如紫色者，热也。四物加香附黄连主之。
归尾 川芎 赤芍 生地 香附 （便浸） 黄连 生甘 丹皮（各一钱）
如白淡者，虚也。八物汤主之。
人参（一钱） 白术（一钱） 茯苓（一钱） 当归（一钱） 川芎（一钱） 白芍（一钱） 熟地
（一钱） 黄 （一钱） 香附（一钱，便浸炒） 炙甘草（五分）
加姜枣，更常服地黄丸。
以上调经药，并宜于行经时，连进十余服，则经自调矣。丸药宜久服。
妇人经闭不行，其候有三∶脾胃损伤，饮食减少，气耗血枯而不行者。当补其脾胃，养其气
血，待气血充生，经自行矣。不可妄用通经之剂，致中气益损，阴血益干，便成痨瘵而不可
救。故有犹索千金于乞丐，日加棰楚，徒毙其生者矣。一则忧愁思患，恼怒怨恨，气郁血
滞
而经不行者。当开郁气、通滞血而经自行。苟用补剂，则气得补而益结，血益凝聚，致成
瘕胀满，所谓养虎自遗患也。一则躯脂迫塞，痰涎壅塞而经不行者。当行气导痰，使经得行
，斯谓之良工矣。
如因脾胃损伤，血枯不行者，加减补中益气汤主之。（乌鸡丸亦可服）
人参（二分） 白术（二分） 黄 （七分） 柴胡（七分） 炙甘（五分） 当归（一钱） 白芍
（一钱） 川芎（一钱） 陈皮（一钱） 神曲（五分） 麦芽（五分）
加姜。更服煮参苓术丸，以经行为度。
如因气郁血闭不行者，用开郁二陈汤主之。
陈皮（一钱） 茯苓（一钱） 苍术（一钱） 香附（一钱） 川芎（一钱） 半夏（七分） 青皮
（七分） 莪术（七分） 槟榔（七分） 甘草（五分） 木香（五分）
加姜。更宜服四制香附丸，以经行为度。（此丸乃妇人之常药。）
四制香附丸
香附（一斤，分四制） 酒 醋 童便 盐水（各浸三日，焙干） 天台乌药（八两）
共末，醋糊为丸，白汤下。
如因痰者，用苍莎导痰丸主之。更服开郁二陈汤，去莪术，加枳壳（一钱）
有愆期未嫁之女，偏房失宠之外家，及寡妇尼姑，欲动而不能得，遂憾愤而不能得伸，多
有经
闭之疾，含羞强忍，不欲人知，致成痨瘵之病而不可救。宜用四制香附丸，参术大补丸，攻
补兼行，庶或有瘳。此七情之发，无法治之也。
有经闭不行，骨蒸潮热，脉虚者，增损八物柴胡汤主之。
人参（一钱） 白茯苓（一钱） 当归（一钱） 白芍（一钱） 生地（一钱） 麦冬（一钱） 知
母（一钱） 柴胡（一钱） 甘草（五分）
倘有汗，加地骨皮（一钱）；无汗，加丹皮（一钱），加竹叶。
凡妇人虚有热者，皆可服之。如热太甚，服此不平，加炮姜（一钱）。神效。
如经闭发热，咽燥唇干，脉实者，四物凉膈散主之。
当归（一钱） 川芎（一钱） 白芍（一钱） 生地（一钱） 黄芩（一钱，酒炒） 黄连（一钱，
酒炒
）栀子（一钱，炒） 连翘（一钱） 桔梗（一钱） 生甘（五分） 薄荷（五分） 加竹叶。凡血
实形盛，脉有力者皆可服。
If the menstrual blood is purple, it indicates Heat. Siwu Tang (Four Substances Decoction) with Xiangfu (Cyperus Rhizome) and Huanglian (Coptis Rhizome) should be used as the primary treatment.
