崩淋之病，相似而实不同，崩者如土之崩，其势大下而不禁，乃血热而兼气虚，不能收摄也
。淋者如水淋漓，艰涩而不通快，乃内郁热而气亦滞也。然崩则纯血，淋则有赤白沙石之异
，赤者属血，白者属气，沙石者，气血之尤浊者也。治此病者，惟调其气血，清其内热而已
。
郑文康曰∶妇人暴崩下血，此因肾水阴虚，不镇制胞络相火，故血走而崩也，凉血地黄汤主
之。然此症多起于内伤，若小腹不痛，只宜此药，或八物汤加芩连。若痛者，先宜大剂四物
汤，归身、白芍、川芎倍之，加醋制香附。若用补药，宜补宫汤加芩连。又血崩证有二说∶
瘀血也，空痛也。瘀血者，体必作寒热；空痛者，不作寒热也，瘀血则当去，空痛则当补。
亦有血海虚寒，外乘风冷，搏结不散，血气成块而得之，宜神仙聚宝丹。又有血气损而得之
者，凝聚成块，七 八瘕，上则气逆呕吐，下则泻痢五血，宜内炙散。血崩之人，如服煎药
不效者，火也，三黄汤主之，去大黄，加黄柏。如妇人血崩不止，乃冲任虚弱，脏腑虚冷所
致也。亦有小腹急痛，兼下赤白带，宜加减吴萸汤，或艾煎丸。若去血过多，气血不足，四
肢倦怠，宜增损四物汤。盖妇人血漏血脱，则宜固气，此古圣之心法也。先补胃气，以助生
发之源，诸甘药为之先务，益胃升阳汤是也。此药人皆认以为补气，殊不知甘能生血，此亦
阳生阴长之理也。又人身以谷为宝，药料须视其食之多寡而轻重之，毋令药气胜于谷气乃妙
耳。如腹痛，加乌药三分，官桂少许。口渴者，加葛根三分。如妇人年老血崩，八物汤加芩
连。此一时急救之药也，必先顾其胃气为妙，如血崩，服煎剂不止，易用散子之药，如棕灰
锅底墨，炒黑山栀、槐花、侧柏、人参、黄 、甘草之类为末，童便送下。若以为丸更妙，
或用小蓟汁、藕汁调服。经曰∶带下血崩，脉多浮动虚迟者生，实数者重。诀曰∶生地合蒲
黄，黄芩黄柏凉，人参兼五味，解毒细煎汤，水煮空心服，崩中带下良。暴者属血热，宜养
血清火，治宜温清散。血崩月久属虚寒，又宜温补，宜益母汤。其寸口脉弦而大，弦则为减
，大则为芤，减则为寒，芤则为虚，寒虚相搏，此名曰革。
温清散
归身 熟地 白芍 黄连 黄芩 川芎 山栀（炒） 黄柏（盐炒，各一钱）
水煎服。
益母汤 凉血补血。
熟地 陈皮 香附 阿胶 益母草 白术 蒲黄 甘草 黄芩（各一钱）
水煎，空心服。
五灰散 凉血止血
莲房灰 黄绢灰 血余 百草霜 棕灰 白芨
为末，蜜丸，米饮下。
张三锡曰∶崩有五种，青崩如蓝色，黄崩如烂瓜，赤崩如绛泽，白崩如涕液，黑崩如瘀血。
崩漏不止，四物加炒白术、参、 、香附、炒地榆、炒蒲黄、棕灰、升麻、血余、水煎。头
昏项强者，四物汤加柴胡、防风。虚冷清泻者，四物汤加官桂、附子、姜、枣，水煎。胃虚
呕吐者，四物加人参、白术。虚烦不眠者，四物加人参、淡竹叶。发寒热者，四物加柴胡。
崩中漏下五色者，用赤石脂禹余粮汤。
槐芩散 治崩中不止
炒槐米（三两） 黄芩（二两）
炒研为末，每服五钱，霹雳酒调服。
赤石脂禹余粮汤
赤石脂（ ） 禹余粮（ ） 牡蛎（ ） 乌贼骨（去甲） 伏龙肝 上肉桂（各等分）
为细末，酒调服。
凫柴散 专治妇女血崩。
地栗每岁用一个，烧灰存性研服，温酒送下。
补宫汤 治血崩，身发寒热。
熟地 白芍 阿胶 地榆 艾叶 川芎 归身
