经来大小便俱出，名曰差经，此因食热物过多，积久而成。治宜解其热毒，顺其阴阳，宜服分利五苓汤。
分利五苓汤
猪苓 泽泻 白术（蜜炙） 赤芍（各一钱） 阿胶（炒） 当归（酒洗） 川芎（各八分）
水煎空心服。
经来有两条筋从阴吊至两乳，痛不可忍，身上发热，宜服川楝汤，二剂即安。
川楝汤
川楝子（炒） 大茴 小茴 猪苓 泽泻 白术（各一钱，蜜炙） 乌药（炒） 槟榔 乳香（去油）
玄胡索（各八分） 木香（五分） 麻黄（六分）
姜三片，葱一根，水煎服。
经来小便痛如刀割，此乃血门不通。人皆用八珍散，不效，急服牛膝汤。
牛膝汤
大牛膝（三两） 麝香（一分） 乳香（一钱，去油）
水一盏半，煎牛膝至一盏，临服，磨麝乳二香入内，空心服。
经来胁内有一块如杯作痛，其血淡黑色，宜治块为先，急服四物玄胡汤。
四物玄胡汤
熟地黄 当归 白芍 川芎（各七钱五分） 玄胡索（四两） 沉香（五钱）
每服三钱，水煎服。
经来二三日，遍身疼痛，此寒邪入骨，或发热，或不发热，俱宜解表。宜服乌药顺气汤。
乌药顺气汤
乌药（炒） 僵蚕（炒） 川芎 白芷 陈皮 枳壳（各
八分（麸炒） 干姜（炒） 甘草（各五分） 麻黄（四分）
姜三片，葱一根，水煎温服。
月经来潮时，经血与大小便同时排出，称为“差经”。这是由于进食过多热性食物，积滞日久所致。治疗应当解除热毒，调和阴阳，适宜服用分利五苓汤。
分利五苓汤
猪苓、泽泻、白术（用蜂蜜炙）、赤芍（各一钱），阿胶（炒制），当归（用酒清洗）、川芎（各八分）。
用水煎煮，空腹服用。
月经来潮时，有两条筋脉从阴部牵引至两侧乳房，疼痛难以忍受，身体发热，适宜服用川楝汤，服用两剂即可安宁。
川楝汤
川楝子（炒制）、大茴香、小茴香、猪苓、泽泻、白术（各一钱，用蜂蜜炙）、乌药（炒制）、槟榔、乳香（去油）、玄胡索（各八分）、木香（五分）。
生姜三片，葱一根，用水煎煮服用。
月经来潮时小便疼痛如刀割，这是因为血室不通畅。人们通常使用八珍散，但无效，应紧急服用牛膝汤。
牛膝汤
大牛膝（三两），麝香（一分），乳香（一钱，去油）。
用水一盏半，煎煮牛膝至一盏，临服用时，将麝香和乳香研磨后加入药液中，空腹服用。
月经来潮时，胁肋内部有一块状物如杯子大小并伴有疼痛，经血色淡黑，应当先治疗肿块，紧急服用四物玄胡汤。
四物玄胡汤
熟地黄、当归、白芍、川芎（各七钱五分），玄胡索（四两），沉香（五钱）。
每次服用三钱，用水煎煮服用。
月经来潮二三天后，全身疼痛，这是寒邪侵入骨骼所致，或者伴有发热，或者不发热，都适宜采用解表法治疗。适宜服用乌药顺气汤。
乌药顺气汤
乌药（炒制）、僵蚕（炒制）、川芎、白芷、陈皮、枳壳（各八分，用麦麸炒）、干姜（炒制）、甘草（各五分）、麻黄（四分）。
生姜三片，葱一根，用水煎煮后温服。
When menstruation occurs, menstrual blood is discharged simultaneously with urine and feces, a condition termed "Cha Jing" (Chai Jing, aberrant menstruation). This results from excessive consumption of hot-natured foods, leading to long-term accumulation. The treatment should focus on resolving heat toxicity and harmonizing Yin and Yang, preferably using Fenli Wuling Tang (Separating and Benefiting Five Ling Decoction).
