因行经时，寒气自阴户入，客于胞门，以致精血凝聚，月信不行，其腹渐大，如孕子状
。妇人壮盛者，半年之后，小水长而消矣；若虚怯者，必成肿病。温经汤主之。
归身梢（一钱） 川芎（一钱） 赤芍（一钱） 莪术（一钱） 人参（一钱） 牛膝（一钱） 故
纸（一钱） 小茴（一钱） 炙甘（五分）
加姜枣。更宜频服香附丸。
因行经之时，寒气自肛门入，客于大肠，以致经血凝涩，月信虽行而少，其腹渐大如孕
，为
胎漏状。壮盛妇人，半年以后，便长水消，气盛而除；虚怯者，必成胀病。桂枝桃仁汤主之
。
桂枝（一钱五分） 槟榔（一钱五分） 白芍（一钱） 生地（一钱） 枳壳（一钱） 桃仁（二
十五粒，去皮尖、研） 炙甘（五分）
加姜枣。更宜服四制香附丸。
妇人崩中之病，皆因中气虚，不能摄血，加以积热在里，迫血妄行，故令经血暴下而成
崩中
。崩久不止，遂成下漏。叔和《脉诀》云∶崩中日久为白带、漏下时，多肾水枯也。治有三
法∶初止血；次清热；后补其虚，未有不痊者也。
凡血崩用五灵脂半生半炒，酒服，能行血止血，治血刺痛。神效。五灵脂不特治血，而
兼治风，诚治崩之妙药也。
初止血者，乃急则治其标也。四物汤调十灰散止之，血止为度。
藕节 莲蓬 艾叶 棕榈 大小蓟根 侧柏 干姜 油头发 山栀子
以上十味，俱 存性，研，等分和匀，每服三钱，或用醋煮糯米粉为丸，每服百丸。妇
人冲任经虚，风伤营血，以致崩中。风为动物，血崩乃风动之故，必用风药也。
次清热。血既止，宜服清热之剂，用凉血地黄丸主之。
生地（一钱） 当归（一钱，醋炒） 黄连（五分） 黄柏（五分） 知母（五分） 本（五分）
川
芎（五分） 升麻（五分） 柴胡（七分） 羌活（七分） 防风（七分） 黄芩（四分） 生甘（四分）
细辛（四分） 荆芥穗（四分） 蔓荆子（四分） 红花（一分）
水煎，如血未止，再吞十灰丸。
血已止，热已除，宜用补中之剂，加味补中益气汤主之。
人参（一钱） 黄 （一钱） 白术（一钱） 陈皮（一钱） 当归（一钱） 白芍（一钱） 熟地
（一
钱） 炙甘（五分） 白茯（五分） 升麻（五分） 柴胡（五分） 益智（五分） 黄柏（五分，炒）
加姜枣更宜。早服地黄丸，晚服参术大补丸，以平为期。
Due to the invasion of cold pathogen into the vagina during menstruation, lodging in the uterine gate (Bao Men), causing the congealing of essence and blood, cessation of menstrual periods, and gradual abdominal enlargement resembling pregnancy.
In robust women, after half a year, with the increase of urination, the swelling will subside; however, in those with deficiency and frailty, edema disease will inevitably develop. Warming the Meridian Decoction (Wen Jing Tang) is the primary treatment.
Angelicae Sinensis Radix Caudex (Qian), Chuanxiong Rhizoma (Qian), Paeoniae Rubra Radix (Qian), Curcumae Zedoaria Rhizoma (Qian), Ginseng Radix et Rhizoma (Qian), Achyranthis Bidentatae Radix (Qian), Psoraleae Fructus (Qian), Foeniculi Fructus (Qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Wu Fen).
Add Ginger and Jujube for decoction. It is also advisable to frequently take Cyperi Rhizoma Pill (Xiang Fu Wan).
During menstruation, if cold pathogen enters from the anus and lodges in the Large Intestine, it causes stagnation and sluggishness of menstrual blood. Although menstruation occurs, the flow is scanty, and the abdomen gradually enlarges like pregnancy, presenting symptoms similar to fetal leakage (Tai Lou).
In robust women, after half a year, with normal bowel movements and increased urination, the swelling subsides, and the condition resolves due to strong Qi; in those with deficiency and frailty, distension disease will inevitably develop. Cinnamon Twig and Peach Kernel Decoction (Gui Zhi Tao Ren Tang) is the primary treatment.
