治月水不通，心腹绞痛欲死，通血止痛，岩蜜汤方∶
吴茱萸 大黄 当归 干姜 虻虫（去翅足，熬） 水蛭（熬） 干地黄 芎 （各二
两）
栀子仁（十四枚） 桃仁（去皮尖，一升，熬） 芍药（三两） 细辛 甘草（炙，各一两）
桂心
（一
上一十六味， 咀，以水九升，煮取二升半。分三服，日三服，服相去一炊顷。
治血瘕，月水瘀血不通，下病散坚血方∶
大黄 细辛 朴硝（各一升） 硝石 附子（炮去皮） 虻虫（去翅足，熬，各三分） 黄
芩
升，去
皮尖双仁） 蛴螬（二枚，炙）
上一十五味， 咀，水酒各五升渍药一宿，明旦乃煮取四升，去滓，纳朴硝硝石烊令尽
。分四服，服别相去如一炊顷，去病后宜食黄鸭羹。
又方∶水蛭（熬） 土瓜根 芒硝 当归（各二两） 桃仁（一升，去皮尖） 大黄 桂
心
麻子 牛膝（各三两）
上九味， 咀，以水九升，煮取三升，去滓，纳芒硝烊令尽。分三服，服别相去一炊顷
治月水不通结成症坚如石，腹大骨立，宜破血下症物方∶
大黄 硝石（熬，令沸定，各六两） 蜀椒（去目闭口，汗，一两） 代赭 干漆（熬）
芎
茯苓 干姜 虻虫（去翅足熬，各二两） 巴豆（二十枚，去皮心，熬）
上一十味，捣筛为末，别治巴豆令如脂，炼蜜丸如梧桐子大。酒服三丸，渐加至五丸，
空腹为始，日二服。（《千金》有丹砂、柴胡、水蛭、土瓜根，为一十四味。）
治疗月经闭止不通，心腹部绞痛剧烈欲死，通行血脉、缓解疼痛的岩蜜汤方：
吴茱萸、大黄、当归、干姜、虻虫（去除翅膀和足，炒制）、水蛭（炒制）、干地黄、川芎（以上各二两）
栀子仁（十四枚）、桃仁（去皮尖，一升，炒制）、芍药（三两）、细辛、甘草（炙烤，以上各一两）、桂心
以上十六味药，切碎，用水九升，煎煮取汁二升半。分三次服用，每日服三次，每次服药间隔时间约为做一次饭的时间。
治疗血瘕（腹中结块），月经瘀血不通，具有下行瘀血、消散坚块的散坚血方：
大黄、细辛、朴硝（以上各一升）、硝石、附子（炮制后去皮）、虻虫（去除翅膀和足，炒制，以上各三分）、黄芩（一升，去皮尖双仁）、蛴螬（二枚，炙烤）
以上十五味药，切碎，用五升水和五升酒浸泡药物一夜，第二天早晨煎煮取汁四升，滤去药渣，加入朴硝和硝石使其完全溶化。分四次服用，每次服药间隔时间约为做一次饭的时间，病愈后适宜食用黄鸭羹。
又一方：水蛭（炒制）、土瓜根、芒硝、当归（以上各二两）、桃仁（一升，去皮尖）、大黄、桂心、麻子、牛膝（以上各三两）
以上九味药，切碎，用水九升，煎煮取汁三升，滤去药渣，加入芒硝使其完全溶化。分三次服用，每次服药间隔时间约为做一次饭的时间。
治疗月经闭止不通，结成坚硬如石的症块，腹部胀大而身体消瘦骨立，适宜使用破血下症的药物的方子：
大黄、硝石（炒制至沸腾停止，以上各六两）、蜀椒（去除目状突起和闭合口，出汗处理，一两）、代赭石、干漆（炒制）、川芎、茯苓、干姜、虻虫（去除翅膀和足炒制，以上各二两）、巴豆（二十枚，去皮心，炒制）
以上十味药，捣碎过筛成粉末，另外将巴豆研磨成脂状，用炼蜜制成梧桐子大小的丸剂。用酒送服三丸，逐渐增加至五丸，从空腹开始服用，每日两次。（《千金方》中有丹砂、柴胡、水蛭、土瓜根，共十四味药。）
To treat amenorrhea (absence of menstruation), severe cramping pain in the heart and abdomen that feels fatal, to promote blood circulation and relieve pain, the Yanmi Decoction formula:
Evodiae Fructus (Wuzhuyu), Rheum Radix et Rhizoma (Dahuang), Angelicae Sinensis Radix (Danggui), Zingiberis Rhizoma Recens (Ganjiang), Blatta (Machong) (remove wings and feet, stir-fry), Hirudo (Shuizhi) (stir-fry), Rehmanniae Radix Exsiccata (Ganyedi), Ligustici Chuanxiong Rhizoma (Xiongnu) (each 2 liang)
Gardenia Seed (Zhizi Ren) (14 seeds), Persicae Semen (Taoren) (remove skin and pointed ends, 1 sheng, stir-fry), Paeoniae Radix Alba (Shaoyao) (3 liang), Asari Radix et Rhizoma (Xixin), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 1 liang), Cinnamomi Ramulus (Guixin)
The above sixteen ingredients are cut into small pieces, decocted in 9 sheng of water until 2.5 sheng remains. Divide into three doses, taken three times a day, with an interval of approximately the time it takes to cook a meal between each dose.
