当归(六钱) 川芎 赤芍 熟地 黄芩 香附 延胡 浓朴(各四钱) 小茴 柴胡 陈皮
莪术 牛膝(各二钱) 三棱(先服二钱后少用) 甘草(五分) 红花(一钱) 先服分八帖。少
加姜。水煎。空心服。如恶心。呕吐。加砂仁。(一钱五分) 良姜。(一钱五分) 泄泻。加
豆蔻。粟壳。(各三钱) 遍身痛。加羌活。独活。(各二钱) 嗽。气急。加杏仁。五味。桔
梗。苏叶。(各一钱)
妇人三十四五。血气脾胃俱虚。或经水动时。当风坐卧失避。身入虚邪。遍身麻痹。经脉受
风。咳嗽有痰。用减味五积交加散。兼八物汤治之。
羌活(五分) 当归 川芎 独活(二钱) 白芷 浓朴 苍术 枳壳 防风 陈皮 半夏 柴
胡桔梗 茯苓(各二钱) 麻黄 桂枝 甘草(各五分) 分四帖。加姜(三片) 连根葱白(
五个) 空心热服。如不能行动。去柴胡。加僵蚕。乌梅。(各五分) 酒煎。嗽加五味。杏
仁。(各三钱) 妇人三十六七。若行经太多。此因血气虚甚。胃气不足。故血妄行。宜补调
气血。养脾胃。庶年老可无血崩之患。
人参 茯苓 川芎 熟地 白芍 香附(各三钱) 白术 当归(各四钱) 甘草(一钱) 分四
剂。姜水煎服。如肚痛。加延胡(三钱) 潮热。加黄芩。柴胡。(各三钱)
妇人三十八九。经水断绝。腹中有块疼痛。头晕眼花。饮食不思。此气血虚。恶血不散。急
当散其瘀血。温调血脉。以除后患。
当归(六钱)、川芎、赤芍、熟地黄、黄芩、香附、延胡索、厚朴(各四钱)、小茴香、柴胡、陈皮、莪术、牛膝(各二钱)、三棱(先服用二钱,之后减少用量)、甘草(五分)、红花(一钱)。先将药物分为八帖。加入少量生姜,加水煎煮。空腹服用。如果出现恶心、呕吐的症状,加入砂仁(一钱五分)、高良姜(一钱五分);如果发生泄泻,加入豆蔻、罂粟壳(各三钱);如果全身疼痛,加入羌活、独活(各二钱);如果咳嗽、气急,加入杏仁、五味子、桔梗、紫苏叶(各一钱)。
妇女到了三十四五岁,血气和脾胃都虚弱。或者在月经来潮时,坐卧时未避风寒,导致虚邪侵入体内,风邪侵袭经脉,出现全身麻痹、咳嗽有痰等症状。使用减味五积交加散,兼用八物汤治疗。
羌活(五分)、当归、川芎、独活(二钱)、白芷、厚朴、苍术、枳壳、防风、陈皮、半夏、柴胡、桔梗、茯苓(各二钱)、麻黄、桂枝、甘草(各五分)。将药物分为四帖。加入生姜(三片)、带根的葱白(五个),空腹热服。如果患者无法行动,去掉柴胡,加入僵蚕、乌梅(各五分)。用酒煎煮。如果咳嗽,加入五味子、杏仁(各三钱)。
妇女到了三十六七岁,如果行经量过多,这是因为气血极度虚弱,胃气不足,导致血液妄行。应当补益调理气血,滋养脾胃,这样年老时就可以避免血崩的祸患。
人参、茯苓、川芎、熟地黄、白芍、香附(各三钱)、白术、当归(各四钱)、甘草(一钱)。将药物分为四剂。用姜水煎煮服用。如果肚痛,加入延胡索(三钱);如果有潮热症状,加入黄芩、柴胡(各三钱)。
妇女到了三十八九岁,月经断绝,腹中有肿块且疼痛,头晕眼花,不想饮食。这是气血虚弱,恶血(瘀血)不散所致。应当紧急消散瘀血,温调血脉,以消除后患。
Angelicae Sinensis Radix (Danggui, 6 qian), Chuanxiong Rhizoma (Chuanxiong), Paeviae Rubra Radix (Chishao), Rehmanniae Radix Praeparata (Shudi), Scutellariae Radix (Huangqin), Cyperi Rhizoma (Xiangfu), Corydalis Rhizoma (Yanhu), Magnoliae Officinalis Cortex (Nongpu), Foeniculi Fructus (Xiaohui), Bupleuri Radix (Chaihu), Citri Reticulatae Pericarpium (Chenpi), Curcumae Zedoariae Rhizoma (Ezhu), Achyranthis Bidentatae Radix (Niuxi) (each 2 qian), Sparganii Rhizoma (Sanleng) (take 2 qian first, then use less), Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen), Carthami Flos (Honghua, 1 qian). Divide the herbs into eight doses. Add a small amount of fresh ginger, decoct with water, and take on an empty stomach. If nausea or vomiting occurs, add Amomi Fructus Rotundus (Sharen, 1.5 qian) and Alpiniae Officinarum Rhizoma (Liangjiang, 1.5 qian); if diarrhea occurs, add Myristicae Semen (Doukou) and Papaveris Pericarpium (Suhua) (each 3 qian); if there is pain throughout the body, add Notopterygii Rhizoma et Radix (Qianghuo) and Angelicae Pubescentis Radix (Duhuo) (each 2 qian); if there is cough and shortness of breath, add Armeniacae Semen (Xingren), Schisandrae Fructus (Wuweizi), Platycodonis Radix (Jiegeng), and Perillae Folium (Suye) (each 1 qian).
