经来如鱼脑髓，双脚疼痛不能举动，乃下元虚冷，更兼风邪所致。当行血行气，宜服苏风止痛汤。
苏风止痛汤
天麻 僵蚕（炒） 紫金皮 乌药（炒） 牛膝 独活
川芎 当归 乳香（去油） 南藤 补骨脂（炒） 生姜（三片） 葱白（二茎）
酒煎，空心服。
经来不止兼下物如牛膜片，昏迷倒地，乃血气结聚变成此症。症虽惊人却无大事，宜服朱雄丸。
朱雄丸
朱砂（水飞） 雄黄（各一钱） 白茯苓（二两）
共为末，水丸，姜汤下五十丸。
经来不止，忽下肉胞三五个，状如鸡子大，软如絮，用刀剖开，内如石榴子，昏迷不省人事，症亦惊人。
宜服十全大补汤，五剂即安。
十全大补汤
人参 白术 茯苓 甘草 熟地黄 当归 川芎 白芍 黄 （炙） 肉桂
姜三片，枣二枚，温服。
经不往下行，而从口鼻中出，名曰逆经。此由过食椒姜辛热之物，热伤其血，则血乱上行。宜服犀角地黄
汤数剂。
犀角地黄汤
犀角 白芍 牡丹皮 枳壳（炒，各一钱） 生地黄（三钱） 黄芩 桔梗 陈皮 百草霜（各八分）
甘草（三分）
水煎空心服。
经从口鼻出，五心烦热，咳嗽气急，治宜推血下行。先服红花汤七剂，再服款冬汤，止嗽下气，四五剂可
安。
红花汤
红花 黄芩 苏木（各八分） 天花粉（六分）
水煎空心服。
款冬汤
款冬花 桔梗 粟壳（蜜炙） 苏子（炒） 紫菀 知母（各八分） 石膏 桑白皮（蜜炙） 杏仁（去皮尖，
各一钱）
水煎服。
Menstrual blood flows like fish brain marrow, accompanied by pain in both feet rendering them immobile; this is caused by deficiency and cold of the lower origin (the kidney and uterus), compounded by wind pathogen invasion. Treatment should promote blood circulation and move qi; Su Feng Zhi Tong Tang (Wind-Dispersing Pain-Relieving Decoction) is indicated.
Su Feng Zhi Tong Tang (Wind-Dispersing Pain-Relieving Decoction)
Gastrodiae Rhizoma (Tianma), Bombyx Batryticatus (Jiangcan, stir-fried), Zijin Pi, Linderæ Radix (Wuyao, stir-fried), Achyranthis Bidentatae Radix (Niuxi), Angelicae Pubescentis Radix (Duhuo), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Frankincense (Ruxiang, oil removed), Nan Teng, Psoraleae Fructus (Buguzhi, stir-fried), Zingiberis Rhizoma Recens (Shengjiang, three slices), Allii Fistulosi Bulbus (Congbai, two stems).
Decoct with wine and take on an empty stomach.
Menstruation persists without stopping, accompanied by discharge resembling pieces of cow membrane, leading to coma and collapse; this condition arises from the aggregation of blood and qi. Although the symptoms are alarming, there is no major danger; Zhuxiong Wan (Cinnabar and Realgar Pill) is indicated.
Zhuxiong Wan (Cinnabar and Realgar Pill)
Cinnabaris (Zhusha, water-triturated), Realgar (Xionghuang, each 1 qian), Poria (Baifuling, 2 liang).
Grind into powder, form pills with water, and take 50 pills with ginger decoction.
Menstruation persists without stopping, suddenly followed by the expulsion of three or five fleshy sacs, each as large as a chicken egg, soft as cotton wool. When cut open with a knife, the interior resembles pomegranate seeds; the patient falls into a coma and loses consciousness, a symptom that is also alarming.
Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) is indicated; five doses will bring stability.
Shiquan Dubu Tang (Comprehensive Great Tonifying Decoction)
Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix Praeparata (Shudihuang), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Astragali Radix (Huangzhi, honey-fried), Cinnamomi Cortex (Rougui).
Add Zingiberis Rhizoma Recens (three slices) and Jujubae Fructus (two dates), take warm.
Menstrual blood does not flow downward but instead exits through the mouth and nose, termed Ni Jing (Regurgitant Menstruation). This results from excessive consumption of pungent and hot substances such as pepper and ginger, which damage the blood with heat, causing chaotic upward rebellion of blood. Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is indicated for several doses.
Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction)
Rhinocerotis Cornu (Xijiao), Paeoniae Radix Alba (Baishao), Moutan Cortex (Mudanpi), Aurantii Fructus Immaturus (Zhiqiao, stir-fried, each 1 qian), Rehmanniae Radix Recens (Shengdihuang, 3 qian), Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Citri Reticulatae Pericarpium (Chenpi), Carbonis Herba (Baicaoshuang, each 8 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen).
Decoct with water and take on an empty stomach.
When menstrual blood exits through the mouth and nose, accompanied by five-palm heat (heat sensation in palms, soles, and chest), cough, and rapid breathing, treatment should guide the blood downward. First, take Honghua Tang (Safflower Decoction) for seven doses, then take Kuandong Tang (Coltsfoot Decoction) to stop cough and direct qi downward; four or five doses will bring relief.
Honghua Tang (Safflower Decoction)
Carthami Flos (Honghua), Scutellariae Radix (Huangqin), Sappan Lignum (Sumu, each 8 fen), Trichosanthis Radix (Tianhuafen, 6 fen).
Decoct with water and take on an empty stomach.
Kuandong Tang (Coltsfoot Decoction)
Farfarae Flos (Kuandonghua), Platycodonis Radix (Jiegeng), Papaveris Pericarpium (Suke, honey-fried), Perillae Fructum (Suzi, stir-fried), Asteris Radix et Herba (Ziwan), Anemarrhenae Rhizoma (Zhimu, each 8 fen), Gypsum Fibrosum (Shigao), Morus Albae Cortex Radicis (Sangbaipi, honey-fried), Armeniacae Semen Amarum (Xingren, skin and tip removed, each 1 qian).
Decoct with water and take.