便化下。兼气者，木香汤化下。或只以末子，每服二钱，或酒或童便调下。此妇人之仙药也。
苦楝丸 治赤白带下最妙。
苦楝（ 酒浸） 茴香（炒） 当归（各等分）
上为细末，酒糊为丸，如梧桐子大，每服五十丸，空心温酒送下。
（丹溪活套）曰∶凡妇人经候不调，皆当以四物汤为主治。如经候过而腹中作痛绵绵无休息者，属血虚，本方倍当
归、熟地黄。兼气虚者，本方加人参、黄 。挟寒者，加干姜。如经候将来，腹中阵阵痛，乍作乍止者，血气实也，本
方用生地黄，加黄连、香附、桃仁、红花、玄胡索、牲丹皮之类。如经水常不及期而行者，血热也，本方用生地黄，加
黄连、黄芩、白芷之类。如经水常过期而来者，瘦人多应是血少，本方倍当归、熟地黄，加黄 、甘草，少佐以红花、
桃仁泥，以为生血之引用也。肥人大概是气虚挟痰，阻滞升降然也，本方去地黄，加参、 、甘草、茯苓、半夏、陈皮、
香附等药。常过期而紫黑成块者，血热也，多作腹痛，本方用生地黄，加香附、黄连、玄胡索、五灵脂、乳香、没药之
类。过期而血淡色者，痰多血少也，本方用生地黄，合二陈汤煎服。肥盛妇人或二三个月一行者，痰盛而躯脂闭塞经脉，
以导痰汤加芎、归、香附、苍白术之类。如经水适来适断，往来寒热如疟者，本方合小柴胡煎服。如经行过三五
日腹中绵绵走痛者，此血行而滞气未尽行也，本方加木香、槟榔煎服，立愈。
（祖传方）
治妇人室女月经不通，渐成胀满，及治男子坠马跌扑损伤，以致瘀血停积，欲成血蛊病者，悉皆治之，名曰桃奴饮
子。
桃奴（桃树上嫩桃干朽不落者，冬月及正月收） 鼠粪（即雄鼠粪也，两头
尖者是） 玄胡索 肉桂 香附 五灵脂（以上各炒） 砂仁 桃仁（去皮尖，另研）
上各等分，为细末，每服三钱，空心温酒调下。
一方 治月经不通。
只以鼠粪一合，略炒研细，温酒调下，立效。
又方 治妇人血崩不止。
用苍耳草烧存性，好酒调服立止。或调入四物汤中，亦效。
（医案）
一老妇人年五十三，血崩久不止，诸药不效。予以橡斗、苍耳
草根二物烧存性，用四物汤加白芷、茅花、干姜煎汤调服，其经血自此而止，再不行矣。
（若兼有湿滞）则用化下法。若兼有气滞，则用木香汤化下。或者仅使用药末，每次服用二钱，用酒或童便调服。这是妇人的仙药。
苦楝丸：治疗赤白带下效果极佳。
药材：苦楝（酒浸）、茴香（炒）、当归（各等分）。
制法与用法：将上述药材研为细末，用酒糊制作成梧桐子大小的丸剂，每次服用五十丸，空腹时温酒送服。
（朱丹溪的灵活变通之法）说：凡是妇人月经不调，都应当以四物汤为主治方剂。如果月经过后腹部绵绵作痛且无休止，属于血虚，应在本方中加倍使用当归、熟地黄。若兼有气虚，在本方中加入人参、黄芪。若挟有寒邪，加入干姜。如果月经将至，腹部阵阵疼痛，忽作忽止，这是血气实证，本方应使用生地黄，并加入黄连、香附、桃仁、红花、玄胡索、牡丹皮等药物。如果月经经常提前来潮，这是血热，本方使用生地黄，加入黄连、黄芩、白芷等药物。如果月经经常推迟来潮，瘦人多半是血少，本方加倍使用当归、熟地黄，加入黄芪、甘草，少量佐以红花、桃仁泥，作为生血的引经药。胖人大多是气虚挟痰，导致升降阻滞，本方去掉地黄，加入人参、黄芪、甘草、茯苓、半夏、陈皮、香附等药。如果月经推迟且血色紫黑成块，这是血热，多伴有腹痛，本方使用生地黄，加入香附、黄连、玄胡索、五灵脂、乳香、没药等药物。如果月经推迟且血色淡，这是痰多血少，本方使用生地黄，合二陈汤煎服。身体肥胖的妇女如果两三个月才来一次月经，这是痰盛而体脂闭塞经脉，用导痰汤加川芎、当归、香附、苍术、白术等药物。如果月经刚来即断，出现往来寒热如疟疾症状，本方合小柴胡汤煎服。如果月经结束后三五天腹部绵绵走窜作痛，这是血行通畅但滞气未尽，本方加入木香、槟榔煎服，立即痊愈。
（祖传方）
治疗妇人少女月经不通，逐渐形成胀满，以及治疗男子坠马跌扑损伤，导致瘀血停积，欲形成血蛊病者，全部都能治疗，名为桃奴饮子。
药材：桃奴（桃树上嫩桃干枯不落者，冬季及正月采收）、鼠粪（即雄鼠粪，两头尖的是正品）、玄胡索、肉桂、香附、五灵脂（以上各炒）、砂仁、桃仁（去皮尖，另研）。
制法与用法：以上药材各等分，研为细末，每次服用三钱，空腹时温酒调服。
另一方法：治疗月经不通。
只用鼠粪一合，略炒后研细，温酒调服，立即见效。
又一方：治疗妇人血崩不止。
用苍耳草烧至存性，用好酒调服，立即止血。或者调入四物汤中，也有效。
（医案）
一位五十三岁的老妇人，血崩长久不止，各种药物无效。我用橡斗、苍耳草根两味药烧至存性，用四物汤加白芷、茅花、干姜煎汤调服，她的经血从此停止，不再行经了。
(If accompanied by dampness stagnation), use the method of resolving and descending. If accompanied by qi stagnation, use Muxiang Tang (Wood Fragrance Decoction) to resolve and descend. Alternatively, use only the powdered herbs, taking two qian per dose, mixed with wine or child's urine for administration. This is considered a "fairy medicine" for women.
Kulian Wan (Toosendan Pill): Most effective for treating leukorrhea (red and white vaginal discharge).
Herbs: Kulian (Fructus Toosendan, soaked in wine), Huixiang (Foeniculi Fructus, stir-fried), Danggui (Radix Angelicae Sinensis) (all in equal proportions).
Preparation and Administration: Grind the above herbs into fine powder, bind with wine paste to form pills the size of paulownia seeds. Take fifty pills per dose, administered with warm wine on an empty stomach.
