加减四物汤 治妇人血病为主。
当归 川芎 白芍药 熟地黄（各等分）
上水煎服，加减于后。
气虚头痛，加参、 、白术、甘草；发热心烦加芩连、栀子；骨蒸劳热加知母、黄姜、黄芩、
银柴胡、地骨皮；虚劳气弱，咳嗽喘满加人参、麦门冬、姜、浓朴、枳壳；烦渴饮水加石膏、
知母；脐下虚冷，腰腹痛加玄胡索、川楝子；血热烦躁，口苦舌干加天花粉、麦门冬、黄芩之
类；风虚眩晕，加秦艽、羌活；呕吐加白术、人参、藿香、姜、连；中湿身重，加苍白术、
白茯苓；筋骨肢节疼痛，加防风、羌活；血积块痛，加三棱、莪术、官桂、干漆、苏木、红花。
甫按∶四物汤，古方为血病而制。当归养血为君，熟地为臣，芍药滋阴为佐，川芎行血为
向导之使。此立方之本旨，固为血之妙剂也。后谓女人以血为事，则以四物汤主之。养血调经，
胎前产后，悉以资用。盖自常而言之，诚有不可遗焉者。及用之弗效，而反加病者有之，甚则
至于误死者有之，其故何也？盖四物治血，虽工用之于脾胃无伤，只是血病，则四物之功，岂
复能有过之者？今人不察脾胃虚实，一概放用，以故误也。何则？脾胃虚者，用之益虚，饮食
浸减；元气浸衰，而血益无资生之地矣。不理会者，久服不已，即脾泄而中满之证作矣。甫见
如此而伤生者何限？调经养血又乌足以语哉！凡用四物治血，须审其人脾胃。虚者，必先用六
君子、补中益气之类以养胃，然后合四物而用之，万无一失。盖六君子、益气汤亦能益血，四
物汤不能益气补脾胃，多用之，则为脾胃之害。所以脾泄中满之证，非四物之害而何！殊不知
血由脾胃所生，根据气而充行经脉。书曰∶血不自行，随气而至。人只气一耗，则血虽独存，而
必无能生之理。则气绝而死者，血初未常破耗也。可见血无气而不能以独生人，补血而不补气
，斯可别矣。所以古方女金丹，纯以香附子一味为君，谓能调经开郁。今人用之，反致气血两
虚，而经益不调矣。苟不知止，必病甚而伤生。何则？香附味辛性燥，耗气燥血，止可以开有
余之郁耳。今之妇女动以虚弱者多，则经不调，皆因虚而致也。春甫创制八珍益母丸，用之者
，曾不终剂而经正且孕矣。何也？益母调经为君，佐以八珍滋补气血，所以神效者，此也。知
者审诸。
八珍益母丸专治气血两虚，脾胃并弱，饮食少思，四肢无力，月经违期，或先期而至；
或腰疼腹胀，缓而不至；或愆期不收；或断或续；或赤白带下，身作寒热，服之罔不获效。
一月之后，即可受胎。虚甚者用药一斤，必能对期受孕。
益母草（四两，不见铁器，止用上半截带叶者） 人参（去芦） 白术（土炒） 茯苓（去皮）
炙甘草（去皮） 当归（酒洗） 川芎 白芍药（醋炒） 熟地黄（酒洗）
上为末，蜂蜜为丸，如弹子大。空心蜜汤下一丸。如不能嚼者，丸以细粒如小豆大，每服
七八十丸。
脾胃虚寒者，加砂仁一两，姜汁炒。
腹中胀闷者，加山楂一两，净，肉饭上蒸。
只常多食者，加香附子一两，童便制。
丹桂散 治气血虚损，内则经闭不行，外则肢体羸瘦，潮热，渐成骨蒸。
牡丹皮 桂心 蓬莪术 京三棱 玄胡索（炒，八分） 当归（酒洗，钱半） 陈皮（去白
赤芍药 甘草（各五分） 干漆（炒） 没药（另研 红花 苏木（各四分） 鬼箭（三分）
乌药（各钱）
上水盏半，煎八分，不拘时服。
小温经汤 治经水初来，因有感冒风寒，身上疼痛，寒热往来，阴阳颇虚，头眩烦闷
不快，或作呕吐。
当归 芍药 地黄（各七分） 川芎（三分） 白术 陈皮（各六分） 柴胡 黄芩 枳壳 羌活
桂枝 香附子（各五分） 砂仁 小茴香 甘草（各三分）
上水二盏，姜三片、葱一茎，煎一盏，空心热服。
逍遥散（即柴胡四物汤）专治经脉不通，脾胃虚弱，或寒或热，不喜饮食，饱胀，呕吐，
烦躁，服之神效。
当归 川芎 芍药 熟地黄 人参 半夏（制） 柴胡 黄芩 陈皮 麦门冬 甘草（等分）
上水二盏，姜三片，煎八分，空心服。
呕吐不能食加砂仁、白术；少睡加酸枣仁；咳嗽加杏仁、五味子；腹痛加玄胡索。
香附八珍汤 治经后续来，气血不足者宜服之。
香附子 人参 白术 茯苓 当归 白芍药 熟地黄 川芎 甘草（各等分）
水二钟，姜三片、枣一枚，煎八分服。经不调者，宜服乌鸡丸（见妇科门。）
（《本集》）八珍益母十全丸资益坤元，补养气血，除淋沥带下，俾羸形体壮，坐健调经
受孕，即如尊俎折冲，胎前和气，产后补虚。真妇女之圣剂，超古今之诸方。有室家者，不
可不知也。予哂斯世之医，惟集古方香附胜金丹为女人开郁调经之用，殊不审古今虚实悬壤之
异。古人气实，惟有多郁，故用香附以开导之。香附味辛性燥，但能开破而已。多用之，大耗气
血，虚者愈虚，病者愈甚，而于滋补何有哉？今世十妇九虚，非补不可，再用香附以耗之，浸
成怯弱之证，是辨之不早，则危殆而难痊矣。
益母草（五月五日、六月六日俱可采，阴干，折去下半截，用上半截，连穗叶石臼杵捣
节为极细末，八两） 人参（饮上蒸） 白术（饭上蒸） 白茯苓（饭上蒸。各一两） 甘草（炙五分）
当归身（酒浸二两） 川芎（五分） 熟地黄（酒浸二两） 白芍药（醋炒一两） 角沉香（四钱）
上各为极细末，炼蜜和丸，如梧桐子大。空心蜜汤送下九十丸，食干果子压之。不善吞者，
化开服尤效。冬月酒下。妇女经脉不调者，或有气血两虚，而身体素弱，服此以养且调。当
年而经不通者，服一料则通；经不调者，服一月则调；素不孕者，服一月即孕。
胎前间或用一服，则胎固而自安。凡妊娠微觉胎动，随用一服即安。
产后用一服，以童便、酒化开调下，则无壅滞血运之候。多服之，补虚活血，又治产
