一论此方调益荣卫。滋养气血。治冲任虚损。月水不调。脐腹疼痛。崩中漏下。血瘕块
硬。
发歇疼痛。妊孕宿冷。将理失宜。胎动不安。血下不止。及产后乘虚。风寒内搏。恶露不下
结生瘕聚。小腹坚痛。时作寒热。妇人百病。宜。
四物汤
当归身（酒洗） 川芎 白芍（酒炒） 怀熟地黄（各二钱）
上锉一剂。水煎。温服。看病加减。
一经候将来。腹中阵阵作痛。乍作乍止者。血气实也。用生地。加黄连、香附、桃仁
、红花、元胡索、牡丹皮、莪术。
一经水常不及期而行者。血热也。用生地。加黄连、黄芩、白芷。
一经水常过期而来者。瘦人多是血少。倍当归、地黄。加黄 、甘草。少佐以红花、桃
仁泥
以为生血之引用也。肥人大概是气虚挟痰。阻滞升降然也。去地黄。加参、 、甘草、茯
苓、半夏、陈皮、香附。
一常过期而紫黑成块者。血热也。多作腹痛。用生地。加香附、黄连、元胡索、五灵脂
、乳香、没药。
一过期而血淡色者。痰多血少也。用生地黄。合二陈汤煎服。
一肥盛妇人。经水或二三个月一行者。痰盛。而躯脂闭塞经脉。以导痰汤加芎、归、香
附、苍术、白术。
一经水适来适断。往来寒热如疟者。合小柴胡汤煎服。
一经行过三五日。腹中绵绵走痛者。此血行而气滞未尽行也。加木香、槟榔煎服。
一经水行后而作疼者。血气俱虚也。加四君子汤煎服。
一经事欲行。脐腹疼痛临经者。血涩也。加川楝子、小茴、木香、槟榔、玄胡索。
一行经时。忽作气恼。后得心腹腰胁痛不可忍。脉弦急不匀。乃瘀血作痛也。加桃仁、
红花、玄胡、莪术、青皮。行血即愈。
一经行不止。加炒阿胶、地榆、荆芥穗。
一妇人因经血过多。五心烦热。日晡潮热。加胡黄连。二三服效。
一妇人筋骨肢节痛及遍身。头疼。两手脉弦。憎寒如疟。每以散风止痛之剂罔效。加
羌活、防风、秦艽、官桂。立效。
一血崩初起。不问虚实。加荆芥穗、（灯上烧过）升麻。如不止。加蒲黄、白术炒、升麻
一治血崩。加荆芥、黄芩、香附。
一治崩漏。加沙参、益母草、香附炒、阿胶炒、蒲黄炒、陈皮、白术、甘草。去当归不
用。
一赤白带下。加柴胡、升麻、（酒炒各七分）、半夏（姜汁炒）、白茯苓、苍术（米泔浸炒）
、黄柏（酒炒）、知母（酒炒）、干姜（炮）。升阳除湿。带自除也。
一胎动下血不安。加艾叶、阿胶炒黄芩、白术、砂仁、香附、糯米。
一胎死腹中。加官桂、白芷、麝香。
一产后恶露不行。加益母草、桃仁、苏木。
一产后血虚。昏晕不醒。加人参、白术、白茯苓、干姜、香附、甘草。
一腹中气块。加木香、槟榔。
一血积块痛。加三棱、莪术、官桂。
一口干烦躁。加麦冬、干葛、乌梅。
一骨蒸劳热。加知母、地骨皮、柴胡。
一小便闭塞。加泽泻、木通。
一大便不通。加桃仁、大黄。
一虚烦不眠。加竹叶、人参、酸枣仁炒。
一心神恍惚。加远志、酸枣仁、白茯苓、辰朱另研。
一呕。加藿香、半夏、砂仁、陈皮。
一泻。加白茯苓、白术、莲肉、山药、炮干姜。
一妇人经水先期而至。血紫有块。腰痛。手足冷痹口干。头眩胸痞。本方加条芩、荆芥
、香附、小茴、玄胡索、续断、地榆、杜仲、甘草。
一妇人血块作痛不可忍者。加三棱、莪术、青皮、陈皮、小茴、香附、吴茱萸、玄胡索
、木香、甘草、姜、枣煎服。
一妇人经不下行。逆经吐血不止。本方加川大黄酒浸炒一两。水煎。入童便同服。立效
一妇人女子。经行愆期。以至鼻衄。错经妄行。本方去地黄。加桃仁、山栀炒、大黄酒
炒、
甘草。共七味。水煎。临服。入童便同服。一妇人经行三日后。来多不止。本方加伏龙肝、
地榆、蒲黄、黄柏、侧柏叶、黄连、白茯苓、甘草、栀子十三味。因气恼。
加香附。脾胃虚食少。加术。
一论妇人经不调。或腹痛白带。或淋漓不止。或肌瘦者。头目眩晕。面色痿黄。四肢无
力。以十全大补汤加香附、陈皮、玄胡索、砂仁、阿胶、沉香、小茴香、吴茱萸。
一论室女十四岁。经脉初动。名曰天癸水。至失于调理。心腹胀满。恶寒发热。头身遍
疼。此感寒血气不顺。宜服小温经汤、利气散主之。
小温经汤
桂枝（三分） 白芷（四分） 白术（五分） 川芎（七分） 当归（酒洗一钱） 熟地黄（一钱）
枳
壳（麸炒七分） 白芍（酒炒一钱） 羌活（四分） 柴胡（四分） 砂仁（四分） 黄芩（七分） 香
附（炒一钱） 甘草（二分） 小茴（酒炒四分） 血气刺痛心腹难忍。加玄胡五分。咳嗽。加杏
仁去皮尖七分。五味子十粒。桔梗七分。
上锉一剂。生姜三片。水煎。热服。
利气散
香附（炒五钱） 黄芩（四钱） 炒枳壳（去穣四钱） 陈皮 藿香 小茴（酒炒） 白术（去
芦） 玄胡索 砂仁 草果（各三钱去壳炒） 甘草（八分） 浓朴（一钱）
上为细末。每服二钱。空心。米汤调。酒亦可。
一论室女十五六岁。经脉不通。日夜寒热。手足麻痹。饮食少进。头疼恶心呕吐。腹中
忽然结一块痛者。此症误食生冷所伤。可服。
加减四物汤
