张（二九） 经先期色变。肤腠刺痛无定所。晨泄不爽利。从来不生育。由情怀少欢悦。多愁闷。郁则周
行之气血不通。而脉络间亦致间断蒙痹。例以通剂。（愁郁气血滞）
川芎 当归 肉桂 生艾 小茴 茯苓 生香附 南山楂 益母膏丸
姚（二二） 久嗽背寒。晨汗。右卧咳甚。经事日迟。脉如数而虚。谷减不欲食。此情志郁伤。延成损怯。
非清寒肺药所宜。（后期 郁伤久嗽肺气虚）
黄 桂枝 白芍 炙草 南枣 饴糖
肺为气出入之道。内有所伤。五脏之邪。上逆于肺则咳嗽。此则久嗽背寒晨汗。全是肺气
受伤。而经事日迟。不但气血不流行。血枯肝闭。可想而知。脉数虚火也。虚则不可以清寒。
况谷减不欲食。中气之馁已甚。可复以苦寒损胃乎。与黄 建中。损其肺者益其气。而桂枝白芍。非敛阴和血
之妙品乎。
秦（二一） 气冲心痛呕涎。气坠。少腹为泻。经来后期。其色或淡或紫。病在冲脉。从厥阴阳明两治。
（肝犯胃）
川连 小茴 川楝子 归尾 炒半夏 茯苓 桂枝 橘红
华（二三） 郁伤肝脾。是因怀抱不畅。致气血不和。逍遥散减白术。加山楂香附。不欲其守中。务在宣
通气血耳。今经来日迟。郁痹宜通。而气弱不主统血。况春深泄气之候。必佐益气之属。方为
合法。（郁伤肝脾） 归脾汤。
又 向有郁伤肝脾。用逍遥散归脾汤甚合。今因动怒。少腹气冲。过胃上膈。咽喉肿痹。四肢逆
冷。遂令昏迷。此皆肝木拂逆。甚则为厥。夫肝脏相火内寄。病来迅速。皆动极之征。为肝用太
过。宜制其用。前此 术守补。不可用矣。安胃理中丸去黄柏细辛。
钱 脉涩。脘闷减食。经水来迟。腹痛坠。
柴胡 炒白芍 黄芩 郁金 香附 茯苓 苏梗 神曲
又 诸恙未减。腹但痛不坠。逍遥散去白术甘草加郁金香附神曲。
许（十八） 经闭寒热。便溏腹痛。加味逍遥散去山栀。
某 血虚内热。经不至。加味逍遥散去术。
某 经迟腹痛。风疹络血不宁。久郁成热。法当通利。（血络郁热腹痛） 凉膈去芒硝加丹皮赤芍。
孙（二九） 奇脉下损。经迟腹痛。先用当归建中汤。续商八脉治法。（奇脉虚寒滞） 归建中汤。
又 久嗽。遇劳寒热。归 建中去姜。
谢（三十） 能食不运。瘕泄。经事愆期。少腹中干涸而痛。下焦麻痹。冲心呕逆。腹鸣心辣。八脉奇
经交病。
人参 茯苓 艾叶 制香附 淡苁蓉 淡骨脂 肉桂 当归 鹿角霜 小茴香 紫石英 益母膏丸。
王（三一） 脉右缓左涩。经水色淡后期。呕吐痰水食物。毕姻三载余不孕。此久郁凝痰滞气。务宜宣
通。从阳明厥阴立方。
半夏 广皮 茯苓 浓朴 茅术 淡吴萸 小香附 山楂肉 姜汁法丸
又 三月中。用辛温宣郁方。痰瘀自下。胸次宽。呕逆缓。今喜暖食恶寒。经迟至五十余日。来必
色淡且少。议用温养冲任。栽培生气方法。八珍去术草地加小茴肉桂蕲艾香附紫石英河车胶丸。
朱（二六） 经水一月两至。或几月不来。五年来并不孕育。下焦肢体常冷。是冲任脉损。无有贮蓄。
暖益肾肝主之。（肝肾虚寒）
人参 河车胶 熟地（砂仁制） 归身 白芍 川芎 香附 茯神 肉桂 艾炭 小茴 紫石英
益母膏丸。
程（三七） 十三年不孕育。其中幻病非一。病患述经期迟至。来期预先三日。周身筋骨脉络牵掣酸
楚。不得舒展。凡女人月水。诸络之血。必汇集血海而下。血海者。即冲脉也。男子藏精。女子系
胞。不孕经不调冲脉病也。腹为阴。阴虚生热。肢背为阳。阳虚生寒。究竟全是产后不复之虚
损。惑见病治病之误。有终身不育淹淹之累。肝血阴虚。木火内寄。古人温养下焦。必佐凉肝
坚阴。勿执经后期为气滞。乱投破气刚药劫阴。（冲脉肝阴虚）
河车胶 生地 枸杞 沙苑 生杜仲 白薇 山楂 黄柏 白花益母草
朱 经云。阳维为病。苦寒热。缘上年冰雪甚少。冬失其藏。春半潮湿。地气升泄。以肝肾血液久
亏之质。春生力浅。八脉隶乎肝肾。一身纲维。八脉乏束固之司。阴弱内热。阳微外寒矣。膂
脊常痛。经事愆期。血海渐涸。久延虚怯。情景已露。局方逍遥散。固女科圣药。大意重在肝脾
二经。因郁致损。木土交伤。气血痹阻。和气血之中。佐柴胡微升。以引少阳生气。上中二焦之
郁勃。可使条畅。今则入暮病剧。天晓安然。显是肝肾至阴损伤。八脉不为约束。故热无汗。至
阴深远。古人谓阴病不得有汗也。当宗仲景甘药之例。勿取气辛助阳可矣。（肝肾奇脉阴虚）
炙甘草 阿胶 细生地 生白芍 麦冬 牡蛎
某 阴亏内热。经事愆期。（阴虚）
雄乌骨鸡 小生地 阿胶 白芍 枸杞 天冬 茯苓 茺蔚子 女贞子 桂圆
上十味。用青蒿汁童便醇酒熬膏。加蜜丸。
张（四三） 寒热间日。经来腹痛。（痛经 郁伤气血滞）
小生地 丹皮 知母 花粉 生鳖甲 泽兰
某（二十） 先腹痛而后经至。气滞为多。晨泄腹鸣。亦脾胃之病。与下焦瘕泄则异。
川芎 当归 香附 煨广木香 楂肉 茯苓
某（二六） 寒热无汗。经先腹痛。喉中燥痒咳逆。食物不思。此郁伤气血。八脉主病。姑先与泽兰汤。
归身 泽兰 丹参 白芍 柏子仁 茯神
周（十七） 室女经水不调。先后非一。来期必先腹痛。较之平日为重。饮食大减。始于初夏。入秋下焦
常冷。腹鸣。忽泻忽结。究脉察色。是居室易于郁怒。肝气偏横。胃先受戕。而奇经冲任跷维诸
脉。皆肝胃属隶。脉不循序流行。气血日加阻痹。失治。必结瘕聚 痞之累。
南山楂 生香附 延胡 当归 青皮 三棱 蓬术 牛膝 川楝子 泽兰 肉桂 炒小茴
葱白汁丸。
顾 经来筋掣腹痛。常有心痛干呕。此肝气厥逆。冲任皆病。务在宣通气血以调经。温燥忌用。
自可得效。
川楝（一钱） 丹皮（三钱） 炒楂（二钱） 胡连（八分） 延胡（一钱） 泽兰（二钱）
归须（二钱） 生白芍（一钱半）
又 柏子仁丸。
吴 郁伤络脉。痛经。
川芎 当归 香附 小茴 乌药 茯苓 红枣
费 经水紫黑。来时嘈杂。脉络收引而痛。经过带下不断。形瘦日减。脉来右大左弱。上部火升。
下焦冷彻骨中。阴阳乖违。焉得孕育。阅医都以补血涩剂。宜乎鲜效。议通阳摄阴法。
鲍鱼 生地 淡苁蓉 天冬 当归 柏子仁 炒山楂 牛膝 茯苓 红枣蕲艾汤法丸。
朱 脉数。右肩痛痿。经不调。经来气攻触。皆性躁。气分有热。（气分热）
细子芩 白芍 黑山栀 钩藤 茯苓 当归须 香附 茺蔚子 桑枝
李 酸涩入里。气血呆钝。痛自心胸。胀及少腹。昔经行三日。今四日犹未已。为凝涩所致。痛胀
何疑。读内经遗意以辛胜酸主治。但辛气最易入表。当求其宣络者宜之。（食酸气血滞）
韭白汁 桃仁 延胡 小茴 当归须 川楝子
王（三八） 苦辛泄降。胸脘胀闷已舒。此嗽血。皆肝胆气火上逆。必经来可安。（经闭 木火郁热）
南山楂 桃仁 黑山栀 丹皮 橘叶 降香末 老韭白汁
朱 当节令呵欠烦倦。秋深进食。微有恶心。病起至今。月事不来。夫冲任血海。皆属阳明主司。
见症胃弱。此阴柔腻滞当停。以理胃阳为务。（胃阳虚）
人参 半夏曲 广皮白 茯苓 生益智仁 煨姜
