精深中醫(yī)月經(jīng)病-歸納

月經(jīng)病月經(jīng)先期涵義：1先期→月經(jīng)周期提前七天以上者（且連續(xù)三個周期以上）。2過多→月經(jīng)周期正常，僅是經(jīng)量明顯增多（大于80～100ml）。西醫(yī)：1先期→排卵性功能性子宮失調(diào)出血的黃體不健全；盆腔炎導(dǎo)致的出血。2過多→排卵性功能性子宮失調(diào)出血的月經(jīng)過多；肌瘤、異癥、盆腔炎等導(dǎo)致的量多。腎氣虛氣虛月經(jīng)月經(jīng)先期、量多、色黯淡、質(zhì)稀。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡、苔薄、脈細(xì)無力。治則補(bǔ)益腎氣，固沖調(diào)經(jīng)方藥固陰煎或歸腎丸脾氣虛氣虛月經(jīng)月經(jīng)先期、量多、色淡紅、質(zhì)稀。癥狀面色晃白、神疲肢倦、腹脹納呆、面浮肢腫、大便溏薄、帶下量多、舌淡苔薄、脈緩弱無力。治則補(bǔ)脾益氣，攝血調(diào)經(jīng)方藥補(bǔ)中益氣湯或歸脾湯陽盛血熱血熱月經(jīng)月經(jīng)先期、量多、色深紅或紫紅、質(zhì)稠（流出有熱感、有臭氣）。癥狀頭暈面赤、心煩口渴、喜冷飲、大便秘結(jié)、小便短赤、舌紅、苔黃、脈滑數(shù)或洪數(shù)。治則清熱涼血調(diào)經(jīng)方藥清經(jīng)散肝郁血熱血熱月經(jīng)月經(jīng)先期、量或多或少、色深紅或紫紅、質(zhì)稠夾血塊。癥狀頭暈?zāi)垦！⒖诳嘌矢?、精神抑郁、煩躁易怒、乳房胸脅小腹脹痛、善太息、便干、舌紅苔黃、脈弦數(shù)。治則疏肝清熱，涼血調(diào)經(jīng)方藥丹梔逍遙散陰虛血熱血熱月經(jīng)月經(jīng)先期、量或多或少、色鮮紅、質(zhì)稠。癥狀兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、腰膝酸軟、舌紅無苔或舌絳少苔、脈細(xì)數(shù)（腎陰虛）。治則養(yǎng)陰清熱調(diào)經(jīng)方藥兩地湯月經(jīng)后期月經(jīng)周期后延七天以上，又稱經(jīng)遲；月經(jīng)后期兼月經(jīng)過少可漸漸發(fā)展成閉經(jīng)。腎虛月經(jīng)月經(jīng)后期、量少、色黯淡、質(zhì)稀。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡、苔薄、脈細(xì)無力。治則補(bǔ)腎養(yǎng)血調(diào)經(jīng)方藥當(dāng)歸地黃飲血虛月經(jīng)月經(jīng)后期、量少、色淡、質(zhì)稀。癥狀頭暈眼花、心悸怔忡、失眠多夢、小腹空墜、面唇舌爪甲淡白、皮膚干燥不澤、舌淡苔薄、脈細(xì)弱無力。治則補(bǔ)血益氣調(diào)經(jīng)方藥大補(bǔ)元煎虛寒血寒月經(jīng)月經(jīng)后期、量少、色淡紅、質(zhì)稀。癥狀小腹冷痛、喜溫喜按、腰膝酸軟、大便溏薄、小便清長、舌淡苔薄、脈遲或細(xì)弱無力（腎陽虛）。治則扶陽祛寒調(diào)經(jīng)方藥溫經(jīng)湯或艾附暖宮丸實寒血寒月經(jīng)月經(jīng)后期、量少、色紫暗或紫黑、質(zhì)稠夾血塊。癥狀小腹冷痛、得熱則減、肢寒畏冷、面色清白、舌淡紫苔薄白、脈緊。治則溫經(jīng)散寒調(diào)經(jīng)方藥《婦人大全良方》溫經(jīng)湯氣滯月經(jīng)月經(jīng)后期、量少、色紫暗、質(zhì)稠夾血塊、經(jīng)行不暢。