大温经汤 （《金匮》）治冲任虚损，月候不调，或来多不已，或过期不行，或崩中去血
过多，或经损娠，瘀血停留，小腹急痛，五心烦热，并皆治之。
吴茱萸（汤泡） 牡丹皮 白芍药 肉桂（去粗皮） 人参 当归（去芦） 芎
阿胶（碎、炒） 甘草（炙，各一钱） 麦门冬（去心二钱） 半夏（二钱半）
上作一服，用水二盅，生姜五片，煎至一盅，食前服。
小温经汤 （《简易》）治经候不调，血脏冷痛。
当归 附子（炮，各等分）
上 咀，每服三钱，水一盏，煎八分，空心温服。
温经汤 （《和剂》）治妇人血海虚寒，月水不调。
川芎 当归 芍药 蓬术（各一钱半） 人参 牛膝（各二钱） 桂心 牡丹皮（各一钱）
甘草（半钱）
水二盅，煎至一盅，不拘时服。
滋血汤 滋养荣血，补妇人，治血海久冷。
当归（一钱半） 川芎 麦门冬（去心） 牡丹皮 人参 芍药 琥珀（另研，各一钱）
半夏曲 官桂 阿胶（炒） 酸枣仁 甘草（各半钱）
上作一服，水二盅，生姜三片，煎至一盅，食前服。
加味吴茱萸汤 治冲任衰弱，月候愆期，或前或后，或崩漏不止，赤白带下，小腹急
痛，每至经脉行时，头眩，饮食或少，气满心怯，肌肉不泽，悉皆治之。
半夏（二钱） 吴茱萸 当归（各一钱半） 麦门冬（去心） 干姜 白茯苓 苦梗
南木香 防风 牡丹皮 甘草（各一钱） 官桂 北细辛（各半钱）
上作一服，水二盅，生姜三片，红枣一枚，煎至一盅，食前服。
桃仁散 治妇人月水不调，或淋沥不断，断后复来，状如泻水，四体虚倦，不能饮食，
腹中坚痛，不可行动，月水或前或后，或经月不来，多思酸物。
桃仁 半夏 当归 川牛膝 桂心 人参 蒲黄 牡丹皮 川芎 泽兰叶（各一钱）
赤芍药 生地黄（各一钱半） 粉草（半钱）
上作一服，水二盅，生姜三片，煎至一盅，食前服。
姜黄散 治血脏久冷，月水不调，脐腹刺痛。
姜黄（片子者） 白芍药（各二钱） 玄胡索 牡丹皮 当归（各一钱半） 蓬术 红花
桂心 川芎（各一钱）
上作一服，水二盅，酒半盅，煎至一盅，不拘时服。
紫石英丸 （《本事》）治妇人病多是月经乍多乍少，或前或后，时发疼痛。医者一例呼
为经病，不曾说是阴胜阳，是阳胜阴，所以服药少效。盖阴气乘阳。则胞寒气冷，血不
营运，经所谓天寒地冻，水凝成冰，故令乍少，而在月后。若阳气乘阴，则血流散溢，经
所谓天暑地热，经水沸溢，故令乍多，而在月前。当和其阴阳，调其血气，使不相乘，以
平为期。宜服此丸。
紫石英（细研，水飞） 川乌（炮） 杜仲（炒去丝） 禹余粮（ ，醋淬）
远志（去心） 泽泻 桑寄生 桂心 龙骨（别研） 当归 人参 肉苁蓉（酒浸） 石斛
干姜（炮） 五味子 甘草（炙，各一两） 牡蛎（ ） 川椒（去目并合口者不用，
炒出汗，各半两）
上为细末，炼蜜和丸，如梧桐子大。每服二十丸，食前用米饮汤下。
暖宫丸 治冲任虚损，下焦久冷，月事不调，不成孕育。崩漏下血，赤白带下，并
皆治之。
生硫黄（六两） 赤石脂（火 ） 海螵蛸 附子（炮去皮脐，各三两） 禹余粮（九两，
火醋淬）
上为细末，醋糊为丸，如梧桐子大，每服三十丸，空心用温酒或醋汤送下。
内补当归丸 治血气虚损，月水不调，或崩中漏下，去血过多，肌体羸困，及月水将
行，腰腿重痛，并皆治之。
当归（去芦，炒） 阿胶（炒） 白芷 续断 干姜（炮） 芎 甘草（炙，各四两）
熟地黄（半两，焙） 附子（炮去皮脐） 白芍药 肉桂（各二两） 吴茱萸（汤泡，焙）
白术（各三两） 蒲黄（八钱，炒）
上为细末，炼蜜和丸，如梧桐子大，每服五十丸，空心用温酒送下。
熟干地黄丸 治妇人风虚劳冷，胃弱水谷不化，或肠虚受冷，大便时泄，或月水不
调，淋沥不止，或闭断不通，结聚 瘕，久不成胎，一切诸虚之证。
熟地黄 五味子（各一两半） 柏子仁（炒，另研） 牛膝（去苗，酒浸焙） 芎
禹余粮（火 ，醋淬） 白茯苓（去皮） 肉苁蓉（酒浸） 卷柏（去根） 山药 浓朴（去粗皮，制）
干姜（炮） 白芷 细辛（去苗） 防风（以上各一两） 赤石脂（二两， 另研） 杜仲（去粗皮，炙）
芜荑（炒） 人参（去芦） 川椒（去目并合口者） 蛇床子 艾叶（炒） 续断（各七钱半） 紫石
英（ ，另研，水飞） 石膏（ ，另研，各三两） 当归（去芦，炒） 泽兰（去梗） 官桂（去粗皮，
各二两二钱半） 石斛（一两一钱半） 甘草（炙，一两七钱半）
上为细末，炼蜜为丸，如梧桐子大，每服五十丸，空心用温酒或米饮送下。
禹余粮丸 治血虚烦热，月水不调，赤白带下，渐成崩漏。
禹余粮（火 ，醋淬） 白石脂（各一两） 附子（炮去皮脐） 鳖甲（去裙，醋炙）
桑寄生 白术 浓朴（去粗皮，制） 当归（去芦） 柏叶（炒） 干姜（炮，各一两） 白芍药
狗脊（去毛，各七钱半） 吴茱萸（汤泡焙，半两）
上为细末，炼蜜和丸，如梧桐子大。每服五十丸，空心用温酒或米饮汤送下。
鹿茸丸 治冲任虚损，又为风寒所乘，尺脉微小。甚者可灸关元穴。
鹿茸（炙） 赤石脂 禹余粮（各一两） 续断（二两） 柏叶 附子（炮） 熟地黄
当归（酒浸） 艾叶（各七钱半）
上为末，酒糊丸梧子大。每服五十丸，空心温酒下。
按∶此足少阴厥阴药也。今人多用之，故收入。治血虚湿胜带下甚捷。
升阳举经汤 （东垣） 治经水不调，右尺脉按之空虚，是气血俱脱，大寒证。轻手其脉
数疾，举指弦紧或涩，皆阳脱之证。阴火亦亡，见热证于口鼻眼或渴，此皆阴躁阳欲去也。
当温之、降之、引之、燥之，此法大升
浮血气，补命门之下脱也。诸药言根，近苗处去苗便是。
