〔大〕夫产后恶露不绝者，由产后伤于经血虚损不足，或分解之时，恶血不尽，在
于腹中，而脏腑挟于宿冷，致气血不调，故令恶露淋沥不绝也。
〔薛〕前证若肝气热而不能主血，用六味地黄丸。若肝气虚不能藏血，用逍遥散。若
脾气虚而不能摄血，用六君子汤。胃气下陷而不能统血，用补中益气汤。若脾经郁热而
血不归源，用加味归脾汤。若肝经怒火而血妄行，用加味四物汤。若气血俱虚，用十全
大补汤。若肝经风邪而血沸腾，用一味防风丸。一产妇恶露淋漓，体倦面黄，食少恶
寒，昼夜不寐，惊悸汗出，此脾经虚热，用加味归脾汤而痊。后因怒胁胀，作呕少食，用
六君加柴胡治之而痊。
芎归加芍药汤 治产后血崩眩晕，不知人事。
川芎 当归 芍药（各等分）
上 咀，每服四钱，以水一盅半，煎至七分，去滓，无时热服。
云岐治产后血崩如豆汁，紫黑过多者，四物汤加蒲黄、生地黄汁、阿胶、蓟根、艾、白
芷，煎服。
疗产后七八日，恶露不止。
败酱草 当归（各六分） 芍药 续断（各八分） 川芎 竹茹（各四分） 生地黄（炒干，十二分）
上细锉，以水二升，煮取八合，空心顿服。
〔丹〕二七孺人，产后冒寒哭多，血再下，身 脉沉。
当归 白术 陈皮 川芎 干姜 黄芩（各二钱） 芍药（一钱） 炙甘草（少许）
上分二帖，水煎服。
王孺人因忧虑，堕胎后两月余血不止，腹痛，此体虚气滞，恶物行不尽。
陈皮（一钱） 白术（二钱） 芍药（一钱） 木通 川芎（五分） 甘草（二分，炙）
作汤，下五芝丸六十粒，食前服。
独圣汤 疗产后亡血过多，心腹彻痛，然后血下，久而不止。亦治赤白带下，年深诸
药不能疗者，良验。
贯众（状如刺 者一个，全用，只揉去毛花蔓，用之不锉断）
上用好醋蘸湿，慢火炙令香熟，候冷为细末，用米饮调下二钱，空心食前服。
《千金》治产后恶血不尽，或经月，或半岁者。升麻三两，清酒五升，煮取二升半，分
温再服。
牡蛎散 治产后恶露淋沥不绝，心闷短气，四肢乏弱，头目昏重，烦热不思饮食，面
黄体瘦。
牡蛎（ ） 川芎 熟地黄 白茯苓 龙骨（各一两） 续断 当归 艾叶（酒炒）
人参 五味子 地榆（各半两） 甘草（二钱半）
上为末，每服二钱，水一中盏，生姜三片，枣一枚，煎至六分，去滓食前服。
《产书》产后犹有余血水气者，宜服豆淋酒。黑豆五升，熬令烟尽，于瓷器内以酒一
斗淬之。盖豆淋酒治污血，又能发表也。
治产后恶血不绝，崩血不可禁，腹中绞痛，气息急。治蓐中三十六疾。（《广济方》）
乱发（烧，一两） 阿胶（二两） 代赭石 干姜（各三两） 马蹄壳（一枚，烧） 干地黄（四两）
牛角 （五两，酥炙）
上为细末，炼蜜丸如梧桐子大。每服三四十丸，空心米饮下，日二服。
返魂丹（见前胎产大法。）
文仲、葛氏，治恶露不绝方。以锯截桑木取屑五指撮，酒服之。
又方 炙桑白皮煮水饮之。
《秘录》治胎落下血不止，以桑木中蠹虫烧末，酒服方寸匕，日二服。
疗产后泄血不止无禁度，及治腹痛胸膈闷。以姜黄为末，酒服方寸匕，日三四服。（胡
氏云∶姜黄治恶露不止。）
疗产后血不止，虚羸迨死。亦治血气。蒲黄二两，水二升，煎八合，顿服。
【大】产后恶露淋漓不尽的病症，是由于产后经血受损、虚损不足，或者在分娩时，瘀血未能排尽，滞留于腹中，加之脏腑带有宿有的寒气，导致气血运行不调，从而引起恶露淋漓不断。
【薛】上述证候，如果是肝气有热而不能统摄血液，使用六味地黄丸。如果是肝气虚弱而不能藏血，使用逍遥散。如果是脾气虚弱而不能摄血，使用六君子汤。胃气下陷而不能统血，使用补中益气汤。如果是脾经郁热而血液不能归经，使用加味归脾汤。如果是肝经怒火旺盛而血液妄行，使用加味四物汤。如果是气血俱虚，使用十全大补汤。如果是肝经受风邪侵袭而血液沸腾，使用一味防风丸。有一位产妇恶露淋漓不止，身体疲倦，面色萎黄，食欲减退，怕冷，昼夜无法入睡，惊悸出汗，这是脾经虚热所致，服用加味归脾汤而痊愈。后来因为发怒导致胁肋胀满，恶心呕吐，食量减少，用六君子汤加入柴胡治疗而痊愈。
