夫恶露不绝者。由产后伤于经血。虚损不足。或分解之时。恶血不尽。在于腹中。而脏
腑挟
治产后恶露不绝。心闷短气。四肢乏弱。不能饮食。头目昏重。牡蛎散方。
牡蛎（烧为粉） 芎 熟干地黄 白茯苓 龙骨（以上各一两） 续断 当归（锉微
炒）
艾叶
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。枣二枚。
煎至六分。去滓。每于食前温服。
治产后恶露不绝。心腹疼痛。不思饮食。阿胶散方。
阿胶（一两炙令黄燥） 芎 （一两） 艾叶（半两微炒） 当归（一两锉微炒） 桂
心（一两）
地
上件药。捣筛为散。每服二（三）钱。以水一中盏。入枣二枚。
煎至六分。去滓。不计时候温服。
治产后恶露不绝。腹内 刺疼痛。背膊烦闷。不欲饮食。龟甲散方。
龟甲（一两涂醋炙令黄） 当归（三分锉微炒） 干姜（一分炮裂锉） 阿胶（半两捣
碎炒令
黄燥）
草（一分炙
微赤
上件药。捣细罗为散。不计时候。以热酒调下二钱。
治产后恶露不绝。脐腹时痛。艾叶散方。
艾叶〔二（三）分微炒〕 当归（三分锉微炒） 白芍药（一两） 芎 （半两） 熟
干地黄（一
两半） 续断（一两） 牛膝（半两去苗） 桑耳（半两） 败酱（三分）
上件药。捣细罗为散。每服。食前。以生姜粥饮调下二钱。
治产后脏虚冷。致恶露淋沥不绝。腹中时痛。面色萎黄。羸瘦无力。鹿茸散方。
鹿茸（一两去毛涂酥炙令黄） 卷柏（半两） 桑寄生（半两） 续断（半两） 当归
（半两锉
微炒）
附子（半两炮裂去皮脐） 龟甲（一两涂醋炙令黄） 白芍药（半两） 阿胶（半两捣
碎炒令
黄燥）
上件药。捣细罗为散。每服食前。以生姜温酒调下一（二）钱。
治产后恶露不下。四肢虚羸乏力。不能饮食。宜服补益阿胶丸方。
阿胶（一两捣碎炒令黄燥） 熟干地黄（一两） 牛膝（一两半去苗烧灰） 黄 （半
两） 人
参（
艾叶（三
分微炒）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以粥饮下三十丸。
治产后恶露不绝。腹中 痛。气息乏力。艾叶丸方。
艾叶（一两微炒） 熟干地黄（二两） 代赭（一两半细研） 干姜（一两炮裂锉） 芎
（一
两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以温酒下三十丸。
治产后恶露不绝。或崩血。不可禁止。腹中 痛喘息气急。熟干地黄丸方。
熟干地黄（二两） 乱发（一两烧灰） 代赭（一两细研） 干姜（半两炮裂锉） 马
蹄（半两
烧令
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食前。以粥饮下二十丸。
治产后恶露不绝。虚极少气。腹中 痛。面无血色。续断丸方。
续断（一两） 桂心（三分） 熟干地黄（一两半） 赤石脂（三分） 艾叶（三分微
炒） 白术
（三
姜（炮
裂锉
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以温酒下三十丸。
治产后恶露不绝。牡蛎散方。
牡蛎（一两烧） 龟甲（一两涂醋炙令黄）
上件药。捣细罗。研为散。每服食前。以温酒调下二钱。
又方。
麒麟竭（一两） 当归（一两锉微炒）
上件药。捣细罗研为散。每服食前。以温酒调下二钱。
又方。
赤马蹄〔一（二）两〕 乌骡护干（二两）
上件药。同纳一瓷瓶中。烧为灰。待冷取出。研入麝香一钱令匀。每服食前。以温酒调
下一
又方。
琥珀（一两） 牛角 （一两烧灰）
上件药。细研为散。每服食前。以温酒调下二钱。
Metrorrhagia refers to the symptom of continuous and dripping discharge of lochia after childbirth. This condition arises from damage to the menstrual blood postpartum, leading to deficiency and insufficiency; or it results from incomplete expulsion of lochia (stagnant blood) during delivery, which remains in the abdomen and affects the function of the Zang-Fu organs.
