女科首重调经，只因见嗽见热，但以肺药清凉，希冀嗽缓，无如胃口反伤，腹痛便溏，
恶食呕逆。此寒热乃营卫欹斜明矣。病系忧郁成劳，情志内伤，故药不奏功，议戊己汤。
人参 炒白芍 鲜芡实 茯苓 炙甘草 炒扁豆（去皮）
向来经水调和，自上年冬季，每月经转两次，天柱脊椎即酸垂，心中嘈杂忽痛，头面烘
脊背指足常冷，经期落后四五十日。此属八脉不和，皆肝肾脂液暗伤，养液熄风，冀其奇充
清阿胶 鹿角胶 枸杞子 当归身 生地黄 元武胶 桂圆肉 白芍药 天门冬 白茯
乌骨雄鸡去毛骨头足肠杂，青蒿汁、酒、醋加水，煮汁收胶。以胶为丸，淡盐汤送下，每日
经阻三月，咳嗽失血，交夜蒸蒸发热，脉来左搏而促。是阳气烦蒸，攻逆诸络，血液不
得汇集冲脉。深秋经水不来，必加寒热瘦削，成干血痨矣。
鳖甲 全归 丹皮 山楂 生地 白芍 茺蔚 麦冬
久病形神日消，脉象坚大，是谓脉无胃气矣。曾于上年夏季便泻腹痛食减，舒肝健脾疏
春进安胃丸，此生气不至。当女子天癸将通之岁，经脉气机怫逆，久郁热蒸，渐为枯涸之象
，最足虑也。议用汪石山郁劳治法。
川芎 白芍 湖莲肉 青蒿 当归 熟地 南楂肉 香附
病起左肢痛痿，即《灵枢》云意伤忧愁则肢废也。盖肝脏多气多血，气胜则热，血不营
脉，阳明日空，血海无贮，经事遂闭。内风挟阳，上升眩晕，咳出痰沫。冬令天地闭藏，病
不致凶；万花畅茂，有增剧之虑。议镇肝安胃法，用麦甘大枣汤，麦以镇逆，枣、甘益虚，
遵《内经》肝苦急，急食甘以缓之也。
甘麦大枣汤。
气郁滞则血不行，当理血中之气。
四物汤加香附、楂炭、益母草。
脉滞经涩，食入脘痞，都因情怀失和，肝脾郁结使然。
香附 广皮 蔻仁 丹皮 楂炭 茯苓 神曲 钩藤
停经已九月，少腹重坠而痛，及诊少阴脉涩小，并非妊象。冲任虚馁，怕其暴崩。
八珍汤，加砂仁。
昼夜腹痛，泄气则缓；夜卧扪之，常高突有形横处其间，为肝郁不舒，致冲、任二脉乏
气流行。经期不来，营卫阻闭，为寒热互作。
因泄泻已久，风木久乘中土，峻攻非宜。
川楝子 当归身 青木香 山楂 龙胆草 小茴香 炒橘核 青葱
泄泻食减，经水不来，而寒热咳嗽，日无间断。据说嗔怒病来，其象已是劳怯。郁劳经
闭，最为难治之症。
人参 蒸冬术 炙草 茯苓 广皮 白芍
郁损经停， 胀难便。
归身 川楝子 茺蔚子 小茴 生白芍 泽兰
经水不来，是络脉无血。古云气旺血自生，大忌通瘀。
人参 当归 麋角胶 茯苓 桂心 羊肉胶
天癸从未至，肉瘦色瘁，咳呛着枕更甚，暮夜内外皆热，天明汗出热减，痰出或稠或
咽中总不爽利。此先天最薄，真阴不旺，勿攻针黹，务安闲怡悦；俾经来可以热除，不然，
世称干血劳矣。复脉汤，去麻仁。
两三月经水不来，少腹痛胀下坠。寒疝属虚，可与当归生姜羊肉汤。
经闭淋沥。（初）
柏仁 肉苁蓉 女贞子 郁李仁 当归 川石斛
肝风逆，经闭淋沥，便艰。（复）
柏子仁 当归身 川石斛 女贞子 郁李仁 黑 豆 淡苁蓉
肝痹胀至心下，腹大经闭，二便涩少。（初）
橘叶 青皮 银柴胡 茯苓皮 青葱 楂肉 五灵脂 大腹皮
血结为瘕，腹胀大如缶，进疏肝通瘀稍安，续进针砂丸以缓攻之。
此劳怯是悒郁内损，阳土为阴木乘侮，冲脉乏血，经闭肉瘦气胀，减食便溏，五液日枯
不上承，喉舌干涸。仍不嗜汤饮。《内经》谓二阳之病发心脾，风消息贲，皆是久损传变见
人参 乌梅肉 南楂肉 茯苓 白芍 老苏梗
阴痫脉迟，经水二月一至。
六味加阿胶、白芍。
经来潮潮涩少，汤饮入脘嗳吐。平昔善吐涎沫，心摇震惕。厥阴、阳明皆逆，龙荟丸主
龙荟丸，每服二钱。
经来涩少，便泻汗出。因惊恐致病，由肝传脾，用戊己汤。
风动液亏，腹痛肠红，经闭，暮热惊恐，治在肾肝。
熟地炭 萸肉炭 炙草 五味子 白茯神 白芍
自八月中经止，即食入呕吐，医认怀娠恶阻治，延至小寒节，头巅痛，心中热，吐清涎
。水药仍受，粒米食物下咽即吐，欲寐洒然惊惕，肌表及足寒，晡刻头面热，腹胀，心腹皆
痛。初病嗔怒而来，确是肝木犯胃，最怕暴厥急至。
金铃子 黑山栀 炒半夏 生姜汁 延胡索 炒香豉 茯苓
经水两月不来，腹形胀大，有形攻触；目瞑将寐，先欲厥冷，后渐热多汗。此皆郁损成
当归须 茺蔚子 五灵脂 小茴香 小香附 炒楂肉
嗽急心腹坚胀，入夜气冲，欲坐下部已冷；久有瘕聚，问月事不来三年。此浊气饮壅塞
，以致血脉不通，为络脉之胀。
桂枝 淡姜 五味子 茯苓 白术 北细辛
暴崩，癖聚腹胀，经水不来五月，络虚所致。
葱白丸。
红枣、蕲艾煎汤送下。
动怒血吐成升，月余再吐。自述少腹常痛，夜必身热汗出。必经水得通，可免干血劳怯
醋炙鳖甲 胡黄连 炒焦延胡 炒桃仁 茺蔚子 炒楂肉
脉数经迟，面起痱疹；肝阳内风，冲逆上升，胃减少食。
清阿胶 炙甘草 柏子仁 小生地 白茯神 火麻仁
左肢麻木，经迟宿 ，中年从未生育。脉数，怒则腹胀。和肝胃之阳，即调经要领。
生地 当归 砂仁（盐水炒） 炒楂仁 豆皮 香附 知母
胃痛四年，因郁怒而起。经落不调，瘕聚腹胀，欲呕便泻。久病入络，兼理血分。
金铃子肉 桃仁 五灵脂 炒延胡索 生蒲黄 生香附
质偏于热，阴液易亏。女人肝为先天，月事虽准而少，里乏储蓄，无以交会冲脉，此从
育之由也。凡生气及阴血，皆根于阳，阳浮为热，阴弱不主恋阳，脊背常痛，当从督、任脉
元武版 桑螵蛸 当归身 细子芩 鹿胎 枸杞子 桂圆肉
经来绵绵不止，恐延淋带，此后遇里急，为阴弱不内守治。
熟地炭 芡实 艾炭 茯神 湖莲 炒归身
脉数，下焦冷，经淋不止，少腹腰臂痛，火升面热。
枸杞子 生杜仲 生地 炒蒺藜 川石斛 女贞
脏属阴，阴亏内热自起，阳搏动则经多如崩，带下绵绵。治宜坚固其阴。
熟地 牡蛎 秦皮 樗皮 艾 阿胶 黄柏 白芍 茯苓 羊肉胶丸
五十岁天癸当绝，而反多于昔，冲、任之脉不固，已属下焦主病。脉不束骨，痛无定所
三气客痹迥异。群药未尝及下，胃伤肝垂呕吐。问病患口味苦，气塞必哕，必如悬旌，当以
胃虚客气攻逆，议用旋复代赭汤。
人参 炒黑川椒 乌梅肉 茯苓 钉头 代赭 生白芍
冬温失藏，肝木反泄，阳明脉虚，血海不按期而经下，乃体不足、用太过之象。法当辛
酸甘缓，两和肝之阴阳，而苦降走泄，不但妨胃，且助劫耗。
炙甘草 枸杞子 柏子仁 生白芍 桂圆肉 茯苓
暴崩去血过多，络中空虚，浮阳夹内风以动，心悸，筋脉痿软。奇经已乏，每经来必病
，最难调治。
炒熟地 阿胶 女贞子 湖莲肉 白芍 旱莲草
郁悖阳升，八脉不和，下少因摄，有暴崩之累。
枸杞 鹿角霜 小茴 醋艾 茯苓 沙苑 淡苁蓉 当归 香附 益母草丸
久漏成崩，上有疡症，用药极难，仿《内经》七方之一，固下漏少佐清上。
醋炙螵蛸 茜草
煎好滤清，加黄芩、阿胶，煎数十沸，取清服。
经漏已三年，淋漓带下黄白。视色脉不受温暖，固下汤散力量难以直达冲、任。古《局
方》中有震灵丹。每早服六十粒，是固奇脉药；欲求全愈，非大剂人参不可。
室女经初至，必然畏热，因热求凉，致伤冲、任，经漏不已，血色渐紫，腹中痛，得按
略缓，是从前经至失调之故。和血脉之中，必佐通阴中之阳。
杞子 沙苑 鹿角霜 人参 当归 小茴 紫石英 桂心
十四岁室女，无温补热药之例。视色夺脉弱，下焦未寒先冷，经事淋漓，是冲任二气不
交。冬宜藏阳，用温补升阳。
