证
夫经水阴血也，属冲任二脉，主上为乳汁，下为月水。其为患有因脾虚而不能生血者，有因脾郁伤而血耗
损者，有因胃火而血销烁者，有因脾胃损而血少者，有因劳伤身而血少者，有因怒伤肝而血少者，有因
肾水不能生肝而血少者。有因肺气虚不能行血而闭者。治疗之法∶若脾虚而不能行者，调而补之；脾
郁而不行者，解而补之；胃火而不行者，清而补之；脾胃损而不行者，调而补之；劳伤心血而不行者，静
而补之；肺气虚而不行者，补脾胃；肾水虚而不行者，补肾肝。经云∶损其肺者，益其气；损其心者，调其
荣卫；损其脾者，调其饮食，适其寒温；损其肝者缓其中；损其肾者，益其精。审而治之，庶无误矣。
丹溪曰∶经闭不通，或因堕胎，及多产伤血，或因久患潮热烁血，或因久出盗汗耗血，或因脾胃不
和，饮食少进，而不生血。治宜生血补血，除热调胃之剂，随证用之。或因七情伤心，心气留结，
故血闭而不行，宜调心气，通心经，使血生而经自行矣。
治
节斋曰∶经脉不通，多有脾胃损伤而致者，不可便认作经闭血死，轻用通经破血之药。遇有此证，便
须审其脾胃如何。若因饮食劳倦，损伤脾胃，少食恶食，泄泻疼痛，或因误服汗下攻克之药，伤其中气，以
致血少而不行者，只宜补养脾胃，用白术、茯苓、芍药为臣，使以黄 、甘草、陈皮、麦芽、当归、柴胡
等药。脾旺则能生血，而经自行矣。又有饮食积滞，致使脾胃者，亦宜消积补脾。
若脾胃无病，果有血块凝结，方宜行血通经。
方
通经汤（刘近川方）
当归 川芎 白芍 生地 大黄 官桂 浓朴 枳壳 枳实 黄芩 苏木 红花 乌梅（一个）
生姜（三片） 枣（一枚）
水煎温服。
二黄散（秘方） 治妇人室女经脉不通，服之如神。
大黄（烧，存性） 生地黄（各三钱）
上为末，作一服，空心好酒调下。
通经散（方上异人传）
斑蝥（去头、足） 大黄（酒浸，三钱） 藿香（少许）
上斑蝥量疾远近轻重用之。如一年，壮者，用七八个，每服七八分；弱者，五六个，每服五六分。如五
六个月，壮者，五六个，每服五六分；弱者，四五个，每服四五分。俱为末，未服之先，以
热水嗽口令净，即食枣三四枚，将药用温酒一钟调服，再食枣三四枚，静卧勿令人搅扰。待腹疼二三阵，
其经即行。如腹不疼，再进一服，立通。忌气恼、生冷油腻，后服平胃散，以复胃气也。
神应丹（秘方）〔批〕（按此方治经闭属实热者） 治妇人经脉不行，五心烦
热，口燥咽干，颊赤心怯，潮热，胸膈不利，减食多渴，咳嗽，唾稠痰。
大黄（二两，腊二两，煮干，晒） 血竭（五钱） 桃仁（五钱） 红花（五钱）
上为末，和匀酒糊为丸，如梧桐子大，辰砂为衣。每服七十丸，空心用醇酒送下。
通经调气汤 治妇人经闭不通，并发热咳嗽。
当归（酒浸，一两） 生地（酒浸，一两） 川芎（一两） 白芍（酒浸，一两） 柴胡
（八钱） 香附（便制，一两） 丹皮（八钱） 生芩（六钱） 黄柏（炒，六钱） 桃仁（一两）
知母（便炒，八钱） 牛膝（酒浸，八钱） 红花（二钱）
上锉十剂，水煎，空心一服，食远一服。
加味八物汤 治经闭属虚热者。
即四君合四物，加柴胡、黄芩、小茴、香附是也。腹痛，加玄胡索、枳壳、干漆。呕吐恶心，加良姜、
砂仁。手足麻痹恶寒，加肉桂。咳嗽，加杏仁、五味子、款冬花。
归末破瘕汤 治妇人经水不通，腹中积块疼痛。
归尾（酒洗，一钱） 赤芍（一钱） 白芍（一钱） 青皮（一钱） 乌药（七分） 香附
（醋炒，钱半） 三棱（一钱） 莪术（醋煮，一钱） 官桂（五分） 苏木（五分） 红花（五分）
上锉一剂，水煎，入酒一钟，空心服。
血竭散（秘方） 治妇人血瘕作痛，脐下胀满，月经不行，发热体倦。
当归（八分） 桂心（六分） 芍药（炒，六分） 玄胡索（炒，四分） 血竭（六分） 蒲黄（炒，六分）
上为末，每服二钱，空心酒调下。
通经丸 治经闭不通，及血块疼痛。
归尾 枣仁（去皮尖） 大黄（煨） 丹皮 干漆（炒烟尽） 肉桂（各一两） 三
