一问∶妇人室女，一生经闭不通，服何药？
答曰∶视其血，不足者当服养荣补肾之剂；脉有余而气相并者当服顺气生血之剂。
养荣补肾∶
生地 川芎 茯苓 白芍 陈皮 甘草 杜仲 续断 知母 当归 条黄芩
顺气生血∶
川芎 当归 乌药 香附 陈皮 甘草 生地 花粉 木香 丹皮 玄胡索
二问∶室女经闭成劳，服何药？
答曰∶男子精盛则怀女，女子精盛则怀胎，阴阳和而雨泽降，速与配偶可也。宜补中益气汤∶
人参 白术 陈皮 甘草 当归 黄 柴胡 升麻 茯苓 白芍 香附
三问∶寡妇凡姑经闭，服何药？
答曰∶此独阴无阳也，宜服养血剂∶
生地 川芎 当归 白芍 茯苓 陈皮 甘草 知母 杜仲 黄柏 香附
四问∶娼妇经闭，服何药？
答曰∶娼妇无经闭之理，因原气不足而为男子所伤，故经闭而不通。宜服补血之剂∶
熟地 川芎 当归 白芍 茯苓 陈皮 甘草 杜仲 川断 香附
五问∶妇人室女经事过期而来，服何药？
答曰∶此症有气涩滞者，有血虚者。肚不痛身微热当服清热养荣剂∶（批∶此症单是血虚肚不
痛者为真）
首乌 知母 条芩 当归 生地 白茯苓 白芍 陈皮 香附 甘草
气血涩滞者肚痛、腰痛、胸膈不宽，当服顺气和荣汤∶
乌药 香附 木香 陈皮 川芎 玄胡索 丹皮 当归 红花 甘草
六问∶经事不及期而来，服何药？
答曰∶此症有血热者，有气多伤血海者，大抵血热妄行之症多耳。血热者，宜服凉血地黄
汤∶（批∶此症宜问经色紫者为火为热，淡者为寒为虚）。
犀角 地黄 白芍 黄芩 知母 山栀 甘草 当归 茯苓
气多伤血海者，服益气养荣汤∶
香附 甘草 川芎 白茯 白芍 当归头 生地 陈皮 杜仲 川续断
七问∶妇人经事将来而小腹作痛，服何药？
答曰∶过期作痛属血虚，当服养荣之剂。此气血涩滞，宜服顺气和荣汤∶
乌药 香附 枳壳 苏梗 陈皮 玄胡索 甘草 川芎 当归 白茯 白芍 牡丹皮 木香
八问∶经水有紫黑色，有深红色，服何药？
答曰∶紫黑有二，有气血相并者，有热而成者。气血相并，肚痛是也；热而成者，肚不痛
是也；淡红色者，血虚
也。三者皆宜服四物汤∶
熟地 当归 芍药 川芎
九问∶妇人月水淋清不断者，服何药？
答曰∶此症多属气，亦有经行之时食生冷物，多有此症。宜服归附丸∶
当归（四两，酒洗） 香附（四两，酒洗）
十问∶老年经水不断，服何药？
答曰∶经水不断成淋，然气血俱盛，虽老年不断亦无妨。宜加减补中益气汤∶
人参 白术 甘草 橘红 柴胡 升麻 香附 川芎 归身
十一问∶妇人淋症，服何药？
答曰∶淋症肾虚而膀胱热也。肾虚则便数，膀胱热则便涩，其状∶小腹疼痛，涩数淋漓。故
淋症有五∶曰赤、曰白、曰热、曰石、曰沙，当辨其湿热虚实而治之，不可执一论也。若小便
频频欲出而不多，此肾与膀胱俱虚而热乘之也，不可以淋症治。宜服滋阴抑火方∶
黄柏 生地 升麻 甘草 知母 柴胡 防己 当归 山栀 陈皮
十二问∶妇人白带，服何药？
答曰∶湿气流注下焦，渗泄膀胱，故变为白带。其症腰酸痛，四肢少力。宜服后药∶
川芎 知母 归身 杜仲 白茯 生地 白芍 山茱 陈皮 牡蛎 甘草 续断 牛膝
十三问∶妇人暴崩而血不止，服何药？
答曰∶阴阳相搏谓之崩。血不归经，故下血不止耳。宜服调荣益气汤∶（此症急救方∶
用墨荷叶蒂及枣灰，以大红
棕纬煎。批∶此三味煎汤调服，历用多效。又用棕蓑衣烧灰，陈酒送下即愈）。
川芎 白茯 香附 归头 人参 荆芥 白芍 阿胶 杜仲 蒲黄 地榆 生地 续断 甘草
十四问∶血崩而小腹作痛，服何药？
答曰∶血崩脉急者死，迟者生，紧大者死，虚少者生。崩痛病而腹痛，医者甚难治。治崩
而腹愈痛，治腹痛而愈崩甚。愚即用前调益气汤加小茴香一钱，服之频效。医家明此症者鲜。
十五问∶妇人月水准而不成胎者，当服何药？
答曰∶有子宫寒者，有男子宫冷不入子宫者，皆不受胎。宜服暖宫种子补荣之药∶
蕲艾（醋炙二两） 当归（酒洗二两） 知母（二两） 木香（少许） 香附（四两） 茯苓
