上锉碎，每服半两，姜枣煎服，食前五六服寒热腹痛皆退，崩漏未止，续服后熟附丸。
熟附丸
熟附子 木贼（去节） 龙骨（ ） 赤石脂（ ，各半两） 川芎 当归（各一两）
上为细末，醋糊为丸，如梧子大。每服五六十丸，食前米饮下。一妇人年五十以
上，经断七年，忽然经行，遂成崩漏，发热腹痛，两月不瘥。予诊其脉虚细疾数。予曰∶
此乃阴虚而致，宜服此药。
鹿茸丸 治经候过多，其色瘀黑，甚者崩下，吸吸少气，脐腹冷极则汗出如雨，尺
脉微小，由冲任虚衰，为风冷客乘胞中，气不能固。可灸关元百壮，在脐下正中三寸。
鹿茸（燎去毛，酥炙） 赤石脂（制） 禹余粮（制，各一两） 艾叶（一方无） 柏叶
附子（炮，各半两） 熟地黄 当归 续断（各二两）
上为细末，酒糊和丸梧子大。每服三十丸，空心温酒下。一方炼蜜丸亦可。
赤龙丹 治崩中不止。
禹余粮（炒） 乌贼骨 鹿茸 龙骨 石燕（ ） 阿胶 当归 干姜（各等分）
上为末，酒醋糊为丸。每服五十丸，温酒下。
紫金散 治月水过多，崩漏带下，淋沥不断，腰腹重痛，一切五色带疾。
禹余粮（ 赤，醋淬七次，细研水飞 干，秤三两） 白芍药 川芎 熟地黄
附子 当归（各一两） 干姜（炮） 肉桂（各半两） 赤石脂 龙骨（各 ，并一两，别研）
上为细末，每服二钱，入麝香少许，米饮空心调下。
白芷暖宫丸 暖血海，实冲任。治子宫虚弱，风寒客滞，断绪不成孕育，及数坠胎；
或带下赤白，漏下五色，虚眩少气，胸腹满痛，心下烦悸，自汗，下血过多。
禹余粮（制，一两） 干姜（炮） 芍药 白芷 川椒（制） 阿胶（粉炒）
艾叶（制） 川芎（各七钱半）
上为细末，蜜丸梧子大。每服四十丸，米饮、温酒、醋汤任下。
《和剂》震灵丹 治崩中下血不止，或脉虚细，手足或冷。以芎归汤加木香煎送下，或
陈皮、香附子煎汤下三丸，或灵砂丹亦可。兼治暴惊风，九窍出血。独参汤下。（方见杂病泄
泻门。）
又方 治崩中不止。
丁香二两为细末，用酒三升，煮取一升，空心顿服。《必效方》用丁香百颗，酒煎服。
又方 益智炒为细末，盐米饮调下。
和剂暖宫丸 内补当归丸 熟干地黄丸 济阴丹 禹余粮丸 内灸散 皱血丸 紫石英丸
上诸方并治崩中带漏，并见前通治门及调经门。
〔薛〕表弟方健甫内，五十岁，辛丑患血崩，诸药罔效。壬寅八月，身热体痛，头
晕涕出，吐痰少食，众作火治，展转发热，绝粒数日。余诊之曰∶脾胃久虚，过服寒药，中
病未已，寒病复起，遂用八味丸料一服，翌早遂索粥数匙，再服食倍，热减痛止。乃服
八味丸而愈，癸卯秋，因劳役忧怒，甲辰夏，病复作，胸饱发热，脊痛腰疼，神气怫郁，或
作内伤，或作中暑，崩血便血，烦渴引饮，粒米不进，昏愦时作，脉洪大按之微弱，此无
根之火，内虚寒而外假热也。以十全大补加附子一剂，遂食粥三四匙，崩血渐减。日服
八味丸，始得全愈。大尹王天成之内，久患崩，自服四物凉血之剂，或作或辍。因怒
发热，其血不止，服前药不应，乃主降火，更加腹胁大痛，手足俱冷。余曰∶此脾胃虚寒
所致。先用附子理中汤，体热痛止；又用济生归脾、补中益气二汤，崩血顿愈。若泥痛
无补法，则误矣。锦衣杨永兴之内，患前证过服寒凉之剂，其证益甚，更加肚腹痞闷，
饮食不入，发热烦躁，脉洪大而虚。余曰∶此脾经气血虚而发躁也。当急用八珍汤加炮姜
以温补之，缓则不救。不信，乃服止血降火之剂，虚证蜂起，始信余言，缓不及治矣。
〔涩剂〕
〔大〕治崩中下血不止，小腹痛。
芍药（一两，炒黄） 柏叶（六两，微炒。丹溪云∶柏叶性多燥。）
上用水一升，煎取六合，入酒五合，煎取七合。空心分为二服。一方为细末，酒调
二钱。一方有鹿角胶等分，酒调治白带脐腹痛。
〔世〕牡蛎散 治月水不止，众药不愈者。
牡蛎火 研细，用醋调成丸，再 过通红，候冷研细，出火毒，却用醋调艾末，熬
成膏，和丸如桐子大。每服五十丸，醋艾汤下。
〔燥剂〕
〔云〕柏黄散 疗经血不止。
黄芩（一两二钱半） 侧柏叶 蒲黄（各一两） 伏龙肝（二两）
上 咀，水二升，煎取八合，分为二服。
又方 治患崩中不止，结作血片，如鸡肝色，碎烂。
芎 （十二分） 阿胶 青竹茹（各八分） 续断 地榆 小蓟根（各三分） 当归（六分）
生地黄 伏龙肝（各十一分）
上用水九盏，煮取三盏，去滓分三服。
〔《衍》〕治妇人血露，蚕砂一两炒，伏龙肝半两，阿胶一两，同为末。温酒调，空
心二三钱，以知为度。（《大全》名无比散，无阿胶。）
〔罗〕伏龙肝散 治气血劳伤，冲任脉虚。经云∶非时忽然崩下，或如豆汁，或成血片，
或五色相杂，或赤白相兼，脐腹冷痛，经久未止，令人黄瘦，口干，饮食减少，四肢无力，虚烦惊悸。
伏龙肝（一两） 甘草（半两） 赤石脂（一两） 芎 （三两） 肉桂（半两） 熟地黄 艾叶（微炒，各
二两） 当归 干姜（各七钱半） 麦门冬（去心，一两半）
上为粗末，每服四钱，枣一枚，水同煎。
地榆散 治妇人崩中漏下不止。
