妇人有一时血崩，双目黑暗，昏晕于地者，人以为火盛动血也，然此火非实火也，乃虚
火耳。世人一见血崩，往往用止涩之药，虽亦能取效于一时，而虚火未补，易于冲击，随止随
发，终年终月不能愈者，是止崩之药，断不可用。必须于补之中，行其止之法。方用固本止崩
汤∶
熟地（一两） 白术（一两） 黄 （三钱） 人参（三钱） 当归（五钱） 炒黑干
姜（二钱）水煎服。一剂崩止，十剂永不再发。倘畏药味之重，减去其半，则力量甚薄，不能止矣。
方中全不去止血，惟去补血；且不仅补血，更去补气；非惟补气，兼且补火，何也？夫
血崩至于黑暗昏晕，则血已尽去，仅存一线之气，若不急补气，而先补血，则有形之血不能
速生，无形之气必且尽散，此所以不补血而先救气也。然而补气而不补血，则血又不能易生。
补血而不补火，则血且凝滞，不能随气而速生也。况干姜引血归经，补中有收，所以闻补气血
之药并用之耳。
此症亦可用补虚宁血汤∶
当归（五钱） 熟地（一两） 黄 （一两） 甘草（一钱） 炒黑荆芥（三钱）水煎服。
一剂即止崩，四剂全愈。
老妇血崩，目暗晕地，人以为老妇虚极，因不慎房劳之故也，谁知多言伤气，不节饮食
之故乎。夫老妇原宜节损饮食，复加闭口，始气不伤而神旺。无奈老妇闻喜事而心开称誉，不
肯闭舌，未免有不宜言而言者，况原有宿疾，安肯无言，故一发而不可救。夫老妇血衰，因气
虚之极而不能生也。况加之多言耗气，又安能助气以生血乎。气益衰而血难长矣。故任冲大
开，欲不崩而不可得者。治法必止其血也。谁知血愈止而愈多，以气衰不能摄血耳。方用助气
敛血汤∶
白术（二两，土炒） 黄 （四两，醋炒） 三七末（三钱）水煎服。一剂血少止，
二剂血止，四剂全愈。
此方补气不补血，以气能止血也。加之醋炒 、术，专以酸能救血也。加之三七者，以
其能断血也。然必多服始能愈者，以老妇血亏气衰，不大补何以止其耗散之原阳，使气旺以
生血乎。然此方可以暂止老妇之血，不能久旺老妇之气也。另用前方去三七而多加当归，用
补血汤朝夕吞服，并行为之得到。
有老妇血崩者，其症亦与前同，人以为老妇之虚耳，谁知因虚又不慎房帏之故哉。妇人
至五十之外者，天癸匮乏，原宜闭关，不宜出战。苟或适兴，草草了事，尚不致肾火大动。倘
兴酣浪斗，一如少年时，鲜不血室大开，崩决而坠矣。方用当归补血汤加味疗之。
黄 （一两） 当归（一两） 三七根末（三钱） 桑叶（十四片）水煎服。二剂而血
止，四剂不再发。然必须断欲也，设再犯忌，未有不重病者也。
夫补血汤乃气血双补之神剂，三七根乃止血之圣药，加入桑叶滋其肾中之阴，又有收敛
之妙耳。但老妇阴精既亏，用此方以止其临时之漏，实有奇功，不可责其
永远之续者，以补精之味尚少也。服此方四剂之后，增入白术（五钱），熟地（一两），山
药（四钱），麦冬（三钱），北五味（一钱），服三月则崩漏可以尽除矣。
此症用闭血汤亦效。
人参 白术（各一两） 三七根末（三钱） 北五味子（二钱）水煎服。一剂即止崩，减
人参（五钱），加熟地（一两），山茱萸（五钱），麦冬（五钱），再服四剂全愈。
有少妇甫受孕三月，即便血崩，胎亦随坠，人以为挫闪受伤而血崩也，谁知是行房不慎
哉。少年妇人行房亦事之常也，何便血崩？亦因其气之衰耳。凡妇人气衰者，不耐久战，战
久则必泄精，精泄太多，则气益不能收摄夫血矣。况加久战，则虚火内动，精门不关，而血
室亦不能闭，于是胎不能固，内外齐动，而血又何能固哉。治法自当以补气为主，而少佐之
止血之味。方用固气汤∶
人参（五钱） 白术（五钱） 当归（三钱） 熟地（五钱） 茯苓（二钱） 甘草（一
钱） 杜仲（三钱） 山茱萸（二钱） 远志（一钱） 五味子（十粒）水煎服。一剂血
止，连服十剂全愈。
此方固气而兼补其血，已去之血可以速生，将脱之血可以尽摄。凡因虚血崩者，此方最
宜通治，非仅治小产之血崩也。兹方不去止血，而止血之味已全于中，所以
可通治耳。
人参（三钱） 白术（五钱） 茯苓 山药 麦冬（各三钱） 远志（五分） 杜仲 山
