三十时辰两日半，二十八九君须算，落红满地是佳期，金水过时空霍乱。空霍乱兮枉施工，树头树底觅残红，
要知落花先结果，何愁桂子不成丛。此诗古书皆有，但未详解，予特为之发明。盖三十时辰本是两日半，但从
经行之时记之，在三十个时辰之外，即可端正行事。三十时辰之内，切勿乱动，动则妇人作病，故白二十八九君
须算。言尚未过三十时辰，不宜行房事耳。落红满地是佳期，言已过三十之外，不必待其红尽，即当种子矣。则四
十时亦可。人每待其红尽而后交合，则子宫已闭，或未闭而受孕者，定是女胎。故下衣冠文物言曰，金水过时空霍乱，
空霍乱兮枉施工，树头树底觅残红。此发明必带残红未尽时，精入尚有残红，包裹而成孕，红尽则子宫空虚，多
难停流。只惟年壮血旺妇女，或者新血立至，然必是女胎，何也？予曰∶此即血冲精，精被冲开，血反入内，合
成离卦之象也。人之成胎，不过精血二物，一刻间而凝结。交至极乐之候，精泄之时，已成胎、未成胎，男女自
有知觉之妙，俱在心神精气共到之候。若耳听别处，则不成胎矣。何也？以其心神不到之故也。诗之后联云，要
知落花先结子，何愁桂子不成丛，亦言不必待尽之意。试看荷花、凤仙、石榴，一切结果之花，花瓣未尽落而中
心先已结子矣。然其诀仍宜于半夜后交子时，阳分种子定是男儿。且夫妇睡至半夜，均得温暖，气血和匀。斯时
交合，隐得麟儿。若再过妇人行经，在月半前更妙。予常以种法传人，多得子矣。应验如神。
予得子甚迟，因遍搜经书，穷究其理。医多济人，贫者助以药资，买物放生，掩埋暴露骸骨。虽未能为阴
功，或者亦可小补，因而根据法连生三子，此皆天之所佑，然亦事在人为，莫谓五十无儿，以置之度外。至于胎
前产后，均性命之相关，每遇诊视之时，无不潜心细察，所有悟得之秘，惟愿同人共知。将见无子者，有子产
难者，不难，则吾一片婆心，概有补于世矣。
男服补天五子种玉丹
男人之精，即血化补。天者干也，干为天天一生水，补血添精之义。体不足而有四者之病，可统治之。加
减于后，药无间断。
大原生地（八两，清水洗刷净，入瓦罐中水煮一昼夜，再蒸晒九次，焙干） 山萸肉（四两，酒拌炒） 淮山药
（四两，乳拌蒸晒） 丹皮（三两，酒炒） 块云苓（三两，乳拌蒸晒） 泽泻（三两，盐水炒） 当归身（四
两，酒炒） 淮牛膝（二两，炒） 杜仲（二两，盐水炒） 川续断（二两，盐水炒） 枸杞子（四两，酒拌蒸炒）
五味子（二两，炒） 女贞子（三两，盐水蒸炒） 车前子（二两，炒） 覆盆子（三两，盐水洗晒炒） 外用
紫河车一具，甘草煎水浸洗净，挑去血筋，煮烂打，或焙干，炒磨。
以上共为末，炼蜜为丸。每晨淡盐汤服四五钱，久服自能生精益肾。如有别故，照后加入，自必得子。
一如气不足精不射者，加蜜炙黄 十两，熬膏（如有力之家，加人参一两更妙）。
一如精薄或精少，加大米鱼肚四两，用蛤粉炒，鹿角胶（二三两，蛤粉炒），猪脊筋十条（取出汁来，拌
入茯苓内，蒸晒焙干）。
一临事易泄者，加鹿角霜（三两，生研和入），钗石斛（三两，炒），人参（一两，焙），麦冬（二两，炒）。
一如体热，加地骨皮（二两），莲须（二两），牡蛎粉（二两），金樱子熬膏代蜜。
一如精冷体寒之人，加桂肉（一两，去皮研入），巴戟天（二两，炒），鹿角胶（四两，蛤粉炒），
破故纸（四两，盐水炒，或加用鹿茸一对制。）
一劳心之人，心血耗散，常至临事不举，此心亏血少，非肾火亏也。本方加桂圆肉（四两，蒸），枣
仁（四两，炒），茯神（四两，炒），人参、当归、柏子仁、益智仁等一派补心之药，均可加入。自然
君火生旺，君火一动，相火必随之，未有心不动而肾举事者也。世人每谓相火不旺而阳痿，服附子、鹿茸、海
狗肾、硫黄、鹿鞭，一派大热之药，甚有靠此热药以纵欲，不知热性猛烈，反消耗其精血，即太极之谓阳生阴
死，火旺水枯，日后必生异毒，血海易于枯槁，莫可制也。富贵之人，往往如此，慎之慎之。
女服益母胜金丹
妇人以调经为主，其外肝经之病最多。肝气郁结，每多胃脘痛肋胀，甚至 瘕腹痛则经为之阻，或受孕而
易于小产。另有女科方法，和肝养血为先。他症一去，再服此丸，待经络调畅，即可受胎。或用此丸，照后加减，
亦多效验。
大生地（四两，水煮半熟，加酒一大碗再煮，收干，蒸晒打入） 当归（四两，酒拌，晒干，炒） 白芍
