凡血崩，血脱宜益气，先以补中益气汤减当归，加炮姜，腰痛加杜仲、续断；后用十全
大补汤，稍加血药，微加陈皮开之。
凡血崩先多后少者血热，先少后多者肾虚。盖肾主二便而司开阖也。病后见崩，不属于
肾而属于脾，人参、黄 各七分，甘草五分，白芍一钱，炮姜、五味各四分，熟地八分，煎
血崩二三七不愈。保元汤加阿胶、续断、杜仲、艾叶，煎服。
血崩，黄 醋炙黑色，熬膏服有效。又香附二两，槐黄四钱，莲子壳（烧存性）三钱，老
米糊丸，米汤下。先用山药三钱，为末，酒下，服至五两后，始服丸，极效。
血崩昏，蚕砂一两，阿胶一两，伏龙肝五钱，共末，温酒下三钱以醒为度。
血崩后血积成瘕，威灵仙一两，南星、甘遂、白芥子各五钱，伏龙肝一两，麝香六厘，
共末，丸重一钱，朱砂为衣。临时酒化服，三五次即愈。此病痛不可忍也。
验案
一女下血不止，此脾不能统血也。若专治脾，又难见效。盖血既下行，则下焦小肠，膀
胱皆不固，而心火为之不宁矣。心不宁则邪火溢于小肠，血不能升而下行矣。下行由膀胱之
气不升，而浊气凝滞，故血行于下焦也。宜归脾汤调之。
白带属脾肺两虚，宜温肺养脾。治之不早，必变潮热等证，治之最难。宜保元汤温暖肺
气，腹中痛加炮姜，胀痛加艾叶、阿胶。赤带补中益气汤加赤芍、红花；赤白带八味丸。
赤带赤葵花，白带白葵花，为末酒服。
热入小肠则赤带，热入大肠则白带，皆肾脉虚也。宜用苦楝子、小茴、归身各五钱，酒
糊丸，空心温酒下。
验案
一女人知饥饿，白带时多时少，神思昏倦，头晕，乃痰之为病也。宜大升大举之。白术
生用二两，人参、甘草、川芎、砂仁、陈皮各五钱，半夏、白芍、茯苓、归身各一两，蜜丸
凡是血崩（阴道大量出血），因失血导致气随血脱，应当采用益气固脱的方法。首先使用补中益气汤（具有补中益气、升阳举陷功效的方剂）并减去当归，加入炮姜；若伴有腰痛，再加杜仲和续断。之后改用十全大补汤（具有温补气血功效的方剂），稍微加入一些补血药物，并微量加入陈皮以理气开郁。
凡是血崩表现为先多后少的，属于血热；先少后多的，属于肾虚。因为肾主管二便并司职开阖功能。病后出现血崩，病位不属于肾而属于脾。用人参、黄芪各七分，甘草五分，白芍一钱，炮姜、五味子各四分，熟地黄八分，煎服。如果血崩持续两三天不愈，可用保元汤（具有补气助阳功效的方剂）加入阿胶、续断、杜仲、艾叶，煎服。
治疗血崩，将黄芪用醋炙至黑色，熬成膏服用有效。另外，取香附二两，槐花四钱，莲子壳（烧存性）三钱，用老米糊制成丸药，米汤送服。先用山药三钱研末，酒送服，服完五两后，才开始服用丸药，效果极佳。
血崩导致昏迷者，用蚕砂一两，阿胶一两，伏龙肝五钱，共研为细末，用温酒送服三钱，以患者苏醒为度。
血崩后血液积聚形成瘕块（腹内结块），用威灵仙一两，天南星、甘遂、白芥子各五钱，伏龙肝一两，麝香六厘，共研为细末，制成每丸重一钱的丸药，以朱砂为衣。发病时化开酒服，三五次即可痊愈。这种病痛难以忍受。
验案：
一名女子下血不止，这是脾脏不能统摄血液所致。如果专门治疗脾脏，又难以见效。因为血液既然下行，则下焦的小肠、膀胱都不坚固，从而导致心火不安。心不安宁，则邪火溢入小肠，血液不能上升反而下行。血液下行是因为膀胱之气不能上升，浊气凝滞，所以血液运行于下焦。适宜用归脾汤（具有益气补血、健脾养心功效的方剂）调理。
白带属于脾肺两虚，应当温肺养脾。治疗不及时，必然转变为潮热等症状，届时最难治疗。适宜用保元汤温暖肺气，腹部疼痛加炮姜，胀痛加艾叶、阿胶。赤带（血色白带）用补中益气汤加赤芍、红花；赤白带用八味丸（即金匮肾气丸）。赤葵花治赤带，白葵花治白带，研末后用酒送服。
热邪侵入小肠则出现赤带，热邪侵入大肠则出现白带，这都是肾脉虚弱的表现。适宜用苦楝子、小茴香、当归身各五钱，用酒糊制成丸药，空腹时用温酒送服。
验案：
一名女性感到饥饿，白带时多时少，精神昏沉疲倦，头晕，这是痰湿致病所致。应当采用大力升提举陷的方法。生白术二两，人参、甘草、川芎、砂仁、陈皮各五钱，半夏、白芍、茯苓、当归身各一两，蜂蜜制丸。
For metrorrhagia (uterine bleeding), when blood loss leads to Qi deficiency, it is appropriate to tonify Qi. Initially, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) by removing Danggui (Angelicae Sinensis Radix) and adding Paojiang (Prepared Zingiberis Rhizoma); if accompanied by lower back pain, add Duzhong (Eucommiae Cortex) and Xuduan (Dipsaci Radix). Subsequently, switch to Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction), slightly adding blood-nourishing herbs, and a small amount of Chenpi (Citri Reticulatae Pericarpium) to regulate Qi and open stagnation.
