论曰室女月水来腹痛者，以天癸乍至，荣卫未和，心神不宁，间为寒气所客，其血与气
两不流利，致令月水结搏于脐腹间， 刺疼痛，治法宜顺血气，无令蕴滞，则痛自愈。
治室女经络凝滞，攻腹疼痛，肢体烦热，骨节酸倦，羌活散方
羌活（去芦头） 桂（去粗皮） 牡丹皮 芎 芍药 延胡索 枳壳（去瓤麸炒） 当
归
香大黄（
上一十四味，捣罗为散，每服二钱匕，温酒调下，不拘时。
治室女血气凝涩，月水欲行，先攻脐腹 痛，没药丸方
没药（研） 延胡索（各一两） 高良姜（锉） 干漆（炒烟出） 桂（去粗皮各半两）
当归（
上九味，捣研为末，醋煮面糊为丸，如梧桐子大，每服二十丸，煎曲汤下，空心食前服
治室女经脉虚冷，月水来腹痛，姜黄散方
生姜（切四两） 生地黄（切八两）
上二味，木臼内杵碎曝干，捣罗为散，每服一钱，温酒调，不拘时。
治室女血气不利，月水来即少腹刺痛，地黄散方
生干地黄（一两焙） 生姜（切作片四两） 乌豆（二合） 当归（切一两）
上四味，同入银石器中，慢火炒令燥，捣罗为散 每服二钱匕，温酒少许调下，空心日
午卧时服。
治室女月水来，腹 痛，芍药散方
芍药 当归（切焙） 芎 （各一两） 干姜（炮半两）
上四味，捣罗为散，每服二钱匕，温酒调下，不拘时。
治室女月水欲行，攻脐腹疼痛，蓬莪术散方
蓬莪术（煨一两） 当归（切） 红芍药 芎 蒲黄 桂（去粗皮） 延胡索 乌药 没
药
上一十一味，捣罗为散，每服二钱匕，温酒调下，食前日午卧时服。
治室女血脏虚冷，月水凝涩，攻少腹痛，牡丹散方
牡丹皮 乌头（炮裂去皮脐） 桂（去粗皮各一两）
上三味，捣罗为散，每服二钱匕，温酒调下，不拘时候。
治室女血脏虚冷，月水凝涩，欲来攻脐腹撮痛，六神散方
当归（切炒一两） 干漆（炒烟出半两） 延胡索 乌药（锉） 乌头（炮裂去皮脐） 青
橘皮
上六味，捣罗为散，每服二钱匕，温酒调下，空心日晚再服。
治室女月水来，少腹刺痛，乌药散方
乌药（二两） 当归（切焙一两） 蓬莪术（煨一两半）
上三味，捣罗为散，每服二钱匕，温酒调下，不拘时候。
治室女月候不快，欲来即攻脐腹疼痛，腰 沉重，饮食不进，没药丸方
没药（研） 牡丹皮 京三棱（煨） 连皮大腹（锉） 芍药 当归（切焙） 桂（去
粗皮各一
上一十一味，捣罗为末，炼蜜为丸，如鸡头实大，每服一丸，温酒化下，淡醋汤易得，
空心日晚各一。
治室女月水来腹痛，牛膝散方
牛膝（去苗酒浸切焙） 牡丹皮 当归（切焙） 丹参（各一两半） 生地黄（焙二两
半） 朴
人参（各一两）
上一十二味，捣研为散，每服二钱匕，温酒调下，或用水一盏，生姜三片，煎取七分，
空心食前温服、亦得。
治室女月水来不利，腰腹痛，牡丹散方
牡丹皮 芍药 槟榔（锉） 当归（切焙） 白术 赤茯苓（去黑皮） 生干地黄（焙）
芎
上一十二味，捣罗为散，每服三钱匕，水酒共一盏，煎至七分，去滓空心温服。未差再
服。
治室女月水不利，或来或止，不得宣通，攻击脐腹痛，桑耳丸方
桑耳 庵 子 桂（去粗皮） 芎 人参 牛膝（去苗酒浸切焙） 赤茯苓（去黑皮）
白
上一十一味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空腹温酒下。
治室女气血不和，月水欲来，先攻少腹刺痛，当归丸方
当归（切焙二两） 槟榔生（锉） 赤芍药 牡丹皮 延胡索（各一两）
上五味，捣罗为末，醋煮面糊为丸，如梧桐子大，每服二十丸，至三十丸，温酒下，空
心日晚再服。
治室女气血凝涩，月水来不快利，少腹 痛，烦闷，牛膝汤方
牛膝（去苗酒浸切焙一两） 庵 子（微炒） 当归（切焙） 芍药 芎 （各半两） 土
瓜根
上九味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服。
治室女月水不利，攻腹刺痛，草豆蔻汤方
草豆蔻（去皮三枚） 当归（切焙） 浓朴（去粗皮生姜汁炙） 甘草（炙） 芍药（各
一两）
上八味，粗捣筛，每服三钱匕，水一大盏，煎至七分，去滓温服，不拘时。
论述说：未婚女子在月经来潮时出现腹痛，是因为天癸（指促进生殖机能成熟的物质）刚刚到来，营卫（运行于体内的气血及其功能）尚未调和，心神不安，偶尔受到寒气的侵袭，导致血液与气机运行不畅，致使月经血凝结阻滞于脐腹之间，引发刺痛。治疗原则应当顺应血气运行，防止郁结停滞，疼痛自然就会痊愈。
