一论妇人四十二三岁。经水断绝。五十一二复来。或淋漓。或成片条。漏下不止。宜服
和经
汤。兼四物补经汤、乌鸡丸。相间服之可好。和经汤若三帖。即去气药。乃香附、陈皮、小
茴是也。
和经汤
白芍（酒炒一钱二分） 当归（酒洗） 熟地黄 白茯神 黄芩 香附 白术（去芦） 川芎
酸枣仁（炒） 蒲黄（炒） 阿胶 白芷（各一钱） 陈皮 小茴（酒炒各七分）
上锉。每服一两。姜、枣煎。热服。
四物补经汤 乌鸡丸 方俱见前。
一凡妇人经水不调。或前或后。或多或少。时常头晕眼黑。耳鸣。赤白带下。腰腹疼痛
四肢沉困。五心烦热。胸膈闷。不思饮食。肌肤减削。一切百病皆治。宜此
调经滋补丸
香附米（酒醋童便盐汤各浸一两各炒干共四两） 怀生地黄（酒浸蒸炒黑二两） 当归（酒
洗二
两） 川芎 白芍（酒炒各一两） 白术（去芦炒二两） 白茯苓（去皮一两） 陈皮 怀山药
牡丹皮 小茴（盐酒炒） 元胡索 阿胶（蛤粉炒） 山茱萸（酒蒸去核各一两）
上为细末。酒醋打面糊为丸。如梧子大。每服百丸。空心。米汤调下。
一论妇人五十岁以外。经水犹不断。颠颠倒倒不准而来。当预防成败血症也。此丸甚妙
十全丹
当归头（二两） 怀山药（三两） 白术（三两） 人参（二两） 黄芩（酒炒二两） 绵地榆（
二
两） 鹿角霜（三两） 黄柏（酒浸炒二两） 白茯神（去皮心一两） 怀生地黄（酒浸烘干四两）
上共为细末。用艾叶三两。水二斤。煎至一斤。去渣。入浮小麦粉六两搅匀。煮熟糊和
药为丸。每日空心服一百五十丸。扁柏叶煎汤送下。
一治妇人因怒吐痰。胸膈作痛。服四物、二陈、芩、连、枳壳之类。不应。近加祛风之
剂。
半身不遂。筋渐挛搐。四肢痿软。日晡益甚。内热口干。形体倦怠。予以为郁怒伤脾肝。血
气复损而然。遂用逍遥散、补中益气汤、六味丸调治。喜其谨疾。年余悉愈。形体康健。
一治妇人晡热。形体瘦倦。饮食无味。月经不行。或鼻衄。或血崩已久。或用顺气清热
等剂
不应。更加寒热。且时欲作呕。此乃郁怒损伤脾胃。虚火错经妄行而然耳。以补中益气汤
兼进六味丸。
一治妇人多怒。经行旬余方止。后淋沥无期。肢体倦瘦。口干内热。盗汗如洗。日晡益
热。皆由肝脾亏损。无以生发元气。
以补中益气汤。加茯神、远志、麦门冬、五味、酸枣仁、牡丹皮、龙眼肉。
逍遥散（方见虚劳） 补中益气汤（方见内伤） 六味丸（方见补益） 十全大补汤（方见补
益）
第一段论述：妇女到了四十二三岁，月经停止断绝；到了五十一二岁又复来潮。或者淋漓不尽，或者成片成条状排出，漏下不止。适宜服用和经汤，兼服四物补经汤、乌鸡丸，交替服用即可痊愈。使用和经汤时，若服用三帖后，即去掉理气药，也就是香附、陈皮、小茴香这些药物。
和经汤
白芍（酒炒一钱二分） 当归（酒洗） 熟地黄 白茯神 黄芩 香附 白术（去芦） 川芎
酸枣仁（炒） 蒲黄（炒） 阿胶 白芷（各一钱） 陈皮 小茴香（酒炒各七分）
以上药材切碎。每次服用一两，加生姜、大枣煎煮，热服。
四物补经汤、乌鸡丸的方剂见前文。
第二段：凡是妇女月经不调，或者提前或者推后，或者量多或者量少，时常头晕眼花，耳鸣，赤白带下，腰腹疼痛，四肢沉重困倦，五心烦热，胸膈闷胀，不思饮食，肌肉消瘦。此方能治疗一切百病，适宜使用此调经滋补丸。
调经滋补丸
香附米（用酒、醋、童便、盐汤各浸泡一两，分别炒干，共四两） 怀生地黄（酒浸蒸炒至黑二两） 当归（酒洗二两） 川芎 白芍（酒炒各一两） 白术（去芦炒二两） 白茯苓（去皮一两） 陈皮 怀山药 牡丹皮 小茴香（盐酒炒） 元胡索 阿胶（蛤粉炒） 山茱萸（酒蒸去核各一两）
以上研为细末，用酒醋调和面粉制成糊状作为丸剂，如梧桐子大小。每次服用一百丸，空腹时，用米汤送服。
第三段论述：妇女五十岁以后，月经仍然不断，来潮时间颠颠倒倒不准。应当预防败血症的发生。此丸效果很好。
十全丹
当归头（二两） 怀山药（三两） 白术（三两） 人参（二两） 黄芩（酒炒二两） 绵地榆（二两） 鹿角霜（三两） 黄柏（酒浸炒二两） 白茯神（去皮心一两） 怀生地黄（酒浸烘干四两）
以上共同研为细末。用艾叶三两，水二斤，煎至一斤，去渣滓。加入浮小麦粉六两搅匀，煮熟成糊状调和药末制成丸剂。每日空腹服用一百五十丸，用扁柏叶煎汤送下。
第四段：治疗妇女因愤怒而呕吐痰涎，胸膈作痛。服用四物汤、二陈汤、黄芩、黄连、枳壳之类药物，无效。近期又加了祛风药剂。导致半身不遂，筋脉逐渐挛急抽搐，四肢痿软无力，傍晚时分症状加重，体内发热口干，形体倦怠。我认为这是郁怒损伤了脾肝，气血再次受损所致。于是使用逍遥散、补中益气汤、六味丸进行调治。庆幸患者谨遵医嘱，一年多后全部痊愈，形体康健。
第五段：治疗妇女傍晚发热，形体瘦弱疲倦，饮食无味，月经不行。或者鼻出血，或者血崩已久。使用顺气清热等药剂无效。更加出现寒热往来，且时常想要呕吐。这是由于郁怒损伤脾胃，虚火错经妄行所致。以补中益气汤兼服六味丸。
第六段：治疗妇女多怒，经期持续十几天才停止，之后淋漓无期，肢体疲倦消瘦，口干内热，盗汗如雨，傍晚时分热势更重。这都是由肝脾亏损，无法生发元气所致。
使用补中益气汤，加入茯神、远志、麦门冬、五味子、酸枣仁、牡丹皮、龙眼肉。