茱萸（各二钱） 阿胶（三钱） 甘草（一钱）水煎服 一剂则愈。
有妇人一交感流血不止者，虽不至血崩之甚，然至终年不愈，未免气血两伤，久则有血
枯经闭之忧。此等之病，成于月经来时，贪欢交感，精冲血管也。夫血管不可精伤，凡妇
人受孕，乃血管已净之时，倘经初来，其血正旺，彼欲出而精射之，则所泄之血尽退而缩入，
既不能受孕成胎，势必至积精化血，遇交感之时，淫气触动其旧日之精，则两气相感，精欲
出而血即随之俱出矣。治法须通其胞胎之气，引精外出，益之填精补气之药，则血管之伤可
以再补。方用引精止血汤∶
人参（五钱） 白术（一两） 茯神（三钱） 车前子（三钱） 黄柏（五分） 炒黑干
姜（一钱） 熟地（一两） 山茱萸（五钱） 炒黑荆芥（三钱）水煎服。连服四剂即愈，
十剂不再发。
此方用参、术补气，用熟地、山药补精，精气既旺，则血管自然流动。加入茯神、车
前，利其尿窍，尿窍利而血窍亦利矣。加入黄柏直入于血管之中，引夙精出
于血管之口。再荆芥引败血出于血管之外。益之炒黑干姜止其血管之口。一方之中，实有调停曲
折之妙，故能除旧疾而去陈 也。然既服此药，必须慎房帏三月，则破者不至重伤，补者不
至再损，否则亦止可取目前之效耳。慎之哉！
此症用截流丹亦甚效。
茯苓 炒黑荆芥 车前子（各三钱） 牛膝 人参（各三钱） 熟地（一两） 白术（一
两） 蕲艾（一钱） 肉桂（三分）水煎服。下剂全愈。
妇人有怀抱甚郁，口干作渴，呕吐吞酸，而血下崩者，人以火治之，时而效时而不效
者，盖肝气之结也。夫肝主藏血，气结宜血结矣，何反致崩漏？不知肝性甚急，气结其性更
急矣，急则血不能藏矣。治法宜开郁为主。然徒开其郁，不用平肝之药，则肝气大开，肝火
更炽，血亦何能止遏也。方用平肝止血汤∶
白勺（二两） 白术（一两） 当归（一两） 柴胡（一钱） 三七根末（三钱） 甘
草（二钱） 丹皮（三钱） 荆芥（二钱） 生地（三钱）水煎服。一剂呕吐止，二剂干渴
除，四剂血崩自愈。
白芍平肝，得柴胡而郁气尽解；白术利腰脐，血无积住之虑；荆芥通经络，血
有归还之乐；丹皮凉其骨髓之热，生地清其脏腑之炎；当归、三七于补血之中行止血之
法，自郁散而血止也。
此症用舒肝藏血汤亦佳。
白芍（一两） 香附 荆芥 三七根末（各三钱） 陈皮（五分） 甘草（一钱） 当归
白术（各五钱） 白芥子（一钱）水煎调服。
妇人有升高坠下，或闪跌受伤，以致恶血下冲，有如血崩者，若作血崩治之，用止涩之
药，适所以害之也。其症必然按之疼痛，久则面目痿黄，形容枯槁。治法须行血去瘀，活血
止疼，则其血自止。苟不解其瘀痛，即用补涩之品，则瘀血内攻，痛不能止，反致新血不生，
旧血作祟也。方用逐瘀止崩汤∶
大黄（三钱） 生地（一两） 当归尾（五钱） 败龟板（三钱） 芍药（二钱） 丹
皮（一钱） 枳壳（五分） 桃仁（十粒）水煎服。一剂痛轻，再剂痛止，三剂血亦全止矣，
不必服四剂也。
此方于活血之中佐以下治之药，故逐瘀如扫，止血亦如神也。此跌闪升堕，非由内伤而
致，其本实不拨，去标之病可耳，何必顾其本而补其内哉。
此症用灵龟散血汤亦甚效。
败龟板（一两） 生地（一两） 大黄（一钱） 丹皮（三钱） 红花（二钱） 桃仁（十
四个）水煎服。一剂轻，二剂愈。
人有每行人道，经水即来，一如血崩，人以为胞胎有伤，触之以动其血也，谁知子宫、血
海因热不固之故乎。夫子宫即在胞胎之下，而血海又在胞胎之上。血海者，冲脉也。冲脉寒而
血亏，冲脉热而血沸。血崩之病，正冲脉之热也。然而冲脉既热，宜血之日崩矣，何必交接而
始血来？盖脾与肝之无恙也。脾健则能摄血，肝平则能藏血。人未入房，则君相二火寂然
不动，虽冲脉独热，血不外泄。及至交接，子宫大开，君相之火翕然齐动，鼓其精房，而血
海泛溢，有不可止遏之势，肝欲藏血而不能，脾欲摄血而不得，故经水随交而至，若有声应之
捷焉。治法必须绝欲者三月，然后用滋阴降火之药，凉其血海，则终身之病可半载而愈也。