When metrorrhagia presents as heavy flow initially followed by light flow, it indicates Blood Heat; when it starts light and becomes heavy, it indicates Kidney Deficiency. This is because the Kidney governs the two orifices (urination and defecation) and controls opening and closing. Metrorrhagia occurring after an illness belongs to the Spleen rather than the Kidney. Use Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix) each 7 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 5 fen, Baishao (Paeoniae Radix Alba) 1 qian, Paojiang (Prepared Zingiberis Rhizoma) and Wuweizi (Schisandrae Fructus) each 4 fen, Shudi (Rehmanniae Radix Preparata) 8 fen, decocted and taken orally. If metrorrhagia persists for two or three days without improvement, use Baoyuan Tang (Protect the Origin Decoction) added with Ejiao (Asini Corii Colla), Xuduan (Dipsaci Radix), Duzhong (Eucommiae Cortex), and Aye (Artemisiae Argyi Folium), decocted and taken orally.
For treating metrorrhagia, Huangqi (Astragali Radix) stir-fried with vinegar until blackened and processed into a paste is effective. Alternatively, take Xiangfu (Cyperi Rhizoma) 2 liang, Huaihua (Sophorae Flos) 4 qian, Lianziqiao (Nelumbinis Nuciferae Epicotyl) charred to retain its properties 3 qian, formed into pills with old rice paste, and taken down with rice water. First, take Shan Yao (Dioscoreae Rhizoma) 3 qian ground into powder, taken down with wine. After consuming five liang, begin taking the pills; this method is extremely effective.
In cases of metrorrhagia leading to syncope, use Can Sha (Bombyx Batryticatus) 1 liang, Ejiao (Asini Corii Colla) 1 liang, Fulonggan (Dragon's Liver) 5 qian, ground into fine powder, and taken down with warm wine in doses of 3 qian, stopping when the patient regains consciousness.
After metrorrhagia, accumulated blood may form masses (abdominal masses). Use Weilingxian (Syneilesidis Herba) 1 liang, Nanting (Arisomatis Rhizoma), Gansui (Euphorbiae Hussonis Radix), Baijiezi (Sinapis Semen) each 5 qian, Fulonggan (Dragon's Liver) 1 liang, and Shexiang (Moschus) 6 li, ground into powder, formed into pills weighing 1 qian each, coated with Zhusha (Cinnabar). When symptoms occur, dissolve in wine and take orally; recovery occurs after three to five doses. This condition causes unbearable pain.
Clinical Case:
A female patient suffered from continuous uterine bleeding due to the Spleen's failure to control blood. Treating only the Spleen would be ineffective. Since the blood flows downward, the Lower Jiao (Lower Burner), including the Small Intestine and Bladder, become insecure, causing Heart Fire to become restless. When the Heart is restless, pathogenic fire overflows into the Small Intestine, preventing blood from ascending and causing it to flow downward. The downward flow occurs because Qi of the Bladder fails to ascend, leading to stagnation of turbid Qi, thus blood circulates in the Lower Jiao. It is suitable to regulate with Guipi Tang (Restore the Spleen Decoction).
Leukorrhea (vaginal discharge) belongs to deficiency of both Spleen and Lung, requiring warming the Lung and nourishing the Spleen. If treatment is delayed, it will inevitably transform into tidal fever and other symptoms, making it difficult to treat. It is suitable to use Baoyuan Tang (Protect the Origin Decoction) to warm Lung Qi; add Paojiang (Prepared Zingiberis Rhizoma) for abdominal pain, and Aye (Artemisiae Argyi Folium) and Ejiao (Asini Corii Colla) for distending pain. For red leukorrhea (bloody vaginal discharge), use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Chishao (Paeoniae Radix Rubra) and Honghua (Carthami Flos); for mixed red and white leukorrhea, use Bawei Wan (Eight-Ingredient Pill). Red sunflower flowers treat red leukorrhea, white sunflower flowers treat white leukorrhea; grind into powder and take down with wine.
Heat entering the Small Intestine results in red leukorrhea, while heat entering the Large Intestine results in white leukorrhea; both indicate deficiency of the Kidney pulse. It is suitable to use Koushenzi (Meliae Toosendan Fructus), Xiaohui (Foeniculi Fructus), and Guishen (Angelicae Sinensis Radix) each 5 qian, formed into pills with wine paste, and taken down with warm wine on an empty stomach.
Clinical Case:
A female patient felt hungry, had variable amounts of leukorrhea, mental dullness and fatigue, and dizziness. This is a disease caused by Phlegm. It requires strong lifting and raising methods. Use raw Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Sharen (Amomi Fructus Rotundus), and Chenpi (Citri Reticulatae Pericarpium) each 5 qian, Banxia (Pinelliae Rhizoma), Baishao (Paeoniae Radix Alba), Fuling (Poria), and Guishen (Angelicae Sinensis Radix) each 1 liang, formed into pills with honey.