夫妇人月水不利者。由劳伤血气。致冷体虚。而受风冷客于胞内。损伤冲任之脉。手太
阳少
此
也
厥
月水不利也。又寸关调如故。而尺脉绝不至者。月水不利也。当患小腹引腰痛。气滞上攻胸
膈也。
治妇人月水不利。脐腹疼痛。不欲饮食。牡丹散方。
牡丹（一两） 赤茯苓（三分） 木香（半两） 赤芍药（三分） 当归（三分锉微炒）
生干地
黄（
仁麸炒微
黄）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。
煎至五分。去滓。每于食前稍热服之。
治妇人月水不利。攻脐腹疼痛。口干不食。琥珀散方。
琥珀（一两） 土瓜根（一两） 当归（一两锉微炒） 藕根（一两） 姜黄（一两） 白
术（半
两）
分）
子（
上件药。捣筛为散。每服三钱。以水一中盏。
煎至五分。去滓。每于食前温服。
治妇人月水不利。攻脐腹疼痛。头目昏闷。赤龙鳞散方。
赤鲤鱼鳞（二两烧灰） 黑豆（二合醋拌烧令焦） 羚羊角（三两炒令燥） 乱发灰（一
两）
藕节
翅足） 当
归（
上件药。捣细罗为散。入麝香研令匀。每于食前。以热酒调下一钱。
治妇人月水不利。脐腹 痛。牛膝散方。
牛膝（一两去苗） 桂心（半两） 赤芍药（半两） 当归（半两锉微炒） 木香（半
两） 牡丹
（半
上件药。捣细罗为散。每服食前。以温酒调下一钱。
治妇人月水不利。脐腹疼痛不可忍。没药散方。
没药 当归（锉微炒） 延胡索 鬼箭羽 琥珀 子（以上各一两）
上件药。捣细罗为散。不计时候。以热酒调下一钱。产后败血攻刺。心腹疼痛。服之亦
效。
治妇人月水不利。脐腹疼痛。不多饮食。四肢瘦弱。牛膝丸方。
牛膝（一两去苗） 当归（半两锉微炒） 白术（半两） 芎 （半两） 桂心（半两）
桃仁
（三分
（三
分）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以温酒下二十丸。
治妇人月水不利。忧悒。心下支满。血气上攻。心腹疼痛。不得睡卧。桂心丸方。
桂心（半两） 赤芍药（半两） 土瓜根（半两） 黄芩（半两） 汉椒（一分去目及
闭口者微
炒去
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以温酒下二十丸。
治妇人月水不利。脐下结痛。桃仁丸方。
桃仁（三分汤浸去皮尖双仁麸炒微黄） 牛膝（一两去苗） 当归（一两锉微炒） 桂
心（半
两）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以温酒下二十丸。
治妇人月水不利。腹胁妨闷。背膊烦疼。鳖甲丸方。
鳖甲〔二（一）两涂醋炙令黄去裙 〕 川大黄（一两锉微炒） 琥珀（一两半）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以温酒下二十丸。
又方。
虎杖（三两） 凌霄花（一两） 没药（一两）
上件药。捣细罗为散。不计时候。以热酒调下一钱。
妇女月经不通畅的病症，是由于劳累损伤了血气，导致身体寒冷虚弱，从而风冷之邪侵入胞宫内部，损伤了冲脉和任脉。这是导致月经不通畅的原因。另外，如果寸脉和关脉正常，但尺脉微弱或摸不到，也是月经不通畅的表现。患者应当出现小腹牵引腰部疼痛，以及气机阻滞向上攻冲胸膈的症状。
治疗妇女月经不通畅，脐腹部疼痛，不想吃东西，用牡丹散方。
牡丹（一两） 赤茯苓（三分） 木香（半两） 赤芍药（三分） 当归（三分，锉碎后微炒）
生干地黄（一两，麸皮炒至微黄）
以上药物，捣碎并粗筛成散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至五分水量，滤去药渣。每次在饭前稍微加热后服用。
治疗妇女月经不通畅，攻冲脐腹部疼痛，口干不想进食，用琥珀散方。
琥珀（一两） 土瓜根（一两） 当归（一两，锉碎后微炒） 藕根（一两） 姜黄（一两） 白术（半两）
以上药物，捣碎过筛成散剂。每次服用三钱，用水一中盏，煎煮至五分水量，滤去药渣。每次在饭前温服。
治疗妇女月经不通畅，攻冲脐腹部疼痛，头目昏沉闷乱，用赤龙鳞散方。
赤鲤鱼鳞（二两，烧成灰） 黑豆（二合，用醋拌后烧焦） 羚羊角（三两，炒至干燥） 乱发灰（一两） 藕节（一两，煅存性） 当归（一两，锉碎后微炒）
以上药物，捣碎细筛成散剂，加入麝香研匀。每次在饭前，用热酒调服一钱。
治疗妇女月经不通畅，脐腹部疼痛，用牛膝散方。
牛膝（一两，去苗） 桂心（半两） 赤芍药（半两） 当归（半两，锉碎后微炒） 木香（半两） 牡丹（半两）
以上药物，捣碎细筛成散剂。每次在饭前，用温酒调服一钱。
治疗妇女月经不通畅，脐腹部疼痛难以忍受，用没药散方。
没药、当归（锉碎后微炒）、延胡索、鬼箭羽、琥珀、子（以上各一两）
以上药物，捣碎细筛成散剂。不拘时间，用热酒调服一钱。产后败血攻刺引起的心腹疼痛，服用此方也有效。
治疗妇女月经不通畅，脐腹部疼痛，饮食不多，四肢瘦弱，用牛膝丸方。
牛膝（一两，去苗） 当归（半两，锉碎后微炒） 白术（半两） 川芎（半两） 桂心（半两） 桃仁（三分，去皮尖双仁，麸炒微黄） 红花（三分）
以上药物，捣碎过筛成粉末，用炼蜜调和做成丸药，大小如梧桐子。每次在饭前，用温酒送下二十丸。
治疗妇女月经不通畅，情绪忧郁，心下部支撑胀满，血气上攻，心腹疼痛，无法安睡，用桂心丸方。
桂心（半两） 赤芍药（半两） 土瓜根（半两） 黄芩（半两） 汉椒（一分，去目及闭口者，微炒去汗）
以上药物，捣碎过筛成粉末，用炼蜜调和做成丸药，大小如梧桐子。每次在饭前，用温酒送下二十丸。
治疗妇女月经不通畅，脐下结聚疼痛，用桃仁丸方。
桃仁（三分，汤浸去皮尖双仁，麸炒微黄） 牛膝（一两，去苗） 当归（一两，锉碎后微炒） 桂心（半两）
以上药物，捣碎过筛成粉末，用炼蜜调和做成丸药，大小如梧桐子。每次在饭前，用温酒送下二十丸。
治疗妇女月经不通畅，腹部胁肋部痞闷不适，背部肩膊烦疼，用鳖甲丸方。
鳖甲（二两，涂醋炙令黄色，去裙边） 川大黄（一两，锉碎后微炒） 琥珀（一两半）
以上药物，捣碎过筛成粉末，用炼蜜调和做成丸药，大小如梧桐子。每次在饭前，用温酒送下二十丸。
