经云∶阴虚阳搏，谓之崩。又云∶阳络伤血外溢，阴络伤血内溢。又云∶脾统血，肝藏血。
其为患因脾胃虚损，不能摄血归源；或因肝经有火，血得热而下行；或因肝经有风，血得风
而妄行；或因怒动肝火，血热而沸腾；或因脾经郁结，血伤而不归经；或因悲哀太过，胞络
伤而下崩。治疗之法，脾胃虚弱者，六君子汤加当归、川芎、柴胡；脾胃虚陷者，补中益气
汤加酒炒芍药、山栀；肝经血热者，四物汤加柴胡、山栀、苓、术；肝经怒火者，小柴胡汤
加山栀、芍药、丹皮；脾经郁火者，归脾汤加山栀、柴胡、丹皮；哀伤胞络者，四君子汤加
柴胡、升麻、山栀。故东垣、丹溪诸先生云∶凡下血症，须用四君子以收功。斯言厥有旨哉
。若大吐血后，毋以脉诊，当急用独参汤救之。其发热潮热，咳嗽脉数，乃是元气虚弱，假
热之脉也，尤当用人参之类。此等症候，无不由脾胃先损而患，故脉洪大，察其中有胃气受
补可救。设用寒凉之药，复伤脾胃生气，使血反不归源也。
治验
（吐血等症附）
一妇人年将七十，素有肝脾之症，每作则饮食不进，或胸膈不利，或中脘作痛，或大便作泻
，或小便不利，余用逍遥散加山栀、茯神、远志、木香而愈。后忧女孀居，不时吐紫血，每
作先倦怠烦热，以前药加炒黑黄连三分，吴茱二分，顿愈。后因怒，吐赤血甚多，躁渴垂死
，此血脱也，法当补气，乃用人参一两，苓、术、当归各三钱，陈皮、炮黑干姜各二钱，炙
草、木香各一钱，一剂顿止。信药有回生之功，不可委于天命也。
一妇人年六十有四，久郁怒，头痛寒热，春间乳内时痛，服流气饮之类益甚，不时有血如经
行。又大惊恐，饮食不进，夜寐不宁，乳肿及两胁 痛如炙，午后色赤，余以为肝脾郁火血
燥，先以逍遥散加酒炒黑龙胆一钱、山栀一钱五分，二剂肿痛顿退，又二剂而全消。再用归
脾加炒栀、贝母，诸症悉愈。
一妇人久患血崩，肢体消瘦，饮食到口但闻腥臊，口出津液，强食少许，腹中作胀，此血枯
之症，肺肝脾胃亏损之患，用八珍汤、乌贼鱼骨圆，兼服两月而经行，百余剂而康宁如旧矣。
一妇人性躁急，瘰 后吐血发热，两胁胀痛，日晡为甚，余以为怒气伤肝，气血俱虚，遂朝
用逍遥散倍加炒黑山栀、黄柏、贝母、桔梗、麦门、五味，夕以归脾汤送地黄丸，诸症并愈。
一妇人素勤苦，因丧子饮食少思，忽吐血甚多而自止，此后每劳则吐数口，瘵症已具，形体
甚倦，午前以补中益气，午后以归脾汤送地黄丸而愈。
一女子素郁结，胸满食少，吐血面赤，用地黄丸及归脾加山栀、贝母、芍药而愈。
一妇人面黄或赤，时觉腰间或脐下作痛，四肢困倦，烦热不安，其经若行，先发寒热，两肋
如束，其血如崩，此脾胃亏损，元气下陷，与相火湿热所致，用补中益气加防风、芍药、炒
黑黄柏，间以归脾汤，调补化源，血自归经矣。
一妇人因怒崩血，久不已，面青黄而或赤，此肝木制脾土，而血虚也，用小柴胡合四物，以
清肝火生肝血，又用归脾、补中二汤，以益脾气生肝血而瘥。此症若因肝经有风热，而血不
宁者，用防风一味为丸，以兼症之药煎送；或肝经火动而血不宁者，用条芩炒为丸，以兼症
之药煎送，无有不效。
一妇人性急，每怒非太阳、耳、项、喉、齿、胸、乳作痛，则胸满吞酸，吐泻少食，经行不
止。此皆肝火之症，肝自病则外症见，土受克则内症作。若自病见，用四物加白术、茯苓、
柴胡、炒栀、炒龙胆；若内症作，用四君加柴胡、芍药、神曲、吴茱、炒过黄连，诸症渐愈
。惟月经不止，是血分有热，脾气尚虚，以逍遥散倍用白术、茯苓、陈皮，又以补中益气加
酒炒芍药，兼服而调。
干内钱氏，年五十岁，辛丑患崩，诸药罔效，壬寅八月，身热肢痛，头晕涕出，吐痰少食，
众作火治，转炽绝粒，数日淹淹伏枕，仅存呼吸。兄方浙归诊之，谓脾胃虚寒，用八味丸料
一剂，使急煎服，然胃虚久，始下咽，翌早遂索粥数匙。再剂，食倍热减痛止，兼服八味丸
良愈。癸卯秋，因劳役忧怒，甲辰春夏崩复作，六月二十日，胸饱发热，脊痛，腰不可转，
神气怫郁，或作内伤，或作中暑，崩水沸腾，兼以便血，烦渴引饮，粒米不进，至七月十三
日，昼夜晕愦，时作时止，计无所出。仍屈兄诊之，脉洪无伦，按之微弱，此无根之火，内
真寒而外假热也。以十全大补加附子一剂，晕止，食粥三四匙，崩血渐减，日服八味丸，始
得痊愈。干山妻两构危疾，命悬须臾，荷兄远救诚解倒悬之急，处方神良，知无出此，野人
怀恩，姑俟后日玉环之报云尔。嘉靖甲辰季秋表弟方干顿首拜书。
