妇女经闭之证，始因忧愁怒气，郁结不舒，抑遏成火。致成五心烦热，咽干口渴，大便
秘结，小便短赤诸证。经水参前，或一月两至，妄行去多，皆火逼之也。血既去多，又因内热耗
涸，遂至二、三月一行，即闭之渐也。则寒热烦躁，盗汗咳嗽，饮食进少，不食虽嘈，食已难
化，胸膈痞闷等证。乃至腹中结块，或动或痛，似孕非孕，乃血枯经闭，俗谓干血劳是也。此际
神丹莫疗，大培阴血，宁心理脾，不致阴阳失度、气血乖离，望生十一，再与香附、桂枝、三棱
、蓬术、砂仁、豆蔻、萝卜子、乌药、玄胡、桃仁、红花强逼其行，是速其死也。脉必细数急涩
。
主方 当归（三钱） 芍药 生地（各二钱） 白术 白茯苓 麦冬 牡丹皮 地骨皮
丹参 谷芽（各一钱） 陈皮（五分） 上加莲子七枚，姜一片、枣一枚，水煎，早晚服。
肺虚加沙参、天门冬；痰中见血加侧柏叶及止血药；夜热加知母、柴胡梢；烦躁口渴加炒山
栀，倍麦冬；胁下胀疼加青皮、川芎；胸膈满闷加黄连（姜炒）、枳实、桔梗，去麦门冬、地骨
；盗汗加黄连、黄 ，去柴胡、桔梗；大便闷结加桃仁，倍当归；咳嗽不已加栝蒌、阿胶、沙参
；头眩头痛加天麻、川芎；小水不利加木通、茯苓；烦渴不利加滑石，倍麦冬之类，随证加减。
简便方 桃仁（七个，去皮，研如泥） 大黄末（七分） 斑蝥（三个，糯米炒）
上为末，酒糊丸桐子大，每服七丸，酒下。血枯经闭，四物汤送下。或单桃仁捣为丸服。
妇女经闭的病症，起初是因为忧愁和愤怒，导致气机郁结不畅，压抑而化火。从而形成五心烦热、咽喉干燥口渴、大便秘结、小便短赤等症状。月经提前到来，或者一个月来两次，非正常出血且量多，这都是火热逼迫血液妄行的结果。血液既然流失过多，又因体内热邪消耗枯竭，于是变成两三个月才来一次，这就是经闭的开端了。接着出现寒热交替、烦躁不安、盗汗咳嗽、饮食减少，虽然感觉饥饿嘈杂但不想进食，吃了之后难以消化，胸膈部痞塞闷胀等症状。甚至发展到腹部有结块，有时移动有时疼痛，看起来像怀孕又不是怀孕，这是血枯经闭，俗称干血劳。这个时候，即使有神丹妙药也难以治愈，必须大力培补阴血，宁心安神调理脾胃，不使阴阳失去平衡、气血分离，这样才有十分之一的生存希望。如果再用香附、桂枝、三棱、蓬术（莪术）、砂仁、豆蔻、萝卜子、乌药、玄胡（延胡索）、桃仁、红花等药物强行推动血行，这是加速死亡的做法。脉象必定是细数急涩的。
主方：当归（三钱），芍药、生地（各二钱），白术、白茯苓、麦冬、牡丹皮、地骨皮、丹参、谷芽（各一钱），陈皮（五分）。上方加入莲子七枚，生姜一片，大枣一枚，加水煎煮，早晚服用。
若肺虚，加沙参、天门冬；痰中带血，加侧柏叶及止血药；夜间发热，加知母、柴胡梢；烦躁口渴，加炒山栀，加倍麦冬；胁下胀痛，加青皮、川芎；胸膈满闷，加黄连（姜炒）、枳实、桔梗，去掉麦门冬、地骨皮；盗汗，加黄连、黄柏，去掉柴胡、桔梗；大便闷结，加桃仁，加倍当归；咳嗽不止，加栝蒌、阿胶、沙参；头晕头痛，加天麻、川芎；小便不利，加木通、茯苓；烦渴且小便不利，加滑石，加倍麦冬等等，根据症状随证加减。
简便方：桃仁（七个，去皮，研成泥状），大黄末（七分），斑蝥（三个，用糯米炒制）。以上药物研为细末，用酒调糊制成梧桐子大小的丸剂，每次服用七丸，酒送服。若是血枯经闭，可用四物汤送服。或者单用桃仁捣碎制成丸剂服用。
The syndrome of amenorrhea in women initially arises from sorrow and anger, leading to qi stagnation and discomfort, which is suppressed and transforms into fire. This results in symptoms such as five-palm heat (heat sensation in the palms, soles, and chest), dry throat, thirst, constipation, and scanty dark urine. Menstruation arriving early, occurring twice a month, or abnormal excessive bleeding are all caused by fire forcing blood to move recklessly. Since blood has been lost excessively, and further depleted by internal heat, menstruation becomes infrequent, occurring only once every two or three months; this is the gradual onset of amenorrhea. Subsequently, symptoms such as alternating chills and fever, irritability, night sweats, cough, reduced appetite, feeling of hunger without desire to eat, difficulty digesting after eating, and chest and diaphragm fullness and oppression appear. It may even progress to abdominal masses that move or cause pain, resembling pregnancy but not being so; this is blood-deficiency amenorrhea, commonly known as "dry blood consumption" (Gan Xue Lao). At this stage, even miraculous medicines cannot cure it. One must vigorously nourish yin and blood, calm the mind, and strengthen the spleen, preventing imbalance of yin and yang and separation of qi and blood. Only then is there one chance in ten of survival. To use herbs such as Cyperi Rhizoma (Xiangfu), Cinnamomi Ramulus (Guizhi), Sparganii Rhizoma (Sanleng), Curcumae Rhizoma (Pengru), Amomi Fructus (Sharen), Cardamomi Fructus (Doukou), Raphi Semen (Luobozǐ), Linderae Radix (Wuyao), Corydalis Rhizoma (Yanyhusu), Persicae Semen (Taoren), and Carthami Flos (Honghua) to forcibly promote blood circulation would be to hasten death. The pulse will necessarily be fine, rapid, urgent, and choppy.
