一 一人苦香港脚攻注，用田螺数枚，捣敷两股上，便觉冷气下趋至足而安。盖螺性善能泌别
清浊，故能疗香港脚之湿热。柳子浓云∶余患香港脚疾，不得通泄，夜成痞〔香港脚干脾。〕绝，〔香港脚
干心。〕左胁有块如石，〔香港脚干肝。〕且死，因大寒不知人三日，举家号哭。一人传杉木汤，大剂
饮之，大下三次，气通块散而愈。其方用杉木节，质重能达下，气芳能疏壅，橘红味苦而浓，过于
青皮，槟榔质实而重，等于铁石，味浓则泄，质重则降，故能令邪气大下；童便能引湿热下行，从
溺而出。经言∶道之远者，制大其服，故用大剂顿饮。
调经乃治女病之首重。盖女子以血为主。一月一行，谓之月经。经者常也，如月之盈亏有常期也，
若或前或后，或乍前乍后，或闭或通，此皆失其常候，不可不用药以调之。调之之法，昔人专以理气补
养心脾为主。以脾为生化之源，心统诸经之血，若心脾和平，则经候自调。然推其不调之因，亦复不
一。须审其为热则寒之，虚则补之，滞者行之，留者攻之，滑者固之，陷者举之，随症施治，自无不
效。丹溪云∶先期而至者热血也，其色鲜红，若紫黑者，为热之甚，成片成块者；虽云气之滞，亦热
极所致。治宜凉血清热而补肝肾。然有因恚怒伤肝，肝火盛而沸血妄行先期者，有因郁结伤脾，郁火发
而逼血妄行先期者，有因思虑伤心，虚火动而致血错行先期者，各随其所因以施治。后期而至者，血虚
也，其色淡红；若淡白者，为虚之甚。亦有因恚怒伤肝，因郁结伤脾，致血少后期，甚至经闭者，有因
肥人湿痰壅滞，而经水后期，或致行不省，或补血，或消痰，
随症治之。至若经。期乍前乍后，不一其症，气乱悉从虚治。经闭不行，宜分虚实。无有他病，而经闭
不行者，乃属阴虚，血少火盛，不可以毒药通经。有病虚劳而经闭不行者，因肾水不足，相火妄动，煎
熬真阴，熏蒸血海，血日以枯，俗谓干血劳是也。有因情欲伤心，劳倦伤脾，以致病及于胃，失生化精血
之源，而经闭不行者，此即经所谓二阳〔胄与大肠。〕之病发心脾，在女子则为不月者是也。有因心事
不遂，致心血亏少，乏血归肝，而经闭不行者，此皆属虚之所致。其有因血瘀内积而闭者，有因恚怒郁
结，气滞血凝而闭者，有因经水适来，形寒饮冷，血凝而闭者，此皆易治，不过一通之而已。若经水过
多，但责之热，亦宜凉血清热，补肝肾为主。过多而不止者，当加酸涩之药，或兼升举之品。若经水来
少者血虚也，肥人或属之痰壅、气滞所致。凡经将行而腰腹作痛者，责之气滞血实；行后绵绵作痛者，责
之血虚气滞。此调经大旨之常法如是。复有变常，而古人未言及者。如士材云∶有终身不月，而血错行，
从大便出者，有至经期而血逆行，或吐或衄，或从耳目出，谓之倒经者，有三月一行，而谓之居经者；
有一年一行，而谓之避年者，有一生不行，而受胎，谓之暗经者，有受胎之后，月月行经，而产子，谓之
垢胎者，有受胎数月，血忽大下，而胎仍不陨，谓之漏胎者，虽以气血有余不足为言，亦异于常矣。经
言。女子二七而天癸至，七七而天癸绝，其常也。有女年十二、十三而产子者，有妇年五十、六十而产
子者，此又异常之尤者也。医者亦不可不知。
归脾汤〔见虚劳。〕治心、脾、肝虚，经水不调，或前或后，或乍前乍后，或经闭不行，或
月事过多，淋沥不断，悉主此方加减。
宜加地、芍、四制香附。〔为血中气药。气调则血亦从之而和畅。同艾醋浸二宿，分作四
分。一分盐水浸炒，一分酒浸炒，一分童便浸炒，一分人乳浸炒。〕如因郁结伤脾先期者，加柴
胡、〔取其能引脾胃之气上行，兼赖其升提之力。〕山栀、〔能清郁火血热。〕麦冬、鳖甲，〔益阴
除热，〕或再加吴茱萸、炒黄连。〔能达心脾之郁火。〕如因郁结伤脾后期，或经来血少、或经闭不
行者，加柏仁、枸杞、糜角、人乳。〔皆补血之品。日饮人乳一碗，能通经水。〕如过多淋沥不止加麦
