答曰。王氏云。有一妇人。女年十五岁。来诊。言女年十四时。经水自下。今经反断。其母
言恐怖。师曰。此女为是夫人亲女非耶。若亲者当相为说之。妇人因答言是自女耳。师曰。
所以问者无他。夫人年十四。亦以经水下。所以女至此而断。是谓避年。勿怪。后当自下。
拱辰丹。夫方当壮年。而真气犹怯。此乃赋禀素弱。非虚衰而然也。僭燥之药。尤宜速戒。
勿谓手足厥逆。便云阴多。如斯治之。不惟不能愈疾。大病自此生矣。滋益之方。群品稍众
。药方微细。难见功效。但固天元一气。使水升火降。则五脏自和。百病自去。此方主之。
行在孙琳郎中方。葛丞相夫人少时服之。极效。
鹿茸(酥炙去皮毛四两) 山茱萸(新好红者四两) 当归(四两) 麝香(半两别研)
上三件为末。入麝拌和。酒煮面糊为丸。如桐子大。每服一百粒或五十粒。温酒或盐汤下。
答曰。室女者。乃未出闺门之女也。不以妍丑。至十四五岁。容貌皆红嫩者。谓之质朴未散
。庄子云。绰约如处子者是也。当此之际。经脉来时。俗呼为红脉。或因惊恐。或冷气击搏
。所以当行而不行也。
通经丸。治妇人室女月候不通。疼痛或成血瘕。严氏方内加玄胡索赤芍。减川乌。
桂心(不见火) 青皮(去白) 大黄(炮) 干姜(炮) 莪术 川乌(炮去皮脐) 干漆(炒) 当
归桃仁(去皮炒) 川椒(去目炒出汗各等分)
上为细末。将四分用米醋煮成膏。和余六分末剂。臼中治之。如梧桐子大。阴干每服二十丸
。用淡醋汤下。加至三十丸。温酒亦得。食前服。
桃仁散 治妇人室女血闭不通。五心烦热。
红花 当归 杜牛膝 桃仁(别研)
上四味各等分为细末。每服三钱。温酒调下。空心食前。
答：王氏说，有一位妇人带着女儿来就诊。女儿十五岁，自述十四岁时月经初潮，如今经血反而中断。母亲对此感到惊恐不安。医生问：“这女孩是你的亲生女儿吗？如果是亲生的，应当由你亲自解释。”妇人说：“确实是我的亲生女儿。”医生说：“我问这个没有别的意思，是因为你十四岁时也有过月经来潮的经历，所以你的女儿到了这个年纪经血中断，这叫‘避年’，不要奇怪，后来自然会再次来潮。”
（推荐方剂）拱辰丹。女子正值壮年，但真气依然虚弱，这是因为先天禀赋素来薄弱，并非病理性的虚衰所致。燥热性质的药物尤其应该迅速戒除。不要因为出现手脚冰凉（厥逆），就断定是阴寒过多而使用此类治法。如果这样治疗，不仅不能治愈疾病，反而会引发大病。滋补益气的方剂，虽然药材种类较多，但药量细微，难以立刻见到功效。关键在于固护先天元气，使肾水上升、心火下降，那么五脏自然调和，百病自然消除。此方主治上述情况。该方曾在孙琳郎中的医案中使用，葛丞相的夫人年轻时服用过，效果极佳。
鹿茸（酥炙，去皮毛，四两）、山茱萸（新产优质红色者，四两）、当归（四两）、麝香（半两，单独研磨）。
以上三味药研成细末，加入麝香拌和均匀，用酒煮面糊制成丸药，大小如梧桐子。每次服用五十粒或一百粒，用温酒或淡盐汤送服。
答：室女，是指尚未出嫁的女子。无论美丑，到了十四五岁，容貌依然红润娇嫩，这叫做“质朴未散”。正如庄子所说：“体态柔美如同处女”，指的就是这种情况。在这个时期，经脉气血运行，俗称“红脉”。如果因为受到惊吓，或者寒气侵袭搏击，就会导致经血应当来潮而不能来潮。
（推荐方剂）通经丸。治疗妇女及未婚少女月经不通，伴有疼痛或形成血瘕（腹部结块）。根据严氏方，加入玄胡索、赤芍，减去川乌。
桂心（不经过火炒）、青皮（去白）、大黄（炮制）、干姜（炮制）、莪术、川乌（炮制，去皮脐）、干漆（炒）、当归、桃仁（去皮炒）、川椒（去目，炒至出汗，各等分）。
以上药物研成细末。取四分药粉用米醋煮成膏状，与剩余六分药粉混合，在臼中捣匀，制成如梧桐子大小的丸药，阴干。每次服用二十丸，用淡醋汤送服，可加至三十丸，用温酒送服亦可。饭前服用。
（推荐方剂）桃仁散。治疗妇女及未婚少女经血闭阻不通，伴有心胸烦热、手足心热。
红花、当归、杜牛膝、桃仁（单独研磨）。
以上四味药各等分研成细末。每次服用三钱，用温酒调服。空腹或饭前服用。
Answer: Wang Shi said, a woman brought her daughter for consultation. The daughter was fifteen years old and stated that she had her first menstruation at fourteen, but now the menstrual flow has suddenly ceased. Her mother was terrified. The physician asked, "Is this girl your biological daughter? If so, you should explain it yourself." The woman replied, "She is indeed my biological daughter." The physician said, "I ask this for no other reason than that you also experienced menarche at fourteen. Therefore, when your daughter's menstruation ceases at this age, it is called 'Bi Nian' (Avoidance of Yearly Menses). Do not be alarmed; it will resume naturally later."
