加味小调经散
血分血壅不能行，四肢浮肿病非轻，但使经通肿自散，红丹膝入小调经。
【注】血分肿，乃血壅不行，流于四肢，故令浮肿。此不必治肿，但调其经，经通其
肿自消，宜小调经散加红花、丹皮、牛膝治之。
小调经散 （方见三卷浮肿）
先肿后闭名水分，停饮膀胱气不行，水消肿退经自至，茯苓导水效通神。
【注】水分肿，乃水饮内停，膀胱之气化不行，水溢皮肤，故令浮肿经闭也。此但宜
治水，水消肿退，其经自通，用茯苓导水丸治之。
茯苓导水汤（方见胎前门子肿条）
加味归脾汤
独笑独悲畏见人，神虚夜梦鬼邪侵，归脾汤调辰砂珀，定志清心魂魄宁。
【注】妇人七情内伤，亏损心脾，神无所护，鬼邪干正，魂魄不宁，故夜梦鬼交；独
笑独悲，如有对忤，是其候也。宜用归脾汤，调辰砂、琥珀末服之，则志定心清，魂魄安
而无邪梦矣！
归脾汤（方见首卷）
半夏浓朴汤
妇人咽中如炙脔，或如梅核结咽间。半夏浓朴汤最效，半朴苏苓姜引煎。
【注】《千金方》云∶咽中贴贴如有炙肉，吐之不出，吞之不下，即所谓咽中如有炙脔
也，俗名梅核气。盖因内伤七情，外伤寒冷所致，宜用《金匮》半夏浓朴汤主之，即半
夏、浓朴、苏叶、茯苓、生姜煎也。
Modified Xiaotiaojing Powder (Cinnamon Twig and Cyathula Root Decoction)
In Blood-Compartment Syndrome, blood stasis prevents normal circulation, leading to edema of the four limbs; the condition is not mild. Once menstruation flows freely, the edema will naturally dissipate. Add Red Flower (Carthami Flos), Moutan Bark (Moutan Cortex), and Achyranthes Root (Achyranthis Bidentatae Radix) to Xiaotiaojing Powder for treatment.
[Note] Edema of the Blood Compartment arises from blood stasis obstructing flow, which spills into the four limbs, causing swelling. There is no need to treat the edema directly; rather, regulate the menses. Once the menstrual cycle is unobstructed, the swelling will subside spontaneously. It is appropriate to treat with Xiaotiaojing Powder augmented with Carthami Flos, Moutan Cortex, and Achyranthis Bidentatae Radix.
Xiaotiaojing Powder (See Formula in Volume 3, under "Edema")
When edema precedes amenorrhea, it is termed Water Compartment Syndrome. This results from fluid retention in the Bladder, where Qi transformation fails, causing water to overflow onto the skin, thus leading to edema and cessation of menstruation. In such cases, only the water retention needs to be treated. Once the edema subsides, menstruation will resume naturally. Treat with Lingjiang Daoshui Pill.
Lingjiang Daoshui Decoction (See Formula in Prenatal Section, under "Fetal Edema")
Modified Guipi Tang (Spleen-Restoring Decoction)
Laughing alone or weeping alone, fearing human contact; due to Heart-Shen deficiency, nocturnal dreams seem as if invaded by ghosts or evil spirits. Use Guipi Tang adjusted with Cinnabar (Zhusha) and Amber (Hupo) powder to stabilize the Will, clear the Heart, and calm the Hun and Po.
[Note] Women suffering from internal injury caused by the Seven Emotions damage the Heart and Spleen. The Shen (Spirit) loses its protection, allowing evil influences to interfere with righteous Qi, resulting in unrest of the Hun and Po. Hence, there are nocturnal dreams of sexual intercourse with ghosts; laughing or weeping alone, as if confronting someone, are characteristic signs. It is appropriate to use Guipi Tang, mixed with powdered Zhusha and Hupo. Then, the Zhi (Will) becomes stable, the Heart clears, the Hun and Po remain secure, and evil dreams cease.
Guipi Tang (See Formula in Volume 1)
Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction)
Women feel as if a roasted meat lump is stuck in the throat, or like a plum seed lodged between the pharynx and esophagus. Banxia Houpo Tang is most effective. It is decocted using Pinellia Rhizome (Banxia), Magnolia Bark (Houpo), Perilla Leaf (Zisuye), Poria (Fuling), and Ginger (Shengjiang).
[Note] The *Qianjin Fang* states: "The throat feels tight, as if there were a piece of roasted meat; one cannot spit it out, nor swallow it down." This is what is meant by "feeling as if there were a roasted meat lump in the throat," commonly known as Plum-Pit Qi. It is caused by internal injury to the Seven Emotions and external contraction of Cold. It is appropriate to treat with Banxia Houpo Tang from the *Jin Gui Yao Lue*, which consists of Banxia, Houpo, Zisuye, Fuling, and Shengjiang decocted together.