色紫者热也。用四物加香附黄连汤∶归尾、川芎、赤芍、香附（制）、生地、黄连、甘
草
色淡者虚也。台党、白术、茯苓、归身、川芎、白芍、熟地、炙 、香附（制）各一钱，
炙草五分，姜、枣引，水煎服。并常服地黄丸（见前）。
此症全无血色，乃大虚大寒，不可用凉药，宜用附子乌鸡丸，服之半月，非但病愈，又
能怀孕。
附子乌鸡丸∶附子三钱，鹿茸（无则用鹿胶）一两，真山药、苁蓉、肉桂、蒲黄（炒黑）、
当归、萸肉各五钱，白芍一两，熟地一两五钱，净乌鸡肉去皮油，酒蒸三两，米糊为丸，空
心酒送下一百丸。
此系虚症，不可用凉药，须暖其经，以和其血，次月血胜而愈。宜用加味四物汤∶当归
、乌药、川芎、元胡、小茴、白芍各八分，熟地一钱，姜、枣引，水煎，空心服。
宜治块为先。用四物元胡汤∶当归、川芎、白芍各八分，元胡一钱，熟地一钱五分，姜
三片，酒煎，加沉香三分磨兑，食后服。
此血门不开。宜用牛膝三两，乳香一钱，麝香二分，水一碗半，煎牛膝至一碗，临服磨
乳香、麝香入内，空心服，一剂即愈。如系火症，用辰砂益元散（见备用诸方）
此症经来、或因家事触怒，逆血攻心，不知人事，狂言鬼神。先用麝香二分，辰砂、远
志（去心）、甘草各一钱，柴胡、桔梗、茯神各二钱，木香五分，台党八分，水煎，不拘时
服
茯苓丸∶茯苓、茯神各八钱，远志去骨六钱，朱砂三钱，猪心一个，稀粥为丸如桐子大
，用金银花汤送五十丸即愈。
经血颜色紫暗的，属于热证。使用四物汤加入香附和黄连的方剂：当归尾、川芎、赤芍、制香附、生地黄、黄连、甘草。
经血颜色淡白的，属于虚证。用台参（党参）、白术、茯苓、当归身、川芎、白芍、熟地黄、炙黄芪、制香附各一钱，炙甘草五分，以生姜、大枣为引，水煎服。并常服用六味地黄丸（见前文）。
此症经血完全没有血色，属于大虚大寒之证，不可使用凉药，适宜使用附子乌鸡丸，服用半个月，不仅病愈，还能怀孕。
附子乌鸡丸：附子三钱，鹿茸（若无则用鹿角胶）一两，真山药、肉苁蓉、肉桂、炒黑蒲黄、当归、山茱萸各五钱，白芍一两，熟地黄一两五钱，净乌鸡肉去皮去油，酒蒸三两，米糊制作成丸，空腹时送服一百丸。
此系虚证，不可使用凉药，必须温暖经脉，调和血液，次月经血充盈即可痊愈。适宜使用加味四物汤：当归、乌药、川芎、延胡索、小茴香、白芍各八分，熟地黄一钱，以生姜、大枣为引，水煎，空腹服用。
应当先治疗血块。使用四物元胡汤：当归、川芎、白芍各八分，延胡索一钱，熟地黄一钱五分，生姜三片，酒煎，加入沉香三分磨汁兑入，饭后服用。
此症属于血室之门不开。适宜使用牛膝三两，乳香一钱，麝香二分，加水一碗半，煎煮牛膝至剩一碗，临服用时磨入乳香、麝香，空腹服用，一剂即愈。如果属于火证，使用辰砂益元散（见备用诸方）。
此症因月经来潮时，或因家事触怒，导致逆乱之血攻心，神志不清，胡言乱语如见鬼神。先用麝香二分，辰砂、远志（去心）、甘草各一钱，柴胡、桔梗、茯神各二钱，木香五分，台参八分，水煎，不拘时间服用。
茯苓丸：茯苓、茯神各八钱，去骨远志六钱，朱砂三钱，猪心一个，稀粥制作成丸如梧桐子大，用金银花汤送服五十丸即愈。
When the menstrual blood is purple, it indicates Heat syndrome. Use Siwu Tang (Four Substances Decoction) with added Xiangfu Rhizoma Cyperi and Huanglian Cortex Coptidis: Dangguiwei Radix Angelicae Sinensis Tail, Chuanxiong Rhizoma Ligustici Chuanxiong, Chiyaos Radix Paeoniae Rubra, Zhixiangfu Rhizoma Cyperi Preparatum, Shengdihuang Radix Rehmanniae Preparata, Huanglian Rhizoma Coptidis, Gancao Radix Glycyrrhizae.
