（附∶经闭）
岐伯曰∶女子二七而天癸至，任脉通，太冲脉盛，月事以时下则有子。盖任主胞胎，通以阴
道之泰也；冲为血海，盛则气血俱盛也。妇人禀阴柔之体，以血为主。阴血充足，肾气全盛，冲
任周流，如月之亏盈，应期行止，而有常度日调，遇交合则有子矣。否则三五错综，皆所谓不调
也。不调则百病变生，甚至不治，孕暇言乎？经曰∶二阳之病发心脾，有不得隐曲。女子不月，
其传为风消，其传为息贲者，死不治。况心属阳而主血，脾裹血以行气。若月经不通，未必不由
心事不足。思虑伤脾，适有劳役，谷气不输，肺金失养，肾水无滋，经血津液，日以枯涸，以致
三五不调，渐至闭绝。虚损内热，骨蒸劳瘵之证作，则卒难于治也。有禀赋薄弱，自幼 羸多病。
或饮食不节，起居不常，性情急暴，素多忿怒；或生而明敏，性质聪慧，用心太过，精神耗损；
或行经时，手掬水浆，口食生冷，留阻败血；或妇人有犯房室，血去不净，皆致后期小腹作痛。
经未行而先疼，既来而断续，渐成崩漏淋沥之证，孕育不成。或忧愁郁结，累月经年不能发越，
稍不治理，致气滞血凝（盖阳气之虚实、寒热、升降，通塞，而阴血悉随之以消长行止也，）为
瘕癖块，血枯经闭，变患无涯，岂胜枚举！无非经愆之所致矣。妇人乏孕，多服种子肇娠之饵
，而不专于调经，是不揣其本而齐其末也。调经之要，莫先于益血滋阴；益血之道，必先补心健
脾。所谓宁其心，则血生；实其脾，则血足。又曰∶养心则血生，健脾则气布，二者胥和，则气
畅血行，而调经之要，斯其至矣。盖妇人调理急务，莫甚于此，能经前无闭阻腹痛之患，经后无
迁延断续之尤，亦无迟速
之愆期，不致紫淡之异色，何患胎孕之不受哉！凡欲孕之脉，宜六部和而带滑，忌微弱迟涩。微
则无精，弱为荣虚，迟是阴中寒，涩乃血不流而经闭。或三月一来，此谓居经。少年脉微，气血
两虚，治宜补血为主。
主方 当归（二钱） 白芍药 生地（各一钱半） 川芎（一钱） 吴茱萸（七分）
上水煎服。加吴茱萸者，恐芍药酸寒，地黄凉滞。素有热者去之，或但以芍药（酒炒） 生
地（姜制） 则无害于脾胃也。经水不及期而来者，血虚有热也。加黄连、条芩、香附（醋炒。各
一钱） 黄柏、知母（炒，各五分） 蕲艾（醋煮、） 甘草（各三分） 水煎成，化入阿胶（
一钱）服。
经水过期不行或腹痛者，血少有寒或气滞也。去生地，加熟地、香附、蓬术、苏木（各一钱、
）木通（八分） 肉桂（五分） 桃仁（去皮尖，十个研） 红花（三分）
肥人多痰，色淡加苍术（制）、南星、半夏（制）、陈皮、海石、贝母（各八分）
瘦人多火，加黄芩、白术。过期倍当归、芍药；少佐桃仁、红花。
经水闭绝不通者，血枯也。倍当归，加桃仁、红花，牛膝。热加黄芩，寒加肉桂。
经阻发肿者，瘀血入脾也。加丹皮、干姜、香附、浓朴、玄胡、枳壳、木香。
经阻腹胁有块者，加砂仁、木香、小茴香、枳实、浓朴、玄胡、香附、牛膝。
过期色淡，挟虚有痰。宜活血化痰，本方倍当归、合二陈，加苍术。
过期紫黑成块者，气郁血滞也。加桃仁、红花、青皮、玄胡、丹皮、香附，蓬术。
将来腹痛者，气滞血实也。加香附、桃仁、红花、青皮、玄胡索，牡丹皮、木香、五灵脂，
痛甚者加蓬术、乌药、酒煮大黄。有热加柴胡、黄芩。
经后作痛者，气血两虚也。倍当归，合四君子汤；寒加黄 、干姜、肉桂。
肥胖体盛，月经不通，或三月一行者，由痰多躯脂满碍。合二陈汤加南星、枳实、苍术、白
术、黄连、香附。
瘦弱体虚，月经不调，不能成孕，乃阴虚少血。倍当归，加熟地、丹参，兼补气，加人参、
白术、黄 、茯苓。
经水过多，日久不止，将成血崩。加白术、条芩、白茯苓、山栀、地榆、香附（童便）炒、蒲黄
、荆芥（并炒焦黑），水煎，化入阿胶（一钱），不止，磨入京墨、茅草根汁。
久不止发肿满者，脾败血虚也。加茯苓、白术、砂仁、大腹皮、陈皮、木香、浓朴、苏子（
炒研） 猪苓、木通、香附子、萝卜子（炒研。）
经行着怒气，心腹腰胁痛，乃瘀血也。加桃仁、红花、玄胡索、蓬术、青皮。
错经妄行，出于口鼻，乃火载血上，气之乱也。加条芩、山栀、丹皮、犀角、阿胶、麦冬、
黄连、大蓟、郁金、焦荆芥、焦蒲黄、山茶花。水煎成，和入藕节汁、童便、茅根汁，甚者加姜
汁二匙从治，磨京墨、发灰服。
经行身痛麻痹、寒热头疼，乃触经感冒也。加羌活、白芷、苍术、防风、紫苏、香附。
调经至宝汤 理赤白带下，崩漏淋沥，恶寒发热，口渴，腹痛，小腹急疼，五心烦热，久不成孕。
当归（三钱） 白芍药（酒炒） 熟地黄 川芎（各二钱） 人参 吴茱萸（炒） 丹皮
半夏（制） 阿胶（各一钱） 麦冬（一钱五分） 肉桂（五分） 加姜、枣煎服。
大补调经汤 治妇人气血虚损，血海虚寒，经水不调；或心腹作痛，带下淋沥，面黄肢瘦
，头眩肌羸虚证，悉皆疗之。
当归 熟地黄 白芍药 川芎（各二钱） 香附（制） 白术 茯苓 黄 （蜜炒） 阿胶（
各一钱） 人参 砂仁 吴茱萸（炒） 陈皮 小茴香 玄胡（各五分） 肉桂 炙草（各三分） 姜、枣煎服。
妇宝调经汤 治经期不准，或前或后，紫淡不同，多少不等。
当归（二钱） 熟地黄 白芍药 川芎（各一钱半） 香附（一钱二分） 大腹皮 吴萸
紫金皮 肉苁蓉（洗净） 条芩（各一钱） 甘草（五分） 姜、枣煎，经时服。
丹桂散 治气血虚损，内则经闭不行，外则肢髓羸瘦，潮热，渐成骨蒸。
丹皮 桂心 蓬莪术 京三棱 玄胡（炒，各八分） 当归（酒洗，钱半） 陈皮（去白）
赤芍药 甘草（各五分） 干漆（炒） 没药 红花 苏木（各四分） 鬼箭（三分） 乌药（
一钱） 上水盏半，煎八分，不拘时服。
理气调荣汤 治室女气血不和，致生诸病。
香附（醋炒） 当归（各二钱） 川芎 白芍（酒炒） 生地（各一钱半） 乌药 陈皮