Fenli Wuling Tang (Separating and Benefiting Five Ling Decoction)
Polyporus (Zhu Ling), Alisma Rhizoma (Ze Xie), Atractylodis Macrocephalae Rhizoma (Bai Zhu, honey-fried), Paeoniae Radix Rubra (Chi Shao) (each 1 qian); Donkey-hide Gelatin (E Jiao, fried); Angelicae Sinensis Radix (Dang Gui, wine-washed), Ligusticum Chuanxiong Rhizoma (Chuan Xiong) (each 8 fen).
Decoct in water and take on an empty stomach.
During menstruation, two tendons draw from the yin region up to both breasts, causing unbearable pain, accompanied by body fever. It is appropriate to administer Chuanlian Tang (Toosendan Decoction), which will bring relief after two doses.
Chuanlian Tang (Toosendan Decoction)
Toosendan Fructus (Chuan Lian Zi, fried), Foeniculum Vulgare Fruit (Da Hui), Pimpinella Anisum Fruit (Xiao Hui), Polyporus (Zhu Ling), Alisma Rhizoma (Ze Xiang), Atractylodis Macrocephalae Rhizoma (Bai Zhu, each 1 qian, honey-fried), Lindera Aggregate Root (Wu Yao, fried), Areca Seed (Bing Lang), Boswellia Carrii Resin (Ru Xiang, de-oiled), Corydalis Rhizome (Yan Hu Suo, each 8 fen), Aucklandiae Radix (Mu Xiang, 5 fen).
Add three slices of fresh ginger and one stalk of green onion; decoct in water and take.
During menstruation, urination causes pain as if cut by a knife, indicating that the blood gate is obstructed. People usually use Bazhen San (Eight Treasures Powder), but it is ineffective. Urgently administer Niuxi Tang (Achyranthes Decoction).
Niuxy Tang (Achyranthes Decoction)
Large Achyranthes Bidentata Root (Niu Xi, 3 liang), Moschus (She Xiang, 1 fen), Boswellia Carrii Resin (Ru Xiang, 1 qian, de-oiled).
Use one and a half cups of water, decoct the Niu Xi until reduced to one cup. Before taking, grind She Xiang and Ru Xiang into powder and add to the liquid; take on an empty stomach.
During menstruation, there is a lump in the hypochondrium the size of a cup causing pain, and the menstrual blood is pale black. The lump should be treated first; urgently administer Siwu Yanhu Tang (Four Substances and Corydalis Decoction).
Siwu Yanhu Tang (Four Substances and Corydalis Decoction)
Prepared Rehmannia Root (Shu Di Huang), Angelicae Sinensis Radix (Dang Gui), White Peony Root (Bai Shao), Ligusticum Chuanxiong Rhizoma (Chuan Xiong) (each 7.5 qian), Corydalis Rhizome (Yan Hu Suo, 4 liang), Aquilaria Wood (Chen Xiang, 5 qian).
Take 3 qian per dose, decoct in water and take.
Two or three days after the onset of menstruation, general body pain occurs due to cold pathogenic factors penetrating into the bones. Whether accompanied by fever or not, the treatment should involve releasing the exterior. It is appropriate to administer Wuyao Shunqi Tang (Lindera Qi-Regulating Decoction).
Wuyao Shunqi Tang (Lindera Qi-Regulating Decoction)
Lindera Aggregate Root (Wu Yao, fried), Bombyx Batryticatus (Jiang Can, fried), Ligusticum Chuanxiong Rhizoma (Chuan Xiong), Angelicae Dahuricae Radix (Bai Zhi), Tangerine Peel (Chen Pi), Aurantium Fructus Immaturum (Zhi Ke, each 8 fen, bran-fried), Dried Ginger (Gan Jiang, fried), Licorice Root (Gan Cao, each 5 fen), Ephedra Stem (Ma Huang, 4 fen).
Add three slices of fresh ginger and one stalk of green onion; decoct in water and take warm.