临产前交合房劳,产后半月不慎房帏,或中气素虚,不能摄
血,皆致崩证,且汗多息短形脱脉绝,此危候也。死者十常八九,急与独参汤,气复者可治。
辽人参 当归 熟地 炒准药 蒸萸肉 制白术 黄 附子 生枣仁 炙甘草
妇人跌坠闪挫,恶血下注,状如血崩。然腹痛拒按,久则面黄形槁,治当消瘀,傅氏用逐瘀止血汤。
傅氏逐瘀止血汤
酒炒生地 大黄 归尾 醋炙龟版 炒桃仁泥 赤芍 丹皮 炒枳壳
凡跌打损伤致唾血呕血者,皆宜照此法治之。呕血者,血聚于胃,宜加川朴。此证始有块痛,其后块消痛去者,下
血赤而不紫,是因闪跌而血不归经也,当作崩治。或本欲崩下,因少有闪跌,震动暴注,亦作崩论。其别在血颜料痛也。
妊娠无腹痛胎动证,时时下血,是为胎漏,以血热而气不摄也。苟非气虚不摄,必郁久而大崩矣。录傅氏原方如下
潞党参 酒炒生地炭 杭芍炭 甘草 川断肉 酒炒黄芩炭 益母草
妇人溺血,时血清澈(〔批〕时或清澈无血,故知非但属肝热也。其人善烦怒懊 ,燥渴,脉濡数,与龙胆泻肝汤。
不效。当以失血论,补而和之,引使归经。
胆草 栀子 生地 芥穗(炒黑) 木香 木通 泽泻 当归 白芍(醋炒) 炙草
妇人经水素以时下,经前后数日,忽泻血甚多,色鲜红,此亦血不归经,乃崩类也。(〔批〕此属失血,与经水横行
旁流大肠者不同。经水旁流习以为常,人不大惫也。)泻后人必惫甚,或至气短,拟备大法。
炙当归 川芎 甘草 赤石脂 粟壳 生潞党 白芍 芥穗 地榆炭 红曲
气促者,另服辽人参;肝逆,加 牡蛎;腹痛,加延胡索。
Before delivery, engaging in sexual intercourse, or having sexual intercourse carelessly within half a month after delivery, as well as constituting deficiency of Middle Qi (Middle Jiao Qi) unable to control blood, all lead to the syndrome of Bing (sudden heavy uterine bleeding). If accompanied by profuse sweating, shortness of breath, emaciation, and a pulse that is faint and nearly imperceptible, this is a critical condition. Eight or nine out of ten cases result in death; urgently administer Du Shen Tang (Ginseng Decoction), and if Qi recovers, it may be treatable.
Ingredients: Liao Ren Shen (Liaoning Ginseng), Dang Gui (Angelica Sinensis), Shu Di Huang (Prepared Rehmannia Root), Chao Bai Zhu (Stir-fried Atractylodes Macrocephala Rhizome - *Note: Original text 'Chao Zhun Yao' likely refers to Bai Zhu*), Zheng Yu Rou (Steamed Cornus Officinalis Fruit), Zhi Bai Zhu (Processed Atractylodes Macrocephala Rhizome), Huang Qi (Astragalus Membranaceus), Fu Zi (Prepared Aconite Caralis), Sheng Zao Ren (Raw Sour Jujube Seed), Zhi Gan Cao (Honey-fried Licorice Root).
In women, due to falls, bruises, or sprains, evil blood flows downward, resembling Bing (sudden heavy uterine bleeding). However, there is abdominal pain with tenderness upon pressure. Over time, the face becomes sallow and the body emaciated. Treatment should focus on eliminating stasis. Master Fu uses Zhu Yu Zhi Xue Tang (Remove Stasis and Stop Bleeding Decoction).
