论曰妇人以冲任为经脉之海，手太阳小肠之经，手少阴心之经也，此二经相为表里，主
于为月水，若劳伤经脉，冲任既虚，不能制其气血，故令月水来而不断也。
治妇人血海久虚，脐腹 痛，经脉不止，面黄肌瘦，四肢无力，不思饮食，石中黄丸方
黄（炙）
贼（锉炒） 地
上一十味，捣罗为末，醋煮面糊，和丸，如梧桐子大，每服二十丸，至三十丸，食前麝
香酒下。
治妇人血海不调，因虚冷成积，月水不绝，及赤白带下，面色萎黄，茯苓散方
白茯苓（去黑皮） 木香 杜仲（切炒） 菖蒲 熟干地黄（焙） 柏子仁（研） 秦
艽（去苗
脂当归（切焙） 五加皮（锉） 牛角（ 烧灰） 乌贼鱼骨（去甲） 艾叶灰（烧存性
各一两）
上一十六味，捣罗为散，每服二钱匕，糯米饮调下，温酒亦得，空心食前日三。
治妇人血脏虚损，月水不断，面色萎黄，四肢少力，脐腹 痛，禹余粮丸方
禹余粮（ 赤醋淬七遍） 白龙骨（ ） 赤石脂（各一两） 牡蛎（ 赤三两） 艾
叶（醋煮
苓（去黑皮各一两
上一十一味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十丸，至三十丸，空心食前
温酒或醋汤下。
治妇人月水不断，或多或少，四肢烦倦，身体瘦悴，当归丸方
当归（切焙二两半） 芍药 地榆（炙锉） 卷柏（用叶） 桂（去粗皮） 白龙骨（ ）
鹿茸
斛（去根
上一十六味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，至三十丸，温酒下、日
三。
治妇人气血失度，经候不止。面无颜色，食少力倦，乌贼鱼骨丸方
乌贼鱼骨（去甲） 羚羊角屑 龟甲（醋炙） 茯神（去木） 卷柏（微炙） 鹿角（胶
炙燥）
上一十味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，温酒或枣汤下。
治冲任气虚，经血虚损，月水不断，绵绵不止，地黄汤方
生干地黄（焙二两） 黄芩（去黑心） 当归（切焙） 柏叶（各一分半） 艾叶（半
分）
上五味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入蒲黄一钱匕，空心食前服。
治妇人经血不断，面黄肌瘦，黄 汤方
黄 （锉） 白芷 龙骨 干漆（炒烟尽） 代赭（ 醋淬） 牡丹皮（各一两半） 桂
（去粗
（炮） 桑耳（各
上一十五味， 咀如麻豆，每服五钱匕，水一盏半，入生姜五片，煎取八分，去滓温
服，不拘时。
治妇人月水不断，脐腹冷痛，腰腿酸疼，乌贼鱼骨丸方
乌贼鱼骨（去甲炙焦） 鹿茸（酥炙去毛） 诃黎勒皮 当归（切焙） 白芍药 山茱
萸黄
熟干地黄（
上一十五味，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，米饮下，空心食前。
治妇人气血虚损，月水不断，绵绵不已，地黄汤方
生地黄（切焙二两） 黄芩（去黑心半两） 当归（切焙） 地榆（锉） 柏叶（炙） 艾
叶（炒
上八味，粗捣筛，每服三钱匕，水一盏，入生姜三片，同煎至七分，去滓温服，不拘时
治妇人月水不断，竹茹汤方
青竹茹（微炒三两）
上一味，为粗末，每服三钱匕，水一盏，煎至七分，去滓温服。
治妇人月水，连绵不绝，生地黄汤方
生地黄（捣取自然汁）
上一味，每服三分一盏，入酒四分一盏，和匀煎令沸，放温服，日三。
治妇人月水日夜不断，木贼汤方
木贼（一握锉炒）
上一味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。日三。
治妇人月水绵绵不断，干姜煮散方
干姜（半生半烧灰） 黄明胶（烧灰各一两） 楮纸（五张烧灰） 白面（一匙炒）
上四味，捣研为散，每服三钱匕，水一盏，煎至六分，去滓温服，空心食前。
治妇人月水久不断，芍药汤方
芍药 柏叶（炙各一两）
上二味，粗捣筛，每服三钱匕，水酒各半盏，煎至七分，去滓温服。
治妇人月水久不绝，蒲黄散方
蒲黄 毡灰 炒面（各半两）
上三味，研细为散，每服二钱匕，煎地黄酒调下。
妇人月水来腹痛
论曰月事乃经血之余，和调则所下应期，无过与不及之患，若冲任气虚，为风冷所乘，
致气脉不顺，所下不调，或前或后，或多或少，风冷之气，与月事相击，故因所下而腰背拘
强脐腹刺痛也。
治妇人月水不调，腰腹疼痛，茯苓饮方
白茯苓（去黑皮） 当归（微炙） 芍药 甘草（炙各一两） 桂（去粗皮一两半）
上五味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓空心温服。
治妇人月水不调，及欲来脐下痛，肢体烦热，当归饮方
当归（微炙） 肉豆蔻（去壳） 浓朴（去粗皮生姜汁炙烟出） 甘草（炙） 芍药 枳
壳（去
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空心温服。
治妇人月水来，腹痛脐下坚硬，积血不下，大黄汤方