水煎服。
又方（亦名补宫汤） 治崩淋，冲任虚损。
赤石脂 地榆 归身 艾叶 甘草 石菖蒲 白芍 川芎 蒲黄（炒） 熟地 小蓟
水煎，冲热酒半杯服。
益胃升阳汤
人参 白术 黄 当归 陈皮 黄芩 升麻 柴胡 甘草 神曲 姜 枣
水煎服。
三黄汤
黄芩 黄连 黄柏（盐水炒）
百补汤 治血淋。
大熟地 当归 川芎 白芍 阿胶 新会皮 地榆（炒炭） 水煎服。
崩证与淋证，症状相似但实质不同。崩证如同土崩，出血量大且无法控制，这是由于血热兼有气虚，导致气血不能固摄所致。淋证则像水淋漓不尽，排尿艰涩且不痛快，这是因为体内郁热且气机阻滞。然而，崩证排出的是纯血，而淋证则有赤、白、沙、石的区别。其中，赤色属血，白色属气，沙石则是气血中最为浑浊的部分。治疗这类疾病，只需调理气血，清除体内的内热即可。
郑文康说：妇女突发大量崩漏下血，这是因为肾水阴虚，无法制约胞络中的相火，导致血液妄行而崩漏，应使用凉血地黄汤主治。然而此症多由内伤引起，如果小腹不痛，只宜用此药，或者在八物汤中加入黄芩、黄连。如果腹痛，应先使用大剂量的四物汤，将当归身、白芍、川芎加倍，并加入醋制的香附。如果使用补药，宜用补宫汤加入黄芩、黄连。此外，关于血崩证有两种说法：一是瘀血，二是空痛。患有瘀血者，身体必定会出现寒热交替的症状；患有空痛者，不会出现寒热交替。对于瘀血应当祛除，对于空痛应当进补。也有因血海虚寒，外受风冷侵袭，搏结不散，导致血气凝结成块而发病的，宜用神仙聚宝丹。又有因气血亏损而发病的，凝聚成块，形成七瘕八瘕，向上则气逆呕吐，向下则泻痢五色血，宜用内炙散。血崩患者，如果服用煎药无效，属于火证，主用三黄汤，去掉大黄，加入黄柏。如果妇人血崩不止，这是冲任二脉虚弱，脏腑虚冷所致。也伴有小腹急痛，兼见下赤白带，宜用加减吴萸汤，或艾煎丸。如果失血过多，导致气血不足，四肢倦怠，宜用增损四物汤。大概妇人血漏血脱，就应当固护元气，这是古代圣人的心法。先补胃气，以助生发之源，各种甘味药物是首要任务，益胃升阳汤就是此类。此药人们都认为是补气，却不知道甘味能生血，这也是阳生阴长的道理。另外，人身以谷气为宝，药物的剂量必须根据进食的多少来调整轻重，不要让药气胜过谷气才是妙法。如果有腹痛，加乌药三分，官桂少许。口渴者，加葛根三分。如果老年妇人血崩，用八物汤加黄芩、黄连。这是一时的急救药物，必须先顾护胃气为好。如果是血崩，服用煎剂不止，可改用散剂药物，如棕榈灰、锅底墨、炒黑山栀、槐花、侧柏叶、人参、黄芪、甘草等研为末，用童子尿送服。如果做成丸药更好，或者用小蓟汁、藕汁调服。《内经》说：带下和血崩，脉象多为浮动、虚迟的预后良好，实数的病情严重。诀语说：生地配合蒲黄，黄芩黄柏清热，人参五味子解毒，细细煎煮汤药，空腹水煮服用，对崩中带下疗效好。暴发的血崩属于血热，宜养血清火，治疗宜用温清散。血崩日久属于虚寒，又宜温补，宜用益母汤。寸口脉弦而大，弦脉表示阳气减少，大脉表示中空如葱管（芤脉），减少则为寒，中空则为虚，寒与虚相互搏结，这名叫革脉。
温清散
当归身、熟地黄、白芍、黄连、黄芩、川芎、山栀（炒）、黄柏（盐炒，各一钱）
水煎服。
益母汤 具有凉血补血功效。
