甲（九齿者去裙 醋炙一两半） 上锉如麻豆大。每服三钱。水一盏。入生姜大枣拍碎同煎
至
七分
延胡索散（出圣济总录）
治室女月水不利。骨节酸痛。头面微浮。筋脉拘急。或生丹疹。寒热不时。饮食无
味。
延胡索 当归（切焙） 蒲黄（炒） 芎 赤芍药 生地黄（醋） 泽兰 蓬莪术（煨
锉）
天麻 桂（去粗皮） 滑石（各一两） 地榆（醋炙焙半两） 上为末。每服二钱。温酒或
薄荷茶
清调下。
五灵脂丸（出圣济总录）
治室女月水不利。散在皮肤。瘾疹丹起。麻木瘙痒，宜服。
五灵脂 乌头（炮制去皮脐） 芍药 海桐皮（锉） 红花子 生干地黄（焙） 牡丹
皮防
风（
服二十
丸
没药散（出圣济总录）
治室女月水不利。遍身疼痛。一方治妇人血风攻注。遍身疼痛。茶清
没药 芎 木香 乌头（炒制去皮脐） 天麻 白芷 桂（去粗皮） 茯苓（去木） 牡
丹
皮芍药 当归（切焙各一两） 上为散。每服一钱。温酒调下。日三。
当归散（出圣济总录）
治室女月水不利。小腹刺疼。
当归（切焙） 牡丹皮 芍药 延胡索 芎 （各一两） 桂（去粗皮） 黄芩（去黑
心） 生
干地黄（焙） 甘草（炙） 紫葳 水蛭（糯米同炒米熟去米各半两） 上为末。每服二钱。
空心
酒调
当归散（出圣济总录）
治室女月水不利。断续不匀。
当归（切焙） 芍药 蓬莪术（炮锉） 陈皮（炒） 麦 （炒） 青橘皮（汤浸去白
皮） 荆三
棱（
三。
姜黄散（出圣济总录）
治室女月水不利滞涩。调顺荣气。一方亦治妇人月经滞涩。
姜黄（半两） 丁香（半两） 当归（切焙一两） 芍药（半两） 上为散。每服二钱。
温酒调
下。经脉即来。此药不拘时候。
羚羊角汤（出圣济总录）
治室女虚劳内燥。因而月水不利。少力。颊赤干。五心烦热。
羚羊角（镑） 地骨皮 赤茯苓（去黑木） 黄 （锉） 防风（去叉） 羌活（去芦
头） 桂（去粗皮） 牛膝（去苗） 麦门冬（去心焙） 芎 甘草（炙一两） 红花子 酸
枣仁（炒）
当归（切焙） 芍药（各一两半） 熟地黄（焙三两） 上粗捣筛。每服三钱。水一盏。入
生姜五
片。薄
通经丸（出医学类正方）
尝有一妇人经水不行。腹中疼痛。诸医皆进温中治寒气药剂。其痛尤甚。告之亲族
曰。痛不能忍。欲求自尽。举家无主。因看本事方通经丸论说。遂合。数服顿愈。又一
妇人怀妊三四个月。头晕腹痛。不能饮食。日渐羸瘦。沉重危困。医治不效。已办后
事。偶得通经丸服之。痛止进食如故。月数满足。遂生一女。子母皆安。盖室女以及妇
人多因经血致疾。病家以病患纯心托付医者救治。不谓医者又不究竟其病。以意详揣。
用方进药。但唯唯所言平平而已。以致担搁病深。病家自谓医者不能治疗。束手待尽。
可谓夏月不可语冰霜。余于病家见之。若谓医者尚不能治。即绝他药。则前二症服通经
丸取效又何也。大凡女子妇人。岂无血病。若要治经水不行。并前件血病则通经丸最
准。医救多矣。
治月水不利。\x
用醍醐叶绞汁。和酒煎服一盏。
(Jia, selecting those with nine teeth, removing the skirt-like part, processed with vinegar and heat to 1.5 liang). The above herbs are chopped into sizes similar to hemp seeds. Each dose is 3 qian. Add one zhan of water. Put in fresh ginger and jujubes (smashed) and decoct together until reduced to 70% volume.