地榆（锉） 蒲黄 白芍药 白茯苓 柏叶（微炒） 蟹爪（微炒） 熟地黄 鹿
角胶（捣碎，炒令黄燥） 漏芦（各一两） 芎 当归（锉炒，各七钱半） 伏龙肝（一两半）
干姜（炮） 桂心 甘草（锉，炙赤，各半两）
上锉碎，每服三钱，水一中盏，入竹茹一分，煎至七分，去滓，食前温服。
上五方，伏龙肝例，盖燥可去湿也。前二方去湿热，后二方去寒湿。按伏龙肝为止
血之圣药，先贤治崩，用旋复花、半夏治膈间湿痰而崩止者，亦此意。
〔补涩〕
鹿茸散 治崩中漏下不止虚损羸瘦。
鹿茸（二两，去毛涂酥，炙微黄） 白龙骨 鳖甲（涂酥炙令黄，去裙） 熟地黄
白芍药 白石脂 乌贼鱼骨（炙黄） 续断（各一两） 肉苁蓉（一两半，酒浸一宿，刮去
皱皮，炙干）
上为细末，每服二钱，食前粥饮调下。
柏叶散 治妇人崩中漏下，不问年月远近，渐至黄瘦，四肢无力，腹内疼痛，不思
饮食。
柏叶 续断 川芎 生地黄 当归 龟甲 鳖甲（各一两半） 禹余粮（二两半）
阿胶 牡蛎 地榆 赤石脂 艾叶 鹿茸（各一两）
上为细末，每服二钱，食前粥饮调下。一方有丹参，加鹿茸炼蜜和丸，如梧子大。每
服三四十丸，空心用温酒送下。或醋汤亦可。
补宫丸 治妇人诸虚不足，久不妊娠，骨热形羸，崩中带下。
白薇 牡蛎 白芍药 鹿角霜 山药 白术 白茯苓 乌贼鱼骨 白芷（各等分）
上为细末，面糊和丸，如梧子大。每服五十丸，空心用米饮送下。
镇宫丸 治妇人崩漏不止，或下五色，或赤白不定，或如豆汁，或状如豚肝，或下瘀
血，脐腹胀痛，头晕眼花，久而不止，令人黄瘦，口干，胸烦不食。
代赭石（火 ，醋淬） 紫石英 禹余粮（制并同上） 香附子（醋煮，各二两）
阳起石（火锻，细研） 鹿茸（燎去毛，醋蒸焙） 茯神（去皮、木） 阿胶（锉
碎，蛤粉炒成珠） 当归（去芦，酒浸） 蒲黄（炒） 芎 （各一两） 血竭（半两，别研）
上为细末，用艾煎醋汁，煮糯米粉糊丸，如梧子大。每服七十丸，空心米饮下。
〔血见黑则止〕
治暴崩下血。京墨为末二钱匕，同烧露蜂房为末三指撮，酒调服。
又方∶百草霜二钱，狗胆汁拌定，分作二服，当归酒调下。
〔世〕治血崩。用葫芦去子幅，实荆芥穗烧存性，饮汤调服。
治室女血崩，不以冷热皆可服。
荆芥 莲房壳（各等分，各烧灰存性）
上为细末，每服二钱，空心米饮调下。
十灰丸 治崩中下血不止。
锦灰 黄绢灰 马尾灰 艾叶灰 藕节灰 莲房灰 油发灰 赤松皮灰 棕榈灰 蒲黄灰（各等分）
上研匀，用醋煮糯米糊和丸，如梧子大。每服七十丸，加至一百丸，空心米饮送下。
十灰散 治下血不止。
锦片 木贼 棕榈 柏叶 艾叶 干漆 鲫鱼鳞 鲤鱼鳞 血余 当归（以上逐味火化存性，
各等分，研末） 麝香（少许研上研匀，每服二钱，空心温酒调服。）
一笑散 治妇人血崩。
上用新绵一口，烧灰研末，空心酒调下，立止。
治妇人经年血崩。
香附子（二两，炒赤） 莲壳（五枚，烧存性）
上为细末，每服二钱，空心陈米饮调下。
〔世〕香矾散 治血崩。香附子不以多少，极酸醋浸一宿，炒焦为灰存性。每一两入白矾末
二钱，米饮调服，空心，神效。一法，用荷叶汤尤妙。
〔大〕用香附子去毛，炒焦黑存性，为细末，用极热酒调下二钱，放温服，不过两
服立愈，昏迷甚者三钱匕。如血山崩不止者，亦能解之。米饮调亦可。
许学士云∶治下血不止，或成五色崩漏，香附子是妇人仙药也。砂仁不以多少，新瓦
上炒黑为末，米饮调。一方，益智仁炒黑为末，盐米饮调下。
〔世〕妇人血崩不止。用槟榔烧灰存性，碾末，以温酒调下甚妙。
〔大〕五灵脂散 治妇人血崩诸药不止者。五灵脂炒令烟尽为末，每服一钱，温酒
调下。一法，每服一钱，水酒、童便各半盏，煎服。名抽刀散。
琥珀散 治崩暴不止。
赤芍药 香附子 枯荷叶 男子发（皂荚水洗） 当归 棕榈（炒焦存性）
乌纱帽（是漆纱头巾，取阳气上冲故也）
上等分，除棕榈外，其余并用粗片，新瓦上 成黑灰存性三分，为细末。每服五钱，
空心童便调下，如人行十里，再一服，七八服即止。若产后血去多，加米醋、京墨、麝
香少许。一法，先以五积散加醋煎，投一二服，次服五灵脂散。
〔衍〕黄牛角腮，用尖，烧为黑灰，微存性。治妇人血崩，大便血及冷痢、白痢。
〔大〕治漏下不止者。鹿角烧灰细研，食前温酒调下二钱。又方，桃仁烧灰研细，
食前温酒调下二钱。又方，乳发，皂角水洗净，烧为细末，空心温酒调二钱。
〔世〕治血久崩。夏枯草烧存性为末，空心米饮调下。此用灰，与前用草不同。
〔大〕荆芥散 治妇人崩中不止。用好麻油点灯，多着灯心，就上烧荆芥焦色，为
细末，每服三钱，童便调下。
〔简〕治妇人漏下血不绝。槐花鹅不以多少，烧作灰，细研，食前温酒调二钱匕。
〔产宝〕治崩中不止，不问年月远近。用槐耳烧作灰为末，以酒服方寸匕。
〔大〕神应散 治血崩不止。桂心不以多少，炒极焦存性，为末，每服一二钱，米
饮调下。
〔杨氏家藏〕黑金散 治妇人血气虚
损，经候不调，崩中漏下。
