妇人有数月一行经者，每以为常，亦无或先或后之异，亦无或多或少之殊，人莫不以为异，而不知非异也。盖无
病之人，气血两不亏损耳。然嗜欲损夭之人，亦复甚多，又不可不立一疗救之方以辅之，
方名助仙丹
白茯苓（五钱） 陈皮（五钱） 白术（三钱，土炒） 白芍（三钱，酒炒） 山药（三钱，炒） 菟丝子（二钱，
酒炒） 杜仲（一钱，炒黑） 甘草（一钱）
河水煎服。四剂而仍如其旧，不可再服也。此方平补之中，实有妙理。健脾益肾而不滞，解郁清痰而不泄，不
损天然之气血，便是调经之大法，何得用他药以冀通经哉！
眉批∶曾见妇人一年一行经，身健无恙，妊娠后反月月行经，或至五月至七月经止不等，言男皆成人，咸以
为异，或亦仙骨之所致乎？抑造化令人不测也。
歌括∶经水数月一行焉，此是妇人骨自仙。
虽然天生仙骨者，岂无嗜欲损天然。
助仙丹中茯陈煎，白芍白术菟丝联。
山药杜仲与甘草，河水煎服四剂痊。
妇人有年五十外或六、七十岁忽然行经者，或下紫血块、或如红血淋，人或谓老妇行经，是还少之象，谁知是
血崩之渐乎！夫妇人至七七之外，天癸已竭，又不服济阴补阳之药，如何能精满化经，一如少妇。然经不宜行而行
者，乃肝不藏脾不统之故也，非精过泄而动命门之火，即气郁甚而发龙雷之炎，二火交发，而血乃奔矣，有似行经
而实非经也。此等之症，非大补肝脾之气与血，而血安能骤止。
方用安老汤
人参（一两） 黄 （一两，生用） 大熟地（一两，九蒸） 白术（五钱，土炒） 当归（五钱，酒洗） 山萸
（五钱，蒸） 阿胶（一钱，蛤粉炒） 黑芥穗（一钱） 甘草（一钱） 香附（五分，酒炒） 木耳炭（一钱）
水煎服。一剂减，二剂尤减，四剂全减，十剂愈。此方补益肝脾之气，气足自能生血而摄血。尤妙大补肾水，
水足而肝气自舒，肝舒而脾自得养，肝藏之而脾统之，又安有泄漏者，又何虑其血崩哉！
眉批∶加贯仲炭一钱，研细末，以药冲服尤妙。
歌括∶年老经行乃为崩，肝脾藏摄力不胜。
治宜大补肝脾气，气足摄血崩漏停。
安老汤中参 增，熟地术归山药朋。
阿荆甘附木耳炭，舒肝养脾效更宏。
有一位女性，月经每几个月来一次，她自己也习以为常，没有提前或推后的差异，也没有经量或多或少不同。人们都觉得很奇怪，却不知这并非异常。这是因为身体无病，气血两不亏损的缘故。然而，因纵欲而折损寿命的人也有很多，所以不能不设立一个救治的方子来辅助调理，方名叫做助仙丹。
白茯苓（五钱） 陈皮（五钱） 白术（三钱，土炒） 白芍（三钱，酒炒） 山药（三钱，炒） 菟丝子（二钱，酒炒） 杜仲（一钱，炒黑） 甘草（一钱）
用河水煎服。服用四剂后若仍像以前一样（即继续数月一行），就不要再服用了。这个方子在平和补益之中，实在有奥妙的道理。健脾益肾而不滞塞，解郁清痰而不泄气，不损伤天然的气血，这就是调经的大法，怎么能用其他药物去期望通经呢！
眉批：曾见过一位妇人一年行经一次，身体健康无病，怀孕后反而每月行经，有的直到第五个月到第七个月才停止，说生下的男孩都成年了，大家都觉得很奇怪，或许也是由于“仙骨”所致吧？或者是造化令人难以预测啊。
歌括：月经每几个月来一次，这是妇人骨骼自具仙质。
虽然天生具有仙骨的人，难道就没有因嗜欲损害先天禀赋的吗？
助仙丹中茯苓和陈皮同煎，白芍、白术与菟丝子相连。
山药、杜仲加上甘草，用河水煎服四剂即可痊愈。
有一位五十多岁或六七十岁的老年妇女，忽然来了月经，有的排出紫色血块，有的像红色血淋一样，有人说是老妇人行经，是返老还童的现象，谁知这是血崩的先兆呢！妇女到了七七四十九岁之外，天癸（指女子月经及生殖能力）已经枯竭，又不服用滋补肝肾的药物，怎么能精满化经，像年轻妇女一样呢？然而月经不应该来却来了，这是肝不藏血、脾不统血的缘故。如果不是精气过度耗泄而动摇了命门之火，就是气郁严重而引发了龙雷之炎（相火妄动）。两种火邪交发作乱，血液便奔涌而出，看起来像行经，实际上并不是正常的月经。这种病症，如果不大补肝脾的气与血，血液怎么能骤然停止呢？
方子用安老汤。
人参（一两） 黄芪（一两，生用） 大熟地（一两，九蒸） 白术（五钱，土炒） 当归（五钱，酒洗） 山萸肉（五钱，蒸） 阿胶（一钱，蛤粉炒） 黑芥穗（一钱） 甘草（一钱） 香附（五分，酒炒） 木耳炭（一钱）
用水煎服。一剂后症状减轻，二剂后更加减轻，四剂后完全减轻，十剂后痊愈。这个方子补益肝脾之气，气充足自然能生血并摄血。尤其妙在大补肾水，肾水充足则肝气自然舒展，肝气舒展则脾自得滋养，肝能藏血而脾能统血，又怎么会有泄漏的情况呢？又何须担忧血崩呢！
眉批：加入贯众炭一钱，研成细末，用药汤冲服尤其奇妙。
歌括：年老行经实为崩漏，肝脾藏摄之力不胜任。
治疗应当大补肝脾气，气足则能摄血使崩漏停止。
