（金匮） 治妇人陷经。漏下黑不解，或损伤冲任，月水过多，淋沥不断。
方见卷十下胎产门
妇人之经，虽从下出。实由心胃之气主之，故升降有期。今曰漏下，是无期也。所漏者
黑，
物通
紫为
（良方） 治经行复止，血少神衰。（女子善怀，每多忧思。忧多则伤心，心伤则不
生血而血少。血少则肝无所藏，而冲任之脉枯，故经闭不行也。经曰∶月事不来者，胞脉
也。胞脉者属心，而络于胞中。今气上逼肺，心气不得下降，故月事不来。）
柏子仁（去油） 牛膝（酒浸） 卷柏（五钱） 泽兰 续断（二两） 熟地黄（一两）
蜜丸，米饮
通经闭。
（东垣） 治崩漏。身热，自汗，短气，倦怠懒食。（此由劳伤所致。）
补中益气汤（见气门）加白芍黑山栀姜枣煎。
补中汤以益气升阳，退热收汗。加芍药以剑阴，黑栀以清热。
又东垣兰室秘藏升阳举经汤。黄 当归白术（各三钱） 羌活防风 本（各二钱） 独
活附子（
去皮尖研） 红花
右尺脉按之空虚，是
火亦亡。见热证于口
血，切补命门之下脱
（良方） 治经行不止，及崩中漏下，紫黑成块。（冲任为经脉之海，若无损伤，则阴
阳和平，气血调适矣。若劳动过度，损伤脏腑，冲任之气虚，不能约制经血，故经多暴下。
或由阴虚阳搏，为热所乘，攻伤冲任，血得热则妄行也。脉数疾，小为顺，大者为逆。紫黑
成块者，热甚而反兼水化，非寒也。玉机微义曰∶血得寒则凝，既行而紫黑，故知非寒也。
龟板（炙四两） 芍药（酒炒） 黄柏（酒炒三两） 黄芩（二两） 香附（童便浸炒）
樗皮（两半）
经多不止者，阴气不足以制胞络之火，故越其常度也。崩中漏下者，虚而挟热也。紫黑
成块
以制
（出自《金匮要略》）治疗妇人陷经证。表现为经血漏下不止、颜色发黑，或因损伤冲任二脉，导致月经量过多、淋漓不断。
方剂见卷十“下胎产门”章节。
妇女的月经，虽然是从下部排出，但实际上由心气和胃气所主导，因此升降有固定的周期。现在所说的“漏下”，就是没有固定周期的表现。漏下的血液颜色发黑，是因为瘀滞日久所致（原文此处文字有缺漏或错简，意指紫黑色为瘀血之象）。
（出自《良方》）治疗月经来潮后又停止，因血少导致神气衰弱的情况。（女子多愁善感，常常多有忧思。忧虑过多则伤心，心受伤则不能生血而导致血少。血少则肝无所藏，进而导致冲任二脉枯竭，所以月经闭止不行。医经说：月经不来的原因，是胞脉闭塞。胞脉属于心，并联络于子宫中。如今气机上逆逼迫肺脏，心气不能下降，所以月经不来。）
柏子仁（去油）、牛膝（酒浸）、卷柏（五钱）、泽兰、续断（二两）、熟地黄（一两）。
制成蜜丸，用米汤送服，以通经闭。
（出自李东垣）治疗崩漏证。伴有身体发热、自汗、气短、倦怠、食欲不振。（这是由于劳倦内伤所致。）
使用补中益气汤（见“气门”章节），加入白芍、黑山栀、生姜、大枣煎服。
补中益气汤用以益气升阳，退热止汗。加入芍药以敛阴，黑山栀以清热。
另外，李东垣在《兰室秘藏》中记载了升阳举经汤。黄芪、当归、白术（各三钱）、羌活、防风、藁本（各二钱）、独活、附子（去皮尖研末）、红花。
右尺脉按之空虚，说明命门之火也已消亡。见到热证在口部，需补血，切记要补益命门以防阳气脱失。
（出自《良方》）治疗经期延长不止，以及崩中漏下，血色紫黑成块。（冲任二脉是经脉之海，如果没有损伤，则阴阳平和，气血调适。如果劳动过度，损伤脏腑，导致冲任之气虚弱，不能约束经血，所以经血暴下过多。或者由于阴虚阳搏，被热邪乘虚而入，攻伤冲任，血液受热则妄行。脉象数疾，小脉为顺，大脉为逆。血色紫黑成块的，是热极反而兼有水化之象，并非寒证。《玉机微义》说：血得寒则凝结，既然已经流出且呈紫黑色，所以知道不是寒证。）
龟板（炙四两）、芍药（酒炒）、黄柏（酒炒三两）、黄芩（二两）、香附（童便浸炒）、樗皮（一两半）。
经期过多不止，是因为阴气不足以制约胞络之火，从而超越了正常限度。崩中漏下，是虚证兼夹热邪。紫黑成块……（原文此处截断，意为热盛致瘀）以制……（原文此处截断，意为清热凉血止血）
(From *Jingui Yaolue*) Treats "Sunken Meridian" syndrome in women. Manifestations include continuous dripping of dark menstrual blood, or excessive menstrual flow and prolonged dripping due to damage to the Chong and Ren meridians.
