加味八珍汤（妇九四 补虚调经） 调味养营汤（妇九五 退热调经） 《金匮》胶艾汤（
妇九三 劳伤经血不止） 《良方》当归散（妇九六 妄行不止） 四物二连汤（妇百十三 血
虚内热） 补肝散（妇九二 虚弱不调） 益阴肾气丸（补一二三 血虚不调） 丹参散（妇九七
调经止血） 琥珀散（妇百二 逐瘀通经） 白芷散（妇一二六 固经） 《良方》黄龙汤（妇
八五 经后外感） 《良方》人参汤（妇七七 补虚调经） 十全大补汤（补二十 温补气血）
六物煎（新因二十 虚补最妙）
凡血热者，多有先期而至，然必察其阴气之虚实。若形色多赤，或紫而浓，或去多，其
脉洪滑，其脏气、饮食喜冷畏热，皆火之类也。
治血热有火者，宜清化饮主之。若火之甚者，如抽薪饮之类亦可暂用，但不可以假火作
真火，以虚火作实火也。大都热则善流而愆期不止者，如续断、地榆、丹参、茜根、栀子之
属皆可用。若微火阴虚而经多早者，治宜滋阴清火，用保阴煎之类主之。所谓经早者，当以
每月大概论。所谓血热者，当以通身脏象论。勿以素多不调，而偶见先期者为早；勿以脉证
无火，而单以经早者为热。若脉证无火，而经早不及期者，乃其心脾气虚，不能固摄而然，
宜大营煎、大补丸煎，或五福饮加杜仲、五味子之类主之。此辈极多，若作火治，必误之矣
。若一月二三至，或半月、或旬日而至者，此血气败乱之证，当因其寒热而调治之，不得以
经早者并论。
加味八珍汤（妇女卷九十四 补虚调经） 调味养营汤（妇女卷九十五 退热调经） 《金匮要略》胶艾汤（妇女卷九十三 劳伤导致经血不止） 《良方》当归散（妇女卷九十六 妄行不止） 四物二连汤（妇女卷一百十三 血虚内热） 补肝散（妇女卷九十二 虚弱不调） 益阴肾气丸（补损卷一百二十三 血虚不调） 丹参散（妇女卷九十七 调经止血） 琥珀散（妇女卷一百二 逐瘀通经） 白芷散（妇女卷一百二十六 固经） 《良方》黄龙汤（妇女卷八十五 经后外感） 《良方》人参汤（妇女卷七十七 补虚调经） 十全大补汤（补损卷二十 温补气血） 六物煎（新因卷二十 虚证补益最为巧妙）
凡是血热的人，月经大多会提前到来，但必须观察其阴气的虚实情况。如果经血色多鲜红，或紫黑浓稠，或经量过多，脉象洪大滑数，脏腑之气和饮食喜好冷饮而畏惧热食，这些都属于火邪的范畴。
治疗血热有火者，适宜用清化饮作为主方。如果火势很重的，如抽薪饮之类的方剂也可以暂时使用，但不能把假火当作真火，也不能把虚火当作实火来对待。一般来说，热邪容易导致血液流动过快而经期延长不止，像续断、地榆、丹参、茜草根、栀子这类药物都可以使用。如果是轻微的火热且阴虚导致月经量多且提前的，治疗应当滋阴降火，用保阴煎之类的主方。所谓“经早”（月经提前），应当以每个月的大致规律来判断。所谓“血热”，应当从全身脏腑的表现来综合判断。不要因为平时经常月经不调，而偶尔出现一次提前的情况就认为是经早；也不要因为脉象和症状没有火象，而仅仅因为月经提前就判定为血热。如果脉象和症状都没有火象，但月经提前不到期，这是心脾气虚，不能固摄血液所致，适宜用大营煎、大补丸煎，或者在五福饮中加入杜仲、五味子之类的主方。这种情况非常多见，如果把它当作火证来治疗，必定会造成误诊。如果一个月来两三次，或者半个月、甚至十天就来一次，这是血气败乱的病证，应当根据寒热的不同进行调理治疗，不能简单地将其归为月经提前一类而论治。
Jiawei Buzhong Yiqi Tang (Women's Volume 94: Tonifying Deficiency and Regulating Menstruation) Tiaowei Yangying Tang (Women's Volume 95: Reducing Heat and Regulating Menstruation) *Jinkui Yaolue* Jiao'ai Tang (Cervix Decoction, Women's Volume 93: Labor injury causing continuous uterine bleeding) *Liangfang* Danggui San (Angelica Powder, Women's Volume 96: Irregular excessive bleeding) Siwu Erlian Tang (Four Substances with Two Lian Decoction, Women's Volume 113: Blood deficiency with internal heat) Bugan San (Liver-Tonifying Powder, Women's Volume 92: Weakness and irregular menstruation) Yiyin Shenqi Wan (Yin-Nourishing Kidney-Energy Pill, Tonification Volume 123: Blood deficiency and irregular menstruation) Danshen San (Salvia Powder, Women's Volume 97: Regulating menstruation and stopping bleeding) Hupo San (Amber Powder, Women's Volume 102: Expelling stasis and unblocking menstruation) Baizhi San (Angelica Dahurica Powder, Women's Volume 126: Stabilizing the menses) *Liangfang* Huanglong Tang (Yellow Dragon Decoction, Women's Volume 85: External contraction after menstruation) *Liangfang* Renshen Tang (Ginseng Decoction, Women's Volume 77: Tonifying deficiency and regulating menstruation) Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction, Tonification Volume 20: Warming and tonifying Qi and Blood) Liuwu Jian (Six Ingredients Decoction, New Causes Volume 20: Excellent for tonifying deficiency)
