治血脏久冷，月水不调，脐腹刺痛。（出《专治妇人方》）
川姜黄（成片子者，四两） 蓬莪术 红花 桂心 川芎（各一两） 延胡索 牡丹皮 当
归（各二两） 白芍药（三两）
上为细末，每服一钱。水半盏。酒半盏，煎至七分，热服。
桃仁散 治妇人月水不调，或淋沥不断，断后复来，状如泻水，四体虚翕，不能饮食，
腹中坚痛，不可行动。月水或前或后，或经月不来，举体沉重，唯欲眠睡，多思酸物。
桃仁 粉草 半夏（各一两） 赤芍药 生地黄（各三两） 泽兰叶 川牛膝 当归 桂心 牡
丹皮 人参 蒲黄 川芎（各二两）
上为粗末。每服五大钱，水盏半，姜三片，煎七分，空心，去滓温服。
夫妇人月水不通者，由劳伤血气致令体虚，受风冷邪气客于胞内，伤损冲任之脉，并手
太阳、少阴之经，致胞络内血绝不通故也。冲任之脉起于胞内，为经脉之海。手太阳小肠之
经也，手少阴心之经也，此二经为表里，主上为乳汁，下为月水。风冷伤其经血，血性得温
则宣流，得寒则涩闭。既为风冷所搏，血结于内，故令月水不通也。又云∶肠中鸣则月水不
来，病本在胃。胃气虚，不能消化水谷，使津液不生血气故也。（所以《梅师方》单用浓朴
，其理可见。再出《易简方》）。又云∶醉以入房，则内气竭绝伤于肝，使月水衰少不来。所
以尔者，肝藏于血，劳伤过度，血气枯竭于内也。又先唾血及吐血、下血，谓之脱血，名曰
血枯，亦月水不来也。所以尔者，津液减耗故也。但益津液，其经自下也。诊于肾脉微涩者
，是月水不通也。又左手关后、尺内浮为阳绝，无膀胱脉也，月水则闭。又肝脉沉而急，隐
之亦然。时小便难，苦头眩痛，腰背痛，足寒时疼，月水不来，恐得之时有所堕坠也。月水
不通，久则血结于内生块，变为血瘕，亦作血症。血水相并，壅涩不通，脾胃虚弱，变为水
肿也。所以然者，脾候身之肌肉，象于土，土主克消于水，水血既并，脾气衰弱，不能克消，
故水气流溢，浸渍肌肉，故肿满也。
治疗血脏长期寒冷，月经失调，脐腹部刺痛。（出自《专治妇人方》）
川姜黄（选取成片状的，四两） 蓬莪术 红花 桂心 川芎（各一两） 延胡索 牡丹皮 当归（各二两） 白芍药（三两）
以上药物研成细末，每次服用一钱。用水半盏、酒半盏，煎煮至七分量，趁热服用。
桃仁散：治疗妇女月经失调，或淋漓不断，停止后又来潮，状如流水，四肢虚弱倦怠，不能进食，腹中坚硬疼痛，无法行动。月经或提前或推后，或一个月不来，全身沉重，只想睡觉，特别想吃酸味食物。
桃仁 甘草 半夏（各一两） 赤芍药 生地黄（各三两） 泽兰叶 川牛膝 当归 桂心 牡丹皮 人参 蒲黄 川芎（各二两）
以上药物研成粗末。每次服用五大钱，用水一盏半，生姜三片，煎煮至七分，空腹时去渣温服。
妇女月经不通的原因，是由于劳倦损伤气血导致身体虚弱，风冷邪气侵入胞宫内部，损伤冲脉和任脉，以及手太阳小肠经和手少阴心经，导致胞络内的血液完全不通畅。冲脉和任脉起于胞宫内部，是十二经脉的海源。手太阳经是小肠的经络，手少阴经是心的经络，这两条经络互为表里，主管上部化为乳汁，下部化为月经。风冷损伤了经络中的血液，血液的特性是遇温暖则流通顺畅，遇寒冷则凝涩闭塞。既然被风冷邪气所侵袭，血液凝结在体内，所以导致月经不通。又说：肠鸣则月经不来，病根在胃。胃气虚弱，不能消化水谷，使得津液无法生成气血的缘故。（因此《梅师方》单独使用厚朴，其中的道理可见一斑。另出《易简方》）。又说：醉酒后行房事，会导致内气竭绝而伤及肝脏，使月经减少或闭止。之所以这样，是因为肝主藏血，过度劳伤导致内部气血枯竭。又有先出现唾血、吐血、便血的情况，称为脱血，名为血枯，也会导致月经不来。之所以这样，是因为津液耗损减少的缘故。只要补充津液，月经自然就会来潮。诊察肾脉微涩的，是月经不通的表现。又如果左手关部之后、尺部之内脉象浮，为阳绝，没有膀胱脉象，月经则会闭止。还有肝脉沉而急迫，按之亦然。时常小便困难，痛苦于头晕头痛，腰背疼痛，脚冷时常疼痛，月经不来，恐怕是在受孕时有所堕坠所致。月经不通，时间久了血液凝结在体内形成肿块，变为血瘕，也表现为血症。血与水相互搏结，壅滞涩闭不通，脾胃虚弱，进而变为水肿。之所以这样，是因为脾对应身体的肌肉，象征于土，土主克制消解水，水和血既已合并，脾气衰弱，不能克制消解，所以水流溢散，浸渍肌肉，因此出现肿胀满闷。
To treat long-standing coldness of the blood zang (Blood Organ), irregular menstruation, and stabbing pain in the umbilical and abdominal regions. (From *Zhuan Zhi Fu Ren Fang*)
*Chuan Jiang Huang* (Curcumae Longae Rhizoma, selected as sliced pieces, 4 liang) Peng E Zhu (Curcumae Phaeocaulis Rhizoma), Hong Hua (Carthami Flos), Gui Xin (Cinnamomi Ramulus), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang); Yan Hu Suo (Corydalis Rhizoma), Mu Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix) (each 2 liang); Bai Shao Yao (Paeoniae Radix Alba) (3 liang).