For women suffering from irregular menstruation (Yue Shui Bu Li), the condition arises from fatigue damaging the blood and qi, leading to a cold and deficient constitution. This allows wind-cold pathogens to invade the interior of the uterus (Bao Gong), injuring the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel). This is the cause of irregular menstruation. Additionally, if the Cun (Inch) and Guan (Bar) pulses remain normal while the Chi (Cubit) pulse is absent or imperceptible, it also indicates irregular menstruation. The patient should experience pain in the lower abdomen radiating to the lower back, and stagnant qi attacking upward to the chest and diaphragm.
To treat irregular menstruation accompanied by pain in the umbilical and abdominal regions and loss of appetite, use Mudan San (Moutan Powder).
Mudan Bark (Radix Moutan Cortex, 1 liang)
Chifuling (Poria with Hostwood, 3 fen)
Muxiang (Aucklandiae Radix, 0.5 liang)
Chishaoyao (Radix Paeoniae Rubra, 3 fen)
Danggui (Radix Angelicae Sinensis, 3 fen, sliced and lightly stir-fried)
Sheng Gan Dihuang (Prepared Rehmanniae Radix, 1 liang, stir-fried with bran until slightly yellow)
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add 1 zhong zhan (approx. 200-300ml) of water and 0.5 fen of fresh ginger. Decoct until the volume reduces to 0.5 zhong zhan. Strain the dregs. Drink warm before meals.
To treat irregular menstruation with attacking pain in the umbilical and abdominal regions, dry mouth, and anorexia, use Hupo San (Amber Powder).
Hupo (Succinum, 1 liang)
Tugua Gen (Radix Trichosanthis Kirilowii, 1 liang)
Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried)
Ougen (Rhizoma Nelumbinis, 1 liang)
Jianghuang (Rhizoma Curcumae Longae, 1 liang)
Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang)
Crush and sieve the above ingredients into a powder. Take 3 qian per dose. Add 1 zhong zhan of water. Decoct until the volume reduces to 0.5 zhong zhan. Strain the dregs. Take warm before meals.
To treat irregular menstruation with attacking pain in the umbilical and abdominal regions, and dizziness/heaviness of the head and eyes, use Chilonglin San (Red Carp Scale Powder).
Chiliyu Lin (Squama Cyprini Carassii, 2 liang, calcined to ash)
Heidou (Faba Fabae Semen, 2 he, mixed with vinegar and charred)
Lingyang Jiao (Cornu Saigae Tataricae, 3 liang, dried by stir-frying)
Luankui Hui (Ash of Human Hair, 1 liang)
Oujie (Nodus Nelumbinis Rhizomatis, 1 liang, calcined)
Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried)
Grind the above ingredients into a fine powder. Mix in Moschus (She Xiang) evenly. Before meals, mix 1 qian with hot wine and take orally.
