Library

[Discussion]
Women regard the Chong (Penetrating) and Ren (Conception) vessels as the sea of the meridians. These two vessels are exteriorly-interiorly related to the Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian, respectively, and primarily govern menstruation. If labor or injury damages the meridians, causing deficiency in the Chong and Ren vessels, they lose the ability to control Qi and Blood, resulting in menstruation that flows continuously without stopping.

For treating women with long-term deficiency of the Blood Sea, pain in the umbilical and abdominal regions, continuous menstrual bleeding, sallow complexion, emaciation, weakness in the four limbs, and loss of appetite, use the Shizhong Huang Wan Formula:
[Herbs omitted for brevity]
The above ten herbs are crushed, sifted into powder, mixed with a paste made from vinegar and flour, and formed into pills the size of sophora seeds. Take 20–30 pills per dose before meals, washed down with Moxa (Shexiang) wine.

For treating women with irregular Blood Sea function, accumulation due to deficiency-cold, continuous menstruation, red and white leukorrhea, and sallow complexion, use the Fuling San Powder:
[Herbs omitted for brevity]
The above sixteen herbs are crushed and sifted into powder. Take 2 qianbi per dose, mixed with glutinous rice drink; warm wine is also acceptable. Take on an empty stomach or before meals, three times daily.

For treating women with deficiency and damage of the Blood Zang, continuous menstruation, sallow complexion, weakness in the four limbs, and umbilical/abdominal pain, use the Yuyuliang Wan Pill:
[Herbs omitted for brevity]
The above eleven herbs are crushed, sifted into powder, mixed with a paste made from wine and flour, and formed into pills the size of sophora seeds. Take 20–30 pills per dose before meals or on an empty stomach, washed down with warm wine or vinegar water.

For treating women with continuous menstruation, varying in amount, fatigue and heaviness in the four limbs, and emaciated body, use the Danggui Wan Pill:
[Herbs omitted for brevity]
The above sixteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 20–30 pills per dose, washed down with warm wine, three times daily.

For treating women with Qi and Blood imbalance, continuous menstrual bleeding, pale complexion, poor appetite, and fatigue, use the Ooctopus Ink Bone (Wuseiyu Gu) Wan Pill:
[Herbs omitted for brevity]
The above ten herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 20 pills per dose, washed down with warm wine or jujube water.

For treating deficiency of Qi in the Chong and Ren vessels, deficiency and damage of menstrual blood, and continuous, unceasing menstruation, use the Dihuang Tang Decoction:
[Herbs omitted for brevity]
The above five herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain, add 1 qianbi of Puhuang (Corylinae Pollen), and take warm on an empty stomach or before meals.

For treating continuous menstrual bleeding, sallow complexion, and emaciation, use the Huang [Herb Name Missing] Tang Decoction:
[Herbs omitted for brevity]
The above fifteen herbs are chopped like hemp seeds. Take 5 qianbi per dose, decocted in one and a half sheng of water with five slices of fresh ginger until reduced to 80%. Strain and take warm, at any time.

For treating continuous menstruation, cold pain in the umbilical/abdominal region, and soreness/pain in the waist and legs, use the Ooctopus Ink Bone (Wuseiyu Gu) Wan Pill:
[Herbs omitted for brevity]
The above fifteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 30 pills per dose, washed down with rice drink, before meals or on an empty stomach.

For treating deficiency and damage of Qi and Blood, and continuous, unceasing menstruation, use the Dihuang Tang Decoction:
[Herbs omitted for brevity]
The above eight herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with three slices of fresh ginger until reduced to 70%. Strain and take warm, at any time.

For treating continuous menstruation, use the Zhuru Tang Decoction:
Qingzhuru (Green Bamboo Shavings) (lightly fried, 3 liang)
The above single herb is cut into coarse pieces. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm.

For treating continuous menstruation, use the Shengdihuang Tang Decoction:
Shengdihuang (Fresh Rehmannia Root) (crushed to extract natural juice)
The above single herb: take 3 fen of juice per sheng of water, mix with 4 fen of wine, boil evenly, let cool to warm, and take. Three times daily.

For treating menstruation that does not stop day or night, use the Mozey Tang Decoction:
Mozey (Equiseti Herba) (one handful, chopped and fried)
The above single herb is coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, three times daily.

For treating continuous menstruation, use the Ganjiang Zhu San Powder:
[Ganjiang, Huangming Jiao, Chu Zhi, Baifmian - see original text]
The above four herbs are crushed and ground into powder. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 60%. Strain and take warm, before meals or on an empty stomach.

For treating prolonged continuous menstruation, use the Shaoyao Tang Decoction:
Shaoyao (Paeoniae Radix Alba) and Baiye (Cacumen Platycladi) (fried, 1 liang each)
The above two herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in half a sheng of water and half a sheng of wine until reduced to 70%. Strain and take warm.

For treating prolonged continuous menstruation, use the Puhuang San Powder:
Puhuang (Corylinae Pollen), Zhan Hui (Felt Ash), Chao Mian (Fried Flour) (0.5 liang each)
The above three herbs are finely ground into powder. Take 2 qianbi per dose, mixed with Dihuangji (Rehmannia Wine).

[On Abdominal Pain During Menstruation]
[Discussion]
Menstruation is the surplus of Jing Blood. When harmonious, it arrives on schedule without being too early or too late. If Qi in the Chong and Ren vessels is deficient and invaded by Wind-Cold, Qi and vessel flow become obstructed, leading to irregular menstruation—either early or late, heavy or light. The Wind-Cold pathogen clashes with the menstrual flow, causing stiffness and rigidity in the lower back and sharp pain in the umbilical and abdominal regions during the flow.

