形肥经少，此痰凝经隧也。宜服二陈汤合芎归汤。
二陈汤
陈皮 半夏（制，各二钱） 茯苓 炙甘草（各一钱）
芎归汤
川芎 当归身 香附（童便制） 枳壳（各一钱，炒） 滑石（二钱）
姜为引，合二陈汤水煎服。
经多不问形肥形瘦，皆属于热。宜服增味四物汤，兼服三补丸（或单服增味四物汤亦可）。
增味四物汤
熟地黄 当归 川芎 白芍（各一钱） 黄芩 知母（酒炒） 黄连（姜汁炒） 黄柏（酒炒） 甘草（各五分）
姜为引，水煎服。
三补丸
黄芩（酒炒） 黄柏（酒炒） 黄连
蜜丸白汤下。
经来如猪肝水，五心烦热，腰腹疼痛，面黄肌瘦，不思
饮食，此气血皆虚也。先用黄芩汤退其烦热，后用调经丸调其气血。
黄芩汤
黄芩（六分） 当归（一钱） 川芎（八分） 天花粉 知母（酒炒） 苍术 白芍（各七分）
水煎服。（一方无苍术、白芍，有甘草七分）
调经丸
生地黄 熟地黄 当归 白芍 三棱 蓬术 玄胡索 白茯苓（各一两） 川芎 砂仁 乌药（各八钱，炒）
香附（一两二钱） 大茴 小茴（各二两）
共为末，粳米糊丸，如梧子大，每服百丸，酒下。
经来如屋漏水，头昏目眩，小腹作痛，更兼白带，咽中臭如鱼腥，恶心吐逆，此血虚有热也。先用理经四
物汤，次用内补当归丸。
理经四物汤
川芎 当归 白芍 生地黄 白术（蜜炙） 柴胡 香附（童便制） 玄胡索（各一钱） 黄芩 三棱（各八分）
水煎临卧服。
内补当归丸
续断 阿胶（炒） 蒲黄（炒黑） 肉苁蓉（酒浸焙） 浓朴（姜汁炒） 山茱萸 白茯苓 香附（童便制）
当归 白芷（各一两） 川芎 白芍（各八钱） 甘草（炙） 干姜（各五钱） 熟地黄（一两五钱）
共为末，炼蜜为丸，白汤下八十丸，空心服。
形体肥胖而月经量少，这是由于痰湿凝结阻滞了经隧（输送气血的通道）。适宜服用二陈汤合芎归汤。
芎归汤
川芎、当归身、香附（童便制）、枳壳（各一钱，炒）、滑石（二钱）
以生姜为引，将两方药水煎后服用。
月经量多，不论形体肥胖还是消瘦，都属于热证。适宜服用增味四物汤，同时服用三补丸（或者单独服用增味四物汤也可以）。
增味四物汤
熟地黄、当归、川芎、白芍（各一钱）、黄芩、知母（酒炒）、黄连（姜汁炒）、黄柏（酒炒）、甘草（各五分）
以生姜为引，水煎后服用。
三补丸
黄芩（酒炒）、黄柏（酒炒）、黄连
制成蜜丸，用温开水送服。
月经来潮时颜色像猪肝色的水样，伴有五心烦热（手心、脚心及心胸烦热），腰部和腹部疼痛，面色萎黄，身体消瘦，不想吃东西，这是气血都虚弱的表现。先用黄芩汤退去烦热，后用调经丸调理气血。
黄芩汤
黄芩（六分）、当归（一钱）、川芎（八分）、天花粉、知母（酒炒）、苍术、白芍（各七分）
水煎后服用。（另一版本没有苍术、白芍，但有甘草七分）
调经丸
生地黄、熟地黄、当归、白芍、三棱、蓬术（莪术）、玄胡索（延胡索）、白茯苓（各一两）、川芎、砂仁、乌药（各八钱，炒）、香附（一两二钱）、大茴（大茴香）、小茴（小茴香，各二两）
共同研成细末，用粳米糊制作成丸剂，大小如梧桐子，每次服用一百丸，用酒送下。
月经来潮时像屋漏下的雨水一样淋漓不断，头晕目眩，小腹疼痛，兼有白带，咽喉中有鱼腥味，恶心呕吐，这是血虚且有热的表现。先用理经四物汤，接着用内补当归丸。
理经四物汤
川芎、当归、白芍、生地黄、白术（蜜炙）、柴胡、香附（童便制）、玄胡索（各一钱）、黄芩、三棱（各八分）
水煎后临睡前服用。
内补当归丸
续断、阿胶（炒）、蒲黄（炒黑）、肉苁蓉（酒浸焙）、浓朴（厚朴，姜汁炒）、山茱萸、白茯苓、香附（童便制）、当归、白芷（各一两）、川芎、白芍（各八钱）、甘草（炙）、干姜（各五钱）、熟地黄（一两五钱）
共同研成细末，用炼蜜制作成丸剂，每次服用八十丸，空腹时用温开水送服。
When the body is obese but menstruation is scanty, this is due to phlegm condensation obstructing the Jing-tong (channels transporting Qi and Blood). It is appropriate to take Erchen Tang (Two-Chen Decoction) combined with Xionggui Tang.