棱（五钱） 莪术（醋炒） 牛膝（各一两） 麝香（八分）
上为末，皂角五钱，芫花二钱，水煮糊为丸，如梧桐子大。每服五十丸，米汤送下。
破血金丹（秘方）〔批〕（按此方治经闭腹有血块者） 治妇人月经不通，腹痛有块者。
香附（十两，醋制） 艾叶（四两，焙干） 当归（二两，酒浸一宿，醋煮焙干） 红花
（一两，焙干） 桃仁（一两，去皮尖）
上为末，醋糊为丸。每服二钱，淡醋汤送下，早晚各一服，经通药止。
一醉饮（刘桐川传）
托盘科根，锉一大剂，黄酒两碗煎至一碗，空心热服，汗出至足者立愈。
通经秘方
用大船上多年灰条，不拘多少，用炭火烧通红，淬入好烧酒内，取出待干为末。每服三钱，好酒调下，
空心服；第二服，红花酒调下；第三服，大黄酒调下。三次要见红，如神。
芫花散（秘方） 治妇人虚羸有鬼胎， 块，经候不通。
芫花根三两，炒黄色为末。每服一钱，桃仁煎汤调下，当下恶物，神效。
无极丸〔批〕（按此方治经闭专治之剂） 治妇人血块气疼，有爬床席，十指出血。
锦纹大黄（四两，每两用酒、醋、童便，盐水各煮七次，俱晒干）
上合作一处，蒸之，晒干，又蒸又晒，如此七次为末。用当归、熟地各一两半，浓煎汁一碗，煮糊为
丸，如梧桐子大。每遇心疼气痛，用小茴香炒研七分，煎汤送下三十丸。有块者，一月之内，下
小小血粒，自此除根不痛，经脉不行，红花汤下。
证候
月经属于阴血，由冲脉和任脉主管，向上化为乳汁，向下化为月经。其发病原因有：因脾虚而不能生血的；有因脾脏郁结受伤而血液耗损的；有因胃火炽盛而血液被消烁的；有因脾胃受损而血液减少的；有因劳累损伤身体而血液减少的；有因愤怒伤肝而血液减少的；有因肾水不足不能滋养肝脏而血液减少的；有因肺气虚弱不能推动血液运行而导致闭经的。治疗原则是：如果是脾虚导致血液不能运行的，就调理并补益脾气；如果是脾郁导致血液不能运行的，就疏解郁结并补益；如果是胃火导致血液不能运行的，就清泻胃火并补益；如果是脾胃受损导致血液不能运行的，就调理并补益；如果是劳伤心血导致血液不能运行的，就静养并补益；如果是肺气虚弱导致血液不能运行的，就补益脾胃；如果是肾水虚弱导致血液不能运行的，就补益肝肾。《内经》说：肺受损的，要补益其气；心受损的，要调和营卫；脾受损的，要调节饮食，适应寒温变化；肝受损的，要舒缓其中气；肾受损的，要补益其精。仔细审察后进行治疗，大概就不会出错了。
朱丹溪说：月经闭止不通，可能是因为堕胎，以及多次生产损伤血液；可能是因为长期患潮热症烧灼血液；可能是因为长期盗汗消耗血液；可能是因为脾胃不和，饮食摄入少，从而不生血。治疗应当使用生血补血、清热调胃的药物，根据证候选用。也可能是因为七情内伤心脏，心气留滞结聚，所以血液闭阻而不运行，应当调理心气，疏通心经，使血液生成而月经自行通畅。
治法
节斋先生说：经脉不通，大多是由脾胃损伤引起的，不可以立刻认定为经闭血死，轻易使用通经破血的药物。遇到这种证候，必须审察脾胃的情况。如果是因为饮食劳倦，损伤脾胃，导致食欲不振、厌恶进食、泄泻疼痛，或者因为误服发汗、攻下、克伐的药物，损伤了中气，从而导致血液减少而不能运行，只宜补养脾胃，用白术、茯苓、芍药作为主药，以黄耆、甘草、陈皮、麦芽、当归、柴胡等药为使药。脾气旺盛则能生血，月经自然通畅。又有因为饮食积滞，致使脾胃功能受阻的，也应当消除积滞并补脾。
如果脾胃没有疾病，确实存在血块凝结，才适宜使用行血通经的药物。
方剂
通经汤（刘近川方）
当归、川芎、白芍、生地、大黄、官桂、浓朴、枳壳、枳实、黄芩、苏木、红花、乌梅（一个）、生姜（三片）、枣（一枚）。
用水煎煮，温服。
二黄散（秘方） 治疗妇女少女经脉不通，服用后效果如神。
大黄（烧制，保留药性）、生地黄（各三钱）。
以上研为细末，作一次服用量，空腹时用好酒调服。
通经散（方上异人传）