Dangguiwei (Radix Angelicae Sinensis Cauda), Chuanxiong (Rhizoma Chuanxiong), Chishao (Radix Paeoniae Rubra), Shengdihuang (Radix Rehmanniae Preparata), Xiangfu (Rhizoma Cyperi, soaked in urine), Huanglian (Rhizoma Coptidis), Sheng Gancao (Radix Glycyrrhizae Preparata), Danpi (Cortex Moutan) (each 1 qian).
If the menstrual blood is white and pale, it indicates Deficiency. Bayu Tang (Eight-Ingredient Decoction) should be used as the primary treatment.
Renshen (Radix Ginseng, 1 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 qian), Fuling (Poria, 1 qian), Danggui (Radix Angelicae Sinensis, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Baishao (Radix Paeoniae Alba, 1 qian), Shudihuang (Radix Rehmanniae Preparata, 1 qian), Huangqi (Radix Astragali, 1 qian), Xiangfu (Rhizoma Cyperi, 1 qian, soaked in urine and stir-fried), Zhigancao (Radix Glycyrrhizae Preparata, 0.5 qian).
Add Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae), and regularly take Dihuang Wan (Rehmannia Pill).
The above menstruation-regulating medicines are suitable for continuous administration of more than ten doses during menstruation, after which menstruation will naturally regulate. Pills are suitable for long-term use.
For women with amenorrhea, there are three clinical presentations: First, damage to the Spleen and Stomach, reduced food intake, consumption of Qi and exhaustion of Blood leading to amenorrhea. One should tonify the Spleen and Stomach, nourish Qi and Blood, and wait for Qi and Blood to become abundant and generate, so that menstruation will occur spontaneously. Do not recklessly use emmenagogue agents, which would further damage Middle Qi and dry up Yin Blood, resulting in consumptive disease (Laozai) that is incurable. This is like demanding a thousand gold from a beggar and beating him daily, merely killing his life in vain. Second, due to worry, overthinking, anger, and resentment, causing Qi stagnation and Blood stasis leading to amenorrhea. One should open Qi stagnation and unblock Blood stasis so that menstruation will occur spontaneously. If tonifying agents are used, Qi will become more knotted upon tonification, and Blood will coagulate further, leading to masses and fullness, which is known as "nurturing a tiger and leaving trouble for oneself." Third, due to thick body fat blocking the channels and phlegm-fluids obstructing, leading to amenorrhea. One should move Qi and guide out Phlegm, allowing menstruation to flow; this is called a skilled physician.
If caused by Spleen-Stomach damage and Blood exhaustion, Jiabian Buzhong Yiqi Tang (Modified Tonify the Middle and Augment the Qi Decoction) should be used as the primary treatment. (Wuji Wan [Black Chicken Pill] can also be taken.)
Renshen (Radix Ginseng, 2 fen), Baizhu (Rhizoma Atractylodis Macrocephalae, 2 fen), Huangqi (Radix Astragali, 7 fen), Chaihu (Radix Bupleuri, 7 fen), Zhigancao (Radix Glycyrrhizae Preparata, 5 fen), Danggui (Radix Angelicae Sinensis, 1 qian), Baishao (Radix Paeoniae Alba, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Chenpi (Pericarpium Citri Reticulatae, 1 qian), Shenqu (Massa Medicata Fermentata, 5 fen), Maiya (Fructus Hordei Germinatus, 5 fen).
Add Shengjiang (Rhizoma Zingiberis Recens). Then take Zhushen Lingzhu Wan (Boiled Ginseng, Poria, and Atractylodes Pill) until menstruation resumes.
If caused by Qi stagnation and Blood closure, Kaiyu Erchen Tang (Open Stagnation Two-Chen Decoction) should be used as the primary treatment.
Chenpi (Pericarpium Citri Reticulatae, 1 qian), Fuling (Poria, 1 qian), Cangzhu (Rhizoma Atractylodis Lanceae, 1 qian), Xiangfu (Rhizoma Cyperi, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Banxia (Rhizoma Pinelliae Preparata, 7 fen), Qingpi (Exocarpium Citri Reticulatae Viride, 7 fen), Ezhu (Rhizoma Curcumae, 7 fen), Binglang (Semen Arecae, 7 fen), Gancao (Radix Glycyrrhizae, 5 fen), Muxiang (Radix Aucklandiae, 5 fen).