鹿角霜 杞子 当归 人参 蛇床子 麋茸 沙苑 小茴 紫石英
血瘀自下为顺，但形神顿减，明是积劳已伤。血脱必益气，否则有复瘀之虑。
补中益气汤。
经漏四十余日，色黯瘀腐成块。病中动怒，遂胸膈胀闷且痛，瘀下稍宽，医治漏血，投
地、芍、归、胶，下焦先未得其益，上焦先受其滞。宗经义先理其上。
老苏梗 南山楂 桃仁 香附汁 麦芽 延胡
久崩淋带，少腹结癜，液涸气坠，二便皆阻。辛甘补方，冀得宣通，勿谓崩症徒以涩药
柏子霜 淡苁蓉 郁李仁 当归身 枸杞子 葵子
经漏腹胀，脏阴为病，浊攻脾胃为呕逆。
人参 淡附子 茯苓 蒸术 淡干姜
长斋有年，脾胃久虚。疟由四末，必犯中焦；血海隶乎阳明，苦味辛散，皆伤胃系。虽
久绝，病邪、药味扰动血络，是为暴崩欲脱。阅医童便、阿胶，味咸滑润，大便溏泻，岂宜
润下？即熟地、五味，补敛阴液，咽汤停脘，顷欲吐尽。滋腻酸浊之物，下焦未得其益，脘
中先以受其戕。议以仲景理中汤，血脱有益气之治。坤土阳和旋转，希图中流砥柱，倘得知
味纳谷，是为转机。重证之尤，勿得忽视！
人参 炒焦于术 炮姜炭 茯苓 炙黑 甘草
十年不孕，奇脉大伤，经来如崩，周身筋掣，自脑后痛连腰膂，食少腹胀，干呕气冲，
如淋窒痛。盖奇经诸脉，隶于肝肾恒多，肾失纳，肝失藏，脉络气血消乏，何以束骨充形，
此病之最延绵难却也。阅古人法中，藏真宜固，脉络宜通，非偏寒偏热之治。
鹿角霜 当归身 柏子仁 川桂枝 小茴香 真茯神
交节令血下成块，腰痛溺淋，乃下元虚，八脉无气，最多反复，议升阳固脉法。
人参 鹿茸 补骨脂 当归 鹿角霜 茯苓
入土旺用事，食减恶心，淋带反多。老年阳气渐泄下坠，议东垣升阳法。
人参 熟术 炙草 当归 羌活 防风 独活 广皮
经阻两月，脉象虚数，呕吐清水，仍以恶阻调治。
竹茹 半夏 广皮 生姜 茯苓 浓朴
凡交三月胎殒，是肝阴内怯，任脉不司担任。今见症脊椎尻垂，腰酸痿弱，肝肾奇经虚
不固摄，议用孙真人法。
阿胶 当归 生地 寄生 艾炭 白芍 子芩 砂仁
女科胎前以立基为要。恶阻呕吐味酸，是热化，宜安胃调气。
人参 半夏 竹茹 茯苓 生姜
培土安胎。
人参 焦术 建莲 茯苓 广皮 砂仁
气塞干哕，不欲进谷。怀妊四月，腹大如足月，足跗浮肿，得血下洞泄而来。询知两月
不纳，立秋交节，血乃暴下，为阳明胃虚，滞气逆攻。血海隶乎阳明，致有淋漓之状。法当
清热安中，以暴胀常多热证耳。
生白芍 乌梅肉 苏梗 参汤（另进） 子黄芩 知母 川连
脉左右弦，身麻肢冷，脘中胀闷，不饥吞酸，由中虚肝气内动之故。五六月当脾胃司胎
，又体质不受苦寒，非清火破泄气分之治所宜。
人参 枳壳 生姜汁 半夏 桔梗
厥阴之阳上冲，呕逆腹痛，防胎上攻，以苦寒清泄法。
川连 黄芩 川楝肉 青皮 白芍 郁金
胎气日长，诸经气机不行，略进水谷之物，变化水湿，不肯从膀胱而下，横渍肌肤为肿
奔射肺，咳嗽气冲，夜不得卧；阴阳不分，二便不爽。延绵经月，药难治效，当刺太阳穴，
使其气通，坐其安产。
桂枝 五味 牡蛎 杏仁 茯苓 淡姜 泽泻
临月，用清热理气。
苏梗 苓皮 知母 白芍 砂仁 腹皮 黄芩
怀妊若患时症，古人主在保胎。今喜暖恶寒，升则厥，痛坠欲便，腰腹绕痛，大虑胎坠
。辛香温柔之品，冀其止厥。
鹿角霜 沙苑 枸杞 小茴 淡苁蓉 茯苓 柏仁 当归
暑湿阻气，胎热由下而升，两热相搏，咽喉欲痹，寒战，周身诸脉震动，防胎下坠，治
竹叶 枇杷叶 知母 连翘 郁金 川贝
胎孕而患时疟，古人先保产，佐以治病。兹诊唇燥舌白，呕闷自利，乃夏令伏邪至秋深
非柴胡、枳实之属可止。呕吐黑水腹痛，胎气不动，邪热深陷入里，蒸迫脏腑，是凶危之象
黄芩 黄柏 川贝 黄连 秦皮
寒少热多，即先厥后热之谓。热甚胎攻冲心而痛，盖胎在冲脉，疟邪由四末渐归胃系，
属阳明胃脉管辖，上呕青黑涎沫，胎受邪迫，上冲攻心，总是热邪无由而发泄，内陷不已，
势必堕胎，且协热自利，外邪从里而出，有不死不休之戒。方书保胎必因阴益气，今热炽壅
，参、胶、归、地，反为热邪树帜矣。前以绝苦无寒，取其急过上焦，阳明胃与厥阴两治；
今用酸苦泄两经之邪热，外以井泥护胎。
川连 乌梅肉 黄芩 草决明 川椒 石莲肉 白芍
苦辛酸，清泄阳明，厥阴邪热，兼外护胎法，病势减十之二三。视舌黑芒刺，舌心干板
，而
调治。夫护胎存阴，清热去邪，两不可少。
川连 鲜生地 知母 阿胶 鸡子黄
始于嗔怒动肝，冬季温暖少藏，肝气多升，肺气不降，遂令咳逆喘促，热郁入里，耳聋
自利。延绵经月，真损必然殒胎，非轻小之恙。
妇科治疗首重调理月经。只因见到咳嗽、发热，便单纯使用清肺凉药，希望咳嗽缓解，没想到反而损伤了胃气，导致腹痛、大便溏薄、厌食、呕吐逆气。这种寒热错杂的现象，显然是营卫失调所致。病根在于忧郁成劳，情志内伤，所以之前的药物没有效果，现在建议采用戊己汤。
人参、炒白芍、鲜芡实、茯苓、炙甘草、炒扁豆（去皮）。
向来月经调和，自去年冬季起，每月行经两次，天柱骨（脊椎）酸痛下垂，心中嘈杂忽痛，头面烘热而脊背及手指足趾常冷，经期推迟四五十天。这属于奇经八脉不和，都是肝肾阴液暗耗所致。治宜养液熄风，期望奇经得以充养。
清阿胶、鹿角胶、枸杞子、当归身、生地黄、元武胶（龟板胶）、桂圆肉、白芍药、天门冬、白茯苓。
用乌骨雄鸡（去毛及骨头、脚、肠杂），配合青蒿汁、酒、醋加水，煮汁收胶。将胶制成丸剂，淡盐汤送服，每日一次。
月经停止三个月，咳嗽咯血，入夜蒸蒸发热，脉象左部搏动急促。这是阳气烦扰蒸腾，攻冲逆乱各条络脉，血液不能汇聚于冲脉。深秋时节月经不来，必定加重寒热消瘦，形成干血痨。
鳖甲、全当归、丹皮、山楂、生地、白芍、茺蔚子、麦冬。
久病导致形神日渐消损，脉象坚大，这是脉无胃气的表现。曾在去年夏季出现便泻、腹痛、食欲减退，当时疏肝健脾，春季进服安胃丸，但生气未能恢复。当女子天癸初通之年，经脉气机怫郁逆乱，久郁化热蒸腾，逐渐呈现枯涸之象，最为令人担忧。建议采用汪石山的郁劳治法。
川芎、白芍、湖莲肉、青蒿、当归、熟地、南楂肉、香附。
病起于左肢疼痛痿软，正如《灵枢》所说：“意伤忧愁则肢废也。”肝脏多气多血，气胜则生热，血不濡养脉络，阳气日渐空虚，血海无储备，月经遂闭。内风挟带阳气上升，导致眩晕，咳出痰沫。冬季天地闭藏，病情不至于凶险；到了万花畅茂的春夏季节，则有病情加剧的忧虑。建议采用镇肝安胃法，使用甘麦大枣汤，小麦以镇逆，大枣、甘草补益虚损，遵循《内经》“肝苦急，急食甘以缓之”的原则。
甘麦大枣汤。
气郁滞则血不行，应当调理血中之气。
四物汤加香附、楂炭、益母草。
脉象滞涩，月经不畅，进食后胃脘痞闷，都因情怀失和，肝脾郁结所致。
香附、广陈皮、蔻仁、丹皮、楂炭、茯苓、神曲、钩藤。
停经已九个月，少腹沉重坠痛，诊察少阴脉涩小，并非妊娠之象。冲任二脉虚弱，担心发生暴崩。
八珍汤，加砂仁。
昼夜腹痛，排气后缓解；夜间卧床触摸，常感高突有形横亘其间，这是肝郁不舒，导致冲、任二脉缺乏气机流行。经期不来，营卫阻闭，表现为寒热交替发作。
因泄泻已久，风木之气久克中土，峻猛攻下并不适宜。
川楝子、当归身、青木香、山楂、龙胆草、小茴香、炒橘核、青葱。
泄泻食欲减退，月经不来，且寒热咳嗽，日夜不间断。据说是因为嗔怒致病，其象已是劳怯。郁劳导致的经闭，是最难治疗的病症。
