崩乃经脉错乱，实系冲任伤损，不能约束经血而然。治宜大补气血，当用举元益血丹，峻补本源，少加
清热之药，以治其标，补阴泻阳，而崩自止。若血热妄行，咽燥唇干，脉实有力，血气秽臭者，方可用四物凉
膈散，入生韭汁调服。然治血药，切忌纯用寒凉，以血见冷即凝故也。如血崩初起遽止，则有积聚凝滞之忧，
不止则有眩晕卒倒之患。必先服独行散，次服荆防五积散一二剂，再服备全散。如再不止，然后用十灰散以
止之。既止之后，又必服八珍汤以成功。
举元益血丹
人参（去芦，三钱） 白术（蜜炙） 当归（酒洗） 熟地黄（各二钱） 黄 （蜜炙，三钱） 白芍
（酒炒） 条芩（酒炒） 炙甘草（各一钱） 升麻（炒，五分）
水一钟半，煎七分温服。
四物凉膈汤
当归身 赤芍 川芎 生地黄 黄芩（酒炒） 黄连（姜制） 连翘（去心） 桔梗 薄荷叶 甘草 嫩竹叶
上为细末，韭菜汁调服。
独行散
五灵脂一两（炒令烟尽），研极细末，每服一钱，温酒调下。
荆防五积散
苍术（米泔浸，二钱） 荆芥 防风 陈皮（各一钱） 浓朴（姜汁炒） 桔梗 枳壳（麸炒） 当归
（酒洗） 干姜 白芍（酒炒） 茯苓（各八分） 白芷 川芎 半夏（制） 肉桂（各七分） 甘草（六分）
姜三片，葱二茎，醋水各半，煎服。
备金散
香附（炒黑，四两） 当归尾（一两二钱） 五灵脂（炒，令烟尽，一两）
上为末，每服二钱，醋调空心服。
十灰散
百草霜 侧柏叶 莲蓬壳 棕榈皮（陈败者） 油头发（皂荚水洗） 黄绢（或新绵亦可） 艾叶 藕节
白茅根 蒲黄 阿胶（蛤粉炒珠，另研细末）
上各等分，烧灰存性，共研细末，入阿胶末和匀，每服
三钱，白汤下。
八珍汤
人参 白术（蜜炙） 茯苓（各二钱） 炙甘草（一钱） 熟地黄 当归（酒洗，各三钱） 白芍（二钱）
川芎（一钱）
水二钟，煎一钟服。
Metrorrhagia is caused by the disordered flow of the meridians, essentially resulting from damage to the Chong and Ren vessels (two extraordinary vessels regulating menstruation and reproduction), which fail to constrain menstrual blood. Treatment should focus on greatly tonifying Qi and Blood, utilizing Juyuan Yixue Dan (Vitality-Boosting Blood-Nourishing Pill) to vigorously supplement the root source, with a small addition of heat-clearing herbs to treat the branch symptoms. By nourishing Yin and draining Yang, metrorrhagia will naturally cease. If the condition is due to reckless bleeding from blood heat, accompanied by dry throat and lips, a forceful and solid pulse, and foul-smelling blood, Siwu Liangge San (Four Substances Cooling Chest Powder) may be used, taken with raw Chinese chive juice. However, when treating hemorrhage, one must strictly avoid using purely cold-natured herbs, as blood coagulates upon exposure to cold. If metrorrhagia is abruptly stopped at its onset, there is a risk of forming accumulations and stagnation; if left untreated, it may lead to dizziness or sudden syncope. One must first administer Duxing San (Single Herb Powder), followed by Jingfang Wuji San (Schizonepeta and Saposhnikovia Five Accumulations Powder) for one or two doses, and then beiquan san (Complete Preparation Powder). If bleeding persists, Shihui San (Ten Charred Powders) is then used to stop the bleeding. After hemostasis is achieved, Bazhen Tang (Eight Treasures Decoction) must be administered to consolidate the therapeutic effect.