砂仁（研细） 茯苓（各一钱） 甘草（三分） 姜、枣煎，空心服（作丸亦可。）
调经八物丸 养血调经，除赤白带，久服如期自然成孕。
白术 熟地黄（酒蒸） 当归（各二两） 川芎（盐汤浸、切） 白芍（各两半） 白茯苓
条芩（酒炒） 陈皮（盐水拌，炒） 玄胡索 丹皮（各一两）
上为末，蜜丸如桐子大，每服百丸，空心淡盐汤下。寒月酒下。
镇经汤 经水先期而来，过多不止。盖因肾损阴虚，不能镇守，待时相火助行故也。
当归（钱半） 白芍药 生地黄 黄柏（各七分） 阿胶 条黄芩 知母 甘草 川芎（各
五分） 香附子（制） 黄连（姜各八分） 白芷（三分）
上水盏半，煎七分，空心服。
活血通经散 气虚留滞，瘀血不行，过期断续，时作腹痛，渐至闭绝。
白芷 肉桂（各一两半） 刘寄奴（取穗） 赤芍（各五两） 凌霄花 苏木 红花 牛膝
（土者尤可） 甘草 香附（各二两） 木通 桃仁（各一两）
上为末，每服三钱，空心热好酒下，午晚再服。未效，红花酒下。
樗白固经丸 经水过多不止，及赤白带下，崩漏淋沥。
龟板（炙） 臭椿根皮 黄芩（条，各一两） 白芍药（七钱） 香附（醋炒） 黄柏（各
二钱半）
上为末，醋糊丸桐子大，每服七十丸，空心，乌梅或醋汤下。
（附：经闭）
岐伯说：女子十四岁时，天癸（促进生殖功能发育的精微物质）到来，任脉通畅，太冲脉旺盛，月经按时来潮，便具备生育能力。这是因为任脉主司胞胎，通畅意味着阴道的调和；冲脉为血海，旺盛则气血俱盛。妇人禀受阴柔之体，以血为本。阴血充足，肾气强盛，冲任二脉周流不息，如同月亮的盈亏变化，按时行止，有固定的规律，称为“调经”，遇到房事交合便能受孕。否则，月经周期三五错乱，都称为“不调”。月经不调则百病丛生，甚至发展到无法医治的地步，还谈什么怀孕呢？《内经》说：“阳明经的病发于心脾，有难以启齿的隐情。女子月经不来，若传变为风消（因虚热消耗形体），或传变为息贲（肺气上逆积聚），则是死证，不可医治。”况且心属阳而主血脉，脾包裹血液以运行气机。如果月经不通，未必不是由于心事不足、思虑伤脾所致。加之劳累过度，水谷精微不能输布，肺金失去滋养，肾水得不到滋润，经血津液日益枯涸，导致月经周期紊乱，逐渐发展到闭经。出现虚损内热、骨蒸劳瘵等病症时，就极难治疗了。有的妇人先天禀赋薄弱，自幼瘦弱多病；或者饮食不节制，起居无常，性情急躁易怒，平素经常发怒；或者生来聪明伶俐，心思过重，精神耗损；或者在行经期间，用手捧冷水浆，口食生冷食物，导致败血留阻；或者妇人在经期犯房事，经血排出不净，这些都导致月经后期且小腹疼痛。月经未行先痛，来了又断续不定，逐渐形成崩漏淋漓之证，无法孕育。或者忧愁郁结，经年累月不能发泄，稍加忽视，导致气滞血凝（因为阳气的虚实、寒热、升降、通塞，决定了阴血的消长行止），形成瘕癖肿块、血枯经闭，变患无穷，不胜枚举！这无非都是月经失调所致。妇人不孕，大多服用促孕的种子药，而不专门调理月经，这是不探究根本而只齐平末节的做法。调理月经的关键，莫过于益血滋阴；益血的方法，必须先补心健脾。所谓使心神安宁，则血液化生；使脾胃充实，则血液充足。又说：养心则血生，健脾则气布，两者和谐，则气畅血行，这就是调理月经的要旨。大概妇人调理的急务，没有比这更重要的了，能做到经前无闭阻腹痛之患，经后无迁延断续之弊，也没有迟速失期的差错，不致有紫淡异色的异常，还担心不能受孕吗？凡欲怀孕的脉象，宜六部脉和缓带滑，忌微弱迟涩。脉微则无精，脉弱为营血虚，脉迟是阴中寒，脉涩乃血不流而经闭。或者三个月来一次月经，这叫“居经”。少年人脉微，气血两虚，治疗应以补血为主。
主方：当归（二钱）、白芍药、生地（各一钱半）、川芎（一钱）、吴茱萸（七分）。
以上用水煎服。加入吴茱萸的原因，是恐怕芍药酸寒，地黄凉滞。素有热者去掉吴茱萸，或者只用酒炒的芍药、姜制的生地，则对脾胃无害。月经提前来潮的，是血虚有热。加黄连、条芩、香附（醋炒，各一钱）、黄柏、知母（炒，各五分）、蕲艾（醋煮）、甘草（各三分）。水煎成后，化入阿胶（一钱）服用。
月经过期不行或腹痛的，是血少有寒或气滞。去生地，加熟地、香附、蓬术、苏木（各一钱）、木通（八分）、肉桂（五分）、桃仁（去皮尖，十个研碎）、红花（三分）。
肥胖人多痰湿，面色淡白，加苍术（制）、南星、半夏（制）、陈皮、海石、贝母（各八分）。
瘦人多火，加黄芩、白术。过期者倍用当归、芍药；少佐桃仁、红花。
月经闭绝不通的，是血枯。倍用当归，加桃仁、红花、牛膝。热者加黄芩，寒者加肉桂。
经阻并发浮肿的，是瘀血入脾。加丹皮、干姜、香附、浓朴、玄胡、枳壳、木香。
经阻腹胁有块状的，加砂仁、木香、小茴香、枳实、浓朴、玄胡、香附、牛膝。
过期且色淡，挟杂虚证有痰湿的。宜活血化痰，本方倍用当归，合二陈汤，加苍术。
过期且色紫黑成块的，是气郁血滞。加桃仁、红花、青皮、玄胡、丹皮、香附、蓬术。
将来月经时腹痛的，是气滞血实。加香附、桃仁、红花、青皮、玄胡索、牡丹皮、木香、五灵脂。痛甚者加蓬术、乌药、酒煮大黄。有热者加柴胡、黄芩。
经后作痛的，是气血两虚。倍用当归，合四君子汤；寒者加黄芪、干姜、肉桂。
肥胖体盛，月经不通，或三月一行者，由痰多躯脂满碍所致。合二陈汤加南星、枳实、苍术、白术、黄连、香附。
瘦弱体虚，月经不调，不能成孕的，乃阴虚少血。倍用当归，加熟地、丹参，兼补气，加人参、白术、黄芪、茯苓。
经水过多，日久不止，将成血崩的。加白术、条芩、白茯苓、山栀、地榆、香附（童便炒）、蒲黄、荆芥（并炒焦黑）。水煎，化入阿胶（一钱）。不止，磨入京墨、茅草根汁。