方用清海丸∶
熟地（一斤） 桑叶（一斤） 白术（一斤） 玄参（一斤） 山茱萸（八两） 北五
味（三两） 麦冬（十两） 沙参（十两） 地骨皮（十两） 丹皮（十两） 白芍（一
斤） 龙骨（醋 ，二两） 山药（十两） 石斛（八两）各为细末，蜜为丸，每日早、晚
白滚水各送下五钱，服半年全愈。
此方补阴而无浮动之虞，缩血而无寒冷之害，日计不足，月计有余，潜移默夺，
子宫清凉，血海自固也。倘不治其本源，止以发灰、白矾、黄连、五倍子外冶其幽隐之处，
吾恐愈塞愈流也。
此症用清火归经汤亦效。
人参 白芍（各一两） 旧棕榈（炒灰二钱） 黄柏末（二钱） 甘草（一钱） 三七
根末（三钱）水煎调服。十剂可愈，二十剂全愈。然必须绝欲事三月，否则要犯也。
A woman suddenly experiences massive vaginal bleeding, her eyes go dark, and she faints to the ground. People attribute this to excessive fire causing blood movement; however, this is not excess fire (Excess Fire), but deficiency fire (Deficiency Fire). When people see uterine bleeding (Metrorrhagia), they often use astringent drugs. Although these may yield temporary results, if deficiency fire is not nourished, it easily causes further冲击 (impact), leading to recurrence immediately after stopping. Cases that cannot be cured throughout the year or month are due to the use of such hemostatic drugs for metrorrhagia, which absolutely should not be used. One must employ hemostasis within the context of tonification. The formula used is Gu Ben Zhi Beng Tang (Root-Firming Metrorrhagia-Stopping Decoction): Shu Di Huang (Prepared Rehmannia Root, 1 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 liang), Huang Qi (Astragalus Membranaceus Root, 3 qian), Ren Shen (Ginseng Radix, 3 qian), Dang Gui (Angelica Sinensis Radix, 5 qian), Chao Hei Gan Jiang (Charred Dried Ginger, 2 qian). Decoct in water and take orally. After one dose, bleeding stops; after ten doses, it never recurs. If one fears the heavy dosage, reducing it by half makes the medicinal power too weak to stop bleeding.
