一头目眩晕，若右寸关脉浮而无力，脾肺气虚也，用补中益气汤。若左关尺脉数而无力
，肝
物汤加参、苓、白术；气虚者，四君子汤加当归、黄 ；肝经实热者，柴胡清肝散；肝经虚
热者，六味地黄丸；脾气虚弱者，补中益气汤；脾虚有痰者，半夏、白术、天麻汤；砭血过
多者，芎归汤；发热恶寒者，圣愈汤；大凡发热则真气伤矣，不可用苦寒药，恐复伤脾胃也
。
一口 目斜，若手足牵搐，或眉棱痒动，属肝经血虚风热，用加味逍遥散、六味地黄丸
，以
肝血；若筋挛骨痛，或不能动履，用六味地黄丸、补中益气汤，以滋化源；若因服燥药而致
者，用四物汤，加生甘草、金银花，以解热毒、益阴血。凡此俱属肝经血燥所致，须用六味
地黄丸、补中益气汤为主；若因怒气房劳而甚者，用六味地黄丸、十全大补汤为主；若因劳
伤形体而甚者，用补中益气汤、十全大补汤为主。
一夏秋湿热行令，若饮食不甘，头目眩晕，遍身酸软，或两腿麻木，口渴自汗，气促身
热，
气高而喘，身热脉大，元气内伤也，用补中益气汤；若呕吐少食，肚腹痞闷，大便不实，脾
胃受伤也，用六君子汤；若胸腹不利，饮食少思，吐痰不止，脾胃虚痞也，用四君子汤；若
形气倦怠，肢体麻木，饮食少思，热伤元气也，用人参益气汤。
一热渴便浊，若夜安昼热者，热在气分也，用清心莲子饮；昼安夜热者，热在血分也，
用四物二连汤，俱佐以六味地黄丸；若寒热往来者，肝经血虚也，用加味逍遥散、六味地黄丸。
一小便不利，若因服燥药而致者，用四物汤，加炒黑黄柏、知母、生甘草，以滋阴血；
若频数而色黄者，用四物汤，加参术、麦门、五味子，以生血气；若短而色黄者，用补中益气汤
，加山药、麦门、五味、以滋化源。经云∶无阴则阳无以生，无阳则阴无以化。
一大便不通，若血虚内热而涩滞者，用四物汤，加麦门、五味子，以生血润燥；若因燥
热之药而患者，用四物汤，加连翘、生甘草，以生血清热；若服克伐之药而致者，用四君子汤，
加芎、归以助气生血；若作渴饮冷者，热淫于内也，用竹叶石膏汤，以清胃火；若作渴饮汤
者
，以凉血润燥；若肠胃满燥，燥在直肠而不通者，用猪胆汁导之；肠胃气虚，血涸而不通者
，用十全大补汤；若肝胆邪盛，脾土受侮而不能输化者，用小柴胡汤加山栀、郁李仁、枳壳
治之。
一怔忡无寐，或兼衄血便血，若内热晡热，作渴饮汤，肢体倦怠，此脾血虚而火动也，
用四
神、远志；若因心血虚损，用柏子仁散。大抵此症皆心脾血少所致，但调补胃气，则痰清而
神自安，不必专于清热治痰。
一发热恶寒，若肢体倦怠，烦躁作渴，气高而喘，头痛自汗者，此内伤气血也，用补中
益气
益胃汤。烦躁作渴，体倦少食，或食而不化者，此脾气虚热也，用六君子汤。
一发热在午前，脉数而有力者，气分热也，用清心莲子饮。脉数而无力者，阳气虚也，
用补
用四物汤加参、术。热从两胁起者，肝虚也，用四物汤加参、术、黄 。从脐下起者，肾虚
也，用四物汤加参、术、黄柏、知母、五味、麦门、肉桂，或六味丸。其热昼见夜伏，夜见
昼止，或去来无定时，或起作无定处，或从脚起者，此无根虚火也，须用加减八味丸，及十
全大补汤，加麦门、五味，更以附子末唾津调搽涌泉穴。若形体恶寒喜热饮食者，阳气虚寒
也，急用八味丸。
一口干，若恶冷冻饮料食者，胃气虚而不能生津液也，用七味白术散。若喜冷冻饮料食者，胃火
盛而消
因汗下之后而有前患，胃气虚也，宜用八珍汤主之。
一作渴，若烦躁饮冷者，属上焦实热，用凉膈散。兼大便秘结者，属上焦实热，用清凉
饮。若用克伐之药而渴者，气血虚也，急用八珍汤六味丸。
一耳聋耳鸣，若左寸关脉弦数者，心肝二经虚热也，用四物汤加山栀、柴胡生阴血。右
寸关
加山栀、芎、归清肝凉血。若午前甚用小柴胡汤加参、 、归术补气清肝。午后甚用四物汤
加酒炒黑黄柏、知母、五味补阴降火。如两足心热属肾虚，用六味丸以壮水之主。两足冷属
阳虚，用八味丸以益火之源。
一项强口噤，腰背反张者，气血虚而发痉也。仲景张先生云∶足太阳病发汗太多则痉，
风病
涩血，故无汗而恶寒，曰刚痉。皆因内虚复汗亡津血，筋无所养而然，悉属虚象，非风症也
，当大补气血为主。故产妇溃疡，劳伤气血，湿热相火，误服克伐之剂者多患之，其义可见
。近以痉为 传写之误也。
一妇女经闭，若因郁火伤脾，以归脾汤加山栀、丹皮。气血俱虚，以八珍汤加山栀、丹
皮。
先期而来者，血虚热也，四物汤倍加参、术、牡丹皮。将来而作痛者，气虚血滞也，四物
汤
虚也，用八珍汤。其血崩之症，肝火不能藏血者，用加味逍遥散。脾虚不能统血者，用补中
益气汤。凡此皆六淫七情，亏损元气所致，当审其因而调补胃气为主。