柴胡根 当归根 白术 黄 （各三钱） 本（去土） 羌活根 防风根（各二钱）
红花 白芍药（各五分） 独活根（一钱半） 桃仁（去皮尖研，十枚） 细辛（六分） 川芎
熟地黄（水中沉者） 人参（去芦） 黑附子（炮去皮脐） 甘草梢（炙，各一钱） 肉桂（去粗皮，
秋冬五分，夏不用）
上为粗末，每服二钱，水二盏，煎至八分，空心稍热服。
〔调经破血之剂〕
红花当归散 治妇人血脏虚竭，或积瘀血，经候不调，或断续不定，时作腹痛，腰
胯重疼攻刺，小腹紧硬，及室女月水不通，并皆治之。
红花 紫葳 牛膝 白芷 苏木（捶碎，各一钱） 桂心（一钱半） 当归尾 刘寄奴（各二钱）
赤芍药（三钱） 甘草（半钱）
上作一服，水一盅，酒一盅，同煎至一盅，空心服。
大玄胡索散 治妇人经病，并产后腹痛，或腹满喘闷，或 瘕癖块及一切心腹暴痛。
玄胡索 赤芍药 川楝子（去核） 蓬莪术 京三棱（煨） 浓朴（姜制） 当归
黄芩 川芎 桔梗 槟榔（各一钱） 木香 官桂（去粗皮） 甘草（各半钱） 大黄（二钱）
上作一服，水二盅，煎至一盅，食前服。
鳖甲丸 治妇人月经不调，肌肉黄瘁，胁下积气结痛，时发刺痛，渐成劳状。
鳖甲（去裙，醋炙） 桂心 三棱（醋煮，炒） 牡丹皮 牛膝（去苗） 琥珀 诃子（取肉）
桃仁（去皮尖双仁者，麸炒） 土瓜根 大黄（煨，以上各等分）
上为细末，炼蜜为丸，如梧桐子大，每服十五丸，食前用桃仁汤送下。
〔针灸〕
〔心〕月经不调 阴独（三分，此穴大效，须待经定为度。在足四指间，三壮。）
〔东〕又法∶内踝下白肉际青脉上，灸随年壮。
〔集〕又法∶中极 三阴交 肾俞 气海
〔心〕经闭久，忽大崩，复又断绝，复又大行不调者。丰隆（六分，止血。） 石门（五分，断经）
妇人五旬经断后再行，或多或少，或瘀或红并下，腹中气满如胎孕。天枢 中脘
气海（各五分，立愈）
〔甲〕妇人漏下，苦血闭不通，逆气胀。血海主之。女子胞中痛，月水不以时休止，天
枢主之。（《千金》作腹胀肠鸣，气上冲胸。）小腹胀满，痛引阴中，月水至则腰脊痛，胞中瘕，
子门有寒引髌髀。水道主之。（《千金》引髌髀作大小便不通。）
〔身痛〕
〔产宝〕经水者，行气血、通阴阳以荣于身者也。气血盛，阴阳和，则形体通。或
外亏卫气之充养，内乏荣血之灌溉，血气不足，经候欲行，身体先痛也。
越痛散 治血气虚寒，身体作痛。
虎骨（五铢） 茯苓 甘草 本 防风 白芷 当归 芍药 续断 白术 附子（各三铢）
上为粗末，每服五钱，水二盏，姜五片，枣二枚，煎至一盏，不拘时服。
〔腹痛〕
〔良〕妇人经来腹痛，由风冷客于胞络冲任，或伤手太阳、少阴经，用温经汤、桂枝桃仁
汤。若忧思气郁而血滞，用桂枝桃仁汤、地黄通经丸。（方见经闭。）若血结而成块，用万病丸。
〔薛〕前证若风寒伤脾者，六君子加炮姜。（方见杂病虚劳。）思虑伤血者，四物加参、术。
（方见杂病虚劳。）思虑伤气者，归脾加柴、栀。（方见杂病健忘。）郁怒伤血者，归脾、逍遥兼服。余
参前后论治之。
〔戴〕经事来而腹痛者，经事不来而腹亦痛者，皆血之不调故也。欲调其血，先调
其气，四物汤加吴茱萸半钱，香附子一钱。和气饮加茱萸半钱亦可用。痛甚者玄胡索汤。然
又恐感外邪、伤饮食致痛，痛不因血，尤宜详审。和气饮却能兼治，因冷而节，因节而
痛，宜大温经汤；冷甚者，去麦门冬不用。
〔丹〕抑气丸 治临经之时腹痛。
以四物汤加玄胡索、陈皮、牡丹皮、甘草。痛甚以豆淋酒，痛少以童便煮香附，入
条芩为丸。经水将来而痛者，四物汤加桃仁、香附、黄连。
〔海〕八物汤 治经事将行，脐腹绞痛，临经痛者，血涩故也。
川芎（二钱） 当归 芍药 熟地黄（各二钱） 木香 槟榔 玄胡索 苦楝（碎、炒焦，
各一钱）
上作一服，水二盅，煎至一盅，食前服。
〔本〕治妇人月经壅滞，每发心腹脐 痛不可忍，及治产后恶露不快，血上抢心，迷
闷不省，气绝欲死者，琥珀散。
京三棱 蓬莪术 赤芍药 刘寄奴 牡丹皮 熟地黄 官桂 菊花 真蒲黄 当归（各一两）
《济生方》无菊花、蒲黄，有玄胡索、乌药。
上前五味，用乌豆一升，生姜半斤，切片，米醋四升，同煮豆烂为度，焙干入后五
味，同为末，每服二钱，温酒调下，空心食前服。一方不用菊花、蒲黄，用乌药、玄胡
索，亦佳。予家之秘方也。若是寻常血气痛，只一服，产后血冲心，二服便下，常服尤佳。
予前后救人急切不少，此药亦宜多合以济人。
〔大〕交加散 治荣卫不和，月经湛浊，逐散恶血。腹痛经血诸疾，并皆治之。
生姜（二斤，捣取汁，存滓用） 生地黄（二斤，取汁存滓） 白芍药 当归
桂心（各一两） 红花（炒，无恶血不用） 没药（另研，各半两） 玄胡索（醋纸包，煨热，
用布擦去皮） 蒲黄（隔纸炒，各一两）
上将地黄汁炒生姜滓，生姜汁炒地黄滓，各焙干，用诸药为细末，每服三钱，温酒调
下。若月经不根据常，苏木煎酒调下。若腰痛，糖酒调下。
交加地黄丸 治妇人经不调，血块气痞，肚腹疼痛。
生地黄（捣汁，存滓） 老生姜（捣汁，存滓，各一斤） 玄胡索 当归 川芎
芍药（各二两） 明没药 木香（各一两） 桃仁（去皮尖） 人参（各半两） 香附（半斤）
上为末，先以生姜汁浸地黄滓，以地黄汁浸生姜滓，晒干，皆以汁尽为度，共十一
味，作一处晒干，研为末，醋糊为丸，空心以姜汤下。
〔大〕交加散 治妇人荣卫不通，经脉不调，腹中撮痛，气多血少，结聚为 ，产
后中风。
生地黄 生姜（各五两，各研取汁）
上交互取汁浸一夕，各炒黄，渍汁尽为度，末之。寻常腹痛，酒调下三钱。产后尤