药（三两，酒炒） 淮牛膝（二两，炒） 川芎（一两五钱，酒炒） 茺蔚子（三两，炒） 杜仲（三两，盐
水炒） 白术（四两，土炒） 丹参（四两，酒炒） 香附米（四两，醋、酒、姜汁、盐水各拌一两，饭上蒸，
再晒干炒。）
以上共为末和匀，另用益母草八两，水熬成膏一碗，加炼蜜为丸，桐子大。每晨开水吞四五钱，空心服，
或两料合一料，以便接济。如有他故，照后加减。
一如素有腹胀，妨碍饮食，或以生地易熟地，或以制首乌易去熟地。
一经未及期而行，或色紫血热也。加丹皮、生地、条芩。
一经过期而后行，或色淡血寒也。加肉桂、紫石英。
一临期腹痛，名曰痛经，乃血中之气滞不调。加延胡索、广陈皮。
一或肝气不和，或多怒，加广木香、白豆蔻。
一脾胃不足，体本虚弱，加人参、茯苓、山药，血去多亦然。
一素来多白带者，加白扁豆、苡仁米、阿胶，加人参、茯苓亦可。然带有五色，宜细辨之。大概只知为白
带，而白中略有青色，即为青带，宜加木香，或少加柴胡。略有黄色，则加茯苓、陈皮、姜、枣。略有淡红色，
则为赤带，方中加赤苓、丹皮、生地，略有黑色，加车前子、胡芦巴以温肾。
此皆发于五脏，所以随各脏之色，而总归于带脉而出，是以谓之带。有从湿热而化，有从寒湿而化。大抵体
实者带少，虽云妇人十个九带，究竟有一脏之不足，或思伤脾，怒伤肝，欲伤肾，或气郁则湿热生，而清浊相
混，以致带脉不清，任脉不畅，故带下也。若白物下多，亦令人成劳成损，不可不早治，补益脾肾之气血。又
有一种白淫，与男人之白浊同，乃出自骨髓，令人面黄无力，骨软少神，皆房欲劳伤，妄想梦交，而得心旌摇
动而来多者，名曰淋。轻则六味地黄汤可治，重者阵阵如水之来，必用人参黑归脾汤加牡蛎粉、金樱子兜涩之
药治之，不然必经水断而成损症也。有腹中硬块，有时疼痛，此瘕气也，宜调肝为主。又有阴疝，宜加川楝子、
荔枝核。
济坤大造丸
此朱丹溪先生之方，治气血本弱，不能摄元成孕，或频坠胎，及生子不寿。成孕后，虚热自汗，食少带多，
并宜服之。益气血，补子宫，种子神方，或服前方，使经期已调，随服此方一料。
紫河车（一具，制如前） 人参（一两，切片焙干，研细和入） 天冬（去心） 麦冬（去心） 当归
淮牛膝 山药（各一两） 熟地（四两） 杜仲（姜汁同盐炒） 黄柏 五味子（各五钱）
如虚弱多汗，加黄 （二两，蜜炙），地骨皮，知母（各一两）。
如脾胃虚，常大便溏泻，加白术（二两），莲子（二两，俱炒）。
如少睡惊悸者，血少也。加炒枣仁、桂元肉（各二两）。
三十个时辰即两日半，这二十八九天您必须算清楚。经血刚停、满地落红之时是受孕的好时机，若等到经血完全干净（金水过空）再行房事，就会像一场空忙（空霍乱），徒劳无功。就像在树头树底寻找残留的红花一样白费力气。要知道，落花之后才能结果，何必担心桂花子不能成丛呢？这首诗在古书中都有记载，但都没有详细解释，我特意对此进行阐明。
所谓三十个时辰本是两日半，但要从月经开始的时间算起。如果在三十个时辰之外，就可以端正地行事（指行房）。在三十个时辰之内，千万不要乱动，一旦动了，妇人就会生病，所以说“二十八九君须算”，意思是尚未过完三十个时辰，不宜行房事。
“落红满地是佳期”，意思是已经过了三十个时辰之外，不必等到经血完全排尽，就应当进行受孕（种子）了。那么四十个时辰也可以。人们往往等到经血完全干净后才交合，此时子宫已经闭合，或者虽然未完全闭合但受孕的，必定是女胎。所以下面用衣冠文物来比喻说：“金水过时空霍乱，空霍乱兮枉施工，树头树底觅残红。”这是阐明必须在经血未尽时，精子进入后还有残留的经血包裹，从而形成妊娠；如果经血尽净，子宫空虚，大多难以留住精液。只有那些年轻血旺的妇女，可能新血立刻产生，但必定是女胎，为什么呢？我说：这就是血冲精，精被冲开，血反而进入内部，合成离卦之象。人的成胎，不过是精和血两种物质，在一瞬间凝结。当交合达到极乐状态、精液泄出之时，无论已成胎或未成胎，男女自有知觉的奥妙，都在于心神与精气共同到达的时刻。如果耳朵听别处去了，就不能成胎了。为什么呢？因为心神没有到达的缘故。诗的后联说：“要知落花先结子，何愁桂子不成丛”，也是说不必等到经血尽净的意思。试看荷花、凤仙花、石榴等一切结果的花，花瓣还没有完全落下，中心就已经结子了。