（二两） 黄柏（二两） 人参（二两） 杜仲（二两） 山萸（二两） 生地（三两）
熟地（二两） 牛膝（二两） 川芎（二两） 枸杞子（二两）
十六问∶妇人咳嗽吐血，腹痛泄泻，胸膈痞闷，喉咙痰塞，饮食少进，手足麻木，如此
之症，当服何药？
答曰∶人以脾胃为主。胃为水宫之海，脾为传化之器，而气血精光，皆赖饮食以滋养。若气
禀素弱，兼之气郁不舒，则脾胃必伤，而精神益减，此前症所由生也。咳嗽吐血者，肺热生痰，
而肝不纳血也；腹痛作泻者，暴注不迫或有痰饮，或有食疼而腹泻，泻而腹疼，亏损乎脾土之气
也；胸膈痞塞，随火上升，窒碍于咽喉之间也；饮食少进，胃弱而不能运化者，手足麻木，湿
痰滞于经络也。如此之症，受病多端，若不早治，恐后难去其根也。用药亦不易，若以热症
治之，反助火而生痰；若以寒剂服之，必损胃而成泻；顺气
宽中而体愈气，补血则中益满而肠必滑。宜服平肝剂、刮心火、滋肾水、清肺金、健脾土之药，
以拔去病根，痰疾可瘳矣。然必须戒恼怒、节饮食、省劳碌方妙。宜服平肝清肺健脾汤∶
黄连 花粉 木通 白术 白芍 柴胡 泽泻 甘草 陈皮 贝母 山楂 苏梗 白茯
十七问∶妇人久患崩症，兼之泄泻，当服何药？
答曰∶宜服补血、调血、调荣健脾之剂。
生地 白术 续断 白茯 陈皮 当归头 白芍 甘草 杜仲 蒲黄 泽泻 山药 黄连
十八问∶妇人伤寒，何治？
答曰∶妇人伤寒与男子不同。男子调其气，妇人调其血。况妇人以血为本，气血宜行，
其神自清。若经后、产后去血过多，津液燥少，致使阴阳俱虚、乍寒乍热，有类伤寒。但当服
清热养血和解之剂∶
川芎 当归 柴胡 黄芩 陈皮 甘草 防风 花粉 紫苏 白茯
一问：妇女及未婚女子，终身月经闭止不通，应服用什么药物？
答曰：视其气血状况，血虚不足的应当服用养荣补肾的方剂；脉象有余且气机郁结相并的，应当服用顺气生血的方剂。
养荣补肾方：
生地、川芎、茯苓、白芍、陈皮、甘草、杜仲、续断、知母、当归、条黄芩。
顺气生血方：
川芎、当归、乌药、香附、陈皮、甘草、生地、花粉、木香、丹皮、玄胡索。
二问：未婚女子因经闭导致成劳损之症，应服用什么药物？
答曰：男子精气旺盛则能生育女儿，女子精气旺盛则能受孕怀胎，阴阳调和则如雨露下降，尽快为其婚配即可。宜服用补中益气汤：
人参、白术、陈皮、甘草、当归、黄芪、柴胡、升麻、茯苓、白芍、香附。
三问：寡妇或年长未嫁女子出现经闭，应服用什么药物？
答曰：这是独阴无阳的情况，宜服用养血剂：
生地、川芎、当归、白芍、茯苓、陈皮、甘草、知母、杜仲、黄柏、香附。
四问：娼妓出现经闭，应服用什么药物？
答曰：娼妓没有经闭的道理，是因为元气不足而被男子所伤，所以经闭不通。宜服用补血剂：
熟地、川芎、当归、白芍、茯苓、陈皮、甘草、杜仲、川断、香附。
五问：妇女及未婚女子月经过期才来潮，应服用什么药物？
答曰：此症有气机涩滞者，有血虚者。腹部不痛、身体微热者，当服用清热养荣剂：（批注：此症单纯是血虚且腹部不痛的为真证）
首乌、知母、条芩、当归、生地、白茯苓、白芍、陈皮、香附、甘草。
若气血涩滞者，伴有腹痛、腰痛、胸膈不宽，当服用顺气和荣汤：
乌药、香附、木香、陈皮、川芎、玄胡索、丹皮、当归、红花、甘草。
六问：月经不到期就来潮，应服用什么药物？
答曰：此症有血热者，有气多损伤血海者，大抵多是血热妄行的病症。血热者，宜服用凉血地黄汤：（批注：此症宜询问经色，紫者为火为热，淡者为寒为虚）。
犀角、地黄、白芍、黄芩、知母、山栀、甘草、当归、茯苓。
气多损伤血海者，服用益气养荣汤：
香附、甘草、川芎、白茯、白芍、当归头、生地、陈皮、杜仲、川续断。
七问：妇女月经将来而小腹作痛，应服用什么药物？
答曰：过期作痛属于血虚，当服用养荣之剂。若是气血涩滞，宜服用顺气和荣汤：
乌药、香附、枳壳、苏梗、陈皮、玄胡索、甘草、川芎、当归、白茯、白芍、牡丹皮、木香。