Main Formula: Danggui (Radix Angelicae Sinensis, 3 qian), Shaoyao (Radix Paeoniae Alba, 2 qian), Shengdi (Radix Rehmanniae Preparata, 2 qian), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 qian), Baifuling (Poria, 1 qian), Maidong (Radix Ophiopogonis, 1 qian), Mudanpi (Cortex Moutan, 1 qian), Digupi (Cortex Lycii, 1 qian), Danshen (Radix Salviae Miltiorrhizae, 1 qian), Guya (Fructus Hordei Germinatus, 1 qian), Chenpi (Pericarpium Citri Reticulatae, 5 fen). Add seven lotus seeds, one slice of ginger, and one jujube to the above ingredients, decoct with water, and take morning and evening.
If lung deficiency exists, add Shashen (Radix Glehniae) and Tianmendong (Radix Asparagi); if blood appears in phlegm, add Cebeiye (Folium Platycladi) and hemostatic herbs; for night fever, add Zhimu (Rhizoma Anemarrhenae) and Chaishushao (Ramulus Bupleuri); for irritability and thirst, add Chao Shanzhi (Fructus Gardeniae Preparatus) and double the dosage of Maidong; for distending pain in the hypochondrium, add Qingpi (Pericarpium Citri Reticulatae Viride) and Chuanxiong (Rhizoma Chuanxiong); for chest and diaphragm fullness and oppression, add Huanglian (Rhizoma Coptidis prepared with ginger), Zhishi (Fructus Aurantii Immaturus), and Jiegeng (Radix Platycodonis), while removing Maidong and Digupi; for night sweats, add Huanglian and Huangbo (Cortex Phellodendri), while removing Chaishu and Jiegeng; for constipation with heaviness, add Taoren and double the dosage of Danggui; for persistent cough, add Gualou (Fructus Trichosanthis), Ejiao (Colla Corii Asini), and Shashen; for dizziness and headache, add Tianma (Rhizoma Gastrodiae) and Chuanxiong; for difficult urination, add Mutong (Caulis Akebiae) and Fuling (Poria); for irritability, thirst, and difficult urination, add Huashi (Talcum) and double the dosage of Maidong, etc., modifying according to symptoms.
Simple Formula: Taoren (Persicae Semen, seven kernels, peeled and ground into paste), Dahuang powder (Radix et Rhizoma Rhei, 7 fen), Bannao (Mylabris, three insects, stir-fried with glutinous rice). Grind the above into powder, mix with wine paste to make pills the size of tung tree seeds. Take seven pills per dose, washed down with wine. For blood-deficiency amenorrhea, take with Siwu Tang (Four Substances Decoction). Alternatively, grind Taoren alone into pills and take.