治疗未婚女子经络凝滞，攻冲腹部疼痛，肢体烦热，骨节酸楚疲倦的羌活散方：
羌活（去除芦头）、桂枝（去除粗皮）、牡丹皮、川芎、芍药、延胡索、枳壳（去除瓤麸炒）、当归。
以上十四味药，捣碎过筛成散剂，每次服用二钱匕，用温酒调服，不限时间。
治疗未婚女子血气凝涩，月经将要来时，先攻冲脐腹疼痛的没药丸方：
没药（研细）、延胡索（各一两）、高良姜（锉碎）、干漆（炒至烟出）、桂枝（去除粗皮，各半两）、当归。
以上九味药，捣碎研成末，用醋煮面糊制成丸药，如梧桐子大小，每次服用二十丸，煎曲汤送下，空腹及食前服用。
治疗未婚女子经脉虚冷，月经来潮时腹痛的姜黄散方：
生姜（切四两）、生地黄（切八两）。
以上两味药，放入木臼中捣碎，晒干后捣罗成散剂，每次服用一钱，用温酒调服，不限时间。
治疗未婚女子血气不利，月经来潮即少腹刺痛的地黄散方：
生干地黄（一两焙干）、生姜（切片四两）、乌豆（二合）、当归（切一两）。
以上四味药，一同放入银器或石器中，用慢火炒至干燥，捣罗成散剂。每次服用二钱匕，用少许温酒调下，空腹、日午及卧时服用。
治疗未婚女子月经来潮，腹部疼痛的芍药散方：
芍药、当归（切焙）、川芎（各一两）、干姜（炮制半两）。
以上四味药，捣罗成散剂，每次服用二钱匕，用温酒调服，不限时间。
治疗未婚女子月经将要来时，攻冲脐腹疼痛的蓬莪术散方：
蓬莪术（煨一两）、当归（切）、红芍药、川芎、蒲黄、桂枝（去除粗皮）、延胡索、乌药、没药。
以上十一味药，捣罗成散剂，每次服用二钱匕，用温酒调服，食前、日午及卧时服用。
治疗未婚女子血脏虚冷，月经凝涩，攻冲少腹痛的牡丹散方：
牡丹皮、附子（炮裂去皮脐）、桂枝（去除粗皮，各一两）。
以上三味药，捣罗成散剂，每次服用二钱匕，用温酒调服，不限时候。
治疗未婚女子血脏虚冷，月经凝涩，欲来攻冲脐腹撮痛（紧缩性疼痛）的六神散方：
当归（切炒一两）、干漆（炒烟出半两）、延胡索、乌药（锉碎）、附子（炮裂去皮脐）、青橘皮。
以上六味药，捣罗成散剂，每次服用二钱匕，用温酒调服，空腹及日晚再服。
治疗未婚女子月经来潮，少腹刺痛的乌药散方：
乌药（二两）、当归（切焙一两）、蓬莪术（煨一两半）。
以上三味药，捣罗成散剂，每次服用二钱匕，用温酒调服，不限时候。
治疗未婚女子月经周期不调，欲来时即攻冲脐腹疼痛，腰部沉重，饮食不进的没药丸方：
没药（研细）、牡丹皮、京三棱（煨）、连皮大腹皮（锉碎）、芍药、当归（切焙）、桂枝（去除粗皮，各一两）。
以上十一味药，捣碎研成末，炼蜜制成丸药，如鸡头实大小，每次服用一丸，用温酒化开送下，淡醋汤也可，空腹及日晚各服一次。
治疗未婚女子月经来潮腹痛的牛膝散方：
牛膝（去苗酒浸切焙）、牡丹皮、当归（切焙）、丹参（各一两半）、生地黄（焙二两半）、朴硝、人参（各一两）。
以上十二味药，捣研成散剂，每次服用二钱匕，用温酒调服；或者用水一盏，生姜三片，煎取七分，空腹食前温服也可以。
治疗未婚女子月经来潮不利，腰腹痛的牡丹散方：
牡丹皮、芍药、槟榔（锉碎）、当归（切焙）、白术、赤茯苓（去黑皮）、生干地黄（焙）、川芎。
以上十二味药，捣罗成散剂，每次服用三钱匕，用水和酒共一盏，煎至七分，去渣空腹温服。未愈可再服。
治疗未婚女子月经不利，或来或止，不得宣通，攻冲脐腹痛的桑耳丸方：
桑耳、菟丝子、桂枝（去除粗皮）、川芎、人参、牛膝（去苗酒浸切焙）、赤茯苓（去黑皮）、白术。
以上十一味药，捣罗成末，炼蜜制成丸药如梧桐子大小，每次服用二十丸，空腹用温酒送下。
治疗未婚女子气血不和，月经将要来时，先攻冲少腹刺痛的当归丸方：
当归（切焙二两）、槟榔（生锉）、赤芍药、牡丹皮、延胡索（各一两）。
以上五味药，捣罗成末，醋煮面糊制成丸药如梧桐子大小，每次服用二十至三十丸，用温酒送下，空腹及日晚再服。
治疗未婚女子气血凝涩，月经来潮不快利，少腹疼痛，烦闷的牛膝汤方：
牛膝（去苗酒浸切焙一两）、菟丝子（微炒）、当归（切焙）、芍药、川芎（各半两）、土瓜根。
以上九味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至七分，去渣温服。
治疗未婚女子月经不利，攻冲腹部刺痛的草豆蔻汤方：
草豆蔻（去皮三枚）、当归（切焙）、浓朴（去粗皮生姜汁炙）、甘草（炙）、芍药（各一两）。