斑蝥（去掉头、足）、大黄（酒浸，三钱）、藿香（少许）。
以上斑蝥根据病情远近轻重来使用。如果病程一年，体质强壮者，用七八个，每次服用七八分；体质弱者，用五六个，每次服用五六分。如果病程五六个月，体质强壮者，用五六个，每次服用五六分；体质弱者，用四五个，每次服用四五分。全部研为细末，在服用之前，先用热水漱口令口腔洁净，随即吃枣三四枚，将药物用温酒一杯调服，再吃枣三四枚，安静躺卧，不要让人打扰。等到腹痛发作二三阵，月经就会来潮。如果腹部不疼，再进一服，立即通畅。忌食生气恼怒、生冷油腻食物，之后服用平胃散，以恢复胃气。
神应丹（秘方）〔批注〕（按此方治疗经闭属实热证者） 治疗妇女经脉不行，五心烦热，口燥咽干，脸颊发红，心中怯弱，潮热，胸膈不利，食欲减退多渴，咳嗽，吐稠痰。
大黄（二两，腊月制作的两两，煮干，晒干）、血竭（五钱）、桃仁（五钱）、红花（五钱）。
以上研为细末，混合均匀，用酒糊做成丸药，大小如梧桐子，用辰砂为衣。每次服用七十丸，空腹用醇酒送下。
通经调气汤 治疗妇女经闭不通，并发发热咳嗽。
当归（酒浸，一两）、生地（酒浸，一两）、川芎（一两）、白芍（酒浸，一两）、柴胡（八钱）、香附（便制，一两）、丹皮（八钱）、生黄芩（六钱）、黄柏（炒，六钱）、桃仁（一两）、知母（便炒，八钱）、牛膝（酒浸，八钱）、红花（二钱）。
以上切碎为十剂，用水煎煮，空腹服一剂，饭后远时服一剂。
加味八物汤 治疗经闭属虚热证者。
即四君子汤合四物汤，加上柴胡、黄芩、小茴香、香附。腹痛，加玄胡索、枳壳、干漆。呕吐恶心，加良姜、砂仁。手足麻痹恶寒，加肉桂。咳嗽，加杏仁、五味子、款冬花。
归末破瘕汤 治疗妇女经水不通，腹中积块疼痛。
归尾（酒洗，一钱）、赤芍（一钱）、白芍（一钱）、青皮（一钱）、乌药（七分）、香附（醋炒，钱半）、三棱（一钱）、莪术（醋煮，一钱）、官桂（五分）、苏木（五分）、红花（五分）。
以上切碎为一剂，用水煎煮，加入酒一杯，空腹服用。
血竭散（秘方） 治疗妇女血瘕作痛，脐下胀满，月经不行，发热体倦。
当归（八分）、桂心（六分）、芍药（炒，六分）、玄胡索（炒，四分）、血竭（六分）、蒲黄（炒，六分）。
以上研为细末，每次服用二钱，空腹用酒调服。
通经丸 治疗经闭不通，及血块疼痛。
归尾、枣仁（去皮尖）、大黄（煨）、丹皮、干漆（炒至烟尽）、肉桂（各一两）、三棱（五钱）、莪术（醋炒）、牛膝（各一两）、麝香（八分）。
以上研为细末，用皂角五钱、芫花二钱，水煮成糊状做丸，大小如梧桐子。每次服用五十丸，米汤送下。
破血金丹（秘方）〔批注〕（按此方治疗经闭腹有血块者） 治疗妇女月经不通，腹痛有块者。
香附（十两，醋制）、艾叶（四两，焙干）、当归（二两，酒浸一夜，醋煮焙干）、红花（一两，焙干）、桃仁（一两，去皮尖）。
以上研为细末，用醋糊做丸。每次服用二钱，淡醋汤送下，早晚各一服，月经通畅后停药。
一醉饮（刘桐川传）
托盘科根，切碎一大剂，用黄酒两碗煎至一碗，空腹热服，出汗直到脚部者立即痊愈。
通经秘方
用大船上多年的灰条草，不拘多少，用炭火烧通红，淬入好烧酒内，取出待干后研为细末。每次服用三钱，好酒调服，空腹服用；第二服，用红花酒调服；第三服，用大黄酒调服。三次服药后要见红，效果如神。
芫花散（秘方） 治疗妇女虚羸有鬼胎，腹有块，经候不通。
芫花根三两，炒黄色后研为细末。每次服用一钱，用桃仁煎汤调服，当下排出恶物，效果神奇。
无极丸〔批注〕（按此方治疗经闭专治之剂） 治疗妇女血块气疼，有爬床席，十指出血。
锦纹大黄（四两，每两用酒、醋、童便、盐水各煮七次，都晒干）。
以上合在一起，蒸之，晒干，又蒸又晒，如此七次后研为细末。用当归、熟地各一两半，浓煎汁一碗，煮糊做丸，大小如梧桐子。每次遇到心疼气痛，用小茴香炒研七分，煎汤送下三十丸。有血块者，一个月之内，会排出小小血粒，从此除根不再疼痛。经脉仍不行的，用红花汤送下。
