妇人伤寒，或劳役、或怒气发热，适遇经行，以致热入血室，或血不止，或血不行，令人昼则明了安静，
夜则谵语如见鬼状者是也。
若热因外邪由表而入者，宜一柴胡饮，或三柴胡饮，或四柴胡饮，或良方黄龙汤加生地，酌而用之。
一柴胡饮（见《新方八阵·散阵》）一为水数，从寒散也。凡感四时不正之气，或为发热，或为寒
热，或因劳、因怒，或妇人热入血室，或产后经后，因冒风寒，以致寒热如疟等证，但外有邪而内兼火者，
须从凉散，宜此主之。
柴胡（二、三钱） 黄芩（一钱半） 芍药（二钱） 生地（一钱半） 陈皮（一钱半） 甘草（八分）
水一钟半，煎七、八分，温服。如内热甚者，加连翘一、二钱，随宜。如外邪甚者，加防风一钱佐之；如
邪结在胸而痞满者，去生地加枳实一、二钱。如热在阳明而兼渴者，加天花粉或葛根一、二钱，热甚者加知
母、石膏亦可。
三柴胡饮（见《新方八阵·散阵》）三为木数，从肝经血分也。凡人素禀阴分不足，或肝经血少而
偶感风寒者，或感邪不深，可兼补而散者，或病后产后感冒，有不得不从解散，而血气虚弱不能达者，宜此主之。
柴胡（二、三钱） 芍药（一钱半） 炙甘草（一钱） 陈皮（一钱） 生姜（三、五片） 当归（二钱，溏泄者
易以熟地）
水一钟半，煎七、八分，温服。如微寒咳呕者，加半夏一二钱。
四柴胡饮（见《新方八阵·散阵》）四为金数，从气分也。凡人元气不足或忍饥劳倦，而外感风
寒，或六脉紧数微细，正不胜邪等证。必须培助元气，兼之解散，庶可保全，宜此主之。若但知散邪，罔顾根
本，未有不元气先败者，察之慎之。
柴胡（一、二、三钱） 炙甘草（一钱） 生姜（三、五、七片） 当归（二、三钱，泻者少用） 人参
（二、三钱或五、七钱酌而用之。）
水二钟，煎七、八分，温服。如胸膈滞闷者，加陈皮一钱。
《良方》黄龙汤（见调经论外备用方）
若或怒、或劳，火由内生，其人多汗而无表证者，宜保阴煎、清化饮、当归六黄汤之类加减主之。
保阴煎（见血热经早）
清化饮（见血热经早）
当归六黄汤（见《古方八阵·寒阵》）治盗汗之圣药。
当归 黄 （蜜炙各二钱） 生地黄 熟地黄 黄连 黄芩 黄柏（各一钱）
水二钟煎服。
若病虽渐愈，但元气素弱，而热有未退、血未止者，宜补阴益气煎，或补中益气汤。若脾气素弱，宜归
脾汤；血气俱弱者，宜十全大补汤，庶无误矣。
补阴益气煎（见《新方八阵·补阵》）此补中益气汤之变方也。治劳倦伤阴，精不化气，或阴虚内
乏，以致外感不解，寒热 疟，阴虚便结不通等证。凡属阴气不足而虚邪外侵者，用此升散，无不神效。
人参（一、二、三钱） 当归（二、三钱） 山药（酒炒二、三钱） 熟
地（三、五钱或一、二两） 陈皮（一钱） 炙甘草（一钱） 升麻（三、五分，火浮于上者去此不必用）
柴胡（一、二钱，如无外邪者不必用）
水二钟，加生姜三五七片，煎八分，食远温服。
补中益气汤（见经不调）
归脾汤（见经不调）
十全大补汤（见调经论外备用方）
若血热多滞者，宜小柴胡汤加丹皮、红花、当归。
小柴胡汤（见崩淋经漏不止）
妇女患伤寒，或因过度劳累、或因愤怒导致发热，恰逢月经来潮，致使热邪陷入血室（子宫及肝经血分），出现经血不止或经血阻滞不通的情况。这种病症表现为白天神志清醒安静，夜晚则胡言乱语，如同看见鬼怪一般。
如果热邪是因外感风寒由体表传入体内，适宜使用一柴胡饮，或者三柴胡饮、四柴胡饮，或者是良方黄龙汤加入生地黄，根据具体情况斟酌选用。
一柴胡饮（见《新方八阵·散阵》）：数字“一”对应水数，性质寒凉，用于发散寒邪。凡是感受四季不正之气，出现发热，或寒热往来，或因劳累、因愤怒，或是妇女热入血室，或是产后、经期后，因冒受风寒，导致寒热如疟疾等症状，只要体外有邪气而体内兼有火热，必须采用清凉发散的方法，适宜用此方为主治。
药物组成：柴胡（二至三钱）、黄芩（一钱半）、芍药（二钱）、生地黄（一钱半）、陈皮（一钱半）、甘草（八分）。
