肥盛之妇，躯脂迫塞，痰涎壅盛，血滞而经不行。治宜行气导痰，而经自通。宜服苍附导痰丸，兼加减开
郁二陈汤。
苍附导痰丸
苍术 香附（童便制） 枳壳（麸炒，各二两） 陈皮 茯苓（各一两五钱） 胆星 甘草（各一两）
共为末，姜汁和神曲丸。淡姜汤下。
加减开郁二陈汤
苍术 香附（童便制） 川芎（各一钱） 青皮 枳壳（麸炒） 槟榔（各七分） 木香（五分） 姜为引。
形瘦多热多郁，血少气虚。宜服芩连四物汤，合开郁二陈汤。
芩连四物汤
熟地黄 当归 赤芍 川芎（各一钱） 黄芩 黄连（姜制，各五分） 姜为引。
开郁二陈汤
苍术 香附（童便制） 川芎（各一钱） 青皮 莪术 槟榔（各七分） 木香（五分） 姜为引。
形瘦血虚生热，而月水不通，此冲任内伤也。宜服人参四物汤，兼地黄丸。
人参四物汤
生地黄 当归 川芎 白芍（各一钱） 知母（酒炒） 麦冬（去心，各八分） 炙甘草（五分）
姜枣为引，水煎空心服。
地黄丸
熟地黄（四两） 山茱萸（去核） 山药（各二两） 牡丹皮 茯苓（各一两五钱） 泽泻 香附（童便
制，各一两）
上为末，蜜丸，人参四物汤下。
妇人行经时及产后，过食生冷之物，而血闭发热，以血见水即滞故也。初起一二月生寒发热。五心烦躁，
口苦舌干，面色青黄，犹易医治。先用逍遥饮退其寒热，后用紫金丸，渐纳谷气，脾胃一旺，自然经血流通。
若年久失治，变成骨蒸，子午而发，肌肉消瘦，泄泻不止者，百无一生。若根据上方施治，而病患忽然气脱欲
死，命在顷刻，急用鸦片三厘，甘草煎汤调服，入口即活，起死回生，屡试屡效。
逍遥饮
白术（蜜炙） 当归 白芍 柴胡 天花粉（各八分） 地骨皮 石莲子（各二钱） 黄芩 薄荷（各四分）
龙胆草（五分）
水煎服（一方无黄芩）。
紫金丸
青皮 陈皮（各五分） 苍术 槟榔 砂仁 红豆（各六钱） 乌药（炒） 良姜 香附（童便制，各八钱）
三棱（一两） 蓬术（二两） 枳壳（麸炒，八钱）
上为末，粳米糊丸，食后米汤下百丸。（一方无蓬术、苍术、香附）
In obese women, the accumulation of body fat obstructs the meridians, leading to an excess of phlegm and saliva. This causes blood stasis and amenorrhea. The treatment should focus on promoting Qi circulation and resolving phlegm, after which menstruation will naturally resume. It is appropriate to administer Cangfu Daotan Wan (Atractylodes and Cyperus Phlegm-Resolving Pill) combined with Jiajian Kaiyu Erchen Tang (Modified Two-Chen Decoction for Resolving Stagnation).
Cangfu Daotan Wan (Atractylodes and Cyperus Phlegm-Resolving Pill)
Ingredients: Cangzhu (Rhizoma Atractylodis), Xiangfu (Rhizoma Cyperi), prepared with child's urine; Zhike (Fructus Aurantii), stir-baked with bran, each 2 liang; Chenpi (Pericarpium Citri Reticulatae); Fuling (Poria), each 1.5 liang; Danning (Radix Arisaematis cum Bile); Gancao (Radix Glycyrrhizae), each 1 liang.
Preparation and Administration: Grind all ingredients into fine powder. Mix with ginger juice and fermented wheat mass (Shenqu) to form pills. Take with weak ginger decoction.
Jiajian Kaiyu Erchen Tang (Modified Two-Chen Decoction for Resolving Stagnation)
Ingredients: Cangzhu (Rhizoma Atractylodis), Xiangfu (Rhizoma Cyperi), prepared with child's urine, Chuanxiong (Radix Ligustici Chuanxiong), each 1 qian; Qingpi (Exocarpium Citri Reticulatae Viride); Zhike (Fructus Aurantii), stir-baked with bran; Binglang (Semen Arecae), each 7 fen; Muxiang (Radix Aucklandiae), 5 fen.
Administration: Use fresh ginger as a guide drug.
Women with emaciated constitutions often suffer from internal heat and emotional stagnation, resulting in blood deficiency and Qi deficiency. It is appropriate to administer Qinlian Siwu Tang (Scutellaria and Coptis Four-Substance Decoction) combined with Kaiyu Erchen Tang (Two-Chen Decoction for Resolving Stagnation).
Qinlian Siwu Tang (Scutellaria and Coptis Four-Substance Decoction)
Ingredients: Shudihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Chishao (Radix Paeoniae Rubra), Chuanxiong (Radix Ligustici Chuanxiong), each 1 qian; Huangqin (Radix Scutellariae), Huanglian (Rhizoma Coptidis), prepared with ginger, each 5 fen.
