李左 始由腹痛，误服姜醋，辛热过度，引动心肝之火上亢，阳络损伤，则血上溢，舌衄如涌，气粗喘促，
口干不欲饮，欲小溲则大便随之，脉弦数而促，舌干涸无液，肺金化源告竭，龙雷之火飞越升腾，颇虑喘脱之险。
急拟生脉汤救化源，犀角地黄汤清血热。
西洋参（二钱） 鲜生地（三钱） 生白芍（二钱） 鲜竹茹（一钱五分） 大麦冬（二钱） 犀角尖（四分）
粉丹皮（一钱五分） 鲜藕汁（冲服，一杯） 鲜铁石斛（三钱） 川贝母（二钱） 怀牛膝（二钱）
郭右 发乃血之余，血虚则发落。血虚生热，热搏营分，上为鼻衄，下为便血。宜养血清营主治。
细生地（四钱） 天麦冬（各二钱） 槐花炭（二钱） 夏枯草（一钱五分） 生甘草（五分） 粉丹皮（一钱
五分） 侧柏炭（一钱五分） 肥知母（一钱五分） 冬桑叶（三钱） 川石斛（三钱） 鲜藕（切片入煎，二两）
沈右 气升呕吐，止发不常，口干内热，经事愆期，行而不多，夜不安寐，舌质红，苔薄黄，脉象左弦右涩，
弦为肝旺，涩为血少。良由中怀抑塞，木郁不达，郁极化火，火性炎上，上冲则为呕吐，经所谓诸逆冲上，皆属
于火是也。肝胆同宫，肝郁则清净之府岂能无动，挟胆火以上升，则气升呕逆，尤为必有之象。口干内热，可
以类推矣。治肝之病，知肝传脾。肝气横逆，不得舒泄，顺乘中土，脾胃受制。胃者，二阳也。经云∶二阳之病发
心脾，有不得隐曲，女子不月。以心生血，脾统血，肝藏血，而细推营血之化源，实由二阳所出。经云∶饮食入
胃，游溢精气，上输于脾。又云∶中焦受气取汁，变化而赤，是谓血。又云∶营出中焦。木克土虚，中焦失其变
化之功能，所生之血日少，上既不能奉生于心脾，下又无以泽灌乎冲任，经来愆期而少，已有不月之渐，一传
再传，便有风消息贲之变，蚁穴溃堤，积羽折轴，岂能无虚。先哲云∶肝为刚脏，非柔养不克，胃为阳土，非清通
不和。拟进养血柔肝，和胃通经之法，不治心脾，而治肝胃，穷源返本之谋也。第是症属七情，人非太上，尤
当怡养和悦，庶使药达病所，即奏肤功。不致缠绵为要耳。
生白芍（二钱） 朱茯神（三钱） 仙半夏（一钱五分） 川石斛（二钱） 炒枣仁（三钱） 代赭石（ ，
二钱） 旋复花（包，一钱五分） 银柴胡（一钱） 青龙齿（三钱） 广橘白（一钱） 茺蔚子（三钱）
丹参（二钱） 鲜竹茹（一钱五分） 生熟谷芽（各三钱） 左金丸（包，七分）
二诊 气升呕吐未发，夜寐不安，经事行而不多，苔灰黄，按脉弦细而涩。皆由营血亏耗，肝失条达，脾
失健运，胃失降和为病。昨投养血柔肝，和胃降逆，助以调经之剂，尚觉获效。仍拟逍遥合覆赭二陈加减，但
得木土不争，则诸恙可愈。
白归身（二钱） 朱茯神（三钱） 炒枣仁（三钱） 炒竹茹（一钱五分） 生白芍（二钱） 仙半夏（一钱五分）
青龙齿（三钱） 广橘白（一钱五分） 银柴胡（八分） 北秫米（包，三钱） 代赭石（ ，三钱） 茺
蔚子（三钱） 川石斛（三钱） 旋复花（包，一钱五分） 青橘叶（一钱五分）
李右 天癸初至，行而不多，腹痛隐隐，鼻红甚剧。气滞血瘀，肝火载血，不能顺注冲任，而反冲激妄行，上
溢清窍，有倒经之象。逆者顺之，激者平之，则顺气祛瘀，清肝降火，为一定不易之法。
紫丹参（二钱） 怀牛膝（二钱） 全当归（二钱） 粉丹皮（一钱五分） 鲜竹茹（三钱） 茺蔚子（三钱）
制香附（一钱五分） 白茅花（包，一钱） 炒荆芥（八分） 福橘络（一钱） 春砂壳（八分）
吴右 经事愆期，临行腹痛，血室有寒，肝脾气滞。血为气之根据附，气为血之先导，气行血行，气止血止。
欲调其经，先理其气，经旨固如此也。拟严氏抑气散，复入温通之品。
制香附（一钱五分） 云茯苓（三钱） 广艾绒（八分） 延胡索（一钱） 月季花（八分） 全当归（二钱）
茺蔚子（三钱） 金铃子（二钱） 大砂仁（研，八分） 紫丹参（二钱） 台乌药（八分） 怀牛膝（二钱）
陈广皮（一钱）
郑右 正虚邪伏，营卫循序失常，形寒已久，纳少神疲，经事三月不行，渐成损怯。姑与扶正达邪，和营通经。
炒潞党（二钱） 抱茯神（三钱） 茺蔚子（三钱） 银柴胡（八分） 清炙草（五分） 紫丹参（二钱）
月季花（五分） 酒炒黄芩（一钱五分） 陈广皮（一钱五分） 仙半夏（二钱） 逍遥散（包，三钱）
二诊 寒热已止，纳减神疲，经事三月不行，脉象弦数，客邪虽退，而正气不复，冲任亏损，而经事不通。
仍宗前法。
前方加怀牛膝（二钱）、西藏红花（八分）。
翁右 经停九月，胃纳不旺。经旨月事不以时者，责之冲任，冲为血海，隶于阳明，阳明者胃也，饮食入
