制半夏 朱茯神 制香附 白蒺藜 香橼皮 滁菊花 广皮 杜仲 桑叶 丹皮 干荷叶边 盐水炒竹茹
奚（右） 由脘痛而致腹中胀满，得泄则松。肝脾不和，气湿不运。气为血帅，月事因而不行。以调气为先。
制香附（二钱） 砂仁（五分） 丹参（二钱） 苏木（一钱五分） 枳壳（一钱） 茯苓（三钱）
鲜佛手（一钱） 上广皮（一钱） 木香（三分） 降香（五分）
二诊 腹满较舒，中脘窒痛。再从肝脾胃主治。月事不来，且勿过问。
制香附（二钱） 陈皮（一钱） 金铃子（切一钱五分） 前胡（一钱） 鲜佛手（一钱） 缩砂仁（五分）
延胡索（酒炒一钱五分） 光杏仁（三钱打） 紫丹参（二钱） 苏梗（二钱）
钱（右） 经事愆期，腹痛脐下滞坠，按之尤痛。冲脉气滞。姑为宣通。
熟地炭（三钱） 赤白芍（酒炒各一钱） 制香附（二钱打） 台乌药（一钱五分） 南楂炭（三钱） 全当归（二
钱） 川芎（一钱） 降香片（七分） 上徭桂（四分饭丸）
二诊 少腹作痛未止，经事未行。再宣通气血。
制香附（二钱） 乌药（一钱五分） 川桂木（五分） 茺蔚子（三钱） 小茴香（五分） 延胡索（酒炒一钱五
分） 缩砂仁（五分） 泽兰叶（二钱） 降香片（七分） 楂炭（三钱）
三诊 经来而仍未畅，少腹仍然作痛。营气阻滞。再为宣通。
全当归（酒炒二钱） 乌药（一钱五分） 炒小茴香（五分） 炮姜（五分） 川芎（一钱） 川桂枝（三分）
香附（二钱） 紫丹参（二钱） 茺蔚子（三钱） 益母草（六钱）
解（右） 产后血虚气滞，腹时胀满，每至经来，血行甚多。气为血帅，宜调其气。
当归（二钱） 炒枣仁（二钱） 黑豆衣（三钱） 浓杜仲（三钱） 茜草炭（一钱五分） 潼沙苑（三钱）
池菊花（一钱五分） 乌贼骨（三钱） 藿香正气丸（先服三钱） 茯神（三钱）
二诊 此次经来未至过多，然腹中尚觉胀满，有时气冲至脘。还是冲气未平，缓商调补。
制香附（三钱） 土炒白芍（一钱五分） 炒枳壳（一钱） 广皮（一钱） 茯神（三钱） 炒枣仁（三钱）
金铃子（三钱） 砂仁壳（五分） 四制香附丸（清晨服二钱） 木瓜皮（一钱炒）
三诊 一阳将复，肝阳不平，腹满中脘作痛，头昏眩晕，平日经事过多。皆肝经气火有余。再熄肝木。
川楝子（一钱五分） 土炒白芍（一钱五分） 黑豆衣（三钱） 黑山栀（一钱五分） 制香附（二钱） 菊花
（一钱五分） 橘皮（一钱） 炒枳壳（一钱） 干荷叶边（三钱） 女贞子（三钱）
朱（右） 经前腹胀，带下腰酸，悸眩少寐，心中作痛。气滞血少，血不养肝，奇经之脉，隶于肝木，木旺则阳
气升浮于上，带脉不固于下。拟补血之不足，疏气之有余。
奎党参（五两） 黑豆衣（二两） 炙生地（三两） 大天冬（二两） 新会皮（一两） 全当归（三两）
炙黑草（七钱） 川石斛（三两） 池菊花（一两） 川断肉（三两） 炒山药（三两） 潼沙苑（三两）
浓杜仲（三两） 川芎片（一两） 云茯神（三两） 大熟地（砂仁炒五两） 菟丝子（盐水炒三两） 野于术（二
两木香五钱煎汁炒）
炒萸肉（一两五钱） 鸡头子（一两五钱） 杭白芍（一两五钱） 干苁蓉（一两五钱） 制香附（三两另煎冲入）
泽泻片（一两） 炒枣仁（一两研） 甘杞子（三两） 砂仁末（七钱研细收膏时和入） 鹿角胶（一两）
龟板胶（三两） 真阿胶（三两）
上药煎净浓汁，加三胶溶化收成老膏，每晨服一调羹。
周（右） 经来甚畅，瘀露得以通化，少腹痛坠已止。然积瘀虽通，而新血与之并下，自不免于玉石俱焚，