八问：经水颜色有紫黑色，有深红色，应服用什么药物？
答曰：紫黑有两种情况，有气血相并者，有热而成者。气血相并，伴有腹痛；热而成者，腹部不痛；淡红色者，是血虚。这三种情况都宜服用四物汤：
熟地、当归、芍药、川芎。
九问：妇女月经淋漓清稀不断，应服用什么药物？
答曰：此症多属气虚，也有在行经时食用生冷食物导致的，多有此症。宜服用归附丸：
当归（四两，酒洗）、香附（四两，酒洗）。
十问：老年妇女经水不断，应服用什么药物？
答曰：经水不断导致淋浊，但如果气血俱盛，虽然老年经水不断也无妨。宜服用加减补中益气汤：
人参、白术、甘草、橘红、柴胡、升麻、香附、川芎、归身。
十一问：妇女患淋症，应服用什么药物？
答曰：淋症是肾虚而膀胱有热。肾虚则小便频数，膀胱热则小便涩痛，其症状表现为：小腹疼痛，小便涩滞频数淋漓。所以淋症分为五种：曰赤淋、曰白淋、曰热淋、曰石淋、曰沙淋，应当辨别其湿热虚实而治疗，不可固执于一种论调。如果小便频频欲出但量不多，这是肾与膀胱俱虚而热邪乘袭所致，不可以按淋症治疗。宜服用滋阴抑火方：
黄柏、生地、升麻、甘草、知母、柴胡、防己、当归、山栀、陈皮。
十二问：妇女白带，应服用什么药物？
答曰：湿气流注下焦，渗泄膀胱，故变为白带。其症状为腰酸痛，四肢乏力。宜服用以下药物：
川芎、知母、归身、杜仲、白茯、生地、白芍、山茱萸、陈皮、牡蛎、甘草、续断、牛膝。
十三问：妇女暴崩而血不止，应服用什么药物？
答曰：阴阳相搏称为崩。血不归经，所以下血不止。宜服用调荣益气汤：（此症急救方：用墨荷叶蒂及枣灰，以大棕绳煎汤。批注：这三味药煎汤调服，历来多用有效。又用棕蓑衣烧灰，陈酒送下即愈）。
川芎、白茯、香附、归头、人参、荆芥、白芍、阿胶、杜仲、蒲黄、地榆、生地、续断、甘草。
十四问：血崩而小腹作痛，应服用什么药物？
答曰：血崩脉象急者死，迟者生，紧大者死，虚少者生。崩漏病而腹痛，医者很难治疗。治崩漏而腹痛加剧，治腹痛而崩漏更甚。我即用前文提到的调益气汤加小茴香一钱，服用后频繁见效。精通此症的医生很少。
十五问：妇女月经正常但不能受孕，应当服用什么药物？
答曰：有子宫寒者，有男方子宫冷导致无法进入子宫者，皆不能受孕。宜服用暖宫种子补荣的药物：
蕲艾（醋炙二两）、当归（酒洗二两）、知母（二两）、木香（少许）、香附（四两）、茯苓（二两）、黄柏（二两）、人参（二两）、杜仲（二两）、山萸肉（二两）、生地（三两）、熟地（二两）、牛膝（二两）、川芎（二两）、枸杞子（二两）。
十六问：妇女咳嗽吐血，腹痛泄泻，胸膈痞闷，喉咙痰塞，饮食减少，手足麻木，如此诸症，应当服用什么药物？
答曰：人以脾胃为主。胃为水谷之海，脾为传化之器，而气血精光，都依赖饮食来滋养。如果禀赋素弱，兼之气郁不舒，则脾胃必伤，精神更加减退，这是前述病症产生的原因。咳嗽吐血，是肺热生痰，而肝不纳血；腹痛作泻，是暴注下迫或有痰饮，或有食积疼痛而腹泻，泻后腹痛，亏损了脾土之气；胸膈痞塞，随火上升，窒碍于咽喉之间；饮食少进，是胃弱而不能运化；手足麻木，是湿痰滞于经络。如此病症，受病多端，若不早治，恐怕日后难除病根。用药也不容易，若以热症治疗，反助火而生痰；若以寒剂服用，必损胃而成泻；顺气宽中则体质更气虚，补血则中益满而肠道必滑。宜服用平肝剂、刮心火、滋肾水、清肺金、健脾土的药物，以拔去病根，痰疾可愈。然而必须戒恼怒、节饮食、省劳碌才好。宜服用平肝清肺健脾汤：
黄连、花粉、木通、白术、白芍、柴胡、泽泻、甘草、陈皮、贝母、山楂、苏梗、白茯。
十七问：妇女久患崩症，兼之泄泻，应当服用什么药物？
答曰：宜服用补血、调血、调荣健脾的方剂。
生地、白术、续断、白茯、陈皮、当归头、白芍、甘草、杜仲、蒲黄、泽泻、山药、黄连。
十八问：妇女伤寒，如何治疗？
答曰：妇女伤寒与男子不同。男子调理其气，妇人调理其血。况且妇人以血为本，气血宜行，神志自然清明。若在经期后、产后失血过多，津液燥少，致使阴阳俱虚、乍寒乍热，有类似伤寒的症状。但当服用清热养血和解的方剂：