一位患者出现头目眩晕的症状。如果右寸、关脉象浮而无力，这是脾肺之气虚弱所致，应使用补中益气汤治疗。如果左关、尺脉象数而无力，这是肝经血虚风热所致，应使用加味逍遥散和六味地黄丸以滋养肝血；如果是气虚者，使用四君子汤加当归、黄芪；如果是肝经实热者，使用柴胡清肝散；如果是肝经虚热者，使用六味地黄丸；如果是脾气虚弱者，使用补中益气汤；如果是脾虚且有痰湿者，使用半夏、白术、天麻汤；如果是因砭刺放血过多导致者，使用芎归汤；如果出现发热、恶寒症状者，使用圣愈汤；大凡出现发热，就会损伤真气，不可使用苦寒药物，恐怕会再次损伤脾胃。
一位患者出现口眼歪斜的症状。如果伴有手足牵引抽搐，或眉棱骨处瘙痒跳动，这属于肝经血虚风热，应使用加味逍遥散、六味地黄丸以滋养肝血；如果出现筋脉拘挛、骨骼疼痛，或不能活动行走，应使用六味地黄丸、补中益气汤，以滋生化之源；如果是因服用燥烈药物而导致者，应使用四物汤，加生甘草、金银花，以解除热毒、益养阴血。以上情况均属于肝经血燥所致，必须以六味地黄丸、补中益气汤为主进行治疗；如果是因愤怒或房劳过度而加重者，应以六味地黄丸、十全大补汤为主；如果是因劳累损伤形体而加重者，应以补中益气汤、十全大补汤为主。
一到夏秋季节，湿热之气盛行，如果饮食无味，头目眩晕，全身酸软，或双腿麻木，口渴自汗，气短身热，呼吸急促且喘息，身体发热且脉象洪大，这是元气内伤的表现，应使用补中益气汤；如果出现呕吐、食欲减退，腹部痞闷胀满，大便不成形，这是脾胃受伤的表现，应使用六君子汤；如果出现胸腹不适，饮食减少，吐痰不止，这是脾胃虚痞的表现，应使用四君子汤；如果出现形体气息倦怠，肢体麻木，饮食减少，这是热邪损伤元气的表现，应使用人参益气汤。
一位患者出现发热、口渴、小便浑浊的症状。如果夜间安适、白天发热，说明热在气分，应使用清心莲子饮；如果白天安适、夜间发热，说明热在血分，应使用四物二连汤，两者都配合六味地黄丸使用；如果出现寒热往来（忽冷忽热）的症状，这是肝经血虚的表现，应使用加味逍遥散、六味地黄丸。
一位患者出现小便不利的症状。如果是因服用燥烈药物而导致者，应使用四物汤，加炒黑黄柏、知母、生甘草，以滋阴血；如果是尿频且尿色黄者，应使用四物汤，加人参、白术、麦门冬、五味子，以生血气；如果是尿量少且色黄者，应使用补中益气汤，加山药、麦门冬、五味子，以滋生化之源。《内经》说：没有阴，阳就无法生成；没有阳，阴就无法化生。
一位患者出现大便不通的症状。如果是血虚内热导致肠道干涩阻滞者，应使用四物汤，加麦门冬、五味子，以生血润燥；如果是因服用燥热药物而患病者，应使用四物汤，加连翘、生甘草，以生血清热；如果是因服用攻伐药物而导致者，应使用四君子汤，加川芎、当归以助气生血；如果出现口渴想喝冷水的情况，这是热邪蕴结于内，应使用竹叶石膏汤，以清胃火；如果出现口渴想喝热水的情况，应用凉血润燥之法（注：原文此处似有缺漏，依语境推断为对应治法）；如果肠胃满燥，燥结在直肠而不通者，可用猪胆汁灌肠导下；如果肠胃气虚，血液枯竭而不通者，应使用十全大补汤；如果是肝胆邪气旺盛，脾土受克制而不能输布运化者，应使用小柴胡汤加山栀、郁李仁、枳壳来治疗。
一位患者出现心悸失眠（怔忡无寐），或兼有鼻出血、便血的症状。如果内有虚热、午后潮热，口渴想喝热水，肢体倦怠，这是脾血虚而虚火妄动，应使用四神丸、远志等药（注：原文“用四”后接“神、远志”，推测为四神丸或类似安神方，此处保留原文逻辑）；如果是因心血虚损所致，应使用柏子仁散。大抵这类病症都是心脾血少所致，只要调补胃气，那么痰浊自清而神志自然安宁，不必专门采用清热化痰的方法。
一位患者出现发热、恶寒的症状。如果肢体倦怠，烦躁口渴，呼吸急促且喘息，头痛自汗，这是内伤气血所致，应使用补中益气汤、益胃汤。如果烦躁口渴，身体疲倦，食欲减退，或吃了东西不消化，这是脾气虚热所致，应使用六君子汤。
一位患者发热出现在上午，脉象数而有力，这是气分有热，应使用清心莲子饮。脉象数而无力，这是阳气虚衰，应使用补中益气汤。如果发热从两胁发起，这是肝虚，应使用四物汤加人参、白术、黄芪。如果发热从脐下发起，这是肾虚，应使用四物汤加人参、白术、黄柏、知母、五味子、麦门冬、肉桂，或者使用六味地黄丸。如果发热白天出现晚上潜伏，晚上出现白天停止，或者来去没有固定时间，或者发作位置不固定，或者从脚部发起，这是无根虚火，必须使用加减八味丸及十全大补汤，加麦门冬、五味子，并用附子末配唾液调匀涂抹涌泉穴。如果形体怕冷喜欢热饮食，这是阳气虚寒，应立即使用八味地黄丸。
一位患者出现口干的症状。如果厌恶冷冻饮料食物，这是胃气虚而不能生津液，应使用七味白术散。如果喜欢冷冻饮料食物，这是胃火盛而消烁津液（注：原文“消”后似缺字，依义补全）。如果是因发汗、泻下之后而出现前述症状，这是胃气虚，宜用八珍汤主治。
一位患者出现口渴的症状。如果烦躁想喝冷水，属于上焦实热，应使用凉膈散。兼有大便秘结的，也属于上焦实热，应使用清凉饮。如果是因服用攻伐药物而导致口渴，这是气血虚，应立即使用八珍汤、六味地黄丸。
