凡女人血虚者，或迟或早，经多不调。此当察脏气，审阴阳，详参形证脉色，辨而治之，庶无误也。盖
血虚之候，或色淡，或涩少，或过期不至，或行后反痛，痛则喜暖、喜按，或经后则困惫难支，腰膝如折，
或脉息则微弱弦涩，或饮食素少，或形色薄弱。凡经有不调，而值此不足之证，皆不可妄行克削及寒凉等剂，
再伤脾、肾以伐生气，则惟有日甚矣。
凡肝、脾血虚，微滞微痛者，宜四物汤主之。或加肉桂，或加黄芩，随寒热而用之，自无不可。
四物汤 （见经不调）
三阴亏弱，无热无寒，平脏者，宜小营煎、五福饮、六物煎之类主之。此常人最宜之剂。或八珍汤、十
全大补汤之类，皆宜择用。
三阴亏弱兼阳虚，宜大营煎、理阴煎之类主之。
小营煎（见《新方八阵·补阵》）治血少阴虚。此性味平和之方也。
当归（二钱） 熟地（二、三钱） 芍药（炒酒二钱） 山药（炒二钱） 枸杞（二钱） 炙甘草（一钱）
水二钟，煎七分，食远温服。如营虚于上而为惊恐、怔忡、不眠、多汗者，加枣仁、茯神各二钱，如营
虚兼寒者，去芍药加生姜；如气滞有痛者，加香附一二钱，引而行之。
五福饮（见血热经早）
六物煎（见调经论外备用方）
八珍汤（见经不调）
十全大补汤（见调经论外备用方）
大营煎（见血热经早）
理阴煎（见血寒经迟）
忧思过度，心脾受伤者，七福饮、归脾汤之类主之。
七福饮（见《新方八阵·补阵》）治气血俱虚，而以心脾为甚者。
人参（二钱） 熟地（四、五钱） 当归（二、三钱） 白术（炒二钱） 枣仁（二钱） 远志
（三、五分制用） 炙甘草（一钱）
水二钟，煎七分，食远温服。
归脾汤（见经不调）
脾土不健，饮食减少，宜燥宜温者，温胃饮、理中汤之类主之。
温胃饮（见《新方八阵·热阵》）治中寒，呕吐吞酸，泄泻，不思饮食，及妇人脏寒，呕恶，
胎气不安等证。
人参（一、二、三钱或一两） 白术（炒一、二钱或一两） 扁豆（二钱炒） 陈皮（一钱或不用）
干姜（炒焦一、二、三钱） 炙甘草（一钱） 当归（一、二钱。滑泄者勿用）
水二钟，煎七分，食远温服。如下寒带浊者，加破故纸一钱，如气滞或兼胸腹痛者，加藿香、丁香、
木香、白豆蔻、砂仁、白芥子之属；如兼外邪及肝、肾之病者，加桂枝、肉桂，甚者加柴胡；如脾气陷
而身热者，加升麻五七分；如水泛为痰而胸腹痞满者，加茯苓一二钱；如脾胃虚极，大呕大吐不能止者，
倍用参术，仍加胡椒二三分许，煎熟，徐徐服之。
仲景 理中丸（见《古方八阵。热阵》）即名人参理中汤。治太阴即病，自利不渴，阴寒腹痛，
短气咳嗽，霍乱呕吐，饮食难化，胸膈噎塞，或疟疾瘴气瘟疫，中气虚损，久不能愈，或中虚生痰等证。
人参 白术（炒） 干姜（炒） 炙甘草（各三两）
上四味，捣、筛为末，蜜丸鸡子黄大，以沸汤数合和一丸，研碎，温服之。日三四，
夜二服。腹中未热，益至三四丸。然不及汤，汤法∶以四物根据数切，用水八升，煮取三升，去渣，温服
一升，日三服。
宾（景岳）按∶上方两数乃汉时权度，今后世所用，惟每味数钱而甘草半之，酌宜可也。
脾土虚陷，不能统摄营气，而为漏为频者，宜五福饮、归脾汤、寿脾煎、秘元煎、或四君子加芎归主之。
五福饮（见血热经早）
归脾汤（见经不调）
寿脾煎（见《新方八阵·热阵》）一名摄脾煎。治脾虚不能摄血等证。凡忧思、郁怒、积劳及误用
攻伐等药，犯损脾阴，以致中气亏陷，神魂不宁，大便脱血不止，或妇人无火崩淋等证；凡兼呕恶，尤
为危候，速宜用此，单救脾气，则统摄固而血自归源。此归脾汤之变方，其效如神。若犯此证而再用寒
凉，则胃气必脱，无不即毙者。
白术（二、三钱） 当归（二钱） 山药（二钱） 炙甘草（一钱） 枣仁（钱半） 远志（制三五分）
干姜（炮一、二、三钱） 莲肉（去心炒二十粒） 人参（随宜一、二钱急者用一两）
水二钟煎服。如血未止，加乌梅二个，凡畏酸者不可用，或加地榆一钱半亦可。滑脱不禁者，加醋炒文蛤
一钱；下焦虚滑不禁，加鹿角霜二钱为末，搅入药中服之；气虚甚者加炙黄 二三钱。气陷而坠者，加炒升麻
五七分，或白芷亦可。兼溏泄者，加补骨脂一钱炒用。阳虚畏寒者，加制附子一至三钱。去血过多，阴虚气
馁，心跳不宁者，加熟地七八钱或一二两。
秘元煎（见《新方八阵·固阵》）治遗精带浊等病。此方专主心、脾。
远志（八分炒） 山药（二钱炒） 芡实（二钱炒） 枣仁（炒、捣碎二钱）
白术（炒） 茯苓（各钱半） 炙甘草（一钱） 人参（一、二钱）五味（十四粒，畏酸者去之）
金樱子（去核二钱）
水二钟，煎七分，食远服。此治久遗无火，不痛而滑者乃可用之。如尚有火觉热者，加苦参一二钱。如气
