论曰血者阴之物，象月盈亏，应时而至，故谓之月水，女子冲任气虚，经络不和。其血
应至而未至，未至而先至，或断或续，或多或少，血色有异，是月水不调之证也。
治室女血海虚损，月水不调，乍多乍少，或断或续，或清或浊，肌肉黄瘁，吃食进退，
四肢倦闷，泽兰丸方
泽兰叶 附子（炮裂去皮脐各一两） 当归（切焙） 牛膝（去苗酒浸切焙） 芎 牡
丹（
炙） 细辛
术（锉） 肉苁蓉（酒浸
上一十九味，捣罗为末，炼蜜和丸，如梧桐子大，空心温酒下二十丸，米饮亦得。
治室女月水断续不调，冲任经虚，饮食减退，肢体黄瘁，凡有心腹一切疾病悉疗之。白
薇丸方
白薇（一两） 车前子 干姜（炮） 当归（锉炒） 芎 细辛（去苗叶） 蛇床子
（各半两）
黑皮） 远志（去心）
（洗焙） 蜀椒（去目及闭口
上二十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心及晚食前，用温酒下三十丸
治室女月经不调，或少不利，前后愆期，日月浸久，肌肉黄瘁，胁下积气结硬。时发刺
疼，渐成劳状，鳖甲丸方
鳖甲（去裙 醋炙） 桂（去粗皮） 京三棱（煨锉） 牡丹皮 牛膝（去苗酒浸切焙）
诃黎
茯苓（去
上一十二味，捣罗为末，炼蜜为丸，如梧桐子大，每服二十丸，煎桃仁汤下，破血块气
块妙。
治室女月水不调，心腹 痛，或血冷凝结成片，断续不定，不思饮食，琥珀散方
琥珀（三分研） 延胡索 牡丹皮 土瓜根（各一两） 没药 当归（洗焙） 牛膝（去
苗酒
上八味，捣罗为散，每服二钱匕，食前米饮调下。温酒亦得。
治室女月水不调，或赤或浊，断续不定，心膈迷闷，腹脏 撮，疼痛气闷，乌药散方
乌药（二两） 当归（切焙） 蓬莪术（炮各一两）
上三味，捣罗为散，每服二钱匕，温酒调下。
治室女月水不调，漏芦汤方
漏芦（去芦头） 当归（切焙） 红花子 枳壳（去瓤麸炒） 白茯苓（去黑皮） 人
参（各半
上六味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时。
治室女月水不调，气攻心腹，或断或续，或赤或白，面色萎黄，不思饮食，没药汤方
没药 姜黄 人参 当归（切焙） 苏枋木（锉） 红蓝花 赤芍药（各半两） 附子
（大者
上九味，粗捣筛，每服三钱匕，水一盏，煎至五分，入酒二分，再煎沸去滓，空心午食
前稍热服。
治室女禀受怯弱，月水不调，或来或止，身体疼痛，时有寒热，赤芍药丸方
赤芍药 熟干地黄（焙） 紫苏子（微炒各二两） 贝母（去心） 桑寄生 人参 鳖
甲（去
粗皮各一两）
上一十二味，捣罗为末，炼蜜为丸，如梧桐子大，每服空腹酒下二十丸。
治室女月水不调，或多或少，或断或绝，不快不利，攻刺疼痛，四肢无力，不思饮食，
多困黄瘦，胸膈痞满，沉香汤方
沉香（一两） 柴胡（去苗） 秦艽（去苗土） 肉豆蔻（去壳） 白芷 黄 （锉） 鳖
甲（去
药人参 白茯
（焙） 酸枣仁 木香（各
上二十四味，粗捣筛，每服三钱匕，水一盏，生姜三片，乌梅半枚，同煎至七分，去滓
温服，日三。
治室女血气不调，止后复来，脐腹冷疼，泽兰丸方
泽兰叶 牡丹皮 芎 当归（切焙） 延胡索 蓬莪术（炮锉） 京三棱（炮锉） 芍
药
上一十二味，细捣为末，用酒面糊为丸，梧桐子大，每服二十丸，空心食前温酒下。
治室女经水过多，连绵不绝，脐腹疼痛，干姜丸方
干姜（炮） 白矾（各半两烧灰） 白石脂（二两） 熟干地黄（焙） 白茯苓（去黑
皮） 人参
上七味，捣罗为末，醋煮面糊和丸，梧桐子大，每服二十丸，温酒或米饮下，空心食前
服。
治室女月水过期，连绵不止，脐腹疼痛，附子丸方
附子（一枚炮裂去皮脐） 乌贼鱼骨（去甲一两） 白石脂（二两） 白丁香（一分炒）
白矾
上六味，捣罗为末，用醋煮面糊为丸，梧桐子大，每服二十丸，米饮下，日三。
治室女月水日久不绝，心闷短气，四肢乏弱，不思饮食，头目昏重，五心烦热，面黄体
瘦，牡蛎汤方
牡蛎（粉） 芎 熟干地黄（焙） 白茯苓（去黑皮） 龙骨（各二两） 续断 当
归（切焙）
上一十二味，粗捣筛，每服三钱匕，水一盏，生姜三片，枣一枚劈，煎至六分，去滓食
前温服。
治室女禀气怯弱，血海虚损，月水不断，地黄丸方
熟干地黄（焙） 柏子仁（别研） 青橘皮（去白炒） 诃黎勒皮（炮） 杜仲（去粗
皮锉炒）
别捣） 秦艽（去苗
上一十六味，捣罗为末，醋煮面糊为丸，梧桐子大，每服二十丸，米饮或温酒下。
治室女月水不断，心烦气闷，地黄散方
熟干地黄（洗焙） 白芷 酸石榴皮（锉） 陈橘皮（去白炒） 甘草（炙各一两）
上五味，捣罗为散，每服二钱匕，温米饮调下，不拘时服。
治室女月水不断，地榆汤方
地榆（锉） 柏叶（去枝） 蒲黄 酸石榴皮（锉） 甘草（炙） 生熟地黄（焙各一
两）
上六味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，空心食前。
治室女月水不断，侧柏散方
侧柏（去枝） 木贼（锉炒微焦各一两）
上二味，捣罗为散，每服二钱匕，温酒调下，米饮亦得。
Discussion states: Blood is a yin substance, its waxing and waning resembles the phases of the moon, arriving on time, hence it is called "Yue Shui" (Menstrual Water). If a woman's Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) qi are deficient, and her meridians and collaterals are not harmonious, then the blood may arrive late or early, intermittently, in varying amounts, with different colors. This constitutes the syndrome of irregular menstruation.