For women aged thirty-four or thirty-five, both blood-qi and the spleen-stomach are deficient. Or, during menstruation, if one sits or lies exposed to wind without avoidance, deficiency pathogens enter the body, and wind invades the meridians, causing numbness throughout the body, cough with phlegm. Use Jianwei Wuji Jiajiao San (Modified Five Accumulations Mixed Powder) combined with Bajia Tang (Eight Substances Decoction) for treatment.
Notopterygii Rhizoma et Radix (Qianghuo, 5 fen), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Angelicae Pubescentis Radix (Duhuo, 2 qian), Angelicae Dahuricae Radix (Baizhi), Magnoliae Officinalis Cortex (Nongpu), Atractylodis Rhizoma (Cangzhu), Aurantii Fructus Immaturus (Zhiqiao), Saposhnikoviae Radix (Fangfeng), Citri Reticulatae Pericarpium (Chenhu), Pinelliae Rhizoma Preparatum (Banxia), Bupleuri Radix (Chaihu), Platycodonis Radix (Jiegeng), Poria (Fuling) (each 2 qian), Ephedrae Herba (Mahuang), Cinnamomi Ramulus (Guizhi), Glycyrrhizae Radix et Rhizoma (Gancao) (each 5 fen). Divide into four doses. Add fresh ginger (three slices) and scallion white with roots (five stalks), take hot on an empty stomach. If the patient cannot move, remove Bupleuri Radix (Chaihu) and add Bombyx Batryticatus (Jiangcan) and Mume Fructus (Wumei) (each 5 fen). Decoct with wine. If coughing occurs, add Schisandrae Fructus (Wuweizi) and Armeniacae Semen (Xingren) (each 3 qian).
For women aged thirty-six or thirty-seven, if menstrual flow is excessive, this is due to extreme deficiency of blood-qi and insufficient stomach qi, causing blood to move recklessly. It is appropriate to tonify and regulate blood-qi, nourish the spleen and stomach, so that in old age, metrorrhagia (blood collapse) can be avoided.
Ginseng Radix et Rhizoma (Renshen), Poria (Fuling), Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix Praeparata (Shudi), Paeoniae Radix Alba (Baishao), Cyperi Rhizoma (Xiangfu) (each 3 qian), Atractylodis Macrocephalae Rhizoma (Baizhu), Angelicae Sinensis Radix (Danggui) (each 4 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian). Divide into four doses. Decoct with ginger water and take. If abdominal pain occurs, add Corydalis Rhizoma (Yanhu, 3 qian); if tidal fever occurs, add Scutellariae Radix (Huangqin) and Bupleuri Radix (Chaihu) (each 3 qian).
For women aged thirty-eight or thirty-nine, if menstruation ceases, there are masses in the abdomen accompanied by pain, dizziness, blurred vision, and loss of appetite. This is due to deficiency of blood-qi and retention of evil blood (stasis). Urgently disperse the stasis and warm-regulate the blood vessels to eliminate subsequent complications.