大黄（锉碎微炒） 朴硝 当归（微炙） 芍药（各一两） 芎 （一两一分） 桂（去
粗皮二
上七味，粗捣筛，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服，血行即止服
治妇人月水来，腹内 痛，或脐下如盘，当归汤方
当归（微炙） 生干地黄（微炒） 防风（去叉） 山茱萸 黄 （微炙锉） 牛膝（去
苗酒浸
屑芍药（各三
上一十二味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，食前。
治妇人月水来，腹内 痛，不可忍，温经汤方
白茯苓（去粗皮半两） 芍药 土瓜根 牡丹（去心各一两半） 丹砂（别研如粉） 薏
苡
上六味，除丹砂研外，粗捣筛，即以丹砂和匀，每服三钱匕，水七分，酒三分，共一盏
，同煎七分，去滓温服，不计时候。
治妇人月水来不利，攻脐腹痛不可忍，牡丹汤方
牡丹（去心） 芎 甘草（炙锉） 黄芩（去黑心） 人参 桂（去粗皮） 干姜（炮
裂） 吴
茯苓（去黑
上一十二味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不计时候。
治妇人月水来，腹痛烦闷体热，芍药汤方
芍药 人参 浓朴（去粗皮生姜汁炙烟出各一两） 肉豆蔻（去壳半两） 甘草（炙） 当
归（微炙） 枳壳（去瓤麸炒各三分）
上七味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，不拘时候。
治妇人月事欲下，腰腹刺痛，或多或少，或月内再来，或如清水，或似豉汁，心下坚满
，沉重虚乏，日渐黄瘦，干地黄丸方
生干地黄（微炒） 桃仁（汤去皮尖双仁麸炒黄各一两一分） 芎 白芷 蒲黄（各
一两）
参桂（去
上一十五味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸，温酒下，米饮亦得。
治妇人月水不利，脐腹疼痛，大黄汤方
大黄（锉碎微炒） 人参 牛膝（去苗酒浸切焙各一两） 桂（去粗皮） 羌活（去芦
头） 枳
药吴茱萸（微
上一十二味，粗捣筛，每服三钱匕，水一盏，生姜一分拍破，同煎至六分，去滓下硝石
半钱温服，如人行三五里再服。
治妇人月水来，腰腹刺痛，不可忍，或多或少，来如清水，或似豉汁，虚乏黄瘦，芎
丸方
芎 白芷（各一两） 生干地黄（锉碎） 桃仁（汤去皮尖双仁炒黄各一两一分） 干
姜（
（去苗酒浸切焙
上一十三味，捣罗为末，炼蜜和，更捣匀熟，丸如梧桐子大，每服二十丸，米饮或温酒
下，空心食前日三。
治妇人虚冷，月水凝涩不利，腹内疼痛，四肢烦热，皮肤瘾疹，饮食减少，琥珀丸方
琥珀（别研） 木香 禹余粮（ 醋淬） 白术 芍药 鳖甲（去裙 酒浸炙令香） 桂
（去
丹（去心）
榔（锉） 枳壳（去
各二两） 安息香（半两研
上二十三味，捣罗为末，以生地黄自然汁一碗，与药末同拌，次用酒煮面糊为丸，如梧
桐子大，每服二十丸，空心温酒下。
治妇人月事欲下，脐腹撮痛不可忍，吴茱萸丸方
吴茱萸（汤浸七遍焙干三分） 当归（微炙） 桃仁（去皮尖双仁麸炒黄各一两一分） 大
黄
（各一两）
上一十味，捣罗为末，炼蜜和捣令匀熟，丸如梧桐子大，空心酒下三十丸，加至四十丸
，日三服，或为散子，温酒调服一钱匕，亦得。
治月事欲下，腹疼痛，苦参丸方
苦参（洗锉碎） 牡丹（去心） 赤茯苓（去黑皮） 赤芍药 当归（微炒） 大黄（锉
碎微炒
（去粗皮三
上一十二味，捣罗为末，炼蜜和捣令匀熟，丸梧桐子大，每日空心酒下三十丸，加至四
十丸，以瘥为度。
治月水不利，或将下少腹痛，桃仁汤方
桃仁（汤去皮尖双仁炒黄十五枚） 干姜（炮裂） 木香（炮） 芍药 吴茱萸（微炒）
当归
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入芒硝少许，更煎一两沸温服
治妇人月水欲来，腰腹先痛，呕逆不食，三棱汤方
京三棱（炮锉） 芎 天雄（炮裂去皮脐） 桑根白皮（锉） 地榆 黄连（去须） 代
赭（
心） 桂（去粗
上一十三味， 咀如麻豆，每服五钱匕，水一盏半，入生姜五片，煎取八分，去滓温服
拘时。
【论述】
妇女以冲脉和任脉作为经脉之海，这两条经脉与手太阳小肠经、手少阴心经互为表里，主要主管月经。如果劳损伤及经脉，导致冲任二脉虚弱，不能制约气血，就会造成月经来潮后淋漓不断。
治疗妇人血海长期亏虚，脐腹部疼痛，经脉出血不止，面色萎黄，肌肉消瘦，四肢无力，不思饮食，用石中黄丸方：
[药材列表略]
以上十味药，捣碎过筛成粉末，用醋煮面糊为黏合剂，制成梧桐子大小的药丸。每次服用二十至三十丸，饭前用麝香酒送服。
治疗妇人血海不调，因虚冷形成积滞，月经淋漓不尽，以及赤白带下，面色萎黄，用茯苓散方：
[药材列表略]
以上十六味药，捣碎过筛成散剂。每次服用二钱匕，用糯米饮调服，温酒送服也可以，空腹或饭前服用，每日三次。
