治久寒月经不利，或多或少方。
吴茱萸（三升） 虻虫 水蛭 虫 牡丹（各一两） 生姜（一斤） 小麦 半夏（各
一升）
（一两半） 芍药
（二两）
上十五味 咀，以酒一斗，水二斗，煮取一斗，去滓，适寒温，一服一升，日三。不
饮酒者，以水代之。汤欲成乃纳诸虫。不耐药者，饮七合。
治月经不利，腹中满，时自减，并男子膀胱满急方。
虎掌（《千金翼》作虎杖） 大黄（各二两） 桃仁（三十枚） 水蛭（二十枚）
上四味以水三升，煮取一升，尽服之，当下恶血为度。
治月经不利，手足烦热，腹满默默不欲寤，心烦方。
大黄（一两半） 前胡（一作柴胡） 芒硝（熬，各五两） 葶苈 川椒（并熬，各六
铢） 生
姜川芎 茯苓（各十五铢） 杏仁（九铢，熬） 桃仁（二十枚熬） 虻虫（熬） 水蛭
（各半合
，熬）
上十二味为末，蜜丸梧子大，空腹饮服七丸，日三，不知加一倍。（一方有 虫、牡丹
各
治月经来绕脐痛，上冲心胸，往来寒热，如疟疰状方。
桃仁（五十枚） 虫（二十枚） 桂心（五寸） 茯苓（一两） 薏苡仁 牛膝 代
赭（各二
两） 大黄（八两）
上八味治下筛，隔宿勿食，温酒服一钱匕，日三。
治月经往来腹肿腰腹痛方∶
虫（四枚） 川椒 干姜（各六铢） 大黄 女青 桂心 川芎（各半两）
上七味治下筛，取一刀圭，先食酒服之，日三，十日微下，善养之。
To treat prolonged cold causing irregular menstruation, with varying amounts of flow:
Evodiae Fructus (Wuzhuyu) [3 sheng], Tabanidae Insect (Machong), Leech (Shuizhi), Ground Beetle (Chong), Paeoniae Moutan Cortex (Mudanpi) [each 1 liang], Zingiberis Rhizoma Recens (Shengjiang) [1 jin], Triticum Semen (Xiaomai), Pinelliae Rhizoma Preparatum (Banxia) [each 1 sheng],
Paeoniae Radix Alba (Shaoyao)
[1.5 liang],
Paeoniae Radix Rubra (Shaoyao)
[2 liang].
The above fifteen ingredients are coarsely crushed. Boil in one dou of wine and two dou of water until one dou remains. Strain the dregs. Take one sheng at a suitable temperature, three times a day.
Those who do not drink alcohol may substitute water. Add the insect ingredients only when the decoction is nearly finished. For those intolerant to strong medication, take seven ge.
To treat irregular menstruation, abdominal fullness that occasionally subsides spontaneously, and urinary bladder fullness/urgency in men:
Aconiti Lateralis Radix Preparata (Huzhang, referred to as Aconitum carmichaelii lateral root in *Qianjin Yifang*) [2 liang], Rhei Radix et Rhizoma (Dahuang) [2 liang], Persicae Semen (Taoren) [30 seeds], Leech (Shuizhi) [20 pieces].
The above four ingredients are boiled in three sheng of water until one sheng remains. Take all at once. The treatment is considered effective when menstrual clots/blood stasis are discharged.
To treat irregular menstruation accompanied by vexing heat in hands and feet, abdominal fullness with taciturnity and insomnia, and mental restlessness:
Rhei Radix et Rhizoma (Dahuang) [1.5 liang], Peucedani Radix (Qianhu, alternatively Chaihu), Natrii Sulfas (Mangxiao, roasted) [each 5 liang], Lepidii Semium (Tinglizi), Zanthoxyli Fructus (Chuanjiao) (both roasted) [each 6 zhu], Zingiberis Rhizoma Recens (Shengjiang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria (Fuling) [each 15 zhu], Armeniacae Semen Amarum (Xingren, roasted) [9 zhu], Persicae Semen (Taoren, roasted) [20 seeds], Tabanidae Insect (Machong, roasted), Leech (Shuizhi, roasted) [each half he].
The above twelve ingredients are powdered and formed into pills the size of wutong seeds using honey. Take seven pills on an empty stomach with warm water, three times a day. If ineffective, double the dose. (Another version includes Geckus and Mudanpi...)
To treat menstrual pain encircling the umbilicus, qi rushing up to the chest and heart, alternating chills and fever, resembling malaria or zhū disease:
Persicae Semen (Taoren) [50 seeds], Ground Beetle (Chong) [20 pieces], Cinnamomi Ramulus (Guixin) [5 cun], Poria (Fuling) [1 liang], Coicis Semen (Yiyiren), Achyranthis Bidentatae Radix (Niuxi), Haematites (Daizhe) [each 2 liang], Rhei Radix et Rhizoma (Dahuang) [8 liang].
The above eight ingredients are processed and sifted. Fast overnight. Take one qianbi-sized dose with warm wine, three times a day.
To treat abdominal swelling and lumbar/abdominal pain during menstrual cycles:
Ground Beetle (Chong) [4 pieces], Zanthoxyli Fructus (Chuanjiao), Zingiberis Rhizoma (Ganjiang) [each 6 zhu], Rhei Radix et Rhizoma (Dahuang), Polygalae Radix (Nüqing), Cinnamomi Ramulus (Guixin), Ligustici Chuanxiong Rhizoma (Chuanxiong) [each half liang].
The above seven ingredients are processed and sifted. Take one dao gui-sized dose before meals with wine, three times a day. After ten days, slight bleeding will occur; maintain proper care and nourishment.