胃，化生精血，营出中焦，阳明虚，则不能化生精血下注冲任，太冲不盛，经从何来。当从二阳发病主治，拟金
匮温经汤加味。
全当归（二钱） 阿胶珠（二钱） 紫丹参（二钱） 赤白芍（各一钱五分） 川桂枝（四分） 吴茱英（四分）
仙半夏（二钱） 炙甘草（五分） 茺蔚子（三钱） 大川芎（八分） 粉丹皮（一钱五分） 生姜（二片）
红枣（二枚）
徐右 经云∶暴痛属寒，久痛属热，暴痛在经，久痛在络。少腹痛阵作，痛甚有汗，已延匝月。形寒纳少，
咳嗽泛恶，胸闷不舒，口干引饮，肝热瘀阻，气滞不流，阴伤津少上承，肺虚痰热留恋，舌质红绛，脉细如丝，虚
羸太极，恐难完壁。
金铃子（二钱） 旋复花（包，一钱五分） 朱茯神（三钱） 赤白芍（各一钱五分） 全栝蒌（切，四钱）
光杏仁（三钱） 真新绛（八分） 川象贝（各二钱） 焦楂炭（三钱） 银柴胡（八分） 失笑散（包，三钱）
青橘叶（一钱五分） 炒山栀（一钱五分）
二诊 少腹痛已舒，泛恶渐止，有汗甚多，四肢逆冷，形瘦骨立，口渴欲饮。肝郁化热，热深厥深，阴伤津
少上承，肺虚痰热留恋，舌质光，脉细依然。颇虑阴不敛阳，阳不藏阴，致有厥脱之变。皆由虚赢太极，不任
攻补使然。
川石斛（三钱） 朱茯神（三钱） 川象贝（各二钱） 花龙骨（四钱） 乌梅炭（八分） 炒山栀（一钱五分）
大白芍（二钱） 浮小麦（四钱） 生白术（一钱五分） 银柴胡（八分） 紫丹参（二钱） 生熟谷芽（各三钱）
清炙枇杷叶（去毛、包，三钱） 柿霜（八分）
三诊 厥复汗收，胃纳渐进，佳兆也。形瘦骨立，脉细如丝，舌红而绛，咳嗽泛恶。木郁化火，肝病传脾，
阴伤津少上承，肺虚痰热留恋。难经云∶从所不胜来者为贼邪。虽见转机，未足恃也。
前方去朱茯神、紫丹参、柿霜，加生甘草（五分）、陈木瓜（二钱）。
王右 适值经临，色紫黑，少腹胀痛拒按，痛甚有晕厥之状。形寒怯冷，口干不多饮，苔黄腻，脉濡涩。
新寒外束，宿瘀内阻。少腹乃厥阴之界，厥阴为寒热之脏，肝失疏泄，气滞不通，不通则痛矣。气为血之帅，气
行则血行，行血以理气为先，旨哉言乎！
肉桂心（五分） 金铃子（二钱） 春砂壳（二钱） 青橘叶（一钱五分） 小茴香（八分） 延胡索（一钱）
失笑散（包，三钱） 细青皮（一钱） 茺蔚子（三钱） 焦楂炭（三钱） 制香附（一钱五分） 酒炒白芍（二钱）
两头尖（酒浸、包，一钱五分）
另∶食盐末（二两），香附末（四两），酒、醋炒，熨腹痛处。
吴右 女子二七而天癸至。年十六矣，经犹未行，面色 白，心悸跳跃，神疲乏力，营血亏耗，无以下注冲
任使然，舌苔薄腻，脉象濡小无力。姑与和营通经。
全当归（二钱） 抱茯神（三钱） 青龙齿（三钱） 青橘叶（一钱五分） 京赤芍（二钱） 广橘白（一钱）
鸡血藤（二钱） 月季花（八分） 紫丹参（二钱） 茺蔚子（三钱） 嫩钩钩（后入，三钱）
李左 起初因腹痛，误服姜和醋，辛热之性过度，引动心火与肝火上亢，损伤阳络，导致血液上溢，舌部出血如涌出，气息粗重且喘促，口干但不想喝水，想要小便时大便也随之排出，脉象弦数而急促，舌面干枯无津液，肺金的化源即将枯竭，龙雷之火飞越升腾，很担心出现喘脱的危险。紧急拟定生脉汤以挽救化源，犀角地黄汤以清血热。
西洋参（二钱） 鲜生地（三钱） 生白芍（二钱） 鲜竹茹（一钱五分） 大麦冬（二钱） 犀角尖（四分）
粉丹皮（一钱五分） 鲜藕汁（冲服，一杯） 鲜铁石斛（三钱） 川贝母（二钱） 怀牛膝（二钱）
郭右 头发是血液的余气所生，血虚则头发脱落。血虚而生内热，热邪搏结于营分，向上表现为鼻衄，向下表现为便血。适宜采用养血清营的方法主治。
细生地（四钱） 天麦冬（各二钱） 槐花炭（二钱） 夏枯草（一钱五分） 生甘草（五分） 粉丹皮（一钱
五分） 侧柏炭（一钱五分） 肥知母（一钱五分） 冬桑叶（三钱） 川石斛（三钱） 鲜藕（切片入煎，二两）