鲤鱼皮 黄牛角腮 棕榈皮 破故纸 乳发（各一两） 乌贼鱼骨 熟地黄 干姜（炮）
当归（洗，焙） 木贼（各半两）
上锉拌入瓷瓶内，盐泥固济，候干，炭火五斤 通赤，烟尽埋土内令冷，取研细。每三钱，
入麝少许，米饮空心调下。
如圣散 治血山崩。
棕榈 乌梅肉（各一两） 干姜（一两五钱，并烧存性）
上为细末，每服二钱，乌梅酒调下，空心食前服。久患不过三服愈。
治血崩屡效方。
当归 白芍药 干姜 棕榈（各等分）
上各 存性，研为细末，醋调以有节朱箸左搅四十九转，食前服。
又方 用棕榈、白矾 为末，酒调二钱服。
乌金散 治血崩不止。
棕榈毛（烧存性，一两） 龙骨（ 过，二钱）
上为细末，研匀，每三钱，空心好酒调服，二服立止。
梅饮子 治妇人血崩。
上以盐白梅烧灰存性，为末，空心米饮调下。
治妇人血崩方。
上用乌梅烧灰研末，以乌梅汤调下。酒调亦可。
又方
乌梅（肥大者半斤，以酸醋浸，经一宿取出，去核，研为膏） 百草霜（研细）
上捣和丸如梧桐子大。每服三四十丸，空心，以淡醋汤送下，日进一服。
上三十二方，皆烧灰黑药。经云∶北方黑色，入通于肾。皆通肾经之药也。夫血者，
心之色也，血见黑即止者，由肾水能制心火故也。
〔海〕治崩不定，或淋淫经年者。
白矾（溶开成汁，一两） 没药（一钱） 砂 黄丹（各五分）
上件将白矾溶开成汁，下余药细末，一处搅匀，就成丸子，如弹子大。每用一丸，新
绵裹纳阴中，立效。
〔运气〕
运气血崩，皆属风火。经云∶少阳司天之政，初之气，风胜乃摇，候乃大温，其病
血崩是也。
〔针灸〕
〔摘〕经血过多不止，并崩中。（《心术》同。） 三阴交 行间（各针讫灸之。）
通里（足小指上二寸，刺二分，灸二七壮。）
〔桑〕漏下不止。（《心术》《摘英》同。）三阴交 太冲
〔东〕胞门不闭，漏下恶血不禁。气门（在关元傍三寸，刺入五分。）
Crush the herbs, take half a liang per dose, decoct with ginger and jujube, and administer before meals. After taking five to six doses, chills, fever, and abdominal pain will subside. If metrorrhagia (uterine bleeding) and leukorrhea (vaginal discharge) persist, continue administering the subsequent Shu Fu Wan (Prepared Aconite Pill).
Shu Fu Wan (Prepared Aconite Pill)
Ingredients: Prepared Aconite Root (Radix Aconiti Lateralis Preparata), Equisetum Hiemale Stem (Herba Equiseti Hiemalis - removed nodes), Dragon Bone (Os Draconis), Red Kaolin (Lapis Kaolinitis Rubra, each half a liang), Ligusticum Wallichii Rhizome (Rhizoma Chuanxiong), Angelica Sinensis Radix (Radix Angelicae Sinensis, each one liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with vinegar paste to form pills the size of wutong seeds. Take 50-60 pills per dose, administered before meals with rice water.
Case Example: A woman over fifty years old, who had been amenorrheic for seven years, suddenly resumed menstruation, leading to metrorrhagia accompanied by fever and abdominal pain, which persisted for two months without improvement. Upon examination, her pulse was deficient, thin, rapid, and frequent. I stated, "This is caused by Yin deficiency; this medication is appropriate."