For treating irregular menstruation with waist and abdominal pain, use the Fuling Yin Decoction:
[Bai Fuling, Danggui, Shaoyao, Zhigancao, Rougui - see original text]
The above five herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm on an empty stomach.

For treating irregular menstruation, pain below the umbilicus prior to onset, and restlessness/heat in the limbs, use the Danggui Yin Decoction:
[Danggui, Roudoukou, Houpo, Zhigancao, Shaoyao, Zhike - see original text]
The above eight herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm on an empty stomach.

For treating menstruation with abdominal pain, hardness below the umbilicus, and retention of blood stasis, use the Dahuang Tang Decoction:
[Dahuang, Xiaoyan, Danggui, Shaoyao, Xiongnu, Rougui - see original text]
The above seven herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with three slices of fresh ginger until reduced to 70%. Strain and take warm. Stop taking after the blood stasis passes.

For treating menstruation with abdominal pain or a disc-like mass below the umbilicus, use the Danggui Tang Decoction:
[Danggui, Shenggan Dihuang, Fangfeng, Shanzhuyu, Huangqi, Niuxi, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm before meals.

For treating menstruation with unbearable abdominal pain, use the Wenjing Tang Decoction:
[Bai Fuling, Shaoyao, Tugua Gen, Mudan Pi, Dansha, Yiyiren - see original text]
The above six herbs: apart from Dansha (Cinnabar) which is separately ground to powder, the others are coarsely crushed and sifted, then mixed with the Dansha powder. Take 3 qianbi per dose, decocted in 7 fen water and 3 fen wine (total one sheng) until reduced to 70%. Strain and take warm, at any time.

For treating difficult menstruation with unbearable attacking pain in the umbilical/abdominal region, use the Mudan Tang Decoction:
[Mudan Pi, Xiongnu, Zhigancao, Huangqin, Renshen, Rougui, Ganjiang, Wuzhuyu, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, at any time.

For treating menstruation with abdominal pain, restlessness, and body heat, use the Shaoyao Tang Decoction:
[Shaoyao, Renshen, Houpo, Roudoukou, Zhigancao, Danggui, Zhike - see original text]
The above seven herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, at any time.

For treating impending menstruation with stabbing pain in the waist/abdomen, variable flow, frequent recurrence within a month, clear fluid-like or soy-sauce-like discharge, fullness/hardness in the epigastrium, heaviness, deficiency-fatigue, and progressive sallow emaciation, use the Shenggan Dihuang Wan Pill:
[Shenggan Dihuang, Taoren, Xiongnu, Baizhi, Puhuang, etc. - see original text]
The above fifteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 30 pills per dose, washed down with warm wine; rice drink is also acceptable.

For treating difficult menstruation with umbilical/abdominal pain, use the Dahuang Tang Decoction:
[Dahuang, Renshen, Niuxi, Rougui, Qianghuo, Zhishi, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with one fen of smashed fresh ginger until reduced to 60%. Strain, add 0.5 qian of Xiaoshi (Niter), take warm. Repeat dose after walking for 3–5 li.

For treating menstruation with unbearable stabbing pain in the waist/abdomen, variable flow, clear fluid-like or soy-sauce-like discharge, deficiency-fatigue, and sallow emaciation, use the Xiongnu Wan Pill:
[Xiongnu, Baizhi, Shenggan Dihuang, Taoren, Ganjiang, etc. - see original text]
The above thirteen herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 20 pills per dose, washed down with rice drink or warm wine, before meals or on an empty stomach, three times daily.

For treating deficiency-cold with stagnant/difficult menstruation, abdominal pain, restlessness/heat in the four limbs, skin urticaria, and reduced appetite, use the Hupo Wan Pill:
[Hupo, Muxiang, Yuyuliang, Baizhu, Shaoyao, Biejia, Rougui, etc. - see original text]
The above twenty-three herbs are crushed, sifted into powder, mixed with one bowl of fresh Shengdihuang juice, then bound with wine-boiled flour paste into pills the size of sophora seeds. Take 20 pills per dose, washed down with warm wine on an empty stomach.

For treating impending menstruation with unbearable gripping pain in the umbilical/abdominal region, use the Wuzhuyu Wan Pill:
[Wuzhuyu, Danggui, Taoren, Dahuang, etc. - see original text]
The above ten herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 30 pills (up to 40) per dose, washed down with wine on an empty stomach, three times daily. Alternatively, make a powder, take 1 qianbi mixed with warm wine.

For treating impending menstruation with abdominal pain, use the Kushen Wan Pill:
[Kushen, Mudan Pi, Chi Fuling, Chi Shaoyao, Danggui, Dahuang, etc. - see original text]
The above twelve herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 30 pills per dose on an empty stomach with wine, up to 40 pills, until cured.

For treating difficult menstruation or pre-menstrual lower abdominal pain, use the Taoren Tang Decoction:
[Taoren, Ganjiang, Muxiang, Shaoyao, Wuzhuyu, Danggui, etc. - see original text]
The above nine herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain, add a small amount of Mangxiao (Mirabilite), boil for one or two boils, and take warm.

For treating impending menstruation with preceding waist/abdominal pain, vomiting, and inability to eat, use the Sanleng Tang Decoction:
[Jingsanleng, Xiongnu, Tianxiong, Sanggen Baipi, Diyue, Huanglian, Daizhe, Rougui, etc. - see original text]
The above thirteen herbs are chopped like hemp seeds. Take 5 qianbi per dose, decocted in one and a half sheng of water with five slices of fresh ginger until reduced to 80%. Strain and take warm, at any time.