所以风阳上升，耳鸣头晕。莨莠既去，当植嘉禾。
白归身（二钱） 乌贼骨（三钱） 川断肉（三钱） 女贞子（三钱） 旱莲草（三钱） 黑豆衣（三钱）
阿胶珠（二钱） 潼沙苑（盐水炒三钱） 茯神（三钱） 苏梗（二钱） 蒲黄炭（五分） 生于术（二钱）
王（右） 经事愆期，腰酸带下，形体恶寒，血色淡白不泽。气血不足。宜养血温经。
全当归（二钱） 川断肉（三钱） 牡蛎（四钱） 紫丹参（二钱） 白芍（一钱五分） 浓杜仲（三钱）
炒山药（三钱） 川芎（一钱） 十全大补丸（三钱开水分二服）
右 经事先期，至则淋漓。冲任不固，不能急切从事。
生地炭（四钱） 当归炭（二钱） 茯神（三钱） 远志肉（五分） 乌贼骨（三钱炙） 西潞党（元米炒三钱）
炒冬术（二钱） 炒枣仁（二钱） 龙眼肉（四粒） 老姜（二片） 补中益气丸（三钱晨服）
右 经事先期，寒凛火升，嗳噫眩晕。苔黄，脉弦尺涩。此肝阴不足，胆胃之气少降。拟通降阳，明参泄肝木。
制半夏 云茯神 决明 生山栀 炙鳖甲 钩钩 丹皮 广皮 盐水炒竹茹
丁（右） 经事愆期，虚寒为多。然虚则肢体必形软弱，或微微身热。寒则腹中痛，脉必沉细。今经来日迟，
诸如平人，惟四肢作酸。脉象濡滑。此痰湿占于血海，营卫之气不得宣通。宜理气化痰驱湿，不治血而治其所以病血者。
粉全归 秦艽 制半夏 独活 川断肉 白蒺藜 泽泻 制香附 茯苓 川芎
朱（右） 天癸当至而不至，适当久热，营血干涩，以致内热火升，肌肉羸瘦，为干血劳重证也。
炒全当归（二钱） 银柴胡（五分） 炒赤芍（一钱五分） 炙鳖甲（四钱） 桑叶（一钱） 紫丹参（一钱
五分） 延胡索（一钱五分） 炒白薇（一钱五分） 粉丹皮（一钱五分）
朱（右） 经来淋沥不止，少腹酸痛，偏右痞块攻筑，血色紫殷。冲脉气滞。宜调冲任而宣气滞。
阿胶珠（三钱） 川芎（一钱五分） 炙艾叶（七分） 制香附（二钱） 川断肉（三钱） 生地
炭（三钱） 酒炒白芍（一钱五分） 干橘叶（一钱五分） 酒炒当归（二钱） 公丁香（三分）
二诊 淋沥仍然不止，中脘痞闷，少腹酸坠。冲气不和，冲脉不固。拟和营平木。
乌贼骨（三钱） 鸡血藤膏（三钱冲） 阿胶珠（二钱） 土炒白芍（一钱五分） 橘皮（一钱） 茜
草炭（一钱五分） 干橘叶（一钱五分） 半夏曲（一钱五分盐水炒） 制香附（二钱） 左金丸（二次服五分）
Prepared Pinellia Rhizome (Zhi Banxia), Polyporus with Hostwood (Zhu Fushen), Prepared Cyperus Rhizome (Zhi Xiangfu), Tribulus Fruit (Bai Jili), Citron Peel (Xiangyuan Pi), Chrysanthemum Morifolium from Chuzhou (Chu Juhua), Tangerine Peel (Guangpi), Eucommia Bark (Duzhong), Mulberry Leaf (Sangye), Moutan Cortex (Danpi), Dried Lotus Leaf Edge (Gan Heyebian), Bamboo Shavings Stir-fried in Salt Water (Yanshui Chao Zhuru).
