丁右 血生于心，藏于肝，统于脾。肝脾两亏，藏统失司，崩漏已久。迩来面浮足肿，纳少便溏，脉细，舌
绛。此阴液已伤，冲任之脉失固，脾胃薄弱，水谷之湿不化。人以胃气为本，阴损及阳，中土败坏，虚象迭见，
已入险途！姑拟益气生阴，扶土运中，以冀阳生阴长，得谷则昌为幸。
炒潞党参（二钱） 炙甘草（五分） 连皮苓（四钱） 生熟谷芽（各三钱） 米炒于术（一钱五分）
扁豆衣（三钱） 陈广皮（一钱） 炒淮药（三钱） 干荷叶（一角） 炒苡仁（四钱） 炒补 骨脂（一钱五分）
罗右 崩漏不止，形瘦头眩，投归脾汤不效。按脉细数，细为血少，数为有热，营血大亏，冲任不固，阴虚
于下，阳浮于上，欲潜其阳，必滋其阴，欲清其热，必养其血。拟胶艾四物合三甲饮，滋养阴血而潜浮阳，调摄
冲任而固奇经。
阿胶珠（二钱） 生地炭（四钱） 大白芍（一钱五分） 左牡蛎（四钱） 广艾炭（八分） 白归身（二钱）
丹皮炭（一钱五分） 炙龟版（三钱） 炙鳖甲（三钱） 贯众炭（三钱） 血余炭（二钱） 鲜藕（切片，入煎，一
两）
李右 肝脾两亏，藏血统血两脏失司，经漏如崩，面色萎黄，按脉细小，腰骨酸楚。腰为肾腑，肾主骨，肾
虚故腰痛而骨酸。兹从心脾二经调治，拟归脾汤加味，俾得中气充足，力能引血归经。
潞党参（三钱） 清炙草（五分） 远志肉（一钱） 浓杜仲（盐水炒，二钱） 红枣（两枚） 炙黄 （三钱）
抱茯神（三钱） 白归身（二钱） 川断肉（二钱） 桂圆肉（二钱） 甜冬术（一钱五分） 炒枣仁（三钱）
大白芍（一钱五分） 阿胶珠（二钱） 藕节炭（两枚）
钱右 冲任亏损，不能藏血，经漏三月，甚则有似崩之状。腰酸骨楚，舌淡黄，脉细涩，心悸头眩，血去阴
伤，厥阳易于升腾。昔人云∶暴崩宜补宜摄，久漏宜清宜通，因未尽之宿瘀留恋冲任，新血不得归经也。今拟
胶艾四物汤，调摄冲任，祛瘀生新。
阿胶珠（二钱） 朱茯神（三钱） 大白芍（二钱） 紫丹参（二钱） 广艾叶（八分） 生地炭（四钱）
大砂仁（研，八分） 百草霜（包，一钱） 白归身（二钱） 炮姜炭（四分） 炒谷麦芽（各三钱）
钱右 漏红带下，时轻时剧，便后脱肛，肛门坠胀，腑行燥结，腰腿酸楚，脉象虚弦。气虚不能摄血，血亏
肝阳上升。拟补中益气，调摄奇经，冀望气能摄血，血自归经。
生黄 （三钱） 白归身（三钱） 大白芍（二钱） 全栝蒌（切，四钱） 吉林参须（八分） 朱茯神（三钱）
豆衣（三钱） 苦桔梗（一钱） 清炙草（六分） 炒枣仁（三钱） 柏子仁（三钱） 嫩钩钩（后入，三钱）
黑芝麻（研、包，三钱） 松子肉（三钱）
Patient Ding (Right): Blood is generated by the Heart, stored in the Liver, and controlled by the Spleen. Deficiency of both the Liver and Spleen leads to dysfunction in storing and controlling blood, resulting in prolonged *Beng Lou* (metrorrhagia and metrostaxis). Recently, facial edema and foot swelling have appeared, along with poor appetite and loose stools. The pulse is fine, and the tongue is crimson. This indicates injury to Yin fluids, failure of the Chong and Ren vessels to maintain security, and weakness of the Spleen and Stomach, leading to an inability to transform dampness from food and water. The stomach Qi is the root of life; when Yin injury extends to Yang, the Middle Earth (Spleen/Stomach) deteriorates, and multiple signs of deficiency emerge, entering a dangerous path! For now, we tentatively prescribe methods to tonify Qi and generate Yin, support the Earth and transport the Middle, hoping that the generation of Yang will lead to the growth of Yin, and reliance on grain intake will promote prosperity, which would be fortunate.
