（金匮） 治妇人陷经。漏下黑不解，或损伤冲任，月水过多，淋沥不断。
方见卷十下胎产门
妇人之经，虽从下出。实由心胃之气主之，故升降有期。今曰漏下，是无期也。所漏者
黑，
物通
紫为
（良方） 治经行复止，血少神衰。（女子善怀，每多忧思。忧多则伤心，心伤则不
生血而血少。血少则肝无所藏，而冲任之脉枯，故经闭不行也。经曰∶月事不来者，胞脉
也。胞脉者属心，而络于胞中。今气上逼肺，心气不得下降，故月事不来。）
柏子仁（去油） 牛膝（酒浸） 卷柏（五钱） 泽兰 续断（二两） 熟地黄（一两）
蜜丸，米饮
通经闭。
（东垣） 治崩漏。身热，自汗，短气，倦怠懒食。（此由劳伤所致。）
补中益气汤（见气门）加白芍黑山栀姜枣煎。
补中汤以益气升阳，退热收汗。加芍药以剑阴，黑栀以清热。
又东垣兰室秘藏升阳举经汤。黄 当归白术（各三钱） 羌活防风 本（各二钱） 独
活附子（
去皮尖研） 红花
右尺脉按之空虚，是
火亦亡。见热证于口
血，切补命门之下脱
（良方） 治经行不止，及崩中漏下，紫黑成块。（冲任为经脉之海，若无损伤，则阴
阳和平，气血调适矣。若劳动过度，损伤脏腑，冲任之气虚，不能约制经血，故经多暴下。
或由阴虚阳搏，为热所乘，攻伤冲任，血得热则妄行也。脉数疾，小为顺，大者为逆。紫黑
成块者，热甚而反兼水化，非寒也。玉机微义曰∶血得寒则凝，既行而紫黑，故知非寒也。
龟板（炙四两） 芍药（酒炒） 黄柏（酒炒三两） 黄芩（二两） 香附（童便浸炒）
樗皮（两半）
经多不止者，阴气不足以制胞络之火，故越其常度也。崩中漏下者，虚而挟热也。紫黑
成块
以制
(From *Jingui Yaolue*) Treats "Sunken Meridian" syndrome in women. Manifestations include continuous dripping of dark menstrual blood, or excessive menstrual flow and prolonged dripping due to damage to the Chong and Ren meridians.
The prescription is found in Volume 10, under the section "Obstetrics and Gynecology".
Women's menstruation, although discharged from the lower orifice, is actually governed by the Qi of the Heart and Stomach; therefore, its ascent and descent follow a regular cycle. The term "dripping discharge" mentioned here refers to the absence of such a regular cycle. The dark color of the discharged blood indicates long-standing blood stasis (the original text contains lacunae or textual errors, implying that purple-black color signifies stasis).
(From *Liangfang*) Treats amenorrhea following menstruation, caused by blood deficiency leading to spirit depletion. (Women are prone to sentimentality and often harbor excessive worries. Excessive worry damages the Heart; when the Heart is damaged, it fails to generate Blood, leading to blood deficiency. When blood is deficient, the Liver has nothing to store, causing the Chong and Ren meridians to wither, resulting in amenorrhea. The Classics state: "When menstruation does not arrive, it is due to the blockage of the Bao Mai [Uterine Vessels]." The Bao Mai belongs to the Heart and connects to the uterus. Now, if Qi rebels upward and presses against the Lung, the Heart Qi cannot descend, thus menstruation does not arrive.)
Bai Zi Ren (Platycladi Semen, de-oiled), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Juan Bai (Selaginellae Tamariscinae Herba, 5 qian), Ze Lan (Leonuri Herba), Xu Duan (Dipsaci Radix, 2 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang).
Made into honey pills, taken with rice water to unblock amenorrhea.
(From Li Dongyuan) Treats metrorrhagia and metrostaxis accompanied by fever, spontaneous sweating, shortness of breath, fatigue, and anorexia. (This is caused by injury from overwork.)
Use Bu Zhong Yi Qi Tang (see "Qi Gate" section), added with Bai Shao (Paeoniae Radix Alba), Hei Shan Zhi (Gardeniae Fructus Carbonized), Sheng Jiang (Zingiberis Rhizoma Recens), and Da Zao (Jujubae Fructus), decocted and taken.
Bu Zhong Yi Qi Tang tonifies Qi and raises Yang, reduces fever, and stops sweating. Adding Bai Shao astringes Yin, and Hei Shan Zhi clears heat.
Additionally, Li Dongyuan recorded Sheng Yang Ju Jing Tang in *Lan Shi Mi Cang*. Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 3 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gao Ben (Ligustici Rhizoma) (each 2 qian), Du Huo (Angelicae Pubescentis Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, peeled and de-embryoned, ground), Hong Hua (Carthami Flos).
If the Right Chi pulse is empty upon pressure, it indicates that the Fire of the Ming Men (Gate of Life) is also exhausted. Observing heat signs in the mouth requires nourishing Blood; one must strictly tonify the Ming Men to prevent the collapse of Yang Qi.
(From *Liangfang*) Treats prolonged menstruation, as well as metrorrhagia and metrostaxis with purple-black clots. (The Chong and Ren meridians are the sea of the twelve meridians. Without injury, Yin and Yang are harmonious, and Qi and Blood are balanced. If overexertion injures the Zang-Fu organs, causing deficiency of Qi in the Chong and Ren meridians, they fail to constrain the menstrual blood, resulting in sudden heavy bleeding. Alternatively, due to Yin deficiency with Yang hyperactivity, pathogenic heat attacks and injures the Chong and Ren meridians; when blood is affected by heat, it flows recklessly. A rapid and hurried pulse is favorable if small, but unfavorable if large. Purple-black clots indicate extreme heat manifesting with water-like characteristics, not cold. *Yu Ji Wei Yi* states: "Blood coagulates when exposed to cold." Since the blood has flowed and is purple-black, it is known not to be cold.)
Gui Ban (Testudinis Carapax et Plastrum, calcined, 4 liang), Shao Yao (Paeoniae Radix, stir-fried with wine), Huang Bo (Phellodendri Cortex, stir-fried with wine, 3 liang), Huang Qin (Scutellariae Radix, 2 liang), Xiang Fu (Cyperi Rhizoma, steamed with child's urine), Chu Pi (Stemonae Radix, 1.5 liang).
Prolonged menstruation occurs because Yin Qi is insufficient to control the fire in the Bao Luo (uterine collaterals), exceeding normal limits. Metrorrhagia and metrostaxis represent deficiency combined with heat. Purple-black clots... (text cuts off, implying heat-induced stasis) ...to restrain... (text cuts off, implying clearing heat and cooling blood)