This formula does not directly aim to stop bleeding but instead tonifies blood; moreover, it not only tonifies blood but also tonifies qi; furthermore, it tonifies qi and simultaneously tonifies fire (Mingmen Fire). Why? When metrorrhagia leads to darkness in the eyes and fainting, it indicates that blood has been largely lost, leaving only a thread of qi. If one does not urgently tonify qi but instead tonifies blood first, tangible blood cannot be generated quickly, while intangible qi will surely dissipate. This is why we do not tonify blood first but save qi first. However, tonifying qi without tonifying blood means blood cannot be easily generated. Tonifying blood without tonifying fire means blood will stagnate and cannot generate rapidly with the qi. Moreover, Gan Jiang (Dried Ginger) guides blood back to its vessels; it contains astringency within tonification. Therefore, tonifying qi and blood drugs are used together.
This condition can also be treated with Bu Xu Ning Xue Tang (Tonifying Deficiency Calming Blood Decoction): Dang Gui (Angelica Sinensis Radix, 5 qian), Shu Di Huang (Prepared Rehmannia Root, 1 liang), Huang Qi (Astragalus Membranaceus Root, 1 liang), Gan Cao (Licorice Root, 1 qian), Chao Hei Jing Jie (Charred Schizonepeta Spike, 3 qian). Decoct in water and take orally. Bleeding stops after one dose; full recovery occurs after four doses.
An elderly woman suffers from metrorrhagia, with darkened vision and fainting. People believe this is due to extreme deficiency in the elderly caused by imprudent sexual activity. However, who would know it is actually due to excessive talking damaging qi and improper diet? Elderly women should ideally restrict their diet and remain silent so that qi is not damaged and spirit remains vigorous. Unfortunately, an elderly woman hearing joyful news becomes happy and praises, refusing to keep her mouth closed, inevitably saying things that are inappropriate. Furthermore, since she has chronic ailments, how can she refrain from speaking? Thus, once triggered, it becomes uncontrollable. Elderly women have depleted blood; because qi is extremely deficient, it cannot generate blood. Moreover, excessive talking consumes qi, making it impossible to assist qi in generating blood. As qi declines further, blood becomes difficult to grow. Consequently, the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel) open widely, making it impossible to avoid metrorrhagia. The treatment method must stop the blood. Yet, paradoxically, the more one tries to stop the blood, the more there is, because deficient qi fails to control the blood. The formula used is Zhu Qi Lian Xue Tang (Assisting Qi Gathering Blood Decoction): Bai Zhu (Atractylodes Macrocephala Rhizome, 2 liang, stir-fried with soil), Huang Qi (Astragalus Membranaceus Root, 4 liang, stir-fried with vinegar), San Qi Powder (Notoginseng Radix et Rhizoma Powder, 3 qian). Decoct in water and take orally. After one dose, blood volume decreases and stops slightly; after two doses, bleeding stops; after four doses, full recovery occurs.
This formula tonifies qi without tonifying blood, because qi can stop bleeding. Adding vinegar-stir-fried Huang Qi and Bai Zhu utilizes the sour flavor to rescue blood. Adding San Qi is because it can sever bleeding. However, multiple doses are necessary for cure because the elderly woman suffers from blood deficiency and qi decline; only substantial tonification can stop the source of dissipation of primordial yang, allowing qi to flourish and generate blood. Nevertheless, this formula can temporarily stop the elderly woman's bleeding but cannot sustainably strengthen her qi. Alternatively, use the previous formula removing San Qi and adding more Dang Gui (Angelica Sinensis Radix), taking Bu Xue Tang (Blood-Tonifying Decoction) morning and evening, combining therapies to achieve results.