治疗妇人血脏虚损，月经淋漓不断，面色萎黄，四肢乏力，脐腹部疼痛，用禹余粮丸方：
[药材列表略]
以上十一味药，捣碎过筛成粉末，用酒煮面糊为黏合剂，制成梧桐子大小的药丸。每次服用二十至三十丸，空腹或饭前用温酒或醋汤送服。
治疗妇人月经淋漓不断，或多或少，四肢倦怠烦闷，身体瘦弱憔悴，用当归丸方：
[药材列表略]
以上十六味药，捣碎过筛成粉末，用炼蜜调和制成梧桐子大小的药丸。每次服用二十至三十丸，用温酒送服，每日三次。
治疗妇人气血失调，经期出血不止。面色无华，食少力倦，用乌贼鱼骨丸方：
[药材列表略]
以上十味药，捣碎过筛成粉末，用炼蜜调和制成梧桐子大小的药丸。每次服用二十丸，用温酒或枣汤送服。
治疗冲任气虚，经血虚损，月经淋漓不断，绵绵不绝，用地黄汤方：
[药材列表略]
以上五味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣后加入蒲黄一钱匕，空腹或饭前温服。
治疗妇人经血不断，面色萎黄，肌肉消瘦，用黄汤方：
[药材列表略]
以上十五味药，切碎如麻豆大小。每次服用五钱匕，用水一盏半，加入生姜五片，煎至八分，去渣温服，不拘时间。
治疗妇人月经淋漓不断，脐腹冷痛，腰腿酸疼，用乌贼鱼骨丸方：
[药材列表略]
以上十五味药，捣碎过筛成粉末，用炼蜜调和制成梧桐子大小的药丸。每次服用三十丸，用米饮送服，空腹或饭前服用。
治疗妇人气血虚损，月经淋漓不断，绵绵不已，用地黄汤方：
[药材列表略]
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，同煎至七分，去渣温服，不拘时间。
治疗妇人月经淋漓不断，用竹茹汤方：
青竹茹（微炒三两）
以上一味药，切成粗末。每次服用三钱匕，用水一盏，煎至七分，去渣温服。
治疗妇人月经连绵不绝，用生地黄汤方：
生地黄（捣取自然汁）
以上一味药，每次取三分生地黄汁加上一盏水，再加入四分之一的酒，混合均匀煎沸，放温后服用，每日三次。
治疗妇人月经日夜不停，用木贼汤方：
木贼（一握锉炒）
以上一味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣温服，每日三次。
治疗妇人月经绵绵不断，用干姜煮散方：
[药材列表略]
以上四味药，捣研成散剂。每次服用三钱匕，用水一盏，煎至六分，去渣温服，空腹或饭前服用。
治疗妇人月经久不停止，用芍药汤方：
[药材列表略]
以上两味药，粗捣筛过。每次服用三钱匕，用水和酒各半盏，煎至七分，去渣温服。
治疗妇人月经久不停止，用蒲黄散方：
[药材列表略]
以上三味药，研细成散剂。每次服用二钱匕，用地黄酒调服。
【妇人月水来腹痛】
【论述】
月经是经血的余绪，调和则按时来潮，没有过早或过迟的病患。如果冲任气虚，被风冷邪气侵袭，导致气脉不顺，经血不调，或提前或推后，或多或少。风冷之气与月经相搏结，所以在经血下行时出现腰背拘急强直、脐腹刺痛的症状。
治疗妇人月经不调，腰腹疼痛，用茯苓饮方：
[药材列表略]
以上五味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣空腹温服。
治疗妇人月经不调，以及月经欲来时脐下疼痛，肢体烦热，用当归饮方：
[药材列表略]
以上八味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣空腹温服。
治疗妇人月经来潮，腹痛且脐下坚硬，瘀血不下，用大黄汤方：
[药材列表略]
以上七味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜三片，煎至七分，去渣温服。瘀血行下后即可停止服药。
治疗妇人月经来潮，腹内疼痛，或者脐下如有盘状物，用当归汤方：
[药材列表略]
以上十二味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣温服，饭前服用。
治疗妇人月经来潮，腹内疼痛，难以忍受，用温经汤方：
[药材列表略]
以上六味药，除丹砂单独研成粉外，其余药物粗捣筛过，然后将丹砂混匀。每次服用三钱匕，用水七分、酒三分，共为一盏，同煎至七分，去渣温服，不拘时间。
治疗妇人月经来潮不利，攻冲脐腹疼痛难以忍受，用牡丹汤方：
[药材列表略]
以上十二味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣温服，不拘时间。
治疗妇人月经来潮，腹痛烦闷，身体发热，用芍药汤方：
[药材列表略]
以上七味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣温服，不拘时间。
治疗妇人月经欲下时，腰腹刺痛，量或多或少，或一月内再次来潮，或像清水，或似豆豉汁，心下坚满，沉重虚乏，日渐黄瘦，用干地黄丸方：