煎服法：加水一钟半，煎至七、八分满，温服。如果体内热势严重，加连翘一至二钱，视情况而定。如果外邪严重，加防风一钱辅助；如果邪气结聚在胸部导致痞满，去掉生地黄，加枳实一至二钱。如果热邪在阳明经且伴有口渴，加天花粉或葛根一至二钱，热势严重者加知母、石膏也可以。
三柴胡饮（见《新方八阵·散阵》）：数字“三”对应木数，归属肝经血分。凡是人体素体阴分不足，或肝经血少而偶然感受风寒者，或感受邪气不深，可以兼顾补益与发散者，或病后、产后感冒，不得不进行发散治疗，但气血虚弱无法驱邪外出者，适宜用此方为主治。
药物组成：柴胡（二至三钱）、芍药（一钱半）、炙甘草（一钱）、陈皮（一钱）、生姜（三至五片）、当归（二钱，大便溏泄者改用熟地黄）。
煎服法：加水一钟半，煎至七、八分满，温服。如果有轻微恶寒、咳嗽呕吐症状，加半夏一至二钱。
四柴胡饮（见《新方八阵·散阵》）：数字“四”对应金数，归属气分。凡是人体元气不足，或因忍饥挨饿、过度劳累，而外感风寒，或六脉紧数微细，正气不能战胜邪气等证候。必须培补扶助元气，兼以发散邪气，才能保全生命，适宜用此方为主治。如果只知道发散邪气，不顾护根本，没有不导致元气先败坏的，诊治时需审慎观察。
药物组成：柴胡（一至三钱）、炙甘草（一钱）、生姜（三至七片）、当归（二至三钱，腹泻者少用）、人参（二至三钱或五至七钱，酌情使用）。
煎服法：加水二钟，煎至七、八分满，温服。如果胸膈部滞闷，加陈皮一钱。
《良方》黄龙汤（见调经论外备用方）：
如果是因愤怒、劳累，火气由内生发，患者多汗且无表证者，适宜使用保阴煎、清化饮、当归六黄汤等方剂加减主治。
保阴煎（见血热经早）
清化饮（见血热经早）
当归六黄汤（见《古方八阵·寒阵》）：是治疗盗汗的圣药。
药物组成：当归、黄芩（蜜炙各二钱）、生地黄、熟地黄、黄连、黄芩、黄柏（各一钱）。
煎服法：加水二钟煎服。
如果病情虽然逐渐好转，但患者素体元气虚弱，而热邪未退、出血未止者，适宜使用补阴益气煎，或补中益气汤。如果脾气素来虚弱，适宜使用归脾汤；如果气血都虚弱，适宜使用十全大补汤，这样就不会出错了。
补阴益气煎（见《新方八阵·补阵》）：这是补中益气汤的变方。治疗因劳累损伤阴液，精不能化为气，或阴虚内乏，导致外感不解，寒热如疟疾，阴虚导致便秘不通等证候。凡是属于阴气不足而虚邪外侵的情况，使用此方升散，无不神效。
药物组成：人参（一至三钱）、当归（二至三钱）、山药（酒炒二至三钱）、熟地黄（三至五钱或一至二两）、陈皮（一钱）、炙甘草（一钱）、升麻（三至五分，火气浮于上部者去掉此药不必用）、柴胡（一至二钱，如果没有外邪者不必用）。
煎服法：加水二钟，加生姜三至七片，煎至八分满，饭后较远时温服。
补中益气汤（见经不调）
归脾汤（见经不调）
十全大补汤（见调经论外备用方）
When a woman contracts cold damage (Shanghan), or experiences fever due to overexertion or anger, and happens to be menstruating, heat may enter the Blood Chamber (the uterus and the blood aspect of the Liver meridian). This results in either continuous bleeding or cessation of menstrual flow. The condition is characterized by clear consciousness and calmness during the day, while at night the patient becomes delirious, speaking as if seeing ghosts.