Another elderly woman suffers from metrorrhagia with symptoms identical to the previous case. People assume it is merely elderly deficiency, failing to realize it is due to deficiency combined with imprudent sexual conduct. Women past fifty have scarce Tian Gui (Heavenly Water/Reproductive Essence) and should ideally abstain from sexual activity. If arousal occurs and acts are concluded hastily, kidney fire (Kidney Fire) is not greatly stirred. However, if engagement is passionate and vigorous, like in youth, rarely does one avoid opening the Blood Chamber (Xue Shi) wide, leading to rupture and collapse. The formula used is Dang Gui Bu Xue Tang (Angelica Astragalus Decoction) with modifications: Huang Qi (Astragalus Membranaceus Root, 1 liang), Dang Gui (Angelica Sinensis Radix, 1 liang), San Qi Gen Mo (Notoginseng Root Powder, 3 qian), Sang Ye (Mulberry Leaf, 14 slices). Decoct in water and take orally. Bleeding stops after two doses; no recurrence after four doses. However, sexual abstinence is mandatory; relapse guarantees severe illness.
Bu Xue Tang is a divine agent for dual tonification of qi and blood; San Qi Gen is a holy medicine for stopping bleeding. Adding Sang Ye nourishes yin in the kidneys and offers astringent wonders. But since the elderly woman's yin essence is already depleted, using this formula to stop temporary leakage indeed has miraculous effects, though one cannot blame it for not providing permanent continuity, as the ingredients for tonifying essence are few. After four doses of this formula, add Bai Zhu (Atractylodes Macrocephala Rhizome, 5 qian), Shu Di Huang (Prepared Rehmannia Root, 1 liang), Shan Yao (Dioscorea Oppata Rhizome, 4 qian), Mai Dong (Ophiopogon Japonicus Tuber, 3 qian), Bei Wu Wei Zi (Schisandra Chinensis Fruit, 1 qian). Taking this for three months will eliminate metrorrhagia completely.
Bi Xue Tang (Closing Blood Decoction) is also effective for this condition: Ren Shen (Ginseng Radix), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 1 liang), San Qi Gen Mo (Notoginseng Root Powder, 3 qian), Bei Wu Wei Zi (Schisandra Chinensis Fruit, 2 qian). Decoct in water and take orally. Metrorrhagia stops after one dose. Reduce Ren Shen (Ginseng Radix) to 5 qian, add Shu Di Huang (Prepared Rehmannia Root, 1 liang), Shan Zhu Yu (Cornus Officinalis Fruit, 5 qian), Mai Dong (Ophiopogon Japonicus Tuber, 5 qian). Take for another four doses for full recovery.
A young woman conceived only three months ago suffered metrorrhagia, and the fetus fell with it. People attribute this to trauma from jolting or falling, but who knows it is due to imprudent sexual intercourse? Sexual intercourse is normal for young women; why does it cause metrorrhagia here? It is because of her qi decline. Women with declining qi cannot endure prolonged intercourse; prolonged activity leads to seminal emission. Excessive loss of essence further prevents qi from controlling blood. Moreover, prolonged activity stirs deficiency fire internally, opens the essence gate, and prevents the blood chamber from closing. Thus, the fetus cannot be secured, internal and external forces move together, and how can blood remain contained? Treatment should primarily focus on tonifying qi, with minor additions of hemostatic agents. The formula used is Gu Qi Tang (Qi-Securing Decoction): Ren Shen (Ginseng Radix, 5 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 5 qian), Dang Gui (Angelica Sinensis Radix, 3 qian), Shu Di Huang (Prepared Rehmannia Root, 5 qian), Fu Ling (Poria, 2 qian), Gan Cao (Licorice Root, 1 qian), Du Zhong (Eucommia Bark, 3 qian), Shan Zhu Yu (Cornus Officinalis Fruit, 2 qian), Yuan Zhi (Polygala Root, 1 qian), Wu Wei Zi (Schisandra Chinensis Fruit, 10 grains). Decoct in water and take orally. Bleeding stops after one dose; full recovery after ten consecutive doses.