然而关键诀窍仍宜于半夜后的子时交合，此时阳气分种子，必定生男孩。而且夫妇睡到半夜，身体均得温暖，气血调和均匀。此时交合，容易得到麒麟儿。如果再推迟到妇女行经期间，在月半之前更妙。我经常将这种种子的方法传授给人，多得子嗣，应验如神。
我得到儿子很晚，因此遍搜经书，穷究其理。医生多用来济世救人，资助穷人药费，购买生物放生，掩埋暴露的骸骨。虽然未能做大的阴德，或许也可以小有补益，因而根据这种方法接连生了三个儿子，这都是上天保佑，但也在于人为努力，不要说五十岁无儿就置之度外。至于胎前产后，都关系到性命，每次遇到诊视的时候，无不潜心细察，所有悟得的秘密，只愿与同仁共享。将会看到无子者有子，产难者不难，那么我这一片婆心，大概对世间都有补益了。
男服补天五子种玉丹
男人的精，是由血化生补充的。“天”指干，干为天，天一生水，这是补血添精的意义。对于体质不足而有上述四种病的人，可以统摄治疗。加减法在后面，药物不可间断。
大原生地（八两，清水洗刷干净，放入瓦罐中水煮一昼夜，再蒸晒九次，焙干） 山萸肉（四两，酒拌炒） 淮山药（四两，乳拌蒸晒） 丹皮（三两，酒炒） 块云苓（三两，乳拌蒸晒） 泽泻（三两，盐水炒） 当归身（四两，酒炒） 淮牛膝（二两，炒） 杜仲（二两，盐水炒） 川续断（二两，盐水炒） 枸杞子（四两，酒拌蒸炒） 五味子（二两，炒） 女贞子（三两，盐水蒸炒） 车前子（二两，炒） 覆盆子（三两，盐水洗晒炒） 外用紫河车一具，甘草煎水浸洗净，挑去血筋，煮烂捣碎，或焙干炒磨。
以上共为末，炼蜜为丸。每晨用淡盐汤送服四五钱，久服自然能生精益肾。如果有其他情况，照后面加入，自然能得到儿子。
如果气不足导致精不射出的，加蜜炙黄芪十两，熬膏（如有力之家，加人参一两更好）。
如果精薄或精少，加大米鱼肚四两，用蛤粉炒，鹿角胶（二三两，蛤粉炒），猪脊筋十条（取出汁来，拌入茯苓内，蒸晒焙干）。
如果临事易泄的，加鹿角霜（三两，生研和入），钗石斛（三两，炒），人参（一两，焙），麦冬（二两，炒）。
如果体质热，加地骨皮（二两），莲须（二两），牡蛎粉（二两），用金樱子熬膏代替蜂蜜。
如果精冷体寒的人，加桂肉（一两，去皮研入），巴戟天（二两，炒），鹿角胶（四两，蛤粉炒），破故纸（四两，盐水炒，或加用鹿茸一对制）。
如果劳心之人，心血耗散，常至临事不举，这是心亏血少，不是肾火亏。本方加桂圆肉（四两，蒸），枣仁（四两，炒），茯神（四两，炒），人参、当归、柏子仁、益智仁等一派补心之药，均可加入。自然君火生旺，君火一动，相火必随之，没有心不动而肾举事的。世人常说相火不旺而阳痿，服用附子、鹿茸、海狗肾、硫黄、鹿鞭，一派大热之药，甚至靠这些热药来纵欲，不知热性猛烈，反而消耗其精血，这就是太极所说的阳生阴死，火旺水枯，日后必生异毒，血海易于枯槁，无法控制。富贵之人，往往如此，慎之又慎。
女服益母胜金丹
妇人以调经为主，此外肝经的病最多。肝气郁结，常常多有胃脘痛肋胀，甚至瘕腹痛则经为之阻，或受孕而易于小产。另有女科方法，以和肝养血为先。其他病症一去，再服此丸，待经络调畅，即可受胎。或用此丸，照后面加减，也多有效验。
大生地（四两，水煮半熟，加酒一大碗再煮，收干，蒸晒打入） 当归（四两，酒拌，晒干，炒） 白芍药（三两，酒炒） 淮牛膝（二两，炒） 川芎（一两五钱，酒炒） 茺蔚子（三两，炒） 杜仲（三两，盐水炒） 白术（四两，土炒） 丹参（四两，酒炒） 香附米（四两，醋、酒、姜汁、盐水各拌一两，饭上蒸，再晒干炒。）
以上共为末和匀，另用益母草八两，水熬成膏一碗，加炼蜜为丸，桐子大。每晨开水吞四五钱，空腹服，或两料合一料，以便接济。如果有其他情况，照后面加减。
如果素有腹胀，妨碍饮食，或以生地易熟地，或以制首乌易去熟地。
一素来多白带者，加白扁豆、苡仁米、阿胶，加人参、茯苓亦可。然带有五色，宜细辨之。大概只知为白带，而白中略有青色，即为青带，宜加木香，或少加柴胡。略有黄色，则加茯苓、陈皮、姜、枣。略有淡红色，则为赤带，方中加赤苓、丹皮、生地，略有黑色，加车前子、胡芦巴以温肾。
