经来怒气触阻，逆血攻心，不知人事，狂言谵语，如见鬼神。先服麝香散，定其心志；后服茯神丸，以除
其根。
麝香散
麝香 甘草 辰砂（各三分，水飞） 木香（不见火） 人参 茯神 桔梗 柴胡（各八分） 远志
（一钱，制）
研末，白汤调服二钱。
茯神丸
茯神 茯苓 远志（各八钱，制） 砂仁（三钱）
粳米糊丸，如绿豆大，金银汤下五十丸。
月经将临，伤食椒姜辛热毒物，热攻五脏，变作痢疾，诸药不效，宜服甘连汤二三剂。
甘连汤
甘草（五分） 黄连（二钱，姜制） 水煎服。
妇人伤寒，或劳役或怒气，身体发热，适遇经行，以致热入血室，或血不止，或血不行，昼则安静，夜则
谵语，如
见鬼神者是也。若热因外邪由表而入者，宜一柴胡饮；若或怒或劳，火由内生，其人多汗而无表证者，宜清
化饮；若病虽渐愈而元气素弱，热未退，血未止者，宜补阴益气煎；若脾气素虚者，宜归脾汤；若血热多滞者，
宜加味柴胡汤。
柴胡饮
柴胡 白芍（各二钱） 黄芩 生地黄 陈皮（各一钱五分） 甘草（八分）
水一钟半，煎七分，温服。如内热甚者，加连翘（去心）一钱。外邪甚者，加防风一钱；热在阳明而兼渴
者，加天花粉一钱，或葛根一钱。
清化饮
白芍 麦冬（去心，各二钱） 牡丹皮 茯苓 黄芩 生地黄（各一钱） 石斛（七分）
水一钟半，煮七分，食远温服。如骨蒸多汗，加地骨皮一钱五分；如兼外邪发热，加柴胡一钱；热甚头痛
者，加石膏一钱，小便闭涩者，加木通一钱。
补阴益气煎
人参 当归 山药（酒炒，各二钱） 熟地黄（三钱） 陈皮 炙甘草 柴胡（各一钱） 升麻（炒，三分）
水二钟，加生姜三五片，煎八分，食远温服。如无外邪，除去柴胡；如火浮于上，除去升麻。
归脾汤
人参 黄 （炙） 白术（蜜炙） 茯苓 枣仁（各二钱） 远志（制） 当归（各一钱） 木香 炙甘草
（各五分）
水二钟，加圆眼肉七枚，煎七分服。
加味柴胡汤
柴胡 半夏（制） 黄芩 人参（各一钱） 牡丹皮 当归（各七分） 红花 甘草（各四分）
姜三片，枣二枚，水煎服。
月经来潮时，因愤怒导致气机阻滞，逆乱之血上攻于心，致使神志昏迷，胡言乱语，仿佛看见鬼神。应先服用麝香散，以安定心神；随后服用茯神丸，以清除病根。
麝香散
麝香、甘草、辰砂（各三分，水飞法研磨）、木香（不经过火炒）、人参、茯神、桔梗、柴胡（各八分）、远志（一钱，经炮制）。
研成细末，用白开水调服二钱。
茯神丸
茯神、茯苓、远志（各八钱，经炮制）、砂仁（三钱）。
用粳米糊制作药丸，大小如绿豆，用金银煎汤送服五十丸。
月经即将来潮时，若食用了花椒、生姜等辛热有毒的食物，热气攻犯五脏，转变为痢疾，其他药物无效，适宜服用甘连汤二三剂。
甘连汤
甘草（五分）、黄连（二钱，姜汁炮制）。
加水煎煮后服用。
妇女患伤寒，或因劳累、或因愤怒，身体发热，恰逢月经来潮，导致热邪陷入血室，出现经血不止或经血不通的情况，白天神志安静，夜间则胡言乱语，仿佛看见鬼神，这就是热入血室的证候。如果热邪是因外感邪气从体表传入的，适宜使用一柴胡饮；如果是因愤怒或劳累，火热由内生发，患者多汗且无表证的，适宜使用清化饮；如果病情虽逐渐好转但元气素来虚弱，热势未退、经血未止的，适宜使用补阴益气煎；如果脾气素来虚弱的，适宜使用归脾汤；如果血热且瘀滞较多的，适宜使用加味柴胡汤。
柴胡饮
柴胡、白芍（各二钱）、黄芩、生地黄、陈皮（各一钱五分）、甘草（八分）。
加水一钟半，煎至七分，温服。如果内热严重的，加连翘（去心）一钱。如果外邪严重的，加防风一钱；如果热在阳明经兼有口渴的，加天花粉一钱，或者葛根一钱。
清化饮
白芍、麦冬（去心，各二钱）、牡丹皮、茯苓、黄芩、生地黄（各一钱）、石斛（七分）。
加水一钟半，煮至七分，饭后稍久温服。如果出现骨蒸潮热、多汗的，加地骨皮一钱五分；如果兼有外邪发热的，加柴胡一钱；如果热盛头痛的，加石膏一钱；如果小便闭塞涩痛的，加木通一钱。
补阴益气煎
人参、当归、山药（酒炒，各二钱）、熟地黄（三钱）、陈皮、炙甘草、柴胡（各一钱）、升麻（炒，三分）。
加水二钟，加入生姜三五片，煎至八分，饭后稍久温服。如果没有外邪，去掉柴胡；如果火气浮越于上部，去掉升麻。
