经闭不行，致有败血停积五脏，流入四肢作浮肿者，不可误认水气。宜调其经，经调则肿消矣。然服煎药，
必须十余剂，庶无愆期之患。至服丸散，更宜久服，可免复肿之忧。宜服调经汤、金匮丸。
调经汤
当归 生地黄 益母草（各一钱） 川芎 白芍 香附 茯苓 牡丹皮（八分） 甘草（三分）
姜三片，枣二枚，水煎空心服。
此方统调诸经，宜随证加减治之。如血热先期及紫黑成块者，加黄连（酒炒）七分；血寒过期者，加煨姜、
肉桂各三分；临期正行作痛者，加玄胡索，青皮各八分；临行经
闭，积块刺痛者，加红花、苏木、桃仁各五分；经来过多者，加黄芩一钱，蒲黄（炒）八分；经来不思饮食者，
加白术八分，陈皮、砂仁各五分；肥人多痰，赤白带下者，加南星（制）、苍术各八分；气虚血弱，四肢酸
软，面色不泽者，加人参、黄 各五分。
金匮丸
四制香附米四两（四制谓∶酒制、醋制、盐水制、童便制是也） 没药（去油净，六钱） 当归（童便制）
茯苓（去皮） 白薇（洗去芦） 白术（糯米泔浸透，蜜炙黄） 阿胶（蛤粉炒成珠） 白芍（各四两）
人参（去芦） 砂仁（去壳，各二两） 生地黄（酒浸洗去泥，以益智仁二两，用好酒同炒，去益智仁不用，
净用地黄，八两） 川续断（酒浸洗，以五倍子同炒，去五倍子不用，净用炒过川续断，四两） 淮山药（姜
汁炒，十二两）
共为细末，水丸，空心温汤下五十丸。
月经闭止不通，导致败血（瘀滞之血）停积在五脏，流入四肢引起浮肿的，不可误认为是水气病。应当调理月经，月经通畅则浮肿自然消退。然而服用汤剂，必须连续服用十余剂，才能避免月经周期紊乱的隐患。至于服用丸药或散剂，更应长期服用，可以免除再次浮肿的担忧。适宜服用的方剂有调经汤、金匮丸。
调经汤
当归、生地黄、益母草（各一钱），川芎、白芍、香附、茯苓、牡丹皮（各八分），甘草（三分）。加入生姜三片，大枣二枚，用水煎煮，空腹温服。
此方能够统调全身各条经脉，适宜根据具体证候进行加减治疗。如果是血热导致月经先期来潮及经血紫黑成块的，加黄连（用酒炒制）七分；如果是血寒导致月经过期不来的，加煨姜、肉桂各三分；如果临近经期正当行经时出现疼痛的，加玄胡索、青皮各八分；如果临行经时闭经，且有积块刺痛感的，加红花、苏木、桃仁各五分；如果经量过多的，加黄芩一钱，蒲黄（炒制）八分；如果经期食欲不振的，加白术八分，陈皮、砂仁各五分；如果形体肥胖且多痰湿，伴有赤白带下的，加制南星、苍术各八分；如果是气虚血弱，四肢酸软无力，面色无光泽的，加人参、黄芪各五分。
金匮丸
四制香附米四两（“四制”是指：用酒制、醋制、盐水制、童便制这四种方法处理），没药（去除油脂净品，六钱），当归（用童便制），茯苓（去皮），白薇（洗净去掉芦头），白术（用糯米泔水浸泡透彻，蜂蜜炙烤至黄色），阿胶（用蛤粉炒成珠状），白芍（以上五味药各四两），人参（去掉芦头），砂仁（去掉壳，以上两味药各二两），生地黄（用酒浸泡洗净泥土，取益智仁二两，用好酒同炒，去掉益智仁不用，仅用地黄，八两），川续断（用酒浸泡洗净，取五倍子同炒，去掉五倍子不用，仅用炒过的川续断，四两），淮山药（用姜汁炒，十二两）。
以上药物共同研磨成细末，制成水丸，空腹时用温水送服五十丸。
Amenorrhea (absence of menstruation) that leads to the accumulation of stagnant blood in the five zang organs, which then flows into the four limbs causing edema, should not be mistaken for fluid retention disease. It is necessary to regulate the menstruation; once the menstruation is regulated, the edema will subside. However, when taking decoctions, one must take them continuously for more than ten doses to avoid the risk of irregular menstrual cycles. As for taking pills or powders, long-term administration is even more appropriate to prevent the recurrence of edema. Suitable formulas include Tiaojing Tang (Regulate Menstruation Decoction) and Jingui Wan (Golden Casket Pill).