Patient Xi (Right pulse): Abdominal distension resulted from epigastric pain, relieved after defecation. This is disharmony between the Liver and Spleen, with Qi and Dampness obstructing and failing to circulate. Qi is the commander of Blood; thus, menstruation fails to arrive on time. Treatment should prioritize regulating Qi.
Prescription: Prepared Cyperus Rhizome (2 qian), Amomum Fruit (5 fen), Salvia Root (Danshen), Calamus Wood (Sumu), Aurantium Fruit (Zhike), Poria (Fuling), Fresh Finger Citrus (Xian Foshou), High-quality Tangerine Peel (Shang Guangpi), Aucklandia Root (Muxiang), Dalbergia Odoriferous Lignum (Jiangxiang).
Second visit: Abdominal distension has eased somewhat, but there remains a stifling pain in the middle epigastrium. Continue treating from the perspective of the Liver, Spleen, and Stomach. The absence of menstruation need not be over-concerned at this stage.
Prescription: Prepared Cyperus Rhizome (2 qian), Tangerine Peel (1 qian), Bellflower Fruit (Jinlingzi), Peucedanum Root (Qianhu), Fresh Finger Citrus (1 qian), Amomum Fruit (5 fen), Corydalis Rhizome (Yanhusuo, stir-fried in wine, 1.5 qian), Apricot Seed (Guang Xingren, 3 qian, crushed), Red Sage Root (Zi Danshen), Perilla Stem (Sugeng, 2 qian).
Patient Qian (Right pulse): Menstruation is delayed, accompanied by abdominal pain and a stagnant, heavy sensation below the umbilicus, exacerbated by pressure. This indicates stagnation of Qi in the Chong Vessel. Temporarily employ methods to diffuse and unblock.
Prescription: Charred Rehmannia Root (Shudi Tan), Red and White Paeonia Roots (Chibai Shao, stir-fried in wine, 1 qian each), Prepared Cyperus Rhizome (2 qian, crushed), Taizhou Lindera Root (Tai Wuyao), Charred Hawthorn Fruit (Nanzha Tan), Whole Angelica Sinensis Root (Quang Danggui), Ligusticum Rhizome (Chuanxiong), Dalbergia Odoriferous Lignum slices (7 fen), Shangyao Cinnamon Twig (4 fen, taken as rice pill).
Second visit: Lower abdominal pain persists, and menstruation has not started. Again, diffuse and unblock Qi and Blood.
Prescription: Prepared Cyperus Rhizome (2 qian), Lindera Root (1.5 qian), Cinnamon Wood (Chuan Guimu), Leonurus Fruit (Chongweizi), Small Fennel Fruit (Xiaohuixiang), Corydalis Rhizome (Yanhusuo, stir-fried in wine, 1.5 qian), Amomum Fruit (5 fen), Landside Mint Leaf (Zelan Ye), Dalbergia Odoriferous Lignum slices (7 fen), Charred Hawthorn Fruit (3 qian).
Third visit: Menstruation has arrived but is still not smooth, with persistent lower abdominal pain. This is obstruction of Ying (Nutritive) Qi. Continue to diffuse and unblock.
Prescription: Whole Angelica Sinensis Root (Quang Danggui, stir-fried in wine, 2 qian), Lindera Root (1.5 qian), Stir-fried Small Fennel Fruit (5 fen), Roasted Ginger (Paojiang), Ligusticum Rhizome (1 qian), Cinnamon Twig (Chuan Guizhi, 3 fen), Cyperus Rhizome (2 qian), Red Sage Root (Zi Danshen, 2 qian), Leonurus Fruit (3 qian), Motherwort Herb (Yimucao, 6 qian).