逍遥散（方剂见虚劳章节） 补中益气汤（方剂见内伤章节） 六味丸（方剂见补益章节） 十全大补汤（方剂见补益章节）
Paragraph 1: Discussion on women aged forty-two or forty-three whose menstrual flow has ceased; at fifty-one or fifty-two, it returns. It may be dripping continuously or coming out in clumps and strips, with unstoppable leakage. It is suitable to take Hejing Tang (Harmonizing Menses Decoction), combined with Siwu Bu Jing Tang (Four Substances Decoction for Nourishing Menses) and Wuji Wan (Black Chicken Pill), taken alternately for recovery. When using Hejing Tang, after three doses, remove the Qi-regulating herbs, namely Xiangfu (Cyperi Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Xiaohui (Foeniculi Fructus).
Hejing Tang (Harmonizing Menses Decoction)
Baishao (White Peony Root, stir-fried with wine, 1 qian 2 fen) Danggui (Angelica Sinensis Radix, washed with wine) Shudihuang (Prepared Rehmanniae Radix) Baifushen (Poria with Hostwood, 1 qian) Huangqin (Scutellariae Radix, 1 qian) Xiangfu (Cyperi Rhizoma, 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, de-gorged, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian) Suanzaoren (Ziziphi Spinosae Semen, fried, 1 qian) Puhuang (Typhae Pollen, fried, 1 qian) Ejiao (Donkey-hide Gelatin, 1 qian) Baizhi (Angelicae Dahuricae Radix, 1 qian) Chenpi (Citri Reticulatae Pericarpium) Xiaohui (Foeniculi Fructus, stir-fried with wine, each 7 fen)
Crush the above ingredients. For each dose, use 1 liang. Decoct with fresh ginger and jujube, and take hot.
The formulas for Siwu Bu Jing Tang (Four Substances Decoction for Nourishing Menses) and Wuji Wan (Black Chicken Pill) are seen in the preceding text.
Paragraph 2: Generally, when women have irregular menstruation, either early or late, either abundant or scanty, accompanied by frequent dizziness and blurred vision, tinnitus, red and white leukorrhea, waist and abdominal pain, heavy and lethargic limbs, five-palm heat, chest and diaphragm stuffiness, loss of appetite, and emaciation. This formula treats all sorts of diseases. It is suitable to use this Tiaojing Zibu Wan (Regulate Menses and Tonify Deficiency Pill).