后诸病极稳。急欲取效，以酒调化服。
通经丸 治经闭不通，结积成块，其效甚速。
熟地黄（三两） 虻虫（去头翅，炒） 水蛭（糯米炒） 桃仁（去皮尖，各五十）
上为末，炼蜜丸，梧桐子大。空心调下五丸，渐加七丸，以通为度。
经验调经汤 治月经不调，或前或后，来多来少，或逾月不来，或一月两至，服之皆效。
当归（酒洗，一钱） 阿胶（炒成珠） 半夏（制） 白芍药（酒炒） 人参 牡丹皮
川芎 麦门冬 甘草（各七分） 桂心 吴茱萸（泡。各二分）
上水钟半，姜三片，煎八分，空心稍热服。
促经汤 治月经过期不行，腰腹作痛。
香附子 熟地黄 白芍药 莪术 木通 苏木（各八分） 当归（一钱） 川芎 红花
甘草（五分） 肉桂 桃仁（二十粒，去皮尖）
上水钟半，煎八分，空心温服。
红花归尾散 治气虚损，或积瘀血不行，过期断续不定，时作腹痛，室女月经不通并效。
红花 苏木 紫威 牛膝（酒洗） 归尾 甘草（各二两） 白芷 肉桂（各两半） 刘寄奴（五两）
赤芍药（九两）
上为细末，空心热酒调服三钱，食前临卧再服。若久不行经，浓煎红花酒调下。
镇经汤 治经水先期而来，过多不止。盖因肾水阴虚，不能镇守，待时相火助行故也。
当归（钱半） 白芍药 生地黄 黄柏（各七分） 阿胶珠 条黄芩 知母 甘草 川芎（各五分）
香附子（制） 姜黄连（各八分） 白芷（三分）
上水盏半，煎七分，空心服。
固经丸 治经水过多不止。
樗根白皮（七钱半） 黄芩 龟板（各一两） 白芍药（炒七钱） 黄柏 香附米（制，三钱半）
上为末，酒糊丸，梧桐子大。每服七十丸，空心白汤送下。
术附丸 治月经不调，脐腹 痛，肋疼腰胀，恶心头晕，或发热发寒，心忪乏力，崩中带下
并治。
苍术（去土，一斤，用米泔水浸，遂日换新泔，春五日，夏三日，秋七日，冬十日。
切片焙干，分四制。一分用茴香一两，盐一两同炒术黄为度；一分用川乌一个，制，切片，
川楝子一两，打碎，同术炒黄为度；一分用川椒一两，去目及合口者，破故纸一两，同术炒
黄为度；一分用好醋好酒各一盏，煮术干，焙燥用之） 香附米（一斤，分四制，酒、醋、盐水、
童便，如前分四时各浸日数，炒干）
上为末，老米面作糊丸，梧桐子大。每服五十丸，空心食前白汤下。一方有艾叶、当归。
四物益母丸 治妇人经水不调，小腹有块，时痛，服此愈，而有孕。
川当归（酒洗） 熟地黄（制。各四两） 川芎 白芍药（炒。各一两） 益母草（不犯铁器，
为末，半斤） 香附子（制，斤） 吴茱萸（酒泡，二两）
上为末，炼蜜丸，如弹子大。每服一丸，空心酒化下。如不喜化，只作小丸吞服亦可。
克应丸 治妇人赤白带下。
熟地黄 赤芍药（各二两） 当归（二两半） 赤石脂（ ） 龙骨 牡蛎（ ，以酒 ）
茯苓 牡丹皮 川芎 艾叶（制，研。各一两）
上为末，酷糊丸，梧桐子大。每服五十丸，空心白汤送下。
（东垣）固真丸 治白带久下不止，脐腹冷痛，目中溜火，视物昏花，齿恶热饮，但喜
寒食。此皆寒湿秉于胞内，肝经阴火上溢，故目中溜火；其恶热饮者，阳明经中伏火也。法当
大泻寒湿，以此丸治之。
黄柏（酒炒） 白芍药（各五分） 柴胡 白石脂（各一钱） 白龙骨 当归（酒洗。各二钱）
干姜（三钱，炮）
上除龙骨、石脂水飞另研外，余共为细末，糊丸，如芡实子大。日干空心白汤下，少
时以饭压，是不令热药犯胃也。忌生冷、硬物、酒湿、面食。
人参黄 汤 治妇人气血俱虚，久患白带，瘦弱无力，腰胀腿酸，身热面黄，饮食无味，小
便淋涩，服此全效。
当归 茯苓（各一钱） 白术 芍药 地骨皮 人参 川芎（各七分） 黄 （蜜炙）
鹿角霜（为细末，药煎熟时，起入五匙和匀服） 炙甘草 车前子 熟地黄（各五分）
上水二盏，枣三枚，煎八分，不拘时服。
金樱莲子散 治脾胃虚弱，赤白带下俱效。
金樱子（冬采干擦去毛，三两，净炒，切破，去子净用） 莲子（去心） 头面（各二两，
炒） 白扁豆（二两，炒） 牡荆实（即黄荆子也） 糯米（一合，炒）
上为细末，每用四钱，入熟蜜三匙，滚汤调服，无不效。
凉血地黄汤 治妇人血崩，由阴虚不能制火，火激其血，故崩下。用此王道方。
黄芩 荆芥穗（各七分） 蔓荆子 黄柏 知母 本 细辛 川芎 黄连 羌活 升麻
柴胡 防风（各三分） 生地黄 当归（各八分） 甘草（五分） 红花（少许）
上水盏半，煎八分，空心服。
龙骨散 治血崩不止。
龙骨（ ） 当归 香附子（炒。各一两） 棕毛灰（五钱）
上为细末，每服四钱，空心米汤调，忌油腻、鸡、鱼、爆炙物。
阿艾丸 治血崩屡验，老妇尤效。
白姜（盐酒或米醋炒，八钱） 香附子（童便浸，炒，一两） 玄胡索（炒，六钱） 真阿胶（炒成珠）
艾叶（各一两。制成灸艾，用糯米糊作饼，瓦上炕干，勿令焦，研为细末）
上为末，酒糊丸，梧桐子大。每服三十丸，空心盐酒或盐汤任下。
黄芩散 治壮热崩中下血，是阳乘阴，故经血泛溢，宜清之，此方最好。
黄芩（不拘多少，为细末）
烧秤锤淬酒，食前调三四钱。一方有干姜、白芷；一方木耳、黄芩等分为丸，俱效。
如圣散 治血崩，三服全愈。
榈棕子 每服二钱，空苡乌梅汤调服。
乌梅肉 干姜（俱烧存性，为末。各二两）
七灰散 治血崩神效。
莲蓬壳 益母草 旱莲草 罂粟壳 腌蟹壳 棕毛叶 藕节灰（等分，烧存性为末）
空心醋点汤调下三钱。
（东垣）升阳除湿汤 治崩中下血，久不愈，乃湿气下流。（方见血崩门。）
崩漏脉论详见《心镜》本门，此特摘其要耳。
