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Danxi stated: The causes of infertility often stem from the insufficiency of the father's essence and qi. How can one solely blame the mother's deficiency and coldness of blood? Moreover, disorders of maternal blood are not limited to deficiency and cold alone. However, among ancient prescriptions for treating female infertility, there is only one formula, Qin Gui Wan (Qin Cinnamon Pill), which has a hot nature and its description is precise. Nowadays, those seeking conception invariably take it without doubt. Yet, when seeking conception through yin blood, why resort lightly to hot agents? Some argue: In spring, the climate is mild, so things grow; in winter, the climate is biting cold, so things perish. Without hot agents, how can the uterus become warm enough to conceive? I say: The *Classic of Poetry* states that when a woman is peaceful, she finds joy; when there is harmony with her husband, blood and qi do not contend, and peace ensures yin and yang do not deviate. If one takes this pill now, menstrual blood will likely turn purple-black, gradually diminish, and become irregular in timing. Initially, appetite may increase suddenly, but later, bitterness in the mouth and dryness of the tongue will occur. With disharmony of yin and yang, and disordered blood and qi, how can conception occur? Even if conception does happen, the offspring will likely be prone to illness because such agents damage true yin. For instance, Vice-Administrator Zheng’s son developed stranguria (see Stranguria section) at seven months old.

In careful observation: Female infertility is mostly due to irregular menstruation, or caused by yin deficiency with scanty blood, accumulations, phlegm-qi stagnation, excessive desires, etc., presenting in various ways, not merely deficiency and cold. Although some cases involve cold menstruation, this cannot be treated as a universal rule. Therefore, Mr. Danxi discusses this to warn future practitioners: unless the pathogenesis is clearly identified, do not recklessly administer this medicine. Furthermore, infertility is not solely a female issue. As Dongyuan stated: Li Heshu asked about having a son in middle age who, after one year of age, developed red-thread tumors on his body and could not be saved. Subsequent children also developed tumors between one and two years of age. Why did this disease arise? After pondering the next day, he said to him: "You have latent fire in the kidney; your essence and qi contain much red thread. Transmitted via qi to the child, this results in the disease." This is commonly known as fetal tumor. Upon examination, it was indeed as described. He then administered Zishen Wan (Kidney Nourishing Pill) several doses to drain the fire evil in the kidney and tonify insufficient true yin, while advising avoidance of alcohol and pungent-hot foods. His wife took Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to nourish yin and blood. Five or seven doses of a powder made from Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) were taken five to seven times after conception for five months. The child was born healthy, and before reaching three years of age, the previous symptoms did not recur. Now he is strong and healthy. Alas! Synthesizing Mr. Danxi’s above discussions reveals profound principles.

Ju Fang Siwu Tang (Four Substance Decoction from the Imperial Medical Bureau) treats deficiency and damage to Chong and Ren vessels, irregular menstruation, and pain in the umbilical and abdominal regions.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata) (equal parts).
Coarsely powdered. Take 15g, decoct in water, and take orally.
Note: This acts on the Hand and Foot Taiyin and Jueyin meridians.

Xiaoyao San (Free and Easy Wanderer Powder) treats blood deficiency with vexatious heat, irregular menstruation, distending pain in the umbilical and abdominal regions, phlegmatic cough, and tidal fever.
Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 15g), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Chaihu (Bupleuri Radix) (each 30g).
Coarsely powdered. Take 15g, decoct with fresh ginger and mint leaves, and take orally.
Note: This acts on the Foot Shaoyang, Taiyang, Yangming, Taiyin, Shaoyin, and Jueyin meridians. It is an agent to dissipate damp-heat in the blood.