Tiaojing Tang (Regulate Menstruation Decoction)
Danggui (Radix Angelicae Sinensis), Shengdihuang (Radix Rehmanniae Preparata), Yimucacao (Herba Leonuri), each 1 qian; Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Xiangfu (Rhizoma Cyperi Rotundi), Fuling (Poria), Mudanpi (Cortex Moutan), each 8 fen; Gancao (Radix Glycyrrhizae Preparata) 3 fen. Add three slices of fresh ginger (Shengjiang) and two jujubes (Dazao). Decoct in water and take warm on an empty stomach.
This formula regulates all meridians comprehensively and should be modified according to specific syndromes. If there is blood heat causing early menstruation with dark purple clots, add Huanglian (Radix Coptidis stir-fried with wine) 7 fen; if there is blood cold causing delayed menstruation, add Wei Jiang (Baked Ginger) and Rougui (Cortex Cinnamomi) each 3 fen; if pain occurs during menstruation near its onset, add Yanhusuo (Rhizoma Corydalis) and Qingpi (Pericarpium Citri Reticulatae Viride) each 8 fen; if amenorrhea occurs at the expected time accompanied by stabbing pain from masses, add Honghua (Flos Carthami), Sumu (Lignum Sappan), and Taoren (Semen Persicae) each 5 fen; if menstrual flow is excessive, add Huangqin (Radix Scutellariae) 1 qian and Puhuang (Pollen Typhae stir-fried) 8 fen; if there is loss of appetite during menstruation, add Baizhu (Rhizoma Atractylodis Macrocephalae) 8 fen, Chenpi (Pericarpium Citri Reticulatae) and Sharen (Fructus Amomi) each 5 fen; if the person is obese with phlegm-dampness and has leukorrhea (red and white discharge), add Zhinanxing (Rhizoma Arisaematis Preparata) and Cangzhu (Rhizoma Atractylodis) each 8 fen; if there is qi deficiency and blood weakness with soreness and weakness in the four limbs and a dull complexion, add Renshen (Radix Ginseng) and Huangqi (Radix Astragali) each 5 fen.
Jingui Wan (Golden Casket Pill)
Xiangfu Mi (Rhizoma Cyperi Rotundi processed by four methods) 4 liang ("Four methods" refer to processing with wine, vinegar, salt water, and children's urine); Moyao (Resina Myrrhae defatted) 6 qian; Danggui (Radix Angelicae Sinensis processed with children's urine); Fuling (Poria peeled); Baiwei (Radix Cynanchi Atrati washed and de-rhizomed); Baizhu (Rhizoma Atractylodis Macrocephalae soaked in rice wash water until saturated, honey-roasted yellow); Ejiao (Colla Corii Asini stir-fried with clam powder into beads); Baishao (Radix Paeoniae Alba), each 4 liang; Renshen (Radix Ginseng de-rhizomed); Sharen (Fructus Amomi shelled), each 2 liang; Shengdihuang (Radix Rehmanniae raw, soaked in wine, washed clean of mud, stir-fried with YiZhiren [Fructus Alpiniae Oxyphyllae] 2 liang in good wine, discard YiZhiren, use only Dihuagnong 8 liang); Chuanxuduan (Radix Dipsaci soaked in wine, washed, stir-fried with WuBeizi [Galla Chinensis] 5 times, discard WuBeizi, use only stir-fried Chuanxuduan 4 liang); Huaishanyao (Rhizoma Dioscoreae Hypoglaucae stir-fried with ginger juice) 12 liang.
Grind all ingredients into fine powder, make into water pills, and take 50 pills warm with water on an empty stomach.