If the heat enters from the exterior due to external pathogens, Yi Chaihu Yin (One Bupleurum Decoction), San Chaihu Yin (Three Bupleurum Decoction), Si Chaihu Yin (Four Bupleurum Decoction), or Liangfang Huanglong Tang (Excellent Formula Yellow Dragon Decoction) with added Sheng Di Huang (Rehmanniae Radix) should be used, selected according to the specific situation.
Yi Chaihu Yin (See *Xin Fang Ba Zhen · San Zhen*): The number "one" corresponds to Water, possessing a cold nature to disperse cold. It is indicated for cases where one contracts abnormal qi of the four seasons, presenting with fever or alternating chills and fever; or due to labor or anger; or for women with heat entering the Blood Chamber; or postpartum or post-menstrual cases complicated by wind-cold invasion, leading to symptoms like malaria-like chills and fever. Whenever there are external pathogens combined with internal fire, a cooling and dispersing method is required, making this formula appropriate.
Ingredients: Chai Hu (Bupleuri Radix) 2-3 qian, Huang Qin (Scutellariae Radix) 1.5 qian, Shao Yao (Paeoniae Radix Alba) 2 qian, Sheng Di Huang (Rehmanniae Radix) 1.5 qian, Chen Pi (Citri Reticulatae Pericarpium) 1.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 8 fen.
Preparation: Add 1.5 zhong of water, decoct until 0.7-0.8 zhong remains, take warm. If internal heat is severe, add Lian Qiao (Forsythiae Fructus) 1-2 qian as needed. If external pathogenic factors are severe, add Fang Feng (Saposhnikoviae Radix) 1 qian as an assistant. If pathogenic factors are constrained in the chest causing fullness and obstruction, remove Sheng Di Huang and add Zhi Shi (Aurantii Fructus Immaturus) 1-2 qian. If heat is in the Yangming channel accompanied by thirst, add Tian Hua Fen (Trichosanthis Radix) or Ge Gen (Puerariae Lobatae Radix) 1-2 qian; for severe heat, Zhi Mu (Anemarrhenae Rhizoma) and Shi Gao (Gypsum Fibrosum) may also be added.
San Chaihu Yin (See *Xin Fang Ba Zhen · San Zhen*): The number "three" corresponds to Wood, relating to the Blood aspect of the Liver channel. It is indicated for individuals with inherent deficiency of Yin, or insufficient blood in the Liver channel who accidentally contract wind-cold; or those with shallow pathogenic invasion that can be treated with both tonification and dispersion; or post-illness/postpartum colds where dispersion is necessary but Qi and Blood are too weak to expel the pathogen. This formula is suitable.
Ingredients: Chai Hu (Bupleuri Radix) 2-3 qian, Shao Yao (Paeoniae Radix Alba) 1.5 qian, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 3-5 slices, Dang Gui (Angelicae Sinensis Radix) 2 qian (replace with Shu Di Huang if loose stools occur).
Preparation: Add 1.5 zhong of water, decoct until 0.7-0.8 zhong remains, take warm. For mild chills, cough, and vomiting, add Ban Xia (Pinelliae Rhizoma) 1-2 qian.