人参、蒸冬术、炙甘草、茯苓、广陈皮、白芍。
郁损导致经停，腹胀难以排便。
归身、川楝子、茺蔚子、小茴、生白芍、泽兰。
经水不来，是络脉无血。古云“气旺血自生”，最忌通瘀破血。
人参、当归、麋角胶、茯苓、桂心、羊肉胶。
天癸从未至，肌肉消瘦面色憔悴，咳嗽呛逆着枕更甚，暮夜内外皆热，天明汗出热减，痰出或稠或稀，咽中总不爽利。这是先天禀赋最薄，真阴不旺，不要从事针线刺绣等劳累工作，务必保持安闲怡悦；使得经来可以热除，不然，就会成为世称的干血劳。复脉汤，去麻仁。
两三个月经水不来，少腹痛胀下坠。寒疝属虚证，可与当归生姜羊肉汤。
经闭淋沥。（初诊方）
柏子仁、肉苁蓉、女贞子、郁李仁、当归、川石斛。
肝风逆乱，经闭淋沥，大便艰难。（复诊方）
柏子仁、当归身、川石斛、女贞子、郁李仁、黑豆、淡苁蓉。
肝痹胀满至心下，腹部膨大经闭，二便涩少。（初诊方）
橘叶、青皮、银柴胡、茯苓皮、青葱、楂肉、五灵脂、大腹皮。
血结为瘕，腹胀大如缶，进服疏肝通瘀药稍安，续进针砂丸以缓攻之。
此劳怯是由于悒郁内损，阳土（脾胃）被阴木（肝）乘侮，冲脉乏血，经闭肉瘦气胀，减食便溏，五液日枯不上承，喉舌干涸。仍然不嗜汤饮。《内经》谓“二阳之病发心脾”，风消息贲，皆是久损传变见症。
人参、乌梅肉、南楂肉、茯苓、白芍、老苏梗。
经来潮潮涩少，汤饮入胃即嗳吐。平昔善吐涎沫，心神摇震惕惧。厥阴、阳明皆逆，主以龙荟丸。
龙荟丸，每服二钱。
风动液亏，腹痛肠红，经闭，暮热惊恐，治在肾肝。
熟地炭、萸肉炭、炙甘草、五味子、白茯神、白芍。
自八月中经止，即食入呕吐，医生误认为妊娠恶阻治疗，延至小寒节气，头巅痛，心中热，吐清涎。水药仍能受纳，粒米食物下咽即吐，欲寐时洒然惊惕，肌表及足寒，傍晚头面热，腹胀，心腹皆痛。初病因嗔怒而来，确是肝木犯胃，最怕暴厥急至。
金铃子、黑山栀、炒半夏、生姜汁、延胡索、炒香豉、茯苓。
经水两月不来，腹形胀大，有形攻触；目瞑将寐，先欲厥冷，后渐热多汗。此皆郁损成……
当归须、茺蔚子、五灵脂、小茴香、小香附、炒楂肉。
咳嗽急迫心腹坚胀，入夜气冲，欲坐下部已冷；久有瘕聚，问月事不来三年。此浊气饮壅塞，以致血脉不通，为络脉之胀。
桂枝、淡姜、五味子、茯苓、白术、北细辛。
暴崩，癖聚腹胀，经水不来五月，络虚所致。
葱白丸。
红枣、蕲艾煎汤送下。
动怒血吐成升，月余再吐。自述少腹常痛，夜必身热汗出。必经水得通，可免干血劳怯。
醋炙鳖甲、胡黄连、炒焦延胡、炒桃仁、茺蔚子、炒楂肉。
脉数经迟，面起痱疹；肝阳内风，冲逆上升，胃减少食。
清阿胶、炙甘草、柏子仁、小生地、白茯神、火麻仁。
左肢麻木，经迟宿疾，中年从未生育。脉数，怒则腹胀。和肝胃之阳，即调经要领。
生地、当归、砂仁（盐水炒）、炒楂仁、豆皮、香附、知母。
胃痛四年，因郁怒而起。经落不调，瘕聚腹胀，欲呕便泻。久病入络，兼理血分。
金铃子肉、桃仁、五灵脂、炒延胡索、生蒲黄、生香附。
体质偏于热，阴液易亏。女人肝为先天，月事虽准而少，里乏储蓄，无以交会冲脉，此从……育之由也。凡生气及阴血，皆根于阳，阳浮为热，阴弱不主恋阳，脊背常痛，当从督、任脉……
元武版（龟板）、桑螵蛸、当归身、细子芩、鹿胎、枸杞子、桂圆肉。
经来绵绵不止，恐延淋带，此后遇里急，为阴弱不内守治。
熟地炭、芡实、艾炭、茯神、湖莲、炒归身。
脉数，下焦冷，经淋不止，少腹腰臂痛，火升面热。
枸杞子、生杜仲、生地、炒蒺藜、川石斛、女贞。
脏属阴，阴亏内热自起，阳搏动则经多如崩，带下绵绵。治宜坚固其阴。
熟地、牡蛎、秦皮、樗皮、艾、阿胶、黄柏、白芍、茯苓、羊肉胶丸。
五十岁天癸当绝，而反多于昔，冲、任之脉不固，已属下焦主病。脉不束骨，痛无定所……三气客痹迥异。群药未尝及下，胃伤肝垂呕吐。问病患口味苦，气塞必哕，必如悬旌，当以……胃虚客气攻逆，议用旋复代赭汤。
人参、炒黑川椒、乌梅肉、茯苓、钉头（代赭石）、代赭、生白芍。
冬温失藏，肝木反泄，阳明脉虚，血海不按期而经下，乃体不足、用太过之象。法当辛酸甘缓，两和肝之阴阳，而苦降走泄，不但妨胃，且助劫耗。
炙甘草、枸杞子、柏子仁、生白芍、桂圆肉、茯苓。
暴崩去血过多，络中空虚，浮阳夹内风以动，心悸，筋脉痿软。奇经已乏，每经来必病，最难调治。
炒熟地、阿胶、女贞子、湖莲肉、白芍、旱莲草。
郁悖阳升，八脉不和，下少因摄，有暴崩之累。
枸杞、鹿角霜、小茴、醋艾、茯苓、沙苑、淡苁蓉、当归、香附、益母草丸。
久漏成崩，上有疡症，用药极难，仿《内经》七方之一，固下漏少佐清上。
醋炙螵蛸、茜草。
煎好滤清，加黄芩、阿胶，煎数十沸，取清服。
经漏已三年，淋漓带下黄白。视色脉不受温暖，固下汤散力量难以直达冲、任。古《局方》中有震灵丹。每早服六十粒，是固奇脉药；欲求全愈，非大剂人参不可。
室女经初至，必然畏热，因热求凉，致伤冲、任，经漏不已，血色渐紫，腹中痛，得按略缓，是从前经至失调之故。和血脉之中，必佐通阴中之阳。
杞子、沙苑、鹿角霜、人参、当归、小茴、紫石英、桂心。
十四岁室女，无温补热药之例。视色夺脉弱，下焦未寒先冷，经事淋漓，是冲任二气不交。冬宜藏阳，用温补升阳。
鹿角霜、杞子、当归、人参、蛇床子、麋茸、沙苑、小茴、紫石英。
血瘀自下为顺，但形神顿减，明是积劳已伤。血脱必益气，否则有复瘀之虑。
补中益气汤。
经漏四十余日，色黯瘀腐成块。病中动怒，遂胸膈胀闷且痛，瘀下稍宽，医治漏血，投地、芍、归、胶，下焦先未得其益，上焦先受其滞。宗经义先理其上。
老苏梗、南山楂、桃仁、香附汁、麦芽、延胡。
久崩淋带，少腹结癜，液涸气坠，二便皆阻。辛甘补方，冀得宣通，勿谓崩症徒以涩药……
柏子霜、淡苁蓉、郁李仁、当归身、枸杞子、葵子。
经漏腹胀，脏阴为病，浊攻脾胃为呕逆。
人参、淡附子、茯苓、蒸术、淡干姜。
长斋有年，脾胃久虚。疟由四末，必犯中焦；血海隶乎阳明，苦味辛散，皆伤胃系。虽久绝，病邪、药味扰动血络，是为暴崩欲脱。阅医童便、阿胶，味咸滑润，大便溏泻，岂宜润下？即熟地、五味，补敛阴液，咽汤停脘，顷欲吐尽。滋腻酸浊之物，下焦未得其益，脘中先以受其戕。议以仲景理中汤，血脱有益气之治。坤土阳和旋转，希图中流砥柱，倘得知味纳谷，是为转机。重证之尤，勿得忽视！
人参、炒焦于术、炮姜炭、茯苓、炙黑甘草。
十年不孕，奇脉大伤，经来如崩，周身筋掣，自脑后痛连腰膂，食少腹胀，干呕气冲，如淋窒痛。盖奇经诸脉，隶于肝肾恒多，肾失纳，肝失藏，脉络气血消乏，何以束骨充形，此病之最延绵难却也。阅古人法中，藏真宜固，脉络宜通，非偏寒偏热之治。
鹿角霜、当归身、柏子仁、川桂枝、小茴香、真茯神。
交节令血下成块，腰痛溺淋，乃下元虚，八脉无气，最多反复，议升阳固脉法。
人参、鹿茸、补骨脂、当归、鹿角霜、茯苓。
入土旺用事，食减恶心，淋带反多。老年阳气渐泄下坠，议东垣升阳法。
人参、熟术、炙草、当归、羌活、防风、独活、广皮。
经阻两月，脉象虚数，呕吐清水，仍以恶阻调治。
竹茹、半夏、广皮、生姜、茯苓、浓朴。
凡交三月胎殒，是肝阴内怯，任脉不司担任。今见症脊椎尻垂，腰酸痿弱，肝肾奇经虚不固摄，议用孙真人法。
阿胶、当归、生地、寄生、艾炭、白芍、子芩、砂仁。
