论曰漏下之病，经血淋沥不断是也，夫冲任之脉，所至有时，非时而下，犹器之津泄，
故谓之漏下，盖由血虚气衰，不能约制，又有瘀血在内，因冷热不调，致使血败，其色或赤
如豆汁，黄如烂瓜，黑如 血，青如蓝色，白如脓涕，五色随五脏虚损而漏应焉。
治妇人漏下血淋沥不断，身体黄瘦，不思饮食。艾叶散方
艾叶（炒） 阿胶（炒令燥） 赤石脂 龙骨（各一两） 缩砂仁（半两） 附子（炮
裂去皮脐）
干炒半两）
上一十味，细捣罗为散，每服二钱匕，米饮调下，不拘时。
治妇人血漏，日久不止，或经脉不断，或暴下血不止，乌金散方
乌贼鱼骨（去甲） 棕榈 羊角（尖） 蚕蜕 新绵（各一两） 白矾（半两） 干姜
（一分）
上七味，都入一瓶内，用泥固济，候干，以大火 通赤，放冷取出细研，入麝香一钱，
再研匀，每服二钱匕，温酒调下，空心食前服。
治妇人内挟瘀血，经候淋沥不断，或多或少，四肢烦倦。沉香牡丹丸方
沉香（锉一两半） 牡丹皮 赤芍药 当归（切焙） 桂（去粗皮） 芎 黄 锉 人
参
浸去白焙）
粗皮生姜汁炙）
上二十一味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心日午临卧，温酒下
，加至三十丸。
治妇人漏下，淋沥不止，赤石脂散方
赤石脂（ 赤） 侧柏（微炙） 乌贼鱼骨（去甲烧灰各一两）
上三味，捣罗为散，每服二钱匕，温米饮调服，日二。
治妇人漏下，淋沥不绝，槐蛾散方
槐蛾（不以多少烧灰）
上一味，细研为散，每服二钱匕，温酒调下，食前。
治妇人赤白漏下，淋沥不止，马蹄汤方
白马蹄（镑炒令焦二两） 禹余粮（ 醋淬七遍） 龙骨 乌贼鱼骨（去甲炙各一两半）
甘
当归（
上一十一味，粗捣筛，每服三钱匕，水一盏，煎至一分，去滓温服食前。
治妇人血漏，点滴不断。地黄饮方
生地黄（五两） 细辛（去苗叶二两）
上二味，锉如麻豆大，每服三钱匕，水一盏，煎至七分，去滓温服，日三，食前。
治妇人猝漏下，先多后少，日久不断，庵 饮方
庵 子（微炒） 熟干地黄（焙） 蒲黄（微炒） 当归（切焙各二两）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，空心日午临卧。
治妇人漏血不止，日久虚损。蒲黄散方
蒲黄（微炒二两） 鹿茸（酒浸去毛炙） 当归（切焙各一两）
上三味，捣罗为散，每服二钱匕，温酒或米饮调下，空心日午临卧服。
治妇人血漏，非时而下，淋沥不断。蒲黄阿胶汤方
蒲黄（微炒一两） 鹿茸（酒浸炙去毛） 当归（切焙各二两） 阿胶（炙令燥） 乌
贼鱼骨（
上六味，除地黄外，粗捣筛，每服二钱匕，水一盏，地黄汁半盏，同煎取一盏，去滓温
服空心。
治妇人漏下不止，鹿茸散方
鹿茸（酒浸炙去毛） 阿胶（炙燥） 乌贼鱼骨（去甲各一两半） 当归（切焙） 蒲
黄（微炒
上五味，捣罗为散，每服二钱匕，温酒或米饮调下，日三服。
治妇人漏下不止，或少或多，遂致常漏，身体虚瘦，饮食减少，困怠无力，龙骨散方
龙骨 灶中黄土 赤石脂 牡蛎（烧研） 乌贼鱼骨（去甲） 桂（去粗皮） 禹余粮
（醋
上七味，捣罗为散，每服二钱匕，温酒或米饮调下，空心日午临卧。
治妇人漏下，或赤或白。鳖甲散方
鳖甲（醋炙） 牡蛎（烧研各一两）
上二味，捣罗为散，每服二钱匕，温酒或米饮调下，日三服。
治妇人漏下赤白，日久不止。桑耳散方
桑耳（锉碎二两） 鹿茸（酒浸炙去毛一两）
上二味，捣罗为散，每服二钱匕，温酒或米饮调下，空心日晚各一。
治妇人赤白漏下，日月浸久，淋沥不断。桑耳续断散方
桑耳（炙） 续断 熟干地黄（焙各二两） 阿胶（炙燥） 柏叶（微炙） 芎 赤
石脂（各
浸炙去毛） 牛
艾（炒各一两半）
上一十七味，捣罗为散，每服二钱匕，温酒调下，米饮亦得，不拘时。
治漏下黑色，干漆散方
干漆（炒令烟尽） 大黄（锉炒） 细辛（去苗叶） 桂（去粗皮各一两） 甘草（炙
锉三分）
上五味，捣罗为散，每服二钱匕，粥饮调下，温酒亦得，食前服。
治妇人漏下赤白，白术散方
白术（锉炒） 黄柏（去粗皮炙各一两半） 白薇（半两）
上三味，捣罗为散，每服二钱匕，温酒或米饮调下。
治妇人带下白色，续断散方
续断 柏叶 芎 禹余粮（ 醋淬三五遍） 熟艾（炒） 阿胶（炙令燥） 赤石脂 牡
蛎
一两半）
上一十五味，捣罗为散，每服二钱匕，米饮或温酒调下，不拘时。
治妇人漏下白色，白蔹散方
白蔹（三分） 狗脊（去毛半两） 鹿茸（酒浸炙去毛一两）
上三味，捣罗为散，每服二钱匕，米饮调下，温酒亦得，日三五服。
治妇人漏下黄色。黄连散方
黄连（去须三分） 黄芩（去黑心） 生干地黄（焙） 虫（炙焙各一分） 桂（去
粗皮）
上六味，捣罗为散，每服二钱匕，温酒或米饮调下，日三两服。
治妇人漏下赤白，淋沥不断。黄 汤方
黄 （锉一两半） 阿胶（炙燥二两） 甘草（炙锉一两） 大枣（去核五十颗）
上四味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，空心食前。