香附（炒一钱） 当归（酒洗） 川芎 枳壳（去穣炒） 柴胡 白芍（酒炒各八分） 黄芩
陈皮
三棱（醋炒） 莪术（醋炒各六分） 熟地黄（一钱） 白芷 玄胡索 小茴（酒炒） 白术（去
芦炒） 青皮（去穣） 砂仁 肉桂 甘草（各五分）
上锉作一剂。水煎。空心。热服。遍身痛。加羌活。
一论室女十七八岁。经脉不通。或百日或半年。颜色青黄、饮食少进。寒热往来。四肢
困倦
头疼目眩。肚疼结块。五心烦热。呕吐膨胀。此乃脾胃受伤。气血俱弱。误食生冷。急宜
和气血。扶脾胃。先以逍遥散次服加味八物汤。后服调经丸。
逍遥散
当归（酒洗一钱五分） 白芍（酒炒一钱） 柴胡（一钱） 黄芩（一钱） 川芎（七分） 熟地
黄（七分） 半夏（姜炒七分） 人参（五分） 麦门冬（去心五分） 甘草（四分）
上锉散。生姜三片。水煎。热服。后服八珍汤十剂。又可服调经丸数服。若少睡。加酸
枣仁炒。以敛心血。
加味八物汤
香附 当归 白芍（酒炒） 白术 川芎 人参 熟地黄 小茴香（炒） 黄芩 柴胡 白
茯苓（去皮） 甘草
腹痛。加玄胡索、枳壳、干漆。呕吐恶心。加良姜、砂仁。手足麻痹恶寒。加肉桂。咳
嗽。加杏仁、五味子、款冬花。
上锉。水煎服。
调经丸
香附（醋浸晒干三两） 当归（酒洗） 白术（去芦一两半如腹痛以苍术代之） 枳壳（麸炒
两半）
赤芍 陈艾（醋炒） 陈皮 小茴（酒炒） 川芎 浓朴（姜汁炒各五钱） 熟地黄（酒蒸两半）
青皮（去穣一两二钱） 玄胡索 砂仁 三棱（醋浸 ） 莪术 牛膝（去芦酒洗） 白芷 粉
草（各两半）
上为细末。醋打米糊为丸。如梧子大。每服百丸。空心。米汤送下。
一论妇人二十岁后。遇经脉动来。沿身疼痛。手足麻痹。寒热。头痛目眩。可服。
加减五积散
浓朴（去皮姜汁炒） 苍术（米泔浸） 川芎 白茯苓（去皮） 当归（酒洗） 姜半夏（炒）
白
芍（酒炒） 独活 羌活 牛膝（去芦） 桔梗 白芷 枳壳（麸炒） 麻黄（去根） 陈皮（各等
分） 甘草（三分）
上锉散。姜、葱煎。热服。咳。加五味、杏仁。泻。去枳壳。加肉蔻。
一妇人二十三四岁。经水不调。或赤白带下。或如梅汁淋漓。或成片。有阻二三月者。
此乃
气血弱。渐致潮热咳嗽。饮食少进。四肢倦怠。久必变生骨蒸。即成劳瘵。急当调治。可服
前加味八物汤四剂。方可服大温经汤。
大温经汤
香附（八分） 当归（酒洗） 熟地黄 鹿茸（醋炙各八分） 白芍（酒炒八分） 人参 白茯
苓（
去皮） 白术 吴茱萸（炒） 元胡索 川芎（各五分） 砂仁（四分） 陈皮（四分） 小茴（酒炒
四分） 沉香（三分） 黄 （蜜炒五分） 阿胶（炒） 肉桂 甘草（各三分）
上锉一剂。生姜三片。水煎。空心。热服。如汗不止。加酸枣仁炒、黄 蜜炒、咳嗽。
加杏仁、五味、半夏、桔梗各五分。
潮热。加柴胡、黄芩。
一论妇女二十四五岁。所服药饵。加味四物六君汤。
加味四物六君汤
浓朴（姜汁炒五分） 桔梗 白术（去芦各四分） 砂仁 红花（各三分） 黄连（三分） 玄
胡（
三分） 陈皮（四分） 甘草（二分） 当归（酒洗） 香附（各五分） 枳实（麸炒） 白茯苓（去皮
）川芎 赤芍 苏叶 槟榔 半夏（姜汁炒各四分）
上锉散。生姜三片。水煎。空心热服。
一论妇人二十五六岁。血海虚冷。经水不调。或时小腹疼痛。或下白带如鱼脑髓。或似
米泔。不分信期。每日淋漓不止。
面色痿黄。四肢无力。头晕眼花目眩。宜服四物补经汤。兼服乌鸡丸调理。
四物补经汤
香附 当归 白芍（酒炒各六分） 熟地黄 川芎（各五分） 黄 （蜜炙） 白茯苓（去皮）
白
术（去芦） 黄芩 玄胡索 陈皮（各四分） 砂仁 小茴（酒炒） 人参 阿胶（炒各三分） 沉
香（另研三分） 吴茱萸（三分） 粉草（三分）
上锉。生姜三片。水煎。空心。热服。
乌鸡丸
海金沙 侧柏叶（盐水炒焙干各四两） 香附（炒一两） 浓朴（姜炒三两） 当归（酒洗三
两）
白术（去芦） 川芎（各二两） 白芍（酒炒二两） 熟地（二两） 羌活（一两半） 防风（一两半）
人参（一两） 砂仁（一两） 粉草（三钱）
上锉。用白毛乌肉膳鸡一只。不问三五年者俱好。宰后。去肠屎毛。将药末装入鸡肚中
放
铜锅内。好酒五壶。水二瓶。文武火煮至干。取鸡去骨。取肉切细。同药晒干为末。用粳米
粉酒水煮糊为丸。如梧子大。每服百丸。空心。米汤吞下。酒亦可。
一论妇人二十七八岁。身体虚败。经水不时淋漓。或成片。或下黑水。面色青黄。头晕
眼花。四肢困倦。宜服此四五剂后。服大温经汤十余帖。
止经汤
当归（酒洗一钱三分） 白术（去芦八分） 白芍（酒炒） 川芎 熟地黄 香附 阿胶（
炒） 黄芩 蒲黄（炒） 侧柏叶 砂仁（各七分） 甘草（炒三分）
上锉。生姜煎。空心。热服。咳。加五味子、杏仁去皮。肚痛。加枳壳、玄胡索、干漆
气急。加半夏、苏子各五分。
一治妇人经水。来多不止。用蕲艾一两。好生酒炒三次后。碗盖淬入水。煎滚去渣。温