Jiao Ai Tang (Donkey-hide Gelatin and Moxa Decoction) treats labor-induced injury to blood and qi, deficiency and damage to Chong and Ren vessels, menorrhagia, and continuous dripping.
Ejiao (Colla Corii Asini) (stir-fried), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, each 60g), Danggui (Angelicae Sinensis Radix), Aiyè (Artemisiae Argyi Folium) (stir-fried, each 90g), Shudihuang (Rehmanniae Radix Praeparata), Baishao (Paeoniae Radix Alba) (each 120g).
Coarsely powdered. Take 15g, decoct in water, and take orally.
Note: This is an agent to warm the meridians and tonify blood, following the Jueyin pattern.

Liangfang Wenjing Tang (Warming the Meridians Decoction from Excellent Prescriptions) treats deficiency-cold of the Blood Sea in women, leading to dysmenorrhea or oligomenorrhea.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Cortex), Mudanpi (Moutan Cortex), Ezhu (Curcumae Rhizoma) (each 15g), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix) (each 30g).
Coarsely powdered. Take 15g, decoct in water, and take orally.

Jianghuang San (Turmeric Powder) treats long-standing cold of the Blood Viscera, irregular menstruation, and stabbing pain in the umbilical and abdominal regions.
Danggui (Angelicae Sinensis Radix), Mudanpi (Moutan Cortex), Yanhusuo (Corydalis Rhizoma) (each 60g), Shaoyao (Paeoniae Radix) (90g), Chuanxiong (Chuanxiong Rhizoma), Honghua (Carthami Flos), Guixin (Cinnamomi Cortex), Ezhu (Curcumae Rhizoma) (each 30g), Chuanjiang Huang (Curcumae Longae Rhizoma) (120g).
Powdered. Take 3g, decoct in water, and take orally, preferably with wine.
Note: These two formulas are agents to unblock menstruation and break blood stasis, going beyond merely warming the meridians. They can be used for cold viscera with stagnation of qi and blood. Recorded here for reference.

Modified Siwu Tang
For scanty menstruation gradually becoming amenorrhea, vexatious pain in hands and feet, gradual emaciation, tidal fever, and faint rapid pulse: Remove Dihuag and Chuanxiong from the base formula, add Sanze Lan Ye (Epimedii Folium? Note: Text says Ze Lan Ye - Lycopodium Herba) three times the amount, and Gancao (Glycyrrhizae Radix et Rhizoma) half a qian.
For excessive menstruation: Remove Shudihuang from the base formula, add Shengdihuang (Rehmanniae Radix).
For fever during menstruation, rapid pulse, and dizziness: Add Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix), each half liang.
For scanty menstruation with distension or pain, and limb pain: Add Yanhusuo (Corydalis Rhizoma), Moyao (Olibanum), and Baizhi (Angelicae Dahuricae Radix) in equal amounts to the base formula. Take the powder mixed with light vinegar soup.
For irregular menstruation with heart and abdominal pain: Use only Xionggui (Chuanxiong and Danggui), named Junchen San (Monarch-Minister Powder).

Lurong Wan (Deer Antler Pill) treats deficiency and damage to Chong and Ren vessels, compounded by wind-cold invasion, with minute and weak chi pulse. Severe cases may require moxibustion on Guan Yuan (CV4).
Lurong (Cornu Cervi Pantotrichum) (roasted), Chishizhi (Halloysitum Rubrum), Yuyuliang (Hematitum), Xuduan (Dipsaci Radix), Baiye (Platycladi Cacumen), Fuzi (Aconiti Lateralis Radix Praeparata) (processed), Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix) (soaked in wine), Aiyè (Artemisiae Argyi Folium).
Powdered, bound with wine paste into pills the size of wu zi (loquat seeds). Take 50 pills on an empty stomach with warm wine.
Note: This acts on the Foot Shaoyin and Jueyin meridians. It is widely used today, hence included. It is very effective for leukorrhea due to blood deficiency and dampness excess.

