劫劳散
10.月水不行蒸潮汗, 食减咳嗽血风劳, 劫劳散用参苓芍, 归地甘耆
半味胶.
【注】经闭久嗽, 又见骨蒸潮热, 盗汗, 自汗, 饮食减少之证, 则为
之血风劳. 宜用劫劳散, 即人参, 茯苓, 白芍, 当归, 生地, 甘草,
黄耆, 半夏, 五味子, 阿胶也.
芩心丸 益阴煎
11.经断复来血热甚, 芩心醋丸温酒吞, 益阴知柏龟生地, 缩砂炙草
枣姜寻. 血多热去伤冲任, 十全大补与八珍. 暴怒忧思肝脾损, 逍遥
归脾二药斟.
【注】妇人七七四十九岁后, 天癸不行. 若止而复来, 无他证者, 乃
血有余, 不得用药止之. 若因血热者, 宜芩心丸, 用黄芩心末二两,
醋丸温酒送下. 或用益阴煎, 即知母, 黄柏, 龟板, 生地, 缩砂, 炙
草也. 若血去过多, 热随血去, 冲任虚损, 其血不固者, 宜十全大补
汤,八珍汤. 若因怒气伤肝, 肝不藏血, 忧思伤脾, 脾不摄血者, 宜
于逍遥散, 归脾汤二方斟酌用之.
十全大补汤 八珍汤 逍遥散 归脾汤俱见前调经门
大黄??虫丸 泽兰叶汤 柏子仁丸
12. 室女经闭多血结, 大黄?? 虫桃杏仁,?? 蛭蛴螬甘草芍, 干漆生
地及黄芩. 不足泽兰归草芍, 柏子仁丸用柏仁, 熟地泽兰牛卷续, 相
兼久服自然行. 师尼寡妇逍遥散, 附兰丹地郁栀芩.
【注】室女经闭, 多有气血凝结者, 宜用大黄?? 虫丸, 破血行气,
其经自通. 方用大黄,?? 虫, 桃仁, 杏仁,?? 虫, 水蛭, 蛴螬, 甘草
,白芍, 干漆, 生地, 黄芩, 蜜丸服. 若其人虚弱不任攻下, 则用泽
兰叶汤, 即泽兰叶, 当归, 甘草, 白芍也. 兼服柏子仁丸, 方用柏子
仁,熟地, 泽兰叶, 牛膝, 卷柏, 续断, 丸服. 煎丸并进, 久久其血
自行. 至于师尼, 寡妇经闭之证, 多属郁热, 宜用逍遥散, 加香附,
泽兰叶, 丹皮, 生地, 郁金, 黑栀, 黄芩以和肝理脾, 清心开郁, 其
经自通也.
逍遥散方见前调经门
劫劳散
10. 月经停止，伴有蒸蒸发热、潮热盗汗，食欲减退、咳嗽及血风劳证，应使用劫劳散，该方由人参、茯苓、白芍、当归、生地、甘草、黄芪、半夏、五味子、阿胶组成。
【注】经闭日久且久咳，又出现骨蒸潮热、盗汗、自汗、饮食减少等症状，则诊断为血风劳（一种因血虚受风或劳损导致的虚劳病证）。适宜使用劫劳散，即由人参、茯苓、白芍、当归、生地、甘草、黄芪、半夏、五味子、阿胶组成的方剂。
芩心丸 益阴煎
11. 月经断绝后再次来潮，若属血热严重，可用芩心丸制成醋丸，以温酒送服；或用益阴煎，方中包含知母、黄柏、龟板、生地、缩砂仁、炙甘草、大枣、生姜。若出血过多导致热随血去而损伤冲任二脉，宜用十全大补汤或八珍汤。若因暴怒忧思导致肝脾受损，可斟酌使用逍遥散或归脾汤。
【注】妇女到了四十九岁左右（七七之年），天癸（促进生殖功能发育成熟的物质）枯竭，月经应停止。如果月经停止后又来潮，且无其他病症，这是血气有余的表现，不需要用药强行止住。如果是因血热引起的，适宜用芩心丸，取黄芩心末二两，用醋制成药丸，以温酒送下。或者使用益阴煎，即由知母、黄柏、龟板、生地、缩砂仁、炙甘草组成的方剂。如果失血过多，热邪随血液流失，导致冲任二脉虚损，血液固摄无力，适宜使用十全大补汤、八珍汤。如果是因怒气伤肝，导致肝不藏血，或因忧思伤脾，导致脾不统血，适宜在逍遥散和归脾汤这两个方剂中斟酌选用。
十全大补汤、八珍汤、逍遥散、归脾汤均见前文调经门章节。
大黄䗪虫丸 泽兰叶汤 柏子仁丸
12. 未婚女子经闭多因血结所致，可用大黄䗪虫丸，方中含大黄、䗪虫、桃仁、杏仁、虻虫、水蛭、蛴螬、甘草、白芍、干漆、生地及黄芩。若体质不足虚弱，可用泽兰叶汤，含泽兰叶、当归、甘草、白芍；柏子仁丸则由柏子仁、熟地、泽兰叶、牛膝、卷柏、续断组成，两者兼服并长期服用，月经自然通畅。师尼、寡妇经闭之证，多用逍遥散，加香附、泽兰叶、丹皮、生地、郁金、黑栀子、黄芩。
【注】未婚女子经闭，多有气血凝结的情况，适宜使用大黄䗪虫丸，通过破血行气的作用，使月经自然通畅。该方由大黄、䗪虫、桃仁、杏仁、虻虫、水蛭、蛴螬、甘草、白芍、干漆、生地、黄芩组成，炼蜜为丸服用。如果患者体质虚弱，不能耐受攻下之法，则使用泽兰叶汤，即由泽兰叶、当归、甘草、白芍组成的方剂。同时兼服柏子仁丸，方由柏子仁、熟地、泽兰叶、牛膝、卷柏、续断组成，制成丸药服用。汤剂与丸药并进，长期坚持，经血自然会通。至于师尼、寡妇的经闭证候，多属于郁热，适宜使用逍遥散，加入香附、泽兰叶、丹皮、生地、郁金、黑栀子、黄芩，以调和肝脾，清心解郁，月经自然通畅。
逍遥散方见前文调经门。
Jie Lao San (Robbing Labor Powder)
10. Amenorrhea accompanied by steaming bone fever, tidal fever, and night sweats; decreased appetite, cough, and Xue Feng Lao (Blood Wind Consumption Syndrome) should be treated with Jie Lao San. This formula consists of Renshen (Ginseng Radix), Fuling (Poria), Baishao (White Peony Root), Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Gancao (Licorice Radix et Rhizoma), Huangqi (Astragali Radix), Banxia (Pinelliae Rhizoma), Wuweizi (Schisandrae Fructus), and Ejiao (Colla Corii Asini).