For treating young women with deficiency and damage to the Blood Sea, irregular menstruation, fluctuating flow (sometimes excessive, sometimes scanty), intermittent bleeding, clear or turbid discharge, sallow and emaciated muscles, variable appetite, and fatigue and oppression in the four limbs, use Ze Lan Wan Formula.
Ze Lan Ye (Lycopus Herba), Fu Zi (Aconiti Lateralis Radix Praeparata, prepared, skin and rootlets removed, each 1 liang), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Niu Xi (Achyranthis Bidentatae Radix, stems removed, soaked in wine, sliced and dried), Xiong Chuannan (Chuanxiong Rhizoma), Mu Dan Pi (Moutan Cortex, roasted), Xi Xin (Asari Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, sliced), Rou Cong Rong (Cistanche Herba, soaked in wine). The above nineteen ingredients are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills orally before meals with warm wine; rice water is also acceptable.
For treating young women with intermittent and irregular menstruation, deficiency of the Chong and Ren meridians, decreased appetite, sallow and emaciated limbs, and for curing all kinds of heart and abdominal diseases, use Bai Wei Wan Formula.
Bai Wei (Cynanchi Atrati Radix, 1 liang), Che Qian Zi (Plantaginis Semen), Gan Jiang (Zingiberis Rhizoma, prepared), Dang Gui (Angelicae Sinensis Radix, sliced and stir-fried), Xiong Chuannan (Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma, stems and leaves removed), She Chuang Zi (Cnidii Fructus, each half liang), [Text missing], Hei Pi [Text missing], Yuan Zhi (Polygalae Radix, heart removed), [Text missing] (washed and dried), Shu Jiao (Sichuan Pepper, remove eyes and closed ones). The above twenty-one ingredients are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 30 pills orally before empty stomach and before evening meal with warm wine.
For treating young women with irregular menstruation, scanty or obstructed flow, delayed cycles, prolonged duration, sallow and emaciated muscles, accumulation of qi under the hypochondrium forming hard masses, occasional stabbing pain, gradually developing into consumptive symptoms, use Bie Jia Wan Formula.
Bie Jia (Testudinis Carapax et Plastrum, skirt edge removed, vinegar-roasted), Gui Zhi (Cinnamomi Ramulus, bark removed), Jing San Leng (Sparganii Rhizoma, baked and sliced), Mu Dan Pi (Moutan Cortex), Niu Xi (Achyranthis Bidentatae Radix, stems removed, soaked in wine, sliced and dried), He Li Le (Terminalia Chebulae Fructus), Fu Ling (Poria, black skin removed). The above twelve ingredients are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills orally with decoction of Tao Ren (Pruni Armeniacae Semen), which is excellent for breaking up blood stasis and qi stagnation masses.
