经闭不行，致有败血停积五脏，流入四肢作浮肿者，不可误认水气。宜调其经，经调则肿消矣。然服煎药，
必须十余剂，庶无愆期之患。至服丸散，更宜久服，可免复肿之忧。宜服调经汤、金匮丸。
调经汤
当归 生地黄 益母草（各一钱） 川芎 白芍 香附 茯苓 牡丹皮（八分） 甘草（三分）
姜三片，枣二枚，水煎空心服。
此方统调诸经，宜随证加减治之。如血热先期及紫黑成块者，加黄连（酒炒）七分；血寒过期者，加煨姜、
肉桂各三分；临期正行作痛者，加玄胡索，青皮各八分；临行经
闭，积块刺痛者，加红花、苏木、桃仁各五分；经来过多者，加黄芩一钱，蒲黄（炒）八分；经来不思饮食者，
加白术八分，陈皮、砂仁各五分；肥人多痰，赤白带下者，加南星（制）、苍术各八分；气虚血弱，四肢酸
软，面色不泽者，加人参、黄 各五分。
金匮丸
四制香附米四两（四制谓∶酒制、醋制、盐水制、童便制是也） 没药（去油净，六钱） 当归（童便制）
茯苓（去皮） 白薇（洗去芦） 白术（糯米泔浸透，蜜炙黄） 阿胶（蛤粉炒成珠） 白芍（各四两）
人参（去芦） 砂仁（去壳，各二两） 生地黄（酒浸洗去泥，以益智仁二两，用好酒同炒，去益智仁不用，
净用地黄，八两） 川续断（酒浸洗，以五倍子同炒，去五倍子不用，净用炒过川续断，四两） 淮山药（姜
汁炒，十二两）
共为细末，水丸，空心温汤下五十丸。
Amenorrhea (absence of menstruation) that leads to the accumulation of stagnant blood in the five zang organs, which then flows into the four limbs causing edema, should not be mistaken for fluid retention disease. It is necessary to regulate the menstruation; once the menstruation is regulated, the edema will subside. However, when taking decoctions, one must take them continuously for more than ten doses to avoid the risk of irregular menstrual cycles. As for taking pills or powders, long-term administration is even more appropriate to prevent the recurrence of edema. Suitable formulas include Tiaojing Tang (Regulate Menstruation Decoction) and Jingui Wan (Golden Casket Pill).
Tiaojing Tang (Regulate Menstruation Decoction)
Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Preparata), Yimucacao (Herba Leonuri), each 1 qian; Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Xiangfu (Rhizoma Cyperi Rotundi), Fuling (Poria), Mudanpi (Cortex Moutan), each 8 fen; Gancao (Radix Glycyrrhizae Preparata) 3 fen. Add three slices of fresh ginger (Shengjiang) and two jujubes (Dazao). Decoct in water and take warm on an empty stomach.
This formula regulates all meridians comprehensively and should be modified according to specific syndromes. If there is blood heat causing early menstruation with dark purple clots, add Huanglian (Radix Coptidis stir-fried with wine) 7 fen; if there is blood cold causing delayed menstruation, add Wei Jiang (Baked Ginger) and Rougui (Cortex Cinnamomi) each 3 fen; if pain occurs during menstruation near its onset, add Yanhusuo (Rhizoma Corydalis) and Qingpi (Pericarpium Citri Reticulatae Viride) each 8 fen; if amenorrhea occurs at the expected time accompanied by stabbing pain from masses, add Honghua (Flos Carthami), Sumu (Lignum Sappan), and Taoren (Semen Persicae) each 5 fen; if menstrual flow is excessive, add Huangqin (Radix Scutellariae) 1 qian and Puhuang (Pollen Typhae stir-fried) 8 fen; if there is loss of appetite during menstruation, add Baizhu (Rhizoma Atractylodis Macrocephalae) 8 fen, Chenpi (Pericarpium Citri Reticulatae) and Sharen (Fructus Amomi) each 5 fen; if the person is obese with phlegm-dampness and has leukorrhea (red and white discharge), add Zhinanxing (Rhizoma Arisaematis Preparata) and Cangzhu (Rhizoma Atractylodis) each 8 fen; if there is qi deficiency and blood weakness with soreness and weakness in the four limbs and a dull complexion, add Renshen (Radix Ginseng) and Huangqi (Radix Astragali) each 5 fen.
Jingui Wan (Golden Casket Pill)
Xiangfu Mi (Rhizoma Cyperi Rotundi processed by four methods) 4 liang ("Four methods" refer to processing with wine, vinegar, salt water, and children's urine); Moyao (Resina Myrrhae defatted) 6 qian; Danggui (Radix Angelicae Sinensis processed with children's urine); Fuling (Poria peeled); Baiwei (Radix Cynanchi Atrati washed and de-rhizomed); Baizhu (Rhizoma Atractylodis Macrocephalae soaked in rice wash water until saturated, honey-roasted yellow); Ejiao (Colla Corii Asini stir-fried with clam powder into beads); Baishao (Radix Paeoniae Alba), each 4 liang; Renshen (Radix Ginseng de-rhizomed); Sharen (Fructus Amomi shelled), each 2 liang; Shengdihuang (Radix Rehmanniae raw, soaked in wine, washed clean of mud, stir-fried with YiZhiren [Fructus Alpiniae Oxyphyllae] 2 liang in good wine, discard YiZhiren, use only Dihuagnong 8 liang); Chuanxuduan (Radix Dipsaci soaked in wine, washed, stir-fried with WuBeizi [Galla Chinensis] 5 times, discard WuBeizi, use only stir-fried Chuanxuduan 4 liang); Huaishanyao (Rhizoma Dioscoreae Hypoglaucae stir-fried with ginger juice) 12 liang.
Grind all ingredients into fine powder, make into water pills, and take 50 pills warm with water on an empty stomach.