大虚者，加黄 一二三钱。
四君子汤（见《古方八阵·补阵》）治脾、胃虚弱，饮食少思，或大便不实，体瘦面黄，或胸膈虚痞，
吞酸痰嗽，或脾胃虚弱，善患疟痢等证。
人参 白术 茯苓（各二钱） 炙甘草（一钱） 加姜、枣。
水煎服。或加粳米百粒。
肝虚不能藏血，或多惊惕，或多小腹急痛，宜三阴煎、补肝散之类主之。
三阴煎（见《新方八阵·补阵》）此治肝、脾虚损，精血不足，及营虚失血等病，故曰三阴。凡
中风血不养筋及疟疾汗多，邪散而寒热犹不能止，是皆少阳厥阴阴虚少血之病，……无火者宜此主之。
当归（二、三钱） 熟地（三、五钱） 炙甘草（一钱） 芍药（酒炒二钱） 枣仁（二钱） 人参（随宜）
水二钟，煎七分，食远服。如呕恶者，加生姜三五片；汗多烦躁者，加五味子十四粒；汗多气虚者，加黄
一二钱；小腹隐痛，加枸杞二三钱；如有胀闷，加陈皮一钱；如腰膝筋骨无力，加杜仲、牛膝。
补肝散（见调经论外备用方）
若阴血虚，水不制火，而邪火盛者，或为夜热盗汗，或为烦渴生痰，是即劳损之渐，速宜调治。用一、
二、三、四、五阴等煎，择宜治之，否则恐成血枯也。
一阴煎（见《新方八阵·补阵》）此治水亏火胜之剂，故曰一阴。凡肾水真阴虚损而脉证多阳，虚
火发热及阴虚动血等证，或疟疾、伤寒屡散之后，取汗既多，脉虚气弱而烦渴不止，潮热不退者，此以汗多伤
阴，水亏而然也，皆宜用此，加减主之。
生地（二钱） 熟地（三、五钱） 芍药（二钱） 麦冬（二钱） 甘草（一钱） 牛膝（一钱半）
丹参（二钱）
水二钟，煎七分，食远温服。如火盛躁烦者，入真
龟胶二三钱化服；如气虚者，间用人参一二钱；如心虚不眠多汗者，加枣仁、当归各一二钱；如汗多烦
躁者，加五味子十粒，或加山药、山茱萸；如见微火者，加女贞子一二钱；如虚火上浮，或吐血，或衄
血不止者，加泽泻一二钱、茜根二钱，或加川续断一二钱以涩之，亦妙。
二阴煎（见《新方八阵·补阵》）此治心经有热，水不制火之病，故曰二阴。凡惊狂失志，多言多
笑，或疡疹烦热失血等证，宜此主之。
生地（二、三钱） 麦冬（二、三钱） 枣仁（二钱） 生甘草（一钱） 玄参（一钱半） 黄连（或一、二钱）
茯苓（一钱半） 木通（一钱半）
水二钟，加灯草二十根，或竹叶亦可，煎七分，食远服。如痰胜热甚者，加九制胆星一钱，或天花粉
一钱五分。
三阴煎（见上段）
四阴煎（见《新方八阵·补阵》）此保肺清金之剂，故曰四阴，治阴虚劳损，相火炽盛，津枯
烦渴，咳嗽吐衄多热等证。
生地（二、三钱） 麦冬（二钱） 白芍药（二钱） 百合（二钱） 沙参（二钱） 生甘草（一钱）
茯苓（一钱半）
水二钟，煎七分，食远服。如夜热盗汗，加地骨皮一二钱；如痰多气盛，加贝母二三钱，阿胶一二钱，
天花粉亦可。如金水不能相滋而干燥喘嗽者，加熟地三五钱。如多汗不眠，神魂不宁，加枣仁二钱；如多汗兼
渴，加北五味十四粒。如热甚者，加黄柏一二钱，盐水炒用，或玄参亦可，但分上下用之。如血燥经迟，枯
涩不至者，加牛膝二钱。如血热吐衄，加茜根二钱。如多火便燥或肺干咳咯者，加天门冬二钱，或加童便亦可。如
火载血上者，去甘草加炒栀子一二钱。
五阴煎（见《新方八阵·补阵》）凡真阴亏损，脾虚失血等证，或见溏泄未甚者，所重在脾，故曰五
阴。忌用润滑，宜此主之。
熟地（五、七钱或一两） 山药（炒二钱） 扁豆（炒二三钱） 炙甘草（一、二钱） 茯苓（一钱半）
芍药（炒黄二钱） 五味子（廿粒） 人参（随宜用） 白术（炒一、二钱）
水二钟，加莲肉去心二十粒，煎服。
凡女性血虚者，月经或迟或早，经量多少不一，周期紊乱。此时应当审察脏腑之气，辨别阴阳虚实，详细参考形体、证候、脉象和面色，辨证施治，这样才不至于出错。
血虚的表现，有的经血色淡，有的经血涩滞量少，有的过期不来，有的在行经后反而疼痛，疼痛时喜欢温暖、喜欢按压；有的在经后感到困倦疲惫难以支撑，腰膝酸软如折断一般；有的脉象微弱、弦细或涩滞；有的平时饮食很少，有的形体消瘦、面色萎黄。凡是月经不调，同时出现这些气血不足的证候，都不可妄用攻伐克削及寒凉性质的药物，以免再次损伤脾、肾，败坏生机，那样病情只会日益加重。
凡是肝、脾血虚，伴有轻微气滞和轻微疼痛的，适宜用四物汤为主方治疗。或者加入肉桂，或者加入黄芩，根据寒热证候的不同而选用，自然没有不适宜的。
三阴（肝、脾、肾）亏弱，无寒无热，脏腑功能平和的，适宜用小营煎、五福饮、六物煎之类的方剂治疗。这是普通人最适宜的方剂。或者八珍汤、十全大补汤之类的，也都应该酌情选用。
