陈良甫曰∶妇人冲任二脉，为经脉之海，外循经络，内荣脏腑。若阴阳和平，则经下根据时。如劳伤不能约
制，忽然暴下，甚则昏闷。若寸脉微迟，为寒在上焦，则吐血衄血。尺脉微迟，为寒在下焦，则崩血便血，法
当调补脾胃为主。
李东垣曰∶圣人治病，必本四时升降浮沉之理。经漏不止，是前阴之气血以下脱。水泻不止，是后阴之
气血又下陷。后阴者，主有形之物。前阴者，精气之门户。前后二阴俱下，是病患周身之气，常行秋冬之令，
主肃杀收藏。人身中阳气升浮，谷气上行，则阳生阴长，春夏是也。既病则周身气血皆不生长，谷气不升，前
虽属热，下焦久脱，已化为寒，久沉久降，寒湿大胜，当急救之。泻寒以热，除湿以燥，大升大举，以助生长，
补养气血，不致偏枯。圣人立治法云∶湿气大胜，以所胜助之，用风木上升是也。经云，风胜湿，是以所胜平
之，当和调胃气而滋元气。如不止，用风药以胜湿，此之谓也。
薛立斋曰∶有妇人患崩，过服寒药，脾胃久虚，中病未已，寒病复起，烦渴引饮，粒米不进，昏愦时作，
脉洪大，按之微弱。此无根之火，内虚寒而外假热也。十全大补加附子，崩减，日服八味丸，愈。又有久患崩，
服四物凉血剂，或作或止，有主降火。如腹痛，手足俱冷，此脾胃虚寒所致，先用附子理中汤，次用济生归脾、
补中益气二汤，崩顿愈。若泥痛无补法，则误矣。
慎斋按∶以上三条，序血崩之属虚寒为病也。血崩属火热致病者多，崩中日久，则
热变为寒。亦有服寒凉过甚，中寒内生者，东垣、立斋之案治，不可不留意也。崩漏有实有虚，有热有寒，寒
热虚实之辨明，而治法可以不忒矣。
陈良甫说：妇女的冲脉和任脉，是十二经脉汇聚的海，外沿经络运行，内滋养脏腑。如果阴阳平衡协调，月经就能按时来潮。如果因劳倦损伤导致约束控制能力减弱，突然大量出血，甚至出现昏厥闷乱的症状。如果寸口脉象微而迟，说明寒邪在上焦，会出现吐血、鼻衄；尺部脉象微而迟，说明寒邪在下焦，会出现崩漏下血或便血，治疗法则应当以调理补益脾胃为主。
李东垣说：圣人治病，必然依据四季气机升降浮沉的道理。经血淋漓不止，这是前阴的气血向下脱失。水样腹泻不止，这是后阴的气血进一步下陷。后阴主要排泄有形之物。前阴是精气出入的门户。前后二阴的气血都向下流失，意味着患者周身的气机常行秋冬肃杀收藏之令。人体阳气升发浮越，谷气上行，则阳生阴长，这是春夏季的特征。既然已经生病，周身气血都不再生长，谷气不能上升，虽然起初可能属于热证，但下焦久泻久脱，已经转化为寒证，长期沉潜下降，寒湿之气大盛，应当紧急救治。用热药驱散寒邪，用燥药祛除湿气，大力升提举陷，以助生机生长，补养气血，防止肢体偏废枯萎。圣人确立的治疗法则是：当湿气大盛时，用能克制湿气的风木之气使其上升，这就是“风胜湿”的道理，即用所胜之气来平抑它，应当调和胃气以滋生元气。如果仍不止血，使用风药来胜湿，说的就是这个道理。
薛立斋说：有一位妇人患崩漏，因过服寒凉药物，导致脾胃长久虚弱，原有的病未愈，寒病又起，出现烦躁口渴想喝水，连米粒都吃不下，时常昏愦无知，脉象洪大但重按微弱。这是无根之火，本质是内虚寒而表面假热。使用十全大补汤加入附子，崩漏减少，每日服用八味丸，最终痊愈。又有长期患崩漏，服用四物汤等凉血药剂，病情时好时坏，有人主张降火。如果出现腹痛，手足俱冷，这是脾胃虚寒所致，先用附子理中汤，接着用济生归脾汤、补中益气汤两方，崩漏立刻痊愈。如果拘泥于“痛无补法”的说法，那就错了。
慎斋按语：以上三条，论述了血崩属于虚寒致病的情况。血崩多由火热致病引起，但崩漏日久，热邪会转化为寒邪。也有因为过服寒凉药物，导致中焦寒邪内生者，李东垣、薛立斋的医案治疗方法，不可不仔细留意。崩漏有实证也有虚证，有热证也有寒证，只有辨明寒热虚实，治疗方法才能不出差错。
Chen Liangfu stated: The Chong (Penetrating) and Ren (Conception) vessels in women are the sea of the twelve meridians, circulating externally along the meridians and nourishing internally the Zang-Fu organs. If Yin and Yang are in harmony, menstruation occurs on schedule. However, if labor and injury impair their restraining function, sudden profuse bleeding may occur, potentially leading to syncope or confusion. If the Cun (inch) pulse is faint and slow, it indicates cold in the Upper Jiao (Upper Burner), manifesting as hematemesis (vomiting blood) or epistaxis (nosebleed). If the Chi (cubit) pulse is faint and slow, it indicates cold in the Lower Jiao (Lower Burner), manifesting as metrorrhagia (uterine bleeding) or hematochezia (blood in stool); the treatment principle should primarily focus on regulating and tonifying the Spleen and Stomach.
