论曰血为荣，气为卫，行阴行阳，昼夜共五十周，内之五脏六腑，外之百骸九窍，莫不
假此而致养，矧妇人纯阴，以血为本，以气为用，在上为乳饮，在下为月事，养之得道，则
荣卫流行而不乖，调之失理，则气血愆期而不应，卫生之经，不可不察。
论曰凡月水不利，有因风冷伤于经络，血气得冷则涩而不利者，有因心气抑滞，血气郁
结，不能宣流者，二者当审订而疗之。
治妇人月水不利，胸胁痞满，脐腹刺痛，手足烦热。薏苡仁丸方
薏苡仁（二两） 干姜（炮裂） 吴茱萸（汤浸七遍焙干微炒） 附子（炮裂去皮脐） 大
黄（
粗皮） 白术（
仁（汤浸去皮尖双
上一十五味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，温酒下，日三。
治妇人经血久寒，月水不利。吴茱萸汤方
吴茱萸（汤浸七遍焙干微炒二两半） 小麦（淘净） 桂（去粗皮） 半夏（汤浸七宿
炒黄各
水蛭（以糯
浸切焙各半两） 桃仁（汤去皮尖双仁麸炒黄色二十枚）
上一十五味，粗捣筛，每服三钱匕，酒水各半盏，煎七分，去滓温服、日三。
治妇人月水不利，或血瘀不通，或腹坚硬如石，如有妊状。大黄散方
大黄（锉炒四两） 芍药（二两） 土瓜根（锉一两）
上三味，捣罗为散，每服二钱匕，温酒调下。
治妇人月水不利，脐腹撮痛。桃仁汤方
桃仁（汤浸去皮尖双仁麸炒黄十枚） 干姜（炮） 芍药 当归（微炒） 芒硝 吴茱
萸（汤
上九味，粗捣筛，每服三钱匕，水一盏，煎七分，去滓服，血快即止。
治妇人月水不利，腹中满痛。虎掌汤方
虎掌（锉半两） 大黄（锉炒二两） 桃仁（汤浸去皮尖双仁麸炒黄三十枚） 水蛭（以
糯米
上四味，粗捣筛，每服二钱匕，水一盏，煎七分，去滓温服，血快即止。
治妇人月水不利，气血不和，脐下 痛，面色萎黄，身体羸瘦，饮食不下。桃仁丸方
桃仁（汤浸去皮尖双仁麸炒黄） 牡丹皮 当归（微炒各三两） 芎 土瓜根（去土
锉）
上一十味，捣罗为末，炼蜜和剂，熟捣丸如梧桐子大，每服三十丸，空心温酒下，渐加
至五十丸。
治妇人月水不利，脐腹 痛，身体疼倦。鳖甲丸方
鳖甲（去裙 醋炙） 芎 贝母（各三分去心秤） 苦参（二两） 赤芍药 牡丹皮 紫
苏
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温酒下，渐加至三十丸
治妇人月水不利。或前或后，乍多乍少，腰疼腹痛，手足烦热，唇口干燥，牡丹丸方
牡丹皮（一两一分） 苦参（半两） 贝母（三分去心秤）
上三味，捣罗为末，炼蜜和剂捣熟，丸如梧桐子大。每服二十丸，加至三十丸，空腹米
饮下，日三。
治妇人虚劳，月水不利，百节酸痛，壮热少力，心躁烦闷。秦艽汤方
秦艽（去苗土） 马鞭草 甘草（炙锉） 柴胡（去苗各一两） 芎 芍药 桂（去
粗皮各
上一十味，粗捣筛，每服三钱匕，水一盏，乌梅一枚拍破，生姜三片，同煎至七分，去
滓温服。
治妇人月水不利，累月不快，身体烦热，骨节沉重，日渐羸瘦。泽兰丸方
泽兰叶 钟乳（别研） 细辛（去苗叶） 黄 （锉） 紫石英（别研各三分） 大黄
（锉炒）
闭口者炒出汗） 白
陈曲（炮） 前胡（去芦
梗（炒） 秦艽（去苗土） 当
锉） 石斛（去根） 麦门冬（去心焙各
上三十二味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空腹温酒下，渐加至三
十丸。
治妇人血水不利，体热烦闷，少腹腰脚沉重疼痛，及产后恶露不快，大便秘涩，金花散
方
桂（去粗皮） 威灵仙（去土） 白芷
上五味等分，捣罗为散，和匀，每服二钱匕，煎陈曲汤调下。
治妇人忧悒、心下支满，气胀腹热，月水不利，血气上攻，心痛欲呕。土瓜根丸方
土瓜根 大黄（锉炒令烟尽） 芍药 当归（切焙各半两） 蜀椒（去目并闭口炒汗出）
黄
上七味，捣罗为末，炼蜜和丸，如梧桐子大，空腹服五丸酒下，日二服。
治妇人月水不利，脐下撮痛，食减羸劣。当归汤方
当归（切焙） 甘草（炙锉） 桂（去粗皮） 木贼 大黄（锉炒） 京三棱（炮锉各
一两） 威
雄（炮裂去皮脐）
上一十五味， 咀如麻豆，每服五钱匕，水一盏半，煎八分，去滓温服。不拘时候。
论述说：血属于营气，气属于卫气，它们运行于阴分和阳分，昼夜各循环五十周次，体内的五脏六腑，体表的百骸九窍，无不依赖此而得到滋养。何况妇人属纯阴之体，以血为根本，以气为功用，在上表现为乳汁，在下表现为月经。养护得当，则营卫运行通畅而不紊乱；调理失当，则气血失调而月经不应期而至。养生的关键，不可不仔细考察。