Lurong Wan (Deer Antler Pill)
Indications: Menorrhagia (excessive menstrual flow) with dark,瘀 black blood, severe cases presenting as metrorrhagia, shortness of breath, extreme cold in the umbilical and abdominal regions causing profuse sweating like rain, and a faint, minute pulse at the cun position of the chi pulse. This condition arises from deficiency and decline of the Chong and Ren meridians, where wind-cold pathogens invade the uterus, failing to secure the Qi. Moxibustion can be applied to Guanyuan (CV4) for 100 moxa cones; this acupoint is located three cun directly below the center of the umbilicus.
Ingredients: Deer Antler (hair burned off, fried with suet), Red Kaolin (processed), Halloysitum (processed, each one liang), Mugwort Leaf (Folium Artemisiae Argyi, omitted in some formulas), Cinnabar Tree Leaf (Folium Ilicis Cornutae), Prepared Aconite Root (each half a liang), Prepared Rehmannia Root (Radix Rehmanniae Preparata), Angelica Sinensis Radix, Dipsacus Asperoides Root (Radix Cynanchi Atrati, each two liang).
Preparation and Administration: Grind into fine powder, mix with wine paste to form pills the size of wutong seeds. Take 30 pills per dose, administered with warm wine on an empty stomach. Another method uses refined honey for pill formation.
Chilong Dan (Red Dragon Pill)
Indications: Metrorrhagia with continuous bleeding.
Ingredients: Halloysitum (stir-fried), Cuttlefish Bone (Halo Sepiae), Deer Antler, Dragon Bone, Swallow Stone (Os Hirundinis), Donkey-hide Gelatin (Colla Corii Asini), Angelica Sinensis Radix, Dried Ginger (Rhizoma Zingiberis Secatum, equal parts).
Preparation and Administration: Grind into fine powder, mix with wine and vinegar paste to form pills. Take 50 pills per dose, administered with warm wine.
Zijin San (Purple Gold Powder)
Indications: Menorrhagia, metrorrhagia with leukorrhea, continuous dripping, heaviness and pain in the waist and abdomen, and all types of leukorrhea with five colors.
Ingredients: Halloysitum (calcined red, quenched in vinegar seven times, finely ground and floated in water, dried, weighed at three liang), White Peony Root (Radix Paeoniae Alba), Ligusticum Wallichii Rhizome, Prepared Rehmannia Root, Prepared Aconite Root, Angelica Sinensis Radix (each one liang), Dried Ginger (stir-fried), Cinnamon Bark (Cortex Cinnamomi, each half a liang), Red Kaolin, Dragon Bone (each processed separately and finely ground, each one liang).
Preparation and Administration: Grind into fine powder. Take two qian per dose, add a small amount of Moschus, and mix with rice water on an empty stomach.
Baizhi Nuangong Wan (Angelica Dahurica Uterus-Warming Pill)
Actions: Warms the Blood Sea, fills the Chong and Ren meridians. Indications: Uterine weakness, stagnation of wind-cold, infertility or repeated miscarriages; leukorrhea with red and white discharge, leakage of five-colored secretions, dizziness, shortness of breath, chest and abdominal fullness and pain, palpitations, spontaneous sweating, and Qi and Blood deficiency due to excessive blood loss.
Ingredients: Halloysitum (processed, one liang), Dried Ginger (stir-fried), Peony Root, Angelica Dahurica Radix (Radix Angelicae Dahuricae), Sichuan Pepper Pericarpium (Pericarpium Zanthoxyli, processed), Donkey-hide Gelatin (fried with powder), Mugwort Leaf (processed), Ligusticum Wallichii Rhizome (each seven qian and half).
Preparation and Administration: Grind into fine powder, mix with honey to form pills the size of wutong seeds. Take 40 pills per dose, administered with rice water, warm wine, or vinegar soup as preferred.
Zhenling Dan (Thunder Spirit Pill) from *Heji Jufang*
Indications: Metrorrhagia with continuous bleeding, or deficient and thin pulse, cold hands and feet. Administer with Xiong Gui Tang (Ligusticum and Angelica Decoction) added with Aucklandia Root (Radix Aucklandiae), or with Chenpi (Citri Reticulatae Pericarpium) and Cyperi Rhizoma (Rhizoma Cyperi) decoction, three pills at a time. Lingsha Dan (Spirit Sand Pill) is also acceptable. It also treats sudden fright-induced wind and bleeding from the nine orifices. Can be administered with Dushen Tang (Single Ginseng Decoction). (See Miscellaneous Diseases: Diarrhea section for formula.)
Another Prescription for Metrorrhagia
Dingxiang (Caryophylli Flos) two liang ground into fine powder, decocted in three sheng of wine until one sheng remains, taken in one dose on an empty stomach. *Bixiao Fang* uses 100 Dingxiang, decocted in wine.
Another Prescription
Yizhi Ren (Alpinia Oxyphylla Fruit) stir-fried, ground into powder, mixed with salted rice water.
Nuangong Wan (Uterus-Warming Pill), Neibu Danggui Wan (Internal Supplementing Angelica Pill), Shugan Dihuang Wan (Prepared Rehmannia Pill), Ji Yin Dan (Nourishing Yin Pill), Yuyuliang Wan (Halloysite Pill), Neijiu San (Internal Moxibustion Powder), Zhouxue Wan (Blood-Constricting Pill), Zi Shiyang Wan (Purple Quartz Pill)
All the above formulas treat metrorrhagia and leukorrhea; see the General Treatment Section and Regulation of Menstruation Section for details.