Symptoms
Menstrual blood belongs to Yin blood and is governed by the Chong (Penetrating) and Ren (Conception) vessels. It transforms upward into milk and downward into menstruation. The causes of its disorders include: spleen deficiency failing to generate blood; spleen depression causing injury and blood consumption; stomach fire consuming and scorching blood; spleen and stomach damage leading to reduced blood; physical exhaustion from overwork reducing blood; anger injuring the liver and reducing blood; kidney water failing to nourish the liver, resulting in reduced blood; and lung Qi deficiency failing to move blood, leading to amenorrhea. The treatment principles are as follows: for spleen deficiency failing to move blood, regulate and tonify; for spleen depression failing to move blood, resolve depression and tonify; for stomach fire failing to move blood, clear heat and tonify; for spleen and stomach damage failing to move blood, regulate and tonify; for labor damaging heart blood failing to move blood, rest and tonify; for lung Qi deficiency failing to move blood, tonify the spleen and stomach; for kidney water deficiency failing to move blood, tonify the liver and kidneys. The *Classic* states: "If the lung is damaged, benefit its Qi; if the heart is damaged, harmonize Ying and Wei; if the spleen is damaged, regulate diet and adapt to cold and warmth; if the liver is damaged, soothe its interior; if the kidney is damaged, benefit its essence." Carefully examine and treat accordingly, and errors will likely be avoided.
