论曰女子二七而天癸至,任脉通,月事以时下,若禀受不足,或冲任为风寒所搏,致令
血气凝结,不能应时而下,久不治,则致劳疾。
治室女月水不通,虚胀如鼓,不嗜饮食,破血行经止痛,牡丹汤方
牡丹皮 当归(切焙) 芎 白芷 紫薇(凌霄花是也) 延胡索 红蓝花 赤芍药 桂
(去粗皮) 刘寄奴(各一两)
上一十味,粗捣筛,每服三钱匕,水一盏,入生姜一枣大拍碎,煎至六分,入酒三分,
重煎取沸,去滓空心服。
治室女思虑太过,心气不足,气结不得宣利,月水不应时,或久不通,或血隔成劳,渐
有寒热,肌肉不生,不思谷味,凡此病不可服破血有性之药,宜通心气,行荣卫,滑经络,
人参汤方
人参 槟榔(锉) 麦门冬(去心炒) 大腹皮(锉) 牡丹皮 芍药 防己 芎 草
豆蔻
神(去木) 当
炒各半两)
上二十味,粗捣筛,每服三钱匕,水一盏,入生姜一片,枣一枚劈破,同煎至七分,去
滓温服,不拘时候。
治室女月水不通,通经止痛,紫薇散方
紫薇(凌霄花是也) 青橘皮(汤浸去白焙) 当归(切焙各半两) 大麦 (炒) 大
黄(
上八味,捣罗为散,每服一钱匕,温酒调下,食前服。
治室女月水不通,虎杖汤方
虎杖 牡丹皮 京三棱(炒各一两一分) 芎 当归(炒各一两半) 桂(去粗皮) 陈
橘
上八味,粗捣筛,每服三钱匕,水一盏,入生姜一枣大拍碎,同煎至七分,去滓下地黄
汁一合,芒硝一钱匕,更煎一两沸,空心日午温服。
治室女月水不通,芍药散方
赤芍药 牛膝(焙半两酒制) 桂(去粗皮) 当归(焙各三分) 木香 牡丹皮 延
胡索
上一十一味,捣罗为散,每服二钱匕,早晚温酒调下。
治室女经水不通,生地黄饮方
生地黄(二两) 羌活(去芦头) 柴胡(去苗) 桂(去粗皮) 当归(切焙) 京
三棱( )
上九味细锉,以童子小便五升,于新瓷器内,慢火煮令如鱼眼沸,至一升去滓,每服半
盏,五更日午各一服,频作三五剂服之。
治室女月水不通,腹满有瘀血,水蛭饮方
水蛭(八十枚糯米同炒米熟去米) 桃仁(汤浸去皮尖双仁麸炒一百枚) 虻虫(去翅
足微
上四味细锉,每服三钱匕,水一盏,煎至六分,去滓温服,有顷再服,当下血,如未下
、明日再服。
治室女月水不通,心腹胀满,柴胡饮方
柴胡(去苗) 牛膝(去苗) 枳壳(去瓤麸炒各二两) 庵 子 大黄(锉炒) 土
瓜根(各
硝(二两)
上一十味, 咀,每服三钱匕,水一盏,入生姜一枣大拍碎,煎至六分,去滓温服,顷
再服。
治室女月水不通,桑耳汤方
桑耳(炙一两) 当归(切焙) 芍药 桂(去粗皮) 大黄(锉炒各半两) 枳壳(麸
炒去瓤) 瞿麦穗(各一两)
上七味,粗捣筛,每服三钱匕,水一盏,煎至六分,去滓温服,日再。
治室女月经不行,腹中 痛,甘草饮方
甘草(炙) 芍药(各二两) 白茯苓(去黑皮) 桂(去粗皮) 当归(炒各三两)
上五味锉,每服三钱匕,水一盏,煎至六分,去滓温服,日二夜一。
治室女月水不通,肌肤不泽,日觉瘦瘁,滑血,鬼箭羽汤方
鬼箭羽 木香 当归(切焙) 黄芩(去黑心) 桂(去粗皮) 芎 白术(各一两)
芍药
奴(各一两)
上一十三味,粗捣筛,每服三钱匕,水一盏,入生姜五片,煎至七分,去滓下槟榔 朴
硝末各半钱匕,更煎一沸温服。
治室女月水不通,或天癸过期素未通者,牡丹汤方
心) 芎 甘草(炙) 芍药 细辛(去苗叶) 桂(去
地黄(炒一两半) 大黄(锉炒二两) 水蛭(炒二十五枚) 干姜
浸去皮尖双仁麸炒二十五枚) 虻虫(去翅足炒二十五枚) 黄雌鸡(一只
煮取四盏澄清)
上一十六味,除鸡外,粗捣筛,每服三钱匕,取鸡汁一盏,同煎至七分,去滓下硝石末
半钱匕,更煎一沸,温服食前、日一。
治室女荣卫凝涩,月水不利,或时头目昏闷,肢体拘急,五心虚烦,饮食进退,多困少
力,沉香汤方
沉香 槟榔(锉) 甘草(炙各三分) 鳖甲(九肋者去裙 醋炙一两半) 木香 当
归(切
焙) 陈橘皮(汤
上一十三味,锉如麻豆大,每服三钱匕,水一盏,入生姜一枣大拍碎,同煎至七分,去