For treating young women with irregular menstruation, heart and abdominal pain, cold blood coagulating into clumps, intermittent uncertainty, and loss of appetite, use Hu Po San Powder.
Hu Po (Amber, 3 fen, ground), Yan Hu Suo (Corydalis Rhizoma), Mu Dan Pi (Moutan Cortex), Tu Gua Gen (Trichosanthes Kirilowii Radix, each 1 liang), Mo Yao (Myrrha), Dang Gui (Angelicae Sinensis Radix, washed and dried), Niu Xi (Achyranthis Bidentatae Radix, stems removed, soaked in wine). The above eight ingredients are pounded into powder. Take 2 qian bi orally before meals mixed with rice water. Warm wine is also acceptable.
For treating young women with irregular menstruation, red or turbid discharge, intermittent uncertainty, chest and diaphragm confusion and oppression, abdominal organ contraction, pain and qi oppression, use Wu Yao San Powder.
Wu Yao (Linderae Radix, 2 liang), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Peng E Zhu (Curcumae Longae Rhizoma, prepared, each 1 liang). The above three ingredients are pounded into powder. Take 2 qian bi orally mixed with warm wine.
For treating young women with irregular menstruation, use Lou Lu Tang Decoction.
Lou Lu (Euphorbiae Humifusae Herba, remove rhizome head), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Hong Hua Zi (Carthami Flos), Zhi Ke (Aurantii Fructus, pith and bran removed, stir-fried with wheat bran), Bai Fu Ling (Poria, black skin removed), Ren Shen (Ginseng Radix et Rhizoma, each half liang). The above six ingredients are coarsely pounded and sifted. Take 3 qian bi orally, decocted in one sheng of water until reduced to seven-tenths, strain and take warm, at any time.
For treating young women with irregular menstruation, qi attacking the heart and abdomen, intermittent flow, red or white discharge, sallow complexion, and loss of appetite, use Mo Yao Tang Decoction.
Mo Yao (Myrrha), Jiang Huang (Curcumae Longae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Su Fang Mu (Sappan Lignum, sliced), Hong Lan Hua (Carthami Flos), Chi Shao Yao (Paeoniae Radix Rubra, each half liang), Fu Zi (Aconiti Lateralis Radix Praeparata, large ones). The above nine ingredients are coarsely pounded and sifted. Take 3 qian bi orally, decocted in one sheng of water until reduced to five-tenths, add two-tenths wine, boil again, strain, and take warm slightly hot before empty stomach and before noon meal.
For treating young women with weak constitution, irregular menstruation, intermittent flow, body pain, and alternating chills and fever, use Chi Shao Yao Wan Formula.
Chi Shao Yao (Paeoniae Radix Rubra), Shu Gan Di Huang (Rehmanniae Radix Praeparata, dried), Zi Su Zi (Perillae Fructus, lightly stir-fried, each 2 liang), Bei Mu (Fritillariae Thunbergii Bulbus, heart removed), Sang Ji Sheng (Taxilli Herba), Ren Shen (Ginseng Radix et Rhizoma), Bie Jia (Testudinis Carapax et Plastrum, skirt edge removed, vinegar-roasted, bark removed, each 1 liang). The above twelve ingredients are pounded into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills orally with wine before empty stomach.
For treating young women with irregular menstruation, varying amounts, intermittent or absent flow, discomfort and obstruction, stabbing pain, weakness in four limbs, loss of appetite, drowsiness, sallow emaciation, chest and diaphragm fullness, use Chen Xiang Tang Decoction.
Chen Xiang (Aquilariae Lignum Resinatum, 1 liang), Chai Hu (Bupleuri Radix, stems removed), Qin Jiao (Gentianae Macrophyllae Radix, stems and soil removed), Rou Dou Kou (Myristicae Semen, shell removed), Bai Zhi (Angelicae Dahuricae Radix), Huang Qi (Astragali Radix, sliced), Bie Jia (Testudinis Carapax et Plastrum, skirt edge removed, vinegar-roasted, bark removed), Shan Yao (Dioscoreae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, dried), Suan Zao Ren (Ziziphi Spinosae Semen), Mu Xiang (Aucklandiae Radix, each 1 liang). The above twenty-four ingredients are coarsely pounded and sifted. Take 3 qian bi orally, with one sheng of water, three slices of fresh ginger, half a smoked plum, decoct together until reduced to seven-tenths, strain and take warm, three times daily.
For treating young women with disharmony of blood and qi, resumption of flow after cessation, cold pain in umbilical and abdominal regions, use Ze Lan Wan Formula.