Zhu Danxi said: Amenorrhea may be caused by abortion or multiple births damaging blood; by chronic tidal fever scorching blood; by chronic night sweats consuming blood; by disharmony of the spleen and stomach with poor dietary intake failing to generate blood. Treatment should employ agents that generate and tonify blood while clearing heat and regulating the stomach, selected according to the syndrome. Alternatively, it may be caused by the seven emotions injuring the heart, causing heart Qi to stagnate and knot, thus blocking blood flow. In such cases, regulate heart Qi and unblock the Heart meridian so that blood generates and menstruation flows naturally.
Treatment Methods
Mr Jiezhai stated: Menstrual obstruction is often caused by spleen and stomach damage. One must not immediately diagnose it as "amenorrhea with dead blood" and lightly use drugs that unblock menstruation and break blood stasis. When encountering this condition, one must examine the state of the spleen and stomach. If it is due to dietary irregularities and fatigue damaging the spleen and stomach, leading to poor appetite, aversion to food, diarrhea, and pain, or due to the mistaken use of diaphoretic, purgative, or attacking drugs that damage middle Qi, resulting in blood deficiency and failure to flow, only tonifying and nourishing the spleen and stomach is appropriate. Use Atractylodis Rhizoma (Baizhu), Poria (Fuling), and Paeoniae Radix Alba (Shaoyao) as principal herbs, with Astragali Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Citri Reticulatae Pericarpium (Chenpi), Malto (Maita), Angelicae Sinensis Radix (Danggui), and Bupleuri Radix (Chaihu) as guiding herbs. When spleen Qi is robust, it can generate blood, and menstruation will flow naturally. Another cause is food stagnation obstructing the spleen and stomach; in such cases, eliminate stagnation and tonify the spleen.
If the spleen and stomach are healthy and there are indeed blood clumps congealing, then it is appropriate to use blood-invigorating and menstruation-unblocking drugs.
Formulas
Tongjing Tang (Unblocking Menstruation Decoction) [Formula by Liu Jinchuan]
Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Rehmanniae Radix (Shengdi), Rheum Palmatum Radix et Rhizoma (Dahuang), Cinnamomi Ramulus (Guangui), Magnoliae Officinalis Cortex (Noupu), Aurantii Fructus Immaturus (Zhike), Aurantii Fructus (Zhishi), Scutellariae Radix (Huangqin), Sappan Lignum (Sumu), Carthami Flos (Honghua), Mume Fructus (Wumei, one piece), Zingiberis Rhizoma Recens (Shengjiang, three slices), Jujubae Fructus (Zao, one piece).
Decoct in water and take warm.
Erhuang San (Two Yellows Powder) [Secret Formula] Treats menstrual obstruction in women and maidens; effective as if by magic.
Rheum Palmatum Radix et Rhizoma (Dahuang, roasted to retain efficacy), Rehmanniae Radix (Shengdihuang) (each 3 qian).
Grind into powder. Take as a single dose, mixed with good wine on an empty stomach.
Tongjing San (Unblocking Menstruation Powder) [Transmitted by a Stranger]
Mylabris (Banmao, remove head and feet), Rheum Palmatum Radix et Rhizoma (Dahuang, soaked in wine, 3 qian), Agastache Herba (Huoxiang, a small amount).
Use Mylabris (Banmao) according to the duration and severity of the disease. For a duration of one year, in strong constitutions, use 7-8 insects, taking 7-8 fen per dose; in weak constitutions, use 5-6, taking 5-6 fen per dose. For a duration of 5-6 months, in strong constitutions, use 5-6, taking 5-6 fen per dose; in weak constitutions, use 4-5, taking 4-5 fen per dose. Grind all into powder. Before taking, rinse mouth thoroughly with hot water, then eat 3-4 jujubes. Mix the medicine with one cup of warm wine and take it, then eat another 3-4 jujubes. Lie quietly without disturbance. After 2-3 episodes of abdominal pain, menstruation will commence. If there is no abdominal pain, take another dose, and flow will immediately resume. Avoid anger, raw/cold, and greasy foods. Afterwards, take Pingwei San to restore stomach Qi.
Shenyang Dan (Divine Response Pill) [Secret Formula] [Note: This formula treats amenorrhea due to excess-heat.] Treats menstrual obstruction in women, five-palm heat, dry mouth and throat, red cheeks, timidity of the heart, tidal fever, chest and diaphragm discomfort, reduced appetite with excessive thirst, cough, and thick phlegm.