When the menstrual blood is pale, it indicates Deficiency syndrome. Use Taishen (Codonopsis Radix), Baizhu Rhizoma Atractylodis Macrocephalae, Fuling Sclerotium Poriae, Dangguishen Radix Angelicae Sinensis Root, Chuanxiong Rhizoma Ligustici Chuanxiong, Baishaoy Radix Paeoniae Alba, Shudihuang Radix Rehmanniae Preparata, Zhihuangqi Radix Astragali Preparatus, Zhixiangfu Rhizoma Cyperi Preparatum each 1 qian; Zhi gancao Radix Glycyrrhizae Preparata 0.5 qian; use Shengjiang Rhizoma Zingiberis Recens and Dazao Fructus Jujubae as guides; decoct in water and take orally. Also, regularly take Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (see previous section).
This condition, where the menstrual blood lacks all color, indicates severe Deficiency and Cold. Cool medicines must not be used; instead, Fuzi Wuji Wan (Aconite Black Chicken Pill) is suitable. After taking it for half a month, not only will the illness be cured, but pregnancy may also occur.
Fuzi Wuji Wan: Fuzii Radix Preparata 3 qian, Lurong Cornu Cervi Pantotrichum (if unavailable, use Lu jiao jiao Corium Cornu Cervi Gelatinum) 1 liang, Zhen shanyao Rhizoma Dioscoreae Oppositae, Rongcong Cortex Cynomorii 5 qian each, Rougui Cortex Cinnamomi, Chaohei Puhuang Pollinis Typhae, Danggui Radix Angelicae Sinensis, Yurou Fructus Corni Officinalis 5 qian each, Baishaoy Radix Paeoniae Alba 1 liang, Shudihuang Radix Rehmanniae Preparata 1.5 liang, Jing wuji rou Carco Gallinae Purified (skin and fat removed), steamed in wine 3 liang; made into pills using rice paste; take 100 pills on an empty stomach with warm wine.
This is a Deficiency syndrome; cool medicines must not be used. One must warm the meridians to harmonize the blood; by the next month, when the blood volume increases, the condition will resolve. Jiawei Siwu Tang (Modified Four Substances Decoction) is suitable: Danggui Radix Angelicae Sinensis, Wuyao Rhizoma Linderae, Chuanxiong Rhizoma Ligustici Chuanxiong, Yuanhu Rhizoma Corydalis, Xiaohui Fructus Foeniculi, Baishaoy Radix Paeoniae Alba each 0.8 fen; Shudihuang Radix Rehmanniae Preparata 1 qian; use Shengjiang Rhizoma Zingiberis Recens and Dazao Fructus Jujubae as guides; decoct in water and take on an empty stomach.
Treatment of blood clots should be prioritized. Use Siwu Yuanhu Tang (Four Substances and Corydalis Decoction): Danggui Radix Angelicae Sinensis, Chuanxiong Rhizoma Ligustici Chuanxiong, Baishaoy Radix Paeoniae Alba each 0.8 fen; Yuanhu Rhizoma Corydalis 1 qian; Shudihuang Radix Rehmanniae Preparata 1.5 qian; Shengjiang Rhizoma Zingiberis Recens 3 slices; decoct in wine; add Chenxiang Aquilariae Lignum Resinatum 0.3 fen ground into liquid and mix; take after meals.
This condition involves Qi and Blood Deficiency. The aforementioned Fuzi Wuji Wan (Aconite Black Chicken Pill) is suitable.
This condition involves the opening of the blood gate being obstructed. Use Niuxi Radix Achyranthis Bidentatae 3 liang, Rushi Resina Olibani 1 qian, Shexiang Moschus 2 fen; add 1.5 bowls of water, decoct Niuxi until one bowl remains; before administration, grind Rushi Resina Olibani and Shexiang Moschus into the liquid; take on an empty stomach; one dose results in cure. If it is a Fire syndrome, use Chensha Yiysan (Cinnabar and Yi Powder) (see supplementary formulas).
This syndrome occurs during menstruation due to anger triggered by family matters, causing rebellious blood to attack the Heart, leading to loss of consciousness and delirious speech as if seeing spirits or ghosts. First, use Shexiang Moschus 2 fen, Chensha Cinnabaris, Yuanzhi Herba Polygalae (heart removed), Gancao Radix Glycyrrhizae each 1 qian; Chaihu Radix Bupleuri, Jiegeng Radix Platycodonis, Fushen Sclerotium Poriae Cum Radix Pini each 2 qian; Muxiang Radix Aucklandiae 0.5 fen; Taishen Codonopsis Radix 0.8 fen; decoct in water and take at any time.
Fuling Wan (Poria Pill): Fuling Sclerotium Poriae, Fushen Sclerotium Poriae Cum Radix Pini each 8 qian; Yuanzhi Herba Polygalae (bone removed) 6 qian; Zhusha Cinnabaris 3 qian; Zhuxin Cor Porci 1 piece; made into pills the size of paulownia seeds using thin porridge; send down 50 pills with Jinyinhuaye Flos Lonicerae Japonicae decoction for cure.