产后恶露不止，非如崩症暴下之多也。由于产时伤其经血，虚损不足，不能收摄，或恶
血不尽，则好血难安，相并而下，日久不止，渐成虚劳。当大补气血，使旧血得行，新血得生，
不可轻用固涩之剂，致败血聚为 瘕，反成终身之害，十全大补汤主之。如小腹刺痛者，蒲
索四物汤主之。如产后月余，经血淋沥不止，宜用升陷固血汤。《全书》云∶因血热者，宜保
阴煎、清化饮。因伤冲任之络而不止者，宜用固阴煎加减用之。若肝脾气虚，不能收摄，而
血不止者，宜寿脾煎。若气血俱虚，而淡血津津不已者，宜大补元煎。若怒火伤肝，而血不藏
者，宜薛氏加味四物汤。若风热在肝，而血下泄者，宜一味防风散。以上诸治法，与《济阴
纲目》理同，血崩门亦可参看通治。
蒲索四物汤 治产后恶露不止。
当归（一钱半） 川芎（八分） 熟地（二钱） 白芍（酒炒） 延胡（醋炒，各一钱）
蒲黄（七分炒） 干姜（五分炒黑）
产后忌芍药，而此方用之，审恶露不止四字，则产日已久矣，故不忌。
升陷固血汤 治产后月余，经血不止，陷下者举之。
当归 川芎 熟地 白芷 升麻 血余炭（各一钱）
水煎服。
保阴煎 治一切阴虚内热动血等症。
生地 熟地 芍药（各二钱） 山药 川续断 黄芩 黄柏（各一钱五分） 生草（一钱）
水二盅，煎七分，食远服。如血虚、血滞，筋骨肿痛者，加当归二、三钱；如气滞而痛，
去熟地，加陈皮、青皮、丹皮、
香附之属。此方芩、连、栀、柏等类，当于产后日久，方可用之。
固阴煎 治阴虚滑泄，带浊淋遗，及因虚不固，此方专主肝肾。
人参（随宜） 熟地（三五钱） 山药（二钱炒） 山萸肉（一钱半） 远志（七分甘草水泡，去骨，
炒用） 炙草（一二钱味子十四粒） 菟丝子（二三钱炒香）
水二盅，煎七分，食远温服。
寿脾煎 治脾虚不能摄血等症，及妇人无火崩淋，凡兼呕恶，犹为危候，速宜用此救脾，
则统血归源矣。若再用寒凉，胃气必脱而死。
人参（随宜一二钱） 白术（二三钱） 当归（二钱） 山药（二钱） 枣仁（一钱半） 远志（
三五分制） 干姜（一二钱炮黑） 炙草（一钱） 莲肉（二十粒，去心，炒）
水煎服。滑脱不禁者，加醋炒文蛤一钱，下焦虚滑不禁，鹿角霜二钱为末，搅入药中服之。
大补元煎 治男妇血气大坏，精神失守，危剧等症。
人参 山药（二钱炒） 熟地（二三钱多则用二三两） 杜仲（二钱盐水炒断丝） 当归（泄泻
者去之） 枸杞（各二三钱） 山萸肉（如畏酸吞酸者去之） 炙草（各一钱）
水二盅，煎七分，食远温服。如元阳不足，多寒者，加制附子、肉桂、炮姜之类，随宜用之；
如血滞者，加川芎，去山茱萸，滑泄者，加五味、炒故纸之属。
薛氏加味四物汤 养肝血，清肝火。
熟地 当归（各三钱） 芍药（二钱） 川芎 炒山栀 柴胡 丹皮（各一钱）
产后恶露淋漓不尽，其出血量不像崩漏症那样暴下如注。这是由于分娩时损伤了经血，导致身体虚损不足，无法固摄血液；或者恶血未尽，使得新血难以安宁，新旧血液混杂而下，日久不止，逐渐演变为虚劳病。治疗应当大补气血，使旧有的瘀血得以排出，新的血液得以生成，不可轻易使用收敛固涩的药物，以免败血积聚形成瘕块（腹内结块），反而造成终身的危害，主方选用十全大补汤。如果伴有小腹刺痛症状的，主方选用蒲索四物汤。如果是产后一个多月，经血淋沥不止的，适宜使用升陷固血汤。《全书》记载：因血热导致的，适宜用保阴煎、清化饮。因冲任二脉络脉受损而不止血的，适宜用固阴煎加减使用。若是肝脾气虚，不能固摄血液，导致血不止的，适宜用寿脾煎。若是气血俱虚，且淡红色血液津津流出不停的，适宜用大补元煎。若是怒火伤肝，导致血液不能藏纳的，适宜用薛氏加味四物汤。若是风热在肝，导致血液下泄的，适宜用一味防风散。以上各种治法，与《济阴纲目》中的道理相同，血崩门的内容也可以参考作为通治之法。
蒲索四物汤：治疗产后恶露不止。
当归（一钱半） 川芎（八分） 熟地黄（二钱） 白芍（酒炒） 延胡索（醋炒，各一钱） 蒲黄（七分炒） 干姜（五分炒黑）
产后通常忌用芍药，但此方中使用它，是因为仔细审视“恶露不止”这四个字，说明生产日子已经很久了，所以不忌讳。
升陷固血汤：治疗产后月余，经血不止，针对气陷者予以提升。
当归 川芎 熟地黄 白芷 升麻 血余炭（各一钱）
水煎服。
保阴煎：治疗一切阴虚内热动血等症状。
生地黄 熟地黄 芍药（各二钱） 山药 川续断 黄芩 黄柏（各一钱五分） 生甘草（一钱）
用水两盅，煎至七分，饭后服用。如果有血虚、血滞，筋骨肿痛的情况，加当归二、三钱；如果有气滞而痛的情况，去掉熟地黄，加上陈皮、青皮、丹皮、香附之类的药物。此方中黄芩、黄连、栀子、黄柏等寒凉类药物，应当在产后日久之后方可使用。
固阴煎：治疗阴虚滑泄、白带浑浊、淋证遗尿，以及因虚而不固的症状，此方专门主治肝肾。
人参（根据情况适量） 熟地黄（三到五钱） 山药（二钱炒） 山茱萸肉（一钱半） 远志（七分用甘草水泡，去骨，炒用） 炙甘草（一到二钱配五味子十四粒） 菟丝子（二到三钱炒香）
用水两盅，煎至七分，饭后温服。
寿脾煎：治疗脾虚不能统摄血液等症状，以及妇人无火型的崩漏淋证。凡是兼有呕吐恶心症状的，属于危重证候，速宜使用此方救脾，则能统血归源。如果再使用寒凉药物，胃气必然脱失而死。
人参（根据情况适量，一到二钱） 白术（二到三钱） 当归（二钱） 山药（二钱） 酸枣仁（一钱半） 远志（三到五分炮制） 干姜（一到二钱炮黑） 炙甘草（一钱） 莲子肉（二十粒，去心，炒）
水煎服。如果是滑脱不禁的情况，加醋炒文蛤一钱；如果是下焦虚滑不禁，用鹿角霜二钱研末，搅入药中服用。
大补元煎：治疗男女气血大坏，精神失守，病情危重紧急等症状。
人参 山药（二钱炒） 熟地黄（二到三钱，多则用二到三两） 杜仲（二钱盐水炒至断丝） 当归（腹泻者去掉） 枸杞（各二到三钱） 山茱萸肉（如果畏酸或吞酸者去掉） 炙甘草（各一钱）
