夫心主于血。合于小肠。小肠者通于胞门子脏。故手少阴太阳之经。以为表里。其经血
上为
故令
治妇人月水不通。血气滞留。积聚成块。或攻心腹疼痛。不纳饮食。牛膝散方。
牛膝（一两去苗） 川大黄（一两锉微炒） 当归（半两锉微炒） 芎 鳖甲（一两
涂醋炙
令黄
两汤浸去
皮尖
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。
煎至六分。去滓。每于食前稍热服之。
治妇人月水不通。血气积聚。脐腹妨痛。不能饮食。芫花散方。
芫花（一两醋拌炒令黄） 牡丹（一两半） 鳖甲（一两涂醋炙令黄去裙 ） 没药（三
分）
干漆
芎
（半
两）
上件药。捣细罗为散。每于食前。以热酒调下一钱。
治妇人寒热羸瘦。胸中支满。肩背腰脊重痛。腹里急坚。积聚。怠堕不可忍。引腰
小腹痛。
刺。月水不通
干姜（二两炮裂锉） 柴胡（二两去苗） 赤芍药（二两） 人参（二两去芦头） 川
椒（一两
去目
仁（二
两汤
翅足）
桃
两微炒）
上件药。捣罗为末。
炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下十丸。不通。稍加之。
治妇人月水不通。积聚成块。或发歇寒热。时复刺痛。大黄丸方。
川大黄（三两锉微炒别研为末） 鳖甲（一两涂醋炙令黄去裙 ） 柴胡（一两去苗） 吴
茱
萸（
两） 牛
膝
上件药。捣罗为末。先以醋一升。入大黄末。熬成膏。入药末和捣三二百杵。丸如梧桐
子大
治妇人月水不通。血气留滞于脐腹。或加妨闷。时有疼痛。芫花煎丸方。
芫花（一两醋拌炒干别杵为末） 砂（半两细研） 牛膝（半两去苗） 当归（半两
锉微炒）
赤
水蛭
（
上件药。捣罗为末。以醋一升。熬芫花末成膏。入药末和丸。如梧桐子大。每于食前。
以温
治妇人月水不通。脐腹积聚。或时疼痛。不思饮食。 砂丸方。
砂（二两于净生铁器内用酸浆水两碗旋旋添以慢火熬尽浆水为度） 干漆（一两捣碎
炒
令烟
上件药。捣罗为末。入 砂都研令匀。用糯米软饭和丸。如梧桐子大。每于食前。以温
酒下
治妇人月水不通。脐腹积聚疼痛。斑蝥丸方。
斑蝥（一两糯米拌炒令黄去翅足） 干漆（一分捣碎炒令烟出） 麒麟竭（一分）
砂（一
分）
上件药。捣罗为末。熬醋如饧和丸。如绿豆大。每日空心。以桃仁汤下五丸。
又方。
砂（一两） 皂荚（五挺不 者去皮子锉用）
上件药。捣罗为末。以头醋一大盏。熬成膏。用陈橘皮末三两。拌和。更捣三二百杵。
丸如
治妇人月水不通。脐下积聚。结硬如杯。发热往来。食少羸瘦。干漆煎丸方。
干漆（半斤杵寒） 生地黄（半斤捣绞取汁） 生牛膝（五斤捣绞取汁）
上件药。入于银锅中。以慢火熬。不住手搅成煎。又用桂心芎 末各二两和丸。如梧桐
子大
治妇人夙有风冷。留血结聚。月水不通。 子酒方。
子〔一斤（升）〕 桃仁（二两汤浸去皮尖双仁） 大麻仁（二升）
上件药。都捣令碎。于瓷瓶内。以酒二斗。浸。密封头。五日后。每服暖饮三合。渐加
至五
The Heart governs blood and corresponds to the Small Intestine. The Small Intestine connects with the Baomen Zizang (uterus). Therefore, the Hand Shaoyin (Heart) meridian and the Hand Taiyang (Small Intestine) meridian form an interior-exterior relationship. When the qi and blood in these meridians fail to flow smoothly upwards, it results in amenorrhea.
**Niuxi San Formula** for treating amenorrhea in women, where qi and blood stagnate, forming accumulations or masses, possibly attacking the heart and abdomen causing pain, and leading to loss of appetite:
* Niuxi (Radix Achyranthis Bidentatae), 1 liang, remove the sprout;
* Chuan Dahuang (Radix et Rhizoma Rhei), 1 liang, cut into pieces and lightly stir-fried;
* Danggui (Radix Angelicae Sinensis), 0.5 liang, cut into pieces and lightly stir-fried;
* Xiongqiong (Radix Chuanxiong);
* Biejia (Carapax et Plastrum Testudinis), 1 liang, coated with vinegar and roasted until yellow.
Grind the above ingredients coarsely and sieve them to make a powder. Take 4 qian per dose. Add one zhongzhan (approx. 200-300ml) of water and half a fen of fresh ginger. Decoct until reduced to six parts. Strain the dregs. Drink slightly warm before meals.
**Yuanhua San Formula** for treating amenorrhea in women, where qi and blood accumulate, causing distending pain in the umbilical and abdominal regions, and inability to eat:
* Yuanhua (Flos Genkwa), 1 liang, mixed with vinegar and roasted until yellow;
* Mudanpi (Cortex Moutan), 1.5 liang;
* Biejia (Carapax et Plastrum Testudinis), 1 liang, coated with vinegar, roasted until yellow, and remove the skirt-like edges;
* Moyao (Resina Myrrhae), 3 fen;
* Ganqi (Resina Taxilli);
* Xiongqiong (Radix Chuanxiong), 0.5 liang.