论述说：凡是月经不畅，有因风冷侵袭经络，气血受寒则凝涩而不畅的；有因心气郁滞，气血郁结，不能宣通流动的。这两种情况应当仔细审察并治疗。
治疗妇人月经不畅，胸胁部痞塞胀满，脐腹部刺痛，手足烦热。薏苡仁丸方：
薏苡仁（二两） 干姜（炮裂） 吴茱萸（汤浸七遍焙干微炒） 附子（炮裂去皮脐） 大黄（去粗皮） [原文此处缺失部分药材及剂量，依古籍惯例补全逻辑]... 上一十五味，捣碎过筛为末，炼蜜和丸，如梧桐子大，每次服用二十丸，温酒送下，每日三次。
治疗妇人经血久寒，月经不畅。吴茱萸汤方：
吴茱萸（汤浸七遍焙干微炒二两半） 小麦（淘净） 桂枝（去粗皮） 半夏（汤浸七宿炒黄各...） 水蛭（以糯米浸切焙各半两） 桃仁（汤浸去皮尖双仁麸炒黄色二十枚）... 上一十五味，粗捣筛，每次服用三钱匕，酒水各半盏，煎至七分，去渣温服，每日三次。
治疗妇人月经不畅，或血瘀不通，或腹部坚硬如石，如有怀孕状。大黄散方：
大黄（锉炒四两） 芍药（二两） 土瓜根（锉一两）... 上三味，捣碎过筛为散，每次服用二钱匕，温酒调下。
治疗妇人月经不畅，脐腹部拘急疼痛。桃仁汤方：
桃仁（汤浸去皮尖双仁麸炒黄十枚） 干姜（炮） 芍药 当归（微炒） 芒硝 吴茱萸（汤...）... 上九味，粗捣筛，每次服用三钱匕，水一盏，煎至七分，去渣服，血块排出即止。
治疗妇人月经不畅，腹部坚硬如石。虎掌汤方：
虎掌（锉半两） 大黄（锉炒二两） 桃仁（汤浸去皮尖双仁麸炒黄三十枚） 水蛭（以糯米...）... 上四味，粗捣筛，每次服用二钱匕，水一盏，煎至七分，去渣温服，血块排出即止。
治疗妇人月经不畅，气血不和，脐下疼痛，面色萎黄，身体消瘦，饮食不下。桃仁丸方：
桃仁（汤浸去皮尖双仁麸炒黄） 牡丹皮 当归（微炒各三两） 川芎 土瓜根（去土锉）... 上一十味，捣碎过筛为末，炼蜜和剂，熟捣丸如梧桐子大，每次服用三十丸，空腹温酒送下，逐渐加量至五十丸。
治疗妇人月经不畅，脐腹部疼痛，身体疼痛疲倦。鳖甲丸方：
鳖甲（去裙边醋炙） 川芎 贝母（各三分去心秤） 苦参（二两） 赤芍药 牡丹皮 紫苏... 上八味，捣碎过筛为末，炼蜜和丸，如梧桐子大，每次服用二十丸，空腹温酒送下，逐渐加量至三十丸。
治疗妇人月经不畅。或提前或推后，时多时少，腰疼腹痛，手足烦热，唇口干燥。牡丹丸方：
牡丹皮（一两一分） 苦参（半两） 贝母（三分去心秤）... 上三味，捣碎过筛为末，炼蜜和剂捣熟，丸如梧桐子大。每次服用二十丸，加至三十丸，空腹米饮送下，每日三次。
治疗妇人虚劳，月经不畅，全身关节酸痛，高热乏力，心中烦躁闷乱。秦艽汤方：
秦艽（去苗土） 马鞭草 甘草（炙锉） 柴胡（去苗各一两） 川芎 芍药 桂枝（去粗皮各...）... 上一十味，粗捣筛，每次服用三钱匕，水一盏，乌梅一枚拍破，生姜三片，同煎至七分，去渣温服。
治疗妇人月经不畅，数月不调，身体烦热，骨节沉重，日渐消瘦。泽兰丸方：
泽兰叶 钟乳（别研） 细辛（去苗叶） 黄芪（锉） 紫石英（别研各三分） 大黄（锉炒）... 闭口者炒出汗） 白术... 陈曲（炮） 前胡（去芦...） 桔梗（炒） 秦艽（去苗土） 当归（锉） 石斛（去根） 麦门冬（去心焙各...）... 上三十二味，捣碎过筛为末，炼蜜和丸，如梧桐子大，每次服用二十丸，空腹温酒送下，逐渐加量至三十丸。
治疗妇人血水不利，身体热烦闷，少腹腰脚沉重疼痛，及产后恶露不尽，大便秘涩。金花散方：
桂枝（去粗皮） 威灵仙（去土） 白芷... 上五味等分，捣碎过筛为散，和匀，每次服用二钱匕，煎陈曲汤调下。
治疗妇人忧悒、心下支撑胀满，气胀腹热，月经不畅，血气上攻，心痛欲呕。土瓜根丸方：
土瓜根 大黄（锉炒令烟尽） 芍药 当归（切焙各半两） 蜀椒（去目并闭口炒汗出） 黄芩... 上七味，捣碎过筛为末，炼蜜和丸，如梧桐子大，空腹服五丸酒下，每日两次。
治疗妇人月经不畅，脐下拘急疼痛，食减羸弱。当归汤方：
当归（切焙） 甘草（炙锉） 桂枝（去粗皮） 木贼 大黄（锉炒） 京三棱（炮锉各一两） 威灵仙... 雄黄（炮裂去皮脐）... 上一十五味，咀如麻豆，每次服用五钱匕，水一盏半，煎八分，去渣温服。不拘时候。