小营煎（见《新方八阵·补阵》）治疗血少阴虚。这是一个性味平和的方子。
当归（二钱） 熟地黄（二、三钱） 芍药（炒酒制二钱） 山药（炒二钱） 枸杞子（二钱） 炙甘草（一钱）
用水两钟，煎至七分，饭后稍远时温服。如果营血虚于上部而出现惊恐、心悸怔忡、失眠、多汗等症状，加酸枣仁、茯神各二钱；如果营血虚兼有寒邪，去掉芍药加入生姜；如果有气滞且疼痛，加香附一二钱，以引导药力运行。
六物煎（见调经论外备用方）
八珍汤（见经不调）
十全大补汤（见调经论外备用方）
忧思过度，导致心脾受损的，适宜用七福饮、归脾汤之类的方剂治疗。
七福饮（见《新方八阵·补阵》）治疗气血俱虚，而以心脾亏损为严重的情况。
人参（二钱） 熟地黄（四、五钱） 当归（二、三钱） 白术（炒二钱） 酸枣仁（二钱） 远志（三、五分，炮制后用） 炙甘草（一钱）
用水两钟，煎至七分，饭后稍远时温服。
归脾汤（见经不调）
脾土不健运，饮食减少，适宜燥湿温中的，适宜用温胃饮、理中汤之类的方剂治疗。
温胃饮（见《新方八阵·热阵》）治疗中焦受寒，呕吐吞酸，泄泻，不思饮食，以及妇人脏寒，呕恶，胎气不安等证候。
人参（一、二、三钱或一两） 白术（炒一、二钱或一两） 扁豆（二钱，炒） 陈皮（一钱或不用） 干姜（炒焦一、二、三钱） 炙甘草（一钱） 当归（一、二钱。滑泄者勿用）
用水两钟，煎至七分，饭后稍远时温服。如果下焦虚寒带下浑浊者，加破故纸一钱；如果有气滞或兼胸腹痛者，加藿香、丁香、木香、白豆蔻、砂仁、白芥子之类；如果兼有外邪及肝、肾疾病者，加桂枝、肉桂，严重者加柴胡；如果脾气下陷而身热者，加升麻五七分；如果水湿泛滥成痰而胸腹痞满者，加茯苓一二钱；如果脾胃极度虚弱，大呕大吐不能停止者，加倍使用人参、白术，仍加胡椒二三分左右，煎好后徐徐服用。
张仲景的理中丸（见《古方八阵·热阵》）即人称人参理中汤。治疗太阴病即时发作，自利不渴，阴寒腹痛，短气咳嗽，霍乱呕吐，饮食难化，胸膈噎塞，或者疟疾、瘴气瘟疫，中气虚损，久治不愈，或者中焦虚而生痰等证候。
人参 白术（炒） 干姜（炒） 炙甘草（各三两）
以上四味，捣碎、筛成粉末，用蜂蜜制成如鸡子黄大小的丸药，用沸水少许调和一丸，研碎，温服。白天三四次，夜间两次。如果腹中未觉温热，增加至三四丸。然而不如汤剂好，汤剂的用法：将四味药按上述数量切碎，用水八升，煮取三升，去渣，温服一升，每天三次。
我（张景岳）按语：上面的剂量是汉时的权度，如今后世所用，每味药只需数钱，而甘草减半，酌情适宜即可。
脾土虚陷，不能统摄营气，而导致漏下或经期频发的，适宜用五福饮、归脾汤、寿脾煎、秘元煎，或者四君子汤加川芎、当归为主方治疗。
归脾汤（见经不调）
寿脾煎（见《新方八阵·热阵》）一名摄脾煎。治疗脾虚不能摄血等证候。凡是忧思、郁怒、积劳以及误用攻伐等药，犯损脾阴，以致中气亏陷，神魂不宁，大便脱血不止，或者妇人无火崩漏等证候；凡是兼有呕恶，尤为危重证候，速宜用此方，单救脾气，则统摄固而血自归源。这是归脾汤的变方，其效如神。如果犯此证再用寒凉药，则胃气必脱，无不立即毙命的。
白术（二、三钱） 当归（二钱） 山药（二钱） 炙甘草（一钱） 酸枣仁（钱半） 远志（炮制三五分） 干姜（炮一、二、三钱） 莲子肉（去心炒二十粒） 人参（随宜一、二钱，急症用一两）
用水两钟煎服。如果血未止，加乌梅二个，凡畏酸者不可用，或者加地榆一钱半也可以。滑脱不禁者，加醋炒文蛤一钱；下焦虚滑不禁，加鹿角霜二钱研末，搅入药中服用；气虚甚者加炙黄芪二三钱。气陷而下坠者，加炒升麻五七分，或者白芷也可以。兼有溏泄者，加补骨脂一钱炒用。阳虚畏寒者，加制附子一至三钱。失血过多，阴虚气馁，心跳不宁者，加熟地黄七八钱或一二两。
秘元煎（见《新方八阵·固阵》）治疗遗精带浊等疾病。此方专主心、脾。
远志（八分炒） 山药（二钱炒） 芡实（二钱炒） 酸枣仁（炒、捣碎二钱）
白术（炒） 茯苓（各钱半） 炙甘草（一钱） 人参（一、二钱） 五味子（十四粒，畏酸者去之） 金樱子（去核二钱）
用水两钟，煎至七分，饭后稍远时服用。这是治疗久遗无火，不痛而滑脱者方可使用。如果尚有火热感觉发热者，加苦参一二钱。如果气大虚者，加黄芪一二三钱。
四君子汤（见《古方八阵·补阵》）治疗脾、胃虚弱，饮食少思，或者大便不实，体瘦面黄，或者胸膈虚痞，吞酸痰嗽，或者脾胃虚弱，容易患疟痢等证候。
人参 白术 茯苓（各二钱） 炙甘草（一钱） 加姜、枣。
用水煎服。或者加粳米百粒。
