此症两条筋从阴吊起至乳上疼痛,身上发热。宜用川楝汤两剂而愈。
川楝汤∶川楝子、猪苓、泽泻各八分,麻黄六分,木香三分,小茴香、大茴香、白术、
乌药、乳香、元胡各一钱,槟榔八分,姜三片,葱一根,水煎对火服,发汗即愈。
此症经来一半,觉口渴、小肠痛,此因伤食生冷,血滞不行,有余血在内,不可用补。
宜用莪术散。热去经尽痛止。
莪术散∶莪术、三棱、红花、牛膝、苏子各一钱,水煎,空心服。
此症手足麻痹,乃腹中虚冷,气血衰乏,用人参四物汤治之。
人参四物汤∶人参、白芍各一钱,当归两钱,川芎八分,姜三片,枣三个,水煎服即愈
此因脾土虚弱,不能充变而为肿,宜用木香调胃散。
木香调胃散∶木香、甘草、干姜各三分,莪术、木通、山楂、大腹皮各八分,砂仁、苍
术各一钱六分,陈皮、红花各五分,香附、车前各一钱,萆 三分,水煎,空心服。
若经动之时,五更泄泻如儿尿,此乃肯虚,不必治脾,用调中汤进三五剂。
调中汤∶人参、白术各八分,五味子、甘草各三分,干姜五分,生姜三片,水煎服。
八味逍遥散∶凡妇人血弱阴虚,营卫不和,痰涎潮热,肢体羸瘦,或由怒气伤肝,血少
目暗,骨蒸劳热,咳嗽,血虚劳倦,五心烦热,肢体疼痛,头昏心悸,颊赤口燥,咽干便涩
,发热盗汗,减食嗜卧,血热相搏,月水不调,脐腹胀痛,寒热如疟等症均效。当归、酒芍
、焦术(去芦)、白茯苓(去皮)、柴胡、炒栀仁、炙草、丹皮各一钱,煨姜、薄荷引,水煎
服
柏子仁丸∶治经行复止,血少神衰,或忧思伤心,心伤则不能生血,血少则肝无所养,
故经闭。柏子仁(去油)、牛膝(酒炒)、卷柏各五钱,泽兰、续断各二两,熟地一两,共研
末
芎归六君子汤∶治经水后期,其来涩少,形体肥盛,乃因气虚而痰滞于经络,用此方服
之,人参、川芎、焦白术、茯苓、陈皮各一钱,当归、制半夏各钱半,炙草五分,姜引,水
煎服。
连附四物汤∶治经水过期,紫黑成块。紫、血热也。黑、热甚也。过期而成块、气滞也
。或风冷乘之,若淡白者,虚也。如豆汁如屋漏水混浊者,湿痰也。此方皆可用之。川芎一
钱,黄连五分,当归、白芍、制香附、熟地各二钱,水煎服。
乌梅丸∶治经来呕吐,痰膈拄住,米谷不能下胃。先用乌梅丸,次用九仙夺命散。木香
、雄黄各五钱,草果一个,乳香、没药各一钱,共研末。用乌梅肉捣为丸如弹子大,每早含
化一丸。化痰涎后,再用九仙夺命散∶豆蔻、浓朴、茯苓、枳壳、木香、山楂、陈皮、苍术
各一钱,草果一个,共研末,姜汤调服。
茯苓汤∶治经来咳嗽,咽中出血,乃肺金枯燥。先用茯苓汤退其嗽,茯苓、川芎、苏叶
、前胡、制半夏、桔梗、枳实、陈皮、干姜、桑皮各六分,人参五分,甘草三分,姜引,水
煎,空心服后,再用鸡苏丸除其根。萝卜子九钱,贝母四两,共研末,蜜为丸。每早空心白
汤送下五十丸。
固经丸∶治血热崩漏,经行不止,及紫黑成块用之。炙龟板四两,酒芍、酒炒黄柏、酒
黄芩各三两,香附子、(童便对酒制)炒樗皮各一两五钱,共研末,酒糊为丸,酒送下。
加减补中益气汤∶治崩漏身热,自汗气短,倦怠懒食,由劳伤所致。人参、焦术各一钱
,黄 二钱,当归、酒芍各一钱五分,柴胡、升麻各七分,陈皮、黑栀仁各八分,炙草五分
,姜、枣引,水煎服。
正气天香散∶治气滞经阻,气上凑心,心胸攻筑,胁肋刺痛,月水不调。制香附八钱,
乌药、陈皮、苏叶各一钱,干姜五分,共研,开水调服。
抑气散∶治气胜于血,变生诸症,头晕膈满,制香附四两,陈皮二两,茯神一两,炙草
五钱,共研细末,每日三钱,用水煎服。
龙骨散∶治经来臭如夏月之腐,乃血弱身衰,新旧血不接则臭,譬如沟渠枯涸,天久无
雨则臭。龙骨、螵蛸、牡蛎、生地各一两,当归、川芎、酒芍、白茯苓各八钱,黄芩六钱,
共研末,蜜为丸如桐子大。每早酒送下一百丸,再服汤药方∶当归、三棱、莪术、赤芍、丹
皮、焦木、制香附、黄芩、陈皮、木通各八分,姜引,水煎服。
十灰散∶治血崩初起。绵、绢各一团,阿胶五钱,侧柏叶、白茅根、棕榈、艾、百草霜
、苎麻根、头发各一钱,各烧灰存性,研细末,另用丹皮、茜根、大蓟、小蓟各一钱,同藕
煎汤调十灰散冲服。
若小腹痛,用加味四物汤∶当归、川芎、乌药、元胡索各一钱,白芍、小茴各八分,熟
地二钱,姜、枣引,水煎,空心服。
若久崩者,乃虚也。用鸡子汤∶取鸡肚内蛋一副,抱小鸡未出壳的蛋三个,葱三根,姜
一两,共捣烂,用麻油炒焦,冲酒去渣,取酒服。
This syndrome manifests as pain in two tendons pulling upward from the yin region to the breasts, accompanied by fever. It is suitable to take Chuanlian Tang (Chuan Lian Decoction) for two doses to achieve a cure.