滓温服,空心日晚各一。
治室女月水不利,断续不匀,当归散方
当归(切焙) 芍药 蓬莪术(炮锉) 陈曲(炒) 麦 (炒) 青橘皮(汤浸去白
焙) 京三
上九味,捣罗为散,每服二钱匕,温酒调下,不拘时候,日三。
治室女经络寒凝,月水不通,心烦腹满,腰脚急痛,地黄散方
生地黄(八两) 生姜(五两)
上二味,各切同炒干,捣罗为散,每服二钱匕,温酒调下。
治室女月水不利,骨节酸痛,头面微浮,筋脉拘急,或生丹疹,寒热不时,饮食无味,
延胡索散方
延胡索 当归(切焙) 蒲黄(炒) 芎 生干地黄(焙) 赤芍药 泽兰 蓬莪术
(煨锉)
上一十二味,捣罗为散,每服二钱匕,温酒或薄荷茶清调下。
治室女月水不利,遍身疼痛,没药散方
没药 芎 木香 乌头(炮裂去皮脐) 天麻 白芷 桂(去粗皮) 茯神(去木) 牡
丹
上一十一味,捣罗为散,每服一钱匕,温酒调下,日三。
治室女虚劳内燥,因而月水不利,少力颊赤口干,五心烦热,羚羊角汤方
羚羊角(镑) 地骨皮 赤茯苓(去黑皮) 黄 (锉) 防风(去叉) 羌活(去芦
头) 桂(
(炒) 红花子 当
上一十六味,粗捣筛,每服三钱匕,水一盏,入生姜五片,薄荷七叶,同煎至六分。去
滓温服。
治室女月水不利,少腹刺痛,当归散方
当归(切焙) 牡丹皮 芍药 延胡索 芎 (各一两) 桂(去粗皮) 黄芩(去黑
心) 生
上一十一味,捣罗为散,每服二钱匕,空心温酒调下。
治室女月水不利,散在皮肤,瘾疹丹起,麻木瘙痒,五灵脂丸方
五灵脂(炒一两) 乌头(炮裂去皮脐) 芍药 海桐皮(锉) 生干地黄(焙) 红
花子 牡
上一十一味,捣罗为末,酒煮面糊和丸,如梧桐子大,每服二十丸,温酒下。
治室女月水滞涩,调顺荣气,姜黄散方
姜黄 丁香 当归(切焙) 芍药(各半两)
上四味,捣罗为散,每服二钱匕,温酒调下,经水欲来,先服此药,不拘时候。
治室女月水滞涩,心烦恍惚,铅霜散方
铅白霜(半两)
上一味,细研为散,每服一钱匕,温地黄汁一合调下,如无地黄汁,用生干地黄煎汤下
治室女月水不通,脐下疼痛,干地黄散方
生干地黄(焙四两) 当归(切焙) 桂(去粗皮) 熟干地黄(焙各一两)
上四味,木臼内捣罗为散,每服三钱匕,空心临卧温酒调下。
治室女月水不通,当归丸方
当归(切焙一两) 干漆(炒烟出) 芎 (各半两)
上三味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,温酒下。
治室女月水不通,水蛭丸方
水蛭 虻虫(二味去翅足生为末) 砂(研各一两三味以米醋一升半同煎如膏) 延
胡索
上八味,以后五味捣罗为末,用前膏和丸,如梧桐子大,每服十丸,空心温酒下。末通
加至二十丸。
论述说:女子十四岁时天癸(指促进生殖机能成熟的物质)来潮,任脉通畅,月经按时来潮。如果先天禀赋不足,或者冲脉、任脉被风寒邪气侵袭,导致血气凝结,不能按时下行,长期不治疗,就会演变为虚劳疾病。
治疗少女月经不通,腹部胀大如鼓,食欲不振,具有破血通经止痛功效的牡丹汤方:
牡丹皮、当归(切片焙干)、川芎、白芷、紫薇(即凌霄花)、延胡索、红蓝花、赤芍药、桂枝(去除粗皮)、刘寄奴(各一两)。
以上十味药,捣碎筛过,每次服用三钱匕,用水一盏,加入生姜一块大枣大小拍碎,煎至六分,加入酒三分,再次煎至沸腾,去渣后空腹服用。
治疗少女因思虑过度,心气不足,气机郁结不得宣通利达,月经不能按时来潮,或长期不通,或因血瘀形成虚劳,逐渐出现寒热往来,肌肉消瘦,不思饮食,凡此病症不可服用有破血作用的峻烈药物,宜用通心气、行营卫、滑经络的方法,人参汤方:
人参、槟榔(锉碎)、麦门冬(去心炒制)、大腹皮(锉碎)、牡丹皮、芍药、防己、川芎、草豆蔻仁、当归(切片炒制,各半两)。
以上二十味药,捣碎筛过,每次服用三钱匕,用水一盏,加入生姜一片,大枣一枚劈开,同煎至七分,去渣温服,不拘时候。
治疗少女月经不通,通经止痛的紫薇散方:
紫薇(即凌霄花)、青橘皮(热水浸泡去白焙干)、当归(切片焙干,各半两)、大麦(炒制)、大黄(锉碎)。
以上八味药,捣碎过罗成散剂,每次服用一钱匕,用温酒调下,饭前服用。
治疗少女月经不通的虎杖汤方:
虎杖、牡丹皮、京三棱(炒制,各一两一分)、川芎、当归(炒制,各一两半)、桂枝(去除粗皮)、陈皮。
以上八味药,捣碎筛过,每次服用三钱匕,用水一盏,加入生姜一块大枣大小拍碎,同煎至七分,去渣后加入地黄汁一合,芒硝一钱匕,再煎一两沸,空腹及中午时分温服。
治疗少女月经不通的芍药散方:
赤芍药、牛膝(焙干,半两,酒制)、桂枝(去除粗皮)、当归(焙干,各三分)、木香、牡丹皮、延胡索。
以上十一味药,捣碎过罗成散剂,每次服用二钱匕,早晚用温酒调下。
治疗少女经水不通的生地黄饮方:
生地黄(二两)、羌活(去芦头)、柴胡(去苗)、桂枝(去除粗皮)、当归(切片焙干)、京三棱。
以上九味药细切,用童子小便五升,在新瓷器内,用慢火煮至像鱼眼般沸腾,浓缩至一升,去渣,每次服用半盏,五更天和中午各服一次,连续服用三五剂。
治疗少女月经不通,腹部胀满有瘀血的水蛭饮方:
水蛭(八十枚,与糯米同炒至米熟,去米)、桃仁(热水浸泡去皮尖双仁,麸炒一百枚)、虻虫(去翅足微炒)。
以上四味药细切,每次服用三钱匕,用水一盏,煎至六分,去渣温服,过了一会儿再服,应当排出瘀血,如果未下,第二天再服。
治疗少女月经不通,心腹胀满的柴胡饮方:
柴胡(去苗)、牛膝(去苗)、枳壳(去瓤麸炒,各二两)、庵闾子、大黄(锉碎炒制)、土瓜根(各...)、芒硝(二两)。
以上十味药,切碎,每次服用三钱匕,用水一盏,加入生姜一块大枣大小拍碎,煎至六分,去渣温服,过了一会儿再服。
治疗少女月经不通的桑耳汤方:
桑耳(炙制一两)、当归(切片焙干)、芍药、桂枝(去除粗皮)、大黄(锉碎炒制,各半两)、枳壳(麸炒去瓤)、瞿麦穗(各一两)。
以上七味药,捣碎筛过,每次服用三钱匕,用水一盏,煎至六分,去渣温服,每日两次。
治疗少女月经不行,腹部疼痛的甘草饮方:
甘草(炙制)、芍药(各二两)、白茯苓(去黑皮)、桂枝(去除粗皮)、当归(炒制,各三两)。
以上五味药切碎,每次服用三钱匕,用水一盏,煎至六分,去渣温服,日服两次,夜服一次。
治疗少女月经不通,肌肤无光泽,日渐消瘦憔悴,活血通经的鬼箭羽汤方:
鬼箭羽、木香、当归(切片焙干)、黄芩(去黑心)、桂枝(去除粗皮)、川芎、白术(各一两)、芍药、刘寄奴(各一两)。
以上十三味药,捣碎筛过,每次服用三钱匕,用水一盏,加入生姜五片,煎至七分,去渣后加入槟榔末、朴硝末各半钱匕,再煎一沸温服。
治疗少女月经不通,或天癸过期素来未通的牡丹汤方:
生地黄(炒制一两半)、大黄(锉碎炒制二两)、水蛭(炒制二十五枚)、干姜、桃仁(热水浸泡去皮尖双仁麸炒二十五枚)、虻虫(去翅足炒制二十五枚)、黄雌鸡(一只,水煮取汁四盏澄清)、川芎、甘草(炙制)、芍药、细辛(去苗叶)、桂枝(去除粗皮)。
以上十六味药,除鸡外,捣碎筛过,每次服用三钱匕,取鸡汁一盏,同煎至七分,去渣后加入硝石末半钱匕,再煎一沸,饭前温服,每日一次。
治疗少女营卫凝涩,月经不利,有时头目昏闷,肢体拘急,五心烦热,饮食增减不定,多困倦少力气,沉香汤方:
沉香、槟榔(锉碎)、甘草(炙制,各三分)、鳖甲(九肋者去裙边醋炙一两半)、木香、当归(切片焙干)、陈橘皮(热水浸泡...)。
以上十三味药,切碎如麻豆大,每次服用三钱匕,用水一盏,加入生姜一块大枣大小拍碎,同煎至七分,去渣温服,空腹及晚间各服一次。
治疗少女月经不利,断续不匀的当归散方:
当归(切片焙干)、芍药、蓬莪术(炮制锉碎)、陈曲(炒制)、麦芽(炒制)、青橘皮(热水浸泡去白焙干)、京三棱。
以上九味药,捣碎过罗成散剂,每次服用二钱匕,温酒调下,不拘时候,每日三次。
治疗少女经络寒凝,月经不通,心烦腹满,腰脚急痛的地黄散方:
生地黄(八两)、生姜(五两)。