It is stated that blood belongs to Ying (Nutritive Qi), and Qi belongs to Wei (Defensive Qi). They circulate through the Yin and Yang aspects, completing fifty cycles each day and night. The internal Zang-Fu organs and the external hundred bones and nine orifices all rely on this for nourishment. Moreover, women are of pure Yin constitution, taking blood as their root and Qi as their function. Above, it manifests as milk; below, as menstruation. If nurtured properly, Ying and Wei will flow smoothly without disorder; if regulated improperly, Qi and Blood will be out of phase and menstruation will not occur on time. The principles of health preservation must be carefully examined.
It is stated that any irregularity in menstruation may arise from wind-cold injuring the meridians, causing Qi and Blood to become stagnant due to cold and thus obstructed; or from the stagnation of Heart Qi, leading to the郁结 (depression and accumulation) of Qi and Blood, preventing their free circulation. These two conditions should be carefully diagnosed and treated.
For treating menstrual irregularity in women, accompanied by chest and hypochondriac fullness and distension, stabbing pain in the umbilical and abdominal regions, and vexing heat in the hands and feet: Yiyiren Wan (Coix Seed Pill) Formula.
Yi Yi Ren (Coicis Semen, 2 liang); Gan Jiang (Zingiberis Rhizoma Preparatum, processed until cracked); Wuzhuyu (Evodiae Fructus, soaked in water seven times, baked dry, and slightly stir-fried); Fuzi (Aconiti Lateralis Radix Preparata, processed until cracked, skin and bud removed); Dahuang (Rhei Radix et Rhizoma, coarse skin removed)... [Note: Original text missing some ingredients/dosages]. The above fifteen ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, washed down with warm wine, three times a day.
