产后血大来，宜审血色之红紫，视形色之虚实。如血多色紫有块，乃当去之败血也。若
止留
反作痛，不可论崩，如鲜红之血大来，乃是惊伤心不能主，怒伤肝不能藏，劳伤脾不能统血
归经耳。当以崩论，先服生化汤几帖，则行中有补，而血宁生旺矣。若崩形脱，或有汗，或
气促，宜倍参生化汤以益气，斯阳生而阴血生旺矣，非棕灰之可止者。如产半月后崩，又宜
升举大补汤治之。（方载八卷中。）
生化止崩汤 治产后血崩。
川芎（一钱） 当归（二钱，去尾） 干姜（四分） 炙甘草（五分） 桃仁（十粒） 荆芥（
五分，炒）
枣引，水煎。
忌姜、椒、热物、生冷。
鲜红血大来，加荆芥穗一钱、炒，白芷五分。血块不痛，形脱，加人参三钱。汗多气促
，加
人参三四钱。无汗，形不脱，气不促，只多服生化汤，则血自宁，勿言芎归活血助崩，误矣
。
滋荣益气止崩汤
川芎（一钱） 麦冬（一钱） 黄 （一钱） 人参（一钱） 白术（二钱） 熟地（二钱） 当归
（二钱） 白芷（四分） 荆芥穗（四分） 陈皮（四分） 甘草（四分） 升麻（四分） 黄连（三分）
枣引，水煎。
汗多，加麻黄根一钱，浮小麦一撮。大便不通。加肉苁蓉一钱。有热，加磨木香一分。
痰，
加贝母六分，竹沥姜汁。寒嗽加杏仁一钱，桔梗一钱，知母一钱。惊悸，加枣仁一钱，柏子
仁一钱。伤饭面，加神曲一钱，麦芽一钱。伤肉，加山楂一钱，砂仁八分。自热不可用芩、
连、柏。大便不通禁大黄。伤食怒气，不可单用消耗无补药。凡年老虚人患崩，宜用升举大
补汤。（方详八卷中。）
Postpartum hemorrhage with massive bleeding requires examination of the blood color (red or purple) and assessment of the patient's physical constitution (deficiency or excess). If the volume is large, the color is dark purple, and clots are present, this indicates stasis (blood stasis) that should be expelled. If there is merely residual lochia causing pain, it does not constitute metrorrhagia; however, if bright red blood flows profusely, it results from fright injuring the Heart (Zang-fu organ), causing failure to govern the vessels; anger injuring the Liver (Zang-fu organ), causing failure to store blood; or overexertion injuring the Spleen (Zang-fu organ), causing failure to control blood within the meridians. This condition should be treated as metrorrhagia. Initially, administer Shenghua Tang (Life-Birth Decoction) for several doses; this promotes blood circulation while simultaneously tonifying, allowing the blood to settle and flourish. If signs of collapse appear, such as pallor, sweating, or shortness of breath, increase the dosage of Renshen (Ginseng Root) in Shenghua Tang to boost Qi (vital energy); thus, Yang generates Yin, and blood flourishes. This cannot be stopped by astringents like Zonghui (Cinnabar Ash). If metrorrhagia occurs half a month after delivery, Shengju Dabu Tang (Great Tonification and Lifting Decoction) is appropriate. (The formula is recorded in Volume VIII.)
Shenghua Zhibeng Tang: Treats postpartum metrorrhagia.
Chuanxiong Rhizome (1 qian) Danggui Radix (2 qian, tail removed) Dried Ginger (4 fen) Peaches Seed (10 grains) Jingjie (5 fen, stir-fried) Prepared Licorice Root (5 fen)
Use Jujube Fruit as a guide, decoct in water.
Avoid ginger, pepper, hot-natured foods, and raw/cold foods.
For profuse bright red bleeding, add Jingjie Sui (Schizonepeta Spike, 1 qian, stir-fried) and Baizhi (Angelica Dahurica Root, 5 fen). For clots without pain accompanied by signs of collapse, add Renshen (Ginseng Root, 3 qian). For excessive sweating and shortness of breath, add Renshen (Ginseng Root, 3–4 qian). For no sweating, no collapse, and no shortness of breath, simply administer more Shenghua Tang (Life-Birth Decoction) until the blood settles. Do not claim that Chuanxiong and Danggui promote blood circulation and exacerbate hemorrhage; this is erroneous.
Zirong Yiqi Zhibeng Tang
Chuanxiong Rhizome (1 qian) Ophiopogon Tuber (1 qian) Astragalus Root (1 qian) Ginseng Root (1 qian) Atractylodes Macrocephala Rhizome (2 qian) Prepared Rehmannia Root (2 qian) Angelica Sinensis Radix (2 qian) Angelica Dahurica Root (4 fen) Schizonepeta Spike (4 fen) Tangerine Peel (4 fen) Licorice Root (4 fen) Cimicifuga Rhizome (4 fen) Scutellaria Root (3 fen)
Use Jujube Fruit as a guide, decoct in water.
For excessive sweating, add Ma Huang Gen (Ephedra Root, 1 qian) and Xiaomai (Triticum Vulgare Grain, a pinch). For constipation, add Congrong (Cistanche Stem, 1 qian). For heat symptoms, add Muxiang (Aucklandia Root, 1 fen, ground juice). For phlegm, add Beimu (Fritillaria Bulb, 6 fen), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). For cold cough, add Xingren (Apricot Seed, 1 qian), Jiegeng (Platycodon Root, 1 qian), and Zhimu (Anemarrhena Rhizome, 1 qian). For palpitations due to fright, add Zaoren (Sour Jujube Seed, 1 qian) and Baiziren (Biota Seed, 1 qian). For food stagnation from rice/noodles, add Shenqu (Medicated Leaven, 1 qian) and Maiya (Sprouted Hordeum Grain, 1 qian). For food stagnation from meat, add Shanzha (Hawthorn Fruit, 1 qian) and Sharen (Amomum Fruit, 8 fen). For internal heat due to deficiency, avoid Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), and Huangbai (Phellodendron Bark). Constipation contraindicates Dahuang (Rhubarb Root). For stagnation due to diet or anger, do not use solely draining/depleting herbs without tonifying agents. For elderly or deficient patients suffering from metrorrhagia, Shengju Dabu Tang (Great Tonification and Lifting Decoction) is appropriate. (Details in Volume VIII.)