癥狀小腹脹痛、胸脅乳房脹滿、精神抑郁、善太息、煩躁易怒、舌淡苔薄、脈弦。治則理氣行滯調(diào)經(jīng)方藥烏藥湯月經(jīng)先后無定期月經(jīng)不按周期來潮，提前或錯后超過七天以上者，又稱經(jīng)亂；月經(jīng)量多兼經(jīng)期延長皆可漸致崩漏。腎虛月經(jīng)月經(jīng)周期或先或后、量或多或少、色黯淡、質(zhì)稀。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡、苔薄、脈細(xì)無力。治則補(bǔ)腎調(diào)經(jīng)方藥固陰煎肝郁月經(jīng)月經(jīng)周期或先或后、量或多或少、色暗紅或紫紅或有血塊，或經(jīng)行不暢。癥狀胸脅乳房或少腹脹痛，脘悶不舒，噯氣食少，苔薄黃或薄白，脈弦。治則疏肝理氣調(diào)經(jīng)方藥逍遙散月經(jīng)過多月經(jīng)周期正常，但經(jīng)量明顯增多，相當(dāng)于西醫(yī)學(xué)排卵性功能失調(diào)性子宮出血、子宮肌瘤、子宮肥大癥、盆腔炎、子宮膜異位癥等。氣虛月經(jīng)月經(jīng)先期、量多、色淡紅、質(zhì)稀。癥狀面色晃白、神疲肢倦、腹脹納呆、面浮肢腫、大便溏薄、帶下量多、舌淡苔薄、脈細(xì)弱。治則補(bǔ)氣攝血固沖方藥舉元煎或安沖湯血熱月經(jīng)月經(jīng)先期、量多、色深紅或鮮紅、質(zhì)稠或有血塊。癥狀頭暈面赤、心煩口渴、喜冷飲、大便秘結(jié)、小便短赤、舌紅、苔黃、脈滑數(shù)。治則清熱涼血，固沖止血方藥保陰煎血瘀月經(jīng)月經(jīng)周期正常、量多、色紫暗或黑、質(zhì)稠有血塊。癥狀小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈澀。治則活血化瘀止血方藥失笑散月經(jīng)過少月經(jīng)周期正常，但經(jīng)量明顯減少，甚或點(diǎn)滴即凈。腎虛月經(jīng)月經(jīng)周期正?；蚝笃?、量少、色淡紅或黯紅、質(zhì)?。ǔ醭边t）。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡、苔薄、脈細(xì)無力。治則補(bǔ)腎益精，養(yǎng)血調(diào)經(jīng)方藥當(dāng)歸地黃飲或歸腎丸血虛月經(jīng)月經(jīng)后期、量少、色淡紅、質(zhì)稀。癥狀頭暈眼花、心悸怔忡、失眠多夢、小腹空墜、面唇舌爪甲淡白、皮膚干燥不澤、舌淡苔薄、脈細(xì)弱無力。治則養(yǎng)血益氣調(diào)經(jīng)方藥滋血湯或小營煎痰濕月經(jīng)月經(jīng)周期正?；蚝笃?、量少、色淡紅、質(zhì)黏如痰。癥狀形體肥胖，胸悶嘔惡，或帶多粘膩，舌淡苔白膩，脈滑。治則燥濕化痰調(diào)經(jīng)方藥蒼附導(dǎo)痰丸或二加芎歸湯血瘀月經(jīng)月經(jīng)周期正?；蚝笃?、量或多或少、色紫黑、質(zhì)稠夾血塊。癥狀小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈澀或弦澀。治則活血化瘀調(diào)經(jīng)方藥通瘀煎或桃紅四物湯經(jīng)期延長經(jīng)期超過七天以上，甚至達(dá)到兩周。氣虛月經(jīng)周期正常、經(jīng)期延長、量多、色淡紅、質(zhì)稀。