冬、鳖甲。〔寒以清热。〕莲须、牡蛎。〔涩以固脱。〕五味、萸肉、〔酸以收敛。〕发灰。〔发为血
之余，同气相求也。〕
此方乃心、脾、肝三经之药也。立斋云∶心主血，肝藏血，皆统摄于脾，补脾和胃，血自生矣。故
调经每多用之，胃弱脾虚者更宜。
按此方宋严用和所创，以治二阳之病发心脾，有不得隐曲，女子不月者也。阳明胃与大肠为二阳。盖
人之情欲，本以伤心，母伤则病及其子；劳倦本以伤脾，脏伤则病连于腑。故凡内而伤精，外而伤形，皆
能病及于胃，此二阳之病所以发于心脾也。不得隐曲，阳道病也。夫胃为水谷气血之海，主化营卫而
润宗筋，如经云∶前阴者，宗筋之所聚∶太阴、阳明之所合也。胃病则失生化精血之原，故为阳衰少精。
其在女子，则为不月。又云∶其传为风消，其传为息贲者死不治。胃家受病，
久而传变，则肝木胜土，风淫而肌体消削，胃病则肺失所养。故气息奔急。气竭于上，由精亏于下，败
及五脏，故死不治。所以病才见端，即为治疗。原方无远志、当归，薛氏加入，以治血虚。又加丹皮、山
栀，以治血热，而阳生阴长之理乃备。随手变化，通于各症，无不神应。
地芍凉血汤〔自制。〕治血热经水先期。色鲜红，或紫黑，或成片成块。或过多不止。
生地 白芍〔凉血。〕骨皮 鳖甲〔清热。〕竹叶〔或竹茹。〕麦冬〔清心以主
血。〕山药 甘草〔补脾以统血。〕枸杞 杜仲〔补肝益肾。〕或加白薇〔苦咸性寒，益
阴除热，〕壮实人血热，甚者可暂加知、柏、芩、栀之属。如过多不止，加莲须、〔固涩。〕枣仁〔敛摄。〕
此凉血清热，而补肝肾之剂，随宜加减用之。阴虚内热人，不能服参、术者甚宜，或用六味地黄汤，
参前药治之。
逍遥散〔见虚劳。〕治肝脾经虚，经水不调，或前或后，或经闭不行，或过多不止。
宜加四制香附。如因郁怒伤肝，而先期者，参加地、芍凉血汤方药；如因郁怒伤肝后期，或经来
血少，或经闭不行者，加柏仁、枸杞、牛膝，熟地；如过多不止，加莲须、枣仁、萸肉之属。
此方辛散酸收，甘缓养血，而兼宁心扶脾之剂，乃肝经主要药，女科之神剂，调经者多主此加减用
之，多郁多怒者，最相宜也。
天王补心丹〔见虚劳。〕治劳心虚火妄动，致血错行先期，或因心事不遂，致心血亏少，乏血归
肝，而经闭不行。
经行先期，宜去当归，〔嫌其辛温活血〕远志〔辛温。〕加白芍、龟甲之属。
如经闭，宜去五味、桔梗，加白芍、枸杞、牛膝、人乳之属。此生津养血，清热镇心，安神之剂，
劳心之人。宜取加减用之。
四物汤〔见头痛。〕治肝经血虚，后期不至。
宜加柏仁、枸杞、牛膝、鹿角胶、制香附之属。
此方虽云调经之总司，然亦有不宜者。如血热则忌用归、芎，今人病阴虚血热者多，故吐衄家、咳
喘家、呕恶家，均忌。归性滑肠，泄泻者并禁。
柏仁丸〔稍订亦可煎饮。〕治阴虚血少火盛，经闭不行。
柏仁〔补血。〕二地 二冬〔滋阴降火。〕牛膝〔熟补精血，生则通经，各四两。〕
续断〔通宣血脉。〕泽兰〔养荣血，行宿血。各二两。炼蜜丸服。〕
此方滋阴养血。壮水制火为主，使其血充，则经水弗招自至。
失笑散〔见胃脘痛。〕治血瘀内积，经闭不行，少腹时痛。
原方〔有何氏加药宜参用。〕可加香附、降香。如因恚怒郁结，气滞血凝者，再加郁金、香砂。如
少腹满痛拒按，可用桃仁承气，加减用之。
此散瘀行血之剂，所谓滞者行之，留者攻之是也。
香苏散〔见伤寒。〕治经水适来，形寒饮冷，血凝停止者。
宜加当归、赤芍、桃仁、红花、玄胡之属。
此温散活血化气之剂，亦通之法也。
二陈汤〔见中风。〕治肥人饮食过多，脂满闭塞，湿痰壅滞，而经水后期，或经水来少，或经
闭不行。
宜加香附〔利气。〕丹参、降香、牛膝。〔性皆行血，却不滞痰。〕挟虚者，香砂六君子
汤加上药，益母草煎汤煎药。〔凡用通经药者，皆宜此汤煎之。〕此方以消痰理气为主。气利则痰行，痰
