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26. For dysmenorrhea accompanied by diarrhea, use Shenling Baizhu San (Ginseng and Poria Powder). For loose stools resembling duck feces with clear fluid and cold pain, use Lizhong Tang (Regulate the Middle Decoction). For skin heat, thirst, and diarrhea, use Qiwei Baizhu San (Seven-Ingredient Poria Powder). For vomiting of phlegm-fluids, use Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction).
[Note] Diarrhea occurring during menstruation is due to Spleen Qi deficiency; Shenling Baizhu San (a formula for invigorating the Spleen and replenishing Qi) is appropriate. Loose, watery stools with cold pain indicate Deficiency-Cold; Lizhong Tang (a warming and dispelling-cold formula) is appropriate. Skin heat, thirst, and diarrhea indicate Deficiency-Heat; Qiwei Baizhu San is appropriate. Vomiting of phlegm-fluids indicates Deficiency-Dampness; Xiangsha Liujunzi Tang (Liujunzi Tang added with Aucklandia and Amomum) is appropriate.

Sanhuang Siwu Tang (Three-Yellow Four-Substance Decoction), Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)

27. Hematemesis or epistaxis before menstruation is caused by Heat obstruction; use Sanhuang Siwu Tang with heavy doses of Huangqin (Scutellaria Root) and Huanglian (Coptis Rhizome). If hematemesis or epistaxis persists after menstruation despite residual Heat, use Xijiao Dihuang Tang with Shaoyao (Peony Root) and Mudanpi (Moutan Cortex).
[Note] Hematemesis or epistaxis before menstruation results from internal Heat forcing blood to move recklessly; Sanhuang Siwu Tang should be used to purge the Heat. This formula consists of Siwu Tang (Four-Substance Decoction) plus Dahuang (Rhubarb Root), Huangqin, and Huanglian. Hematemesis or epistaxis after menstruation, even if Heat remains, should not be treated with purgatives; instead, Xijiao Dihuang Tang should be used to clear Heat and cool the Blood. This formula consists of Xijiao (Rhinoceros Horn), Shengdihuang (Rehmannia Root), Chishaoyao (Red Peony Root), and Mudanpi.

1. Sijunzi Tang (Four-Gentlemen Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Fuling (Poria) each 2 qian; Gancao (Licorice Root) 1 qian.
Crush the herbs, add Shengjiang (Fresh Ginger) and Dazao (Jujube), decoct in water, and take orally.

2. Yigong San (Extraordinary Efficacy Powder)
Renshen, Baizhu (stir-fried with soil), Fuling each 2 qian; Gancao (roasted) 0.5 qian; Chenpi (Citrus Reticulatae Pericarpium) 2 qian.
Crush the herbs, add Shengjiang, decoct in water, and take orally.

3. Liujunzi Tang (Six-Gentlemen Decoction)
Renshen, Baizhu (stir-fried with soil), Fuling, Banxia (Pinellia Tuber), Chenpi each 1 qian; Gancao (roasted) 0.5 qian.
Crush the herbs, add Shengjiang and Dazao, decoct in water, and take orally.
Xiangsha Liujunzi Tang
Add Huoxiangye (Agastache Leaf) and Sharen (Amomi Fructus) to the above formula.

4. Qiwei Baizhu San (Seven-Ingredient Poria Powder)
Renshen, Baizhu (stir-fried with soil), Fuling each 1.5 qian; Gancao (roasted) 0.5 qian; Huoxiang (Agastache), Muxiang (Aucklandia Root), Gange (Kudzu Root) each 1 qian.
Crush the herbs, decoct in water, and take orally.

5. Shenling Baizhu San (Ginseng and Poria Powder)
Renshen, Baizhu (stir-fried with soil), Fuling, Shanyao (Dioscorea Rhizome, stir-fried), Gancao, Lianrou (Lotus Seed, heart removed), Bai Biandou (White Hyacinth Bean, stir-fried with ginger juice) each 1.5 qian; Yiyiren (Coix Seed, stir-fried), Sharen, Jiegeng (Platycodon Root) each 0.8 qian.
Grind into fine powder. Take 2 qian per dose, mixed with a decoction of Shengjiang and Dazao.

6. Guipi Tang (Restore the Spleen Decoction)
Renshen, Huangqi (Astragalus Root, roasted), Baizhu (stir-fried with soil), Fushen (Poria with Hostwood), Danggui (Angelica Sinensis Root), Longyanrou (Longan Aril), Yuanzhi (Polygalae Radix, heart removed), Zaoren (Ziziphus Seed, stir-fried) each 1 qian; Muxiang, Gancao (roasted) each 0.5 qian.
Crush the herbs, add Shengjiang and Dazao, decoct in water, and take orally.

7. Xiaoyao San (Free and Easy Wanderer Powder)
Danggui (rinsed with wine), Baishao (Peony Root, stir-fried with wine), Baifuling (Poria), Chaihu (Bupleurum Root) each 1 qian; Gancao (roasted) 0.5 qian; Baizhu (stir-fried with soil) 1 qian.
Crush into coarse powder. Add 1.5 cups of water and Bohe (Mint Herb), decoct, and take orally.