(Recommended Formula) Gongchen Dan (Arch Support Pill). A young woman in her prime may still have deficient True Qi due to innate constitutional weakness, rather than pathological deficiency. Pungent-drying herbs should be strictly avoided. One should not diagnose excessive Yin-cold merely because of cold extremities (Jue Ni). Such treatment will not only fail to cure the disease but may also give rise to severe illnesses. Tonifying formulas contain various ingredients with subtle dosages, making immediate effects difficult to observe. The key lies in consolidating congenital Yuan Qi, ensuring Kidney Water ascends and Heart Fire descends, thereby harmonizing the Five Zang organs and eliminating diseases. This formula treats the aforementioned condition. It appeared in the medical cases of Langzhong Sun Lin; Lady Ge, wife of Chancellor Ge, took it in her youth with excellent results.
Deer Antler (Su Zhi, skin and hair removed, 4 liang), Cornus Officinalis Fructus (Xin Hao Hong Zhe, 4 liang), Angelica Sinensis Radix (Dang Gui, 4 liang), Moschus (She Xiang, 0.5 liang, separately ground).
Grind the first three ingredients into powder, mix with the Moschus, and use wine-boiled wheat paste to form pills the size of Sophora japonica seeds. Take 50 or 100 pills per dose, administered with warm wine or light salt water.
Answer: "Shi Nv" refers to an unmarried maiden. Regardless of beauty, at ages fourteen or fifteen, if her complexion remains rosy and tender, it is termed "Zhi Pu Wei San" (Innocence Not Yet Dissipated). As Zhuangzi described: "Graceful like a virgin," referring to this state. At this stage, when meridians and blood vessels are active, it is colloquially called "Hong Mai" (Red Pulse). If caused by fright or invasion of Cold Qi, menstruation may be delayed or obstructed despite being due.
(Recommended Formula) Tongjing Wan (Menstruation-Regulating Pill). Treats amenorrhea in married women and maidens, accompanied by pain or formation of Blood Stasis masses (Xue Jia). Based on Yan Shi's formula, add Corydalis Rhizoma (Yan Hu Suo) and Red Peony Root (Chi Shao), remove Aconitum Carmichaelii Radix (Chuan Wu).
Cinnamon Twig (Gui Xin, not roasted over fire), Tangerine Peel (Qing Pi, white part removed), Prepared Rhubarb (Da Huang, processed), Prepared Ginger (Gan Jiang, processed), Curcuma Zedoaria Rhizome (E Zhu), Processed Aconite Root (Chuan Wu, processed, skin and umbilicus removed), Dried Lacquer (Gan Qi, stir-fried), Angelica Sinensis Radix (Dang Gui), Peach Kernel (Tao Ren, peeled and stir-fried), Sichuan Pepper (Chuan Jiao, pips removed, stir-fried until sweat appears, all equal parts).
Grind all ingredients into fine powder. Take one-fourth of the powder, boil with rice vinegar to form a paste, and mix with the remaining three-fourths powder. Pound in a mortar, shape into pills the size of Sophora japonica seeds, and dry in the shade. Take 20 pills per dose with light vinegar water, increasing up to 30 pills if necessary. Warm wine may also be used. Take before meals.
(Recommended Formula) Tao Ren San (Peach Kernel Powder). Treats amenorrhea in married women and maidens, accompanied by five-palm heat (heat in palms, soles, and chest).
Safflower (Hong Hua), Angelica Sinensis Radix (Dang Gui), Achyranthes Bidentata Root (Du Niu Xi), Peach Kernel (Tao Ren, separately ground).
Grind all four ingredients equally into fine powder. Take 3 qian per dose, mixed with warm wine. Take on an empty stomach or before meals.