漏下赤白不止,脉小虚滑者生,数盛者死。漏下赤白,日下血数升许,脉急疾者死,迟者生。尺脉急而
弦大,风邪入少阴经。女子漏下赤白,脉浮者死。凡五脏俱虚,五色杂下,谓之五崩∶肺虚色白如涕,心虚色
赤如绛,脾虚色黄如烂瓜,肝虚色青如蓝,肾虚色黑如肝血。
〔脾虚〕六君子汤 见一卷中风。
〔气虚〕补中益气汤 见一卷中风。
〔血虚〕四物汤 见一卷中风。
〔怒火〕小柴胡汤 见一卷温。
〔血热〕加味逍遥散 见一卷火。
〔思郁〕归脾汤 见二卷劳瘵。
〔益气〕四君子汤 见一卷中风。
〔补火〕八味丸 见一卷中风。
〔虚寒〕十全大补汤 见一卷中风。
〔虚寒〕附子理中汤 见一卷中风。
〔烦躁〕八珍汤 见一卷中风。
〔崩中〕胶艾四物汤 见本卷调经。
〔肢厥〕震灵丹 禹余粮 赤石脂 紫石英 代赭石(各四两)入净锅中,盐泥封固, 研。入乳香
没药 辰砂(各一两) 五灵脂(二两) 米糊丸。
〔止涩〕三灰散 棕灰 绢灰 血余炭
〔厥冷〕理中汤 见一卷中风。
〔补血〕芎归散 川芎 当归
〔寒崩〕小牛角 散 牛角 (一枚烧赤) 鹿茸 禹余粮 当归 干姜 续断(各二两)
阿胶(三两) 乌 骨 龙骨(各一两) 赤小豆(六合) 为末,温酒调服方寸匕。
〔积冷〕大牛角 散 牛角 干姜 当归 续断 龙骨 禹余粮 生地 桑耳 白术 赤石脂 矾石
人参 附子 蒲黄 防风
〔不止〕角 鹿茸散 牛角 鹿茸 当归 续断 阿胶 甘草 地榆 丹参 地黄 川芎 赤石脂
龟甲 柏子仁
〔呕痛〕伏龙肝汤 见四卷痢。
〔鲜血〕旋复花汤 见二卷痰饮。
〔初崩〕荆芥四物汤 即四物汤加荆芥、条芩、香附各一钱,水煎。一方加地榆,一方并加阿胶、艾叶。
〔虚热〕奇效四物汤 四物汤加阿胶,名妇宝丹。此再加艾叶、黄芩炒各一钱。
〔因怒〕养血平肝汤 归 芍 香附(各二钱) 青 柴 芎 地
(各八分) 甘草(五分)
〔劳心〕柏子仁汤 柏子仁 香附 川芎 鹿茸(酒蒸焙) 茯神 当归(各钱半) 续断(二钱)
阿胶 远志(各一钱) 炙草(五分) 加姜煎。
〔脾虚〕当归芍药汤 黄 (钱半) 白术 苍术 当归 白芍(各一钱) 陈皮 熟地(各五分)
生地 炙草(各三分) 柴胡(二分) 水煎。
〔脱血〕升阳益胃汤 见七卷便血。
〔崩带〕艾附汤 艾叶 制香附
〔漏水〕丁香胶艾汤 当归(钱二分) 芍 地(各三分) 川芎 丁香(各四分) 艾叶(一钱)
阿胶(六分) 水煎。
〔虚脱〕鹿茸散 鹿茸(酥炙,一两) 龙骨 鳖甲(酥炙) 熟地 白芍 白石脂 乌 骨(炙黄)
续断(各二两) 苁蓉(一两)
〔虚脱〕鹿茸丸 鹿茸(燎去毛,酥炙) 赤石脂 禹余粮(各一两) 当归 地黄 续断(各二两)
附子 艾叶 柏叶(各五钱) 为末酒糊丸。
〔固涩〕牡蛎丸 牡蛎火 ,研细,醋调丸。再 红研细,用醋调艾末熬成膏,和丸桐子大。每服五十
丸。
〔固涩〕五灰散 莲蓬壳 黄绢 血余 百草霜 棕皮(俱烧灰) 山栀 蒲黄(俱炒) 黑墨 血竭
为细末调服,或炼蜜为丸。米饮下五十丸。
〔固涩〕十灰散 黄绢 马尾 藕节 艾叶 赤松皮 蒲黄 莲蓬壳 油发 棕榈 绵花(俱烧灰)
研细,醋煮,米汁为丸。
〔血热〕保阴煎 见五卷痉。
〔血热〕加减一阴煎 见四卷怔忡。
〔火盛〕徙薪饮 见七卷淋浊。
〔脾肾〕理阴煎 见二卷咳嗽。
〔滑泄〕固阴煎 见二卷脱。
〔不固〕秘元煎 见四卷三消。
〔阳虚〕四维散 见三卷饮食。
〔气虚〕独参汤 人参一味煎。
〔气血〕当归补血汤 黄 (炙一两) 当归(酒洗二钱) 水煎服。
〔血滑〕龙骨散 龙丹( ) 当归 制香附(各一两) 棕毛灰(五钱) 为细末。每服四钱,空心米
汤下。
Continuous leukorrhea with blood and white discharge, with a pulse that is small, deficient, and slippery indicates survival; a rapid and full pulse indicates death. Continuous leukorrhea with blood and white discharge, losing several sheng of blood daily, with a rapid and urgent pulse indicates death; a slow pulse indicates survival. An urgent, wiry, and large radial pulse (Chicun) indicates wind pathogen invading the Shaoyin meridian. In women, continuous leukorrhea with blood and white discharge accompanied by a floating pulse indicates death. When all five Zang organs are deficient, and discharges of five colors occur mixed together, it is called "Five Beng" (Severe Metrorrhagia): Lung deficiency presents as white discharge like nasal mucus; Heart deficiency presents as red discharge like crimson dye; Spleen deficiency presents as yellow discharge like rotten melon; Liver deficiency presents as blue-green discharge like indigo; Kidney deficiency presents as black discharge like liver blood.
