者，血热也，脉来必数，加条实黄芩二两炒，酒制生地黄一两五钱，腹痛加白芍药一两。凡
经将行而腹中先作痛者，血实而气滞也，去血成块者，气凝也，脉来弦数滑大，加玄胡索一
两（酒炒），陈皮八钱，广木香、柴胡梢各五钱。凡经水行后作痛者，气血俱虚也，尺脉必虚
涩而兼紧，加炒干姜三钱，白茯苓一两，桂心夏月二钱，余月五钱。凡经行三五日后，腹中
绵绵作痛，或淋沥不止，血因气滞未尽也，尺脉见沉涩或沉弦，加广木香五钱，柴胡六钱。
凡经水紫色及黑色，血热之甚也，尺脉见洪数，加条实黄芩一两，黄柏一两（炒），生地黄一
两五钱，酒浸。凡过期行经而色淡者肥人则有湿痰，加白茯苓（水淘）、陈皮、苍术（米泔浸
一宿，盐水炒）各一两，白术五钱，减去熟地黄一两。瘦人则血虚少，而水混之，加桂心五
钱。经行或来或断，或发寒热者（或来或断，或寒热者，此肝经及心包络气血不调），加柴胡八钱，白茯苓一两。凡经
脉
不调，多白带者，肥人
主胃中湿痰流注，加制过苍术、白茯苓各一两五钱，减熟地黄一两。凡瘦人气多血少脾虚，
加木香五钱，牡蛎（火 ）、赤石脂（火 ）、白茯苓各一两。凡多崩漏者，减香附、艾叶各一
两，加荆芥穗（炒黑）一两，黄芩一两五钱。血崩或多，加阿胶珠一两，干姜五钱（炒黑），黄
一两（炙）（以多崩漏，而减香附、艾叶，加荆穗、黄芩，则治崩漏者可想矣，阿胶、干姜、黄 之治崩，又可想其
意
也）。元气虚弱，经水闭者，加牛膝二两（酒洗）。属寒，加桂心五钱；属热，加黄芩
一两（酒炒）。凡婢外家素见忌于嫡室者，必多抑郁（事属揣摩，至此亦着苦心），以致经水不调，加味制香附二两；或血
弱
心虚，交感时惊恐不宁，则精气不聚，加琥珀（另研）、酸枣仁（隔纸略炒）、茯神各一两，辰
砂（水飞）、紫石英各五钱。
This is Blood-Heat syndrome, where the pulse must be rapid (Shu). Add two liang of Tiao Huangqin (Scutellariae Radix, high-quality), stir-fried; one tael five qian of Jiuzhi Shengdihuang (Rehmanniae Radix, wine-processed); if abdominal pain occurs, add one tael of Baishao (Paeoniae Radix Alba). Whenever abdominal pain precedes menstruation, it indicates Blood Excess with Qi stagnation; when menstrual blood forms clots, it signifies Qi condensation. The pulse is wiry (Xuan), rapid (Shu), slippery (Hua), and large (Da); add one tael of Xuanhusuo (Corydalis Rhizoma), wine-stir-fried; eight qian of Chenpi (Citri Reticulatae Pericarpium); five qian each of Guang Muxiang (Aucklandiae Radix) and Chaihu Shao (Bupleuri Radix tip). Whenever pain occurs after menstruation ends, it indicates deficiency of both Qi and Blood; the Chi (Cun Kou) pulse is deficient, choppy (Se), and tight (Jin); add three qian of Chao Ganjiang (Zingiberis Rhizoma, stir-fried); one tael of Bai Fuling (Poria); two qian of Guixin (Cinnamomi Ramulus) in summer, and five qian in other months. If there is a lingering dull pain in the abdomen or prolonged spotting three to five days into menstruation, it indicates that Blood stasis due to Qi stagnation has not fully resolved; the Chi pulse appears deep (Chen) and choppy (Se) or deep and wiry (Xuan); add five qian of Guang Muxiang (Aucklandiae Radix) and six qian of Chaihu (Bupleuri Radix). If the menstrual blood is purple or black, it indicates extreme Blood-Heat; the Chi pulse is surging (Hong) and rapid (Shu); add one tael of Tiao Huangqin (Scutellariae Radix); one tael of Huangbai (Phellodendri Cortex), stir-fried; one tael five qian of Shengdihuang (Rehmanniae Radix), soaked in wine. If menstruation is delayed and the color is pale: for obese individuals, it is primarily due to Damp-Phlegm; add one tael each of Bai Fuling (Poria, washed with water), Chenpi (Citri Reticulatae Pericarpium), and Cangzhu (Atractylodis Rhizoma, soaked in rice bran water overnight, stir-fried with salt water); five qian of Baizhu (Atractylodis Macrocephalae Rhizoma); reduce Shudihuang (Rehmanniae Radix Preparata) by one tael. For thin individuals, it is due to scant Blood deficiency mixed with Water-Dampness; add five qian of Guixin (Cinnamomi Ramulus). If menstruation comes and goes intermittently, or is accompanied by alternating chills and fever (intermittency or chills/fever indicate disharmony of Qi and Blood in the Liver Meridian and Pericardium); add eight qian of Chaihu (Bupleuri Radix); one tael of Bai Fuling (Poria). If menstrual irregularities are accompanied by excessive leukorrhea: for obese individuals, it is mainly due to Damp-Phlegm flowing from the Stomach; add one tael five qian each of Zhizao Cangzhu (Atractylodis Rhizoma, processed) and Bai Fuling (Poria); reduce Shudihuang (Rehmanniae Radix Preparata) by one tael. For thin individuals with abundant Qi but scant Blood and Spleen deficiency; add five qian of Muxiang (Aucklandiae Radix); one tael each of Huanyan Musli (Ostreae Concha, calcined), Huanyan Chishizhi (Halloysit Rubra, calcined), and Bai Fuling (Poria). For those with frequent metrorrhagia and metrostaxis (Benglou): reduce Xiangfu (Cyperi Rhizoma) and Aiyi (Artemisiae Argyi Folium) by one tael each; add one tael of Jingjie Sui (Schizonepetae Spica, charred); one tael five qian of Huangqin (Scutellariae Radix). For severe metrorrhagia or excessive flow: add one tael of Ejiaozhu (Asini Corii Colla, puffed); five qian of Ganjiang (Zingiberis Rhizoma, charred); one tael of Huangqi (Astragali Radix, honey-roasted) [Note: Since metrorrhagia is treated by reducing Xiangfu and Aiyi while adding Jingjie and Huangqin, the method for treating Benglou can be inferred; similarly, the intent behind using Ejiao, Ganjiang, and Huangqi for Benglou can be understood]. For amenorrhea due to weak Yuan Qi: add two tael of Niuxi (Achyranthis Bidentatae Radix), wine-washed. If due to Cold: add five qian of Guixin (Cinnamomi Ramulus); if due to Heat: add one tael of Huangqin (Scutellariae Radix), wine-stir-fried. For concubines or women in secondary positions who have long been resented by the principal wife, they likely suffer from much depression (this is speculative analysis, yet shows careful consideration here), leading to menstrual irregularities; add two tael of Jiewei Zhixiangfu (Cyperi Rhizoma, modified and processed). Or, if Blood is weak and Heart is deficient, causing fear and restlessness during intercourse, preventing the gathering of Essence and Qi; add one tael each of Hupo (Electrolytis Lapis, separately ground), Suanzao Ren (Ziziphi Spinosae Semen, lightly stir-fried between papers), and Fushen (Poria cum Radix); five qian each of Chen Sha (Cinnabar, water-triturated) and Zishiying (Fluoritum).