For metrorrhagia accompanied by chest oppression, shortness of breath, weakness and fatigue in the four limbs, inability to eat, and heaviness and dizziness of the head and eyes, use Oyster Shell Powder (Muli San).
Ingredients: Calcined Oyster Shell (Mu Li, burned into powder), Ligusticum Rhizome (Chuan Xiong), Prepared Rehmannia Root (Shu Di Huang), Poria (Bai Fu Ling), Dragon Bone (Long Gu) [each 1 liang], Dipsacus Root (Xu Duan), Angelica Sinensis Radix (Dang Gui) [chopped and lightly stir-fried], Mugwort Leaf (Ai Ye).
Preparation and Administration: Crush the above ingredients and sieve coarsely to make a powder. Take 4 qian per dose, add 1 zhong of water, 0.5 fen of fresh ginger, and 2 jujubes. Decoct until 6 fen of liquid remains, strain, and take warm before meals.
For metrorrhagia accompanied by pain in the heart and abdomen and loss of appetite, use Donkey-Hide Gelatin Powder (Ejiao San).
Ingredients: Donkey-Hide Gelatin (Ejiao) [1 liang, roasted until yellow and dry], Ligusticum Rhizome (Chuan Xiong) [1 liang], Mugwort Leaf (Ai Ye) [0.5 liang, lightly stir-fried], Angelica Sinensis Radix (Dang Gui) [1 liang, chopped and lightly stir-fried], Cinnamon Twig Heart (Gui Xin) [1 liang].
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 2 or 3 qian per dose, add 1 zhong of water and 2 jujubes. Decoct until 6 fen of liquid remains, strain, and take warm at any time.
For metrorrhagia accompanied by stabbing pain in the abdomen, irritability in the back and shoulders, and lack of desire to eat, use Tortoise Shell Powder (Gu Jia San).
Ingredients: Tortoise Plastron (Gu Jia) [1 liang, coated with vinegar and roasted until yellow], Angelica Sinensis Radix (Dang Gui) [3 fen, chopped and lightly stir-fried], Dried Ginger (Gan Jiang) [1 fen, processed until cracked and chopped], Donkey-Hide Gelatin (Ejiao) [0.5 liang, crushed and roasted until yellow and dry], Licorice Root (Gan Cao) [1 fen, roasted until slightly red].
Preparation and Administration: Crush and sieve finely to make a powder. Take 2 qian per dose with hot wine, at any time.
For metrorrhagia accompanied by intermittent pain in the umbilical and abdominal region, use Mugwort Leaf Powder (Ai Ye San).
Ingredients: Mugwort Leaf (Ai Ye) [2 or 3 fen, lightly stir-fried], Angelica Sinensis Radix (Dang Gui) [3 fen, chopped and lightly stir-fried], White Peony Root (Bai Shao Yao) [1 liang], Ligusticum Rhizome (Chuan Xiong) [0.5 liang], Prepared Rehmannia Root (Shu Di Huang) [1.5 liang], Dipsacus Root (Xu Duan) [1 liang], Achyranthes Root (Niu Xi) [0.5 liang, radix removed], Auricularia (Sang Er) [0.5 liang], Patrinia Root (Bai Jiang) [3 fen].
Preparation and Administration: Crush and sieve finely to make a powder. Take 2 qian per dose before meals, mixed with ginger porridge drink.
For metrorrhagia caused by deficiency-cold of the Zang-Fu organs, resulting in continuous dripping of lochia, frequent abdominal pain, sallow complexion, emaciation, and weakness, use Deer Antler Powder (Lu Rong San).
Ingredients: Deer Antler (Lu Rong) [1 liang, hair removed, coated with butter and roasted until yellow], Serpentine Mistletoe (Juan Bai) [0.5 liang], Mulberry Mistletoe (Sang Ji Sheng) [0.5 liang], Dipsacus Root (Xu Duan) [0.5 liang], Angelica Sinensis Radix (Dang Gui) [0.5 liang, chopped and lightly stir-fried], Prepared Aconite Root (Fu Zi) [0.5 liang, processed until cracked, skin and navel removed], Tortoise Plastron (Gu Jia) [1 liang, coated with vinegar and roasted until yellow], White Peony Root (Bai Shao Yao) [0.5 liang], Donkey-Hide Gelatin (Ejiao) [0.5 liang, crushed and roasted until yellow and dry].
