（〔批〕此条亦属正病正治之例。）
经水后期，色淡而多，或夹白腻黄涎，湿盛而脾气滞也。宜扶脾并温子宫。
制白术 白茯苓 陈皮 炙当归 木通 益智仁 制苍术 法半夏 川芎 淡吴萸 姜炭 黑芥穗
经水落后，至两月始一行，或有块下，此下元寒极，将有瘀秘成瘕之虚。宜温血海，兼补命火，其人必两足常冷，
脉沉迟而便泄。
益智仁 肉桂（炙） 当归 川芎 小茴香 淡附片 艾叶 制白术 陈皮 桃仁泥
(〔批〕此亦后期之大变局，正如前先期之为崩兆也。凡遇后期即宜防是何为？未雨绸缪之计，则用力少而成功多矣。)
经水两月始一行，且极少，只三数点滴而止，其色或淡，或正红，或紫。其人微有寒热，或竟无之，或渴，或不渴，
身无麻木苦楚，少腹亦无块，或有之而系宿块，脉或浮大，或细涩濡弱，但少少发落，肤似渐不泽，面色舌本不甚荣者，
是乃血脉将枯之兆也。急与归脾汤加鹿茸、阿胶补救之，逮其已枯则难为力矣。
炙黄 真人参 鹿茸 制白术 炒当归 炙草 远志筒 龙眼肉 白茯苓 阿胶 炒枣仁 麦冬肉 木香 生姜
下元寒极者，加淡附子、肉桂。虚阳外越者，加胡桃肉。自汗，加龙骨、浮小麦。盗汗，加生牡蛎数分研，麻黄根。
骨蒸加地骨皮、生地黄。渴甚，加麦冬肉、川石斛。 溏，加益智仁、粟壳。中州湿盛而闷者，加六神曲、陈皮、蔻仁。
肝阳上逆者，加石决明、白芍、象贝母、黑山栀。咳者，加南沙参、甜杏泥。见有兼证，酌加之，弗能备述，总以不犯
耗血破气之味为宜也。
[Commentary] This clause also belongs to the example of treating a standard disease with standard methods.
Menstruation arriving late (delayed menstrual cycle), with pale color and abundant flow, or mixed with white sticky or yellow saliva-like discharge, indicates excessive dampness causing stagnation of Spleen Qi. It is appropriate to strengthen the Spleen and warm the Uterus.
Prepared Atractylodis Macrocephalae Rhizoma (Zhi Baizhu) Poria (Baifuling) Tangerine Peel (Chenpi) Prepared Angelicae Sinensis Radix (Zhi Danggui) Akebia Stem (Mutong) Alpinia Oxyphylla Fruit (Yizhiren) Prepared Atractylodis Rhizoma (Zhi Cangzhu) Processed Pinellia Tuber (Fa Banxia) Ligusticum Chuanxiong Rhizome (Chuanxiong) Evodia Fruit (Dan Wuzhuyu) Charred Ginger (Jiangtan) Charred Schizonepeta Spike (Hei Jiesui)
When menstruation is significantly delayed, occurring only once every two months, or accompanied by the passage of clots, this indicates extreme cold in the Lower Yuan (Kidney and Mingmen), leading to a deficiency pattern where blood stasis may eventually form a mass (Zhao). It is appropriate to warm the Blood Sea (Chong Mai) and simultaneously tonify the Fire of Mingmen. The patient will necessarily have cold feet year-round,
with a deep and slow pulse and loose stools.
Alpinia Oxyphylla Fruit (Yizhiren) Cinnamon Twig (Rougui, roasted) Angelicae Sinensis Radix (Danggui) Ligusticum Chuanxiong Rhizome (Chuanxiao) Fennel Fruit (Xiaohuixiang) Prepared Aconite Lateralis Radix Preparata (Dan Fupian) Moxa Leaf (Aiye) Prepared Atractylodis Macrocephalae Rhizoma (Zhi Baizhu) Tangerine Peel (Chenpi) Peach Seed Paste (Taoren Ni)
[Commentary] This is also a major variation of delayed menstruation, just as early menstruation is a precursor to flooding (Beng). Whenever delayed menstruation occurs, one should prevent what it might develop into? Planning ahead allows for less effort and greater success.
Menstruation arrives only once every two months, and the volume is extremely scant, stopping after only three or four drops. The color may be pale, normal red, or purple. The patient has slight chills and fever, or none at all; they may be thirsty or not thirsty.
The body feels no numbness or pain, and there are no masses in the lower abdomen, or if present, they are old, pre-existing masses. The pulse may be floating and large, or fine, choppy, soggy, and weak. There is slight hair loss, the skin seems to gradually lose luster, and the complexion and tongue root lack vibrancy and nourishment.
This is a sign that the blood vessels are about to dry up. Urgently administer Guipi Tang (Spleen-Invigorating Decoction) with added Deer Antler (Lurong) and Donkey-hide Gelatin (Ejiao) to remedy the situation; once dried up, it will be difficult to act.
Roasted Astragalus Root (Zhi Huangqi) True Ginseng Root (Zhen Renshen) Deer Antler (Lurong) Prepared Atractylodis Macrocephalae Rhizoma (Zhi Baizhu) Stir-fried Angelicae Sinensis Radix (Chao Danggui) Roasted Licorice Root (Zhi Cao) Polygala Root (Yuanzhi Tong) Longan Aril (Longyanrou) Poria (Baifuling) Donkey-hide Gelatin (Ejiao) Stir-fried Ziziphus Seed (Chao Zaoren) Ophiopogon Tuber (Maidong Rou) Aucklandia Root (Muxiang) Fresh Ginger (Shengjiang)
For extreme cold in the Lower Yuan, add Prepared Aconite Lateralis Radix Preparata (Dan Fuzi) and Cinnamon Twig (Rougui). For floating deficient Yang, add Walnut Kernel (Hutaorou). For spontaneous sweating, add Dragon Bone (Longgu) and Floating Wheat (Fuxiaomai). For night sweats, add Raw Oyster Shell (Sheng Muli) ground into powder, and Ephedra Root (Mahuanggen).
For bone-steaming fever, add Bark of Ground Cherry Root (Digupi) and Raw Rehmannia Root (Sheng Dihuang). For severe thirst, add Ophiopogon Tuber (Maidong Rou) and Dendrobium Stem (Chuan Shihu). For loose stools, add Alpinia Oxyphylla Fruit (Yizhiren) and Poppy Shell (Yuke). For dampness overwhelming the Middle Jiao (Spleen/Stomach) causing chest stuffiness, add Six-Herb Medicated Leaven (Liushenqu), Tangerine Peel (Chenpi), and Cardamom Seed (Kouren).
For rebellious Liver Yang, add Abalone Shell (Shijueming), White Peony Root (Baishao), Fritillaria Bulb (Xiang Beimu), and Black Gardenia Fruit (Hei Shanzhi). For cough, add Adenophora Root (Nanshashen) and Sweet Apricot Seed Paste (Tian Xingni). When encountering concurrent symptoms, add ingredients as appropriate; they cannot all be listed. The general principle is to avoid herbs that consume blood or break Qi.