[Note] When amenorrhea persists for a long time and is accompanied by chronic cough, along with symptoms such as steaming bone fever, tidal fever, night sweats, spontaneous sweating, and decreased appetite, it is diagnosed as Xue Feng Lao (Blood Wind Consumption Syndrome). It is appropriate to use Jie Lao San, which comprises Renshen (Ginseng Radix), Fuling (Poria), Baishao (White Peony Root), Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Gancao (Licorice Radix et Rhizoma), Huangqi (Astragali Radix), Banxia (Pinelliae Rhizoma), Wuweizi (Schisandrae Fructus), and Ejiao (Colla Corii Asini).
Qin Xin Wan (Scutellaria Heart Pill) Yi Yin Jian (Benefit Yin Decoction)
11. If menstruation resumes after cessation due to severe Blood Heat, Qin Xin Wan (Scutellaria Heart Pill) prepared with vinegar can be taken with warm wine. Alternatively, Yi Yin Jian (Benefit Yin Decoction) may be used, containing Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Guiban (Testudinis Carapax et Plastrum), Shengdi (Rehmanniae Radix), Suosha Ren (Amomi Fructus Rotundus), Zhigancao (Prepared Licorice Radix et Rhizoma), Dazao (Ziziphi Jujubae Fructus), and Shengjiang (Zingiberis Rhizoma Recens). If excessive blood loss leads to the dissipation of heat with the blood and damage to the Chong and Ren meridians, Shi Quan Da Bu Tang (Ten Ingredients Great Tonifying Decoction) or Ba Zhen Tang (Eight Treasures Decoction) should be used. If caused by violent anger damaging the Liver and忧思 (worry and overthinking) damaging the Spleen, Xiaoyao San (Free and Easy Wanderer Powder) or Guipi Tang (Restore the Spleen Decoction) should be considered.
[Note] After women reach the age of forty-nine (seven times seven years), Tian Gui (the substance governing reproductive maturity) ceases, and menstruation should stop. If menstruation stops and then resumes without other symptoms, it indicates an excess of blood and does not require medication to forcibly stop it. If caused by Blood Heat, Qin Xin Wan (Scutellaria Heart Pill) is suitable: take two liang of Scutellariae Radix powder, form pills with vinegar, and swallow with warm wine. Or use Yi Yin Jian (Benefit Yin Decoction), consisting of Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Guiban (Testudinis Carapax et Plastrum), Shengdi (Rehmanniae Radix), Suosha Ren (Amomi Fructus Rotundus), and Zhigancao (Prepared Licorice Radix et Rhizoma). If blood loss is excessive, heat dissipates with the blood, leading to deficiency and damage to the Chong and Ren meridians, causing unstable blood retention, Shi Quan Da Bu Tang (Ten Ingredients Great Tonifying Decoction) and Ba Zhen Tang (Eight Treasures Decoction) are appropriate. If anger injures the Liver, causing it to fail to store blood, or worry and overthinking injure the Spleen, causing it to fail to control blood, one should酌情 (discretionarily) choose between Xiaoyao San (Free and Easy Wanderer Powder) and Guipi Tang (Restore the Spleen Decoction).