久不止且发肿满的，是脾败血虚。加茯苓、白术、砂仁、大腹皮、陈皮、木香、浓朴、苏子（炒研）、猪苓、木通、香附子、萝卜子（炒研）。
经行时动怒气，心腹腰胁痛的，是瘀血。加桃仁、红花、玄胡索、蓬术、青皮。
错经妄行，出于口鼻的，是火载血上，气之乱也。加条芩、山栀、丹皮、犀角、阿胶、麦冬、黄连、大蓟、郁金、焦荆芥、焦蒲黄、山茶花。水煎成，和入藕节汁、童便、茅根汁。甚者加姜汁二匙从治，磨京墨、发灰服用。
经行身痛麻痹、寒热头疼的，是触经感冒。加羌活、白芷、苍术、防风、紫苏、香附。
调经至宝汤：理赤白带下，崩漏淋沥，恶寒发热，口渴，腹痛，小腹急疼，五心烦热，久不成孕。
当归（三钱）、白芍药（酒炒）、熟地黄、川芎（各二钱）、人参、吴茱萸（炒）、丹皮、半夏（制）、阿胶（各一钱）、麦冬（一钱五分）、肉桂（五分）。加姜、枣煎服。
大补调经汤：治妇人气血虚损，血海虚寒，经水不调；或心腹作痛，带下淋沥，面黄肢瘦，头眩肌羸虚证，悉皆疗之。
当归、熟地黄、白芍药、川芎（各二钱）、香附（制）、白术、茯苓、黄芪（蜜炒）、阿胶（各一钱）、人参、砂仁、吴茱萸（炒）、陈皮、小茴香、玄胡（各五分）、肉桂、炙草（各三分）。姜、枣煎服。
妇宝调经汤：治经期不准，或前或后，紫淡不同，多少不等。
当归（二钱）、熟地黄、白芍药、川芎（各一钱半）、香附（一钱二分）、大腹皮、吴萸、紫金皮、肉苁蓉（洗净）、条芩（各一钱）、甘草（五分）。姜、枣煎，经时服。
丹桂散：治气血虚损，内则经闭不行，外则肢髓羸瘦，潮热，渐成骨蒸。
丹皮、桂心、蓬莪术、京三棱、玄胡（炒，各八分）、当归（酒洗，钱半）、陈皮（去白）、赤芍药、甘草（各五分）、干漆（炒）、没药、红花、苏木（各四分）、鬼箭（三分）、乌药（一钱）。以上用水一盏半，煎至八分，不拘时服。
理气调荣汤：治室女气血不和，致生诸病。
香附（醋炒）、当归（各二钱）、川芎、白芍（酒炒）、生地（各一钱半）、乌药、陈皮、砂仁（研细）、茯苓（各一钱）、甘草（三分）。姜、枣煎，空心服（作丸亦可）。
调经八物丸：养血调经，除赤白带，久服如期自然成孕。
白术、熟地黄（酒蒸）、当归（各二两）、川芎（盐汤浸、切）、白芍（各两半）、白茯苓、条芩（酒炒）、陈皮（盐水拌，炒）、玄胡索、丹皮（各一两）。
以上为末，蜜丸如桐子大，每服百丸，空心淡盐汤下。寒月酒下。
镇经汤：经水先期而来，过多不止。盖因肾损阴虚，不能镇守，待时相火助行故也。
当归（钱半）、白芍药、生地黄、黄柏（各七分）、阿胶、条黄芩、知母、甘草、川芎（各五分）、香附子（制）、黄连（姜各八分）、白芷（三分）。
以上用水一盏半，煎至七分，空心服。
活血通经散：气虚留滞，瘀血不行，过期断续，时作腹痛，渐至闭绝。
白芷、肉桂（各一两半）、刘寄奴（取穗）、赤芍（各五两）、凌霄花、苏木、红花、牛膝（土者尤可）、甘草、香附（各二两）、木通、桃仁（各一两）。
以上为末，每服三钱，空心热好酒下，午晚再服。未效，红花酒下。
樗白固经丸：经水过多不止，及赤白带下，崩漏淋沥。
龟板（炙）、臭椿根皮、黄芩（条，各一两）、白芍药（七钱）、香附（醋炒）、黄柏（各二钱半）。
以上为末，醋糊丸桐子大，每服七十丸，空心，乌梅或醋汤下。
(Attachment: Amenorrhea)
Qibo said: When a girl reaches fourteen years of age, Tian Gui (a subtle substance promoting reproductive development) arrives, the Ren Mai (Conception Vessel) becomes unobstructed, and the Chong Mai (Penetrating Vessel) becomes vigorous. Menstruation occurs on schedule, and she gains the capacity for conception. This is because the Ren Mai governs the uterus; its patency signifies the harmony of the yin pathways. The Chong Mai is the Sea of Blood; its vigor indicates abundant Qi and Blood. Women are constituted by Yin softness and prioritize Blood. When Yin Blood is sufficient and Kidney Qi is robust, the Chong and Ren vessels circulate freely, akin to the waxing and waning of the moon, acting at regular intervals with fixed measures, termed "regular menstruation." Upon sexual intercourse, conception can occur. Otherwise, irregularities in the menstrual cycle, such as variations of three or five days, are all considered "irregular menstruation." Irregular