以上八味药，粗捣筛过，每次服用三钱匕，用水一大盏，煎至七分，去渣温服，不限时间。
Discourse states: When unmarried women experience abdominal pain during menstruation, it is because Tian Gui (substances promoting reproductive maturation) has just arrived, Ying and Wei (Qi and Blood circulating in the body and their functions) are not yet harmonized, the Heart Spirit is restless, and occasionally invaded by Cold Qi. This causes the blood and Qi to flow unsmoothly, resulting in menstrual blood condensing and obstructing between the umbilicus and abdomen, causing stabbing pain. The treatment principle should be to facilitate the smooth flow of blood and Qi, preventing stagnation, so that the pain will heal itself.
Qianghuo San Formula for treating unmarried women with meridians coagulated and stagnant, attacking abdominal pain, limb irritability and heat, and soreness and fatigue in bone joints:
Qiang Huo (Notopterygii Rhizoma et Radix, remove rhizome head), Gu Zhi (Cinnamomi Ramulus, remove rough bark), Mudan Pi (Moutan Cortex), Xiong Diao (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Yan Hu Suo (Corydalis Rhizoma), Zhi Ke (Aurantii Fructus, remove pulp and bran-fried), Dang Gui (Angelicae Sinensis Radix).
The above fourteen ingredients are crushed, sifted into powder. Take two Qianbi per dose, mixed with warm wine, at any time.
Meyao Wan Formula for treating unmarried women with blood and Qi coagulated and sluggish, before menstruation begins, attacking first with umbilical and abdominal pain:
Mei Yao (Myrrha, ground), Yan Hu Suo (Corydalis Rhizoma, each 1 liang), Gao Liang Jiang (Alpiniae Officinarum Rhizoma, chopped), Gan Xi (Dammaris Resina, fried until smoke emerges), Gu Zhi (Cinnamomi Ramulus, remove rough bark, each half liang), Dang Gui (Angelicae Sinensis Radix).
