阴虚阳搏谓之崩，血渗气泄谓之漏，或劳伤元气，气不统血，或亏损肝脾，血不归经，或七情郁结血液偏渗，
或风热外乘血为邪迫，所谓阳络伤则血外溢，阴络伤则血内渗也。忽然暴下势不可遏谓之崩，经血不住淋漓不断
谓之漏。
崩脉多芤，漏脉必涩，数为血热，软则气虚，风干冲任，脉必浮弦，冷结胞门，脉则沉细，若夹瘀血，涩滞无疑。
崩宜扶元，涩血升举清阳。漏宜调理其经，血清自止，瘀当清补，热当清凉，风则疏之，冷则温之，至随
证治法则审病制宜。
主以补阴益气煎加白芍血余灰，挟风加炒黑荆芥，挟热加炒黑丹皮，挟寒加黑姜灰，气虚倍人参加炙黄 ，
血滑加败棕灰、赤石脂，腹痛加广木香、香附，血滞加醋炒延胡灰，真如确有血瘀可加蒲黄灰、五灵脂灰，俱宜
醋炒以敛之，此在崩症亦当先理血气为主，若属大虚即漏症，盒饭补涩，慎毋执一法也。
补阴益气煎
治崩漏气血两亏，清阳下陷，脉软弦微数者。
生地（五钱） 人参（一钱半） 当归（三钱，醋炒） 升麻（三分，醋炒） 山药（三钱，炒） 柴胡（五
分，醋炒） 炙草（八分） 陈皮（一钱半） 炒黑荷叶（一张）
水煎去渣，温服。
气血两亏，清阳下陷而血不归经，故崩而且漏不能遽止焉。生地滋阴壮水，力能凉血止血，人参扶元补气又能
举陷升阳，山药补脾益阴，当归养血归经，升麻升阳明清气，柴胡升少阳清气，陈皮利气和中，炙草缓中和胃也。
佐炒黑荷叶者，亦升阳止血之意，水煎温服，使血气内充，则脾胃受荫而血自归经，何致清阳下陷而崩且漏哉。
清热地黄汤
治血崩烦热，脉洪涩者。
生地（五钱） 黄连（一钱半，炒黑） 白芍（一钱半，醋炒） 荆芥（一钱半，炒黑） 知母（一钱半，
炒黑） 黄柏（一钱半，炒黑） 当归（三钱，醋炒） 丹皮（一钱半，炒黑） 地榆（三钱，炒炭）
水煎去渣温服。
血亏伏热迫血妄行，故烦热不止，血崩特甚焉。生地滋阴壮水，黄连降火清心，黄柏清相火之炽，知母润血气
之燥，荆芥散火之伏以理血，白芍敛血之走以存阴，丹皮灰凉血止血，醋当归养血吸血，地榆炭涩血以定血也。水
煎温服，使伏火化而血气充则烦热自退而血无妄行之患，何血崩之不止哉。
金华散
治暴崩腹痛，脉数涩大者。
当归（三两，醋炒） 蒲黄（一两半，炒黑） 干姜（六钱，炮黑） 桂心（六钱，炒黑） 黄连（六钱，
炒黑） 石膏（六钱，煨过） 灵仙（六钱，炒黑）
为散米饮下三钱。
冷热不调，血瘀冲任，故腹痛心烦，暴崩不止焉。姜、桂温
冲任之寒，膏、连平肝胃之热，当归醋炒养血归经，蒲黄炒黑破瘀止血，灵仙走经络以调经也。为散以散其瘀，
饮下以和其胃，使胃气调和，则冷热无不调而血无瘀逆之患，何烦痛不除，暴崩不止乎。
荆芥散（新制）
治崩漏腹痛，脉弦浮数者。
生地（五钱，炒炭） 荆芥（五钱，炒灰） 白芍（一钱半，醋炒） 白术（一钱半，炒炭） 当归（三钱，
醋炒） 木香（一钱） 茯苓（一钱半） 血余灰（三钱） 败棕灰（三钱） 荷叶（三钱，炒灰）
水煎去渣温服，血热加丹皮灰，血滞加延胡灰，血中气滞加香附灰，血气虚脱加赤石脂，咳嗽加桑皮，气虚
加人参，阴血虚加阿胶珠、蒲黄灰炒，胃中寒加炮姜炭，淡盐水炒。
任劳伤中，挟风邪而冲任不调，经血失守，故腹痛崩漏不止焉。生地炭凉血滋血兼去血中之湿以止血，荆
芥灰和血疏风能去经络之湿以抚血，当归身养血归经，白芍药敛阴和血，白术炭健脾燥湿，广木香调气醒脾，血
余灰去瘀生新以除漏，败棕灰涩血固经以定崩，白茯苓渗湿和脾，荷叶灰升阳止血也。水煎温服，血热加丹皮灰