Li Dongyuan stated: The sages treat diseases based on the principles of ascending, descending, floating, and sinking according to the four seasons. Persistent dripping of menstrual blood indicates that Qi and Blood from the anterior orifice are descending and escaping. Persistent watery diarrhea indicates that Qi and Blood from the posterior orifice are further sinking. The posterior orifice primarily excretes tangible matter, while the anterior orifice is the gateway for Essence and Qi. When Qi and Blood from both orifices sink downward, it signifies that the patient's whole-body Qi mechanism follows the autumnal and wintery commands of肃杀 (desolation) and storage. In a healthy body, Yang Qi ascends and floats, and Grain Qi moves upward, resulting in the generation of Yang and growth of Yin, characteristic of spring and summer. Once diseased, whole-body Qi and Blood cease to grow, and Grain Qi fails to ascend. Although the initial presentation may involve heat, prolonged loss from the Lower Jiao transforms into cold. With long-term sinking and descending, Cold-Dampness becomes predominant, requiring urgent rescue. Heat should be dispelled with hot herbs, Dampness removed with drying methods, and vigorous lifting and raising employed to assist growth, tonifying Qi and Blood to prevent flaccidity or atrophy. The sage established the treatment method: when Dampness is excessive, use Wind-Wood energy to promote ascent; this aligns with the classic saying "Wind overcomes Dampness," meaning using the overcoming element to pacify it. One must harmonize Stomach Qi to nourish Yuan Qi. If bleeding persists, wind herbs should be used to overcome dampness.
Xue Lizhai stated: A female patient suffered from metrorrhagia due to excessive consumption of cold-natured medicines, leading to chronic deficiency of the Spleen and Stomach. The original illness remained unresolved, and cold pathology re-emerged, presenting with irritability, thirst with desire to drink, inability to eat even a grain of rice, intermittent coma, and a洪大 (surging-large) pulse that felt weak upon deep pressure. This represents rootless fire, where internal deficiency-cold manifests as external false-heat. Treatment with Shiquan Dabu Tang (Ten Significant Decoction) plus Fuzi (Prepared Aconite Root) reduced the bleeding; daily administration of Bawei Wan (Eight-Ingredient Pill) led to recovery. Another case involved a patient with long-standing metrorrhagia who took Siwu Tang (Four Substance Decoction) and other cooling-blood formulas, resulting in intermittent symptoms. Some advocated clearing fire. However, if abdominal pain and cold limbs occurred, this indicated Spleen-Stomach deficiency-cold. Initial treatment with Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) followed by Jisheng Guipi Tang (Jisheng Restore the Spleen Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) resulted in immediate cessation of bleeding. Adhering rigidly to the rule "pain has no tonification method" would be an error.
Shenzhen commented: The above three cases describe metrorrhagia caused by deficiency-cold. While most cases of metrorrhagia are caused by heat, prolonged bleeding transforms heat into cold. Additionally, excessive intake of cold-cooling agents can induce internal cold in the Middle Jiao. The therapeutic approaches in the cases of Li Dongyuan and Xue Lizhai require careful attention. Metrorrhagia and leukorrhea with blood (Benglou) present as excess or deficiency, heat or cold. Only by clearly distinguishing between cold/heat and excess/deficiency can treatment methods be applied without error.