妇人三十二三岁，气血盛实，热结血闭，脐腹疼痛，手不可近者。先以三军丸，荡其瘀秽，后以养生荡润
其营卫。若月候不调，气滞腹痛者，宜服导经汤，以顺其气，则经血自行。若赋禀衰弱者，或素有失血之证；
或生育过多，血海干枯；或房室纵肆，过伤阴血；或子多乳众，伤其血液，皆足
以致经闭。失血过多者，养营汤主之；生育过多者，益损汤主之；房劳过伤者，双和汤主之；乳众血枯者，十
全大补汤主之。
三军丸
大黄（酒浸，九蒸九晒，四两） 血竭（研） 没药（各五钱，去油）
上为末，水丸，以熟地、当归、白芍、川芎各一钱，煎汤下七八十丸。候大便利一二次，经脉自通。服后
养生汤。
养生汤
黄 （二钱） 当归 白芍 甘草（各一钱）
水煎，不拘时服。此方补脾养血，可称神剂。
导经汤
香附（一钱） 乌药（一钱五分） 当归（一钱） 木香（不见火） 甘草（各五分）
水煎服。此方亦治血海疼痛。
养营汤
人参 白术（蜜炙） 茯苓 黄 （蜜炒） 熟地黄 当归 陈皮（各一钱） 白芍（二钱） 肉桂
炙甘草（各五分）
姜三片，枣二枚，水煎服。
益损汤
熟地黄（一钱五分） 当归身（一钱二分） 白芍 茯苓 白术（蜜炙） 陈皮（各一钱） 人参
知母（各八分） 黄柏（七分） 甘草（五分）
姜三片，水煎服。
双和汤
白芍（二钱五分） 熟地黄 当归 川芎 黄 （各一钱，蜜
炙） 甘草（炒） 肉桂
姜三片，枣二枚，水二钟，煎七分服（亦治大病后虚劳气乏自汗）。
十全大补汤
人参 白术 茯苓 熟地黄 当归 白芍 川芎 黄 （蜜炙，各一钱） 肉桂 甘草（炙，各五分）
姜三片，枣二枚，水煎服。
妇女到了三十二三岁，气血旺盛充实，若出现热邪内结导致经血闭止，伴有脐腹部剧烈疼痛，甚至手不能触碰的情况。应当先用三军丸，以荡涤体内的瘀血秽浊之物；随后服用养生汤（注：原文此处作“养生荡润”，方剂名为养生汤），以调和营卫之气。如果月经周期不调，因气机阻滞引起腹痛的，适宜服用导经汤，以疏通气机，这样经血自然能够通行。如果是先天禀赋虚弱的人，或者素来有失血的病症；或者生育次数过多，导致血海干枯；或者房事过度，严重损伤阴血；或者子女众多、哺乳频繁，耗伤血液，这些都足以导致经闭。对于失血过多者，主治方为养营汤；生育过多者，主治方为益损汤；房劳过度损伤者，主治方为双和汤；哺乳多而血枯者，主治方为十全大补汤。
三军丸
大黄（用酒浸泡，经过九次蒸制和九次晾晒，四两） 血竭（研成粉末） 没药（各五钱，去除油质）
以上药物制成粉末，用水泛为丸剂，每次用熟地黄、当归、白芍、川芎各一钱煎成的汤液送服七八十丸。待大便通畅一两次后，经脉自然畅通。服药后再服用养生汤。
养生汤
黄芪（二钱） 当归 白芍 甘草（各一钱）
加水煎煮，不拘泥于固定时间服用。此方具有补脾养血的功效，可称为神效之剂。
导经汤
香附（一钱） 乌药（一钱五分） 当归（一钱） 木香（不经过火炒） 甘草（各五分）
加水煎煮后服用。此方也用于治疗血海疼痛。
养营汤
人参 白术（用蜂蜜炙烤） 茯苓 黄芪（用蜂蜜炒制） 熟地黄 当归 陈皮（各一钱） 白芍（二钱） 肉桂 炙甘草（各五分）
加入生姜三片，大枣二枚，加水煎煮后服用。
益损汤
熟地黄（一钱五分） 当归身（一钱二分） 白芍 茯苓 白术（用蜂蜜炙烤） 陈皮（各一钱） 人参 知母（各八分） 黄柏（七分） 甘草（五分）
加入生姜三片，加水煎煮后服用。
双和汤
白芍（二钱五分） 熟地黄 当归 川芎 黄芪（各一钱，用蜂蜜炙烤） 甘草（炒制） 肉桂
加入生姜三片，大枣二枚，水两钟，煎至七分量时服用（也可治疗大病之后虚劳气弱、自汗的症状）。
十全大补汤
人参 白术 茯苓 熟地黄 当归 白芍 川芎 黄芪（用蜂蜜炙烤，各一钱） 肉桂 甘草（炙烤，各五分）
加入生姜三片，大枣二枚，加水煎煮后服用。
Women at the age of thirty-two or thirty-three have abundant and robust Qi and Blood. If heat accumulation causes blood stasis and amenorrhea, accompanied by severe pain in the umbilical and abdominal regions that is intolerable to touch, one should first administer Sanjun Wan (Three Armies Pill) to purge the body of blood stasis and turbid matter. Subsequently, Yangsheng Tang (Nourishing Life Decoction) should be taken to harmonize Ying (Nutritive) and Wei (Defensive) Qi. If menstrual cycles are irregular and abdominal pain is caused by Qi stagnation, Daojing Tang (Guiding Menses Decoction) is suitable to smooth the flow of Qi, thereby allowing menstrual blood to flow naturally. In cases of congenital weakness, chronic blood loss, excessive childbirth leading to the depletion of the Sea of Blood, excessive sexual activity damaging Yin-Blood, or frequent nursing depleting blood resources, all these factors can result in amenorrhea. For those with excessive blood loss, Yangying Tang (Nourishing Ying Decoction) is indicated; for those with excessive childbirth, Yisun Tang (Benefiting Losses Decoction) is indicated; for those damaged by sexual fatigue, Shuanghe Tang (Double Harmony Decoction) is indicated; and for those with blood depletion due to frequent nursing, Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) is indicated.
Sanjun Wan (Three Armies Pill)
