治妇人气滞血积，经脉不利。痛极拒按，及产后瘀血实痛，并男妇血逆血结等证。
（三五钱） 山楂 香附 红花（新者炒黄二钱） 木香（七分） 乌药（一二钱） 青皮 泽
泻（一钱五分） 水煎。加酒一二小盅。兼寒滞者，加肉桂一钱，或吴茱萸五分。火盛内热
血燥不行者，加炒栀子一二钱。微热血虚者，加芍药二钱。血虚涩滞，加牛膝。血瘀不行者
，加桃仁二十粒。（去皮尖。）或加苏木延胡之类。瘀极而大便结燥者，加大黄一二三钱，或
朴硝蓬术亦可。
（丹溪） 治经水过期，紫黑成块。（紫，血热也。黑，热甚也。过期而成块，气
或风冷乘之也。若淡白者，虚也，或挟痰停水以混之也。如烟尘豆汁屋漏水，混浊模
湿痰也。）
四物汤（见血门。）加香附黄连。（四物以益阴养血，加黄连以清血热，香附以行气郁。）
四物加芩术汤。（亦名温六合丸。）治经水过多。（黄芩抑阳。白术补脾。脾能统血。）
四物加芩连汤。治经水适断，五心烦热，经来色黑，或如豆汁。（如豆汁者，热兼湿也。
芩
六
治经脉阻滞，气逆不调，多痛而实者。
当归（三五钱） 牛膝 山楂（二钱） 香附 青皮 茯苓（一钱五分） 如因不忌生
冷，而寒滞
药一钱。或
（绀珠） 治一切诸气。气上凑心，心胸攻筑，胁肋刺痛，月水不调。（妇人多忧
故气病为多。气为血帅，气滞则血亦不能行，故月候不调。）
香附（八钱） 乌药（二钱） 陈皮 苏叶（一钱） 干姜（五分） 每五六钱煎。
乌药陈皮，专入气分而理气。香附紫苏，能入血分而行气。引以干姜，使入气分，兼入
血分
[Tongyu Decoction] Treats women with Qi stagnation and blood accumulation, resulting in unfavorable menstruation. It addresses severe pain that refuses pressure, postpartum real pain caused by blood stasis, as well as various syndromes of blood rebellion and blood knotting in both men and women.
(Usage: Hawthorn Fructus [Shanzha] 15-20g) Hawthorn Fructus (Shanzha), Cyperi Rhizoma (Xiangfu), Carthamus Flos (Honghua - use fresh ones stir-fried until yellow, 6g), Aucklandiae Radix (Muxiang - 2g), Linderae Radix (Wuyao) 3-6g, Citri Reticulatae Pericarpium (Qingpi), Alismatis Rhizoma (Zexie) 5g. Decoct in water. Add 1-2 small cups of wine. For cases complicated by cold stagnation, add Cinnamomi Cortex (Rougui) 3g, or Evodiae Fructus (Wuzhuyu) 1.5g. For cases with excessive fire, internal heat, and dry blood causing obstruction, add Gardeniae Fructus (Zhizi) stir-fried 3-6g. For cases with slight heat and blood deficiency, add Paeoniae Radix Alba (Shaoyao) 6g. For blood deficiency causing astringency and stagnation, add Achyranthis Bidentatae Radix (Niuxi). For blood stasis causing obstruction, add Persicae Semen (Taoren) 20 grains. (Remove skin and tips.) Alternatively, add Sappan Lignum (Sumu) or Corydalis Rhizoma (Yanhusuo). For extreme blood stasis accompanied by dry and hard stool, add Rheii Radix et Rhizoma (Dahuang) 3-9g, or Natrii Sulfas (Piaoxiao) and Curcumae Zedoariae Rhizoma (Pengzhu) are also acceptable.
(Zhu Danxi) Treats delayed menstruation where the blood is purple-black and forms clots. (Purple indicates blood heat. Black indicates severe heat. Delayed onset with clot formation suggests Qi stagnation or invasion of wind-cold. If pale white, it indicates deficiency, or mixing with phlegm-fluid retention. Turbid and muddy like smoke dust, bean juice, or roof leak water indicates damp-phlegm.)
Siwu Tang (See Blood Section) added with Cyperi Rhizoma (Xiangfu) and Scutellariae Radix (Huanglian). (Siwu Tang nourishes Yin and benefits blood; Huanglian clears blood heat; Xiangfu moves Qi and resolves depression.)
Siwu Tang plus Huangqin and Baizhu Decoction. (Also known as Wenliuhe Pill.) Treats menorrhagia. (Scutellariae Radix suppresses Yang heat. Atractylodis Macrocephalae Rhizoma tonifies Spleen Qi. The Spleen controls blood.)
Siwu Tang plus Huangqin and Huanglian Decoction. Treats amenorrhea just after cessation, with five-palm heat, dark menstrual blood, or blood resembling bean juice. (Resembling bean juice indicates heat combined with dampness.)
Treats obstructed meridians, rebellious and unregulated Qi, characterized by frequent pain and excess syndromes.
Angelicae Sinensis Radix (Danggui) 15-20g, Achyranthis Bidentatae Radix (Niuxi), Hawthorn Fructus (Shanzha) 6g, Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Qingpi), Poria (Fuling) 5g. If due to failure to avoid raw and cold foods leading to cold stagnation... [Text incomplete] ...medicine 3g. Or...
(Xue Ji, *Ganzhu Ji*) Treats all kinds of Qi disorders. Qi rushing up to the heart and chest, pounding sensations in the chest and hypochondrium, stabbing pain in the ribs, and irregular menstruation. (Women often suffer from Qi disorders due to worry and overthinking. Qi is the commander of blood; when Qi stagnates, blood cannot flow smoothly, hence irregular menstruation.)
Cyperi Rhizoma (Xiangfu) 24g, Linderae Radix (Wuyao) 6g, Citri Reticulatae Pericarpium (Chenpi), Perillae Folium (Suye) 3g, Zingiberis Rhizoma Recens (Ganjiang) 1.5g. Decoct 15-20g per dose.
Linderae Radix and Citri Reticulatae Pericarpium specifically enter the Qi level to regulate Qi. Cyperi Rhizoma and Perillae Folium can enter the Blood level to move Qi. Using Zingiberis Rhizoma Recens as a guiding herb allows the medicine to enter the Qi level and simultaneously the Blood level.