大化内患月事不期，崩血昏愦，发热不寐，或谓血热妄行投以寒剂益甚，或谓胎成受伤投以
止血亦不效，乃敬延先生诊之。曰∶此脾气虚弱，无以统摄故耳，法当补脾，而血自止矣。
用补中益气加炮姜，不数剂而验。惟终夜少睡惊悸，另服八物汤，更不效，叩诸先生，曰杂
矣，乃与归脾汤加炮姜以补心脾，遂如初。谨叙其梗概以附医案，俾后之患者，得有所取法
云。嘉靖甲辰孟冬晚生归大化顿首拜书。
《黄帝内经》说：阴虚而阳脉搏动，称为崩漏。又说：阳络受损则血液外溢，阴络受损则血液内溢。还说：脾统摄血液，肝贮藏血液。
导致经漏不止的病因，是因为脾胃虚损，不能摄血归源；或者因为肝经有火，血液受热而下泄；或者因为肝经有风，血液受风而妄行；或者因为愤怒触动肝火，血液受热沸腾；或者因为脾经气机郁结，血液受伤而不循常道；或者因为悲哀过度，胞络受损而导致下崩。
治疗方法：对于脾胃虚弱者，用六君子汤加当归、川芎、柴胡；对于脾胃气陷者，用补中益气汤加酒炒芍药、山栀；对于肝经血热者，用四物汤加柴胡、山栀、茯苓、白术；对于肝经怒火者，用小柴胡汤加山栀、芍药、丹皮；对于脾经郁火者，用归脾汤加山栀、柴胡、丹皮；对于哀伤导致胞络受损者，用四君子汤加柴胡、升麻、山栀。所以李东垣、朱丹溪等先生说：凡是下血症，必须用四君子汤来收功。这话很有深意啊。如果是大吐血之后，不要拘泥于脉诊，应当紧急使用独参汤来抢救。那些出现发热、潮热、咳嗽、脉数等症状的，是元气虚弱导致的假热脉象，尤其应当用人参之类的药物。这些证候，无不是由脾胃先受损而引发的，所以虽然脉象洪大，但察其中仍有胃气，说明可以受补从而获救。如果误用寒凉药物，再次损伤脾胃的生气，反而会使血液更无法归源。
治验（吐血等症附）
一位将近七十岁的妇人，素有肝脾方面的病症，每次发作时饮食不进，或者胸膈不畅，或者中脘疼痛，或者大便泄泻，或者小便不利。我用逍遥散加山栀、茯神、远志、木香治疗而痊愈。后来因担忧女儿守寡，不时吐出紫黑色的血，每次发作前先感到倦怠烦热，我在以前方剂的基础上加炒黑黄连三分、吴茱萸二分，一次服用即愈。后来因为发怒，吐出大量鲜红色的血，烦躁口渴，濒临死亡，这是血脱之症，治法应当补气，于是用人参一两，茯苓、白术、当归各三钱，陈皮、炮黑干姜各二钱，炙甘草、木香各一钱，服用一剂后出血立刻停止。相信药物确实有起死回生的功效，不可将命运委之于天命。
一位六十四岁的妇人，长期郁怒，头痛且伴有寒热，春季时乳房内部时常疼痛，服用流气饮之类药物后病情加重，不时有出血如同月经来潮一样。又遭遇大惊恐，饮食不进，夜间睡眠不安宁，乳房肿胀且两胁疼痛如被灼烧，午后面色发红。我认为这是肝脾郁火导致血燥，先用逍遥散加酒炒黑龙胆草一钱、山栀一钱五分，服用两剂后肿痛立刻消退，再服两剂后完全消除。接着再用归脾汤加炒山栀、贝母，所有症状全部痊愈。
一位妇人长期患有血崩，肢体消瘦，食物到嘴边只闻到腥臊味，口中流出津液，勉强吃少许，腹中就胀气。这是血枯之症，属于肺、肝、脾、胃亏损的病患，使用八珍汤、乌贼鱼骨丸，兼服两个月后月经恢复，服用一百多剂后康复如旧。
一位妇人性格急躁，患瘰疬后吐血发热，两胁胀痛，傍晚时分加重。我认为这是怒气伤肝，气血俱虚，于是早晨服用逍遥散倍加炒黑山栀、黄柏、贝母、桔梗、麦冬、五味子，晚上用归脾汤送服地黄丸，所有症状一并痊愈。
一位妇人平时勤劳辛苦，因丧子而饮食减少，忽然吐血很多而后自行停止，此后每劳累就吐几口，痨病症状已经具备，形体非常疲倦。午前服用补中益气汤，午后用归脾汤送服地黄丸而痊愈。
一位女子素来忧郁结滞，胸满食少，吐血面赤，用地黄丸及归脾汤加山栀、贝母、芍药治疗而痊愈。
一位妇人面色发黄或发红，时常觉得腰部或脐下疼痛，四肢困倦，烦热不安。月经来时，先发寒热，两肋感觉像被束缚一样，出血量如崩漏。这是脾胃亏损，元气下陷，加上相火湿热所致。使用补中益气汤加防风、芍药、炒黑黄柏，间以归脾汤，调理补益化源，血液自然回归常道。
一位妇人因发怒导致崩血，长久不止，面色青黄或发红。这是肝木克制脾土，导致血虚。用小柴胡汤合四物汤，以清肝火、生肝血；又用归脾汤、补中益气汤，以益脾气、生肝血而病愈。此症如果是因为肝经有风热，导致血不宁静，可用防风一味药制成丸剂，用治疗兼症的药汤送服；或者是肝经火动导致血不宁静，可用条芩炒制为丸剂，用治疗兼症的药汤送服，没有不有效的。