In cases of Blood Heat, menstruation often arrives early; however, one must always examine the deficiency or excess of Yin Qi. If the menstrual blood is predominantly red, or purple and thick, or if the flow is heavy, and the pulse is surging and slippery, and the organ systems and dietary preferences favor cold drinks while fearing heat, these are all indications of Fire pathogenic factors.
For treating Blood Heat accompanied by Fire, Qinghua Yin (Clearing and Transforming Drink) should be used as the primary formula. If the Fire is severe, formulas such as Chouxin Yin (Drawing Out the Firewood Drink) may also be used temporarily, but one must not mistake false Fire for true Fire, nor treat deficient Fire as excess Fire. Generally, when Heat causes blood to flow freely and excessively, leading to prolonged menstruation, herbs such as Xu Duan (Radix Dipsaci), Di Yu (Sanguisorbae Radix), Dan Shen (Salviae Miltiorrhizae Radix), Qian Gen (Rubiae Radix et Rhizoma), and Zhi Zi (Gardeniae Fructus) can be employed. In cases of mild Fire due to Yin deficiency resulting in heavy and early menstruation, treatment should focus on nourishing Yin and clearing Heat, using Bao Yin Jian (Preserving Yin Decoction) as the main formula. The term "early menstruation" refers to the general monthly pattern. The term "Blood Heat" should be determined by examining the manifestations of the entire body's Zang-Fu organs. Do not diagnose early menstruation simply because a patient who usually has irregular cycles occasionally presents with an early period. Do not diagnose Blood Heat solely based on early menstruation if the pulse and symptoms show no signs of Fire. If there are no signs of Fire in the pulse and symptoms, yet menstruation arrives early, this is due to deficiency of Heart and Spleen Qi failing to secure and control the blood. In such cases, Daying Jian (Great Camp Decoction), Dabu Wan Jian (Great Tonifying Pill Decoction), or Wufu Yin (Five Blessings Drink) supplemented with Du Zhong (Eucommiae Cortex) and Wu Wei Zi (Schisandrae Fructus) should be used. Such cases are very common; if treated as a Fire syndrome, it will inevitably lead to misdiagnosis. If menstruation occurs two or three times a month, or every half-month, or even every ten days, this indicates a disorder of chaotic Qi and Blood. Treatment should be adjusted according to Cold or Heat patterns and should not be lumped together under the category of simple early menstruation.