脉∶带下崩中，脉多浮动；虚迟者生，实数者重。
崩漏者，有新久虚实之不同也。初起属湿热者，宜解毒也。黄连、黄芩、黄柏、生地黄、蒲黄。上锉一剂
，水煎，空心服。
治妇人血崩。年四十以上，悲哀太甚，则心闷急，肺叶举焦，而上焦不通，热气在中，故血走崩而面黄肌
瘦。慎不可服燥热之药。盖血热而流行，先以黄连解毒汤，后以凉膈散合四物汤调治，效。
稍久属虚热者，宜养血而清火也。
温清散 治妇人经脉不住，或如豆汁，五色相杂，面色痿黄，脐腹刺痛，寒热往来，崩漏不止。
当归 白芍 熟地黄 川芎 黄连 黄芩 黄柏 栀子（各一钱半）
上锉一剂，水煎空心服。
日久属虚寒者，宜温补也。
益母汤 治妇人血崩。
当归 川芎 白芍（酒炒） 熟地黄（姜汁炒） 条芩 陈皮 香附（醋炒） 阿胶（蛤粉炒。各一钱）
益母草 白术（去芦，各一钱半） 玄参 蒲黄（炒。各八分） 甘草（四分）
上锉一剂，水煎空心服。
五灰散 治血不止成血崩。
莲蓬壳 黄绢 血余 百草霜 棕皮
上各烧灰，加山栀炒黑、蒲黄炒黑、墨、血竭，共为细末调入，煎药服之。或炼蜜为丸，每服五十丸，清
米汤送下。
秘传经验治血崩杂方
一方 用干黑驴粪为粗末，入坛内烧烟，令崩妇坐其上，烟熏，久久自愈。
一方 用京墨烧烟尽为末，服二钱，黄酒送下。
一方 用管仲烧存性为末，黄酒调下。
一方 用刺刺芽汁加童便和酒服。
一方 用干漆三钱、五灵脂一钱，研为末，同黄酒下。
一方 用柿饼烧灰，二钱，白熟水下。
一方 用棉花子仁炒黄色，甘草、黄芩等分为末，每服二钱，空心，黄酒下。
一方 用香附炒，四钱；五灵脂炒，二两；归尾一两二钱；共为末。每服二钱，空心黄酒下。或米糊为丸，
如梧桐子大。每服五十丸，空心醋汤下。
一方 治漏不止。用槐子烧存性为末，空心温熟水下三钱即止。
一方 治崩漏如神。童子发焙干，小桃红子不拘多少，共为细末，黄酒送下。
一方 治经崩不止。狗头骨烧灰，末罗细，用好无灰黄酒一钟，用灰一分；二钟用二分；三钟用三分。如
不止者，照常服酒七钟，用七分，神效。
一妇人崩漏，面黄或赤，时觉腰间、脐下痛，四肢困倦，烦热不安，其经行先发寒热、两胁如束。此乃脾
胃亏损，元气下陷，与相火、湿热下迫所致。用补中益气汤加防风、芍药、炒黑黄柏，兼服归脾汤而愈。
（补中益气汤方见内伤，归脾汤方见健忘。）
一女子，漏下恶血，月经不调，或暴崩不止，多下水浆之物，或白带脱漏不止。皆因饮食不节、劳倦所伤；
或素有
心气不足，致令心火乘脾，必怠惰嗜卧、困倦乏力、气短气急。脾主滋荣周身者也。脾胃虚而心胞乘之，故漏
下月水不调也，况脾胃为血气阴阳之根蒂也。当除湿去热抑风气，土伸以胜其湿。又云∶火郁则发之。用补中
益气汤去陈皮、人参、白术，加苍术、 本、防风、羌活、独活、蔓荆子。
补遗方
樗白汤 治崩漏不止。
樗白皮（即臭椿根皮二钱，涩血） 枯芩（一钱半，凉血） 熟地黄（一钱，补血） 当归头（一钱半，
止血） 地榆（一钱，收血） 川芎（一钱） 白芍（酒炒，八分） 生地黄（七分） 伏龙肝（一钱）
艾叶（炒，六分）
上锉一剂，水二钟，醋一匙，煎八分，空心服。三五剂即止。
脉象：带下病和崩中（指非经期阴道大量出血）的脉象多表现为浮而无力；若脉象虚迟，预后良好；若脉象实数，则病情严重。
崩漏（指经血非时暴下或淋漓不尽）有初起与久病、实证与虚证的不同。初起属于湿热者，适宜采用清热解毒法。使用黄连、黄芩、黄柏、生地黄、蒲黄。以上药材锉碎为一剂，加水煎煮，空腹服用。
治疗妇人血崩。女子年过四十，若悲哀过度，会导致心胸闷急，肺叶焦举，上焦气机不通，热气郁结于中，因此血液妄行导致崩漏，面色发黄，肌肉消瘦。切记不可服用燥热性质的药物。因为血分有热而流行妄动，应先以黄连解毒汤治疗，随后用凉膈散合四物汤调理，疗效显著。
