治月水不调，或一月再来，或两月三月一来，或月前或月后，闭塞不通，宜服杏仁汤
杏仁（去皮尖双仁） 桃仁（去皮尖双仁） 虻虫（去翅足熬） 水蛭（熬，各三十枚）
大黄
（三两）
上五味， 咀，以水六升，煮取二升五合，分为三服。一服其病当随大小便有所下，若
下多者，止勿服；若少者，则尽二服。
治妇人产生余疾，月水时来，腹中绞痛方∶
朴硝 当归 薏苡仁 桂心（各二两） 大黄（四两） 代赭 牛膝 桃仁（去皮尖两
仁，
熬各一两）
上八味，捣筛为末，炼蜜和丸如梧桐子。先食，酒服五丸，日三服，不知稍增之。
治妇人经水来绕脐痛，上抢心胸，往来寒热，如疟状方∶
薏苡仁 代赭 牛膝（各二两） 茯苓（一两） 大黄（八两） 虫（二十枚，熬） 桃
仁（
五十枚，去皮尖双仁，熬） 桂心（五寸）
上八味，捣筛为散。宿不食，明朝空腹温酒服一钱匕。
治妇人月事往来，腰腹痛方∶
虫（四枚，熬） 女青 芎 （各一两） 蜀椒（去目及闭口，汗） 干姜 大黄（各
二两）
上七味，捣筛为散。先食，酒服一刀圭。服之十日，微去下，善养之佳。
治妇人月事不通，小腹坚痛不得近，干漆汤方∶
干漆（熬） 大黄 黄芩 当归 芒硝 桂心（各一两） 附子（一枚，炮去皮） 吴
茱萸（
一升） 葳蕤 芍药 细辛 甘草（炙，各一两）
上一十二味， 咀，以清酒一斗渍一宿，煮取三升，绞去滓，纳芒硝烊令尽。分三服，
服别相去一炊顷。
又方∶大黄（三两） 桃仁（一升，去皮尖及双仁） 芒硝 土瓜根 当归 芍药 丹
砂（
研，各二两）
上七味， 咀，以水九升煮取三升，去滓，纳丹砂末及芒硝，烊令尽。为三服，服别相
去一炊顷。（《千金》有水蛭二两。）
To treat irregular menstruation, such as occurring twice a month, or once every two to three months, or occurring before or after the expected time with obstruction and inability to flow, it is appropriate to administer Xingren Tang (Apricot Seed Decoction).
Xingren (Apricot Seed) (remove skin, tips, and double-kernel varieties), Taoren (Peach Kernel) (remove skin, tips, and double-kernel varieties), Mengchong (Blister Beetle) (remove wings and feet, stir-fried), Shuizhi (Leech) (stir-fried, 30 each), Dahuang (Rhubarb Root and Rhizome) (3 liang).
The above five herbs are coarsely crushed, boiled in 6 sheng of water until reduced to 2.5 sheng, and divided into three doses. After the first dose, the pathogenic factors should be discharged via urination or defecation. If discharge is excessive, discontinue use; if minimal, complete the remaining two doses.
For postpartum residual disorders in women, where menstruation occurs intermittently accompanied by colicky abdominal pain:
Puxiao (Mirabilite), Danggui (Angelica Sinensis Root), Yiyiren (Coix Seed), Guixin (Cinnamon Twig) (2 liang each), Dahuang (Rhubarb Root and Rhizome) (4 liang), Daizhe (Hematitum), Niuxi (Achyranthes Bidentata Root), Taoren (Peach Kernel) (remove skin, tips, and double-kernel varieties, stir-fried, 1 liang each).
The above eight herbs are pounded, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take five pills orally with wine before meals, three times daily. If ineffective, gradually increase the dosage.
For menstrual pain encircling the umbilicus, radiating upward to the heart and chest, accompanied by alternating chills and fever resembling malaria:
Yiyiren (Coix Seed), Daizhe (Hematitum), Niuxi (Achyranthes Bidentata Root) (2 liang each), Fuling (Poria), Dahuang (Rhubarb Root and Rhizome) (8 liang), Chong (Ground Beetle) (20 pieces, stir-fried), Taoren (Peach Kernel) (50 pieces, remove skin, tips, and double-kernel varieties, stir-fried), Guixin (Cinnamon Twig) (5 cun).
The above eight herbs are pounded and sifted into powder. Fast overnight, and take one qianbi (a small measuring spoon) with warm wine on an empty stomach the next morning.
For irregular menstruation accompanied by lower back and abdominal pain:
Chong (Ground Beetle) (4 pieces, stir-fried), Nuqing (Murraya Exotica Root Bark), Xiongqiong (Ligusticum Wallichii Rhizome) (1 liang each), Shujiao (Sichuan Pepper) (remove eyes and closed-mouth varieties, stir-fried until oil appears), Ganjiang (Dried Ginger), Dahuang (Rhubarb Root and Rhizome) (2 liang each).
The above seven herbs are pounded and sifted into powder. Take one dao gui (a small measuring spoon) with wine before meals. After ten days of administration, mild discharge indicates improvement; maintain proper care for recovery.
For obstructed menstruation characterized by hardness and severe pain in the lower abdomen that cannot be touched, Ganqi Tang (Dry Lacquer Decoction):
Ganqi (Dry Lacquer) (stir-fried), Dahuang (Rhubarb Root and Rhizome), Huangqin (Scutellaria Baicalensis Root), Danggui (Angelica Sinensis Root), Mangxiao (Mirabilite), Guixin (Cinnamon Twig) (1 liang each), Fuzi (Prepared Aconite Lateral Root) (1 piece, processed, skin removed), Wuzhuyu (Evodia Fruit), Weirui (Polygonatum Odoratum Rhizome), Shaoyao (Peony Root), Xixin (Asarum Root and Rhizome), Gancao (Licorice Root) (processed, 1 liang each).
The above twelve herbs are coarsely crushed, soaked in one dou of clear wine overnight, then boiled until reduced to 3 sheng. Strain to remove dregs, add Mangxiao (Mirabilite) and dissolve completely. Divide into three doses, taken at intervals equivalent to the time it takes to cook a meal.
Another prescription: Dahuang (Rhubarb Root and Rhizome) (3 liang), Taoren (Peach Kernel) (1 sheng, remove skin, tips, and double-kernel varieties), Mangxiao (Mirabilite), Tugua Gen (Trichosanthes Kirilowii Root), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Dansha (Cinnabar) (ground, 2 liang each).
The above seven herbs are coarsely crushed, boiled in 9 sheng of water until reduced to 3 sheng. Strain to remove dregs, add Dansha (Cinnabar) powder and Mangxiao (Mirabilite), and dissolve completely. Divide into three doses, taken at intervals equivalent to the time it takes to cook a meal. (Note: Qianjin Yao Fang includes Shuizhi [Leech] 2 liang.)