妇人有因瘀血结滞脉隧，历久成血枯证而为劳瘵者。其始或经行不利，甚至刺痛，因而经水断者有之，或经水先断，
小水自利，但溲时，或溲后血管作痛，如淋痛者有之，其脉不见虚大濡涩，而反得滑数之象。如是者居多，医者误治，
但与利水泄火之剂，延久则一水二火皆绝，是速其死也。此证，先天秉气浓，未尝治逆者，与仲景大黄 虫丸。
仲景大黄 虫丸
大黄（一钱） 黄芩（二钱） 甘草（一钱） 桃仁（三钱） 虫（二钱） 水蛭（三
根） 虻虫（一钱） 蛴螬（二钱） 干漆（一钱） 杏仁（三钱） 地黄（二钱） 白芍（二钱）
蜜丸酒服。竹泉生曰∶服之宜在空心食前。唐容川方论曰∶此丸治干血痨，旧血不去，则新血断不能生干血痨，人
皆知其极虚，而不知其补虚，止是助其病也。必去其干血，而后新血得生，乃望回春，干血与寻常瘀血不同，瘀血尚可
以气行之，干血与气相隔，故用啮血诸虫以蚀之。
其先天不足，或已治逆者，服大黄 虫丸后，隔一时许，接服新制龟鹿补血胶。
鹿茸 当归 炙当参 远志肉 川芎 桂圆肉 龟胶 阿胶 制白术 炒枣仁 炙草 大枣肉 木香 茯苓 血余
膏大麦冬 白蜜 生姜
另用交趾肉桂，去粗皮研末搅入，开水化服。
其水不涸，而阳虚甚，但倦卧不喜言语者，急扶二火，补脾气，俟其神少振，仍按上法治。
制附子 野山参 北五味 远志筒 川石斛 交趾桂 制于术 麦冬肉 龙眼肉
In women, there are cases where blood stasis accumulates and obstructs the vessels. Over a long period, this leads to Blood Deficiency (a condition characterized by insufficient blood volume or function), which may progress into Lao Zhai (consumptive disease, often referring to chronic wasting conditions like tuberculosis). Initially, menstruation may be irregular or accompanied by stabbing pain, leading to amenorrhea; alternatively, menstruation may have ceased earlier, urination remains clear and unobstructed, but pain occurs in the vessels during or after urination, resembling the pain of Lin Syndrome (dysuria with frequency and urgency). In such cases, the pulse does not present as deficient, large, soggy, or choppy, but rather as slippery and rapid. This pattern is common. If physicians misdiagnose and treat it solely with diuretic and fire-draining formulas, prolonged use will exhaust both Yin fluids and Yang Qi, hastening death. For this condition, if the patient has strong congenital constitution and has not been previously mistreated, Zhongjing's Dahuang Zhechong Wan (Major Rhubarb and Ground Beetle Pill) should be administered.
Zhongjing's Dahuang Zhechong Wan (Major Rhubarb and Ground Beetle Pill)
Da Huang (Rhei Radix et Rhizoma, 1 qian) Huang Qin (Scutellariae Radix, 2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian) Tao Ren (Persicae Semen, 3 qian) E Chong (Eupolyphaga seu Steleophaga, 2 qian) Shui Zhi (Hirudo, 3 units) Meng Chong (Oecophylla longinoda, 1 qian) Qi Luo (Phasia ephemerum, 2 qian) Gan Xi (Resina Ferulae, 1 qian) Xing Ren (Armeniacae Semen Amarum, 3 qian) Di Huang (Rehmanniae Radix Praeparata, 2 qian) Bai Shao (Paeoniae Radix Alba, 2 qian)
Form into honey pills and take with wine. Zhu Quansheng stated: It should be taken on an empty stomach before meals. Tang Rongchuan’s commentary on formulas states: This pill treats Gan Xue Lao (Dry Blood Consumptive Disease). If old blood is not expelled, new blood cannot be generated. People know that Gan Xue Lao involves extreme deficiency, but they do not realize that tonifying deficiency alone will only exacerbate the disease. One must remove the dry blood first, so that new blood can be generated, thereby hoping for recovery. Dry blood differs from ordinary blood stasis; ordinary stasis can be moved by Qi regulation, whereas dry blood is separated from Qi flow. Therefore, various insect medicines that bite blood are used to erode it.
For patients with weak congenital constitution or those who have been previously mistreated, after taking Dahuang Zhechong Wan, wait approximately one shichen (two hours), then administer the newly prepared Guilu Buxue Jiao (Tortoise-Deer Blood-Nourishing Gelatin).
Lu Rong (Cervi Cornus Pantotrichum) Dang Gui (Angelicae Sinensis Radix) Zhi Dang Shen (Codonopsis Radix, honey-fried) Yuan Zhi Rou (Polygalae Radix flesh) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Gui Yuan Rou (Longan Aril) Gui Jiao (Colla Testudinis) E Jiao (Colla Corii Asini) Zhi Bai Zhu (Atractylodis Macrocephalae Rhizoma, processed) Chao Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried) Zhi Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Da Zao Rou (Zizyphi Fructus flesh) Mu Xiang (Aucklandiae Radix) Fu Ling (Poria) Xue Yu Gao (Calamitatis Carbo paste) Mai Dong (Ophiopogonis Radix) Bai Mi (Mel) Sheng Jiang (Zingiberis Rhizoma Recens)
Additionally, use Jiaozhi Rou Gui (Cinnamomi Cortex, specifically from Cochinchina), remove the rough bark, grind into powder, mix in, and dissolve in boiling water for administration.
For patients whose Yin fluids are not exhausted but who have severe Yang deficiency, manifesting primarily as fatigue, preference for lying down, and reluctance to speak, urgently support the Ming Men Fire (Gate of Vitality) and Heart Fire, tonify Spleen Qi, and wait until their spirit recovers slightly, then continue treatment according to the above methods.
Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) Ye Shan Shen (Panax Ginseng, wild) Bei Wu Wei Zi (Schisandrae Chinensis Fructus) Yuan Zhi Tong (Polygalae Radix cylinder) Chuan Shi Hu (Dendrobii Nodule) Jiaozhi Gui (Cinnamomi Cortex) Zhi Yu Zhu (Atractylodis Macrocephalae Rhizoma, processed) Mai Dong Rou (Ophiopogonis Radix flesh) Long Yan Rou (Longan Aril)