温清散：治疗妇人月经淋漓不止，或如豆汁样，五色混杂，面色萎黄，脐腹部刺痛，寒热往来，崩漏不止。
组成：当归、白芍、熟地黄、川芎、黄连、黄芩、黄柏、栀子（各一钱半）。
以上药材锉碎为一剂，加水煎煮，空腹服用。
益母汤：治疗妇人血崩。
组成：当归、川芎、白芍（酒炒）、熟地黄（姜汁炒）、条芩、陈皮、香附（醋炒）、阿胶（蛤粉炒，各一钱）；益母草、白术（去芦头，各一钱半）；玄参、蒲黄（炒，各八分）；甘草（四分）。
以上药材锉碎为一剂，加水煎煮，空腹服用。
五灰散：治疗出血不止发展为血崩。
组成：莲蓬壳、黄绢、血余（头发）、百草霜、棕皮。
以上各味药烧成灰，加入炒黑的山栀、炒黑的蒲黄、墨、血竭，共同研为细末，调入煎好的药液中服用。或者炼蜜制成丸药，每次服用五十丸，用清米汤送服。
秘传经验治疗血崩的杂方：
一方：用干黑驴粪研为粗末，放入坛内燃烧冒烟，让患崩漏的妇女坐在上面，用烟熏蒸，久而久之自然痊愈。
一方：用京墨烧尽烟后研为粉末，服用二钱，用黄酒送服。
一方：用管仲烧至存性（保留部分药性）后研为粉末，用黄酒调服。
一方：用刺芽汁加童便（儿童尿液）和酒服用。
一方：用干漆三钱、五灵脂一钱，研为粉末，同黄酒送服。
一方：用柿饼烧成灰，取二钱，用白开水送服。
一方：将棉花子仁炒至黄色，与甘草等份研为粉末，每次服用二钱，空腹用黄酒送服。
一方：香附炒制四钱；五灵脂炒制二两；归尾一两二钱；共研为粉末。每次服用二钱，空腹用黄酒送服。或者用米糊制成丸药，如梧桐子大小。每次服用五十丸，空腹用醋汤送服。
一方：治疗漏下不止。用槐子烧至存性后研为粉末，空腹用温开水送服三钱即可停止。
一方：治疗崩漏如神效。童子发焙干，小桃红子不拘多少，共研为细末，用黄酒送服。
一方：治疗经血崩漏不止。狗头骨烧成灰，罗筛极细，用好无灰黄酒一钟，用灰一分；两钟酒用二分灰；三钟酒用三分灰。如果仍不止血，照常服用七钟酒，用七分灰，神效。
一位妇人崩漏，面色黄或赤，时常感觉腰部、脐下疼痛，四肢困倦，烦热不安，月经来潮前先发寒战发热、两胁如被束缚感。这是脾胃亏损，元气下陷，加上相火、湿热下迫所致。使用补中益气汤加防风、芍药、炒黑黄柏，兼服归脾汤而痊愈。（补中益气汤方见内伤篇，归脾汤方见健忘篇。）
一位女子，漏下恶血，月经不调，或突然崩漏不止，多排出水浆样物质，或白带脱漏不止。皆因饮食不节制、劳倦所伤；或者素有心气不足，导致心火乘袭脾土，必然出现怠惰嗜卧、困倦乏力、气短气急。脾主滋养周身。脾胃虚弱而心包之火乘袭，所以漏下且月事不调，况且脾胃是气血阴阳的根本。应当除湿去热，抑制风气，使脾气伸展以胜湿。又说：“火郁则发之”。使用补中益气汤去掉陈皮、人参、白术，加入苍术、藁本、防风、羌活、独活、蔓荆子。
补遗方：
樗白汤：治疗崩漏不止。
组成：樗白皮（即臭椿根皮二钱，涩血止血）、枯芩（一钱半，凉血止血）、熟地黄（一钱，补血）、当归头（一钱半，止血）、地榆（一钱，收敛止血）、川芎（一钱）、白芍（酒炒，八分）、生地黄（七分）、伏龙肝（一钱）、艾叶（炒，六分）。
以上药材锉碎为一剂，用水二钟，醋一匙，煎至八分，空腹服用。三五剂后即可停止。
Pulse: For leukorrhea (vaginal discharge) and Bengzhong (sudden heavy uterine bleeding), the pulse is often floating and weak; a deficiency and slow pulse indicates a favorable prognosis, while a full and rapid pulse indicates severe illness.
