形瘦多痰多郁。血虚气热。宜四物汤合开郁二陈汤。加赤芍。黄芩。黄连。姜为引。
苍术 香附 川芎(各一钱) 青皮 莪术 槟榔(各七分) 木香(五分) 姜引
形瘦多痰且热。此冲任受伤。宜四物汤。加人参。知母。麦冬。甘草。姜枣引。并服地黄丸
冲任伤损。肾虚血少枯闭。误服辛热暖子宫药。致经不调。冲任伏火。宜四物汤。加赤芍。
草。食前服。兼服三补丸。
黄芩 黄柏(各等分俱酒炒) 蜜丸白汤下。
性急多怒而妒。气血俱热。必有郁症。宜四物汤。加柴胡。酒炒黄芩。黄连。(酒炒) 香附
肥盛肠胃多痰。壅滞经络。闭血带下。
地骨皮 当归 川芎 知母 麦冬(各一钱) 甘草(五分) 空心服。
形瘦经不调。素无他症。此血热也。宜四物汤加黄芩。黄连。知母。酒炒黄柏。(各等分)
丸。
情性温和有痰。此气血两虚。宜八物汤。合青皮汤。加香附。兼服苍莎丸。
(香附亦名莎草根。)
苍术(米汁浸炒二两) 香附(童便浸炒三两) 条芩(酒炒一两) 为末。神曲糊丸白汤下。
形瘦素无他症。此血
气不足。宜十全大补汤。
形瘦食少。此脾胃虚弱。血气衰少。宜异功散合芎归汤。加人参。白术。茯苓。甘草。陈皮
地黄丸。
川芎 归身 香附 枳壳(炒各一钱五分) 滑石(二钱) 姜引。
肥胖饮食过多。此湿痰壅滞。躯脂逼迫。宜六君子汤合芎归汤。加香附。姜枣引。空心服。
For those with a thin physique, excessive phlegm, and frequent depression: Blood deficiency accompanied by Qi heat. Siwu Decoction (Four Substances Decoction) combined with Kaiyu Erchen Tang (Depression-Opening Two-Chen Decoction) is indicated. Add Chi Shao (Radix Paeoniae Rubra), Huang Qin (Scutellariae Radix), and Huang Lian (Coptidis Rhizoma). Use fresh ginger as an herbal guide.
Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 qian); Qing Pi (Citri Reticulatae Pericarpium Viride), E Zhu (Curcumae Rhizoma), Bing Lang (Arecae Semen) (each 0.7 qian); Mu Xiang (Aucklandiae Radix) (0.5 qian). Use fresh ginger as an herbal guide.
For those with a thin physique, excessive phlegm, and heat symptoms: This indicates injury to the Chong and Ren vessels. Siwu Decoction (Four Substances Decoction) is indicated. Add Ren Shen (Ginseng Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Mai Dong (Ophiopogonis Tuber), and Gan Cao (Glycyrrhizae Radix et Rhizoma). Use fresh ginger and jujube as herbal guides. Additionally, administer Dihuang Wan (Rehmannia Pill).
Injury to the Chong and Ren vessels, kidney deficiency leading to blood depletion and amenorrhea. Misuse of acrid-warm uterine-warming medicines causes menstrual irregularities and latent fire in the Chong and Ren vessels. Siwu Decoction (Four Substances Decoction) is indicated. Add Chi Shao (Radix Paeoniae Rubra) and Gan Cao (Glycyrrhizae Radix et Rhizoma). Take before meals. Additionally, administer Sanbu Wan (Three-Tonics Pill).
Huang Qin (Scutellariae Radix) and Huang Bo (Phellodendri Cortex) (equal parts, all stir-fried with wine). Form honeyed pills and take with plain boiled water.
Those with an irritable, angry, and jealous disposition have both Qi and Blood heat, inevitably accompanied by depression syndromes. Siwu Decoction (Four Substances Decoction) is indicated. Add Chai Hu (Bupleuri Radix), wine-stir-fried Huang Qin (Scutellariae Radix), wine-stir-fried Huang Lian (Coptidis Rhizoma), and Xiang Fu (Cyperi Rhizoma).
For those with a fat physique, excessive intestinal-phlegm, and obstruction in the collaterals: This leads to amenorrhea and leukorrhea.
Di Gu Pi (Lycii Cortex), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Mai Dong (Ophiopogonis Tuber) (each 1 qian); Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.5 qian). Take on an empty stomach.
For those with a thin physique and menstrual irregularities but no other chronic symptoms: This is due to Blood heat. Siwu Decoction (Four Substances Decoction) combined with Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), and wine-stir-fried Huang Bo (Phellodendri Cortex) (equal parts) is indicated, formed into pills.
For those with a gentle temperament but presence of phlegm-dampness: This indicates dual deficiency of Qi and Blood. Bawu Decoction (Eight Substances Decoction) combined with Qingpi Tang (Green Peel Decoction) is indicated. Add Xiang Fu (Cyperi Rhizoma). Additionally, consume Cangsha Wan (Atractylodes-Cyperus Pill).
(Xiang Fu is also known as Sha Cao Gen.)
Cang Zhu (Atractylodis Rhizoma) (soaked in rice juice and stir-fried, 2 liang); Xiang Fu (Cyperi Rhizoma) (soaked in children's urine and stir-fried, 3 liang); Tiao Qin (Scutellariae Radix) (stir-fried with wine, 1 liang). Grind into powder, bind with dough made from Shen Qu (Medicated Leaven), form pills, and take with plain boiled water.
For those with a thin physique and no other chronic symptoms: This is due to insufficiency of Qi and Blood. Shiquan Dabu Tang (Ten Thousand Benefits Great Tonifying Decoction) is indicated.
For those with a thin physique and poor appetite: This is due to spleen-stomach weakness and decline of Qi and Blood. Yigong San (Yi-Gong Powder) combined with Xionggui Tang (Chuanxiong-Angelica Decoction) is indicated. Add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), and Dihuang Wan (Rehmannia Pill).
Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui Shen (Dorsum Angelicae Sinensis Radix), Xiang Fu (Cyperi Rhizoma), Zhi Qiao (Aurantii Fructus) (stir-fried, each 1.5 qian); Hua Shi (Talcum) (2 qian). Use fresh ginger as an herbal guide.
For those who are obese and overeat: This is due to damp-phlegm stagnation. Excess body fat compresses the meridians. Liujunzi Tang (Six Gentlemen Decoction) combined with Xionggui Tang (Chuanxiong-Angelica Decoction) is indicated. Add Xiang Fu (Cyperi Rhizoma). Use fresh ginger and jujube as herbal guides. Take on an empty stomach.