8. Bazhen Tang (Eight-Treasure Decoction)
Renshen, Baizhu (stir-fried with soil), Fuling, Gancao, Shudi (Rehmannia Root, prepared), Danggui, Chuanxiong (Ligusticum Rhizome), Baishao each in equal parts.
Add Shengjiang and Dazao, decoct in water, and take orally.

9. Shiquan Dabu Tang (Ten-Complete Great Tonifying Decoction)
Renshen, Baizhu, Fuling, Huangqi, Danggui, Shudi, Baishao, Chuanxiong each 1 qian; Rougui (Cinnamon Bark), Gancao (roasted) each 0.5 qian.
Add Shengjiang and Dazao, decoct in water, and take orally.

10. Shuanghe Yin (Double Harmony Drink)
Remove Renshen, Baizhu, and Fuling from Shiquan Dabu Tang.

11. Renshen Yangrong Tang (Ginseng Nourishing Vitality Decoction)
Remove Chuanxiong from Shiquan Dabu Tang and add Chenpi.

12. Lizhong Tang (Regulate the Middle Decoction)
Baizhu, Renshen, Ganjiang (Dried Ginger), Gancao (roasted) each 1 qian.
Crush the herbs, decoct in water, and take orally.

13. Siwu Tang (Four-Substance Decoction)
Shudi 2 qian; Chuanxiong 1 qian; Baishao (stir-fried) 2 qian; Danggui 2 qian.
Crush into coarse particles, decoct in water, and take orally.

14. Qinlian Siwu Tang (Scutellaria and Coptis Four-Substance Decoction)
Add Huangqin and Huanglian to Siwu Tang.

15. Qinzhu Siwu Tang (Scutellaria and Atractylodes Four-Substance Decoction)
Add Huangqin and Baizhu to Siwu Tang.

16. Taohong Siwu Tang (Peach Kernel and Safflower Four-Substance Decoction)
Add Tao Ren (Peach Kernel) and Honghua (Safflower) to Siwu Tang.

17. Qiangui Siwu Tang (Notopterygium and Cinnamon Twig Four-Substance Decoction)
Add Qianghuo (Notopterygium Rhizome) and Guizhi (Cinnamon Twig) to Siwu Tang.

18. Chaihu Siwu Tang (Bupleurum Four-Substance Decoction)
Chuanxiong, Danggui, Baishao, Shudi each 1.5 qian; Chaihu, Renshen, Huangqin each 2 qian; Gancao 0.5 qian; Banxia (processed) 2 qian.
Grind into fine powder. Take 5 qian per dose, decoct in water, and take orally.

19. Yuzhu San (Jade Candle Powder)
Danggui, Chuanxiong, Shudi, Baishao each 2 qian; Dahuang, Mangxiao (Mirabilite), Gancao each 1 qian.
Crush the herbs. Take 8 qian per dose, decoct in water, and take before meals.

20. Digupi Yin (Dig bark Drink)
Danggui, Shengdi (Rehmannia Root) each 2 qian; Baishao 1 qian; Chuanxiong 0.8 qian; Mudanpi, Digupi (Phellodendri Cortex) each 2 qian.
Decoct in water and take orally.

21. Jiao Ai Siwu Tang (Ejiao and Mugwort Four-Substance Decoction)
Shudi, Danggui, Chuanxiong, Baishao, Ejiao (Donkey-Hide Gelatin, stir-fried with clam powder until granular), Aye (Artemisia argyi Leaf) each 1 qian; Gancao (roasted) 0.5 qian.
Crush the herbs, decoct in half water and half wine, and take on an empty stomach.

22. Guizhi Siwu Tang (Cinnamon Twig Four-Substance Decoction)
Danggui, Shudi, Chuanxiong each 2 qian; Baishao (stir-fried) 3 qian; Guizhi 3 qian; Gancao (roasted) 1 qian.
Add Shengjiang and Dazao, decoct in water, and take orally.

23. Mahuang Siwu Tang (Ephedra Four-Substance Decoction)
Danggui, Shudi, Baishao, Chuanxiong each 2 qian; Mahuang (Ephedra Herba), Guizhi each 1 qian; Xingren (Apricot Seed) 20 grains; Gancao 1 qian.
Add Shengjiang and Dazao, decoct in water, and take orally.

24. Danggui Buxue Tang (Angelica Tonifying Blood Decoction)
Danggui 3 qian; Huangqi (Honey-roasted) 1 liang.
Decoct in water and take orally.

25. Shengyu Tang (Sage’s Replenishment Decoction)
Shudi (steamed for half a day with wine), Baishao (mixed with wine), Chuanxiong, Renshen each 0.75 liang; Danggui (rinsed with wine), Huangqi (roasted) each 0.5 liang.
Decoct in water and take orally.

26. Jiangqin Siwu Tang (Ginger and Scutellaria Four-Substance Decoction)
Danggui, Shudi, Chishaoyao (Red Peony Root), Chuanxiong, Jianghuang (Curcuma Longa Rhizome), Huangqin, Danpi (Moutan Cortex), Yanhusuo (Corydalis Rhizome), Xiangfu (Cyperi Rhizome, processed) each in equal parts.
Decoct in water and take orally.