此皆发于五脏，所以随各脏之色，而总归于带脉而出，是以谓之带。有从湿热而化，有从寒湿而化。大抵体实者带少，虽云妇人十个九带，究竟有一脏之不足，或思伤脾，怒伤肝，欲伤肾，或气郁则湿热生，而清浊相混，以致带脉不清，任脉不畅，故带下也。若白物下多，亦令人成劳成损，不可不早治，补益脾肾之气血。又有一种白淫，与男人之白浊同，乃出自骨髓，令人面黄无力，骨软少神，皆房欲劳伤，妄想梦交，而得心旌摇动而来多者，名曰淋。轻则六味地黄汤可治，重者阵阵如水之来，必用人参黑归脾汤加牡蛎粉、金樱子兜涩之药治之，不然必经水断而成损症也。有腹中硬块，有时疼痛，此瘕气也，宜调肝为主。又有阴疝，宜加川楝子、荔枝核。
济坤大造丸
此朱丹溪先生之方，治气血本弱，不能摄元成孕，或频坠胎，及生子不寿。成孕后，虚热自汗，食少带多，并宜服之。益气血，补子宫，种子神方，或服前方，使经期已调，随服此方一料。
紫河车（一具，制如前） 人参（一两，切片焙干，研细和入） 天冬（去心） 麦冬（去心） 当归 淮牛膝 山药（各一两） 熟地（四两） 杜仲（姜汁同盐炒） 黄柏 五味子（各五钱）
[Background Information]
Book: Pingzhu Chanke Xinfa (Commented Core Methods of Obstetrics)
Chapter: Zhongzi Ge (Song for Conception)
Category: Women and Children's Diseases
Thirty shichen (hours) amount to two and a half days; you must calculate the twenty-eight or twenty-nine days carefully. When menstrual blood is fresh and covers the ground, it is an auspicious time for conception. If one waits until the "metal and water" (menstrual flow) have completely passed, it results in "Kong Huoluan" (empty chaos/futility), rendering efforts wasted. It is like searching for residual red flowers among tree tops and bottoms. One should know that fruits form after flowers fall; why worry that osmanthus seeds will not form clusters? This poem appears in ancient texts but lacks detailed explanation. I specifically elucidate it here.
Thirty shichen are indeed two and a half days, but they must be counted from the onset of menstruation. After thirty shichen have passed, one may engage in intercourse properly. Within these thirty shichen, one must absolutely avoid movement; if moved, the woman will become ill. Hence, "calculate the twenty-eight or twenty-nine days." This means that before thirty shichen have elapsed, sexual intercourse is inappropriate.