安老汤中加入人参和黄芪，熟地、白术、当归与山药为伴。
阿胶、荆芥穗、甘草、香附和木耳炭，舒肝养脾的效果更为宏大。
There is a woman whose menstruation occurs once every few months. She considers this her normal state, with no variation in being early or late, nor any difference in the amount of flow. People find it strange, yet do not realize that it is not abnormal. This is because she has no disease and both Qi (vital energy) and Blood are neither deficient nor excessive. However, there are many people who shorten their lifespan due to excessive sexual desire, so it is necessary to establish a therapeutic formula to assist them. The formula is named Zhuxian Dan (Assist Immortal Pill).
Bai Fuling (Poria, 5 qian), Chenpi (Tangerine Peel, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 3 qian, stir-fried with soil), Baishao (White Peony Root, 3 qian, stir-fried with wine), Shanyao (Dioscorea Opposita Rhizome, 3 qian, stir-fried), Tusizi (Cuscutae Semen, 2 qian, stir-fried with wine), Duzhong (Eucommia Bark, 1 qian, stir-fried until black), Gancao (Licorice Root, 1 qian).
Decoct with river water and take orally. After four doses, if the condition remains as before (i.e., still occurring once every few months), do not continue taking it. Within this formula's mild tonification, there is profound logic. It strengthens the Spleen and benefits the Kidney without causing stagnation; it resolves depression and clears phlegm without causing leakage; it does not damage natural Qi and Blood. This is the great method for regulating menstruation. How can one use other drugs to expect the promotion of menstruation?
Marginal Note: I have seen a woman who had menstruation once a year, healthy and free from illness. After becoming pregnant, she continued to menstruate monthly, sometimes stopping at five or seven months. The boys born all grew up to adulthood. Everyone found this strange. Is it perhaps due to "immortal bones"? Or is it the unpredictable nature of Creation?