以上两味药,各切同炒干,捣碎过罗成散剂,每次服用二钱匕,温酒调下。
治疗少女月经不利,骨节酸痛,头面微浮,筋脉拘急,或生丹疹,寒热不时,饮食无味,延胡索散方:
延胡索、当归(切片焙干)、蒲黄(炒制)、川芎、生干地黄(焙干)、赤芍药、泽兰、蓬莪术(煨制锉碎)。
以上十二味药,捣碎过罗成散剂,每次服用二钱匕,温酒或薄荷茶清调下。
治疗少女月经不利,遍身疼痛的没药散方:
没药、川芎、木香、乌头(炮裂去皮脐)、天麻、白芷、桂枝(去除粗皮)、茯神(去木)、牡丹皮。
以上十一味药,捣碎过罗成散剂,每次服用一钱匕,温酒调下,每日三次。
治疗少女虚劳内燥,因而月经不利,少力颊赤口干,五心烦热的羚羊角汤方:
羚羊角(镑片)、地骨皮、赤茯苓(去黑皮)、黄芪(锉碎)、防风(去叉)、羌活(去芦头)、桂枝...(原文此处可能有缺漏,依上下文推测为桂枝等)、...(炒制)、红花子、当归。
以上十六味药,捣碎筛过,每次服用三钱匕,用水一盏,加入生姜五片,薄荷七叶,同煎至六分。去渣温服。
治疗少女月经不利,少腹刺痛,当归散方:
当归(切片焙干)、牡丹皮、芍药、延胡索、川芎(各一两)、桂枝(去除粗皮)、黄芩(去黑心)、生地黄。
以上十一味药,捣碎过罗成散剂,每次服用二钱匕,空腹温酒调下。
治疗少女月经不利,散在皮肤,瘾疹丹起,麻木瘙痒,五灵脂丸方:
五灵脂(炒制一两)、乌头(炮裂去皮脐)、芍药、海桐皮(锉碎)、生干地黄(焙干)、红花子、牡蛎...(原文可能有缺漏)。
以上十一味药,捣碎过罗成末,酒煮面糊和丸,如梧桐子大,每次服用二十丸,温酒送下。
治疗少女月经滞涩,调顺荣气的姜黄散方:
姜黄、丁香、当归(切片焙干)、芍药(各半两)。
以上四味药,捣碎过罗成散剂,每次服用二钱匕,温酒调下,月经欲来时先服此药,不拘时候。
治疗少女月经滞涩,心烦恍惚的铅霜散方:
铅白霜(半两)。
以上一味药,细研为散,每次服用一钱匕,用温地黄汁一合调下,如无地黄汁,用生干地黄煎汤送下。
治疗少女月经不通,脐下疼痛的干地黄散方:
生干地黄(焙干四两)、当归(切片焙干)、桂枝(去除粗皮)、熟干地黄(焙干,各一两)。
以上四味药,在木臼内捣碎过罗成散剂,每次服用三钱匕,空腹及临睡前温酒调下。
治疗少女月经不通的当归丸方:
当归(切片焙干一两)、干漆(炒至烟出)、川芎(各半两)。
以上三味药,捣碎过罗成末,炼蜜和丸,如梧桐子大,每次服用二十丸,温酒送下。
治疗少女月经不通的水蛭丸方:
水蛭、虻虫(这两味去翅足生研为末)、麝香(研,各一两,这三味以米醋一升半同煎如膏)、延胡索...(原文后续五味未完全列出,但说明用前膏和丸)。
以上八味药,以后五味捣碎过罗成末,用前面的膏和丸,如梧桐子大,每次服用十丸,空腹温酒送下。若未通,加至二十丸。
Discussion states: When a girl reaches fourteen years of age, Tian Gui (substances promoting reproductive maturation) arrives, the Ren Mai (Conception Vessel) becomes unobstructed, and menstruation occurs on schedule. If innate endowment is insufficient, or if the Chong Mai (Penetrating Vessel) and Ren Mai are attacked by Wind-Cold pathogens, causing Qi and Blood to coagulate and fail to descend on time, failure to treat it for a long time will lead to consumptive disease (Lao Ji).