Jiajian Siwu Tang (Modified Four Substances Decoction): Primarily treats blood disorders in women.
Ingredients: Danggui Radix Angelicae Sinensis, Chuanxiong Rhizoma Ligustici Chuanxiong, Baishao Radix Paeoniae Alba, Shudihuang Radix Rehmanniae Preparata (each in equal parts).
Preparation and Administration: Decoct in water and take orally. Modifications are as follows.
For headache due to Qi deficiency, add Renshen Radix Ginseng, [missing character], Baizhu Rhizoma Atractylodis Macrocephalae, Gancao Radix Glycyrrhizae; for fever and restlessness, add Huangqin Radix Scutellariae, Huanglian Rhizoma Coptidis, Zhizi Fructus Gardeniae; for bone-steaming tidal fever (Yin deficiency with internal heat), add Zhimu Rhizoma Anemarrhenae, Huangjiang (likely Huangbo or similar), Huangqin Radix Scutellariae, Yinchaihu Radix Stellariae Dichotomae, Digupi Cortex Lycii; for consumptive disease with weak Qi, cough, wheezing, and chest fullness, add Renshen Radix Ginseng, Maimendong Radix Ophiopogonis, Shengjiang Rhizoma Zingiberis Recens, Houpo Cortex Magnoliae Officinalis, Zhike Fructus Aurantii; for irritability, thirst, and desire to drink, add Shigypsum Fibrosum, Zhimu Rhizoma Anemarrhenae; for coldness below the umbilicus, lumbar and abdominal pain, add Yuanhusuo Rhizoma Corydalis, Chuanlianzi Fructus Toosendan; for blood-heat with restlessness, bitter taste in mouth, and dry tongue, add Tianhuafen Radix Trichosanthis, Maimendong Radix Ophiopogonis, Huangqin Radix Scutellariae, etc.; for dizziness due to wind-deficiency, add Qinjiao Radix Gentianae Macrophyllae, Qianghuo Rhizoma et Radix Notopterygii; for vomiting, add Baizhu Rhizoma Atractylodis Macrocephalae, Renshen Radix Ginseng, Huoxiang Herba Pogostemonis, Shengjiang Rhizoma Zingiberis Recens, Lianqiao Fructus Forsythiae; for dampness causing heavy body, add Cangzhu Rhizoma Atractylodis, Baizhu Rhizoma Atractylodis Macrocephalae, Baifuling Poria; for pain in sinews, bones, and joints, add Fangfeng Radix Saposhnikoviae, Qianghuo Rhizoma et Radix Notopterygii; for blood stasis masses and pain, add Sanleng Rhizoma Sparganii, Ezhu Rhizoma Curcumae, Guigui Cortex Cinnamomi, Ganqi Resina Dammaris, Sumu Lignum Sappan, Honghua Flos Carthami.
