces), Gancao (1 liang).
Grind into coarse powder, take 5 qian per dose with 2 cups of water, 3 slices of ginger, and 1 jujube, decoct together, strain, and take warm.
[Yuan] Chaihu Dingxiang Decoction: Treats a thirty-year-old woman with pre-menstrual lumbar and umbilical pain, extending to the abdomen, with delayed menstruation by 2-3 days.
Chaihu (Bupleuri Radix, 1.5 qian), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Dingxiang (Caryophylli Flos, 4 fen), Quanxie (Scorpio, 1 piece, washed), Dangguishen (Angelicae Sinensis Radix body, 1 qian), Shengdi (1 fen).
One dose, decoct 4 cups of water to 1 cup, strain, take slightly warm before meals.
A thirty-year-old woman, who always bathed with cold water poured over her whole body after bathing, and suffered from great fright, developed severe lower abdominal pain and salivation before menstruation, followed by flow. Post-flow salivation continued for two days, pain lasting 6-7 days until menstruation stopped. All medicines failed. Her pulse was slippery, large, and wiry at Cun; wiry, large, and urgent at Guan and Chi; Chi smaller than Guan, Guan smaller than Cun ("Front Large, Back Small"). Prescribed Xiangfu (3 liang), Banxia (Pinelliae Rhizoma, 2 liang), Fuling, Huangqin (1.5 liang each), Zhishi (Aurantii Fructus Immaturus), Yanhusuo, Mudanpi, Renshen, Danggui, Baizhu, Taoren (1 liang each), Huanglian (7 qian), Chuanlian (Meliae Cortex), Yuanzhi (Polygalae Radix), Gancao (0.5 liang each), Guizhi (3 qian), Zhuyu (1.5 qian). Divide into 15 doses, decoct in water. Add 2 shellfuls of fresh ginger juice, take hot. Afterward, bathe in hot water until slight sweat appears. Avoid wind, wet extremities, and raw/cold foods. Took 30 doses and recovered completely. Six months later, recurrence due to fright and worry, with waist/abdominal pain, dysuria, palpitations. Table exterior resolved, disease internal. First, moxa/acupuncture at Shaochong, Laogong, Kunlun, Sanyinjiao to stop palpitations and pain. Then, Da Xia (purge heavily) with Tao Ren Cheng Qi Tang. Afterwards, Xiangfu (3 liang), Pengru (Curcumae Rhizoma), Dangguishen (1.5 liang each), Sanleng (Sparganii Rhizoma), Yanhusuo, Guizhi, Dahuang, Qingpi (all vinegar-processed), Qingmuxiang (Illicii Aromatisati Radix), Huixiang (Foeniculi Fructus), Huashi (Talcum), Mutong, Taoren (1 liang each), Wuyao (Linderae Radix), Gancao, Suosha, Binglang, Koushenrou (Meliae Cortex pulp, 0.5 liang each), Muxiang, Wuzhuyu (Evodiae Fructus, 2 qian each). Divide into 20 doses, add 2 qian fresh Niuxi (Achyranthis Bidentatae Radix), 5 slices ginger, decoct with Lotus Leaf soup. Gradually improved.
[Danxi] Pain after menstruation indicates deficiency with internal heat.
Xinhe Jie, with headache, dry mouth, body pain after menstruation, especially severe back pain.
Shengdi, Baizhu, Shaoyao (1 qian each), Chuanxiong, Guishenwei (0.5 qian each), Huangbai (stir-fried), Gancao (roasted, 3 fen each). Decoct with water and a little wine.
[Bencao] Hupo San (Amber Powder): Treats menstrual obstruction with unbearable heart, abdomen, and umbilical pain; postpartum lochia retention, blood rushing to the heart, coma, and near-death states.