Patient Jie (Right pulse): Postpartum Blood deficiency with Qi stagnation, causing frequent abdominal distension. Upon menstruation, blood loss is excessive. Since Qi commands Blood, it is appropriate to regulate Qi.
Prescription: Angelica Sinensis Root (2 qian), Stir-fried Ziziphus Seed (Chao Zaoren, 2 qian), Black Soybean Coat (Heidouyi), Strong Eucommia Bark (Nong Duzhong, 3 qian), Charred Rubia Root (Qiancao Tan), Tuckahoe (Tong Shayuan, 3 qen), Chrysanthemum Morifolium (Chi Juhua, 1.5 qian), Cuttlefish Bone (Wuzeigu, 3 qian), Huoxiang Zhengqi Pill (take 3 qian first), Polyporus with Hostwood (Fushen, 3 qian).
Second visit: Menstrual flow this time was not excessive, yet abdominal distension persists, sometimes with Qi rushing up to the epigastrium. The Qi of the Chong Vessel remains unsettled; slowly discuss tonification and regulation.
Prescription: Prepared Cyperus Rhizome (3 qian), Earth-fried White Paeonia Root (Tu Chao Baishao, 1.5 qian), Stir-fried Aurantium Fruit (Chao Zhike, 1 qian), Tangerine Peel (Guangpi, 1 qian), Polyporus with Hostwood (Fushen, 3 qian), Stir-fried Ziziphus Seed (Chao Zaoren, 3 qian), Bellflower Fruit (Jinlingzi, 3 qian), Amomum Shell (Sharen Ke, 5 fen), Four-Processed Cyperus Pill (Sizhi Xiangfu Wan, take 2 qian in the morning), Papaya Skin (Muqupi, 1 qian, stir-fried).
Third visit: Yang Qi is about to recover, but Liver Yang is unbalanced, causing abdominal distension, epigastric pain, dizziness, and vertigo. Normally, menstrual volume is excessive. All these stem from excess Qi and Fire in the Liver Meridian. Again, extinguish Liver Wood (calm Liver Yang).
Prescription: Chinaberry Seed (Chuanlianzi, 1.5 qian), Earth-fried White Paeonia Root (1.5 qian), Black Soybean Coat (3 qian), Black Gardenia Fruit (Heishanzhi, 1.5 qian), Prepared Cyperus Rhizome (2 qian), Chrysanthemum Flower (1.5 qian), Mandarin Peel (Ju Pi, 1 qian), Stir-fried Aurantium Fruit (Chao Zhike, 1 qian), Dried Lotus Leaf Edge (3 qian), Privet Fruit (Nvzhenzi, 3 qian).
Patient Zhu (Right pulse): Abdominal distension before menstruation, leukorrhea, sore waist, palpitations, dizziness, insomnia, and heart pain. This is Qi stagnation and Blood deficiency, where Blood fails to nourish the Liver. The Extraordinary Vessels belong to Liver Wood; when Liver Wood is hyperactive, Yang Qi floats upward, and the Dai Vessel fails to secure downward. Propose to supplement insufficient Blood and disperse excessive Qi.
