4.经水先闭后病肿, 任冲寒湿血壅经, 先发水肿后经闭, 水溢皮肤
泛滥行, 血分难医水易治, 二者详参要辨明.
【注】妇人经水先闭后病肿者, 乃寒湿伤于冲, 任, 血壅经隧也, 名
曰血分. 若先病肿, 而后经闭者, 乃土不制水, 水邪泛滥, 溢于皮肤
也,名曰水分. 血分难治, 水分易治, 二者须当详辨.
加味小调经散
5.血分血壅不能行, 四肢浮肿病非轻, 但使经通肿自散, 红丹膝入
小调经.
【注】血分肿, 乃血壅不行, 流于四肢, 故令浮肿. 此不必治肿, 但
调其经, 但调其经, 经通其肿自消, 宜小调经散, 加红花, 丹皮, 牛
膝治之.
小调经散 方见三卷浮肿
6.先肿后闭名水分, 停饮膀胱气不行, 水消肿退经自至, 茯苓导水
效通神.
【注】水分肿, 乃水饮内停, 膀胱之气化不行, 水溢皮肤, 故令浮肿
经闭也. 此但宜治水, 水消肿退, 其经自通, 用茯苓导水丸治之.
茯苓导水汤 方见胎前门子肿条
加味归脾汤
7.独笑独悲畏见人, 神虚夜梦鬼邪侵, 归脾汤调辰砂珀, 定志清心
魂魄宁.
【注】妇人七情内伤, 亏损心脾, 神无所护, 鬼邪干正, 魂魄不宁,
故夜梦鬼交, 独笑独悲, 如有对忤, 是其候也. 宜用归脾汤, 调辰砂
,琥珀末服之, 则志定心清, 魂魄安而无邪梦矣!
归脾汤 方见首卷
4. 月经先闭止而后出现身体浮肿，是由于任脉和冲脉受寒湿侵袭，导致血液壅滞于经脉。先发水肿后月经闭止，是水液溢出皮肤，泛滥流行。血分病难治，水分病易治，对这两种情况必须详细参详以辨别清楚。
【注】妇女月经先闭止而后发生浮肿的，是寒湿损伤了冲脉和任脉，导致血液在经脉中壅滞，称为“血分”。如果是先发生浮肿，而后月经闭止的，是脾土不能制约水湿，水邪泛滥，溢于皮肤，称为“水分”。血分病难治，水分病易治，二者必须仔细辨别。
加味小调经散
5. 血分病因血液壅滞不能运行，四肢浮肿病情不轻，只要使月经通畅，浮肿自然消散，加入红花、丹皮、牛膝进入小调经散中治疗。
【注】血分浮肿，是因为血液壅滞不行，流注于四肢，所以导致浮肿。此症不必专门治疗浮肿，只需调理月经，只要月经通畅，浮肿自然消退，适宜使用小调经散，加入红花、丹皮、牛膝来治疗。
小调经散 方剂见第三卷浮肿篇
6. 先浮肿后月经闭止称为水分，是水饮停聚膀胱，气化功能不行，水消肿退后月经自然来潮，使用茯苓导水丸效果通神。
【注】水分浮肿，是因为水饮内停，膀胱的气化功能不行，水液溢于皮肤，所以导致浮肿和月经闭止。此症只宜治疗水饮，水消肿退后，月经自然通畅，使用茯苓导水丸治疗。
茯苓导水汤 方剂见胎前门子肿条下
加味归脾汤
7. 独自发笑或独自悲伤，害怕见人，心神虚弱夜间梦见鬼邪侵扰，用归脾汤配合辰砂、琥珀末服用，可安定志意、清心宁神，使魂魄安宁。
【注】妇女因七情内伤，亏损心脾，心神失去保护，鬼邪干扰正气，魂魄不安宁，所以夜间梦见与鬼交合，独自发笑或独自悲伤，好像与人冲突一样，这是其症状表现。适宜使用归脾汤，调入辰砂、琥珀末服用，则志意安定、心气清灵，魂魄安宁而没有邪梦了！
归脾汤 方剂见第一卷
4. Menstruation ceases first, followed by edema; this is due to cold-dampness invading the Ren and Chong vessels, causing blood stasis in the meridians. If edema appears first and menstruation ceases later, it is water overflowing onto the skin and spreading widely. Blood-division (Xuefen) disorders are difficult to treat, while Water-division (Shuifen) disorders are easy to treat; these two must be carefully differentiated.
[Note] In women, if menstruation ceases first and then edema occurs, it is because cold-dampness has injured the Chong and Ren vessels, causing blood stasis in the meridians; this is called Blood-division (Xuefen). If edema occurs first and then menstruation ceases, it is because Spleen Earth fails to control Water, leading to the flooding of pathogenic water overflowing onto the skin; this is called Water-division (Shuifen). Blood-division is difficult to treat, Water-division is easy to treat; the two must be distinguished in detail.
Modified Xiao Tiaojing San (Minor Regulation of Menstruation Powder)
5. In Blood-division disorders, blood stasis prevents circulation, causing edema in the four limbs which is not a mild condition; if menstruation is made unobstructed, the edema will dissipate on its own. Add Honghua (Carthamus), Danpi (Moutan), and Niuxi (Achyranthes) to Xiao Tiaojing San for treatment.
[Note] Edema in Blood-division disorders is caused by blood stasis failing to circulate, flowing into the four limbs, thus causing swelling. It is unnecessary to treat the edema directly; one need only regulate the menstruation. Once menstruation is unobstructed, the edema will subside spontaneously. One should use Xiao Tiaojing San, adding Honghua (Safflower), Danpi (Tree Peony Bark), and Niuxi (Achyranthes Root) for treatment.
Xiao Tiaojing San: See Formula in Volume III under "Edema".
6. Edema preceding amenorrhea is named Water-division; this involves retained fluid in the Bladder with impaired Qi transformation. When water recedes and edema subsides, menstruation will return naturally. Ling Fu Dao Shui Wan (Poria and Water-Guiding Pill) yields miraculous effects.
[Note] Edema in Water-division disorders is caused by internal retention of fluid and failure of Bladder Qi transformation, with water overflowing onto the skin, thus causing edema and amenorrhea. This condition requires only treating the water retention; once the water recedes and edema subsides, menstruation will become unobstructed spontaneously. Use Ling Fu Dao Shui Wan for treatment.
Ling Fu Dao Shui Tang (Poria and Water-Guiding Decoction): See Formula in the Prenatal Section under "Submental Edema".
Modified Gui Pi Tang (Restore the Spleen Decoction)
7. Laughing or weeping alone, fearing people; due to deficient Spirit, nocturnal dreams of demonic intrusion. Gui Pi Tang adjusted with Chen Sha (Cinnabar) and Po Hu (Amber) calms the Zhi (Will) and clears the Heart, pacifying the Hun and Po spirits.
[Note] Women suffering from internal injury due to the Seven Emotions impair the Heart and Spleen. The Spirit lacks protection, allowing demonic pathogens to interfere with upright Qi, resulting in restless Hun and Po spirits. Hence, there are nocturnal dreams of sexual intercourse with ghosts, laughing or weeping alone, as if confronting an adversary; these are the symptoms. One should use Gui Pi Tang, mixed with powdered Chen Sha (Cinnabar) and Po Hu (Amber), taken orally. This will stabilize the Will, clear the Heart, and pacify the Hun and Po spirits, eliminating evil dreams.
Gui Pi Tang: See Formula in Volume I.