石瘕因经来之后，寒入阴户，客于胞宫，血凝不行，而腹渐大，如有胎孕。不壮盛之妇，半年之后，气力
强康，不治自消。若虚弱者，必成肿胀，宜服加味温经汤。
加味温经汤
当归尾 赤芍 川牛膝 肉桂 莪术（醋炙） 破故纸（盐水炒） 小茴香 香附（四制者） 乌药（炒）
川芎（各一钱） 甘草（五分）
姜三片用引，水煎服。
冲脉任脉起于胞中，为血之海，寒气冲之，血涩不行，成瘕作痛。若暂见停蓄而根盘未固者，宜服济川煎。
济川煎
当归（三钱） 熟地黄 牛膝（各二钱） 乌药（炒） 肉桂（各一钱） 桃仁（七粒，捣如泥）
水二钟，煎八分，食前服。
肠覃，亦行经时寒入阴户，客于大肠，以致血凝。经虽行而血少，其腹渐大，亦如有孕，俗名胎漏。其妇
壮盛，半年自除，若虚弱者，必成胀满。宜服桂枝桃仁汤。
桂枝桃仁汤
桂枝 槟榔 枳壳（炒） 白芍 生地黄（各一钱半） 炙甘草（五分） 桃仁（三十粒，捣如泥）
姜三片，枣二枚，水煎空心服。
室女十三四岁，天癸已行而忽不行，或发热，或疼痛，身体不宁，口苦面赤，寒热不定，头目晕花，此血
脉壅阻也。疏经汤和气丸主之。
疏经汤
白芷（七分） 羌活 砂仁 桂枝 白术（各一钱） 香附（一钱二分）
姜三片，葱白三茎，水煎空心热服。
如身体不热不痛，羌活，桂枝减半，加当归、川芎各一钱；血攻心痛，加干膝（炒令烟尽）、玄胡索各三
分；嗽痰气急，加半夏（制）、桔梗、杏仁（去皮尖）、五味子各三分。
和气丸
浓朴（姜制，五钱） 陈皮 藿香（如炒少用） 白术（蜜制） 玄胡索 枳壳（麸炒，各三钱）
香附（五钱，童便制） 草果 甘草 砂仁 小茴（各二钱） 木香（三钱）
上为末，蜜丸，或为散。每服二钱，空心白汤下。
如不发寒热，去草果、藿香。
石瘕是由于月经来潮之后，寒邪侵入阴户，客居于胞宫，导致血液凝结运行不畅，腹部逐渐增大，状如怀孕。对于体质强健的女性，半年之后，随着气力增强康复，此病可不治自愈。若体质虚弱者，必定发展为肿胀，适宜服用加味温经汤。
加味温经汤
当归尾、赤芍、川牛膝、肉桂、莪术（醋炙）、破故纸（盐水炒）、小茴香、香附（四制者）、乌药（炒）、川芎（各一钱）、甘草（五分）。
用生姜三片作为药引，加水煎煮后服用。
冲脉和任脉均起于胞中，被称为血之海，寒气冲击冲任二脉，导致血液涩滞不行，形成瘕块并伴有疼痛。若是暂时出现气血停蓄且病根尚未稳固的情况，适宜服用济川煎。
济川煎
当归（三钱）、熟地黄、牛膝（各二钱）、乌药（炒）、肉桂（各一钱）、桃仁（七粒，捣成泥状）。
用水两钟，煎至八分，饭前服用。
肠覃，也是在行经期间寒邪侵入阴户，客居于大肠，致使血液凝结。虽然月经来潮但血量少，腹部逐渐增大，也如同怀孕一般，俗称胎漏。若女性体质强健，半年后可自行消除；若体质虚弱者，必定形成胀满。适宜服用桂枝桃仁汤。
桂枝桃仁汤
桂枝、槟榔、枳壳（炒）、白芍、生地黄（各一钱半）、炙甘草（五分）、桃仁（三十粒，捣成泥状）。
用生姜三片、大枣二枚，加水煎煮，空腹服用。
少女十三四岁时，天癸（指女子月经）已经来潮却突然停止，或者出现发热、疼痛，身体不安宁，口苦面赤，寒热交替不定，头晕眼花，这是血脉壅阻所致。应以疏经汤和气丸为主进行治疗。
疏经汤
白芷（七分）、羌活、砂仁、桂枝、白术（各一钱）、香附（一钱二分）。
用生姜三片、葱白三茎，加水煎煮，空腹热服。
如果身体不热不痛，将羌活、桂枝减半，加入当归、川芎各一钱；若血攻心痛，加入干膝（炒至烟尽）、玄胡索各三分；若咳嗽痰多气急，加入半夏（制）、桔梗、杏仁（去皮尖）、五味子各三分。
和气丸
浓朴（姜制，五钱）、陈皮、藿香（如炒则少用）、白术（蜜制）、玄胡索、枳壳（麸炒，各三钱）、香附（五钱，童便制）、草果、甘草、砂仁、小茴（各二钱）、木香（三钱）。
以上药物研为细末，用蜂蜜制成丸剂，或制成散剂。每次服用二钱，空腹时用白开水送下。
如果不出现寒热症状，去掉草果、藿香。
Shijia (Stone Mass) occurs after menstruation, when cold pathogen enters the vaginal orifice and lodges in the uterus, causing blood to coagulate and fail to circulate. Consequently, the abdomen gradually enlarges, resembling pregnancy. In women with robust constitution, after half a year, as their qi and strength recover, it may resolve spontaneously without treatment. However, in those with weak constitution, it will inevitably develop into distension and swelling; Jia Wei Wen Jing Tang (Modified Warming the Meridian Decoction) is indicated.