Erchen Tang (Two-Chen Decoction)
Chenpi (Aged Tangerine Peel), Banxia (Pinellia Rhizome, processed), each 2 qian; Fuling (Poria), Zhigancao (Honey-fried Licorice Root), each 1 qian.
Xionggui Tang (Szechwan Lovage and Angelica Decoction)
Chuanxiong (Szechwan Lovage Rhizome), Dangguishen (Angelica Sinensis Root tip), Xiangfu (Cyperus Rhizome, prepared with child's urine), Zhike (Bitter Orange Fruit), each 1 qian, stir-fried; Huashi (Talcum), 2 qian.
Use fresh ginger as a guide, decoct both formulas together in water, and take orally.
Excessive menstrual flow, regardless of whether the body is obese or thin, belongs to Heat syndrome. It is appropriate to take Zengwei Siwu Tang (Modified Four-Substance Decoction) and concurrently take Sanbu Wan (Three-Tonic Pill) (or taking Zengwei Siwu Tang alone is also acceptable).
Zengwei Siwu Tang (Modified Four-Substance Decoction)
Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Chuanxiong (Szechwan Lovage Rhizome), Baishao (White Peony Root), each 1 qian; Huangqin (Scutellaria Root), Zhimu (Anemarrhena Rhizome, fried with wine), Huanglian (Coptis Rhizome, stir-fried with ginger juice), Huangbai (Phellodendron Bark, fried with wine), Gancao (Licorice Root), each 5 fen.
Use fresh ginger as a guide, decoct in water, and take orally.
Sanbu Wan (Three-Tonic Pill)
Huangqin (Scutellaria Root, fried with wine), Huangbai (Phellodendron Bark, fried with wine), Huanglian (Coptis Rhizome).
Make into honey pills, take with warm water.
Menstrual blood resembling dark red water like pig liver, accompanied by five-palm heat (heat sensation in palms, soles, and chest), pain in the waist and abdomen, sallow complexion, emaciation, and loss of appetite, indicates deficiency of both Qi and Blood. First use Huangqin Tang (Scutellaria Decoction) to clear the vexatious heat, then use Tiaojing Wan (Regulating Menses Pill) to regulate Qi and Blood.
Huangqin Tang (Scutellaria Decoction)
Huangqin (Scutellaria Root), 6 fen; Danggui (Angelica Sinensis), 1 qian; Chuanxiong (Szechwan Lovage Rhizome), 8 fen; Tianhuafen (Trichosanthes Root), Zhimu (Anemarrhena Rhizome, fried with wine), Cangzhu (Atractylodes Rhizome), Baishao (White Peony Root), each 7 fen.
Decoct in water and take orally. (Another prescription omits Cangzhu and Baishao but includes Gancao 7 fen).
Tiaojing Wan (Regulating Menses Pill)
Shengdihuang (Rehmannia Root), Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Baishao (White Peony Root), Sanleng (Sparganium Rhizome), Pengzhu (Curcuma Rhizome), Xuanshusuo (Cyathulae Radix/often refers to Yanhusuo/Corydalis Rhizome in this context, here likely Corydalis), Baifuling (Poria), each 1 liang; Chuanxiong (Szechwan Lovage Rhizome), Sharen (Amomum Fruit), Wuyao (Lindera Root), each 8 qian, stir-fried; Xiangfu (Cyperus Rhizome), 1 liang 2 qian; Dahuai (Star Anise), Xiaohuai (Fennel Fruit), each 2 liang.
Grind all into powder, make pills using rice paste, size of wutong seeds. Take 100 pills per dose with wine.
Menstrual flow dripping continuously like leaky roof water, dizziness, vertigo, lower abdominal pain, accompanied by leukorrhea, foul odor in the throat like fish, nausea, and vomiting, indicates Blood deficiency with Heat. First use Lijing Siwu Tang (Regulating Menses Four-Substance Decoction), followed by Neibu Danggui Wan (Internal Tonifying Angelica Pill).
Lijing Siwu Tang (Regulating Menses Four-Substance Decoction)
Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Baishao (White Peony Root), Shengdihuang (Rehmannia Root), Baizhu (Atractylodes Macrocephala Rhizome, honey-fried), Chaihu (Bupleurum Root), Xiangfu (Cyperus Rhizome, prepared with child's urine), Xuanshusuo (Corydalis Rhizome), each 1 qian; Huangqin (Scutellaria Root), Sanleng (Sparganium Rhizome), each 8 fen.
Decoct in water and take before retiring for sleep.
Neibu Danggui Wan (Internal Tonifying Angelica Pill)
Xuduan (Dipsacus Root), Ejiao (Donkey-hide Gelatin, fried), Puhuang (Typha Pollen, stir-fried until black), Roushourong (Cistanche Stem), Houpo (Magnolia Bark, stir-fried with ginger juice), Shanzhuyu (Cornus Fruit), Baifuling (Poria), Xiangfu (Cyperus Rhizome, prepared with child's urine), Danggui (Angelica Sinensis), Baizhi (Angelica Dahurica Root), each 1 liang; Chuanxiong (Szechwan Lovage Rhizome), Baishao (White Peony Root), each 8 qian; Zhigancao (Honey-fried Licorice Root), Jiangjiang (Dried Ginger), each 5 qian; Shudihuang (Prepared Rehmannia Root), 1 liang 5 qian.
Grind all into powder, make pills using refined honey. Take 80 pills per dose with warm water on an empty stomach.