Jingsanleng (Polygoni Cuspidati Rhizoma), Peng'e zhu (Curcumae Rhizoma), Chishao, Liuji nu (Artemisiae Annuae Herba), Mudanpi, Shudi, Guangui (Cinnamomi Cortex), Juhua (Chrysanthemi Flos), Zhen Puhuang (Typhae Pollen), Danggui (1 liang each).
Boil the first five herbs with 1 sheng adzuki beans, 0.5 jin ginger slices, and 4 sheng rice vinegar until beans are soft, dry. Add the last five herbs, grind to powder. Take 2 qian with warm wine on an empty stomach. Alternative: replace Juhua and Puhuang with Wuyao and Yanhusuo. This is my family secret recipe. For ordinary Qi/Blood pain, one dose suffices; for postpartum blood rushing to heart, two doses suffice. Frequent use is excellent. Prepare more to save others.
[Daguan Bencao] Jiaojia San (Intersecting Powder): Treats Ying-Wei disharmony, turbid menstruation, expelling bad blood, abdominal pain, and menstrual disorders.
Shengjiang (Fresh Ginger, 2 jin), Shengdi (2 jin, processed specially), Baishao, Danggui, Guixin (Cinnamomi Cortex, 1 liang each), Honghua (Carthami Flos, stir-fried, omit if no bad blood), Moyao (Myrrha, separately ground, 0.5 liang each), Puhuang (Typhae Pollen, stir-fried through paper), Yanhusuo (Corydalis Rhizoma, vinegar-paper wrapped, baked hot, skin rubbed off, 1 liang each).
Stir-fry Shengjiang dregs with Shengdi juice, and Shengdi dregs with Shengjiang juice, dry separately. Grind all herbs to fine powder. Take 3 qian with warm wine. For irregular menstruation, use Sumu (Sappan Lignum) wine. For back pain, use sugar-wine.
[Danxi] Stasis Blood.
Xiangfu (vinegar-boiled, 4 liang), Taoren (1 liang), Mudanpi, Dahuang (steamed), Danggui (1 liang each), Chuanxiong, Honghua (0.5 liang each), Walongzi (Arcae Concha, vinegar-boiled overnight, 2 liang).
Make pills with steamed bread. Take 3-4 pills with warm wine on an empty stomach.
Jiaojia Dihuang Wan (Intersecting Rehmannia Pill): Treats irregular menstruation, blood clumps, Qi distension, and abdominal pain.
Shengdi, Laojiang (Old Ginger, 1 jin each), Yanhusuo, Danggui, Chuanxiong, Shaoyao (2 liang each), Ming Moyao, Muxiang (1 liang each), Taoren (dehulled, 1.5 liang each), Renshen (1.5 liang each), Xiangfu (0.5 jin).
Grind to powder. Soak Shengdi dregs in Shengjiang juice, and Shengjiang dregs in Shengdi juice, dry until juices are exhausted. Dry all eleven ingredients together, grind, make pills with vinegar paste, take with ginger tea on an empty stomach.
[Daguan Bencao] Jiaojia San: Treats Ying-Wei blockage, irregular menstruation, cramping abdominal pain, Qi excess/Blood deficiency, mass formation, and postpartum Wind-stroke.
Shengdi, Shengjiang (5 liang each, juice extracted).
Soak each in the other's juice overnight, stir-fry until yellow, extract all juice, grind to powder. Take 3 qian with wine for ordinary pain; essential for postpartum.
[Danxi] Yimucao (Leonuri Herba), also known as Tianma. Harvest before seed setting, boil 1 dan in 5 dou water until half-dry, strain, concentrate to paste. Take half small cup with wine and ginger juice. Greatly treats foul blood and irregular menstruation. Early menstruation indicates Blood Heat: Siwu Tang plus Huanglian. Obese individuals with phlegm and early menstruation indicate Blood Deficiency with Heat: Nanxing (Arisaematis Rhizoma), Baizhu, Cangzhu (Atractylodis Rhizoma), Huanglian, Xiangfu, Chuanxiong made into pills.
