月经二三月不行，腹大如鼓，人以为有孕，一日崩下，其血内有物如蛤蟆子，昏迷不知，体弱形瘦者
不治，若体盛者，急投十全大补汤。
十全大补汤
人参 白术（蜜炙） 茯苓 炙甘草 黄 （炙） 肉桂 川芎 当归 白芍 熟地黄
姜三片，枣二枚，水煎服。
室女月经初来，不知保养，误饮冷水，或用冷水洗衣洗手，经血见冷而凝，以致经闭。面色青黄，遍身浮
肿，人皆误作水肿，治之不效。宜服通经丸，通其血而肿自消。
通经丸
三棱（醋炒） 莪术（醋炒） 当归（酒洗） 川芎 赤芍 芫花 穿山甲（炒） 刘寄奴
粳米糊丸，酒下。
室女十四岁，冲任脉盛，月经以时下，若过期不通，时作胀痛，宜服红花汤。
红花汤
当归尾 赤芍 桃仁（去皮尖，捣如泥） 牛膝 玄胡索 红花 苏木 紫葳花 刘寄奴（各一钱）
青皮 香附（童便制，各八分） 桂枝（五分）
水煎，空心服。
经闭发热，咽燥唇干，喜冷恶热，血充气盛，脉实有力，而经血遇闭者，是为实热。宜服四物凉膈散。
四物凉膈散
当归身 赤芍 川芎 生地黄 黄芩（酒炒） 黄连（酒炒） 连翘（去心） 桔梗 薄荷 甘草 嫩竹叶
水煎温服。
室女月水不行，日渐羸瘦，时作潮热，此阴虚血弱，火盛水亏，治当养阴益血，最忌凉药，宜服柏子仁丸，
兼服泽兰汤。
柏子仁丸
柏子仁（另炒研） 牛膝（酒炒） 薄荷（各五钱） 泽兰叶 川续断（各二两） 干地黄（三两）
蜜丸，空心米汤下。
泽兰汤
泽兰叶（二钱） 当归（一钱） 甘草（五分）
水煎空心服。
月经两三个月不来，腹部胀大如鼓，人们以为是怀孕，突然经血崩漏而下，排出的血液中有像蛤蟆卵一样的东西，患者昏迷不醒。如果身体虚弱、形体消瘦的，属于不治之症；如果身体壮实的，应立即服用十全大补汤（一种具有温补气血功效的经典方剂）。
十全大补汤
人参 白术（用蜂蜜炙烤） 茯苓 炙甘草 黄芪（用蜜炙烤） 肉桂 川芎 当归 白芍 熟地黄
加入生姜三片，大枣二枚，加水煎煮后服用。
少女月经初潮时，不懂得保养，误饮冷水，或用冷水洗衣洗手，经血遇到寒冷而凝结，导致闭经。面色青黄，全身浮肿，人们都误认为是水肿病，治疗无效。应当服用通经丸，疏通血脉，浮肿自然消退。
通经丸
三棱（用醋炒制） 莪术（用醋炒制） 当归（用酒清洗） 川芎 赤芍 芫花 穿山甲（炒制） 刘寄奴
用粳米糊制作成丸药，用酒送服。
少女十四岁时，冲脉和任脉气血旺盛，月经按时来潮。如果过期不来，时常出现胀痛，应当服用红花汤。
红花汤
当归尾 赤芍 桃仁（去皮和尖，捣碎如泥状） 牛膝 玄胡索 红花 苏木 紫葳花 刘寄奴（各一钱）
青皮 香附（用童子小便炮制，各八分） 桂枝（五分）
加水煎煮，空腹服用。
闭经伴有发热，咽喉干燥，嘴唇干裂，喜欢冷饮厌恶热感，血气充盛，脉象实而有力，这是实热证导致的经血闭阻。应当服用四物凉膈散（一种清热泻火、养血调经的方剂）。
四物凉膈散
当归身 赤芍 川芎 生地黄 黄芩（用酒炒制） 黄连（用酒炒制） 连翘（去心） 桔梗 薄荷 甘草 嫩竹叶
加水煎煮，温服。
少女月经不行，日渐消瘦，时常出现潮热，这是阴虚血弱，火旺水亏所致。治疗应当滋养阴液、补益血液，最忌讳使用寒凉药物，应当服用柏子仁丸，同时兼服泽兰汤。
柏子仁丸
柏子仁（单独炒制并研碎） 牛膝（用酒炒制） 薄荷（各五钱） 泽兰叶 川续断（各二两） 干地黄（三两）
用蜂蜜制作成丸药，空腹时用米汤送服。
Menstruation fails to occur for two or three months, and the abdomen becomes distended like a drum. People assume it is pregnancy. Suddenly, profuse bleeding occurs, and within the blood are substances resembling frog eggs. The patient falls into a coma. If the body is weak and the form emaciated, it is incurable; if the constitution is robust, immediately administer Shiquan Dabu Tang (Ten Complete Tonifying Decoction).