去则经通，治病必求其本之法也。须审明施用，勿执肥人而概投之。
一、有一人苦于香港脚（足部湿热肿痛之病）攻注，用田螺数枚，捣碎敷于两腿之上，便觉冷气下行至足而安。因为螺性善于泌别清浊，故能治疗香港脚的湿热。柳子浓说：“我患香港脚疾，不得通泄，夜间形成痞块（香港脚干脾），气绝（香港脚干心），左胁有块如石（香港脚干肝），且死，因大寒不知人三日，举家号哭。一人传授杉木汤，大剂饮之，大下三次，气通块散而愈。其方用杉木节，质重能达下，气芳能疏壅，橘红味苦而浓，过于青皮，槟榔质实而重，等于铁石，味浓则泄，质重则降，故能令邪气大下；童便能引湿热下行，从溺而出。经言：道之远者，制大其服，故用大剂顿饮。”
调经是治疗女性疾病的首要重点。因为女子以血为主。一月一行，称为月经。经者常也，如月之盈亏有常期也，若或前或后，或乍前乍后，或闭或通，此皆失其常候，不可不用药以调之。调之之法，昔人专以理气补养心脾为主。以脾为生化之源，心统诸经之血，若心脾和平，则经候自调。然推其不调之因，亦复不一。须审其为热则寒之，虚则补之，滞者行之，留者攻之，滑者固之，陷者举之，随症施治，自无无效。丹溪云：先期而至者热血也，其色鲜红，若紫黑者，为热之甚，成片成块者；虽云气之滞，亦热极所致。治宜凉血清热而补肝肾。然有因恚怒伤肝，肝火盛而沸血妄行先期者，有因郁结伤脾，郁火发而逼血妄行先期者，有因思虑伤心，虚火动而致血错行先期者，各随其所因以施治。后期而至者，血虚也，其色淡红；若淡白者，为虚之甚。亦有因恚怒伤肝，因郁结伤脾，致血少后期，甚至经闭者，有因肥人湿痰壅滞，而经水后期，或致行不省，或补血，或消痰，随症治之。至若经期乍前乍后，不一其症，气乱悉从虚治。经闭不行，宜分虚实。无有他病，而经闭不行者，乃属阴虚，血少火盛，不可以毒药通经。有病虚劳而经闭不行者，因肾水不足，相火妄动，煎熬真阴，熏蒸血海，血日以枯，俗谓干血劳是也。有因情欲伤心，劳倦伤脾，以致病及于胃，失生化精血之源，而经闭不行者，此即经所谓二阳（胄与大肠）之病发心脾，在女子则为不月者是也。有因心事不遂，致心血亏少，乏血归肝，而经闭不行者，此皆属虚之所致。其有因血瘀内积而闭者，有因恚怒郁结，气滞血凝而闭者，有因经水适来，形寒饮冷，血凝而闭者，此皆易治，不过一通之而已。若经水过多，但责之热，亦宜凉血清热，补肝肾为主。过多而不止者，当加酸涩之药，或兼升举之品。若经水来少者血虚也，肥人或属之痰壅、气滞所致。凡经将行而腰腹作痛者，责之气滞血实；行后绵绵作痛者，责之血虚气滞。此调经大旨之常法如是。复有变常，而古人未言及者。如士材云：有终身不月，而血错行，从大便出者，有至经期而血逆行，或吐或衄，或从耳目出，谓之倒经者，有三月一行，而谓之居经者；有一年一行，而谓之避年者，有一生不行，而受胎，谓之暗经者，有受胎之后，月月行经，而产子，谓之垢胎者，有受胎数月，血忽大下，而胎仍不陨，谓之漏胎者，虽以气血有余不足为言，亦异于常矣。经言：女子二七而天癸至，七七而天癸绝，其常也。有女年十二、十三而产子者，有妇年五十、六十而产子者，此又异常之尤者也。医者亦不可不知。
归脾汤（见虚劳）治心、脾、肝虚，经水不调，或前或后，或乍前乍后，或经闭不行，或月事过多，淋沥不断，悉主此方加减。
宜加地、芍、四制香附。（为血中气药。气调则血亦从之而和畅。同艾醋浸二宿，分作四分。一分盐水浸炒，一分酒浸炒，一分童便浸炒，一分人乳浸炒。）如因郁结伤脾先期者，加柴胡、（取其能引脾胃之气上行，兼赖其升提之力。）山栀、（能清郁火血热。）麦冬、鳖甲，（益阴除热，）或再加吴茱萸、炒黄连。（能达心脾之郁火。）如因郁结伤脾后期，或经来血少、或经闭不行者，加柏仁、枸杞、麋角、人乳。（皆补血之品。日饮人乳一碗，能通经水。）如过多淋沥不止加麦冬、鳖甲。（寒以清热。）莲须、牡蛎。（涩以固脱。）五味、萸肉、（酸以收敛。）发灰。（发为血之余，同气相求也。）