女科胎前以立基为要。恶阻呕吐味酸，是热化，宜安胃调气。
人参、半夏、竹茹、茯苓、生姜。
气塞干哕，不欲进谷。怀妊四月，腹大如足月，足跗浮肿，得血下洞泄而来。询知两月不纳，立秋交节，血乃暴下，为阳明胃虚，滞气逆攻。血海隶乎阳明，致有淋漓之状。法当清热安中，以暴胀常多热证耳。
生白芍、乌梅肉、苏梗、参汤（另进）、子黄芩、知母、川连。
脉左右弦，身麻肢冷，脘中胀闷，不饥吞酸，由中虚肝气内动之故。五六月当脾胃司胎，又体质不受苦寒，非清火破泄气分之治所宜。
人参、枳壳、生姜汁、半夏、桔梗。
厥阴之阳上冲，呕逆腹痛，防胎上攻，以苦寒清泄法。
川连、黄芩、川楝肉、青皮、白芍、郁金。
胎气日长，诸经气机不行，略进水谷之物，变化水湿，不肯从膀胱而下，横渍肌肤为肿，奔射肺，咳嗽气冲，夜不得卧；阴阳不分，二便不爽。延绵经月，药难治效，当刺太阳穴，使其气通，坐其安产。
桂枝、五味、牡蛎、杏仁、茯苓、淡姜、泽泻。
临月，用清热理气。
苏梗、苓皮、知母、白芍、砂仁、腹皮、黄芩。
怀妊若患时症，古人主在保胎。今喜暖恶寒，升则厥，痛坠欲便，腰腹绕痛，大虑胎坠。辛香温柔之品，冀其止厥。
鹿角霜、沙苑、枸杞、小茴、淡苁蓉、茯苓、柏仁、当归。
暑湿阻气，胎热由下而升，两热相搏，咽喉欲痹，寒战，周身诸脉震动，防胎下坠，治……
竹叶、枇杷叶、知母、连翘、郁金、川贝。
胎孕而患时疟，古人先保产，佐以治病。兹诊唇燥舌白，呕闷自利，乃夏令伏邪至秋深……非柴胡、枳实之属可止。呕吐黑水腹痛，胎气不动，邪热深陷入里，蒸迫脏腑，是凶危之象……
黄芩、黄柏、川贝、黄连、秦皮。
寒少热多，即先厥后热之谓。热甚胎攻冲心而痛，盖胎在冲脉，疟邪由四末渐归胃系，属阳明胃脉管辖，上呕青黑涎沫，胎受邪迫，上冲攻心，总是热邪无由而发泄，内陷不已，势必堕胎，且协热自利，外邪从里而出，有不死不休之戒。方书保胎必因阴益气，今热炽壅……参、胶、归、地，反为热邪树帜矣。前以绝苦无寒，取其急过上焦，阳明胃与厥阴两治；今用酸苦泄两经之邪热，外以井泥护胎。
川连、乌梅肉、黄芩、草决明、川椒、石莲肉、白芍。
苦辛酸，清泄阳明，厥阴邪热，兼外护胎法，病势减十之二三。视舌黑芒刺，舌心干板……而调治。夫护胎存阴，清热去邪，两不可少。
川连、鲜生地、知母、阿胶、鸡子黄。
Gynecological treatment prioritizes the regulation of menstruation. Merely observing cough and fever, one might solely employ lung-cooling herbs to hope for relief from coughing; however, this inadvertently damages the stomach qi, leading to abdominal pain, loose stools, aversion to food, and vomiting with reflux. This pattern of alternating cold and heat clearly indicates a disharmony of Ying (Nutrient) and Wei (Defensive) Qi. The disease stems from melancholy transforming into consumption, with emotional injury affecting the interior; thus, previous medications have been ineffective. It is proposed to use Wuji Tang.
Ren Shen (Ginseng), Chao Bai Shao (Stir-fried White Peony Root), Xian Qian Shi (Fresh Euryale Seed), Fu Ling (Poria), Zhi Gan Cao (Honey-fried Licorice), Chao Bian Dou (Stir-fried Broad Bean, peeled).
Previously, menstruation was regular. Since last winter, menstruation has occurred twice a month, accompanied by soreness and drooping of the Tianzhu bone (spine), sudden pain amidst a sensation of hunger discomfort in the heart, heat flushing on the head and face while the spine back, fingers, and toes remain constantly cold, and menstruation delayed by 40-50 days. This belongs to a disharmony of the Eight Extraordinary Vessels, caused by the insidious damage of Liver and Kidney Yin fluids. The treatment should nourish Yin and extinguish wind, hoping to replenish the extraordinary vessels.
Qing E Jiao (Clear Donkey-hide Gelatin), Lu Jiao Jiao (Deer Antler Gelatin), Gou Qi Zi (Goji Berry), Dang Gui Shen (Angelica Sinensis Root Body), Sheng Di Huang (Rehmannia Root), Yuan Wu Jiao (Turtle Shell Gelatin), Gui Yuan Rou (Longan Aril), Bai Shao Yao (White Peony Root), Tian Men Dong (Asparagus Tuber), Bai Fu Ling (White Poria).
Use a black-bone rooster (remove feathers, bones, feet, intestines, and viscera), combined with Qing Hao Juice (Artemisia Annua Juice), wine, vinegar, and water, boil to reduce and collect gelatin. Form into pills, taken with light salt water, once daily.