Rheum Palmatum Radix et Rhizoma (Dahuang, 2 liang, made in the twelfth lunar month, boiled until dry, sun-dried), Hematites (Xuejie, 5 qian), Persicae Semen (Taoren, 5 qian), Carthami Flos (Honghua, 5 qian).
Grind into powder, mix evenly, and form pills using wine paste, sized like sophora seeds. Coat with Cinnabar (Chensha). Take 70 pills per dose, washed down with strong wine on an empty stomach.
Tongjing Tiaoqi Tang (Unblocking Menstruation and Regulating Qi Decoction) Treats menstrual obstruction in women accompanied by fever and cough.
Angelicae Sinensis Radix (Danggui, wine-soaked, 1 liang), Rehmanniae Radix (Shengdi, wine-soaked, 1 liang), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 1 liang), Paeoniae Radix Alba (Baishao, wine-soaked, 1 liang), Bupleuri Radix (Chaihu, 8 qian), Cyperi Rhizoma (Xiangfu, prepared with urine, 1 liang), Moutan Cortex (Danpi, 8 qian), Scutellariae Radix (Shengqin, 6 qian), Phellodendri Cortex (Huangbai, stir-fried, 6 qian), Persicae Semen (Taoren, 1 liang), Anemarrhenae Rhizoma (Zhimu, stir-fried with urine, 8 qian), Achyranthis Bidentatae Radix (Niuxi, wine-soaked, 8 qian), Carthami Flos (Honghua, 2 qian).
Cut into ten doses. Decoct in water. Take one dose on an empty stomach and one dose well after meals.
Jiawei Bawu Tang (Modified Eight Substances Decoction) Treats amenorrhea due to deficient-heat.
This is Si Jun Zi Tang combined with Si Wu Tang, plus Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Foeniculum Vulgare Fructus (Xiaohui), and Cyperi Rhizoma (Xiangfu). For abdominal pain, add Corydalis Rhizoma (Yanyhusuo), Aurantii Fructus Immaturus (Zhike), and Drynariae Rhizoma (Ganqi). For vomiting and nausea, add Alpiniae Officinarum Rhizoma (Liangjiang) and Amomi Fructus Rotundus (Sharen). For numbness in hands and feet with aversion to cold, add Cinnamomi Cortex (Rougui). For cough, add Armeniacae Semen Amarum (Xingren), Schisandrae Fructus (Wuweizi), and Farfarae Flos (Kuandonghua).
Guimo Poja Tang (Return End Breaking Masses Decoction) Treats menstrual obstruction in women with abdominal masses and pain.
Angelicae Sinensis Radix Caudex (Guiwei, wine-washed, 1 qian), Paeoniae Rubra Radix (Chishao, 1 qian), Paeoniae Radix Alba (Baishao, 1 qian), Citri Reticulatae Pericarpium Viride (Qingpi, 1 qian), Linderae Radix (Wuyao, 7 fen), Cyperi Rhizoma (Xiangfu, vinegar-stir-fried, 1.5 qian), Sparganii Rhizoma (Sanleng, 1 qian), Curcumae Rhizoma (Ezhu, vinegar-boiled, 1 qian), Cinnamomi Ramulus (Guangui, 5 fen), Sappan Lignum (Sumu, 5 fen), Carthami Flos (Honghua, 5 fen).
Cut into one dose. Decoct in water, add one cup of wine, and take on an empty stomach.
Xuejie San (Blood Red Powder) [Secret Formula] Treats blood masses in women causing pain, lower abdominal fullness, menstrual obstruction, fever, and fatigue.
Angelicae Sinensis Radix (Danggui, 8 fen), Cinnamomi Cortex (Guixin, 6 fen), Paeoniae Radix (Shaoyao, stir-fried, 6 fen), Corydalis Rhizoma (Yanyhusuo, stir-fried, 4 fen), Hematites (Xuejie, 6 fen), Sparganii Spora (Puhuang, stir-fried, 6 fen).
Grind into powder. Take 2 qian per dose, mixed with wine on an empty stomach.