一位妇人性格急躁，每次发怒如果不是太阳经、耳部、颈部、喉咙、牙齿、胸部、乳房疼痛，就是胸满吞酸，呕吐泄泻、食欲减退，月经不止。这些都是肝火的病症，肝自病则外在症状显现，脾土受克则内在症状发作。如果是肝自病显现，用四物汤加白术、茯苓、柴胡、炒山栀、炒龙胆草；如果是内症发作，用四君子汤加柴胡、芍药、神曲、吴茱萸、炒过黄连，所有症状逐渐痊愈。只有月经不止，是血分有热，脾气尚虚，用逍遥散倍用白术、茯苓、陈皮，同时服用补中益气汤加酒炒芍药，兼服以调治。
干家内人钱氏，五十岁，辛丑年患崩漏，各种药物无效。壬寅年八月，身体发热肢体疼痛，头晕流涕，吐痰少食，众人当作火证治疗，导致病情加剧绝食，几天后奄奄一息躺在枕上，仅存呼吸。她的哥哥刚从浙江回来诊治，说是脾胃虚寒，用八味丸料一剂，让急煎服用，但因为胃虚很久，刚开始咽下，第二天早上就索要粥喝了几匙。再服一剂，进食加倍，热减痛止，兼服八味丸，很好地治愈了。癸卯年秋天，因劳役忧怒，甲辰年春夏崩漏复发，六月二十日，胸饱发热，脊痛，腰不可转动，神气抑郁，有人认为是内伤，有人认为是中暑，崩漏如水沸腾，兼有便血，烦渴引饮，粒米不进，到了七月十三日，昼夜晕眩昏沉，时作时止，计无可施。仍请我哥哥诊治，脉象洪大无比，按之微弱，这是无根之火，内真寒而外假热。用十全大补汤加附子一剂，晕止，能喝三四匙粥，崩血渐减，每天服用八味丸，才得以痊愈。干山妻两次遭遇危重疾病，性命悬于顷刻，承蒙哥哥远道救援，真是解除了倒悬之急，处方神奇良效，见识没有超过这个的，野人怀着恩情，姑且等待日后玉环之报罢了。嘉靖甲辰年秋季，表弟方干叩首拜书。
大化家中女眷月事不期而至，崩血昏愦，发热失眠。有人说血热妄行，投以寒凉药剂反而更严重；有人说胎成受伤，投以止血药也不见效，于是恭敬地邀请先生诊治。先生说：这是脾气虚弱，无法统摄的缘故，治法应当补脾，血液自然会停止。使用补中益气汤加炮姜，没几剂就见效。只是整夜少睡惊悸，另外服用八物汤，更加无效，请教先生，先生说杂乱了，于是给予归脾汤加炮姜以补心脾，于是恢复如初。谨叙述其大概以附在医案中，使后来的患者有所取法。嘉靖甲辰年孟冬，晚生归大化叩首拜书。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "Yin deficiency with Yang pulse palpitation is called Bing (sudden severe uterine bleeding)." It also states: "Injury to the Yang collaterals causes blood to overflow externally; injury to the Yin collaterals causes blood to overflow internally." Furthermore, it states: "The Spleen controls the blood; the Liver stores the blood."
The etiology of persistent metrorrhagia includes: damage to the Spleen and Stomach failing to control blood and return it to its source; fire in the Liver channel causing blood to flow downward due to heat; wind in the Liver channel causing blood to move recklessly due to wind; anger stirring up Liver fire causing blood to boil due to heat; stagnation in the Spleen channel injuring blood so it does not follow its normal pathway; or excessive grief injuring the Bao Luo (uterine collaterals), leading to sudden lower bleeding.