一位患者出现耳聋、耳鸣的症状。如果左寸、关脉象弦数，这是心、肝二经虚热，应使用四物汤加山栀、柴胡以生阴血。右寸、关脉象...（原文此处有缺漏，依下文推断为相关脉象），加山栀、川芎、当归以清肝凉血。如果午前症状加重，用小柴胡汤加人参、[缺]、当归、白术以补气清肝。午后症状加重，用四物汤加酒炒黑黄柏、知母、五味子以补阴降火。如果两足心发热，属于肾虚，应使用六味地黄丸以壮水之主（滋补肾阴）。两足发冷，属于阳虚，应使用八味地黄丸以益火之源（温补肾阳）。
一位患者出现颈项强直、牙关紧闭、腰背反张的症状，这是气血虚衰导致的痉病。张仲景先生曾说：足太阳病发汗太多会导致痉病，因为风邪侵袭导致经脉涩滞、血液运行不畅，所以无汗且恶寒，称为刚痉。这都是因为内部虚弱又因发汗亡失津液和血液，筋脉失去滋养所致，全部属于虚证表现，不是风症，应当以大补气血为主。所以产妇溃疡、劳伤气血、湿热相火妄动、误服攻伐药物的患者多患此病，其道理可见一斑。近代将“痉”传写为“...”是错误。
一位妇女出现月经闭止的症状。如果是因郁火伤脾所致，用归脾汤加山栀、丹皮。如果是气血俱虚，用八珍汤加山栀、丹皮。如果月经先期而来，是血虚有热，用四物汤倍加人参、白术、牡丹皮。如果月经将来之前作痛，是气虚血滞，用四物汤...（原文此处有缺漏，依理应为调理气血之品）。如果是血虚，用八珍汤。对于血崩症，如果是肝火不能藏血所致，用加味逍遥散。如果是脾虚不能统血所致，用补中益气汤。以上情况都是六淫七情亏损元气所致，应当审察病因并以调补胃气为主。
A patient presents with dizziness and vertigo of the head and eyes. If the pulse at the right Cun (Cun position) and Guan (Guan position) is floating and forceless, this indicates deficiency of Spleen and Lung Qi; treat with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If the pulse at the left Guan and Chi (Chi position) is rapid and forceless, this indicates Wind-Heat due to Liver Blood deficiency; treat with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Liver Blood. For cases of Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction) plus Danggui (Angelica Sinensis) and Huangqi (Astragalus). For excess Heat in the Liver channel, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder). For deficient Heat in the Liver channel, use Liuwei Dihuang Wan. For Spleen Qi deficiency, use Buzhong Yiqi Tang. For Spleen deficiency with Phlegm-Dampness, use Banxia, Baizhu, Tianma Tang (Pinellia, Atractylodes, and Gastrodia Decoction). For cases caused by excessive bloodletting via Bian (stone needle therapy), use Xiong Gui Tang (Ligusticum and Angelica Decoction). For cases presenting with fever and aversion to cold, use Shengyu Tang (Sage Renewal Decoction). Generally, fever injures True Qi; bitter-cold herbs should not be used, as they may further damage the Spleen and Stomach.