"Fresh red covering the ground is the auspicious time" implies that once thirty shichen have passed, one need not wait for the bleeding to cease completely before attempting conception ("sowing seeds"). Even forty shichen may suffice. People often wait until bleeding has completely stopped before intercourse. By then, the uterus is closed. If conception occurs when the uterus is not fully closed, it is destined to be a female fetus. Thus, the text uses metaphors of clothing and artifacts: "When metal and water pass empty, there is only chaos; empty chaos renders construction futile, seeking residual red under trees is vain." This elucidates that conception is most likely when sperm enters while residual menstrual blood remains, which wraps around the sperm to facilitate pregnancy. If the blood is completely gone, the uterus is empty, making it difficult to retain the essence. Only in young women with robust blood and vitality might new blood arise immediately, but this would still result in a female fetus. Why? I say: this is "blood rushing the essence," where the essence is dispersed by the blood rush, and blood enters internally, forming the image of the Li trigram (☲). Human conception involves only essence and blood, coagulating in an instant. At the peak of sexual pleasure, when essence is ejaculated, whether the embryo is formed or not, both male and female possess a subtle perception. This depends on the moment when mind-spirit (Shen) and essence arrive together. If the mind wanders elsewhere, conception will not occur. Why? Because the mind-spirit has not arrived. The latter couplet of the poem states, "Know that fruits form before flowers fall; why worry that osmanthus seeds will not cluster?" This also means one need not wait for completion. Observe lotus, balsam, and pomegranate flowers; all fruit-bearing flowers form seeds at the center before petals have fully fallen.