芎归加芍药汤 治疗产后血崩导致的眩晕，人事不知。
川芎、当归、芍药（各等分）
以上药物切碎，每次服用四钱，用水一盅半，煎至七分，去渣，随时温热服用。
云岐治疗产后血崩如豆汁色，紫黑色过多的情况，使用四物汤加入蒲黄、生地黄汁、阿胶、蓟根、艾叶、白芷，煎服。
治疗产后七八天，恶露不止。
败酱草、当归（各六分）、芍药、续断（各八分）、川芎、竹茹（各四分）、生地黄（炒干，十二分）
以上药物细切，用水二升，煮取八合，空腹一次性服用。
【丹】一位十七岁的妇人，产后受寒且哭泣过多，再次出现阴道流血，脉象沉。
当归、白术、陈皮、川芎、干姜、黄芩（各二钱）、芍药（一钱）、炙甘草（少许）
以上药物分为两帖，水煎服。
王姓妇人在忧虑后堕胎，两个多月后出血不止，腹痛，这是体质虚弱、气机阻滞，恶露排不干净所致。
陈皮（一钱）、白术（二钱）、芍药（一钱）、木通、川芎（五分）、甘草（二分，炙）
煎汤，送服五芝丸六十粒，饭前服用。
独圣汤 治疗产后失血过多，心腹部剧烈疼痛，然后才出血，久治不愈。也治疗赤白带下，多年其他药物不能治愈的情况，疗效显著。
贯众（形状像刺儿菜的植株一个，全株使用，只揉去毛和花蔓，使用时不切断）
以上药物用好醋蘸湿，慢火烤至香熟，冷却后研为细末，用米饮调服二钱，空腹饭前服用。
《千金方》治疗产后恶血未尽，或持续一个月，或半年的情况。升麻三两，清酒五升，煮取二升半，分两次温服。
牡蛎散 治疗产后恶露淋漓不尽，胸闷短气，四肢乏力，头目昏重，烦热不思饮食，面色萎黄形体消瘦。
牡蛎（煅）、川芎、熟地黄、白茯苓、龙骨（各一两）、续断、当归、艾叶（酒炒）、人参、五味子、地榆（各半两）、甘草（二钱半）
以上药物研为细末，每次服用二钱，用水一中盏，生姜三片，大枣一枚，煎至六分，去渣，饭前服用。
《产书》认为产后仍有残留的血和水气，适宜服用豆淋酒。黑豆五升，熬至烟尽，放入瓷器内用一斗酒浇淬。盖豆淋酒能治疗污血，又能发散表邪。
治疗产后恶血不绝，崩漏出血不可控制，腹中绞痛，气息急促。治疗产褥期三十六种疾病。（《广济方》）
乱发（烧炭，一两）、阿胶（二两）、代赭石、干姜（各三两）、马蹄壳（一枚，烧炭）、干地黄（四两）、牛角腮（五两，酥炙）
以上药物研为细末，炼蜜制成梧桐子大小的丸剂。每次服用三四十丸，空腹用米饮送服，每日两次。
返魂丹（见前文胎产大法章节）。
文仲、葛氏治疗恶露不绝的方子。用锯截桑木取得木屑五指撮的量，用酒送服。
又一方：炙桑白皮煮水饮用。
《秘录》治疗胎落下来后出血不止，将桑木中的蛀虫烧成粉末，用酒送服方寸匕的量，每日两次。
治疗产后泄血不止无节制，以及治疗腹痛胸膈闷。将姜黄研为粉末，用酒送服方寸匕的量，每日三四次。（胡氏说：姜黄治疗恶露不止。）
[Da] The condition of continuous postpartum lochia (postpartum vaginal discharge) arises from the deficiency and insufficiency of menstrual blood damaged after childbirth, or from incomplete expulsion of stasis blood during delivery that remains in the abdomen. Coupled with pre-existing cold in the zang-fu organs, this leads to disharmony of qi and blood, causing lochia to drip continuously.
