凡经水将行，腰胀腹痛者，此气滞血实也。桃仁四物汤主之。
归尾 川芎 赤芍 丹皮 香附 （醋炒） 胡索（各一钱） 生地（五分） 红花（五分）
桃仁（二十五粒，研泥）
水煎，入桃仁服。
如疲人责其有火。加黄连一钱、黄芩一钱。
如肥人责其有痰。加枳壳一钱、苍术一钱。
凡经水过多，腹中痛者，此虚中有滞也。加减八物汤主之。
人参（一钱） 白术（一钱） 白茯（一钱） 归身（一钱） 白芍（一钱） 生地（一钱） 炙甘
（五分） 木香（五分） 青皮（七分） 香附（一钱，醋炒）
加姜枣。
如肥人行经来少者，责其痰碍经隧也。二陈汤加芎归主之。
陈皮（一钱） 白茯（一钱） 当归（一钱） 川芎（一钱） 香附（一钱，便浸） 枳壳（一钱）
半夏（八分） 甘草（五分） 滑石（二钱）
如疲人经水来少者，责其血虚也。四物汤加人参汤主之。
当归（一钱） 川芎（一钱） 白芍（一钱） 生地（一钱） 人参（一钱） 香附（一钱） 炙甘
（八分）
加姜枣。
凡经水来太多者，不问肥疲，皆属热也。四物加芩连汤主之。
当归（一钱） 白芍（一钱） 知母（一钱） 生地（一钱） 条芩（一钱） 黄连（一钱） 川芎
（五分） 黄柏（七分） 并服三补丸。
Whenever menstrual blood is about to flow, accompanied by distension in the lower back and abdominal pain, this indicates Qi stagnation and Blood excess (stasis). Tao Ren Si Wu Tang (Peach Kernel Four Substances Decoction) is the primary formula.
Ingredients: Dang Gui Wei (Tail of Angelicae Sinensis Radix), Chuan Xiong (Rhizoma Ligustici Chuanxiong), Chi Shao (Radix Paeoniae Rubra), Dan Pi (Cortex Moutan), Xiang Fu (Rhizoma Cyperi Rotundi, stir-fried with vinegar), Yan Hu Suo (Rhizoma Corydalis Yanhusuo) (each 1 qian); Sheng Di Huang (Radix Rehmanniae Preparata, 0.5 qian); Hong Hua (Flos Carthami, 0.5 qian); Tao Ren (Semen Persicae, 25 grains, ground into paste).
Preparation and Administration: Decoct with water, and add the Tao Ren paste before ingestion.
If the patient is emaciated, the cause is attributed to internal Heat/Fire. Add Huang Lian (Rhizoma Coptidis, 1 qian) and Huang Qin (Scutellariae Radix, 1 qian).
If the patient is obese, the cause is attributed to Phlegm-Dampness. Add Zhi Qiao (Fructus Aurantii, 1 qian) and Cang Zhu (Rhizoma Atractylodis Lanceae, 1 qian).
Whenever menstrual flow is excessive, accompanied by abdominal pain, this indicates deficiency with underlying stagnation. Jia Jian Ba Wu Tang (Modified Eight Substances Decoction) is the primary formula.
Ingredients: Ren Shen (Ginseng Radix, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Bai Fu Ling (Poria, 1 qian), Dang Gui Shen (Body of Angelicae Sinensis Radix, 1 qian), Bai Shao (Radix Paeoniae Alba, 1 qian), Sheng Di Huang (Radix Rehmanniae Preparata, 1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 qian), Mu Xiang (Radix Aucklandiae, 0.5 qian), Qing Pi (Pericarpium Citri Reticulatae Viride, 0.7 qian), Xiang Fu (Rhizoma Cyperi Rotundi, 1 qian, stir-fried with vinegar).
Preparation and Administration: Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Fructus Jujubae) for decoction.
If an obese woman has scanty menstrual flow during her period, the cause is attributed to Phlegm obstructing the meridians. Er Chen Tang (Two-Cured Decoction) added with Chuan Xiong and Dang Gui is the primary formula.
Ingredients: Chen Pi (Pericarpium Citri Reticulatae, 1 qian), Bai Fu Ling (Poria, 1 qian), Dang Gui (Angelicae Sinensis Radix, 1 qian), Chuan Xiong (Rhizoma Ligustici Chuanxiong, 1 qian), Xiang Fu (Rhizoma Cyperi Rotundi, 1 qian, soaked in rice wash water), Zhi Qiao (Fructus Aurantii, 1 qian), Ban Xia (Rhizoma Pinelliae Preparatum, 0.8 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 fen), Hua Shi (Talcum, 2 qian).
If an emaciated woman has scanty menstrual flow during her period, the cause is attributed to Blood deficiency. Si Wu Tang (Four Substances Decoction) added with Ren Shen is the primary formula.
Ingredients: Dang Gui (Angelicae Sinensis Radix, 1 qian), Chuan Xiong (Rhizoma Ligustici Chuanxiong, 1 qian), Bai Shao (Radix Paeoniae Alba, 1 qian), Sheng Di Huang (Radix Rehmanniae Preparata, 1 qian), Ren Shen (Ginseng Radix, 1 qian), Xiang Fu (Rhizoma Cyperi Rotundi, 1 qian), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.8 fen).
Preparation and Administration: Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Fructus Jujubae) for decoction.
Whenever menstrual flow is excessive, regardless of whether the patient is obese or emaciated, it belongs to Heat syndrome. Si Wu Tang added with Huang Qin and Huang Lian is the primary formula, taken concurrently with San Bu Wan (Three Tonics Pill).
Ingredients: Dang Gui (Angelicae Sinensis Radix, 1 qian), Bai Shao (Radix Paeoniae Alba, 1 qian), Zhi Mu (Rhizoma Anemarrhenae, 1 qian), Sheng Di Huang (Radix Rehmanniae Preparata, 1 qian), Tiao Qin (Scutellariae Radix, 1 qian), Huang Lian (Rhizoma Coptidis, 1 qian), Chuan Xiong (Rhizoma Ligustici Chuanxiong, 0.5 fen), Huang Bo (Cortex Phellodendri, 0.7 fen). Take concurrently with San Bu Wan (Three Tonics Pill).