不可阙。
温经汤（方见前。）
〔云〕桂枝桃仁汤 治经候前先腹痛不可忍。
桂枝 芍药 生地黄（各二两） 桃仁（四十枚） 甘草（一两）
上为粗末，每服五钱，水二盏，姜三片，枣一枚，同煎去滓，温服。
玄胡索汤 （《济生》）治妇人、室女，七情伤感，遂使血与气并，心腹作痛，或连腰胁，
或引背膂，上下攻刺，甚作搐搦，经候不调，但是一切血气疼痛，并可服之。
当归（去芦，酒浸，锉炒） 玄胡索（炒去皮） 蒲黄（炒） 赤芍药 官桂（不见火，各半两）
片子姜黄（洗） 乳香 没药 木香（不见火，各三钱） 甘草（炙，二钱半）
上 咀，每服四钱，水一盏半，生姜七片，煎至七分，去滓、食前温服。吐逆，加
半夏、橘红各半两。
〔丹〕瘀血
Da Wen Jing Tang (Great Warming the Menses Decoction) [from *Jin Gui Yao Lue*] treats deficiency and damage of the Chong and Ren vessels, irregular menstruation, excessive menstrual flow that does not stop, delayed menstruation, metrorrhagia with excessive bleeding, pregnancy loss due to menstrual injury, stagnation of blood stasis, acute pain in the lower abdomen, heat sensation in the five centers (palms, soles, and chest), all of which can be treated.
Wuzhuyu (Evodiae Fructus, soaked in decoction), Mudanpi (Moutan Cortex), Baishao (Paeoniae Radix Alba), Rougui (Cinnamomi Cortex, remove coarse bark), Renshen (Ginseng Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, remove radicle), Xiong (Ligustici Rhizoma et Radix), Ejiao (Asini Corii Colla, crushed and stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 qian), Maimendong (Ophiopogonis Radix, remove heart, 2 qian), Banxia (Pinelliae Rhizoma, 2.5 qian).
Take as one dose, add two zhong of water and five slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until one zhong remains, take before meals.
Xiao Wen Jing Tang (Small Warming the Menses Decoction) [from *Jian Yi Fang*] treats irregular menstruation and cold pain in the uterus.
Danggui (Angelicae Sinensis Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed, equal parts).
Cut into pieces, take 3 qian per dose, add one deng of water, decoct until 0.8 deng remains, take warm on an empty stomach.
Wen Jing Tang (Warming the Menses Decoction) [from *Tai Ping Hui Min He Ji Ju Fang*] treats deficiency-cold of the Blood Sea in women and irregular menstruation.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Pengzhu (Curcumae Rhizoma, each 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix, each 2 qian), Guixin (Cinnamomi Ramulus), Mudanpi (Moutan Cortex, each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Add two zhong of water, decoct until one zhong remains, take at any time.