Stir-fried Dangshen (Radix Codonopsis Pilosae) (2 qian), Honey-fried Gancao (Radix Glycyrrhizae Uralensis) (0.5 qian), Poria with skin (4 qian), Raw and Cooked Maiya (Fructus Hordei Germinatus) and Guya (Fructus Setariae Germinatus) (3 qian each), Rice-stir-fried Baizhu (Rhizoma Atractylodis Macrocephalae) (1.5 qian),
Bianyidao (Exocarpus Lablab Albus) (3 qian), Chenpi (Pericarpium Citri Reticulatae) (1 qian), Stir-fried Shanyao (Rhizoma Dioscoreae Oppositae) (3 qian), Dried Helianthus Tuberosus Leaf (1 jiao), Stir-fried Yiyiren (Semen Coicis) (4 qian), Stir-fried Buguzhi (Fructus Psoraleae) (1.5 qian).
Patient Luo (Right): Metrorrhagia and metrostaxis persist, accompanied by emaciation and dizziness. Treatment with Guipi Tang was ineffective. Palpation reveals a fine and rapid pulse; fineness indicates blood deficiency, while rapidity indicates heat. Ying and Blood are severely depleted, and the Chong and Ren vessels are insecure. Yin is deficient below, while Yang floats above. To subdue floating Yang, one must nourish Yin; to clear heat, one must nourish Blood. We prescribe Jiao'ai Siwu Tang combined with Sanjia Yin to nourish Yin and Blood while subduing floating Yang, regulating the Chong and Ren vessels, and securing the Extraordinary Vessels.
Jiaoa Zhu (Prepared Ejiao) (2 qian), Shengdi Tan (Charred Radix Rehmanniae Preparata) (4 qian), Da Baishao (Radix Paeoniae Alba) (1.5 qian), Zuo Muli (Concha Ostreae) (4 qian), Guang Ai Tan (Charred Folium Artemisiae Argyi) (0.8 qian), Bai Guishen (Radix Angelicae Sinensis) (2 qian),
Danpi Tan (Charred Cortex Moutan) (1.5 qian), Zhi Guiban (Testudo Carapax et Plastrum Praeparatum) (3 qian), Zhi Biejia (Carapax et Plastrum Testudinis Praeparatum) (3 qian), Guanzhong Tan (Charred Rhizoma Cyrtomii Fortunii) (3 qian), Xuyutan (Charred Hominis Crinis) (2 qian), Fresh Oujie (Rhizoma Nelumbinis Nuciferae) (sliced, for decoction, 1 liang).
Patient Li (Right): Deficiency of both Liver and Spleen causes dysfunction in the organs responsible for storing and controlling blood. Menstrual leakage resembles metrorrhagia, complexion is sallow, pulse is fine and small, and there is soreness and pain in the lumbar bones. The waist is the external mansion of the Kidney, and the Kidney governs the bones; thus, Kidney deficiency causes lumbar pain and bone soreness. We treat from the perspectives of the Heart and Spleen meridians, prescribing modified Guipi Tang to ensure sufficient Middle Qi, enabling it to guide blood back into the vessels.
