夫产伤于经血。其后虚损未复。因劳役损动。而血暴崩下。遂淋沥不断。故谓之崩中。
凡崩
瘀血
治产后崩中。头目旋运。神志昏迷。四肢烦乱。不知人事。熟干地黄散方。
熟干地黄（一两） 伏龙肝（一两） 黄 （一两锉） 赤石脂（一两） 阿胶（半两
捣碎炒令
黄燥）
芎
（半两）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。
煎至六分。去滓。不计时候温服。
治产后崩中。下血不止。结作血片。如鸡肝色。碎烂者。阿胶散方。
阿胶（一两捣碎炒令黄燥） 当归（一两锉微炒） 续断（一两） 地榆（一两锉） 熟
干地黄
（一
上件药。捣筛为散。每服三钱。以伏龙肝一两。浸取水一中盏。
煎至六分。去滓。每于食前温服。
治产后崩中。下血不绝。小腹痛。麒麟竭散方。
麒麟竭（一两） 禹余粮（一两烧醋淬二三遍） 地榆（一两锉） 阿胶（一两捣碎炒
令黄燥）
赤
上件药。捣细罗为散。每于食前。以温酒调下二（一）钱。
治产后崩中。下血过多不止。龟甲散方。
龟甲（二两醋浸炙令微黄） 黑桑耳（二两） 鹿茸（一两去毛涂酥炙令黄） 禹余粮
（一两
烧醋
（一两
上件药。捣细罗为散。每于食前。以温酒调下一钱。
治产后崩中。下血不止。淋沥不绝。黄瘦虚损。白芍药散方。
白芍药（一两） 牡蛎（一两烧为粉） 熟干地黄（一两） 桂心（一两） 干姜（一
两炮裂锉）
鹿
上件药。捣细罗为散。每于食前。以温酒调下一钱。
又方。
赤石脂（一两） 当归（半两锉微炒） 牡蛎（半两烧为粉） 鹿茸（半两去毛涂酥炙
令微黄）
熟
上件药。捣细罗为散。每于食前。以粥饮下二钱。
治产后崩中。久下血不止。或赤或黑。脐下疼痛。侧柏丸方。
侧柏（一两炙微黄） 白芍药（一两） 黄 （一两锉） 熟干地黄（一两） 续断（一
分） 代
赭（
耳（一两）
禹余粮（一两烧醋淬七遍） 艾叶（一两微炒）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如小豆大。每于空心。以黄 汤下三十丸。
治产后崩中。下血不止。虚羸无力。阿胶丸方。
阿胶（一两半捣碎炒令黄燥） 鳖甲（一两涂醋炙微黄去裙 ） 续断（一两） 龙骨
（二两）
芎
两去毛
涂
上件药。捣罗为散。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治产后崩中。下血不止。香墨散方。
香墨（半两） 露蜂房（半两微炒） 龙骨（半两）
上件药。捣细罗为散。每于食前。用水煎干地黄汤。调下二钱。
又方。
艾叶（一握微炒） 伏龙肝（一鸡子大）
上件药。相和。以酒一大盏。
煎至六分。去滓。食前分温二服。
又方。
牡蛎（一两烧为粉） 兔骨（一两涂醋炙微黄）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
治产后崩中。下血不止。心神烦乱。地黄酒方。
生地黄汁（半小盏） 益母草汁（半小盏）
上件药。入酒一小盏相和。煎三五沸。分为三服。频频服之。
治产后崩中不止方。
荷叶（一两七月七日者） 鹿角胶（二两捣碎炒令黄燥）
上件药。捣细罗为散。每于食前。以温酒调下二钱。
又方。
白 （半两） 乳香（一分） 阿胶（半两捣碎炒令黄燥）
上件药。捣细罗为散。每于食前。以粥饮调下一钱。
治产后崩中。有恶物或渴者。赤龙皮散方。
赤鲤鱼皮（一两） 乱发（一两） 棕榈皮（一两锉）
上件药。同于铫子内。用麻KT 火匀炒。令烟尽候冷。入麝香半分。都研令细。每于
食前。以醋一合。水二合。煎一两沸。调一钱服之。
治产后崩中。下血不止。菖蒲酒方。
菖蒲（一两半锉）
上件药。以酒二大盏。煎取一盏一（二）分。去滓。分为三服。每于食前温服之。
又方。
刺蓟（半斤洗曝干）
上以酒五升。浸经三宿。每日。随意多少暖服之。
Postpartum injury to the blood vessels leads to depletion. If the deficiency is not restored and is aggravated by overexertion, causing sudden violent bleeding that drips continuously, it is termed "Bengzhong" (Metrorrhagia).