Master Fu's Zhu Yu Zhi Xue Tang Ingredients: Jiu Chao Sheng Di Huang (Wine-stir-fried Rehmannia Root), Da Huang (Rhubarb Radix et Rhizoma), Gui Wei (End of Angelica Sinensis Root), Cu Zhi Gui Ban (Vinegar-processed Tortoise Carapace), Chao Tao Ren Ni (Stir-fried Peach Kernel Paste), Chi Shao (Red Peony Root), Dan Pi (Moutan Cortex), Chao Zhi Qiao (Stir-fried Aurantium Fructus).
For any case of hematemesis (vomiting blood) or spitting blood caused by traumatic injury, treatment should follow this method. For hematemesis, where blood accumulates in the Stomach, add Hou Po (Magnolia Bark). In this syndrome, initially there are clots and pain; later, when clots disappear and pain ceases, the blood discharged is bright red but not purple. This is because trauma caused blood to leave its vessels, so it should be treated as Bing (sudden heavy uterine bleeding). Or, if one was about to experience Bing, and a minor trauma caused violent discharge due to shock, it is also discussed as Bing. The distinction lies in the color of the blood and the sensation of pain.
During pregnancy, without symptoms of abdominal pain or fetal movement, but with intermittent vaginal bleeding, it is called Tai Lou (Fetal Leakage). This is due to Blood Heat and Qi failing to contain the blood. If it is not due to Qi deficiency failing to contain, it will surely stagnate for a long time and lead to severe Bing (sudden heavy uterine bleeding). Recording Master Fu's original formula below:
Lu Dang Shen (Luzhou Codonopsis Root), Jiu Chao Sheng Di Tan (Wine-stir-fried Charred Rehmannia Root), Hang Shao Tan (Charred White Peony Root from Hangzhou), Gan Cao (Licorice Root), Chuan Duan Rou (Dipsacus Asperoides Root), Jiu Chao Huang Qin Tan (Wine-stir-fried Charred Scutellaria Root), Yi Mu Cao (Leonurus Japonicus Herb).
In women, urinary bleeding occurs, sometimes with clear urine (Commentary: Sometimes clear without blood, thus knowing it does not solely belong to Liver Heat. The person is prone to irritability, anger, restlessness, dryness, and thirst, with a soggy and rapid pulse. Administer Long Dan Xie Gan Tang (Gentian Liver-draining Decoction). If ineffective, treat as Blood Loss syndrome, using tonification and harmonization to guide blood back to its vessels.
Ingredients: Long Dan Cao (Gentiana Scabra Root), Zhi Zi (Gardenia Fruit), Sheng Di Huang (Rehmannia Root), Jie Sui (Notopterygium Rhizome or Schizonepeta Spike - *Context suggests Schizonepeta for stopping bleeding*, Stir-fried Black), Mu Xiang (Aucklandia Root), Mu Tong (Akebia Stem), Ze Xie (Alisma Rhizome), Dang Gui (Angelica Sinensis), Bai Shao (White Peony Root, Vinegar-processed), Zhi Cao (Honey-fried Licorice).
Women whose menstruation usually arrives on time suddenly experience heavy bleeding several days before or after their period, with bright red blood. This is also blood leaving its vessels, belonging to the category of Bing (sudden heavy uterine bleeding). (Commentary: This belongs to Blood Loss, different from menstrual blood flowing sideways into the Large Intestine. Menstrual blood flowing sideways is habitual, and people do not feel greatly exhausted.) After bleeding, the person will be extremely fatigued, possibly even experiencing shortness of breath. Here is a general method prepared.
Ingredients: Zhi Dang Gui (Honey-fried Angelica Sinensis), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Gan Cao (Licorice Root), Chi Shi Zhi (Red Halloysite), Su Ke (Poppy Shell), Sheng Lu Dang Shen (Raw Luzhou Codonopsis Root), Bai Shao (White Peony Root), Jie Sui (Schizonepeta Spike), Di Yu Tan (Charred Sanguisorba Root), Hong Qu (Red Yeast Rice).
For those with shortness of breath, separately take Liao Ren Shen (Liaoning Ginseng); for rebellious Liver Qi, add Mu Li (Oyster Shell); for abdominal pain, add Yan Hu Suo (Corydalis Rhizome).