Woman with purple-black menstrual blood, twice monthly, anorexia, dry bitter mouth, intermittent fever.
Maimendong (Ophiopogonis Radix), Dangguishen, Baishao, Chenpi, Baizhu (1 liang each), Renshen, Dihuang, Fuling (0.5 liang each), Mutong (3 qian), Sheng Gancao (Licorice Root, 1 qian).
Divide into 12 doses, take hot before meals with 15 pills each of Yiqing Wan and Dian Wan.
[Zhongjing] Leukorrhea, difficult menstruation, fullness/pain in lower abdomen, menstruation occurring twice a month: Tu Gua Gen San (Trichosanthis Radix Powder) governs. (Also treats Yin swelling and hernia.)
Tu Guagen (Trichosanthis Radix), Shaoyao, Guizhi, E chong (Ground Beetle, 3 fen each).
Grind to powder, take 1 cun bi with wine, 3 times daily.
[Danxi] Late menstruation with scanty flow: Chuanxiong, Danggui, Renshen, Baizhu combined with phlegm-resolving drugs. Late menstruation with pale color indicates much phlegm: Erchen Tang plus Chuanxiong, Danggui. Late menstruation with purple color and clots indicates Blood Heat,必然 pain: Siwu Tang plus Xiangfu, Huanglian.
[Maijue] The Master said: Pulse is micro, Qi and Blood are deficient. In youth, this is blood loss. Diarrhea during lactation is acceptable; otherwise, this is Ju Jing (Resident Menstruation), coming once every three months. The Master said: Cun pulse micro and choppy. Micro indicates Wei Qi deficiency; choppy indicates Blood/Qi exhaustion. Wei deficiency causes short breath and dry form. Blood deficiency causes inverted form. Ying-Wei deficiency causes erroneous speech. Zuyang pulse floating and choppy: choppy indicates Wei Qi deficiency, causing short breath, dry throat/mouth/bitter taste, and fluid loss from stagnant Stomach Qi. Shaoyin pulse micro and slow: micro indicates essence loss; slow indicates cold in Yin; choppy indicates blood does not come; this is Ju Jing, once every three months. Question: A woman pregnant three months, Master pulses and says she is not pregnant, but menstruation should occur. What is the pulse? How to distinguish? Master said: Cun pulse Wei floating and large, Ying reversed and weak. Floating/large indicates strong Qi; weak/reversed indicates little Blood. Solitary Yang exhales, Yin cannot inhale. Two energies do not stop. Wei descends, Ying exhausts. Yin accumulates cold, Yang gathers heat. Yang excess lacks moisture, meridians lack substance. Yin deficiency, Yang goes forward... thus little blood, alternating chills, dry throat, sweating, thick/frequent urination, excessive saliva. This is double deficiency, fluid leakage, hence not pregnancy. Accumulated烦满 blood, receiving one channel per month, comes once every three months. Yin excess causes discharge, named Ju Jing. (Right pulse floating/large, left pulse reversed/weak.)
[Hai Cang] Siwu Tang plus Huangqin Decoction: Treats sudden heavy bleeding.
Siwu Tang (4 liang), Huangqin. If abdominal pain, add Huanglian (1 liang). (Do not remove Huangqin in summer.)
If menstruation just started/stopped with alternating chills/fever, first take Xiao Chaihu Tang to resolve chills/fever, then harmonize with Siwu Tang.
[Bencao] Women's blood vessel disharmony, alternating chills/fever, resembling labor fatigue.
Danggui, Chuanxiong, Gancao, Huangqi, Guangui (de-barked, 1 liang each), Shudi, Baizhu, Baishao (2 liang each), Chaihu, Ejiao (0.5 liang each).
Grind to fine powder, take 5 qian with 1 jujube, decoct in water, take warm on empty stomach. Plain water administration is also acceptable. Frequent use prevents leukorrhea, harmonizes blood vessels, nourishes uterus, ensures lifelong health.