用水两盅，煎至七分，饭后温服。如果是元阳不足，怕冷多的，加制附子、肉桂、炮姜之类，根据情况使用；如果是血滞的，加川芎，去掉山茱萸；如果是滑泄的，加五味子、炒补骨脂之类的药物。
Postpartum lochia that does not stop is not as profuse and sudden as in metrorrhagia (sudden heavy vaginal bleeding). It occurs because the meridians and blood vessels were injured during childbirth, leading to deficiency and insufficiency, causing an inability to consolidate and retain blood. Alternatively, if lochia (postpartum uterine discharge) is not completely expelled, it becomes difficult for healthy blood to settle, resulting in mixed discharge of old and new blood. If this persists for a long time, it gradually develops into consumptive disease (Xu Lao). Treatment should focus on greatly tonifying Qi and Blood, allowing old blood to circulate and new blood to generate. One should not lightly use astringent agents, which might cause stagnant blood to accumulate into masses (Zhang), thereby causing lifelong harm. The principal formula is Shiquan Dabu Tang (Ten Significant Decoction for Great Tonification). If accompanied by stabbing pain in the lower abdomen, Pusuo Siwu Tang (Purslane and Four Substances Decoction) is indicated. If postpartum menstrual bleeding dribbles continuously for over a month, Shengxian Guxue Tang (Lifting Qi and Consolidating Blood Decoction) is appropriate. *Quan Shu* states: For cases caused by Blood Heat, Baoyin Jian (Protect Yin Decoction) and Qinghua Yin (Clear Transformation Drink) are suitable. For cases where bleeding continues due to injury to the collaterals of the Chong and Ren vessels, Guyin Jian (Consolidate Yin Decoction) with modifications is used. For cases of Liver and Spleen Qi Deficiency failing to consolidate blood, Shoupi Jian (Longevity Spleen Decoction) is indicated. For cases of combined Qi and Blood Deficiency with continuous leakage of pale blood, Dabu Yuanjian (Great Tonification of the Source Decoction) is appropriate. For cases where anger/fire injures the Liver, causing blood to fail to be stored, Xueshi Jiawei Siwu Tang (Dr. Xue’s Modified Four Substances Decoction) is used. For cases of Wind-Heat in the Liver causing blood to leak downward, Yiwei Fangfeng San (Single Herb Saposhnikovia Powder) is indicated. These treatment methods align with the principles in *Ji Yin Gang Mu* (Outline and Key Points of Women's Medicine), and the section on Metrorrhagia can also be consulted for general treatment.