menstruation gives rise to myriad diseases, potentially progressing to incurable stages, let alone pregnancy. As stated in the *Neijing*: "Diseases of the Yangming channel originate from the Heart and Spleen, involving hidden grievances. If a woman suffers from amenorrhea, and it transmits into 'Wind Consumption' (wasting due to deficiency heat) or 'Xi Ben' (accumulation of rebellious Lung Qi), it is a death syndrome, untreatable." Furthermore, the Heart belongs to Yang and governs Blood vessels, while the Spleen envelops Blood to facilitate Qi movement. If menstruation is obstructed, it may well stem from insufficient mental peace and excessive worry injuring the Spleen. Coupled with overexertion, the essence of grains fails to be transported, causing Metal of the Lungs to lose nourishment, and Water of the Kidneys to lack moistening. Consequently, menstrual blood and body fluids gradually dry up, leading to menstrual irregularities and eventually amenorrhea. When symptoms of deficiency damage with internal heat, bone-steaming consumption arise, treatment becomes extremely difficult. Some women have weak congenital constitutions, being frail and prone to illness since childhood. Others have irregular diet and lifestyle, irritable temperaments, and frequent anger. Some are naturally intelligent but overuse their minds, depleting their Spirit. Some use cold water or consume raw/cold foods during menstruation, causing stagnant blood to remain. Some engage in sexual activity during menstruation, leaving blood incomplete, all leading to delayed menstruation and lower abdominal pain. Pain preceding menstruation, or intermittent flow after onset, gradually develops into metrorrhagia and leukorrhea, preventing conception. Alternatively, prolonged sorrow and depression prevent emotional release; if neglected, this leads to Qi stagnation and Blood coagulation (since the deficiency/excess, cold/heat, ascending/descending, and patency/obstruction of Yang Qi determine the fluctuation and cessation of Yin Blood), forming masses, blood-kernel amenorrhea, and countless complications, too numerous to list. All these result from menstrual deviations. Women suffering from infertility often take seeds-conceiving herbs without focusing on regulating menstruation; this is addressing the branch