A patient presents with deviation of the mouth and eye. If accompanied by twitching or convulsions of the limbs, or itching and twitching of the brow ridge, this belongs to Wind-Heat due to Liver Blood deficiency; treat with Jiawei Xiaoyao San and Liuwei Dihuang Wan to nourish Liver Blood. If there are tendon cramps and bone pain, or inability to move and walk, treat with Liuwei Dihuang Wan and Buzhong Yiqi Tang to nourish the source of transformation and generation. If caused by taking drying drugs, treat with Siwu Tang (Four Substances Decoction) plus raw Gancao (Licorice) and Jinyinhua (Honeysuckle) to resolve heat toxicity and benefit Yin Blood. All these cases belong to dryness in the Liver channel; the primary treatment must be Liuwei Dihuang Wan and Buzhong Yiqi Tang. If exacerbated by anger or sexual exhaustion, use Liuwei Dihuang Wan and Shiquan Dabu Tang (Ten Complete Tonifying Decoction) as the main formula. If exacerbated by labor injuring the body form, use Buzhong Yiqi Tang and Shiquan Dabu Tang as the main formulas.
During summer and autumn, when Damp-Heat prevails, if there is lack of appetite, dizziness and vertigo, generalized soreness and weakness, or numbness in both legs, thirst with spontaneous sweating, shortness of breath with fever, rapid breathing and panting, body heat with a large pulse, this indicates internal injury to Yuan Qi (Original Qi); treat with Buzhong Yiqi Tang. If there is vomiting, poor appetite, abdominal distension and stuffiness, and loose stools, this indicates injury to the Spleen and Stomach; treat with Liujunzi Tang (Six Gentlemen Decoction). If there is discomfort in the chest and abdomen, poor appetite, and incessant expectoration of phlegm, this indicates deficiency-type fullness in the Spleen and Stomach; treat with Sijunzi Tang. If there is fatigue of form and Qi, numbness of limbs, and poor appetite, this indicates injury to Yuan Qi by Heat; treat with Renshen Yiqi Tang (Ginseng Qi-Augmenting Decoction).
