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[Background Information]
Book: Taiping Shenghui Fang (Imperial Grace Formulas of the Taiping Era)
Authors: Wang Huaiyin, Chen Zhaoyu, et al.
Dynasty: Song Dynasty, Chunhua 3rd Year
Chapter: Formulas for Treating Long-standing Amenorrhea in Women
Category: Formulas

[English Translation]
Regarding cases of long-standing amenorrhea (prolonged absence of menstruation) in women, this condition arises from deficiency and damage to the Zang-Fu organs, exhaustion of Qi and Blood, invasion of Wind-Cold pathogens into the interior of the uterus, and injury to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel).

For treating long-standing amenorrhea where the duration is many years, dark spots appear on the face resembling ink. The patient constantly craves salty and sour foods, eating them incessantly with a sense of insatiable desire.

Formula:
Tao Ren (Peach Kernel, 1 liang, soaked in decoction, skin and pointed ends removed, double-kernel bran-fried until slightly yellow), Qian Gen (Madder Root, 1.5 liang), Meng Chong (Dragonfly Larva, 14 pieces, lightly fried, wings and legs removed), Shui Zhi (Leech, 2 liang, chopped and lightly fried).
The above ingredients are crushed, sifted, and made into a powder. Take 3 qian per dose. Add 1 zhong (unit of volume) of water, boil down to 6 fen (fraction), remove dregs, and take warm on an empty stomach. After walking the distance equivalent to 10 li, take another dose.

For treating long-standing amenorrhea persisting for several years, accompanied by emaciation and poor appetite, where other formulas have failed, the Gui Jian San (Arrowwood Powder) formula is suitable.
Gui Jian Yu (Eucommia Bark/Aralia Spine, 0.5 liang), Chi Shao Yao (Red Peony Root, 0.5 liang), Chuan Da Huang (Rhubarb, 0.5 liang, lightly fried), Gui Xin (Cinnamon Twig Heart, 0.5 liang), Bie Jia (Turtle Shell, 0.5 liang, brushed with vinegar, roasted until yellow, skirt edges removed), Shui Zhi (Leech, 1 fen, lightly fried), Meng Chong (Dragonfly Larva, 1 fen, lightly fried).
The above ingredients are coarsely ground and sifted into a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 fen of fresh ginger, boil down to 5 fen, remove dregs, and take warm before meals.

An immediately effective formula for treating long-standing amenorrhea.
Ji Nian Wu Shang Wa Song (Old Roof Pine Moss, 1 fen), Hu Huo Cao (Fire-Protecting Grass, 1 fen), Long Tai (Dragon Placenta, 0.5 fen; found in large waters in mountains, resembling dried fish scales, particularly abundant in Shu region, highly precious).
The above ingredients are all crushed. Add 2 zhong of water, boil down to 1 zhong, remove dregs, and divide into two doses. Take on an empty stomach; soon after, foul blood should be discharged.

For treating amenorrhea accompanied by mental restlessness and distension in the abdomen and hypochondrium, the Wu Jin San (Black Gold Powder) formula is suitable.
Luan Fa (Disordered Hair, 1 liang; must be male hair, cut into pieces), Bu Zao Jia (Unripe Soap Pod, 1 ting; fleshy ones cut into cun segments), Shen Qu (Medicated Leaven, 3 liang), Chi Li Yu Lin (Red Carp Scales, 1 liang).
Place the above ingredients in a porcelain bottle, fill tightly. Cover the mouth with a tile piece, seal with paper-clay mud. When dry, roast slowly over low fire, then take mixed with wine.

For treating amenorrhea within three years, the Zi Shi Ying San (Purple Quartz Powder) formula is suitable.
Zi Shi Ying (Purple Fluorspar, finely ground and washed with water), Zhu Sha (Cinnabar, finely ground and washed with water), Hu Zhang (Knotweed Rhizome, chopped), Xi Ci Mo (Fine Porcelain Dust), Hua Shi (Talcum, each 0.5 liang), Ban Mao (Blister Beetle, processed with glutinous rice, wings and legs removed).
The above ingredients are finely ground and sifted into a powder, mixed uniformly. Take 1 qian mixed with warm wine on an empty stomach. By the Si hour (9-11 AM), there will be initial astringency and pain in urination, followed by the discharge of foul matter... [text missing].