without considering the root. The key to regulating menstruation lies first in nourishing Blood and Yin; the method to nourish Blood requires first tonifying the Heart and strengthening the Spleen. It is said: Calm the Heart, and Blood generates; solidify the Spleen, and Blood suffices. Again: Nourish the Heart to generate Blood, strengthen the Spleen to distribute Qi. When both harmonize, Qi flows smoothly and Blood moves, achieving the ultimate goal of menstruation regulation. There is no greater urgency in female health than this. If one can avoid pre-menstrual obstruction and abdominal pain, post-menstrual lingering and interruption, timing deviations, and abnormal colors (purple or pale), why worry about failing to conceive? For those wishing to conceive, the pulse should be harmonious and slippery across all six positions; it should not be faint, weak, slow, or choppy. A faint pulse indicates lack of Essence; a weak pulse indicates Ying Blood deficiency; a slow pulse indicates Cold in the Yin; a choppy pulse indicates Blood stasis and amenorrhea. Menstruation occurring once every three months is called "Ju Jing" (Residential Menses). In adolescents, a faint pulse indicates dual deficiency of Qi and Blood; treatment should primarily focus on nourishing Blood.
Main Formula: Dang Gui (Radix Angelicae Sinensis, 2 qian), Bai Shao Yao (Radix Paeoniae Alba, 1.5 qian), Sheng Di Huang (Rhizoma Rehmanniae Preparata, 1.5 qian), Chuan Xiong (Rhizoma Chuanxiong, 1 qian), Wu Zhu Yu (Fructus Evodiae, 0.7 qian).
Decoct in water and take orally. Wu Zhu Yu is added to counteract the sour-cold nature of Bai Shao Yao and the cooling-stagnant property of Sheng Di Huang. For those with existing heat, remove Wu Zhu Yu, or use only wine-fried Bai Shao Yao and ginger-processed Sheng Di Huang to avoid harming the Spleen and Stomach. Menstruation arriving early indicates Blood deficiency with Heat. Add Huang Lian (Rhizoma Coptidis, 1 qian), Tiao Qin (Radix Scutellariae, 1 qian), Xiang Fu (Rhizoma Cyperi, vinegar-fried, 1 qian), Huang Bo (Cortex Phellodendri, fried, 0.5 fen), Zhi Mu (Rhizoma Anemarrhenae, fried, 0.5 fen), Qi Ai (Folium Artemisiae Argyi, vinegar-boiled), Gan Cao (Radix Glycyrrhizae, 0.3 fen). Decoct in water, dissolve E Jiao (Colla Corii Asini, 1 qian) into the liquid before taking.
