室女经闭，瘀血疼痛攻刺，小腹坚硬成块。宜服通经散。
通经散
刘寄奴（二钱） 当归尾 穿山甲（炒） 赤芍 红花 玄胡索 莪术（醋炒） 乌药（炒） 牡丹皮
（酒洗） 川牛膝（酒洗） 三棱（醋炒，各一两） 官桂 辰砂（另研，各三钱）
研极细末，每服二钱，空心温酒调服。或薄荷汤调服。
室女思虑过度，多致劳损，而月经先闭。此由心病不能养脾，故不嗜食，脾虚则全亏，故咳嗽发热。宜服
牡丹皮
汤，兼服四神丸。
牡丹皮汤
牡丹皮 当归（各一钱五分） 白芍 干地黄（酒洗） 陈皮 白术（蜜炙黄） 香附（各一钱） 川芎
柴胡 黄芩（各七分） 甘草（四分） 水煎服。
四神丸
橘红（二两） 玄胡索（醋制） 当归（酒炒，各一两） 川郁金（五钱）
上为末，酒糊丸，艾醋汤下百丸。
经闭骨蒸，五心烦热，而脉虚者，宜服人参柴胡汤。
人参柴胡汤
人参（三分） 茯苓 白芍 干地黄 知母（酒炒） 麦冬（去心） 柴胡（各一钱） 甘草（蜜炙，五分）
水煎，食远服。如有汗，加牡丹皮、淡竹叶，如热甚，服此方不平，加干姜（炒黑）一钱。
室女 外家，寡妇师尼，独阴无阳，欲动而不得遂，憾积而不得伸，郁抑成病，亦有经闭之症。其症恶风体
倦，寒热如疟，面赤心烦，或时自汗，肝脉弦长而出寸口。宜服柴胡抑肝汤，兼四制乌附丸。如每日上午神
思昏愦，畏日羞明，心胸幽痛，稍涉劳动，与行经时，其病更极，亦不得遂志之
故也。治宜清神养荣，宜服养阴汤，兼四制乌附丸。
柴胡抑肝汤
柴胡（一钱） 青皮（一钱二分） 赤芍 牡丹皮（各八分） 地骨皮 香附（四制者） 栀子（炒黑）
苍术（米泔浸，各六分） 川芎 神曲（炒，各五分） 生地黄（酒洗） 连翘（去心，各三分） 甘草（二分）
水煎，食前服。
养阴汤
熟地黄 当归 川芎 白芍 人参 茯苓 陈皮 柴胡 羌活 香附（童便制） 郁金 甘草
水煎，食前服。
四制乌附丸
香附一斤（分作四股，醋、酒、童便、盐水各浸三日，煮干） 天台乌药半斤（制同香附） 共为末，醋
丸，每服二钱，白汤下。
Maiden amenorrhea with blood stasis causing stabbing pain and hardness with masses in the lower abdomen. It is suitable to take Tongjing San (Unblocking Menses Powder).
Tongjing San (Unblocking Menses Powder)
Herba Siegesbeckiae (Liujinu, 刘寄奴) (2 qian), Cauda Radicis Angelicae Sinensis (Dangguiwei, 当归尾), Squama Manitis (Chuanshanjia, 穿山甲) (stir-fried), Radix Paeoniae Rubra (Chishao, 赤芍), Flos Carthami Tinctorii (Honghua, 红花), Rhizoma Cyperi Rotundii (Yuanhusuo, 玄胡索), Rhizoma Curcumae Longae (Ezhu, 莪术) (vinegar-stir-fried), Rhizoma Linderae Aggregate (Wuyao, 乌药) (stir-fried), Cortex Moutan (Mudanpi, 牡丹皮) (wine-rinsed), Radix Achyranthis Bidentatae (Chuanniuxi, 川牛膝) (wine-rinsed), Rhizoma Sparganii (Sanleng, 三棱) (vinegar-stir-fried, each 1 liang for these herbs), Ramulus Cinnamomi (Guangui, 官桂), Minium (Chensha, 辰砂) (separately ground, each 3 qian for these herbs).
Grind into an extremely fine powder. Take 2 qian per dose, mixed with warm wine on an empty stomach. Alternatively, mix with Mint Decoction.
Excessive worry in maidens often leads to consumptive damage, resulting in early amenorrhea. This is due to Heart Qi failing to nourish Spleen Earth, leading to poor appetite; Spleen deficiency causes a total depletion of Qi and Blood, thus manifesting as cough and fever. It is suitable to take Mudanpi Tang (Cortex Moutan Decoction) and simultaneously take Sishen Wan (Four Spirits Pill).
Mudanpi Tang (Cortex Moutan Decoction)
Cortex Moutan (Mudanpi, 牡丹皮), Radix Angelicae Sinensis (Danggui, 当归) (each 1.5 qian), Radix Paeoniae Alba (Baishao, 白芍), Radix Rehmanniae Preparata (Gandihuang, 干地黄) (wine-rinsed), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Rhizoma Atractylodis Macrocephalae (Baizhu, 白术) (honey-roasted until yellow), Rhizoma Cyperi Rotundii (Xiangfu, 香附) (each 1 qian), Radix Chuanxiong (Chuanxiong, 川芎), Radix Bupleuri (Chaihu, 柴胡), Radix Scutellariae (Huangqin, 黄芩) (each 0.7 qian), Radix Glycyrrhizae Uralensis (Gancao, 甘草) (0.4 qian).