某 脉数。形疲咳。经闭半年。已经食减。便溏浮肿。无清嗽通经之理。扶持中土。望其加谷。（脾
胃阳虚）
四君子汤
某（三六） 经闭两月。脘痹呕恶。此气窒不宣。胃阳碍钝使然。当用和中为主。（胃阳不运）
半夏曲 老苏梗 茯苓 广皮 枳壳 川斛
某 夏令寒热。经阻。少腹痛胀。血结洞泻不爽。乃内伤气血不和。兼有时令湿邪。（湿滞腹痛泻）
茯苓皮（三钱） 大腹皮（一钱半） 生益智（一钱） 浓朴（一钱） 蓬莪术（五分） 青皮
子（五分炒研）
又 服五剂后。气已略平。
葱白丸 用生蕲艾三分 红枣十五枚 煎清汤送。
某 脉数。经闭。腹胀足肿。（气滞湿凝肿胀）
茯苓皮 大腹皮 青皮 小香附 延胡 炒山楂 茺蔚子 炒砂仁
顾 经停四月。腹满。尻髀足肢尽肿。食纳胀闷不化。大便溏泻不实。女科认为胎气。恐未必然。
方书谓先经断而后肿胀者。治在血分。
生白术 浓朴 大腹皮 茺蔚子 椒目 小黑 豆皮
傅 大凡痞满在气。燥实在血。腹胀。经水仍来。大便微溏。固是气分病也。下之暂愈。气得泄也。
继而腹胀。经水不来。气与血俱病也。病非轻渺。议中满分消方法。
生于术 猪苓 泽泻 椒目 鸡内金 青皮汁 浓朴
邹（十八） 腰以下肿。经闭四月。腹痛泻不爽。议开太阳。导其气阻水湿。
牡蛎 泽泻 猪苓 茯苓 生白术 防己 浓朴 椒目
何 经阻腹满。泻后变痢。小温中丸。
王（三一） 居经三月。痞闷膨胀。无妊脉发现。询知劳碌致病。必属脾胃阳伤。中气愈馁。冲脉乏
血贮注。洵有诸矣。（气血虚滞兼湿）
大腹皮绒 半夏曲 老苏梗 橘红 炒山楂 茺蔚子
又 经停腹满便秘。
郁李仁 冬葵子 柏子仁 当归须 鲜杜牛膝
王（十九） 服阿魏丸。高突已平。痛未全止。经闭已有十余月。腹微膨。全属气血凝滞。若不经通。病何
以去。（气滞血涩）
川芎 当归 延胡 桃仁 楂肉 香附 青皮 牛膝 益母膏丸。
石（二二） 入肝必麻木。诸厥皆厥阴。心痛。便燥。气痹血枯。乃劳怒情志不遂起见。
桃仁 当归须 炒延胡 生香附 茺蔚子 南山楂
又 辛润气药病减。血虚气滞。当以调经为要。见病理病为非。
桃仁 当归 山楂 茺蔚子 泽兰 柏子仁
某（二二） 心下有形不饥。经水涩少渐闭。由气滞渐至血结。左右隧道不行。大便坚秘不爽。当与通
络。
炒桃仁 炒五灵脂 延胡 苏梗 生香附 木香汁
半夏 姜汁
姚 经闭一年。腹渐大。恐延血蛊沉 。况聚瘕日久。形寒跗肿。议用大针砂丸。每服一钱二分。
六服。（血蛊）
金 面无华色。脉右弦左涩。经阻三月。冲气攻左胁而痛。腹时胀。两足跗肿。是血蛊症。勿得小
视。
桂枝 茯苓 泽泻 牡蛎 金铃子 延胡
吴（三九） 经阻两载。少腹坚硬。大便不爽。不时咯出紫血块。此属血蛊之象。
鲜生地汁（五钱） 熟大黄（一钱半） 浔桂心（五分） 老生姜渣 炒桃仁（三钱） 郁李仁（一钱半）
四服
某 经闭腹胀。渐成蛊。
香附 木香 青皮 乌药 赤芍 五灵脂 廷胡 当归 郁金
王（二十） 脉右虚。左虚弦数。腹痛两月。胸痹咽阻。冷汗。周身刺痛。寒栗。此属内损。有经闭成
劳之事。（郁损营阴） 桂枝汤加茯苓。
又 照前方加当归肉桂。
又 内损情怀少畅。非偏寒偏热可以攻病。方中温养气血。以使条达。非因寒投热之谓。开怀
安养为宜。勿徒恃药。继此可进养营法。归桂枝去姜加茯苓。
潘（二七） 经水不来。少腹刺痛鸣胀。大便不爽。心中热痛。食辛辣及酒。其病更甚。不敢通经。姑与甘
缓。（脏燥） 甘麦大枣汤。
某 阳升风动。眩晕心悸。鼻衄。经停两月。（阴虚风阳动）
生地 阿胶 麦冬 白芍 柏子仁 枣仁 茯神 炙草
顾（二八） 病起经阻。形容日瘦。嘈杂刻饥。心腹常热。此乃悲惋离愁。内损而成劳。阴脏受伤。阳脉不
流。难治之症。必得怡悦情怀。经来可挽。但通经败血。断不可用。（郁劳阴虚）
生地 人参 茯苓 沉香汁 琥珀末（调入）
陈 自经阻寒热。延及浮肿腹膨。小溲日少。入暮心腹中热。此脏阴已涸。腑阳日痹。内因悒郁
成劳。情志为病。当收肃司令。而病日加增。料难入冬。无成法可遵。勉拟回生丹。每次服半丸。
冀通其壅痹气血。漫言治病也。
徐（二三） 经水久不来。寒热喉痛痹。郁劳。药难取效。清阿胶丸。鸡子黄汤送。
董 脉数色夺。久嗽经闭。寒从背起。热过无汗。此非疟邪。由乎阴阳并损。营卫循行失其常度。
经云。阳维为病。苦寒热矣。症属血痹成劳为难治。痹阻气分。务宜宣通。（血痹成劳）
生鹿角 川桂枝木 当归 茯苓 炙草 姜 枣 另回生丹二服
仲（二三） 先因经阻。继以五心烦热。咳吐涎沫。食减微呕。面肿色瘁。乃肝阳化风。旋动不息。
干血劳病。医治无益。（阴虚肝风动干血劳）
阿胶 生地 麦冬 牡蛎 小麦
王 面色 白。脉来细促。久嗽不已。减食腹痛便溏。经闭半载。此三焦脏真皆损。干血劳怯之
。极难调治。俗医儿嗽见热。多投清肺寒凉。生气断尽。何以挽回。（营虚干血劳）
归建中汤去姜
尼（十七） 少年形色衰夺。侧眠咳血。天柱骨垂。经水已闭。皆不治见症。归 建中汤去姜
张（二十九岁）：月经提前，经色异常。皮肤腠理刺痛，部位不固定。早晨腹泻，排便不爽利。从未生育过。由于心情少有欢悦，多愁闷。气机郁结导致周身运行的气血不通，脉络之间也出现间断性的蒙蔽痹阻。按照通剂的法则治疗。（因愁苦抑郁导致气血停滞）
川芎、当归、肉桂、生艾叶、小茴香、茯苓、生香附、南山楂、益母膏丸。
姚（二十二岁）：长期咳嗽，背部发冷。早晨出汗。右侧卧位时咳嗽加重。月经周期日渐推迟。脉象数而虚。食欲减退，不想进食。这是情志抑郁损伤了肺气，拖延日久形成损怯之证。不适合使用清寒性质的肺药。（后期 因郁伤导致久嗽，肺气虚）
黄芪、桂枝、白芍、炙甘草、南枣、饴糖。
肺是气出入的通道。内部受到损伤，五脏的病邪上逆于肺就会引起咳嗽。这里是长期咳嗽、背部发冷、早晨出汗，完全是肺气受伤的表现。而月经日渐推迟，不仅是气血不能流行，血枯肝闭的情况也可以想象。脉数表示有虚火。虚证不可以用清寒药。况且食欲减退不想进食，中气已经非常虚弱，怎么可以再使用苦寒药物损伤胃气呢？给予黄芪建中汤。损伤肺脏的要补益其气，而桂枝和白芍，不是收敛阴液、调和血液的妙品吗？
秦（二十一岁）：气冲心痛，呕吐涎沫。气坠感。少腹部作泻。月经来潮后期。经色或淡或紫。病在冲脉。从厥阴和阳明两经进行治疗。（肝气犯胃）
黄连、小茴香、川楝子、归尾、炒半夏、茯苓、桂枝、橘红。
华（二十三岁）：抑郁损伤肝脾。是因为怀抱不畅，导致气血不和。使用逍遥散减去白术，加山楂、香附。不希望它固守中焦，务必在于宣通气机。现在月经来潮日渐推迟，郁痹应当疏通，而且气弱不能统摄血液。何况春深时节是泄气的时候，必须佐以益气类药物，这才是合法的治法。（抑郁损伤肝脾）归脾汤。