Tiaojing Zibu Wan (Regulate Menses and Tonify Deficiency Pill)
Xiangfumii (Cyperi Rhizoma, soaked separately in wine, vinegar, child's urine, and salt water for one liang each, then stir-fried dry, total four liang) Huaishengdihuang (Rehmanniae Radix, soaked in wine, steamed, fried until black, two liang) Danggui (Angelica Sinensis Radix, washed with wine, two liang) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (White Peony Root, stir-fried with wine, each one liang) Baizhu (Atractylodis Macrocephalae Rhizoma, de-gorged and stir-fried, two liang) Baifuling (Poria, peeled, one liang) Chenpi (Citri Reticulatae Pericarpium) Huaishanyao (Dioscoreae Hypoglaucae Rhizoma) Mudanpi (Moutan Cortex) Xiaohui (Foeniculi Fructus, stir-fried with salt and wine) Yuanhusuo (Corydalis Rhizoma) Ejiao (Donkey-hide Gelatin, stir-fried with clam powder) Shanzhuyu (Corni Fructus, steamed with wine, pips removed, each one liang)
Grind the above into fine powder. Use wine and vinegar to make a flour paste to form pills, sized like wu zi (wutong seeds). Take one hundred pills per dose, on an empty stomach, washed down with rice soup.
Paragraph 3: Discussion on women over fifty whose menstruation still does not cease, coming irregularly and unpredictably. One should prevent the occurrence of sepsis (blood poisoning). This pill is very effective.
Shiquan Dan (Ten Complete Pill)
Dangguitou (Angelica Sinensis Radix head, two liang) Huaishanyao (Dioscoreae Hypoglaucae Rhizoma, three liang) Baizhu (Atractylodis Macrocephalae Rhizoma, three liang) Renshen (Ginseng Radix, two liang) Huangqin (Scutellariae Radix, stir-fried with wine, two liang) Mianyishuyu (Sanguisorbae Radix, two liang) Lujiaoshuang (Cornu Cervi Degelatinatum, three liang) Huangbai (Phellodendri Cortex, soaked in wine and stir-fried, two liang) Baifushen (Poria with Hostwood, peeled and de-core, one liang) Huaishengdihuang (Rehmanniae Radix, soaked in wine and dried, four liang)
Grind the above together into fine powder. Use three liang of Aiye (Artemisiae Argyi Folium), two jin of water, decoct until one jin remains, remove dregs. Add six liang of Fuxiaomai Fen (Tritici Levis Semen) flour, mix evenly, cook until thickened into a paste, and mix with the medicinal powder to form pills. Take one hundred and fifty pills daily on an empty stomach, washed down with decoction of Bianbaiye (Platycladi Cacumen).
Paragraph 4: Treating women who vomit phlegm due to anger, with pain in the chest and diaphragm. Taking Siwu Tang (Four Substances Decoction), Erchen Tang (Two Aged Decoction), Huangqin (Scutellariae Radix), Lian (Coptidis Rhizoma), Zhike (Aurantii Fructus) etc., was ineffective. Recently adding wind-dispelling agents resulted in hemiplegia, gradual tendon contraction and spasms, flaccidity of the four limbs, worsening in the afternoon, internal heat, dry mouth, and physical fatigue. I considered this to be damage to the Spleen and Liver due to depression and anger, causing further depletion of Blood and Qi. Thus, I used Xiaoyao San (Free and Easy Wanderer Powder), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and Liuwei Wan (Six-Ingredient Pill with Rehmannia) for treatment. Fortunately, the patient adhered strictly to medical advice, and after more than a year, she recovered completely, becoming healthy and robust.
Paragraph 5: Treating women with afternoon fever, emaciated and fatigued physique, tasteless food, amenorrhea. Or epistaxis, or prolonged metrorrhagia. Using Qi-smoothing and heat-clearing agents was ineffective. Additionally experiencing alternating chills and fever, and frequent nausea. This is caused by depression and anger damaging the Spleen and Stomach, leading to deficient fire wandering incorrectly along the vessels. Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Liuwei Wan (Six-Ingredient Pill with Rehmannia).
Paragraph 6: Treating women who are prone to anger, with menstruation lasting over ten days before stopping, followed by indefinite dripping. Physical fatigue and emaciation, dry mouth, internal heat, night sweats profuse as if washing, and increased heat in the afternoon. All these are due to Liver and Spleen deficiency, unable to generate Yuan Qi (Original Qi).
Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Chinensis Fructus), Suanzaoren (Ziziphi Spinosae Semen), Mudanpi (Moutan Cortex), Longyanrou (Longan Arillus).
Xiaoyao San (Free and Easy Wanderer Powder) (Formula seen in Xu Lao section) Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (Formula seen in Nei Shang section) Liuwei Wan (Six-Ingredient Pill with Rehmannia) (Formula seen in Bu Yi section) Shiquan Dabu Tang (Ten Great Tonifying Decoction) (Formula seen in Bu Yi section)