论曰内经曰，有病胸胁支满者，妨于食，病至则先闻腥臊臭，出清液，先唾血，四肢清
，目眩，时时前后血，病名血枯，此得之年少时，有所大脱血，若醉入房中，气竭肝伤，故
月事衰少不来也，夫肝藏血，受天一之气，以为滋荣者也，其经上贯膈布胁肋，今脱血失精
，肝气已伤，故血枯涸而不荣，胸胁支满，以经络所贯然也，妨于食，则以肝病传于脾胃，
病至则先闻腥臊臭，出清液，以肝病而肺乘之，先唾血，四肢清，目眩，时时前后血，皆肝
病血伤之证也。
治妇人血枯，胸胁支满，妨于食饮，病至即闻腥臊之气，先唾血出清液，或前后泄血，
四肢清，目眩转，月事衰少不来。乌贼鱼骨丸方
乌贼鱼骨（去甲四两） 茹（一两）
上二味，捣罗为末，用雀卵不拘数，和成剂令得所，丸如小豆大，每服五丸，加至十丸
，以鲍鱼汤下，后以饭食压之。
治妇人胸胁支满，闻腥臊气，唾血目眩，不进饮食，泄血不已，日久使血枯燥。肉苁蓉
丸方
肉苁蓉（酒浸切焙） 熟干地黄（焙） 白茯苓（去黑皮各一两） 人参（半两） 菟
丝子（酒
上八味，捣罗为末，炼蜜为丸，如梧桐子大，每服二十丸，至三十丸，温酒或米饮下，
空心日午夜卧、各一。
治妇人先有所脱血，或醉中房劳伤肝，致使月事不来，血枯燥干/地黄汤方
熟干地黄 泽兰叶 白茯苓（去黑皮） 人参 五味子 附子（炮裂去皮脐） 当归（切
炒）
上八味，粗捣筛，每服三钱匕，才一盏，煎至七分，去滓温服，空心日午夜卧，日三。
治妇人阴气衰弱，血枯不荣，月事不来。磁石丸方
磁石（火 醋淬三七遍） 白茯苓（去黑皮） 附子（炮裂去皮脐各一两） 人参 当
归（切
上六味，捣罗为末，炼蜜为丸，如梧桐子大，每服二十丸，至三十丸，温酒或米饮下，
空心日午夜卧，日三服。
论述说：《内经》记载，有病人出现胸胁部支撑胀满的症状，影响进食；发病时先闻到腥臊气味，流出清稀液体，随后唾血，四肢发冷，头晕目眩，时常大小便出血。这种病名叫“血枯”，这是由于年轻时曾有大出血，或者醉酒后行房事，导致气竭肝伤，所以月经量少甚至闭经。肝脏贮藏血液，接受天一之气以滋养全身，其经脉上行穿过膈肌，分布于胁肋。现在因为失血耗精，肝气已受损，所以血液枯竭干涸而不能濡养身体，导致胸胁支撑胀满，这是经络循行部位所致；影响饮食，是因为肝病传变到了脾胃；发病时先闻腥臊气味、流出清液，是因为肝病导致肺金乘袭（木火刑金或肝虚肺乘）；唾血、四肢发冷、头晕目眩、时常大小便出血，都是肝病伤血的证候。
治疗妇人血枯，症见胸胁支撑胀满，妨碍饮食，发病即闻到腥臊气味，先唾血流出清液，或大小便出血，四肢发冷，头晕目眩，月经量少或闭经。用乌贼鱼骨丸方。
乌贼鱼骨（去甲四两） 茹（一两）
以上两味药，捣碎过筛成粉末，用雀卵不拘数量，调和制成丸剂，大小如小豆，每次服用五丸，加至十丸，用鲍鱼汤送服，服药后用饭食压住药力。
治疗妇人胸胁支撑胀满，闻到腥臊气味，唾血头晕，不能进食，出血不止，日久导致血液干枯。用肉苁蓉丸方。
肉苁蓉（酒浸切焙） 熟干地黄（焙） 白茯苓（去黑皮各一两） 人参（半两） 菟丝子（酒浸） [原文此处似有缺漏，依常规补全语境] ... 上八味，捣碎过筛成粉末，炼蜜为丸，大小如梧桐子，每次服用二十丸，至三十丸，用温酒或米饮送服，空腹、日中、半夜、卧前各一次。[注：原文“空心日午夜卧、各一”表述较简略，意为空腹及睡前服用]
治疗妇人先前有大出血，或在醉酒后房劳伤肝，致使月经不来，血液干枯。用地黄汤方。
熟干地黄 泽兰叶 白茯苓（去黑皮） 人参 五味子 附子（炮裂去皮脐） 当归（切炒） [原文此处似有缺漏，依常规补全语境] ... 上八味，粗捣筛，每次取三钱匕，加水一盏，煎至七分，去渣温服，空腹、日中、半夜、卧前，每日三次。[注：原文“空心日午夜卧，日三”通常指一日三次，具体时辰可能因版本而异，此处依文意翻译]
治疗妇人阴气衰弱，血枯不荣，月经不来。用磁石丸方。
磁石（火煅醋淬三七遍） 白茯苓（去黑皮） 附子（炮裂去皮脐各一两） 人参 当归（切） [原文此处似有缺漏，依常规补全语境] ... 上六味，捣碎过筛成粉末，炼蜜为丸，大小如梧桐子，每次服用二十丸，至三十丸，用温酒或米饮送服，空腹、日中、半夜、卧前，每日三次。[注：原文“空心日午夜卧，日三服”表述略有歧义，通常磁石丸等补肾方多为早晚服，但此处依原文直译]
Discussion: The *Neijing* states that there is a condition where patients experience fullness and distension in the chest and hypochondrium, interfering with food intake. Upon onset, they first perceive a fishy or foul odor, discharge clear fluid, expectorate blood, suffer from cold limbs, dizziness, and frequent bleeding from both anterior (urinary) and posterior (anal) orifices. This disease is named "Blood Depletion" (Xue Ku). It originates from significant blood loss in youth, or sexual intercourse while intoxicated, leading to exhaustion of Qi and injury to the Liver. Consequently, menstruation becomes scanty or ceases entirely. The Liver stores Blood and receives the Qi of Heaven One to nourish the body. Its meridian ascends through the diaphragm and spreads over the hypochondrium. Now, due to loss of blood and essence, Liver Qi is damaged; thus, Blood becomes depleted and dry, failing to nourish the body, resulting in chest and hypochondriac fullness, which corresponds to the pathway of the meridians. Interference with eating occurs because Liver pathology transmits to the Spleen and Stomach. The perception of fishy odors and discharge of clear fluid upon onset occur because Liver pathology allows Lung Metal to overcome it. Expectoration of blood, cold limbs, dizziness, and frequent bleeding are all signs of Liver pathology involving Blood injury.
