乌药 僵蚕 川芎 白芷 陈皮 枳壳(各八分) 干姜 甘草(各五分) 麻黄(四分) 姜(
温服。
经来忽然作渴。误食生冷。遍身潮热。痰气急满。恶寒四肢厥冷。名触经伤寒。急投五积散
浓朴 陈皮 桔梗 苍术 川芎 白芷 白茯苓 香附 半夏 当归 枳壳(各二钱) 肉桂
白芍(一钱半) 麻黄(三分) 青皮(一钱) 加姜(三片) 葱(一根)
水煎热服。
(照上方加)
羌活 独活(各一钱) 柴胡(一钱五分) 人参(邪胜者人参不可用。)
经从口鼻中出。此因过食椒、姜、热毒之物。以致物伤其血。热则乱行。服犀角地黄汤数帖。
犀角 白芍 丹皮 枳壳(各一钱) 生地(二钱) 黄芩 桔梗 百草霜(各八分) 甘草(三
服。
经不往下。五心发热。咳嗽气紧。治宜推血下行。先服红花散七帖。再服冬花散。止嗽下气
月经来潮二三日,全身疼痛,这是寒邪侵入骨骼所致,身体或发热或不发热,都适宜采用解表法治疗。
乌药、僵蚕、川芎、白芷、陈皮、枳壳(各八分),干姜、甘草(各五分),麻黄(四分),生姜(适量)。煎煮后温服。
月经期间突然感到口渴,因误食生冷食物,导致全身阵阵发热,痰多气急胸满,恶寒且四肢厥冷,这称为“触经伤寒”,急需投用五积散。
浓朴、陈皮、桔梗、苍术、川芎、白芷、白茯苓、香附、半夏、当归、枳壳(各二钱),肉桂、白芍(一钱半),麻黄(三分),青皮(一钱),加生姜三片、葱一根。水煎热服。
(在上述方剂基础上加入)羌活、独活(各一钱),柴胡(一钱五分),人参(若邪气盛者不可用人参)。
月经从口鼻中流出,这是因为过食花椒、生姜等热毒之物,以致损伤血液,血受热则妄行乱动,服用犀角地黄汤数帖。
犀角、白芍、丹皮、枳壳(各一钱),生地(二钱),黄芩、桔梗、百草霜(各八分),甘草(三钱)。煎服。
经血不向下行,而是出现五心烦热、咳嗽气紧的症状,治疗应当引导血液下行。先服用红花散七帖,再服用冬花散,以止嗽降气。
Yuanhusuo (Radix Corydalis Yanhu Suo, 4 liang) and Toufa Hui (Ash of Human Hair, 4 qian) are ground into fine powder. Take with wine as a vehicle.
When menstruation begins for two or three days, accompanied by pain throughout the body, this is due to cold pathogenic factors penetrating into the bones. Whether there is fever or not, exterior-resolving treatment is appropriate.
Wuyao (Radix Linderae), Jiangcan (Bombyx Batryticatus), Chuanxiong (Rhizoma Chuanxiong), Baizhi (Radix Angelicae Dahuricae), Chenpi (Pericarpium Citri Reticulatae), Zhike (Fructus Aurantii) (each 8 fen); Ganjiang (Rhizoma Zingiberis Recens), Gancao (Radix Glycyrrhizae) (each 5 fen); Mahuang (Herba Ephedrae) (4 fen); Shengjiang (Rhizoma Zingiberis Recens) (appropriate amount). Decoct and take warm.
During menstruation, sudden thirst occurs due to the mistaken consumption of raw and cold foods, leading to tidal fever throughout the body, excessive phlegm, shortness of breath, chest fullness, aversion to cold, and cold extremities. This is named "Chu Jing Shang Han" (Cold Damage Triggered by Menstruation). Immediately administer Wuji San.
Noupo (Cortex Magnoli Officinalis), Chenpi (Pericarpium Citri Reticulatae), Jiegeng (Radix Platycodonis), Cangzhu (Rhizoma Atractylodis Lanceae), Chuanxiong (Rhizoma Chuanxiong), Baizhi (Radix Angelicae Dahuricae), Baifuling (Poria), Xiangfu (Rhizoma Cyperi), Banxia (Rhizoma Pinelliae), Danggui (Radix Angelicae Sinensis), Zhike (Fructus Aurantii) (each 2 qian); Rougui (Cortex Cinnamomi), Baishao (Radix Paeoniae Alba) (1.5 qian); Mahuang (Herba Ephedrae) (3 fen); Qingpi (Pericarpium Citri Reticulatae Viride) (1 qian); add Shengjiang (Rhizoma Zingiberis Recens, 3 slices) and Congbai (Sclerium Allii Cepae, 1 stalk). Decoct in water and take hot.
(Add to the above formula): Qianghuo (Rhizoma Notopterygii), Duhuo (Radix Angelicae Pubescentis) (each 1 qian); Chaihu (Radix Bupleuri) (1.5 qian); Renshen (Radix Ginseng) (Do not use Renshen if pathogenic factors are strong).
Menstrual blood flows from the mouth and nose. This is caused by overconsumption of pungent and hot toxic substances such as Sichuan pepper and ginger, which damage the blood. Heat causes the blood to move recklessly. Administer Xijiao Dihuang Tang for several doses.
Xijiao (Cornu Rhinocerotis), Baishao (Radix Paeoniae Alba), Danpi (Cortex Moutan), Zhike (Fructus Aurantii) (each 1 qian); Shengdi (Radix Rehmanniae Preparata) (2 qian); Huangqin (Radix Scutellariae), Jiegeng (Radix Platycodonis), Baicaoshuang (Carbonized Grass) (each 8 fen); Gancao (Radix Glycyrrhizae) (3 qian). Decoct and take.
If menstrual flow does not descend downward but presents with heat in the five centers (palms, soles, and chest), cough, and tightness of breath, the treatment should aim to push the blood downward. First, administer Honghua San for seven doses, then administer Donghua San to stop cough and direct qi downward.
Honghua (Flos Carthami), Huangqin (Radix Scutellariae), Sumu (Lignum Sappan) (each 8 fen); Huafen (Radix Platycodi) (6 fen). Take on an empty stomach.
Kuidonghua (Flos Tussilaginidis), Jiegeng (Radix Platycodonis), Zhike (Fructus Aurantii), Suzi (Fructus Perillae), Ziwan (Radix Asteris), Zhimu (Rhizoma Anemarrhenae), Sukeshell (Shell of Millet Seed, honey-fried) (each 8 fen); Shigao (Gypsum Fibrosum), Sangbaipi (Cortex Mori Radicis, honey-fried), Xingren (Semen Pruni Armeniacae). Decoct in water and take warm.
Menstruation appears only as scanty drops and stops quickly. After five or six days, or ten days later, it appears again as scanty drops. The menstruation occurs two or three times a month. The complexion is greenish-yellow. First, administer Jiao'ai Tang for one or two doses.