Yuanrong Jiawei Siwu Tang (Yuanrong Modified Four Substance Decoction)
When qi fills the meridians, menstruation occurs frequently with lower abdominal pain: Add Shaoyao (Paeoniae Radix) to the base formula.
When menstruation is about to start with severe cramping pain in the umbilical and abdominal regions: Add Yanhusuo (Corydalis Rhizoma), Binglang (Arecae Semen), Kulian (Meliae Cortex), and Muxiang (Aucklandiae Radix) to the base formula.
For excessive menstrual flow: Add Huangqin (Scutellariae Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) to the base formula.
For scanty and sluggish menstrual flow: Add Kuihua (Helianthi Annuus Flos) and Honghua (Carthami Flos) to the base formula.
If menstruation starts and stops abruptly, or with alternating chills and fever: First administer Xiaochaihu Tang (Minor Bupleurum Decoction) to resolve chills and fever, then harmonize with Yuanrong Jiawei Siwu Tang.

Danxi Jiawei Siwu Tang (Danxi Modified Four Substance Decoction)
Pain occurring after menstruation indicates joint deficiency of blood and qi: Take the base formula together with Sijunzi Tang (Four Gentlemen Decoction).
Pain occurring before menstruation indicates blood excess: Add Taoren (Persicae Semen), Huanglian (Coptidis Rhizoma), and Xiangfu (Cyperi Rhizoma) to the base formula.
Menstruation arriving ahead of schedule indicates blood heat: Add Huanglian (Coptidis Rhizoma) to the base formula.
Late menstruation with scanty blood: Add Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) to the base formula. If accompanied by phlegm, add Banxia (Pinelliae Rhizoma) and Chenpi (Citri Reticulatae Pericarpium).
Late menstruation with purple-black clots indicates blood heat,必定 accompanied by pain: Add Xiangfu (Cyperi Rhizoma) and Huanglian (Coptidis Rhizoma) to the base formula. Late menstruation with pale color indicates much phlegm: Combine Xionggui (Chuanxiong and Danggui) with Erchen Tang (Two-Aged Phlegm Resolving Decoction).
Purple color with clots indicates heat: Add Huanglian (Coptidis Rhizoma) and Chaihu (Bupleuri Radix) to the base formula.
Obese individuals with early menstruation and much phlegm often have blood deficiency with heat: Add Xiangfu (Cyperi Rhizoma), Nanxing (Arisaematis Rhizoma cum Bile), Banxia (Pinelliae Rhizoma), Huanglian (Coptidis Rhizoma), and Baizhu (Atractylodis Macrocephalae Rhizoma) to the base formula.
Emaciated individuals with blood exhaustion and amenorrhea: Add Taoren (Persicae Semen) and Honghua (Carthami Flos) to the base formula, or Yueju Wan (Yueju Pill) (see Blood section).

Simple Danggui San (Angelica Powder) treats irregular menstruation, whether absent for three to four months, recurring twice a month, or post-menopausal irregular bleeding.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 15g), Shanzhuyu Rou (Corni Fructus) (45g).
Powdered. Take 6g on an empty stomach with warm wine, three times daily.
Note: This acts on the Foot Jueyin and Shaoyin meridians.

Baojian Shengdi Huang Wan (Shengdi Huang Pill from Treasure Mirror) treats blood excess in women, wiry and long Jueyin pulse, aversion to wind, fatigue, alternating chills and fever, flushed face, palpitations, or spontaneous sweating resembling typhoid conditions. It is suitable to use yin-suppressing agents.
Shengdihuang (Rehmanniae Radix), Chaihu (Bupleuri Radix), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix) (each 15g), Shaoyao (Paeoniae Radix) (30g).
Powdered, bound with honey into pills the size of wu zi. Take 30 pills swallowed with sour plum soup, three times daily.
Note: This acts on the Hand and Foot Shaoyin and Taiyin, and Foot Taiyang meridians.

Careful Observation: All the above formulas belong to regulation methods. However, conditions such as fluid retention and intestinal polyps arising from blood disorders are detailed in their respective sections and are not listed here. Generally, for menstrual diseases, excess patterns are broken down, stagnation is dispersed, and deficiency patterns are tonified. The key lies in appropriateness to the specific situation.