竹泉生曰∶妇人经水不调，则百病丛生，虽使治之得法，亦难奏效。故凡妇女之经水不调者，除外感时气急病而外，
其余不论何病，总宜审其寒热虚实，而先为之调经，经调，则余病略一清解调理，即可愈矣。故妇科以调经为第一要义
也。（〔批〕外感时气急病，不可少缓须臾，故又当作别论也。余病亦可于调经中兼经中兼治之。第一、二条皆正病正治，
以下皆变局也。）
经水先期，而色紫且多，此乃肾中水火皆太旺，盖有余之病也。然壮年之妇，水则正水，而火则邪火也。邪火不可
任其有余，而正水不可使之不足，故治之但少清其热，勿泄其水。
傅青主先生清经散
丹皮 白芍（酒炒） 地骨皮 大熟地 青蒿 黄柏（盐水炒） 白茯苓
此方茯苓、芍药，皆经产所忌，以其服之，恒致崩淋滞浊之患也，宜于经净后服之。其多汗者，去丹皮。骨蒸者，
以生地黄代熟地。肾元不固者，加金樱子、山萸肉。（〔批〕书中名方，不过以大意备一格而三元生。人不同，气质、七
情、兼证，又人人殊，供奉劳逸亦各不同，诸药未必尽宜，故于轻重皆略而不载。惟有一病而必须用者，则于方论中详
议之。）
经水先期，其色紫而甚少，或至成块者，此乃热伤阴分，火有余而水不足也。水不足，则火为浮阳，不宜泄，泄之
则命火衰矣。故治之以 补真水而勿伐真阳。（〔批〕此证瘦瘠之妇居多，性多轻躁，药宜柔润。）
傅氏两地汤（即青主先生，以下简称傅氏）
生地黄（酒炒） 地骨皮 元参 白芍药（酒炒） 麦冬肉 阿胶
此方甚妥。盖水涸者必骨蒸，是方能兼顾之。夫阴虚而火旺者，其肝阳必逆而多郁，加石决明以镇逆，加象贝母以
舒郁。无诸证者，勿犯上、中二焦。（〔批〕诸证即指下文“上、中二焦”而言。）
竹泉生说：妇女月经不调，就会引发各种疾病，即使治疗方法得当，也难以迅速见效。因此，凡是妇女月经不调的，除了外感时气引起的急症之外，其余不论患什么病，都应当审查其寒热虚实的性质，并首先调理月经；月经调顺后，其余的疾病只需稍加清解和调理，就可以痊愈了。所以妇科以调理月经为第一要义。（批注：外感时气急症，不可片刻延误，所以另作讨论。其他疾病也可以在调理月经的过程中兼治。第一条、第二条都是正病正治，以下都是变局。）
月经先期（提前来潮），且颜色紫暗、量多，这是肾中水火都太旺盛的表现，属于有余的病证。然而壮年妇女，肾水则是正常的真水，而火则是邪火。邪火不能任其有余，而真水也不能使其不足，所以治疗时只需稍微清热，不要泄掉肾水。
傅青主先生的清经散
丹皮 白芍（酒炒） 地骨皮 大熟地 青蒿 黄柏（盐水炒） 白茯苓
此方中的茯苓、芍药，都是经期和产后所忌讳的，因为服用它们，常常会导致崩漏、淋浊、滞涩浑浊等病患，适宜在月经干净后服用。出汗多的，去掉丹皮。有骨蒸潮热的，用生地黄代替熟地黄。肾元不稳固的，加入金樱子、山萸肉。（批注：书中的名方，不过是以大意提供一个范式而已。人不同，体质、七情、兼证，又人人各异，供奉劳逸也各不相同，诸药未必全都适宜，所以在轻重方面都略而不载。只有有一种病必须用的，则在方论中详细议论。）
月经先期，颜色紫暗且量很少，甚至结成块的，这是热邪伤了阴分，火有余而水不足。水不足，则火成为浮阳，不宜泄，泄之则命门之火衰微了。所以治疗要补益真水而不要损伤真阳。（批注：这种证候多见于瘦弱的女子，性情大多轻躁，药物宜柔润。）
傅氏两地汤（即青主先生，以下简称傅氏）
生地黄（酒炒） 地骨皮 玄参 白芍药（酒炒） 麦冬肉 阿胶
此方很妥当。因为水枯竭的人必然有骨蒸潮热，这个方子才能兼顾到。阴虚而火旺的人，肝阳必然上逆而多郁结，加入石决明以镇逆，加入象贝母以舒郁。没有这些证候的，不要触犯上、中二焦。（批注：诸证即指下文“上、中二焦”而言。）
Zhu Quansheng stated: When a woman's menstruation is irregular, various diseases will arise. Even if the treatment is appropriate, it is difficult to achieve quick results. Therefore, for any woman with irregular menstruation, except for acute conditions caused by external contraction of seasonal pathogens (Wai Gan Shi Qi), regardless of what other disease she may have, one must first examine its nature of cold, heat, deficiency, or excess, and regulate the menstruation first. Once the menstruation is regulated, the remaining diseases can be cured with slight clearing, resolving, and regulating. Thus, in gynecology, regulating menstruation is the primary principle. (Commentary: Acute conditions from external contraction of seasonal pathogens cannot be delayed for a moment, so they are discussed separately. Other diseases can also be treated concurrently while regulating menstruation. The first two items represent standard treatment for standard conditions, while the following represent variable situations.)
