论曰∶夫冲任之脉起于胞内，为经脉之海。手太阳小肠之经、手少阴心之经也，二经为
表里。心主于血，上为乳汁，下为月水也。女子十四而天癸至，肾气全盛，冲任流通，经血
既盈，应时而下，名之月水。常以三旬而一见，谓之平和也。若愆期者，由劳伤血气壅结，
故令月水不通也。
治妇人、室女月候不通，疼痛或成血瘕。通经丸。
桂心 青皮 大黄（煨） 川椒 莪术 川乌（泡去皮） 干漆（碎之，炒令烟尽） 当
归桃仁（去皮尖、双仁，麸炒） 干姜（各等分）
上为细末，分为四份，用一份以米醋熬成膏，和余份药末成剂，臼中治之。丸如梧桐子
大，晾干。每服二十丸，淡醋汤下至三十丸，温酒亦得，空心，食前服。
治室女月水不通。（出《圣惠方》）
雄鼠屎（一两）烧存性，为细末。空心，温酒调下一钱，神效。
寇宗 曰∶夫人之生，以气血为本。人之病，未有不先伤其气血者。世有室女、童男，
积想在心，思虑过当，多致劳损。男子则神色先散，女子则月水先闭，何以致然？盖忧愁思
虑则伤心，心伤则血逆竭，血逆竭则神色先散而月水先闭也。火既受病，不能荣养其子，故
不嗜食；脾既虚，则金气亏，故发嗽；嗽既作，水气绝，故四肢干；木气不充，故多怒，鬓
发焦，筋痿。俟五脏传遍，故卒不能死者，然终死矣。此一种于劳中最难治。盖病起于五脏
之中，无有已期，药力不可及也。若或自能改易心志，用药扶接，如此则可得九死一生。举
此为例，其余诸劳，可按脉与证而治之。
张氏云∶室女月水久不行，切不可用青蒿等凉药。医家多以为室女血热，故以凉药解之
。殊不知血得热则行，冷则凝，《养生必用方》言之甚详，此说大有理，不可不知。
若经候微少，渐渐不通，手足骨肉烦疼，日渐羸瘦，渐生潮热，其脉微数，此由阴虚血
弱，阳往乘之，少水不能灭盛火，火逼水涸，亡津液。当养血益阴，慎无以毒药通之，宜柏
子仁丸、泽兰汤。
论述说：冲脉和任脉起始于胞宫内部，是全身经脉的海汇。手太阳小肠经与手少阴心经互为表里关系。心主宰血液，其气上行化为乳汁，下行化为月经。女子到了十四岁，天癸（促进生殖功能成熟的物质）到来，肾气充盛，冲任二脉通畅，经血充盈后，按时来潮，称为月经。通常每三十天左右来一次，这叫做生理平和。如果月经延期，是由于劳损伤及气血，导致气血壅滞结聚，所以造成月经不通。
治疗妇女、未婚女子月经不通，疼痛或形成血瘕（腹部结块）。通经丸。
桂心、青皮、大黄（煨制）、川椒、莪术、川乌（浸泡去皮）、干漆（捣碎，炒至烟尽）、当归、桃仁（去皮尖、双仁者不用，麸炒）、干姜（各等分）。
以上药物研成细末，分为四份，取一份用米醋熬成膏状，与其他三份药末混合制成丸剂，在臼中捣匀。做成梧桐子大小的丸子，晾干。每次服用二十丸，用淡醋汤送服，最多至三十丸，用温酒送服也可以，空腹，饭前服用。
治疗未婚女子月经不通。（出自《圣惠方》）
雄鼠屎（一两）烧存性，研成细末。空腹时，用温酒调服一钱，效果神奇。
寇宗奭说：人的生存，以气血为根本。人的疾病，没有不先伤及其气血的。世间有未婚女子、童男，心中积存思虑，想得过当，多导致劳损。男子则神色先散乱，女子则月经先闭止，为什么会这样呢？大概是因为忧愁思虑伤心，心受伤则血液逆乱枯竭，血液逆乱枯竭则神色先散乱而月经先闭止。火（心火）既然受病，不能滋养其子（脾土），所以食欲不振；脾既虚弱，则金（肺）气亏损，所以发生咳嗽；咳嗽既作，水（肾）气断绝，所以四肢干枯；木（肝）气不充盛，所以易怒，鬓发焦枯，筋脉痿软。等到五脏传遍病变，之所以突然不死，但最终还是会死。这种类型的劳损中最难治疗。因为病起于五脏之中，没有痊愈的期限，药力难以达到。如果能自己改变心志，用药扶持接续，这样才可得九死一生。举这个例子为例，其余各种劳损，可以根据脉象与证候来治疗。
张氏说：未婚女子月经长久不行，切不可使用青蒿等寒凉药物。医家多认为未婚女子血热，所以用寒凉药物解除它。却不知道血得热则运行，得冷则凝滞，《养生必用方》对此说得非常详细，此说很有道理，不可不知道。
如果月经量微少，渐渐不通，手足骨肉烦疼，日渐消瘦，逐渐产生潮热，脉象微数，这是由阴虚血弱，阳气乘虚侵袭，少水不能灭盛火，火逼水干涸，亡失津液。应当养血益阴，谨慎不要使用毒药强行通经，宜用柏子仁丸、泽兰汤。
It is stated: The Chong and Ren meridians originate within the uterus (Bao Gong) and serve as the sea of the twelve meridians. The Hand-Taiyin Large Intestine Meridian and the Hand-Shaoyin Heart Meridian are exteriorly-interiorly related. The Heart governs blood; its qi ascends to transform into milk and descends to transform into menstruation. When girls reach fourteen years of age, Tian Gui (substances that promote reproductive maturity) arrives, Kidney Qi becomes fully abundant, the Chong and Ren meridians flow smoothly, menstrual blood fills up, and flows down at the appropriate time, which is named menstruation. It typically occurs once every thirty days, which is referred to as physiological harmony. If menstruation is delayed, it is due to labor injury damaging Qi and Blood, causing stagnation and accumulation, thus leading to amenorrhea.