Prescription: Kuei Dangshen (5 liang), Black Soybean Coat (2 liang), Honey-fried Rehmannia Root (Zhashengdi, 3 liang), Large Asparagus Root (Datiantong, 2 liang), Xinhui Tangerine Peel (1 liang), Whole Angelica Sinensis Root (3 liang), Honey-fried Black Licorice Root (Zhei Heicao, 7 qian), Dendrobium Stem (Chuanshihu, 3 liang), Chrysanthemum Morifolium (1 liang), Achyranthes Root (Chuanduanrou, 3 liang), Stir-fried Yam (Chaoshanyao, 3 liang), Tuckahoe (3 liang), Strong Eucommia Bark (3 liang), Ligusticum Rhizome slices (1 liang), Cloud Polyporus with Hostwood (Yun Fushen, 3 liang), Large Prepared Rehmannia Root (Sandao Chao, 5 liang), Dodder Seed (Tusizi, salt-water fried, 3 liang), Wild Atractylodes Macrocephala Rhizome (Ye Yuzhu, 2 liang, stir-fried with decoction of Aucklandia Root), Stir-fried Cornus Fruit (Chao Yurou, 1.5 liang), Euryale Seed (Jitouzi, 1.5 liang), Hangzhou White Paeonia Root (Hang Baishao, 1.5 liang), Dry Cistanche Stem (Gan Congrong, 1.5 liang), Prepared Cyperus Rhizome (3 liang, decocted separately and added), Alisma Rhizome (Zexie Pian, 1 liang), Stir-fried Ziziphus Seed (1 liang, ground), Goji Berry (Ganqizi, 3 liang), Amomum Powder (7 qian, finely ground, mixed into paste during collection), Deer Antler Glue (Lujiao Jiao, 1 liang), Tortoise Shell Glue (Guiban Jiao, 3 liang), True Donkey-hide Glue (Zhen Ejiao, 3 liang).
Decoct the above herbs to obtain a thick juice, dissolve the three glues, and boil down to an old paste. Take one spoonful every morning.
Patient Zhou (Right pulse): Menstruation flows very smoothly, stasis is transformed and cleared, and lower abdominal pain/heaviness has stopped. Although accumulated stasis is cleared, new blood flows out with it, inevitably causing collateral damage (like burning good and bad weeds together), leading to rising Wind-Yang, tinnitus, and dizziness. Once the weeds are removed, one should plant good grain (nourish healthy Qi).
Prescription: White Angelica Root (Baiguishen, 2 qian), Cuttlefish Bone (3 qian), Achyranthes Root (3 qian), Privet Fruit (3 qian), Eclipta Herb (Hanliancao, 3 qian), Black Soybean Coat (3 qian), Fried Donkey-hide Glue Bead (Ejiao Zhu, 2 qian), Tuckahoe (salt-water fried, 3 qian), Polyporus with Hostwood (3 qian), Perilla Stem (2 qian), Charred Typha Pollen (Puhuang Tan, 5 fen), Raw Atractylodes Macrocephala Rhizome (Sheng Yuzhu, 2 qian).
Patient Wang (Right pulse): Menstruation is delayed, with sore waist and leukorrhea, aversion to cold, pale and lusterless blood color. This is deficiency of Qi and Blood. It is suitable to nourish Blood and warm the menses.
Prescription: Whole Angelica Sinensis Root (2 qian), Achyranthes Root (3 qian), Oyster Shell (Muli, 4 qian), Red Sage Root (Zi Danshen, 2 qian), White Paeonia Root (1.5 qian), Strong Eucommia Bark (3 qian), Stir-fried Yam (3 qian), Ligusticum Rhizome (1 qian), Shiquan Dabu Pill (10 Tonics Pill, 3 qian, taken in two doses with water).
Case Note: Menstruation arrives early and flows continuously/dribbles. The Chong and Ren vessels are insecure; urgent measures should be avoided.
Prescription: Charred Rehmannia Root (4 qian), Charred Angelica Sinensis Root (2 qian), Polyporus with Hostwood (3 qian), Polygala Root (Yuanzhi Rou, 5 fen), Charred Cuttlefish Bone (3 qian), Luodangshen (Roasted with millet, 3 qian), Stir-fried Winter Atractylodes (2 qian), Stir-fried Ziziphus Seed (2 qian), Longan Aril (4 pieces), Old Ginger (2 slices), Buzhong Yiqi Pill (Tonify Middle and Augment Qi Pill, 3 qian, taken in the morning).