又诊：向来有抑郁损伤肝脾的情况，使用逍遥散、归脾汤很合适。现在因为动怒，少腹气冲，经过胃部上至膈部，咽喉肿痛痹阻，四肢逆冷，于是导致昏迷。这都是肝木拂逆，严重时则发生厥证。肝脏内寄相火，发病迅速，都是动极的表现。属于肝用太过，应该制约其用。此前如果固守补法，就不可以用了。安胃理中丸去掉黄柏、细辛。
钱（未标年龄）：脉涩。脘部闷胀，食欲减退。月经来迟。腹痛且有下坠感。
柴胡、炒白芍、黄芩、郁金、香附、茯苓、苏梗、神曲。
又诊：各种症状没有减轻，腹部只是痛而不坠。逍遥散去白术、甘草，加郁金香、香附、神曲。
许（十八岁）：经闭，伴有寒热。大便溏薄，腹痛。加味逍遥散去山栀。
某患者：经迟腹痛。风疹，络脉中的血不安宁。长期郁结化热，治法应当通利。（血络郁热腹痛）凉膈散去掉芒硝，加丹皮、赤芍。
孙（二十九岁）：奇经八脉下部受损。月经迟，腹痛。先用当归建中汤。随后商议八脉的治疗方法。（奇脉虚寒滞）归建中汤。
又诊：长期咳嗽，遇劳则寒热。归建中去姜。
谢（三十岁）：能进食但不能运化。瘕泄（腹部积块伴泄泻）。月经错期。少腹中干涸而痛。下焦麻痹。气冲心部，呕吐逆乱。腹鸣，心中辣痛。八脉奇经同时患病。
人参、茯苓、艾叶、制香附、淡苁蓉、淡骨脂、肉桂、当归、鹿角霜、小茴香、紫石英、益母膏丸。
王（三十一岁）：脉右缓左涩。经血色淡，后期。呕吐痰水食物。结婚三年多不孕。这是长期郁结凝聚痰浊，阻滞气机。务必宜于宣通。从阳明、厥阴两经立方。
半夏、广陈皮、茯苓、浓朴、茅术、淡吴茱萸、小香附、山楂肉、姜汁法丸。
又诊：三月中，使用辛温宣郁方后，痰瘀自行排出，胸次宽畅，呕逆缓解。现在喜欢暖食，厌恶寒冷。月经推迟五十多天。来潮时必然色淡且量少。建议采用温养冲任，培养生气的方法。八珍汤去白术、甘草、地黄，加小茴、肉桂、蕲艾、香附、紫石英、河车胶丸。
朱（二十六岁）：月经一月两次，或者几个月不来。五年来并不孕育。下焦肢体常冷。这是冲任脉受损，没有贮蓄。用温暖益肾肝的方法主治。（肝肾虚寒）
人参、河车胶、熟地（砂仁制）、归身、白芍、川芎、香附、茯神、肉桂、艾炭、小茴、紫石英、益母膏丸。
程（三十七岁）：十三年不孕育。其中幻病不止一种。病患叙述经期迟至。来潮前预先三日，周身筋骨脉络牵掣酸楚，不得舒展。凡是女人的月水，诸络之血，必定汇集到血海而下。血海，就是冲脉。男子藏精，女子系胞。不孕、月经不调、冲脉病。腹部属阴，阴虚生热；肢背属阳，阳虚生寒。究竟全是产后不复元的虚损。被“见病治病”的错误观念所迷惑，有终身不育、缠绵难愈的拖累。肝血阴虚，木火内寄。古人温养下焦，必佐以凉肝坚阴的药物。不要执着于经后期认为是气滞，乱投破气刚猛的药物劫伤阴液。（冲脉肝阴虚）
河车胶、生地、枸杞、沙苑、生杜仲、白薇、山楂、黄柏、白花益母草。
朱（未标年龄）：经云：阳维为病，苦寒热。因为上年冰雪甚少，冬天失去了闭藏的功能。春半潮湿，地气升泄。以肝肾血液久亏的体质，春生之力浅薄。八脉隶属于肝肾，是一身的纲维。八脉缺乏束固的职责，阴弱则内热，阳微则外寒。脊背常痛。月经错期。血海逐渐枯竭。拖延日久成为虚怯。病情已经显露。局方逍遥散，虽然是妇科圣药，大意重在肝脾二经。因郁致损，木土交伤，气血痹阻。在和气血之中，佐以柴胡微升，以引少阳生气。上中二焦的郁勃之气，可以使条畅。现在是入暮病重，天亮安然，显然是肝肾至阴损伤，八脉不为约束。所以发热无汗。至阴深远，古人说阴病不得有汗。应当遵循仲景甘药的例子，不要取气辛助阳的药物就可以了。（肝肾奇脉阴虚）
炙甘草、阿胶、细生地、生白芍、麦冬、牡蛎。
某患者：阴亏内热。月经错期。（阴虚）
雄乌骨鸡、小生地、阿胶、白芍、枸杞、天冬、茯苓、茺蔚子、女贞子、桂圆。
以上十味，用青蒿汁、童便、醇酒熬膏，加蜜丸。
张（四十三岁）：寒热间日发作。经来腹痛。（痛经 因郁伤导致气血滞）
小生地、丹皮、知母、花粉、生鳖甲、泽兰。
某患者（二十岁）：先腹痛而后经至。多为气滞。早晨腹泻腹鸣，也是脾胃的病。与下焦瘕泄不同。
川芎、当归、香附、煨广木香、楂肉、茯苓。
某患者（二十六岁）：寒热无汗。经前先腹痛。喉中燥痒咳逆。不思饮食。这是郁伤气血，八脉主病。暂且先给予泽兰汤。
归身、泽兰、丹参、白芍、柏子仁、茯神。
周（十七岁）：室女月经不调，先后不一。来潮前必先腹痛，比平日为重。饮食大减。始于初夏。入秋后下焦常冷。腹鸣。忽泻忽结。究其脉象察其面色，是由于居室生活易于郁怒，肝气偏横。胃先受伤害，而奇经冲任跷维诸脉，都隶属于肝胃。脉不循序流行，气血日益增加阻痹。失治，必定结成瘕聚痞块的拖累。
南山楂、生香附、延胡索、当归、青皮、三棱、蓬莪术、牛膝、川楝子、泽兰、肉桂、炒小茴。葱白汁丸。
顾（未标年龄）：经来时筋脉拘挛腹痛。常有心痛干呕。这是肝气厥逆，冲任皆病。务必在于宣通气机以调经。忌用温燥药。自然可以得到疗效。
川楝子（一钱）、丹皮（三钱）、炒山楂（二钱）、胡连（八分）、延胡索（一钱）、泽兰（二钱）、归须（二钱）、生白芍（一钱半）。
又诊：柏子仁丸。
吴（未标年龄）：郁伤络脉。痛经。
川芎、当归、香附、小茴、乌药、茯苓、红枣。
费（未标年龄）：经水紫黑。来时嘈杂。脉络收引而痛。经过后带下不断。形体消瘦日渐减少。脉来右大左弱。上部火升，下焦冷彻骨中。阴阳乖违，怎么能孕育。看医生都用补血涩剂，当然鲜有效果。建议用通阳摄阴法。
鲍鱼、生地、淡苁蓉、天冬、当归、柏子仁、炒山楂、牛膝、茯苓、红枣蕲艾汤法丸。
朱（未标年龄）：脉数。右肩痛痿。经不调。经来时气攻触。都是性情急躁。气分有热。（气分热）
细子芩、白芍、黑山栀、钩藤、茯苓、当归须、香附、茺蔚子、桑枝。
李（未标年龄）：酸涩入里，气血呆钝。痛自心胸。胀及少腹。以前经行三日，现在四天还未结束。为凝涩所致。痛胀何疑。读内经遗意，以辛胜酸主治。但辛气最容易入表，应当寻求宣通络脉的药物适宜。（食酸导致气血滞）
韭白汁、桃仁、延胡索、小茴、当归须、川楝子。
王（三十八岁）：苦辛泄降后，胸脘胀闷已舒。此咳嗽吐血，都是肝胆气火上逆。必须等月经来潮才可安宁。（经闭 木火郁热）
南山楂、桃仁、黑山栀、丹皮、橘叶、降香末、老韭白汁。
朱（未标年龄）：当节令时呵欠烦倦。秋深进食，微有恶心。病起至今，月事不来。夫冲任血海，都属阳明主司。见到症状胃弱，这些阴柔腻滞的药物应当停止。以调理胃阳为务。（胃阳虚）
人参、半夏曲、广皮白、茯苓、生益智仁、煨姜。
某患者：脉数，形体疲乏咳嗽。经闭半年。已经食欲减退。大便溏薄浮肿。没有清嗽通经的道理。扶持中土，希望其增加谷食。（脾胃阳虚）
四君子汤。
某患者（三十六岁）：经闭两个月。脘痹呕恶。这是气窒不宣，胃阳碍钝使然。应当用和中为主。（胃阳不运）
半夏曲、老苏梗、茯苓、广皮、枳壳、川斛。