癥狀面色晃白、神疲肢倦、腹脹納呆、面浮肢腫、大便溏薄、帶下量多、舌淡苔薄、脈緩弱無力。治則補(bǔ)氣攝血，固沖調(diào)經(jīng)方藥舉元煎虛熱月經(jīng)周期正常、經(jīng)期延長、量少、色鮮紅、質(zhì)稠。癥狀兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、腰膝酸軟、舌紅無苔或舌絳少苔、脈細(xì)數(shù)。治則養(yǎng)陰清熱止血方藥兩地湯合二至丸、四烏賊骨一蘆茹丸或固經(jīng)丸血瘀月經(jīng)周期正常、經(jīng)期延長、量或多或少、色紫黑或紫黯、質(zhì)稠夾血塊。癥狀小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈澀或弦澀。治則活血化瘀止血方藥桃紅四物湯合失笑散加味，或桂枝茯苓丸加味經(jīng)間期出血兩次月經(jīng)中間（即絪缊期、排卵期），周期性出血現(xiàn)象。腎陰虛月經(jīng)兩次月經(jīng)中間有少量出血、色鮮紅、質(zhì)稠。癥狀兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、腰膝酸軟、舌紅無苔或舌絳少苔、脈細(xì)數(shù)。治則滋腎養(yǎng)陰，固沖止血方藥加減一陰煎或兩地湯合二至丸濕熱月經(jīng)兩次月經(jīng)中間有少量出血、色黯紅或深紅、質(zhì)稠有臭氣。癥狀口苦、頭暈、心煩胸悶、口膩納呆、帶下量多色黃、舌紅苔薄黃膩、脈滑數(shù)。治則清利濕熱，固沖止血方藥清肝止淋湯血瘀月經(jīng)兩次月經(jīng)中間有少量出血、色紫黑或紫黯、質(zhì)稠夾塊。癥狀小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈澀或弦澀。治則化瘀止血方藥逐瘀止血湯崩漏月經(jīng)的周期、經(jīng)期、經(jīng)量發(fā)生嚴(yán)重紊亂，忽然大下者為崩，淋漓不斷出血者為漏，月經(jīng)非時而下。腎虛腎氣虛月經(jīng)經(jīng)血非時而下、量或多或少、色淡紅或黯淡、質(zhì)稀。癥狀面色晦暗，眼眶黯，小腹空墜，腰脊酸軟，舌淡黯，苔白潤，脈弱。治則補(bǔ)腎益氣，固沖止血方藥加減蓯蓉菟絲子丸加黨參、黃蓍、阿膠腎虛腎陰虛月經(jīng)經(jīng)血非時而下、量或多或少、色鮮紅、質(zhì)稠。癥狀兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、腰膝酸軟、舌紅無苔或舌絳少苔、脈細(xì)數(shù)。治則滋腎益陰，固沖止血方藥左歸丸合二至丸腎虛腎陽虛月經(jīng)經(jīng)血非時而下、量或多或少、色淡紅或黯淡、質(zhì)稀。癥狀小腹冷痛、喜溫喜按、頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、舌淡、苔薄、脈遲或細(xì)弱。治則溫腎益氣，固沖止血方藥右歸丸加黨參、黃蓍、田七脾虛月經(jīng)經(jīng)血非時而下、量或多或少、色淡紅、質(zhì)?。ū绖t脈芤，漏則脈緩弱）。癥狀面色晃白、神疲肢倦、腹脹納呆、面浮肢腫、大便溏薄、帶下量多、舌淡苔薄、脈緩弱。治則補(bǔ)氣攝血，固沖止崩方藥固本止崩湯或固沖湯血熱虛熱月經(jīng)經(jīng)血非時而下、量或多或少、色鮮紅。癥狀面頰潮紅，煩熱少寐，咽干口燥，便結(jié)，舌紅少苔，脈細(xì)數(shù)。治則養(yǎng)陰清熱，固沖止血方藥上下相資湯血熱實熱月經(jīng)經(jīng)血非時而下、量或多或少、色深紅、質(zhì)稠。