胎前有病症，重在保胎。产后有病症，重在温补。此至稳至当之理。
崩漏不止，经乱之甚者也。盖非时下血，淋沥不止，谓之漏下。忽然暴下，若山崩然，
谓之
崩中。由漏而淋，由淋而崩，总因血病。凡崩漏初起，治宜先止血，以塞其流，加减四物汤
十灰丸主之。崩漏初止，又宜清热，以清其源，地黄汤或奇效四物汤主之。崩漏既止，里热
已除，更宜补血气以端其本，加减补中益气汤主之。要知崩漏皆由中气虚，不能受敛其血
，加以积热在里，迫血妄行，或不时血下，或忽然暴下，为崩为漏，此证初起，宜先止血以
塞其流，急则治其标也。血既止矣，如不清源，则滔天之势，必不可遏。热既清矣，如不端
本，则散失之阳，无以自持。故治崩漏之法，必守此三者，次第治之，庶不致误。先贤有云
∶治下血证，须用四君子辈以收功，其旨深矣。
近来诸医误信产后属寒之说，凡产后无不用炮姜、熟地、肉桂、人参等药。不知产后，
血脱
，无不立毙。我见甚多，案中绝无此弊。足征学有渊源，惟善用人参，而少用血药，消痰清
体之法，尚未见及，则有未到也。
崩乃经脉错乱，实系冲任伤损，不能约束经血而然。治宜大补气血，当用举元益血丹峻
补本
源，少加清热之药，以治其标。补阴泻阳，而崩自止。若血热妄行，脉实有力，血气臭秽者
，方用四物凉膈散，入生韭汁调服。然治血药，切忌纯用寒凉，以血见冷即凝故也。如血崩
初起，遽止则有积聚凝滞之忧，不止则有眩晕卒倒之患。必须行中带止，庶无后患。然既止
之后，必服八珍汤以收功。
古人治胎有证，每将人参、砂仁同用，取其一补一顺，则气旺而无堕胎之患，顺则气和
而无难产之忧，甚良法也。
因女子以肝为先天。阴性凝结，易于拂郁，郁则气滞，血亦滞也。木病必妨土，故次重
脾胃
系由营气大脱，不论有邪无邪，必养血为主。其行瘀消痰，降火驱风，种种治法，皆从血分
中推出，变化不离本宫。
怀孕前出现病症，治疗重点在于保胎。产后出现病症，治疗重点在于温补。这是非常稳妥且恰当的道理。
崩漏不止，是月经紊乱中最为严重的情况。非经期出血，淋漓不断，称为“漏下”。突然大量出血，如同山崩一般，称为“崩中”。由漏下发展为淋沥，由淋沥发展为崩中，总归都是血分病变。凡是崩漏初起，治疗应当先止血，以堵塞其流（治标），用加减四物汤或十灰丸为主方。崩漏刚刚停止，又应当清热，以清除其源头（治本），用地黄汤或奇效四物汤为主方。崩漏已经停止，里热已经消除，更应当补血气以稳固其根本（治本），用加减补中益气汤为主方。要知道，崩漏皆因中气虚弱，不能收敛血液，加上积热在体内，逼迫血液妄行，导致不时出血或突然暴下，形成崩或漏。此证初起，宜先止血以堵塞其流，这是急则治其标的原则。血液既已止住，如不清除热源，那么滔天的势头必然无法遏制。热邪既已清除，如不稳固根本，那么散失的阳气将无法自我维持。所以治疗崩漏的方法，必须坚守这三步，按次序治疗，才不至于出错。先贤曾说：“治疗下血证，必须用四君子汤这类方剂来收功”，其中的旨意深远啊。
近来许多医生误信产后属于寒证的理论，凡是产后无不使用炮姜、熟地、肉桂、人参等药物。却不知道产后血脱，若只用这些药，没有不立即导致死亡的。我见到的案例很多，我的医案中绝无这种弊端。这足以证明学问有渊源的人，只善于使用人参，而少用补血药，至于消痰清体的方法，尚未见到有人顾及，这说明他们还有不足之处。
崩证乃是经脉错乱，实则是冲任二脉损伤，不能约束经血所致。治疗应当大补气血，当用举元益血丹峻补本源，稍加清热药物，以治其标。通过补阴泻阳，崩证自然停止。如果是血热妄行，脉象实有力，血液气味臭秽的，才使用四物凉膈散，加入生韭菜汁调服。然而治疗血证，切忌纯用寒凉药物，因为血液遇到寒冷就会凝结的缘故。如果血崩初起，就急于止住，则有积聚凝滞的担忧；不止住，则有眩晕猝然倒地的祸患。必须在活血的同时兼顾止血，这样才没有后患。然而既然已经止住之后，必须服用八珍汤来收功。
古人治疗胎前有病症，常常将人参、砂仁同用，取其一补一顺的作用，这样气旺就不会有堕胎的隐患，气顺则气和，不会有难产的忧虑，是很好的方法。
因为女子以肝为先天。肝性属阴，容易凝结，易于拂郁，郁结则气滞，血液也随之停滞。肝病必然妨碍脾土，所以其次重视脾胃。这是由于营气大量脱失，不论是否有外邪，必须以养血为主。那些行瘀、消痰、降火、驱风等各种治疗方法，都是从血分中推导出来的，变化不离根本。
During pregnancy, if symptoms arise, the emphasis is on preserving the fetus. After childbirth, if symptoms arise, the emphasis is on warming and tonifying. This is a very stable and appropriate principle.