服立止。
一论妇人三十一二岁。年年生育。败血过多。以致经水不匀。不时腹中疼痛结块。饮食
少进。困倦目眩。潮热往来。五心烦躁。此血虚胃热。宜服红花当归散。兼用八物汤。
红花当归散
当归（酒洗八分） 川芎 赤芍药 熟地黄 香附（各六分） 枳壳（五分） 玄胡索（五分）
浓
朴（姜炒） 小茴香（酒炒） 柴胡 陈皮 三棱（醋炒各四分） 莪术（醋煨四分） 牛膝（去芦
四分） 红花（三分） 甘草（二分）
上锉。生姜水煎。空心。热服。
一论妇人三十四五岁。因经水到时。当风坐卧。失于回避。腠理空虚。外邪乘入。遍身
麻痹。不能转侧。肺经受风。咳嗽痰盛。宜服五积交加散二三帖。又服八物汤十余帖。
五积交加散 只可服一二帖。勿多服。
羌活（一钱） 苍术（米泔浸） 防风（去芦） 枳壳（麸炒） 陈皮 柴胡 当归（酒洗） 川
芎
独活 白芷 半夏（姜汁） 麻黄 桔梗 白茯苓 浓朴（姜炒各八分） 桂枝（四分） 甘草（
三分）
上锉。姜、葱煎。热服。再服去柴胡。加乌药、僵蚕各一钱。酒煎。热服。
一论妇人三十六七岁。经行太过。血气虚耗。胃气不足。故经水妄来。可进八珍汤。同
乌鸡丸治之。
八珍汤
当归（酒洗） 白术（去芦各一钱） 白茯苓（去皮） 人参 川芎 熟地黄 白芍（酒炒各
八分） 甘草（三分） 香附（八分）
上锉。生姜水煎。热服。
一论妇人三十八九岁。经水不行。腹中有块痛。头晕眼花。不思饮食。乃血断早。余血
未尽。不时攻疼成疾。宜莪术散逐去余血。
莪术散
香附（三两） 当归（酒洗） 莪术（醋煨） 元胡索 赤芍药 枳壳（麸炒） 熟地黄 青皮
（去
穣） 白术（去芦） 黄芩（各一两） 三棱（醋煨） 小茴香（炒） 砂仁（各八钱） 干漆（炒尽烟
）红花（各五分） 川芎（八钱） 甘草（一钱）
上为细末。每服二钱。空心。好米酒调服。
一治妇人腹中常常作痛。上下不定。经年积血也。
青皮 陈皮 三棱 莪术 香附 乌药 干姜
上各等分。醋煎。焙干为末。空心。陈皮汤调下。
Discusses that this formula harmonizes Ying and Wei (Nutritive and Defensive Qi), nourishes Qi and Blood. It treats deficiency and damage to the Chong and Ren vessels, irregular menstruation, pain in the umbilical and abdominal regions, metrorrhagia and metrostaxis (heavy or prolonged bleeding between periods), hard masses of blood stasis (abdominal masses).
It treats paroxysmal pain, coldness in the uterus prior to pregnancy, improper care leading to restless fetus, continuous vaginal bleeding, and postpartum conditions where deficiency allows wind-cold to invade internally, causing lochia retention and formation of masses, hardness and pain in the lower abdomen, alternating chills and fever, and various diseases in women. It is suitable for use.
Si Wu Tang (Four Substances Decoction)
Dang Gui Shen (Radix Angelicae Sinensis Root Section, washed with wine) Chuan Xiong (Rhizoma Ligustici Chuanxiong) Bai Shao (Radix Paeoniae Alba, stir-fried with wine) Huai Shu Di Huang (Radix Rehmanniae Preparata, each 2 qian)
The above are cut into pieces for one dose, decocted in water, and taken warm. Adjust according to the condition.