某患者：夏令寒热。经阻。少腹痛胀。血结洞泻不爽。乃内伤气血不和，兼有时令湿邪。（湿滞腹痛泻）
茯苓皮（三钱）、大腹皮（一钱半）、生益智（一钱）、浓朴（一钱）、蓬莪术（五分）、青皮子（五分炒研）。
又诊：服五剂后，气已略平。
葱白丸。用生蕲艾三分、红枣十五枚，煎清汤送服。
某患者：脉数。经闭。腹胀足肿。（气滞湿凝肿胀）
茯苓皮、大腹皮、青皮、小香附、延胡索、炒山楂、茺蔚子、炒砂仁。
顾（未标年龄）：经停四月。腹满。尻髀足肢尽肿。食纳胀闷不化。大便溏泻不实。女科认为胎气，恐怕未必如此。方书谓先经断而后肿胀者，治在血分。
生白术、浓朴、大腹皮、茺蔚子、椒目、小黑豆皮。
傅（未标年龄）：大凡痞满在气，燥实在血。腹胀，经水仍来。大便微溏。固是气分病也。下之暂愈，气得泄也。继而腹胀，经水不来。气与血俱病也。病非轻渺。议中满分消方法。
生于术、猪苓、泽泻、椒目、鸡内金、青皮汁、浓朴。
邹（十八岁）：腰以下肿。经闭四月。腹痛泻不爽。议开太阳，导其气阻水湿。
牡蛎、泽泻、猪苓、茯苓、生白术、防己、浓朴、椒目。
王（三十一岁）：居经三月。痞闷膨胀。无妊脉发现。询知劳碌致病。必属脾胃阳伤。中气愈馁，冲脉乏血贮注。确实如此。（气血虚滞兼湿）
大腹皮绒、半夏曲、老苏梗、橘红、炒山楂、茺蔚子。
又诊：经停腹满便秘。
郁李仁、冬葵子、柏子仁、当归须、鲜杜牛膝。
王（十九岁）：服用阿魏丸后，高突已平。痛未全止。经闭已有十余月。腹微膨。全属气血凝滞。若不经通，病何以去除。（气滞血涩）
川芎、当归、延胡索、桃仁、楂肉、香附、青皮、牛膝、益母膏丸。
石（二十二岁）：入肝必麻木。诸厥皆属厥阴。心痛。便燥。气痹血枯。乃劳怒情志不遂起见。
桃仁、当归须、炒延胡索、生香附、茺蔚子、南山楂。
又诊：辛润气药后病减。血虚气滞，当以调经为要。见病理病为非。
桃仁、当归、山楂、茺蔚子、泽兰、柏子仁。
某患者（二十二岁）：心下有形之物，不饥。经水涩少渐闭。由气滞渐至血结。左右隧道不行。大便坚秘不爽。当与通络。
炒桃仁、炒五灵脂、延胡索、苏梗、生香附、木香汁、半夏、姜汁。
姚（未标年龄）：经闭一年。腹渐大。恐延血蛊沉疴。况聚瘕日久，形寒跗肿。议用大针砂丸。每服一钱二分。六服。（血蛊）
金（未标年龄）：面无华色。脉右弦左涩。经阻三月。冲气攻左胁而痛。腹时胀。两足跗肿。是血蛊症。勿得小视。
桂枝、茯苓、泽泻、牡蛎、金铃子、延胡索。
吴（三十九岁）：经阻两载。少腹坚硬。大便不爽。不时咯出紫血块。此属血蛊之象。
鲜生地汁（五钱）、熟大黄（一钱半）、浔桂心（五分）、老生姜渣、炒桃仁（三钱）、郁李仁（一钱半）。四服。
某患者：经闭腹胀。渐成蛊。
香附、木香、青皮、乌药、赤芍、五灵脂、廷胡索、当归、郁金。
王（二十岁）：脉右虚。左虚弦数。腹痛两月。胸痹咽阻。冷汗。周身刺痛。寒栗。此属内损。有经闭成劳之事。（郁损营阴）桂枝汤加茯苓。
又诊：照前方加当归、肉桂。
又诊：内损情怀少畅，非偏寒偏热可以攻病。方中温养气血，以使条达。非因寒投热之谓。开怀安养为宜。勿徒恃药。继此可进养营法。归桂枝去姜加茯苓。
潘（二十七岁）：经水不来。少腹刺痛鸣胀。大便不爽。心中热痛。食辛辣及酒，其病更甚。不敢通经。姑与甘缓。（脏燥）甘麦大枣汤。
某患者：阳升风动。眩晕心悸。鼻衄。经停两月。（阴虚风阳动）
生地、阿胶、麦冬、白芍、柏子仁、枣仁、茯神、炙草。
顾（二十八岁）：病起经阻。形容日瘦。嘈杂刻饥。心腹常热。此乃悲惋离愁，内损而成劳。阴脏受伤，阳脉不流。难治之症。必得怡悦情怀，经来可挽。但通经败血，断不可用。（郁劳阴虚）
生地、人参、茯苓、沉香汁、琥珀末（调入）。
陈（未标年龄）：自经阻寒热。延及浮肿腹膨。小溲日少。入暮心腹中热。此脏阴已涸。腑阳日痹。内因悒郁成劳。情志为病。当收肃司令。而病日加增。料难入冬。无成法可遵。勉拟回生丹。每次服半丸。冀通其壅痹气血。漫言治病也。
徐（二十三岁）：经水久不来。寒热喉痛痹。郁劳。药难取效。清阿胶丸。鸡子黄汤送。
董（未标年龄）：脉数色夺。久嗽经闭。寒从背起。热过无汗。此非疟邪。由乎阴阳并损。营卫循行失其常度。经云：阳维为病，苦寒热矣。症属血痹成劳为难治。痹阻气分，务宜宣通。（血痹成劳）
生鹿角、川桂枝木、当归、茯苓、炙草、姜、枣。另回生丹二服。
仲（二十三岁）：先因经阻。继以五心烦热。咳吐涎沫。食减微呕。面肿色瘁。乃肝阳化风。旋动不息。干血劳病。医治无益。（阴虚肝风动干血劳）
阿胶、生地、麦冬、牡蛎、小麦。
王（未标年龄）：面色㿠白。脉来细促。久嗽不已。减食腹痛便溏。经闭半载。此三焦脏真皆损。干血劳怯之疾。极难调治。俗医儿嗽见热，多投清肺寒凉。生气断尽。何以挽回。（营虚干血劳）
归建中汤去姜。
Zhang (29 years old): Menstruation occurs early with abnormal color. Pricking pain in the skin and interstices, located irregularly. Morning diarrhea with incomplete evacuation. Never given birth to children. Due to a lack of joy in mood, often feeling sorrowful and depressed. Qi stagnation leads to obstruction of Qi and Blood circulation throughout the body, causing intermittent blockage and bi-syndrome in the collaterals. Treatment follows the principle of using unblocking agents. (Qi and Blood stagnation due to sorrow and depression)
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Cinnamomi Cortex (Rougui), Artemisiae Argyi Folium (Sheng Aiye), Foeniculi Fructus (Xiaohui), Poria (Fuling), Cyperi Rhizoma (Sheng Xiangfu), Crataegi Fructus (Nanshan Zha), Yimucao Extract Pills (Yimu Gao Wan).