Unceasing metrorrhagia and metrostaxis (Beng Lou) represent the most severe form of menstrual irregularity. Non-cyclical bleeding that drips continuously is called "Lou Xia" (Leaking Down). Sudden profuse bleeding, resembling a landslide, is called "Beng Zhong" (Central Collapse). Progressing from leaking to dripping, and from dripping to collapsing, it is fundamentally a disorder of the blood. In the initial stage of metrorrhagia and metrostaxis, treatment should prioritize stopping the bleeding to block the flow (treating the branch), using Modified Siwu Decoction or Shihui Wan as the primary formula. Once the bleeding has just stopped, heat-clearing is required to clear the source (treating the root), using Dihuang Tang or Qixiao Siwu Tang as the primary formula. After the bleeding has ceased and internal heat has been eliminated, further treatment should focus on tonifying blood and qi to stabilize the root, using Modified Buzhong Yiqi Tang as the primary formula. It must be understood that metrorrhagia and metrostaxis are caused by deficiency of Middle Qi, which fails to contain the blood, combined with accumulated heat in the interior forcing blood to move recklessly, resulting in intermittent or sudden profuse bleeding, constituting Beng or Lou. In the initial stage of this condition, one should first stop the bleeding to block the flow; this is the principle of treating the branch in acute situations. Once the blood has stopped, if the source is not cleared, the torrential momentum cannot be restrained. Once the heat is cleared, if the root is not stabilized, the scattered Yang Qi will have no means to sustain itself. Therefore, the method for treating metrorrhagia and metrostaxis must adhere to these three steps, treated in sequence, so as to avoid errors. The sages said: "In treating lower bleeding syndromes, one must use formulas like Sizijunzi Tang to conclude the treatment," the implication of which is profound.
Recently, many physicians have mistakenly believed that postpartum conditions belong to Cold patterns. Consequently, they invariably use processed ginger (Pao Jiang), prepared rehmannia (Shu Di), cinnamon bark (Rou Gui), and ginseng (Ren Shen) for all postpartum cases. They do not realize that postpartum blood depletion, if treated solely with such warming and tonifying herbs without considering the blood loss, can lead to immediate death. I have seen many such cases, but my medical records absolutely do not contain such errors. This proves that those with profound scholarly foundations know how to skillfully use Ren Shen while minimizing the use of blood-tonifying herbs. As for methods to resolve phlegm and clear the constitution, these have yet to be fully appreciated, indicating a deficiency in their knowledge.
Beng syndrome involves the disarray of meridians and collaterals, actually stemming from damage to the Chong and Ren vessels, which fail to constrain menstrual blood. Treatment should involve massive tonification of Qi and Blood. One should use Juyuan Yixue Dan to vigorously tonify the source, adding a small amount of heat-clearing herbs to treat the branch. By nourishing Yin and draining Yang, the Beng will naturally cease. If the condition is due to reckless movement of blood caused by Heat, with a solid and forceful pulse and foul-smelling blood, then Siwu Liangge San should be used, mixed with fresh leek juice for administration. However, when treating blood disorders, one must strictly avoid using purely cold-natured herbs, because blood coagulates upon encountering cold. If metrorrhagia is abruptly stopped at the onset, there is a risk of accumulation and stagnation; if it is not stopped, there is a danger of dizziness and sudden collapse. One must employ methods that move blood while simultaneously stopping bleeding, thus avoiding future complications. After the bleeding has stopped, one must administer Bazhen Tang to conclude the treatment.
Ancients, when treating conditions during pregnancy, often combined Ren Shen (Ginseng) and Sha Ren (Amomum Fruit), taking advantage of one's tonifying nature and the other's regulating nature. This ensures robust Qi without the risk of miscarriage, and harmonious Qi without the worry of difficult labor. It is an excellent method.
Because women regard the Liver as their先天 (Primary Foundation). The Liver's nature is Yin, prone to condensation and depression. Depression leads to Qi stagnation, and consequently, Blood stagnation. Liver pathology inevitably affects the Spleen and Stomach (Earth element); therefore, secondary importance is placed on the Spleen and Stomach. This arises because Ying Qi (Nutritive Qi) has suffered massive depletion. Regardless of whether external pathogens are present, the primary approach must be to nourish the Blood. Various treatment methods such as moving blood stasis, resolving phlegm, descending fire, and expelling wind are all derived from the Blood aspect, and their variations remain rooted in the fundamental organ systems.