Treatment methods: For Spleen and Stomach deficiency, use Liujunzi Tang (Six Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Chaihu (Bupleuri Radix); for Spleen and Stomach Qi sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Jiu Chao Shaoyao (Wine-fried Paeoniae Radix Alba) and Shanzhi (Gardeniae Fructus); for Liver channel blood heat, use Siwu Tang (Four Substances Decoction) added with Chaihu, Shanzhi, Lingzhi (Poria), and Baizhu (Atractylodis Macrocephalae Rhizoma); for Liver channel furious fire, use Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shanzhi, Shaoyao, and Danpi (Moutan Cortex); for Spleen channel stagnant fire, use Guipi Tang (Restore the Spleen Decoction) added with Shanzhi, Chaihu, and Danpi; for grief injuring the Bao Luo, use Sijunzi Tang (Four Gentlemen Decoction) added with Chaihu, Shengma (Cimicifugae Rhizoma), and Shanzhi. Therefore, Mr. Li Dongyuan and Mr. Zhu Danxi stated: "For all lower bleeding syndromes, one must use Sijunzi Tang to achieve success." This statement is profound. If there is massive hematemesis after a major bleed, do not rely solely on pulse diagnosis; instead, urgently use Dushen Tang (Single Ginseng Decoction) for rescue. Symptoms such as fever, tidal fever, cough, and rapid pulse indicate false heat pulses caused by deficient Yuan Qi (Original Qi); particularly, herbs like Renshen (Ginseng Radix et Rhizoma) should be used. These conditions invariably arise from prior damage to the Spleen and Stomach; thus, although the pulse may be flooding (Hong Da), if the presence of Wei Qi (Stomach Qi) indicates receptivity to tonification, recovery is possible. If cold-cooling herbs are mistakenly used, further damaging the vital energy of the Spleen and Stomach, the blood will fail to return to its source even more.