以凉血止血，血滞加醋炒香附炭以调血中之气亦兼止血，血气滑脱加醋 赤石脂以涩滑脱之血，最能固下，咳嗽
加桑皮以肃金气，虚加人参以扶元阴，血虚加阿胶以补任脉之阴，蒲黄灰炒以止冲脉之血，胃中寒加炮姜以暖中
宫之冷，淡盐水炒以摄虚阳之动，且能坚肾以固冲任之虚脱也。此乃时下调治腹痛崩漏之法，或夹寒热，或夹头痛，
无非一味荆芥可以了事，故不具载加减，法中观其随证调治，无不头头是道。
十灰散
治血崩不止，脉缓涩。
锦片（一两，炒灰） 木贼（一两，炒灰） 棕灰（一两） 柏叶（一两，炒灰） 干漆（一两，炒灰）
鲫鳞鱼（一两，炒灰） 鲤鳞鱼（一两，炒灰） 血余（一两，炒灰） 当归（二两，炒灰） 艾叶（一两，炒灰）
为散，米饮下三钱。
血虚挟瘀经脉不调而经气失守，故经血偏渗血崩不止焉。锦片灰止经血以荣经络，木贼灰舒阳气以举下陷，
棕皮灰涩脱止血，柏叶灰凉血止血，干漆灰去瘀血，血余灰生新血，鲫鳞鱼灰理血中之湿以止血，当归、艾叶灰
理子宫之血以除崩也。为散米饮下使瘀血顿化则新血自生，而经气完固，血无妄行之患，何血崩之不止哉。
立效散
治血崩不止，脉涩者。
当归（三两） 连花蕊（三两） 棉花子（二两，炒） 红花（一两） 茅花（三两）
为散，每服三钱，水煎去渣温服。
久郁伤肝，不能藏血，故血不归经崩下不止焉。棉花子散滞气力能解郁开结，连花蕊凉心气，性善涩血固经，
红花生新去宿，当归养血归经，茅花轻扬止血以定崩下也。为散水煎，务使肝郁结散则经脉调和而经气完复，血不
妄行，何崩下之不除乎。
Yin deficiency with vigorous Yang pulse is termed *Beng* (sudden heavy uterine bleeding). Blood seeping and Qi leaking is termed *Lou* (prolonged scanty uterine bleeding). Some cases result from labor injuring the primordial Qi, causing Qi to fail to control the blood. Some result from Liver and Spleen deficiency, causing blood to leave its vessels. Some result from emotional stagnation, causing blood to leak abnormally. Some result from external wind-heat forcing the blood to move recklessly due to pathogenic invasion. This is what is meant by: injury to the Yang collaterals causes blood to overflow externally, while injury to the Yin collaterals causes blood to seep internally. Sudden massive bleeding that cannot be restrained is called *Beng*. Menstrual blood dripping continuously without stopping is called *Lou*.
