三棱 莪术(各五钱) 川归 川芎 赤芍(各一两) 穿山甲(六钱) 芫花(四钱) 刘寄奴(
下。
此症若初起。宜服十灰散。若久崩者。宜服鸡子汤。如小腹痛。则用加味四物汤
(宜研极细末。连灰服下。)
阿胶 侧柏叶(各二钱) 棕 艾 绵 绢(各一钱) 胎发(三分) 苎根(一钱) 百草霜(
烧灰存性。)为末。白汤调下。(〔吴按〕若无胎发。可用无油头发。)
鸡子(或云落袋子五个) 葱(三根) 姜(一两) 共捣烂如泥。入麻油锅内炒。酒淬去渣热服。
一由脾胃虚损。经曰二阳之病。发于心脾。夫二阳者。阳明胃经也。主纳水谷。长养气血。
乃水谷之海。气血之升。唯忧愁思虑伤心。心气受伤。脾气失养。郁
而不通。腐化不行。胃虽能受。而谓长养灌溉者。安在哉。故脾胃虚弱。饮食少思。血气耗
衰。斯有血枯经闭之症。盖血少色必淡。或过期始行。或数月一行矣。
一由冲任损伤。气以顺之。血以濡之。故气行则血行。气滞则血逆。大抵妇人。情多执拗。
肝为血海。冲任之脉。冲任失守。血气妄行。或女子未及二七天
癸之期。而男强与之合。或月事适未尽。而男与合。纵欲不已。皆致冲任内损。血气不固。或
为崩。或为漏。有一个月再行。有未及期先行诸症。
一由脂痰凝滞。肥盛之妇。肠胃多痰。壅滞经络。或闭经带下。以上三症。皆不能孕育。
三棱、莪术（各五钱）、川当归、川芎、赤芍（各一两）、穿山甲（六钱）、芫花（四钱）、刘寄奴（适量）。
此症若初起，宜服用十灰散。若久崩者，宜服用鸡子汤。如小腹痛，则用加味四物汤（宜研成极细末，连同药灰一起服下）。
阿胶、侧柏叶（各二钱）、棕榈皮、艾叶、绵絮、绢丝（各一钱）、胎发（三分）、苎麻根（一钱）、百草霜（烧存性）。研为细末，用白开水调服。（〔吴氏按〕若无胎发，可用无油的头发代替。）
鸡蛋（或说用落袋子五个）、葱（三根）、姜（一两），共同捣烂如泥。放入麻油锅内炒制，用酒淬取汁液去渣，热服。
一种情况是由脾胃虚损引起。医经说：“二阳之病，发于心脾。”所谓二阳，是指阳明胃经，主管受纳水谷，化生气血，是水谷之海，也是气血生化之源。然而忧愁思虑会损伤心脏，心气受伤后，脾气失去滋养，导致气机郁结而不通畅，腐熟运化功能不行。胃虽然能受纳食物，但所谓长养灌溉身体的作用又在哪里呢？因此脾胃虚弱，饮食减少，气血耗衰，从而出现血枯经闭的症状。大概因为血少，经色必然淡，或者过期才来潮，或者数月才行经一次。
另一种情况是由冲任二脉损伤引起。气以顺行为主，血以濡养为用。所以气行则血行，气滞则血逆。大抵妇人情绪多执拗，肝为血海，与冲任二脉关系密切。若冲任失守，血气妄行，或者女子未到二七天癸成熟的时期，而男子强行与之交合；或者月经刚结束未净，男子便与之交合；纵欲无度，都会导致冲任内损，血气不固。或表现为崩漏，或表现为一个月行经两次，或有未到期而提前行经等各种症状。
Sanleng (Rhizoma Sparganii), Ezhu (Rhizoma Curcumae) (each 5 qian), Chuan Gui (Radix Angelicae Sinensis), Chuan Xiong (Rhizoma Chuanxiong), Chi Shao (Radix Paeoniae Rubra) (each 1 liang), Chuanshanjia (Squama Manis), Yuanhua (Flos Genkwa), Liu Jinu (Herba Siegesbeckiae) (appropriate amount).
If this condition is in its early stage, it is advisable to take Shihui San (Ten Ash Powder). If the metrorrhagia has persisted for a long time, it is advisable to take Jizi Tang (Chicken Egg Decoction). If there is lower abdominal pain, Jiawei Siwu Tang (Modified Four Substances Decoction) should be used (it is best to grind into an extremely fine powder and take together with the ash).
Ejiao (Colla Corii Asini), Ce Bai Ye (Cacumen Platycladi), Zong (Cortex Palmii), Ai Ye (Folium Artemisiae Argyi), Mian (Cotton Wadding), Juan (Silk Fabric) (each 1 qian), Taifa (Capilli Humanus), Zhugen (Radix Boehmeriae Niveae) (1 qian), Baicaoshuang (Carbonis Herbae) (burned to retain its properties). Grind into a fine powder, mix with warm water for administration. ([Wu's Note] If fetal hair is unavailable, oil-free human hair can be used as a substitute.)
Jizi (Chicken Egg) (or five "Luodai Zi" as some say), Cong (Rhizoma Allii Fistulosi) (3 stalks), Jiang (Rhizoma Zingiberis Recens) (1 liang). Pound them together until mushy. Stir-fry in a pan with Sesame Oil, quench with wine, remove the dregs, and drink hot.
One cause is deficiency and damage of the Spleen and Stomach. The classic states: "Diseases of the Two Yang originate from the Heart and Spleen." The term "Two Yang" refers to the Yangming Stomach Meridian, which governs the reception of food and fluids, generates Qi and Blood, serves as the Sea of Food and Fluids, and is the source of Qi and Blood generation. However, sorrow and overthinking injure the Heart; when Heart Qi is damaged, the Spleen loses nourishment, leading to Qi stagnation and obstruction, impairing digestion and transformation. Although the Stomach can receive food, where is the function of nourishing and irrigating the body? Therefore, Spleen and Stomach weakness leads to poor appetite, consumption of Qi and Blood, resulting in symptoms of Blood Dryness and Amenorrhea. Generally, due to insufficient Blood, the menstrual color must be pale, or menstruation may occur late, or only once every few months.
Another cause is injury to the Chong and Ren Mai (Penetrating and Conception Vessels). Qi moves smoothly, and Blood moistens. Thus, when Qi moves, Blood moves; when Qi stagnates, Blood rebels. Generally, women tend to have stubborn emotions. The Liver is the Sea of Blood, closely related to the Chong and Ren Mai. If the Chong and Ren lose their control, Qi and Blood flow recklessly. Or, if a girl engages in intercourse before reaching the age of fourteen (when Tian Gui matures) against her will, or engages in intercourse while menstruation has not yet fully ceased, or indulges in lust without restraint, all these lead to internal damage to the Chong and Ren, causing insecurity of Qi and Blood. This may manifest as metrorrhagia or metrostaxis, menstruation occurring twice a month, or premature menstruation before the expected date.
The third cause is stagnation of Phlegm and Lipids. Women who are overweight often have excessive phlegm-dampness in the intestines and stomach, obstructing the meridians, which can lead to amenorrhea or leukorrhea. The above three conditions all result in infertility.