To treat amenorrhea in young women, with abdominal distension like a drum and loss of appetite, possessing the effects of breaking blood stasis, regulating menstruation, and relieving pain, use Mudan Tang (Moutan Decoction):
Mudan Pi (Cortex Moutan), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Xiong (Rhizoma Chuanxiong), Bai Zhi (Radix Angelicae Dahuricae), Zi Wei (Flos Campsis, i.e., Campsis grandiflora), Yan Hu Suo (Rhizoma Corydalis), Hong Lan Hua (Flos Carthami), Chi Shao Yao (Radix Paeoniae Rubra), Gui Zhi (Ramulus Cinnamomi, bark removed), Liu Ji Nu (Herba Siegesbeckiae) (each 1 liang).
The above ten herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water and a piece of fresh ginger (Sheng Jiang) the size of a jujube, smashed. Decoct until reduced to 60%, add 30% wine, boil again until boiling, remove dregs, and take on an empty stomach.
To treat amenorrhea in young women caused by excessive worry, deficiency of Heart Qi, stagnation of Qi failing to diffuse and flow freely, irregular menstruation or long-term amenorrhea, or blood stasis leading to consumptive disease with gradual onset of alternating chills and fever, emaciation, and anorexia, these conditions should not be treated with harsh blood-breaking drugs. Instead, use methods to unblock Heart Qi, promote Ying and Wei circulation, and lubricate meridians. Use Renshen Tang (Ginseng Decoction):
Renshen (Radix Ginseng), Bing Lang (Areca Seed, chopped), Mai Men Dong (Tuber Ophiopogonis, heart removed and fried), Da Fu Pi (Pericarpium Arecae), Mu Dan Pi (Cortex Moutan), Shao Yao (Radix Paeoniae), Fang Ji (Radix Stephaniae Tetrandrae), Xiong (Rhizoma Chuanxiong), Cao Dou Kou Ren (Seed Alpinia Katsumadai), Dang Gui (Radix Angelicae Sinensis, sliced and fried, each half liang).
The above twenty herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water, one slice of fresh ginger, and one jujube split open. Decoct together until reduced to 70%, remove dregs, and take warm at any time.
To treat amenorrhea in young women, regulating menstruation and relieving pain, use Zi Wei San (Campsis Powder):
Zi Wei (Flos Campsis, i.e., Campsis grandiflora), Qing Ju Pi (Exocarpium Citri Reticulatae, soaked in hot water, white pith removed, dried), Dang Gui (Radix Angelicae Sinensis, sliced and dried, each half liang), Da Mai (Frumentum Hordei, fried), Da Huang (Radix et Rhizoma Rhei, chopped).
The above eight herbs are crushed, sieved into powder. Take 1 qian bi per dose, mix with warm wine, and take before meals.
To treat amenorrhea in young women, use Hu Zhang Tang (Polygonum cuspidatum Decoction):
Hu Zhang (Caulis Polygoni Cuspidati), Mu Dan Pi (Cortex Moutan), Jing San Leng (Rhizoma Sparganii, fried, each 1 liang 1 fen), Xiong (Rhizoma Chuanxiong), Dang Gui (Radix Angelicae Sinensis, fried, each 1 liang 5 qian), Gui Zhi (Ramulus Cinnamomi, bark removed), Chen Pi (Pericarpium Citri Reticulatae).
The above eight herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water and a piece of fresh ginger (Sheng Jiang) the size of a jujube, smashed. Decoct together until reduced to 70%, remove dregs, add 1 he of Rehmannia juice (Di Huang Zhi) and 1 qian bi of Mang Xiao (Natrii Sulfas), boil for a few more moments, and take warm on an empty stomach and at noon.
To treat amenorrhea in young women, use Shao Yao San (Paeonia Powder):
Chi Shao Yao (Radix Paeoniae Rubra), Niu Xi (Radix Achyranthis Bidentatae, dried, half liang, prepared with wine), Gui Zhi (Ramulus Cinnamomi, bark removed), Dang Gui (Radix Angelicae Sinensis, dried, each 3 qian), Mu Xiang (Radix Aucklandiae), Mu Dan Pi (Cortex Moutan), Yan Hu Suo (Rhizoma Corydalis).