If abdominal cramping occurs in waves just before menstruation, starting and stopping intermittently, it indicates excess of Qi and Blood. Use Sheng Di Huang (Radix Rehmanniae Recens), add Huang Lian (Rhizoma Coptidis), Xiang Fu (Rhizoma Cyperi Rotundi), Tao Ren (Semen Persicae), Hong Hua (Flos Carthami Tinctorii), Yuan Hu Suo (Rhizoma Corydalis Yanhusuo), Mu Dan Pi (Cortex Moutan Radicis), E Zhu (Rhizoma Curcumae Longae).
If menstruation frequently arrives ahead of schedule, it indicates Heat in the Blood. Use Sheng Di Huang, add Huang Lian, Huang Qin (Scutellariae Radix), Bai Zhi (Radix Angelicae Dahuricae).
If menstruation frequently arrives late, thin individuals often suffer from Blood deficiency; double the dosage of Dang Gui and Di Huang, add Huang Bo (Phellodendri Cortex), Gan Cao (Radix Glycyrrhizae Uralensis). Add a small amount of Hong Hua and Tao Ren paste as guiding herbs to generate Blood. Fat individuals generally have Qi deficiency with Phlegm obstruction, impeding the ascending and descending mechanisms. Remove Di Huang, add Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao, Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu.
If menstruation is frequently delayed and the blood is purple-black and clotted, it indicates Heat in the Blood. It is often accompanied by abdominal pain. Use Sheng Di Huang, add Xiang Fu, Huang Lian, Yuan Hu Suo, Wu Ling Zhi (Trogopterori Faeces), Ru Xiang (Olibanum), Mo Yao (Myrrha).
If menstruation is delayed and the blood color is pale, it indicates excessive Phlegm and deficient Blood. Use Sheng Di Huang, combined with Er Chen Tang (Two-Cured Decoction) for decoction and administration.
In obese women, if menstruation occurs only once every two or three months, it indicates excessive Phlegm, and body fat obstructs the meridians. Use Dao Tan Tang (Guiding Phlegm Decoction) added with Chuan Xiong, Dang Gui, Xiang Fu, Cang Zhu (Atractylodis Rhizoma), Bai Zhu.
If menstruation starts and stops abruptly, with alternating chills and fever resembling malaria, combine with Xiao Chai Hu Tang (Minor Blue Green Dragon Decoction) for decoction and administration.
If dull, wandering pain persists in the abdomen three to five days after menstruation ends, this indicates that Blood has moved but Qi stagnation remains. Add Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen) for decoction and administration.
If pain occurs after menstruation ends, it indicates deficiency of both Qi and Blood. Add Si Jun Zi Tang (Four Gentlemen Decoction) for decoction and administration.
If umbilical and abdominal pain occurs just before menstruation begins, it indicates stagnant Blood. Add Chuan Lian Zi (Fructus Toosendan), Xiao Hui Xiang (Fructus Foeniculi), Mu Xiang, Bing Lang, Xuan Hu Suo (Rhizoma Corydalis).
During menstruation, if sudden anger occurs, followed by unbearable pain in the heart, abdomen, waist, and hypochondrium, with a wiry, rapid, and irregular pulse, this is pain caused by Blood stasis. Add Tao Ren, Hong Hua, Xuan Hu, E Zhu, Qing Pi (Citri Reticulatae Pericarpium Viride). Moving the Blood will lead to recovery.
If menstruation continues without stopping, add Chao E Jiao (Colla Corii Asini, stir-fried), Di Yu (Sanguisorbae Radix), Jing Jie Sui (Herba Schizonepetae Spica).
For a woman suffering from excessive menstrual bleeding, resulting in five-palm heat (heat sensation in palms, soles, and chest) and tidal fever in the afternoon, add Hu Huang Lian (Coptidis Rhizoma var. Chinense). Two or three doses yield results.
For a woman with pain in bones, tendons, limbs, and joints, generalized body pain, headache, wiry pulses in both hands, aversion to cold resembling malaria, which does not respond to wind-dispelling and pain-relieving agents, add Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Qin Jiao (Gentianae Macrophyllae Radix), Guan Gui (Cinnamomi Ramulus). Immediate effect.
At the onset of metrorrhagia, regardless of deficiency or excess, add Jing Jie Sui (burnt over lamp) and Sheng Ma (Bupleuri Radix). If bleeding does not stop, add Pu Huang (Typhae Pollen), Chao Bai Zhu (Stir-fried Atractylodis Macrocephalae Rhizoma), Sheng Ma.
To treat metrorrhagia, add Jing Jie (Schizonepetae Herba), Huang Qin, Xiang Fu.
To treat metrorrhagia and metrostaxis, add Sha Shen (Glehniae Radix), Yi Mu Cao (Leonuri Herba), Chao Xiang Fu (Stir-fried Cyperi Rhizoma), Chao E Jiao (Stir-fried Donkey-hide Gelatin), Chao Pu Huang (Stir-fried Typhae Pollen), Chen Pi, Bai Zhu, Gan Cao. Do not use Dang Gui.
For red and white leukorrhea, add Chai Hu (Bupleuri Radix), Sheng Ma (each 7 fen, wine-fried), Ban Xia (Ginger-juice fried), Bai Fu Ling (Poria), Cang Zhu (Rice-water soaked and stir-fried), Huang Bo (Wine-fried), Zhi Mu (Anemarrhenae Rhizoma, wine-fried), Gan Jiang (Zingiberis Rhizoma, processed). This raises Yang and drains Dampness, and leukorrhea will cease naturally.
For restless fetus with vaginal bleeding and instability, add Ai Ye (Artemisiae Argyi Folium), Chao E Jiao, Huang Qin, Bai Zhu, Sha Ren (Amomi Fructus), Xiang Fu, Nuomi (Oryza Sativa Glutinosa).
For fetal death in the womb, add Guan Gui, Bai Zhi, She Xiang (Moschus).
