冲任伤损，血枯经闭，或误食辛热之物，以致血枯，冲任伏火。宜服知柏四物汤兼三补丸。
知柏四物汤
熟地黄 当归 川芎 赤芍 知母（酒炒） 黄柏（酒炒） 木通 甘草
水煎，食前服。三补丸，即黄芩、黄连，黄柏（俱酒炒），等分蜜丸。
经水来时，因房事触伤，腹中结块如鸡子大，左右而动，月水不行，变成五心烦热，头昏目眩，咳嗽痰
喘。先服逍遥饮退其热，次服紫菀汤止其嗽，若半年失医，则必肉瘦泄泻而死矣。
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）
紫菀汤
紫菀 阿胶（蛤粉炒珠，另顿冲服） 川贝母（去心） 苏子（各八分） 五味子（五分） 桑白皮（蜜炙）
知母（蜜炙） 枳壳（各一钱） 杏仁（去皮尖，一钱半） 款冬花（六分） 陈皮（六分）
水煎临卧服。（一方无陈皮）
性急多怒而 ，气血俱热，必有郁症，致经不通。宜服芩连四物汤。
芩连四物汤
熟地黄 当归 白芍 川芎 柴胡 黄芩（酒炒） 黄连（酒炒） 香附（童便制）各等分，水煎空心服。
思虑恼怒，以致气郁血滞，而经不行。治宜开郁行滞，若误作虚治，而用补剂，则气得补而益结，血得补
而益凝，变为 瘕肿痛者有之矣。宜服开郁二陈汤，兼四制乌附丸。
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。
四制乌附丸
香附（一斤，分作四股，一用醋浸，一用酒浸，一用童便浸，一用盐水浸，各浸三日。以砂罐煮干所浸之
水，研极细末） 天台乌药（半斤，制同香附）
共为末，醋丸温汤下。
Chong and Ren meridians are damaged, blood is depleted leading to amenorrhea (absence of menstruation), or due to the mistaken consumption of pungent and hot substances, resulting in blood depletion and latent fire in the Chong and Ren meridians. It is advisable to take Zhibai Siwu Tang (Anemarrhena, Phellodendron, and Four Substances Decoction) combined with Sanbu Wan (Three Tonics Pill).
Zhibai Siwu Tang (Anemarrhena, Phellodendron, and Four Substances Decoction)
Shu Dihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Chuanxiong), Chi Shao (Red Peony Root), Zhimu (Anemarrhena Asphodeloides Rhizome, stir-fried with wine), Huangbai (Phellodendron Bark, stir-fried with wine), Mutong (Akebia Stem), Gancao (Licorice Root).
Decoct in water and take before meals. Sanbu Wan (Three Tonics Pill) consists of Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), and Huangbai (Phellodendron Bark, all stir-fried with wine) in equal parts, formed into honey pills.
When menstruation is due, injury caused by sexual intercourse results in a mass in the abdomen the size of an egg that moves left and right, cessation of menstruation, evolving into five-palm heat (heat sensation in palms, soles, and chest), dizziness, blurred vision, cough with phlegm, and wheezing. First, administer Xiaoyao Yin (Free and Easy Wanderer Drink) to clear the heat, followed by Ziwan Tang (Aster Decoction) to stop the cough. If medical treatment is delayed for half a year, it will inevitably lead to emaciation, diarrhea, and death.
Xiaoyao Yin (Free and Easy Wanderer Drink)
Baizhu (Atractylodes Macrocephala Rhizome, honey-fried), Danggui (Angelica Sinensis), Baishao (White Peony Root), Chaihu (Bupleurum Root), Tianhuafen (Trichosanthes Root, 8 fen each), Digupi (Lycium Bark), Shilianzi (Nelumbo Seed, 2 qian each), Huangqin (Scutellaria Root), Bohe (Mint, 4 fen each), Longdancao (Gentiana Root, 5 fen).
Decoct in water and take. (Another prescription excludes Huangqin).
Ziwan Tang (Aster Decoction)
Ziwan (Aster Root), Ejiao (Donkey-hide Gelatin, fried with clam powder until pearl-like, decocted separately and added to the liquid), Chuanbeimu (Fritillaria Cirrhosa Bulb, heart removed), Suzi (Perilla Fruit, 8 fen each), Wuweizi (Schisandra Berry, 5 fen), Sangbaipi (Mulberry Root Bark, honey-fried), Zhimu (Anemarrhena Rhizome, honey-fried), Zhike (Bitter Orange Fruit, 1 qian each), Xingren (Apricot Seed, peeled and tip removed, 1.5 qian), Kuandonghua (Farfusa Flower, 6 fen), Chenpi (Tangerine Peel, 6 fen).
Decoct in water and take before going to bed. (Another prescription excludes Chenpi).
Irritable and prone to anger, accompanied by yin deficiency, with both qi and blood being hot, there must be a constraint syndrome causing menstrual obstruction. It is advisable to take Qinlian Siwu Tang (Scutellaria, Coptis, and Four Substances Decoction).
Qinlian Siwu Tang (Scutellaria, Coptis, and Four Substances Decoction)
Shu Dihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Baishao (White Peony Root), Chuanxiong (Ligusticum Chuanxiong), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root, stir-fried with wine), Huanglian (Coptis Rhizome, stir-fried with wine), Xiangfu (Cyperus Rhizome, processed with child's urine), all in equal parts. Decoct in water and take on an empty stomach.
Due to excessive thinking and anger, leading to qi stagnation and blood stasis, resulting in amenorrhea. The treatment should focus on resolving stagnation and promoting circulation. If mistakenly treated as a deficiency and tonifying agents are used, the qi will become more constrained with tonification, and the blood will become more coagulated, potentially transforming into painful masses (zheng jia). It is advisable to take Kaiyu Erchen Tang (Stagnation-Resolving Two-Chen Decoction) combined with Sizhi Wufu Wan (Four-Process Aconite Pill).
Kaiyu Erchen Tang (Stagnation-Resolving Two-Chen Decoction)
Cangzhu (Atractylodes Lancea Rhizome), Xiangfu (Cyperus Rhizome, processed with child's urine), Chuanxiong (Ligusticum Chuanxiong, 1 qian each), Qingpi (Green Tangerine Peel), Ezhu (Curcuma Zedoary Rhizome), Binglang (Areca Seed, 7 fen each), Muxiang (Vladimiria Root, 5 fen). Use fresh ginger as a guide herb.
Sizhi Wufu Wan (Four-Process Aconite Pill)
Xiangfu (Cyperus Rhizome, 1 jin, divided into four parts: one soaked in vinegar, one in wine, one in child's urine, one in salt water, each for three days. Boil dry the soaking liquids in a clay pot, then grind into fine powder); Tiantai Laoyao (Lithospermum Root, 0.5 jin, processed similarly to Xiangfu).
Grind together into powder, form into pills with vinegar, and swallow with warm water.