However, the key secret lies in intercourse during the Zi hour (11 PM - 1 AM) after midnight. Sowing seeds during this Yang phase ensures a male child. Moreover, by midnight, both husband and wife are warm, and Qi and Blood are harmonious. Intercourse at this time easily yields a noble son. Delaying further into the menstrual period is better before the middle of the month. I frequently transmit this method of conception, resulting in many offspring, with efficacy as if divine.
I obtained sons late, so I searched scriptures extensively and investigated principles thoroughly. Physicians aid people; helping the poor with medicine costs, buying creatures for release, and burying exposed bones. Although I could not perform great hidden merits, perhaps this small supplement helped. Following this method, I had three sons in succession. This is heaven's blessing, yet it also depends on human effort. Do not say one cannot have children at fifty and give up. Prenatal and postnatal care concern life and death. Upon every consultation, I observe meticulously. All secrets I have realized, I wish to share with colleagues. Thus, those without children will have them, and difficult births will become easy. My compassionate heart will thus benefit the world.
Men take Buzhi Wuzi Zhongyu Dan (Heaven-Replenishing Five-Seed Jade-Sowing Pill)
Male essence is transformed and supplemented from blood. "Tian" (Heaven) refers to Qian (the Creative), representing Heaven. "Heaven generates Water" signifies the meaning of nourishing blood and adding essence. For those with physical insufficiency and the aforementioned four conditions, this formula can treat them generally. Modifications follow; do not interrupt medication.
Raw Rehmanniae Radix (8 liang, washed clean with clear water, boiled in a clay pot for one day and night, steamed and sun-dried nine times, baked dry)
Corni Fructus (4 liang, stir-fried with wine)
Dioscoreae Rhizoma (4 liang, steamed and sun-dried mixed with milk)
Moutan Cortex (3 liang, stir-fried with wine)
Poria (3 liang, steamed and sun-dried mixed with milk)
Alismatis Rhizoma (3 liang, stir-fried with salt water)
Angelicae Sinensis Radix (4 liang, stir-fried with wine)
Achyranthis Bidentatae Radix (2 liang, stir-fried)
Eucommiae Cortex (2 liang, stir-fried with salt water)
Dipsaci Radix (2 liang, stir-fried with salt water)
Lycii Fructus (4 liang, steamed and stir-fried mixed with wine)
Schisandrae Fructus (2 liang, stir-fried)
Ligustri Lucidi Fructus (3 liang, steamed and stir-fried with salt water)
Plantaginis Seed (2 liang, stir-fried)
Rubiae Semen (3 liang, washed, dried, and stir-fried with salt water)
External use: One placenta (Ziheche), cleaned with licorice decoction, blood vessels removed, boiled until soft and mashed, or baked dry and ground.
Grind all above into powder, make pills with refined honey. Take 4-5 qian each morning with light salt water. Long-term use naturally generates essence and benefits the kidney. If other conditions exist, add according to the following, and surely obtain a son.
If Qi deficiency causes weak ejaculation, add 10 liang of Honey-fried Astragali Radix, boiled into paste (if wealthy, add 1 liang of Ginseng for better effect).
If essence is thin or scant, add 4 liang of Fish Maw (cooked with clam powder), 2-3 liang of Deer Antler Glue (cooked with clam powder), and 10 pig spinal tendons (extract juice, mix with Poria, steam, dry, and bake).
If premature ejaculation occurs, add 3 liang of Deer Antler Frost (ground raw and mixed), 3 liang of Dendrobii Caulis (stir-fried), 1 liang of Ginseng (baked), and 2 liang of Ophiopogonis Radix (stir-fried).
If constitution is hot, add 2 liang of Lycii Cortex, 2 liang of Nelumbinis Stamen, 2 liang of Ostreae Concha Powder, and use Rubiae Fructus paste instead of honey.