Yansu San (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation (yue shui bu li). Aching and pain in bone joints. Slight swelling of the head and face. Spasm and tightness of sinews and vessels. Or development of erysipelas rashes. Alternating chills and fever. Loss of taste in food and drink.
Herbs: Yanhusuo (*Corydalis Rhizoma*), Danggui (*Angelicae Sinensis Radix*, sliced and roasted), Puhuang (*Typhae Pollen*, fried), Xiong (*Ligustici Chuanxiong Rhizoma*), Chi Shaoyao (*Paeoniae Radix Rubra*), Sheng Dihuang (*Rehmanniae Radix*, treated with vinegar), Zelan (*Lycopus Herba*), Peng Ezhu (*Curcumae Phaeocaulis Rhizoma*, roasted and chopped), Tianma (*Gastrodiae Rhizoma*), Gui (*Cinnamomi Ramulus*, coarse bark removed), Huashi (*Talcum*, each 1 liang), Diyu (*Sanguisorbae Radix*, vinegar-processed and roasted, 0.5 liang). The above are ground into powder. Each dose is 2 qian. Take down with warm wine or mint tea.
Wulingzhi Wan (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation. Pathogenic factors scattered in the skin. Urticaria and erysipelas rising. Numbness and itching, suitable for taking this medicine.
Herbs: Wulingzhi (*Trogopteri Dung*), Wutou (*Aconiti Radix*, processed, peel and umbilicus removed), Shaoyao (*Paeoniae Radix*), Haitongpi (*Sarcandae Cortex*, chopped), Honghua Zi (*Carthami Flos*), Sheng Gan Dihuang (*Rehmanniae Radix*, dried and roasted), Mudan Pi (*Moutan Cortex*), Fangfeng (*Saposhnikoviae Radix*). Take 20 pills per dose.
Mayao San (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation. Pain throughout the body. Another prescription treats women with blood-wind attacking and pouring, causing pain throughout the body. Take down with clear tea.
Herbs: Mayao (*Myrrhae Resina*), Xiong (*Ligustici Chuanxiong Rhizoma*), Muxiang (*Aucklandiae Radix*), Wutou (*Aconiti Radix*, fried, peel and umbilicus removed), Tianma (*Gastrodiae Rhizoma*), Baizhi (*Angelicae Dahuricae Radix*), Gui (*Cinnamomi Ramulus*, coarse bark removed), Fuling (*Poria*, woody part removed), Mudan Pi (*Moutan Cortex*), Shaoyao (*Paeoniae Radix*), Danggui (*Angelicae Sinensis Radix*, sliced and roasted, each 1 liang). The above are made into a powder. Each dose is 1 qian. Take down with warm wine. Three times a day.
Danggui San (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation. Stabbing pain in the lower abdomen.
Herbs: Danggui (*Angelicae Sinensis Radix*, sliced and roasted), Mudan Pi (*Moutan Cortex*), Shaoyao (*Paeoniae Radix*), Yanhusuo (*Corydalis Rhizoma*), Xiong (*Ligustici Chuanxiong Rhizoma*, each 1 liang), Gui (*Cinnamomi Ramulus*, coarse bark removed), Huangqin (*Scutellariae Radix*, black heart removed), Sheng Gan Dihuang (*Rehmanniae Radix*, dried and roasted), Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-fried), Ziwei (*Campsis Grandiflora Flower*), Shuizhi (*Hirudo*, stir-fried with glutinous rice until rice is cooked, remove rice, each 0.5 liang). The above are ground into powder. Each dose is 2 qian. Take down with wine on an empty stomach.
Danggui San (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation. Intermittent and uneven flow.
Herbs: Danggui (*Angelicae Sinensis Radix*, sliced and roasted), Shaoyao (*Paeoniae Radix*), Peng Ezhu (*Curcumae Phaeocaulis Rhizoma*, processed and chopped), Chenpi (*Citri Reticulatae Pericarpium*, fried), Mai Fu (*Triticum Vulgare Bran*, fried), Qing Ju Pi (*Citri Reticulatae Pericarpium Viride*, soaked in water, white pith removed), Jing San Leng (*Bletillae Rhizoma* [Note: Text says 'Jing San Leng', likely referring to Bletilla or similar rhizome used in context, but standard is often Bletilla or Curcuma; keeping literal translation based on text structure though 'Jing' might be a typo for 'Jingjie' or part of name, here interpreted as specific herb name fragment]), ... (Text fragmentary).
