答曰。血寒则凝。温则散。堕胎损经。血出不止有二。一则因热而流散。二则血气虚而不敛
。泻血多者。必烦闷而死。或因风冷堕胎者。血冷相搏。气虚逆上。则血结不出。抢上攻心
。则烦闷。亦多致死。当温经逐寒。其血自行也。胶艾汤。治劳伤血气。冲任虚损。月水过
多。淋沥漏下。连日不断。脐腹疼痛。及妊娠将摄失宜。胎动不安。腹痛下坠。或劳伤胞络
。胞阻漏血。腰痛闷乱。或因损动。胎上抢心。奔冲短气。及因产乳。冲任气虚。不能约制经
血。淋沥不断。延引日月。渐成羸瘦。
阿胶 芎 甘草(各二两炙) 当归 艾叶(微炒各三两) 熟地 白芍(各四两)
上 咀。每服三钱。水一盏。酒六分。煎八分。去滓稍热服。空心日服三次。甚者连夜并服。
伏龙肝散。治血气劳伤。冲任脉虚。经血非时忽然崩下。或成豆汁。或成片。或五色相杂。
或赤白相兼。脐腹冷痛。经久未止。令人黄瘦口干。饮食减少。四肢无力。虚烦惊悸。
伏龙肝(一两 口土) 熟地(二两) 甘草(炙半两) 芎 (二两) 肉桂(半两) 当归(炒三
分) 干姜(炮三分) 艾叶(微炒二两) 赤石脂(一两) 麦门冬(一两)
上为粗散。每服四钱。水盏半。枣三枚。煎八分。去渣温服。食前。
当归散。治妊娠猝惊奔
走。或从高坠下。腹痛下血不止。
当归(一两半炒) 阿胶(二两捣碎令黄色) 艾叶(炒一两) 芎 (一两)
上为饮子每服四钱。水盏半。煎至六分。次入生姜汁一匙。地黄汁半合。马通汁半合。更煎
三两沸。去渣温服。不拘时。
回答说：血液受寒则凝结，受热则散行。因堕胎或损伤经脉导致出血不止的情况有两种：一种是因为热邪导致血液流散，另一种是因为气血虚弱无法收敛血液。如果失血过多，患者必定会因烦闷而死亡。如果是因风冷导致堕胎，由于血冷相互搏结，加之气虚逆乱上行，就会导致血液凝结而无法排出；若血液上冲攻心，则会出现烦闷症状，这种情况也大多致死。此时应当采用温经散寒的方法，血液自然会自行流通。
胶艾汤：用于治疗劳伤气血、冲任二脉虚损导致的月经过多、淋漓漏下且连日不断，以及脐腹疼痛；也可用于妊娠期间调养失当，胎动不安、腹痛下坠；或因劳伤胞络导致的胞阻漏血、腰痛闷乱；或因损伤触动导致胎气上抢心脏、奔冲短气；以及因分娩哺乳导致冲任气虚，不能约束经血，导致淋漓不断，日久渐成消瘦羸弱之症。
药物组成：阿胶、川芎、甘草（各二两，炙）、当归、艾叶（微炒，各三两）、熟地黄、白芍（各四两）。
制法与用法：将药材切碎。每次服用三钱，加水一盏，酒六分，煎煮至八分满，滤去药渣，趁稍热时服用。空腹时每日服用三次，病情严重者连夜连续服用。
伏龙肝散：用于治疗气血劳伤、冲任脉虚导致的经血非时而突然崩下，血色或如豆汁，或成片状，或五色混杂，或赤白相间；伴有脐腹冷痛，经久不止，使人面色萎黄消瘦、口干、饮食减少、四肢无力、虚烦惊悸。
药物组成：伏龙肝（一两，即灶心土）、熟地黄（二两）、甘草（炙半两）、川芎（二两）、肉桂（半两）、当归（炒三分）、干姜（炮三分）、艾叶（微炒二两）、赤石脂（一两）、麦门冬（一两）。
制法与用法：将药材研为粗散。每次服用四钱，加水一盏半，大枣三枚，煎煮至八分满，滤去药渣，温服。饭前服用。
当归散：用于治疗妊娠期间突然受惊奔走，或从高处置坠落，导致腹痛且下血不止。
药物组成：当归（一两半，炒）、阿胶（二两，捣碎令其呈黄色）、艾叶（炒一两）、川芎（一两）。
制法与用法：制成饮子剂。每次服用四钱，加水一盏半，煎煮至六分满，随后加入生姜汁一匙、地黄汁半合、马通汁（马粪浸出液）半合，再煎煮两三沸，滤去药渣，温服。不拘泥于固定时间。
Answer: Blood coagulates when cold and disperses when warm. Abortion or injury to the meridians resulting in continuous bleeding has two causes: one is due to heat causing blood to flow and scatter, and the other is due to deficiency of Qi and Blood failing to contain it. Excessive blood loss will inevitably lead to death from restlessness and stifling oppression. If abortion is caused by wind-cold, the cold blood clashes with each other, and due to Qi deficiency with rebellious upward movement, the blood coagulates and fails to discharge. If the blood rushes upward to attack the Heart, restlessness and stifling oppression occur, which also often leads to death. In such cases, one should warm the meridians and expel cold, allowing the blood to flow naturally.
