《素问》曰∶悲哀太甚，则胞络绝，胞络绝则阳气内动，发为心下崩，数溲血。
《素问》曰∶悲哀太过，则心系急，肺布叶举，而上焦不通，热气在中，故血走而崩也。
《灵枢》曰∶猝然饮食，则肠满。起居不节，用力过度，则络脉伤。阴络伤则血内溢，血内溢则后血。肠胃
之络伤，则血溢于外。
慎斋按∶以上经论三条，序妇人血崩之属内伤为病也。血崩有得之悲哀者，此七情伤心之崩也。有得之劳
力者，此内伤劳倦之崩也。
《运气》曰∶少阴司天，热淫所胜，民病血泄。少阳在泉，火淫所胜，民病便血。岁金不及，炎火乃行，
民病下血。
《纲目》曰∶是火炎助心，血盛而血下也。
《运气》曰∶太阴司天，寒淫所胜，血变于中，民病血泄。太阳之胜，血脉凝泣，感为血泄。阳明司天之
气，民病便血，治以诸热。
《纲目》曰∶是寒攻心，血虚而下血也。
《运气》曰∶少阳司天之政，初之气，风盛乃摇，候乃大温，民病血崩。
慎斋按∶以上经论三条，序妇人血崩之属火热风寒，外感为病也。血崩固属内伤不足证，而火热风寒客邪之
感，亦间有之。但血崩为妇人前阴病，属于内因。《运气》血泄、便血，是言大肠下血，属于外因，《纲目》列
之血崩证内，则误矣。序书之讹，在于全善且然，而况下此乎？故存以俟正之。
《素问》说：悲哀过度，会导致胞络（子宫及其相连的脉络）阻滞不通，胞络阻滞则阳气在内扰动，引发心下出血（此处指阴道大量出血），并伴有频繁小便带血的症状。
《素问》说：悲哀太过，会使心系（心脏及其连属组织）拘急，肺叶舒展上举，导致上焦气机不通畅，热气郁结在中焦，因此血液妄行而发生崩漏。
《素问》说：阴虚而阳脉搏动有力，称为崩漏。
《灵枢》说：突然暴饮暴食，会导致肠道胀满。起居没有节制，用力过度，会导致络脉受损。阴络（位于体内的络脉）受损则血液在体内溢出，血液在体内溢出则出现便血。肠胃的络脉受损，则血液溢出于体外。
慎斋按语：以上三条经典论述，阐述了妇人血崩属于内伤致病的情况。血崩有因悲哀引起的，这是七情伤心导致的崩漏；有因劳力引起的，这是内伤劳倦导致的崩漏。
《运气》篇说：少阴君天主管天时，热气过盛，民众易患血泄病。少阳相火在泉主管地气，火气过盛，民众易患便血病。岁金之气不足，炎火之气盛行，民众易患下血病。
《本草纲目》说：这是火气旺盛助长心火，血液充盈而向下妄行。
《运气》篇说：太阴湿土主管天时，寒气过盛，血液在体内发生变化，民众易患血泄病。太阳寒水之气偏胜，血脉凝滞不畅，感受邪气后发生血泄。阳明燥金主管天时之气，民众易患便血病，治疗需用热性药物。
《运气》篇说：少阳相火主管天时政令，初之气阶段，风气盛大摇动，气候变得非常温暖，民众易患血崩病。
慎斋按语：以上三条经典论述，阐述了妇人血崩属于火热风寒等外感邪气致病的情况。血崩固然属于内伤不足的证候，但火热风寒客邪侵袭的情况也偶有发生。然而血崩是妇人前阴部位的疾病，属于内因所致。《运气》篇提到的血泄、便血，是指大肠下部出血，属于外因所致，《本草纲目》将其列在血崩证候之内，则是错误的。这种序书编排的错误，连全善这样的学者都未能避免，何况后人呢？所以保留原文以等待后世校正。
The *Suwen* (Basic Questions) states: Excessive grief causes the Bao Luo (uterine collateral vessels) to become obstructed. When the Bao Luo is obstructed, Yang Qi moves internally, leading to "Xin Xia Beng" (here referring to massive vaginal bleeding originating from the heart/upper burner region in classical theory) and frequent urination with blood.
The *Suwen* states: Excessive grief causes the Xin Xi (heart connection/tissue) to contract tightly, causing the lung leaves to spread and rise. This results in the obstruction of the Upper Jiao (Upper Burner), with heat qi accumulating in the middle. Consequently, blood flows recklessly, resulting in metrorrhagia (Beng).
The *Suwen* states: Yin deficiency with a surging Yang pulse is termed Beng (metrorrhagia/metrostaxis).
The *Lingshu* (Spiritual Pivot) states: Sudden overeating leads to intestinal fullness. Irregular daily routines and excessive physical exertion damage the Luo Mai (collateral vessels). Damage to the Yin Luo (internal collaterals) causes blood to overflow within the body; internal blood overflow leads to hematochezia (blood in stool). Damage to the collaterals of the stomach and intestines causes blood to溢 (overflow) externally.
Shen Zhai comments: The above three classic discussions outline cases of uterine bleeding in women caused by internal injuries. Uterine bleeding can result from grief, which is a form of emotional injury to the Heart. It can also result from labor, which is an internal injury due to fatigue and overexertion.
The *Yunqi* (Five Movements and Six Qi) text states: When Shao Yin (Lesser Yin) governs the Heaven (seasonal climate), excessive Heat affects the people, causing blood leakage diseases. When Shao Yang (Lesser Yang) governs the Earth, excessive Fire affects the people, causing bloody stools. If the Metal year is deficient,炎 Fire prevails, affecting the people with lower body bleeding diseases.
The *Bencao Gangmu* (Compendium of Materia Medica) states: This is because Fire flares up and assists the Heart, causing blood abundance and downward flow.
The *Yunqi* text states: When Tai Yin (Greater Yin) governs the Heaven, excessive Cold affects the people, altering the blood internally and causing blood leakage diseases. When Tai Yang (Greater Yang) wins (prevails), blood vessels congeal and stagnate; contracting this pathogen leads to blood leakage. When Yang Ming (Bright Yang) governs the Heaven's Qi, the people suffer from bloody stools, treated with various hot-natured remedies.
The *Bencao Gangmu* states: This is because Cold attacks the Heart, causing blood deficiency and subsequent lower bleeding.
The *Yunqi* text states: In the political administration where Shao Yang governs the Heaven, during the First Qi phase, Wind is abundant and shaking, making the climate significantly warm. The people suffer from uterine bleeding diseases.
Shen Zhai comments: The above three classic discussions outline cases of uterine bleeding in women caused by external pathogens such as Heat, Fire, Cold, and Wind. Although uterine bleeding fundamentally belongs to syndromes of internal injury and insufficiency, occurrences of invasion by Heat, Fire, Cold, and Wind pathogens do exist occasionally. However, uterine bleeding is a disease of the female anterior orifice, belonging to internal causes. The "blood leakage" and "bloody stools" mentioned in the *Yunqi* refer to bleeding from the large intestine, which belongs to external causes. Listing these in the *Bencao Gangmu* under uterine bleeding syndromes is erroneous. Such errors in textual arrangement persist even among scholars like Quanshan, let alone those who follow later. Therefore, I retain this text awaiting future correction.