Juyuan Yixue Dan
Ren Shen (Ginseng Radix et Rhizoma, rhizome removed, 3 qian) Bai Zhu (Atractylodis Rhizoma, honey-fried) Dang Gui (Angelicae Sinensis Radix, wine-washed) Shu Di Huang (Rehmanniae Radix Praeparata, each 2 qian) Huang Qi (Astragali Radix, honey-fried, 3 qian) Bai Shao (Paeoniae Radix Alba, wine-fried) Huang Qin (Scutellariae Radix, wine-fried) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, each 1 qian) Sheng Ma (Cimicifugae Rhizoma, stir-baked, 5 fen)
Add 1.5 zhong of water, decoct until 0.7 zhong remains, and take warm.
Siwu Liangge Tang
Dang Gui Shen (Angelicae Sinensis Radix, root body) Chi Shao (Paeoniae Radix Rubra) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Sheng Di Huang (Rehmanniae Radix Recens) Huang Qin (Scutellariae Radix, wine-fried) Huang Lian (Coptidis Rhizoma, ginger-processed) Lian Qiao (Forsythiae Fructus, heart removed) Jie Geng (Platycodonis Radix) Bo He Ye (Menthae Haplocalycis Folium) Gan Cao (Glycyrrhizae Radix et Rhizoma) Nian Zhu Ye (Bambusae Folium, tender)
Grind all into fine powder, and take mixed with Chinese chive juice.
Duxing San
Wu Ling Zhi (Trogopterori Faex, stir-baked until smoke ceases, 1 liang), ground into extremely fine powder. Take 1 qian per dose, washed down with warm wine.
Jingfang Wuji San
Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, 2 qian) Jing Jie (Schizonepetae Spica) Fang Feng (Saposhnikoviae Radix) Chen Pi (Citri Reticulatae Pericarpium, each 1 qian) Hou Po (Magnoliae Officinalis Cortex, ginger juice-fried) Jie Geng (Platycodonis Radix) Zhi Ke (Aurantii Fructus, bran-fried) Dang Gui (Angelicae Sinensis Radix, wine-washed) Gan Jiang (Zingiberis Rhizoma) Bai Shao (Paeoniae Radix Alba, wine-fried) Fu Ling (Poria, each 8 fen) Bai Zhi (Angelicae Dahuricae Radix) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Ban Xia (Pinelliae Rhizoma Praeparatum) Rou Gui (Cinnamomi Cortex, each 7 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma, 6 fen)
Add 3 slices of fresh ginger and 2 stalks of green onion. Decoct with half vinegar and half water, and take.
Beijin San
Xiang Fu (Cyperi Rhizoma, stir-baked until blackened, 4 liang) Dang Gui Wei (Angelicae Sinensis Radix, tail, 1 liang 2 qian) Wu Ling Zhi (Trogopterori Faex, stir-baked until smoke ceases, 1 liang)
Grind all into powder. Take 2 qian per dose, mixed with vinegar, taken on an empty stomach.
Shihui San
Bai Cao Shuang (Carbonis Herbae) Ce Bai Ye (Platycladi Cacumen) Lian Peng Ke (Nelumbinis Calyx) Zong Lu Pi (Trachycarpi Folium, aged) You Tou Fa (Capillus Humanus, washed with Gleditsiae Sinensis Fructus water) Huang Juan (Serici Flavum) Ai Ye (Artemisiae Argyi Folium) Ou Jie (Nelumbinis Node) Bai Mao Gen (Imperatae Rhizoma) Pu Huang (Typhae Pollen) E Jiao (Colla Corii Asini, fried with Cochleae Pulvis into pearls, separately ground into fine powder)
Take equal parts of the above, burn to charcoal while preserving their nature, grind together into fine powder, mix with E Jiao powder. Take 3 qian per dose, washed down with plain boiled water.
Bazhen Tang
Ren Shen (Ginseng Radix et Rhizoma) Bai Zhu (Atractylodis Rhizoma, honey-fried) Fu Ling (Poria, each 2 qian) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 1 qian) Shu Di Huang (Rehmanniae Radix Praeparata) Dang Gui (Angelicae Sinensis Radix, wine-washed, each 3 qian) Bai Shao (Paeoniae Radix Alba, 2 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma, 1 qian)
Add 2 zhong of water, decoct until 1 zhong remains, and take.