此方乃心、脾、肝三经之药也。立斋云：心主血，肝藏血，皆统摄于脾，补脾和胃，血自生矣。故调经每多用之，胃弱脾虚者更宜。
按此方宋严用和所创，以治二阳之病发心脾，有不得隐曲，女子不月者也。阳明胃与大肠为二阳。盖人之情欲，本以伤心，母伤则病及其子；劳倦本以伤脾，脏伤则病连于腑。故凡内而伤精，外而伤形，皆能病及于胃，此二阳之病所以发于心脾也。不得隐曲，阳道病也。夫胃为水谷气血之海，主化营卫而润宗筋，如经云：前阴者，宗筋之所聚：太阴、阳明之所合也。胃病则失生化精血之原，故为阳衰少精。其在女子，则为不月。又云：其传为风消，其传为息贲者死不治。胃家受病，久而传变，则肝木胜土，风淫而肌体消削，胃病则肺失所养。故气息奔急。气竭于上，由精亏于下，败及五脏，故死不治。所以病才见端，即为治疗。原方无远志、当归，薛氏加入，以治血虚。又加丹皮、山栀，以治血热，而阳生阴长之理乃备。随手变化，通于各症，无不神应。
地芍凉血汤（自制）治血热经水先期。色鲜红，或紫黑，或成片成块。或过多不止。
生地 白芍（凉血。）骨皮 鳖甲（清热。）竹叶（或竹茹。）麦冬（清心以主血。）山药 甘草（补脾以统血。）枸杞 杜仲（补肝益肾。）或加白薇（苦咸性寒，益阴除热，）壮实人血热，甚者可暂加知、柏、芩、栀之属。如过多不止，加莲须、（固涩。）枣仁（敛摄。）
此凉血清热，而补肝肾之剂，随宜加减用之。阴虚内热人，不能服参、术者甚宜，或用六味地黄汤，参前药治之。
逍遥散（见虚劳）治肝脾经虚，经水不调，或前或后，或经闭不行，或过多不止。
宜加四制香附。如因郁怒伤肝，而先期者，参加地、芍凉血汤方药；如因郁怒伤肝后期，或经来血少，或经闭不行者，加柏仁、枸杞、牛膝，熟地；如过多不止，加莲须、枣仁、萸肉之属。
此方辛散酸收，甘缓养血，而兼宁心扶脾之剂，乃肝经主要药，女科之神剂，调经者多主此加减用之，多郁多怒者，最相宜也。
天王补心丹（见虚劳）治劳心虚火妄动，致血错行先期，或因心事不遂，致心血亏少，乏血归肝，而经闭不行。
经行先期，宜去当归，（嫌其辛温活血）远志（辛温。）加白芍、龟甲之属。
如经闭，宜去五味、桔梗，加白芍、枸杞、牛膝、人乳之属。此生津养血，清热镇心，安神之剂，劳心之人。宜取加减用之。
四物汤（见头痛）治肝经血虚，后期不至。
宜加柏仁、枸杞、牛膝、鹿角胶、制香附之属。
此方虽云调经之总司，然亦有不宜者。如血热则忌用归、芎，今人病阴虚血热者多，故吐衄家、咳喘家、呕恶家，均忌。归性滑肠，泄泻者并禁。
柏仁丸（稍订亦可煎饮）治阴虚血少火盛，经闭不行。
柏仁（补血。）二地 二冬（滋阴降火。）牛膝（熟补精血，生则通经，各四两。）续断（通宣血脉。）泽兰（养荣血，行宿血。各二两。炼蜜丸服。）
此方滋阴养血。壮水制火为主，使其血充，则经水弗招自至。
失笑散（见胃脘痛）治血瘀内积，经闭不行，少腹时痛。
原方（有何氏加药宜参用。）可加香附、降香。如因恚怒郁结，气滞血凝者，再加郁金、香砂。如少腹满痛拒按，可用桃仁承气，加减用之。
此散瘀行血之剂，所谓滞者行之，留者攻之是也。
香苏散（见伤寒）治经水适来，形寒饮冷，血凝停止者。
宜加当归、赤芍、桃仁、红花、玄胡之属。
此温散活血化气之剂，亦通之法也。
二陈汤（见中风）治肥人饮食过多，脂满闭塞，湿痰壅滞，而经水后期，或经水来少，或经闭不行。
宜加香附（利气。）丹参、降香、牛膝。（性皆行血，却不滞痰。）挟虚者，香砂六君子汤加上药，益母草煎汤煎药。（凡用通经药者，皆宜此汤煎之。）此方以消痰理气为主。气利则痰行，痰去则经通，治病必求其本之法也。须审明施用，勿执肥人而概投之。