肝虚不能藏血，或者多惊惕，或者多小腹急痛，适宜用三阴煎、补肝散之类的方剂治疗。
三阴煎（见《新方八阵·补阵》）这是治疗肝、脾虚损，精血不足，以及营虚失血等病的方子，所以叫三阴。凡是中风血不养筋以及疟疾汗多，邪气已散但寒热仍然不能停止的，都是少阳厥阴阴虚少血的病，……无火的适宜用此方主治。
当归（二、三钱） 熟地黄（三、五钱） 炙甘草（一钱） 芍药（酒炒二钱） 酸枣仁（二钱） 人参（随宜）
用水两钟，煎至七分，饭后稍远时服用。如果有呕恶者，加生姜三五片；汗多烦躁者，加五味子十四粒；汗多气虚者，加黄芪一二钱；小腹隐痛，加枸杞子二三钱；如果有胀闷，加陈皮一钱；如果腰膝筋骨无力，加杜仲、牛膝。
补肝散（见调经论外备用方）
如果阴血虚，水不制火，而邪火旺盛者，或者出现夜热盗汗，或者出现烦渴生痰，这就是劳损的开始，速宜调治。用一阴煎、二阴煎、三阴煎、四阴煎、五阴煎等，择宜治疗，否则恐怕会形成血枯。
一阴煎（见《新方八阵·补阵》）这是治疗水亏火胜的方剂，所以叫一阴。凡是肾水真阴虚损而脉证多表现为阳，虚火发热以及阴虚动血等证候，或者疟疾、伤寒屡用发散之后，取汗既多，脉虚气弱而烦渴不止，潮热不退的，这是因为汗多伤阴，水亏所致，都适宜用此方，加减主治。
生地黄（二钱） 熟地黄（三、五钱） 芍药（二钱） 麦冬（二钱） 甘草（一钱） 牛膝（一钱半） 丹参（二钱）
用水两钟，煎至七分，饭后稍远时温服。如果火热盛躁烦者，加入真龟胶二三钱烊化服用；如果气虚者，间用人参一二钱；如果心虚不眠多汗者，加酸枣仁、当归各一二钱；如果汗多烦躁者，加五味子十粒，或者加山药、山茱萸；如果见到微火者，加女贞子一二钱；如果虚火上浮，或者吐血，或者鼻衄不止者，加泽泻一二钱、茜根二钱，或者加川续断一二钱以收敛止血，也很好。
二阴煎（见《新方八阵·补阵》）这是治疗心经有热，水不制火的病，所以叫二阴。凡是惊狂失志，多言多笑，或者疮疡疹子烦热失血等证候，适宜用此方主治。
生地黄（二、三钱） 麦冬（二、三钱） 酸枣仁（二钱） 生甘草（一钱） 玄参（一钱半） 黄连（或一、二钱） 茯苓（一钱半） 木通（一钱半）
用水两钟，加灯草二十根，或者竹叶也可以，煎至七分，饭后稍远时服用。如果痰胜热甚者，加九制胆星一钱，或者天花粉一钱五分。
三阴煎（见上段）
四阴煎（见《新方八阵·补阵》）这是保肺清金的方剂，所以叫四阴，治疗阴虚劳损，相火炽盛，津枯烦渴，咳嗽吐衄多热等证候。
生地黄（二、三钱） 麦冬（二钱） 白芍药（二钱） 百合（二钱） 沙参（二钱） 生甘草（一钱） 茯苓（一钱半）
用水两钟，煎至七分，饭后稍远时服用。如果夜热盗汗，加地骨皮一二钱；如果痰多气盛，加贝母二三钱，阿胶一二钱，天花粉也可以。如果金水不能相滋而干燥喘嗽者，加熟地黄三五钱。如果多汗不眠，神魂不宁，加酸枣仁二钱；如果多汗兼渴，加北五味子十四粒。如果热甚者，加黄柏一二钱，盐水炒用，或者玄参也可以，但要分上下部位使用。如果血燥经迟，枯涩不至者，加牛膝二钱。如果血热吐衄，加茜根二钱。如果多火便燥或者肺干咳咯者，加天门冬二钱，或者加童便也可以。如果火载血上者，去掉甘草加炒栀子一二钱。
五阴煎（见《新方八阵·补阵》）凡是真阴亏损，脾虚失血等证候，或者见到溏泄未严重的，所重在脾，所以叫五阴。忌用润滑药，适宜用此方主治。
熟地黄（五、七钱或一两） 山药（炒二钱） 扁豆（炒二三钱） 炙甘草（一、二钱） 茯苓（一钱半） 芍药（炒黄二钱） 五味子（廿粒） 人参（随宜用） 白术（炒一、二钱）
用水两钟，加莲子肉去心二十粒，煎服。
In all cases where women suffer from blood deficiency, menstruation may be either delayed or early, with irregular volume and cycle. In such instances, one must examine the qi of the zang organs, distinguish yin and yang, and carefully observe the physical condition, symptoms, pulse, and complexion to differentiate the syndrome and treat accordingly, thereby avoiding errors.
