妇人有年老血崩者，其症亦与前血崩昏暗者同，人以为老妇之虚耳，谁知是不慎房帏之故乎！
方用加减当归补血汤。
当归（一两，酒洗） 黄 （一两，生用） 三七根末（三钱） 桑叶（十四片）
水煎服。二剂而血少止，四剂不再发。然必须断欲始除根，若再犯色欲未有不重病者也。夫补血汤乃气血两
补之神剂，三七根乃止血之圣药，加入桑叶者，所以滋肾之阴，又有收敛之妙耳。但老妇阴精既亏，用此方以止其
临时之漏，实有奇功，而不可责其永远之绩者，以补精之味尚少也。服此四剂后，再增入∶
白术（五钱） 熟地（一两） 山药（四钱） 麦冬（三钱） 北五味（一钱）
服百剂，则崩漏之根可尽除矣。
眉批∶亦有孀妇年老血崩者，必系气冲血室，原方加杭芍炭三钱，贯众炭三钱，极效。
歌括∶老妇血崩证同前，房帏不慎使之然。
必须断欲始除根，再起色欲证难痊。
加减当归补血汤，归 三七叶儿桑。
四剂再入麦熟地，白术山药五味尝。
有少妇甫娠三月，即便血崩，再胎亦随堕，人以为挫闪受伤而致，谁知是行房不慎之过哉！治法自当以补气为
主，而少佐以补血之品，斯为得之。
方用固气汤。
人参（一两） 白术（五钱，土炒） 大熟地（五钱，九蒸） 当归（三钱，酒洗） 白茯苓（二钱） 甘草（一
钱） 杜仲（三钱，炒黑） 山萸肉（二钱，蒸） 远志（一钱，去心） 五味子（十粒，炒）
水煎服，一剂而血止，连服十剂全愈。此方固气而兼补血。已去之血，可以速生，将脱之血，可以尽摄。凡气
虚而崩漏者，此方最可通治，非仅治小产之崩。其最妙者，不去止血，而止血之味，含于补气之中也。
眉批∶妊娠宜避房事，不避者纵幸不至崩往往堕胎，即不堕胎生子亦难养，慎之！戒之！
歌括∶妊娠三月发血崩，多因行房不慎重。
投方宜用固气汤，止血寓于补气中。
固气汤中参术苓，熟地当归炒杜仲。
甘草远志五味子，再加萸肉可止崩。
There are women who suffer from metrorrhagia (uterine bleeding) in old age. Their symptoms are the same as those of metrorrhagia accompanied by dizziness and faintness mentioned earlier. People attribute it to the deficiency of elderly women, but who would know that it is actually caused by imprudent sexual intercourse!
The prescription used is Modified Danggui Buxue Decoction (Cinnamon Twig and Astragalus Decoction).
Danggui Radix Angelicae Sinensis (one tael, washed with wine), Huangqi Radix Astragali Membranacei (one tael, used raw), Sanqi Rhizoma Notoginseng powder (three qian), Sangye Folium Mori (fourteen leaves).
Decoct in water and take orally. After two doses, the bleeding decreases and stops; after four doses, it does not recur. However, one must abstain from sexual desire to eradicate the root cause. If sexual indulgence is resumed, the condition will inevitably worsen. Danggui Buxue Decoction is a miraculous agent for tonifying both Qi and Blood. Sanqi Rhizoma Notoginseng is a holy medicine for stopping bleeding. The addition of Sangye Folium Mori serves to nourish Kidney Yin and possesses astringent properties. Nevertheless, since the Yin essence of an elderly woman is already depleted, using this formula to stop temporary leakage indeed yields remarkable effects, but one cannot expect permanent results because the ingredients for tonifying essence are insufficient. After taking these four doses, add:
Baizhu Rhizoma Atractylodis Macrocephalae (five qian), Shudihuang Radix Rehmanniae Preparata (one tael), Shanyao Rhizoma Dioscoreae Oppositae (four qian), Maidong Radix Ophiopogonis (three qian), Beiwuzi Fructus Schisandrae Chinensis (one qian).
Taking one hundred doses can completely eradicate the root of metrorrhagia and leukorrhea.
Commentary: There are also widows suffering from metrorrhagia in old age, which must be due to Qi rushing into the Blood Chamber. Add Hangshao Radix Paeoniae Rubra carbonized (three qian) and Guanzhong Herba Cyathiulae (three qian) to the original prescription for excellent efficacy.
Rhyme:
Metrorrhagia in old women follows the previous pattern,
Caused by imprudent sexual conduct.
Only by abstaining from desire can the root be removed,
Resuming lust makes recovery difficult.
Modified Danggui Buxue Decoction uses Danggui, Huangqi, Sanqi, and Sangye.
After four doses, add Maidong, Shudihuang, Baizhu, Shanyao, and Wuzhi.
Young women who have just conceived for three months may suffer from metrorrhagia, causing the second fetus to abort. People attribute this to physical trauma or strain, but who would know it is the fault of imprudent sexual intercourse during pregnancy! The treatment method should naturally focus on tonifying Qi, with a slight adjunct of blood-tonifying herbs, which is appropriate.
The prescription used is Guqi Tang (Qi-Securing Decoction).
Renshen Radix Ginseng (one tael), Baizhu Rhizoma Atractylodis Macrocephalae (five qian, stir-fried with soil), Da Shudihuang Radix Rehmanniae Preparata (five qian, steamed nine times), Danggui Radix Angelicae Sinensis (three qian, washed with wine), BaiFuling Poria (two qian), Gancao Radix Glycyrrhizae Uralensis (one qian), Duzhong Cortex Eucommiae (three qian, stir-fried until black), Shanyurou Fructus Corni Officinalis (two qian, steamed), Yuanzhi Radix Polygalae (one qian, heart removed), Wuzizi Fructus Schisandrae Chinensis (ten grains, stir-fried).
Decoct in water and take orally. Bleeding stops after one dose; continuous use for ten doses leads to complete recovery. This formula secures Qi while simultaneously tonifying Blood. Lost blood can regenerate quickly, and impending loss of blood can be fully retained. For any metrorrhagia caused by Qi deficiency, this formula is most suitable for general treatment, not merely for metrorrhagia following spontaneous abortion. Its most ingenious aspect lies in not directly stopping bleeding, but embedding hemostatic herbs within the Qi-tonifying framework.
Commentary: Sexual activity should be avoided during pregnancy. If not avoided, even if miscarriage is luckily prevented, it often leads to abortion; even if the fetus is not aborted, the child born may be difficult to raise. Be cautious! Beware!
Rhyme:
Metrorrhagia occurs in the third month of pregnancy, mostly due to imprudent sexual conduct.
Use Guqi Tang (Qi-Securing Decoction); hemostasis is embedded within Qi tonification.
Guqi Tang contains Renshen, Baizhu, and Fuling; Shudihuang, Danggui, and stir-fried Duzhong.
Gancao, Yuanzhi, and Wuzizi, plus Shanyurou can stop metrorrhagia.