一论妇人四十二三岁。经水断绝。五十一二复来。或淋漓。或成片条。漏下不止。宜服
和经
汤。兼四物补经汤、乌鸡丸。相间服之可好。和经汤若三帖。即去气药。乃香附、陈皮、小
茴是也。
和经汤
白芍（酒炒一钱二分） 当归（酒洗） 熟地黄 白茯神 黄芩 香附 白术（去芦） 川芎
酸枣仁（炒） 蒲黄（炒） 阿胶 白芷（各一钱） 陈皮 小茴（酒炒各七分）
上锉。每服一两。姜、枣煎。热服。
四物补经汤 乌鸡丸 方俱见前。
一凡妇人经水不调。或前或后。或多或少。时常头晕眼黑。耳鸣。赤白带下。腰腹疼痛
四肢沉困。五心烦热。胸膈闷。不思饮食。肌肤减削。一切百病皆治。宜此
调经滋补丸
香附米（酒醋童便盐汤各浸一两各炒干共四两） 怀生地黄（酒浸蒸炒黑二两） 当归（酒
洗二
两） 川芎 白芍（酒炒各一两） 白术（去芦炒二两） 白茯苓（去皮一两） 陈皮 怀山药
牡丹皮 小茴（盐酒炒） 元胡索 阿胶（蛤粉炒） 山茱萸（酒蒸去核各一两）
上为细末。酒醋打面糊为丸。如梧子大。每服百丸。空心。米汤调下。
一论妇人五十岁以外。经水犹不断。颠颠倒倒不准而来。当预防成败血症也。此丸甚妙
十全丹
当归头（二两） 怀山药（三两） 白术（三两） 人参（二两） 黄芩（酒炒二两） 绵地榆（
二
两） 鹿角霜（三两） 黄柏（酒浸炒二两） 白茯神（去皮心一两） 怀生地黄（酒浸烘干四两）
上共为细末。用艾叶三两。水二斤。煎至一斤。去渣。入浮小麦粉六两搅匀。煮熟糊和
药为丸。每日空心服一百五十丸。扁柏叶煎汤送下。
一治妇人因怒吐痰。胸膈作痛。服四物、二陈、芩、连、枳壳之类。不应。近加祛风之
剂。
半身不遂。筋渐挛搐。四肢痿软。日晡益甚。内热口干。形体倦怠。予以为郁怒伤脾肝。血
气复损而然。遂用逍遥散、补中益气汤、六味丸调治。喜其谨疾。年余悉愈。形体康健。
一治妇人晡热。形体瘦倦。饮食无味。月经不行。或鼻衄。或血崩已久。或用顺气清热
等剂
不应。更加寒热。且时欲作呕。此乃郁怒损伤脾胃。虚火错经妄行而然耳。以补中益气汤
兼进六味丸。
一治妇人多怒。经行旬余方止。后淋沥无期。肢体倦瘦。口干内热。盗汗如洗。日晡益
热。皆由肝脾亏损。无以生发元气。
以补中益气汤。加茯神、远志、麦门冬、五味、酸枣仁、牡丹皮、龙眼肉。
逍遥散（方见虚劳） 补中益气汤（方见内伤） 六味丸（方见补益） 十全大补汤（方见补
益）
Paragraph 1: Discussion on women aged forty-two or forty-three whose menstrual flow has ceased; at fifty-one or fifty-two, it returns. It may be dripping continuously or coming out in clumps and strips, with unstoppable leakage. It is suitable to take Hejing Tang (Harmonizing Menses Decoction), combined with Siwu Bu Jing Tang (Four Substances Decoction for Nourishing Menses) and Wuji Wan (Black Chicken Pill), taken alternately for recovery. When using Hejing Tang, after three doses, remove the Qi-regulating herbs, namely Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Xiaohui (Foeniculi Fructus).
Hejing Tang (Harmonizing Menses Decoction)
Baishao (White Peony Root, stir-fried with wine, 1 qian 2 fen) Danggui (Angelica Sinensis Radix, washed with wine) Shudihuang (Prepared Rehmanniae Radix) Baifushen (Poria with Hostwood, 1 qian) Huangqin (Scutellariae Radix, 1 qian) Xiangfu (Cyperi Rhizoma, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, de-gorged, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian) Suanzaoren (Ziziphi Spinosae Semen, fried, 1 qian) Puhuang (Typhae Pollen, fried, 1 qian) Ejiao (Donkey-hide Gelatin, 1 qian) Baizhi (Angelicae Dahuricae Radix, 1 qian) Chenpi (Citri Reticulatae Pericarpium) Xiaohui (Foeniculi Fructus, stir-fried with wine, each 7 fen)
Crush the above ingredients. For each dose, use 1 liang. Decoct with fresh ginger and jujube, and take hot.
The formulas for Siwu Bu Jing Tang (Four Substances Decoction for Nourishing Menses) and Wuji Wan (Black Chicken Pill) are seen in the preceding text.
Paragraph 2: Generally, when women have irregular menstruation, either early or late, either abundant or scanty, accompanied by frequent dizziness and blurred vision, tinnitus, red and white leukorrhea, waist and abdominal pain, heavy and lethargic limbs, five-palm heat, chest and diaphragm stuffiness, loss of appetite, and emaciation. This formula treats all sorts of diseases. It is suitable to use this Tiaojing Zibu Wan (Regulate Menses and Tonify Deficiency Pill).
