治妇人气滞血积，经脉不利。痛极拒按，及产后瘀血实痛，并男妇血逆血结等证。
（三五钱） 山楂 香附 红花（新者炒黄二钱） 木香（七分） 乌药（一二钱） 青皮 泽
泻（一钱五分） 水煎。加酒一二小盅。兼寒滞者，加肉桂一钱，或吴茱萸五分。火盛内热
血燥不行者，加炒栀子一二钱。微热血虚者，加芍药二钱。血虚涩滞，加牛膝。血瘀不行者
，加桃仁二十粒。（去皮尖。）或加苏木延胡之类。瘀极而大便结燥者，加大黄一二三钱，或
朴硝蓬术亦可。
（丹溪） 治经水过期，紫黑成块。（紫，血热也。黑，热甚也。过期而成块，气
或风冷乘之也。若淡白者，虚也，或挟痰停水以混之也。如烟尘豆汁屋漏水，混浊模
湿痰也。）
四物汤（见血门。）加香附黄连。（四物以益阴养血，加黄连以清血热，香附以行气郁。）
四物加芩术汤。（亦名温六合丸。）治经水过多。（黄芩抑阳。白术补脾。脾能统血。）
四物加芩连汤。治经水适断，五心烦热，经来色黑，或如豆汁。（如豆汁者，热兼湿也。
芩
六
治经脉阻滞，气逆不调，多痛而实者。
当归（三五钱） 牛膝 山楂（二钱） 香附 青皮 茯苓（一钱五分） 如因不忌生
冷，而寒滞
药一钱。或
（绀珠） 治一切诸气。气上凑心，心胸攻筑，胁肋刺痛，月水不调。（妇人多忧
故气病为多。气为血帅，气滞则血亦不能行，故月候不调。）
香附（八钱） 乌药（二钱） 陈皮 苏叶（一钱） 干姜（五分） 每五六钱煎。
乌药陈皮，专入气分而理气。香附紫苏，能入血分而行气。引以干姜，使入气分，兼入
血分
【通瘀煎】治疗妇女气滞血积，导致经脉运行不畅。疼痛剧烈且拒绝按压，以及产后因瘀血引起的实性疼痛，还有男女气血逆乱、血液凝结等各种证候。
（用量：山楂三五钱）山楂、香附、红花（新鲜的炒至微黄，二钱）、木香（七分）、乌药（一二钱）、青皮、泽泻（一钱五分）。用水煎煮。加入酒一二小盅。兼有寒邪停滞的，加肉桂一钱，或者吴茱萸五分。火盛内热、血燥导致血液不行者，加炒栀子一二钱。微热且血虚者，加芍药二钱。血虚导致涩滞不通者，加牛膝。血瘀导致血液不行的，加桃仁二十粒。（去皮和尖端。）或者加苏木、延胡索之类的药物。瘀血极重且大便干结燥硬的，加大黄一二三钱，或者朴硝、蓬术也可以。
（朱丹溪）治疗月经过期不来，经血色紫黑并结成块状。（紫色，是血热的表现。黑色，是热势严重的表现。过期且结成块，是因为气机阻滞或风冷侵袭所致。如果颜色淡白，是虚证，或者是夹杂痰湿停水混杂其中。如烟尘、豆汁、屋顶漏下的雨水那样混浊模糊的，是湿痰。）
四物汤（见血门章节。）加香附、黄连。（四物汤用来益阴养血，加黄连来清血热，加香附来行气解郁。）
四物加芩术汤。（也叫温六合丸。）治疗月经量过多。（黄芩抑制阳热。白术补益脾气。脾能统摄血液。）
四物加芩连汤。治疗月经刚停止，五心烦热，经血颜色发黑，或者像豆汁一样。（像豆汁一样的，是热兼夹湿邪的表现。）
治疗经脉阻滞，气机逆乱不调，疼痛多且属实证的。
当归（三五钱）牛膝、山楂（二钱）、香附、青皮、茯苓（一钱五分）。如果因为不注意忌口生冷食物，而导致寒邪停滞……（原文此处有缺漏，推测为加某药一钱。或……）
（薛己/薛立斋，《绀珠集》）治疗各种气病。气向上冲凑心胸，心胸部位有撞击筑痛感，胁肋部刺痛，月经失调。（妇人大多因为忧愁思虑导致气病较多。气是血的统帅，气滞则血也不能正常运行，所以月经不调。）
香附（八钱）乌药（二钱）陈皮、苏叶（一钱）、干姜（五分）。每次取五六钱煎煮。
乌药和陈皮，专门进入气分而调理气机。香附和紫苏，能够进入血分而行气。用干姜作为引经药，使药力进入气分，同时兼入血分。
[Tongyu Decoction] Treats women with Qi stagnation and blood accumulation, resulting in unfavorable menstruation. It addresses severe pain that refuses pressure, postpartum real pain caused by blood stasis, as well as various syndromes of blood rebellion and blood knotting in both men and women.