[Xue] For the aforementioned syndromes: if liver qi is hot and fails to control blood, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If liver qi is deficient and fails to store blood, use Xiaoyao San (Free and Easy Wanderer Powder). If spleen qi is deficient and fails to contain blood, use Liujunzi Tang (Six-Gentlemen Decoction). If stomach qi sinks and fails to manage blood, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If spleen channel depression-heat causes blood to fail to return to its source, use Jiaweigui Pi Tang (Modified Spleen-Tonifying Decoction). If liver channel fire-stagnation causes reckless blood movement, use Jiawei Siwu Tang (Modified Four-Substance Decoction). If both qi and blood are deficient, use Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction). If liver channel wind-pathogen causes blood to boil, use Yiwei Fangfeng Wan (Single-Ingredient Saposhnikovia Pill). A certain puerpera had continuous dripping lochia, fatigue, sallow complexion, poor appetite, aversion to cold, insomnia day and night, palpitations, and sweating; this was deficiency-heat of the spleen channel, treated with Jiaweigui Pi Tang until recovery. Later, due to anger, she experienced flank distension, vomiting, and reduced food intake; she was treated with Liujunzi Tang added with Chaihu (Bupleuri Radix) until recovery.
Xionggui Ji Shaoyao Tang (Ligusticum and Angelica Plus Paeonia Decoction) treats postpartum metrorrhagia leading to vertigo and loss of consciousness.
Chuanxiong Rhizome (Chuanxiong), Dang Gui Root (Angelicae Sinensis Radix), Shaoyao Root (Paeoniae Radix) (equal parts).
The above are cut into small pieces. Take four qian per dose, add one and a half zhong of water, decoct until seven-tenths remain, strain, and take warm at any time.
Yunqi treated postpartum metrorrhagia resembling bean juice, excessively purple-black, using Siwu Tang (Four-Substance Decoction) added with Puhuang (Lygodii Spora), raw Shengdijiang Zhi (Rehmanniae Radix Juice), Ejiao (Donkey-Hide Gelatin), Jigen (Cirsii Japonici Radix), Aiye (Artemisiae Argyi Folium), and Baizhi (Angelicae Dahuricae Radix), decocted and taken orally.
Treats postpartum lochia continuing for seven to eight days.
Baijiangcao (Patriniae Herba), Dang Gui (each six fen); Shaoyao, Xuduan (each eight fen); Chuanxiong, Zhuru (each four fen); Sheng Di Huang (stir-fried dry, twelve fen).
The above are finely chopped. Add two sheng of water, boil to obtain eight ge, and take on an empty stomach in one dose.
[Dan] A seventeen-year-old woman, after being exposed to cold and crying excessively postpartum, experienced recurrent bleeding with a deep pulse.
Dang Gui, Bai Zhu, Chen Pi, Chuanxiong, Gan Jiang, Huang Qin (each two qian); Shaoyao (one qian); Zhi Gan Cao (a little).