沈右 气机上逆导致呕吐，发作没有规律，口干伴有内热，月经延期，来潮时量少，夜间睡眠不安，舌质红，苔薄黄，脉象左侧弦、右侧涩，弦脉主肝旺，涩脉主血少。大概是由于心中抑郁阻塞，肝气郁结不得疏达，郁积到极点化为火，火性炎上，向上冲逆则导致呕吐，医经所说“各种逆气冲上，都属于火”就是这个道理。肝胆同处一宫，肝气郁结则清净之府（胆）怎能不动，挟带胆火向上上升，则气机上逆呕吐，这是必然的现象。口干内热，可以由此类推。治疗肝脏的疾病，要知道肝病会传变至脾。肝气横逆，不能舒泄，顺势侵犯中土，脾胃受到制约。胃，属于二阳。医经说：“二阳的病发于心脾，有难以启齿的隐情，女子则月经不来。”因为心生血，脾统血，肝藏血，而仔细推究营血的化源，实际上是由二阳（胃与大肠）所出。医经说：“饮食进入胃，游溢精气，向上输送给脾。”又说：“中焦接受水谷之气，提取汁液，变化而成为红色，这就叫做血。”又说：“营气出于中焦。”木克土导致土虚，中焦失去变化的功能，所生成的血日益减少，向上既不能奉养心脾，向下又无法滋润冲任二脉，月经延期且量少，已有闭经的趋势，一旦传变再传变，就会出现风消息贲的变化，蚁穴溃堤，积羽折轴，怎么会有不虚损呢？先哲说：“肝为刚脏，非柔养不可克制；胃为阳土，非清通不可调和。”拟进养血柔肝、和胃通经的方法，不直接治心脾，而是治肝胃，这是穷源返本的策略。只是这个病症属于七情致病，人不是太上忘情之人，尤其应当怡养心情、保持和悦，才能使药物到达病所，即刻见效。不至于缠绵难愈才是关键。
生白芍（二钱） 朱茯神（三钱） 仙半夏（一钱五分） 川石斛（二钱） 炒枣仁（三钱） 代赭石（ ，
二钱） 旋复花（包，一钱五分） 银柴胡（一钱） 青龙齿（三钱） 广橘白（一钱） 茺蔚子（三钱）
丹参（二钱） 鲜竹茹（一钱五分） 生熟谷芽（各三钱） 左金丸（包，七分）
二诊 气机上逆呕吐未再发作，夜间睡眠仍不安稳，月经来潮但量少，苔灰黄，按脉弦细而涩。这都是由于营血亏耗，肝失条达，脾失健运，胃失降和所致。昨日投用养血柔肝、和胃降逆，辅助以调经的药剂，尚觉有效。仍然拟定逍遥散合覆赭二陈汤加减，只要使得木土不争，那么各种病症都可以痊愈。
白归身（二钱） 朱茯神（三钱） 炒枣仁（三钱） 炒竹茹（一钱五分） 生白芍（二钱） 仙半夏（一钱五分）
青龙齿（三钱） 广橘白（一钱五分） 银柴胡（八分） 北秫米（包，三钱） 代赭石（ ，三钱） 茺
蔚子（三钱） 川石斛（三钱） 旋复花（包，一钱五分） 青橘叶（一钱五分）
李右 天癸初至，月经来潮但量少，腹部隐隐作痛，鼻出血非常严重。气滞血瘀，肝火载血，不能顺注冲任二脉，反而冲激妄行，向上溢出清窍，有倒经的现象。逆者顺之，激者平之，那么顺气祛瘀、清肝降火，是确定不变的方法。
紫丹参（二钱） 怀牛膝（二钱） 全当归（二钱） 粉丹皮（一钱五分） 鲜竹茹（三钱） 茺蔚子（三钱）
制香附（一钱五分） 白茅花（包，一钱） 炒荆芥（八分） 福橘络（一钱） 春砂壳（八分）
吴右 月经延期，临来潮时腹痛，血室有寒，肝脾气机阻滞。血是气的依附基础，气是血的先导，气行则血行，气止则血止。想要调理月经，先要调理气机，医经宗旨本来就是这样。拟定严氏抑气散，再加入温通的药物。
制香附（一钱五分） 云茯苓（三钱） 广艾绒（八分） 延胡索（一钱） 月季花（八分） 全当归（二钱）
茺蔚子（三钱） 金铃子（二钱） 大砂仁（研，八分） 紫丹参（二钱） 台乌药（八分） 怀牛膝（二钱）
陈广皮（一钱）
郑右 正气虚弱，邪气潜伏，营卫循行失常，怕冷已久，进食少且精神疲乏，月经三个月不行，逐渐形成损怯之症。暂且给予扶正达邪、和营通经的方法。
炒潞党（二钱） 抱茯神（三钱） 茺蔚子（三钱） 银柴胡（八分） 清炙草（五分） 紫丹参（二钱）
月季花（五分） 酒炒黄芩（一钱五分） 陈广皮（一钱五分） 仙半夏（二钱） 逍遥散（包，三钱）
二诊 寒热已停止，食欲减退且精神疲乏，月经三个月不行，脉象弦数，客邪虽然退去，但正气未恢复，冲任亏损，导致月经不通。仍然遵循前法。
前方加怀牛膝（二钱）、西藏红花（八分）。
翁右 月经停闭九个月，胃纳不佳。医经说月经不按时来潮，责任在于冲任二脉，冲脉为血海，隶属于阳明，阳明就是胃，饮食进入胃，化生精血，营气出于中焦，阳明虚弱，就不能化生精血下注冲任，太冲脉不盛，月经从何而来。应当从二阳发病主治，拟定金匮温经汤加味。
全当归（二钱） 阿胶珠（二钱） 紫丹参（二钱） 赤白芍（各一钱五分） 川桂枝（四分） 吴茱英（四分）
仙半夏（二钱） 炙甘草（五分） 茺蔚子（三钱） 大川芎（八分） 粉丹皮（一钱五分） 生姜（二片）
红枣（二枚）
徐右 医经说：突发疼痛属寒，久痛属热，突发疼痛在经，久痛在络。少腹阵发性疼痛，痛甚时有汗，已经延续一个月。形寒食少，咳嗽泛恶，胸闷不舒，口干引饮，肝热瘀阻，气滞不流，阴伤津少不能上承，肺虚痰热留恋，舌质红绛，脉细如丝，虚羸至极，恐怕难以痊愈。