Zi Xue Tang (Nourishing Blood Decoction): Nourishes Ying-blood, tonifies women, treats chronic cold of the Blood Sea.
Danggui (Angelicae Sinensis Radix, 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Maimendong (Ophiopogonis Radix, remove heart), Mudanpi (Moutan Cortex), Renshen (Ginseng Radix et Rhizoma), Shaoyao (Paeoniae Radix), Hupo (Succinum, separately ground, each 1 qian), Banxiaqu (Pinelliae Fermentatum), Guangui (Cinnamomi Ramulus), Ejiao (Asini Corii Colla, stir-fried), Suanzaoren (Ziziphi Spinosae Semen), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.5 qian).
Take as one dose, add two zhong of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until one zhong remains, take before meals.
Jia Wei Wuzhuyu Tang (Modified Evodia Decoction): Treats deficiency and weakness of the Chong and Ren vessels, irregular menstrual timing, early or late onset, continuous metrorrhagia, red and white leukorrhea, acute pain in the lower abdomen, dizziness during menstruation, reduced appetite, feeling of fullness with timidity, lusterless skin, all of which can be treated.
Banxia (Pinelliae Rhizoma, 2 qian), Wuzhuyu (Evodiae Fructus), Danggui (Angelicae Sinensis Radix, each 1.5 qian), Maimendong (Ophiopogonis Radix, remove heart), Ganjiang (Zingiberis Rhizoma), Baifuling (Poria Cocos), Kujie (Platycodonis Radix), Nanmuxiang (Aquilariae Lignum Resinatum), Fangfeng (Saposhnikoviae Radix), Mudanpi (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, each 1 qian), Guangui (Cinnamomi Ramulus), Beixixin (Asari Radix et Rhizoma, each 0.5 qian).
Take as one dose, add two zhong of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Hongzao (Zizyphi Fructus), decoct until one zhong remains, take before meals.
Taoren San (Persicae Semen Powder): Treats irregular menstruation in women, continuous dripping, stopping and starting again like flowing water, weakness and fatigue of the four limbs, inability to eat, hard and painful abdomen preventing movement, early or late menstruation, amenorrhea for a month, craving for sour foods.
Taoren (Persicae Semen), Banxia (Pinelliae Rhizoma), Danggui (Angelicae Sinensis Radix), Chuan Niuxi (Achyranthis Bidentatae Radix), Guixin (Cinnamomi Ramulus), Renshen (Ginseng Radix et Rhizoma), Puhuang (Typhae Pollen), Mudanpi (Moutan Cortex), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zelan Ye (Leonuri Herba, each 1 qian), Chishaoyao (Paeoniae Radix Rubra), Shengdihuang (Rehmanniae Radix, each 1.5 qian), Fencacao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Take as one dose, add two zhong of water and three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until one zhong remains, take before meals.
Jianghuang San (Curcumae Longae Rhizoma Powder): Treats chronic cold of the uterus, irregular menstruation, stabbing pain in the umbilical and abdominal region.
Jianghuang (Curcumae Longae Rhizoma, select sliced ones), Baishao (Paeoniae Radix Alba, each 2 qian), Yanshusuo (Corydalis Rhizoma), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix, each 1.5 qian), Pengzhu (Curcumae Rhizoma), Honghua (Carthami Flos), Guixin (Cinnamomi Ramulus), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1 qian).
Take as one dose, add two zhong of water and half a zhong of wine, decoct until one zhong remains, take at any time.
Zishiying Wan (Purple Quartz Pill) [from *Benshi Fang*]: Treats women's diseases often characterized by fluctuating menstrual volume, early or late onset, and frequent pain. Physicians generally call this a menstrual disease without distinguishing whether Yin overcomes Yang or Yang overcomes Yin, hence few effective treatments. Generally, when Yin Qi overcomes Yang, the uterus becomes cold, and blood circulation is obstructed, as stated in the classics: "When heaven is cold and earth frozen, water congeals into ice," causing scant flow occurring after the expected date. If Yang Qi overcomes Yin, blood flows and spills excessively, as stated: "When heaven is hot and earth warm, menstrual water boils over," causing abundant flow occurring before the expected date. One should harmonize Yin and Yang, regulate Qi and Blood, prevent mutual overcoming, and aim for balance. This pill is suitable.
Zishiying (Pyritum, finely ground and washed with water), Chuanwu (Aconiti Radix, processed), Duzhong (Eucommiae Cortex, stir-fried to remove silk), Yuyuliang (Hematitum, calcined and quenched with vinegar), Yuanzhi (Polygalae Radix, remove heart), Zexie (Alismatis Rhizoma), Sangjisheng (Taxilli Caulis), Guixin (Cinnamomi Ramulus), Longgu (Fossilia Ossis Mastodi et Scapulae, separately ground), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Roushoucong (Cynomorii Herba, soaked in wine), Shihu (Dendrobii Caulis), Ganjiang (Zingiberis Rhizoma, processed), Wuweizi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 1 liang), Muli (Concha Ostreae, calcined), Chuanjiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until sweat appears, each 0.5 liang).
Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, swallow with rice soup before meals.
Nuangong Wan (Uterus-Warming Pill): Treats deficiency and damage of the Chong and Ren vessels, chronic cold of the lower Jiao, irregular menstruation, and infertility. Metrorrhagia, leukorrhea of red and white discharge, all of which can be treated.
Sheng Liuhuang (Sulfur, 6 liang), Chishizhi (Halloysitum Rubrum, calcined), Haipiaoxiao (Sepiae Endoconcha), Fuzi (Aconiti Lateralis Radix Praeparata, remove skin and umbilicus, each 3 liang), Yuyuliang (Hematitum, 9 liang, calcined and quenched with vinegar).