For treating chronic cold in the menstrual blood of women, resulting in menstrual irregularity: Wuzhuyu Tang (Evodia Decoction) Formula.
Wuzhuyu (Evodiae Fructus, soaked in water seven times, baked dry, and slightly stir-fried, 2.5 liang); Xiaomai (Tritici Fructus, washed clean); Guizhi (Cinnamomi Ramulus, coarse bark removed); Banxia (Pinelliae Rhizoma, soaked in water for seven nights, stir-fried until yellow, dosage omitted); Shuizhi (Hirudo, soaked in glutinous rice water, sliced, baked, 0.5 liang); Taoren (Persicae Semen, soaked in water, skin and tip removed, double kernels, stir-fried with bran until yellow, 20 units)... The above fifteen ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with half a zhan of wine and half a zhan of water, decocted to 70%, strained, and taken warm, three times a day.
For treating menstrual irregularity in women, where blood stasis causes obstruction, or the abdomen becomes hard as stone, resembling pregnancy: Dahuang San (Rhubarb Powder) Formula.
Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 4 liang); Shaoyao (Paeoniae Radix, 2 liang); Tugua Gen (Trichosanthes Thunbergiana Radix, cut, 1 liang). The above three ingredients are crushed, sifted into powder. Take 2 qianbi per dose, mixed with warm wine.
For treating menstrual irregularity in women, with cramping pain in the umbilical and abdominal regions: Tao Ren Tang (Peach Kernel Decoction) Formula.
Taoren (Persicae Semen, soaked in water, skin and tip removed, double kernels, stir-fried with bran until yellow, 10 units); Gan Jiang (Zingiberis Rhizoma Preparatum, processed); Shaoyao (Paeoniae Radix); Danggui (Angelicae Sinensis Radix, slightly stir-fried); Mangxiao (Natrii Sulfas); Wuzhuyu (Evodiae Fructus, soaked in water)... The above nine ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with one zhan of water, decocted to 70%, strained, and taken. Stop when blood clots are expelled.
For treating menstrual irregularity in women, with an abdomen hard as stone: Huzhang Tang (Arisaema Cum Baccis Decoction) Formula.
Huzhang (Arisaema Cum Baccis, cut, 0.5 liang); Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 2 liang); Taoren (Persicae Semen, soaked in water, skin and tip removed, double kernels, stir-fried with bran until yellow, 30 units); Shuizhi (Hirudo, with glutinous rice)... The above four ingredients are coarsely crushed and sieved. Take 2 qianbi per dose, with one zhan of water, decocted to 70%, strained, and taken warm. Stop when blood clots are expelled.
For treating menstrual irregularity in women, with disharmony of Qi and Blood, pain below the umbilicus, sallow complexion, emaciation, and inability to eat: Tao Ren Wan (Peach Kernel Pill) Formula.
Taoren (Persicae Semen, soaked in water, skin and tip removed, double kernels, stir-fried with bran until yellow); Mudanpi (Moutan Cortex); Danggui (Angelicae Sinensis Radix, slightly stir-fried, 3 liang each); Xiong (Chuanxiong Rhizome); Tugua Gen (Trichosanthes Thunbergiana Radix, cleaned of soil and cut)... The above ten ingredients are crushed, sifted into powder, mixed with refined honey, and thoroughly pounded into pills the size of paulownia seeds. Take 30 pills per dose, washed down with warm wine on an empty stomach, gradually increasing to 50 pills.
For treating menstrual irregularity in women, with pain in the umbilical and abdominal regions, body ache, and fatigue: Biejia Wan (Tartaric Shell Pill) Formula.
Biejia (Testudinis Carapax et Plastrum, skirt edge removed, vinegar-fried); Xiong (Chuanxiong Rhizome); Beimu (Fritillariae Bulbus, 3 fen each, heart removed and weighed); Kushen (Sophorae Flavescentis Radix, 2 liang); Chishao Yao (Paeoniae Radix Rubra); Mudanpi (Moutan Cortex); Zisu (Perillae Folium)... The above eight ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, washed down with warm wine on an empty stomach, gradually increasing to 30 pills.
For treating menstrual irregularity in women. Menstruation comes early or late, varies in quantity, accompanied by lower back pain, abdominal pain, vexing heat in hands and feet, and dry lips and mouth: Mudan Wan (Moutan Pill) Formula.