归脾汤
人参、黄芪（炙）、白术（蜜炙）、茯苓、酸枣仁（各二钱）、远志（炮制）、当归（各一钱）、木香、炙甘草（各五分）。
加水二钟，加入桂圆肉七枚，煎至七分服用。
加味柴胡汤
柴胡、半夏（炮制）、黄芩、人参（各一钱）、牡丹皮、当归（各七分）、红花、甘草（各四分）。
加生姜三片，大枣二枚，加水煎煮后服用。
During menstruation, anger causes Qi stagnation and obstruction, leading to rebellious blood attacking the Heart, resulting in loss of consciousness, delirious speech, and hallucinations of seeing ghosts or deities. First, administer Shexiang San (Musk Powder) to stabilize the mind; subsequently, administer Fushen Wan (Poria Pill) to eliminate the root cause.
Shexiang San (Musk Powder)
She Xiang (Moschus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Sha (Cinnabaris), Mu Xiang (Aucklandiae Radix), Ren Shen (Ginseng Radix et Rhizoma), Fu Shen (Poria cum Radice), Jie Geng (Platycodonis Radix), Chai Hu (Bupleuri Radix) [each 3 fen, processed by water levigation]; Yuan Zhi (Polygalae Radix) [1 qian, prepared].
Grind into powder, mix with warm water, and take 2 qian orally.
Fushen Wan (Poria Pill)
Fu Shen (Poria cum Radice), Fu Ling (Poria), Yuan Zhi (Polygalae Radix) [each 8 qian, prepared]; Sha Ren (Amomi Fructus) [3 qian].
Make pills using rice paste, size of mung beans, take 50 pills with decoction of gold and silver.
When menstruation is about to commence, if one consumes pungent, hot, and toxic foods such as Sichuan pepper and ginger, heat attacks the Five Zang Organs, transforming into dysentery. If other medicines are ineffective, Gan Lian Tang (Licorice and Coptis Decoction) should be administered for two to three doses.
Gan Lian Tang (Licorice and Coptis Decoction)
Gan Cao (Glycyrrhizae Radix et Rhizoma) [5 fen]; Huang Lian (Coptidis Rhizoma) [2 qian, prepared with ginger juice].
Decoct in water and take orally.
