此大虚症也，最忌凉药。宜用加味四物汤，以暖其经，以和其血。
加味四物汤
川芎 当归 玄胡索 乌药（各一钱，炒） 白芍（酒炒） 小茴（各八分） 熟地黄（二钱） 生姜（二片）
水煎空心服。
经一全无红色，乃大虚大冷也。忌用凉药，宜服乌鸡丸。半月非特病愈，而且有孕。
乌鸡丸
乌鸡肉（去皮油不用，酒蒸熟，三两） 山药（炒） 肉桂 肉苁蓉（酒洗净，炒） 蒲黄（炒黑）
当归 山茱萸 白芍（各一两） 熟地黄（一两五钱） 大附子（三钱，制） 鹿茸（一钱，酥制） 川芎（五钱）
共为末，粳米糊丸，空心酒下百丸。
经来白色，五心烦热，小便作痛，面色青黄，乃血气虚也。亦忌凉药，宜服乌鸡丸（方见前），半月即有孕。
经来成块如葱白色，或如死猪血黑色，头昏目暗，口唇麻木，此虚冷也。药忌寒凉，急服内补当归丸。
内补当归丸
续断 阿胶（炒珠） 蒲黄（炒黑） 肉苁蓉（酒洗净，炒） 浓朴（姜汁炒） 山茱萸 白茯苓 香附
（童便制） 当归 白芷（各一两） 川芎 白芍（各八钱） 甘草 干姜（各五钱） 熟地黄（一两二钱）
共为末，炼蜜丸，空心白汤下八十丸。
此乃血弱，更伤热物。譬如沟渠水干，天气无雨，久则臭也。身衰旧血少，新血不生，则臭如夏月腐肉。
宜服龙骨丸，兼服通瘀饮。
龙骨丸
龙骨（ ） 海螵蛸 生地黄（各一两） 白芍 当归（酒炒） 牡蛎粉 川芎 黄芩 白茯苓（各八钱）
共为末，炼蜜丸，空心酒下百丸。
通瘀饮
当归（酒洗） 三棱 莪术 赤芍 丹皮 白术（蜜炙） 香附（童便制） 猪苓 陈皮 木通（各八分）
生姜（一片）
水煎服。
这是极度虚弱的证候，最忌讳使用寒凉药物。适宜服用加味四物汤，以温暖经脉，调和血液。
加味四物汤
川芎、当归、玄胡索、乌药（各一钱，炒制）、白芍（酒炒）、小茴香（各八分）、熟地黄（二钱）、生姜（两片）。
用水煎煮，空腹服用。
月经完全没有任何红色，这是极度虚弱且寒冷的表现。忌用寒凉药物，适宜服用乌鸡丸。半个月后不仅病愈，而且能够受孕。
乌鸡丸
乌鸡肉（去皮去油不用，酒蒸熟，三两）、山药（炒制）、肉桂、肉苁蓉（酒洗净，炒制）、蒲黄（炒黑）、当归、山茱萸、白芍（各一两）、熟地黄（一两五钱）、大附子（三钱，炮制）、鹿茸（一钱，酥制）、川芎（五钱）。
共同研为细末，用粳米糊制作成丸剂，空腹时送服一百丸。
月经来潮颜色发白，伴有五心烦热，小便疼痛，面色青黄，这是气血虚弱的表现。也忌用寒凉药物，适宜服用乌鸡丸（方剂见前文），半个月后即可受孕。
月经来潮结成块状，像葱白色，或者像死猪血那样黑色，伴有头晕眼花，口唇麻木，这是虚寒证。药物忌用寒凉，急需服用内补当归丸。
内补当归丸
续断、阿胶（炒成珠状）、蒲黄（炒黑）、肉苁蓉（酒洗净，炒制）、厚朴（姜汁炒制）、山茱萸、白茯苓、香附（童便制）、当归、白芷（各一两）、川芎、白芍（各八钱）、甘草、干姜（各五钱）、熟地黄（一两二钱）。
共同研为细末，用炼蜜制作成丸剂，空腹时用白开水送服八十丸。
这是由于血气虚弱，又受到热邪损伤。好比沟渠里的水干了，天气久旱无雨，时间久了就会发臭。身体衰败导致旧血减少，新血无法生成，气味就像夏天腐烂的肉一样。
龙骨丸
龙骨、海螵蛸、生地黄（各一两）、白芍、当归（酒炒）、牡蛎粉、川芎、黄芩、白茯苓（各八钱）。
共同研为细末，用炼蜜制作成丸剂，空腹时送服一百丸。
通瘀饮
当归（酒洗）、三棱、莪术、赤芍、丹皮、白术（蜜炙）、香附（童便制）、猪苓、陈皮、木通（各八分）、生姜（一片）。
用水煎煮服用。
This is a syndrome of extreme deficiency, and the use of cooling medicines is strictly contraindicated. It is advisable to administer Jiawei Siwu Tang (Modified Four Substance Decoction) to warm the meridians and harmonize the blood.
Jiawei Siwu Tang (Modified Four Substance Decoction)
Chuanxiong Rhizome (Chuanxiong, 川芎), Angelicae Sinensis Radix (Danggui, 当归), Cyperi Rhizoma (Yanhusuo, 延胡索), Lindera Root (Wuyao, 乌药) (each 1 qian, stir-fried), White Peony Root (Baishao, 白芍) (stir-fried with wine), Fennel Fruit (Xiaohui, 小茴) (each 8 fen), Prepared Rehmannia Root (Shudihuang, 熟地黄) (2 qian), Fresh Ginger (Shengjiang, 生姜) (2 slices).