Pusuo Siwu Tang: Treats postpartum lochia that does not stop.
Dang Gui (1.5 qian) Chuan Xiong (8 fen) Shu Di Huang (2 qian) Bai Shao (stir-fried with wine) Yan Hu Suo (vinegar-fried, each 1 qian) Pu Huang (7 fen stir-fried) Gan Jiang (0.5 qian stir-fried until black)
Although Bai Shao is generally contraindicated after childbirth, its use here is justified because the phrase "lochia that does not stop" implies that some time has passed since delivery, thus removing the contraindication.
Shengxian Guxue Tang: Treats continuous menstrual bleeding more than a month postpartum; lifts sinking Qi.
Dang Gui Chuan Xiong Shu Di Huang Bai Zhi Sheng Ma Xu Yu Tan (each 1 qian)
Decoct in water and take orally.
Baoyin Jian: Treats various conditions involving Yin Deficiency with internal heat disturbing the blood.
Sheng Di Huang Shu Di Huang Bai Shao (each 2 qian) Shan Yao Chuan Xu Duan Huang Qin Huang Bo (each 1.5 qian) Sheng Gan Cao (1 qian)
Decoct two cups of water until reduced to 0.7 cup; take after meals. For Blood Deficiency or Blood Stasis causing swelling and pain in bones and sinews, add Dang Gui (2-3 qian). For Qi Stasis causing pain, remove Shu Di Huang and add Chen Pi, Qing Pi, Dan Pi, Xiang Fu, etc. The cold-natured herbs in this formula, such as Huang Qin, Huang Lian, Zhi Zi, and Huang Bo, should only be used when some time has passed postpartum.
Guyin Jian: Treats Yin Deficiency with slipping discharge, turbid leukorrhea, strangury, and enuresis, as well as instability due to deficiency. This formula specifically targets the Liver and Kidney.
Ren Shen (as needed) Shu Di Huang (3-5 qian) Shan Yao (2 qian stir-fried) Shan Yu Rou (1.5 qian) Yuan Zhi (0.7 qian soaked in Licorice water, bone removed, stir-fried) Zhi Gan Cao (1-2 qian with 14 Wu Wei Zi seeds) Tu Si Zi (2-3 qian stir-fried until fragrant)
Decoct two cups of water until reduced to 0.7 cup; take warm after meals.
Shoupi Jian: Treats symptoms such as Spleen Deficiency failing to control blood, and non-fire type metrorrhagia and leukorrhea in women. Cases accompanied by vomiting and nausea are critical; this formula should be used urgently to rescue the Spleen, thereby restoring the control of blood. If cold-natured herbs are used further, Stomach Qi will collapse, leading to death.
Ren Shen (as needed, 1-2 qian) Bai Zhu (2-3 qian) Dang Gui (2 qian) Shan Yao (2 qian) Zao Ren (1.5 qian) Yuan Zhi (0.3-0.5 qian processed) Gan Jiang (1-2 qian stir-fried until black) Zhi Gan Cao (1 qian) Lian Rou (20 seeds, heart removed, stir-fried)
Decoct in water and take orally. For uncontrolled slipping, add Wen Ge (1 qian vinegar-fried). For lower Jiao deficiency with uncontrolled slipping, add Lu Jiao Shuang (2 qian powdered) and mix into the decoction before taking.
Dabu Yuanjian: Treats severe deterioration of Qi and Blood in men and women, loss of spirit retention, and other critical conditions.
Ren Shen Shan Yao (2 qian stir-fried) Shu Di Huang (2-3 qian, up to 2-3 liang) Du Zhong (2 qian salt-water fried until fibers break) Dang Gui (remove if diarrhea is present) Gou Qi (each 2-3 qian) Shan Yu Rou (remove if sour taste is feared or regurgitated) Zhi Gan Cao (each 1 qian)
Decoct two cups of water until reduced to 0.7 cup; take warm after meals. For Yuan Yang Deficiency with excessive cold, add Zhi Fu Zi, Rou Gui, Pao Jiang, etc., as appropriate. For Blood Stasis, add Chuan Xiong and remove Shan Yu Rou. For slipping/diarrhea, add Wu Wei Zi, Chao Gu Zhi, etc.
Xueshi Jiawei Siwu Tang: Nourishes Liver Blood and clears Liver Fire.
Shu Di Huang Dang Gui (each 3 qian) Bai Shao (2 qian) Chuan Xiong Chao Shan Zhi Chai Hu Dan Pi (each 1 qian)