Grind into fine powder, make pills with vinegar paste the size of Sophora seeds. Take 30 pills per dose, swallow with warm wine or vinegar soup on an empty stomach.
Nei Bu Danggui Wan (Internal Tonifying Angelica Pill): Treats deficiency and damage of Qi and Blood, irregular menstruation, menorrhagia or metrorrhagia, excessive blood loss, emaciation and weakness, heavy and painful waist and legs before menstruation, all of which can be treated.
Danggui (Angelicae Sinensis Radix, remove radicle, stir-fried), Ejiao (Asini Corii Colla, stir-fried), Baizhi (Angelicae Dahuricae Radix), Xuduan (Dipsaci Radix), Ganjiang (Zingiberis Rhizoma, processed), Xiong (Ligustici Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 4 liang), Shudihuang (Rehmanniae Radix Praeparata, 0.5 liang, baked), Fuzi (Aconiti Lateralis Radix Praeparata, remove skin and umbilicus), Baishao (Paeoniae Radix Alba), Rougui (Cinnamomi Cortex, each 2 liang), Wuzhuyu (Evodiae Fructus, soaked in decoction, baked), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 liang), Puhuang (Typhae Pollen, 8 qian, stir-fried).
Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 50 pills per dose, swallow with warm wine on an empty stomach.
Shu Gan Dihuang Wan (Prepared Rehmannia Pill): Treats wind-deficiency and consumptive cold in women, weak spleen failing to transform food and fluids, intestinal deficiency leading to cold-induced diarrhea, irregular menstruation with continuous dripping, amenorrhea, formation of masses, prolonged infertility, and all types of deficiency syndromes.
Shudihuang (Rehmanniae Radix Praeparata), Wuweizi (Schisandrae Fructus, each 1.5 liang), Baiziren (Biotae Semen, stir-fried, separately ground), Niuxi (Achyranthis Bidentatae Radix, remove sprouts, soak in wine and bake), Xiong (Ligustici Rhizoma et Radix), Yuyuliang (Hematitum, calcined and quenched with vinegar), Baifuling (Poria Cocos, remove peel), Roushoucong (Cynomorii Herba, soak in wine), Juanbai (Selaginellae Herba, remove roots), Shanyao (Dioscoreae Rhizoma), Houpo (Magnoliae Officinalis Cortex, remove coarse bark, process), Ganjiang (Zingiberis Rhizoma, processed), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma, remove sprouts), Fangfeng (Saposhnikoviae Radix, each 1 liang above), Chishizhi (Halloysitum Rubrum, 2 liang, separately ground), Duzhong (Eucommiae Cortex, remove coarse bark, honey-fried), Wuyi (Myristicae Semen, stir-fried), Renshen (Ginseng Radix et Rhizoma, remove radicle), Chuanjiao (Zanthoxyli Pericarpium, remove eyes and closed ones), Chuangszi (Cnidii Fructus), Aye (Artemisiae Argyi Folium, stir-fried), Xuduan (Dipsaci Radix, each 7.5 qian), Zishiying (Pyritum, calcined, separately ground and washed with water), Shigao (Gypsum Fibrosum, calcined, separately ground, each 3 liang), Danggui (Angelicae Sinensis Radix, remove radicle, stir-fried), Zelan (Leonuri Herba, remove stems), Guangui (Cinnamomi Ramulus, remove coarse bark, each 2.25 liang), Shihu (Dendrobii Caulis, 1.15 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.75 liang).
Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 50 pills per dose, swallow with warm wine or rice soup on an empty stomach.
Yuyuliang Wan (Hematite Pill): Treats blood deficiency with vexation and heat, irregular menstruation, red and white leukorrhea, gradually developing into metrorrhagia.
Yuyuliang (Hematitum, calcined and quenched with vinegar), Baishizhi (Halloysitum Album, each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, remove skin and umbilicus), Biejia (Testudinis Carapax et Plastrum, remove skirt, stir-fried with vinegar), Sangjisheng (Taxilli Caulis), Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex, remove coarse bark, process), Danggui (Angelicae Sinensis Radix, remove radicle), Baiye (Mortellae Folium, stir-fried), Ganjiang (Zingiberis Rhizoma, processed, each 1 liang), Baishao (Paeoniae Radix Alba), Gouji (Rhynchotropidis Radix, remove hair, each 7.5 qian), Wuzhuyu (Evodiae Fructus, soaked in decoction and baked, 0.5 liang).
Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 50 pills per dose, swallow with warm wine or rice soup on an empty stomach.
Lurong Wan (Deer Antler Pill): Treats deficiency and damage of the Chong and Ren vessels, invasion by wind-cold, minute and faint Chi pulse. Severe cases may be treated with moxibustion on the Guan Yuan point.
Lurong (Cervi Cornu Degelatinatum, roasted), Chishizhi (Halloysitum Rubrum), Yuyuliang (Hematitum, each 1 liang), Xuduan (Dipsaci Radix, 2 liang), Baiye (Mortellae Folium), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Shudihuang (Rehmanniae Radix Praeparata), Danggui (Angelicae Sinensis Radix, soaked in wine), Aye (Artemisiae Argyi Folium, each 7.5 qian).
Grind into powder, make pills with wine paste the size of Sophora seeds. Take 50 pills per dose, swallow with warm wine on an empty stomach.
Note: These are herbs for the Foot-Shaoyin and Foot-Jueyin meridians. They are commonly used today, so they are included here. They are very effective for leukorrhea caused by blood deficiency and dampness excess.