[Xue Ji] The wife of my cousin's son-in-law, Fang Jianfu, aged fifty, suffered from metrorrhagia in the Xin Chou year, unresponsive to various medicines. In the eighth month of the Ren Yin year, she experienced body heat and pain, dizziness, runny nose, expectoration, and poor appetite. Others treated it as a Fire syndrome, leading to worsening fever and several days of fasting. Upon examination, I said, "The Spleen and Stomach have been deficient for a long time; excessive use of cold medicines has not resolved the original illness but has induced a new Cold syndrome." I prescribed Bawei Wan (Eight-Ingredient Pill) material once. By the next morning, she requested a few spoons of porridge; after a second dose, her intake doubled, fever subsided, and pain stopped. She eventually recovered by taking Bawei Wan. In the autumn of the Gui Mao year, due to labor and emotional anger, the disease recurred in the summer of the Jia Chen year. She experienced chest fullness and fever, back and lower back pain, depressed spirit, and conflicting diagnoses of internal injury or summerheat. She presented with metrorrhagia, hematochezia, irritability, thirst, inability to eat, intermittent coma, and a surging pulse that was weak upon pressure. This is rootless Fire, internal deficiency Cold with external false Heat. I used Shiquan Dabu Tang (Ten Great Tonifying Decoction) plus Prepared Aconite Root for one dose. She then ate three or four spoons of porridge, and bleeding gradually decreased. Daily administration of Bawei Wan led to complete recovery.
The wife of Wang Tiancheng, Da Yin, suffered from chronic metrorrhagia, self-medicating with Siwu Tang (Four Substance Decoction) and other cooling-blood agents, with fluctuating results. Anger triggered fever and continuous bleeding. Previous medications failed. The physician advocated clearing Fire, which exacerbated abdominal and hypochondriac pain and caused cold hands and feet. I stated, "This is caused by Spleen-Stomach deficiency Cold." I first used Fuzi Lizhong Tang (Aconite Middle-Warming Decoction), resolving heat and pain. Then, using Jisheng Guipi Tang (Jisheng Spleen-Supplementing Decoction) and Buzhong Yiqi Tang (Middle-Qi-Supplementing Decoction), the bleeding ceased immediately. Adhering rigidly to the notion that "pain admits no tonification" would have been a mistake.
The wife of Yang Yongxing, Jin Yi, suffered from the aforementioned condition but took excessive cooling agents, worsening symptoms with abdominal distension, inability to eat, fever, irritability, and a surging yet empty pulse. I stated, "This is agitation caused by Qi and Blood deficiency in the Spleen Meridian." Urgent treatment with Bazhen Tang (Eight-Treasure Decoction) plus Stir-fried Ginger was required to warm and tonify; delay would be fatal. Disbelieving me, she took hemostatic and Fire-clearing agents, leading to a surge of deficiency syndromes. Only then did she believe my advice, but it was too late to treat.
[Astringent Agents]
[Da Lun] Treats metrorrhagia with continuous bleeding and lower abdominal pain.
Ingredients: Baishao (White Peony Root, one liang, stir-fried yellow), Baiye (Cinnabar Tree Leaf, six liang, slightly stir-fried. Danxi noted: Baiye is dry in nature).
Preparation and Administration: Decoct in one sheng of water until six he remain, add five he of wine, and decoct until seven he remain. Divide into two doses, taken on an empty stomach. Another method: grind into fine powder, mix with wine, two qian per dose. Another formula includes Ejiao (Donkey-hide Gelatin) in equal parts, mixed with wine to treat leukorrhea and umbilical/abdominal pain.
[Shi Yi] Mumli San (Oyster Shell Powder)
Indications: Menstruation continuing indefinitely, unresponsive to other medicines.
Preparation: Calcine Mumli (Oyster Shell), grind finely, mix with vinegar to form pills, calcine again until red-hot, cool, grind finely to remove fire toxicity. Mix with mugwort powder prepared with vinegar, boil into a paste, and form pills the size of tung seeds. Take 50 pills per dose, administered with vinegar-mugwort soup.
[Drying Agents]
[Yun Qizi] Baihuang San (Cinnabar Tree and Gentian Powder)
Indications: Continuous menstrual bleeding.
Ingredients: Huangqin (Scutellaria Root, one liang and two qian and half), Ce Bai Ye (Biota Top Leaf), Puhuang (Tiger Lily Pollen, each one liang), Fulonggan (Dragon's House Earth, two liang).
Preparation and Administration: Crush, decoct in two sheng of water until eight he remain, divide into two doses.
Another Prescription for Metrorrhagia
Indications: Continuous bleeding, forming blood clots resembling chicken liver, broken and soft.
Ingredients: Chuanxiong (one liang and two qian), Ejiao, Qing Zhuru (Green Bamboo Sap, each eight fen), Xuduan (Dipsacus Root), Diyü (Sanguisorba Root), Xiaoji Gen (Small Thistle Root, each three fen), Danggui (Angelica Sinensis Radix, six fen), Shengdihuang (Rehmannia Root, Fulonggan, each eleven fen).
Preparation and Administration: Decoct in nine zhan of water until three zhan remain, strain, and divide into three doses.
[Yanyi] Treats uterine bleeding in women. Can sha (Silkworm excrement) one liang stir-fried, Fulonggan half a liang, Ejiao one liang, ground together into powder. Mix with warm wine, take two to three qian on an empty stomach, until effective. (*Daqian* names this Bibi San, without Ejiao.)
[Luo Qianfu] Fulonggan San (Dragon's House Earth Powder)
Indications: Qi and Blood exhaustion, deficiency of Chong and Ren meridians. Classics state: Sudden non-menstrual bleeding, resembling bean curd juice, or forming blood clots, or mixing five colors, or red and white combined, cold pain in umbilical/abdominal regions, persistent for a long time, causing sallow emaciation, dry mouth, reduced appetite, limb weakness, empty irritability, and palpitations.