癥狀頭暈面赤、心煩口渴、喜冷飲、大便秘結(jié)、小便短赤、舌紅、苔黃、脈滑數(shù)或洪數(shù)。治則清熱涼血，固沖止血方藥清熱固經(jīng)湯血瘀月經(jīng)經(jīng)血非時而下、時下時止或淋漓不凈，或閉停日久，又突然大下、色黑、質(zhì)稠夾血塊。癥狀小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈澀或弦澀。治則活血化瘀，固沖止血方藥逐瘀止血湯或?qū)④姅仃P(guān)湯閉經(jīng)婦女年逾十八歲，月經(jīng)尚未來潮（原發(fā)性閉經(jīng)）或月經(jīng)閉停半年以上未來潮者（繼發(fā)性閉經(jīng)）。腎氣虧損月經(jīng)初潮遲、月經(jīng)后期、量少、色黯淡、質(zhì)稀、漸致閉經(jīng)。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡暗、苔薄白、脈細(xì)。治則補(bǔ)腎益氣，調(diào)理沖任方藥加減蓯蓉菟絲子丸加淫羊藿、紫河車陰虛血燥月經(jīng)初潮遲、月經(jīng)后期、量少、色紅、質(zhì)稠、漸致閉經(jīng)。癥狀五心煩熱，顴紅唇干，盜汗甚至骨蒸勞熱，干咳或咳嗽唾血，舌紅少苔，脈細(xì)數(shù)。治則養(yǎng)陰清熱調(diào)經(jīng)方藥加減一陰煎加丹參、黃精、女真子、制香附氣血虛弱月經(jīng)月經(jīng)后期、量少、色淡紅、質(zhì)稀、漸致閉經(jīng)。癥狀頭暈眼花、心悸怔忡、失眠多夢、小腹空墜、面唇舌爪甲淡白、皮膚干燥不澤、舌淡苔薄、脈細(xì)弱。治則益氣養(yǎng)血調(diào)經(jīng)方藥人參養(yǎng)榮湯氣滯血瘀月經(jīng)平素月經(jīng)正常，突然月經(jīng)數(shù)月不行。癥狀小腹脹痛拒按、塊下則痛減、胸脅乳房脹滿、精神抑郁、煩躁易怒、舌質(zhì)紫黯邊有瘀斑、脈弦澀。治則理氣活血，祛瘀通經(jīng)方藥膈下逐瘀湯或血府逐瘀湯痰濕阻滯月經(jīng)平素月經(jīng)正常，突然月經(jīng)數(shù)月不行。癥狀形體肥胖、胸悶嘔惡、頭暈心悸、口膩納呆、帶下量多質(zhì)稠如痰狀、神疲肢倦、舌淡胖邊有齒痕、苔白膩、脈弦滑。治則健脾燥濕祛痰，活血調(diào)經(jīng)方藥四君子湯合蒼附導(dǎo)痰丸多囊卵巢綜合征一種發(fā)病多因性，臨床表現(xiàn)多態(tài)性的綜合征，病因可能與高胰島素血癥和胰島素抵抗有關(guān)。腎虛月經(jīng)月經(jīng)遲或周期延遲或經(jīng)期紊亂，量多或少或淋漓不盡、色淡質(zhì)稀，漸致閉經(jīng)。癥狀腰腿酸軟，頭暈耳鳴，面色不華，身疲倦怠，胃寒便溏，舌淡苔薄，脈細(xì)。治則益腎調(diào)沖方藥右歸丸加石楠葉、仙茅痰濕阻滯月經(jīng)經(jīng)期延后，量少、色淡質(zhì)黏稠，帶下量多，漸致閉經(jīng)。癥狀胸悶泛惡，形體豐滿或肥胖，喉間多痰，毛發(fā)濃密，神疲肢重，苔白膩，脈滑或滑。治則燥濕化痰，活血調(diào)經(jīng)方藥蒼附導(dǎo)痰丸加桃仁、當(dāng)歸、紅花、夏枯草氣滯血瘀月經(jīng)經(jīng)期延后，量多或少，淋瀝不盡，色黯紅，質(zhì)稠或有血塊，漸致閉經(jīng)。癥狀婚久不孕，伴乳房脹痛，小腹脹痛拒按，胸脅脹痛，舌暗紅或有瘀點(diǎn)，苔薄，脈澀。