Library

If the Spleen Earth is unable to function properly, appetite will be lost. Consequently, Blood becomes deficient, causing the menstrual flow to be delayed. If in the following month food intake increases significantly, the menstrual flow may then occur earlier. Treatment should focus on regulating the Spleen; when the Spleen is robust, Blood will be balanced and Qi will flow smoothly, allowing menstruation to occur naturally at the proper time. The recommended formula is Zijin Wan (Purple Gold Pill).

Zijin Wan (Purple Gold Pill)
Qingpi (Exocarpium Citri Reticulatae Viride), Chenpi (Pericarpium Citri Reticulatae) [each 5 qian]; Cangzhu (Rhizoma Atractylodis Lanceae), Binglang (Areca Seed), Sharen (Fructus Amomi Rotundus), Hongdou (Adzuki Bean) [each 6 qian]; Liangjiang (Rhizoma Alpiniae Officinarum), Wuyao (Radix Linderae), Xiangfu (Rhizoma Cyperi Rotundi) [each 8 qian]; Sanleng (Rhizoma Sparganii) [1 liang]; Pengzhu (Rhizoma Curcumae Longae) [2 liang]; Zhiqiao (Fructus Aurantii) [8 qian].
Grind all ingredients into fine powder. Form pills using a paste made from glutinous rice. Take 100 pills after meals with rice soup. An alternative prescription excludes Cangzhu, Pengzhu, and Xiangfu.

When menstruation occurs either earlier or later than expected, it is termed "Qianqi" (Delayed or Irregular Menstrual Cycle). This condition arises from deficiency of the Spleen and Stomach, injury to the Chong and Ren vessels, and insufficiency of Qi and Blood. It is advisable to take Jiajian Bawu Tang (Modified Eight-Treasure Decoction) and concurrently administer Tiaojing Wuji Wan (Regulating Menstruation Black-Bone Chicken Pill).

Jiajian Bawu Tang (Modified Eight-Treasure Decoction)
Renshen (Radix Ginseng) [3 qian]; Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Gancao (Radix Glycyrrhizae Uralensis) [each 5 qian, honey-fried]; Baishao (Radix Paeoniae Alba), Dangguishen (Radix Angelicae Sinensis - root body), Chenpi (Pericarpium Citri Reticulatae), Xiangfu (Rhizoma Cyperi Rotundi), Mudanpi (Cortex Moutan) [each 1 qian].
Decoct in water and take before meals.

Tiaojing Wuji Wan (Regulating Menstruation Black-Bone Chicken Pill)
Take one white-feathered, black-boned, un-laying hen, weighing approximately 1 jin (approx. 500g). Feed it with glutinous rice for seven days, ensuring it does not consume insects or ants. Strangle it with a rope, dry its feathers, and remove internal organs that are not needed. Place 2 liang each of Shengdihuang (Radix Rehmanniae Praeparata? Note: Text says Sheng Dihuang but context implies processed or raw, usually Raw for cooling/nourishing Yin in this complex prep, but standard is Shu Dihuang for tonifying. Text lists both: Sheng Dihuang, Shu Dihuang, Tiandong (Herba Asparagi), Maidong (Radix Ophiopogonis)) into the chicken's cavity. Simmer in 10 bowls of good wine over low heat until tender. Remove the medicinal herbs from the cavity. Roast the chicken (including bones) over mulberry wood fire until dry. Soak the roasted chicken in the wine used for boiling the herbs, then roast again. Repeat the soak-and-roast process until the chicken bones and flesh are completely dried. Grind into an extremely fine powder. Then add Renshen (Radix Ginseng) [5 qian], Rongshurong (Herba Cistanches) [washed with wine], Poguzhi (Fructus Psoraleae) [stir-fried], Sharen (Fructus Amomi Rotundus), Dangguishen (Radix Angelicae Sinensis - root body), Baizhu (Rhizoma Atractylodis Macrocephalae), Chuanxiong (Rhizoma Chuanxiong), Danshen (Radix Salviae Miltiorrhizae), Fuling (Poria), Gancao (Radix Glycyrrhizae Uralensis) [honey-fried], Duzhong (Cortex Eucommiae) [stir-fried with salt water] [each 1 liang], and Xiangfum (Rhizoma Cyperi Rotundi - vinegar-processed) [4 liang]. Grind all into a fine powder. Mix thoroughly with the minced chicken meat and bone powder. Form pills using a paste of wine and flour. Take 50 pills on an empty stomach with rice soup.