Xu Chunfu’s Note: Siwu Tang (Four Substances Decoction) is an ancient formula specifically formulated for blood disorders. Danggui Radix Angelicae Sinensis nourishes blood and serves as the Sovereign herb; Shudihuang Radix Rehmanniae Preparata serves as the Minister herb; Baishao Radix Paeoniae Alba nourishes Yin and serves as the Assistant herb; Chuanxiong Rhizoma Ligustici Chuanxiong moves blood and serves as the Guide herb. This is the original intent of the prescription, truly a miraculous agent for treating blood conditions. Later, it was believed that women prioritize blood, so Siwu Tang (Four Substances Decoction) is used as the main formula. It nourishes blood and regulates menstruation, serving as a resource for both antenatal and postnatal care. Generally speaking, its importance cannot be overlooked. However, there are cases where its use yields no effect but instead worsens the condition, or even leads to fatal mismanagement. Why is this? Although Siwu Tang (Four Substances Decoction) treats blood disorders without harming the Spleen and Stomach, if the issue is purely a blood disorder, can any other formula surpass its efficacy? Today, people fail to examine the deficiency or excess of the Spleen and Stomach and use it indiscriminately, leading to errors. Why? For those with Spleen-Stomach deficiency, using Siwu Tang (Four Substances Decoction) further weakens them, reducing food intake gradually; Yuanqi (Primal Qi) declines, and blood loses its source of generation. If ignored and taken long-term without cessation, symptoms of Spleen diarrhea and abdominal fullness will arise. I have seen countless lives harmed by this! How can one speak of regulating menstruation and nourishing blood? Whenever using Siwu Tang (Four Substances Decoction) to treat blood disorders, one must carefully assess the patient's Spleen and Stomach. For those with Spleen deficiency, one must first use Liujunzi Tang (Six Gentlemen Decoction) or Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) to nourish the Stomach, before combining it with Siwu Tang (Four Substances Decoction), ensuring safety. Both Liujunzi Tang (Six Gentlemen Decoction) and Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) can also benefit blood, whereas Siwu Tang (Four Substances Decoction) cannot tonify Qi or strengthen the Spleen and Stomach; excessive use harms the Spleen and Stomach. Thus, symptoms of Spleen diarrhea and abdominal fullness are indeed caused by Siwu Tang (Four Substances Decoction)! One must realize that blood is generated by the Spleen and Stomach and travels through the meridians following Qi. The classics state: "Blood does not move on its own; it follows Qi." If Qi is consumed, even if Blood remains, it cannot generate itself. Therefore, death from Qi exhaustion occurs even when Blood has not been lost. Clearly, Blood cannot sustain life without Qi. Tonifying Blood without tonifying Qi makes a significant difference. Thus, the ancient formula Nü Jindan (Women’s Golden Pill) uses solely Xiangfu Rhizoma Cyperi Rotundi as the Sovereign herb, claiming it regulates menstruation and resolves stagnation. However, modern use often leads to dual deficiency of Qi and Blood and worsened menstrual irregularities. If unceasing, it causes severe illness and harm. Why? Xiangfu Rhizoma Cyperi Rotundi is acrid and drying, consuming Qi and drying Blood; it only opens excess stagnation. Most women today are deficient, and menstrual irregularities stem from deficiency. I created Bazhen Yimu Wan (Eight Treasures Motherwort Pill); users achieved regular menstruation and conception in less than one course. Why? Motherwort regulates menstruation as the Sovereign herb, assisted by Bazhen Tang (Eight Treasures Decoction) to tonify Qi and Blood, hence its divine efficacy. Wise individuals should consider this.
Bazhen Yimu Wan (Eight Treasures Motherwort Pill) specifically treats dual deficiency of Qi and Blood, weakness of both Spleen and Stomach, poor appetite, limb weakness, delayed menstruation, or early onset; or lower back pain and abdominal distension with slow onset; or overdue menstruation without cessation; or intermittent flow; or red and white leukorrhea, alternating chills and fever; effective in all cases. Conception can occur after one month. For severe deficiency, one jin of medicine ensures timely conception.
Ingredients: Yimucao Herba Leonuri (4 liang, avoid iron, use only upper half with leaves), Renshen Radix Ginseng (remove rhizome), Baizhu Rhizoma Atractylodis Macrocephalae (soil-fried), Fuling Poria (peeled), Zhigancao Radix Glycyrrhizae Preparata (peeled), Danggui Radix Angelicae Sinensis (wine-washed), Chuanxiong Rhizoma Ligustici Chuanxiong, Baishao Radix Paeoniae Alba (vinegar-fried), Shudihuang Radix Rehmanniae Preparata (wine-washed).
Preparation and Administration: Grind into powder, form pills with honey, size of a bullet. Take one pill with honey water on an empty stomach. If unable to chew, make small pills like mung beans, taking 70-80 per dose.
For Spleen-Stomach deficiency-cold, add Shaoren Fructus Amomi (1 liang), stir-fried with ginger juice.
For abdominal bloating, add Shanzha Fructus Crataegi (1 liang), steamed over rice meat.
For those who eat excessively, add Xiangfu Rhizoma Cyperi Rotundi (1 liang), processed with child’s urine.
Dangui San (Cinnamon Twig Powder): Treats Qi and Blood deficiency, internal amenorrhea, external emaciation, tidal fever, progressing to bone-steaming.