The above eleven herbs are crushed, sieved into powder. Take 2 qian bi per dose, mix with warm wine morning and evening.
To treat amenorrhea in young women, use Sheng Di Yin (Rehmannia Drink):
Sheng Di Huang (Radix Rehmanniae Recens, 2 liang), Qiang Huo (Rhizoma et Radix Notopterygii, rhizome removed), Chai Hu (Radix Bupleuri, sprouts removed), Gui Zhi (Ramulus Cinnamomi, bark removed), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Jing San Leng (Rhizoma Sparganii).
The above nine herbs are finely chopped. Boil in five sheng of urine from an uncircumcised boy in a new porcelain vessel over slow heat until bubbling like fish eyes, reduce to one sheng, remove dregs. Take half sheng per dose, once at wu geng (3-5 AM) and once at noon. Administer frequently for three to five courses.
To treat amenorrhea in young women with abdominal fullness and blood stasis, use Shui Zhi Yin (Hirudo Drink):
Shui Zhi (Hirudo, eighty pieces, stir-fried with rice until rice is cooked, discard rice), Tao Ren (Semen Persicae, soaked in hot water, skin and pointed ends removed, double-kernel, bran-fried, one hundred pieces), Meng Chong (Tabanus, wings and legs removed, slightly fried).
The above four herbs are finely chopped. Take 3 qian bi per dose, add one sheng of water, decoct until reduced to 60%, remove dregs, and take warm. Take again after a short while; blood stasis should be discharged. If not discharged, take again the next day.
To treat amenorrhea in young women with Heart and abdominal fullness, use Chai Hu Yin (Bupleurum Drink):
Chai Hu (Radix Bupleuri, sprouts removed), Niu Xi (Radix Achyranthis Bidentatae, sprouts removed), Zhi Ke (Fructus Aurantii, pulp removed, bran-fried, each 2 liang), An Lu Zi (Fructus Prunellae), Da Huang (Radix et Rhizoma Rhei, chopped and fried), Tu Gua Gen (Radix Trichosanthis Kirilowii, each ...), Mang Xiao (Natrii Sulfas, 2 liang).
The above ten herbs are cut. Take 3 qian bi per dose, add one sheng of water and a piece of fresh ginger (Sheng Jiang) the size of a jujube, smashed. Decoct until reduced to 60%, remove dregs, take warm, and take again after a short while.
To treat amenorrhea in young women, use Sang Er Tang (Fungus Tremella Decoction):
Sang Er (Sporophytum Auriculariae, roasted, 1 liang), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Shao Yao (Radix Paeoniae), Gui Zhi (Ramulus Cinnamomi, bark removed), Da Huang (Radix et Rhizoma Rhei, chopped and fried, each half liang), Zhi Ke (Fructus Aurantii, bran-fried, pulp removed), Qu Mai Sui (Herba Dianthi, each 1 liang).
The above seven herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water, decoct until reduced to 60%, remove dregs, take warm, twice daily.
To treat amenorrhea in young women with abdominal pain, use Gan Cao Yin (Licorice Drink):
Gan Cao (Radix Glycyrrhizae, roasted), Shao Yao (Radix Paeoniae, each 2 liang), Bai Fu Ling (Poria, black skin removed), Gui Zhi (Ramulus Cinnamomi, bark removed), Dang Gui (Radix Angelicae Sinensis, fried, each 3 liang).
The above five herbs are chopped. Take 3 qian bi per dose, add one sheng of water, decoct until reduced to 60%, remove dregs, take warm, twice during the day and once at night.
To treat amenorrhea in young women with lusterless skin, progressive emaciation, and to promote blood circulation, use Gui Jian Yu Tang (Eucommia Bark? No, Aralia Chinensis Branches Decoction):
Gui Jian Yu (Ramulus Eucommiae? No, Foliolum Eucommiae? Actually Aralia chinensis branches), Mu Xiang (Radix Aucklandiae), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Huang Qin (Radix Scutellariae, black heart removed), Gui Zhi (Ramulus Cinnamomi, bark removed), Xiong (Rhizoma Chuanxiong), Bai Zhu (Rhizoma Atractylodis Macrocephalae, each 1 liang), Shao Yao (Radix Paeoniae), Liu Ji Nu (Herba Siegesbeckiae, each 1 liang).
The above thirteen herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water and five slices of fresh ginger. Decoct until reduced to 70%, remove dregs, add Ban Lang (Areca Seed) powder and Po Xiao (Natrii Sulfas) powder, each half qian bi, boil once more, and take warm.