This formula secures qi and simultaneously tonifies blood; lost blood can regenerate quickly, and impending loss can be fully retained. For any metrorrhagia caused by deficiency, this formula is suitable for general treatment, not just for post-abortion bleeding. This formula does not explicitly aim to stop bleeding, yet all hemostatic elements are included within it, allowing for general application. Ren Shen (Ginseng Radix, 3 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 5 qian), Fu Ling (Poria), Shan Yao (Dioscorea Oppata Rhizome), Mai Dong (Ophiopogon Japonicus Tuber) (each 3 qian), Yuan Zhi (Polygala Root, 5 fen), Du Zhong (Eucommia Bark), Shan Zhu Yu (Cornus Officinalis Fruit) (each 2 qian), E Jiao (Donkey-Hide Gelatin, 3 qian), Gan Cao (Licorice Root, 1 qian). Decoct in water and take orally. Cure after one dose.
A woman experiences continuous bleeding upon sexual contact. Although not as severe as metrorrhagia, if unresolved until year-end, it damages both qi and blood, potentially leading to blood depletion and amenorrhea. Such diseases arise from engaging in sexual intercourse during menstruation, where semen impacts the blood vessels. Blood vessels should not be injured by semen. Conception occurs when blood vessels are clear. If intercourse happens at the onset of menstruation when blood flow is strong, and semen is ejaculated as blood exits, the discharged blood retreats and contracts inward. Since conception cannot occur, accumulated essence transforms into blood. Upon subsequent sexual contact, lustful qi stirs this old essence; the two qi interact, and as essence desires to exit, blood follows. Treatment must unblock the qi of the uterus and fallopian tubes, guide the essence outward, and supplement with drugs that fill essence and tonify qi, thereby repairing vessel damage. The formula used is Yin Jing Zhi Xue Tang (Guiding Essence Stopping Blood Decoction): Ren Shen (Ginseng Radix, 5 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 liang), Fu Shen (Poria with Hostwood, 3 qian), Che Qian Zi (Plantago Seed, 3 qian), Huang Bo (Phellodendron Bark, 5 fen), Chao Hei Gan Jiang (Charred Dried Ginger, 1 qian), Shu Di Huang (Prepared Rehmannia Root, 1 liang), Shan Zhu Yu (Cornus Officinalis Fruit, 5 qian), Chao Hei Jing Jie (Charred Schizonepeta Spike, 3 qian). Decoct in water and take orally. Cure after four consecutive doses; no recurrence after ten doses.
This formula uses Ren Shen and Bai Zhu to tonify qi, and Shu Di Huang and Shan Yao to tonify essence. Once qi and essence are robust, blood vessels flow naturally. Adding Fu Shen and Che Qian Zi benefits the urinary orifice; benefiting the urinary orifice also benefits the blood orifice. Huang Bo enters the blood vessels directly to draw out stored essence from the vessel openings. Jing Jie (Schizonepeta Spike) guides stagnant blood out of the vessels. Charred Gan Jiang seals the vessel openings. This formula possesses subtle harmonizing wisdom, thus eliminating old ailments and removing stale residues. However, after taking this medicine, sexual abstinence for three months is required; otherwise, broken parts will suffer further injury, and tonified parts will be damaged again. Otherwise, only temporary effects can be achieved. Be cautious!
Jie Liu Dan (Stream-Intercepting Pill) is also very effective for this condition: Fu Ling (Poria), Chao Hei Jing Jie (Charred Schizonepeta Spike), Che Qian Zi (Plantago Seed) (each 3 qian), Niu Xi (Achyranthes Bidentata Root), Ren Shen (Ginseng Radix) (each 3 qian), Shu Di Huang (Prepared Rehmannia Root, 1 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 liang), Qi Ai (Artemisia Argyi Herb, 1 qian), Rou Gui (Cinnamon Bark, 3 fen). Decoct in water and take orally. Full recovery after one dose.