Ze Lan Ye (Lycopus Herba), Mu Dan Pi (Moutan Cortex), Xiong Chuannan (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Yan Hu Suo (Corydalis Rhizoma), Peng E Zhu (Curcumae Longae Rhizoma, prepared and sliced), Jing San Leng (Sparganii Rhizoma, prepared and sliced), Shao Yao (Paeoniae Radix). The above twelve ingredients are finely pounded into powder, made into pills using wine and flour paste, size of paulownia seeds. Take 20 pills orally before empty stomach and before meals with warm wine.
For treating young women with menorrhagia, continuous flow, and umbilical/abdominal pain, use Gan Jiang Wan Formula.
Gan Jiang (Zingiberis Rhizoma, prepared), Bai Fan (Alumen, each half liang, calcined to ash), Bai Shi Zhi (Halloysit Alba, 2 liang), Shu Gan Di Huang (Rehmanniae Radix Praeparata, dried), Bai Fu Ling (Poria, black skin removed), Ren Shen (Ginseng Radix et Rhizoma). The above seven ingredients are pounded into powder, mixed with vinegar-boiled flour paste to form pills the size of paulownia seeds. Take 20 pills orally with warm wine or rice water, before empty stomach and before meals.
For treating young women with metrorrhagia extending beyond the expected period, continuous flow, and umbilical/abdominal pain, use Fu Zi Wan Formula.
Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, prepared, skin and rootlets removed), Ou Sei Yu Gu (Sepiae Endoconcha, shell removed, 1 liang), Bai Shi Zhi (Halloysit Alba, 2 liang), Bai Ding Xiang (Stercus Domesticum Gallinae, 1 fen, stir-fried), Bai Fan (Alumen). The above six ingredients are pounded into powder, made into pills using vinegar-boiled flour paste, size of paulownia seeds. Take 20 pills orally with rice water, three times daily.
For treating young women with prolonged menometrorrhagia, chest stuffiness and shortness of breath, weakness in four limbs, loss of appetite, heavy and dizzy head and eyes, five-palm heat, sallow face and emaciated body, use Mu Li Tang Decoction.
Mu Li (Ostreae Concha, powdered), Xiong Chuannan (Chuanxiong Rhizoma), Shu Gan Di Huang (Rehmanniae Radix Praeparata, dried), Bai Fu Ling (Poria, black skin removed), Long Gu (Dinosaurium Os, each 2 liang), Xu Duan (Dipsaci Radix), Dang Gui (Angelicae Sinensis Radix, sliced and dried). The above twelve ingredients are coarsely pounded and sifted. Take 3 qian bi orally, with one sheng of water, three slices of fresh ginger, one date split open, decoct until reduced to six-tenths, strain and take warm before meals.
For treating young women with weak constitution, deficiency and damage to the Blood Sea, and continuous menstruation, use Di Huang Wan Formula.
Shu Gan Di Huang (Rehmanniae Radix Praeparata, dried), Bai Zi Ren (Biota Semen, separately ground), Qing Ju Pi (Citri Reticulatae Pericarpium Viride, white part removed, stir-fried), He Li Le Pi (Terminalia Chebulae Pericarpium, prepared), Du Zhong (Eucommiae Cortex, coarse bark removed, sliced and stir-fried). The above sixteen ingredients are pounded into powder, made into pills using vinegar-boiled flour paste, size of paulownia seeds. Take 20 pills orally with rice water or warm wine.
For treating young women with continuous menstruation, vexation, and qi oppression, use Di Huang San Powder.
Shu Gan Di Huang (Rehmanniae Radix Praeparata, washed and dried), Bai Zhi (Angelicae Dahuricae Radix), Suan Shi Liu Pi (Punica Granati Pericarpium, sliced), Chen Ju Pi (Citri Reticulatae Pericarpium, white part removed, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 liang). The above five ingredients are pounded into powder. Take 2 qian bi orally mixed with warm rice water, at any time.
For treating young women with continuous menstruation, use Di Yu Tang Decoction.
Di Yu (Sanguisorbae Radix, sliced), Bai Ye (Platycladi Cacumen, branches removed), Pu Huang (Typhae Pollen), Suan Shi Liu Pi (Punica Granati Pericarpium, sliced), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Sheng Shu Di Huang (Rehmanniae Radix, raw and prepared, dried, each 1 liang). The above six ingredients are coarsely pounded and sifted. Take 3 qian bi orally, decocted in one sheng of water until reduced to seven-tenths, strain and take warm, before empty stomach and before meals.
For treating young women with continuous menstruation, use Ce Bai San Powder.
Ce Bai Ye (Platycladi Cacumen, branches removed), Mu Zei (Equiseti Herba, sliced, stir-fried until slightly charred, each 1 liang). The above two ingredients are pounded into powder. Take 2 qian bi orally mixed with warm wine; rice water is also acceptable.