To treat amenorrhea in young women, or those whose Tian Gui has passed the age but never started, use Mudan Tang (Moutan Decoction):
Sheng Di Huang (Radix Rehmanniae Recens, fried, 1 liang 5 qian), Da Huang (Radix et Rhizoma Rhei, chopped and fried, 2 liang), Shui Zhi (Hirudo, fried, 25 pieces), Gan Jiang (Rhizoma Zingiberis Recens, dried), Tao Ren (Semen Persicae, soaked in hot water, skin and pointed ends removed, double-kernel, bran-fried, 25 pieces), Meng Chong (Tabanus, wings and legs removed, fried, 25 pieces), Huang Ci Ji (Gallus gallus domesticus, female, yellow, one piece, boiled to extract four sheng of clear juice), Xiong (Rhizoma Chuanxiong), Gan Cao (Radix Glycyrrhizae, roasted), Shao Yao (Radix Paeoniae), Xi Xin (Herba Asari, sprouts and leaves removed), Gui Zhi (Ramulus Cinnamomi, bark removed).
The above sixteen herbs, excluding the chicken, are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of chicken juice, decoct together until reduced to 70%, remove dregs, add Shi Xiao (Sal Nitri) powder half qian bi, boil once more, take warm before meals, once daily.
To treat young women with stagnant Ying and Wei, difficult menstruation, occasional dizziness and vertigo, limb stiffness, five-palm heat, variable appetite, lethargy, and weakness, use Chen Xiang Tang (Aquilaria Decoction):
Chen Xiang (Lignum Aquilariae Resinatum), Bing Lang (Areca Seed, chopped), Gan Cao (Radix Glycyrrhizae, roasted, each 3 qian), Bie Jia (Carapax et Plastrum Testudinis, nine-ribbed, apron removed, vinegar-roasted, 1 liang 5 qian), Mu Xiang (Radix Aucklandiae), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in hot water...).
The above thirteen herbs are cut like hemp seeds. Take 3 qian bi per dose, add one sheng of water and a piece of fresh ginger (Sheng Jiang) the size of a jujube, smashed. Decoct together until reduced to 70%, remove dregs, take warm, once on an empty stomach and once in the evening.
To treat irregular and uneven menstruation in young women, use Dang Gui San (Angelica Powder):
Dang Gui (Radix Angelicae Sinensis, sliced and dried), Shao Yao (Radix Paeoniae), Peng E Zhu (Rhizoma Curcumae Longae, processed and chopped), Chen Qu (Massa Medicata Fermentata, fried), Mai Ya (Frumentum Hordei Germinatum, fried), Qing Ju Pi (Exocarpium Citri Reticulatae, soaked in hot water, white pith removed, dried), Jing San Leng (Rhizoma Sparganii).
The above nine herbs are crushed, sieved into powder. Take 2 qian bi per dose, mix with warm wine, at any time, three times daily.
To treat amenorrhea due to cold coagulation in meridians, accompanied by irritability, abdominal fullness, and acute pain in waist and legs, use Di Huang San (Rehmannia Powder):
Sheng Di Huang (Radix Rehmanniae Recens, 8 liang), Sheng Jiang (Rhizoma Zingiberis Recens, 5 liang).
The above two herbs are chopped and stir-fried together until dry, then crushed and sieved into powder. Take 2 qian bi per dose, mix with warm wine.
To treat difficult menstruation in young women with soreness and pain in bone joints, slight swelling of head and face, tendon and vessel stiffness, urticaria, intermittent chills and fever, and loss of taste, use Yan Hu Suo San (Corydalis Powder):
Yan Hu Suo (Rhizoma Corydalis), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Pu Huang (Pollen Typhae, fried), Xiong (Rhizoma Chuanxiong), Sheng Gan Di Huang (Radix Rehmanniae Preparata, dried), Chi Shao Yao (Radix Paeoniae Rubra), Ze Lan (Herba Lycopi), Peng E Zhu (Rhizoma Curcumae Longae, baked and chopped).
The above twelve herbs are crushed, sieved into powder. Take 2 qian bi per dose, mix with warm wine or clear mint tea.
To treat difficult menstruation in young women with body-wide pain, use Moyao San (Myrrha Powder):
Mo Yao (Resina Myrrhae), Xiong (Rhizoma Chuanxiong), Mu Xiang (Radix Aucklandiae), Wu Tou (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed), Tian Ma (Rhizoma Gastrodiae), Bai Zhi (Radix Angelicae Dahuricae), Gui Zhi (Ramulus Cinnamomi, bark removed), Fu Shen (Poria with Hostwood, wood removed), Mu Dan Pi (Cortex Moutan).
The above eleven herbs are crushed, sieved into powder. Take 1 qian bi per dose, mix with warm wine, three times daily.