Menstruation arriving early (Jing Shui Xian Qi), with dark purple color and heavy flow, indicates that both water and fire in the kidney are excessively vigorous, which is a condition of excess. However, in women of prime age, the water is normal true water, while the fire is pathogenic fire. Pathogenic fire should not be allowed to remain excessive, nor should true water be depleted. Therefore, treatment involves only slightly clearing the heat without draining the kidney water.
Mr. Fu Qingzhu's Clearing Menstruation Powder (Qing Jing San)
* *Paeoniae Radix Rubra* (Dan Pi)
* *Paeoniae Radix Alba* (Bai Shao), stir-fried with wine
* *Lycii Cortex* (Di Gu Pi)
* *Rehmanniae Radix Praeparata* (Da Shu Di)
* *Artemisiae Annuae Herba* (Qing Hao)
* *Phellodendri Cortex* (Huang Bo), stir-fried with salt water
* *Poria* (Bai Fu Ling)
Poria and Paeonia in this formula are contraindicated during menstruation and postpartum periods, as their use often leads to complications such as metrorrhagia (Beng Lin), strangury, and turbid stagnation; it is suitable to take this formula after menstruation has ceased. For those with excessive sweating, remove *Paeoniae Radix Rubra*. For bone-steaming fever (Gu Zheng), substitute *Rehmanniae Radix Praeparata* with *Rehmanniae Radix Recens* (Sheng Di Huang). For those with unstable kidney essence (Shen Yuan Bu Gu), add *Rosa Laevigata Fructus* (Jin Ying Zi) and *Corni Fructus* (Shan Yu Rou). (Commentary: Famous formulas in books merely provide a general framework. Individuals differ in constitution, emotions, concurrent symptoms, and daily routines; thus, herbs may not suit everyone equally, and dosages are omitted here. Detailed discussions are provided in the formula commentary only when specific herbs are strictly necessary.)
Menstruation arriving early, with dark purple color and scanty flow, or even forming clots, indicates that heat has injured the yin aspect, resulting in excessive fire and insufficient water. Insufficient water causes fire to become floating yang; it should not be drained, as draining it would weaken the ministerial fire (Ming Huo). Therefore, treatment should tonify true water without damaging true yang. (Commentary: This syndrome is common in emaciated women who tend to be light-tempered and irritable; medications should be soft and moistening.)
Fu's Two Places Decoction (Liang Di Tang) (Referring to Mr. Qingzhu, hereinafter referred to as Fu)
* *Rehmanniae Radix Recens* (Sheng Di Huang), stir-fried with wine
* *Lycii Cortex* (Di Gu Pi)
* *Scrophulariae Radix* (Yuan Shen)
* *Paeoniae Radix Alba* (Bai Shao Yao), stir-fried with wine
* *Ophiopogonis Tuber* (Mai Dong Rou)
* *Colla Corii Asini* (E Jiao)
This formula is very appropriate. Since depletion of water inevitably leads to bone-steaming fever, this formula can address both. In cases of yin deficiency with hyperactive fire, liver yang must necessarily rebel and cause much stagnation; add *Haliotidis Concha* (Shi Jue Ming) to subdue rebellion and add *Fritillariae Thunbergii Bulbus* (Xiang Bei Mu) to relieve stagnation. If these syndromes are absent, do not affect the upper and middle jiaos. (Commentary: "These syndromes" refers to the "upper and middle jiaos" mentioned below.)