Menstruation delayed or accompanied by abdominal pain indicates Blood deficiency with Cold or Qi stagnation. Remove Sheng Di Huang, add Shu Di Huang (Rhizoma Rehmanniae Preparata, 1 qian), Xiang Fu (1 qian), Peng Zhu (Rhizoma Curcumae, 1 qian), Su Mu (Lignum Sappan, 1 qian), Mu Tong (Caulis Akebiae, 0.8 fen), Rou Gui (Cortex Cinnamomi, 0.5 fen), Tao Ren (Semen Persicae, peeled and pitted, ten pieces ground), Hong Hua (Flos Carthami, 0.3 fen).
For obese individuals with phlegm-dampness and pale complexion, add Cang Zhu (Rhizoma Atractylodis Macrocephalae, processed), Nan Xing (Rhizoma Arisaematis, processed), Ban Xia (Rhizoma Pinelliae, processed), Chen Pi (Pericarpium Citri Reticulatae), Hai Shi (Margo Aragonitum, 0.8 fen each), Bei Mu (Bulbus Fritillariae Cirrhosae, 0.8 fen).
For thin individuals with Fire, add Huang Qin (Radix Scutellariae), Bai Zhu (Rhizoma Atractylodis Macrocephalae). For delayed cycles, double Dang Gui and Bai Shao Yao; add small amounts of Tao Ren and Hong Hua.
For complete amenorrhea due to Blood exhaustion, double Dang Gui, add Tao Ren, Hong Hua, Niu Xi (Radix Achyranthis Bidentatae). Add Huang Qin for Heat, Rou Gui for Cold.
For amenorrhea accompanied by edema, indicating Blood stasis entering the Spleen, add Dan Pi (Cortex Moutan, 0.8 fen), Gan Jiang (Rhizoma Zingiberis, 0.8 fen), Xiang Fu (0.8 fen), Nong Po (Cortex Magnoliae Officinalis, 0.8 fen), Xuan Hu (Rhizoma Corydalis, 0.8 fen), Zhi Qiao (Fructus Aurantii, 0.8 fen), Mu Xiang (Radix Aucklandiae, 0.8 fen).
For amenorrhea with masses in the abdomen and hypochondrium, add Sha Ren (Fructus Amomi, 0.8 fen), Mu Xiang (0.8 fen), Xiao Hui Xiang (Fructus Foeniculi, 0.8 fen), Zhi Shi (Fructus Aurantii Immaturus, 0.8 fen), Nong Po (0.8 fen), Xuan Hu (0.8 fen), Xiang Fu (0.8 fen), Niu Xi (0.8 fen).
For delayed menstruation with pale color, indicating deficiency with Phlegm-dampness: Invigorate Blood and resolve Phlegm. Double Dang Gui in the base formula, combine with Er Chen Tang (Two-Cured Decoction), add Cang Zhu.
For delayed menstruation with dark purple clots, indicating Qi stagnation and Blood stasis, add Tao Ren, Hong Hua, Qing Pi (Pericarpium Citri Reticulatae Viride, 0.8 fen), Xuan Hu (0.8 fen), Dan Pi (0.8 fen), Xiang Fu (0.8 fen), Peng Zhu (0.8 fen).
For abdominal pain anticipated before menstruation, indicating Qi stagnation and Blood excess, add Xiang Fu, Tao Ren, Hong Hua, Qing Pi, Xuan Huo (Rhizoma Corydalis), Mu Dan Pi (Cortex Moutan, 0.8 fen), Mu Xiang (0.8 fen), Wu Ling Zhi (Faeces Trogopterori, 0.8 fen). For severe pain, add Peng Zhu, Wu Yao (Radix Linderae, 0.8 fen), Da Huang (Radix et Rhizoma Rhei, wine-boiled). Add Chai Hu (Radix Bupleuri), Huang Qin for Heat.
For abdominal pain after menstruation, indicating dual deficiency of Qi and Blood, double Dang Gui, combine with Si Jun Zi Tang (Four Gentlemen Decoction). Add Huang Qi (Radix Astragali), Gan Jiang, Rou Gui for Cold.
For obese individuals with full bodies, amenorrhea, or menstruation every three months, caused by excess Phlegm and adipose tissue obstruction: Combine Er Chen Tang, add Nan Xing, Zhi Shi, Cang Zhu, Bai Zhu, Huang Lian, Xiang Fu.
For thin, weak individuals with irregular menstruation and infertility, due to Yin deficiency and scant Blood: Double Dang Gui, add Shu Di Huang, Dan Shen (Radix Salviae Miltiorrhizae). To tonify Qi, add Ren Shen (Radix Ginseng), Bai Zhu, Huang Qi, Fu Ling (Poria, 0.8 fen each).