For all cases of metrorrhagia:
With blood stasis:
To treat postpartum metrorrhagia presenting with dizziness, coma, restlessness in the four limbs, and loss of consciousness, use Shugan Dihuang San (Prepared Rehmannia Powder).
Herbs: Shu Gan Di Huang (Rehmanniae Radix Praeparata, Prepared Root of Rehmannia) (1 liang), Fu Long Gan (Caulis Longii Fossilia, Fossilized Stomach Content of Long Cat) (1 liang), Huang Qi (Astragali Radix, Astragalus Root) (1 liang, sliced), Chi Shi Zhi (Halloysit Rubra, Red Halloysite) (1 liang), E Jiao (Colla Corii Asini, Donkey-hide Gelatin) (0.5 liang, crushed and stir-fried until slightly dry and yellow), Xiong Duan (Ligustici Chuanxiong Rhizoma, Ligusticum Chuanxiong Rhizome) (0.5 liang).
The above herbs are crushed, sifted into a powder. Take 3 qian per dose. Add one zhong cup of water and half a fen of fresh ginger. Decoct to six parts, remove the dregs, and take warm at any time.
To treat postpartum metrorrhagia with continuous bleeding, where blood coagulates into clumps resembling chicken liver color and texture, use E Jiao San (Donkey-hide Gelatin Powder).
Herbs: E Jiao (Colla Corii Asini, Donkey-hide Gelatin) (1 liang, crushed and stir-fried until slightly dry and yellow), Dang Gui (Angelicae Sinensis Radix, Angelica Sinensis Root) (1 liang, sliced and slightly stir-fried), Xu Duan (Dipsaci Radix, Cynanchum Atratum Root) (1 liang), Di Yu (Sanguisorbae Radix, Sanguisorba Officinalis Root) (1 liang, sliced), Shu Gan Di Huang (Rehmanniae Radix Praeparata, Prepared Root of Rehmannia) (1 liang).
The above herbs are crushed, sifted into a powder. Take 3 qian per dose. Soak 1 liang of Fu Long Gan (Caulis Longii Fossilia, Fossilized Stomach Content of Long Cat) in one zhong cup of water. Decoct to six parts, remove the dregs, and take warm before meals.
To treat postpartum metrorrhagia with continuous bleeding and lower abdominal pain, use Qilinjie San (Kirin Blood Powder).
Herbs: Qi Lin Jie (Santalum Rubrum, Dragon's Blood) (1 liang), Yu Yu Liang (Argillae Flavum, Yellow Halloysite) (1 liang, calcined and quenched in vinegar two or three times), Di Yu (Sanguisorbae Radix, Sanguisorba Officinalis Root) (1 liang, sliced), E Jiao (Colla Corii Asini, Donkey-hide Gelatin) (1 liang, crushed and stir-fried until slightly dry and yellow), Chi Shi Zhi (Halloysit Rubra, Red Halloysite) (1 liang).
The above herbs are finely ground and sifted. Take 2 qian per dose before meals, mixed with warm wine.
To treat postpartum metrorrhagia with excessive continuous bleeding, use Guijia San (Tortoise Shell Powder).
Herbs: Gui Jia (Testudinis Carapax et Plastrum, Tortoise Shell) (2 liang, soaked in vinegar and roasted until slightly yellow), Hei Sang Er (Morus Alba Fruit, Mulberry Fruit) (2 liang), Lu Rong (Cornu Cervi Pantotrichum, Velvet Antler) (1 liang, de-haired, coated with butter and roasted until yellow), Yu Yu Liang (Argillae Flavum, Yellow Halloysite) (1 liang, calcined and quenched in vinegar), Chi Shi Zhi (Halloysit Rubra, Red Halloysite) (1 liang).