Benglou (uterine bleeding that is either sudden and heavy or prolonged and scanty) differs according to whether it is recent or chronic, and whether it is excess or deficiency. If it begins with damp-heat, detoxification and heat-clearing are appropriate. Use Coptis Rhizome (Huanglian), Scutellaria Root (Huangqin), Phellodendron Bark (Huangbai), Rehmannia Root (Shengdihuang), and Polygonum Multiflorum Stem (Puhuang). The above herbs are coarsely crushed for one dose, decocted in water, and taken on an empty stomach.
Treatment for uterine bleeding in women. Women over forty who experience excessive grief may suffer from chest oppression and urgency, scorched and elevated lung lobes, obstruction of the Upper Jiao, and heat qi stagnating in the middle. Consequently, blood flows recklessly causing bleeding, yellowish complexion, and emaciation. It is crucial not to administer drying and heating medicines. Since heat in the blood causes reckless flow, initially treat with Huanglian Jiedu Tang (Coptis Decoction for Detoxification), followed by Liangge San (Cool the Chest Powder) combined with Siwu Tang (Four Substances Decoction) for regulation, which yields effective results.
If the condition persists and belongs to deficiency-heat, nourishing blood and clearing fire is appropriate.
Wenqing San (Warm-Clearing Powder): Treats continuous menstrual flow in women, or flow resembling bean curd dregs, mixed with five colors, sallow complexion, stabbing pain in the umbilical and abdominal regions, alternating chills and fever, and persistent benglou.
Ingredients: Angelica Sinensis Radix (Danggui), Paeonia Lactiflora Radix Alba (Baishao), Prepared Rehmannia Root (Shudihuang), Ligusticum Chuanxiong Rhizome (Chuanxiong), Coptis Rhizome (Huanglian), Scutellaria Root (Huangqin), Phellodendron Bark (Huangbai), Gardenia Fruit (Zhizi) (each 1.5 qian).
The above herbs are coarsely crushed for one dose, decocted in water, and taken on an empty stomach.
If the condition has persisted for a long time and belongs to deficiency-cold, warming and tonifying is appropriate.
Yimu Tang (Motherwort Decoction): Treats uterine bleeding in women.
Ingredients: Angelica Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), Paeonia Lactiflora Radix Alba (Baishao) (stir-fried with wine), Prepared Rehmannia Root (Shudihuang) (stir-fried with ginger juice), Scutellaria Root (Tiaohuang), Tangerine Peel (Chenpi), Cyperus Rhizome (Xiangfu) (steeped in vinegar), Donkey-hide Gelatin (Ejiao) (stir-fried with clam powder) (each 1 qian); Motherwort Herb (Yimucao), Atractylodes Macrocephala Rhizome (Baizhu) (deprived of rhizome) (each 1.5 qian); Scrophularia Root (Xuanshen), Polygonum Multiflorum Stem (Puhuang) (stir-fried) (each 0.8 qian); Licorice Root (Gancao) (0.4 qian).
The above herbs are coarsely crushed for one dose, decocted in water, and taken on an empty stomach.
Wuhui San (Five Ashes Powder): Treats unceasing bleeding progressing to uterine hemorrhage.
Ingredients: Lotus Pod Shell, Yellow Silk, Human Hair (Xueyu), Carbonized Grass Dust (Baicaoshuang), Palm Fiber.
Each ingredient is burned to ash. Add stir-fried black Gardenia Fruit, stir-fried black Polygonum Multiflorum Stem, ink, and Dragon's Blood (Xuejie). Grind all into a fine powder and mix into decocted medicine for ingestion. Alternatively, refine honey to make pills, taking fifty pills per dose, delivered with clear rice soup.
Secretly Transmitted Empirical Formulas for Treating Uterine Hemorrhage:
Formula 1: Use dry black donkey dung ground into coarse particles. Place in a jar, burn to produce smoke, and let the woman suffering from hemorrhage sit above it to inhale the smoke. After a long time, it will heal itself.
Formula 2: Burn Jingmo (Beijing Ink) until the smoke is gone, grind into powder, take two qian, delivered with yellow wine.
Formula 3: Burn Guanzhong (likely referring to a specific herb or part, contextually ambiguous but kept as name) to retain its nature, grind into powder, mix with yellow wine for administration.