The pulse in *Beng* is often *Kou* (floating, large, and empty in the center, like pressing a scallion stem), while the pulse in *Lou* must be *Se* (rough and hesitant, like a light knife scraping bamboo). A rapid pulse indicates blood heat; a soft pulse indicates Qi deficiency. Wind invading the Chong and Ren vessels results in a floating and wiry pulse; cold coagulating at the uterus gate results in a deep and fine pulse. If accompanied by blood stasis, a rough and stagnant pulse is undoubtedly present.
Treatment for *Beng* should support the Yuan Qi, astringe blood, and raise clear Yang. Treatment for *Lou* should regulate the menses; when the blood is pure, it will stop naturally. For stasis, clear and tonify; for heat, cool and purify; for wind, disperse; for cold, warm. Ultimately, one must treat according to the syndrome, examining the disease to adapt the method.
The main prescription is *Buyin Yiqi Jian* (Nourish Yin and Boost Qi Decoction) added with *Baishao* (Radix Paeoniae Alba) and *Xueyu Hui* (Ash of Human Hair). If accompanied by wind, add stir-fried black *Jingjie* (Herba Schizonepetae); if accompanied by heat, add stir-fried black *Danpi* (Cortex Moutan); if accompanied by cold, add black *Jianghui* (Ash of Ginger); if Qi is deficient, double the dose of *Renshen* (Radix Ginseng) and add *Zhi Huangqi* (Honey-fried Radix Astragali); for slippery blood, add *Baizong Hui* (Ash of Palm Fiber) and *Chishizhi* (Halloysitum Rubrum); for abdominal pain, add *Guangmuxiang* (Radix Aucklandiae) and *Xiangfu* (Rhizoma Cyperi); for blood stasis, add vinegar-stir-fried *Yanhuhu Hui* (Ash of Rhizoma Corydalis). If there is indeed blood stasis, *Puhuang Hui* (Ash of Pollen Typhae) and *Wulingzhi Hui* (Ash of Trogopterus Dung) can be added. All these should be vinegar-fried to promote astringency. In *Beng* syndromes, regulating Qi and blood is primary. If it belongs to severe deficiency, i.e., *Lou*, tonifying and astringing methods should be used. Do not adhere rigidly to a single method.
**Buyin Yiqi Jian (Nourish Yin and Boost Qi Decoction)**
Treats *Beng* and *Lou* due to dual deficiency of Qi and Blood, sinking of clear Yang, with a soft, wiry, slightly rapid pulse.
*Shengdi* (5 qian), *Renshen* (1.5 qian), *Danggui* (3 qian, vinegar-fried), *Shengma* (0.3 fen, vinegar-fried), *Shanyao* (3 qian, stir-fried), *Chaihu* (0.5 fen, vinegar-fried), *Zhigancao* (0.8 fen), *Chenpi* (1.5 qian), Stir-fried black *Heye* (1 leaf).
Decoct in water, remove dregs, take warm.
Dual deficiency of Qi and Blood and sinking of clear Yang cause blood to leave its vessels, resulting in *Beng* and *Lou* that cannot stop abruptly. *Shengdi* nourishes Yin and strengthens Water, capable of cooling blood and stopping bleeding. *Renshen* supports Yuan Qi and boosts Qi, raising sunken Yang. *Shanyao* tonifies Spleen and benefits Yin. *Danggui* nourishes blood and returns it to its vessels. *Shengma* raises clear Yang of the Yangming channel. *Chaihu* raises clear Yang of the Shaoyang channel. *Chenpi* regulates Qi and harmonizes the middle. *Zhigancao* moderates urgency and harmonizes the Stomach. The addition of stir-fried black *Heye* also aims to raise Yang and stop bleeding. Decoct in water and take warm. When Qi and Blood are filled internally, the Spleen and Stomach benefit, and blood naturally returns to its vessels. How could clear Yang sink and cause *Beng* and *Lou*?
**Qingre Dihuang Tang (Clear Heat and Rehmannia Decoction)**
Treats bloody flooding with irritability and heat, with a surging and rough pulse.