Jiao Ai Tang (Cordyceps and Mugwort Decoction): Treats excessive menstrual flow, dripping leakage continuing for days, and abdominal pain caused by labor injuring Qi and Blood and deficiency of the Chong and Ren vessels. It also treats fetal restlessness, abdominal pain, and bearing-down sensation due to improper care during pregnancy; uterine obstruction with leakage due to labor injuring the Bao Luo (uterine collaterals); lower back pain and mental confusion; fetal Qi rushing to the heart causing shortness of breath after trauma; and postpartum or lactational deficiency of the Chong and Ren vessels failing to control menstrual blood, leading to prolonged dripping, gradual emaciation, and weakness.
Ingredients: Ejiao (Donkey-hide Gelatin), Xiong (Ligusticum Rhizome), Gancao (Licorice Root, roasted) (each 2 liang), Danggui (Angelica Sinensis), Aye (Mugwort Leaf, lightly fried) (each 3 liang), Shudi (Prepared Rehmannia Root), Baishao (White Peony Root) (each 4 liang).
Preparation and Administration: Coarsely crush the herbs. Take 3 qian per dose, add 1 cup of water and 0.6 parts wine, decoct until 0.8 parts remain. Strain and take slightly warm on an empty stomach, three times daily. For severe cases, administer continuously through the night.
Fulonggan San (Dragon's House Soil Powder): Treats sudden profuse bleeding at irregular times due to labor injuring Qi and Blood and deficiency of the Chong and Ren vessels. The blood may resemble bean curd dregs, appear in clots, be mixed with five colors, or be a mix of red and white. Symptoms include cold pain in the umbilical and epigastric regions, persistence over time, leading to sallow emaciation, dry mouth, reduced appetite, limb weakness, empty restlessness, and palpitations.
Ingredients: Fulonggan (Cooking Hearth Soil, 1 liang), Shudi (Prepared Rehmannia Root, 2 liang), Gancao (Licorice Root, roasted, half liang), Xiong (Ligusticum Rhizome, 2 liang), Rougui (Cinnamon Bark, half liang), Danggui (Angelica Sinensis, fried, 0.3 liang), Jiangjiang (Dried Ginger, processed, 0.3 liang), Aye (Mugwort Leaf, lightly fried, 2 liang), Chishizhi (Red Halloysite, 1 liang), Maidong (Ophiopogon Tuber, 1 liang).
Preparation and Administration: Grind into a coarse powder. Take 4 qian per dose, add 1.5 cups of water and 3 jujubes, decoct until 0.8 parts remain. Strain and take warm before meals.
Danggui San (Angelica Dispersion): Treats sudden fright and running, or falling from heights during pregnancy, resulting in abdominal pain and continuous bleeding.
Ingredients: Danggui (Angelica Sinensis, 1.5 liang, fried), Ejiao (Donkey-hide Gelatin, 2 liang, crushed until yellow), Aye (Mugwort Leaf, 1 liang, fried), Xiong (Ligusticum Rhizome, 1 liang).
Preparation and Administration: Prepare as a drink infusion. Take 4 qian per dose, add 1.5 cups of water, decoct until 0.6 parts remain. Then add 1 spoonful of fresh ginger juice, 0.5 he of fresh Rehmannia juice, and 0.5 he of Matong juice (liquid from soaked horse manure). Boil for two or three boils more, strain, and take warm. Take at any time.