Divide into two doses, decoct in water and take orally.
Madam Wang, due to worry and grief, suffered abortion; more than two months later, bleeding continued without cessation accompanied by abdominal pain. This indicates constitutional deficiency with qi stagnation, resulting in incomplete expulsion of foul matter.
Chen Pi (one qian), Bai Zhu (two qian), Shaoyao (one qian), Mutong, Chuanxiong (five fen); Gan Cao (two fen, honey-fried).
Decoct as a soup, take with sixty pills of Wuzhi Wan (Five-Essence Pill) before meals.
Dusheng Tang (Sole Saint Decoction) treats excessive blood loss postpartum, penetrating pain in the heart and abdomen, followed by bleeding that persists for a long time. It also treats chronic leukorrhea (red and white discharge) unresponsive to other medications over many years, with excellent efficacy.
Guan Zhong (Cyatheae Spora, one whole plant resembling Cirsium, remove hairs and flower vines, do not chop).
Moisten with good quality vinegar, slow-roast until fragrant and cooked, cool, and grind into fine powder. Take two qian mixed with rice drink on an empty stomach before meals.
Qianjin Fang (Prescriptions Worth a Thousand Gold) treats postpartum retention of evil blood lasting a month or half a year. Sheng Ma (Cimicifugae Rhizoma) three liang, clear wine five sheng, boil to obtain two and a half sheng, divide and take warm twice.
Muli San (Oyster Shell Powder) treats continuous dripping postpartum lochia, chest oppression, shortness of breath, limb weakness, heavy head and dizzy eyes, irritability, heat sensation, loss of appetite, sallow complexion, and emaciation.
Mu Li (Ostreae Concha, calcined), Chuanxiong, Shu Di Huang (Prepared Rehmanniae Radix), Bai Fu Ling (Poria), Long Gu (Fossilia Ossis Mastodi, each one liang); Xuduan, Dang Gui, Ai Ye (wine-fried), Ren Shen, Wu Wei Zi, Di Yu (each half liang); Gan Cao (two and a half qian).
Grind into powder. Take two qian per dose with one zhong of water, three slices of fresh ginger, and one jujube. Decoct until six-tenths remain, strain, and take before meals.
Chan Shu states that if residual blood and fluid remain postpartum, Dou Lin Jiu (Bean-Dripping Wine) is suitable. Black beans five sheng, roast until smoke ceases, quench in a porcelain vessel with one dou of wine. Note: Bean-dripping wine treats stagnant blood and can release the exterior.
Treats continuous postpartum evil blood, uncontrollable metrorrhagia, severe abdominal colic, and rapid breathing. Treats thirty-six diseases of the lying-in period (Guangji Fang).
Luan Fa (Burnt human hair, one liang), Ejiao (two liang), Dai Zhe Shi (Hematitum), Gan Jiang (each three liang); Mati Ke (burnt horse hoof shell, one piece); Gan Di Huang (four liang); Niu Jiao (Cow Horn, five liang, roasted with butter).
Grind into fine powder, make pills with refined honey the size of paulownia seeds. Take thirty to forty pills per dose with rice drink on an empty stomach, twice daily.
Fanhun Dan (See previous section on General Principles of Fetal Production).
Wenzhong and Ge treat continuous lochia with a formula: saw dust from mulberry wood, amount sufficient to fill five fingers, taken with wine.
Another prescription: Roasted Sang Bai Pi (Mori Cortex) decocted in water for drinking.
Milu treats persistent bleeding after fetal expulsion: burn the borers found inside mulberry wood to powder, take one cun bi with wine, twice daily.
Treats uncontrolled postpartum hemorrhage and abdominal pain with chest diaphragm oppression. Jiang Huang (Curcumae Longae Rhizoma) ground into powder, taken with wine, one cun bi per dose, three to four times daily. (Hu states: Jiang Huang treats continuous lochia.)
Treats postpartum hemorrhage persisting until the patient is weak and near death. Also treats blood and qi disorders. Puhuang two liang, water two sheng, decoct to eight ge, take in one dose.