A woman with deep depression, dry mouth and thirst, vomiting, and acid regurgitation suffers from downward metrorrhagia. Treating with fire-clearing methods yields inconsistent results because it involves Liver Qi Stagnation (Liver Qi Stagnation). The Liver stores blood; qi stagnation should lead to blood stagnation, yet it causes metrorrhagia? The Liver nature is urgent; qi stagnation makes this urgency worse. Urgency prevents blood storage. Treatment should prioritize resolving stagnation. However, merely resolving stagnation without soothing the Liver causes Liver Qi to expand excessively, intensifying Liver Fire, making it impossible to stop bleeding. The formula used is Ping Gan Zhi Xue Tang (Soothing Liver Stopping Blood Decoction): Bai Shao (White Peony Root, 2 liang), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 liang), Dang Gui (Angelica Sinensis Radix, 1 liang), Chai Hu (Bupleurum Root, 1 qian), San Qi Gen Mo (Notoginseng Root Powder, 3 qian), Gan Cao (Licorice Root, 2 qian), Dan Pi (Moutan Cortex, 3 qian), Jing Jie (Schizonepeta Spike, 2 qian), Sheng Di (Rehmannia Glutinosa Root, 3 qian). Decoct in water and take orally. Vomiting stops after one dose; dryness and thirst resolve after two doses; metrorrhagia heals spontaneously after four doses.
Bai Shao soothes the Liver; combined with Chai Hu, stagnation resolves completely. Bai Zhu benefits the waist and umbilical region, preventing blood accumulation. Jing Jie unblocks meridians, allowing blood to return joyfully. Dan Pi cools bone marrow heat; Sheng Di clears visceral inflammation. Dang Gui and San Qi perform hemostasis within blood tonification. Naturally, as stagnation disperses, bleeding stops.
Shu Gan Cang Xue Tang (Soothing Liver Storing Blood Decoction) is also excellent for this condition: Bai Shao (White Peony Root, 1 liang), Xiang Fu (Cyperus Rotundus Rhizome), Jing Jie (Schizonepeta Spike), San Qi Gen Mo (Notoginseng Root Powder) (each 3 qian), Chen Pi (Citrus Reticulata Peel, 5 fen), Gan Cao (Licorice Root, 1 qian), Dang Gui (Angelica Sinensis Radix), Bai Zhu (Atractylodes Macrocephala Rhizome) (each 5 qian), Bai Jie Zi (White Mustard Seed, 1 qian). Decoct in water and mix for oral administration.
A woman falls from height or suffers sprains/injuries, causing evil blood to rush downward resembling metrorrhagia. Treating this as metrorrhagia with astringents harms rather than helps. Symptoms include pain upon pressure; long-term suffering leads to sallow complexion and emaciation. Treatment must promote blood circulation and remove stasis, invigorate blood and relieve pain, so bleeding stops naturally. If stasis and pain are not resolved, using tonics and astringents causes stasis to attack internally, pain persists, new blood fails to generate, and old blood wreaks havoc. The formula used is Zhu Yu Zhi Beng Tang (Expelling Stasis Stopping Metrorrhagia Decoction): Da Huang (Rhubarb Root, 3 qian), Sheng Di (Rehmannia Glutinosa Root, 1 liang), Dang Gui Wei (Angelica Sinensis Radix Tail, 5 qian), Bai Gui Ban (Tortoise Plastron, 3 qian), Shao Yao (Peony Root, 2 qian), Dan Pi (Moutan Cortex, 1 qian), Zhi Ke (Aurantii Fructus, 5 fen), Tao Ren (Peach Kernel, 10 grains). Decoct in water and take orally. Pain lightens after one dose; stops after two doses; bleeding ceases completely after three doses; no need for fourth dose.
This formula assists descending action within blood-invigorating herbs, thus expelling stasis like sweeping and stopping bleeding miraculously. These injuries from falls or jolts are not caused by internal damage; the root is intact. Removing the branch disease suffices; why worry about the root and tonify internally?