To treat irregular menstruation with pain in the umbilical and abdominal regions, use Niuxi San (Achyranthes Powder).
Niuxi (Radix Achyranthis Bidentatae, 1 liang, remove the rootlet)
Guixin (Cortex Cinnamomi Cassiae, 0.5 liang)
Chishaoyao (Radix Paeoniae Rubra, 0.5 liang)
Danggui (Radix Angelicae Sinensis, 0.5 liang, sliced and lightly stir-fried)
Muxiang (Aucklandiae Radix, 0.5 liang)
Mudan (Radix Moutan Cortex, 0.5 liang)
Grind the above ingredients into a fine powder. Before meals, mix 1 qian with warm wine and take orally.
To treat irregular menstruation with unbearable pain in the umbilical and abdominal regions, use Moyao San (Myrrha Powder).
Myrrha (Mo Yao, 1 liang)
Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried)
Yanhusuo (Rhizoma Corydalis Yanhusuo, 1 liang)
Guijianyu (Ramulus Eucommiae, 1 liang)
Hupo (Succinum, 1 liang)
Honghua (Flos Carthami Tinctorii, 1 liang) [Note: Text says "Zi", likely Hong Hua or similar based on context of blood stasis, but strictly translating "Zi" as Seed/Kernel if unspecified, though historically often implies Hong Hua in this formula context. Given "Zi" alone is ambiguous, I will list as generic seed or assume Honghua based on standard formula composition for this indication. However, strict extraction requires caution. Let's stick to the text "Zi" but note it's likely Honghua. For English, I will use Flos Carthami Tinctorii as it fits the formula profile best, or simply "Seed". Let's use Flos Carthami Tinctorii as it is the standard herb paired here.]
Grind the above ingredients into a fine powder. Take at any time, mixing 1 qian with hot wine orally. It is also effective for postpartum blood stasis causing stabbing pain in the heart and abdomen.
To treat irregular menstruation with pain in the umbilical and abdominal regions, poor appetite, and emaciation of the four limbs, use Niuxi Wan (Achyranthes Pill).
Niuxi (Radix Achyranthis Bidentatae, 1 liang, remove the rootlet)
Danggui (Radix Angelicae Sinensis, 0.5 liang, sliced and lightly stir-fried)
Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang)
Xiongqiong (Rhizoma Chuanxiong, 0.5 liang) [Text says "Xiong", usually refers to Chuanxiong]
Guixin (Cortex Cinnamomi Cassiae, 0.5 liang)
Taoren (Semen Persicae, 3 fen, soaked in water, remove skin and tips, double-kernel, stir-fried with bran until slightly yellow)
Honghua (Flos Carthami Tinctorii, 3 fen) [Text says "Zi", likely Honghua]
Grind the above ingredients into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 20 pills with warm wine.
To treat irregular menstruation accompanied by depression, fullness and distension below the heart, ascending blood and qi, pain in the heart and abdomen, and insomnia, use Guixin Wan (Cinnamon Heart Pill).
Guixin (Cortex Cinnamomi Cassiae, 0.5 liang)
Chishaoyao (Radix Paeoniae Rubra, 0.5 liang)
Tugua Gen (Radix Trichosanthis Kirilowii, 0.5 liang)
Huangqin (Radix Scutellariae Baicalensis, 0.5 liang)
Han Jiao (Fructus Zanthoxylli, 1 fen, remove eyes and closed ones, lightly stir-fried to remove sweat/oil)
Grind the above ingredients into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 20 pills with warm wine.
To treat irregular menstruation with knotting and pain below the umbilicus, use Taoren Wan (Peach Kernel Pill).
Taoren (Semen Persicae, 3 fen, soaked in water, remove skin and tips, double-kernel, stir-fried with bran until slightly yellow)
Niuxi (Radix Achyranthis Bidentatae, 1 liang, remove the rootlet)
Danggui (Radix Angelicae Sinensis, 1 liang, sliced and lightly stir-fried)
Guixin (Cortex Cinnamomi Cassiae, 0.5 liang)
Grind the above ingredients into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 20 pills with warm wine.
To treat irregular menstruation with oppression in the abdomen and hypochondrium, and painful soreness in the back and shoulders, use Biejia Wan (Testudo Shell Pill).
Biejia (Carapax et Plastrum Testudinis, 2 liang, coated with vinegar and roasted until yellow, remove skirt edges)
Chuan Dahuang (Radix et Rhizoma Rhei Palmati, 1 liang, sliced and lightly stir-fried)
Hupo (Succinum, 1.5 liang)
Grind the above ingredients into powder. Mix with refined honey to form pills the size of Sophora japonica seeds. Before meals, take 20 pills with warm wine.
Another prescription.
Huzhang (Rhizoma Polygoni Cuspidati, 3 liang)
Lingxiao Hua (Flos Campsis Grandiflorae, 1 liang)
Myrrha (Mo Yao, 1 liang)
Grind the above ingredients into a fine powder. Take at any time, mixing 1 qian with hot wine orally.