A patient presents with fever, thirst, and turbid urine. If peaceful at night but febrile during the day, the Heat is in the Qi level; treat with Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction). If peaceful during the day but febrile at night, the Heat is in the Blood level; treat with Siwu Erlian Tang (Four Substances and Two Lianas Decoction), both assisted by Liuwei Dihuang Wan. If there is alternating chills and fever, this indicates Liver Blood deficiency; treat with Jiawei Xiaoyao San and Liuwei Dihuang Wan.
A patient presents with difficulty in urination. If caused by taking drying drugs, treat with Siwu Tang plus chao hei Huangbai (Phellodendron) and Zhimu (Anemarrhena), and raw Gancao to nourish Yin Blood. If frequent with yellow color, treat with Siwu Tang plus Renshen (Ginseng), Baizhu (Atractylodes), Maimendong (Ophiopogon), and Wuweizi (Schisandra) to generate Blood and Qi. If scanty with yellow color, treat with Buzhong Yiqi Tang plus Shanyao (Dioscorea), Maimendong, and Wuweizi to nourish the source of transformation and generation. The Classic states: Without Yin, Yang cannot be generated; without Yang, Yin cannot be transformed.
A patient presents with constipation. If due to Blood deficiency and internal Heat causing dryness and stagnation, treat with Siwu Tang plus Maimendong and Wuweizi to generate Blood and moisten dryness. If caused by hot-drying drugs, treat with Siwu Tang plus Lianqiao (Forsythia) and raw Gancao to generate Blood and clear Heat. If caused by purgative/draining drugs, treat with Sijunzi Tang plus Xiong (Ligusticum) and Gui (Angelica) to assist Qi in generating Blood. If thirsty and desiring cold drinks, this is Heat flooding internally; treat with Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) to clear Stomach Fire. If thirsty and desiring hot drinks, [method implied: cool blood and moisten dryness]. If the intestines and stomach are full and dry, with dryness obstructing the rectum, use pig bile for enema induction. If intestinal Qi is deficient and Blood is exhausted causing obstruction, treat with Shiquan Dabu Tang. If Liver and Gallbladder pathogenic factors are excessive,侮 (insulting) the Spleen Earth so it cannot transport and transform, treat with Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Zhizi (Gardenia), Yuliren (Pericarpium Pruni Semen), and Zhike (Aurantii Fructus).
A patient presents with palpitations and insomnia, or accompanied by epistaxis and hematochezia. If there is internal heat, afternoon tidal fever, thirst desiring hot drinks, and limb fatigue, this is Spleen Blood deficiency with moving fire; treat with [missing text, likely Anshen formulas] and Yuanzhi (Polygala). If due to Heart Blood deficiency and damage, treat with Baiziren San (Biota Seed Powder). Generally, these symptoms are caused by insufficient Heart and Spleen Blood; by regulating and tonifying Stomach Qi, Phlegm will clear and Spirit will naturally settle; there is no need to specialize in clearing Heat and resolving Phlegm.
A patient presents with fever and aversion to cold. If there is limb fatigue, irritability, thirst, rapid breathing and panting, headache, and spontaneous sweating, this is internal injury to Qi and Blood; treat with Buzhong Yiqi Tang and Yiwei Tang (Benefit Stomach Decoction). If there is irritability, thirst, body fatigue, poor appetite, or indigestion after eating, this is Spleen Qi deficiency with Heat; treat with Liujunzi Tang.