[Spleen Deficiency] Liujunzi Tang (Six Gentlemen Decoction) - See Vol. 1, Stroke.
[Qi Deficiency] Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) - See Vol. 1, Stroke.
[Blood Deficiency] Siwu Tang (Four Substance Decoction) - See Vol. 1, Stroke.
[Fire Anger] Xiaochaihu Tang (Minor Bupleurum Decoction) - See Vol. 1, Warm Disease.
[Blood Heat] Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) - See Vol. 1, Fire Syndrome.
[Thoughtful Depression] Guipi Tang (Restore the Spleen Decoction) - See Vol. 2, Consumption.
[Augmenting Qi] Sijunzi Tang (Four Gentlemen Decoction) - See Vol. 1, Stroke.
[Supplementing Fire] Bawei Wan (Eight-Ingredient Pill) - See Vol. 1, Stroke.
[Deficient Cold] Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) - See Vol. 1, Stroke.
[Deficient Cold] Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) - See Vol. 1, Stroke.
[Irritability] Bazhen Tang (Eight Treasures Decoction) - See Vol. 1, Stroke.
[Metrorrhagia] Jiao'ai Siwu Tang (Donkey-hide Gelatin and Four Substances Decoction) - See this Vol., Menstrual Regulation.
[Limb Coldness] Zhenling Dan (Shaking Spirit Pellet): Yuyuliang (Halloysitum Rubrum), Chishizhi (Kaolinite), Zi Shiyingshi (Haematitum), Daizheshi (Ochra) (each 4 liang) placed in a clean pot, sealed with salt mud, and ground. Add Ruxiang (Boswelliae Fructus), Moyao (Myrrhae Resina), Chencha (Cinnabaris) (each 1 liang), Wulingzhi (Trogopterori Faeces) (2 liang), formed into pills with rice paste.
[Stopping and Astringing] Sanhui San (Three Ashes Powder): Zonghui (Ash of Palm Fiber), Juanhui (Ash of Silk Fabric), Xueyutan (Charred Human Hair).
[Cold Extremities] Lizhong Tang (Regulate the Middle Decoction) - See Vol. 1, Stroke.
[Nourishing Blood] Xionggui San (Ligusticum and Angelica Powder): Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix).
[Cold Metrorrhagia] Xiao Niujiao San (Small Cow Horn Powder): Niujiao (Bovis Cornu) (one horn, fired until red), Lurong (Cervi Cornu Degelatinatum), Yuyuliang (Halloysitum Rubrum), Danggui (Angelicae Sinensis Radix), Ganjiang (Zingiberis Rhizoma), Xuduan (Dipsaci Radix) (each 2 liang), Ejiao (Asini Corii Colla) (3 liang), Wugu Longgu (Fossil Bone from Black Ox) (each 1 liang), Chixiaodou (Phaseoli Semen Rubrum) (6 he). Ground into fine powder, taken with warm wine using a Fangcunbi measure.