To treat amenorrhea due to deficiency-labor and internal dryness, with weakness, red cheeks, dry mouth, and five-palm heat, use Ling Yang Jiao Tang (Antelope Horn Decoction):
Ling Yang Jiao (Cornu Saigae Tataricae, shaved), Di Gu Pi (Cortex Lycii), Chi Fu Ling (Poria, black skin removed), Huang Qi (Radix Astragali, chopped), Fang Feng (Radix Saposhnikoviae, forked parts removed), Qiang Huo (Rhizoma et Radix Notopterygii, rhizome removed), Gui Zhi (Ramulus Cinnamomi...), ... (fried), Hong Hua Zi (Semen Carthami), Dang Gui (Radix Angelicae Sinensis).
The above sixteen herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add one sheng of water, five slices of fresh ginger, and seven leaves of Bo He (Mentha haplocalyx). Decoct together until reduced to 60%. Remove dregs and take warm.
To treat difficult menstruation in young women with stabbing pain in the lower abdomen, use Dang Gui San (Angelica Powder):
Dang Gui (Radix Angelicae Sinensis, sliced and dried), Mu Dan Pi (Cortex Moutan), Shao Yao (Radix Paeoniae), Yan Hu Suo (Rhizoma Corydalis), Xiong (Rhizoma Chuanxiong, each 1 liang), Gui Zhi (Ramulus Cinnamomi, bark removed), Huang Qin (Radix Scutellariae, black heart removed), Sheng Di Huang (Radix Rehmanniae Recens).
The above eleven herbs are crushed, sieved into powder. Take 2 qian bi per dose, mix with warm wine on an empty stomach.
To treat difficult menstruation in young women with rash on the skin, urticaria, numbness, and itching, use Wu Ling Zhi Wan (Trogopterus Dung Pill):
Wu Ling Zhi (Faeces Trogopterori, fried, 1 liang), Wu Tou (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed), Shao Yao (Radix Paeoniae), Hai Tong Pi (Cortex Phellodri Japonici, chopped), Sheng Gan Di Huang (Radix Rehmanniae Preparata, dried), Hong Hua Zi (Semen Carthami), Mu Li (Concha Ostreae...).
The above eleven herbs are crushed into powder. Mix with flour paste boiled in wine to form pills the size of paulownia seeds. Take 20 pills per dose with warm wine.
To treat sluggish menstruation in young women and regulate Ying Qi, use Jiang Huang San (Curcuma Longa Powder):
Jiang Huang (Rhizoma Curcumae Longae), Ding Xiang (Flos Caryophylli), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Shao Yao (Radix Paeoniae, each half liang).
The above four herbs are crushed, sieved into powder. Take 2 qian bi per dose, mix with warm wine. Take this medicine before menstruation starts, at any time.
To treat sluggish menstruation in young women with irritability and mental confusion, use Qian Shuang San (Lead Frost Powder):
Qian Bai Shuang (Sublimated Lead Acetate, half liang).
The above single herb is finely ground into powder. Take 1 qian bi per dose, mix with 1 he of warm Rehmannia juice (Di Huang Zhi). If Rehmannia juice is unavailable, use decoction of Sheng Gan Di Huang (Radix Rehmanniae Preparata).
To treat amenorrhea in young women with pain below the umbilicus, use Gan Di Huang San (Dried Rehmannia Powder):
Sheng Gan Di Huang (Radix Rehmanniae Preparata, dried, 4 liang), Dang Gui (Radix Angelicae Sinensis, sliced and dried), Gui Zhi (Ramulus Cinnamomi, bark removed), Shu Gan Di Huang (Radix Rehmanniae Preparata, dried, each 1 liang).
The above four herbs are crushed in a wooden mortar and sieved into powder. Take 3 qian bi per dose, mix with warm wine on an empty stomach and before bed.
To treat amenorrhea in young women, use Dang Gui Wan (Angelica Pill):
Dang Gui (Radix Angelicae Sinensis, sliced and dried, 1 liang), Gan Qi (Resina Toxicodendri, fried until smoke appears), Xiong (Rhizoma Chuanxiong, each half liang).
The above three herbs are crushed, sieved into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with warm wine.
To treat amenorrhea in young women, use Shui Zhi Wan (Hirudo Pill):
Shui Zhi (Hirudo), Meng Chong (Tabanus) (These two herbs, wings and legs removed, raw ground into powder), She Xiang (Moschus, ground, each 1 liang) (These three herbs are simmered together in 1.5 sheng of rice vinegar until paste-like), Yan Hu Suo (Rhizoma Corydalis)...
The above eight herbs, the last five are crushed, sieved into powder. Mix with the aforementioned paste to form pills the size of paulownia seeds. Take 10 pills per dose on an empty stomach with warm wine. If menstruation does not start, increase to 20 pills.