For postpartum lochia retention, add Yi Mu Cao, Tao Ren, Su Mu (Sappan Lignum).
For postpartum Blood deficiency causing fainting and unconsciousness, add Ren Shen, Bai Zhu, Bai Fu Ling, Gan Jiang, Xiang Fu, Gan Cao.
For Qi masses in the abdomen, add Mu Xiang, Bing Lang.
For pain due to Blood accumulation and masses, add San Leng (Curcumae Rhizoma), E Zhu, Guan Gui.
For dry mouth and irritability, add Mai Dong (Ophiopogonis Tuber), Gan Ge (Puerariae Radix), Wu Mei (Mume Fructus).
For bone-steaming consumptive fever, add Zhi Mu, Di Gu Pi (Lycii Cortex), Chai Hu.
For urinary obstruction, add Ze Xie (Alismatis Rhizoma), Mu Tong (Akebiae Caulis).
For constipation, add Tao Ren, Da Huang (Rhei Radix et Rhizoma).
For deficiency-related irritability and insomnia, add Zhu Ye (Bambusae Folium), Ren Shen, Chao Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried).
For mental confusion and vagueness, add Yuan Zhi (Polygalae Radix), Chao Suan Zao Ren, Bai Fu Ling, Chen Sha (Cinnabar, separately ground).
For vomiting, add Huo Xiang (Agastaches Herba), Ban Xia, Sha Ren, Chen Pi.
For diarrhea, add Bai Fu Ling, Bai Zhu, Lian Rou (Nelumbinis Semen), Shan Yao (Dioscoreae Rhizoma), Pao Gan Jiang (Processed Zingiberis Rhizoma).
For a woman whose menstruation arrives early, with purple blood containing clots, lower back pain, cold and numb extremities, dry mouth, dizziness, and chest fullness: Base formula adds Tiao Qin (Scutellariae Radix), Jing Jie, Xiang Fu, Xiao Hui, Xuan Hu Suo, Xu Duan (Dipsaci Radix), Di Yu, Du Zhong (Eucommiae Cortex), Gan Cao.
For a woman with unbearable pain from blood masses, add San Leng, E Zhu, Qing Pi, Chen Pi, Xiao Hui, Xiang Fu, Wu Zhu Yu (Evodiae Fructus), Xuan Hu Suo, Mu Xiang, Gan Cao, Ginger, Jujube. Decoct and administer.
For a woman whose menstruation fails to descend, with counter-flow menstruation and uncontrollable epistaxis: Base formula adds 1 liang of Chuan Da Huang (Rhei Radix et Rhizoma) soaked and stir-fried in wine. Decoct in water, mix with Tong Bian (Children's Urine), and take. Immediate effect.
For a young woman with delayed menstruation leading to epistaxis and erratic menstrual flow: Base formula removes Di Huang, adds Tao Ren, Chao Shan Zhi (Gardeniae Fructus, stir-fried), Da Huang (Rhei Radix et Rhizoma, wine-fried), Gan Cao. Total seven ingredients. Decoct in water, mix with Tong Bian before taking.
For a woman whose menstruation lasts more than three days and does not stop heavily: Base formula adds Fu Long Gan (Dragon's Liver Earth), Di Yu, Pu Huang, Huang Bo, Ce Bai Ye (Platycladi Cacumen), Huang Lian, Bai Fu Ling, Gan Cao, Zhi Zi (Gardeniae Fructus), totaling thirteen ingredients. If caused by anger, add Xiang Fu. For Spleen-Stomach deficiency with poor appetite, add Bai Zhu.
Discusses irregular menstruation in women, possibly with abdominal pain and white leukorrhea, or continuous dripping, or emaciation, dizziness, sallow complexion, and limb weakness. Use Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) added with Xiang Fu, Chen Pi, Xuan Hu Suo, Sha Ren, E Jiao, Chen Xiang (Aquilariae Lignum Resinatum), Xiao Hui Xiang, Wu Zhu Yu.
Discusses girls aged fourteen, when menstruation first begins, known as Tian Gui Water. If neglected, causing abdominal distension, aversion to cold with fever, and generalized body pain, this is due to cold invasion and Qi-Blood disharmony. Administer Xiao Wen Jing Tang (Minor Warming Meridian Decoction) and Li Qi San (Qi-Regulating Powder).
Xiao Wen Jing Tang (Minor Warming Meridian Decoction)
Gui Zhi (Ramulus Cinnamomi) (3 fen) Bai Zhi (4 fen) Bai Zhu (5 fen) Chuan Xiong (7 fen) Dang Gui (Radix Angelicae Sinensis, wine-washed, 1 qian) Shu Di Huang (Radix Rehmanniae Preparata, 1 qian)
Zhi Ke (Aurantii Fructus, bran-fried, 7 fen) Bai Shao (1 qian) Qiang Huo (4 fen) Chai Hu (4 fen) Sha Ren (4 fen) Huang Qin (7 fen) Xiang Fu (Stir-fried, 1 qian) Gan Cao (2 fen) Xiao Hui (Wine-fried, 4 fen)
For severe stabbing pain in heart and abdomen, add Xuan Hu (5 fen). For cough, add Xing Ren (Pruni Armeniaci Semen, peeled and cored, 7 fen), Wu Wei Zi (Schisandrae Fructus, 10 grains), Jie Geng (Platycodonis Radix, 7 fen).
Cut into pieces for one dose, add three slices of fresh ginger, decoct in water, and take hot.
