者，血热也，脉来必数，加条实黄芩二两炒，酒制生地黄一两五钱，腹痛加白芍药一两。凡
经将行而腹中先作痛者，血实而气滞也，去血成块者，气凝也，脉来弦数滑大，加玄胡索一
两（酒炒），陈皮八钱，广木香、柴胡梢各五钱。凡经水行后作痛者，气血俱虚也，尺脉必虚
涩而兼紧，加炒干姜三钱，白茯苓一两，桂心夏月二钱，余月五钱。凡经行三五日后，腹中
绵绵作痛，或淋沥不止，血因气滞未尽也，尺脉见沉涩或沉弦，加广木香五钱，柴胡六钱。
凡经水紫色及黑色，血热之甚也，尺脉见洪数，加条实黄芩一两，黄柏一两（炒），生地黄一
两五钱，酒浸。凡过期行经而色淡者肥人则有湿痰，加白茯苓（水淘）、陈皮、苍术（米泔浸
一宿，盐水炒）各一两，白术五钱，减去熟地黄一两。瘦人则血虚少，而水混之，加桂心五
钱。经行或来或断，或发寒热者（或来或断，或寒热者，此肝经及心包络气血不调），加柴胡八钱，白茯苓一两。凡经
脉
不调，多白带者，肥人
主胃中湿痰流注，加制过苍术、白茯苓各一两五钱，减熟地黄一两。凡瘦人气多血少脾虚，
加木香五钱，牡蛎（火 ）、赤石脂（火 ）、白茯苓各一两。凡多崩漏者，减香附、艾叶各一
两，加荆芥穗（炒黑）一两，黄芩一两五钱。血崩或多，加阿胶珠一两，干姜五钱（炒黑），黄
一两（炙）（以多崩漏，而减香附、艾叶，加荆穗、黄芩，则治崩漏者可想矣，阿胶、干姜、黄 之治崩，又可想其
意
也）。元气虚弱，经水闭者，加牛膝二两（酒洗）。属寒，加桂心五钱；属热，加黄芩
一两（酒炒）。凡婢外家素见忌于嫡室者，必多抑郁（事属揣摩，至此亦着苦心），以致经水不调，加味制香附二两；或血
弱
心虚，交感时惊恐不宁，则精气不聚，加琥珀（另研）、酸枣仁（隔纸略炒）、茯神各一两，辰
砂（水飞）、紫石英各五钱。
这是血热证，脉象必然数急。加入条芩（优质黄芩）二两炒制，酒制的生地黄一两五钱；若腹痛，加白芍药一两。凡是月经将要来潮而腹中先疼痛的，是血实而气机阻滞；经血成块排出的，是气机凝滞，脉象弦、数、滑、大，加玄胡索一两（酒炒），陈皮八钱，广木香和柴胡梢各五钱。凡是月经结束后才疼痛的，是气血俱虚，尺脉必然虚弱、涩滞且兼紧象，加炒干姜三钱，白茯苓一两，桂心夏季用二钱，其他月份用五钱。凡是月经行经三五日后，腹中绵绵作痛，或淋漓不止，是血因气滞未尽，尺脉见沉涩或沉弦，加广木香五钱，柴胡六钱。凡是经血颜色紫黑，是血热极盛，尺脉见洪数，加条芩一两，黄柏一两（炒），生地黄一两五钱，酒浸。凡是月经过期而行且颜色淡的，肥胖之人多有湿痰，加白茯苓（水淘洗）、陈皮、苍术（米泔水浸泡一夜，盐水炒）各一两，白术五钱，减去熟地黄一两。瘦人则是血虚量少，而水湿混杂其中，加桂心五钱。月经来潮时断时续，或伴有寒热症状的（时断时续或寒热往来，这是肝经及心包络气血不调），加柴胡八钱，白茯苓一两。凡是经脉不调，白带多的，肥胖者主要因胃中湿痰流注所致，加制过的苍术、白茯苓各一两五钱，减熟地黄一两。凡是瘦人气多血少脾虚者，加木香五钱，牡蛎（火煅）、赤石脂（火煅）、白茯苓各一两。凡是崩漏多的，减香附、艾叶各一两，加荆芥穗（炒黑）一两，黄芩一两五钱。血崩或多者，加阿胶珠一两，干姜五钱（炒黑），黄芪一两（炙）（因为崩漏多而减少香附、艾叶，增加荆芥穗、黄芩，那么治疗崩漏的方法就可以推想了，阿胶、干姜、黄芪治疗崩漏的用意，也可以由此推知）。元气虚弱导致经闭的，加牛膝二两（酒洗）。属寒证的，加桂心五钱；属热证的，加黄芩一两（酒炒）。凡是婢妾等外室女子素来被正妻所忌恨的，必定多有抑郁情绪（此事属于推测揣度，但到了这里也费了一番苦心），以致经脉不调，加味制香附二两；或者血弱心虚，在交合之时惊恐不安，则精气不聚，加琥珀（另研细）、酸枣仁（隔纸略炒）、茯神各一两，辰砂（水飞法处理）、紫石英各五钱。
This is Blood-Heat syndrome, where the pulse must be rapid (Shu). Add two liang of Tiao Huangqin (Scutellariae Radix, high-quality), stir-fried; one tael five qian of Jiuzhi Shengdihuang (Rehmanniae Radix, wine-processed); if abdominal pain occurs, add one tael of Baishao (Paeoniae Radix Alba). Whenever abdominal pain precedes menstruation, it indicates Blood Excess with Qi stagnation; when menstrual blood forms clots, it signifies Qi condensation. The pulse is wiry (Xuan), rapid (Shu), slippery (Hua), and large (Da); add one tael of Xuanhusuo (Corydalis Rhizoma), wine-stir-fried; eight qian of Chenpi (Citri Reticulatae Pericarpium); five qian each of Guang Muxiang (Aucklandiae Radix) and Chaihu Shao (Bupleuri Radix tip). Whenever pain occurs after menstruation ends, it indicates deficiency of both Qi and Blood; the Chi (Cun Kou) pulse is deficient, choppy (Se), and tight (Jin); add three qian of Chao Ganjiang (Zingiberis Rhizoma, stir-fried); one tael of Bai Fuling (Poria); two qian of Guixin (Cinnamomi Ramulus) in summer, and five qian in other months. If there is a lingering dull pain in the abdomen or prolonged spotting three to five days into menstruation, it indicates that Blood stasis due to Qi stagnation has not fully resolved; the Chi pulse appears deep (Chen) and choppy (Se) or deep and wiry (Xuan); add five qian of Guang Muxiang (Aucklandiae Radix) and six qian of Chaihu (Bupleuri Radix). If the menstrual blood is purple or black, it indicates extreme Blood-Heat; the Chi pulse is surging (Hong) and rapid (Shu); add one tael of Tiao Huangqin (Scutellariae Radix); one tael of Huangbai (Phellodendri Cortex), stir-fried; one tael five qian of Shengdihuang (Rehmanniae Radix), soaked in wine. If menstruation is delayed and the color is pale: for obese individuals, it is primarily due to Damp-Phlegm; add one tael each of Bai Fuling (Poria, washed with water), Chenpi (Citri Reticulatae Pericarpium), and Cangzhu (Atractylodis Rhizoma, soaked in rice bran water overnight, stir-fried with salt water); five qian of Baizhu (Atractylodis Macrocephalae Rhizoma); reduce Shudihuang (Rehmanniae Radix Preparata) by one tael. For thin individuals, it is due to scant Blood deficiency mixed with Water-Dampness; add five qian of Guixin (Cinnamomi Ramulus). If menstruation comes and goes intermittently, or is accompanied by alternating chills and fever (intermittency or chills/fever indicate disharmony of Qi and Blood in the Liver Meridian and Pericardium); add eight qian of Chaihu (Bupleuri Radix); one tael of Bai Fuling (Poria). If menstrual irregularities are accompanied by excessive leukorrhea: for obese individuals, it is mainly due to Damp-Phlegm flowing from the Stomach; add one tael five qian each of Zhizao Cangzhu (Atractylodis Rhizoma, processed) and Bai Fuling (Poria); reduce Shudihuang (Rehmanniae Radix Preparata) by one tael. For thin individuals with abundant Qi but scant Blood and Spleen deficiency; add five qian of Muxiang (Aucklandiae Radix); one tael each of Huanyan Musli (Ostreae Concha, calcined), Huanyan Chishizhi (Halloysit Rubra, calcined), and Bai Fuling (Poria). For those with frequent metrorrhagia and metrostaxis (Benglou): reduce Xiangfu (Cyperi Rhizoma) and Aiyi (Artemisiae Argyi Folium) by one tael each; add one tael of Jingjie Sui (Schizonepetae Spica, charred); one tael five qian of Huangqin (Scutellariae Radix). For severe metrorrhagia or excessive flow: add one tael of Ejiaozhu (Asini Corii Colla, puffed); five qian of Ganjiang (Zingiberis Rhizoma, charred); one tael of Huangqi (Astragali Radix, honey-roasted) [Note: Since metrorrhagia is treated by reducing Xiangfu and Aiyi while adding Jingjie and Huangqin, the method for treating Benglou can be inferred; similarly, the intent behind using Ejiao, Ganjiang, and Huangqi for Benglou can be understood]. For amenorrhea due to weak Yuan Qi: add two tael of Niuxi (Achyranthis Bidentatae Radix), wine-washed. If due to Cold: add five qian of Guixin (Cinnamomi Ramulus); if due to Heat: add one tael of Huangqin (Scutellariae Radix), wine-stir-fried. For concubines or women in secondary positions who have long been resented by the principal wife, they likely suffer from much depression (this is speculative analysis, yet shows careful consideration here), leading to menstrual irregularities; add two tael of Jiewei Zhixiangfu (Cyperi Rhizoma, modified and processed). Or, if Blood is weak and Heart is deficient, causing fear and restlessness during intercourse, preventing the gathering of Essence and Qi; add one tael each of Hupo (Electrolytis Lapis, separately ground), Suanzao Ren (Ziziphi Spinosae Semen, lightly stir-fried between papers), and Fushen (Poria cum Radix); five qian each of Chen Sha (Cinnabar, water-triturated) and Zishiying (Fluoritum).