The manifestations of blood deficiency include: pale menstrual blood; scanty flow with a choppy quality; absence of menstruation past the expected date; pain occurring after menstruation ceases, which is relieved by warmth and pressure; exhaustion and inability to support oneself after menstruation, with soreness and weakness in the waist and knees as if broken; a pulse that is weak, wiry, or choppy; habitual poor appetite; or emaciated physique with sallow complexion. Whenever menstrual irregularities coincide with these signs of insufficiency, one must not recklessly use purgative, draining, or cold-natured remedies, lest they further damage the spleen and kidney and deplete vital energy (Sheng Qi), causing the condition to worsen daily.
For liver and spleen blood deficiency accompanied by slight stagnation and mild pain, Si Wu Tang (Four Substances Decoction) should be used as the primary formula. One may add Rou Gui (Cinnamon Twig) for cold patterns, or Huang Qin (Scutellaria Root) for heat patterns, adapting to the cold or heat nature of the syndrome, which will invariably prove effective.
Si Wu Tang (See Irregular Menstruation)
For deficiency and weakness of the Three Yin (Liver, Spleen, Kidney), without heat or cold, and with balanced organ function, Xiao Ying Jian (Small Camp Decoction), Wu Fu Yin (Five Blessings Drink), Liu Wu Jian (Six Ingredients Decoction), and similar formulas are appropriate. These are most suitable for ordinary people. Ba Zhen Tang (Eight Treasures Decoction) or Shi Quan Da Bu Tang (Ten Complete Great Tonifying Decoction) may also be selected according to need.
For Three Yin deficiency combined with Yang deficiency, Da Ying Jian (Great Camp Decoction) or Li Yin Jian (Regulating Yin Decoction) are appropriate.
Xiao Ying Jian (See *New Formulas Eight Arrays · Tonifying Array*) treats blood scarcity and Yin deficiency. This is a formula with mild and harmonious properties.
Dang Gui (Angelicae Sinensis Radix) (2 qian)
Shu Di Huang (Rehmanniae Radix Praeparata) (2-3 qian)
Bai Shao (Paeoniae Radix Alba, stir-fried with wine) (2 qian)
Shan Yao (Dioscoreae Rhizoma, stir-fried) (2 qian)
Gou Qi Zi (Lycii Fructus) (2 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Decoct two zhong of water to seven-tenths. Take warm, well after meals. If Ying (Nutritive) blood deficiency manifests above with fright, palpitations, insomnia, and hyperhidrosis, add Suan Zao Ren (Ziziphi Spinosae Semen) and Fu Shen (Poria with Hostwood) each 2 qian. If Ying deficiency is combined with cold, remove Bai Shao and add Sheng Jiang (Zingiberis Rhizoma Recens). If there is Qi stagnation with pain, add Xiang Fu (Cyperi Rhizoma) 1-2 qian to guide the action.
Wu Fu Yin (See Early Menstruation due to Blood Heat)
Liu Wu Jian (See Supplementary Formulas for Menstrual Regulation Theory)
Ba Zhen Tang (See Irregular Menstruation)
Shi Quan Da Bu Tang (See Supplementary Formulas for Menstrual Regulation Theory)
Da Ying Jian (See Early Menstruation due to Blood Heat)
Li Yin Jian (See Delayed Menstruation due to Blood Cold)
Excessive worry and overthinking injure the Heart and Spleen. In such cases, Qi Fu Yin (Seven Blessings Drink) or Gui Pi Tang (Spleen-Restoring Decoction) are appropriate.
Qi Fu Yin (See *New Formulas Eight Arrays · Tonifying Array*) treats dual deficiency of Qi and Blood, particularly severe in the Heart and Spleen.
Ren Shen (Ginseng Radix et Rhizoma) (2 qian)
Shu Di Huang (Rehmanniae Radix Praeparata) (4-5 qian)
Dang Gui (Angelicae Sinensis Radix) (2-3 qian)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) (2 qian)
Suan Zao Ren (Ziziphi Spinosae Semen) (2 qian)
Yuan Zhi (Polygalae Radix, processed) (3-5 fen)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Decoct two zhong of water to seven-tenths. Take warm, well after meals.
Gui Pi Tang (See Irregular Menstruation)
When Spleen Earth fails to transform and transport, leading to reduced appetite, and when drying and warming are indicated, Wen Wei Yin (Stomach-Warming Drink) or Li Zhong Tang (Regulate the Middle Decoction) are appropriate.
Wen Wei Yin (See *New Formulas Eight Arrays · Heat Array*) treats Cold in the Middle Jiao, vomiting with acid regurgitation, diarrhea, anorexia, as well as Cold in the Viscera in women, nausea, vomiting, and unstable fetal Qi.