Formula 4: Use juice from thorn buds mixed with child's urine and wine for ingestion.
Formula 5: Use three qian of dried lacquer and one qian of Trogopterorum Excrement (Wulingzhi), grind into powder, and deliver with yellow wine.
Formula 6: Burn persimmon cakes to ash, take two qian, deliver with plain boiled water.
Formula 7: Stir-fry cotton seeds until yellow, mix with equal parts of Licorice Root and Scutellaria Root, grind into powder. Take two qian per dose on an empty stomach, delivered with yellow wine.
Formula 8: Stir-fry Cyperus Rhizome (four qian); stir-fry Trogopterorum Excrement (two liang); Angelicae Sinensis Radix Caulis (Guowei) (one liang two qian). Grind together into powder. Take two qian per dose on an empty stomach with yellow wine. Or make pills with rice paste, size of paulownia seeds. Take fifty pills per dose on an empty stomach with vinegar water.
Formula 9: Treats persistent leakage. Burn Sophora Fruit (Huai Zi) to retain its nature, grind into powder. Take three qian on an empty stomach with warm boiled water to stop bleeding.
Formula 10: Treats benglou with divine efficacy. Dry human hair from boys, small peach red seeds (unlimited amount). Grind into fine powder, deliver with yellow wine.
Formula 11: Treats unceasing menstrual hemorrhage. Burn dog skull bones to ash, sift finely. Use good non-ashy yellow wine: one bell of wine uses one part ash; two bells use two parts ash; three bells use three parts ash. If bleeding does not stop, continue drinking seven bells of wine using seven parts ash. This is highly effective.
A woman suffered from benglou, with a yellow or reddish complexion, frequent pain in the waist and below the navel, fatigue in the four limbs, restlessness, and heat sensation. Before menstruation, she experienced chills and fever, and a binding sensation in both hypochondria. This was caused by spleen and stomach deficiency, sinking of primordial qi, and downward pressure from ministerial fire and damp-heat. She was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Saposhnikovia Root (Fangfeng), Paeonia Lactiflora Radix (Shaoyao), and stir-fried black Phellodendron Bark (Huangbai), concurrently taking Guipi Tang (Restore the Spleen Decoction), resulting in recovery. (See Internal Injury chapter for Buzhong Yiqi Tang formula, and Forgetfulness chapter for Guipi Tang formula.)
A young woman suffered from leakage of foul blood, irregular menstruation, or sudden unceasing hemorrhage, discharging large amounts of watery fluid, or persistent leukorrhea. All were due to irregular diet and labor-induced injury; or pre-existing heart qi deficiency leading to heart fire attacking the spleen. Symptoms included lethargy, desire to lie down, fatigue, shortness of breath, and急促 breathing. The spleen governs nourishment of the whole body. When spleen and stomach are deficient and pericardium fire attacks, leakage and irregular menstruation occur. Moreover, spleen and stomach are the root of qi, blood, yin, and yang. One must remove dampness, clear heat, and suppress wind, allowing earth qi to expand to overcome dampness. As stated: "When fire is constrained, release it." Use Buzhong Yiqi Tang removing Tangerine Peel, Codonopsis Root (Renshen), and Atractylodes Macrocephala Rhizome (Baizhu), adding Atractylodes Lancea Rhizome (Cangzhu), Libanotis Root (Ben), Saposhnikovia Root (Fangfeng), Notopterygium Rhizome (Qianghuo), Angelica Dahurica Root (Duohuo), and Vitex Fruit (Manjingzi).
Supplementary Formulas:
Chubai Tang (Tree-of-Heaven Bark Decoction): Treats unceasing benglou.
Ingredients: Tree-of-Heaven Bark (Chubai Pi) (i.e., Ailanthus Root Bark, two qian, astringes blood), Dried Scutellaria Root (Kuhuang), one and a half qian, clears heat and cools blood); Prepared Rehmannia Root (Shudihuang) (one qian, nourishes blood); Angelica Sinensis Radix Head (Danggui Tou) (one and a half qian, stops bleeding); Sanguisorba Root (Diyu) (one qian, consolidates blood); Ligusticum Chuanxiong Rhizome (Chuanxiong) (one qian); Paeonia Lactiflora Radix Alba (Baishao) (wine-fried, eight fen); Rehmannia Root (Shengdihuang) (seven fen); Long Earth (Fulonggan) (one qian); Mugwort Leaf (Aiye) (stir-fried, six fen).
The above herbs are coarsely crushed for one dose. Use two zhong of water and one spoonful of vinegar, decoct until eight fen remains. Take on an empty stomach. Bleeding will stop after three to five doses.