Yao (22 years old): Chronic cough with coldness in the back. Morning sweating. Cough worsens when lying on the right side. Menstrual cycle gradually delayed. Pulse is rapid and deficient. Appetite decreases, no desire to eat. This is emotional depression injuring Lung Qi, dragging on to form deficiency consumptive disease. It is not suitable for using cold-natured Lung-clearing herbs. (Late menstruation; Long-term cough due to emotional injury, Lung Qi deficiency)
Astragali Radix (Huangqi), Cinnamomi Ramulus (Guizhi), Paeoniae Radix Alba (Baishao), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao), Jujubae Fructus (Nanzao), Saccharum (Yitang).
The Lung is the pathway for Qi entering and exiting. Internal injury causes pathogenic factors from the five zang organs to rebel upwards into the Lung, resulting in cough. Here, chronic cough, back coldness, and morning sweating are entirely due to Lung Qi injury. The gradual delay of menstruation indicates not only that Qi and Blood do not circulate smoothly, but also blood dryness and Liver closure can be imagined. A rapid pulse indicates deficient fire. In deficiency patterns, cold-natured clearing herbs should not be used. Moreover, decreased appetite and food refusal indicate severe weakness of Middle Qi; how can bitter-cold herbs be used again to damage the Stomach? Prescribe Huangqi Jianzhong Tang. To injure the Lung is to benefit its Qi; are not Guizhi and Baishao excellent products for astringing Yin and harmonizing Blood?
Qin (21 years old): Qi rushing causing heart pain and vomiting of saliva. Sensation of Qi sinking. Diarrhea in the lower abdomen. Menstruation arrives late. The color is either pale or purple. The disease is in the Chong Mai (Penetrating Vessel). Treat from both Jueyin and Yangming meridians. (Liver invading Stomach)
Coptidis Rhizoma (Chuanlian), Foeniculi Fructus (Xiaohui), Toosendan Fructus (Chuanlianzi), Angelicae Sinensis Radix Tail (Guiwei), Pinelliae Tuber Preparated (Chao Banxia), Poria (Fuling), Cinnamomi Ramulus (Guizhi), Citri Reticulatae Pericarpium (Juhong).
Hua (23 years old): Depression injures Liver and Spleen. This is due to unsatisfactory mood, leading to disharmony of Qi and Blood. Use Xiaoyao San minus Baizhu, add Shanzha and Xiangfu. Do not let it stay in the Middle Jiao; the key is to promote the free flow of Qi and Blood. Now menstruation is delayed; stagnation and bi-syndrome should be unblocked. Also, Qi is weak and fails to control Blood. Furthermore, deep spring is a time when Qi leaks out; one must assist with Qi-tonifying herbs to be lawful. (Depression injuring Liver and Spleen) Guipi Tang.
Second visit: Previously, depression injuring Liver and Spleen was well treated with Xiaoyao San and Guipi Tang. Now, due to anger, Qi rushes in the lower abdomen, passing through the Stomach up to the diaphragm, causing swelling and obstruction in the throat, cold limbs, and even coma. All these are due to Liver Wood rebelling; severely, it leads to Jue syndrome. The Liver houses Ministerial Fire internally; the disease comes rapidly, all signs of extreme movement. It is Liver Function overacting. One should restrain its function. Previous solid tonification methods cannot be used. Anwei Lizhong Wan minus Huangbai and Xixin.
Qian (Age not specified): Pulse is choppy. Epigastric fullness and decreased appetite. Menstruation is late. Abdominal pain with a bearing-down sensation.
Bupleuri Radix (Chaihu), Paeoniae Radix Alba Preparata (Chao Baishao), Scutellariae Radix (Huangqin), Curcumae Aromatae Rhizoma (Yujin), Cyperi Rhizoma (Xiangfu), Poria (Fuling), Perillae Caulis (Sugeng), Massae Fermentatae Medicinales (Shenqu).
Second visit: Various symptoms have not subsided; the abdomen hurts but does not bear down. Xiaoyao San minus Baizhu and Gancao, add Yujin, Xiangfu, and Shenqu.
Xu (18 years old): Amenorrhea with alternating chills and fever. Loose stools, abdominal pain. Jiawei Xiaoyao San minus Zhizi.
Certain patient: Blood deficiency with internal heat. Menstruation does not arrive. Jiawei Xiaoyao San minus Baizhu.
Certain patient: Delayed menstruation with abdominal pain. Wind-rash, blood in collaterals is unsettled. Long-term stagnation transforms into heat. The method should be to unblock and drain. (Heat in blood collaterals causing abdominal pain) Liangge San minus Mangxiao, add Mudanpi and Chi Shao.
Sun (29 years old): Lower part of the extraordinary vessels is damaged. Delayed menstruation with abdominal pain. First use Danggui Jianzhong Tang. Then discuss treatment methods for the eight extraordinary vessels. (Deficiency-cold stagnation in extraordinary vessels) Danggui Jianzhong Tang.
Second visit: Chronic cough, chills and fever upon exertion. Danggui Jianzhong Tang minus Jiang.
Xie (30 years old): Can eat but cannot transport. Mass-associated diarrhea. Menstrual period irregular. Dryness and pain in the lower abdomen. Numbness in the lower jiao. Qi rushing to the heart, vomiting and rebellion. Abdominal borborygmus, burning sensation in the heart. Both the eight extraordinary vessels and the qi Jing vessels are diseased.
Ren Shen (Ginseng Radix et Rhizoma), Poria (Fuling), Artemisiae Argyi Folium (Aiye), Cyperi Rhizoma Preparated (Zhi Xiangfu), Cistanches Herba (Dan Congrong), Osteumi Euphorbiae (Dan Guzhi), Cinnamomi Cortex (Rougui), Angelicae Sinensis Radix (Danggui), Cornu Cervi Degelatinatum (Lujiaoshuang), Foeniculi Fructus (Xiaohui), Magnesium Silicatum (Zishiying), Yimucao Extract Pills (Yimu Gao Wan).
Wang (31 years old): Pulse slow on the right, choppy on the left. Menstrual blood pale and late. Vomiting phlegm, water, and food. Married for over three years without conception. This is long-term stagnation condensing phlegm and obstructing Qi. It is essential to promote free flow. Formulate prescription from Yangming and Jueyin meridians.
Pinelliae Tuber (Banxia), Citri Reticulatae Pericarpium (Guangpi), Poria (Fuling), Magnoliae Officinalis Cortex (Nongpo), Atractylodis Rhizoma (Maozhu), Evodiae Fructus (Dan Wuzhu), Cyperi Rhizoma (Xiao Xiangfu), Crataegi Fructus (Shanzha Rou), Ginger Juice Pills (Jiangzhi Fa Wan).
Second visit: In mid-March, after using acrid-warm formula to scatter depression, phlegm and stasis were discharged naturally, chest became comfortable, vomiting eased. Now prefers warm food, dislikes cold. Menstruation delayed by over fifty days. When it arrives, it will likely be pale and scant. Propose warming and nourishing Chong and Ren vessels, cultivating vital Qi. Bazhen Tang minus Baizhu, Gancao, and Dihuang, add Xiaohui, Rougui, Qiai, Xiangfu, Zishiying, and Placenta Hominis (Hechejiao) pills.
Zhu (26 years old): Menstruation occurs twice a month, or does not come for several months. No conception for five years. Lower jiao limbs are often cold. This is damage to Chong and Ren vessels, lacking storage. Treat with warming and benefiting Kidney and Liver. (Deficiency-cold of Liver and Kidney)
Ren Shen (Ginseng Radix et Rhizoma), Placenta Hominis (Hechejiao), Rehmanniae Radix Preparata (Shudi - processed with Amomi Fructus Shaoren), Angelicae Sinensis Radix Root (Guishen), Paeoniae Radix Alba (Baishao), Chuanxiong Rhizoma (Chuanxiong), Cyperi Rhizoma (Xiangfu), Poria Cum Pinellia (Fushen), Cinnamomi Cortex (Rougui), Artemisiae Argyi Folium Carbonized (Aitan), Foeniculi Fructus (Xiaohui), Magnesium Silicatum (Zishiying), Yimucao Extract Pills (Yimu Gao Wan).