Li Qi San (Qi-Regulating Powder)
Xiang Fu (Stir-fried, 5 qian) Huang Qin (4 qian) Chao Zhi Ke (Deprived of pith, 4 qian) Chen Pi Huo Xiang (Patchouli Herba) Xiao Hui (Wine-fried) Bai Zhu (Deprived of rhizome head) Xuan Hu Suo Sha Ren Cao Guo (Tsaoko Fructus, de-husked and stir-fried, each 3 qian) Gan Cao (8 fen) Hou Po (Magnoliae Officinalis Cortex, 1 qian)
Grind into fine powder. Take 2 qian per dose, fasting, mixed with rice soup. Wine is also acceptable.
Discusses girls aged fifteen or sixteen, with blocked menstruation, day-and-night chills and fever, numbness in limbs, poor appetite, headache, nausea, vomiting, and sudden painful mass in the abdomen. This condition is caused by ingesting raw and cold foods. This formula may be administered.
Jia Jian Si Wu Tang (Modified Four Substances Decoction)
Xiang Fu (Stir-fried, 1 qian) Dang Gui (Wine-washed) Chuan Xiong Zhi Ke (Deprived of pith and stir-fried) Chai Hu Bai Shao (Wine-fried, each 8 fen) Huang Qin Chen Pi
San Leng (Vinegar-fried) E Zhu (Vinegar-fried, each 6 fen) Shu Di Huang (1 qian) Bai Zhi Xuan Hu Suo Xiao Hui (Wine-fried) Bai Zhu (Deprived of rhizome head and stir-fried) Qing Pi (Deprived of pith) Sha Ren Rou Gui (Cinnamon Bark) Gan Cao (each 5 fen)
Cut into pieces for one dose, decoct in water, take hot fasting. For generalized body pain, add Qiang Huo.
Discusses girls aged seventeen or eighteen, with blocked menstruation for either one hundred days or half a year, sallow-yellow complexion, poor appetite, alternating chills and fever, limb fatigue, headache and dizziness, abdominal pain with masses, five-palm heat, vomiting and distension. This is due to Spleen-Stomach injury, deficiency of both Qi and Blood, and ingestion of raw/cold foods. Urgently harmonize Qi and Blood, support Spleen-Stomach. First administer Xiao Yao San (Free and Easy Wanderer Powder), then Jia Ba Wu Tang (Modified Eight Substances Decoction). Finally, administer Tiao Jing Wan (Menstruation-Regulating Pills).
Xiao Yao San (Free and Easy Wanderer Powder)
Dang Gui (Wine-washed, 1.5 qian) Bai Shao (Wine-fried, 1 qian) Chai Hu (1 qian) Huang Qin (1 qian) Chuan Xiong (7 fen) Shu Di Huang (7 fen) Ban Xia (Ginger-fried, 7 fen) Ren Shen (5 fen) Mai Men Dong (Ophiopogonis Tuber, de-heartened, 5 fen) Gan Cao (4 fen)
Grind into powder, add three slices of fresh ginger, decoct in water, take hot. Afterwards, take Ba Zhen Tang (Eight Treasures Decoction) for ten doses. Can also take Tiao Jing Wan for several doses. For sleeplessness, add Chao Suan Zao Ren to consolidate Heart Blood.
Jia Ba Wu Tang (Modified Eight Substances Decoction)
Xiang Fu Dang Gui Bai Shao (Wine-fried) Bai Zhu Chuan Xiong Ren Shen Shu Di Huang Xiao Hui Xiang (Stir-fried) Huang Qin Chai Hu Bai Fu Ling (Deprived of skin) Gan Cao
For abdominal pain, add Xuan Hu Suo, Zhi Ke, Gan Qi (Dry Lacquer). For vomiting and nausea, add Liang Jiang (Alpiniae Katsumadai Rhizoma), Sha Ren. For limb numbness and aversion to cold, add Rou Gui. For cough, add Xing Ren, Wu Wei Zi, Kuan Dong Hua (Farfarae Flos).
Cut into pieces, decoct in water, and take.
Tiao Jing Wan (Menstruation-Regulating Pills)
Xiang Fu (Soaked in vinegar, sun-dried, 3 liang) Dang Gui (Wine-washed) Bai Zhu (Deprived of rhizome head, 1.5 liang; replace with Cang Zhu if abdominal pain) Zhi Ke (Bran-fried, 1.5 liang)
Chi Shao (Radix Paeoniae Rubra) Chen Ai (Artemisiae Folium, aged, vinegar-fried) Chen Pi Xiao Hui (Wine-fried) Chuan Xiong Hou Po (Ginger-juice fried, each 5 qian) Shu Di Huang (Wine-steamed, 1.5 liang)
Qing Pi (Deprived of pith, 1.2 liang) Xuan Hu Suo Sha Ren San Leng (Vinegar-soaked) E Zhu Niu Xi (Achyranthis Bidentatae Radix, deprived of rhizome head and wine-washed) Bai Zhi Fen Cao (Licorice Root, each 1.5 liang)
Grind into fine powder, make pills using vinegar and rice paste, size of wu zi (wuze tree seeds). Take 100 pills per dose, fasting, with rice soup.
Discusses women after age twenty, when menstruation begins, experiencing body-wide pain, limb numbness, chills and fever, headache, and dizziness. This formula may be administered.
Jia Jian Wu Ji San (Modified Five Accumulations Powder)
Hou Po (Deprived of skin, ginger-juice fried) Cang Zhu (Rice-water soaked) Chuan Xiong Bai Fu Ling (Deprived of skin) Dang Gui (Wine-washed) Jiang Ban Xia (Stir-fried)
Bai Shao (Wine-fried) Du Huo (Angelicae Pubescentis Radix) Qiang Huo Niu Xi (Deprived of rhizome head) Jie Geng Bai Zhi Zhi Ke (Bran-fried) Ma Huang (Ephedrae Herba, deprived of roots) Chen Pi (Each equal parts) Gan Cao (3 fen)
Grind into powder, decoct with ginger and scallion, take hot. For cough, add Wu Wei Zi, Xing Ren. For diarrhea, remove Zhi Ke, add Rou Dou Kou (Myristicae Semen).
