治妇人月水不利，四肢羸瘦，吃食减少，渐觉虚乏，故令无子。
白薇 柏子仁 白芍药 当归 桂心 附子 萆 白术 吴茱萸 木香 细辛 川芎
槟榔（各半两） 熟地黄（二两） 牡丹皮（一两） 紫石英（一两） 人参（三分） 石
斛白茯苓 泽兰叶 川牛膝（各三分）
上为细末，炼蜜为丸如梧桐子大。每服三十丸，空心，晚食前温酒吞下。
疗女人脐下憋逆，气胀满，月经不利，血气上攻，欲呕不得睡。（出《产宝方》）
当归（四钱） 干漆（三钱，炒令烟尽）
上为细末，炼蜜丸如梧桐子大。空心，温酒下十五丸。
治妇人月水不利，脐腹疼痛，不欲饮食。
牡丹皮 川大黄（炒，各一两） 赤茯苓 生地黄 桃仁 当归 桂心 赤芍药 白术
（各三分） 石韦（去毛） 木香（各半两）
上 咀。每服三大钱，水一盏，姜三片，煎七分，去滓，空心温服。
治妇人月水不利，脐腹 痛。牛膝散。
牛膝（一两） 桂心 赤芍药 桃仁 延胡索 当归 牡丹皮 川芎 木香（各三分）
上为末。每服方寸匕，温酒调下，食前。
论曰∶夫妇人月经来腹痛者，由劳伤气血，致令体虚，风冷之气客于胞络，损于冲任之
脉，手太阳、少阴之经。冲脉、任脉皆起于胞内，为经脉之海也。手太阳小肠之经、手少阴
心之经也，此二经为表里，主下为月水。其经血虚，则受风冷。故月水将行之际，血气动于
风冷，风冷与血气相击，故令痛也。（亦可就第七卷第十五论寻方）
若经道不通，绕脐寒疝痛彻，其脉沉紧，此由寒气客于血室，血凝不行，结积血为气所
冲，新血与故血相搏，所以发痛。譬如天寒地冻，水凝成冰。宜温经汤及桂枝桃仁汤、万病
丸。（方见第一卷第七论）
Treats women with irregular menstruation (menstrual flow obstruction), emaciated limbs, reduced appetite, gradual feeling of deficiency and fatigue, thereby causing infertility.
Baiwei (Radix Cynanchi Atrati), Baiziren (Semen Platycladi), Baishaoyao (Radix Paeoniae Alba), Danggui (Radix Angelicae Sinensis), Guixin (Cortex Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), Bixie (Rhizoma Dioscoreae Hypoglaucae), Baizhu (Rhizoma Atractylodis Macrocephalae), Wuzhuyu (Fructus Evodiae), Muxiang (Radix Aucklandiae), Xixin (Herba Asari), Chuanxiong (Rhizoma Chuanxiong), Binglang (Semen Arecae) (each 0.5 liang); Shudihuang (Radix Rehmanniae Preparata) (2 liang); Mudanpi (Cortex Moutan) (1 liang); Zhiyanshi (Hematites) (1 liang); Renshen (Radix Ginseng) (3 fen); Shihu (Caulis Dendrobii), Baifuling (Poria), Zelan Ye (Herba Lycopi), Chuan Niuxi (Radix Achyranthis Bidentatae) (each 3 fen).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of wutong seeds. Take 30 pills each time, on an empty stomach or before evening meal, swallowed with warm wine.
Treats women with stifling sensation and rebellious qi below the umbilicus, abdominal distension and fullness, irregular menstruation, blood and qi attacking upwards, desire to vomit but unable to do so, and insomnia. (From *Chanbao Fang*)
Danggui (Radix Angelicae Sinensis) (4 qian); Ganqi (Resina Dammaris) (3 qian, stir-fried until smoke ceases).
Grind the above ingredients into a fine powder, mix with refined honey to make pills the size of wutong seeds. Take 15 pills on an empty stomach with warm wine.
Treats women with irregular menstruation, pain in the umbilical and abdominal region, and loss of appetite.
Mudanpi (Cortex Moutan), Chuan Dahuang (Radix et Rhizoma Rhei Preparata) (stir-fried, each 1 liang); Chi Fuling (Poria with Red Host), Shengdihuang (Radix Rehmanniae Recens), Taoren (Semen Persicae), Danggui (Radix Angelicae Sinensis), Guixin (Cortex Cinnamomi), Chi Shaoyao (Radix Paeoniae Rubra), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 3 fen); Shiwei (Folium Pyrrosiae), Muxiang (Radix Aucklandiae) (each 0.5 liang).
Cut the above ingredients into small pieces. Take 3 daqian per dose, add one zhan of water and three slices of ginger, decoct until seven-tenths remain, strain, and take warm on an empty stomach.
Treats women with irregular menstruation and pain in the umbilical and abdominal region. Niuxi San.
Niuxi (Radix Achyranthis Bidentatae) (1 liang); Guixin (Cortex Cinnamomi), Chi Shaoyao (Radix Paeoniae Rubra), Taoren (Semen Persicae), Yanhusuo (Rhizoma Corydalis), Danggui (Radix Angelicae Sinensis), Mudanpi (Cortex Moutan), Chuanxiong (Rhizoma Chuanxiong), Muxiang (Radix Aucklandiae) (each 3 fen).
Grind the above ingredients into powder. Take one fangcunbi per dose, mixed with warm wine, taken before meals.
Commentary states: When women experience abdominal pain during menstruation, it is due to labor and injury to qi and blood, leading to physical deficiency. Wind-cold pathogenic factors invade the Bao Luo (uterine collaterals), damaging the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), as well as the Hand Taiyang and Hand Shaoyin meridians. The Chong Mai and Ren Mai both originate from within the Bao Gong (uterus) and serve as the sea of the twelve meridians. The Hand Taiyang Small Intestine Meridian and the Hand Shaoyin Heart Meridian are exterior-interior pairs, governing menstruation from below. If the blood in these meridians is deficient, it becomes susceptible to wind-cold. Thus, at the time when menstruation is about to begin, the movement of blood and qi interacts with wind-cold; the collision between wind-cold and blood/qi causes pain. (For formulas, refer also to Volume 7, Chapter 15).
If the menstrual pathway is blocked, there is severe pain from cold hernia encircling the umbilicus, and the pulse is deep and tight. This is caused by cold pathogenic factors invading the Blood Chamber (Xue Shi), causing blood coagulation and stagnation. Accumulated blood is assaulted by qi, and new blood battles with old blood, thus generating pain. It is like water freezing into ice when the weather is cold and the earth freezes. It is appropriate to use Wenjing Tang (Warming the Meridians Decoction), Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction), and Wanbing Wan (Ten Thousand Diseases Pill). (Formulas see Volume 1, Chapter 7).