Chuanlian Tang: Chuanlian Zi (Fructus Toosendan), Zhuling (Polyporus), Zexie (Rhizoma Alismatis) each 8 fen; Mahuang (Herba Ephedrae) 6 fen; Muxiang (Radix Aucklandiae), Xiaohuixiang (Fructus Foeniculi), Dahuixiang (Fructum Anisi Stellati), Baizhu (Rhizoma Atractylodis Macrocephalae), Wuyao (Caulis Linderae), Ruxiang (Resina Boswelliae), Yuanhu (Rhizoma Corydalis) each 1 qian; Binglang (Semen Arecae) 8 fen; Shengjiang (Rhizoma Zingiberis Recens) 3 slices; Congbai (Bulbus Allii Cepae) 1 stalk. Decoct in water and take hot while facing the fire; sweating will lead to recovery.
In this syndrome, when menstruation is halfway through, there is a sensation of thirst and pain in the small intestine. This is caused by consuming raw and cold foods, leading to blood stasis and retention of residual blood inside; tonification should not be used.
It is suitable to take Ezhu San (Curcuma Powder). Once the heat is cleared and menstruation ends, the pain will cease.
Ezhu San: Ezhu (Rhizoma Curcumae), Sanleng (Rhizoma Sparganii), Honghua (Flos Carthami), Niuxi (Radix Achyranthis Bidentata), Suzi (Semen Perillae) each 1 qian. Decoct in water and take on an empty stomach.
This syndrome presents with numbness in the hands and feet, resulting from deficiency-cold in the abdomen and depletion of qi and blood. It is treated with Renshen Siwu Tang (Ginseng Four Substances Decoction).
Renshen Siwu Tang: Renshen (Radix Ginseng), Baishao (Radix Paeoniae Alba) each 1 qian; Danggui (Radix Angelicae Sinensis) 2 qian; Chuanxiong (Rhizoma Chuanxiong) 8 fen; Shengjiang (Rhizoma Zingiberis Recens) 3 slices; Dazao (Fructus Jujubae) 3 pieces. Decoct in water and take to achieve recovery.
This is due to weakness of Spleen Earth, which fails to transform fluids, leading to swelling. It is suitable to take Muxiang Tiaowei San (Aucklandia Regulating Stomach Powder).