[Yuan] Sheng Yang Ju Jing Tang (Raise Yang and Lift Menstruation Decoction): Treats continuous menstruation, right Chi pulse empty on pressure. Indicates Qi/Blood collapse, major Cold syndrome. Light pressure reveals rapid pulse; lifting reveals wiry/tight/choppy pulse, indicating Yang collapse and Yin Fire extinction. Heat symptoms in mouth/nose/eyes or thirst indicate Yin restlessness and Yang departure. Warm, lift, raise, and dry. This method greatly raises floating Qi/Blood, tonifying Kidney Gate collapse. Use roots near the sprout.
Chaihugen (Bupleuri Radix root), Dangguigen (Angelicae Sinensis Radix root), Baizhu, Huangqi (3 qian each), Gaoben (Ligustici Rhizoma, cleaned), Qianghuogen, Fangfenggen (2 qian each), Honghua, Baishao (5 fen each), Duohuogen (1.5 qian), Taoren (dehulled, crushed, 10 pieces), Xixin (Asari Radix et Rhizoma, 6 fen), Chuanxiong, Shudi (sinking in water), Renshen (de-tipped), Hei Fuzi (Prepared Aconiti Lateralis Radix, peeled, 1 qian each), Rougui (Cinnamomi Cortex, de-barked, omit in summer, use autumn/winter, 5 fen).
Grind to coarse powder, take 2 qian, decoct 3 cups water to 80%, take warm on empty stomach.
[Bencao] Women's diseases often involve fluctuating menstrual volume or timing, with intermittent pain. Physicians call this "Menstrual Disease" without distinguishing Yin overcoming Yang or Yang overcoming Yin, hence low efficacy. If Yin overcomes Yang, Uterus becomes cold, Blood fails to circulate ("Heaven cold, earth frozen, water freezes"), causing scarcity and delay. If Yang overcomes Yin, Blood flows excessively ("Heaven hot, earth warm, water boils"), causing abundance and advance. Differentiate Yin/Yang, harmonize Qi/Blood, prevent mutual overcoming, aim for balance. Use Zi Shiying Wan.
Zi Shiying (Hematitum, ground, water-flown), Yuyuliang (Pyritum, calcined, vinegar-quenched), Renshen, Longgu (Fossilia Ossis Mastodi), Chuan Wutou (Aconiti Radix, prepared), Guixin, Sangjisheng (Taxilli Caulis), Duzhong (Eucommiae Cortex, stir-fried), Wuweizi (Schisandrae Fructus), Yuanzhi, Zexie (Alismatis Rhizoma), Danggui, Shihu (Dendrobii Caulis), Rongrong (Cynomorii Herba, wine-soaked), Ganjiang (2 liang each), Chuanjiao (Zanthoxyli Pericarpium), Muli (Ostreae Concha, calcined), Gancao (0.5 liang each).
Grind to powder, honey pills paulownia-sized. Take 30-50 pills on empty stomach before meals.
[Zhuzhai] Qin Xin Wan (Huangqin Heart Pill): Treats women over forty-nine, when Tian Gui should cease, yet menstruates monthly or excessively.
Use Huangqin heart branches (2 liang), soak in rice wash water for 7 days, roast dry. Repeat soaking/roasting 7 times, grind to powder, make vinegar pills paulownia-sized. Take 70 pills on empty stomach with warm wine, twice daily.
[Bencao] Treats women past menopause age, irregular menstruation, skipping 3-4 months or recurring monthly, with waist/abdominal pain. *Suwen* states: Seven losses, Eight benefits. When a woman's seven-cycle number ends and menstruation is irregular, it indicates Blood excess. Do not stop it; aim for regularity without back pain. Use Danggui San.
Danggui, Chuanxiong, Baishao (stir-fried), Huangqin (stir-fried, 1 liang each), Baizhu (0.5 liang).