Ren Shen (Ginseng Radix et Rhizoma) (1-3 qian or 1 liang)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) (1-2 qian or 1 liang)
Bian Dou (Dolichoris Semen) (2 qian, stir-fried)
Chen Pi (Citri Reticulatae Pericarpium) (1 qian, or omit)
Gan Jiang (Zingiberis Rhizoma, stir-fried until charred) (1-3 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Dang Gui (Angelicae Sinensis Radix) (1-2 qian. Do not use in cases of slippery diarrhea.)
Decoct two zhong of water to seven-tenths. Take warm, well after meals. For lower Jiao deficiency-cold with turbid leukorrhea, add Po Gu Zhi (Psoraleae Fructus) 1 qian. For Qi stagnation or chest/abdominal pain, add Huo Xiang (Pogostemonis Herba), Ding Xiang (Caryophylli Flos), Mu Xiang (Aucklandiae Radix), Bai Dou Kou (Amomi Fructus Rotundus), Sha Ren (Amomi Fructus), or Bai Jie Zi (Sinapis Semen). For external pathogens or Liver/Kidney disease, add Gui Zhi (Ramulus Cinnamomi) or Rou Gui (Cortex Cinnamomi); in severe cases, add Chai Hu (Bupleuri Radix). For Spleen Qi sinking with fever, add Sheng Ma (Cimicifugae Rhizoma) 5-7 fen. For Phlegm-fluid retention causing chest/abdominal fullness, add Fu Ling (Poria) 1-2 qian. For extreme Spleen/Stomach deficiency with severe unceasing vomiting, double the dosage of Ren Shen and Bai Zhu, add Hu Jiao (Piperis Longi Fructus) 2-3 fen, decoct, and take slowly.
Zhang Zhongjing’s Li Zhong Wan (Regulate the Middle Pill) (See *Ancient Formulas Eight Arrays · Heat Array*), also known as Ren Shen Li Zhong Tang, treats Taiyin disease presenting immediately with spontaneous diarrhea without thirst, Yin-cold abdominal pain, shortness of breath with cough, cholera with vomiting, difficulty digesting food, chest/diaphragm obstruction, malaria, miasma/plague, chronic Qi deficiency unable to heal, or Phlegm generated from Middle Jiao deficiency.
Ren Shen (Ginseng Radix et Rhizoma)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried)
Gan Jiang (Zingiberis Rhizoma, stir-fried)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle)
(Each 3 liang)
Crush and sieve the four ingredients into powder. Make pills the size of chicken egg yolks using honey. Dissolve one pill in a few he of boiling water, crush, and take warm. Four times during the day, twice at night. If the abdomen does not feel warm, increase to 3-4 pills. However, the decoction is superior. Method for decoction: Cut the four ingredients according to the specified amounts. Use 8 sheng of water, boil to obtain 3 sheng, strain, and take 1 sheng warm, three times daily.
Commentary by Jingyue (Zhang): The dosages above refer to Han dynasty weights. Modern usage typically employs a few qian per ingredient, with Gan Cao halved, adjusted as appropriate.
When Spleen Earth is deficient and sinking, failing to control and hold Nutritive Qi, resulting in metrorrhagia or frequent menstruation, Wu Fu Yin, Gui Pi Tang, Shou Pi Jian, Mi Yuan Jian, or Si Jun Zi Tang plus Xiong Dui (Chuanxiong and Dang Gui) are appropriate.
Wu Fu Yin (See Early Menstruation due to Blood Heat)
Gui Pi Tang (See Irregular Menstruation)
Shou Pi Jian (Spleen-Nourishing Decoction) (See *New Formulas Eight Arrays · Heat Array*), also called She Pi Jian, treats Spleen deficiency failing to control blood. It addresses conditions caused by worry, depression, anger, chronic fatigue, or misuse of attacking drugs that damage Spleen Yin, leading to Middle Qi sinking, restless Spirit, continuous rectal bleeding, or non-fire metrorrhagia in women. If accompanied by nausea/vomiting, it is critical; use this formula immediately to rescue Spleen Qi alone, securing control so blood returns to its source. This is a variation of Gui Pi Tang with miraculous efficacy. Using cold herbs for this condition will cause Stomach Qi to collapse and lead to immediate death.
Bai Zhu (Atractylodis Macrocephalae Rhizoma) (2-3 qian)
Dang Gui (Angelicae Sinensis Radix) (2 qian)
Shan Yao (Dioscoreae Rhizoma) (2 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Suan Zao Ren (Ziziphi Spinosae Semen) (1.5 qian)
Yuan Zhi (Polygalae Radix, processed) (3-5 fen)
Gan Jiang (Zingiberis Rhizoma, roasted) (1-3 qian)
Lian Rou (Nelumbinis Semen, heart removed, stir-fried) (20 grains)
Ren Shen (Ginseng Radix et Rhizoma) (1-2 qian as needed, 1 liang in emergencies)
Decoct two zhong of water and take. If bleeding does not stop, add W Mei (Mume Fructus) two pieces (omit if sour-averse), or add Di Yu (Sanguisorbae Radix) 1.5 qian. For slippery incontinence, add Wen Ge (Tridacnae Concha) stir-fried with vinegar 1 qian. For Lower Jiao deficiency-slippery incontinence, add Lu Jiao Shuang (Cornu Cervi Pantotrichum Preparatum) 2 qian powdered and mixed into the decoction. For severe Qi deficiency, add Huang Qi (Astragali Radix) stir-fried with honey 2-3 qian. For Qi sinking with bearing-down sensation, add Sheng Ma (Cimicifugae Rhizoma) stir-fried 5-7 fen, or Bai Zhi (Angelicae Dahuricae Radix). For loose stools, add Bu Gu Zhi (Psoraleae Fructus) stir-fried 1 qian. For Yang deficiency with cold aversion, add Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) 1-3 qian. For excessive blood loss leading to Yin deficiency and Qi failure with palpitations, add Shu Di Huang (Rehmanniae Radix Praeparata) 7-8 qian or 1-2 liang.
