形盛多痰气虚，至数月而经始行者，宜服苍附六君汤，兼服苍附导痰丸。若形瘦脾胃虚弱，气血两亏，至
数月而经始行者，宜服十全大补汤。
苍附六君汤
人参 白术 茯苓 甘草（炙） 半夏 陈皮 苍术（米泔浸） 香附（童便制） 条芩（酒炒） 川芎 当
归枳壳（麸炒）
水煎食前服。
苍附导痰丸
苍术 香附 枳壳（各二两） 陈皮 茯苓（各一两五钱） 胆星 甘草（各一两）
共为末，姜汁和神曲丸，淡姜汤下。
十全大补汤
人参 白术（蜜炙） 茯苓 甘草（炙） 熟地黄 当归 川芎 白芍 黄 （蜜炙） 肉桂
姜枣为引。
经来色紫者热也，慎勿作风冷而行温热之剂。宜服四物连附汤。
四物连附汤
当归尾 赤芍 香附（童便制） 黄连 丹皮 甘草
水煎，食前服。
经来色淡者血虚也。宜服加味八物汤，兼服地黄丸。
加味八物汤
人参 白术（蜜炙） 茯苓 甘草（炙） 熟地黄 当归 川芎 白芍（各一钱二分） 黄 （炙）
香附（四制，各一钱）
姜为引，水煎服。
地黄丸
熟地黄（四两） 山药（炒） 山茱萸（各二两） 丹皮 白茯苓（各一两半） 泽泻 香附（童便制，各
一两）
形瘦经少，此气血弱也。宜服加味四物汤。
加味四物汤
熟地黄 当归 川芎 白芍 人参 香附（童便制） 甘草（炙）
姜枣为引。
形体肥胖且多痰、气虚，导致月经数月才来一次的患者，适宜服用苍附六君汤，同时兼服苍附导痰丸。如果形体消瘦、脾胃虚弱，气血两亏，导致月经数月才来一次的患者，适宜服用十全大补汤。
苍附六君汤
人参 白术 茯苓 甘草（炙） 半夏 陈皮 苍术（米泔浸） 香附（童便制） 条芩（酒炒） 川芎 当归 枳壳（麸炒）
用水煎煮，饭前服用。
苍附导痰丸
苍术 香附（各二两） 陈皮 茯苓（各一两五钱） 胆星 甘草（各一两）
共同研磨成粉末，用姜汁调和神曲制成丸剂，用淡姜汤送服。
十全大补汤
人参 白术（蜜炙） 茯苓 甘草（炙） 熟地黄 当归 川芎 白芍 黄芪（蜜炙） 肉桂
以生姜和大枣为引药。
月经颜色紫暗的，属于热证，千万不要当作风寒湿冷证而使用温热性质的药物。适宜服用四物连附汤。
四物连附汤
当归尾 赤芍 香附（童便制） 黄连 丹皮 甘草
用水煎煮，饭前服用。
月经颜色淡白的，属于血虚证。适宜服用加味八物汤，同时兼服地黄丸。
加味八物汤
人参 白术（蜜炙） 茯苓 甘草（炙） 熟地黄 当归 川芎 白芍（各一钱二分） 黄芪（炙） 香附（四制，各一钱）
以生姜为引药，用水煎煮服用。
地黄丸
熟地黄（四两） 山药（炒） 山茱萸（各二两） 丹皮 白茯苓（各一两半） 泽泻 香附（童便制，各一两）
For patients with a robust physique, excessive phlegm, and Qi deficiency, who experience menstruation only after several months, it is appropriate to administer Cangfu Liujun Tang (Cangfu Six Gentlemen Decoction) and concurrently take Cangfu Daotan Wan (Cangfu Phlegm-Resolving Pill). For those with a slender physique, weak Spleen and Stomach, and dual deficiency of Qi and Blood, who also experience menstruation only after several months, it is appropriate to administer Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction).
Cangfu Liujun Tang (Cangfu Six Gentlemen Decoction)
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Prepared Licorice Root), Ban Xia (Pinelliae Tuber), Chen Pi (Citri Reticulatae Pericarpium), Cang Zhu (Atractylodis Rhizoma, soaked in rice water), Xiang Fu (Cyperi Rhizoma, processed with child's urine), Tiao Qin (Scutellariae Radix, stir-fried with wine), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Zhi Ke (Aurantii Fructus, bran-stir-fried).
Decoct in water and take before meals.
Cangfu Daotan Wan (Cangfu Phlegm-Resolving Pill)
Cang Zhu (Atractylodis Rhizoma), Xiang Fu (Cyperi Rhizoma) [2 liang each]; Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria) [1.5 liang each]; Dan Xing (Arisarum Cum Bile), Gan Cao (Licorice Root) [1 liang each].
Grind into powder, mix with Ginger Juice and Shen Qu (Medicated Leaven) to form pills, and swallow with mild Ginger Soup.
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction)
Ren Shen (Ginseng Radix), Mi Zhi Bai Zhu (Honey-fried Atractylodis Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Prepared Licorice Root), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Mi Zhi Huang Qi (Honey-fried Astragali Radix), Rou Gui (Cinnamomi Cortex).
Use fresh Ginger and Jujube as guides.
If the menstrual blood is purple, it indicates Heat syndrome; do not mistakenly treat it as Cold-Dampness or Wind-Cold by administering warming agents. It is appropriate to administer Siwu Lianfu Tang (Siwu Decoction with Coptis and Cyperi).
Siwu Lianfu Tang (Siwu Decoction with Coptis and Cyperi)
Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Paeoniae Radix Rubra), Xiang Fu (Cyperi Rhizoma, processed with child's urine), Huang Lian (Coptidis Rhizoma), Dan Pi (Moutan Cortex), Gan Cao (Licorice Root).
Decoct in water and take before meals.
If the menstrual blood is pale, it indicates Blood deficiency. It is appropriate to administer Jiawei Bawu Tang (Modified Eight Gentlemen Decoction) and concurrently take Dihuang Wan (Rehmannia Pill).
Jiawei Bawu Tang (Modified Eight Gentlemen Decoction)
Ren Shen (Ginseng Radix), Mi Zhi Bai Zhu (Honey-fried Atractylodis Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Prepared Licorice Root), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba) [1.2 qian each]; Huang Qi (Astragali Radix, prepared), Xiang Fu (Cyperi Rhizoma, four-times processed) [1 qian each].
Use fresh Ginger as a guide, decoct in water, and take orally.
Dihuang Wan (Rehmannia Pill)
Shu Di Huang (Rehmanniae Radix Preparata) [4 liang]; Shan Yao (Dioscoreae Rhizoma, stir-fried), Shan Zhu Yu (Corni Fructus) [2 liang each]; Dan Pi (Moutan Cortex), Bai Fu Ling (White Poria) [1.5 liang each]; Ze Xie (Alismatis Rhizoma), Xiang Fu (Cyperi Rhizoma, processed with child's urine) [1 liang each].
For patients with a slender physique and scanty menstruation, this is due to weakness of Qi and Blood. It is appropriate to administer Jiawei Siwu Tang (Modified Siwu Decoction).
Jiawei Siwu Tang (Modified Siwu Decoction)
Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao (Paeoniae Radix Alba), Ren Shen (Ginseng Radix), Xiang Fu (Cyperi Rhizoma, processed with child's urine), Zhi Gan Cao (Prepared Licorice Root).
Use fresh Ginger and Jujube as guides.