Ingredients: Mudanpi Cortex Moutan, Guixin Cortex Cinnamomi, Peng’ezhu Rhizoma Curcumae Phaeocaulis, Jing Sanleng Rhizoma Sparganii, Yuanhusuo Rhizoma Corydalis (fried, 8 fen), Danggui Radix Angelicae Sinensis (wine-washed, 1.5 qian), Chenpi Pericarpium Citri Reticulatae (white removed), Chi Shao Radix Paeoniae Rubra, Gancao Radix Glycyrrhizae (each 5 fen), Ganqi Resina Dammaris (fried), Moyao Resina Olibani (separately ground), Honghua Flos Carthami, Sumu Lignum Sappan (each 4 fen), Guijianyu Ramulus Corni (3 fen), Wuyao Fructus Linderae (1 qian).
Preparation and Administration: Decoct in 1.5 cups of water until 0.8 cup remains, take at any time.
Xiao Wenjing Tang (Minor Warming Menses Decoction): Treats initial menstruation complicated by wind-cold invasion, body pain, alternating chills and fever, slight Yin-Yang deficiency, dizziness, restlessness, discomfort, or vomiting.
Ingredients: Danggui Radix Angelicae Sinensis, Shaoyao Radix Paeoniae Alba/Lactiflorae, Dihuang Radix Rehmanniae (each 7 fen), Chuanxiong Rhizoma Ligustici Chuanxiong (3 fen), Baizhu Rhizoma Atractylodis Macrocephalae, Chenpi Pericarpium Citri Reticulatae (each 6 fen), Chaihu Radix Bupleuri, Huangqin Radix Scutellariae, Zhike Fructus Aurantii, Qianghuo Rhizoma et Radix Notopterygii, Guizhi Ramulus Cinnamomi, Xiangfu Rhizoma Cyperi Rotundi (each 5 fen), Shaoren Fructus Amomi, Xiaohuixiang Fructus Foeniculi, Gancao Radix Glycyrrhizae (each 3 fen).
Preparation and Administration: Decoct in 2 cups of water with 3 slices of ginger and 1 stalk of scallion until 1 cup remains, take hot on an empty stomach.
Xiaoyao San (Free and Easy Wanderer Powder) (i.e., Chaihu Siwu Tang): Specifically treats blocked meridians, Spleen-Stomach weakness, alternating cold and heat, aversion to food, fullness, vomiting, restlessness; highly effective.
Ingredients: Danggui Radix Angelicae Sinensis, Chuanxiong Rhizoma Ligustici Chuanxiong, Shaoyao Radix Paeoniae Alba/Lactiflorae, Shudihuang Radix Rehmanniae Preparata, Renshen Radix Ginseng, Banxia Rhizoma Pinelliae Preparata, Chaihu Radix Bupleuri, Huangqin Radix Scutellariae, Chenpi Pericarpium Citri Reticulatae, Maimendong Radix Ophiopogonis, Gancao Radix Glycyrrhizae (equal parts).
Preparation and Administration: Decoct in 2 cups of water with 3 slices of ginger until 0.8 cup remains, take on an empty stomach.
For vomiting and inability to eat, add Shaoren Fructus Amomi, Baizhu Rhizoma Atractylodis Macrocephalae; for insomnia, add Suanzaoren Semen Ziziphi Spinosae; for cough, add Xingren Semen Armeniacae Amarum, Wuweizi Fructus Schisandrae; for abdominal pain, add Yuanhusuo Rhizoma Corydalis.
Xiangfu Bazhen Tang (Cyperi Eight Treasures Decoction): Suitable for those with recurrent menstruation after cessation and Qi-Blood deficiency.
Ingredients: Xiangfu Rhizoma Cyperi Rotundi, Renshen Radix Ginseng, Baizhu Rhizoma Atractylodis Macrocephalae, Fuling Poria, Danggui Radix Angelicae Sinensis, Baishao Radix Paeoniae Alba, Shudihuang Radix Rehmanniae Preparata, Chuanxiong Rhizoma Ligustici Chuanxiong, Gancao Radix Glycyrrhizae (equal parts).
Preparation and Administration: Decoct in 2 zhong of water with 3 slices of ginger and 1 jujube until 0.8 portion remains, take. For irregular menstruation, Wuji Wan (Black Chicken Pill) is suitable (see Gynecology section).
(Benzi Ji) Bazhen Yimu Shiquan Wan (Eight Treasures Motherwort Ten Complete Pills): Benefits Kun Yuan (female physiological foundation), tonifies Qi and Blood, eliminates dripping leukorrhea, strengthens emaciated bodies, aids regular menstruation and conception, comparable to diplomatic prowess, harmonizes antenatally, tonifies postnatally. Truly a sacred remedy for women, surpassing ancient and modern formulas. Those with families must know this. I laugh at contemporary physicians who only collect ancient formulas like Xiangfu Shengjin Dan for opening depression and regulating menstruation in women, failing to recognize the vast differences in deficiency/excess between ancient and modern times. Ancients had solid Qi and mostly stagnation, so Xiangfu Rhizoma Cyperi Rotundi was used to guide. Xiangfu Rhizoma Cyperi Rotundi is acrid and drying, only capable of breaking stagnation. Excessive use severely consumes Qi and Blood, worsening deficiency and illness, offering no tonification. Today, nine out of ten women are deficient and require tonification; using Xiangfu Rhizoma Cyperi Rotundi to consume them further creates frailty. Early differentiation failure leads to critical, hard-to-cure states.
Ingredients: Yimucao Herba Leonuri (harvested May 5th or June 6th, shade-dried, remove lower half, use upper half with spike and leaves, pounded in stone mortar to fine powder, 8 liang), Renshen Radix Ginseng (steamed over drinking water), Baizhu Rhizoma Atractylodis Macrocephalae (steamed over rice), Baifuling Poria (steamed over rice, each 1 liang), Zhigancao Radix Glycyrrhizae Preparata (5 fen), Dangguishen Radix Angelicae Sinensis (wine-soaked, 2 liang), Chuanxiong Rhizoma Ligustici Chuanxiong (5 fen), Shudihuang Radix Rehmanniae Preparata (wine-soaked, 2 liang), Baishao Radix Paeoniae Alba (vinegar-fried, 1 liang), Jiaochenxiang Aquilariae Lignum Resinatum (4 qian).