金铃子（二钱） 旋复花（包，一钱五分） 朱茯神（三钱） 赤白芍（各一钱五分） 全栝蒌（切，四钱）
光杏仁（三钱） 真新绛（八分） 川象贝（各二钱） 焦楂炭（三钱） 银柴胡（八分） 失笑散（包，三钱）
青橘叶（一钱五分） 炒山栀（一钱五分）
二诊 少腹疼痛已舒缓，泛恶逐渐停止，出汗很多，四肢逆冷，形体消瘦骨立，口渴想喝水。肝郁化热，热深厥深，阴伤津少不能上承，肺虚痰热留恋，舌质光剥，脉细依然。很担心阴不敛阳，阳不藏阴，导致厥脱的变化。这都是因为虚羸至极，不能耐受攻补所致。
川石斛（三钱） 朱茯神（三钱） 川象贝（各二钱） 花龙骨（四钱） 乌梅炭（八分） 炒山栀（一钱五分）
大白芍（二钱） 浮小麦（四钱） 生白术（一钱五分） 银柴胡（八分） 紫丹参（二钱） 生熟谷芽（各三钱）
清炙枇杷叶（去毛、包，三钱） 柿霜（八分）
三诊 厥逆回复，汗止收摄，胃纳逐渐增进，是佳兆。形体消瘦骨立，脉细如丝，舌红而绛，咳嗽泛恶。木郁化火，肝病传脾，阴伤津少不能上承，肺虚痰热留恋。《难经》说：从所不胜来的叫贼邪。虽然见到转机，还不足以依赖。
前方去掉朱茯神、紫丹参、柿霜，加生甘草（五分）、陈木瓜（二钱）。
王右 适逢月经将至，血色紫黑，少腹胀痛拒按，痛甚时有晕厥状。形寒怯冷，口干不多饮，苔黄腻，脉濡涩。
新寒外束，宿瘀内阻。少腹是厥阴的界限，厥阴是寒热之脏，肝失疏泄，气滞不通，不通则痛。气为血之帅，气行则血行，行血以理气为先，这话很有道理！
肉桂心（五分） 金铃子（二钱） 春砂壳（二钱） 青橘叶（一钱五分） 小茴香（八分） 延胡索（一钱）
失笑散（包，三钱） 细青皮（一钱） 茺蔚子（三钱） 焦楂炭（三钱） 制香附（一钱五分） 酒炒白芍（二钱）
两头尖（酒浸、包，一钱五分）
另：食盐末（二两），香附末（四两），用酒、醋炒热，熨烫腹痛处。
吴右 女子十四岁天癸至。现在十六岁了，月经还未行，面色㿠白，心悸跳跃，神疲乏力，营血亏耗，无法下注冲任所致，舌苔薄腻，脉象濡小无力。暂且给予和营通经的方法。
全当归（二钱） 抱茯神（三钱） 青龙齿（三钱） 青橘叶（一钱五分） 京赤芍（二钱） 广橘白（一钱）
鸡血藤（二钱） 月季花（八分） 紫丹参（二钱） 茺蔚子（三钱） 嫩钩钩（后入，三钱）
Li Zuo Initially suffered from abdominal pain, and mistakenly consumed ginger and vinegar. The excessive pungent and hot nature stirred up the fire of the Heart and Liver, causing it to flare upward. Damage to the Yang collaterals led to blood overflowing upward, resulting in bleeding from the tongue like a gush, coarse breathing with panting, dry mouth without desire to drink, and defecation accompanying the urge to urinate. The pulse was wiry, rapid, and hurried. The tongue was dry and devoid of fluid. The source of transformation of Metal (Lung) was exhausted, and the Fire of Dragon and Lei (Ministerial Fire) flew upward and surged. There was considerable concern regarding the danger of panting and collapse. Urgently, Shengmai Tang (Pulse-Rescuing Decoction) was prescribed to rescue the source of transformation, and Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) to clear blood heat.