Discussion: The disease known as "Lou Xia" (Metrorrhagia/Leukorrhea with dripping discharge) refers to the continuous, dripping flow of menstrual blood. The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) should release blood at appropriate times; if it flows out of season, it is like a leaking vessel, hence the name "Lou Xia". This is generally caused by Blood deficiency and Qi decline, which fail to restrain the blood, combined with intrauterine Blood stasis. Due to imbalance of Cold and Heat, the blood becomes corrupted. Its color may be red like bean juice, yellow like rotting melon, black like dried blood, blue-green like indigo, or white like pus and nasal mucus. These five colors correspond to the deficiency and damage of the Five Zang organs, leaking accordingly.
For treating women with Lou Xia, where menstrual blood drips continuously, accompanied by sallow complexion, emaciation, and loss of appetite. Ai Ye San (Mugwort Powder):
Ai Ye (Artemisiae Argyi Folium, stir-fried), E Jiao (Colla Corii Asini, stir-fried until dry), Chi Shi Zhi (Halloysit Rubra), Long Gu (Fossilia Ossis Mastodi et Scapulae, each 1 liang), Suo Sha Ren (Amomi Fructus Rotundus, 0.5 liang), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and rootlet removed).
The above ten ingredients are finely pounded and sifted into a powder. Each dose consists of 2 qian bi (approx. 6-9g), taken with rice water, without restriction on time.
For treating women with Xue Lou (Blood Metrorrhagia) that persists for a long time, or continuous menstruation, or sudden profuse bleeding that does not stop. Wu Jin San (Black Gold Powder):
Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle), Zong Lv (Livistonae Cacumen), Yang Jiao Jian (Caput Cornus Caprae), Can Tui (Exuvius Bombycatus), Xin Mian (Gossypii Herba Recens, each 1 liang), Bai Fan (Alumen, 0.5 liang), Gan Jiang (Zingiberis Rhizoma, 1 fen).
The above seven ingredients are placed in one bottle, sealed tightly with mud, dried, and fired with strong fire until red-hot. After cooling, they are finely ground. Add 1 qian of She Xiang (Moschus), grind uniformly. Each dose is 2 qian bi, taken with warm wine, on an empty stomach before meals.