[Accumulated Cold] Da Niujiao San (Large Cow Horn Powder): Niujiao (Bovis Cornu), Ganjiang (Zingiberis Rhizoma), Danggui (Angelicae Sinensis Radix), Xuduan (Dipsaci Radix), Longgu (Fossilia Ossis Mastodi et Femoris), Yuyuliang (Halloysitum Rubrum), Shengdi (Rehmanniae Radix), Sang'er (Auriculariae Auricula Judae), Baizhu (Atractylodis Macrocephalae Rhizoma), Chishizhi (Kaolinite), Fanshi (Alumen), Renshen (Ginseng Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Puhuang (Typhae Pollen), Fangfeng (Saposhnikoviae Radix).
[Unstopping] Jiao Lurong San (Cow Horn and Deer Antler Powder): Niujiao (Bovis Cornu), Lurong (Cervi Cornu Degelatinatum), Danggui (Angelicae Sinensis Radix), Xuduan (Dipsaci Radix), Ejiao (Asini Corii Colla), Gancao (Glycyrrhizae Radix et Rhizoma), Diyü (Sanguisorbae Radix), Danshen (Salviae Miltiorrhizae Radix), Dihuang (Rehmanniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishizhi (Kaolinite), Guijia (Testudinis Carapax et Plastrum), Baiziren (Platycladi Semen).
[Vomiting and Pain] Fulonggan Tang (Dragon's House Earth Decoction) - See Vol. 4, Dysentery.
[Fresh Blood] Xuanfuhua Tang (Inula Flower Decoction) - See Vol. 2, Phlegm-Retention.
[Initial Metrorrhagia] Jingjie Siwu Tang: Siwu Tang (Four Substance Decoction) plus Jingjie (Schizonepetae Spica), Tiaoqin (Scutellariae Radix), Xiangfu (Cyperi Rhizoma) (each 1 qian), decocted in water. Another formula adds Diyü (Sanguisorbae Radix); yet another adds Ejiao (Asini Corii Colla) and Aiye (Artemisiae Argyi Folium).
[Deficient Heat] Qixiao Siwu Tang: Siwu Tang (Four Substance Decoction) plus Ejiao (Asini Corii Colla), named Fubao Dan (Women's Treasure Pill). This formula further adds Aiye (Artemisiae Argyi Folium) and fried Huangqin (Scutellariae Radix) (each 1 qian).
[Due to Anger] Yangxue Pinggan Tang (Nourish Blood and Calm Liver Decoction): Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba), Xiangfu (Cyperi Rhizoma) (each 2 qian), Qingpi (Citri Reticulatae Pericarpium Viride), Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengdi (Rehmanniae Radix Recens) (each 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
[Mental Labor] Baiziren Tang (Platycladi Seed Decoction): Baiziren (Platycladi Semen), Xiangfu (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lurong (Cervi Cornu Degelatinatum) (steamed in wine and baked), Fushen (Poria cum Radix), Danggui (Angelicae Sinensis Radix) (each 1.5 qian), Xuduan (Dipsaci Radix) (2 qian), Ejiao (Asini Corii Colla), Yuanzhi (Polygalae Radix) (each 1 qian), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (5 fen), decocted with fresh ginger.
[Spleen Deficiency] Danggui Shaoyao Tang (Angelica and Peony Decoction): Huangqi (Astragali Radix) (1.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 1 qian), Chenpi (Citri Reticulatae Pericarpium), Shudi (Rehmanniae Radix Preparata) (each 5 fen), Shengdi (Rehmanniae Radix Recens), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma) (each 3 fen), Chaihu (Bupleuri Radix) (2 fen), decocted in water.
[Blood Collapse] Shengyang Yizhe Tang (Raise Yang and Benefit Stomach Decoction) - See Vol. 7, Hematochezia.
[Metrorrhagia and Leukorrhea] Aifu Tang (Mugwort and Cyperus Decoction): Aiye (Artemisiae Argyi Folium), Zhixiangfu (Processed Cyperi Rhizoma).
[Leakage] Dingxiang Jiao'ai Tang (Clove and Donkey-hide Gelatin Decoction): Danggui (Angelicae Sinensis Radix) (0.2 qian), Shaoyao (Paeoniae Radix Alba), Shengdi (Rehmanniae Radix Recens) (each 0.3 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Dingxiang (Syzygii Flos) (each 0.4 qian), Aiye (Artemisiae Argyi Folium) (1 qian), Ejiao (Asini Corii Colla) (0.6 fen), decocted in water.