Preparation and Administration: Grind each into fine powder, mix with refined honey into pills the size of wutong seeds. Take 90 pills with honey water on an empty stomach, followed by dried fruit. For those unable to swallow, dissolve and take; especially effective. In winter, take with wine. For women with irregular menstruation or dual Qi-Blood deficiency with inherent weakness, this nourishes and regulates. For those with primary amenorrhea, one course restores flow; for irregular menstruation, one month regularizes it; for infertility, conception occurs within one month.
Occasional use during pregnancy secures the fetus. For slight fetal movement during pregnancy, immediate use stabilizes it.
Postpartum use, dissolved in child’s urine and wine, prevents blood stasis and dizziness. Frequent use tonifies deficiency, invigorates blood, and safely treats postpartum ailments. For rapid effect, dissolve in wine.
Tongjing Wan (Menstruation Unblocking Pill): Treats amenorrhea with mass formation, very fast acting.
Ingredients: Shudihuang Radix Rehmanniae Preparata (3 liang), Mengchong Blatta (remove head and wings, fried), Shuizhi Hirudo (fried with glutinous rice), Taoren Semen Persicae (remove skin and tips, each 50).
Preparation and Administration: Grind into powder, refine honey into pills the size of wutong seeds. Take 5 pills mixed on an empty stomach, gradually increase to 7 pills, stopping when menstruation resumes.
Jingyan Tiaojing Tang (Experienced Menstrual Regulation Decoction): Treats irregular menstruation, early or late, heavy or light, absent for months, or twice a month; effective in all cases.
Ingredients: Danggui Radix Angelicae Sinensis (wine-washed, 1 qian), Ejiao Colla Asini (fried to pearls), Banxia Rhizoma Pinelliae Preparata, Baishao Radix Paeoniae Alba (wine-fried), Renshen Radix Ginseng, Mudanpi Cortex Moutan, Chuanxiong Rhizoma Ligustici Chuanxiong, Maimendong Radix Ophiopogonis, Gancao Radix Glycyrrhizae (each 7 fen), Guixin Cortex Cinnamomi, Wuzhuyu Fructus Evodiae (soaked, each 2 fen).
Preparation and Administration: Decoct in 1.5 zhong of water with 3 slices of ginger until 0.8 portion remains, take slightly hot on an empty stomach.
Cu Jing Tang (Menstruation Promoting Decoction): Treats overdue menstruation with lower back and abdominal pain.
Ingredients: Xiangfu Rhizoma Cyperi Rotundi, Shudihuang Radix Rehmanniae Preparata, Baishao Radix Paeoniae Alba, Ezhu Rhizoma Curcumae, Mutong Caulis Akebiae, Sumu Lignum Sappan (each 8 fen), Danggui Radix Angelicae Sinensis (1 qian), Chuanxiong Rhizoma Ligustici Chuanxiong, Honghua Flos Carthami, Gancao Radix Glycyrrhizae (5 fen), Rougui Cortex Cinnamomi, Taoren Semen Persicae (20 kernels, remove skin and tips).
Preparation and Administration: Decoct in 1.5 zhong of water until 0.8 portion remains, take warm on an empty stomach.
Honghua Guiwei San (Safflower Return Tail Powder): Treats Qi deficiency, stagnant blood not moving, irregular delayed menstruation, intermittent abdominal pain, and amenorrhea in unmarried women; effective.
Ingredients: Honghua Flos Carthami, Sumu Lignum Sappan, Ziwei (likely Zicao or similar), Niuxi Radix Achyranthis Bidentatae (wine-washed), Guiwei Radix Angelicae Sinensis caudex, Gancao Radix Glycyrrhizae (each 2 liang), Baizhi Radix Angelicae Dahuricae, Rougui Cortex Cinnamomi (each 1.5 liang), Liuji Nu Herba Siegesbeckiae (5 liang), Chi Shao Radix Paeoniae Rubra (9 liang).
Preparation and Administration: Grind into fine powder, take 3 qian with hot wine on an empty stomach, repeat before meals and bedtime. For prolonged amenorrhea, take with concentrated safflower wine.
Zhen Jing Tang (Menstruation Stabilizing Decoction): Treats early and excessive menstruation. Due to Kidney Water Yin deficiency failing to control Fire, allowing Ministerial Fire to assist flow.
Ingredients: Danggui Radix Angelicae Sinensis (1.5 qian), Baishao Radix Paeoniae Alba, Shengdi Huang Radix Rehmanniae, Huangbai Cortex Phellodendri (each 7 fen), Ejiao Zhu Colla Asini prepared, Tiao Huangqin Radix Scutellariae, Zhimu Rhizoma Anemarrhenae, Gancao Radix Glycyrrhizae, Chuanxiong Rhizoma Ligustici Chuanxiong (each 5 fen), Xiangfu Rhizoma Cyperi Rotundi (processed), Jiang Huanglian Rhizoma Coptidis (each 8 fen), Baizhi Radix Angelicae Dahuricae (3 fen).
Preparation and Administration: Decoct in 1.5 cups of water until 0.7 cup remains, take on an empty stomach.
Gu Jing Wan (Menstruation Consolidating Pill): Treats excessive menstruation without cessation.