治則理氣活血，祛瘀通經(jīng)方藥膈下逐瘀湯肝經(jīng)濕熱月經(jīng)月經(jīng)稀發(fā)或閉經(jīng)或紊亂。癥狀婚久不孕，體型壯實，毛發(fā)濃密，面部痤瘡，經(jīng)前乳房脹痛，大便秘結(jié)，苔薄黃，脈弦或弦數(shù)。治則瀉肝清熱，除濕調(diào)經(jīng)方藥龍膽瀉肝湯痛經(jīng)時間在經(jīng)期或行經(jīng)前后，出現(xiàn)小腹或腰骶部疼痛，劇痛難忍，甚則影響工作或?qū)W習(xí)，癥狀伴隨月經(jīng)周期性反復(fù)發(fā)作。氣滯血瘀月經(jīng)行而不暢、量少、色紫黯、夾有血塊，如腐肉樣物質(zhì)痛經(jīng)經(jīng)前或經(jīng)期，小腹脹痛或陣痛拒按，塊下則痛減。癥狀小腹脹痛拒按、胸脅乳房脹滿、精神抑郁、善太息、煩躁易怒、舌質(zhì)紫黯邊有瘀斑、脈澀或弦澀。治則理氣行滯，化瘀止痛方藥膈下逐瘀湯或痛經(jīng)方寒凝血瘀月經(jīng)量少、色不鮮，如黑豆汁樣（紫黑、紫黯）、有塊。痛經(jīng)經(jīng)前或經(jīng)期，小腹冷痛拒按，得溫則痛減。癥狀畏寒肢冷、面色青白、舌黯苔白、脈緊。治則溫經(jīng)散寒，化瘀止痛方藥少腹逐瘀湯或溫經(jīng)散寒湯濕熱瘀阻月經(jīng)量多、色黯紅、質(zhì)稠夾有血塊，或月經(jīng)失調(diào)。痛經(jīng)經(jīng)前或經(jīng)期，小腹灼熱疼痛拒按，或平時小腹疼痛經(jīng)行加劇。癥狀口苦、頭暈、心煩胸悶、納呆、口膩、帶下量多色黃、舌紅苔黃膩、脈滑數(shù)或弦數(shù)。治則清熱除濕，化瘀止痛方藥銀甲丸或清熱調(diào)血湯加車前子、薏苡仁、敗醬草氣血虛弱月經(jīng)量少、色淡、質(zhì)稀。痛經(jīng)經(jīng)后或經(jīng)期，小腹隱隱作痛，喜按，小腹空墜作痛。癥狀面色晃白、神疲肢倦、頭暈眼花、心悸怔忡、失眠多夢、舌淡苔薄、脈細(xì)弱無力。治則益氣養(yǎng)血，調(diào)經(jīng)止痛方藥圣愈湯或黃蓍建中湯或養(yǎng)血和血湯腎氣虧損月經(jīng)量少、色黯淡、質(zhì)稀。痛經(jīng)經(jīng)后或經(jīng)期，小腹隱隱作痛，喜按。癥狀頭暈耳鳴、腰膝酸軟、大便溏薄、小便清長、夜尿、舌淡紅、苔薄、脈細(xì)。治則補(bǔ)腎益精，養(yǎng)血止痛方藥調(diào)肝湯或益腎調(diào)經(jīng)湯子宮膜異位癥只具有生長功能的子宮膜組織出現(xiàn)子宮腔被覆黏膜以外的身體其它部位所引起的一種疾病，多發(fā)于30至40歲婦女，青春期發(fā)病者較罕見，腹腔鏡檢查在早期診斷和鑒別診斷有重要意義。氣滯血瘀月經(jīng)量或多或少，色黯夾有血塊，盆腔有結(jié)節(jié)、包塊。癥狀經(jīng)行下腹墜脹劇痛、拒按，或前后陰墜脹欲便，胸悶乳脹，口干便結(jié)，舌紫黯或有瘀斑，脈弦或澀。治則理氣行滯，化瘀止痛方藥膈下逐瘀湯或血竭散寒凝血瘀月經(jīng)量少或淋漓難凈，或月經(jīng)愆期，色黯紅癥狀經(jīng)前或經(jīng)期小腹絞痛、冷痛、墜脹痛，拒按，得熱痛減，畏寒肢冷，或大便不實，舌淡胖而紫黯，苔白，脈弦或緊。治則溫經(jīng)散寒，活血化瘀方藥少腹逐瘀湯腎虛血瘀月經(jīng)經(jīng)期先后不定，量多或少。癥狀經(jīng)行腹痛，腰脊酸軟，神疲體倦，頭暈耳鳴，面色晦暗，性欲減退，舌黯淡苔白，脈細(xì)。治則補(bǔ)腎益氣，活血化瘀方藥仙蓉合劑或補(bǔ)腎祛瘀方氣虛血瘀月經(jīng)量多或少，色黯淡，質(zhì)稀或夾有血塊。