Radix Panacis Quinquefolii (Xi Yang Shen, 2 qian), Fresh Radix Rehmanniae (Xian Sheng Di, 3 qian), Raw Radix Paeoniae Alba (Sheng Bai Shao, 2 qian), Fresh Caulis Bambusae in Taeniam (Xian Zhu Ru, 1.5 qian), Radix Ophiopogonis (Da Mai Dong, 2 qian), Cornu Rhinocerotis (Xi Jiao Jian, 4 fen), Cortex Moutan (Fen Dan Pi, 1.5 qian), Juice of Fresh Rhizoma Nelumbinis (Xian Ou Zhi, 1 cup, taken by pouring over), Fresh Dendrobii Nobiles Caulis (Xian Tie Shi Hu, 3 qian), Fructus Fritillariae Cirrhosae (Chuan Bei Mu, 2 qian), Radix Achyranthis Bidentatae (Huai Niu Xi, 2 qian).
Guo You Hair is the surplus of blood; blood deficiency leads to hair loss. Blood deficiency generates internal heat, which combats the Ying (Nutrient) level. Upward, this manifests as epistaxis (nosebleed); downward, as hematochezia (blood in stool). Treatment should focus on nourishing blood and clearing the Ying level.
Radix Rehmanniae Preparata (Xi Sheng Di, 4 qian), Radix Ophiopogonis (Tian Mai Dong, 2 qian each), Semen Sophorae Flavae Carbonized (Huai Hua Tan, 2 qian), Herba Prunellae Spicae (Xia Ku Cao, 1.5 qian), Radix Glycyrrhizae Uralensis (Sheng Gan Cao, 5 fen), Cortex Moutan (Fen Dan Pi, 1.5 qian), Folium Platycladi Carbonized (Ce Bai Tan, 1.5 qian), Cortex Anemarrhenae Asphodeloidis (Fei Zhi Mu, 1.5 qian), Folium Mori (Dong Sang Ye, 3 qian), Dendrobii Officinalis Caulis (Chuan Shi Hu, 3 qian), Fresh Rhizoma Nelumbinis (Xian Ou, 2 liang, sliced for decoction).
Shen You Qi rebellion causes vomiting, occurring irregularly. There is dry mouth with internal heat, delayed menstruation with scant flow, and restless sleep at night. The tongue body is red with thin yellow coating. The pulse is wiry on the left and choppy on the right. Wiry indicates Liver excess; choppy indicates blood deficiency. This is likely due to inner depression and obstruction, causing Liver Qi stagnation and failure to diffuse. Extreme stagnation transforms into fire. Fire has a flaming-upward nature; rushing upward causes vomiting. As the Classics state: "All rebellious qi rushing upward belongs to fire." The Liver and Gallbladder share the same palace. If Liver Qi is stagnant, how can the Clear Palace (Gallbladder) remain unaffected? Carrying Gallbladder fire upward, qi rebels and causes vomiting, which is a inevitable sign. Dry mouth and internal heat can be inferred similarly. In treating Liver disease, one must know that Liver pathology transmits to the Spleen. Liver Qi rebels horizontally and cannot be discharged, smoothly invading the Central Earth (Spleen/Stomach), constraining the Spleen and Stomach. The Stomach is Yangming. The Classics say: "Diseases of Yangming originate in the Heart and Spleen; there are hidden difficulties, and women do not menstruate." Because the Heart generates blood, the Spleen controls blood, and the Liver stores blood, carefully tracing the source of Ying blood transformation reveals it actually originates from Yangming. The Classics say: "Food enters the stomach, its essence floats and overflows, and is transported upward to the Spleen." It also says: "The Middle Jiao receives Qi, extracts juices, transforms them into red, and this is called blood." It further says: "Ying Qi emerges from the Middle Jiao." Wood overcoming Earth leads to Earth deficiency; the Middle Jiao loses its transforming function, generating less blood daily. Upward, it cannot nourish the Heart and Spleen; downward, it cannot moisten the Chong and Ren vessels. Menstruation becomes delayed and scant, showing signs of amenorrhea. With transmission upon transmission, changes akin to wind dissipating and swelling accumulating occur. An ant hole breaches the dike; feathers break the axle. How can there be no deficiency? Ancients said: "The Liver is a rigid organ, requiring softening and nourishing to be controlled; the Stomach is Yang Earth, requiring clearing and unblocking to harmonize." The proposed method is to nourish blood and soften the Liver, harmonize the Stomach and unblock menstruation. Treating the Liver and Stomach rather than directly the Heart and Spleen is a strategy of tracing the source and returning to the root. However, this condition stems from Seven Emotions. Humans are not detached sages; one must cultivate joy and harmony so that medicine reaches the disease site and achieves swift results, preventing lingering illness.