The above herbs are finely ground and sifted. Take 1 qian per dose before meals, mixed with warm wine.
To treat postpartum metrorrhagia with continuous dripping bleeding, sallow complexion, emaciation, and deficiency, use Baishao Yao San (White Peony Powder).
Herbs: Bai Shao Yao (Paeoniae Radix Alba, White Peony Root) (1 liang), Mu Li (Ostrea Concha, Oyster Shell) (1 liang, calcined into powder), Shu Gan Di Huang (Rehmanniae Radix Praeparata, Prepared Root of Rehmannia) (1 liang), Gui Xin (Cinnamomi Cortex, Cinnamon Bark) (1 liang), Gan Jiang (Zingiberis Rhizoma, Dried Ginger) (1 liang, processed and sliced), Lu Jiao Jiao (Colla Cornus Cervi, Deer Horn Gelatin) (1 liang).
The above herbs are finely ground and sifted. Take 1 qian per dose before meals, mixed with warm wine.
Another prescription:
Herbs: Chi Shi Zhi (Halloysit Rubra, Red Halloysite) (1 liang), Dang Gui (Angelicae Sinensis Radix, Angelica Sinensis Root) (0.5 liang, sliced and slightly stir-fried), Mu Li (Ostrea Concha, Oyster Shell) (0.5 liang, calcined into powder), Lu Rong (Cornu Cervi Pantotrichum, Velvet Antler) (0.5 liang, de-haired, coated with butter and roasted until slightly yellow), Shu Gan Di Huang (Rehmanniae Radix Praeparata, Prepared Root of Rehmannia) (1 liang).
The above herbs are finely ground and sifted. Take 2 qian per dose before meals, mixed with rice broth.
To treat postpartum metrorrhagia with prolonged continuous bleeding, red or black discharge, and pain below the umbilicus, use Cibai Wan (Platycladus Pill).
Herbs: Ce Bai Ye (Biota Orientalis Folium, Oriental Arborvitae Leaf) (1 liang, roasted until slightly yellow), Bai Shao Yao (Paeoniae Radix Alba, White Peony Root) (1 liang), Huang Qi (Astragali Radix, Astragalus Root) (1 liang, sliced), Shu Gan Di Huang (Rehmanniae Radix Praeparata, Prepared Root of Rehmannia) (1 liang), Xu Duan (Dipsaci Radix, Cynanchum Atratum Root) (1 fen), Dai Zhe Shi (Haematitum, Hematite) (1 liang), Sang Er (Morus Alba Fruit, Mulberry Fruit) (1 liang), Yu Yu Liang (Argillae Flavum, Yellow Halloysite) (1 liang, calcined and quenched in vinegar seven times), Ai Ye (Artemisiae Argyi Folium, Mugwort Leaf) (1 liang, slightly stir-fried).
The above herbs are ground into powder, mixed with refined honey, and pounded 300-500 times to form pills the size of small beans. Take 30 pills on an empty stomach, washed down with Huang Qi Tang (Astragalus Decoction).
To treat postpartum metrorrhagia with continuous bleeding, weakness, and debility, use E Jiao Wan (Donkey-hide Gelatin Pill).
Herbs: E Jiao (Colla Corii Asini, Donkey-hide Gelatin) (1.5 liang, crushed and stir-fried until slightly dry and yellow), Bie Jia (Trionycis Carapax, Softshell Turtle Shell) (1 liang, coated with vinegar and roasted until slightly yellow, remove skirt edge), Xu Duan (Dipsaci Radix, Cynanchum Atratum Root) (1 liang), Long Gu (Fossilia Ossis Mastodi, Fossilized Mammal Bone) (2 liang), Xiong Duan (Ligustici Chuanxiong Rhizoma, Ligusticum Chuanxiong Rhizome) (1 liang, de-haired, coated with butter and roasted).