Muxiang Tiaowei San: Muxiang (Radix Aucklandiae), Gancao (Radix Glycyrrhizae), Ganjiang (Rhizoma Zingiberis) each 3 fen; Ezhu (Rhizoma Curcumae), Mutong (Caulis Akebiae), Shanzha (Fructus Crataegi), Dafupi (Pericarpium Arecae) each 8 fen; Sharen (Fructus Amomi), Cangzhu (Rhizoma Atractylodis Lanceae) each 1 qian 6 fen; Chenpi (Pericarpium Citri Reticulatae), Honghua (Flos Carthami) each 5 fen; Xiangfu (Rhizoma Cyperi), Cheqian (Herba Plantaginis) each 1 qian; Bibi (Herba Dioscoreae Hypoglaucae) 3 fen. Decoct in water and take on an empty stomach.
If during menstruation, diarrhea resembling infant urine occurs at the fifth watch (early morning), this indicates Kidney deficiency. There is no need to treat the Spleen; administer Tiaozhong Tang (Regulate Middle Decoction) for three to five doses.
Tiaozhong Tang: Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae) each 8 fen; Wuweizi (Fructus Schisandrae), Gancao (Radix Glycyrrhizae) each 3 fen; Ganjiang (Rhizoma Zingiberis) 5 fen; Shengjiang (Rhizoma Zingiberis Recens) 3 slices. Decoct in water and take.
Bawei Xiaoyao San (Eight-Ingredient Free and Easy Wanderer Powder): Effective for women with weak blood and yin deficiency, disharmony of Ying and Wei, excessive phlegm-saliva with tidal fever, emaciation of limbs, or liver injury due to anger, dim vision due to blood deficiency, bone-steaming labor fever, cough, fatigue due to blood deficiency, five-palm heat, limb pain, dizziness, palpitations, red cheeks, dry mouth, dry throat, difficult urination, fever with night sweats, reduced appetite and lethargy, fighting between blood heat, irregular menstruation, abdominal distension and pain, chills and fever like malaria. Danggui (Radix Angelicae Sinensis), Jiushao (Paeoniae Radix Alba preparated with wine), Jiaozhu (Atractylodis Rhizoma preparated with stir-baking), Baifuling (Poria preparated without skin), Chaihu (Radix Bupleuri), Chao Zhiren (Semen Cardamomi preparated with stir-frying), Zhigan (Glycyrrhizae Radix et Rhizoma preparated with honey) and Danpi (Cortex Moutan) each 1 qian. Use Weijiang (Zingiberis Rhizoma Preparatum) and Bohe (Herba Menthae) as guides. Decoct in water and take.
Baiziren Wan (Biota Seed Pill): Treats menstruation that stops after starting, with low blood and depleted spirit, or heart injury due to worry and overthinking. Heart injury impairs blood generation; low blood leaves the Liver un-nourished, causing amenorrhea. Baiziren (Semen Biotae, oil removed), Niuxi (Radix Achyranthis Bidentata, wine-fried), Juanbai (Herba Selaginellae) each 5 qian; Zelan (Herba Leonuri) and Xuduan (Radix Dipsaci) each 2 liang; Shudi (Radix Rehmanniae Preparata) 1 liang. Grind into fine powder.
Xiongguo Liujunzi Tang (Ligusticum and Six-Gentlemen Decoction): Treats delayed menstruation with scanty flow, in obese individuals. This is due to qi deficiency causing phlegm stagnation in the collaterals. Take this formula. Renshen (Radix Ginseng), Chuanxiong (Rhizoma Chuanxiong), Jiaobaizhu (Atractylodis Rhizoma preparated with stir-baking), Fuling (Poria), Chenpi (Pericarpium Citri Reticulatae) each 1 qian; Danggui (Radix Angelicae Sinensis), Zhibanxia (Pinelliae Rhizoma preparated) each 1.5 qian; Zhigan (Glycyrrhizae Radix et Rhizoma preparated with honey) 5 fen. Use Shengjiang (Rhizoma Zingiberis Recens) as a guide. Decoct in water and take.