1. A patient suffered from Hong Kong foot (a disease characterized by damp-heat swelling and pain in the feet) attacking and flooding the lower limbs. Several river snails were crushed and applied to both thighs. The patient felt a cold sensation flowing down to the feet, bringing relief. This is because snails have the property of separating the clear from the turbid, thus treating the damp-heat of Hong Kong foot. Liu Zinong said: "I suffered from Hong Kong foot, unable to unblock and drain. At night, a mass formed (Hong Kong foot affecting the Spleen), Qi was cut off (Hong Kong foot affecting the Heart), and a stone-like mass appeared in the left hypochondrium (Hong Kong foot affecting the Liver). I was on the verge of death, unconscious for three days due to severe cold, causing my family to wail. Someone passed on a recipe for Fir Twig Decoction. I drank a large dose, resulting in three large bowel movements. Qi flowed freely, the mass dispersed, and I recovered. The formula uses Fir Twig Nodes, which are heavy in substance to reach the lower body and aromatic in odor to disperse stagnation. Tangerine Peel is bitter and strong, stronger than Green Tangerine Peel. Areca Seed is solid and heavy, like iron or stone; its strong flavor induces purgation, and its heavy nature directs downward, thus allowing pathogenic factors to be greatly expelled downwards. Child's urine guides damp-heat downward, exiting through urination. The Classics state: 'For distant pathways, make the dosage large.' Hence, a large dose is taken at once."