If fever occurs in the morning and the pulse is rapid and forceful, this is Heat in the Qi level; treat with Qingxin Lianzi Yin. If the pulse is rapid and forceless, this is Yang Qi deficiency; treat with Buzhong Yiqi Tang. If heat rises from the hypochondrium, this is Liver deficiency; treat with Siwu Tang plus Renshen, Baizhu, and Huangqi. If heat rises from below the umbilicus, this is Kidney deficiency; treat with Siwu Tang plus Renshen, Baizhu, Huangbai, Zhimu, Wuweizi, Maimendong, Rougui (Cinnamon Bark), or Liuwei Wan. If heat appears during the day and hides at night, or appears at night and stops during the day, or comes and goes without fixed time, or arises without fixed location, or starts from the feet, this is rootless deficient fire; use Jiawei Bawei Wan (Modified Eight-Ingredient Pill) and Shiquan Dabu Tang plus Maimendong and Wuweizi, and apply Fuzi (Aconite) powder mixed with saliva to Yongquan (KI 1) acupoint. If the form fears cold and prefers hot food and drink, this is Yang deficiency and Cold; urgently use Bawei Wan (Eight-Ingredient Pill).
A patient presents with dry mouth. If averse to cold drinks and food, this is Stomach Qi deficiency unable to generate fluid; treat with Qiwei Baizhu San (Seven-Ingredient Atractylodes Powder). If preferring cold drinks and food, this is盛 (excess) Stomach Fire consuming fluids. If these conditions arise after sweating or purging, this is Stomach Qi deficiency; primarily use Bazhen Tang (Eight-Treasure Decoction).
A patient presents with thirst. If irritable and desiring cold drinks, this is Excess Heat in the Upper Jiao; treat with Liangge San (Cool the Diaphragm Powder). With concurrent constipation, this is also Excess Heat in the Upper Jiao; treat with Qingliang Yin (Clearing and Cooling Decoction). If thirst results from using draining drugs, this is Qi and Blood deficiency; urgently use Bazhen Tang and Liuwei Wan.
A patient presents with deafness and tinnitus. If the left Cun and Guan pulses are wiry and rapid, this is deficient Heat in the Heart and Liver channels; treat with Siwu Tang plus Zhizi and Chaihu (Bupleurum) to generate Yin Blood. [Missing text regarding right pulse], add Zhizi, Xiong, and Gui to clear Liver and cool Blood. If worse in the morning, use Xiao Chaihu Tang plus Renshen, [missing herb], Gui, Baizhu to tonify Qi and clear Liver. If worse in the afternoon, use Siwu Tang plus jiu chao hei Huangbai, Zhimu, and Wuweizi to tonify Yin and descend fire. If heat in the soles of the feet belongs to Kidney deficiency, use Liuwei Wan to strengthen the master of Water. If cold feet belong to Yang deficiency, use Bawei Wan to benefit the source of Fire.
A patient presents with neck stiffness, locked jaw, and opisthotonos (arching back), which is Jing Spasm due to Qi and Blood deficiency. Master Zhang Zhongjing stated: Excessive sweating in Taiyang disease causes Jing Spasm. Due to Wind pathogen causing meridians to be stagnant and blood flow to be sluggish, there is no sweat and aversion to cold, called Gang Jing (Stiff Spasm). All are due to internal deficiency combined with sweating losing Jin Ye (Body Fluids) and Blood, leaving tendons without nourishment; all belong to deficiency patterns, not Wind diseases. Primary treatment should be greatly tonifying Qi and Blood. Thus, postpartum patients with ulcers, those with labor-injured Qi and Blood, those with Damp-Heat and Ministerial Fire, and those who mistakenly took draining drugs often suffer from this; its meaning is visible. Recently, "Jing" was miswritten as [error] in transmission.
A female patient presents with amenorrhea. If caused by constrained Fire injuring the Spleen, use Guipi Tang (Restore the Spleen Decoction) plus Zhizi and Danpi (Moutan). If both Qi and Blood are deficient, use Bazhen Tang plus Zhizi and Danpi. If menstruation arrives early, this is Blood deficiency with Heat; use Siwu Tang doubled with Renshen, Baizhu, and Mudanpi. If pain occurs before menstruation arrives, this is Qi deficiency with Blood stagnation; use Siwu Tang [text missing]. If Blood deficiency, use Bazhen Tang. For metrorrhagia (flooding), if caused by Liver Fire failing to store Blood, use Jiawei Xiaoyao San. If caused by Spleen deficiency failing to control Blood, use Buzhong Yiqi Tang. All these are caused by Six Evils and Seven Emotions damaging Yuan Qi; one must examine the cause and prioritize regulating and tonifying Stomach Qi.