熟地黄、陈皮、香附、阿胶、益母草、白术、蒲黄、甘草、黄芩（各一钱）
水煎，空腹服用。
五灰散 具有凉血止血功效
莲房灰、黄绢灰、血余炭、百草霜、棕榈灰、白及
研为细末，蜜丸，米饮送服。
张三锡说：崩漏有五种，青色崩漏如蓝色，黄色崩漏如烂瓜，赤色崩漏如深红泽色，白色崩漏如鼻涕液，黑色崩漏如瘀血。崩漏不止，用四物汤加炒白术、人参、黄芪、香附、炒地榆、炒蒲黄、棕榈灰、升麻、血余炭，水煎。头晕项强者，四物汤加柴胡、防风。虚冷清泻者，四物汤加官桂、附子、生姜、大枣，水煎。胃虚呕吐者，四物汤加人参、白术。虚烦不眠者，四物汤加人参、淡竹叶。发寒热者，四物汤加柴胡。崩中漏下五色者，用赤石脂禹余粮汤。
槐芩散 治疗崩中不止
炒槐米（三两）、黄芩（二两）
炒研为末，每次服五钱，用霹雳酒调服。
赤石脂禹余粮汤
赤石脂、禹余粮、牡蛎、乌贼骨（去甲）、伏龙肝、上肉桂（各等分）
研为细末，酒调服。
凫柴散 专治妇女血崩。
地栗（荸荠）每年用一个，烧灰存性研服，温酒送下。
补宫汤 治疗血崩，身体发寒热。
熟地黄、白芍、阿胶、地榆、艾叶、川芎、当归身
水煎服。
又方（亦名补宫汤） 治疗崩淋，冲任虚损。
赤石脂、地榆、当归身、艾叶、甘草、石菖蒲、白芍、川芎、蒲黄（炒）、熟地黄、小蓟
水煎，冲入半杯热酒服用。
The diseases of Ben (sudden heavy uterine bleeding) and Lin (dysuria with dribbling) are similar in appearance but different in essence. Ben is like a landslide, with massive bleeding that cannot be controlled; this is due to blood heat combined with Qi deficiency, resulting in the failure of Qi and Blood to consolidate and retain. Lin resembles dripping water, difficult and unsmooth, caused by internal stagnation of heat and stagnant Qi. However, Ben involves pure blood, whereas Lin presents differences in red, white, sand, and stone characteristics. Red indicates involvement of Blood, white indicates involvement of Qi, and sand/stone represents the most turbid aspects of Qi and Blood. To treat these conditions, one only needs to regulate Qi and Blood and clear internal heat.