To treat women's Blood Depletion, characterized by chest and hypochondriac fullness, interference with diet, perception of fishy odors upon onset, initial expectoration of blood and discharge of clear fluid, or bleeding from anterior and posterior orifices, cold limbs, dizziness, and scanty or absent menstruation. Use the Cuttlefish Bone Pill Formula (Wuzeiyu Gu Wan Fang).
Cuttlefish Bone (Ommatoiulus/Sepiae Endoconcha, remove shell and hard parts, 4 liang) [Note: Original text says 'Ru', likely referring to a specific preparation or missing character, context implies processing].
The above two ingredients are pounded and sifted into powder. Use quail eggs in any quantity to mix and form pills, sized like small beans. Take five pills per dose, increasing to ten pills, washed down with Mullet Soup. Cover with rice meal afterwards.
To treat women's chest and hypondriac fullness, perception of fishy odors, expectoration of blood, dizziness, inability to eat, continuous bleeding, and prolonged depletion causing dry Blood. Use the Cistanche Pill Formula (Roucongrou Wan Fang).
Cistanche (Rou Cong Rong, soaked in wine, sliced, roasted) Prepared Rehmannia Root (Shu Di Huang, roasted) Poria (Bai Fu Ling, remove black skin, 1 liang each) Ginseng (Ren Shen, 0.5 liang) Dodder Seed (Tu Si Zi, soaked in wine)... [Text implies eight ingredients total].
The above eight ingredients are pounded and sifted into powder. Honey is refined to make pills, sized like paulownia seeds. Take twenty to thirty pills per dose, washed down with warm wine or rice drink. Take on an empty stomach and before sleep, once each.
To treat women who previously suffered blood loss, or injured the Liver through sexual fatigue while intoxicated, resulting in amenorrhea and dry Blood. Use the Rehmannia Decoction Formula (Dihuang Tang Fang).
Prepared Rehmannia Root (Shu Di Huang) Leaf of Lycopus (Ze Lan Ye) Poria (Bai Fu Ling, remove black skin) Ginseng (Ren Shen) Schisandra Berry (Wu Wei Zi) Aconite Root (Fu Zi, processed, peeled, umbilicus removed) Angelica Sinensis (Dang Gui, sliced, stir-fried)... [Text implies eight ingredients total].
The above eight ingredients are coarsely crushed and sieved. Take three qianbi per dose, add one zhan of water, decoct until seven-tenths remain. Strain and take warm. Take on an empty stomach and before sleep, three times daily.
To treat women with weak Yin Qi, Blood Depletion failing to nourish, and amenorrhea. Use the Magnetite Pill Formula (Cishi Wan Fang).
Magnetite (Ci Shi, calcined and quenched in vinegar seven times) Poria (Bai Fu Ling, remove black skin) Aconite Root (Fu Zi, processed, peeled, umbilicus removed, 1 liang each) Ginseng (Ren Shen) Angelica Sinensis (Dang Gui, sliced)... [Text implies six ingredients total].
The above six ingredients are pounded and sifted into powder. Honey is refined to make pills, sized like paulownia seeds. Take twenty to thirty pills per dose, washed down with warm wine or rice drink. Take on an empty stomach and before sleep, three times daily.