妇人四十六七岁，肝肾二经气血方损，胁胀作痛，或头昏目眩、憎寒壮热，或遍身作痛经闭不通，或出盗
汗，寝成痨瘵。补肝煎主之。
补肝煎
熟地黄 白术（蜜炙，各一钱） 枣仁（炒） 独活（各一钱五分） 当归 川芎 黄 （炒） 山药
（姜汁炒） 五味子（炒杵） 山茱萸（去核） 木瓜（各五分） 枣（二枚）
水煎服。
妇人四十七八岁，经水将断之年，多有渐见阻隔。临期而经不至者，当此之时，最宜谨防，细心体察。如
果气血和平，素无他疾，此固渐止，而然无足虑也。若素多忧郁不调之患，而见此过期阻隔，便是崩漏之兆。
若阻隔日近者，其崩漏尚轻，阻隔日远者，其崩漏必甚，宜预服八珍汤以调之。否则恐其郁久，而崩则为患滋
大也。
八珍汤
人参 茯苓 白术（蜜炙） 甘草（蜜炙） 熟地黄 当归 川芎 白芍（各一钱）
姜三片，枣二枚，水煎服。
妇人二七而天癸，至七七而天癸竭，此其常也。乃四十九五十岁天癸犹不竭，而月经仍旧根据期而行不见他
证者，血有余也，不可用药止之。若天癸已过期，经行不匀，或三四月不行，或一月再至而腰腹疼痛者，宜服
当归散。
当归散
当归 川芎 白芍（炒） 条芩（炒，各一两） 白术（蜜炙，五钱）
为末，每服二钱。酒调，日服二次。
妇女到了四十六七岁，肝肾两经的气血开始亏损，出现胁肋胀满疼痛，或者头晕目眩、怕冷高热，或者全身疼痛且月经闭止不通，或者出盗汗，久而久之形成虚劳病证。用补肝煎主治。
补肝煎
熟地黄 白术（蜜炙，各一钱） 酸枣仁（炒） 独活（各一钱五分） 当归 川芎 黄芩（炒） 山药（姜汁炒） 五味子（炒捣碎） 山茱萸（去核） 木瓜（各五分） 大枣（二枚）
用水煎服。
妇女到了四十七八岁，是月经即将断绝的年纪，大多会逐渐出现经行阻隔的情况。临近经期而月经不来的，在这个时候，最应该小心防范，仔细体察。如果气血平和，平时没有其他疾病，这确实是逐渐停止的表现，不足为虑。如果平时多有忧郁不调的毛病，而出现这种过期经行阻隔，就是崩漏的先兆。如果阻隔的时间越来越近，那么崩漏的症状还较轻；如果阻隔的时间越来越远，那么崩漏的症状必然严重，应当预先服用八珍汤来调理。否则恐怕郁结日久，导致崩漏成为更大的祸患。
八珍汤
人参 茯苓 白术（蜜炙） 甘草（蜜炙） 熟地黄 当归 川芎 白芍（各一钱）
生姜三片，大枣二枚，用水煎服。
妇女十四岁左右天癸至，四十九岁左右天癸竭，这是正常的规律。然而四十九五十岁时天癸还没有枯竭，月经仍然按期而行，没有见到其他症状的，这是血有余的表现，不可用药强行止住。如果天癸已过，月经运行不匀，或者三四个月不来，或者一个月来两次并且伴有腰腹疼痛的，适宜服用当归散。
Women at the age of forty-six or forty-seven experience a decline in Qi and Blood in the Liver and Kidney meridians, presenting with distension and pain in the hypochondrium, dizziness and vertigo, aversion to cold with high fever, body-wide pain accompanied by amenorrhea, night sweats, which may eventually develop into consumptive disease (Lao Zhai). Bu Gan Jian (Tonify the Liver Decoction) is the primary formula.
Bu Gan Jian (Tonify the Liver Decoction)
Shu Di Huang (Prepared Rehmanniae Radix), Bai Zhu (Atractylodis Rhizoma, honey-fried, each 1 qian), Suan Zao Ren (Ziziphi Spinosae Semen, fried), Du Huo (Angelicae Pubescentis Radix, each 1.5 qian), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix, fried), Shan Yao (Dioscoreae Rhizoma, stir-fried with ginger juice), Wu Wei Zi (Schisandrae Chinensis Fructus, fried and crushed), Shan Zhu Yu (Corni Fructus, pitted), Mu Gua (Chaenomelis Fructus, each 0.5 qian), Da Zao (Jujubae Fructus, 2 pieces).
Decoct in water and take orally.
At the age of forty-seven or forty-eight, women are in the year when menstruation is about to cease, often gradually experiencing obstruction of menstrual flow. When the period approaches but menstruation does not arrive, one must be most vigilant and observe carefully. If Qi and Blood are harmonious and there are no other chronic diseases, this gradual cessation is normal and causes no concern. However, if the patient has a history of depression and irregular menstruation, such delayed obstruction indicates an impending sign of metrorrhagia and metrostaxis (Beng Lou). If the interval between periods shortens daily, the bleeding will be mild; if the interval lengthens daily, the bleeding will be severe. It is advisable to pre-administer Ba Zhen Tang (Eight Treasure Decoction) to regulate the condition. Otherwise, prolonged stagnation may lead to severe complications from metrorrhagia.
Ba Zhen Tang (Eight Treasure Decoction)
Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Rhizoma, honey-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba, each 1 qian).
Add three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and two pieces of Da Zao (Jujubae Fructus), decoct in water and take orally.
Menstruation begins at around fourteen years old (Two Sevens) when Tian Gui arrives, and ceases at around forty-nine years old (Seven Sevens) when Tian Gui exhausts; this is the normal physiological course. However, if at forty-nine or fifty years old, Tian Gui has not yet exhausted and menstruation continues regularly without other symptoms, it indicates an excess of Blood, and medication should not be used to forcibly stop it. If Tian Gui has passed its time, menstruation becomes irregular, such as missing for three or four months or occurring twice in one month accompanied by lower back and abdominal pain, Dang Gui San (Angelica Powder) is appropriate.
Dang Gui San (Angelica Powder)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba, fried), Huang Qin (Scutellariae Radix, fried, each 1 liang), Bai Zhu (Atractylodis Rhizoma, honey-fried, 5 qian).
Grind into powder. Take 2 qian per dose, mixed with wine. Administer twice daily.