Decoct in water and take.
Sishen Wan (Four Spirits Pill)
Pericarpium Citri Reticulatae Blanche (Juhong, 橘红) (2 liang), Rhizoma Cyperi Rotundii (Yuanhusuo, 玄胡索) (vinegar-processed), Radix Angelicae Sinensis (Danggui, 当归) (wine-fried, each 1 liang), Rhizoma Curcumae Phaeocaulis (Chanyujin, 川郁金) (5 qian).
Make into powder, form pills using wine paste. Take 100 pills with Mugwort Vinegar Decoction.
Amenorrhea accompanied by bone-steaming tidal fever, heat in the five centers (palms, soles, and chest), and a deficient pulse. It is suitable to take Renshen Chaihu Tang (Ginseng and Bupleurum Decoction).
Renshen Chaihu Tang (Ginseng and Bupleurum Decoction)
Radix Ginseng (Renshen, 人参) (0.3 qian), Sclerotium Poriae cocos (Fuling, 茯苓), Radix Paeoniae Alba (Baishao, 白芍), Radix Rehmanniae Preparata (Gandihuang, 干地黄), Rhizoma Anemarrhenae (Zhimu, 知母) (wine-fried), Fructus Ophiopogonis (Maidong, 麦冬) (heart removed), Radix Bupleuri (Chaihu, 柴胡) (each 1 qian), Radix Glycyrrhizae Uralensis (Gancao, 甘草) (honey-roasted, 0.5 qian).
Decoct in water. Take well after meals. If there is sweating, add Cortex Moutan (Mudanpi, 牡丹皮) and Herba Lysimachiae (Danzhuye, 淡竹叶); if the heat is severe and this formula does not subdue it, add Rhizoma Zingiberis Recens (Ganjiang, 干姜) (charred black, 1 qian).
Maidens living away from home, widows, nuns, etc., possess Yin alone without Yang. When sexual desire arises but cannot be satisfied, resentment accumulates and cannot be expressed, leading to illness through depression. There may also be symptoms of amenorrhea. Symptoms include aversion to wind, physical fatigue, alternating chills and fever resembling malaria, facial redness, irritability, spontaneous sweating, and a Liver pulse that is wiry, long, and extends beyond the Cun (inch) position. It is suitable to take Chaihu Yigan Tang (Bupleurum to Suppress Liver Decoction) and simultaneously take Sizhi Wufu Wan (Four-Processed Aconite Pill). If the mind is confused and drowsy every morning, afraid of light and ashamed of brightness, deep chest pain occurs, and the condition worsens slightly with labor or during menstruation, this is also due to unfulfilled desires. Treatment should focus on clearing the spirit and nourishing the blood. It is suitable to take Yangyin Tang (Nourish Yin Decoction) and simultaneously take Sizhi Wufu Wan (Four-Processed Aconite Pill).
Chaihu Yigan Tang (Bupleurum to Suppress Liver Decoction)
Radix Bupleuri (Chaihu, 柴胡) (1 qian), Pericarpium Citri Reticulatae Viride (Qingpi, 青皮) (1.2 qian), Radix Paeoniae Rubra (Chishao, 赤芍), Cortex Moutan (Mudanpi, 牡丹皮) (each 0.8 qian), Cortex Lycii (Digupi, 地骨皮), Rhizoma Cyperi Rotundii (Xiangfu, 香附) (four-processed), Fructus Gardeniae (Zhizi, 栀子) (charred black), Rhizoma Atractylodis Lanceae (Cangzhu, 苍术) (soaked in rice wash water, each 0.6 qian), Radix Chuanxiong (Chuanxiong, 川芎), Frumentum Hordeum Germinatum (Shenqu, 神曲) (stir-fried, each 0.5 qian), Radix Rehmanniae Recens (Shengdihuang, 生地黄) (wine-rinsed), Flos Forsythiae (Lianqiao, 连翘) (heart removed, each 0.3 qian), Radix Glycyrrhizae Uralensis (Gancao, 甘草) (0.2 qian).
Decoct in water. Take before meals.
Yangyin Tang (Nourish Yin Decoction)
Radix Rehmanniae Preparata (Shudihuang, 熟地黄), Radix Angelicae Sinensis (Danggui, 当归), Radix Chuanxiong (Chuanxiong, 川芎), Radix Paeoniae Alba (Baishao, 白芍), Radix Ginseng (Renshen, 人参), Sclerotium Poriae cocos (Fuling, 茯苓), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Radix Bupleuri (Chaihu, 柴胡), Radix Notopterygii (Qianghuo, 羌活), Rhizoma Cyperi Rotundii (Xiangfu, 香附) (processed with child's urine), Rhizoma Curcumae Phaeocaulis (Yujin, 郁金), Radix Glycyrrhizae Uralensis (Gancao, 甘草).
Decoct in water. Take before meals.
Sizhi Wufu Wan (Four-Processed Aconite Pill)
Rhizoma Cyperi Rotundii (Xiangfu, 香附) (1 jin, divided into four parts, soaked separately in vinegar, wine, child's urine, and salt water for three days each, then boiled dry), Rhizoma Sabinae (Tiantai Wuyao, 天台乌药) (0.5 jin, processed similarly to Xiangfu).
Grind together into powder. Form pills with vinegar. Take 2 qian per dose, washed down with plain warm water.