川芎、当归、柴胡、黄芩、陈皮、甘草、防风、花粉、紫苏、白茯。
Question 1: For women and unmarried girls with lifelong amenorrhea (absence of menstruation), what medicine should be taken?
Answer: Observe the blood status. If blood is deficient, one should take tonifying nourishment and kidney-tonifying formulas; if the pulse indicates excess and qi is constrained and merging, one should take formulas that regulate qi and generate blood.
Tonifying Nourishment and Kidney-Tonifying Formula:
Sheng Di Huang (Rehmanniae Radix), Chuan Xiong (Chuanxiong Rhizoma), Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Du Zhong (Eucommiae Cortex), Xu Duan (Dipsaci Radix), Zhi Mu (Anemarrhenae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Tiao Huang Qin (Scutellariae Radix).
Regulating Qi and Generating Blood Formula:
Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Di Huang (Rehmanniae Radix), Hua Fen (Trichosanthis Radix), Mu Xiang (Aucklandiae Radix), Dan Pi (Moutan Cortex), Yuan Hu Suo (Corydalis Rhizoma).
Question 2: For unmarried girls whose amenorrhea has led to consumption disease (lao), what medicine should be taken?
Answer: When male essence is abundant, he can father a daughter; when female essence is abundant, she can conceive. When yin and yang harmonize, rain descends. It is best to arrange marriage promptly. Yi Bu Zhong Yi Qi Tang (Supplement the Middle and Augment the Qi Decoction) is suitable:
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba), Xiang Fu (Cyperi Rhizoma).
Question 3: For widows or older unmarried women with amenorrhea, what medicine should be taken?