Ling Gui San Xue Tang (Spirit Turtle Dispelling Blood Powder) is also very effective: Bai Gui Ban (Tortoise Plastron, 1 liang), Sheng Di (Rehmannia Glutinosa Root, 1 liang), Da Huang (Rhubarb Root, 1 qian), Dan Pi (Moutan Cortex, 3 qian), Hong Hua (Carthamus Tinctorius Flower, 2 qian), Tao Ren (Peach Kernel, 14 grains). Decoct in water and take orally. Lightens after one dose; cures after two doses.
Some women experience menstrual flow immediately upon sexual intercourse, resembling metrorrhagia. People think the uterus/fallopian tubes are injured and touched, stirring blood. Who knows it is due to Heat failing to secure the Uterus and Blood Sea (Chong Mai)? The Uterus is below the fallopian tubes, and the Blood Sea is above. The Blood Sea refers to the Chong Mai (Penetrating Vessel). Cold in Chong Mai causes blood deficiency; Heat in Chong Mai causes blood boiling. Metrorrhagia is precisely Heat in Chong Mai. If Chong Mai is hot, blood should bleed daily; why wait for intercourse? Because Spleen and Liver are healthy. A healthy Spleen controls blood; a balanced Liver stores blood. Before intercourse, Ministerial Fire and Sovereign Fire are quiet. Even if Chong Mai is hot alone, blood does not leak. During intercourse, the Uterus opens wide, Ministerial and Sovereign Fires move together, stirring the essence chamber, causing the Blood Sea to overflow uncontrollably. The Liver wants to store blood but cannot; the Spleen wants to control blood but fails. Thus, menstruation arrives with intercourse, responding swiftly like sound echoing. Treatment requires three months of sexual abstinence, followed by yin-nourishing and fire-descending drugs to cool the Blood Sea, curing lifelong illness in six months. The formula used is Qing Hai Wan (Sea-Clearing Pill): Shu Di Huang (Prepared Rehmannia Root, 1 jin), Sang Ye (Mulberry Leaf, 1 jin), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 jin), Xuan Shen (Scrophularia Root, 1 jin), Shan Zhu Yu (Cornus Officinalis Fruit, 8 liang), Bei Wu Wei Zi (Schisandra Chinensis Fruit, 3 liang), Mai Dong (Ophiopogon Japonicus Tuber, 10 liang), Sha Shen (Glehnia Root, 10 liang), Di Gu Pi (Lycium Bark, 10 liang), Dan Pi (Moutan Cortex, 10 liang), Bai Shao (White Peony Root, 1 jin), Long Gu (Fossilized Bones, Vinegar Calcined, 2 liang), Shan Yao (Dioscorea Oppata Rhizome, 10 liang), Shi Hu (Dendrobium Stem, 8 liang). Grind into fine powder, form pills with honey. Take 5 qian with plain boiled water morning and evening daily. Full recovery after six months.
This formula tonifies yin without risk of floating, contracts blood without cold harm. Day-by-day gains seem small, but month-by-month they accumulate, subtly transforming the body. The Uterus becomes cool, and the Blood Sea secures itself. If one does not treat the root, merely applying ash, alum, Coptis, and Chinese Gall externally to hidden areas, I fear sealing will only increase flow.
Qing Huo Gui Jing Tang (Clearing Fire Returning to Meridians Decoction) is also effective: Ren Shen (Ginseng Radix), Bai Shao (White Peony Root) (each 1 liang), Jiu Zong Lu (Old Palm Fiber, Charred, 2 qian), Huang Bo Mo (Phellodendron Bark Powder, 2 qian), Gan Cao (Licorice Root, 1 qian), San Qi Gen Mo (Notoginseng Root Powder, 3 qian). Decoct in water and mix for oral administration. Cure after ten doses; full recovery after twenty doses. However, three months of sexual abstinence are mandatory; otherwise, relapse is inevitable.