Regulating menstruation is the primary focus in treating women's diseases. Women are governed by Blood. Menstruation occurs once a month. "Jing" (Menstruation) means constancy, just as the moon has regular phases of waxing and waning. If it comes early or late, irregularly, or stops completely, this indicates a loss of normal rhythm, necessitating medicinal regulation. Historically, the method focused on regulating Qi and nourishing the Heart and Spleen. Since the Spleen is the source of production and transformation, and the Heart governs the blood of all meridians, if the Heart and Spleen are harmonious, menstruation will naturally regulate itself. However, the causes of irregularity vary. One must assess: if heat, cool it; if deficiency, tonify it; if stagnation, move it; if retention, purge it; if slipping, secure it; if sinking, lift it. Treating according to symptoms ensures efficacy. Danxi said: "Early arrival indicates hot blood, with bright red color. Purple-black indicates severe heat forming clumps. Although Qi stagnation is mentioned, extreme heat also causes this. Treatment should cool blood, clear heat, and tonify the Liver and Kidney. However, some cases arise from anger injuring the Liver, causing Liver Fire to boil blood prematurely. Some result from depression injuring the Spleen, where stagnant fire forces blood to flow prematurely. Some stem from overthinking injuring the Heart, where deficient fire causes blood to flow erratically. Treat each according to its cause. Late arrival indicates Blood deficiency, with pale red color. Pale white indicates severe deficiency. There are also cases where anger injures the Liver or depression injures the Spleen, leading to insufficient Blood, late periods, or amenorrhea. In obese individuals, damp-phlegm obstruction may cause late periods, irregular flow, requiring either Blood tonification or phlegm resolution based on symptoms. For irregular timing, regardless of symptoms, Qi disorder is treated as deficiency. Amenorrhea requires distinguishing deficiency and excess. Without other diseases, amenorrhea belongs to Yin deficiency with scanty Blood and flourishing Fire; toxic medicines for unblocking menstruation should not be used. In consumptive diseases with amenorrhea, insufficient Kidney Water allows Ministerial Fire to move recklessly, boiling True Yin and steaming the Sea of Blood, causing daily depletion of Blood, known colloquially as Dry Blood Consumption. Cases where emotional desires injure the Heart and fatigue injures the Spleen lead to Stomach disease, losing the source of producing essence and Blood, causing amenorrhea. This corresponds to the Classic stating 'Diseases of the Two Yang (Stomach and Large Intestine) originating in the Heart and Spleen' manifesting as no menstruation in women. Cases where unfulfilled concerns deplete Heart Blood, preventing Blood from returning to the Liver, cause amenorrhea; these are all due to deficiency. Cases caused by internal Blood stasis, anger/depression causing Qi stagnation and Blood coagulation, or catching cold/drinking cold during menstruation causing Blood coagulation are easy to treat, merely requiring unblocking. If menstrual flow is excessive, blame heat; treatment should cool blood, clear heat, and tonify Liver and Kidney primarily. If excessive and unceasing, add sour/astringent herbs or lifting agents. Scanty flow indicates Blood deficiency; in obese people, it may be due to Phlegm obstruction or Qi stagnation. Lower back and abdominal pain before menstruation is blamed on Qi stagnation and Blood excess; lingering pain after menstruation is blamed on Blood deficiency and Qi stagnation. These are the general rules of regulating menstruation. There are variations not mentioned by ancients. Such as Shicai saying: Some never menstruate but bleed from the rectum; some experience retrograde bleeding during menstruation, vomiting or epistaxis, or bleeding from ears/eyes, called Retrograde Menstruation; some menstruate every three months, called Residence Menstruation; some once a year, called Avoidance Year; some never menstruate but conceive, called Hidden Menstruation; some menstruate monthly after conception and give birth, called Filthy Pregnancy; some suffer sudden heavy bleeding months into pregnancy without miscarriage, called Leaking Pregnancy. Though explained by surplus or deficit of Qi and Blood, these are abnormal. The Classics state: 'At fourteen (two sevens), Tian Gui arrives; at forty-nine (seven sevens), Tian Gui ceases,' which is normal. Some girls bear children at twelve or thirteen; some women at fifty or sixty. These are extreme abnormalities. Physicians must know them.
Guipi Tang (see Consumptive Disease) treats Heart, Spleen, and Liver deficiency, irregular menstruation (early, late, irregular, amenorrhea, or menorrhagia with dripping). Modify this formula accordingly.
