月经二三月不行，腹大如鼓，人以为有孕，一日崩下，其血内有物如蛤蟆子，昏迷不知，体弱形瘦者
不治，若体盛者，急投十全大补汤。
十全大补汤
人参 白术（蜜炙） 茯苓 炙甘草 黄 （炙） 肉桂 川芎 当归 白芍 熟地黄
姜三片，枣二枚，水煎服。
室女月经初来，不知保养，误饮冷水，或用冷水洗衣洗手，经血见冷而凝，以致经闭。面色青黄，遍身浮
肿，人皆误作水肿，治之不效。宜服通经丸，通其血而肿自消。
通经丸
三棱（醋炒） 莪术（醋炒） 当归（酒洗） 川芎 赤芍 芫花 穿山甲（炒） 刘寄奴
粳米糊丸，酒下。
室女十四岁，冲任脉盛，月经以时下，若过期不通，时作胀痛，宜服红花汤。
红花汤
当归尾 赤芍 桃仁（去皮尖，捣如泥） 牛膝 玄胡索 红花 苏木 紫葳花 刘寄奴（各一钱）
青皮 香附（童便制，各八分） 桂枝（五分）
水煎，空心服。
经闭发热，咽燥唇干，喜冷恶热，血充气盛，脉实有力，而经血遇闭者，是为实热。宜服四物凉膈散。
四物凉膈散
当归身 赤芍 川芎 生地黄 黄芩（酒炒） 黄连（酒炒） 连翘（去心） 桔梗 薄荷 甘草 嫩竹叶
水煎温服。
室女月水不行，日渐羸瘦，时作潮热，此阴虚血弱，火盛水亏，治当养阴益血，最忌凉药，宜服柏子仁丸，
兼服泽兰汤。
柏子仁丸
柏子仁（另炒研） 牛膝（酒炒） 薄荷（各五钱） 泽兰叶 川续断（各二两） 干地黄（三两）
蜜丸，空心米汤下。
泽兰汤
泽兰叶（二钱） 当归（一钱） 甘草（五分）
水煎空心服。
Menstruation fails to occur for two or three months, and the abdomen becomes distended like a drum. People assume it is pregnancy. Suddenly, profuse bleeding occurs, and within the blood are substances resembling frog eggs. The patient falls into a coma. If the body is weak and the form emaciated, it is incurable; if the constitution is robust, immediately administer Shiquan Dabu Tang (Ten Complete Tonifying Decoction).
Shiquan Dabu Tang (Ten Complete Tonifying Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Zhigancao (Licorice Root, honey-fried), Huangqi (Astragali Membranacei Radix, honey-fried), Rougui (Cinnamon Bark), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata).
Add fresh ginger slices (three pieces) and jujubes (two pieces), decoct in water, and take orally.
When a maiden’s menstruation first begins, if she neglects self-care, mistakenly drinks cold water, or uses cold water to wash clothes and hands, the menstrual blood coagulates due to cold, resulting in amenorrhea. Her complexion appears greenish-yellow, and generalized edema occurs throughout the body. People often misdiagnose this as edema disease, and treatments prove ineffective. It is appropriate to administer Tongjing Wan (Unblocking Menses Pill) to unblock the blood vessels, after which the edema will naturally subside.
Tongjing Wan (Unblocking Menses Pill)
Sanleng (Sparganii Rhizoma, vinegar-fried), Ezhu (Curcumae Rhizoma, vinegar-fried), Danggui (Angelicae Sinensis Radix, wine-rinsed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Yuanhua (Genkwa Flos), Chuanshanjia (Manis Squama, fried), Liuji nu (Artemisiae Anomaliae Herba).
Form pills with rice paste, and swallow with wine.
At fourteen years of age, a maiden’s Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are vigorous, and menstruation arrives on time. If menstruation is delayed and does not occur, accompanied by intermittent distending pain, Honghua Tang (Safflower Decoction) should be administered.
Honghua Tang (Safflower Decoction)
Dangguiwei (Tail of Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Taoren (Persicae Semen, skin and tip removed, pounded into paste), Niuxi (Achyranthis Bidentatae Radix), Yanhusuo (Corydalis Rhizoma), Honghua (Carthami Flos), Sumu (Sappan Lignum), Ziweihua (Bignoniae Flos), Liuji nu (Artemisiae Anomaliae Herba) [each 1 qian].
Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma, processed with child’s urine) [each 8 fen], Guizhi (Cinnamomi Ramulus) [5 fen].
Decoct in water, and take on an empty stomach.
Amenorrhea accompanied by fever, dry throat, dry lips, preference for cold drinks, aversion to heat, with abundant qi and blood, and a forceful pulse, indicates excess-heat causing menstrual obstruction. This is classified as Excess Heat. Siwu Liangge San (Four Substances Cooling Chest Powder) should be administered.
Siwu Liangge San (Four Substances Cooling Chest Powder)
Dangguishen (Body of Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried), Lianqiao (Forsythiae Fructus, heart removed), Jiegeng (Platycodonis Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Nanzhuye (Young Bamboo Leaf).
Decoct in water, and take warm.
If a maiden’s menstruation ceases, leading to progressive emaciation and intermittent tidal fever, this indicates Yin deficiency and blood weakness, with hyperactive fire and depleted fluids. Treatment should nourish Yin and benefit blood. Cold-natured medicines are strictly contraindicated. It is appropriate to administer Baizi Ren Wan (Biota Seed Pill) and concurrently administer Zelan Tang (Eupatorium Decoction).
Baizi Ren Wan (Biota Seed Pill)
Baiziren (Biota Semen, separately fried and ground), Niuxi (Achyranthis Bidentatae Radix, wine-fried), Bohe (Menthae Haplocalycis Herba) [each 5 qian], Zelan ye (Eupatorii Herba), Xu duan (Dipsaci Radix) [each 2 liang], Ganyedi huang (Dried Rehmanniae Radix) [3 liang].
Form pills with honey, and swallow on an empty stomach with rice gruel.
Zelan Tang (Eupatorium Decoction)
Zelan ye (Eupatorii Herba) [2 qian], Danggui (Angelicae Sinensis Radix) [1 qian], Gancao (Glycyrrhizae Radix et Rhizoma) [5 fen].
Decoct in water, and take on an empty stomach.