27. Foshou San (Buddha’s Hand Powder), also known as Xiongui Tang
Chuanxiong 2 liang; Danggui 3 liang.
Grind into fine powder. Take 2 qian per dose. Add 1 cup of water and 0.2 parts of wine, decoct to 0.7 parts, and take warm.

28. Guoqi Yin (Delayed Menstruation Drink)
Shudi, Baishao (stir-fried), Danggui, Xiangfu each 2 qian; Chuanxiong 1 qian; Honghua 0.7 qian; Taoren paste 0.6 qian; Peng'e Zhu (Curcuma Zedoaria Rhizome), Mutong (Akebia Caulis) each 0.5 qian; Gancao (roasted), Rougui each 0.4 qian; Muxiang 0.8 qian.
Add 2 zhong of water, decoct to 1 zhong, and take warm before meals.

29. Jiawei Digupi Yin (Modified Dig bark Drink)
Shengdi, Danggui, Baishao each 2 qian; Chuanxiong 0.8 qian; Mudanpi, Digupi each 3 qian; Hulan (Coptis Chinensis Rhizome) 1 qian.
Decoct in water and take orally.

30. Liushen Tang (Six-Spirit Decoction)
Shudi, Danggui, Baishao, Chuanxiong, Huangqi, Digupi each in equal parts.
Crush the herbs, decoct in water.

31. Xiao Jianzhong Tang (Minor Construct the Middle Decoction)
Baishao (stir-fried) 3 qian; Guizhi 1 qian; Gancao (roasted) 0.8 qian.
Add Shengjiang and Dazao, decoct in water, and take orally.

32. Huangqi Jianzhong Tang (Astragalus Construct the Middle Decoction)
Huangqi (roasted), Rougui each 1 liang; Baishao (stir-fried) 2 liang; Gancao (roasted) 7 qian.
Take 5 qian per dose, add Shengjiang and Dazao, decoct in water, and take orally two to three times daily. If deficiency is severe, add Fuzi (Aconite Lateral Root).

33. Danggui Jianzhong Tang (Angelica Construct the Middle Decoction)
Danggui 1 liang; Baishao (stir-fried) 2 liang; Rougui 1 liang; Gancao (roasted) 7 qian.
Crush the herbs. Take 3 qian per dose, add Shengjiang and Dazao, decoct in water, and take on an empty stomach.

34. Jiawei Wuyao Tang (Modified Areca Seed Decoction)
Wuyao (Lindera Root), Suosharen (Amomi Fructus), Muxiang, Yanhusuo, Xiangfu (processed), Gancao, Binglang (Areca Seed) each in equal parts.
Finely crush the herbs. Take 7 qian per dose, add 3 slices of Shengjiang, decoct in water, and take warm.

35. Hupo San (Amber Powder)
Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Chishaoyao, Danggui, Liu Jinu (Visci Ramulus), Danpi, Shudi, Guangui (Cinnamon Bark), Wuyao, Yanhusuo each 1 liang.
Boil the first five herbs with 1 sheng of Wudou (Black Soybean), 0.5 jin of sliced Shengjiang, and 4 sheng of rice vinegar until the beans are soft. Dry them, then add the remaining five herbs and grind into powder. Take 2 qian per dose, mixed with warm wine, on an empty stomach or before meals.

36. Da Wenjing Tang (Major Warming the Menses Decoction)
Wuzhuyu (Evodia Fruit, rinsed with hot water), Danpi, Baishao, Renshen, Rougui, Danggui, Chuanxiong, Ejiao (crushed and stir-fried), Gancao (roasted) each 1 qian; Maidong (Ophiopogon Tuber, heart removed) 2 qian; Banxia (processed) 2.5 qian.
Add Shengjiang, decoct in water, and take before meals.

37. Wuzhuyu Tang (Evodia Decoction)
Danggui, Rougui, Wuzhuyu, Danpi, Banxia (processed), Maidong each 2 qian; Fangfeng (Saposhnikovia Root), Xixin (Asarum Root), Gaoben (Ligusticum Sinense Rhizome), Ganjiang, Fuling, Muxiang, Zhigancao (Roasted Licorice Root) each 1 qian.
Decoct in water and take orally.

38. Sanhuang Siwu Tang (Three-Yellow Four-Substance Decoction)
Danggui, Baishao, Chuanxiong, Shengdi, Huanglian (Coptis Rhizome), Huangqin, Dahuang.
Crush the herbs, decoct in water, and take orally. Adjust the dosage of Dahuang according to excess or deficiency patterns.

39. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)
Shaoyao 7.5 qian; Shengdi 0.5 hu; Mudanpi (heart removed, cleaned, soaked in wine) 1 liang; Xijiao (Rhinoceros Horn, substitute with Chuan Shengma if unavailable) 1 liang.
Crush the herbs. Take 5 qian per dose, decoct in water, and take orally. If symptoms include fever and mania-like behavior, add Huangqin 2 liang.