Decoct in water and take on an empty stomach.
If menstruation presents with absolutely no red color, it indicates severe deficiency and cold. Cooling medicines are contraindicated; instead, Wuji Wan (Black Chicken Pill) should be taken. Within half a month, not only will the illness be cured, but pregnancy may also occur.
Wuji Wan (Black Chicken Pill)
Black Chicken Meat (skin and fat removed, steamed with wine, 3 liang), Chinese Yam (Shanyao, 山药) (stir-fried), Cinnamon Bark (Rougui, 肉桂), Cistanche Stem (Roucongrong, 肉苁蓉) (washed with wine, stir-fried), Pollen Typhae (Puhuang, 蒲黄) (charred), Angelicae Sinensis Radix (Danggui, 当归), Cornus Fruit (Shanzhuyu, 山茱萸), White Peony Root (Baishao, 白芍) (each 1 liang), Prepared Rehmannia Root (Shudihuang, 熟地黄) (1.5 liang), Aconite Lateralis Radix Preparata (Da Fuzi, 大附子) (3 qian, processed), Deer Antler without Bone (Lurong, 鹿茸) (1 qian, prepared with butter), Chuanxiong Rhizome (Chuanxiong, 川芎) (5 qian).
Grind all ingredients into fine powder, make pills using rice paste, and take 100 pills with wine on an empty stomach.
If menstruation is white in color, accompanied by heat sensation in the five centers (palms, soles, and chest), painful urination, and a bluish-yellow complexion, it signifies deficiency of Qi and Blood. Cooling medicines are also contraindicated; Wuji Wan (Black Chicken Pill) (see formula above) should be taken, and pregnancy may occur within half a month.
If menstrual clots appear white like scallions or black like dead pig's blood, accompanied by dizziness, blurred vision, and numbness of the lips, this indicates deficiency-cold. Cold-natured medicines are contraindicated; Neibu Danggui Wan (Internal Nourishing Angelica Pill) should be taken urgently.
Neibu Danggui Wan (Internal Nourishing Angelica Pill)
Dipsacus Root (Xuduan, 续断), Donkey-hide Gelatin (Ejiao, 阿胶) (stir-fried until puffed), Pollen Typhae (Puhuang, 蒲黄) (charred), Cistanche Stem (Roucongrong, 肉苁蓉) (washed with wine, stir-fried), Magnolia Bark (Houpo, 厚朴) (stir-fried with ginger juice), Cornus Fruit (Shanzhuyu, 山茱萸), Poria (Baifuling, 白茯苓), Cyperi Rhizoma (Xiangfu, 香附) (processed with child's urine), Angelicae Sinensis Radix (Danggui, 当归), Angelica Dahurica Root (Baizhi, 白芷) (each 1 liang), Chuanxiong Rhizome (Chuanxiong, 川芎), White Peony Root (Baishao, 白芍) (each 8 qian), Licorice Root (Gancao, 甘草), Dried Ginger (Ganjiang, 干姜) (each 5 qian), Prepared Rehmannia Root (Shudihuang, 熟地黄) (1.2 liang).
Grind all ingredients into fine powder, make pills using refined honey, and take 80 pills with plain boiled water on an empty stomach.
This condition arises from weak Blood further injured by Heat pathogens. It is akin to a dried-up ditch where, due to prolonged drought and lack of rain, the water becomes foul over time. When the body is debilitated, old Blood diminishes, and new Blood fails to generate, resulting in an odor resembling rotting meat in summer.
It is advisable to take Longgu Wan (Dragon Bone Pill) and concurrently take Tongyu Yin (Blood Stasis-Resolving Decoction).
Longgu Wan (Dragon Bone Pill)
Fossilized Bones (Longgu, 龙骨), Cuttlefish Bone (Haipiaoxiao, 海螵蛸), Raw Rehmannia Root (Shengdihuang, 生地黄) (each 1 liang), White Peony Root (Baishao, 白芍), Angelicae Sinensis Radix (Danggui, 当归) (stir-fried with wine), Oyster Shell Powder (Muli Fen, 牡蛎粉), Chuanxiong Rhizome (Chuanxiong, 川芎), Scutellaria Root (Huangqin, 黄芩), Poria (Baifuling, 白茯苓) (each 8 qian).
Grind all ingredients into fine powder, make pills using refined honey, and take 100 pills with wine on an empty stomach.
Tongyu Yin (Blood Stasis-Resolving Decoction)
Angelicae Sinensis Radix (Danggui, 当归) (washed with wine), Burreed Tuber (Sanleng, 三棱), Curcuma Zedoaria Rhizome (Ezhu, 莪术), Red Peony Root (Chishao, 赤芍), Moutan Cortex (Danpi, 丹皮), Atractodysodes Rhizome (Baizhu, 白术) (honey-roasted), Cyperi Rhizoma (Xiangfu, 香附) (processed with child's urine), Polyporus (Zhuling, 猪苓), Tangerine Peel (Chenpi, 陈皮), Akebia Caulis (Mutong, 木通) (each 8 fen), Fresh Ginger (Shengjiang, 生姜) (1 slice).
Decoct in water and take orally.