Preparation and Administration: Crush and sieve finely to make a powder. Take 1 or 2 qian per dose before meals, mixed with ginger-warmed wine.
For lochia retention accompanied by emaciation and fatigue of the four limbs and inability to eat, suitable for Bu Yi Ejiao Wan (Tonifying Donkey-Hide Gelatin Pill).
Ingredients: Donkey-Hide Gelatin (Ejiao) [1 liang, crushed and roasted until yellow and dry], Prepared Rehmannia Root (Shu Di Huang) [1 liang], Achyranthes Root (Niu Xi) [1.5 liang, radix removed and burnt to ash], Astragalus Root (Huang Qi) [0.5 liang], Ginseng Root (Ren Shen) [incomplete in text], Mugwort Leaf (Ai Ye) [3 fen, lightly stir-fried].
Preparation and Administration: Grind the above ingredients into powder, mix with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with porridge drink.
For metrorrhagia accompanied by dull abdominal pain and weak breath, use Mugwort Leaf Pill (Ai Ye Wan).
Ingredients: Mugwort Leaf (Ai Ye) [1 liang, lightly stir-fried], Prepared Rehmannia Root (Shu Di Huang) [2 liang], Hematite (Dai Zhe) [1.5 liang, finely ground], Dried Ginger (Gan Jiang) [1 liang, processed until cracked and chopped], Ligusticum Rhizome (Chuan Xiong) [1 liang].
Preparation and Administration: Grind into powder, mix with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
For metrorrhagia or metrorrhagia with flooding that cannot be stopped, accompanied by abdominal pain, panting, and rapid breathing, use Prepared Rehmannia Root Pill (Shu Di Huang Wan).
Ingredients: Prepared Rehmannia Root (Shu Di Huang) [2 liang], Human Hair (Luan Fa) [1 liang, burnt to ash], Hematite (Dai Zhe) [1 liang, finely ground], Dried Ginger (Gan Jiang) [0.5 liang, processed until cracked and chopped], Horse Hoof (Ma Ti) [0.5 liang, burnt... [text incomplete]].
Preparation and Administration: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills before meals with porridge drink.
For metrorrhagia accompanied by extreme deficiency of qi and blood, shortness of breath, abdominal pain, and pale complexion, use Dipsacus Root Pill (Xu Duan Wan).
Ingredients: Dipsacus Root (Xu Duan) [1 liang], Cinnamon Twig Heart (Gui Xin) [3 fen], Prepared Rehmannia Root (Shu Di Huang) [1.5 liang], Red Halloysite (Chi Shi Zhi) [3 fen], Mugwort Leaf (Ai Ye) [3 fen, lightly stir-fried], Atractylodes Macrocephala Rhizome (Bai Zhu) [incomplete in text], Dried Ginger (Gan Jiang) [processed until cracked and chopped].
Preparation and Administration: Grind into powder, mix with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
For metrorrhagia, use Oyster Shell Powder (Muli San).
Ingredients: Calcined Oyster Shell (Mu Li) [1 liang, burned], Tortoise Plastron (Gu Jia) [1 liang, coated with vinegar and roasted until yellow].
Preparation and Administration: Crush and sieve finely to make a powder. Take 2 qian per dose before meals with warm wine.
Another prescription.
Ingredients: Dragon's Blood (Qilin Jie) [1 liang], Angelica Sinensis Radix (Dang Gui) [1 liang, chopped and lightly stir-fried].
Preparation and Administration: Crush and sieve finely to make a powder. Take 2 qian per dose before meals with warm wine.
Another prescription.
Ingredients: Red Horse Hoof (Chi Ma Ti) [1 or 2 liang], Black Donkey Hide (Wu Luo Hu Gan) [2 liang].
Preparation and Administration: Place together in a porcelain bottle, burn to ash. After cooling, remove and mix with 1 qian of Moschus (She Xiang). Take ... [text incomplete] per dose before meals with warm wine.
Another prescription.
Ingredients: Succinum (Hu Po) [1 liang], Cow Horn ... [burnt to ash] [1 liang].
Preparation and Administration: Finely grind to make a powder. Take 2 qian per dose before meals with warm wine.