*Shengdi* (5 qian), *Huanglian* (1.5 qian, stir-fried black), *Baishao* (1.5 qian, vinegar-fried), *Jingjie* (1.5 qian, stir-fried black), *Zhimu* (1.5 qian, stir-fried black), *Huangbai* (1.5 qian, stir-fried black), *Danggui* (3 qian, vinegar-fried), *Danpi* (1.5 qian, stir-fried black), *Diyu* (3 qian, charred).
Decoct in water, remove dregs, take warm.
Blood deficiency with latent heat forcing blood to move recklessly causes persistent irritability and heat, making bloody flooding particularly severe. *Shengdi* nourishes Yin and strengthens Water. *Huanglian* descends fire and clears the Heart. *Huangbai* clears excessive Minister Fire. *Zhimu* moistens the dryness of Qi and Blood. *Jingjie* disperses latent fire to regulate blood. *Baishao* astringes wandering blood to preserve Yin. *Danpi* cools blood and stops bleeding. Vinegar-fried *Danggui* nourishes and retains blood. Charred *Diyu* astringes blood to stabilize it. Decoct in water and take warm. When latent fire transforms and Qi and Blood fill, irritability and heat recede naturally, and blood does not move recklessly. Why would bloody flooding not stop?
**Jinhua San (Jinhua Powder)**
Treats sudden bloody flooding with abdominal pain, with a rapid, rough, and large pulse.
*Danggui* (3 liang, vinegar-fried), *Puhuang* (1.5 liang, stir-fried black), *Ganjiang* (6 qian, roasted black), *Guixin* (6 qian, stir-fried black), *Huanglian* (6 qian, stir-fried black), *Shigao* (6 qian, baked), *Lingxian* (6 qian, stir-fried black).
Grind into powder, take 3 qian with rice drink.
Imbalance of cold and heat, with blood stasis obstructing the Chong and Ren vessels, causes abdominal pain, irritability, and unceasing sudden bloody flooding. *Jiang* and *Gui* warm the cold of the Chong and Ren. *Shigao* and *Huanglian* calm the heat of the Liver and Stomach. Vinegar-fried *Danggui* nourishes blood and returns it to its vessels. Stir-fried black *Puhuang* breaks stasis and stops bleeding. *Lingxian* travels through collaterals to regulate menstruation. Powder disperses stasis; rice drink harmonizes the Stomach. When Stomach Qi is harmonized, cold and heat are balanced, and blood has no stasis or rebellion. Why would irritability and pain not cease, and sudden bloody flooding not stop?
**Jingjie San (New Formula) (Schizonepeta Powder)**
Treats *Beng* and *Lou* with abdominal pain, with a wiry, floating, and rapid pulse.
*Shengdi* (5 qian, charred), *Jingjie* (5 qian, ashed), *Baishao* (1.5 qian, vinegar-fried), *Baizhu* (1.5 qian, charred), *Danggui* (3 qian, vinegar-fried), *Muxiang* (1 qian), *Fuling* (1.5 qian), *Xueyu Hui* (3 qian), *Baizong Hui* (3 qian), *Heye* (3 qian, ashed).
Decoct in water, remove dregs, take warm. Add *Danpi Hui* for blood heat; *Yanhuhu Hui* for blood stasis; *Xiangfu Hui* for Qi stagnation in blood; *Chishizhi* for Qi and Blood collapse; *Sangpi* for cough; *Renshen* for Qi deficiency; *Ejiao Zhu* and fried *Puhuang Hui* for Yin-Blood deficiency; *Paojiantan* with light salt water for Stomach cold.