Shiquan Dabu Tang (Ten Complete Tonifying Decoction)
Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, honey-fried), Fuling (Poria), Zhigancao (Licorice Root, honey-fried), Huangqi (Astragali Membranacei Radix, honey-fried), Rougui (Cinnamon Bark), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Praeparata).
Add fresh ginger slices (three pieces) and jujubes (two pieces), decoct in water, and take orally.
When a maiden’s menstruation first begins, if she neglects self-care, mistakenly drinks cold water, or uses cold water to wash clothes and hands, the menstrual blood coagulates due to cold, resulting in amenorrhea. Her complexion appears greenish-yellow, and generalized edema occurs throughout the body. People often misdiagnose this as edema disease, and treatments prove ineffective. It is appropriate to administer Tongjing Wan (Unblocking Menses Pill) to unblock the blood vessels, after which the edema will naturally subside.
Tongjing Wan (Unblocking Menses Pill)
Sanleng (Sparganii Rhizoma, vinegar-fried), Ezhu (Curcumae Rhizoma, vinegar-fried), Danggui (Angelicae Sinensis Radix, wine-rinsed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra), Yuanhua (Genkwa Flos), Chuanshanjia (Manis Squama, fried), Liuji nu (Artemisiae Anomaliae Herba).
Form pills with rice paste, and swallow with wine.
At fourteen years of age, a maiden’s Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are vigorous, and menstruation arrives on time. If menstruation is delayed and does not occur, accompanied by intermittent distending pain, Honghua Tang (Safflower Decoction) should be administered.
Honghua Tang (Safflower Decoction)
Dangguiwei (Tail of Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Taoren (Persicae Semen, skin and tip removed, pounded into paste), Niuxi (Achyranthis Bidentatae Radix), Yanhusuo (Corydalis Rhizoma), Honghua (Carthami Flos), Sumu (Sappan Lignum), Ziweihua (Bignoniae Flos), Liuji nu (Artemisiae Anomaliae Herba) [each 1 qian].
Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma, processed with child’s urine) [each 8 fen], Guizhi (Cinnamomi Ramulus) [5 fen].
Decoct in water, and take on an empty stomach.
Amenorrhea accompanied by fever, dry throat, dry lips, preference for cold drinks, aversion to heat, with abundant qi and blood, and a forceful pulse, indicates excess-heat causing menstrual obstruction. This is classified as Excess Heat. Siwu Liangge San (Four Substances Cooling Chest Powder) should be administered.
Siwu Liangge San (Four Substances Cooling Chest Powder)
Dangguishen (Body of Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried), Lianqiao (Forsythiae Fructus, heart removed), Jiegeng (Platycodonis Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Nanzhuye (Young Bamboo Leaf).
Decoct in water, and take warm.
If a maiden’s menstruation ceases, leading to progressive emaciation and intermittent tidal fever, this indicates Yin deficiency and blood weakness, with hyperactive fire and depleted fluids. Treatment should nourish Yin and benefit blood. Cold-natured medicines are strictly contraindicated. It is appropriate to administer Baizi Ren Wan (Biota Seed Pill) and concurrently administer Zelan Tang (Eupatorium Decoction).
Baizi Ren Wan (Biota Seed Pill)
Baiziren (Biota Semen, separately fried and ground), Niuxi (Achyranthis Bidentatae Radix, wine-fried), Bohe (Menthae Haplocalycis Herba) [each 5 qian], Zelan ye (Eupatorii Herba), Xu duan (Dipsaci Radix) [each 2 liang], Ganyedi huang (Dried Rehmanniae Radix) [3 liang].
Form pills with honey, and swallow on an empty stomach with rice gruel.
Zelan Tang (Eupatorium Decoction)
Zelan ye (Eupatorii Herba) [2 qian], Danggui (Angelicae Sinensis Radix) [1 qian], Gancao (Glycyrrhizae Radix et Rhizoma) [5 fen].
Decoct in water, and take on an empty stomach.