To treat amenorrhea in women and unmarried girls, accompanied by pain or formation of Xue Jia (abdominal masses), use Tong Jing Wan (Menstruation-Regulating Pill).
Gui Xin (Cinnamon Twig Heart), Qing Pi (Aurantium Peel), Da Huang (Rhubarb Root and Rhizome, stir-baked), Chuan Jiao (Sichuan Pepper), E Zhu (Curcuma Zedoaria Rhizome), Chuan Wu (Aconitum Carmichaelii Lateral Root, soaked and peeled), Gan Qi (Dried Lacquer, crushed and stir-fried until smoke ceases), Dang Gui (Angelica Sinensis Root), Tao Ren (Peach Seed, skin and tip removed, double-kernel ones excluded, stir-baked with bran), Gan Jiang (Dried Ginger) (all in equal parts).
Grind the above herbs into a fine powder, divide into four portions. Take one portion, simmer with rice vinegar to form a paste, and mix with the remaining three portions of herb powder to form pills. Pound in a mortar. Shape into pills the size of Sophora japonica seeds, and dry them. Each dose consists of 20 pills, taken with light vinegar water, up to 30 pills; warm wine may also be used. Take on an empty stomach, before meals.
To treat amenorrhea in unmarried girls. (From *Sheng Hui Fang*)
Xiong Shu Shi (Male Rat Feces, 1 liang) is burned to retain its properties, then ground into a fine powder. On an empty stomach, take 1 qian mixed with warm wine. This is highly effective.
Kou Zongshi states: Human life is based on Qi and Blood. Diseases do not occur without first injuring Qi and Blood. There are unmarried girls and young boys whose minds are burdened with excessive thoughts and over-anxiety, often resulting in consumptive disorders. In men, mental spirit scatters first; in women, menstruation closes first. Why is this so? Generally, sorrow and anxiety injure the Heart. When the Heart is injured, blood becomes rebellious and exhausted. When blood is rebellious and exhausted, mental spirit scatters first, and menstruation closes first. Since Fire (Heart Fire) is diseased, it cannot nourish its offspring (Spleen Earth), leading to poor appetite. Since the Spleen is deficient, Metal (Lung) Qi is depleted, leading to coughing. Once coughing occurs, Water (Kidney) Qi is cut off, leading to dry limbs. Since Wood (Liver) Qi is insufficient, irritability increases, temples and hair become brittle, and tendons become flaccid. After the pathology spreads through all five Zang organs, death does not occur immediately, but ultimately will. Among these types of consumption, this one is the most difficult to treat. Because the disease originates within the five Zang organs, there is no definite end date, and medicinal power cannot reach it. If the patient can change their mindset and receive medicinal support, there is a chance of survival out of nine deaths. Taking this as an example, other types of consumption can be treated according to pulse and syndrome.
Zhang states: For unmarried girls with long-standing amenorrhea, Qing Hao (Artemisia Annua Herba) and other cooling medicines must absolutely not be used. Physicians often believe that unmarried girls have Blood Heat, so they use cooling medicines to resolve it. They fail to realize that blood flows when warmed and coagulates when cooled. *Yang Sheng Bi Yong Fang* discusses this in detail. This theory is very reasonable and should not be ignored.
If menstruation is scanty and gradually stops, accompanied by vexation and pain in the hands, feet, bones, and flesh, progressive emaciation, and developing tidal fever, with a slightly rapid pulse, this is caused by Yin deficiency and Blood weakness, allowing Yang to invade. Just as little water cannot extinguish a raging fire, the fire forces the water to dry up, depleting body fluids. One should nourish Blood and benefit Yin. Caution is advised against using toxic medicines to forcibly unblock menstruation. Bai Zi Ren Wan (Biota Seed Pill) and Ze Lan Tang (Lycopus Decoction) are suitable.