Menstruation has stopped for three months, accompanied by coughing and hemoptysis, steaming fever at night, and a rapid, forceful pulse on the left side. This indicates vexatious steaming of Yang Qi, attacking and reversing through various collaterals, preventing blood from gathering in the Chong (Penetrating) Vessel. If menstruation does not arrive in late autumn, it will likely worsen with chills, fever, and emaciation, forming Dry Blood Consumption.
Bie Jia (Turtle Shell), Quan Dang Gui (Whole Angelica Sinensis), Dan Pi (Moutan Bark), Shan Zha (Hawthorn Fruit), Sheng Di (Rehmannia Root), Bai Shao (White Peony Root), Chong Wei Zi (Chuanxiong Herba/Leonurus Fruit - *Note: Context suggests Leonurus*, but text says Chong Wei which is often Leonurus or Chuanxiong derivative, here interpreted as Leonurus/Motherwort based on formula context usually associated with blood stasis), Mai Dong (Ophiopogon Tuber).
In chronic illness, form and spirit gradually diminish, and the pulse becomes firm and large, indicating a pulse devoid of Stomach Qi. Last summer, there were loose stools, abdominal pain, and reduced appetite; liver-soothing and spleen-strengthening measures were taken, and Anwei Wan was taken in spring, but the generating Qi did not recover. In the years when a girl's Tian Gui (menstrual essence) first appears, if the Qi mechanism of the meridians is constrained and reversed, long-standing constraint transforms into heat and steaming, gradually presenting a withered and dry image, which is most concerning. It is recommended to adopt Wang Shishan’s method for treating Yu Lao (Constraint-induced Consumption).
Chuan Xiong (Ligusticum Rhizome), Bai Shao (White Peony Root), Hu Lian Rou (Lotus Seed Meat), Qing Hao (Artemisia Annua), Dang Gui (Angelica Sinensis), Shu Di (Prepared Rehmannia), Nan Zha Rou (Southern Hawthorn Flesh), Xiang Fu (Cyperus Rhizome).
The illness began with pain and flaccidity in the left limbs, as stated in the *Ling Shu*: "Injury to Yi (Intent) by sorrow causes limb paralysis." The Liver contains abundant Qi and Blood; excess Qi generates heat, and if Blood fails to nourish the vessels, Yang becomes increasingly empty, the Sea of Blood lacks storage, and menstruation ceases. Internal Wind carries Yang upward, causing dizziness and coughing up phlegm foam. During winter, when Heaven and Earth are closed and stored, the condition will not be fatal; however, in seasons when flowers bloom luxuriantly, there is concern for exacerbation. It is proposed to use the method of Calming the Liver and Harmonizing the Stomach, using Gan Mai Da Zao Tang. Wheat calms rebellion, dates and licorice benefit deficiency, following the *Nei Jing* principle: "The Liver suffers from tension; eat sweet substances to relieve it."
Gan Mai Da Zao Tang (Licorice, Wheat, and Jujube Decoction).
When Qi stagnates, Blood cannot flow; therefore, one must regulate the Qi within the Blood.
Si Wu Tang (Four Substances Decoction) plus Xiang Fu (Cyperus Rhizome), Zha Tan (Charred Hawthorn), Yi Mu Cao (Motherwort Herb).
A sluggish pulse and unsmooth menstruation, along with epigastric fullness after eating, are all due to emotional disharmony causing Liver-Spleen constraint.
Xiang Fu (Cyperus Rhizome), Guang Pi (Tangerine Peel), Kou Ren (Cardamom Seed), Dan Pi (Moutan Bark), Zha Tan (Charred Hawthorn), Fu Ling (Poria), Shen Qu (Medicated Leaven), Gou Teng (Uncaria Ramulus).
Menstruation has been absent for nine months, with heavy dragging pain in the lower abdomen. Palpation of the Shao Yin pulse reveals it to be choppy and small, not indicative of pregnancy. The Chong and Ren (Conception) Vessels are deficient and weak; there is fear of sudden severe bleeding (Beng).
Ba Zhen Tang (Eight Treasures Decoction), plus Sha Ren (Amomum Fruit).
Abdominal pain persists day and night, relieving upon passing gas; at night, palpation reveals a hard, protruding mass lying horizontally, indicating Liver constraint failing to soothe, causing a lack of Qi circulation in the Chong and Ren Vessels. With no menstruation, Ying and Wei are blocked, manifesting as alternating chills and fever.
Because diarrhea has persisted for a long time, Wind-Wood (Liver) has long overacting on Central Earth (Spleen/Stomach); harsh purgation is inappropriate.
Chuan Lian Zi (Toosendan Fruit), Dang Gui Shen (Angelica Sinensis Root Body), Qing Mu Xiang (Vladimiria Root), Shan Zha (Hawthorn Fruit), Long Dan Cao (Gentian Root), Xiao Hui Xiang (Fennel Fruit), Chao Ju He (Stir-fried Tangerine Seed), Qing Cong (Green Onion Stem).
Diarrhea and reduced appetite, absence of menstruation, accompanied by chills, fever, and cough without interruption. It is said that the illness arose from anger, and the presentation already resembles Consumption. Menstrual cessation due to Constraint Consumption is among the most difficult conditions to treat.
Ren Shen (Ginseng), Zheng Dong Zhu (Steamed Atractylodes Macrocephala), Zhi Cao (Honey-fried Licorice), Fu Ling (Poria), Guang Pi (Tangerine Peel), Bai Shao (White Peony Root).
Constraint injury leads to menstrual cessation, with bloating and difficulty in defecation.
Dang Gui Shen (Angelica Sinensis Root Body), Chuan Lian Zi (Toosendan Fruit), Chong Wei Zi (Motherwort Fruit), Xiao Hui (Fennel), Sheng Bai Shao (Raw White Peony Root), Ze Lan (Hydrocotyle Herb).
Absence of menstruation indicates a lack of Blood in the collaterals. Ancient texts state: "When Qi is abundant, Blood generates itself"; strict avoidance of promoting Blood stasis removal is necessary.
Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Mi Jiao Jiao (Elk Antler Gelatin), Fu Ling (Poria), Gui Xin (Cinnamon Heart), Yang Rou Jiao (Mutton Gelatin).
Tian Gui has never arrived; flesh is thin and complexion is sallow. Coughing and wheezing worsen when lying on the pillow; internal and external heat prevail at night, reducing with sweating at dawn. Phlegm secretion varies in thickness, and the throat always feels unsmooth. This indicates the thinnest congenital constitution and weak True Yin. Avoid needlework and embroidery; ensure peace and joy so that menstruation may arrive and heat dissipate; otherwise, it will become what is known as Dry Blood Consumption. Fumai Tang (Restore Pulse Decoction), remove Ma Ren (Hemp Seed).
Menstruation absent for two to three months, with lower abdominal pain, distension, and dragging sensation. Cold Hernia belonging to deficiency can be treated with Dang Gui Sheng Yang Mutton Soup.
Menstrual closure with dripping discharge. (Initial prescription)
Bai Ren (Cupressus Seed), Rou Cong Rong (Cistanche Stem), Nu Zhen Zi (Ligustrum Fruit), Yu Li Ren (Prunus Seed), Dang Gui (Angelica Sinensis), Chuan Shi Hu (Dendrobium Stem).
Liver Wind reverses, causing menstrual closure with dripping discharge and difficult defecation. (Follow-up prescription)
Bai Zi Ren (Biota Seed), Dang Gui Shen (Angelica Sinensis Root Body), Chuan Shi Hu (Dendrobium Stem), Nu Zhen Zi (Ligustrum Fruit), Yu Li Ren (Prunus Seed), Hei Dou (Black Soybean), Dan Cong Rong (Cistanche Stem).
Liver Bi (Obstruction) causes bloating extending to the epigastrium, abdominal enlargement with menstrual cessation, and scanty, difficult urination and defecation. (Initial prescription)
Ju Ye (Tangerine Leaf), Qing Pi (Green Tangerine Peel), Yin Chai Hu (Stellaria Root), Fu Ling Pi (Poria Skin), Qing Cong (Green Onion Stem), Zha Rou (Hawthorn Flesh), Wu Ling Zhi (Trogopterus Dung), Da Fu Pi (Areca Peel).
Blood coagulation forms a mass (Jia); abdominal distension is large like a jar. After taking Liver-soothing and Blood-promoting herbs for slight relief, continue with Zhen Sha Wan (Needle Sand Pill) for gentle attack.
This Consumption results from internal damage due to depression. Yang Earth (Spleen/Stomach) is overacted upon by Yin Wood (Liver). The Chong Vessel lacks Blood, leading to menstrual cessation, emaciation, Qi bloating, reduced appetite, and loose stools. The Five Fluids dry up daily and fail to ascend, causing dryness of the throat and tongue. There is still no desire for soup drinks. The *Nei Jing* states: "Diseases of the Two Yangs originate in the Heart and Spleen." Wind, wasting, and rising Qi are all manifestations of chronic damage transmission.