[药材列表略]
以上十五味药，捣碎过筛成粉末，用炼蜜调和制成梧桐子大小的药丸。每次服用三十丸，用温酒送服，米饮也可以。
治疗妇人月经不利，脐腹疼痛，用大黄汤方：
[药材列表略]
以上十二味药，粗捣筛过。每次服用三钱匕，用水一盏，加入生姜一分拍破，同煎至六分，去渣后加入硝石半钱，温服。如人行走三五里的时间后再服一次。
治疗妇人月经来潮，腰腹刺痛，难以忍受，量或多或少，来势如清水，或似豆豉汁，虚乏黄瘦，用芎丸方：
[药材列表略]
以上十三味药，捣碎过筛成粉末，用炼蜜调和并捣匀熟，制成梧桐子大小的药丸。每次服用二十丸，用米饮或温酒送服，空腹或饭前服用，每日三次。
治疗妇人虚冷，月经凝涩不利，腹内疼痛，四肢烦热，皮肤瘾疹，饮食减少，用琥珀丸方：
[药材列表略]
以上二十三味药，捣碎过筛成粉末，用一碗生地黄自然汁与药末拌匀，再用酒煮面糊制成梧桐子大小的药丸。每次服用二十丸，空腹用温酒送服。
治疗妇人月经欲下时，脐腹撮痛难以忍受，用吴茱萸丸方：
[药材列表略]
以上十味药，捣碎过筛成粉末，用炼蜜调和捣匀熟，制成梧桐子大小的药丸。空腹用酒送服三十丸，可加至四十丸，每日三次。也可以制成散剂，用温酒调服一钱匕，也可以。
治疗月经欲下时，腹部疼痛，用苦参丸方：
[药材列表略]
以上十二味药，捣碎过筛成粉末，用炼蜜调和捣匀熟，制成梧桐子大小的药丸。每天空腹用酒送服三十丸，可加至四十丸，以病愈为度。
治疗月经不利，或将要下时少腹疼痛，用桃仁汤方：
[药材列表略]
以上九味药，粗捣筛过。每次服用三钱匕，用水一盏，煎至七分，去渣后加入少许芒硝，再煎一两沸，温服。
治疗妇人月经欲来时，腰腹先痛，呕逆不食，用三棱汤方：
[药材列表略]
以上十三味药，切碎如麻豆大小。每次服用五钱匕，用水一盏半，加入生姜五片，煎至八分，去渣温服，不拘时间。
[Discussion]
Women regard the Chong (Penetrating) and Ren (Conception) vessels as the sea of the meridians. These two vessels are exteriorly-interiorly related to the Hand-Taiyang Small Intestine Meridian and the Hand-Shaoyin Heart Meridian, respectively, and primarily govern menstruation. If labor or injury damages the meridians, causing deficiency in the Chong and Ren vessels, they lose the ability to control Qi and Blood, resulting in menstruation that flows continuously without stopping.
For treating women with long-term deficiency of the Blood Sea, pain in the umbilical and abdominal regions, continuous menstrual bleeding, sallow complexion, emaciation, weakness in the four limbs, and loss of appetite, use the Shizhong Huang Wan Formula:
[Herbs omitted for brevity]
The above ten herbs are crushed, sifted into powder, mixed with a paste made from vinegar and flour, and formed into pills the size of sophora seeds. Take 20–30 pills per dose before meals, washed down with Moxa (Shexiang) wine.
For treating women with irregular Blood Sea function, accumulation due to deficiency-cold, continuous menstruation, red and white leukorrhea, and sallow complexion, use the Fuling San Powder:
[Herbs omitted for brevity]