The above herbs are ground into powder, mixed with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with warm wine.
To treat postpartum metrorrhagia with continuous bleeding, use Xiang Mo San (Incense Ink Powder).
Herbs: Xiang Mo (Ink Stick) (0.5 liang), Lu Feng Fang (Vespa Crabro Nidus, Hornet Nest) (0.5 liang, slightly stir-fried), Long Gu (Fossilia Ossis Mastodi, Fossilized Mammal Bone) (0.5 liang).
The above herbs are finely ground and sifted. Take 2 qian before meals, mixed with a decoction of Gan Di Huang Tang (Rehmannia Decoction).
Another prescription:
Herbs: Ai Ye (Artemisiae Argyi Folium, Mugwort Leaf) (one handful, slightly stir-fried), Fu Long Gan (Caulis Longii Fossilia, Fossilized Stomach Content of Long Cat) (size of a chicken egg).
Mix the above herbs. Decoct in one large cup of wine to six parts, remove dregs, and divide into two warm doses before meals.
Another prescription:
Herbs: Mu Li (Ostrea Concha, Oyster Shell) (1 liang, calcined into powder), Tu Gu (Os Leporis, Rabbit Bone) (1 liang, coated with vinegar and roasted until slightly yellow).
The above herbs are finely ground and sifted. Take 2 qian before meals, mixed with warm wine.
To treat postpartum metrorrhagia with continuous bleeding and mental restlessness, use Dihuang Jiu (Rehmannia Wine).
Herbs: Sheng Di Huang Zhi (Jucius Rehmanniae Recens, Juice of Fresh Rehmannia Root) (half a small cup), Yi Mu Cao Zhi (Jucius Leonuri, Juice of Motherwort) (half a small cup).
Mix the above juices with one small cup of wine. Boil for three to five boils. Divide into three doses and drink frequently.
Prescription for treating postpartum metrorrhagia without cessation:
Herbs: He Ye (Nelumbinis Folium, Lotus Leaf) (1 liang, harvested on the seventh day of the seventh lunar month), Lu Jiao Jiao (Colla Cornus Cervi, Deer Horn Gelatin) (2 liang, crushed and stir-fried until slightly dry and yellow).
The above herbs are finely ground and sifted. Take 2 qian before meals, mixed with warm wine.
Another prescription:
Herbs: Bai Ji (Bletillae Rhizoma, Bletilla Rhizome) (0.5 liang), Ru Xiang (Olibanum, Frankincense) (1 fen), E Jiao (Colla Corii Asini, Donkey-hide Gelatin) (0.5 liang, crushed and stir-fried until slightly dry and yellow).
The above herbs are finely ground and sifted. Take 1 qian before meals, mixed with rice broth.
To treat postpartum metrorrhagia with foul discharge or thirst, use Chilong Pi San (Red Carp Skin Powder).
Herbs: Chi Li Yu Pi (Pellicis Cyprini Rubri, Red Carp Skin) (1 liang), Luan Fa (Capillus Humanus, Human Hair) (1 liang), Zong Lv Pi (Trachycarpi Fructus, Palm Fruit Peel) (1 liang, sliced).
Stir-fry the above herbs evenly in a pot using hemp stalk fire until smoke ceases. Cool down, add She Xiang (Moschus, Musk) (0.5 fen), and grind finely. Before meals, mix with one he of vinegar and two he of water, boil once, and take 1 qian.
To treat postpartum metrorrhagia with continuous bleeding, use Changpu Jiu (Acorus Wine).
Herbs: Chang Pu (Acori Tatarinowii Rhizoma, Rhizome of Acorus Tatarinowii) (1.5 liang, sliced).
Decoct in two large cups of wine to obtain one and a half cups. Remove dregs, divide into three doses, and take warm before meals.
Another prescription:
Herbs: Ci Ji (Cardui Thunbergii Herba, Thunberg's Milk Thistle Herb) (0.5 jin, washed and sun-dried).
Soak in five sheng of wine for three nights. Warm and drink as desired daily.