Cheng (37 years old): Infertility for thirteen years, various phantom diseases occurred. Patient describes late menstruation. Three days before onset, whole body muscles, bones, and collaterals feel pulling, sore, and painful, unable to stretch. In women, menstrual blood from all collaterals gathers in the Sea of Blood to descend. The Sea of Blood is the Chong Mai. Men store essence, women connect to the uterus. Infertility, irregular menstruation, and Chong Mai disease. Abdomen is Yin; Yin deficiency generates heat. Limbs and back are Yang; Yang deficiency generates cold. Ultimately, it is all deficiency damage from postpartum non-recovery. Confused by "treating disease as seen," suffering lifelong infertility and lingering illness. Liver Blood and Yin are deficient, Wood-Fire resides internally. Ancients, when warming the lower jiao, must assist with cooling Liver and firming Yin herbs. Do not stick to the idea that late menstruation is Qi stagnation, blindly throwing strong Qi-breaking drugs to rob Yin. (Chong Mai Liver Yin deficiency)
Placenta Hominis (Hechejiao), Rehmanniae Radix (Shengdi), Lycii Fructus (Gouqi), Astragali Complanati Semen (Shayuan), Eucommiae Cortex (Sheng Duzhong), Anemarrhenae Rhizoma (Baiwei), Crataegi Fructus (Shanzha), Phellodendri Cortex (Huangbai), White Flower Motherwort Herb (Baihua Yimucao).
Zhu (Age not specified): The Classic says: "When Yang Wei is diseased, one suffers chills and fever." Because there was little snow last year, winter lost its storing function. Mid-spring was damp, earth Qi rose and leaked. With a constitution of long-term Liver-Kidney Blood deficiency, Spring generation power is shallow. The eight extraordinary vessels belong to Liver and Kidney, they are the framework of the body. The eight vessels lack binding and securing functions; Yin weak leads to internal heat, Yang micro leads to external cold. Spine often hurts. Menstruation irregular. Sea of Blood gradually dried up. Dragging on becomes deficiency consumptive disease. The situation is revealed. Ju Fang Xiaoyao San, although a holy medicine for gynecology, focuses mainly on Liver and Spleen meridians. Due to depression causing damage, Wood and Earth mutually injure, Qi and Blood blocked. In harmonizing Qi and Blood, assist with Chaihu slightly ascending to guide Shaoyang vital Qi. The depression in Upper and Middle Jiao can be smoothed. Now, disease worsens at dusk, calm at dawn, obviously indicating injury to Liver-Kidney Supreme Yin, eight vessels not constraining. Thus fever without sweat. Supreme Yin is profound; ancients said Yin diseases do not have sweat. Should follow Zhongjing's example of sweet medicine, do not take acrid-aromatic Yang-assisting herbs. (Liver-Kidney Extraordinary Vessels Yin deficiency)
Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao), Ecliptae Herba (Ejiao - Note: Text says Ejiao, usually Donkey-hide gelatin, here likely refers to Ejiao), Rehmanniae Radix (Xi Shengdi), Paeoniae Radix Alba (Sheng Baishao), Ophiopogonis Tuber (Maidong), Ostreae Concha (Muli).
Certain patient: Yin deficiency with internal heat. Menstruation irregular. (Yin deficiency)
Male Black Bone Hen (Xiong Wuguji), Rehmanniae Radix (Xiao Shengdi), Ecliptae Herba (Ejiao), Paeoniae Radix Alba (Baishao), Lycii Fructus (Gouqi), Asparagi Tuber (Tiantong), Poria (Fuling), Leonuri Fructus (Chongweizi), Ligustri Lucidi Fructus (Nvzhenzi), Longan Aril (Guiyuan).
Ten ingredients above, decoct with Qinghao juice, child's urine, and pure wine into paste, add honey and make pills.
Zhang (43 years old): Alternating chills and fever every other day. Abdominal pain during menstruation. (Dysmenorrhea; Qi and Blood stagnation due to depression)
Rehmanniae Radix (Xiao Shengdi), Moutan Cortex (Danpi), Anemarrhenae Rhizoma (Zhimu), Polygonati Rhizoma (Huafen), Trionycis Carapax et Squama (Sheng Biejia), Lycopii Herba (Zelan).
Certain patient (20 years old): Abdominal pain first, then menstruation arrives. Mostly Qi stagnation. Morning diarrhea with abdominal borborygmus, also a Spleen-Stomach disease. Different from lower jiao mass-diarrhea.
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Prepared Costus Root (Wei Guangmuxiang), Crataegi Fructus (Zharou), Poria (Fuling).
Certain patient (26 years old): Chills, fever, no sweat. Abdominal pain before menstruation. Dry and itchy throat with rebellious cough. No desire for food. This is depression injuring Qi and Blood, disease of the eight extraordinary vessels. Temporarily give Zelán Decoction.
Angelicae Sinensis Radix Root (Guishen), Lycopii Herba (Zelan), Salviae Miltiorrhizae Radix (Danshen), Paeoniae Radix Alba (Baishao), Biota Seed (Baiziren), Poria Cum Pinellia (Fushen).
Zhou (17 years old): Virgin with irregular menstruation, varying intervals. Abdominal pain always precedes menstruation, worse than usual. Greatly reduced diet. Started in early summer. After autumn, lower jiao often cold. Abdominal borborygmus. Alternating diarrhea and constipation. Examining pulse and complexion, it is due to living environment easily causing depression and anger, Liver Qi deviating horizontally. Stomach is injured first, and the extraordinary vessels Chong, Ren, Chiao, and Wei all belong to Liver and Stomach. Pulses do not circulate in order, Qi and Blood increasingly blocked. If untreated,必将结瘕聚痞之累 (will surely result in masses and痞 accumulation).
Crataegi Fructus (Nanshan Zha), Cyperi Rhizoma (Sheng Xiangfu), Corydalis Rhizoma (Yanhu), Angelicae Sinensis Radix (Danggui), Citri Reticulatae Pericarpium (Qingpi), Bupleuri Radix (Sanleng), Curcumae Zedoariae Rhizoma (Pengzhu), Achyranthis Bidentatae Radix (Niuxi), Toosendan Fructus (Chuanlianzi), Lycopii Herba (Zelan), Cinnamomi Cortex (Rougui), Foeniculi Fructus Preparated (Chao Xiaohui). Pills made with Green Onion Juice (Congbai Zhi).
Gu (Age not specified): Menstrual cramps and abdominal pain with tendon pulling. Often has heart pain and dry retching. This is Liver Qi rebellion, affecting Chong and Ren vessels. Essential to promote free flow of Qi and Blood to regulate menstruation. Avoid warm-drying herbs. Naturally can achieve effect.
Toosendan Fructus (1 qian), Moutan Cortex (3 qian), Prepared Crataegi Fructus (2 qian), Picrorhizae Rhizoma (Hulian), Corydalis Rhizoma (1 qian), Lycopii Herba (2 qian), Angelicae Sinensis Radix Tail (2 qian), Paeoniae Radix Alba (1.5 qian).
Second visit: Baiziren Pills.
Wu (Age not specified): Depression injuring collateral vessels. Dysmenorrhea.
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Foeniculi Fructus (Xiaohui), Linderae Radix (Wuyao), Poria (Fuling), Jujubae Fructus (Hongzao).
Fei (Age not specified): Menstrual blood purple-black. Palpitations during menstruation. Collateral contraction causing pain. Continuous leukorrhea after menstruation. Emaciation and daily weight loss. Pulse large on right, weak on left. Fire rises in upper jiao, bone-chilling cold in lower jiao. Yin and Yang discordant, how can conception occur? Doctors have used blood-tonifying and astringent agents, hence few effects. Propose method of unblocking Yang and grasping Yin.
Mullet Fish (Baoyu), Rehmanniae Radix (Shengdi), Cistanches Herba (Dan Congrong), Asparagi Tuber (Tiantong), Angelicae Sinensis Radix (Danggui), Biota Seed (Baiziren), Prepared Crataegi Fructus (Chao Shanzha), Achyranthis Bidentatae Radix (Niuxi), Poria (Fuling), Jujubae Fructus (Hongzao). Pills made with Qiai decoction.