Lianfu Siwu Tang (Coptis and Aconite Four Substances Decoction): Treats overdue menstruation with dark purple clots. Purple indicates blood heat; black indicates severe heat. Overdue with clots indicates qi stagnation. If attacked by wind-cold, pale color indicates deficiency. If turbid like bean juice or roof leak water, it indicates damp-phlegm. This formula is applicable in all these cases. Chuanxiong (Rhizoma Chuanxiong) 1 qian; Huanglian (Rhizoma Coptidis) 5 fen; Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Zhixiangfu (Cyperi Rhizoma preparated), Shudi (Radix Rehmanniae Preparata) each 2 qian. Decoct in water and take.
Wumei Wan (Mume Pill): Treats vomiting during menstruation, phlegm obstruction blocking the chest, preventing food from entering the stomach. First use Wumei Wan, then Jiuxian Duoming San (Nine-Immortal Life-Seizing Powder). Muxiang (Radix Aucklandiae), Xionghuang (Realgar) each 5 qian; Caoguo (Fructus Tsaoko) 1 piece; Ruxiang (Resina Boswelliae), Moyao (Resina Myrrhae) each 1 qian. Grind into powder. Make pills the size of bullet seeds using Wumei meat paste. Contain one pill in the mouth every morning. After resolving phlegm-saliva, use Jiuxian Duoming San: Doukou (Fructus Cardamomi), Houpo (Cortex Magnoliae Officinalis), Fuling (Poria), Zhike (Fructus Aurantii), Muxiang (Radix Aucklandiae), Shanzha (Fructus Crataegi), Chenpi (Pericarpium Citri Reticulatae), Cangzhu (Rhizoma Atractylodis Lanceae) each 1 qian; Caoguo (Fructus Tsaoko) 1 piece. Grind into powder and take mixed with ginger decoction.
Fuling Tang (Poria Decoction): Treats cough and bleeding from the throat during menstruation, caused by dryness of Lung Metal. First use Fuling Tang to stop the cough. Fuling (Poria), Chuanxiong (Rhizoma Chuanxiong), Sueye (Folium Perillae), Qianhu (Radix Peucedani), Zhibanxia (Pinelliae Rhizoma preparated), Jiegeng (Radix Platycodonis), Zhishi (Fructus Aurantii Immaturus), Chenpi (Pericarpium Citri Reticulatae), Ganjiang (Rhizoma Zingiberis), Sangpi (Cortex Mori) each 6 fen; Renshen (Radix Ginseng) 5 fen; Gancao (Radix Glycyrrhizae) 3 fen. Use Shengjiang (Rhizoma Zingiberis Recens) as a guide. Decoct in water and take on an empty stomach. Afterwards, use Jisu Wan (Elsholtzia Pill) to remove the root. Luoboz (Semen Raphani) 9 qian; Beimu (Bulbus Fritillariae) 4 liang. Grind into powder and make pills with honey. Take fifty pills with plain water on an empty stomach every morning.
Gu Jing Wan (Stabilize Menses Pill): Treats metrorrhagia due to blood heat, continuous menstruation, and dark purple clots. Zhiguiban (Carapax et Plastrum Testudinis preparated with sand) 4 liang; Jiushao (Paeoniae Radix Alba preparated with wine), Jiuhuangbo (Cortex Phellodendri preparated with wine), Jiuhuangqin (Radix Scutellariae preparated with wine) each 3 liang; Xiangfuzi (Fructus Cyperi), Chao Chuapi (Cortex Pittospori preparated) each 1.5 liang. Grind into powder and make pills with wine paste. Take with wine.
Jiajian Buzhong Yiqi Tang (Modified Tonify the Middle and Augment the Qi Decoction): Treats metrorrhagia with body heat, spontaneous sweating, shortness of breath, fatigue, and reluctance to eat, caused by labor injury. Renshen (Radix Ginseng), Jiaozhu (Atractylodis Rhizoma preparated with stir-baking) each 1 qian; Huangqi (Radix Astragali) 2 qian; Danggui (Radix Angelicae Sinensis), Jiushao (Paeoniae Radix Alba preparated with wine) each 1.5 qian; Chaihu (Radix Bupleuri), Shengma (Rhizoma Cimicifugae) each 7 fen; Chenpi (Pericarpium Citri Reticulatae), Hei Zhiren (Cardamomi Semen preparated with stir-frying until black) each 8 fen; Zhigan (Glycyrrhizae Radix et Rhizoma preparated with honey) 5 fen. Use Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae) as guides. Decoct in water and take.
