当归 芎 人参 白术 茯苓 甘草 橘红 半夏
加姜煎。
行血补气而兼消痰,则经水自无阻滞矣。
四物汤 加香附、黄连。黄连以清血热,香附以通厥阴,不凉不燥 最为合法。
龟板(炙)四两 芍药(酒炒) 黄柏(酒炒)三两 黄芩(炒)二两 香附(童便酒
炒) 樗皮(炒)一两五钱
酒丸。
龟板、黄柏、黄芩,多服令人绝产,此等方断不可用。
补中益气汤加白芍、黑栀子、姜三片、枣三枚煎。
升阳退热,调和气血,故亦能止崩漏。
棕榈(烧) 乌梅一两 黑姜一两五钱
为末,每服二钱,乌梅汤下。
气不摄血,当以补气为先,截止太过,独不虑积瘀为患乎?
丹皮 桂心 归尾 延胡索三分 牛膝 赤芍 莪术六分 三棱四分
水酒各半煎。
祛瘀破结,本治瘕之正法,惟体弱者宜酌减。
香附八钱 乌药二钱 陈皮 苏叶一钱 干姜五分
每五、六钱煎。
解郁散气,血自流行,再加当归一味亦可。
香附四两 陈皮二两 茯神 甘草(炙)一两
为末,每服二钱。
轻浅小方,服之亦无害,
樗皮一两五钱 白芍五钱 良姜( 黑) 黄柏( 黑)三钱
粥丸,米饮下。
但可施于湿热下注者耳,若营卫亏损者不可服。
当归 熟地 白芍(炒) 赤芍(炒)一两 阿胶 续断 牡蛎( )一两 地榆(炒
黑)三钱
醋糊丸,米饮下。
此治虚人之带下,尚当加气分药一、二味。
Dang Gui (Radix Angelicae Sinensis), Xiong (Rhizoma Chuanxiong), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae), Juhong (Pericarpium Citri Reticulatae), Banxia (Rhizoma Pinelliae). Add fresh ginger for decoction.
This formula promotes blood circulation, tonifies Qi, and simultaneously resolves phlegm; thus, menstruation will naturally flow without obstruction.
Si Wu Tang (Four-Substance Decoction) with added Xiang Fu (Rhizoma Cyperi) and Huang Lian (Rhizoma Coptidis). Huang Lian clears heat from the blood, while Xiang Fu unblocks the Jueyin meridian. The combination is neither cooling nor drying, which is most appropriate.
Gui Ban (Tartar Testudinis, calcined) 4 liang, Shaoyao (Radix Paeoniae Alba, stir-fried with wine) [amount unspecified], Huang Bo (Cortex Phellodendri, stir-fried with wine) 3 liang, Huang Qin (Radix Scutellariae, stir-fried) 2 liang, Xiang Fu (Rhizoma Cyperi, stir-fried with child's urine and wine), Chu Pi (Cortex Ailanthi, stir-fried) 1.5 qian. Form into pills with wine.
Long-term consumption of Gui Ban, Huang Bo, and Huang Qin can lead to sterility; such formulas must absolutely not be used.
Bu Zhong Yi Qi Tang (Tonify the Middle and Boost Qi Decoction) with added Bai Shao (Radix Paeoniae Alba), Hei Zhi Zi (Fructus Gardeniae, charred), three slices of fresh ginger, and three jujubes for decoction.
It raises Yang and reduces fever, harmonizes Qi and Blood, and therefore can also treat Beng Lou (metrorrhagia and metrostaxis).
Zong Lu (Folium Nitrariae, charred), Wu Mei (Fructus Mume) 1 liang, Hei Jiang (Rhizoma Zingiberis, charred) 1.5 qian. Grind into powder; take 2 qian per dose, washed down with Wu Mei decoction.
When Qi fails to control blood, tonifying Qi should be the priority. However, if one only focuses on forcibly stopping the bleeding, does one not worry about the harm caused by accumulated blood stasis?
Dan Pi (Cortex Moutan), Gui Xin (Cortex Cinnamomi), Gui Wei (Radix Angelicae Sinensis tail), Yan Hu Suo (Rhizoma Corydalis) 3 fen, Niu Xi (Radix Achyranthis Bidentatae), Chi Shao (Radix Paeoniae Rubra), E Zhu (Rhizoma Curcumae) 6 fen, San Leng (Rhizoma Sparganii) 4 fen. Decoct with half water and half wine.
Removing blood stasis and breaking up masses is the orthodox method for treating Jia masses (abdominal lumps); however, for patients with weak constitutions, the dosage should be reduced accordingly.
Xiang Fu (Rhizoma Cyperi) 8 qian, Wu Yao (Lithospermi Radix) 2 qian, Chen Pi (Pericarpium Citri Reticulatae), Su Ye (Folium Perillae) 1 qian, Gan Jiang (Rhizoma Zingiberis Recens) 0.5 qian. Decoct 5 to 6 qian per dose.
Resolving stagnation and dispersing Qi allows blood to circulate freely; adding Dang Gui (Radix Angelicae Sinensis) is also acceptable.
Xiang Fu (Rhizoma Cyperi) 4 liang, Chen Pi (Pericarpium Citri Reticulatae) 2 liang, Fu Shen (Poria with Hostwood), Gancao (Radix Glycyrrhizae, honey-fried) 1 liang. Grind into powder; take 2 qian per dose.
This is a mild and simple formula; taking it causes no harm.
Chu Pi (Cortex Ailanthi) 1.5 liang, Bai Shao (Radix Paeoniae Alba) 5 qian, Liang Jiang (Rhizoma Zingiberis Officinalis, charred), Huang Bo (Cortex Phellodendri, charred) 3 qian. Form into pills with rice porridge; take with rice drink.
This formula is applicable only in cases of damp-heat pouring downward; it must not be taken by those with deficiency of Ying and Wei.
Dang Gui (Radix Angelicae Sinensis), Shu Di Huang (Radix Rehmanniae Preparata), Bai Shao (Radix Paeoniae Alba, stir-fried), Chi Shao (Radix Paeoniae Rubra, stir-fried) 1 liang, E Jiao (Colla Corii Asini), Xu Duan (Radix Dipsaci), Mu Li (Concha Ostreae) 1 liang, Di Yu (Radix Sanguisorbae, charred) 3 qian. Form into pills with vinegar paste; take with rice drink.
This treats leukorrhea in patients with deficiency; additionally, one or two herbs that regulate Qi should be included.