Answer: This is a condition of solitary yin without yang. One should take blood-nourishing formulas:
Sheng Di Huang (Rehmanniae Radix), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Radix Paeoniae Alba), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Du Zhong (Eucommiae Cortex), Huang Bo (Phellodendri Cortex), Xiang Fu (Cyperi Rhizoma).
Question 4: For prostitutes with amenorrhea, what medicine should be taken?
Answer: Prostitutes do not typically suffer from amenorrhea. If it occurs, it is due to insufficient primordial qi being damaged by men, causing blockage. One should take blood-tonifying formulas:
Shu Di Huang (Prepared Rehmanniae Radix), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Radix Paeoniae Alba), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Du Zhong (Eucommiae Cortex), Chuan Duan (Dipsaci Radix), Xiang Fu (Cyperi Rhizoma).
Question 5: For women and unmarried girls whose menstruation arrives late, what medicine should be taken?
Answer: This condition may involve qi stagnation or blood deficiency. If there is no abdominal pain and slight fever, take heat-clearing and nourishment-tonifying formulas: (Note: This condition is truly blood deficiency only if there is no abdominal pain.)
Shou Wu (Polygoni Multiflori Radix), Zhi Mu (Anemarrhenae Rhizoma), Tiao Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Bai Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba), Chen Pi (Citri Reticulatae Pericarpium), Xiang Fu (Cyperi Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
If qi and blood are stagnant, accompanied by abdominal pain, lower back pain, and chest oppression, take Shun Qi He Rong Tang (Regulate Qi and Harmonize Nutritive Decoction):
Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), Mu Xiang (Aucklandiae Radix), Chen Pi (Citri Reticulatae Pericarpium), Chuan Xiong (Chuanxiong Rhizoma), Yuan Hu Suo (Corydalis Rhizoma), Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Hong Hua (Carthami Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Question 6: For menstruation arriving early, what medicine should be taken?
Answer: This condition involves blood heat or excessive qi damaging the Sea of Blood. Generally, it is mostly blood heat causing reckless bleeding. For blood heat, take Liang Xue Di Huang Tang (Cool Blood and Rehmannia Decoction): (Note: Ask about menstrual color; purple indicates fire/heat, pale indicates cold/deficiency.)
Xi Jiao (Rhinocerotis Cornu - *substitute commonly used in modern practice*), Di Huang (Rehmanniae Radix), Bai Shao (Radix Paeoniae Alba), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Shan Zhi (Gardeniae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria).
For excessive qi damaging the Sea of Blood, take Yi Qi Yang Rong Tang (Augment Qi and Nourish Nutritive Decoction):
Xiang Fu (Cyperi Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Bai Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba), Dang Gui Tou (Head of Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Chen Pi (Citri Reticulatae Pericarpium), Du Zhong (Eucommiae Cortex), Chuan Xu Duan (Dipsaci Radix).
Question 7: For women experiencing lower abdominal pain before menstruation, what medicine should be taken?
Answer: Pain occurring after the expected date belongs to blood deficiency; take nourishment-tonifying formulas. If it is qi and blood stagnation, take Shun Qi He Rong Tang (Regulate Qi and Harmonize Nutritive Decoction):
Wu Yao (Linderae Radix), Xiang Fu (Cyperi Rhizoma), Zhi Ke (Aurantii Fructus), Su Geng (Perillae Caulis), Chen Pi (Citri Reticulatae Pericarpium), Yuan Hu Suo (Corydalis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Fu Ling (Poria), Bai Shao (Radix Paeoniae Alba), Mu Dan Pi (Moutan Cortex), Mu Xiang (Aucklandiae Radix).
Question 8: For menstrual fluid that is purple-black or deep red, what medicine should be taken?
Answer: Purple-black has two causes: qi and blood merging, or heat formation. Qi and blood merging presents with abdominal pain; heat formation presents without abdominal pain; pale red indicates blood deficiency. All three cases are suitable for Si Wu Tang (Four Substances Decoction):
Shu Di Huang (Prepared Rehmanniae Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Chuan Xiong (Chuanxiong Rhizoma).
Question 9: For women with continuous, clear, and profuse menstruation, what medicine should be taken?
Answer: This condition mostly relates to qi deficiency. It also often occurs after consuming raw/cold foods during menstruation. Take Gui Fu Wan (Angelica and Cyperi Pill):
Dang Gui (Angelicae Sinensis Radix, 4 liang, washed with wine), Xiang Fu (Cyperi Rhizoma, 4 liang, washed with wine).