The above nine ingredients are crushed and ground into powder, made into pills using vinegar-boiled wheat paste, sized like paulownia seeds. Take twenty pills per dose, taken with decocted Qu soup, on an empty stomach and before meals.
Jiang Huang San Formula for treating unmarried women with deficiency-cold in meridians, abdominal pain upon menstruation:
Sheng Jiang (Zingiberis Rhizoma Recens, sliced 4 liang), Sheng Di Huang (Rehmanniae Radix, sliced 8 liang).
The above two ingredients are pounded in a wooden mortar until broken, dried in the sun, then crushed and sifted into powder. Take one Qian per dose, mixed with warm wine, at any time.
Dihuang San Formula for treating unmarried women with unsmooth blood and Qi, stabbing pain in the lower abdomen immediately upon menstruation:
Sheng Gan Di Huang (Rehmanniae Radix Preparata, 1 liang, baked), Sheng Jiang (Zingiberis Rhizoma Recens, sliced 4 liang), Wu Dou (Sojae Semen Nigrum, 2 he), Dang Gui (Angelicae Sinensis Radix, sliced 1 liang).
The above four ingredients are placed together in a silver or earthenware vessel, slowly stir-fried until dry, then crushed and sifted into powder. Take two Qianbi per dose, taken with a small amount of warm wine, on an empty stomach, at noon, and before lying down.
Shaoyao San Formula for treating unmarried women with abdominal pain upon menstruation:
Shaoyao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Xiong Diao (Ligustici Chuanxiong Rhizoma, each 1 liang), Gan Jiang (Zingiberis Rhizoma, processed half liang).
The above four ingredients are crushed and sifted into powder. Take two Qianbi per dose, mixed with warm wine, at any time.
Peng E Zhu San Formula for treating unmarried women before menstruation, attacking with umbilical and abdominal pain:
Peng E Zhu (Curcumae Rhizoma, roasted 1 liang), Dang Gui (Angelicae Sinensis Radix, sliced), Hong Shaoyao (Rubra Paeoniae Radix), Xiong Diao (Ligustici Chuanxiong Rhizoma), Pu Huang (Typhae Pollen), Gu Zhi (Cinnamomi Ramulus, remove rough bark), Yan Hu Suo (Corydalis Rhizoma), Wu Yao (Tso-Wo Fructus), Mei Yao (Myrrha).
The above eleven ingredients are crushed and sifted into powder. Take two Qianbi per dose, mixed with warm wine, before meals, at noon, and before lying down.
Mudan San Formula for treating unmarried women with deficiency-cold in the Blood Zang, sluggish menstruation, attacking with lower abdominal pain:
Mu Dan Pi (Moutan Cortex), Wu Tou (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and navel removed), Gu Zhi (Cinnamomi Ramulus, remove rough bark, each 1 liang).
The above three ingredients are crushed and sifted into powder. Take two Qianbi per dose, mixed with warm wine, at any time.
Liushen San Formula for treating unmarried women with deficiency-cold in the Blood Zang, sluggish menstruation, about to attack with umbilical and abdominal cramping pain:
Dang Gui (Angelicae Sinensis Radix, sliced and fried 1 liang), Gan Xi (Dammaris Resina, fried until smoke emerges half liang), Yan Hu Suo (Corydalis Rhizoma), Wu Yao (Tso-Wo Fructus, chopped), Wu Tou (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and navel removed), Qing Ju Pi (Citri Reticulatae Pericarpium Viride).
The above six ingredients are crushed and sifted into powder. Take two Qianbi per dose, mixed with warm wine, on an empty stomach and again in the evening.
Wu Yao San Formula for treating unmarried women with menstruation coming, stabbing pain in the lower abdomen:
Wu Yao (Tso-Wo Fructus, 2 liang), Dang Gui (Angelicae Sinensis Radix, sliced and baked 1 liang), Peng E Zhu (Curcumae Rhizoma, roasted 1.5 liang).
The above three ingredients are crushed and sifted into powder. Take two Qianbi per dose, mixed with warm wine, at any time.
Meyao Wan Formula for treating unmarried women with irregular menstruation, about to attack with umbilical and abdominal pain, heavy waist, loss of appetite:
Mei Yao (Myrrha, ground), Mu Dan Pi (Moutan Cortex), Jing San Leng (Sparganii Rhizoma, roasted), Lian Pi Da Fu Pi (Arecae Pericarpium cum Cortice, chopped), Shaoyao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Gu Zhi (Cinnamomi Ramulus, remove rough bark, each 1 liang).