Ingredients: Chugenbapi Cortex Bruceae Javanicae (7.5 qian), Huangqin Radix Scutellariae, Guiban Carapax et Plastrum Testudinis (each 1 liang), Baishao Radix Paeoniae Alba (fried 7 qian), Huangbai Cortex Phellodendri, Xiangfumii Rhizoma Cyperi Rotundi (processed, 3.5 qian).
Preparation and Administration: Grind into powder, form pills with wine paste, size of wutong seeds. Take 70 pills with plain water on an empty stomach.
Shu Fu Wan (Atractylodes and Aconite Pill): Treats irregular menstruation, [missing character] pain in umbilical/abdominal area, rib pain, waist distension, nausea, dizziness, alternating fever/chills, palpitations, fatigue, metrorrhagia, and leukorrhea.
Ingredients: Cangzhu Rhizoma Atractylodis (unearthed, 1 jin, soaked in rice wash water, changed daily: Spring 5 days, Summer 3 days, Autumn 7 days, Winter 10 days. Slice and bake dry, divide into four preparations: 1 part stir-fried with 1 liang fennel and 1 liang salt until yellow; 1 part stir-fried with 1 prepared Chuanwu Rhizoma Aconiti Lateralis Preparata slice and 1 liang crushed Chuanlianzi Fructus Toosendan until yellow; 1 part stir-fried with 1 liang Chuanjiao Fructus Zanthoxyli (remove eyes and closed ones) and 1 liang Puguzi Fructus Psoraleae until yellow; 1 part boiled dry in 1 cup good vinegar and 1 cup good wine, then baked dry), Xiangfumii Rhizoma Cyperi Rotundi (1 jin, divided into four preparations: wine, vinegar, salt water, child’s urine, soaked for respective seasonal days, stir-fried dry).
Preparation and Administration: Grind into powder, form pills with old rice flour paste, size of wutong seeds. Take 50 pills with plain water before meals on an empty stomach. One variation includes Aiye Folium Artemisiae Argyi and Danggui Radix Angelicae Sinensis.
Siwu Yimu Wan (Four Substances Motherwort Pill): Treats irregular menstruation, abdominal masses, intermittent pain; cures and enables pregnancy.
Ingredients: Chuan Danggui Radix Angelicae Sinensis (wine-washed), Shudihuang Radix Rehmanniae Preparata (prepared, each 4 liang), Chuanxiong Rhizoma Ligustici Chuanxiong, Baishao Radix Paeoniae Alba (fried, each 1 liang), Yimucao Herba Leonuri (avoid iron, powder, 0.5 jin), Xiangfu Rhizoma Cyperi Rotundi (processed, 1 jin), Wuzhuyu Fructus Evodiae (wine-soaked, 2 liang).
Preparation and Administration: Grind into powder, refine honey into pills size of bullets. Take one pill dissolved in wine on an empty stomach. If dissolution is disliked, swallow small pills directly.
Ke Ying Wan (Clashing Pill): Treats red and white leukorrhea in women.
Ingredients: Shudihuang Radix Rehmanniae Preparata, Chi Shao Radix Paeoniae Rubra (each 2 liang), Danggui Radix Angelicae Sinensis (2.5 liang), Chishizhi Halloysitum Rubrum ([missing]), Longgu Os Femoris, Muli Concha Ostreae ([missing], with wine [missing]), Fuling Poria, Mudanpi Cortex Moutan, Chuanxiong Rhizoma Ligustici Chuanxiong, Aiye Folium Artemisiae Argyi (processed, ground, each 1 liang).
Preparation and Administration: Grind into powder, form pills with sour paste, size of wutong seeds. Take 50 pills with plain water on an empty stomach.
(Dongyuan) Gu Zhen Wan (Consolidate True Pill): Treats persistent leukorrhea, cold pain in umbilicus/abdomen, fire flashing in eyes, blurred vision, aversion to hot drinks, preference for cold food. Caused by cold-dampness in the uterus, Liver meridian Yin fire overflowing causing eye symptoms; aversion to hot drinks indicates latent fire in Yangming meridian. Method requires draining cold-dampness heavily; use this pill.
Ingredients: Huangbai Cortex Phellodendri (wine-fried), Baishao Radix Paeoniae Alba (each 5 fen), Chaihu Radix Bupleuri, Baishi Zhi Halloysitum Album (each 1 qian), Bai Longgu Os Femoris, Danggui Radix Angelicae Sinensis (wine-washed, each 2 qian), Ganjiang Rhizoma Zingiberis Preparata (3 qian, roasted).
Preparation and Administration: Except Longgu Os Femoris and Shizhi Halloysitum which are water-pounded separately, grind others into fine powder, form pills with paste, size of euryale seeds. Dry daily, take with plain water on empty stomach, press with food shortly after to prevent hot herbs from irritating the Stomach. Avoid raw/cold, hard foods, alcohol/dampness, and wheat products.
Renshen Huangqi Tang (Ginseng and Astragalus Decoction): Treats women with dual Qi-Blood deficiency, chronic leukorrhea, emaciation, weakness, waist distension, leg soreness, body heat, sallow complexion, tasteless diet, dysuria; fully effective.
Ingredients: Danggui Radix Angelicae Sinensis, Fuling Poria (each 1 qian), Baizhu Rhizoma Atractylodis Macrocephalae, Shaoyao Radix Paeoniae Alba/Lactiflorae, Digupi Cortex Lycii, Renshen Radix Ginseng, Chuanxiong Rhizoma Ligustici Chuanxiong (each 7 fen), Huangqi Radix Astragali (honey-roasted), Lu Jiaoshuang Cornu Cervi Pantotrichum Preparatum (ground to fine powder, add 5 spoons when decoction is ready and mix well), Zhigancao Radix Glycyrrhizae Preparata, Cheqianzi Semen Plantaginis, Shudihuang Radix Rehmanniae Preparata (each 5 fen).