The prescription is found in Volume 10, under the section "Obstetrics and Gynecology".
Women's menstruation, although discharged from the lower orifice, is actually governed by the Qi of the Heart and Stomach; therefore, its ascent and descent follow a regular cycle. The term "dripping discharge" mentioned here refers to the absence of such a regular cycle. The dark color of the discharged blood indicates long-standing blood stasis (the original text contains lacunae or textual errors, implying that purple-black color signifies stasis).
(From *Liangfang*) Treats amenorrhea following menstruation, caused by blood deficiency leading to spirit depletion. (Women are prone to sentimentality and often harbor excessive worries. Excessive worry damages the Heart; when the Heart is damaged, it fails to generate Blood, leading to blood deficiency. When blood is deficient, the Liver has nothing to store, causing the Chong and Ren meridians to wither, resulting in amenorrhea. The Classics state: "When menstruation does not arrive, it is due to the blockage of the Bao Mai [Uterine Vessels]." The Bao Mai belongs to the Heart and connects to the uterus. Now, if Qi rebels upward and presses against the Lung, the Heart Qi cannot descend, thus menstruation does not arrive.)
Bai Zi Ren (Platycladi Semen, de-oiled), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine), Juan Bai (Selaginellae Tamariscinae Herba, 5 qian), Ze Lan (Leonuri Herba), Xu Duan (Dipsaci Radix, 2 liang), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang).
Made into honey pills, taken with rice water to unblock amenorrhea.
(From Li Dongyuan) Treats metrorrhagia and metrostaxis accompanied by fever, spontaneous sweating, shortness of breath, fatigue, and anorexia. (This is caused by injury from overwork.)
Use Bu Zhong Yi Qi Tang (see "Qi Gate" section), added with Bai Shao (Paeoniae Radix Alba), Hei Shan Zhi (Gardeniae Fructus Carbonized), Sheng Jiang (Zingiberis Rhizoma Recens), and Da Zao (Jujubae Fructus), decocted and taken.
Bu Zhong Yi Qi Tang tonifies Qi and raises Yang, reduces fever, and stops sweating. Adding Bai Shao astringes Yin, and Hei Shan Zhi clears heat.
Additionally, Li Dongyuan recorded Sheng Yang Ju Jing Tang in *Lan Shi Mi Cang*. Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (each 3 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gao Ben (Ligustici Rhizoma) (each 2 qian), Du Huo (Angelicae Pubescentis Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, peeled and de-embryoned, ground), Hong Hua (Carthami Flos).
If the Right Chi pulse is empty upon pressure, it indicates that the Fire of the Ming Men (Gate of Life) is also exhausted. Observing heat signs in the mouth requires nourishing Blood; one must strictly tonify the Ming Men to prevent the collapse of Yang Qi.
(From *Liangfang*) Treats prolonged menstruation, as well as metrorrhagia and metrostaxis with purple-black clots. (The Chong and Ren meridians are the sea of the twelve meridians. Without injury, Yin and Yang are harmonious, and Qi and Blood are balanced. If overexertion injures the Zang-Fu organs, causing deficiency of Qi in the Chong and Ren meridians, they fail to constrain the menstrual blood, resulting in sudden heavy bleeding. Alternatively, due to Yin deficiency with Yang hyperactivity, pathogenic heat attacks and injures the Chong and Ren meridians; when blood is affected by heat, it flows recklessly. A rapid and hurried pulse is favorable if small, but unfavorable if large. Purple-black clots indicate extreme heat manifesting with water-like characteristics, not cold. *Yu Ji Wei Yi* states: "Blood coagulates when exposed to cold." Since the blood has flowed and is purple-black, it is known not to be cold.)
Gui Ban (Testudinis Carapax et Plastrum, calcined, 4 liang), Shao Yao (Paeoniae Radix, stir-fried with wine), Huang Bo (Phellodendri Cortex, stir-fried with wine, 3 liang), Huang Qin (Scutellariae Radix, 2 liang), Xiang Fu (Cyperi Rhizoma, steamed with child's urine), Chu Pi (Stemonae Radix, 1.5 liang).
Prolonged menstruation occurs because Yin Qi is insufficient to control the fire in the Bao Luo (uterine collaterals), exceeding normal limits. Metrorrhagia and metrostaxis represent deficiency combined with heat. Purple-black clots... (text cuts off, implying heat-induced stasis) ...to restrain... (text cuts off, implying clearing heat and cooling blood)