Clinical Cases (Attached: Hematemesis and other symptoms)
A woman nearing seventy years old had chronic Liver and Spleen disorders. During exacerbations, she suffered from anorexia, chest and diaphragm discomfort, epigastric pain, diarrhea, or dysuria. I treated her with Xiaoyao San (Free Wanderer Powder) added with Shanzhi, Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), and Muxiang (Aucklandiae Radix), resulting in a cure. Later, due to worry over her widowed daughter, she intermittently vomited dark purple blood. Before each episode, she felt fatigued and irritable with heat. I added 3 fen of Chao Hei Huanglian (Charred Black Coptidis Rhizoma) and 2 fen of Wuzhuyu (Evodiae Fructus) to the previous prescription, achieving a cure in one dose. Later, due to anger, she vomited a large amount of bright red blood, became restless and thirsty, approaching death. This was blood depletion; the treatment principle required tonifying Qi. I prescribed Renshen 1 liang, Lingzhi, Baizhu, and Danggui each 3 qian, Chenpi (Citri Reticulatae Pericarpium) and Pao Hei Ganjiang (Charred Black Zingiberis Rhizoma) each 2 qian, Zhi Cao (Prepared Licorice Root) and Muxiang each 1 qian. One dose stopped the bleeding immediately. Belief in medicine has the power to revive the dead; one should not resign oneself to fate.
A sixty-four-year-old woman suffered from chronic anger, headache with alternating chills and fever, and intermittent breast pain in spring. Taking Liqi Yin (Flowing Qi Decoction) worsened her condition, and she experienced intermittent bleeding resembling menstruation. After experiencing great fright, she lost her appetite, slept restlessly at night, and had swollen breasts and burning pain in both hypochondria. In the afternoon, her face turned red. I diagnosed this as Liver and Spleen stagnant fire causing blood dryness. I first administered Xiaoyao San added with 1 qian of Jiu Chao Hei Longdan (Wine-fried Charred Black Gentianae Radix) and 1.5 qian of Shanzhi. After two doses, swelling and pain subsided instantly; after two more doses, they disappeared completely. Then, using Guipi Tang added with Chao Shanzhi and Beimu (Fritillariae Thunbergii Bulbus), all symptoms resolved.
A woman suffered from chronic Bing (metrorrhagia) with emaciation. She could only smell fishy odors when food approached her mouth, salivated excessively, and felt abdominal distension after eating small amounts. This was Xue Ku (Blood Withering), a disorder of Lung, Liver, Spleen, and Stomach deficiency. Using Bazhen Tang (Eight Treasures Decoction) and Wuzeiyu Gu Wan (Cuttlefish Bone Pill) concurrently for two months restored her menstruation, and after over a hundred doses, she recovered fully.
A woman with an irritable temperament developed hematemesis and fever after suffering from Luoli (scrofula), with distending pain in both hypochondria worsening in the late afternoon. I diagnosed this as anger injuring the Liver, with both Qi and Blood deficient. I prescribed Xiaoyao San in the morning, doubling the dosage of Chao Hei Shanzhi, Huangbai (Phellodendri Cortex), Beimu, Jiegeng (Platycodonis Radix), Maidong (Ophiopogonis Tuber), and Wuweizi (Schisandrae Fructus). In the evening, I sent Diwan (Rehmannia Pill) with Guipi Tang. All symptoms resolved.
A woman accustomed to hard labor lost her appetite after the death of her son. She suddenly vomited a large amount of blood which stopped spontaneously, but thereafter vomited small amounts upon exertion, exhibiting signs of Zhai (consumptive disease) and extreme fatigue. I prescribed Buzhong Yiqi Tang in the morning and Guipi Tang sending Diwan in the afternoon, resulting in a cure.
A young woman with chronic emotional stagnation presented with chest fullness, poor appetite, hematemesis, and a red face. She was cured using Diwan and Guipi Tang added with Shanzhi, Beimu, and Shaoyao.
A woman presented with yellow or red complexion, intermittent pain in the waist or below the umbilicus, limb fatigue, irritability, and restlessness. Her menstruation began with chills and fever, a sensation of binding in the hypochondria, and bleeding volume like Bing. This was attributed to Spleen and Stomach deficiency, sinking of Yuan Qi, and combined with Minister Fire and damp-heat. I used Buzhong Yiqi Tang added with Fangfeng (Saposhnikoviae Radix), Shaoyao, and Chao Hei Huangbai, interspersed with Guipi Tang to regulate and tonify the source of transformation, allowing the blood to return to its vessels.