Tiaojing Zibu Wan (Regulate Menses and Tonify Deficiency Pill)
Xiangfumii (Cyperi Rhizoma, soaked separately in wine, vinegar, child's urine, and salt water for one liang each, then stir-fried dry, total four liang) Huaishengdihuang (Rehmanniae Radix, soaked in wine, steamed, fried until black, two liang) Danggui (Angelica Sinensis Radix, washed with wine, two liang) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (White Peony Root, stir-fried with wine, each one liang) Baizhu (Atractylodis Macrocephalae Rhizoma, de-gorged and stir-fried, two liang) Baifuling (Poria, peeled, one liang) Chenpi (Citri Reticulatae Pericarpium) Huaishanyao (Dioscoreae Hypoglaucae Rhizoma) Mudanpi (Moutan Cortex) Xiaohui (Foeniculi Fructus, stir-fried with salt and wine) Yuanhusuo (Corydalis Rhizoma) Ejiao (Donkey-hide Gelatin, stir-fried with clam powder) Shanzhuyu (Corni Fructus, steamed with wine, pips removed, each one liang)
Grind the above into fine powder. Use wine and vinegar to make a flour paste to form pills, sized like wu zi (wutong seeds). Take one hundred pills per dose, on an empty stomach, washed down with rice soup.
Paragraph 3: Discussion on women over fifty whose menstruation still does not cease, coming irregularly and unpredictably. One should prevent the occurrence of sepsis (blood poisoning). This pill is very effective.
Shiquan Dan (Ten Complete Pill)
Dangguitou (Angelica Sinensis Radix head, two liang) Huaishanyao (Dioscoreae Hypoglaucae Rhizoma, three liang) Baizhu (Atractylodis Macrocephalae Rhizoma, three liang) Renshen (Ginseng Radix, two liang) Huangqin (Scutellariae Radix, stir-fried with wine, two liang) Mianyishuyu (Sanguisorbae Radix, two liang) Lujiaoshuang (Cornu Cervi Degelatinatum, three liang) Huangbai (Phellodendri Cortex, soaked in wine and stir-fried, two liang) Baifushen (Poria with Hostwood, peeled and de-core, one liang) Huaishengdihuang (Rehmanniae Radix, soaked in wine and dried, four liang)
Grind the above together into fine powder. Use three liang of Aiye (Artemisiae Argyi Folium), two jin of water, decoct until one jin remains, remove dregs. Add six liang of Fuxiaomai Fen (Tritici Levis Semen) flour, mix evenly, cook until thickened into a paste, and mix with the medicinal powder to form pills. Take one hundred and fifty pills daily on an empty stomach, washed down with decoction of Bianbaiye (Platycladi Cacumen).
Paragraph 4: Treating women who vomit phlegm due to anger, with pain in the chest and diaphragm. Taking Siwu Tang (Four Substances Decoction), Erchen Tang (Two Aged Decoction), Huangqin (Scutellariae Radix), Lian (Coptidis Rhizoma), Zhike (Aurantii Fructus) etc., was ineffective. Recently adding wind-dispelling agents resulted in hemiplegia, gradual tendon contraction and spasms, flaccidity of the four limbs, worsening in the afternoon, internal heat, dry mouth, and physical fatigue. I considered this to be damage to the Spleen and Liver due to depression and anger, causing further depletion of Blood and Qi. Thus, I used Xiaoyao San (Free and Easy Wanderer Powder), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and Liuwei Wan (Six-Ingredient Pill with Rehmannia) for treatment. Fortunately, the patient adhered strictly to medical advice, and after more than a year, she recovered completely, becoming healthy and robust.
Paragraph 5: Treating women with afternoon fever, emaciated and fatigued physique, tasteless food, amenorrhea. Or epistaxis, or prolonged metrorrhagia. Using Qi-smoothing and heat-clearing agents was ineffective. Additionally experiencing alternating chills and fever, and frequent nausea. This is caused by depression and anger damaging the Spleen and Stomach, leading to deficient fire wandering incorrectly along the vessels. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Liuwei Wan (Six-Ingredient Pill with Rehmannia).
Paragraph 6: Treating women who are prone to anger, with menstruation lasting over ten days before stopping, followed by indefinite dripping. Physical fatigue and emaciation, dry mouth, internal heat, night sweats profuse as if washing, and increased heat in the afternoon. All these are due to Liver and Spleen deficiency, unable to generate Yuan Qi (Original Qi).
Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Chinensis Fructus), Suanzaoren (Ziziphi Spinosae Semen), Mudanpi (Moutan Cortex), Longyanrou (Longan Arillus).
Xiaoyao San (Free and Easy Wanderer Powder) (Formula seen in Xu Lao section) Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (Formula seen in Nei Shang section) Liuwei Wan (Six-Ingredient Pill with Rehmannia) (Formula seen in Bu Yi section) Shiquan Dabu Tang (Ten Great Tonifying Decoction) (Formula seen in Bu Yi section)