Grind all ingredients into a fine powder. Take 1 qian per dose. Decoct with half a zhan of water and half a zhan of wine until reduced to seven-tenths volume. Take warm.
**Taoren San (Peach Kernel Powder)**: Treats women with irregular menstruation, or continuous dripping that stops and then resumes, resembling flowing water; weakness and flaccidity of the four limbs; inability to eat; firm and painful abdomen making movement impossible; menstruation occurring either early or late, or absent for a month; heaviness of the whole body; excessive sleepiness; and strong cravings for sour foods.
Tao Ren (Persicae Semen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma Praeparatum) (each 1 liang); Chi Shao Yao (Paeoniae Radix Rubra), Sheng Di Huang (Rehmanniae Radix) (each 3 liang); Ze Lan Ye (Lycopus Herba), Chuan Niu Xi (Cyathulae Radix), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Ramulus), Mu Dan Pi (Moutan Cortex), Ren Shen (Ginseng Radix), Pu Huang (Typhae Pollen), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 2 liang).
Grind all ingredients into a coarse powder. Take 5 da qian per dose. Decoct with one and a half zhan of water and three slices of fresh ginger until reduced to seven-tenths volume. Strain and take warm on an empty stomach.
The cause of amenorrhea (absence of menstruation) in women is due to fatigue damaging qi and blood, leading to bodily deficiency. Wind-cold pathogenic factors invade the interior of the uterus (Bao Gong), injuring the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel), as well as the Hand-Taiyang Small Intestine Meridian and Hand-Shaoyin Heart Meridian. This results in the complete obstruction of blood within the uterine collaterals. The Chong and Ren vessels originate from the interior of the uterus and serve as the sea of the twelve meridians. The Hand-Taiyang meridian belongs to the Small Intestine, and the Hand-Shaoyin meridian belongs to the Heart; these two meridians are exterior-interior pairs, governing the transformation of fluids into milk above and menstruation below. When wind-cold injures the blood within the meridians, blood flows freely when warmed but becomes stagnant and closed when cooled. Since it is constrained by wind-cold, blood coagulates internally, causing amenorrhea. It is also stated: "Intestinal rumbling indicates amenorrhea; the root of the disease lies in the Stomach." If Stomach qi is deficient and unable to digest food and drink, jinye (body fluids) cannot generate qi and blood. (Thus, in *Mei Shi Fang*, using only Hou Po (Magnoliae Officinalis Cortex) reveals this principle; see also *Yi Jian Fang*). It is further stated: "Having intercourse while intoxicated exhausts internal qi and injures the Liver, causing menstrual scarcity or cessation." This occurs because the Liver stores blood; excessive fatigue leads to depletion of qi and blood internally. Additionally, prior hemoptysis, hematemesis, or hematochezia constitute "blood loss" (Tuo Xue), named "blood exhaustion" (Xue Ku), which also results in amenorrhea. This happens because jinye (body fluids) are diminished. By replenishing jinye, the menses will naturally resume. A faint and choppy pulse at the Kidney position indicates amenorrhea. Furthermore, a floating pulse at the posterior Guan and inner Chi positions on the left hand indicates Yang exhaustion and absence of the Bladder pulse, leading to menstrual closure. A deep and rapid Liver pulse yields similar findings. Symptoms include difficulty urinating, severe dizziness and headache, lower back pain, cold feet with intermittent pain, and amenorrhea; this may stem from a fall during conception. Prolonged amenorrhea causes blood to coagulate internally, forming masses, transforming into Xue Jia (Blood Masses), or presenting as Xue Zheng (Blood Syndromes). When blood and water merge, causing stagnation and obstruction, and Spleen-Stomach qi is weak, edema may develop. This is because the Spleen corresponds to the muscles of the body and symbolizes Earth; Earth controls Water. When water and blood merge, if Spleen qi is weak and fails to control Water, fluid overflows and infiltrates the muscles, resulting in swelling and fullness.