The above sixteen herbs are crushed and sifted into powder. Take 2 qianbi per dose, mixed with glutinous rice drink; warm wine is also acceptable. Take on an empty stomach or before meals, three times daily.
For treating women with deficiency and damage of the Blood Zang, continuous menstruation, sallow complexion, weakness in the four limbs, and umbilical/abdominal pain, use the Yuyuliang Wan Pill:
[Herbs omitted for brevity]
The above eleven herbs are crushed, sifted into powder, mixed with a paste made from wine and flour, and formed into pills the size of sophora seeds. Take 20–30 pills per dose before meals or on an empty stomach, washed down with warm wine or vinegar water.
For treating women with continuous menstruation, varying in amount, fatigue and heaviness in the four limbs, and emaciated body, use the Danggui Wan Pill:
[Herbs omitted for brevity]
The above sixteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 20–30 pills per dose, washed down with warm wine, three times daily.
For treating women with Qi and Blood imbalance, continuous menstrual bleeding, pale complexion, poor appetite, and fatigue, use the Ooctopus Ink Bone (Wuseiyu Gu) Wan Pill:
[Herbs omitted for brevity]
The above ten herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 20 pills per dose, washed down with warm wine or jujube water.
For treating deficiency of Qi in the Chong and Ren vessels, deficiency and damage of menstrual blood, and continuous, unceasing menstruation, use the Dihuang Tang Decoction:
[Herbs omitted for brevity]
The above five herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain, add 1 qianbi of Puhuang (Corylinae Pollen), and take warm on an empty stomach or before meals.
For treating continuous menstrual bleeding, sallow complexion, and emaciation, use the Huang [Herb Name Missing] Tang Decoction:
[Herbs omitted for brevity]
The above fifteen herbs are chopped like hemp seeds. Take 5 qianbi per dose, decocted in one and a half sheng of water with five slices of fresh ginger until reduced to 80%. Strain and take warm, at any time.