癥狀經(jīng)行腹痛，肛門墜脹不適，面色無華，神疲乏力，納差便溏，舌淡胖邊尖有瘀點(diǎn)，臺白或白膩，脈細(xì)或細(xì)澀。治則益氣溫陽，活血化瘀方藥舉元煎和桃紅四物湯熱灼血瘀月經(jīng)經(jīng)期提前，量多，淋漓不盡，色紅，質(zhì)稠有塊。癥狀經(jīng)行或經(jīng)前發(fā)熱，小腹灼痛拒按，煩躁易怒，溲黃便結(jié)，舌紅苔黃，邊有瘀點(diǎn)，脈弦數(shù)。治則清熱涼血，活血化瘀方藥小柴胡湯合桃核承氣湯加丹皮、紅藤、敗醬草經(jīng)行吐衄經(jīng)前一至二天或正值經(jīng)期，或偶見于經(jīng)后，周期性的口鼻出血現(xiàn)象，數(shù)日后癥狀消失，又稱倒經(jīng)、逆經(jīng)。肝經(jīng)郁火月經(jīng)量少或不行。吐衄經(jīng)前或經(jīng)期、量較多、色深紅、質(zhì)稠。癥狀頭暈?zāi)垦！⒖诳嘌矢?、煩躁易怒、胸脅脹痛、大便秘結(jié)、小便短赤、舌紅苔黃、脈弦數(shù)。治則清肝調(diào)經(jīng)方藥清肝引經(jīng)湯肺腎陰虛月經(jīng)先期或量少。吐衄經(jīng)后或經(jīng)期、量少、色鮮紅、質(zhì)稠。癥狀盜汗、咳嗽、咯血、干咳、兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、腰膝酸軟、舌紅絳無苔或舌絳少苔、脈細(xì)數(shù)。治則滋陰養(yǎng)肺方藥順經(jīng)湯或加味麥門冬湯月經(jīng)期前后諸證經(jīng)前或經(jīng)期周期性出現(xiàn)一些全身癥狀，如頭暈、頭痛、發(fā)熱、身痛等，經(jīng)期過后諸證不治療癥狀可消失。病名證型主證治則方藥經(jīng)行發(fā)熱肝腎陰虛經(jīng)后或經(jīng)期、量少、色鮮紅、質(zhì)稠；午后發(fā)熱、五心煩熱、兩顴紅赤、口燥咽干、舌紅苔少、脈細(xì)數(shù)。滋陰肝腎育陰清熱蒿芩地丹四物湯血?dú)馓撊踅?jīng)后或經(jīng)期發(fā)熱、量多、色淡、質(zhì)稀、熱勢不揚(yáng)，動則自汗出。神疲肢軟，少氣懶言，舌淡苔白潤，脈虛緩。補(bǔ)益氣血甘溫除熱補(bǔ)中益氣湯血瘀經(jīng)前或經(jīng)期、乍寒乍熱、量多、色紫黯、質(zhì)稠夾塊、小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈弦數(shù)。化瘀清熱血府逐瘀湯加丹皮經(jīng)行頭痛血虛經(jīng)后或經(jīng)期頭痛、量少色淡、質(zhì)稀、面色晃白、神疲肢倦、心悸怔忡、失眠多夢、小腹空墜、面唇舌爪甲淡白、舌淡苔薄、脈細(xì)弱。益氣養(yǎng)血八珍湯加曼荊子、首烏肝火經(jīng)行頭痛或顛頂掣痛、量多、色鮮紅、質(zhì)稠、頭暈?zāi)垦?、口苦咽干、煩躁易怒、舌紅苔薄黃、脈弦細(xì)數(shù)。清熱平肝熄風(fēng)羚角鉤藤湯血瘀經(jīng)前、經(jīng)期頭痛、色紫黯、質(zhì)稠夾塊、小腹疼痛拒按、塊下則痛減、舌質(zhì)紫黯邊有瘀斑、脈細(xì)澀或弦澀。化瘀通絡(luò)通竅活血湯經(jīng)行眩暈氣血虛弱經(jīng)后或經(jīng)期頭暈?zāi)垦?、量少、色淡、質(zhì)稀、小腹綿綿作痛、神疲肢倦、心悸怔忡、舌淡苔薄、脈細(xì)弱。益氣養(yǎng)血調(diào)經(jīng)止暈補(bǔ)中益氣湯加熟地、首烏、枸杞陰虛陽亢經(jīng)前或經(jīng)期頭暈?zāi)垦?