Woman aged twenty-three or twenty-four, with irregular menstruation, red and white leukorrhea, dripping like plum juice, or in clumps, sometimes blocked for two or three months. This is due to weak Qi and Blood, gradually leading to tidal fever and cough, poor appetite, limb fatigue. If prolonged, it transforms into bone-steaming fever, becoming consumption disease. Urgent regulation is needed. Take four doses of the aforementioned Jia Ba Wu Tang, then Da Wen Jing Tang (Major Warming Meridian Decoction).
Da Wen Jing Tang (Major Warming Meridian Decoction)
Xiang Fu (8 fen) Dang Gui (Wine-washed) Shu Di Huang Lu Rong (Cervum Cornu Detesticatum, vinegar-roasted, each 8 fen) Bai Shao (Wine-fried, 8 fen) Ren Shen Bai Fu Ling (Deprived of skin) Bai Zhu Wu Zhu Yu (Stir-fried) Yuan Hu Suo Chuan Xiong (Each 5 fen) Sha Ren (4 fen) Chen Pi (4 fen) Xiao Hui (Wine-fried, 4 fen) Chen Xiang (3 fen) Huang Qi (Astragali Radix, honey-fried, 5 fen) E Jiao (Stir-fried) Rou Gui Gan Cao (Each 3 fen)
Cut into pieces for one dose, add three slices of fresh ginger, decoct in water, take hot fasting. If sweating does not stop, add Chao Suan Zao Ren, Mi Chao Huang Qi. For cough, add Xing Ren, Wu Wei Zi, Ban Xia, Jie Geng (each 5 fen).
For tidal fever, add Chai Hu, Huang Qin.
Discusses women aged twenty-four or twenty-five, prescribed Jia Si Wu Liu Jun Tang (Modified Four Substances and Six Gentlemen Decoction).
Jia Si Wu Liu Jun Tang (Modified Four Substances and Six Gentlemen Decoction)
Hou Po (Ginger-juice fried, 5 fen) Jie Geng Bai Zhu (Deprived of rhizome head, each 4 fen) Sha Ren Hong Hua (Each 3 fen) Huang Lian (3 fen) Xuan Hu (3 fen) Chen Pi (4 fen) Gan Cao (2 fen) Dang Gui (Wine-washed) Xiang Fu (Each 5 fen) Zhi Shi (Aurantii Fructus, bran-fried) Bai Fu Ling (Deprived of skin) Chuan Xiong Chi Shao Su Ye (Perillae Folium) Bing Lang Ban Xia (Ginger-juice fried, each 4 fen)
Grind into powder, add three slices of fresh ginger, decoct in water, take hot fasting.
Discusses women aged twenty-five or twenty-six, with cold deficiency in the Sea of Blood, irregular menstruation, occasional lower abdominal pain, or discharge of white leukorrhea resembling fish milt or rice water, occurring daily without regard to cycle timing. Sallow complexion, limb weakness, dizziness and blurred vision. Prescribe Si Wu Bu Jing Tang (Four Substances Nourishing Meridian Decoction). Also take Wu Ji Wan (Black Chicken Pills) for regulation.
Si Wu Bu Jing Tang (Four Substances Nourishing Meridian Decoction)
Xiang Fu Dang Gui Bai Shao (Wine-fried, each 6 fen) Shu Di Huang Chuan Xiong (Each 5 fen) Huang Qi (Honey-roasted) Bai Fu Ling (Deprived of skin) Bai Zhu (Deprived of rhizome head) Huang Qin Xuan Hu Suo Chen Pi (Each 4 fen) Sha Ren Xiao Hui (Wine-fried) Ren Shen E Jiao (Stir-fried, each 3 fen) Chen Xiang (Separately ground, 3 fen) Wu Zhu Yu (3 fen) Fen Cao (Licorice Root, 3 fen)
Cut into pieces, add three slices of fresh ginger, decoct in water, take hot fasting.
Wu Ji Wan (Black Chicken Pills)
Hai Jin Sha (Lygodii Spora) Ce Bai Ye (Platycladi Cacumen, salt-water fried and dried, each 4 liang) Xiang Fu (Stir-fried, 1 liang) Hou Po (Ginger-fried, 3 liang) Dang Gui (Wine-washed, 3 liang)
Bai Zhu (Deprived of rhizome head) Chuan Xiong (Each 2 liang) Bai Shao (Wine-fried, 2 liang) Shu Di (Radix Rehmanniae Preparata, 2 liang) Qiang Huo (1.5 liang) Fang Feng (Saposhnikoviae Radix, 1.5 liang)
Ren Shen (1 liang) Sha Ren (1 liang) Fen Cao (3 qian)
Cut into pieces. Use one white-feathered black-meat chicken, any age from three to five years is good. After slaughter, remove entrails, feces, and feathers. Place the powdered herbs inside the chicken belly. Put in a copper pot with five pots of good wine and two bottles of water. Simmer on medium-low heat until dry. Remove the chicken, debone, chop the meat finely, mix with herbs, and dry. Make pills using glutinous rice flour and wine/water paste, size of wu zi. Take 100 pills per dose, fasting, swallowed with rice soup. Wine is also acceptable.