Question 10: For elderly women with continuous menstruation, what medicine should be taken?
Answer: Continuous menstruation leading to strangury is acceptable if qi and blood are abundant, even in old age. Take Modified Bu Zhong Yi Qi Tang (Modified Supplement the Middle and Augment the Qi Decoction):
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Xiang Fu (Cyperi Rhizoma), Chuan Xiong (Chuanxiong Rhizoma), Gui Shen (Body of Angelicae Sinensis Radix).
Question 11: For women suffering from strangury (lin syndrome), what medicine should be taken?
Answer: Strangury is caused by kidney deficiency and bladder heat. Kidney deficiency leads to frequent urination; bladder heat leads to difficult and painful urination. Symptoms include: lower abdominal pain, difficulty, frequency, and dribbling. Thus, strangury is divided into five types: Red, White, Heat, Stone, and Sand. Treatment must distinguish between damp-heat and deficiency-excess; do not adhere to a single theory. If urine is frequent but scanty, this is kidney and bladder deficiency with heat encroaching; do not treat as strangury. Take Zi Yin Yi Huo Fang (Nourish Yin and Suppress Fire Formula):
Huang Bo (Phellodendri Cortex), Sheng Di Huang (Rehmanniae Radix), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Chai Hu (Bupleuri Radix), Fang Ji (Stephaniae Tetrandrae Radix), Dang Gui (Angelicae Sinensis Radix), Shan Zhi (Gardeniae Fructus), Chen Pi (Citri Reticulatae Pericarpium).
Question 12: For women with leukorrhea (white discharge), what medicine should be taken?
Answer: Dampness flows downward to the lower jiao and seeps into the bladder, transforming into white discharge. Symptoms include sore and aching lower back and weak limbs. Take the following herbs:
Chuan Xiong (Chuanxiong Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Gui Shen (Body of Angelicae Sinensis Radix), Du Zhong (Eucommiae Cortex), Bai Fu Ling (Poria), Sheng Di Huang (Rehmanniae Radix), Bai Shao (Radix Paeoniae Alba), Shan Zhu Yu (Corni Fructus), Chen Pi (Citri Reticulatae Pericarpium), Mu Li (Ostrea Concha), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xu Duan (Dipsaci Radix), Niu Xi (Achyranthis Bidentatae Radix).
Question 13: For women with sudden severe uterine bleeding (beng) that does not stop, what medicine should be taken?
Answer: The struggle between yin and yang is called beng. Blood fails to return to its vessels, hence continuous bleeding. Take Tiao Rong Yi Qi Tang (Harmonize Nutritive and Augment Qi Decoction): (Emergency formula for this condition: Use ink-stained lotus leaf stalks and charred dates, decocted with thick brown palm fiber. Note: These three ingredients decocted and taken together have been effective historically. Alternatively, burn palm thatch roof material to ash and take with aged wine for immediate cure.)
Chuan Xiong (Chuanxiong Rhizoma), Bai Fu Ling (Poria), Xiang Fu (Cyperi Rhizoma), Gui Tou (Head of Angelicae Sinensis Radix), Ren Shen (Ginseng Radix), Jing Jie (Schizonepetae Spica), Bai Shao (Radix Paeoniae Alba), E Jiao (Colla Corii Asini), Du Zhong (Eucommiae Cortex), Pu Huang (Typhae Pollen), Di Yu (Sanguisorbae Radix), Sheng Di Huang (Rehmanniae Radix), Xu Duan (Dipsaci Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Question 14: For uterine bleeding accompanied by lower abdominal pain, what medicine should be taken?
Answer: In uterine bleeding, an urgent pulse indicates death, a slow pulse indicates survival, a tight and large pulse indicates death, and a weak and small pulse indicates survival. Treating beng with abdominal pain is difficult for physicians. Treating the bleeding may worsen the pain, and treating the pain may worsen the bleeding. I use the aforementioned Yi Qi Tang plus 1 qian of Xiao Hui Xiang (Foeniculum Vulgare Fructus), which yields frequent success. Few doctors understand this condition well.
Question 15: For women with regular menstruation but unable to conceive, what medicine should be taken?
