宜解表发汗。用乌药顺气散∶乌药、僵蚕、白芷、陈皮、枳壳各八分，干姜、甘草各五
分，麻黄三分去节（此味宜称准，不可多用，如系春天只服一二分足矣），姜三片，葱一根，
水煎服即愈。
此症经来胃气不开，不思饮食，须开胃，不宜别样，只取雄鸭头顶上血调酒饮，立效。
此名肠蕈。因经行之时，寒气自肛门而入，客于大肠，以致经血凝涩，月信虽行，而血
却少，其腹渐大如孕子状，为胎漏状。壮盛妇人半年以后，气盛而除，虚怯者必成胀病。用
桂枝桃仁汤∶桂枝、槟榔各一钱五分，白芍、生地、枳壳各一钱，桃仁二十五粒，炙草五分
，姜、枣引，水煎服。更宜常服四制香附丸（见后），此症载《灵枢》内，人鲜知者，特表
而
妇人女子经闭不行，其候有三。乃脾胃伤损，饮食减少，气耗血枯而不行者，法当补其
脾胃，养其气血，以待气充血生，经自行矣。不可妄用通经之剂，则中气益损，阴血益干，
致成痨瘵之疾而不可救，所谓索千金于乞丐，棰楚日加，徒毙其生而已。一则忧愁思虑，恼
怒怨恨，气郁血滞而经不行者，法当开郁气、行滞血而经自行，苟用补剂，则气得补而益结
、血益凝聚，致成症瘕腹满之疾，所谓养虎自遗患也。一则躯肢迫塞，痰涎壅滞而经不行者
，法当行气导痰，使经得行，斯之谓良工矣。
应当采用解表发汗的方法治疗。使用乌药顺气散：乌药、僵蚕、白芷、陈皮、枳壳各八分，干姜、甘草各五分，麻黄三分（需去除节段，此药剂量必须称准，不可多用，如果是春季服用，只需一二分即可），生姜三片，葱一根，加水煎煮后服用，病即可痊愈。
这种病症是因为月经来潮时胃气郁结不开，导致不思饮食，需要开胃，不宜用其他方法，只取雄鸭头顶上的血调和酒饮用，立即见效。
这种情况称为肠蕈（肠道息肉状肿块）。因为在行经期间，寒气从肛门进入，客居于大肠，导致经血凝滞涩少，虽然月经来潮，但血量很少，腹部逐渐增大如同怀孕一般，呈现胎漏（孕期阴道出血）的形态。身体强壮的妇女半年以后，随着正气旺盛可自行消除；体虚怯弱者必定发展为胀病。使用桂枝桃仁汤：桂枝、槟榔各一钱五分，白芍、生地、枳壳各一钱，桃仁二十五粒，炙甘草五分，以生姜、大枣为引，加水煎煮后服用。更宜常服四制香附丸（见后文），此症记载于《灵枢》中，人们很少知晓，特此列出。
妇女闭经不行，其证候有三种情况。一是脾胃受损，饮食减少，气耗血枯而导致闭经的，治法应当补益脾胃，滋养气血，等待气充血生，月经自然通行。不可妄用通经的药物，否则中气更加亏损，阴血更加干枯，导致形成痨瘵（消耗性疾病）而不可救治，这就像向乞丐索要千金，每天鞭打折磨，只会白白害死生命罢了。二是因为忧愁思虑，恼怒怨恨，导致气郁血滞而闭经的，治法应当开郁理气、行滞活血，使月经自行通畅，如果误用补剂，则气得到补益会更加郁结，血液更加凝聚，导致形成症瘕（腹内结块）腹满的疾病，这就像养虎自留后患一样。三是肢体迫塞，痰涎壅滞而导致闭经的，治法应当行气导痰，使月经得以通行，这才是高明的医生。
It is appropriate to resolve the exterior and induce sweating. Use Wuyao Shunqi San (Aucklandia Decoction to Promote Qi Flow): Wu Yao (Linderae Radix), Jiang Can (Bombyx Batryticatus), Bai Zhi (Angelicae Dahuricae Radix), Chen Pi (Citri Reticulatae Pericarpium), and Zhi Qiao (Aurantii Fructus) each 8 fen; Gan Jiang (Zingiberis Rhizoma) and Gan Cao (Glycyrrhizae Radix et Rhizoma) each 5 fen; Ma Huang (Ephedrae Herba) 3 fen, nodes removed (this herb's dosage must be accurate and not excessive; in spring, only 1-2 fen is sufficient); 3 slices of fresh ginger; 1 stalk of green onion. Decoct in water and take orally for recovery.
This condition arises because stomach qi fails to open during menstruation, leading to loss of appetite. It requires opening the stomach; other methods are unsuitable. Only blood from the top of a male duck's head, mixed with wine and drunk, yields immediate effect.
This is named Chang Xun (Intestinal Polyp). It occurs when cold pathogen enters through the anus during menstruation and lodges in the large intestine, causing menstrual blood to coagulate and become scanty. Although menstruation occurs, the volume is low, and the abdomen gradually enlarges resembling pregnancy, presenting as Tai Lou (threatened abortion bleeding). In robust women, it may resolve after half a year as qi becomes abundant; in frail individuals, it inevitably develops into Zhang Disease (distension disease). Use Guizhi Tao Ren Tang (Cinnamon Twig and Peach Kernel Decoction): Gui Zhi (Cinnamomi Ramulus), Bing Lang (Arecae Semen) each 1 qian 5 fen; Bai Shao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Zhi Qiao each 1 qian; Tao Ren (Persicae Semen) 25 grains; Zhi Cao (Prepared Licorice Root) 5 fen. Use fresh ginger and jujube as guides, decoct in water, and take orally. It is also advisable to frequently take Sizhi Xiangfu Wan (Four-Processed Cyperi Pill) (see later). This condition is recorded in *Ling Shu* (Spiritual Pivot), but few people know of it; therefore, it is specifically presented here.
In women, amenorrhea presents with three main patterns. First, if spleen and stomach are damaged, food intake decreases, qi is depleted, and blood is dry, resulting in amenorrhea, the treatment method should tonify the spleen and stomach and nourish qi and blood, waiting for qi to fill and blood to generate so that menstruation resumes naturally. One must not recklessly use emmenagogue agents, or middle qi will be further damaged and yin blood further dried up, leading to Lao Zhai (consumptive disease) which is incurable. This is like demanding a thousand gold from a beggar; beating him daily only hastens his death. Second, due to worry, overthinking, anger, and resentment, causing qi stagnation and blood stasis leading to amenorrhea, the treatment method should relieve qi depression and move blood stasis so menstruation resumes naturally. If tonics are used, qi will become more knotted and blood more coagulated, leading to Zheng Jia (masses) and abdominal fullness. This is like raising a tiger and inviting disaster. Third, if limb obstruction and phlegm-saliva accumulation cause amenorrhea, the treatment method should move qi and guide out phlegm so menstruation can proceed. This constitutes the work of a skilled physician.