Jianghuang San (Extracted from *Shengji Zonglu*)
Treats young unmarried women with irregular menstruation that is stagnant and涩 (rough/sluggish). Regulates and smooths Ying Qi (Nutritive Qi). Another prescription also treats women with sluggish menstruation.
Herbs: Jianghuang (*Curcumae Longae Rhizoma*, 0.5 liang), Dingxiang (*Eugeniae Flos*, 0.5 liang), Danggui (*Angelicae Sinensis Radix*, sliced and roasted, 1 liang), Shaoyao (*Paeoniae Radix*, 0.5 liang). The above are made into a powder. Each dose is 2 qian. Take down with warm wine. Menstrual channels will then arrive. This medicine can be taken at any time.
Lingyangjiao Tang (Extracted from *Shengji Zonglu*)
Treats young unmarried women with deficiency-labor and internal dryness. Consequently leading to irregular menstruation. Weakness. Red and dry cheeks. Five-palm center heat (heat in palms, soles, and chest).
Herbs: Lingyangjiao (*Saiga Tatarica Cornu*, shaved), Digupi (*Lycii Cortex*), Chi Fuling (*Poria with red wood, black woody part removed*), Huangbo (*Phellodendri Cortex*, chopped), Fangfeng (*Saposhnikoviae Radix*, forked roots removed), Qianghuo (*Notopterygii Rhizoma et Radix*, rhizome tip removed), Gui (*Cinnamomi Ramulus*, coarse bark removed), Niuxi (*Achyranthis Bidentatae Radix*, seedlings removed), Maidong (*Ophiopogonis Radix*, heart removed and roasted), Xiong (*Ligustici Chuanxiong Rhizoma*), Gancao (*Glycyrrhizae Radix et Rhizoma*, honey-fried, 1 liang), Honghua Zi (*Carthami Flos*), Suanzaoren (*Ziziphi Spinosae Semen*, fried), Danggui (*Angelicae Sinensis Radix*, sliced and roasted), Shaoyao (*Paeoniae Radix*, each 1.5 liang), Shu Dihuang (*Rehmanniae Radix Praeparata*, roasted, 3 liang). The above are coarsely crushed and sifted. Each dose is 3 qian. Add one zhan of water. Put in five slices of fresh ginger. Thinly... (Text fragmentary). Tongjing Wan (Extracted from *Yixue Leizheng*).
Once there was a woman whose menstrual flow stopped. She had abdominal pain. All physicians prescribed medicines for warming the middle and treating cold qi. Her pain became even worse. She told her relatives, "The pain is unbearable, I wish to end my life." The family had no head. Therefore, she consulted the discussion on Tongjing Wan in *Ben Shi Fang*. She prepared it and took it. After a few doses, she was cured instantly. Another woman, pregnant for three or four months, suffered from dizziness and abdominal pain, unable to eat. She became increasingly emaciated, heavy, critical, and distressed. Medical treatment was ineffective. She had already arranged her funeral affairs. Accidentally obtaining Tongjing Wan and taking it, the pain stopped and eating returned to normal. When the term was full, she gave birth to a daughter. Both mother and child were safe. Generally, young unmarried women and married women often develop diseases due to menstrual blood issues. Patients entrust themselves purely to physicians for rescue. Unexpectedly, physicians do not thoroughly investigate the disease, relying on subjective speculation. They use prescriptions and administer drugs, merely saying bland things. This leads to delaying the condition until it deepens. Patients think physicians cannot treat them, hands tied waiting for death. This is like talking about ice and frost in summer. I have seen this situation with patients. If one says physicians still cannot treat it, then cutting off other medicines, why did the previous two cases respond to Tongjing Wan? Generally, do women not have blood diseases? To treat amenorrhea and the aforementioned blood diseases, Tongjing Wan is most accurate. Many cures have been achieved through medical intervention [using this formula].
To treat irregular menstruation.
Use juice squeezed from Titu leaves. Mix with wine and decoct to take one zhan.