Ren Shen (Ginseng), Wu Mei Rou (Dark Plum Flesh), Nan Zha Rou (Southern Hawthorn Flesh), Fu Ling (Poria), Bai Shao (White Peony Root), Lao Su Geng (Old Perilla Stem).
Yin Epilepsy presents with a slow pulse, menstruation occurring once every two months.
Liu Wei Di Huang Wan (Six Ingredient Pill with Rehmannia) plus E Jiao (Donkey-hide Gelatin), Bai Shao (White Peony Root).
Menstruation arrives but is scanty and choppy; soup drinks enter the stomach and cause belching/vomiting. Previously prone to spitting saliva foam, with a trembling and fearful heart. Both Jue Yin and Yang Ming are rebellious; Long Hui Wan (Dragon Gallbladder Pill) is the main treatment.
Long Hui Wan (Dragon Gallbladder Pill), 2 qian per dose.
Menstruation is scanty and choppy, with diarrhea and sweating. The illness resulted from fright and terror, transmitting from Liver to Spleen; use Wuji Tang.
Wind movement and fluid deficiency cause abdominal pain, intestinal redness (blood in stool), menstrual cessation, night fever, and fright. Treatment focuses on Kidney and Liver.
Shu Di Tan (Charred Prepared Rehmannia), Yu Rou Tan (Charred Cornus Fruit), Zhi Cao (Honey-fried Licorice), Wu Wei Zi (Schisandra Berry), Bai Fu Shen (White Poria Spirit), Bai Shao (White Peony Root).
Since menstruation stopped in mid-August, eating induces vomiting. Physicians mistakenly treated it as pregnancy morning sickness. By the Minor Cold solar term, there was vertex headache, heart heat, and vomiting of clear saliva. Water medicines are tolerated, but any solid food causes immediate vomiting upon swallowing. There is a desire to sleep accompanied by sudden fright and tremors; the skin surface and feet are cold, while the head and face are hot in the afternoon. Abdominal distension and heart/abdominal pain are present. The illness originated from anger, confirming Liver Wood invading Stomach. The greatest fear is sudden syncope.
Jin Ling Zi (Toosendan Fruit), Hei Shan Zhi (Black Gardenia Fruit), Chao Ban Xia (Stir-fried Pinellia Tuber), Sheng Jiang Zhi (Ginger Juice), Yan Hu Suo (Corydalis Rhizome), Chao Xiang Chi (Stir-fried Fermented Soybean), Fu Ling (Poria).
Menstruation absent for two months, abdominal shape enlarged with palpable masses; eyes closing before sleep, initially feeling cold followed by gradual heat and profuse sweating. This all results from constraint injury...
Dang Gui Xu (Angelica Sinensis Tail), Chong Wei Zi (Motherwort Fruit), Wu Ling Zhi (Trogopterus Dung), Xiao Hui Xiang (Fennel Fruit), Xiao Xiang Fu (Small Cyperus Rhizome), Chao Zha Rou (Stir-fried Hawthorn Flesh).
Urgent coughing with hard abdominal distension; at night Qi rushes downward, and the lower body feels cold; there has been a long-standing mass (Jia). Inquiry reveals amenorrhea for three years. This turbid Qi and fluid obstruction blocks blood vessels, causing distension in the collaterals.
Gui Zhi (Cinnamon Twig), Dan Jiang (Light Ginger), Wu Wei Zi (Schisandra Berry), Fu Ling (Poria), Bai Zhu (Atractylodes Rhizome), Bei Xi Xin (Northern Asarum).
Sudden severe bleeding (Beng), hypochondriac masses with abdominal distension, menstruation absent for five months, caused by deficiency of the collaterals.
Cong Bai Wan (Scallion White Pill).
Take with decoction of Hong Zao (Red Date) and Qi Ai (Qichu Mugwort).
Anger induced massive hematemesis (liters), recurring after a month. Self-reported constant lower abdominal pain and nightly fever with sweating. Menstruation must flow freely to avoid Dry Blood Consumption.
Cu Zhe Bie Jia (Vinegar-processed Turtle Shell), Hu Huang Lian (Picrorhiza Rhizome), Chao Jiao Yan Hu (Stir-fried Charred Corydalis), Chao Tao Ren (Stir-fried Peach Seed), Chong Wei Zi (Motherwort Fruit), Chao Zha Rou (Stir-fried Hawthorn Flesh).
Rapid pulse with delayed menstruation, prickly heat rash on the face; Liver Yang and Internal Wind reverse and rise, reducing stomach function and appetite.
Qing E Jiao (Clear Donkey-hide Gelatin), Zhi Gan Cao (Honey-fried Licorice), Bai Zi Ren (Biota Seed), Xiao Sheng Di (Small Raw Rehmannia), Bai Fu Shen (White Poria Spirit), Huo Ma Ren (Hemp Seed).
Numbness in the left limbs, delayed menstruation with old pathology, nulliparity in middle age. Rapid pulse, abdominal distension upon anger. Harmonizing Liver and Stomach Yang is the key to regulating menstruation.
Sheng Di (Raw Rehmannia), Dang Gui (Angelica Sinensis), Sha Ren (Amomum Fruit, stir-fried in salt water), Chao Zha Ren (Stir-fried Hawthorn Kernel), Dou Pi (Bean Peel), Xiang Fu (Cyperus Rhizome), Zhi Mu (Anemarrhena Rhizome).
Stomach pain for four years, originating from constraint and anger. Irregular menstruation, mass formation with abdominal distension, nausea, and diarrhea. Chronic illness enters the collaterals; simultaneously regulate the Blood aspect.
Jin Ling Zi Rou (Toosendan Fruit Flesh), Tao Ren (Peach Seed), Wu Ling Zhi (Trogopterus Dung), Chao Yan Hu Suo (Stir-fried Corydalis Rhizome), Sheng Pu Huang (Raw Pollen Typhae), Sheng Xiang Fu (Raw Cyperus Rhizome).
Constitution leans towards Heat, making Yin fluids easily depleted. In women, the Liver is the congenital foundation. Although menstruation is regular, it is scanty; the interior lacks storage, unable to interact with the Chong Vessel, which is the origin of... nurturing. All generating Qi and Yin-Blood root in Yang. Floating Yang causes Heat; weak Yin fails to retain Yang, causing constant spine/back pain. Treatment should focus on the Du (Governor) and Ren (Conception) Vessels.
Yuan Wu Ban (Turtle Shell Plate), Sang Piao Xiao (Mantis Egg Case), Dang Gui Shen (Angelica Sinensis Root Body), Xi Zi Qin (Fine Scutellaria), Lu Tai (Deer Fetus), Gou Qi Zi (Goji Berry), Gui Yuan Rou (Longan Aril).
Menstruation flows continuously without stopping, fearing extension into dripping leukorrhea. Subsequent encounters with urgency are treated as Yin weakness failing to hold internally.
Shu Di Tan (Charred Prepared Rehmannia), Qian Shi (Euryale Seed), Ai Tan (Charred Mugwort), Fu Shen (Poria Spirit), Hu Lian (Lake Lotus), Chao Gui Shen (Stir-fried Angelica Root Body).
Rapid pulse, cold lower jiao, continuous dripping menstruation, lower abdominal and lumbar/arm pain, rising fire with facial heat.
Gou Qi Zi (Goji Berry), Sheng Du Zhong (Raw Eucommia Bark), Sheng Di (Raw Rehmannia), Chao Ji Li (Stir-fried Tribulus Fruit), Chuan Shi Hu (Dendrobium Stem), Nu Zhen Zi (Ligustrum Fruit).
Zang organs belong to Yin; Yin deficiency generates internal Heat. Yang pulsation causes excessive menstruation resembling flooding and continuous leukorrhea. Treatment should strengthen and secure Yin.
Shu Di (Prepared Rehmannia), Mu Li (Oyster Shell), Qin Pi (Ash Bark), Chu Pi (Chinese Chinaberry Bark), Ai (Mugwort), E Jiao (Donkey-hide Gelatin), Huang Bo (Phellodendron Bark), Bai Shao (White Peony Root), Fu Ling (Poria), Yang Rou Jiao Wan (Mutton Gelatin Pill).
At fifty, Tian Gui should cease, yet it is more abundant than before. The Chong and Ren Vessels are insecure, indicating the disease originates in the Lower Jiao. The pulse fails to bind the bones, and pain is locationless... Three pathogenic factors causing Bi differ. Medications have not reached the lower part; stomach injury and Liver sagging cause vomiting. The patient reports bitter taste, Qi blockage with retching, hanging like a banner. Due to Stomach deficiency and hostile Qi attacking and reversing, Xuan Fu Dai Zhe Tang is proposed.