Labor injury to the Middle, combined with wind pathogen, disrupts the Chong and Ren, causing loss of menstrual blood control, leading to abdominal pain and unceasing *Beng* and *Lou*. Charred *Shengdi* cools blood, nourishes blood, removes dampness from blood to stop bleeding. Ashed *Jingjie* harmonizes blood, dispels wind, removes dampness from collaterals to soothe blood. *Danggui Shen* nourishes blood and returns it to vessels. *Baishaoyao* astringes Yin and harmonizes blood. Charred *Baizhu* strengthens Spleen and dries dampness. *Guangmuxiang* regulates Qi and awakens Spleen. *Xueyu Hui* removes stasis and generates new blood to eliminate *Lou*. *Baizong Hui* astringes blood and stabilizes meridians to settle *Beng*. *Baifuling* leaches dampness and harmonizes Spleen. *Heye Hui* raises Yang and stops bleeding. Decoct in water and take warm. Add *Danpi Hui* for blood heat to cool blood and stop bleeding. Add vinegar-fried *Xiangfu Tan* for blood stasis to regulate Qi in blood and stop bleeding. Add vinegar-fried *Chishizhi* for Qi and Blood slipping to astringe slipping blood, strongly securing the lower part. Add *Sangpi* for cough to descend Lung Qi. Add *Renshen* for deficiency to support Yuan Qi and Yin. Add *Ejiao* for blood deficiency to nourish Ren vessel Yin. Fried *Puhuang Hui* stops Chong vessel bleeding. Add *Paojiang* for Stomach cold to warm the middle palace; cook with light salt water to grasp moving deficient Yang, strengthen Kidney, and secure Chong and Ren deficiency collapse. This is the current method for treating abdominal pain *Beng* and *Lou*. Whether complicated by cold/heat or headache, a single herb *Jingjie* often resolves it, so modifications are not fully listed. Observe syndrome-based regulation in the method, which is always logical.
**Shihui San (Ten Ashes Powder)**
Treats unceasing bloody flooding with a slow and rough pulse.
*Jinpian* (1 liang, ashed), *Muzei* (1 liang, ashed), *Zonghui* (1 liang), *Boye* (1 liang, ashed), *Ganxi* (1 liang, ashed), *Jilin Yu* (1 liang, ashed), *Lin Yu* (1 liang, ashed), *Xueyu* (1 liang, ashed), *Danggui* (2 liang, ashed), *Aye* (1 liang, ashed).
Grind into powder, take 3 qian with rice drink.
Blood deficiency with stasis, irregular meridians, and loss of Jing Qi control cause abnormal blood leakage and unceasing bloody flooding. *Jinpian* ash stops menstrual blood to nourish collaterals. *Muzei* ash舒展 Yang Qi to raise sunken Yang. *Zongpi* ash astringes leakage and stops bleeding. *Boye* ash cools blood and stops bleeding. *Ganxi* ash removes blood stasis. *Xueyu* ash generates new blood. *Jilin Yu* ash regulates dampness in blood to stop bleeding. *Danggui* and *Aye* ash regulate uterine blood to remove *Beng*. Powder taken with rice drink dissolves stasis instantly, generating new blood, solidifying Jing Qi, preventing reckless blood movement. Why would bloody flooding not stop?
**Lixiao San (Instant Effect Powder)**
Treats unceasing bloody flooding with a rough pulse.
*Danggui* (3 liang), *Lianhua Rui* (3 liang), *Mianhuazi* (2 liang, stir-fried), *Honghua* (1 liang), *Maohua* (3 liang).
Grind into powder, take 3 qian per dose, decoct in water, remove dregs, take warm.
Long-term stagnation injures the Liver, impairing its ability to store blood, causing blood to leave vessels and unceasing downward bleeding. *Mianhuazi* disperses stagnant Qi, resolving stagnation and opening knots. *Lianhua Rui* cools Heart Qi, naturally astringing blood and stabilizing meridians. *Honghua* generates new blood and removes old. *Danggui* nourishes blood and returns it to vessels. *Maohua* is light and ascending, stopping bleeding to settle downward bleeding. Powder decocted in water ensures Liver stagnation dissipates, meridians harmonize, Jing Qi restores, blood does not move recklessly. Why would downward bleeding not cease?