妇人四十六七岁，肝肾二经气血方损，胁胀作痛，或头昏目眩、憎寒壮热，或遍身作痛经闭不通，或出盗
汗，寝成痨瘵。补肝煎主之。
补肝煎
熟地黄 白术（蜜炙，各一钱） 枣仁（炒） 独活（各一钱五分） 当归 川芎 黄 （炒） 山药
（姜汁炒） 五味子（炒杵） 山茱萸（去核） 木瓜（各五分） 枣（二枚）
水煎服。
妇人四十七八岁，经水将断之年，多有渐见阻隔。临期而经不至者，当此之时，最宜谨防，细心体察。如
果气血和平，素无他疾，此固渐止，而然无足虑也。若素多忧郁不调之患，而见此过期阻隔，便是崩漏之兆。
若阻隔日近者，其崩漏尚轻，阻隔日远者，其崩漏必甚，宜预服八珍汤以调之。否则恐其郁久，而崩则为患滋
大也。
八珍汤
人参 茯苓 白术（蜜炙） 甘草（蜜炙） 熟地黄 当归 川芎 白芍（各一钱）
姜三片，枣二枚，水煎服。
妇人二七而天癸，至七七而天癸竭，此其常也。乃四十九五十岁天癸犹不竭，而月经仍旧根据期而行不见他
证者，血有余也，不可用药止之。若天癸已过期，经行不匀，或三四月不行，或一月再至而腰腹疼痛者，宜服
当归散。
当归散
当归 川芎 白芍（炒） 条芩（炒，各一两） 白术（蜜炙，五钱）
为末，每服二钱。酒调，日服二次。
Women at the age of forty-six or forty-seven experience a decline in Qi and Blood in the Liver and Kidney meridians, presenting with distension and pain in the hypochondrium, dizziness and vertigo, aversion to cold with high fever, body-wide pain accompanied by amenorrhea, night sweats, which may eventually develop into consumptive disease (Lao Zhai). Bu Gan Jian (Tonify the Liver Decoction) is the primary formula.
Bu Gan Jian (Tonify the Liver Decoction)
Shu Di Huang (Prepared Rehmanniae Radix), Bai Zhu (Atractylodis Rhizoma, honey-fried, each 1 qian), Suan Zao Ren (Ziziphi Spinosae Semen, fried), Du Huo (Angelicae Pubescentis Radix, each 1.5 qian), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix, fried), Shan Yao (Dioscoreae Rhizoma, stir-fried with ginger juice), Wu Wei Zi (Schisandrae Chinensis Fructus, fried and crushed), Shan Zhu Yu (Corni Fructus, pitted), Mu Gua (Chaenomelis Fructus, each 0.5 qian), Da Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take orally.
At the age of forty-seven or forty-eight, women are in the year when menstruation is about to cease, often gradually experiencing obstruction of menstrual flow. When the period approaches but menstruation does not arrive, one must be most vigilant and observe carefully. If Qi and Blood are harmonious and there are no other chronic diseases, this gradual cessation is normal and causes no concern. However, if the patient has a history of depression and irregular menstruation, such delayed obstruction indicates an impending sign of metrorrhagia and metrostaxis (Beng Lou). If the interval between periods shortens daily, the bleeding will be mild; if the interval lengthens daily, the bleeding will be severe. It is advisable to pre-administer Ba Zhen Tang (Eight Treasure Decoction) to regulate the condition. Otherwise, prolonged stagnation may lead to severe complications from metrorrhagia.
Ba Zhen Tang (Eight Treasure Decoction)
Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma, honey-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba, each 1 qian).
Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and two pieces of Da Zao (Jujubae Fructus), decoct in water and take orally.
Menstruation begins at around fourteen years old (Two Sevens) when Tian Gui arrives, and ceases at around forty-nine years old (Seven Sevens) when Tian Gui exhausts; this is the normal physiological course. However, if at forty-nine or fifty years old, Tian Gui has not yet exhausted and menstruation continues regularly without other symptoms, it indicates an excess of Blood, and medication should not be used to forcibly stop it. If Tian Gui has passed its time, menstruation becomes irregular, such as missing for three or four months or occurring twice in one month accompanied by lower back and abdominal pain, Dang Gui San (Angelica Powder) is appropriate.
Dang Gui San (Angelica Powder)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba, fried), Huang Qin (Scutellariae Radix, fried, each 1 liang), Bai Zhu (Atractylodis Rhizoma, honey-fried, 5 qian).
Grind into powder. Take 2 qian per dose, mixed with wine. Administer twice daily.