Case Note: Menstruation arrives early, with severe chills and rising fire, belching, and dizziness. Tongue coating is yellow, pulse is wiry, and the Chi position is choppy. This indicates insufficiency of Liver Yin and failure of Gallbladder and Stomach Qi to descend properly. Propose to diffuse and descend Yang, and clarify/assist in draining Liver Wood.
Prescription: Prepared Pinellia Rhizome, Cloud Polyporus with Hostwood, Cassia Seed (Jueming), Raw Gardenia Fruit (Sheng Shanzhi), Honey-fried Turtle Shell (Zhe Biejia), Uncaria Ramulus with Hook (Gougou), Moutan Cortex, Tangerine Peel, Bamboo Shavings Stir-fried in Salt Water.
Patient Ding (Right pulse): Menstruation is delayed, mostly due to deficiency-cold. However, deficiency manifests as weak limbs or slight fever; cold manifests as abdominal pain and a deep, fine pulse. Now, menstruation is late, similar to normal people, except for soreness in the four limbs. The pulse is soggy and slippery. This indicates Phlegm-Dampness occupying the Sea of Blood, preventing the free circulation of Ying and Wei Qi. It is appropriate to regulate Qi, resolve Phlegm, and expel Dampness, treating the cause of the blood disorder rather than the blood itself.
Prescription: Fine Whole Angelica Sinensis Root, Gentian Macrophylla Root (Qinjiao), Prepared Pinellia Rhizome, Notopterygium Rhizome (Duohuo), Achyranthes Root, Tribulus Fruit, Alisma Rhizome, Prepared Cyperus Rhizome, Poria, Ligusticum Rhizome.
Patient Zhu (Right pulse): Tian Gui (menstruation) should have arrived but did not, coinciding with prolonged heat. Ying Blood is dry and astringent, leading to internal heat rising, emaciation, constituting a severe case of Ganxue Lao (Dry Blood Consumption Disease).
Prescription: Stir-fried Whole Angelica Sinensis Root (2 qian), Silver Birchbark Root (Yin Chaihu, 5 fen), Stir-fried Red Paeonia Root (1.5 qian), Honey-fried Turtle Shell (4 qian), Mulberry Leaf (1 qian), Red Sage Root (1.5 qian), Corydalis Rhizome (1.5 qian), Stir-fried Anemarrhena Root (Chao Baiwei, 1.5 qian), Powdered Moutan Cortex (1.5 qian).
Patient Zhu (Right pulse): Menstruation dribbles continuously, with sour pain in the lower abdomen, a mass attacking on the right side, and dark purple-red blood color. This is stagnation of Qi in the Chong Vessel. It is appropriate to regulate the Chong and Ren vessels and diffuse Qi stagnation.
Prescription: Fried Donkey-hide Glue Bead (3 qian), Ligusticum Rhizome (1.5 qian), Honey-fried Mugwort Leaf (7 fen), Prepared Cyperus Rhizome (2 qian), Achyranthes Root (3 qian), Charred Rehmannia Root (3 qian), Wine-stir-fried White Paeonia Root (1.5 qian), Dried Tangerine Leaf (1.5 qian), Wine-stir-fried Angelica Sinensis Root (2 qian), Male Clove Bud (Gong Dingxiang, 3 fen).
Second visit: Dribbling continues, with epigastric fullness and lower abdominal sour heaviness. The Qi of the Chong vessel is discordant, and the Chong vessel is insecure. Propose to harmonize Ying and calm Liver Wood.
Prescription: Cuttlefish Bone (3 qian), Spatholobus Stem Paste (Jixueteng Gao, 3 qian, dissolved), Fried Donkey-hide Glue Bead (2 qian), Earth-fried White Paeonia Root (1.5 qian), Tangerine Peel (1 qian), Charred Rubia Root (1.5 qian), Dried Tangerine Leaf (1.5 qian), Pinellia Fermented Curd (Banxia Qu, 1.5 qian, stir-fried in salt water), Prepared Cyperus Rhizome (2 qian), Zuojin Pill (take 5 fen in two doses).