、量少、色鮮紅、質(zhì)稠、口苦咽干、煩躁易怒、腰膝酸軟、舌紅少苔、脈細(xì)數(shù)。滋陰潛陽熄風(fēng)止暈杞菊地黃丸加鉤藤、石決明痰濕上擾經(jīng)前或經(jīng)期頭痛眩暈、量少、色淡、胸悶嘔惡、頭暈心悸、口膩納呆、帶下量多質(zhì)稠如痰狀、大便不爽、舌胖苔厚膩、脈弦滑。燥濕化痰熄風(fēng)止暈半夏白朮天麻湯經(jīng)行身痛血虛經(jīng)后或經(jīng)期身體酸痛或麻木、量少、色淡、質(zhì)稀、神疲肢倦、心悸氣短、舌淡紅苔薄白、脈細(xì)弱。養(yǎng)血益氣柔筋止痛當(dāng)歸補(bǔ)血湯血瘀經(jīng)遲、經(jīng)期腰膝肢體關(guān)節(jié)疼痛、色紫黯、質(zhì)稠夾塊、小腹疼痛拒按、舌質(zhì)紫黯邊有瘀斑、苔薄白、脈緊?；钛ńj(luò)散寒止痛趁痛散經(jīng)行泄瀉脾虛經(jīng)前或經(jīng)期泄瀉、量多、色淡、質(zhì)稀、脘腹脹滿、神疲肢倦、面浮肢腫、帶下量多、舌淡苔薄、脈濡緩。健脾滲濕理氣調(diào)經(jīng)參苓白朮散腎虛經(jīng)前或經(jīng)期泄瀉晨間尤甚、量少、色淡、質(zhì)稀、頭暈耳鳴、腰膝酸軟、帶下量多、舌淡、苔白、脈遲。溫陽補(bǔ)腎健脾止瀉健固湯經(jīng)行浮腫脾腎陽虛經(jīng)前、經(jīng)期面浮肢腫、量少、色淡、質(zhì)稀、腰膝酸軟、神疲肢倦、少食納呆、大便溏薄、帶下量多、舌淡苔白膩、脈緩或濡細(xì)。溫腎化氣健脾利水苓桂朮甘湯合金匱腎氣丸氣滯血瘀經(jīng)期面浮肢腫、色黯有塊，脘悶脅脹，善嘆息，舌紫黯，苔薄白、脈弦澀。理氣行滯養(yǎng)血調(diào)經(jīng)八物湯加澤瀉、益母草經(jīng)行乳脹肝氣郁結(jié)經(jīng)前、經(jīng)期乳房脹痛或乳頭癢痛，甚則不可觸衣、量少、色淡、質(zhì)稠、胸悶痰多、食少納呆、帶下量多、舌淡胖邊有齒痕苔白膩、脈弦滑。疏肝理氣和胃通絡(luò)逍遙散加麥芽、青皮、雞金肝腎虧虛經(jīng)行或經(jīng)后乳房脹痛，乳房按之柔軟，經(jīng)量少，色淡，目干及咽干口燥，五心煩熱，舌淡或舌紅少苔，脈細(xì)數(shù)。滋腎養(yǎng)肝和胃通絡(luò)一貫煎或滋水清肝飲經(jīng)行情志異常肝氣郁結(jié)經(jīng)前或經(jīng)期煩躁易怒、先期量多、色深紅、情緒不寧、不思飲食、徹夜不眠、胸脅乳房小腹脹痛、舌紅苔黃、脈弦。疏肝解郁養(yǎng)血調(diào)經(jīng)逍遙散痰火上擾經(jīng)前、經(jīng)期精神狂躁、語無倫次、頭痛失眠、胸悶、不思飲食、舌紅苔黃、脈滑數(shù)有力。清熱化痰寧心安神生鐵落飲加黃連、郁金經(jīng)行口糜陰虛火旺經(jīng)前、經(jīng)期口舌生瘡、糜爛疼痛、先期、量少、色鮮紅、質(zhì)稠、兩顴紅赤、五心煩熱、口干咽燥、失眠多夢、舌紅少苔、脈細(xì)數(shù)。滋陰降火知柏地黃丸或上下相資湯胃熱熏蒸經(jīng)前、經(jīng)期口舌生瘡、糜爛疼痛、口臭便干、溲赤、心煩口渴喜冷飲、舌紅苔黃厚、脈滑數(shù)。清胃泄熱涼膈散經(jīng)行風(fēng)疹塊血虛經(jīng)期風(fēng)疹團(tuán)塊搔癢，入夜尤甚、量少、色淡、質(zhì)稀、頭暈眼花、失眠怔忡、皮膚干燥、面色無華、舌淡紅苔薄、脈虛數(shù)。養(yǎng)血祛風(fēng)當(dāng)歸飲子風(fēng)熱經(jīng)期風(fēng)疹團(tuán)塊，疹色欣紅，搔癢異常，遇風(fēng)遇熱