Zhu (Age not specified): Rapid pulse. Right shoulder pain and flaccidity. Irregular menstruation. Qi attacks and touches during menstruation. All due to irritable nature. Heat in Qi level. (Heat in Qi level)
Scutellariae Radix (Xizi Qin), Paeoniae Radix Alba (Baishao), Gardeniae Fructus Carbonized (Hei Shanzhi), Uncariae Ramulus cum Uncis (Gouteng), Poria (Fuling), Angelicae Sinensis Radix Tail (Guixu), Cyperi Rhizoma (Xiangfu), Leonuri Fructus (Chongweizi), Mulberry Twig (Sangzhi).
Li (Age not specified): Sour and astringent enter interior, Qi and Blood become dull. Pain starts from heart and chest. Distension reaches lower abdomen. Previously menstruation lasted three days, now four days and still not finished. Caused by coagulation and stagnation. Doubtless pain and distension. Reading the legacy of Neijing, treat sour with acrid. But acrid Qi easily enters exterior; seek herbs that unblock collaterals. (Acrid food causing Qi and Blood stagnation)
Green Onion White Juice (Jiu Bai Zhi), Peach Kernel (Taoren), Corydalis Rhizoma (Yanhu), Foeniculi Fructus (Xiaohui), Angelicae Sinensis Radix Tail (Guixu), Toosendan Fructus (Chuanlianzi).
Wang (38 years old): After bitter-acrid draining and descending, chest and epigastric distension relieved. This coughing blood is due to Liver-Gallbladder Qi and Fire rebelling upwards. Must wait for menstruation to settle. (Amenorrhea; Wood-Fire depression-heat)
Crataegi Fructus (Nanshan Zha), Peach Kernel (Taoren), Gardeniae Fructus Carbonized (Hei Shanzhi), Moutan Cortex (Danpi), Citrus Leaf (Juye), Aquilariae Lignum Resinatum (Xiangjiang Mo), Old Green Onion White Juice (Lao Jiu Bai Zhi).
Zhu (Age not specified): At seasonal changes, yawning and fatigue. Deep autumn eating, slight nausea. Since onset, menstruation has not come. Chong, Ren, and Sea of Blood are all governed by Yangming. Symptoms show weak Stomach; these yin-nourishing cloying herbs should stop. Focus on regulating Stomach Yang. (Stomach Yang deficiency)
Ren Shen (Ginseng Radix et Rhizoma), Massae Fermentatae Medicinales (Banxia Qu), Citri Reticulatae Pericarpium (Guangpi Bai), Poria (Fuling), Alpiniae Katsumadai Rhizoma (Sheng Yizhiren), Prepared Ginger (Wei Jiang).
Certain patient: Rapid pulse, tired physique with cough. Amenorrhea for half a year. Decreased appetite. Loose stools, edema. No logic for clearing cough and unblocking menstruation. Support Middle Earth, hope for increased grain intake. (Spleen-Stomach Yang deficiency)
Sijunzi Tang.
Certain patient (36 years old): Amenorrhea for two months. Epigastric obstruction, nausea. This is Qi obstruction not spreading, caused by Stomach Yang being hindered and dull. Should use harmonizing Middle as main. (Stomach Yang not transporting)
Massae Fermentatae Medicinales (Banxia Qu), Perillae Caulis (Lao Sugeng), Poria (Fuling), Citri Reticulatae Pericarpium (Guangpi), Aurantii Fructus (Zhiqiao), Dendrobii Caulis (Chuanhu).
Certain patient: Summer heat and chills. Menstrual obstruction. Lower abdominal pain and distension. Bloody stool with watery diarrhea and incomplete evacuation. Internal injury to Qi and Blood disharmony, combined with seasonal damp pathogen. (Damp stagnation causing abdominal pain and diarrhea)
Poria Peel (Fu Ling Pi - 3 qian), Arecae Pericarpium (Da Fu Pi - 1.5 qian), Alpiniae Katsumadai Rhizoma (Sheng Yizhi - 1 qian), Magnoliae Officinalis Cortex (Nongpo - 1 qian), Curcumae Zedoariae Rhizoma (Pengzhu - 0.5 fen), Citri Reticulatae Pericarpium (Qingpi Zi - 0.5 fen stir-fried and ground).
Second visit: After five doses, Qi has slightly settled.
Green Onion Pills (Congbai Wan). Take Sheng Qiai (0.3 fen) and Red Dates (15 pieces), decoct clear soup to swallow.
Certain patient: Rapid pulse. Amenorrhea. Abdominal distension and foot swelling. (Qi stagnation and damp congealing causing swelling)
Poria Peel (Fu Ling Pi), Arecae Pericarpium (Da Fu Pi), Citri Reticulatae Pericarpium (Qingpi), Cyperi Rhizoma (Xiao Xiangfu), Corydalis Rhizoma (Yanhu), Prepared Crataegi Fructus (Chao Shanzha), Leonuri Fructus (Chongweizi), Amomi Fructus Rotundus Preparated (Chao Sharen).
Gu (Age not specified): Menstruation stopped for four months. Abdominal fullness. Swelling of buttocks, thighs, and legs. Eating causes distension and indigestion. Loose stools. Gynecology considers this fetal Qi, but likely not so. Medical books say if menstruation stops first then swelling occurs, treat in Blood level.
Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Magnoliae Officinalis Cortex (Nongpo), Arecae Pericarpium (Da Fu Pi), Leonuri Fructus (Chongweizi), Piperis Fructus (Jiaomu), Black Soybean Peel (Xiaoheidou Pi).
Fu (Age not specified): Generally,痞满 (fullness) is in Qi, dryness-solidity is in Blood. Abdominal distension, menstruation still comes. Stool slightly loose. Indeed a Qi-level disease. Purging temporarily relieves, Qi is drained. Then abdominal distension returns, menstruation does not come. Qi and Blood both diseased. Disease is not trivial. Propose Zhongman Fenxiao method.
Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Polyporus (Zhuling), Alisma Rhizoma (Zexie), Piperis Fructus (Jiaomu), Endothelium Corneum Gigeriae Galli (Jineijin), Citri Reticulatae Pericarpium Juice (Qingpi Zhi), Magnoliae Officinalis Cortex (Nongpo).
Zou (18 years old): Swelling below waist. Amenorrhea for four months. Abdominal pain and incomplete diarrhea. Propose opening Taiyang, guiding Qi obstruction and water-dampness.
Ostreae Concha (Muli), Alisma Rhizoma (Zexie), Polyporus (Zhuling), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Stephaniae Tetrandrae Radix (Fangji), Magnoliae Officinalis Cortex (Nongpo), Piperis Fructus (Jiaomu).
He (Age not unspecified): Menstrual obstruction, abdominal fullness. After diarrhea, becomes dysentery. Xiaowenzhong Wan.
Wang (31 years old): Menstruation every three months (Ju Jing). Fullness and bloating. No pregnancy pulse found. Inquiry reveals labor-induced disease. Must be Spleen-Stomach Yang injury. Middle Qi more depleted, Chong vessel lacks blood storage. Truly so. (Qi and Blood deficiency stagnation with damp)
Arecae Pericarpium Velvet (Da Fu Pi Rong), Massae Fermentatae Medicinales (Banxia Qu), Perillae Caulis (Lao Sugeng), Citri Reticulatae Pericarpium (Juhong), Prepared Crataegi Fructus (Chao Shanzha), Leonuri Fructus (Chongweizi).
Second visit: Menstruation stopped, abdominal fullness, constipation.
Pruni Semen (Yuliren), Malvae Semen (Dongkui Zi), Biota Seed (Baiziren), Angelicae Sinensis Radix Tail (Guixu), Fresh Achyranthes Bidentata Root (Xian Du Niuxi).
Wang (19 years old): After taking Awei Wan, protrusion flattened. Pain not fully stopped. Amenorrhea for over ten months. Slight abdominal distension. Entirely Qi and Blood stagnation. If not unblocked, how can disease go? (Qi stagnation and Blood sluggishness)
Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Corydalis Rhizoma (Yanhu), Peach Kernel (Taoren), Crataegi Fructus (Zharou), Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Qingpi), Achyranthis Bidentatae Radix (Niuxi), Yimucao Extract Pills (Yimu Gao Wan).