(Zhu Danxi's Flexible Application) states: For any irregular menstruation in women, Siwu Tang (Four Substances Decoction) should be used as the primary treatment formula. If there is continuous, lingering abdominal pain after menstruation ends, it belongs to blood deficiency; double the dosage of Danggui (Radix Angelicae Sinensis) and Shudihuang (Rehmanniae Radix Praeparata) in this formula. If accompanied by qi deficiency, add Renshen (Ginseng Radix) and Huangqi (Astragali Radix). If cold pathogens are involved, add Ganjiang (Zingiberis Rhizoma). If menstrual pain occurs in waves just before menstruation begins, alternating between onset and cessation, this indicates excess of blood and qi; use Shengdihuang (Rehmanniae Radix) in the formula, and add Huanglian (Coptidis Rhizoma), Xiangfu (Cyperi Rhizoma), Taoren (Persicae Semen), Honghua (Carthami Flos), Yuanhusuo (Corydalis Rhizoma), and Mudanpi (Moutan Cortex). If menstruation frequently arrives ahead of schedule, this indicates blood heat; use Shengdihuang (Rehmanniae Radix) in the formula, and add Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), and Baizhi (Angelicae Dahuricae Radix). If menstruation frequently arrives late, thin individuals likely suffer from blood deficiency; double the dosage of Danggui (Radix Angelicae Sinensis) and Shudihuang (Rehmanniae Radix Praeparata) in the formula, add Huangqi (Astragali Radix) and Gancao (Glycyrrhizae Radix et Rhizoma), and add a small amount of Honghua (Carthami Flos) and Taoren泥 (Persicae Semen paste) as guiding herbs for generating blood. Obese individuals generally have qi deficiency with phlegm accumulation, causing obstruction of ascending and descending mechanisms; remove Dihuang from the formula, and add Renshen (Ginseng Radix), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Xiangfu (Cyperi Rhizoma). If menstruation is delayed and the blood is dark purple and clotted, this indicates blood heat, often accompanied by abdominal pain; use Shengdihuang (Rehmanniae Radix) in the formula, and add Xiangfu (Cyperi Rhizoma), Huanglian (Coptidis Rhizoma), Yuanhusuo (Corydalis Rhizoma), Wulingzhi (Trogopterori Faeces), Ruxiang (Olibanum), and Moyao (Myrrha). If menstruation is delayed and the blood color is pale, this indicates excessive phlegm and insufficient blood; use Shengdihuang (Rehmanniae Radix) combined with Erchen Tang (Two Aged Things Decoction) for decoction and administration. For obese women who menstruate only once every two or three months, this indicates excessive phlegm and body fat blocking the meridians; use Daotan Tang (Phlegm-Expelling Decoction) added