Raw Radix Paeoniae Alba (Sheng Bai Shao, 2 qian), Polyporus cum Radice Pini (Zhu Fu Shen, 3 qian), Pinelliae Tuber Preparatum (Xian Ban Xia, 1.5 qian), Dendrobii Officinalis Caulis (Chuan Shi Hu, 2 qian), Semen Ziziphus Jujubae Stir-fried (Chao Zao Ren, 3 qian), Haematitum (Dai Zhe Shi, 2 qian), Flos Inulae (Xuan Fu Hua, wrapped, 1.5 qian), Radix Bupleuri (Yin Chai Hu, 1 qian), Os Draconis (Qing Long Chi, 3 qian), Pericarpium Citri Reticulatae (Guang Ju Bai, 1 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Radix Salviae Miltiorrhizae (Dan Shen, 2 qian), Fresh Caulis Bambusae in Taeniam (Xian Zhu Ru, 1.5 qian), Raw and Stir-fried Hordei Fructus Germinatus (Sheng Shu Gu Ya, 3 qian each), Zuo Jin Wan (wrapped, 7 fen).
Second Visit: Qi rebellion and vomiting have ceased, but sleep remains restless. Menstruation flows but is scant. Coating is gray-yellow. Pulse is wiry, fine, and choppy. All result from Ying blood depletion, Liver failure to smooth flow, Spleen failure to transport, and Stomach failure to descend and harmonize. Yesterday's prescription of nourishing blood, softening Liver, harmonizing Stomach, descending rebellion, and assisting menstruation showed efficacy. Still prescribing Xiaoyao San combined with Fu Zhe Er Chen Tang modified. Once Wood and Earth do not contend, all ailments will heal.
Radix Angelicae Sinensis (Bai Gui Shen, 2 qian), Polyporus cum Radice Pini (Zhu Fu Shen, 3 qian), Semen Ziziphus Jujubae Stir-fried (Chao Zao Ren, 3 qian), Caulis Bambusae in Taeniam Stir-fried (Chao Zhu Ru, 1.5 qian), Raw Radix Paeoniae Alba (Sheng Bai Shao, 2 qian), Pinelliae Tuber Preparatum (Xian Ban Xia, 1.5 qian), Os Draconis (Qing Long Chi, 3 qian), Pericarpium Citri Reticulatae (Guang Ju Bai, 1.5 qian), Radix Bupleuri (Yin Chai Hu, 8 fen), Sorghi Fructus (Bei Shu Mi, wrapped, 3 qian), Haematitum (Dai Zhe Shi, 3 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Dendrobii Officinalis Caulis (Chuan Shi Hu, 3 qian), Flos Inulae (Xuan Fu Hua, wrapped, 1.5 qian), Folium Citri Reticulatae Viride (Qing Ju Ye, 1.5 qian).
Li You Tian Gui (Menstrual Essence) has just arrived, with scant flow. Abdominal pain is dull. Nosebleed is severe. Qi stagnation and blood stasis, with Liver fire carrying blood, fail to flow smoothly into the Chong and Ren vessels, instead rushing chaotically upward, overflowing into the clear orifices, presenting signs of retrograde menstruation (Ni Jing). For reversal, use smoothing; for agitation, use calming. Thus, regulating Qi, dispelling stasis, clearing Liver heat, and descending fire is an immutable method.
Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Radix Achyranthis Bidentatae (Huai Niu Xi, 2 qian), Radix Angelicae Sinensis (Quan Dang Gui, 2 qian), Cortex Moutan (Fen Dan Pi, 1.5 qian), Fresh Caulis Bambusae in Taeniam (Xian Zhu Ru, 3 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 1.5 qian), Flos Imperatae Cylindricae (Bai Mao Hua, wrapped, 1 qian), Schizonepetae Herba Stir-fried (Chao Jing Jie, 8 fen), Retinervus Citri Reticulatae (Fu Ju Luo, 1 qian), Pericarpium Amomi Rotundum (Chun Sha Ke, 8 fen).
Wu You Menstruation is delayed. Abdominal pain occurs before onset. Cold in the Blood Chamber, with Liver and Spleen Qi stagnation. Blood is the basis for Qi attachment; Qi is the pioneer of blood. Qi moves, blood moves; Qi stops, blood stops. To regulate menstruation, first regulate Qi. This is the principle of the Classics. Yan Shi Yi Qi San is prescribed, combined with warming and unblocking agents.
Rhizoma Cyperi Preparated (Zhi Xiang Fu, 1.5 qian), Polyporus (Yun Fu Ling, 3 qian), Argysti Folium (Guang Ai Rong, 8 fen), Rhizoma Corydalis Yanhusuo (Yan Hu Suo, 1 qian), Rosa Chinensis (Yue Ji Hua, 8 fen), Radix Angelicae Sinensis (Quan Dang Gui, 2 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Fructus Meliae Toosendan (Jin Ling Zi, 2 qian), Amomi Fructus Rotundus (Da Sha Ren, ground, 8 fen), Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Lardizablae Radix (Tai Wu Yao, 8 fen), Radix Achyranthis Bidentatae (Huai Niu Xi, 2 qian), Exocarpium Citri Reticulatae (Chen Guang Pi, 1 qian).