For those with cold essence and cold constitution, add 1 liang of Cinnamomi Cortex (peeled and ground), 2 liang of Morinda Officinalis Radix (stir-fried), 4 liang of Deer Antler Glue (cooked with clam powder), and 4 liang of Psoraleae Fructus (stir-fried with salt water, or add one pair of prepared Deer Antler).
For those who overwork their minds, Heart Blood is depleted, leading to impotence. This is Heart deficiency and Blood shortage, not Kidney Fire deficiency. Add to this formula: 4 liang of Longan Aril (steamed), 4 liang of Ziziphi Spinosae Semen (stir-fried), 4 liang of Poria Cum Ramo Xyloni (stir-fried). Ginseng, Angelicae Sinensis Radix, Platycladi Semen, and Yizhen Ren (Alpinia Oxyphylla Fruit) are all Heart-nourishing herbs that can be added. Naturally, Jun Fire (Heart Fire) will flourish. When Jun Fire moves, Xiang Fire (Minister Fire) follows. There is no case where the Heart does not move but the Kidney responds. People often attribute impotence to weak Xiang Fire and take large doses of Aconiti Lateralis Radix Praeparata, Deer Antler, Sea Dog Kidney, Sulphur, and Deer Penis—strongly heating drugs. Some even use these heat-inducing drugs for lust. Ignoring that intense heat consumes essence and blood, this is akin to "Yang generates Yin dies" in Taiji theory. Excessive fire dries up water, leading to strange toxins later, and the Blood Sea becomes barren, uncontrollable. The wealthy often suffer this. Be extremely cautious.
Women take Yi Mu Shengjin Dan (Motherwort Victory Gold Pill)
Women prioritize regulating menstruation; Liver Channel diseases are most common externally. Liver Qi stagnation often causes epigastric pain and rib distension, or abdominal masses causing menstrual obstruction, or early miscarriage after conception. Other gynecological methods prioritize harmonizing the Liver and nourishing Blood. Once other symptoms resolve, take this pill. When meridians are smooth, conception is possible. Using this pill with modifications below is also effective.
Raw Rehmanniae Radix (4 liang, boiled semi-cooked, add one bowl of wine, boil again until dry, steam, dry, and pound)
Angelicae Sinensis Radix (4 liang, mixed with wine, sun-dried, stir-fried)
Paeoniae Radix Alba (3 liang, stir-fried with wine)
Achyranthis Bidentatae Radix (2 liang, stir-fried)
Chuanxiong Rhizoma (1.5 liang, stir-fried with wine)
Leonuri Fructus (3 liang, stir-fried)
Eucommiae Cortex (3 liang, stir-fried with salt water)
Atractylodis Macrocephalae Rhizoma (4 liang, soil-stir-fried)
Salviae Miltiorrhizae Radix (4 liang, stir-fried with wine)
Cyperi Rhizoma (4 liang, mixed with vinegar, wine, ginger juice, and salt water (1 liang each), steamed on rice, sun-dried, and stir-fried).
Grind all above into powder and mix evenly. Separately, boil 8 liang of Motherwort Herb (Yimucao) in water to make one bowl of paste. Add refined honey to make pills the size of paulownia seeds. Swallow 4-5 qian each morning with warm water, on an empty stomach. Or combine two batches into one for continuity. Modify according to conditions below.
If chronic abdominal distension hinders eating, replace Raw Rehmannia with Prepared Rehmannia, or replace Prepared Polygonum Multiflorum for Prepared Rehmannia.
If menstruation arrives early, or blood is purple due to Heat, add Moutan Cortex, Raw Rehmanniae Radix, and Scutellariae Radix (Tiaoqin).
If menstruation is delayed, or blood is pale due to Cold, add Cinnamomi Cortex and Fluorite (Zishiying).
If abdominal pain occurs just before menstruation, named Dysmenorrhea, caused by Qi stagnation and imbalance in Blood. Add Corydalis Rhizoma and Tangerine Peel (Guangchenpi).