In women suffering from Taiyang disease (Cold Damage), due to overwork or anger, with body fever occurring simultaneously with menstruation, heat enters the Blood Chamber (Xue Shi). This may result in continuous bleeding or cessation of flow. The patient remains calm during the day but becomes delirious at night, hallucinating ghosts or deities. If the heat enters via external pathogens from the exterior, Yi Chai Hu Yin (Single Bupleurum Decoction) is indicated. If the fire arises internally due to anger or fatigue, accompanied by sweating and absence of exterior syndrome, Qing Hua Yin (Clearing and Transforming Decoction) is indicated. If the condition is gradually improving but the original Qi is weak, with heat not subsided and bleeding not stopped, Bu Yin Yi Qi Jian (Nourishing Yin and Augmenting Qi Decoction) is indicated. If the Spleen Qi is inherently deficient, Gui Pi Tang (Restore the Spleen Decoction) is indicated. If there is excessive blood heat with stasis, Jia Wei Chai Hu Tang (Modified Bupleurum Decoction) is indicated.
Chai Hu Yin (Bupleurum Decoction)
Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba) [each 2 qian]; Huang Qin (Scutellariae Radix), Sheng Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium) [each 1.5 qian]; Gan Cao (Glycyrrhizae Radix et Rhizoma) [8 fen].
Decoct 1.5 zhong of water until 0.7 zhong remains, take warm. For severe internal heat, add Lian Qiao (Forsythiae Fructus, heart removed) [1 qian]. For severe external pathogens, add Fang Feng (Saposhnikoviae Radix) [1 qian]. For heat in the Yangming channel with thirst, add Tian Hua Fen (Trichosanthis Radix) [1 qian] or Ge Gen (Puerariae Lobatae Radix) [1 qian].
Qing Hua Yin (Clearing and Transforming Decoction)
Bai Shao (Paeoniae Radix Alba), Mai Dong (Ophiopogonis Radix, heart removed) [each 2 qian]; Mu Dan Pi (Moutan Cortex), Fu Ling (Poria), Huang Qin (Scutellariae Radix), Sheng Di Huang (Rehmanniae Radix) [each 1 qian]; Shi Hu (Dendrobii Caulis) [7 fen].
Decoct 1.5 zhong of water until 0.7 zhong remains, take warm after meals. For bone-steaming fever and profuse sweating, add Di Gu Pi (Lycii Cortex) [1.5 qian]. For concurrent external pathogen fever, add Chai Hu (Bupleuri Radix) [1 qian]. For severe heat with headache, add Shi Gao (Gypsum Fibrosum) [1 qian]. For urinary retention and difficulty, add Mu Tong (Akebiae Caulis) [1 qian].
Bu Yin Yi Qi Jian (Nourishing Yin and Augmenting Qi Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Shan Yao (Dioscoreae Rhizoma, stir-fried with wine) [each 2 qian]; Shu Di Huang (Prepared Rehmanniae Radix) [3 qian]; Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Chai Hu (Bupleuri Radix) [each 1 qian]; Sheng Ma (Cimicifugae Rhizoma, stir-fried) [3 fen].
Decoct 2 zhong of water with 3-5 slices of Sheng Jiang (Zingiberis Rhizoma Recens), until 0.8 zhong remains, take warm after meals. Remove Chai Hu if no external pathogens; remove Sheng Ma if floating fire rises to the upper part.
Gui Pi Tang (Restore the Spleen Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, honey-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fu Ling (Poria), Suan Zao Ren (Ziziphi Spinosae Semen) [each 2 qian]; Yuan Zhi (Polygalae Radix, prepared), Dang Gui (Angelicae Sinensis Radix) [each 1 qian]; Mu Xiang (Aucklandiae Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) [each 5 fen].
Decoct 2 zhong of water with 7 pieces of Yuan Yan Rou (Longan Aril), until 0.7 zhong remains, take orally.
Jia Wei Chai Hu Tang (Modified Bupleurum Decoction)
Chai Hu (Bupleuri Radix), Ban Xia (Pinelliae Rhizoma, prepared), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix et Rhizoma) [each 1 qian]; Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix) [each 7 fen]; Hong Hua (Carthami Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma) [each 4 fen].
Add 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) and 2 dates (Jujubae Fructus), decoct in water and take orally.