For treating continuous menstruation, cold pain in the umbilical/abdominal region, and soreness/pain in the waist and legs, use the Ooctopus Ink Bone (Wuseiyu Gu) Wan Pill:
[Herbs omitted for brevity]
The above fifteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 30 pills per dose, washed down with rice drink, before meals or on an empty stomach.
For treating deficiency and damage of Qi and Blood, and continuous, unceasing menstruation, use the Dihuang Tang Decoction:
[Herbs omitted for brevity]
The above eight herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with three slices of fresh ginger until reduced to 70%. Strain and take warm, at any time.
For treating continuous menstruation, use the Zhuru Tang Decoction:
Qingzhuru (Green Bamboo Shavings) (lightly fried, 3 liang)
The above single herb is cut into coarse pieces. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm.
For treating continuous menstruation, use the Shengdihuang Tang Decoction:
Shengdihuang (Fresh Rehmannia Root) (crushed to extract natural juice)
The above single herb: take 3 fen of juice per sheng of water, mix with 4 fen of wine, boil evenly, let cool to warm, and take. Three times daily.
For treating menstruation that does not stop day or night, use the Mozey Tang Decoction:
Mozey (Equiseti Herba) (one handful, chopped and fried)
The above single herb is coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, three times daily.
For treating continuous menstruation, use the Ganjiang Zhu San Powder:
[Ganjiang, Huangming Jiao, Chu Zhi, Baifmian - see original text]
The above four herbs are crushed and ground into powder. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 60%. Strain and take warm, before meals or on an empty stomach.
For treating prolonged continuous menstruation, use the Shaoyao Tang Decoction:
Shaoyao (Paeoniae Radix Alba) and Baiye (Cacumen Platycladi) (fried, 1 liang each)
The above two herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in half a sheng of water and half a sheng of wine until reduced to 70%. Strain and take warm.
For treating prolonged continuous menstruation, use the Puhuang San Powder:
Puhuang (Corylinae Pollen), Zhan Hui (Felt Ash), Chao Mian (Fried Flour) (0.5 liang each)
The above three herbs are finely ground into powder. Take 2 qianbi per dose, mixed with Dihuangji (Rehmannia Wine).
[On Abdominal Pain During Menstruation]
[Discussion]
Menstruation is the surplus of Jing Blood. When harmonious, it arrives on schedule without being too early or too late. If Qi in the Chong and Ren vessels is deficient and invaded by Wind-Cold, Qi and vessel flow become obstructed, leading to irregular menstruation—either early or late, heavy or light. The Wind-Cold pathogen clashes with the menstrual flow, causing stiffness and rigidity in the lower back and sharp pain in the umbilical and abdominal regions during the flow.
For treating irregular menstruation with waist and abdominal pain, use the Fuling Yin Decoction:
[Bai Fuling, Danggui, Shaoyao, Zhigancao, Rougui - see original text]
The above five herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm on an empty stomach.
For treating irregular menstruation, pain below the umbilicus prior to onset, and restlessness/heat in the limbs, use the Danggui Yin Decoction:
[Danggui, Roudoukou, Houpo, Zhigancao, Shaoyao, Zhike - see original text]
The above eight herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm on an empty stomach.
For treating menstruation with abdominal pain, hardness below the umbilicus, and retention of blood stasis, use the Dahuang Tang Decoction:
[Dahuang, Xiaoyan, Danggui, Shaoyao, Xiongnu, Rougui - see original text]
The above seven herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with three slices of fresh ginger until reduced to 70%. Strain and take warm. Stop taking after the blood stasis passes.
For treating menstruation with abdominal pain or a disc-like mass below the umbilicus, use the Danggui Tang Decoction:
[Danggui, Shenggan Dihuang, Fangfeng, Shanzhuyu, Huangqi, Niuxi, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm before meals.
For treating menstruation with unbearable abdominal pain, use the Wenjing Tang Decoction:
[Bai Fuling, Shaoyao, Tugua Gen, Mudan Pi, Dansha, Yiyiren - see original text]
The above six herbs: apart from Dansha (Cinnabar) which is separately ground to powder, the others are coarsely crushed and sifted, then mixed with the Dansha powder. Take 3 qianbi per dose, decocted in 7 fen water and 3 fen wine (total one sheng) until reduced to 70%. Strain and take warm, at any time.