Preparation and Administration: Decoct in 2 cups of water with 3 jujubes until 0.8 portion remains, take at any time.
Jinying Lianzi San (Cherokee Rose Fruit and Lotus Seed Powder): Treats Spleen-Stomach weakness, effective for red and white leukorrhea.
Ingredients: Jinyingzi Fructus Rosae Laevigatae (winter harvest, dry, rub off hairs, 3 liang, clean fry, break open, remove seeds, use clean), Lianzi Semen Nelumbinis (remove hearts), Toumian (likely referring to a specific grain or part, 2 liang each, fried), Baibian Dou Semen Phaseoli Umbellati (2 liang, fried), Mujingshi Fructus Viticis Trifoliae (also known as Huangjingzi), Nuomici Glutinous Rice (1 he, fried).
Preparation and Administration: Grind into fine powder, take 4 qian each time, add 3 spoons of cooked honey, mix with boiling water; universally effective.
Liangxue Dihuang Tang (Cooling Blood and Rehmannia Decoction): Treats metrorrhagia in women due to Yin deficiency failing to control Fire, Fire agitating Blood causing bleeding. Use this royal method formula.
Ingredients: Huangqin Radix Scutellariae, Jingjie Sui Fructus Schizonepetae (each 7 fen), Manjingzi Fructus Viticis Trifoliae, Huangbai Cortex Phellodendri, Zhimu Rhizoma Anemarrhenae, Ben Cao Rhizoma Ligustici Chuanxiong, Xixin Herba Asari, Chuanxiong Rhizoma Ligustici Chuanxiong, Huanglian Rhizoma Coptidis, Qianghuo Rhizoma et Radix Notopterygii, Shengma Rhizoma Cimicifugae, Chaihu Radix Bupleuri, Fangfeng Radix Saposhnikoviae (each 3 fen), Shengdi Huang Radix Rehmanniae, Danggui Radix Angelicae Sinensis (each 8 fen), Gancao Radix Glycyrrhizae (5 fen), Honghua Flos Carthami (small amount).
Preparation and Administration: Decoct in 1.5 cups of water until 0.8 cup remains, take on an empty stomach.
Longgu San (Dragon Bone Powder): Treats unstoppable metrorrhagia.
Ingredients: Longgu Os Femoris ([missing]), Danggui Radix Angelicae Sinensis, Xiangfu Rhizoma Cyperi Rotundi (fried, each 1 liang), Zongmao Hui Ash (5 qian).
Preparation and Administration: Grind into fine powder, take 4 qian with rice water on an empty stomach. Avoid greasy foods, chicken, fish, and roasted items.
E Ai Wan (Asini Corium and Mugwort Pill): Proven effective for metrorrhagia, especially in elderly women.
Ingredients: Baijiang Rhizoma Zingiberis Preparatum (salt/wine or rice vinegar fried, 8 qian), Xiangfu Rhizoma Cyperi Rotundi (child’s urine soaked, fried, 1 liang), Yuanhusuo Rhizoma Corydalis (fried, 6 qian), Zhen Ejiao Colla Asini (fried to pearls), Aiye Folium Artemisiae Argyi (each 1 liang. Processed into moxa, made into cakes with glutinous rice paste, dried on tiles without burning, ground to fine powder).
Preparation and Administration: Grind into powder, form pills with wine paste, size of wutong seeds. Take 30 pills with salt wine or salt water on an empty stomach.
Huangqin San (Scutellaria Powder): Treats high fever with metrorrhagia, Yang invading Yin causing blood overflow; clearing is appropriate, this formula is best.
Ingredients: Huangqin Radix Scutellariae (any amount, ground to fine powder).
Preparation and Administration: Quench a heated scale weight in wine, mix 3-4 qian before meals. One variation adds Ganjiang Rhizoma Zingiberis Preparatum and Baizhi Radix Angelicae Dahuricae; another adds Mu’er Fungus Auriculariae and Huangqin Radix Scutellariae in equal parts into pills; all effective.
Ru Sheng San (Like Sage Powder): Treats metrorrhagia, cured in three doses.
Ingredients: Lv Zongzi (Palm date?), Wu Mei Fructus Mume, Ganjiang Rhizoma Zingiberis Preparatum (both charred to retain nature, ground, each 2 liang).
Preparation and Administration: Take 2 qian each time, mix with Coix seed and Mume fruit water on an empty stomach.
Qi Hui San (Seven Ashes Powder): Divine efficacy for metrorrhagia.
Ingredients: Lianpeng Casuarinae Fructus, Yimucao Herba Leonuri, Hanliancao Herba Ecliptae, Ying Su Qiao Capsule Papaveris, Yan Xie Ke Shell Calliparis Sinensis, Zongmao Ye Leaf Palmatis, Ou Jiehui Rhizomatis Nelumbinis Ne lumbinis (equal parts, charred to retain nature, ground).
Preparation and Administration: Take 3 qian mixed with vinegar-water on an empty stomach.
(Dongyuan) Shengyang Chu Shi Tang (Raise Yang and Drain Dampness Decoction): Treats metrorrhagia lasting long, caused by dampness flowing downward. (Formula see Metrorrhagia section.)
Mai Lun (Pulse Theory) for Beng Lou (Metrorrhagia and Metrostaxis) is detailed in Xin Jing (Heart Mirror) in this section; here we only extract the essentials.