Shengyang Jujing Tang (Ascending Yang and Elevating Menstruation Decoction) [by Li Dongyuan]: Treats irregular menstruation. The Right-Chi pulse is empty upon pressure, indicating depletion of both Qi and Blood, a severe cold syndrome. Light pressure reveals rapid pulse; firm pressure reveals wiry, tight, or choppy pulse, all signs of Yang depletion. Yin fire is also exhausted, manifesting as heat symptoms in the mouth, nose, eyes, or thirst, indicating Yin restlessness and departing Yang. Treatment should involve warming, descending, guiding, and drying methods to greatly ascend and float Qi and Blood, replenishing the depletion below the Mingmen (Gate of Life). For root herbs, use the part near the sprout, removing the sprout itself.
Chaihu Gen (Bupleuri Radix), Danggui Gen (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix, each 3 qian), Ben Cao (Ligustici Wallichii Rhizoma et Radix, clean soil), Qianghuo Gen (Notopterygii Rhizoma et Radix), Fangfeng Gen (Saposhnikoviae Radix, each 2 qian), Honghua (Carthami Flos), Baishao (Paeoniae Radix Alba, each 5 fen), Duhuo Gen (Angelicae Pubescentis Radix, 1.5 qian), Taoren (Persicae Semen, remove skin and tip, grind, 10 seeds), Xixin (Asari Radix et Rhizoma, 6 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudihuang (Rehmanniae Radix Praeparata, sinkers in water), Renshen (Ginseng Radix et Rhizoma, remove radicle), Hei Fuzi (Aconiti Lateralis Radix Praeparata, remove skin and umbilicus), Gancao Shao (Glycyrrhizae Radix et Rhizoma tip, honey-fried, each 1 qian), Rougui (Cinnamomi Cortex, remove coarse bark, 5 fen in autumn/winter, avoid in summer).
Grind into coarse powder, take 2 qian per dose, add two zhan of water, decoct until 0.8 zhan remains, take slightly warm on an empty stomach.
[Formulas for Regulating Menstruation and Breaking Blood Stasis]
Honghua Danggui San (Carthami and Angelica Powder): Treats exhaustion of the blood organs in women, accumulation of blood stasis, irregular menstruation, intermittent flow, frequent abdominal pain, heavy and stabbing pain in waist and hips, hardness in lower abdomen, and amenorrhea in unmarried girls, all of which can be treated.
Honghua (Carthami Flos), Ziwei (Bignoniae Caulis), Niuxi (Achyranthis Bidentatae Radix), Baizhi (Angelicae Dahuricae Radix), Sumu (Sappan Lignum, crushed, each 1 qian), Guixin (Cinnamomi Ramulus, 1.5 qian), Danggui Wei (Angelicae Sinensis Radix tail), Liu Jinu (Ayapani Herba, each 2 qian), Chishaoyao (Paeoniae Radix Rubra, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian).
Take as one dose, add one zhong of water and one zhong of wine, decoct together until one zhong remains, take on an empty stomach.
Da Xianshusuo San (Major Corydalis Powder): Treats menstrual diseases in women, postpartum abdominal pain, abdominal fullness with panting, masses and tumors, and all sudden heart and abdominal pains.
Xianshusuo (Corydalisis Rhizoma), Chishaoyao (Paeoniae Radix Rubra), Chuanlianzi (Toosendan Fructus, remove core), Peng'ezhu (Curcumae Rhizoma), Jing Sanleng (Sparganii Rhizoma, roast), Houpo (Magnoliae Officinalis Cortex, ginger-processed), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Binglang (Arecae Semen, each 1 qian), Muxiang (Aucklandiae Radix), Guangui (Cinnamomi Ramulus, remove coarse bark), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.5 qian), Dahuang (Rhei Radix et Rhizoma, 2 qian).
Take as one dose, add two zhong of water, decoct until one zhong remains, take before meals.
Biejia Wan (Turtle Shell Pill): Treats irregular menstruation in women, sallow and emaciated muscles, qi accumulation and knotting pain in the hypochondrium, frequent stabbing pain, gradually developing into a consumptive state.
Biejia (Testudinis Carapax et Plastrum, remove skirt, stir-fried with vinegar), Guixin (Cinnamomi Ramulus), Sanleng (Sparganii Rhizoma, boil in vinegar and stir-fry), Mudanpi (Moutan Cortex), Niuxi (Achyranthis Bidentatae Radix, remove sprouts), Hupo (Succinum), Hezi (Chebulae Fructus, take flesh), Taoren (Persicae Semen, remove skin and tip, double-kernel ones, bran-roast), Tugua Gen (Trichosanthes Kirilowii Radix), Dahuang (Rhei Radix et Rhizoma, roast, equal parts above).
Grind into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take 15 pills per dose, swallow with Taoren (Persicae Semen) soup before meals.
[Acupuncture]
[Xin] Irregular Menstruation: Yindu point (needle 3 fen, highly effective, depth determined during menstruation. Located between the fourth toe, moxa 3 zhuang.)
[Dong] Another method: On the green vein at the boundary of white flesh below the medial malleolus, moxa according to age zhuang.
[Ji] Another method: Zhongji (CV-4), Sanyinjiao (SP-6), Shenshu (BL-23), Qihai (CV-6).
[Xin] For long-standing amenorrhea suddenly turning into severe metrorrhagia, then stopping again and becoming irregular with heavy flow: Fenglong (ST-40, needle 6 fen, stops bleeding.) Shimen (CV-5, needle 5 fen, stops menstruation.)
For women aged fifty whose menstruation stops and then resumes, varying in amount, mixed with clots or bright red blood, with abdominal distension resembling pregnancy: Tianshu (ST-25), Zhongwan (CV-12), Qihai (CV-6) (each needle 5 fen, immediate cure.)
