治产后月水往来，乍多乍少，仍不复通，里急，下引腰身重。牛膝丸方∶
牛膝 桂心 大黄 芎 （各三两） 当归 芍药 人参 牡丹皮（各二两） 水蛭（熬）
虻虫（熬，去翅足） 虫（熬，各十枚） 蛴螬（熬） 蜚蠊虫（各四十枚，一方无）
上一十三味，捣筛为末，炼蜜和丸如梧桐子大。空腹，温酒下五丸，日三服，不知，渐
增至十丸。
治月水闭不通，洒洒往来寒热方∶
虻虫（一两，去翅、足，熬） 桃仁（十两，去皮尖双仁，熬） 桑螵蛸（半两） 代
赭水
蛭（熬） 蛴螬（熬，各二两） 大黄（三两）
上七味，捣筛为末，别捣桃仁如膏，乃合药，炼蜜和为丸，如梧桐子大。酒服五丸，日
二服。
治月水不通，手足烦热，腹满，默默不欲寐心烦方∶
芎 （五两半） 芒硝 柴胡（各五两） 茯苓（二两） 杏仁（五合，去皮尖双仁，
熬） 大
黄（一斤） 蜀椒（去目闭口者，汗） 水蛭（熬） 虻虫（去翅足，熬，各半两） 桃仁
（一百枚，
去
紫色）
上一十四味，捣筛为末，别捣桃仁杏仁如泥，炼蜜和为丸如梧桐子大。空腹酒服七丸，
日三服，不知稍增之。（此方与前七熬丸同多三味。）
治腰腹痛月水不通利方∶
当归（四两） 芎 人参 牡蛎（熬） 土瓜根 水蛭（熬，各二两） 虻虫（去翅
足，熬）
仁，熬，别捣如
泥）
上一十一味，捣筛为末，炼蜜和丸如梧桐子大。空腹，酒服三丸，日三服。
治月闭不通不欲饮食方∶
大黄（一斤） 柴胡 芒硝（各五两） 牡蛎（熬，一两） 葶苈子（二两，熬令紫色，
别捣）
半） 杏仁（五合，
熬，别捣如膏） 虻虫（熬去翅足） 水蛭（熬，各半两） 桃仁（七十枚，去皮尖双仁，
熬，别
捣如膏）
上一十三味，捣筛为末，和前件葶苈、桃仁杏仁等脂炼蜜和为丸，如梧桐子大。饮服七
丸，日再（亦与七熬丸同，多二味。）
治月水不通六七年，或肿满气逆，腹胀症瘕，服此方数有神效。
To treat postpartum menstrual irregularities where the flow comes and goes unpredictably, varying in abundance and scarcity, eventually ceasing to flow smoothly, accompanied by abdominal tension and pain radiating downward to cause heaviness in the lower back and body. Formula for Niuxi Wan (Achyranthes Pill):
Radix Achyranthis Bidentatae (Niuxi), Cinnamomi Cortex (Guixin), Radix Rhei (Dahuang), Rhizoma Chuanxiong (Xiong) [each 3 liang], Radix Angelicae Sinensis (Danggui), Radix Paeoniae Alba (Shaoyao), Radix Ginseng (Renshen), Cortex Moutan (Mudanpi) [each 2 liang], Hirudo (Shuizhi, boiled), Ophryogenia (Mengchong, boiled, wings and feet removed), Eupolyphaga (Biechong, boiled, each 10 pieces), Larva Blaberidae (Qicao, boiled), Blattodea (Feiliangchong) [each 40 pieces; one version excludes this ingredient].
The above thirteen ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of a Chinese quince seed. Taken on an empty stomach with warm wine, five pills per dose, three times daily. If ineffective, gradually increase to ten pills.
Formula for treating amenorrhea accompanied by alternating chills and fever:
Ophryogenia (Mengchong) [1 liang, wings and feet removed, boiled], Semen Persicae (Taoren) [10 liang, skin and kernels removed, boiled], Ootheca Mantidis (Sangpiaoxiao) [0.5 liang], Haematitum (Daizheshi), Hirudo (Shuizhi, boiled), Larva Blaberidae (Qicao, boiled) [each 2 liang], Radix Rhei (Dahuang) [3 liang].
The above seven ingredients are crushed, sifted into powder. Separately, crush the peach seeds into a paste, then mix with the other medicines. Combine with refined honey to form pills the size of a Chinese quince seed. Take five pills with wine, twice daily.
Formula for treating amenorrhea accompanied by vexing heat in the hands and feet, abdominal fullness, taciturnity, insomnia, and irritability:
Rhizoma Chuanxiong (Xiong) [5.5 liang], Natrii Sulfas (Mangxiao), Radix Bupleuri (Chaihu) [each 5 liang], Poria (Fuling) [2 liang], Semen Armeniacae Amarum (Xingren) [5 he, skin and kernels removed, boiled], Radix Rhei (Dahuang) [1 jin], Fructus Zanthoxyli (Shujiao) [remove those with closed eyes or mouths, stir-fry until oil appears], Hirudo (Shuizhi, boiled), Ophryogenia (Mengchong, remove wings and feet, boil) [each 0.5 liang], Semen Persicae (Taoren) [100 pieces, remove purple color].
The above fourteen ingredients are crushed, sifted into powder. Separately, crush the peach seeds and apricot seeds into a mud-like consistency. Mix with refined honey to form pills the size of a Chinese quince seed. Take seven pills with wine on an empty stomach, three times daily. If ineffective, increase slightly. (This formula contains three more ingredients than the previous "Seven-Boiled Pill".)
Formula for treating lumbar and abdominal pain with unsmooth menstruation:
Radix Angelicae Sinensis (Danggui) [4 liang], Rhizoma Chuanxiong (Xiong), Radix Ginseng (Renshen), Concha Ostreae (Muli, boiled), Radix Trichosanthis Kirilowii (Tuguagen), Hirudo (Shuizhi, boiled) [each 2 liang], Ophryogenia (Mengchong, remove wings and feet, boiled), Semen Persicae (Taoren, boiled, separately crushed into mud).
The above eleven ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of a Chinese quince seed. Take three pills with wine on an empty stomach, three times daily.
Formula for treating amenorrhea accompanied by loss of appetite:
Radix Rhei (Dahuang) [1 jin], Radix Bupleuri (Chaihu), Natrii Sulfas (Mangxiao) [each 5 liang], Concha Ostreae (Muli, boiled) [1 liang], Semen Lepidii et Descurainiae (Tinglizi) [2 liang, boiled until purple, separately crushed], [Coptis chinensis] (Huanglian) [0.5 liang], Semen Armeniacae Amarum (Xingren) [5 he, boiled, separately crushed into paste], Ophryogenia (Mengchong, boiled, remove wings and feet), Hirudo (Shuizhi, boiled) [each 0.5 liang], Semen Persicae (Taoren) [70 pieces, skin and kernels removed, boiled, separately crushed into paste].
The above thirteen ingredients are crushed, sifted into powder, and mixed with the previously prepared pastes of Tinglizi, Taoren, and Xingren, along with refined honey, to form pills the size of a Chinese quince seed. Take seven pills with water, twice daily. (Also similar to the "Seven-Boiled Pill," containing two additional ingredients.)
For treating amenorrhea lasting six or seven years, or accompanied by swelling, distension, qi rebellion, abdominal fullness, and masses (zheng jia), taking this formula several times yields miraculous effects.