Dahuang (Rhubarb Root and Rhizome), soaked in wine, steamed nine times and sun-dried nine times (4 liang); Xuejie (Dragon's Blood), ground; Moyao (Myrrh), each 5 qian, oil removed.
Grind the above into powder and form water pills. Take 70-80 pills with a decoction prepared from Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Baishao (White Peony Root), and Chuanxiong (Sichuan Lovage Rhizome), each 1 qian. After experiencing one or two bowel movements, the menses will naturally flow. Follow this treatment with Yangsheng Tang.
Yangsheng Tang (Nourishing Life Decoction)
Huangqi (Astragalus Root), 2 qian; Danggui (Angelica Sinensis), Baishao (White Peony Root), Gancao (Licorice Root), each 1 qian.
Decoct in water and take at any time. This formula tonifies the Spleen and nourishes Blood, and can be called a miraculous agent.
Daojing Tang (Guiding Menses Decoction)
Xiangfu (Cyperus Rhizome), 1 qian; Wuyao (Lindera Root), 1.5 qian; Danggui (Angelica Sinensis), 1 qian; Muxiang (Aucklandia Root), not roasted; Gancao (Licorice Root), each 0.5 qian.
Decoct in water and take orally. This formula also treats pain in the Sea of Blood.
Yangying Tang (Nourishing Ying Decoction)
Ren Shen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), honey-fried; Fuling (Poria), Huangqi (Astragalus Root), honey-roasted; Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Chenpi (Citrus Reticulata Peel), each 1 qian; Baishao (White Peony Root), 2 qian; Rougui (Cinnamon Bark), Zhigancao (Honey-fried Licorice Root), each 0.5 qian.
Add three slices of fresh ginger and two jujubes, decoct in water, and take orally.
Yisun Tang (Benefiting Losses Decoction)
Shudihuang (Prepared Rehmannia Root), 1.5 qian; Dangguishen (Body of Angelica Sinensis Root), 1.2 qian; Baishao (White Peony Root), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), honey-fried; Chenpi (Citrus Reticulata Peel), each 1 qian; Ren Shen (Ginseng Root), Zhimu (Anemarrhena Rhizome), each 0.8 qian; Huangbai (Phellodendron Bark), 0.7 qian; Gancao (Licorice Root), 0.5 qian.
Add three slices of fresh ginger, decoct in water, and take orally.
Shuanghe Tang (Double Harmony Decoction)
Baishao (White Peony Root), 2.5 qian; Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Chuanxiong (Sichuan Lovage Rhizome), Huangqi (Astragalus Root), each 1 qian, honey-fried; Gancao (Licorice Root), stir-fried; Rougui (Cinnamon Bark).
Add three slices of fresh ginger and two jujubes, add two zhong of water, decoct until seven-tenths remains, and take orally. It also treats deficiency-labor and spontaneous sweating after severe illness.
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction)
Ren Shen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis), Baishao (White Peony Root), Chuanxiong (Sichuan Lovage Rhizome), Huangqi (Astragalus Root), honey-fried, each 1 qian; Rougui (Cinnamon Bark), Zhigancao (Honey-fried Licorice Root), each 0.5 qian.
Add three slices of fresh ginger and two jujubes, decoct in water, and take orally.