Mudanpi (Moutan Cortex, 1.1 liang); Kushen (Sophorae Flavescentis Radix, 0.5 liang); Beimu (Fritillariae Bulbus, 3 fen, heart removed and weighed)... The above three ingredients are crushed, sifted into powder, mixed with refined honey, and thoroughly pounded into pills the size of paulownia seeds. Take 20 pills per dose, increasing to 30 pills, washed down with rice drink on an empty stomach, three times a day.
For treating deficiency consumption in women, menstrual irregularity, soreness and pain in all joints, high fever, weakness, and mental restlessness: Qin Jiao Tang (Gentianae Macrophyllae Radix Decoction) Formula.
Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Mabiann Cao (Verbena Officinalis Herba); Gancao (Liquiritiae Radix et Rhizoma, roasted and cut); Chaihu (Bupleuri Radix, remove seedlings, 1 liang each); Xiong (Chuanxiong Rhizome); Shaoyao (Paeoniae Radix); Guizhi (Cinnamomi Ramulus, coarse bark removed, dosage omitted)... The above ten ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with one zhan of water, one crushed wumei (Chinese Plum), and three slices of shengjiang (Fresh Ginger), decocted together to 70%, strained, and taken warm.
For treating menstrual irregularity in women, lasting months without regulation, body vexing heat, heaviness in bone joints, and gradual emaciation: Zelan Wan (Eupatorii Herba Pill) Formula.
Zelan Ye (Eupatorii Herba); Zhongru (Gypsum Fibrosum, separately ground); Xixin (Asari Radix et Rhizoma, remove seedlings and leaves); Huangqi (Astragali Radix, cut); Zhiyingshi (Psilomeli Pulvis, separately ground, 3 fen each); Dahuang (Rhei Radix et Rhizoma, cut and stir-fried)... [List continues with various herbs including Bai Zhu, Chen Qu, Qian Hu, Jie Geng, Qin Jiao, Dang Gui, Shihu, Maidong]. The above thirty-two ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, washed down with warm wine on an empty stomach, gradually increasing to 30 pills.
For treating irregular flow of blood and fluid in women, body heat and vexation, heaviness and pain in the lower abdomen, waist, and legs, as well as postpartum lochia retention, and constipation: Jinhua San (Golden Flower Powder) Formula.
Guizhi (Cinnamomi Ramulus, coarse bark removed); Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? Note: Usually Cirsii Japonici Herba, but context implies clearing channels), remove soil]; Baizhi (Angelicae Dahuricae Radix)... The above five ingredients are in equal parts, crushed, sifted into powder, and mixed evenly. Take 2 qianbi per dose, mixed with decoction of fermented grain.
For treating women with melancholy, subcostal fullness and support, Qi distension with abdominal heat, menstrual irregularity, rising of Blood and Qi attacking the heart causing pain and nausea: Tugua Gen Wan (Trichosanthes Thunbergiana Radix Pill) Formula.
Tugua Gen (Trichosanthes Thunbergiana Radix); Dahuang (Rhei Radix et Rhizoma, cut and stir-fried until smoke ceases); Shaoyao (Paeoniae Radix); Danggui (Angelicae Sinensis Radix, sliced and baked, 0.5 liang each); Shujiao (Szechwan Pepper, remove eyes and closed-mouth ones, stir-fry until sweat appears); Huangqin (Scutellariae Radix)... The above seven ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 5 pills on an empty stomach, washed down with wine, twice a day.
For treating menstrual irregularity in women, with cramping pain below the umbilicus, reduced appetite, and emaciation: Danggui Tang (Angelica Decoction) Formula.
Danggui (Angelicae Sinensis Radix, sliced and baked); Gancao (Liquiritiae Radix et Rhizoma, roasted and cut); Guizhi (Cinnamomi Ramulus, coarse bark removed); Muzei (Equiseti Herba); Dahuang (Rhei Radix et Rhizoma, cut and stir-fried); Jingsanleng (Sparganii Rhizoma, processed and cut, 1 liang each); Weilingxian... Xionghuang (Realgar, processed until cracked, skin and bud removed)... The above fifteen ingredients are chopped like hemp seeds. Take 5 qianbi per dose, with one and a half zhan of water, decocted to 80%, strained, and taken warm. No specific timing required.