The above eleven ingredients are crushed and ground into powder, made into pills using refined honey, sized like chicken heads. Take one pill per dose, dissolved and taken with warm wine; light vinegar water is also acceptable. Take once on an empty stomach and once in the evening.
Niuxi San Formula for treating unmarried women with abdominal pain upon menstruation:
Niuxi (Achyranthis Bidentatae Radix, remove seedlings, soak in wine, slice and bake), Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, each 1.5 liang), Sheng Di Huang (Rehmanniae Radix, baked 2.5 liang), Po Xiao (Natrii Sulfas), Ren Shen (Ginseng Radix et Rhizoma, each 1 liang).
The above twelve ingredients are crushed and ground into powder. Take two Qianbi per dose, mixed with warm wine; or use one cup of water and three slices of fresh ginger, decoct to seven-tenths, take warm on an empty stomach before meals. This is also acceptable.
Mudan San Formula for treating unmarried women with difficult menstruation, waist and abdominal pain:
Mu Dan Pi (Moutan Cortex), Shaoyao (Paeoniae Radix), Bing Lang (Areca Seed, chopped), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chi Fu Ling (Poria cum Risu Rubrum, remove black skin), Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked), Xiong Diao (Ligustici Chuanxiong Rhizoma).
The above twelve ingredients are crushed and sifted into powder. Take three Qianbi per dose, with one cup of water and wine combined, decoct to seven-tenths, remove dregs, take warm on an empty stomach. If not cured, take again.
Sang Er Wan Formula for treating unmarried women with difficult menstruation, intermittent flow, lack of free circulation, attacking with umbilical and abdominal pain:
Sang Er (Auricularia Auricula-Judae), Tu Si Zi (Cuscutae Semen), Gu Zhi (Cinnamomi Ramulus, remove rough bark), Xiong Diao (Ligustici Chuanxiong Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Niuxi (Achyranthis Bidentatae Radix, remove seedlings, soak in wine, slice and bake), Chi Fu Ling (Poria cum Risu Rubrum, remove black skin), Bai Zhu (Atractylodis Macrocephalae Rhizoma).
The above eleven ingredients are crushed and ground into powder, made into pills using refined honey, sized like paulownia seeds. Take twenty pills per dose, taken with warm wine on an empty stomach.
Dang Gui Wan Formula for treating unmarried women with disharmony of Qi and Blood, before menstruation begins, attacking first with stabbing pain in the lower abdomen:
Dang Gui (Angelicae Sinensis Radix, sliced and baked 2 liang), Bing Lang (Areca Seed, raw and chopped), Chi Shaoyao (Rubra Paeoniae Radix), Mu Dan Pi (Moutan Cortex), Yan Hu Suo (Corydalis Rhizoma, each 1 liang).
The above five ingredients are crushed and sifted into powder, made into pills using vinegar-boiled wheat paste, sized like paulownia seeds. Take twenty to thirty pills per dose, taken with warm wine, on an empty stomach and again in the evening.
Niuxi Tang Decoction for treating unmarried women with coagulated and sluggish Qi and Blood, slow and unsmooth menstruation, lower abdominal pain, irritability:
Niuxi (Achyranthis Bidentatae Radix, remove seedlings, soak in wine, slice and baked 1 liang), Tu Si Zi (Cuscutae Semen, lightly fried), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Shaoyao (Paeoniae Radix), Xiong Diao (Ligustici Chuanxiong Rhizoma, each half liang), Tu Gua Gen (Trichosanthes Radix).
The above nine ingredients are coarsely crushed and sieved. Take three Qianbi per dose, with one cup of water, decoct to seven-tenths, remove dregs, take warm.
Caodoukou Tang Decoction for treating unmarried women with difficult menstruation, attacking with stabbing abdominal pain:
Caodoukou (Cardamomi Fructus, remove peel 3 pieces), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Hou Po (Magnoliae Officinalis Cortex, remove rough bark, stir-fried with ginger juice), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Shaoyao (Paeoniae Radix, each 1 liang).
The above eight ingredients are coarsely crushed and sieved. Take three Qianbi per dose, with one large cup of water, decoct to seven-tenths, remove dregs, take warm, at any time.