Ingredients: Fulonggan (one liang), Gancao (Licorice Root, half a liang), Chishizhi (Red Kaolin, one liang), Chuanxiong (three liang), Rougui (Cinnamon Bark, half a liang), Shudihuang (Prepared Rehmannia Root), Aiye (Mugwort Leaf, slightly stir-fried, each two liang), Danggui, Jiangjiang (Dried Ginger, each seven qian and half), Maidong (Ophiopogon Tuber, heart removed, one liang and half).
Preparation and Administration: Coarsely grind. Take four qian per dose, add one jujube, decoct with water.
Diyu San (Sanguisorba Powder)
Indications: Metrorrhagia and leukorrhea in women.
Ingredients: Diyü (crushed), Puhuang, Baishao, Baifuling (Poria), Baiye (slightly stir-fried), Xiezhao (Crab Claws, slightly stir-fried), Shudihuang, Lu jiao jiao (Deer Antler Glue, crushed and fried until yellow and dry), Loulu (Euphorbia Root, each one liang), Chuanxiong, Danggui (crushed and stir-fried, each seven qian and half), Fulonggan (one liang and half), Jiangjiang (stir-fried), Guixin (Cinnamon Twig), Gancao (crushed, roasted red, each half a liang).
Preparation and Administration: Crush. Take three qian per dose, add one fen of Zhuru (Bamboo Sap), decoct in one zhong of water until seven fen remain, strain, and take warm before meals.
Regarding the above five formulas, Fulonggan is used because dryness removes dampness. The first two formulas clear damp-heat, while the latter two clear cold-damp. Fulonggan is considered a holy medicine for stopping bleeding. Ancients treated metrorrhagia by using Xuanjinhua (Inula Flower) and Banxia (Pinellia Tuber) to resolve phlegm-damp in the diaphragm, achieving hemostasis; this follows the same principle.
[Tonifying and Astringent]
Lurong San (Deer Antler Powder)
Indications: Metrorrhagia and leukorrhea with continuous deficiency and emaciation.
Ingredients: Lurong (Deer Antler, two liang, hair removed, coated with suet, fried until slightly yellow), Bailonggu (White Dragon Bone), Biejia (Turtle Carapace, coated with suet, fried yellow, skirt removed), Shudihuang, Baishao, Baishizhi (White Kaolin), Wuzheyugu (Cuttlefish Bone, fried yellow), Xuduan (each one liang), Roubingrong (Cistanche Stem, one liang and half, soaked in wine overnight, scraped, fried dry).
Preparation and Administration: Grind into fine powder. Take two qian per dose, mix with porridge drink before meals.
Baiye San (Cinnabar Tree Leaf Powder)
Indications: Metrorrhagia and leukorrhea in women, regardless of duration, gradually leading to sallow emaciation, limb weakness, abdominal pain, and anorexia.
Ingredients: Baiye, Xuduan, Chuanxiong, Shengdihuang, Danggui, Guijia (Turtle Plastron), Biejia (each one liang and half), Yuyuliang (Halloysite, two liang and half), Ejiao, Muli (Oyster Shell), Diyü, Chishizhi, Aiye, Lurong (each one liang).
Preparation and Administration: Grind into fine powder. Take two qian per dose, mix with porridge drink before meals. Another version contains Danshen (Salvia Root); add Lurong, mix with refined honey to form pills the size of wutong seeds. Take 30-40 pills per dose, with warm wine on an empty stomach. Vinegar soup is also acceptable.
Bugong Wan (Uterus-Supplementing Pill)
Indications: Various deficiencies in women, prolonged infertility, bone heat, emaciation, metrorrhagia with leukorrhea.
Ingredients: Baiwei (Clehemia Root), Muli, Baishao, Lu jiao shuang (Deer Antler Frost), Shanyao (Dioscorea Tuber), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling, Wuzheyugu, Baizhi (equal parts).
Preparation and Administration: Grind into fine powder, mix with flour paste to form pills the size of wutong seeds. Take 50 pills per dose, with rice water on an empty stomach.
Zhengong Wan (Uterus-Calming Pill)
Indications: Persistent metrorrhagia and leukorrhea, discharge of five colors or indeterminate red/white, resembling bean curd juice or pig liver, passage of blood stasis, abdominal distension and pain, dizziness, blurred vision, prolonged persistence leading to sallow emaciation, dry mouth, chest irritability, and anorexia.
Ingredients: Daizheshi (Magnetite, calcined, quenched in vinegar), Zi Shiyang (Purple Fluorspar), Yuyuliang (processed as above), Xiangfuzi (Cyperi Rhizoma, boiled in vinegar, each two liang), Yangqishi (Actinolite), Lurong (hair removed, steamed in vinegar and baked), Fushen (Poria with Hostwood), Ejiao (crushed, fried with gecko powder until pearl-like), Danggui (radicle removed, soaked in wine), Puhuang (stir-fried), Chuanxiong (each one liang), Xuemei (Dragon's Blood, half a liang, separately ground).
Preparation and Administration: Grind into fine powder. Decoct mugwort in vinegar juice, use glutinous rice flour paste to form pills the size of wutong seeds. Take 70 pills per dose, with rice water on an empty stomach.
[Blood Stops When Seeing Black]
Treatment for sudden severe metrorrhagia. Jingmo (Beijing Ink) two qian bi ground into powder, mixed with Shaolu Fengfang (Burned Honeycomb) powder (three finger-pinches), taken with wine.
Another Formula: Baicaoshuang (Soot from Hundred Herbs) two qian, mixed with Dog Gallbladder Juice, divided into two doses, taken with Danggui wine.
[Shi Yi] Treatment for Metrorrhagia. Use a gourd, remove seeds, fill with Jingjie Sui (Schizonepeta Spike), burn until carbonized, mix with water and take.