Zheng Wenkang stated: Sudden heavy bleeding in women is caused by Kidney Water Yin deficiency, which fails to control the Minister Fire in the Bao Liao (uterine collaterals), causing blood to rush and bleed heavily. Liangxue Dihuang Tang (Cooling Blood Rehmannia Decoction) should be used as the primary treatment. However, this condition often arises from internal injury. If there is no lower abdominal pain, this formula alone is suitable, or Bawu Tang (Eight Substance Decoction) can be modified with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma). If there is pain, a large dose of Siwu Tang (Four Substance Decoction) should be used first, doubling the dosage of Danggui Shen (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), and Chuanxiong (Ligustici Chuanxiong Rhizoma), and adding Xiangfu (Cyperi Rhizoma) processed with vinegar. If using tonifying herbs, Bugong Tang (Uterus-Tonifying Decoction) with Huangqin and Huanglian is appropriate. Furthermore, there are two theories regarding Ben: one is stasis of Blood, the other is "empty pain." Those with stasis of Blood must experience alternating chills and fever; those with empty pain do not. Stasis of Blood requires removal, while empty pain requires tonification. There are also cases where the Sea of Blood is deficient and cold, external wind-cold invades and binds without dispersing, causing Qi and Blood to coagulate into masses; Shenshen Jubao Dan (Divine Immortal Treasure-Gathering Pill) is indicated. In cases caused by damage to Qi and Blood, coagulation forms masses known as Seven Zha and Eight Jia (abdominal masses); upward, it causes rebellious Qi and vomiting; downward, it causes dysentery with five types of bloody stools; Neizhi San (Internal Moxibustion Powder) is indicated. For patients with Ben who do not respond to decoctions, the condition is attributed to Fire; Sanhuang Tang (Three Yellows Decoction) is used, removing Dahuang (Rhei Radix et Rhizoma) and adding Huangbai (Phellodendri Cortex). If a woman's bleeding does not stop, it is due to weakness of the Chong and Ren vessels and cold deficiency of the Zang-Fu organs. This may also present with urgent lower abdominal pain and discharge of red and white leukorrhea; Jiajian Wuzhu Yu Tang (Modified Evodia Decoction) or Aijian Wan (Mugwort Decoction Pill) is indicated. If excessive blood loss leads to Qi and Blood deficiency, manifesting as limb fatigue, Zengsun Siwu Tang (Modified Four Substance Decoction) is suitable. Generally, for women suffering from blood leakage and depletion, consolidating Qi is essential; this is the core method of ancient sages. First, tonify Stomach Qi to aid the source of generation; sweet-flavored herbs are prioritized, such as in Yiwei Shengyang Tang (Stomach-Tonifying and Yang-Raising Decoction). People often mistake this for merely tonifying Qi, not realizing that sweet flavors generate Blood, following the principle of Yang generating Yin. Moreover, the human body treasures grain Qi; herbal dosages must be adjusted according to food intake, ensuring the medicinal Qi does not overpower the grain Qi. If abdominal pain occurs, add Wuyao (Linderae Radix) 3 fen and Guangui (Cinnamomi Ramulus) a little. If thirsty, add Gegen (Puerariae Lobatae Radix) 3 fen. For elderly women with Ben, Bawu Tang with Huangqin and Huanglian is used. This is an emergency rescue formula; protecting Stomach Qi is paramount. If decoctions fail to stop Ben, powders can be used, such as Zonghui (Palmae Fructus Cinchona Ash), Goudimo (Pot Bottom Ink), Chao Hei Shanzhi (Fried Gardeniae Fructus), Huaihua (Sophorae Flos), Cebaiye (Platycladi Cacumen), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), and Gancao (Glycyrrhizae Radix et Rhizoma), ground into powder and taken with Tongbian (Child's Urine). Pills are even better, or they can be taken with Xiaojizhi (Leonuri Herba juice) or Ouji (Nelumbinis Rhizoma juice). The Classic states: For leukorrhea and Ben, floating, deficient, and slow pulses indicate survival, while excess and rapid pulses indicate severe disease. The Aphorism states: Shengdi (Rehmanniae Radix) combined with Puhuang (Typhae Pollen), Huangqin and Huangbai cool, Renshen and Wuweizi (Schisandrae Fructus) detoxify; finely decocted and taken on an empty stomach, it treats Ben and leukorrhea well. Acute cases belong to blood heat; nourish Blood and clear fire; use Wenqing San (Warming and Cooling Powder). Chronic Ben belongs to deficiency-cold; use warming and tonification; use Yimu Tang (Motherwort Decoction). If the Cun Kou pulse is wiry and large, wiry indicates reduction, large indicates Kuo (hollow); reduction implies cold, hollow implies deficiency; cold and deficiency interacting is named Ge (leather-like) pulse.
Wenqing San
Danggui Shen (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus, fried), Huangbai (Phellodendri Cortex, salt-fried), each 1 qian.
Decoct in water and take.
Yimu Tang: Cools Blood and tonifies Blood.
Shudi (Rehmanniae Radix Preparata), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Ejiao (Asini Corii Colla), Yimucao (Leonuri Herba), Baizhu (Atractylodis Macrocephalae Rhizoma), Puhuang (Typhae Pollen), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), each 1 qian.
Decoct in water, take on an empty stomach.