Cinnamomi Ramulus (Qian Wu Fen), Arecae Semen (Qian Wu Fen), Paeoniae Radix Alba (Qian), Rehmanniae Radix Recens (Qian), Aurantii Fructus Immaturus (Qian), Persicae Semen (25 grains, skin and tips removed, crushed), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Wu Fen).
Add Ginger and Jujube for decoction. It is more suitable to take Four-Processed Cyperi Rhizoma Pill (Si Zhi Xiang Fu Wan).
The disease of metrorrhagia (Beng Zhong) in women is caused by deficiency of Middle Qi, which fails to control the blood, compounded by accumulated heat inside forcing blood to move recklessly, resulting in sudden profuse vaginal bleeding known as metrorrhagia.
If metrorrhagia persists for a long time, it evolves into leukorrhea or dripping discharge (Lou Xia). Shuhe stated in "Mai Jue": Long-standing metrorrhagia leads to leukorrhea, and frequent dripping discharge often indicates depletion of Kidney Yin (Kidney Water). There are three treatment methods: first, stop bleeding; second, clear heat; third, tonify deficiency. None will fail to recover.
For any case of bloody metrorrhagia, use Trogopterus Dung (Wu Ling Zhi), half raw and half stir-fried, taken with wine. It can invigorate blood and stop bleeding, treating blood stasis pain. It is remarkably effective. Wu Ling Zhi not only treats blood disorders but also wind disorders, truly being a miraculous herb for treating metrorrhagia.
Stopping bleeding initially is treating the branch in acute conditions. Use Si Wu Tang to harmonize Shi Hui San to stop bleeding, ceasing when the bleeding stops.
Nelumbinis Plumula (Ou Jie), Nelumbinis Calyx (Lian Peng), Artemisiae Argyi Folium (Ai Ye), Livistona Fibrosum (Zong Lu), Cirsii Japonici Radix et Rhizoma (Da Xiao Ji Gen), Platycladi Cacumen (Ce Bai), Zingiberis Rhizoma Preparatum (Gan Jiang), Capillus Humanus Carbonisatus (You Tou Fa), Gardeniae Fructus (Shan Zhi Zi).
The above ten ingredients are processed to retain their properties, ground into powder, mixed equally, and taken 3 Qian per dose. Alternatively, make pills with vinegar-boiled glutinous rice flour, taking 100 pills per dose.
When the Chong and Ren meridians are deficient in women, and wind pathogen damages Ying Blood, leading to metrorrhagia: Wind is dynamic, and bloody metrorrhagia is caused by wind movement, so wind-dispelling herbs must be used.
Next, clear heat. Once bleeding has stopped, it is appropriate to take heat-clearing agents. Cool Blood and Rehmannia Pill (Liang Xue Di Huang Wan) is the primary treatment.
Rehmanniae Radix Recens (Qian), Angelicae Sinensis Radix (Qian, vinegar-fried), Coptidis Rhizoma (Wu Fen), Phellodendri Cortex (Wu Fen), Anemarrhenae Rhizoma (Wu Fen), Ligustici Wallichii Rhizoma (Ben) (Wu Fen), Chuanxiong Rhizoma (Wu Fen), Cimicifugae Rhizoma (Wu Fen), Bupleuri Radix (Qian Fen), Notopterygii Rhizoma et Radix (Qian Fen), Saposhnikoviae Radix (Qian Fen), Scutellariae Radix (Siu Fen), Glycyrrhizae Radix et Rhizoma (Siu Fen), Asari Radix et Rhizoma (Siu Fen), Schizonepetae Spica (Siu Fen), Viticis Fructus (Siu Fen), Carthami Flos (Yi Fen).
Decoct in water. If bleeding has not stopped, swallow Shi Hui Wan again.
Once bleeding has stopped and heat has been cleared, it is appropriate to use middle-tonifying agents. Modified Tonify the Middle and Augment Qi Decoction (Jia Wei Bu Zhong Yi Qi Tang) is the primary treatment.
Ginseng Radix et Rhizoma (Qian), Astragali Radix (Qian), Atractylodis Macrocephalae Rhizoma (Qian), Citri Reticulatae Pericarpium (Qian), Angelicae Sinensis Radix (Qian), Paeoniae Radix Alba (Qian), Rehmanniae Radix Preparata (Qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Wu Fen), Poria (Wu Fen), Cimicifugae Rhizoma (Wu Fen), Bupleuri Radix (Wu Fen), Alpiniae Oxyphyllae Fructus (Wu Fen), Phellodendri Cortex (Wu Fen, stir-fried).
Add Ginger and Jujube for decoction, which is more suitable. Take Di Huang Wan in the morning and Shen Zhu Da Bu Wan in the evening, aiming for balance.