答曰。经云。男子生于寅。寅为木。阳也。女生于申。申为金。阴也。寅属木。阳中有阴。
男子得八数。故八岁齿更发长。骨之余生齿。男子以气为本。八八则卦数已尽。尽则阴精痿
。申属金。阴中有阳。女子得七数。七岁齿更发长。血之余生发。女以血为主。七七则卦数
以终。终则经水绝止。内经云。七七任脉虚。太冲脉衰少。天癸竭。地道不通。故形坏而无
子也。或劳伤过度。喜怒不时。经脉虚衰之余。又为邪气攻冲。所以当止而不止也。
茸附养真汤。补冲任。调血气。
干姜(四两) 肉桂 当归 附子(炮各二两) 鹿茸(三两酒炙) 牡蛎( 二两) 防风(二两)
龙骨(二两生)
上为 咀。每服半两。水二大盏煎至八分去滓。不拘时温服。
补中芎 汤。治风虚冷热。劳损冲任。月水不调。崩中暴下。产后失血过多。虚羸腹痛。或
妊娠胎幻不安。血下。
当归 干姜(炮各三两) 川芎 黄 (蜜炙) 茱萸(汤洗七次) 白芍 甘草(炙) 熟地 杜
仲(炒令丝断) 人参(各一两)
上为 咀。每服三钱。水盏半。煎一盏。去滓热服。空心食前。
当归散。天癸已过期。经脉不匀。或三四月不行。或一月再至。问云七损七益。谓女子七数
尽。是经候不根据时者。血有余也。不可止之。但令根据时不腰痛为善。
当归 川芎 白芍药(各一两) 白术(半两) 白术(半两) 山茱萸(炮一两半) 黄芩(各锉
碎炒各一两如冷去芩加官桂)
上为细末。每服二钱。酒调下。空心服。一日三服。
Answer: The classics state that men are born in the Yin year (Yin belongs to Wood, which is Yang), and women are born in the Shen year (Shen belongs to Metal, which is Yin). Yin belongs to Wood, containing Yin within Yang; men receive the number "eight." Therefore, at age eight, their teeth change and hair grows. Teeth are the surplus of bones, and men take Qi as their foundation. At the age of sixty-four (eight times eight), the cycle numbers are exhausted. When exhausted, the Yin essence withers and declines. Shen belongs to Metal, containing Yang within Yin; women receive the number "seven." Therefore, at age seven, their teeth change and hair grows. Hair is the surplus of blood, and women take Blood as their primary substance. At the age of forty-nine (seven times seven), the cycle numbers conclude. When concluded, the menstrual flow ceases. The *Huangdi Neijing* states: "At seven times seven (49 years), the Ren Mai (Conception Vessel) becomes deficient, the Chong Mai (Penetrating Vessel) qi and blood decline, Tian Gui (the substance promoting sexual development and reproductive function) is exhausted, the Earthly Path (referring to the menstrual channel) becomes obstructed, thus the body deteriorates and one loses the ability to bear children." Alternatively, due to excessive labor or injury, irregular emotions such as anger and joy, after the meridians have become deficient and weak, if attacked by pathogenic factors, the menstruation that should stop will not stop.
Rongfu Yangzhen Tang (Deer Antler and Aconite Decoction for Nourishing True Essence): Tonifies the Chong Mai and Ren Mai, regulates Qi and Blood.
Ganjiang (Dried Ginger, 4 liang), Rougui (Cinnamon Bark), Danggui (Angelica Sinensis), Fuzi (Prepared Aconite Root, 2 liang each), Lurong (Deer Antler Glue, 3 liang, prepared with wine), Muli (Oyster Shell, 2 liang), Fangfeng (Saposhnikovia Root, 2 liang), Longgu (Dragon Bone/Fossilized Bones, 2 liang, raw).
The above herbs are crushed into coarse pieces. Take 0.5 liang per dose, decoct with two large bowls of water until reduced to 0.8 bowl, strain, and take warm without restriction on time.
Buzhong Xiong Tang (Atractylodes and Ligusticum Decoction for Supplementing the Middle): Treats wind-deficiency causing cold and heat sensations, damage to the Chong and Ren vessels, irregular menstruation, sudden heavy bleeding (Beng Lou), postpartum excessive blood loss, emaciation and abdominal pain due to deficiency, or restless fetus during pregnancy with vaginal bleeding.
Danggui (Angelica Sinensis), Ganjiang (Dried Ginger, prepared, 3 liang each), Chuanxiong (Ligusticum Chuanxiong), Huangqi (Astragalus Root, honey-fried), Zhuyu (Cornus Officinalis Fruit, washed seven times in boiling water), Baishao (White Peony Root), Gancao (Licorice Root, roasted), Shudi (Prepared Rehmannia Root), Duzhong (Eucommia Bark, stir-fried until fibers break), Renshen (Ginseng Root, 1 liang each).
The above herbs are crushed into coarse pieces. Take 3 qian per dose, decoct with 1.5 bowls of water until reduced to 1 bowl, strain, and take hot. Take on an empty stomach before meals.
Danggui San (Angelica Powder): For cases where Tian Gui has passed its normal duration and menstruation is irregular. It may be absent for three or four months, or occur twice in one month. The question mentions "Seven Damages and Seven Benefits," referring to the exhaustion of the female seven-number cycle. Irregular menstruation indicates excess Blood. It should not be forcibly stopped; it is beneficial only if menstruation occurs regularly without lower back pain.
Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Baishaoyao (White Peony Root, 1 liang each), Baizhu (Atractylodes Macrocephala Rhizome, 0.5 liang), Baizhu (Atractylodes Macrocephala Rhizome, 0.5 liang [repeated in text]), Zhuyu (Cornus Officinalis Fruit, prepared, 1.5 liang), Huangqin (Scutellaria Root, chopped and fried, 1 liang each; if the constitution is cold, remove Huangqin and add Guanzi Gui/Official Cinnamon).
The above herbs are ground into fine powder. Take 2 qian per dose, mixed with wine. Take on an empty stomach, three times a day.