Tongjing Wan (Unblocking Menstruation Pill) Treats menstrual obstruction and pain from blood clots.
Angelicae Sinensis Radix Caudex (Guiwei), Ziziphi Spinosae Semen (Zaoren, remove skin and tip), Rheum Palmatum Radix et Rhizoma (Dahuang, baked), Moutan Cortex (Danpi), Drynariae Rhizoma (Ganqi, stir-fried until smoke ceases), Cinnamomi Cortex (Rougui) (each 1 liang), Sparganii Rhizoma (Sanleng, 5 qian), Curcumae Rhizoma (Ezhu, vinegar-stir-fried), Achyranthis Bidentatae Radix (Niuxi) (each 1 liang), Moschus (Shexiang, 8 fen).
Grind into powder. Use Gleditsiae Sinensis Fructus (Sajiao, 5 qian) and Genkwa Flos (Yuanhua, 2 qian), boil in water to make a paste for pills, sized like sophora seeds. Take 50 pills per dose, washed down with rice soup.
Po Xue Jin Dan (Golden Pill for Breaking Blood) [Secret Formula] [Note: This formula treats amenorrhea with abdominal blood clots.] Treats menstrual obstruction in women with abdominal pain and masses.
Cyperi Rhizoma (Xiangfu, 10 liang, vinegar-prepared), Artemisiae Argyi Folium (Aiyi, 4 liang, baked dry), Angelicae Sinensis Radix (Danggui, 2 liang, soaked in wine overnight, boiled in vinegar, baked dry), Carthami Flos (Honghua, 1 liang, baked dry), Persicae Semen (Taoren, 1 liang, remove skin and tip).
Grind into powder, form pills using vinegar paste. Take 2 qian per dose, washed down with light vinegar soup, morning and evening each. Stop medication once menstruation flows.
Yi Zui Yin (One Drunken Drink) [Transmitted by Liu Tongchuan]
Root of Panax Notoginseng (Pan Tao Ke Gen - *Note: Text says 'Pan Tao Ke', likely referring to a specific root or typo for Sanqi/Panax, translated literally as Pan Tao Ke Root*), cut into a large dose. Decoct in two bowls of yellow wine until one bowl remains. Take hot on an empty stomach. Recovery is immediate if sweating reaches the feet.
Secret Formula for Unblocking Menstruation
Use ash-straw (Huitiao) from old ships, any amount. Burn red-hot with charcoal, quench in good liquor, remove, dry, and grind into powder. Take 3 qian per dose, mixed with good wine, on an empty stomach. For the second dose, use Carthami Flos (Honghua) wine. For the third dose, use Rheum Palmatum Radix et Rhizoma (Dahuang) wine. After three doses, bleeding should appear; effect is miraculous.
Yuanhua San (Genkwa Powder) [Secret Formula] Treats emaciated women with "ghost fetus," abdominal masses, and menstrual obstruction.
Genkwa Flos (Yuanhua) root, 3 liang, stir-fried until yellow, ground into powder. Take 1 qian per dose, mixed with decoction of Persicae Semen (Taoren). It will expel evil matter; effect is divine.
Wuji Wan (Pill of No Limit) [Note: This formula is specifically for treating amenorrhea.] Treats blood clots and Qi pain in women, including symptoms of crawling on bedsheets and bleeding from fingertips.
Brocade-patterned Rheum Palmatum Radix et Rhizoma (Jinwen Dahuang, 4 liang). Each liang is boiled seven times each in wine, vinegar, child's urine, and salt water, then sun-dried.
Combine all, steam, sun-dry, steam again, sun-dry again, repeating this process seven times, then grind into powder. Use Angelicae Sinensis Radix (Danggui) and Prepared Rehmanniae Radix (Shudi), each 1.5 liang, decoct strongly to obtain one bowl of juice, use to make pill paste, sized like sophora seeds. Whenever experiencing heart pain or Qi pain, stir-fry and grind Foeniculum Vulgare Fructus (Xiaohui), 7 fen, decoct in water, and take 30 pills with the soup. For those with masses, within one month, small blood particles will be expelled, eliminating the root cause and stopping pain. If menstruation still does not flow, take with Carthami Flos (Honghua) decoction.