For menorrhagia persisting for a long time, threatening metrorrhagia: Add Bai Zhu, Tiao Qin, Bai Fu Ling (Poria, 0.8 fen each), Shan Zhi (Fructus Gardeniae, 0.8 fen), Di Yu (Herba Sanguisorbae, 0.8 fen), Xiang Fu (fried with child's urine, 0.8 fen), Pu Huang (Pollen Typhae, 0.8 fen), Jing Jie (Herba Schizonepetae, charred black, 0.8 fen). Decoct in water, dissolve E Jiao (1 qian). If bleeding persists, grind in Jing Mo (Ink Stick) and Mao Gen Cao juice.
For persistent bleeding with swelling and fullness, indicating Spleen failure and Blood deficiency: Add Fu Ling, Bai Zhu, Sha Ren, Da Fu Pi (Pericarpium Arecae, 0.8 fen each), Chen Pi, Mu Xiang, Nong Po, Su Zi (Fructus Perillae, fried and ground, 0.8 fen), Zhu Ling (Poria, 0.8 fen), Mu Tong, Xiang Fu Zi (Rhizoma Cyperi, 0.8 fen), Luo Bo Zi (Semen Raphani, fried and ground, 0.8 fen).
For pain in the heart, abdomen, waist, and hypochondrium during menstruation triggered by anger, indicating Blood stasis: Add Tao Ren, Hong Hua, Xuan Huo, Peng Zhu, Qing Pi.
For erratic vaginal bleeding manifesting as epistaxis or hematemesis, caused by Fire carrying Blood upward and chaotic Qi: Add Tiao Qin, Shan Zhi, Dan Pi, Xi Jiao (Horn Rhinocerotis, 0.8 fen each), E Jiao, Mai Dong (Rhizoma Ophiopogonis, 0.8 fen), Huang Lian, Da Ji (Herba Taraxaci, 0.8 fen), Yu Jin (Radix Curcumae, 0.8 fen), Jiao Jing Jie (charred, 0.8 fen), Jiao Pu Huang (charred, 0.8 fen), Shan Cha Hua (Flos Crataegi, 0.8 fen). Decoct in water, mix with Ou Jie juice (Node of Lotus Rhizome), Tong Bian (Child's Urine), Mao Gen juice. For severe cases, add two spoons of Jiang Zhi (Ginger Juice) for contrary treatment, and grind Jing Mo and Fa Hui (Hair Ash) to take.
For body pain, numbness, chills, fever, and headache during menstruation, indicating catching a cold during the period: Add Qiang Huo (Rhizoma Notopterygii, 0.8 fen), Bai Zhi (Radix Angelicae Dahuricae, 0.8 fen), Cang Zhu, Fang Feng (Radix Saposhnikoviae, 0.8 fen), Zi Su (Folium Perillae, 0.8 fen), Xiang Fu (0.8 fen).
Tiao Jing Zhi Bao Tang (Treasure Decoction for Regulating Menstruation): Treats red and white leukorrhea, metrorrhagia and leukorrhea dripping, aversion to cold and fever, thirst, abdominal pain, acute lower abdominal pain, five-palm heat, and infertility.
Dang Gui (3 qian), Bai Shao Yao (wine-fried, 2 qian), Shu Di Huang (2 qian), Chuan Xiong (2 qian), Ren Shen (1 qian), Wu Zhu Yu (fried, 1 qian), Dan Pi (1 qian), Ban Xia (processed, 1 qian), E Jiao (1 qian), Mai Dong (1.5 qian), Rou Gui (0.5 fen). Decoct with Ginger and Jujube.
Da Bu Tiao Jing Tang (Great Tonification Decoction for Regulating Menstruation): Treats Qi and Blood deficiency in women, deficiency-cold of the Sea of Blood, irregular menstruation; or heart/abdominal pain, leukorrhea dripping, sallow complexion, emaciated limbs, dizziness, muscle wasting, and other deficiency syndromes.
Dang Gui, Shu Di Huang, Bai Shao Yao, Chuan Xiong (each 2 qian), Xiang Fu (processed, 1 qian), Bai Zhu, Fu Ling, Huang Qi (honey-fried, 1 qian), E Jiao (1 qian), Ren Shen, Sha Ren, Wu Zhu Yu (fried, 0.5 fen each), Chen Pi, Xiao Hui Xiang, Xuan Hu (0.5 fen each), Rou Gui, Zhi Cao (0.3 fen each). Decoct with Ginger and Jujube.
Fu Bao Tiao Jing Tang (Woman's Treasure Decoction for Regulating Menstruation): Treats irregular menstrual cycles, either early or late, varying in color (purple or pale) and volume.