Mi Yuan Jian (Secret Essence Decoction) (See *New Formulas Eight Arrays · Astringent Array*) treats spermatorrhea and leukorrhea. This formula specifically targets the Heart and Spleen.
Yuan Zhi (Polygalae Radix, stir-fried) (8 fen)
Shan Yao (Dioscoreae Rhizoma, stir-fried) (2 qian)
Qian Shi (Euryales Semen, stir-fried) (2 qian)
Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried and crushed) (2 qian)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried)
Fu Ling (Poria)
(Each 1.5 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Ren Shen (Ginseng Radix et Rhizoma) (1-2 qian)
Wu Wei Zi (Schisandrae Chinensis Fructus) (14 berries, omit if sour-averse)
Jin Ying Zi (Chrysanthemi Fructus, pith removed) (2 qian)
Decoct two zhong of water to seven-tenths. Take well after meals. This is usable only for chronic leakage without fire, painless slipping. If heat/fire is present, add Ku Shen (Sophorae Flavescentis Radix) 1-2 qian. For severe Qi deficiency, add Huang Qi (Astragali Radix) 1-3 qian.
Si Jun Zi Tang (Four Gentlemen Decoction) (See *Ancient Formulas Eight Arrays · Tonifying Array*) treats Spleen/Stomach weakness, poor appetite, loose stools, emaciation with sallow complexion, empty fullness in chest/diaphragm, acid regurgitation with phlegm-cough, or susceptibility to malaria/dysentery due to Spleen/Stomach weakness.
Ren Shen (Ginseng Radix et Rhizoma)
Bai Zhu (Atractylodis Macrocephalae Rhizoma)
Fu Ling (Poria)
(Each 2 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus).
Decoct in water and take. Alternatively, add 100 grains of Jing Mi (Oryza Sativa Germen).
Liver deficiency failing to store Blood, manifesting as frequent fright/tremors or frequent acute lower abdominal pain, is treated with San Yin Jian (Three Yin Decoction) or Bu Gan San (Liver-Tonifying Powder).
San Yin Jian (Three Yin Decoction) (See *New Formulas Eight Arrays · Tonifying Array*) treats Liver/Spleen deficiency, essence-blood insufficiency, and Ying deficiency with blood loss, hence named "Three Yin." It applies to wind-stroke where Blood fails to nourish tendons, or malaria with excessive sweating where pathogenic factors have dispersed but chills/fever persist; these are disorders of Shaoyang/Jueyin Yin deficiency and blood scarcity. ... It is suitable for patterns without fire.
Dang Gui (Angelicae Sinensis Radix) (2-3 qian)
Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian)
Bai Shao (Paeoniae Radix Alba, stir-fried with wine) (2 qian)
Suan Zao Ren (Ziziphi Spinosae Semen) (2 qian)
Ren Shen (Ginseng Radix et Rhizoma) (As needed)
Decoct two zhong of water to seven-tenths. Take warm, well after meals. For nausea/vomiting, add Sheng Jiang (Zingiberis Rhizoma Recens) 3-5 slices. For excessive sweating with irritability, add Wu Wei Zi (Schisandrae Chinensis Fructus) 14 berries. For excessive sweating with Qi deficiency, add Huang Qi (Astragali Radix) 1-2 qian. For dull lower abdominal pain, add Gou Qi Zi (Lycii Fructus) 2-3 qian. For distension/stuffiness, add Chen Pi (Citri Reticulatae Pericarpium) 1 qian. For weakness in waist/knees/tendons/bones, add Du Zhong (Eucommiae Cortex) and Niu Xi (Achyranthis Bidentatae Radix).
Bu Gan San (Liver-Tonifying Powder) (See Supplementary Formulas for Menstrual Regulation Theory)
If Yin-Blood is deficient, Water fails to control Fire, and Evil Fire is rampant, manifesting as night sweats or irritability/thirst with phlegm production, this is the onset of consumptive disease (Lao Sun). Prompt treatment is required using Yi Yin Jian, Er Yin Jian, San Yin Jian, Si Yin Jian, or Wu Yin Jian, selected appropriately, otherwise Blood Dryness (Xue Ku) may develop.
Yi Yin Jian (One Yin Decoction) (See *New Formulas Eight Arrays · Tonifying Array*) treats Water deficiency with Fire excess, hence named "One Yin." It applies to True Yin (Kidney Water) deficiency with Yang-like pulse/symptoms, deficiency-fire fever, and Yin-deficiency moving blood. It also applies to post-malaria/typhoid excessive sweating leading to weak pulse/Qi, unceasing thirst, and tidal fever, caused by sweat damaging Yin and Water deficiency. Add/subtract as needed.