[Jia] For women with metrorrhagia, suffering from blood obstruction and non-flow, rebellious Qi causing distension: Xuehai (SP-10) governs. For pain in the uterus of women, menstruation not stopping at its proper time: Tianshu (ST-25) governs. (*Qianjin Fang* describes it as abdominal distension, borborygmus, Qi rushing to the chest.) For lower abdominal distension and pain radiating to the yin, lumbar and spinal pain when menstruation arrives, uterine masses, cold in the zi men radiating to the patella and thigh: Shuidao (ST-28) governs. (*Qianjin Fang* describes radiating to patella and thigh as difficulty in urination and defecation.)
[Body Pain]
[Chanbao] Menstrual blood is the mechanism that circulates Qi and Blood, connects Yin and Yang to nourish the body. When Qi and Blood are abundant and Yin and Yang are harmonious, the physique is smooth. If external Wei-Qi nourishment is lacking, or internal Ying-Blood irrigation is deficient, resulting in insufficiency of Qi and Blood, body pain occurs before the onset of menstruation.
Yuetong San (Exceeding Pain Powder): Treats body pain due to Qi and Blood deficiency-cold.
Hugu (Pantheris Os, 5 zhu), Fuling (Poria Cocos), Gancao (Glycyrrhizae Radix et Rhizoma), Bencao (Ligustici Wallichii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Xuduan (Dipsaci Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, each 3 zhu).
Grind into coarse powder, take 5 qian per dose, add two zhan of water, five slices of Jiang (Zingiberis Rhizoma Recens), two dates (Zizyphi Fructus), decoct until one zhan remains, take at any time.
[Abdominal Pain]
[Liang] Abdominal pain during menstruation in women is caused by wind-cold invading the Bao Luo, Chong and Ren vessels, or damaging the Hand-Taiyang and Hand-Shaoyin meridians. Use Wen Jing Tang (Warming the Menses Decoction) or Guizhi Taoren Tang (Cinnamon Twig and Persicae Decoction). If worry and thought cause Qi stagnation and blood stasis, use Guizhi Taoren Tang (Cinnamon Twig and Persicae Decoction) or Dihuang Tongjing Wan (Rehmannia Unblocking Menstruation Pill). (Formula see Amenorrhea.) If blood knots into masses, use Wanbing Wan (Ten Thousand Diseases Pill).
[Xue] For the above syndromes, if wind-cold damages the Spleen, use Liu Junzi Tang (Six Gentlemen Decoction) plus Paojiang (Processed Ginger). (Formula see Miscellaneous Diseases Consumptive Weakness.) If worry damages Blood, use Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng) and Baizhu (Atractylodes). (Formula see Miscellaneous Diseases Consumptive Weakness.) If worry damages Qi, use Guipi Tang (Restore the Spleen Decoction) plus Chaihu (Bupleurum) and Zhizi (Gardenia). (Formula see Miscellaneous Diseases Forgetfulness.) If depression and anger damage Blood, combine Guipi Tang (Restore the Spleen Decoction) and Xiaoyao San (Free Wanderer Powder). Refer to previous discussions for other treatments.
[Dai] Abdominal pain during menstruation, or abdominal pain when menstruation does not occur, are both due to irregular Blood. To regulate Blood, first regulate Qi. Add 0.5 qian of Wuzhuyu (Evodia) and 1 qian of Xiangfu (Cyperus) to Siwu Tang (Four Substances Decoction). Heqi Yin (Harmonizing Qi Decoction) with 0.5 qian of Wuzhuyu (Evodia) is also usable. For severe pain, use Xianshusuo Tang (Corydalis Decoction). However, one must also consider pain caused by external pathogens or dietary injury, where pain is not due to Blood, requiring careful examination. Heqi Yin (Harmonizing Qi Decoction) can treat multiple causes; if due to cold leading to cessation, and cessation leading to pain, Da Wen Jing Tang (Great Warming the Menses Decoction) is suitable; for severe cold, remove Maimendong (Ophiopogon).
[Dan] Yi Qi Wan (Suppressing Qi Pill): Treats abdominal pain at the onset of menstruation.
Use Siwu Tang (Four Substances Decoction) plus Xianshusuo (Corydalis), Chenpi (Citri Reticulatae Pericarpium), Mudanpi (Moutan Cortex), Gancao (Licorice). For severe pain, use Doulin Jiu (Bean-Soaked Wine); for mild pain, cook Xiangfu (Cyperus) with child's urine, add Tiaohuang Qin (Scutellariae Radix), and form pills. For pain before menstruation arrives, use Siwu Tang (Four Substances Decoction) plus Taoren (Persicae Seed), Xiangfu (Cyperus), Huanglian (Coptidis Rhizoma).
[Hai] Ba Wu Tang (Eight Substances Decoction): Treats colicky pain in the umbilical and abdominal region before menstruation; pain at the onset of menstruation is due to sluggish Blood.
Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 qian), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Shudihuang (Rehmanniae Radix Praeparata, each 2 qian), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Xianshusuo (Corydalis Rhizoma), Koulou (Toosendan Fructus, crushed, stir-fried until scorched, each 1 qian).
Take as one dose, add two zhong of water, decoct until one zhong remains, take before meals.
[Ben] For women with menstrual congestion, unbearable heart, abdomen, and umbilical pain, and for postpartum slow lochia expulsion, blood rushing to the heart causing confusion, unconsciousness, and near-death states, use Hupo San (Amber Powder).
Jing Sanleng (Sparganii Rhizoma), Peng'ezhu (Curcumae Rhizoma), Chishaoyao (Paeoniae Radix Rubra), Liu Jinu (Ayapani Herba), Mudanpi (Moutan Cortex), Shudihuang (Rehmanniae Radix Praeparata), Guangui (Cinnamomi Ramulus), Juhua (Chrysanthemi Flos), Zhen Puhuang (Typhae Pollen), Danggui (Angelicae Sinensis Radix, each 1 liang). *Jisheng Fang* lacks Juhua (Chrysanthemum) and Puhuang (Typhae Pollen), but includes Xianshusuo (Corydalis) and Wuyao (Linderae Radix).