For treating amenorrhea lasting six to seven years, or accompanied by swelling, fullness, rebellious Qi, abdominal distension, and fixed pain, the Divine Efficacy Formula.
Meng Chong (Dragonfly Larva, 0.5 liang, fried with glutinous rice until yellow, wings and legs removed), Qi Lao (Grub, 0.5 liang, lightly fried), Shu Gan Di Huang (Prepared Rehmannia Root, 2 liang), Mu Dan (Tree Peony Bark, 1 liang), Tao Ren (Peach Kernel, processed as described), Fu Ling (Poria, quantity unspecified), Tian Ting Li (Sweet Descurainia Seed, 0.5 liang), Gen (Root, 1 liang; text incomplete), Wu Zhu Yu (Evodia Fruit, 1 liang, soaked in water seven times, lightly fried).
The above ingredients are finely ground into powder, mixed with refined honey, pounded 300-200 times, and formed into pills the size of paulownia seeds. Take 10 pills with warm wine before meals.

For treating long-standing amenorrhea leading to gradual emaciation, transforming into Blood Consumption (Xue Lao), and accumulation of Blood-Qi causing pain, the Gou Dan Wan (Dog Gallbladder Pill) formula.
Gou Dan (Dog Gallbladder, 5 pieces, juice removed), Niao Sha (Ammonium Chloride, 0.5 liang, soaked in dog bile for 37 days), Gan Qi (Dried Lacquer, 0.5 liang, crushed and fried until smoke appears), Yuan Hua (Genkwa Flower, 0.5 liang, stir-fried with vinegar), Meng Chong (Dragonfly Larva, 0.5 liang, fried until yellow, wings and legs removed), Zi Ran Tong (Natural Copper, 1 liang, finely chopped).
The above ingredients are ground into powder. Use 1 sheng of strong vinegar, first add Zi Ran Tong powder, boil for ten boils, remove stone residue, then add to a pot... [text missing].

For treating long-standing amenorrhea causing alternating chills and fever, emaciation, night sweats, cough, and loss of appetite, the Mu Li Wan (Oyster Shell Pill) formula.
Mu Li Fen (Oyster Shell Powder, 1 liang), Chuan Da Huang (Rhubarb, 2 liang, chopped and lightly fried), Chai Hu (Bupleurum Root, 1 liang, awns removed), Chuan Mang Xiao (Mirabilite, 1 liang), Gan Jiang (Dried Ginger, 1 fen, roasted until cracked)... [text missing].
The above ingredients are ground into powder, mixed with refined honey, pounded 300-200 times, and formed into pills the size of paulownia seeds. Take 10 pills with warm wine on an empty stomach and before evening meal daily.

For treating long-standing amenorrhea potentially leading to swelling, fullness, rebellious Qi, cough, emaciation, and poor appetite, the Qi Lao Wan (Grub Pill) formula.
Qi Lao (Grub, 3 fen, lightly fried), Sheng Gan Di Huang (Raw Dried Rehmannia Root, 1 liang), Mu Dan (Tree Peony Bark, 3 fen), Gan Qi (Dried Lacquer, 0.5 liang, crushed and fried until smoke appears), Chi Shao Yao (Red Peony Root, 3 fen), Tao Ren (Peach Kernel, bran-fried until yellow), Huang... [text missing], Ting Li (Descurainia Seed, 3 fen, separated by paper and fried).
The above ingredients are ground into powder, mixed with refined honey, pounded 300-200 times, and formed into pills the size of paulownia seeds. Take 20 pills with warm wine before meals.

For treating long-standing amenorrhea with alternating chills and fever, the Meng Chong Wan (Dragonfly Larva Pill) formula.
Meng Chong (Dragonfly Larva, 0.5 liang, fried until slightly yellow, wings and legs removed), Tao Ren (Peach Kernel, 2 liang, soaked, skin and ends removed, bran-fried), Sang Piao Xiao (Mantis Egg Case, 0.5 liang, lightly fried), Qi Lao (Grub, quantity unspecified).
The above ingredients are ground into powder, mixed with refined honey into pills the size of paulownia seeds. Take 10 pills with warm wine before meals.