Answer: Causes include cold uterus or male cold uterus preventing conception. Take warming uterus and seed-enriching nourishment-tonifying medicines:
Qi Ai (Artemisiae Argyi Folium, roasted with vinegar, 2 liang), Dang Gui (Angelicae Sinensis Radix, washed with wine, 2 liang), Zhi Mu (Anemarrhenae Rhizoma, 2 liang), Mu Xiang (Aucklandiae Radix, a little), Xiang Fu (Cyperi Rhizoma, 4 liang), Fu Ling (Poria, 2 liang), Huang Bo (Phellodendri Cortex, 2 liang), Ren Shen (Ginseng Radix, 2 liang), Du Zhong (Eucommiae Cortex, 2 liang), Shan Yu (Corni Fructus, 2 liang), Sheng Di Huang (Rehmanniae Radix, 3 liang), Shu Di Huang (Prepared Rehmanniae Radix, 2 liang), Niu Xi (Achyranthis Bidentatae Radix, 2 liang), Chuan Xiong (Chuanxiong Rhizoma, 2 liang), Gou Qi Zi (Lycii Fructus, 2 liang).
Question 16: For women with coughing and hemoptysis, abdominal pain and diarrhea, chest fullness, phlegm obstruction in the throat, poor appetite, and numbness in hands and feet, what medicine should be taken?
Answer: The human body relies on the Spleen and Stomach as the foundation. The Stomach is the sea of water and grain; the Spleen is the organ of transformation and transportation. Qi, blood, and essence all depend on diet for nourishment. If constitution is inherently weak, combined with qi depression and discomfort, the Spleen and Stomach will be injured, and spirit further diminished, giving rise to these symptoms. Coughing and hemoptysis result from lung heat generating phlegm and liver failing to store blood; abdominal pain and diarrhea result from sudden violent purging due to phlegm-fluids or food stagnation, depleting spleen earth qi; chest fullness rises with fire, obstructing the throat; poor appetite results from weak stomach failing to transform and transport; numbness in extremities results from damp-phlegm stagnating in collaterals. Such diseases have multiple origins; if not treated early, roots are hard to remove later. Medication is tricky: treating as heat aids fire and generates phlegm; treating with cold damages stomach and causes diarrhea; regulating qi and widening middle makes body more qi-deficient; tonifying blood fills middle and causes slippery intestines. Take liver-pacifying formulas, heart-fire-scraping, kidney-water-nourishing, lung-metal-clearing, and spleen-earth-strengthening medicines to uproot the disease and cure phlegm disorders. However, one must abstain from anger, regulate diet, and reduce labor. Take Ping Gan Qing Fei Jian Pi Tang (Pacify Liver, Clear Lung, Strengthen Spleen Decoction):
Huang Lian (Coptidis Rhizoma), Hua Fen (Trichosanthis Radix), Mu Tong (Akebiae Caulis), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Shao (Radix Paeoniae Alba), Chai Hu (Bupleuri Radix), Ze Xie (Alismatis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Bei Mu (Fritillariae Cirrhosae Bulbus), Shan Zha (Crataegi Fructus), Su Geng (Perillae Caulis), Bai Fu Ling (Poria).
Question 17: For women with chronic uterine bleeding complicated by diarrhea, what medicine should be taken?
Answer: Take blood-tonifying, blood-regulating, and nutritive-harmonizing spleen-strengthening formulas.
Sheng Di Huang (Rehmanniae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xu Duan (Dipsaci Radix), Bai Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui Tou (Head of Angelicae Sinensis Radix), Bai Shao (Radix Paeoniae Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Du Zhong (Eucommiae Cortex), Pu Huang (Typhae Pollen), Ze Xie (Alismatis Rhizoma), Shan Yao (Dioscoreae Rhizoma), Huang Lian (Coptidis Rhizoma).
Question 18: How to treat women with Shang Han (cold damage)?
Answer: Women's Shang Han differs from men's. Men regulate qi; women regulate blood. Since women take blood as their root, if qi and blood flow smoothly, the spirit remains clear. After menstruation or postpartum, excessive blood loss leads to dry fluids, causing both yin and yang deficiency, alternating chills and fever, resembling Shang Han. One should take heat-clearing, blood-nourishing, and harmonizing formulas:
Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Hua Fen (Trichosanthis Radix), Zi Su (Perillae Folium), Bai Fu Ling (Poria).