崩漏之疾，本乎一证。轻者谓之漏下，甚者谓之崩中。且平居妇人，经脉调适，冲任二
脉，
大伤于肝。盖肝为血之府库，喜怒劳役，一或伤之，肝不能藏血于宫，宫不能传血于海，所
以崩中漏下。漏下者，淋沥不断是也。崩中者，忽然暴下，乃漏证之甚者。其状或如豚肝
，或成五色，与血俱下，又或如泔涕，如烂瓜汁，又或如豆羹汁，如蓝靛色。至有黑如干血
相杂，亦有纯下瘀血者，此皆冲任虚损，喜怒劳役之过，致
肌瘦，虚烦口干，脐腹冷痛，吐逆不食，四肢虚困，甚则为
弦则为减，大则为芤，减则为寒，芤则为虚，寒虚相搏，
虚者漏血，漏血脉浮者不可治，治之之法，调养冲任，镇
养百脉，外为月事，自无崩中漏下之患矣。
又论∶崩漏之疾，本乎一证，然有轻重之别焉。轻者谓之漏下，漏下者淋沥不断是也。
重者
而然
四
乃
血
羹
丹作效
作效，
肢，冰得日，则烘消成水，血凝得丹而流畅，火之力也。大
效。倘或疑而未敢轻用，先进阳起石丸，服之二日未效，却
二七天癸当至，也有当至而未至者，近十八九左右方行者
若崩漏者，却又不宜服前二药也。惟当以四物汤加香附子
去熟地黄，加生地黄煎。临病之际，又在乎审处之。
崩漏这一疾病，本质上属于同一类证候。病情较轻的称为“漏下”，病情严重的称为“崩中”。
一般妇女平时月经周期规律、经量适中，但如果冲脉和任脉（调节月经和生殖的两条重要经脉）受到严重损伤，尤其是肝脏受损，就会引发此病。因为肝是储存血液的脏腑，如果因喜怒过度或劳累劳役而伤及肝脏，导致肝不能将血液固摄在子宫，子宫也不能正常输送血液至血海（指冲脉，为血之海），从而出现崩中和漏下。
所谓漏下，是指阴道出血淋漓不断。所谓崩中，是指突然大量出血，这是漏下证候中最为严重的情况。其出血性状有的像猪肝一样暗红，有的呈现五色混杂，与血液一同排出；或者像米泔水样的鼻涕状物，像腐烂的瓜汁，又像豆羹汁，或者像蓝靛的颜色。甚至有黑色如干血块相杂的情况，也有纯粹排出瘀血的。这些都是由于冲任二脉虚弱受损，加上喜怒失调和劳累过度的过错，导致身体消瘦，心中虚烦、口干，脐部和腹部冷痛，呕吐逆气、无法进食，四肢虚弱困倦。
（诊察时）若脉象弦紧则说明邪气盛，脉象减弱则说明正气虚；脉象大则提示中空无力（芤脉），脉象弱则主寒，芤脉主虚。寒与虚相互搏结，虚证会导致漏血。如果漏血患者的脉象浮大无根，则难以治疗。治疗的方法，在于调养冲任二脉，滋养全身血脉，使外在的月经恢复正常，自然就没有崩中和漏下的祸患了。
另外论述：崩漏这一疾病，本质上是同一类证候，然而有轻重之分。轻的称为漏下，漏下就是指出血淋漓不断。重的……（原文此处有缺漏/错乱）……四……乃……血……羹……丹作效……作效……肢，冰得日，则烘消成水，血凝得丹而流畅，火之力也。大效。倘或怀疑而不敢轻易使用，先进服阳起石丸，服用两天后如果没有效果，再……
二七天癸（指女性月经初潮或生殖机能成熟的标志）应当到来，也有应当到来却没有到来的，接近十八九岁左右才来月经的……如果是崩漏患者，却又不宜服用前两种药物。只应当用四物汤加入香附子，去掉熟地黄，加入生地黄煎煮。面对具体病情时，又在于仔细审慎地处理。
The disease of *beng lou* (metrorrhagia and metrostaxis) essentially stems from a single syndrome. The mild form is called *lou xia* (dripping down), while the severe form is called *beng zhong* (sudden collapse).
Generally, women have regular menstrual cycles and appropriate flow. However, if the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel)—two important meridians regulating menstruation and reproduction—are severely damaged, particularly due to liver injury, this condition arises. Since the Liver serves as the repository for blood, excessive anger or joy, along with physical exertion and fatigue, can injure it. When the Liver fails to store blood in the uterus, and the uterus fails to transmit blood to the Sea of Blood (referring to the Chong Mai, which acts as the reservoir of blood), *beng zhong* and *lou xia* occur.
*Lou xia* refers to vaginal bleeding that drips continuously. *Beng zhong* refers to sudden, massive hemorrhage, representing the most severe manifestation of the *lou* syndrome. The discharge may resemble dark red pig liver, appear mixed with five colors, and be expelled together with blood; or it may look like mucus resembling rice water, juice from rotting melons, bean soup broth, or the color of indigo. There are cases where black clots resembling dried blood are mixed in, or pure blood stasis is discharged. These conditions all result from deficiency and damage to the Chong and Ren meridians, compounded by emotional imbalance and overexertion. Symptoms include emaciation, mental restlessness with dry mouth, cold pain in the umbilical and abdominal regions, vomiting and inability to eat, and weakness and fatigue in the four limbs.
Regarding pulse diagnosis: a wiry (*xian*) pulse indicates excess pathogenic factors, while a weakened pulse indicates deficiency; a large pulse suggests emptiness (Kou pulse), a weak pulse indicates cold, and a Kou pulse indicates deficiency. Cold and deficiency interact mutually, leading to leakage of blood in deficiency patterns. If the pulse of a patient with leaking blood is floating and rootless, it is difficult to treat. The therapeutic method lies in nourishing and regulating the Chong and Ren meridians, and nourishing the hundred vessels. Once external menstruation returns to normal, there will naturally be no worry of *beng zhong* or *lou xia*.
Furthermore, it is discussed that the disease of *beng lou* essentially belongs to one syndrome, yet there are distinctions in severity. The mild form is called *lou xia*, which refers to continuous dripping bleeding. The severe form... [Text contains lacunae/corruptions] ...four... namely... blood... broth... Dan makes efficacy... makes efficacy... limbs, ice obtained by sun, then bakes and melts into water, blood coagulation obtains Dan and becomes smooth, the power of fire. Great efficacy. If one doubts and dares not use it lightly, first administer Yangqi Shi Wan (Yangqi Stone Pill); after two days of administration, if there is no effect, then...
At age fourteen (2x7), Tian Gui (the substance essential for reproductive maturity/menstruation) should arrive. There are cases where it should arrive but does not, or arrives only around eighteen or nineteen years old. If the patient suffers from *beng lou*, they should not take the previous two medicines. Instead, Si Wu Tang (Four Substances Decoction) should be used with Xiang Fu Zi (Cyperus Rhizome) added, Shu Di Huang (Prepared Rehmannia Root) removed, and Sheng Di Huang (Fresh Rehmannia Root) added for decoction. In clinical practice, careful judgment is required.