Zheng You Deficiency of Zheng Qi with latent pathogenic factors, disrupting the normal cycle of Ying and Wei. Long-standing aversion to cold, poor appetite, and mental fatigue. Menstruation has ceased for three months, gradually developing into consumption and weakness. Temporarily providing methods to support Zheng Qi and expel pathogens, harmonize Ying, and unblock menstruation.
Codonopsis Radix Stir-fried (Chao Lu Dang, 2 qian), Polyporus cum Radice Pini (Bao Fu Shen, 3 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Radix Bupleuri (Yin Chai Hu, 8 fen), Radix Glycyrrhizae Uralensis Honey-roasted (Qing Zhi Gan Cao, 5 fen), Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Rosa Chinensis (Yue Ji Hua, 5 fen), Scutellariae Radix Wine-stir-fried (Jiu Chao Huang Qin, 1.5 qian), Exocarpium Citri Reticulatae (Chen Guang Pi, 1.5 qian), Pinelliae Tuber Preparatum (Xian Ban Xia, 2 qian), Xiaoyao San (wrapped, 3 qian).
Second Visit: Aversion to cold and fever have stopped. Poor appetite and mental fatigue persist. Menstruation has ceased for three months. Pulse is wiry and rapid. External pathogens have retreated, but Zheng Qi has not recovered. Chong and Ren vessels are deficient, leading to menstrual obstruction. Adhering to the previous method.
Previous formula adds Radix Achyranthis Bidentatae (Huai Niu Xi, 2 qian) and Safflower (Zang Hong Hua, 8 fen).
Weng You Menstruation has been absent for nine months. Appetite is poor. The Classics state that irregular menstruation is attributed to the Chong and Ren vessels. The Chong vessel is the Sea of Blood, subordinate to Yangming. Yangming is the Stomach. Food enters the Stomach, transforms into essence and blood, and Ying Qi emerges from the Middle Jiao. Yangming deficiency fails to generate essence and blood to flow downward into the Chong and Ren. The Tai Chong vessel is not full; where does menstruation come from? Treatment should follow the principle of diseases originating from Yangming. Jin Gui Wen Jing Tang with modifications is prescribed.
Radix Angelicae Sinensis (Quan Dang Gui, 2 qian), Colla Corii Asini Bead (E Jiao Zhu, 2 qian), Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Radix Paeoniae Rubra and Radix Paeoniae Alba (Chi Bai Shao, 1.5 qian each), Ramulus Cinnamomi (Chuan Gui Zhi, 4 fen), Fructus Evodiae Routei (Wu Zhu Yu, 4 fen), Pinelliae Tuber Preparatum (Xian Ban Xia, 2 qian), Radix Glycyrrhizae Uralensis Honey-roasted (Zhi Gan Cao, 5 fen), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Rhizoma Chuanxiong (Da Chuan Xiong, 8 fen), Cortex Moutan (Fen Dan Pi, 1.5 qian), Rhizoma Zingiberis Recens (Sheng Jiang, 2 slices), Fructus Jujubae (Hong Zao, 2 pieces).
Xu You The Classics say: Acute pain belongs to Cold; chronic pain belongs to Heat. Acute pain is in the Jing (Vessels); chronic pain is in the Luo (Collaterals). Paroxysmal lower abdominal pain, severe pain with sweating, lasting for a month. Aversion to cold, poor appetite, cough with nausea, chest tightness and discomfort, dry mouth with desire to drink. Liver heat with blood stasis, Qi stagnation and immobility. Yin injury with insufficient fluids failing to ascend upward. Lung deficiency with lingering Phlegm-Heat. Tongue is crimson red. Pulse is fine as a thread. Extreme emaciation and weakness; difficult to expect complete recovery.
Fructus Meliae Toosendan (Jin Ling Zi, 2 qian), Flos Inulae (Xuan Fu Hua, wrapped, 1.5 qian), Polyporus cum Radice Pini (Zhu Fu Shen, 3 qian), Radix Paeoniae Rubra and Radix Paeoniae Alba (Chi Bai Shao, 1.5 qian each), Fructus Trichosanthis (Quan Gua Lou, cut, 4 qian), Semen Armeniacae Amarum (Guang Xing Ren, 3 qian), Xin Jiang (Zhen Xin Jiang, 8 fen), Fritillariae Thunbergii Bulbus (Chuan Xiang Bei, 2 qian each), Charred Crataegi Fructus (Jiao Zha Tan, 3 qian), Radix Bupleuri (Yin Chai Hu, 8 fen), Shixiao San (wrapped, 3 qian), Folium Citri Reticulatae Viride (Qing Ju Ye, 1.5 qian), Gardeniae Fructus Stir-fried (Chao Shan Zhi, 1.5 qian).
Second Visit: Lower abdominal pain has eased, nausea has gradually stopped. Sweating is profuse. Extremities are cold. Emaciated to the bone. Thirst with desire to drink. Liver stagnation transforming into heat; deep heat leads to deep cold limbs (Jue). Yin injury with insufficient fluids failing to ascend. Lung deficiency with lingering Phlegm-Heat. Tongue is peeled. Pulse remains fine. Considerable concern regarding Yin failing to contain Yang, and Yang failing to store Yin, leading to Jue (cold limbs) and collapse. This is due to extreme emaciation, unable to tolerate attacking or tonifying treatments.