Add Rehmannia Root, White Peony Root, and Four-Processed Cyperus Rhizome. (Cyperus is a Qi herb within Blood herbs. Regulating Qi harmonizes Blood. Soak in Mugwort and Vinegar for two nights, divide into four parts. One part stir-fried with salt water, one with wine, one with child's urine, one with human milk.) If early due to Spleen injury from depression, add Bupleurum Root (guides Spleen/Stomach Qi upward, relies on lifting power), Gardenia Fruit (clears stagnant fire and Blood heat), Ophiopogon Tuber, and Turtle Shell (nourishes Yin, removes heat), or additionally Evodia Fruit and Stir-fried Coptis Rhizome (reaches Heart/Spleen stagnant fire). If late due to Spleen injury from depression, or scanty flow/amenorrhea, add Biota Seed, Goji Berry, Elk Antler, and Human Milk. (All tonify Blood. Drinking one bowl of human milk daily can promote menstruation.) If excessive dripping continues, add Ophiopogon Tuber, Turtle Shell (cold clears heat), Lotus Stamens, and Oyster Shell (astringe to prevent collapse), Schisandra Berry, and Cornus Fruit (sour to converge), and Burnt Hair. (Hair is the surplus of Blood, seeking similar energy.)
This formula acts on the Heart, Spleen, and Liver meridians. Lizhai said: "The Heart governs Blood, the Liver stores Blood, both regulated by the Spleen. Tonifying Spleen and harmonizing Stomach generates Blood." Thus, it is often used for regulating menstruation, especially for weak Stomach and deficient Spleen.
Note: This formula was created by Yan Yonghe of the Song Dynasty to treat diseases of the Two Yang originating in Heart and Spleen, involving hidden distress and female amenorrhea. Yangming Stomach and Large Intestine are the Two Yang. Emotional desires injure the Heart; when the Mother is injured, the Child suffers. Fatigue injures the Spleen; when Zang is injured, Fu organs are affected. Internal injury to Essence and external injury to Form affect the Stomach, hence Two Yang diseases originate in Heart and Spleen. "Hidden distress" refers to male sexual dysfunction. The Stomach is the sea of water and grain, transforming Ying and Wei and moistening the Sinews. As the Classics say: "The anterior yin is the gathering place of sinews, combining Taiyin and Yangming." Stomach disease loses the source of producing essence and Blood, leading to Yang decline and scanty essence. In women, this is amenorrhea. It further states: "If transmitted as Wind Wasting or Breath Accumulation, death is incurable." Long-term Stomach disease transmits; Liver Wood overacts on Earth, Wind flourishes wasting muscles; Stomach disease deprives Lung of nourishment, causing rapid breathing. Qi exhausts above, Essence depletes below, failing Five Zang, leading to death. Therefore, treat at the onset. The original formula lacked Polygala Root and Angelica Sinensis; Xue added them to treat Blood deficiency. He also added Moutan Bark and Gardenia Fruit to treat Blood heat, completing the principle of Yang generating Yin. Flexible application suits all symptoms miraculously.
Dishao Liangxue Tang (Self-made) treats early menstruation due to Blood Heat. Color bright red, purple-black, clotted, or excessive unceasing.
Rehmannia Root, White Peony Root (Cool Blood), Cortex Lycii, Turtle Shell (Clear Heat), Bamboo Leaf (or Bamboo Shavings), Ophiopogon Tuber (Clear Heart to govern Blood), Chinese Yam, Licorice Root (Tonify Spleen to control Blood), Goji Berry, Eucommia Bark (Tonify Liver/Kidney). Add Anemarrhena Rhizome (Bitter/salty/cold, nourishes Yin, removes heat). For robust patients with severe Blood Heat, temporarily add Anemarrhena, Phellodendron, Scutellaria, and Gardenia. If excessive unceasing, add Lotus Stamens (Astringe), Ziziphus Seed (Gather).
This formula cools blood, clears heat, and tonifies Liver/Kidney. Modify as needed. Suitable for Yin deficiency with internal heat who cannot take Ginseng/Atractylodes. Or use Liuwei Dihuang Wan combined with previous herbs.