For treating women with internal Blood stasis, continuous dripping menstruation of varying amounts, and irritability and fatigue in the four limbs. Chen Xiang Mu Dan Wan (Agarwood and Tree Peony Pill):
Chen Xiang (Aquilariae Lignum Resinatum, sliced, 1.5 liang), Mu Dan Pi (Moutan Cortex), Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Gui (Cinnamomi Ramulus, remove rough bark), Xiong Duan (Ligustici Chuanxiong Rhizoma), Huang Qi (Astragali Membranacei Radix, sliced), Ren Shen (Ginseng Radix, soaked, remove white tips, baked), Hou Po (Magnoliae Officinalis Cortex, remove rough bark, process with fresh ginger juice).
The above twenty-one ingredients are pounded into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Each dose is 20 pills, taken with warm wine on an empty stomach, at noon, and before bed. The dose can be increased to 30 pills.
For treating women with Lou Xia, continuous dripping discharge. Chi Shi Zhi San (Red Halloysite Powder):
Chi Shi Zhi (Halloysit Rubra, finely ground), Ce Bai Ye (Biota Orientalis Folium, slightly roasted), Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle and burn to ash, each 1 liang).
The above three ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm rice water, twice daily.
For treating women with Lou Xia, continuous non-stop discharge. Huai E San (Sophora Flower Ash Powder):
Huai E (Sophorae Flos, burnt to ash, amount unspecified).
The above single ingredient is finely ground into a powder. Each dose is 2 qian bi, taken with warm wine before meals.
For treating women with red and white Lou Xia, continuous dripping discharge. Ma Ti Tang (Horse Hoof Decoction):
Bai Ma Ti (Equi Unguis Albus, shaved and stir-fried until scorched, 2 liang), Yu Yu Liang (Reolithum, quenched in vinegar seven times), Long Gu (Fossilia Ossis Mastodi et Scapulae), Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle and roast, each 1.5 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced).
The above eleven ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, decocted in one sheng (approx. 200ml) of water until reduced to one-tenth, strain, and take warm before meals.
For treating women with Xue Lou, dripping continuously. Di Huang Yin (Rehmannia Infusion):
Sheng Di Huang (Rehmanniae Radix, 5 liang), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, 2 liang).
The above two ingredients are chopped like hemp seeds. Each dose is 3 qian bi, decocted in one sheng of water until reduced to 70%, strain, and take warm, three times daily before meals.
For treating women with sudden Lou Xia, starting heavy then light, persisting for a long time. An Mo Yin (Emblica Myrobalan Drink):
An Mo Zi (Terminaliae Chebulae Fructus, slightly stir-fried), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Pu Huang (Typhae Pollen, slightly stir-fried), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 2 liang).
The above four ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, decocted in one sheng of water until reduced to 70%, strain, and take warm on an empty stomach, at noon, and before bed.
For treating women with continuous Lou Xue (Blood Metrorrhagia) leading to chronic deficiency. Pu Huang San (Typhae Pollen Powder):
Pu Huang (Typhae Pollen, slightly stir-fried, 2 liang), Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, remove hair, roasted), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 1 liang).
The above three ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water on an empty stomach, at noon, and before bed.
For treating women with Xue Lou flowing out of season, continuous dripping discharge. Pu Huang E Jiao Tang (Typhae Pollen and Colla Corii Asini Decoction):
Pu Huang (Typhae Pollen, slightly stir-fried, 1 liang), Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, roasted, remove hair), Dang Gui (Angelicae Sinensis Radix, sliced and baked, each 2 liang), E Jiao (Colla Corii Asini, roasted until dry), Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle), Sheng Di Huang (Rehmanniae Radix).
The above six ingredients, except for Sheng Di Huang, are coarsely crushed and sieved. Each dose is 2 qian bi, decocted with one sheng of water and half a sheng of Sheng Di Huang juice until reduced to one sheng, strain, and take warm on an empty stomach.
For treating women with continuous Lou Xia. Lu Rong San (Deer Antler Powder):
Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, roasted, remove hair), E Jiao (Colla Corii Asini, roasted until dry), Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle, each 1.5 liang), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Pu Huang (Typhae Pollen, slightly stir-fried).
The above five ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water, three times daily.
For treating women with continuous Lou Xia, varying amounts, leading to chronic leakage, emaciation, decreased appetite, lethargy, and weakness. Long Gu San (Fossil Bone Powder):
Long Gu (Fossilia Ossis Mastodi et Scapulae), Zao Zhong Huang Tu (Cineres Farris), Chi Shi Zhi (Halloysit Rubra), Mu Li (Ostrea Concha, calcined and ground), Wu Zei Yu Gu (Sepiae Endoconcha, remove cuticle), Gui (Cinnamomi Ramulus, remove rough bark), Yu Yu Liang (Reolithum, quenched in vinegar).