Treatment for Virgins with Metrorrhagia, suitable for both cold and hot conditions.
Ingredients: Jingjie (Schizonepeta Spike), Lianfang Ke (Lotus Pod Shell, equal parts, each burned to ash).
Preparation and Administration: Grind into fine powder. Take two qian per dose, mix with rice water on an empty stomach.
Shihui Wan (Ten Ashes Pill)
Indications: Metrorrhagia with continuous bleeding.
Ingredients: Jin hui (Brocade Ash), Huang juan hui (Yellow Silk Ash), Ma wei hui (Horse Tail Ash), Ai ye hui (Mugwort Ash), Ou jie hui (Lotus Rhizome Node Ash), Lian fang hui (Lotus Pod Ash), You fa hui (Hair Grease Ash), Chi song pi hui (Red Pine Bark Ash), Zong lü hui (Palm Fiber Ash), Puhuang hui (Tiger Lily Pollen Ash, equal parts).
Preparation and Administration: Grind uniformly, mix with vinegar-boiled glutinous rice paste to form pills the size of wutong seeds. Take 70 pills, increasing to 100, with rice water on an empty stomach.
Shihui San (Ten Ashes Powder)
Indications: Continuous lower bleeding.
Ingredients: Jin pian (Brocade Pieces), Muzei (Equisetum), Zonglü (Palm Fiber), Baiye (Cinnabar Tree Leaf), Aiye (Mugwort Leaf), Ganqi (Drynaria Rhizome?), Ji Yu Lin (Carps Scales), Li Yu Lin (Carp Scales), Xueyu (Human Hair Charcoal), Danggui (Angelica Sinensis Radix) — each incinerated to ash, equal parts, ground into powder. Shexiang (Moschus, a little, ground uniformly). Take two qian per dose, mix with warm wine on an empty stomach.
Yixiao San (One Smile Powder)
Indications: Women's metrorrhagia.
Take one mouthful of Xinmian (New Cotton Wool), burn to ash, grind into powder, take with wine on an empty stomach; bleeding stops immediately.
Treatment for Chronic Annual Metrorrhagia in Women.
Ingredients: Xiangfuzi (Cyperi Rhizoma, two liang, stir-fried red), Lian ke (Lotus Shell, five pieces, burned to ash).
Preparation and Administration: Grind into fine powder. Take two qian per dose, mix with aged rice water on an empty stomach.
[Shi Yi] Xiangfan San (Cyperi and Alum Powder)
Indications: Metrorrhagia. Xiangfuzi, any amount, soaked overnight in very sour vinegar, stir-fried until charred and carbonized. For every one liang, add two qian of Baifan (Alumen) powder, mix with rice water, take on an empty stomach; highly effective. Another method: use He ye tang (Lotus Leaf Decoction), which is excellent.
[Da Lun] Remove hairs from Xiangfuzi, stir-fry until charred black and carbonized, grind into fine powder. Mix with very hot wine, take two qian, let cool slightly before drinking. Recovery occurs within two doses. For severe coma, take three qian bi. Effective even for "Mountain of Blood" metrorrhagia. Rice water mixture is also acceptable.
Xu Xueshi stated: For continuous lower bleeding or five-color metrorrhagia, Xiangfuzi is a fairy medicine for women. Renchen (Amomum Fruit), any amount, stir-fried black on a new tile, ground into powder, mixed with rice water. Another formula: Yizhiren (Alpinia Fruit) stir-fried black, ground, mixed with salted rice water.
[Shi Yi] For continuous women's metrorrhagia. Burn Binglang (Areca Seed) to ash, grind into powder, mix with warm wine; very effective.
[Da Lun] Wulingzhi San (Trogopterus Dung Powder)
Indications: Women's metrorrhagia unresponsive to other medicines. Stir-fry Wulingzhi (Trogopterus Dung) until smoke ceases, grind into powder. Take one qian per dose, mix with warm wine. Another method: take one qian, decoct with half a zhan of water-wine and half a zhan of Tongbian (Child's Urine). Named Choudao San (Knife-Withdrawing Powder).
Hupo San (Amber Powder)
Indications: Sudden severe metrorrhagia.
Ingredients: Chishaoyao (Red Peony Root), Xiangfuzi, Ku He ye (Withered Lotus Leaf), Nanzi fa (Male Hair, washed with Gleditsia Sinensis Decoction), Danggui, Zonglü (Palm Fiber, stir-fried charred), Wu sha mao (Black Silk Hat - specifically lacquered gauze headwear, chosen for its ascending Yang Qi property).
Preparation and Administration: Equal parts. Except for Zonglü, coarsely chop the rest, calcine on a new tile until black ash (preserving 30% character), grind into fine powder. Take five qian per dose, mix with Tongbian on an empty stomach. If walking ten li, take another dose. Seven or eight doses stop the bleeding. If postpartum blood loss is heavy, add rice vinegar, Beijing ink, and a little Moschus. Another method: first take Wuji San (Five Accumulations Powder) added with vinegar, one or two doses, then take Wulingzhi San.
[Yanyi] Huang niu jiao sai (Yellow Horn Cow Horn Cheek), use the tip, burn to black ash, preserving slight character. Treats women's metrorrhagia, hematochezia, cold dysentery, and white dysentery.
[Da Lun] For continuous leukorrhea. Burn Lu jiao (Deer Antler) to ash, grind finely, mix with warm wine, take two qian before meals. Another formula: Burn Tao ren (Peach Kernel) to ash, grind finely, mix with warm wine, take two qian before meals. Another formula: Ru fa (Breast Hair), wash with Gleditsia water, burn to fine powder, take two qian with warm wine on an empty stomach.