Xiaoyao San (See Consumptive Disease) treats Liver/Spleen meridian deficiency, irregular menstruation (early, late, amenorrhea, or excessive unceasing).
Add Four-Processed Cyperus Rhizome. If early due to Liver injury from depression/anger, add ingredients from Dishao Liangxue Tang. If late due to Liver injury from depression/anger, or scanty flow/amenorrhea, add Biota Seed, Goji Berry, Achyranthes Root, and Prepared Rehmannia Root. If excessive unceasing, add Lotus Stamens, Ziziphus Seed, and Cornus Fruit.
This formula disperses with acrid, gathers with sour, sweetens to nourish Blood, calms Heart, supports Spleen. It is a key Liver meridian herb, a divine agent in Gynecology. Those with much depression/anger suit it best.
Tianwang Buxin Dan (See Consumptive Disease) treats mental labor causing deficient Fire to move recklessly, leading to early erratic bleeding, or unfulfilled concerns depleting Heart Blood, preventing return to Liver, causing amenorrhea.
For early menstruation, remove Angelica Sinensis (dislikes acrid/warm moving Blood) and Polygala Root (acrid/warm). Add White Peony Root and Tortoise Shell.
For amenorrhea, remove Schisandra Berry and Platycodon Root. Add White Peony Root, Goji Berry, Achyranthes Root, and Human Milk. This formula generates fluids, nourishes Blood, clears heat, calms Heart, settles Spirit. Mental laborers should modify and use it.
Siwu Tang (See Headache) treats Liver meridian Blood deficiency, late absence.
Add Biota Seed, Goji Berry, Achyranthes Root, Deer Antler Glue, and Processed Cyperus Rhizome.
Though called the master of regulating menstruation, it is unsuitable in some cases. Avoid Angelica and Ligusticum Chuanxiong in Blood Heat. Many modern patients have Yin deficiency/Blood Heat; thus, those with hematemesis/epistaxis, cough/wheezing, or vomiting/dysphoria should avoid it. Angelica lubricates intestines; contraindicated in diarrhea.
Bairen Wan (Can also be decocted) treats Yin deficiency, scanty Blood, flourishing Fire, amenorrhea.
Biota Seed (Tonify Blood), Two Di (Rehmannia & Drynaria?), Two Dong (Ophiopogon & Asparagus?), Achyranthes Root (Prepared tonifies essence/Blood, raw promotes menstruation, 4 liang each), Dipsacus Root (Unblocks/promotes Blood vessels), Lygodium Spore (Nourishes Ying Blood, moves old Blood, 2 liang each). Honey pills.
This formula nourishes Yin and Blood, strengthens Water to control Fire. When Blood is sufficient, menstruation comes spontaneously.
Shixiao San (See Epigastric Pain) treats internal Blood stasis, amenorrhea, occasional lower abdominal pain.
Original formula (consult He's additions). Add Cyperus Rhizome and Costus Root. If anger/depression causes Qi stagnation/Blood coagulation, add Curcuma Zedoaria and Amomum/Aucklandia. If lower abdomen full/painful/rejects pressure, use Tao Ren Cheng Qi Tang, modified.
This formula dissipates stasis and moves Blood, i.e., "move stagnation, purge retention."
Xiangsu San (See Cold Damage) treats menstruation interrupted by cold exposure and cold drinks, causing Blood coagulation/stopping.
Add Angelica Sinensis, Red Peony Root, Peach Kernel, Safflower, and Corydalis Rhizome.
This formula warms, disperses, moves Blood, transforms Qi, and unblocks.
Erchen Tang (See Stroke) treats obese individuals with excessive food intake, fat accumulation blocking, damp-phlegm obstruction, causing late/scanty menstruation or amenorrhea.
Add Cyperus Rhizome (Benefits Qi), Salvia Root, Costus Root, Achyranthes Root. (All move Blood without stagnating Phlegm). With deficiency, use Xiangsha Liujunzi Tang plus above herbs, decocted with Motherwort Decoction. (All unblocking menstruation herbs should be decocted with this soup). This formula resolves Phlegm and regulates Qi. Benefiting Qi moves Phlegm; removing Phlegm opens menstruation. Seek the root. Apply carefully; do not blindly administer to all obese people.