For treating difficult menstruation with unbearable attacking pain in the umbilical/abdominal region, use the Mudan Tang Decoction:
[Mudan Pi, Xiongnu, Zhigancao, Huangqin, Renshen, Rougui, Ganjiang, Wuzhuyu, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, at any time.
For treating menstruation with abdominal pain, restlessness, and body heat, use the Shaoyao Tang Decoction:
[Shaoyao, Renshen, Houpo, Roudoukou, Zhigancao, Danggui, Zhike - see original text]
The above seven herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain and take warm, at any time.
For treating impending menstruation with stabbing pain in the waist/abdomen, variable flow, frequent recurrence within a month, clear fluid-like or soy-sauce-like discharge, fullness/hardness in the epigastrium, heaviness, deficiency-fatigue, and progressive sallow emaciation, use the Shenggan Dihuang Wan Pill:
[Shenggan Dihuang, Taoren, Xiongnu, Baizhi, Puhuang, etc. - see original text]
The above fifteen herbs are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of sophora seeds. Take 30 pills per dose, washed down with warm wine; rice drink is also acceptable.
For treating difficult menstruation with umbilical/abdominal pain, use the Dahuang Tang Decoction:
[Dahuang, Renshen, Niuxi, Rougui, Qianghuo, Zhishi, etc. - see original text]
The above twelve herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water with one fen of smashed fresh ginger until reduced to 60%. Strain, add 0.5 qian of Xiaoshi (Niter), take warm. Repeat dose after walking for 3–5 li.
For treating menstruation with unbearable stabbing pain in the waist/abdomen, variable flow, clear fluid-like or soy-sauce-like discharge, deficiency-fatigue, and sallow emaciation, use the Xiongnu Wan Pill:
[Xiongnu, Baizhi, Shenggan Dihuang, Taoren, Ganjiang, etc. - see original text]
The above thirteen herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 20 pills per dose, washed down with rice drink or warm wine, before meals or on an empty stomach, three times daily.
For treating deficiency-cold with stagnant/difficult menstruation, abdominal pain, restlessness/heat in the four limbs, skin urticaria, and reduced appetite, use the Hupo Wan Pill:
[Hupo, Muxiang, Yuyuliang, Baizhu, Shaoyao, Biejia, Rougui, etc. - see original text]
The above twenty-three herbs are crushed, sifted into powder, mixed with one bowl of fresh Shengdihuang juice, then bound with wine-boiled flour paste into pills the size of sophora seeds. Take 20 pills per dose, washed down with warm wine on an empty stomach.
For treating impending menstruation with unbearable gripping pain in the umbilical/abdominal region, use the Wuzhuyu Wan Pill:
[Wuzhuyu, Danggui, Taoren, Dahuang, etc. - see original text]
The above ten herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 30 pills (up to 40) per dose, washed down with wine on an empty stomach, three times daily. Alternatively, make a powder, take 1 qianbi mixed with warm wine.
For treating impending menstruation with abdominal pain, use the Kushen Wan Pill:
[Kushen, Mudan Pi, Chi Fuling, Chi Shaoyao, Danggui, Dahuang, etc. - see original text]
The above twelve herbs are crushed, sifted into powder, mixed with refined honey, pounded until uniform, and formed into pills the size of sophora seeds. Take 30 pills per dose on an empty stomach with wine, up to 40 pills, until cured.
For treating difficult menstruation or pre-menstrual lower abdominal pain, use the Taoren Tang Decoction:
[Taoren, Ganjiang, Muxiang, Shaoyao, Wuzhuyu, Danggui, etc. - see original text]
The above nine herbs are coarsely crushed and sifted. Take 3 qianbi per dose, decocted in one sheng of water until reduced to 70%. Strain, add a small amount of Mangxiao (Mirabilite), boil for one or two boils, and take warm.
For treating impending menstruation with preceding waist/abdominal pain, vomiting, and inability to eat, use the Sanleng Tang Decoction:
[Jingsanleng, Xiongnu, Tianxiong, Sanggen Baipi, Diyue, Huanglian, Daizhe, Rougui, etc. - see original text]
The above thirteen herbs are chopped like hemp seeds. Take 5 qianbi per dose, decocted in one and a half sheng of water with five slices of fresh ginger until reduced to 80%. Strain and take warm, at any time.