Verse: Menstruation occurring once every few months indicates that this woman possesses innate "immortal" constitution.
Although those born with an immortal constitution exist, do they never suffer damage to their innate endowment due to desires?
In Zhuxian Dan, Poria and Tangerine Peel are decocted together; White Peony, Atractylodes, and Cuscuta are linked.
With Dioscorea, Eucommia, and Licorice, decocted in river water for four doses, recovery is achieved.
There is a woman over fifty years old, or even sixty or seventy, who suddenly begins to menstruate. Some discharge purple blood clots, while others experience bleeding resembling red leukorrhea. Some say that menstruation in an elderly woman is a sign of rejuvenation ("returning to youth"). Who knows that this is actually the beginning of a uterine hemorrhage (Xue Beng)? When a woman passes the age of seven times seven (49 years), Tian Gui (the substance governing menstruation and reproductive capacity) has exhausted itself. Without taking medicines to nourish Yin and tonify Yang, how can Essence be full enough to transform into menstrual blood, just like in young women? However, when menstruation should not occur but does, it is due to the Liver failing to store Blood and the Spleen failing to control Blood. If not caused by excessive loss of Essence stirring up the Fire of the Gate of Vitality (Mingmen), then it is caused by severe Qi stagnation triggering the Flaming Fire (Longlei Zhi Yan). When these two fires interact and flare up, Blood rushes forth. It resembles menstruation but is not true menstruation. For such symptoms, unless we greatly tonify the Qi and Blood of the Liver and Spleen, how can the Blood stop abruptly?
The formula used is Anlao Tang (Elderly Peaceful Decoction).
Renshen (Ginseng Radix et Rhizoma, 1 liang), Huangqi (Astragali Radix, 1 liang, raw), Da Shudi (Prepared Rehmanniae Radix, 1 liang, steamed nine times), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian, stir-fried with soil), Danggui (Angelicae Sinensis Radix, 5 qian, washed with wine), Shanyurou (Corni Fructus, 5 qian, steamed), Ejiao (Donkey-hide Gelatin, 1 qian, stir-fried with clam powder), Hei Jiesui (Charred Schizonepeta Spica, 1 qian), Gancao (Licorice Root, 1 qian), Xiangfu (Cyperi Rhizoma, 0.5 qian, stir-fried with wine), Mu'er Tan (Charred Wood Ear, 1 qian).
Decoct with water and take orally. Symptoms decrease after one dose, decrease further after two doses, completely subside after four doses, and resolve after ten doses. This formula tonifies the Qi of the Liver and Spleen. When Qi is sufficient, it naturally generates Blood and controls Blood. Particularly wonderful is its great benefit to Kidney Water. When Kidney Water is sufficient, Liver Qi naturally becomes smooth; when Liver Qi is smooth, the Spleen receives nourishment. The Liver stores Blood, and the Spleen controls it. How could there be leakage? Why worry about uterine hemorrhage?
Marginal Note: Adding 1 qian of Charred Guanzhong (Dryopteridis Crassirhizomatis Rhizoma), ground into fine powder, and taken mixed with the decoction is especially effective.
Verse: Menstruation in old age is actually hemorrhage; the storing and controlling power of the Liver and Spleen is insufficient.
Treatment requires greatly tonifying the Qi of the Liver and Spleen; when Qi is sufficient, it controls Blood and stops metrorrhagia and metrostaxis.
In Anlao Tang, Ginseng and Astragalus are added; Prepared Rehmannia, Atractylodes, Angelica, and Chinese Yam are companions.
Donkey-hide Gelatin, Schizonepeta, Licorice, Cyperi Rhizoma, and Charred Wood Ear make the effects of soothing the Liver and nourishing the Spleen even more magnificent.