Add Shengjiang (Rhizoma Zingiberis Recens). It is also suitable to take Sizhi Xiangfu Wan (Four-Processed Cyperi Pill) until menstruation resumes. (This pill is a common medicine for women.)
Sizhi Xiangfu Wan
Xiangfu (Rhizoma Cyperi, 1 jin, processed in four ways): Jiu (Alcohol), Cu (Vinegar), Tongbian (Child's Urine), Yanshui (Salt Water) (each soaked for three days, then dried).
Tiantai Wuyao (Radix Linderac Semen, 8 liang).
Grind into powder, make pills with vinegar paste, and swallow with warm water.
If caused by Phlegm, Cangsha Daotan Wan (Cangzhu and Queshao Guiding-out Phlegm Pill) should be used as the primary treatment. Also take Kaiyu Erchen Tang (Open Stagnation Two-Chen Decoction), removing Ezhu (Rhizoma Curcumae) and adding Zhike (Fructus Aurantii, 1 qian).
There are unmarried women past marriage age, concubines who have lost favor, widows, and nuns whose sexual desire arises but cannot be satisfied, leading to regret and indignation that cannot be expressed. They often suffer from amenorrhea, hiding their shame and enduring it silently, unwilling for others to know, eventually developing consumptive disease (Laozai) that is incurable. It is suitable to use Sizhi Xiangfu Wan (Four-Processed Cyperi Pill) and Shenzhu Dabu Wan (Ginseng and Atractylodes Great Tonification Pill), combining attacking and tonifying methods, so that there might be some relief. This is an emission caused by Seven Emotions, for which there is no fixed treatment method.
For those with amenorrhea accompanied by bone-steaming tidal fever and a deficient pulse, Zengsun Bayu Chaihu Tang (Increased-and-Reduced Eight-Ingredient Bupleuri Decoction) should be used as the primary treatment.
Renshen (Radix Ginseng, 1 qian), Bai Fuling (Poria, 1 qian), Danggui (Radix Angelicae Sinensis, 1 qian), Baishao (Radix Paeoniae Alba, 1 qian), Shengdi (Radix Rehmanniae Preparata, 1 qian), Maidong (Radix Ophiopogonis, 1 qian), Zhimu (Rhizoma Anemarrhenae, 1 qian), Chaihu (Radix Bupleuri, 1 qian), Gancao (Radix Glycyrrhizae, 5 fen).
If there is sweating, add Digupi (Cortex Lycii, 1 qian); if there is no sweating, add Danpi (Cortex Moutan, 1 qian) and Zhuye (Folium Bambusae).
Any woman with deficiency and heat can take this. If the heat is too severe and this formula does not bring relief, add Paojiang (Rhizoma Zingiberis Preparata, 1 qian). The effect is miraculous.
If amenorrhea is accompanied by fever, dry throat, dry lips, and a forceful pulse, Siwu Liangge San (Four Substances Cooling Chest Powder) should be used as the primary treatment.
Danggui (Radix Angelicae Sinensis, 1 qian), Chuanxiong (Rhizoma Chuanxiong, 1 qian), Baishao (Radix Paeoniae Alba, 1 qian), Shengdi (Radix Rehmanniae Preparata, 1 qian), Huangqin (Radix Scutellariae, 1 qian, wine-fried), Huanglian (Rhizoma Coptidis, 1 qian, wine-fried), Zhizi (Fructus Gardeniae, 1 qian, stir-fried), Lianqiao (Fructus Forsythiae, 1 qian), Jiegeng (Radix Platycodonis, 1 qian), Sheng Gancao (Radix Glycyrrhizae Preparata, 5 fen), Bohe (Herba Menthae, 5 fen). Add Zhuye (Folium Bambusae). Any person with Blood excess and robust physique with a forceful pulse can take this.