Sheng Di Huang (Rehmanniae Radix) (2 qian)
Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian)
Bai Shao (Paeoniae Radix Alba) (2 qian)
Mai Dong (Ophiopogonis Tuber) (2 qian)
Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian)
Niu Xi (Achyranthis Bidentatae Radix) (1.5 qian)
Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) (2 qian)
Decoct two zhong of water to seven-tenths. Take warm, well after meals. For intense fire/irritability, melt Zhen Gui Jiao (Testudinis Carapax et Plastrum) 2-3 qian into the decoction. For Qi deficiency, occasionally add Ren Shen (Ginseng Radix et Rhizoma) 1-2 qian. For Heart deficiency with insomnia/hyperhidrosis, add Suan Zao Ren (Ziziphi Spinosae Semen) and Dang Gui (Angelicae Sinensis Radix) 1-2 qian each. For excessive sweating/irritability, add Wu Wei Zi (Schisandrae Chinensis Fructus) 10 berries, or Shan Yao (Dioscoreae Rhizoma) and Shan Zhu Yu (Corni Fructus). For slight fire, add Nu Zhen Zi (Ligustri Lucidi Fructus) 1-2 qian. For floating deficiency-fire, hematemesis, or unceasing epistaxis, add Ze Xie (Alismatis Rhizoma) 1-2 qian and Qian Gen (Rubiae Cordifoliae Radix) 2 qian, or Chuan Xu Duan (Dipsaci Radix) 1-2 qian to astringe, which is excellent.
Er Yin Jian (Two Yin Decoction) (See *New Formulas Eight Arrays · Tonifying Array*) treats Heart channel heat where Water fails to control Fire, hence named "Two Yin." It applies to mania/confusion, excessive talking/laughing, or sores/rashes with heat/blood loss.
Sheng Di Huang (Rehmanniae Radix) (2-3 qian)
Mai Dong (Ophiopogonis Tuber) (2-3 qian)
Suan Zao Ren (Ziziphi Spinosae Semen) (2 qian)
Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian)
Xuan Shen (Scrophulariae Radix) (1.5 qian)
Huang Lian (Coptidis Rhizoma) (1-2 qian)
Fu Ling (Poria) (1.5 qian)
Mu Tong (Akebiae Caulis) (1.5 qian)
Decoct two zhong of water with 20 Deng Cao (Junci Medulla) or Zhu Ye (Bambusae Folium) to seven-tenths. Take well after meals. For severe Phlegm-Heat, add Dan Xing (Arecae Semen Preparatum with Bovis Calculus, nine-times processed) 1 qian or Tian Hua Fen (Trichosanthis Radix) 1.5 qian.
San Yin Jian (See above)
Si Yin Jian (Four Yin Decoction) (See *New Formulas Eight Arrays · Tonifying Array*) protects the Lung and clears Metal, hence named "Four Yin." It treats Yin-deficiency consumptive disease, ministerial fire blazing, fluid depletion with thirst, cough with hematemesis/epistaxis and heat.
Sheng Di Huang (Rehmanniae Radix) (2-3 qian)
Mai Dong (Ophiopogonis Tuber) (2 qian)
Bai Shao Yao (Paeoniae Radix Alba) (2 qian)
Bai He (Lilii Bulbus) (2 qian)
Sha Shen (Glehniae Radix or Adenophorae Radix) (2 qian)
Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian)
Fu Ling (Poria) (1.5 qian)
Decoct two zhong of water to seven-tenths. Take well after meals. For night sweats, add Di Gu Pi (Lycii Cortex) 1-2 qian. For abundant phlegm/excess Qi, add Bei Mu (Fritillariae Bulbus) 2-3 qian, E Jiao (Asini Corii Colla) 1-2 qian, or Tian Hua Fen (Trichosanthis Radix). For dryness/cough due to failure of Metal/Water mutual nourishment, add Shu Di Huang (Rehmanniae Radix Praeparata) 3-5 qian. For excessive sweating/insomnia/restless Spirit, add Suan Zao Ren (Ziziphi Spinosae Semen) 2 qian. For excessive sweating/thirst, add Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 14 berries. For severe heat, add Huang Bo (Phellodendri Cortex) 1-2 qian stir-fried with salt water, or Xuan Shen (Scrophulariae Radix), applied differently based on upper/lower location. For Blood-dryness with delayed/scanty menstruation, add Niu Xi (Achyranthis Bidentatae Radix) 2 qian. For Blood-heat hematemesis/epistaxis, add Qian Gen (Rubiae Cordifoliae Radix) 2 qian. For excessive fire/dry stool or dry lung cough, add Tian Dong (Asparagi Tuber) 2 qian, or Tong Bian (Infant Urine). For Fire carrying Blood upward, remove Gan Cao and add Zhi Zi (Gardeniae Fructus) stir-fried 1-2 qian.
Wu Yin Jian (Five Yin Decoction) (See *New Formulas Eight Arrays · Tonifying Array*) treats True Yin deficiency and Spleen deficiency with blood loss, or mild loose stools. The focus is on the Spleen, hence named "Five Yin." Avoid lubricating herbs; use this formula.
Shu Di Huang (Rehmanniae Radix Praeparata) (5-7 qian or 1 liang)
Shan Yao (Dioscoreae Rhizoma, stir-fried) (2 qian)
Bian Dou (Dolichoris Semen, stir-fried) (2-3 qian)
Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1-2 qian)
Fu Ling (Poria) (1.5 qian)
Bai Shao (Paeoniae Radix Alba, stir-fried yellow) (2 qian)
Wu Wei Zi (Schisandrae Chinensis Fructus) (20 berries)
Ren Shen (Ginseng Radix et Rhizoma) (As needed)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried) (1-2 qian)
Decoct two zhong of water with 20 Nelumbinis Semen (heart removed) and take.