Jia Wei Wen Jing Tang (Modified Warming the Meridian Decoction)
Dangguiwei (Tail of Angelicae Sinensis Radix), Chishao (Red Peony Root), Chuanniuxi (Achyranthis Bidentatae Radix), Rougui (Cinnamon Twig), Ezhu (Curcumae Rhizoma, vinegar-processed), Pogu Zhi (Cibotii Rhizoma, salt-water fried), Xiaohui Xiang (Foeniculi Fructus), Xiangfu (Cyperi Rhizoma, quadruple-processed), Wuyao (Linderae Radix, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Gancao (Licorice Root) (0.5 qian).
Use three slices of Shengjiang (Fresh Ginger) as a guiding drug, decoct in water, and take orally.
The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) both originate from the uterus and are regarded as the "Sea of Blood." When cold pathogen attacks them, blood becomes stagnant and fails to flow, resulting in the formation of masses (Zha) accompanied by pain. If the stagnation is temporary and the root of the disease is not yet firmly established, Jichuan Jian (Decoction for Crossing the River) is indicated.
Jichuan Jian (Decoction for Crossing the River)
Danggui (Angelicae Sinensis Radix) (3 qian), Shudihuang (Prepared Rehmanniae Radix), Niuxi (Achyranthis Bidentatae Radix) (each 2 qian), Wuyao (Linderae Radix, stir-fried), Rougui (Cinnamon Twig) (each 1 qian), Taoren (Pruni Persicae Semen) (7 grains, pounded into paste).
Decoct two zhong of water until reduced to eight fen, and take before meals.
Changqin (Intestinal Polyp/Mass) also results from cold pathogen entering the vaginal orifice during menstruation and lodging in the large intestine, causing blood coagulation. Although menstruation occurs, the blood volume is scant. The abdomen gradually enlarges, resembling pregnancy, commonly known in folk terms as Tainlou (Fetal Leakage). In robust women, it may resolve spontaneously within half a year; in weak women, it will inevitably lead to fullness and distension. Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction) is indicated.
Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction)
Guizhi (Ramulus Cinnamomi Cassiae), Binglang (Arecae Semen), Zhike (Aurantii Fructus Immaturus, stir-fried), Baishao (White Peony Root), Shengdihuang (Rehmanniae Radix Recens) (each 1.5 qian), Zhigancao (Honey-fried Licorice Root) (0.5 qian), Taoren (Pruni Persicae Semen) (30 grains, pounded into paste).
Use three slices of Shengjiang (Fresh Ginger) and two dates (Zao), decoct in water, and take on an empty stomach.
In girls aged thirteen or fourteen, when Tian Gui (menstrual fluid) has begun but suddenly stops, or if there is fever, pain, restlessness, bitter taste in the mouth, flushed face, alternating chills and fever, dizziness, and blurred vision, this is due to obstruction of the blood vessels. Shu Jing Tang (Decoction for Unblocking the Meridians) and He Qi Wan (Harmonizing Qi Pill) are the primary treatments.
Shu Jing Tang (Decoction for Unblocking the Meridians)
Baizhi (Angelicae Dahuricae Radix) (0.7 qian), Qianghuo (Notopterygii Rhizoma et Radix), Sharen (Amomi Fructus Rotundus), Guizhi (Ramulus Cinnamomi Cassiae), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 qian), Xiangfu (Cyperi Rhizoma) (1.2 qian).
Use three slices of Shengjiang (Fresh Ginger) and three stalks of Congbai (Scallion White), decoct in water, and take hot on an empty stomach.
If there is no heat or pain, reduce the dosage of Qianghuo and Guizhi by half, and add Danggui (Angelicae Sinensis Radix) and Chuanxiong (Ligustici Chuanxiong Rhizoma) each 1 qian. If blood attacks causing heart pain, add Ganxi (dried knee joint, stir-fried until smoke ceases) and Yuanhusuo (Corydalis Rhizoma) each 0.3 qian. If there is cough with phlegm and shortness of breath, add Banxia (Pinelliae Rhizoma, processed), Jiegeng (Platycodonis Radix), Xingren (Armeniacae Semen Amarum, peeled and core removed), and Wuweizi (Schisandrae Chinensis Fructus) each 0.3 qian.
He Qi Wan (Harmonizing Qi Pill)
Noupo (Magnoliae Officinalis Cortex, ginger-processed) (5 qian), Chenpi (Citri Reticulatae Pericarpium), Huoxiang (Agastaches Herba, use less if stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-processed), Yuanhusuo (Corydalis Rhizoma), Zhike (Aurantii Fructus Immaturus, bran-fried) (each 3 qian), Xiangfu (Cyperi Rhizoma, prepared with child's urine) (5 qian), Caoguo (Tsaoko Fructus), Gancao (Licorice Root), Sharen (Amomi Fructus Rotundus), Xiaohui (Foeniculi Fructus) (each 2 qian), Muxiang (Aucklandiae Radix) (3 qian).
Grind all ingredients into powder, form pills with honey, or prepare as a powder. Take 2 qian per dose, swallowed with plain warm water on an empty stomach.
If there are no chills or fever, remove Caoguo and Huoxiang.