Administration: Use fresh ginger as a guide drug.
Kaiyu Erchen Tang (Two-Chen Decoction for Resolving Stagnation)
Ingredients: Cangzhu (Rhizoma Atractylodis), Xiangfu (Rhizoma Cyperi), prepared with child's urine, Chuanxiong (Radix Ligustici Chuanxiong), each 1 qian; Qingpi (Exocarpium Citri Reticulatae Viride); Ezhu (Rhizoma Curcumae Longae); Binglang (Semen Arecae), each 7 fen; Muxiang (Radix Aucklandiae), 5 fen.
Administration: Use fresh ginger as a guide drug.
Emaciation accompanied by blood deficiency generating internal heat leads to amenorrhea, indicating internal injury to the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). It is appropriate to administer Renshen Siwu Tang (Ginseng Four-Substance Decoction) combined with Dihuang Wan (Rehmannia Pill).
Renshen Siwu Tang (Ginseng Four-Substance Decoction)
Ingredients: Shengdihuang (Radix Rehmanniae Recens), Danggui (Radix Angelicae Sinensis), Chuanxiong (Radix Ligustici Chuanxiong), Baishao (Radix Paeoniae Alba), each 1 qian; Zhimu (Rhizoma Anemarrhenae), stir-fried with wine; Maidong (Radix Ophiopogonis), dehearted, each 8 fen; Zhigancao (Radix Glycyrrhizae Preparata), 5 fen.
Administration: Use fresh ginger and Jujube (Fructus Ziziphi Jujubae) as guide drugs. Decoct in water and take on an empty stomach.
Dihuang Wan (Rehmannia Pill)
Ingredients: Shudihuang (Radix Rehmanniae Preparata), 4 liang; Shanzhuyu (Fructus Corni), pitted; Shanyao (Rhizoma Dioscoreae), each 2 liang; Mudanpi (Cortex Moutan); Fuling (Poria), each 1.5 liang; Zexie (Rhizoma Alismatis); Xiangfu (Rhizoma Cyperi), prepared with child's urine, each 1 liang.
Preparation and Administration: Grind into fine powder. Form pills with honey. Take with Renshen Siwu Tang.
When women consume excessive amounts of cold and raw foods during menstruation or postpartum, it can cause blood closure and fever, because blood tends to stagnate upon contact with cold fluids. In the initial one or two months, symptoms include alternating chills and fever. The patient experiences five-palm heat, irritability, bitter taste in the mouth, dry tongue, and a greenish-yellow complexion. At this stage, the condition is relatively easy to treat. First, use Xiaoyao Yin (Rambling Powder) to resolve the chills and fever. Subsequently, use Zijin Wan (Purple Gold Pill) to gradually restore the Spleen and Stomach's ability to receive food. Once the Spleen and Stomach are robust, menstruation will naturally flow. If left untreated for years, the condition may evolve into bone-steaming tidal fever, occurring at Zi (11 PM - 1 AM) and Wu (11 AM - 1 PM) hours, accompanied by muscle emaciation and intractable diarrhea, in which case survival is unlikely. However, if treated according to the above formulas and the patient suddenly suffers from Qi collapse approaching death, emergency administration of 3 li of Opium (Yapian), mixed with Licorice decoction, can revive the patient immediately. This method has proven effective repeatedly.
Xiaoyao Yin (Rambling Powder)
Ingredients: Baizhu (Rhizoma Atractylodis Macrocephalae), honey-fried; Danggui (Radix Angelicae Sinensis); Baishao (Radix Paeoniae Alba); Chaihu (Radix Bupleuri); Tianhuafen (Radix Trichosanthis), each 8 fen; Digupi (Cortex Lycii); Shilianzi (Fructus Nelumbinis), each 2 qian; Huangqin (Radix Scutellariae); Bohe (Herba Menthae), each 4 fen; Longdancao (Radix Gentianae), 5 fen.
Administration: Decoct in water. (Another version excludes Huangqin).
Zijin Wan (Purple Gold Pill)
Ingredients: Qingpi (Exocarpium Citri Reticulatae Viride); Chenpi (Pericarpium Citri Reticulatae), each 5 fen; Cangzhu (Rhizoma Atractylodis); Binglang (Semen Arecae); Sharen (Fructus Amomi); Hongdou (Semen Phaseoli), each 6 qian; Wuyao (Radix Linderae), stir-fried; Liangjiang (Rhizoma Alpiniae Officinarum); Xiangfu (Rhizoma Cyperi), prepared with child's urine, each 8 qian; Sanleng (Rhizoma Sparganii), 1 liang; Pengzhu (Rhizoma Curcumae), 2 liang; Zhike (Fructus Aurantii), stir-baked with bran, 8 qian.
Preparation and Administration: Grind into fine powder. Form pills with rice paste. Take 100 pills after meals with rice soup. (Another version excludes Pengzhu, Cangzhu, and Xiangfu).