A woman suffered from prolonged Bing due to anger, presenting with a greenish-yellow or red complexion. This indicated Liver Wood overacting on Spleen Earth, causing Blood deficiency. I used Xiaochaihu Tang combined with Siwu Tang to clear Liver fire and generate Liver blood, followed by Guipi Tang and Buzhong Yiqi Tang to benefit Spleen Qi and generate Liver blood, leading to recovery. If this syndrome were due to Wind-Heat in the Liver channel causing blood instability, one could use Fangfeng alone made into pills, taken with decoctions for accompanying symptoms; or if due to Fire moving in the Liver channel causing blood instability, use Tiao Qin (Scutellariae Radix) fried into pills, taken with decoctions for accompanying symptoms. Both methods are effective.
A woman with an impatient temper experienced, upon anger, either pain in the Taiyang meridian, ears, neck, throat, teeth, chest, or breasts, or chest fullness with acid regurgitation, vomiting, diarrhea, and poor appetite, along with continuous menstruation. These are all Liver Fire syndromes. When the Liver itself is diseased, external symptoms appear; when Earth is oppressed, internal symptoms arise. If self-disease symptoms appear, use Siwu Tang added with Baizhu, Lingzhi, Chaihu, Chao Shanzhi, and Chao Longdan; if internal symptoms arise, use Sijunzi Tang added with Chaihu, Shaoyao, Shenqu (Massa Medicata Fermentata), Wuzhuyu, and Chao Huanglian. Symptoms gradually improved. Only the continuous menstruation indicated Heat in the Blood level with still-deficient Spleen Qi. I used Xiaoyao San with doubled Baizhu, Lingzhi, and Chenpi, concurrently administering Buzhong Yiqi Tang added with Jiu Chao Shaoyao for regulation.
Qian Shi, wife of the Qian family, aged fifty, suffered from Bing in the Xin-Chou year, unresponsive to various medicines. In the Ren-Yin year, August, she had body heat, limb pain, dizziness, rhinorrhea, expectoration, and poor appetite. Others treated it as Fire, worsening her condition until she fasted, lying weakly on her pillow with barely any respiration. Her brother, returning from Zhejiang, diagnosed Spleen and Stomach deficiency-cold and prescribed one dose of Bawei Wan (Eight-Treasure Pill) material, urging urgent decoction. Due to long-standing stomach weakness, swallowing was difficult initially, but by the next morning, she requested several spoons of porridge. After another dose, intake doubled, heat decreased, and pain stopped. Concurrent use of Bawei Wan led to good recovery. In the Gui-Mao autumn, due to labor and emotional stress, Bing recurred in the Jia-Chen spring and summer. On June 20th, she had chest fullness, fever, back pain, immobility of the waist, depressed spirit, and conflicting diagnoses of internal injury or summerheat. Bleeding boiled like water, accompanied by hematochezia, irritability, thirst, and inability to eat. By July 13th, she suffered day and night from dizziness and confusion, intermittently. Desperate, I examined her pulse: flooding without limit, but weak upon pressure. This was rootless Fire, true cold inside and false heat outside. I prescribed Shiquan Dabu Tang (Complete Great Tonifying Decoction) added with Fuzi (Aconiti Lateralis Radix Praeparata) for one dose. Dizziness stopped, she drank three to four spoons of porridge, and bleeding gradually decreased. Daily consumption of Bawei Wan led to complete recovery. The Qian family women faced critical illnesses twice, life hanging by a thread. Thanks to my brother's distant rescue, solving their desperate plight, his prescriptions were miraculous. His knowledge is unsurpassed. I, a commoner, harbor gratitude and await future recompense. Jia-Cao late autumn, cousin Fang Qian bows and writes.
Gui Dahua’s household member experienced irregular menstruation, Bing with fainting, fever, and insomnia. Some attributed it to Blood Heat causing reckless movement and prescribed cold agents, worsening the condition. Others attributed it to fetal injury and prescribed hemostatics, which were ineffective. Respectfully inviting the Master for diagnosis, he said: "This is Spleen Qi deficiency, unable to control and hold; the method is to tonify the Spleen, and the blood will stop naturally." I used Buzhong Yiqi Tang added with Pao Jiang (Prepared Ginger). Within a few doses, efficacy was seen. However, she suffered from sleeplessness and palpitations all night. Taking Babu Tang (Eight Substance Decoction) separately was ineffective. Consulting the Master, he said the approach was mixed. I then prescribed Guipi Tang added with Pao Jiang to tonify Heart and Spleen, resulting in recovery. I record this summary to attach to medical cases, enabling future patients to have a model to follow. Jia-Cheng early winter, junior disciple Gui Dahua bows and writes.