Wuhui San: Cools Blood and stops bleeding.
Lianfanghui (Nelumbinis Calyx Ash), Huangjuanhui (Yellow Silk Ash), Xueyu (Hominis Crinis Carbonisatus), Baicaoshuang (Herbarius Carbonisatus), Zonghui (Palmae Fructus Cinchona Ash), Baiji (Bletillae Rhizoma).
Grind into powder, form pills with honey, take with rice drink.
Zhang Sanxi said: There are five types of Ben: Qing Ben (Blue Ben) appears blue, Huang Ben (Yellow Ben) looks like rotten melon, Chi Ben (Red Ben) is like deep red luster, Bai Ben (White Ben) resembles mucus, and Hei Ben (Black Ben) looks like stasis of Blood. For persistent Ben and Lou (spotting), use Siwu Tang plus Chao Baizhu (Fried Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Xiangfu (Cyperi Rhizoma), Chao Diyü (Fried Sanguisorbae Radix), Chao Puhuang (Fried Typhae Pollen), Zonghui (Palmae Fructus Cinchona Ash), Shengma (Cimicifugae Rhizoma), Xueyu (Hominis Crinis Carbonisatus), decoct in water. For dizziness and stiff neck, add Chaihu (Bupleuri Radix) and Fangfeng (Saposhnikoviae Radix). For deficiency-cold with clear diarrhea, add Guangui (Cinnamomi Ramulus), Fuzi (Aconiti Lateralis Radix Preparata), Jiang (Zingiberis Rhizoma), and Zao (Jujubae Fructus). For Stomach deficiency with vomiting, add Renshen and Baizhu. For deficiency-heat with insomnia, add Renshen and Danzhuye (Lophatheri Herba). For chills and fever, add Chaihu. For Ben with spotting of five colors, use Chishizhi Yuyuliang Tang (Red Halloysite and Metastone Decoction).
Huaiqin San: Treats persistent Ben.
Chao Huaimi (Fried Sophorae Flos) 3 liang, Huangqin (Scutellariae Radix) 2 liang.
Fry and grind into powder, take 5 qian per dose, mixed with Pili Jiu (Thunderbolt Wine).
Chishizhi Yuyuliang Tang
Chishizhi (Halloysitum Rubrum), Yuyuliang (Metastone), Muli (Ostreae Concha), Wuzeigu (Sepiae Endoconcha, remove shell), Fulonggan (Dragon's Liver Soil), Shang Rougui (Cinnamomi Cortex), equal parts.
Grind into fine powder, mix with wine and take.
Fucai San: Specifically treats female Ben.
Dili (Dioscoreae Bulbula / Chinese Yam Bulb) - use one bulb per year, burn to ash preserving its nature, grind and take, send down with warm wine.
Bugong Tang: Treats Ben with chills and fever.
Shudi (Rehmanniae Radix Preparata), Baishao (Paeoniae Radix Alba), Ejiao (Asini Corii Colla), Diyü (Sanguisorbae Radix), Aiye (Artemisiae Argyi Folium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui Shen (Angelicae Sinensis Radix).
Decoct in water and take.
Another Formula (also called Bugong Tang): Treats Ben and Lin with deficiency and damage to Chong and Ren vessels.
Chishizhi (Halloysitum Rubrum), Diyü (Sanguisorbae Radix), Danggui Shen (Angelicae Sinensis Radix), Aiye (Artemisiae Argyi Folium), Gancao (Glycyrrhizae Radix et Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Puhuang (Typhae Pollen, fried), Shudi (Rehmanniae Radix Preparata), Xiaoji (Leonuri Herba).
Decoct in water, mix with half cup of hot wine and take.
Yiwei Shengyang Tang
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chenpi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shenqu (Massa Medicata Fermentata), Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus).
Decoct in water and take.
Sanhuang Tang
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex, salt-water fried).
Baibu Tang: Treats blood Lin.
Da Shudi (Large Prepared Rehmannia Root), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Ejiao (Asini Corii Colla), Xinhui Pi (Xinhui Citri Reticulatae Pericarpium), Diyü (Sanguisorbae Radix, charred).
Decoct in water and take.