Shi (22 years old): Entering Liver causes numbness. All Jue syndromes belong to Jueyin. Heart pain. Dry stool. Qi bi and Blood dryness. Arises from toil, anger, and unfulfilled emotions.
Peach Kernel (Taoren), Angelicae Sinensis Radix Tail (Guixu), Prepared Corydalis Rhizoma (Chao Yanhu), Cyperi Rhizoma (Sheng Xiangfu), Leonuri Fructus (Chongweizi), Crataegi Fructus (Nanshan Zha).
Second visit: Acrid-moistening Qi herbs reduced disease. Blood deficiency and Qi stagnation, regulation of menstruation is key. Seeing pathology as disease is wrong.
Peach Kernel (Taoren), Angelicae Sinensis Radix (Danggui), Crataegi Fructus (Shanzha), Leonuri Fructus (Chongweizi), Lycopii Herba (Zelan), Biota Seed (Baiziren).
Certain patient (22 years old):有形物 (mass) under heart, no hunger. Menstrual flow scanty and gradually stopping. From Qi stagnation gradually to Blood knot. Left and right tunnels not flowing. Stool hard and difficult to pass. Should unblock collaterals.
Prepared Peach Kernel (Chao Taoren), Prepared Trogopterus Dung (Chao Wulingzhi), Corydalis Rhizoma (Yanhu), Perillae Caulis (Sugeng), Cyperi Rhizoma (Sheng Xiangfu), Aucklandiae Radix (Muxiang Zhi), Pinelliae Tuber (Banxia), Ginger Juice (Jiang Zhi).
Yao (Age not specified): Amenorrhea for one year. Abdomen gradually enlarges. Fear of progressing to Blood Gu (parasitic disease/mass). Moreover, masses formed for long time, cold body and ankle swelling. Propose Da Zhensha Wan. Take 1.2 qian each dose. Six doses. (Blood Gu)
Jin (Age not specified): Face lacks luster. Pulse wiry on right, choppy on left. Menstrual obstruction for three months. Chong Qi attacks left hypochondrium causing pain. Abdomen sometimes distends. Both ankles swollen. This is Blood Gu syndrome. Do not underestimate.
Cinnamomi Ramulus (Guizhi), Poria (Fuling), Alisma Rhizoma (Zexie), Ostreae Concha (Muli), Meliae Fructus (Jinlingzi), Corydalis Rhizoma (Yanhu).
Wu (39 years old): Menstrual obstruction for two years. Lower abdomen hard. Bowel movements uncomfortable. Occasionally expectorates purple blood clots. This is sign of Blood Gu.
Fresh Rehmanniae Juice (5 qian), Prepared Rheum Palmatum Radix (Shu Dahuang - 1.5 qian), Cinnamomi Ramulus Heart (Xun Guixin - 0.5 fen), Old Ginger Dregs (Lao Shengjiang Zha), Prepared Peach Kernel (Chao Taoren - 3 qian), Pruni Semen (Yuliren - 1.5 qian). Four doses.
Certain patient: Amenorrhea with abdominal distension. Gradually becoming Gu.
Cyperi Rhizoma (Xiangfu), Aucklandiae Radix (Muxiang), Citri Reticulatae Pericarpium (Qingpi), Linderae Radix (Wuyao), Paeoniae Radix Rubra (Chishao), Trogopterus Dung (Wulingzhi), Tinghu Suo (Yanhu), Angelicae Sinensis Radix (Danggui), Curcumae Aromatae Rhizoma (Yujin).
Wang (20 years old): Pulse deficient on right. Deficient, wiry, and rapid on left. Abdominal pain for two months. Chest bi and throat obstruction. Cold sweat. Whole body pricking pain. Chills. This is internal damage. There is case of amenorrhea becoming consumptive disease. (Depression damaging Ying Yin) Guizhi Tang plus Fuling.
Second visit: Add Danggui and Rougui to previous formula.
Third visit: Internal damage due to unsmooth mood, cannot attack disease with biased cold or heat. Formula warms and nourishes Qi and Blood to make them smooth. Not meaning adding heat because of cold. Open mind and nourish appropriately. Do not rely solely on medicine. Next can advance Ying-nourishing method. Gui Zhi Tang minus Jiang plus Fuling.
Pan (27 years old): Menstruation does not come. Pricking pain, borborygmus, and distension in lower abdomen. Bowel movements uncomfortable. Burning pain in heart. Eating spicy food and alcohol makes disease worse. Dare not unblock menstruation. Temporarily use sweet and緩 (soothing). (Zang Zao) Ganmai Dazao Tang.
Certain patient: Yang rising, wind stirring. Vertigo, palpitations. Epistaxis. Menstruation stopped for two months. (Yin deficiency with Wind-Yang stirring)
Rehmanniae Radix (Shengdi), Ecliptae Herba (Ejiao), Ophiopogonis Tuber (Maidong), Paeoniae Radix Alba (Baishao), Biota Seed (Baiziren), Ziziphus Seed (Zaoren), Poria Cum Pinellia (Fushen), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao).
Gu (28 years old): Disease started with menstrual obstruction. Appearance thins daily. Palpitations and instant hunger. Heart and abdomen often hot. This is grief and sorrow, internal damage becoming consumptive disease. Yin organs injured, Yang vessels not flowing. Difficult-to-treat syndrome. Must have joyful mood, menstruation can be retrieved. But blood-unblocking and blood-dissolving herbs must absolutely not be used. (Depression-consumption Yin deficiency)
Rehmanniae Radix (Shengdi), Ren Shen (Ginseng Radix et Rhizoma), Poria (Fuling), Aquilariae Lignum Resinatum Juice (Chenxiang Zhi), Succinum (Hupo Mo - mixed in).
Chen (Age not specified): Since menstrual obstruction with chills and fever, progressed to edema and abdominal distension. Urine volume decreases daily. Heart and abdomen hot at dusk. Organ Yin exhausted, Fu Yang increasingly blocked. Internally due to depression becoming consumptive disease. Emotion causes disease. Should receive Autumn-astringing command, but disease increases daily. Predict difficult to survive winter. No established method to follow. Tentatively propose Huisheng Dan. Take half pill each time. Hope to unblock obstructed Qi and Blood. Do not merely talk about treating disease.
Xu (23 years old): Menstruation long absent. Chills, fever, sore throat and bi. Depression-consumption. Medicine difficult to take effect. Qing Ejiao Wan. Take with Egg Yolk Soup.
Dong (Age not specified): Rapid pulse, color faded. Chronic cough and amenorrhea. Cold starts from back. Fever passes without sweat. This is not malaria pathogen. Due to simultaneous damage to Yin and Yang. Ying and Wei circulation loses normal rhythm. Classic says: "When Yang Wei is diseased, one suffers chills and fever." Syndrome belongs to Blood Bi becoming consumptive disease, difficult to treat. Bi obstruction in Qi level, essential to promote free flow. (Blood Bi becoming consumptive disease)
Deer Antler Glue (Sheng Lu Jiao), Cinnamomi Ramulus Wood (Chuan Guizhi Mu), Angelicae Sinensis Radix (Danggui), Poria (Fuling), Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao), Ginger (Jiang), Jujubae Fructus (Zao). Additionally, Huisheng Dan two doses.
Zhong (23 years old): Initially menstrual obstruction. Then five-center heat. Coughing saliva foam. Decreased food intake, slight vomiting. Facial swelling, sallow complexion. Liver Yang transforming into wind, spinning continuously. Dry Blood Consumptive Disease. Medical treatment is useless. (Yin deficiency, Liver Wind stirring, Dry Blood Consumptive Disease)
Ecliptae Herba (Ejiao), Rehmanniae Radix (Shengdi), Ophiopogonis Tuber (Maidong), Ostreae Concha (Muli), Triticum Semen (Xiaomai).
Wang (Age not specified): Complexion pale white. Pulse fine and hurried. Chronic cough unceasing. Decreased food, abdominal pain, loose stools. Amenorrhea for half a year. Triple Burner organ true Qi all damaged. Dry Blood Consumptive Disease. Extremely difficult to regulate. Folk doctors seeing heat in children's cough, often throw Lung-clearing cold herbs. Vital Qi completely cut off, how to retrieve? (Ying deficiency, Dry Blood Consumptive Disease)
Danggui Jianzhong Tang minus Jiang.
Ni (17 years old): Youthful appearance faded. Side-sleeping hemoptysis. Tian Zhu bone drooping. Menstruation already closed. All untreatable signs. Danggui Jianzhong Tang minus Jiang.