Shi Quan Da Bu Tang (Ten Ingredients Great Tonifying Decoction), Ba Zhen Tang (Eight Treasures Decoction), Xiaoyao San (Free and Easy Wanderer Powder), and Guipi Tang (Restore the Spleen Decoction) are all described in the preceding Menstrual Regulation section.
Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill) Ze Lan Ye Tang (Lycopus Leaf Decoction) Bai Zi Ren Wan (Biota Seed Pill)
12. Amenorrhea in unmarried girls is often due to Blood Stasis accumulation. Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill) can be used, containing Da Huang (Rhei Radix et Rhizoma), Zhe Chong (Eupolyphaga), Taoren (Persicae Semen), Xingren (Armeniacae Semen Amarum), Meng Chong (Vomica), Shuizhi (Hirudo), Qicao (Silkworm Larva), Gancao (Licorice Radix et Rhizoma), Baishao (White Peony Root), Ganqi (Drymarchon Coriaceus Resin - note: usually refers to Drynaria or similar resinous herb in this context, specifically Gan Qi 干漆 is Toxicodendri Lacca Fructus), Shengdi (Rehmanniae Radix), and Huangqin (Scutellariae Radix). For those with insufficiency who cannot tolerate purgative attacks, Ze Lan Ye Tang (Lycopus Leaf Decoction) can be used, containing Ze Lan Ye (Lycopi Herba), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Radix et Rhizoma), and Baishao (White Peony Root). Concurrently, Bai Zi Ren Wan (Biota Seed Pill) can be taken, composed of Bai Zi Ren (Biota Semen), Shudi (Prepared Rehmanniae Radix), Ze Lan Ye (Lycopi Herba), Niuxi (Achyranthis Bidentatae Radix), Juan Bai (Selaginellae Herba), and Xuduan (Drynariae Rhizoma). Taking both decoction and pills together over a long period will naturally restore menstruation. For nuns, widows, and celibate women with amenorrhea, the condition often belongs to Depressed Heat. Xiaoyao San (Free and Easy Wanderer Powder) should be used, modified with Xiangfu (Cyperi Rhizoma), Ze Lan Ye (Lycopi Herba), Danpi (Moutan Cortex), Shengdi (Rehmanniae Radix), Yujin (Curcumae Radix), Hei Zhi Zi (Black Gardenia Fruit), and Huangqin (Scutellariae Radix) to harmonize the Liver and Spleen, clear the Heart, and resolve depression, allowing menstruation to resume naturally.
[Note] Amenorrhea in unmarried girls often involves Qi and Blood stagnation. Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill) is suitable to break blood stasis and move Qi, thereby naturally unblocking menstruation. The formula contains Da Huang (Rhei Radix et Rhizoma), Zhe Chong (Eupolyphaga), Taoren (Persicae Semen), Xingren (Armeniacae Semen Amarum), Meng Chong (Vomica), Shuizhi (Hirudo), Qicao (Silkworm Larva), Gancao (Licorice Radix et Rhizoma), Baishao (White Peony Root), Ganqi (Toxicodendri Lacca Fructus), Shengdi (Rehmanniae Radix), and Huangqin (Scutellariae Radix), formed into honeyed pills. If the patient is weak and cannot endure attacking methods, Ze Lan Ye Tang (Lycopus Leaf Decoction) should be used, comprising Ze Lan Ye (Lycopi Herba), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Radix et Rhizoma), and Baishao (White Peony Root). Concurrently take Bai Zi Ren Wan (Biota Seed Pill), made from Bai Zi Ren (Biota Semen), Shudi (Prepared Rehmanniae Radix), Ze Lan Ye (Lycopi Herba), Niuxi (Achyranthis Bidentatae Radix), Juan Bai (Selaginellae Herba), and Xuduan (Drynariae Rhizoma). Administer both decoction and pills together; with prolonged use, menstruation will naturally flow. Regarding amenorrhea in nuns, widows, and celibate women, it mostly stems from Depressed Heat. Xiaoyao San (Free and Easy Wanderer Powder) should be used, added with Xiangfu (Cyperi Rhizoma), Ze Lan Ye (Lycopi Herba), Danpi (Moutan Cortex), Shengdi (Rehmanniae Radix), Yujin (Curcumae Radix), Hei Zhi Zi (Black Gardenia Fruit), and Huangqin (Scutellariae Radix) to harmonize the Liver and Spleen, clear the Heart, and open up depression, so that menstruation will naturally resume.
Xiaoyao San (Free and Easy Wanderer Powder) is seen in the preceding Menstrual Regulation section.