[Shi Yi] For chronic metrorrhagia. Burn Xiakucao (Prunella Vulgaris) to ash, grind into powder, take with rice water on an empty stomach. This uses ash, differing from previous grass usage.
[Da Lun] Jingjie San (Schizonepeta Powder)
Indications: Continuous metrorrhagia in women. Use good sesame oil to light a lamp, add many lamp wicks, burn Jingjie over the flame until scorched, grind into fine powder. Take three qian per dose, mix with Tongbian.
[Jian] For continuous leukorrhea in women. Huai hua e (Sophora Flower Goose?), any amount, burn to ash, grind finely, take two qian bi with warm wine before meals.
[Chan Bao] For metrorrhagia, regardless of duration. Burn Huai er (Sophora Ear) to ash, take one cun bi with wine.
[Da Lun] Shenying San (Divine Response Powder)
Indications: Continuous metrorrhagia. Guixin (Cinnamon Twig), any amount, stir-fry until extremely charred and carbonized, grind into powder. Take one to two qian per dose, mix with rice water.
[Yang Shi Jia Cang] Heijin San (Black Gold Powder)
Indications: Qi and Blood deficiency in women, irregular menstruation, metrorrhagia and leukorrhea.
Ingredients: Li yu pi (Carp Skin), Huang niu jiao sai (Yellow Horn Cow Horn Cheek), Zong lü pi (Palm Fiber Bark), Po gu zi (Psoralea Fruit), Ru fa (Breast Hair, each one liang), Wuzheyugu (Cuttlefish Bone), Shudihuang, Jiangjiang (Dried Ginger, stir-fried), Danggui (washed, dried), Muzei (Equisetum, each half a liang).
Preparation and Administration: Crush and mix in a porcelain bottle, seal with salt mud, dry, calcine with five jin of charcoal until red-hot, smoke ceases, bury in earth to cool, take out and grind finely. Take three qian, add a little Moschus, mix with rice water on an empty stomach.
Rusheng San (Like-Sage Powder)
Indications: Mountain of Blood Metrorrhagia.
Ingredients: Zonglü (Palm Fiber), Wumei Rou (Mume Fruit Flesh, each one liang), Jiangjiang (Dried Ginger, one liang and five qian, all burned to preserve character).
Preparation and Administration: Grind into fine powder. Take two qian per dose, mix with Wumei wine, take on an empty stomach before meals. Chronic cases heal within three doses.
Repeatedly Effective Formula for Metrorrhagia.
Ingredients: Danggui, Baishao, Jiangjiang, Zonglü (equal parts).
Preparation and Administration: Each burned to preserve character, ground into fine powder. Mix with vinegar, stir leftwards forty-nine turns with a vermilion chopstick with joints, take before meals.
Another Formula: Use Zonglü and Baifan (Alumen) calcined into powder, mix with wine, take two qian.
Wujin San (Gold-Taking Powder)
Indications: Continuous metrorrhagia.
Ingredients: Zonglü mao (Palm Fiber Hair, burned to preserve character, one liang), Longgu (Dragon Bone, calcined, two qian).
Preparation and Administration: Grind uniformly. Take three qian per dose, mix with good wine on an empty stomach; stops after two doses.
Meiyin Zi (Plum Drink)
Indications: Women's metrorrhagia.
Salted white plums burned to ash, ground into powder, taken with rice water on an empty stomach.
Formula for Women's Metrorrhagia.
Wumei (Mume Fruit) burned to ash, ground into powder, taken with Wumei soup. Wine is also acceptable.
Another Formula
Ingredients: Wumei (Large ones, half a jin, soaked in sour vinegar overnight, pitted, ground into paste), Baicaoshuang (Soot from Hundred Herbs, finely ground).
Preparation and Administration: Mix and form pills the size of wutong seeds. Take 30-40 pills per dose, on an empty stomach, with light vinegar soup. One dose per day.
The above thirty-two formulas are all herbs burned to black ash. The Classics state: "North corresponds to Black, entering and connecting to the Kidney." These are all herbs entering the Kidney Meridian. Blood is the color of the Heart; blood stops when seeing black because Kidney Water controls Heart Fire.
[Wang Haizang] For unstable metrorrhagia or continuous dripping for years.
Ingredients: Baifan (Alumen, melted into liquid, one liang), Moyao (Myrrh, one qian), Sha (Realgar?), Huangdan (Lead Tetroxide, each five fen).
Preparation and Administration: Melt Baifan into liquid, add remaining powdered medicines, mix uniformly, form pills the size of a bullet. Use one pill, wrap in new cotton wool, insert into the vagina; effective immediately.
[Qi Yun / Climate Influence]
Metrorrhagia due to Qi Yun belongs to Wind and Fire. The Classics state: "When Shaoyang governs the Heaven, in the First Qi, Wind prevails and shakes, the climate becomes greatly warm, and the disease is metrorrhagia."
[Acupuncture]
[Zhai Ying] For excessive menstrual bleeding continuing indefinitely and metrorrhagia. (Same as *Xin Shu*.) San yin jiao (SP6), Xingjian (LR2) — needle then moxibustion. Tongli (HT5) — two cun above the little toe? (Note: Text says "foot little toe up two cun", likely error for wrist/acupoint location description in source, usually HT5 is on wrist), puncture two fen, moxa twenty-seven cones.
[Sang] For continuous leukorrhea. (Same as *Xin Shu*, *Zhai Ying*.) San yin jiao (SP6), Taichong (LR3).
[Dong Yuan] Closure of Baomen (Uterus Gate) fails, continuous leakage of evil blood. Qimen (Gate of Qi) — three cun lateral to Guanyuan (CV4), puncture five fen.