所问妇人血淋之症，因日久损其脾胃，饮食不化，大便滑泄，且血淋又兼砂淋，洵为难治之症。今拟一方∶
生山药一斤轧细末，每用八钱，加生车前子二钱同煮作粥，
送服三七细末、生鸡内金细末各五分，每日两次，当点心用之，日久可愈。
方中之意，用山药、车前煮粥以治泄泻。而车前又善治淋疼，又送服三七以治血淋，内金以消砂淋，且
鸡内金又善消食，与山药并用，又为健补脾胃之妙品也。惟内金生用则力大，而稍有破气之副作用，若气分过
虚时，宜先用生者轧细，焙熟用之。若服药数日而血淋不见轻者，可用荜澄茄细末一分，加西药哥拜拔油一
分同服。又此症大便不止，血淋亦无从愈，若服山药、车前粥而
泻不止，可将熟鸡子黄二三枚捻碎，调在粥中，再煮一两开服之。
详观所述病案，谓脉象滑动，且得之服六味地黄丸之余，其为热痰郁于中焦，以致胃气上逆，冲气
上冲，浸成上盛下虚之症无疑。为其上盛下虚，所以时时有荡漾之病也。法当利痰、清火、
降胃、敛冲，处一小剂，久久服之，气化归根，荡漾自愈。拟方于下∶
清半夏（三钱） 柏子仁（三钱） 生赭石（三钱轧末） 生杭芍（三钱） 生芡实（一两） 生姜（三片）
磨生铁锈浓水煎药。
方中之意，用半夏、赭石以利痰、坠痰，即以降胃，安冲。用芡实以固下焦气化，使药之降者、坠者，有
所底止，且以收敛冲气，而不使再上冲也。用芍药以清肝火、利小便，即以开痰之去路。用柏子仁以养肝血、
滋肾水，即以调半夏之辛燥。用生姜以透窍络，通神明，即以为治痰药之佐使。至用铁锈水煎药者，
诚以诸风眩晕，皆属于肝，荡漾即眩晕也。此中必有肝风萌动，以助胃气冲气之上升不已，律以金能制木之
理，可借铁锈之金气以镇肝木，更推以铁能重坠，引肝中所寄龙雷之火下降也。况铁锈为铁与养气化合而成，
最善补养人之血分，强健人之精神，即久久服之，于脏腑亦无不宜也。
Regarding the woman's hematuria with dysuria (Xuelin, a syndrome characterized by painful urination with blood), due to long-standing damage to the Spleen and Stomach, food is not transformed, resulting in loose stools and diarrhea. Moreover, hematuria with dysuria is complicated by lithiasis with sand (Shalin, urinary calculi containing sand-like particles). This is indeed a difficult-to-treat condition. I now propose the following prescription:
One jin of raw Dioscoreae Rhizoma (Shanyao) ground into fine powder; use eight qian each time, add two qian of raw Plantaginis Semen (Cheqianzi), boil together to make porridge,
and take it with five fen each of fine powder of Panax Notoginseng Radix et Rhizoma (Sanqi) and raw Endothelium Corneum Gigeriae Galli (Jineijin). Take twice daily as a meal substitute. With prolonged use, it can be cured.
The intention of this formula is to use Dioscoreae Rhizoma and Plantaginis Semen porridge to treat diarrhea. Plantaginis Semen is also good at treating pain in strangury (Linzheng). Fine powder of Panax Notoginseng is taken to treat hematuria with dysuria, and Endothelium Corneum Gigeriae Galli is used to dissolve urinary calculi. Furthermore,
Endothelium Corneum Gigeriae Galli is excellent for promoting digestion. Used together with Dioscoreae Rhizoma, it is an excellent product for strengthening and tonifying the Spleen and Stomach. However, when Endothelium Corneum Gigeriae Galli is used raw, its potency is strong but has the side effect of breaking Qi. If the Qi level is extremely deficient, it should first be ground finely while raw, then roasted before use. If after several days of taking the medicine, hematuria with dysuria does not improve, one can take one fen of fine powder of Fructus Piperis Longi (Bichengqie) mixed with one fen of Copaiba Balsam oil (Gebeiba oil) and ingest them together. Additionally, since this condition involves unceasing diarrhea, hematuria with dysuria cannot heal. If diarrhea persists after taking the Dioscoreae and Plantaginis porridge, crush two or three cooked egg yolks, mix them into the porridge, boil for another one or two hours, and then administer.
Upon detailed observation of the described medical case, the pulse is described as slippery and rolling (Huadong), and the illness arose after taking Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). It is undoubtedly that hot phlegm is stagnant in the Middle Jiao, causing Stomach Qi to rebel upward and Chong Qi to surge upward, gradually forming a syndrome of excess above and deficiency below (Shangsheng Xiaxu). Because of this excess above and deficiency below, the patient experiences frequent sensations of dizziness and swaying (Dangyang). The treatment method should involve resolving phlegm, clearing heat/fire, descending Stomach Qi, and restraining Chong Qi. A small dosage formula is prescribed for long-term consumption. Once Qi transformation returns to its root, the dizziness and swaying will heal spontaneously. The proposed formula is as follows:
Processed Pinelliae Tuber (Banxia) (3 qian), Biota Seed (Baiziren) (3 qian), raw Oolithus (Heshi) (3 qian, ground to powder), raw Paeoniae Radix Alba (Baishao) (3 qian), raw Euryales Semen (Qianshi) (1 liang), Fresh Ginger (Shengjiang) (3 slices).
Decoct the herbs in concentrated water from rusted iron (Tieshui).
The intention of this formula is to use Banxia and Heshi to resolve and sink phlegm, thereby descending Stomach Qi and calming Chong Qi. Qianshi is used to consolidate Qi transformation in the Lower Jiao, ensuring that the descending and sinking actions of the medicines have a place to rest, and to restrain Chong Qi so it does not surge upward again. Baishao is used to clear Liver Fire and promote urination, thereby opening a pathway for the elimination of phlegm. Baiziren is used to nourish Liver Blood and moisten Kidney Water, thereby moderating the acrid-drying nature of Banxia. Shengjiang is used to penetrate collaterals and clarify the mind, serving as an assistant and guide for the phlegm-resolving drugs. As for using iron rust water to decoct the herbs, it is because all wind diseases involving vertigo belong to the Liver. Dangyang is essentially vertigo. There must be stirring of Liver Wind within, assisting the continuous upward surge of Stomach and Chong Qi. According to the principle that Metal controls Wood, the metallic Qi of iron rust can be borrowed to suppress Liver Wood. Furthermore, since iron has heavy-sinking properties, it can guide the Dragon-Fire and Thunder-Fire lodged in the Liver downward. Moreover, iron rust is formed by the combination of iron and oxygen; it is best at nourishing the Blood aspect of the human body and strengthening the spirit. Even with long-term consumption, it is suitable for the Zang-Fu organs.