Ren Shen (Ginseng), Chao Hei Chuan Jiao (Stir-fried Black Sichuan Pepper), Wu Mei Rou (Dark Plum Flesh), Fu Ling (Poria), Ding Tou (Nail-head [Aster]), Dai Zhe (Hematite), Sheng Bai Shao (Raw White Peony Root).
Winter Warmth fails to store; Liver Wood leaks excessively. Yang Ming pulse is deficient, and the Sea of Blood bleeds out of schedule, representing an image of insufficient substance and excessive function. The method should be Sour, Acrid, Sweet, and Slow, harmonizing Liver Yin and Yang. However, Bitter descent and draining not only hinder the Stomach but also aid depletion.
Zhi Gan Cao (Honey-fried Licorice), Gou Qi Zi (Goji Berry), Bai Zi Ren (Biota Seed), Sheng Bai Shao (Raw White Peony Root), Gui Yuan Rou (Longan Aril), Fu Ling (Poria).
Sudden severe bleeding causes excessive blood loss, leaving collaterals empty. Floating Yang combines with Internal Wind to move, causing palpitations and flaccid sinews. The Extraordinary Vessels are exhausted; illness occurs with every menstruation, making it hardest to regulate.
Chao Shu Di (Stir-fried Prepared Rehmannia), E Jiao (Donkey-hide Gelatin), Nu Zhen Zi (Ligustrum Fruit), Hu Lian Rou (Lotus Seed Meat), Bai Shao (White Peony Root), Han Lian Cao (Eclipta Herb).
Depression and frustration cause Yang to rise, Eight Extraordinary Vessels are disharmonious, lower body lacks containment, leading to episodes of sudden severe bleeding.
Gou Qi (Goji Berry), Lu Jiao Shuang (Deer Antler Frost), Xiao Hui (Fennel), Cu Ai (Vinegar Mugwort), Fu Ling (Poria), Sha Yuan (Astragalus Complanatus Seed), Dan Cong Rong (Cistanche Stem), Dang Gui (Angelica Sinensis), Xiang Fu (Cyperus Rhizome), Yi Mu Cao Wan (Motherwort Pill).
Chronic leakage turns into flooding; upper body has ulcerative lesions, making medication extremely difficult. Imitating one of the Seven Prescriptions of the *Nei Jing*, secure the lower leakage while slightly clearing the upper.
Cu Zhe Piao Xiao (Vinegar-processed Cuttlefish Bone), Qian Cao (Madder Root).
Decoct, filter clear, add Huang Qin (Scutellaria Root) and E Jiao (Donkey-hide Gelatin), boil dozens of times, take the clear liquid.
Menstrual leakage for three years, dripping yellow-white leukorrhea. Color and pulse do not respond to warmth; the power of securing-leakage soups and powders struggles to reach the Chong and Ren Vessels. The ancient *Ju Fang* contains Zhen Ling Dan. Take 60 pills every morning; this secures the Extraordinary Vessels. To seek complete cure, large doses of Ren Shen (Ginseng) are indispensable.
For a maiden whose menstruation first begins, she naturally fears heat. Seeking coolness due to heat injures the Chong and Ren Vessels, causing persistent leakage, purple blood color, abdominal pain relieved slightly by pressure. This is due to prior irregularity in menstruation. To harmonize the Blood vessels, one must assist in circulating Yin-to-Yang.
Qi Zi (Goji Berry), Sha Yuan (Astragalus Complanatus Seed), Lu Jiao Shuang (Deer Antler Frost), Ren Shen (Ginseng), Dang Gui (Angelica Sinensis), Xiao Hui (Fennel), Zi Shi Ying (Purple Quartz), Gui Xin (Cinnamon Heart).
For a fourteen-year-old maiden, there is no precedent for warm-tonifying hot herbs. Complexion is drained, pulse is weak; lower jiao feels cold before cold sets in, menstruation drips. This indicates non-interaction of Chong and Ren Qi. Winter should store Yang; use warm-tonifying and ascending Yang methods.
Lu Jiao Shuang (Deer Antler Frost), Qi Zi (Goji Berry), Dang Gui (Angelica Sinensis), Ren Shen (Ginseng), She Chuang Zi (Cnidium Fruit), Mi Rong (Elk Antler), Sha Yuan (Astragalus Complanatus Seed), Xiao Hui (Fennel), Zi Shi Ying (Purple Quartz).
Blood stasis discharging spontaneously is favorable, but sudden reduction in form and spirit clearly indicates injury from accumulated fatigue. Blood loss requires Qi tonification; otherwise, there is concern for recurrent stasis.
Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction).
Menstrual leakage for over forty days, dark color, stasis rotting into clumps. Anger during illness caused chest/diaphragm distension and pain; after stasis discharge, slight relief. Treatment for leakage used Di (Rehmannia), Shao (Peony), Gui (Angelica), Jiao (Gelatin); the lower jiao did not benefit first, while the upper jiao suffered stagnation. Following classic principles, regulate the upper first.
Lao Su Geng (Old Perilla Stem), Nan Shan Zha (Southern Hawthorn), Tao Ren (Peach Seed), Xiang Fu Zhi (Cyperus Juice), Mai Ya (Malt), Yan Hu (Corydalis).
Chronic flooding with dripping leukorrhea, lower abdominal masses, fluid exhaustion with Qi sinking, obstruction of both urination and defecation. Acrid-Sweet tonifying formulas hope for unblocking; do not say flooding cases rely solely on astringents...
Bai Zi Shuang (Biota Frost), Dan Cong Rong (Cistanche Stem), Yu Li Ren (Prunus Seed), Dang Gui Shen (Angelica Sinensis Root Body), Gou Qi Zi (Goji Berry), Kui Zi (Sunflower Seed).
Menstrual leakage with abdominal distension, Zang Yin pathology, turbid attack on Spleen/Stomach causing vomiting/reflux.
Ren Shen (Ginseng), Dan Fu Zi (Light Aconite), Fu Ling (Poria), Zheng Zhu (Steamed Atractylodes), Dan Gan Jiang (Light Dried Ginger).
Vegetarian fasting for years, Spleen/Stomach chronically deficient. Malaria starts from extremities, inevitably invading the Middle Jiao; the Sea of Blood belongs to Yang Ming. Bitter and Acrid-dispersing herbs all damage the Stomach system. Although long ceased, pathogenic factors and drug flavors disturb Blood collaterals, causing sudden severe bleeding approaching collapse. Reviewing physicians' use of Tong Bian (Child Urine) and E Jiao (Donkey-hide Gelatin), salty and slippery nature is unsuitable for loose stools. Even Shu Di (Prepared Rehmannia) and Wu Wei Zi (Schisandra), tonifying and astringing Yin fluids, stop in the stomach and induce vomiting. Greasy and sour-turbid substances harm the stomach before benefiting the lower jiao. It is proposed to use Zhang Zhongjing's Lizhong Tang. Blood loss benefits from Qi tonification. When Kun Earth (Spleen) Yang rotates harmoniously, hoping for a pillar of support, if flavor perception and food intake return, it is a turning point. Among severe cases, do not neglect!
Ren Shen (Ginseng), Chao Jiao Yu Zhu (Stir-fried Charred Atractylodes), Pao Jiang Tan (Roasted Ginger Charcoal), Fu Ling (Poria), Zhi Hei Gan Cao (Honey-fried Black Licorice).
Ten years of infertility, major injury to Extraordinary Vessels, menstruation like flooding, whole-body tendon twitching, pain connecting from occiput to waist/lumbar region, reduced food intake, abdominal distension, dry retching with Qi rushing, pain resembling strangury. Generally, Extraordinary Vessels belong largely to Liver and Kidney. Kidney fails to grasp, Liver fails to store, meridian Qi and Blood diminish. How can they bind bones and fill the form? This disease is most prolonged and difficult to eradicate. Reviewing ancient methods, storing True Essence should be secured, meridians should be unblocked; neither biased cold nor biased heat treatments apply.
Lu Jiao Shuang (Deer Antler Frost), Dang Gui Shen (Angelica Sinensis Root Body), Bai Zi Ren (Biota Seed), Chuan Gui Zhi (Sichuan Cinnamon Twig), Xiao Hui Xiang (Fennel Fruit), Zhen Fu Shen (True Poria Spirit).
At solar term transitions, blood discharges in clumps, lower back pain, urinary dribbling. This is Lower Origin deficiency, Eight Extraordinary Vessels lacking Qi, prone to recurrence. Propose Ascending Yang and Securing Vessels method.
Ren Shen (Ginseng), Lu Rong (Deer Antler Horn), Bu Gu Zhi (Psoralea Fruit), Dang Gui (Angelica Sinensis), Lu Jiao Shuang (Deer Antler Frost), Fu Ling (Poria).
Entering the season where Earth is prosperous, reduced appetite and nausea, increased dripping leukorrhea. Elderly Yang Qi gradually leaks and sinks; propose Dong Yuan's Ascending Yang method.