[Deficient Collapse] Lurong San (Deer Antler Powder): Lurong (Cervi Cornu Degelatinatum) (roasted with butter, 1 liang), Longgu (Fossilia Ossis Mastodi et Femoris), Biejia (Trionycis Carapax) (roasted with butter), Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Baishi Zhi (White Kaolinite), Wu Gu (Black Ox Bone) (roasted until yellow), Xuduan (Dipsaci Radix) (each 2 liang), Congrong (Cynomorchii Herba) (1 liang).
[Deficient Collapse] Lurong Wan (Deer Antler Pill): Lurong (Cervi Cornu Degelatinatum) (scraped of hair, roasted with butter), Chishizhi (Kaolinite), Yuyuliang (Halloysitum Rubrum) (each 1 liang), Danggui (Angelicae Sinensis Radix), Dihuang (Rehmanniae Radix), Xuduan (Dipsaci Radix) (each 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata), Aiye (Artemisiae Argyi Folium), Baiye (Platycladi Cacumen) (each 5 qian), ground into fine powder, formed into pills with wine paste.
[Consolidating and Astringing] Mumu Wan (Oyster Shell Pill): Muli (Ostreae Concha) calcined, ground fine, adjusted with vinegar into pills. Then Hongfen (Red Lead) ground fine, adjusted with vinegar and Mugwort powder boiled into paste, mixed with pills sized like tung seeds. Take 50 pills per dose.
[Consolidating and Astringing] Wuhui San (Five Ashes Powder): Lianpengke (Nelumbinis Nuciferae Calyx Husk), Huangjuan (Yellow Silk Fabric), Xueyu (Charred Human Hair), Baicaoshuang (Ash of Hundred Herbs), Zongpi (Ash of Palm Skin) (all burnt to ash), Shanzhi (Gardeniae Fructus), Puhuang (Typhae Pollen) (both stir-fried), Heimo (Black Inkstone), Xuexie (Dracaenae Sanguis) ground into fine powder, taken with liquid or formed into pills with refined honey. Take 50 pills with rice drink.
[Consolidating and Astringing] Shihui San (Ten Ashes Powder): Huangjuan (Yellow Silk Fabric), Ma Wei (Horse Tail), Ou Jie (Nelumbinis Rhizomatis Node), Aiye (Artemisiae Argyi Folium), Chisong Pi (Pinus Massoniana Bark), Puhuang (Typhae Pollen), Lianpengke (Nelumbinis Nuciferae Calyx Husk), Youfa (Charred Human Hair), Zonglv (Areca Catechu Fibre), Mianhua (Cotton Wool) (all burnt to ash), ground fine, boiled with vinegar, formed into pills with rice juice.
[Blood Heat] Baoyin Jian (Preserve Yin Decoction) - See Vol. 5, Spasm.
[Blood Heat] Jiayi Yiyin Jian (Modified One Yin Decoction) - See Vol. 4, Palpitations.
[Excessive Fire] Xixin Yin (Remove Firewood Decoction) - See Vol. 7, Strangury and Turbid Urine.
[Spleen and Kidney] Liyin Jian (Regulate Yin Decoction) - See Vol. 2, Cough.
[Slippery Discharge] Guyin Jian (Solidify Yin Decoction) - See Vol. 2, Collapse.
[Insecurity] Miyuan Jian (Secret Origin Decoction) - See Vol. 4, Three Consumptions.
[Yang Deficiency] Siwei San (Four Dimensions Powder) - See Vol. 3, Diet.
[Qi Deficiency] Dushen Tang (Single Ginseng Decoction): Decoct a single ingredient, Renshen (Ginseng Radix).
[Qi and Blood] Danggui Buxue Tang (Angelica Tonify Blood Decoction): Huangqi (Astragali Radix) (roasted, 1 liang), Danggui (Angelicae Sinensis Radix) (washed in wine, 2 qian), decocted in water and taken.
[Blood Slippery] Longgu San (Dragon Bone Powder): Longdan (Gentianae Radix) (calcined), Danggui (Angelicae Sinensis Radix), Zhixiangfu (Processed Cyperi Rhizoma) (each 1 liang), Zongmao Hui (Ash of Palm Hair) (5 qian), ground into fine powder. Take 4 qian per dose, with empty-stomach rice gruel.