To treat leiomyoma (blood mass), menstrual stasis and blood obstruction, for descending stasis and dissipating hard masses, the Sanjianxue Powder formula:
Rheum Radix et Rhizoma (Dahuang), Asari Radix et Rhizoma (Xixin), Natrii Sulfas Crystallisatus (Puxiao) (each 1 sheng), Natrii Nitras (Xiaoshi), Aconiti Lateralis Radix Praeparata (Fuzi) (processed, remove skin), Blatta (Machong) (remove wings and feet, stir-fry, each 3 fen), Scutellariae Radix (Huangqin) (1 sheng, remove skin and pointed double kernels), Oryctolagi Cortex (Qicao) (2 specimens, roasted)
The above fifteen ingredients are cut into small pieces, soaked overnight in 5 sheng of water and 5 sheng of wine. The next morning, decoct to obtain 4 sheng, filter out the dregs, add Natrii Sulfas Crystallisatus (Puxiao) and Natrii Nitras (Xiaoshi) until completely dissolved. Divide into four doses, taken at intervals of approximately the time it takes to cook a meal. After the disease is cured, it is advisable to consume Yellow Duck Soup.
Another formula: Hirudo (Shuizhi) (stir-fry), Trichosanthes Radix (Tugua Gen), Natrii Sulfas (Mangxiao), Angelicae Sinensis Radix (Danggui) (each 2 liang), Persicae Semen (Taoren) (1 sheng, remove skin and pointed ends), Rheum Radix et Rhizoma (Dahuang), Cinnamomi Ramulus (Guixin), Cannabis Fructus (Mazi), Achyranthis Bidentatae Radix (Niuxi) (each 3 liang)
The above nine ingredients are cut into small pieces, decocted in 9 sheng of water until 3 sheng remains. Filter out the dregs, add Natrii Sulfas (Mangxiao) until completely dissolved. Divide into three doses, taken at intervals of approximately the time it takes to cook a meal.
For treating amenorrhea where stasis forms hard masses like stone, causing abdominal distension and emaciation with visible bones, suitable for formulas that break blood and expel masses:
Rheum Radix et Rhizoma (Dahuang), Natrii Nitras (Xiaoshi) (stir-fry until boiling stops, each 6 liang), Zanthoxyli Fructus (Shujiao) (remove eye-like protrusions and closed mouths, sweat-dried, 1 liang), Haematitum (Daizhe), Pericarpium Canni Sativi Induratum (Ganqi) (stir-fry), Ligustici Chuanxiong Rhizoma (Xiongnu), Poria (Fuling), Zingiberis Rhizoma Recens (Ganjiang), Blatta (Machong) (remove wings and feet, stir-fry, each 2 liang), Crotonis Fructus (Badou) (20 seeds, remove skin and heart, stir-fry)
The above ten ingredients are crushed and sifted into powder. Separately, grind Crotonis Fructus (Badou) into a paste. Mix with refined honey to make pills the size of a Chinese quince seed. Take three pills with wine, gradually increasing to five pills. Start on an empty stomach, taken twice daily. (The *Qianjin Fang* contains Cinnabaris (Dansha), Bupleuri Radix (Chaihu), Hirudo (Shuizhi), and Trichosanthes Radix (Tugua Gen), totaling fourteen ingredients.)