(Usage: Hawthorn Fructus [Shanzha] 15-20g) Hawthorn Fructus (Shanzha), Cyperi Rhizoma (Xiangfu), Carthamus Flos (Honghua - use fresh ones stir-fried until yellow, 6g), Aucklandiae Radix (Muxiang - 2g), Linderae Radix (Wuyao) 3-6g, Citri Reticulatae Pericarpium (Qingpi), Alismatis Rhizoma (Zexie) 5g. Decoct in water. Add 1-2 small cups of wine. For cases complicated by cold stagnation, add Cinnamomi Cortex (Rougui) 3g, or Evodiae Fructus (Wuzhuyu) 1.5g. For cases with excessive fire, internal heat, and dry blood causing obstruction, add Gardeniae Fructus (Zhizi) stir-fried 3-6g. For cases with slight heat and blood deficiency, add Paeoniae Radix Alba (Shaoyao) 6g. For blood deficiency causing astringency and stagnation, add Achyranthis Bidentatae Radix (Niuxi). For blood stasis causing obstruction, add Persicae Semen (Taoren) 20 grains. (Remove skin and tips.) Alternatively, add Sappan Lignum (Sumu) or Corydalis Rhizoma (Yanhusuo). For extreme blood stasis accompanied by dry and hard stool, add Rheii Radix et Rhizoma (Dahuang) 3-9g, or Natrii Sulfas (Piaoxiao) and Curcumae Zedoariae Rhizoma (Pengzhu) are also acceptable.
(Zhu Danxi) Treats delayed menstruation where the blood is purple-black and forms clots. (Purple indicates blood heat. Black indicates severe heat. Delayed onset with clot formation suggests Qi stagnation or invasion of wind-cold. If pale white, it indicates deficiency, or mixing with phlegm-fluid retention. Turbid and muddy like smoke dust, bean juice, or roof leak water indicates damp-phlegm.)
Siwu Tang (See Blood Section) added with Cyperi Rhizoma (Xiangfu) and Scutellariae Radix (Huanglian). (Siwu Tang nourishes Yin and benefits blood; Huanglian clears blood heat; Xiangfu moves Qi and resolves depression.)
Siwu Tang plus Huangqin and Baizhu Decoction. (Also known as Wenliuhe Pill.) Treats menorrhagia. (Scutellariae Radix suppresses Yang heat. Atractylodis Macrocephalae Rhizoma tonifies Spleen Qi. The Spleen controls blood.)
Siwu Tang plus Huangqin and Huanglian Decoction. Treats amenorrhea just after cessation, with five-palm heat, dark menstrual blood, or blood resembling bean juice. (Resembling bean juice indicates heat combined with dampness.)
Treats obstructed meridians, rebellious and unregulated Qi, characterized by frequent pain and excess syndromes.
Angelicae Sinensis Radix (Danggui) 15-20g, Achyranthis Bidentatae Radix (Niuxi), Hawthorn Fructus (Shanzha) 6g, Cyperi Rhizoma (Xiangfu), Citri Reticulatae Pericarpium (Qingpi), Poria (Fuling) 5g. If due to failure to avoid raw and cold foods leading to cold stagnation... [Text incomplete] ...medicine 3g. Or...
(Xue Ji, *Ganzhu Ji*) Treats all kinds of Qi disorders. Qi rushing up to the heart and chest, pounding sensations in the chest and hypochondrium, stabbing pain in the ribs, and irregular menstruation. (Women often suffer from Qi disorders due to worry and overthinking. Qi is the commander of blood; when Qi stagnates, blood cannot flow smoothly, hence irregular menstruation.)
Cyperi Rhizoma (Xiangfu) 24g, Linderae Radix (Wuyao) 6g, Citri Reticulatae Pericarpium (Chenpi), Perillae Folium (Suye) 3g, Zingiberis Rhizoma Recens (Ganjiang) 1.5g. Decoct 15-20g per dose.
Linderae Radix and Citri Reticulatae Pericarpium specifically enter the Qi level to regulate Qi. Cyperi Rhizoma and Perillae Folium can enter the Blood level to move Qi. Using Zingiberis Rhizoma Recens as a guiding herb allows the medicine to enter the Qi level and simultaneously the Blood level.