Ren Shen (Ginseng), Shu Zhu (Prepared Atractylodes), Zhi Cao (Honey-fried Licorice), Dang Gui (Angelica Sinensis), Qiang Huo (Notopterygium Rhizome), Fang Feng (Saposhnikovia Root), Du Huo (Angelica Pubescens Root), Guang Pi (Tangerine Peel).
Menstruation obstructed for two months, pulse is deficient and rapid, vomiting clear water; still treated as morning sickness.
Zhu Ru (Bamboo Shavings), Ban Xia (Pinellia Tuber), Guang Pi (Tangerine Peel), Sheng Jiang (Fresh Ginger), Fu Ling (Poria), Nong Po (Magnolia Bark).
Generally, miscarriage at three months indicates internal timidity of Liver Yin, with Ren Vessel failing to assume responsibility. Current symptoms include spine/sacrum drooping, lower back soreness and flaccidity. Liver-Kidney and Extraordinary Vessels are deficient and fail to secure. Propose Sun Simiao's method.
E Jiao (Donkey-hide Gelatin), Dang Gui (Angelica Sinensis), Sheng Di (Raw Rehmannia), Ji Sheng (Taxillus Branch), Ai Tan (Charred Mugwort), Bai Shao (White Peony Root), Zi Qin (Young Scutellaria), Sha Ren (Amomum Fruit).
In gynecology, prenatal care prioritizes establishing the foundation. Morning sickness with sour vomiting indicates Heat transformation; soothe Stomach and regulate Qi.
Ren Shen (Ginseng), Ban Xia (Pinellia Tuber), Zhu Ru (Bamboo Shavings), Fu Ling (Poria), Sheng Jiang (Fresh Ginger).
Fortify Earth to calm Fetus.
Ren Shen (Ginseng), Jiao Zhu (Charred Atractylodes), Jian Lian (Jian Lotus Seed), Fu Ling (Poria), Guang Pi (Tangerine Peel), Sha Ren (Amomum Fruit).
Qi blockage with dry retching, unwillingness to eat. Pregnant four months, abdomen large as full-term, foot dorsum edema, diarrhea with blood discharge. Inquiry reveals two months of retention; at Autumn Equinox transition, blood suddenly discharged. This is Yang Ming Stomach deficiency, stagnant Qi attacking reversely. The Sea of Blood belongs to Yang Ming, causing dripping symptoms. Method should clear Heat and calm Middle; sudden distension often involves Heat patterns.
Sheng Bai Shao (Raw White Peony Root), Wu Mei Rou (Dark Plum Flesh), Su Geng (Perilla Stem), Shen Tang (Ginseng Decoction, taken separately), Zi Huang Qin (Young Scutellaria Root), Zhi Mu (Anemarrhena Rhizome), Chuan Lian (Sichuan Toosendan).
Pulse wiry on left and right, body numbness, cold limbs, epigastric distension, lack of hunger with acid regurgitation, due to Middle deficiency and internal stirring of Liver Qi. May-June governs Spleen/Stomach supporting Fetus; constitution cannot tolerate Bitter-Cold. Clearing Fire and breaking Qi-level treatments are inappropriate.
Ren Shen (Ginseng), Zhi Ke (Aurantium Fructus), Sheng Jiang Zhi (Ginger Juice), Ban Xia (Pinellia Tuber), Jie Geng (Platycodon Root).
Jue Yin Yang rushes upward, vomiting/reflux and abdominal pain, preventing Fetus from attacking upward; use Bitter-Cold clearing/draining method.
Chuan Lian (Sichuan Toosendan), Huang Qin (Scutellaria Root), Chuan Lian Rou (Sichuan Toosendan Flesh), Qing Pi (Green Tangerine Peel), Bai Shao (White Peony Root), Yu Jin (Curcuma Tuber).
Fetal Qi grows daily, Qi mechanism of all meridians stagnates. Slight intake of food/water transforms into water-dampness, refusing to descend via Bladder, overflowing into skin causing edema, rushing to Lung causing cough/Qi rush, inability to sleep at night; Yin/Yang not separated, urination/defecation unsmooth. Persisting for a month, medication is ineffective. Need to puncture Taiyang acupoint to unblock Qi, ensuring safe delivery.
Gui Zhi (Cinnamon Twig), Wu Wei (Schisandra), Mu Li (Oyster Shell), Xing Ren (Apricot Seed), Fu Ling (Poria), Dan Jiang (Light Ginger), Ze Xie (Alisma Rhizome).
Near term, use Heat-clearing and Qi-regulating.
Su Geng (Perilla Stem), Ling Pi (Poria Skin), Zhi Mu (Anemarrhena Rhizome), Bai Shao (White Peony Root), Sha Ren (Amomum Fruit), Fu Pi (Areca Peel), Huang Qin (Scutellaria Root).
If pregnant women contract seasonal diseases, ancients prioritize protecting the Fetus. Now preferring warmth and fearing cold, rising leads to syncope, pain/dragging with urge to defecate, wrapping pain in waist/abdomen, greatly fearing fetal drop. Acrid-Aromatic Gentle items hope to stop syncope.
Lu Jiao Shuang (Deer Antler Frost), Sha Yuan (Astragalus Complanatus Seed), Gou Qi (Goji Berry), Xiao Hui (Fennel), Dan Cong Rong (Cistanche Stem), Fu Ling (Poria), Bai Ren (Biota Seed), Dang Gui (Angelica Sinensis).
Summer-Damp obstructs Qi, Fetal Heat rises from below, two heats clash, throat feels constricted, chills, whole-body vessel vibration, fearing fetal drop. Treatment...
Zhu Ye (Bamboo Leaf), Pi Pa Ye (Loquat Leaf), Zhi Mu (Anemarrhena Rhizome), Lian Qiao (Forsythia Fruit), Yu Jin (Curcuma Tuber), Chuan Bei (Fritillaria Bulb).
Pregnancy complicated by seasonal malaria, ancients first protect birth, assisting in treating disease. Diagnosis: dry lips, white tongue, vomiting/distension with spontaneous diarrhea. Summer latent pathogen reaches deep autumn... Not stoppable by Chai Hu (Bupleurum) or Zhi Shi (Aurantium). Vomiting black water, abdominal pain, Fetal Qi unmoved, pathogenic Heat deeply trapped inside, steaming forcing Zang-Fu, indicating critical danger...
Huang Qin (Scutellaria Root), Huang Bo (Phellodendron Bark), Chuan Bei (Fritillaria Bulb), Huang Lian (Coptis Rhizome), Qin Pi (Ash Bark).
Less chills, more heat, meaning initial syncope then heat. Severe heat attacks Fetus, rushing to Heart causing pain. Fetus resides in Chong Vessel, Malaria pathogen moves from extremities to Stomach system, governed by Yang Ming Stomach Meridian. Upper vomiting of green/black saliva foam, Fetus forced by pathogen, rushing to Heart. Always Heat Pathogen has no outlet, sinking inward endlessly, inevitably causing abortion, plus協热 (collaborating heat) spontaneous diarrhea, external pathogen exiting from interior, warning of "no death until rest". Formulas for protecting Fetus usually tonify Yin and benefit Qi; now Heat is blazing and congested... Ren, Jiao, Gui, Di (Ginseng, Gelatin, Angelica, Rehmannia) instead serve as banners for Heat Pathogen. Previously using extreme Bitter without Cold, aiming to quickly pass Upper Jiao, treating Yang Ming Stomach and Jue Yin together; now using Sour-Bitter to drain Heat Pathogen from both meridians, externally using well mud to protect Fetus.
Chuan Lian (Sichuan Toosendan), Wu Mei Rou (Dark Plum Flesh), Huang Qin (Scutellaria Root), Cao Jue Ming (Cassia Seed), Chuan Jiao (Sichuan Pepper), Shi Lian Rou (Stone Lotus Flesh), Bai Shao (White Peony Root).
Bitter, Sour, Acrid, clearing/draining Yang Ming and Jue Yin Heat Pathogens, plus external Fetus protection method. Disease severity reduced by 20-30%. Tongue black with prickles, center dry and stiff... and regulate. Protecting Fetus and preserving Yin, clearing Heat and removing Pathogen, both indispensable.
Chuan Lian (Sichuan Toosendan), Xian Sheng Di (Fresh Raw Rehmannia), Zhi Mu (Anemarrhena Rhizome), E Jiao (Donkey-hide Gelatin), Ji Zi Huang (Chicken Egg Yolk).
Starting from anger moving Liver, winter warmth lacking storage, Liver Qi rises excessively, Lung Qi fails to descend, causing cough/reversal and panting, Heat trapped entering interior, deafness, spontaneous diarrhea. Persisting for a month, True Damage inevitably aborts Fetus; not a minor ailment.