Dendrobii Officinalis Caulis (Chuan Shi Hu, 3 qian), Polyporus cum Radice Pini (Zhu Fu Shen, 3 qian), Fritillariae Thunbergii Bulbus (Chuan Xiang Bei, 2 qian each), Longgu Flower (Hua Long Gu, 4 qian), Fructus Mume Carbonized (Wu Mei Tan, 8 fen), Gardeniae Fructus Stir-fried (Chao Shan Zhi, 1.5 qian), Radix Paeoniae Alba (Da Bai Shao, 2 qian), Tritici Fructus (Fu Xiao Mai, 4 qian), Atractylodis Macrocephalae Rhizoma (Sheng Bai Zhu, 1.5 qian), Radix Bupleuri (Yin Chai Hu, 8 fen), Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Raw and Stir-fried Hordei Fructus Germinatus (Sheng Shu Gu Ya, 3 qian each), Eriobotryae Folium Honey-roasted (Qing Zhi Pi Pa Ye, de-haired, wrapped, 3 qian), Diospyros Frost (Shi Shuang, 8 fen).
Third Visit: Jue has reversed, sweating has stopped, appetite is gradually improving. Good omen. Emaciated to the bone. Pulse fine as a thread. Tongue red and crimson. Cough with nausea. Wood stagnation transforming into fire; Liver disease transmitting to Spleen. Yin injury with insufficient fluids failing to ascend. Lung deficiency with lingering Phlegm-Heat. Nan Jing states: "Coming from the element that overcomes you is called Thief Evil." Although signs of improvement appear, they are not yet reliable.
Previous formula removes Polyporus cum Radice Pini (Zhu Fu Shen), Radix Salviae Miltiorrhizae (Zi Dan Shen), and Diospyros Frost (Shi Shuang). Adds Radix Glycyrrhizae Uralensis (Sheng Gan Cao, 5 fen) and Chaenomelis Fructus (Chen Mu Gua, 2 qian).
Wang You Menstruation is approaching. Color is purple-black. Lower abdomen distends and hurts, refusing pressure. Severe pain with fainting sensation. Aversion to cold and fear of chill. Dry mouth with little desire to drink. Coating is yellow and greasy. Pulse is soggy and choppy.
New Cold binds externally; old stasis obstructs internally. The lower abdomen is the boundary of Jueyin. Jueyin is the organ of Cold and Heat. Liver fails to disperse and drain; Qi stagnates and blocks. Blockage causes pain. Qi is the commander of blood; Qi moves, blood moves. Moving blood requires regulating Qi first. This statement is profound!
Cortex Cinnamomi Cordatae (Rou Gui Xin, 5 fen), Fructus Meliae Toosendan (Jin Ling Zi, 2 qian), Pericarpium Amomi Rotundum (Chun Sha Ke, 2 qian), Folium Citri Reticulatae Viride (Qing Ju Ye, 1.5 qian), Fructus Foeniculi (Xiao Hui Xiang, 8 fen), Rhizoma Corydalis Yanhusuo (Yan Hu Suo, 1 qian), Shixiao San (wrapped, 3 qian), Pericarpium Citri Reticulatae Viride (Xi Qing Pi, 1 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Charred Crataegi Fructus (Jiao Zha Tan, 3 qian), Rhizoma Cyperi Preparated (Zhi Xiang Fu, 1.5 qian), Radix Paeoniae Alba Wine-stir-fried (Jiu Chao Bai Shao, 2 qian), Acanthopanacis Senticosi Spina (Liang Tou Jian, wine-soaked, wrapped, 1.5 qian).
Separately: Sodium Chloride Powder (Yan Shi Mo, 2 liang), Rhizoma Cyperi Powder (Xiang Fu Mo, 4 liang). Stir-fry with wine and vinegar, apply warm compress to painful abdomen.
Wu You Women reach Tian Gui at age fourteen. Now sixteen, menstruation has not yet started. Complexion is pale white. Palpitations and jumping sensation. Mental fatigue and lack of strength. Ying blood depletion, failing to flow downward into Chong and Ren. Tongue coating is thin and greasy. Pulse is soggy, small, and weak. Temporarily providing methods to harmonize Ying and unblock menstruation.
Radix Angelicae Sinensis (Quan Dang Gui, 2 qian), Polyporus cum Radice Pini (Bao Fu Shen, 3 qian), Os Draconis (Qing Long Chi, 3 qian), Folium Citri Reticulatae Viride (Qing Ju Ye, 1.5 qian), Radix Paeoniae Rubra (Jing Chi Shao, 2 qian), Pericarpium Citri Reticulatae (Guang Ju Bai, 1 qian), Stem and Root of Spatholobus (Ji Xue Teng, 2 qian), Rosa Chinensis (Yue Ji Hua, 8 fen), Radix Salviae Miltiorrhizae (Zi Dan Shen, 2 qian), Fructus Viticis Trifoliae (Chong Wei Zi, 3 qian), Uncariae Ramulus cum Uncis (Nen Gou Gou, added later, 3 qian).