For treating women with stagnant Qi and long-standing amenorrhea, the Tao Ren Jian Wan (Peach Kernel Decoction Pill) formula.
Tao Ren (Peach Kernel, 2 liang, soaked, skin and ends removed, bran-fried), Chuan Da Huang (Rhubarb, 2 liang, lightly fried), Chuan Po Xiao (Mirabilite, 2 liang), Meng Chong (Dragonfly Larva, 1 liang, fried until slightly yellow).
The above ingredients are ground into powder. Use 5 sheng of strong vinegar, simmer in a copper cauldron over low fire until pillable. Form into pills the size of chestnut fruits. At night... [text missing].

For treating long-standing amenorrhea with frequent heart and abdominal pain, the Niao Sha Wan (Ammonium Chloride Pill) formula.
Niao Sha (Ammonium Chloride, 1 liang), Ban Mao (Blister Beetle, 1 fen, fried with glutinous rice until yellow, wings and legs removed), Gui Xin (Cinnamon Twig Heart, 0.5 liang), Dang Gui (Angelica Sinensis, 0.5 liang, chopped and lightly fried).
The above ingredients are ground into powder, mixed with soft rice into pills the size of mung beans. Take 5 pills with warm wine before meals. After taking this medicine, if urination... [text missing].

Another Formula.
Qu Mai (Dianthus Herb), Mu Tong (Akebia Stem, chopped), Deng Xin (Juncus Pith), Hua Shi (Talcum), Gan Cao (Licorice Root, roasted until slightly red and chopped, each 1 fen).
The above ingredients are crushed and sifted into a powder. Add 1 da zhong of water, boil down to 6 fen, remove dregs, and divide into two doses. Continue until urination becomes smooth.

For treating long-standing amenorrhea with limbs as dry as dead wood, rebellious Qi and cough, back and shoulder restlessness, thick sputum, poor appetite, and excessive sleep, the Gui Xin Wan (Cinnamon Twig Heart Pill) formula.
Gui Xin (Cinnamon Twig Heart, 3 fen), Ye Ming Sha (Night-Shining Sand, 3 fen, lightly fried), Pi Shuang (Arsenic Trioxide, 1 fen), Ban Mao (Blister Beetle, 1 fen, fried with glutinous rice until yellow, wings and legs removed), Niao Sha (Ammonium Chloride, 3 fen).
The above ingredients are ground into powder, mixed with soft rice into pills the size of paulownia seeds. Take 3 pills with warm wine before meals.

For treating long-standing amenorrhea with foul blood attacking and stabbing, abdominal... [text missing] pain, dry and thin limbs, the Hei Sheng Wan (Black Sage Pill) formula.
Tai Fa (Fetal Hair, 1 liang, burned to ash), Chi Li Yu Pi (Red Carp Skin, 3 liang, burned to ash), Meng Chong (Dragonfly Larva, 1 fen, fried until slightly yellow, wings and legs removed), Xiang Mo (Ink Stick, 0.5 liang), Shui Zhi (Leech, quantity unspecified), Dou (Bean, 7 pieces, skin removed).
The above ingredients are ground into powder, mixed with soft rice into pills the size of paulownia seeds. Take at any time, 10 pills with hot wine.

For treating amenorrhea with heart and abdominal restlessness and weak limbs, the Jin Hua San (Golden Flower Powder) formula.
Gui Xin (Cinnamon Twig Heart, 0.5 liang, powdered), Ban Mao (Blister Beetle, 1 liang, wings and legs removed), She Xiang (Musk, 1 qian, finely ground).
Wrap the Ban Mao in dough made of water and flour, roast slowly over low fire turning it over until smoke ceases. Let cool, remove burnt dough, take the Ban Mao ash... [text missing]. If there is pain inside or urination resembles strangury, do not be alarmed. This indicates the medicine is working; patency will occur shortly. If not patent, take again every other day.

For treating long-standing amenorrhea, the Wu Jin San (Black Gold Powder) formula.
Tong Nan Fa (Boy's Hair, 3 liang, burned to ash), Tong Nu Fa (Girl's Hair, 3 liang, burned to ash), Ban Mao (Blister Beetle, 37 pieces, fried with glutinous rice until yellow, wings and legs removed).
Add 1 qian of She Xiang (Musk), grind together until fine. Take 1 qian mixed with hot ginger wine before meals.