月水循环。纤 不作。而后有子。若疼痛等症。必先去病。而后滋血调经经将来而先腰
者。血滞而气不顺也。经既止。而复腰腹痛者。血海空虚。而气不收也。经前有潮热者。血
虚有滞也经后有潮者。血虚有热也。寻常潮热者。参看发热门用药。
二香饮 治临经时。肚腹疼痛。
广木香 当归 香附 川芎(各一钱) 青皮 牡丹 枳壳 生地 蓬术(各一钱二分)
生姜三片。空心煎服。
归芍饮 治临经并经后作痛。
当归 白芍 川芎(各一钱) 白术 人参 生地 香附 陈皮(各一钱五分) 大枣二枚
交加地黄丸 治经水不调。血块气块。肚腹疼痛。
老生姜(捣出汁渣焙燥。为末。) 生地(各八两。姜汁浸晒尽汁为度) 玄胡索 当归
川
上为末醋为丸。每服二钱。空心好酒送下。
济阴丸 治经不调。屡次过期。
香附(一斤。分作四分。一分童便制。一分醋制。一分艾汤制。一分盐水制。) 川芎
当归 白芍 熟地(各四两) 阿胶(二两蛤粉炒)
上为末。以香附留末一半。打糊为丸。每服三钱。空心滚汤送下。
加减逍遥散 治经前潮热。
当归(二钱) 白芍 白茯苓 丹皮(各二钱) 甘草 山栀(各一钱) 灯心三十茎。食远
奇效四物汤 治经后潮热。
当归 白芍 川芎 生地(各一钱) 阿胶 艾叶 黄芩(各一钱五分) 大枣五枚。空心
月经循环往复,若身体消瘦且经血不能正常化生为子(指受孕或经血转化为滋养身体的精微物质),之后才能怀孕。如果存在疼痛等症状,必须先去除疾病,然后才能滋养血分、调理月经。在月经来潮之前出现腰痛症状的,是血行滞涩而气机不顺所致;月经停止后,又出现腰腹部疼痛的,是血海空虚而气机无法收敛所致。月经前出现潮热的,是血虚且有瘀滞;月经后出现潮热的,是血虚而有内热。寻常的潮热症状,可参考“发热门”章节中的用药方法。
二香饮:治疗临近经期时,肚腹疼痛。
广木香、当归、香附、川芎(各一钱)、青皮、牡丹皮、枳壳、生地、蓬术(各一钱二分)。生姜三片。空腹煎服。
归芍饮:治疗临近经期及经期过后出现的疼痛。
当归、白芍、川芎(各一钱)、白术、人参、生地、香附、陈皮(各一钱五分)、大枣两枚。
交加地黄丸:治疗月经不调,有血块和气块,肚腹疼痛。
老生姜(捣取汁液,药渣焙干后研为粉末)、生地(各八两,用姜汁浸泡至汁液被吸尽为止)。玄胡索、当归、川芎(原文此处似缺剂量或单位,依上下文推测可能为等量或常规用量,但严格按原文提取实体)。上药研为细末,用醋泛丸。每次服用二钱,空腹时用温酒送服。
济阴丸:治疗月经不调,屡次过期不来。
香附(一斤,分为四份:一份用童便炮制,一份用醋炮制,一份用艾叶汤炮制,一份用盐水炮制)、川芎、当归、白芍、熟地(各四两)、阿胶(二两,用蛤粉炒制)。上药研为细末,将一半香附保留为粉末,另一半打糊作为粘合剂制成丸药。每次服用三钱,空腹时用滚开水送服。
加减逍遥散:治疗经前潮热。
当归(二钱)、白芍、白茯苓、丹皮(各二钱)、甘草、山栀(各一钱)、灯心草三十茎。饭后远时服用。
Menstrual cycles circulate. If the body is emaciated and menstruation does not transform into nourishment (referring to conception or the transformation of menstrual blood into vital essence), pregnancy can only occur subsequently. If symptoms such as pain exist, the disease must first be eliminated, and then the blood can be nourished and the menstruation regulated. Lower back pain occurring before the onset of menstruation is caused by blood stasis and qi stagnation. Lower abdominal pain recurring after menstruation has ceased is due to emptiness of the Blood Sea and failure of qi to consolidate. Tidal fever occurring before menstruation indicates blood deficiency with stagnation. Tidal fever occurring after menstruation indicates blood deficiency with heat. For common cases of tidal fever, refer to the medication guidelines in the "Fever" chapter.
Erxiang Yin (Two Fragrances Decoction): Treats abdominal pain during the premenstrual period.
Aquilariae Lignum Resinatum (Guangmuxiang), Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Chuanxiong Rhizoma (Chuanxiong) (each 1 qian); Citri Reticulatae Pericarpium Viride (Qingpi), Moutan Cortex (Mudan), Aurantii Fructus Immaturus (Zhiqiao), Rehmanniae Radix (Shengdi), Curcumae Longae Rhizoma (Pengzhu) (each 1.2 qian). Three slices of Zingiberis Rhizoma Recens (Shengjiang). Decoct and take on an empty stomach.
Guishao Yin (Angelica and Peony Decoction): Treats pain occurring just before and after menstruation.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Chuanxiong Rhizoma (Chuanxiong) (each 1 qian); Atractylodis Macrocephalae Rhizoma (Baizhu), Ginseng Radix (Renshen), Rehmanniae Radix (Shengdi), Cyperi Rhizoma (Xiangfu), Chenpi (each 1.5 qian); Jujubae Fructus (Dazao) two pieces.
Jiaojiao Dihuang Wan (Interlacing Rehmannia Pills): Treats irregular menstruation, blood clots, qi masses, and abdominal pain.
Zingiberis Rhizoma Recens (Lao Shengjiang) (pounded to extract juice; dregs are baked dry and powdered), Rehmanniae Radix (Shengdi) (each 8 liang; soaked in ginger juice until the juice is fully absorbed). Corydalis Rhizoma (Yanhusuo), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong). Grind into fine powder, use vinegar to form pills. Take 2 qian per dose, administered with warm wine on an empty stomach.
Jiyin Wan (Nourishing Women Pills): Treats irregular menstruation, particularly delayed periods.
Cyperi Rhizoma (Xiangfu) (1 jin, divided into four parts: one part processed with child's urine, one part with vinegar, one part with Artemisia argyi decoction, one part with salt water); Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Praeparata (Shudi) (each 4 liang); Colla Corii Asini (Ejiao) (2 liang, stir-fried with Araneus powder). Grind into fine powder. Reserve half of the Cyperi Rhizoma powder; use the other half mixed with paste as a binder to form pills. Take 3 qian per dose, administered with boiling water on an empty stomach.
Jiajian Xiaoyao San (Modified Free and Easy Wanderer Powder): Treats premenstrual tidal fever.
Angelicae Sinensis Radix (Danggui) (2 qian); Paeoniae Radix Alba (Baishao), Poria (Baifuling), Moutan Cortex (Danpi) (each 2 qian); Glycyrrhizae Radix et Rhizoma (Gancao), Gardeniae Fructus (Shanzhi) (each 1 qian); Juncus effusus (Dengxin) thirty stalks. Take well after meals.
Qixiao Siwu Tang (Miraculously Effective Four Substances Decoction): Treats postmenstrual tidal fever.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix (Shengdi) (each 1 qian); Colla Corii Asini (Ejiao), Folium Artemisiae argyi (Aiye), Scutellariae Radix (Huangqin) (each 1.5 qian); Jujubae Fructus (Dazao) five pieces. Take on an empty stomach.