归尾 赤芍 川芎 生地 香附(各二钱) 丹皮 红花 元胡(各一钱) 桃仁(十一粒。临服
气滞血实。人肥多痰。宜桃仁四物汤。加枳壳。苍术。半夏。
形瘦经少。此气血弱。宜四物汤。加人参。香附。甘草。姜枣引。
肥胖经少。此痰凝经隧。宜二陈汤合芎归汤。姜枣引。
经来多。不问肥瘦。皆属热。宜四物汤加黄芩。黄连。知母。黄柏。甘草。姜为引。兼服三
(〔吴按〕此条不尽然。宜以脉症为凭。)
归尾 赤芍 香附(各二钱) 黄连 丹皮 甘草(各一钱) 食前服。
经水色淡者血虚也。宜八物汤。加黄 。香附。姜为引。兼服地黄丸。
因经闭败血停积五脏。流入四肢。作浮肿者。不可误认水气。宜调其经。经调则肿消矣。然
次无愆期之患。至丸药更宜久服。庶疾无反复。
川芎(七分) 当归 生地 益母草(各一钱) 白芍 香附 丹皮 茯苓(各八分) 甘草(三
分) 姜(三片) 枣(一枚) 空心温服。如血热先期。及血热过期。紫黑成块等症。加黄连(
七分酒炒) 血寒过期。加煨姜。肉桂(各三分) 临期正行作痛。加元胡。青皮。(各八分)
临行续断不来。积块刺痛。加红花。苏木。桃仁。(各五分) 经水过多。加黄芩。(一钱)
蒲黄。(炒八分) 经来饮食不思。加白术(八分) 陈皮。砂仁。(各五分) 肥人多痰。赤
白带下。加南星。苍术。(各八分) 气虚血弱。四肢 虚软。面无颜色。加人参。黄 。(各
五分) 此方调理之大概。如有兼症。可照方随机加减用之。
Qi stagnation and blood excess. For individuals who are thin and have internal heat, Tao Ren Si Wu Tang (Peach Kernel Four Substances Decoction) is indicated, with added Huang Qin (Scutellariae Radix, 黄芩) and Huang Lian (Coptidis Rhizoma, 黄连).
Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Paeoniae Rubra Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Sheng Di Huang (Rehmanniae Radix), Xiang Fu (Cyperi Rhizoma) (each 2 qian), Dan Pi (Moutan Cortex, 牡丹皮), Hong Hua (Carthami Flos, 红花), Yuan Hu Suo (Corydalis Rhizoma, 延胡索) (each 1 qian), Tao Ren (Persicae Semen, 桃仁) (11 grains, taken at the time of administration).
Qi stagnation and blood excess. For individuals who are obese and have much phlegm-dampness, Tao Ren Si Wu Tang (Peach Kernel Four Substances Decoction) is indicated, with added Zhi Ke (Aurantii Fructus, 枳壳), Cang Zhu (Atractylodis Rhizoma, 苍术), and Ban Xia (Pinelliae Tuber, 半夏).
This pattern belongs to deficiency with stagnation. Ba Wu Tang (Eight Substances Decoction) is indicated, with added Mu Xiang (Aucklandiae Radix, 木香), Xiang Fu (Cyperi Rhizoma, 香附), and Qing Pi (Citri Reticulatae Pericarpium Viride, 青皮). Use Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) and Da Zao (Jujubae Fructus, 大枣) as guides; take before meals.
For those who are thin with scanty menstruation, this is due to Qi and Blood deficiency. Si Wu Tang (Four Substances Decoction) is indicated, with added Ren Shen (Ginseng Radix et Rhizoma, 人参), Xiang Fu (Cyperi Rhizoma, 香附), and Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草). Use Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) and Da Zao (Jujubae Fructus, 大枣) as guides.
For those who are obese with scanty menstruation, this is due to phlegm congealing in the meridians. Er Chen Tang (Two Aged Substances Decoction) combined with Xiong Gui Tang (Chuanxiong and Danggui Decoction) is indicated. Use Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) and Da Zao (Jujubae Fructus, 大枣) as guides.
