天津徐姓妇，年十八岁，得血崩证。
病因 家庭不和，激动肝火，因致下血不止。
证候 初时下血甚多，屡经医治，月余血虽见少，而终不能止。
脉象濡弱，而搏近五至。呼吸短气，自觉当呼气外出之时，
稍须努力，不能顺呼吸之自然。过午潮热，然不甚剧。
诊断 此胸中大气下陷，其阴分兼亏损也。为其大气下陷，所以呼气努力，下血不止，为其
阴分亏损，所以过午潮热。宜补其大气，滋其真阴，而兼用升举固涩之品方能治愈。
处方 生箭 （一两） 白术（五钱炒） 大生地（一两） 龙骨（一两 捣）
牡蛎（一两 捣） 天花粉（六钱） 苦参（四钱） 黄柏（四钱）
柴胡（三钱） 海螵蛸（三钱去甲） 茜草（二钱）
西药麦角中者一个，搀乳糖五分，共研细，将中药煎汤两大盅，分两次服，麦角末亦分两次送服。
效果 煎服一剂，其血顿止，分毫皆无，短气与潮热皆愈。再为开调补气血之剂，俾服数剂以善其后。
A woman surnamed Xu from Tianjin, aged eighteen, suffered from metrorrhagia (blood flooding).
Etiology Due to family discord, which stirred up Liver Fire, leading to continuous lower bleeding.
Symptoms Initially, the bleeding was profuse. After repeated medical treatments, although the blood loss decreased after more than a month, it ultimately did not stop. The pulse was soggy and weak, with a frequency approaching five beats per breath cycle (approx. 90-100 bpm). There was shortness of breath and qi deficiency; she felt that during exhalation, slight effort was required, and she could not follow the natural rhythm of breathing. She experienced tidal fever in the afternoon, though not severe.
Diagnosis This is sinking of the Great Qi in the chest, accompanied by deficiency of the Yin aspect. Because the Great Qi is sinking, there is effortful exhalation and continuous bleeding; because the Yin aspect is deficient, there is tidal fever in the afternoon. It is appropriate to tonify the Great Qi, nourish the True Yin, and simultaneously use herbs that lift and astringe to achieve a cure.
Prescription Raw Sheng Jian Qi (Astragali Radix, 1 liang) Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried, 5 qian) Da Sheng Di (Rehmanniae Radix, 1 liang) Long Gu (Fossilia Ossis Mastodi, crushed, 1 liang) Mu Li (Concha Ostreae, crushed, 1 liang) Tian Hua Fen (Trichosanthis Radix, 6 qian) Ku Shen (Sophorae Flavescentis Radix, 4 qian) Huang Bo (Phellodendri Cortex, 4 qian) Chai Hu (Bupleuri Radix, 3 qian) Hai Piao Xiao (Endoconcha Sepiae, de-calcareous, 3 qian) Qian Cao (Rubiae Cordifoliae Radix et Rhizoma, 2 qian)
One medium-sized Ergot (Claviceps Purpurea), mixed with 5 fen of lactose, ground into fine powder. Decoct the Chinese herbal medicine to make two large bowls of decoction, taken in two divided doses. The Ergot powder should also be taken in two divided doses, washed down with the decoction.
Outcome After taking one dose, the bleeding stopped immediately, completely ceasing. Shortness of breath and tidal fever were both cured. Subsequently, a prescription for regulating and tonifying Qi and Blood was prescribed for her to take for several doses to consolidate the recovery.