Si Chaihu Yin (See *Xin Fang Ba Zhen · San Zhen*): The number "four" corresponds to Metal, relating to the Qi aspect. It is indicated for individuals with insufficient Yuan Qi (Original Qi), or those contracting wind-cold after enduring hunger and fatigue, or presenting with tight, rapid, fine, or thin pulses indicating Righteous Qi failing to overcome Pathogenic Factors. It is essential to support Yuan Qi while dispersing pathogens to preserve life; this formula is appropriate. If one only knows how to disperse pathogens without protecting the root, Yuan Qi will inevitably fail first; careful observation is required.
Ingredients: Chai Hu (Bupleuri Radix) 1-3 qian, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 1 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 3-7 slices, Dang Gui (Angelicae Sinensis Radix) 2-3 qian (use less if diarrhea occurs), Ren Shen (Ginseng Radix) 2-3 qian or 5-7 qian, used according to discretion.
Preparation: Add 2 zhong of water, decoct until 0.7-0.8 zhong remains, take warm. For stagnation and oppression in the chest and diaphragm, add Chen Pi (Citri Reticulatae Pericarpium) 1 qian.
Liangfang Huanglong Tang (See Supplementary Formulas for Menstrual Regulation Theory):
If anger or labor causes fire to arise internally, and the patient sweats profusely without exterior signs, Bao Yin Jian (Preserve Yin Decoction), Qing Hua Yin (Clear Transformation Decoction), or Dang Gui Liu Huang Tang (Dang Gui Six-Huang Decoction) modified should be used.
Bao Yin Jian (See Early Menstruation due to Blood Heat)
Qing Hua Yin (See Early Menstruation due to Blood Heat)
Dang Gui Liu Huang Tang (See *Gu Fang Ba Zhen · Han Zhen*): A sacred medicine for treating nocturnal sweating.
Ingredients: Dang Gui (Angelicae Sinensis Radix), Huang Qin (Scutellariae Radix - honey-fried, each 2 qian), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Prepared Rehmanniae Radix), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Huang Bai (Phellodendri Cortex) (each 1 qian).
Preparation: Add 2 zhong of water and decoct.
If the illness is gradually resolving but the patient has inherently weak Yuan Qi, with residual heat and uncontrolled bleeding, Bu Yin Yi Qi Jian (Tonify Yin and Boost Qi Decoction) or Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. If Spleen Qi is inherently weak, Gui Pi Tang (Restore the Spleen Decoction) is suitable; if both Qi and Blood are weak, Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) is appropriate to avoid error.
Bu Yin Yi Qi Jian (See *Xin Fang Ba Zhen · Bu Zhen*): This is a variation of Bu Zhong Yi Qi Tang. It treats injuries to Yin from overexertion, where Essence fails to transform into Qi, or internal deficiency of Yin leading to unresolved exterior contraction, malaria-like chills and fever, or constipation due to Yin deficiency. For conditions involving insufficiency of Yin Qi with invasion of deficient pathogens, using this formula to lift and disperse yields miraculous effects.
Ingredients: Ren Shen (Ginseng Radix) 1-3 qian, Dang Gui (Angelicae Sinensis Radix) 2-3 qian, Shan Yao (Dioscoreae Rhizoma - wine-fried) 2-3 qian, Shu Di Huang (Prepared Rehmanniae Radix) 3-5 qian or 1-2 liang, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 1 qian, Sheng Ma ( Cimicifugae Rhizoma) 3-5 fen (omit if Fire floats upward), Chai Hu (Bupleuri Radix) 1-2 qian (omit if no external pathogen exists).
Preparation: Add 2 zhong of water, add 3-7 slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until 0.8 zhong remains, take warm well after meals.
Bu Zhong Yi Qi Tang (See Irregular Menstruation)
Gui Pi Tang (See Irregular Menstruation)
Shi Quan Da Bu Tang (See Supplementary Formulas for Menstrual Regulation Theory)
If there is abundant Blood Heat with significant stasis, Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Mu Dan Pi (Moutan Cortex), Hong Hua (Carthami Flos), and Dang Gui (Angelicae Sinensis Radix) should be used.
Xiao Chai Hu Tang (See Continuous Bleeding from Metrorrhagia and Leukorrhea)