Excessive menstrual flow, regardless of whether the individual is fat or thin, belongs to Heat patterns. Si Wu Tang (Four Substances Decoction) with added Huang Qin (Scutellariae Radix, 黄芩), Huang Lian (Coptidis Rhizoma, 黄连), Zhi Mu (Anemarrhenae Rhizoma, 知母), Huang Bo (Phellodendri Cortex, 黄柏), and Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) is indicated. Use Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) as a guide. Also take San [Tang/Decoction]...
([Wu's Note] This statement is not entirely accurate; one should rely on pulse and symptoms.)
Menstrual blood that is purple indicates Heat. Si Wu Lian Fu Tang (Four Substances with Coptis and Aconite Decoction) is indicated.
Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Paeoniae Rubra Radix), Xiang Fu (Cyperi Rhizoma, 香附) (each 2 qian), Huang Lian (Coptidis Rhizoma, 黄连), Dan Pi (Moutan Cortex, 牡丹皮), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) (each 1 qian); take before meals.
Pale menstrual blood indicates Blood deficiency. Ba Wu Tang (Eight Substances Decoction) is indicated, with added Huang [Qi/Ba] and Xiang Fu (Cyperi Rhizoma, 香附). Use Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) as a guide. Also take Di Huang Wan (Rehmannia Pill).
When amenorrhea causes failed blood to accumulate in the five zang organs and flow into the four limbs, causing edema, do not mistakenly diagnose it as water qi disease. It is appropriate to regulate the menstruation; once the menstruation is regulated, the edema will subside. However... there will be no risk of irregular timing. Regarding the pills, long-term use is more suitable so that the disease does not recur.
Chuan Xiong (Ligustici Chuanxiong Rhizoma, 川芎) (7 fen), Dang Gui (Angelicae Sinensis Radix, 当归), Sheng Di Huang (Rehmanniae Radix, 生地黄), Yi Mu Cao (Leonuri Herba, 益母草) (each 1 qian), Bai Shao (Paeoniae Radix Alba, 白芍), Xiang Fu (Cyperi Rhizoma, 香附), Dan Pi (Moutan Cortex, 牡丹皮), Fu Ling (Poria, 茯苓) (each 8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) (3 fen), Sheng Jiang (Zingiberis Rhizoma Recens, 生姜) (3 slices), Da Zao (Jujubae Fructus, 大枣) (1 piece); take warm on an empty stomach. If there are symptoms such as early menstruation due to Blood Heat, delayed menstruation due to Blood Heat, or dark purple clotted blood, add Huang Lian (Coptidis Rhizoma, 黄连) (7 fen, wine-fried); if there is delayed menstruation due to Blood Cold, add Wei Jiang (Zingiberis Rhizoma Preparatum, 煨姜) and Rou Gui (Cinnamomi Cortex, 肉桂) (each 3 fen); if pain occurs during active menstruation, add Yuan Hu Suo (Corydalis Rhizoma, 元胡) and Qing Pi (Citri Reticulatae Pericarpium Viride, 青皮) (each 8 fen); if menstruation stops intermittently with stabbing pain from accumulations, add Hong Hua (Carthami Flos, 红花), Su Mu (Sappan Lignum, 苏木), and Tao Ren (Persicae Semen, 桃仁) (each 5 fen); if menstrual flow is excessive, add Huang Qin (Scutellariae Radix, 黄芩) (1 qian) and Pu Huang (Typhae Pollen, 蒲黄) (8 fen, stir-fried); if there is loss of appetite during menstruation, add Bai Zhu (Atractylodis Macrocephalae Rhizoma, 白术) (8 fen), Chen Pi (Citri Reticulatae Pericarpium, 陈皮), and Sha Ren (Amomi Fructus, 砂仁) (each 5 fen); for obese individuals with much phlegm-dampness and red-white leukorrhea, add Nan Xing (Arisaematis Cum Bile, 南星) and Cang Zhu (Atractylodis Rhizoma, 苍术) (each 8 fen); for Qi deficiency and Blood weakness with weak and soft limbs and pale complexion, add Ren Shen (Ginseng Radix et Rhizoma, 人参) and Huang [Qi/Ba] (each 5 fen). This formula represents the general principle of regulation. If there are concurrent symptoms, adjust according to the prescription as needed.