with Xiong (Chuanxiong Rhizome), Gui (Danggui), Xiangfu, Baizhu (Atractylodis Macrocephalae Rhizoma), and Caizhu (Atractylodis Rhizoma). If menstruation starts and stops abruptly, accompanied by alternating chills and fever resembling malaria, combine Siwu Tang (Four Substances Decoction) with Xiaochaihu Tang (Minor Bupleurum Decoction) for decoction and administration. If there is wandering, lingering abdominal pain three to five days after menstruation ends, this indicates that blood flow has resumed but stagnant qi has not yet fully circulated; add Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) to the formula for decoction and administration, resulting in immediate cure.
(Ancestral Prescription)
Treats amenorrhea in young unmarried women, gradually leading to abdominal distension, as well as traumatic injuries in men from falling off horses or bumps, leading to accumulated blood stasis and potential development of blood gu disease (abdominal mass due to blood stasis). All these conditions can be treated with a formula named Taonuo Yinzi (Peach Slave Decoction).
Herbs: Taonuo (Dried immature peaches remaining on the tree, harvested in winter or the first lunar month), Shufen (Mus Mouse Excrement, specifically male mouse excrement which is pointed at both ends), Yuanhusuo (Corydalis Rhizoma), Rougui (Cinnamomi Cortex), Xiangfu (Cyperi Rhizoma), Wulingzhi (Trogopterori Faeces) (all stir-fried above), Sharen (Amomi Fructus), Taoren (Persicae Semen, skin and tips removed, ground separately).
Preparation and Administration: All herbs in equal proportions, ground into fine powder. Take three qian per dose, mixed with warm wine on an empty stomach.
Another Method: Treats amenorrhea.
Use only one he of Shufen (Mouse Excrement), slightly stir-fried and ground finely, mixed with warm wine for administration, yielding immediate effect.
Another Formula: Treats metrorrhagia (uterine bleeding) in women that does not stop.
Burn Cang'ercao (Xanthii Herba) until carbonized (preserving its nature), mix with good wine for administration to stop bleeding immediately. Alternatively, mix into Siwu Tang (Four Substances Decoction), which is also effective.
(Clinical Case)
An elderly woman aged fifty-three suffered from prolonged metrorrhagia that did not respond to various medications. I used Xiangdou (Castaneae Fructus Pericarpium) and Cang'ergen (Xanthii Radix) burned until carbonized, mixed with Siwu Tang (Four Substances Decoction) added with Baizhi (Angelicae Dahuricae Radix), Maohua (Miscanthi Flower), and Ganjiang (Zingiberis Rhizoma) decocted in water for administration. Her menstrual bleeding stopped thereafter and did not recur.