If Liver Qi is disharmonious, or prone to anger, add Aucklandiae Radix and Cardamomi Fructus.
If Spleen and Stomach are deficient, and constitution is weak, add Ginseng, Poria, and Dioscoreae Rhizoma. This applies even if excessive blood loss occurred.
If prone to leukorrhea, add Dolichoris Semen, Coicis Semen, and Donkey-hide Gelatin. Ginseng and Poria can also be added. However, leukorrhea comes in five colors and requires careful differentiation. Generally known as white leukorrhea, if slightly greenish, it is Green Leukorrhea; add Aucklandiae Radix or少量 Chaihu (Bupleuri Radix). If slightly yellow, add Poria, Tangerine Peel, Ginger, and Jujube. If slightly pinkish-red, it is Red Leukorrhea; add Red Poria, Moutan Cortex, and Raw Rehmanniae Radix. If slightly black, add Plantaginis Seed and Trichosanthis Fructus (Huluba) to warm the Kidney.
These originate from the Five Zang organs, so they follow the color of each organ and exit via the Dai Mai (Girdle Vessel), hence called "Dai" (Belt). Some transform from Damp-Heat, some from Cold-Damp. Generally, those with strong constitutions have less leukorrhea. Although it is said "nine out of ten women have leukorrhea," it ultimately stems from one Zang deficiency. Overthinking damages the Spleen, anger damages the Liver, desire damages the Kidney. Qi stagnation generates Damp-Heat, mixing clear and turbid, causing Dai Mai to be unclear and Ren Mai to be unsmooth, leading to leukorrhea. If excessive white discharge occurs, it leads to consumption and damage. Early treatment is necessary to tonify Spleen and Kidney Qi and Blood. Another type is "White Yin," similar to men's "White Turbidity," originating from bone marrow, causing sallow complexion, weakness, soft bones, and lack of spirit. This results from sexual fatigue, delusional dream emissions, and agitated mind-spirit, named "Lin" (Strangury). Mild cases treated with Liuwei Dihuang Tang. Severe cases, coming in waves like water, require Renshen Heiguipi Tang plus Ostreae Concha Powder and Rubiae Fructus to astringe. Otherwise, menses will stop, leading to consumption. Hard lumps in the abdomen with occasional pain indicate "Jia" (Masses); regulate the Liver primarily. For Yin Hernia, add Toosendan Fructus and Litchi Seed.
Jikun Dazao Wan (Great Creation Pill for Nourishing Earth)
This is Master Zhu Danxi's formula. It treats weak Qi and Blood unable to grasp Yuan Essence for conception, frequent miscarriages, and short-lived offspring. After conception, for deficiency heat, spontaneous sweating, poor appetite, and excessive leukorrhea, this is suitable. It benefits Qi and Blood, nourishes the uterus, and is a miraculous formula for conception. Alternatively, take the previous formula to regulate menstruation, then take one dose of this formula.
Placenta (Ziheche) (One unit, processed as before)
Ginseng (1 liang, sliced, baked dry, ground fine, and mixed)
Asparagi Radix (remove heart)
Ophiopogonis Radix (remove heart)
Angelicae Sinensis Radix
Achyranthis Bidentatae Radix
Dioscoreae Rhizoma (each 1 liang)
Prepared Rehmanniae Radix (4 liang)
Eucommiae Cortex (stir-fried with ginger juice and salt)
Phellodendri Cortex
Schisandrae Fructus (each 5 qian)
If weak and sweaty, add 2 liang of Honey-fried Astragali Radix, 1 liang of Lycii Cortex, and 1 liang of Anemarrhenae Rhizoma.
If Spleen and Stomach are weak with chronic loose stools, add 2 liang of Atractylodis Macrocephalae Rhizoma and 2 liang of Lotus Seeds (both stir-fried).
If insomnia and palpitations occur due to Blood deficiency, add 2 liang each of Stir-fried Ziziphi Spinosae Semen and Longan Aril.