Discusses women aged twenty-seven or twenty-eight, with physical decline, irregular dripping menstruation, in clumps, or discharging black fluid, sallow-yellow complexion, dizziness and blurred vision, limb fatigue. Take this formula for four or five doses, then take Da Wen Jing Tang for over ten doses.
Zhi Jing Tang (Stop Menstruation Decoction)
Dang Gui (Wine-washed, 1.3 qian) Bai Zhu (Deprived of rhizome head, 8 fen) Bai Shao (Wine-fried) Chuan Xiong Shu Di Huang Xiang Fu E Jiao (Stir-fried) Huang Qin Pu Huang (Stir-fried) Ce Bai Ye Sha Ren (Each 7 fen) Gan Cao (Stir-fried, 3 fen)
Cut into pieces, decoct with ginger, take hot fasting. For cough, add Wu Wei Zi, peeled Xing Ren. For abdominal pain, add Zhi Ke, Xuan Hu Suo, Gan Qi. For shortness of breath, add Ban Xia, Su Zi (Perillae Fructus, each 5 fen).
To treat heavy and continuous menstruation: Use 1 liang of Qi Ai (Artemisia argyi from Qichun), stir-fried three times in good raw wine. Cover with a bowl, steep in water, boil, strain, and take warm for immediate cessation.
Discusses women aged thirty-one or thirty-two, who have given birth annually, leading to excessive loss of damaged Blood, causing irregular menstruation, intermittent abdominal pain with masses, poor appetite, fatigue, dizziness, alternating tidal fever, and five-palm irritability. This is Blood deficiency with Stomach Heat. Prescribe Hong Hua Dang Gui San (Red Flower and Angelica Powder). Also use Ba Wu Tang (Eight Substances Decoction).
Hong Hua Dang Gui San (Red Flower and Angelica Powder)
Dang Gui (Wine-washed, 8 fen) Chuan Xiong Chi Shao Yao (Radix Paeoniae Rubra) Shu Di Huang Xiang Fu (Each 6 fen) Zhi Ke (5 fen) Xuan Hu Suo (5 fen) Hou Po (Ginger-fried) Xiao Hui Xiang (Wine-fried) Chai Hu Chen Pi San Leng (Vinegar-fried, each 4 fen) E Zhu (Vinegar-roasted, 4 fen) Niu Xi (Deprived of rhizome head, 4 fen) Hong Hua (3 fen) Gan Cao (2 fen)
Cut into pieces, decoct in water with ginger, take hot fasting.
Discusses women aged thirty-three or thirty-four, who sat or lay exposed to wind during menstruation, failing to avoid it. With open pores, external pathogens invaded, causing generalized numbness and inability to turn. Wind affected the Lung meridian, causing cough with profuse phlegm. Prescribe Wu Ji Jiao Jia San (Five Accumulations Combined Powder) for two or three doses. Then take Ba Wu Tang for over ten doses.
Wu Ji Jiao Jia San: Only take one or two doses, do not take excessively.
Qiang Huo (1 qian) Cang Zhu (Rice-water soaked) Fang Feng (Deprived of rhizome head) Zhi Ke (Bran-fried) Chen Pi Chai Hu Dang Gui (Wine-washed) Chuan Xiong
Du Huo Bai Zhi Ban Xia (Ginger-juice) Ma Huang Jie Geng Bai Fu Ling Hou Po (Ginger-fried, each 8 fen) Gui Zhi (Ramulus Cinnamomi, 4 fen) Gan Cao (3 fen)
Cut into pieces, decoct with ginger and scallion, take hot. For subsequent doses, remove Chai Hu, add Wu Yao (Linderae Radix) and Jiang Can (Bombyx Batryticatus, each 1 qian), decoct in wine, take hot.
Discusses women aged thirty-six or thirty-seven, with excessive menstruation leading to depletion of Qi and Blood, insufficient Stomach Qi, causing erratic menstruation. Advance Ba Zhen Tang. Treat together with Wu Ji Wan.
Ba Zhen Tang (Eight Treasures Decoction)
Dang Gui (Wine-washed) Bai Zhu (Deprived of rhizome head, each 1 qian) Bai Fu Ling (Deprived of skin) Ren Shen Chuan Xiong Shu Di Huang Bai Shao (Wine-fried, each 8 fen) Gan Cao (3 fen) Xiang Fu (8 fen)
Cut into pieces, decoct in water with ginger, take hot.
Discusses women aged thirty-eight or thirty-nine, with absent menstruation, painful mass in abdomen, dizziness and blurred vision, loss of appetite. This is premature cessation of Blood, with residual Blood remaining, attacking periodically causing pain and illness. Prescribe E Zhu San (Curcuma Powder) to expel residual Blood.
E Zhu San (Curcuma Powder)
Xiang Fu (3 liang) Dang Gui (Wine-washed) E Zhu (Vinegar-roasted) Yuan Hu Suo Chi Shao Yao Zhi Ke (Bran-fried) Shu Di Huang Qing Pi (Deprived of pith) Bai Zhu (Deprived of rhizome head) Huang Qin (Each 1 liang) San Leng (Vinegar-roasted) Xiao Hui Xiang (Stir-fried) Sha Ren (Each 8 qian) Gan Qi (Stir-fried until smoke ceases) Hong Hua (Each 5 fen) Chuan Xiong (8 qian) Gan Cao (1 qian)
Grind into fine powder. Take 2 qian per dose, fasting, mixed with good rice wine.
To treat frequent abdominal pain in women, moving up and down, caused by accumulated Blood over years.
Qing Pi Chen Pi San Leng E Zhu Xiang Fu Wu Yao Gan Jiang (Zingiberis Rhizoma)
Equal parts. Decoct in vinegar, bake dry, grind into powder. Take fasting, mixed with Chen Pi soup.