Dangshen (Radix Codonopsis Pilosae) (3 qian), Qing Zhi Cao (Honey-fried Radix Glycyrrhizae Uralensis) (0.5 qian), Yuanzhi Rou (Caulis Polygalae Tenuifoliae) (1 qian), Nong Duzhong (Salt-stir-fried Cortex Eucommiae Ulmoidis) (2 qian), Hongzao (Fructus Jujubae) (2 pieces), Zhi Huangqi (Radix Astragali Membranaceus Praeparatus) (3 qian),
Baofushen (Poria with Hostwood) (3 qian), Bai Guishen (Radix Angelicae Sinensis) (2 qian), Chuanduanrou (Radix Dipsaci) (2 qian), Guiyuanrou (Arillus Longan) (2 qian), Tian Dongzhu (Rhizoma Atractylodis Macrocephalae) (1.5 qian), Chao Zaoren (Semen Ziziphi Spinosae) (3 qian),
Da Baishao (Radix Paeoniae Alba) (1.5 qian), Jiaoa Zhu (Prepared Ejiao) (2 qian), Oujie Tan (Charred Node Nelumbinis Nuciferae) (2 pieces).
Patient Qian (Right): Deficiency of the Chong and Ren vessels fails to store blood. Menstrual leakage has persisted for three months, sometimes resembling metrorrhagia. There is lumbar soreness and bone pain, pale yellow tongue, fine and choppy pulse, palpitations, and dizziness. Blood loss injures Yin, making Jue Yang prone to ascending. Ancients stated: "Acute metrorrhagia requires tonification and astringency; chronic metrostaxis requires clearing and unblocking." This is because residual old stasis lingers in the Chong and Ren vessels, preventing new blood from returning to the vessels. Today, we prescribe Jiao'ai Siwu Tang to regulate the Chong and Ren vessels, dispel stasis, and generate new blood.
Jiaoa Zhu (Prepared Ejiao) (2 qian), Zhu Fushen (Poria with Cinnabar) (3 qian), Da Baishao (Radix Paeoniae Alba) (2 qian), Zi Danshen (Radix Salviae Miltiorrhizae) (2 qian), Guang Aiye (Folium Artemisiae Argyi) (0.8 qian), Shengdi Tan (Charred Radix Rehmanniae Preparata) (4 qian),
Da Sharen (Fructus Amomi Rotundus, crushed) (0.8 qian), Baicaoshuang (Carbonized Herba Artemisiae Argyi) (packaged, 1 qian), Bai Guishen (Radix Angelicae Sinensis) (2 qian), Pao Jiangtan (Charred Rhizoma Zingiberis Officinalis) (0.4 qian), Chao Guya (Fructus Hordei Germinatus) and Maita (Fructus Setariae Germinatus) (3 qian each).
Patient Qian (Right): Leukorrhea with red discharge fluctuates in severity. Rectal prolapse occurs after defecation, accompanied by anal bearing-down sensation, dry constipation, and soreness/pain in the lower back and legs. The pulse is deficient and wiry. Qi deficiency fails to control blood; blood deficiency leads to rising Liver Yang. We prescribe Bu Zhong Yi Qi to regulate the Extraordinary Vessels, hoping that Qi can control blood, allowing it to return to the vessels naturally.
Sheng Huangqi (Radix Astragali Membranaceus) (3 qian), Bai Guishen (Radix Angelicae Sinensis) (3 qian), Da Baishao (Radix Paeoniae Alba) (2 qian), Quan Gualou (Fructus Trichosanthis) (cut, 4 qian), Jilin Renshu (Radix Ginseng, Jilin origin) (0.8 qian), Zhu Fushen (Poria with Cinnabar) (3 qian),
Douyi (Cortex Lablab Albus) (3 qian), Ku Jiegeng (Radix Platycodonis Grandiflori) (1 qian), Qing Zhi Cao (Honey-fried Radix Glycyrrhizae Uralensis) (0.6 qian), Chao Zaoren (Semen Ziziphi Spinosae) (3 qian), Baiziren (Semen Biotae) (3 qian), Nen Gougou (Ramulus Uncariae cum Uncis, added later) (3 qian),
Heimazi (Semen Sesami Nigrum, crushed, packaged) (3 qian), Songzirou (Semen Pini) (3 qian).