Take the first five herbs, boil with one sheng of Wudou (Sojae Semen Preparatum), half a jin of Shengjiang (Zingiberis Rhizoma Recens, sliced), and four sheng of Rice Vinegar until beans are soft, dry them, add the remaining five herbs, grind into powder. Take 2 qian per dose, mix with warm wine, take on an empty stomach before meals. Another formula omits Juhua (Chrysanthemum) and Puhuang (Typhae Pollen), using Wuyao (Linderae Radix) and Xianshusuo (Corydalis), which is also good. It is my family's secret recipe. For ordinary Qi and Blood pain, one dose suffices; for postpartum blood rushing to the heart, two doses suffice for expulsion; regular use is especially good. I have saved many people urgently with this; it should be prepared in large quantities to help others.
[Da] Jiaojia San (Intersecting Powder): Treats disharmony of Ying and Wei, turbid menstruation, expelling evil blood. All abdominal pain and menstrual disorders can be treated.
Shengjiang (Zingiberis Rhizoma Recens, 2 jin, crush to extract juice, keep the dregs), Shengdihuang (Rehmanniae Radix, 2 jin, extract juice, keep the dregs), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus, each 1 liang), Honghua (Carthami Flos, stir-fried, omit if no evil blood), Moyao (Myrrhae Resina, separately ground, each 0.5 liang), Xianshusuo (Corydalis Rhizoma, wrap in vinegar-soaked paper, roast until hot, wipe off skin with cloth), Puhuang (Typhae Pollen, stir-fry through paper, each 1 liang).
Stir-fry the dregs of Shengjiang (Zingiberis Rhizoma Recens) with Shengdihuang (Rehmanniae Radix) juice, and the dregs of Shengdihuang (Rehmanniae Radix) with Shengjiang (Zingiberis Rhizoma Recens) juice, dry each separately, grind all herbs into fine powder. Take 3 qian per dose, mix with warm wine. If menstruation is abnormal, mix with Sumu (Sappan Lignum) decocted wine. For back pain, mix with sugar wine.
Jiaojia Dihuang Wan (Intersecting Rehmannia Pill): Treats irregular menstruation in women, blood masses and Qi痞 (fullness), abdominal pain.
Shengdihuang (Rehmanniae Radix, crush to extract juice, keep dregs), Laoshengjiang (Old Ginger, crush to extract juice, keep dregs, each 1 jin), Xianshusuo (Corydalis Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix, each 2 liang), Ming Moyao (Clear Myrrhae Resina), Muxiang (Aucklandiae Radix, each 1 liang), Taoren (Persicae Semen, remove skin and tip), Renshen (Ginseng Radix et Rhizoma, each 0.5 liang), Xiangfu (Cyperi Rhizoma, 0.5 jin).
Grind into powder. First soak the dregs of Shengdihuang (Rehmanniae Radix) in Shengjiang (Zingiberis Rhizoma Recens) juice, and the dregs of Shengjiang (Zingiberis Rhizoma Recens) in Shengdihuang (Rehmanniae Radix) juice, dry until juices are exhausted. Combine all eleven ingredients, dry together, grind into powder, make pills with vinegar paste. Take on an empty stomach with Ginger Soup.
[Da] Jiaojia San (Intersecting Powder): Treats disharmony of Ying and Wei in women, irregular meridians, cramping abdominal pain, excess Qi and deficient Blood, formation of masses, postpartum wind-stroke.
Shengdihuang (Rehmanniae Radix), Shengjiang (Zingiberis Rhizoma Recens, each 5 liang, crush to extract juice).
Soak each other's juice overnight, stir-fry until yellow, until juices are absorbed, grind into powder. For ordinary abdominal pain, mix with wine, take 3 qian. Especially indispensable for postpartum conditions.
Wen Jing Tang (See previous formula.)
[Yun] Guizhi Taoren Tang (Cinnamon Twig and Persicae Decoction): Treats unbearable abdominal pain before menstruation.
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Shengdihuang (Rehmanniae Radix, each 2 liang), Taoren (Persicae Semen, 40 seeds), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang).
Grind into coarse powder, take 5 qian per dose, add two zhan of water, three slices of Jiang (Zingiberis Rhizoma Recens), one date (Zizyphi Fructus), decoct together, strain, take warm.
Xianshusuo Tang (Corydalis Decoction) [*Jisheng Fang*]: Treats women and unmarried girls, emotional injury causing Qi and Blood binding, heart and abdominal pain, radiating to waist and hypochondrium or back, stabbing pain up and down, severe spasms, irregular menstruation, and all Qi and Blood pains.
Danggui (Angelicae Sinensis Radix, remove radicle, soak in wine, cut and stir-fry), Xianshusuo (Corydalis Rhizoma, stir-fry and remove skin), Puhuang (Typhae Pollen, stir-fry), Chishaoyao (Paeoniae Radix Rubra), Guangui (Cinnamomi Ramulus, do not expose to fire, each 0.5 liang), Pianzi Jianghuang (Curcumae Longae Rhizoma, wash), Ruxiang (Olibanum Resina), Moyao (Myrrhae Resina), Muxiang (Aucklandiae Radix, do not expose to fire, each 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2.5 qian).
Cut into pieces, take 4 qian per dose, add one and a half deng of water, seven slices of Jiang (Zingiberis Rhizoma Recens), decoct until 0.7 deng remains, strain, take warm before meals. For vomiting, add Banxia (Pinelliae Rhizoma) and Juhong (Citri Reticulatae Pericarpium Rubrum, each 0.5 liang).
[Dan] Blood Stasis