Zhengqi Tianxiang San (Righteous Qi Heavenly Fragrance Powder): Treats qi stagnation obstructing menstruation, qi rushing to the heart, chest oppression, stabbing pain in the hypochondrium, and irregular menstruation. Zhixiangfu (Cyperi Rhizoma preparated) 8 qian; Wuyao (Caulis Linderae), Chenpi (Pericarpium Citri Reticulatae), Sueye (Folium Perillae) each 1 qian; Ganjiang (Rhizoma Zingiberis) 5 fen. Grind together and mix with boiling water to take.
Yiqi San (Suppress Qi Powder): Treats conditions where qi exceeds blood, generating various symptoms such as dizziness and chest fullness. Zhixiangfu (Cyperi Rhizoma preparated) 4 liang; Chenpi (Pericarpium Citri Reticulatae) 2 liang; Fushen (Poria cum Radix Pinelliae) 1 liang; Zhigan (Glycyrrhizae Radix et Rhizoma preparated with honey) 5 qian. Grind into fine powder. Take 3 qian daily, decocted in water.
Longgu San (Dragon Bone Powder): Treats foul-smelling menstrual discharge resembling summer rot, caused by weak blood and body depletion where old and new blood do not connect, creating odor like a dried ditch lacking rain. Longgu (Os Draconis), Piaoxiao (Endoconcha Sepiae), Muli (Concha Ostreae), Shengdi (Radix Rehmanniae Recens) each 1 liang; Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Jiushao (Paeoniae Radix Alba preparated with wine), Baifuling (Poria) each 8 qian; Huangqin (Radix Scutellariae) 6 qian. Grind into powder and make pills the size of paulownia seeds with honey. Take one hundred pills with wine every morning. Then take the following decoction: Danggui (Radix Angelicae Sinensis), Sanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae), Chishao (Radix Paeoniae Rubra), Danpi (Cortex Moutan), Jiaomu (Atractylodis Rhizoma preparated with stir-baking), Zhixiangfu (Cyperi Rhizoma preparated), Huangqin (Radix Scutellariae), Chenpi (Pericarpium Citri Reticulatae), Mutong (Caulis Akebiae) each 8 fen. Use Shengjiang (Rhizoma Zingiberis Recens) as a guide. Decoct in water and take.
Shihui San (Ten Ashes Powder): Treats initial stage of bloody flooding. Cotton and silk cloth each one ball; Ejiao (Colla Corii Asini) 5 qian; Ce Baiye (Folium Platycladi), Baimaogen (Rhizoma Imperatae), Zonglv (Cortex Trachycarpi), Aiye (Folium Artemisiae Argyi), Baicaoshuang (Carbonis Herbae), Zhumagen (Radix Boehmeriae), Toufa (Capillus Humanus) each 1 qian. Burn each to ash retaining nature, grind into fine powder. Separately, take Danpi (Cortex Moutan), Qigen (Radix Rubiae Cordifoliae), Daji (Herba Taraxaci), Xiaoji (Herba Taraxaci) each 1 qian. Decoct together with lotus root, mix with Shihui San, and take.
If there is lower abdominal pain, use Jiawei Siwu Tang (Modified Four Substances Decoction): Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Wuyao (Caulis Linderae), Yuanhusuo (Rhizoma Corydalis) each 1 qian; Baishao (Radix Paeoniae Alba), Xiaohui (Fructus Foeniculi) each 8 fen; Shudi (Radix Rehmanniae Preparata) 2 qian. Use Shengjiang (Rhizoma Zingiberis Recens) and Dazao (Fructus Jujubae) as guides. Decoct in water and take on an empty stomach.
If chronic metrorrhagia, it is a deficiency syndrome. Use Jizi Tang (Chicken Egg Decoction): Take one egg from inside a hen's belly, three eggs still in the shell incubating chicks, 3 scallions, and 1 liang of ginger. Mash together, stir-fry in sesame oil until scorched, mix with wine, strain, and take the wine.