Dang Gui (2 qian), Shu Di Huang, Bai Shao Yao, Chuan Xiong (each 1.5 qian), Xiang Fu (1.2 qian), Da Fu Pi, Wu Yu, Zi Jin Pi, Rou Cong Rong (washed, 1 qian each), Tiao Qin (1 qian), Gan Cao (0.5 fen). Decoct with Ginger and Jujube, take during menstruation.
Dan Gui San (Cinnamon and Moutan Powder): Treats Qi and Blood deficiency, internally causing amenorrhea, externally causing emaciation of limbs and marrow, tidal fever, gradually developing into bone-steaming.
Dan Pi, Gui Xin (Cortex Cinnamomi Cassiae, 0.8 fen each), Peng E Zhu (Rhizoma Curcumae, 0.8 fen), Jing San Leng (Rhizoma Sparganii, 0.8 fen), Xuan Hu (fried, 0.8 fen), Dang Gui (wine-rinsed, 1.5 qian), Chen Pi (peeled, 0.5 fen each), Chi Shao Yao (0.5 fen), Gan Cao (0.5 fen), Gan Qi (fried, 0.4 fen each), Mo Yao (Myrrha, 0.4 fen), Hong Hua (0.4 fen), Su Mu (0.4 fen), Gui Jian (Ramulus Corni, 0.3 fen), Wu Yao (1 qian). Decoct in 1.5 cups of water until 0.8 cups remain, take anytime.
Li Qi Tiao Rong Tang (Regulate Qi and Nourish Blood Decoction): Treats unmarried women with disharmony of Qi and Blood, leading to various diseases.
Xiang Fu (vinegar-fried, 2 qian), Dang Gui (2 qian), Chuan Xiong, Bai Shao (wine-fried, 1.5 qian each), Sheng Di Huang (1.5 qian), Wu Yao, Chen Pi, Sha Ren (ground fine, 1 qian each), Fu Ling (1 qian), Gan Cao (0.3 fen). Decoct with Ginger and Jujube, take on an empty stomach (can also be made into pills).
Tiao Jing Ba Wu Wan (Eight-Ingredient Pill for Regulating Menstruation): Nourishes Blood and regulates menstruation, eliminates red and white leukorrhea; long-term use ensures natural conception on schedule.
Bai Zhu, Shu Di Huang (wine-steamed), Dang Gui (each 2 liang), Chuan Xiong (soaked in salt water, sliced), Bai Shao (each 1.5 liang), Bai Fu Ling, Tiao Qin (wine-fried), Chen Pi (mixed with salt water, fried), Xuan Huo, Dan Pi (each 1 liang).
Grind into powder, make pills with honey the size of tung seeds. Take 100 pills on an empty stomach with light salt water. In cold months, take with wine.
Zhen Jing Tang (Stabilizing Menstruation Decoction): Menstruation arrives early and flows excessively without stopping. This is due to Kidney damage and Yin deficiency, unable to stabilize, allowing Ministerial Fire to assist flow at the appointed time.
Dang Gui (1.5 qian), Bai Shao Yao, Sheng Di Huang, Huang Bo (each 0.7 fen), E Jiao, Tiao Huang Qin, Zhi Mu, Gan Cao, Chuan Xiong (each 0.5 fen), Xiang Fu Zi (processed, 0.8 fen each), Huang Lian (ginger-processed, 0.8 fen), Bai Zhi (0.3 fen).
Decoct in 1.5 cups of water until 0.7 cups remain, take on an empty stomach.
Huo Xue Tong Jing San (Invigorate Blood and Unblock Menstruation Powder): Qi deficiency causes stagnation, Blood stasis fails to move, menstruation is delayed and intermittent, occasional abdominal pain, gradually progressing to amenorrhea.
Bai Zhi, Rou Gui (each 1.5 liang), Liu Ji Nu (flower spikes taken, 5 liang), Chi Shao (5 liang), Ling Xiao Hua (Catharanthus Roseus Flower, 2 liang each), Su Mu, Hong Hua, Niu Xi (earth-grown is better, 2 liang), Gan Cao, Xiang Fu (2 liang), Mu Tong, Tao Ren (1 liang each).
Grind into powder. Take 3 qian on an empty stomach with warm good wine, repeat at noon and evening. If ineffective, take with Hong Hua wine.
Chu Bai Gu Jing Wan (Tree-of-Heaven Bark Stabilizing Menstruation Pill): Excessive menstruation that does not stop, red and white leukorrhea, metrorrhagia and leukorrhea dripping.
Gui Ban (Tortoise Shell, roasted), Chu Pi (Cortex Ailanthi, 1 liang each), Huang Qin (strips, 1 liang), Bai Shao Yao (7 qian), Xiang Fu (vinegar-fried, 2.5 fen each), Huang Bo (2.5 fen).
Grind into powder, make pills with vinegar paste the size of tung seeds. Take 70 pills on an empty stomach with Sour Plum or vinegar water.