Grind the above ingredients finely and sieve them to make a powder. Before meals, take 1 qian, mixed with hot wine.
Formula for treating women with alternating chills and fever, emaciation, chest fullness and distension, heaviness and pain in the shoulders, back, waist, and spine, abdominal tightness and hardness, accumulations, unbearable fatigue, pain radiating from the lower abdomen to the waist, and amenorrhea:
* Ganjiang (Rhizoma Zingiberis Recens), 2 liang, processed until cracked and cut;
* Chaihu (Radix Bupleuri), 2 liang, remove the sprout;
* Chishao Yao (Radix Paeoniae Rubra), 2 liang;
* Renshen (Radix Ginseng), 2 liang, remove the rhizome;
* Chuanjiao (Semen Zanthoxyli), 1 liang, remove the eyes and closed seeds;
* Taoren (Semen Persicae), 2 liang, soaked in water, skin and tips removed, using double kernels, lightly stir-fried.
Grind the above ingredients into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Before meals, take 10 pills with warm wine. If menstruation does not resume, gradually increase the dosage.
**Dahuang Wan Formula** for treating amenorrhea, accumulation forming masses, intermittent chills and fever, and occasional stabbing pain:
* Chuan Dahuang (Radix et Rhizoma Rhei), 3 liang, cut, lightly stir-fried, and separately ground into powder;
* Biejia (Carapax et Plastrum Testudinis), 1 liang, coated with vinegar, roasted until yellow, remove skirt-like edges;
* Chaihu (Radix Bupleuri), 1 liang, remove the sprout;
* Wuzhuyu (Fructus Evodiae);
* Niuxi (Radix Achyranthis Bidentatae).
Grind the above ingredients into powder. First, add the Dahuang powder to one sheng of vinegar and boil down to a paste. Then mix with the other powders and pound 200-300 times. Form pills the size of paulownia seeds.
**Yuanhua Jian Wan Formula** for treating amenorrhea, qi and blood stagnation in the umbilical/abdominal region, accompanied by stifling sensation and occasional pain:
* Yuanhua (Flos Genkwa), 1 liang, mixed with vinegar, roasted dry, and separately ground into powder;
* Naoshan (Natrii Nitras), 0.5 liang, finely ground;
* Niuxi (Radix Achyranthis Bidentatae), 0.5 liang, remove the sprout;
* Danggui (Radix Angelicae Sinensis), 0.5 liang, cut and lightly stir-fried;
* Chishao Yao (Radix Paeoniae Rubra);
* Shuizhi (Hirudo).
Grind the above ingredients into powder. Boil one sheng of vinegar with the Yuanhua powder to form a paste. Mix with the other powders and form pills the size of paulownia seeds. Before meals, take with warm wine.
**Naoshan Wan Formula** for treating amenorrhea, umbilical/abdominal accumulation, occasional pain, and lack of appetite:
* Naoshan (Natrii Nitras), 2 liang. Place in a clean iron vessel. Add two bowls of sour grain water, adding slowly, and simmer on low heat until the water is completely evaporated.
* Ganqi (Resina Taxilli), 1 liang, crushed and stir-fried until smoke appears.
Grind the above ingredients into powder. Mix thoroughly with the prepared Naoshan. Use soft glutinous rice paste to form pills the size of paulownia seeds. Before meals, take with warm wine.
**Banmao Wan Formula** for treating amenorrhea, umbilical/abdominal accumulation, and occasional pain:
* Banmao (Mylabris), 1 liang, stir-fried with glutinous rice until yellow, remove wings and feet;
* Ganqi (Resina Taxilli), 1 fen, crushed and stir-fried until smoke appears;
* Qilinjie (Sanguis Draconis), 1 fen;
* Naoshan (Natrii Nitras), 1 fen.
Grind the above ingredients into powder. Boil vinegar until thick like syrup to bind the pills. Form pills the size of mung beans. On an empty stomach daily, take 5 pills with Tao Ren Tang (Peach Kernel Decoction).
Another formula:
* Naoshan (Natrii Nitras), 1 liang;
* Zaojiao (Fructus Gleditsiae Sinensis), 5 tings (sticks), non-worm-eaten, remove skin and seeds, cut into pieces.
Grind the above ingredients into powder. Boil one zhongzhan of head vinegar to a paste. Mix with 3 liang of Chen Pi powder (dried tangerine peel). Pound 200-300 times more. Form pills the size of paulownia seeds.
**Ganqi Jian Wan Formula** for treating amenorrhea, sub-umbilical accumulation hard as a cup, alternating fever, poor appetite, and emaciation:
* Ganqi (Resina Taxilli), 0.5 jin, crushed;
* Sheng Dihuang (Radix Rehmanniae Recens), 0.5 jin, crushed and juice extracted;
* Sheng Niuxi (Radix Achyranthis Bidentatae), 5 jin, crushed and juice extracted.
Place the above ingredients in a silver pot. Simmer on low heat, stirring constantly until it becomes a thick decoction/paste. Mix with 2 liang each of Guixin (Cortex Cinnamomi) and Xiongqiong powder. Form pills the size of paulownia seeds.
**Tao Ren Jiu Formula** for treating amenorrhea caused by chronic wind-cold and blood stasis accumulation:
* Tao Ren (Semen Persicae), 1 jin;
* Damaren (Semen Cannabis), 2 sheng.
Crush all ingredients. Soak in two dou of wine in a porcelain jar. Seal tightly. After five days, drink three he of the warmed liquid per dose, gradually increasing to five he.