The above seven ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water on an empty stomach, at noon, and before bed.
For treating women with Lou Xia, either red or white. Bie Jia San (Softshell Turtle Shell Powder):
Bie Jia (Testudinis Carapax et Plastrum, vinegar-roasted), Mu Li (Ostrea Concha, calcined and ground, each 1 liang).
The above two ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water, three times daily.
For treating women with red and white Lou Xia persisting for a long time. Sang Er San (Mulberry Fungus Powder):
Sang Er (Auricularia Auricula-Judae, chopped, 2 liang), Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, roasted, remove hair, 1 liang).
The above two ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water, once on an empty stomach in the morning and once in the evening.
For treating red and white Lou Xia lasting for months, continuous dripping discharge. Sang Er Xu Duan San (Mulberry Fungus and Teasel Root Powder):
Sang Er (Auricularia Auricula-Judae, roasted), Xu Duan (Dipsaci Radix), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked, each 2 liang), E Jiao (Colla Corii Asini, roasted until dry), Bo Ye (Platycladi Cacumen, slightly roasted), Xiong Duan (Ligustici Chuanxiong Rhizoma), Chi Shi Zhi (Halloysit Rubra, each 1 liang), Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, roasted, remove hair), Niu Xi (Achyranthis Bidentatae Radix), Ai Ye (Artemisiae Argyi Folium, stir-fried, each 1.5 liang).
The above seventeen ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water, without restriction on time.
For treating Lou Xia with black discharge. Gan Xi San (Dry Lacquer Powder):
Gan Xi (Resina Toxodendri, stir-fried until smoke ceases), Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Gui (Cinnamomi Ramulus, remove rough bark, each 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped, 3 fen).
The above five ingredients are pounded into a powder. Each dose is 2 qian bi, taken with porridge drink or warm wine before meals.
For treating women with red and white Lou Xia. Bai Zhu San (Atractylodes Macrocephala Powder):
Bai Zhu (Atractylodis Macrocephalae Rhizoma, chopped and stir-fried), Huang Bo (Phellodendri Cortex, remove rough bark and roasted, each 1.5 liang), Bai Wei (Cynanchi Atrati Radix, 0.5 liang).
The above three ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water.
For treating women with white Dai Xia (Leukorrhea). Xu Duan San (Teasel Root Powder):
Xu Duan (Dipsaci Radix), Bo Ye (Platycladi Cacumen), Xiong Duan (Ligustici Chuanxiong Rhizoma), Yu Yu Liang (Reolithum, quenched in vinegar three to five times), Shu Ai (Artemisiae Argyi Folium Praeparata, stir-fried), E Jiao (Colla Corii Asini, roasted until dry), Chi Shi Zhi (Halloysit Rubra), Mu Li (Ostrea Concha, calcined and ground, each 1.5 liang).
The above fifteen ingredients are pounded into a powder. Each dose is 2 qian bi, taken with rice water or warm wine, without restriction on time.
For treating women with white Lou Xia. Bai Lian San (Ampelopsis Radix Powder):
Bai Lian (Ampelopsis Radix, 3 fen), Gou Ji (Cibotii Rhizoma, remove hair, 0.5 liang), Lu Rong (Cornu Cervi Pantotrichum, soaked in wine, roasted, remove hair, 1 liang).
The above three ingredients are pounded into a powder. Each dose is 2 qian bi, taken with rice water or warm wine, three to five times daily.
For treating women with yellow Lou Xia. Huang Lian San (Coptis Powder):
Huang Lian (Coptidis Rhizoma, remove roots, 3 fen), Huang Qin (Scutellariae Radix, remove black heart), Sheng Gan Di Huang (Dried Rehmanniae Radix, baked), Meng Chong (Blatta Orientalis, roasted and baked, each 1 fen), Gui (Cinnamomi Ramulus, remove rough bark).
The above six ingredients are pounded into a powder. Each dose is 2 qian bi, taken with warm wine or rice water, three to five times daily.
For treating women with red and white Lou Xia, continuous dripping discharge. Huang Qi Tang (Astragalus Decoction):
Huang Qi (Astragali Membranacei Radix, chopped, 1.5 liang), E Jiao (Colla Corii Asini, roasted until dry, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped, 1 liang), Da Zao (Ziziphi Jujubae Fructus, pitted, 50 pieces).
The above four ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, decocted in one sheng of water until reduced to 70%, strain, and take warm on an empty stomach before meals.