（一名经漏）
陈良甫曰∶或因气虚不能摄血；或因经行而合阴阳，外邪客于胞内。
王孟英按∶亦有因血热而不循其常度者。
经云，七七而天癸竭。有年过五旬，经行不止者∶许叔微主血有余，不可止，宜当归散；《产宝》主劳
伤过度、喜怒不时；李时珍作败血论。三说不同，当参脉证。
李时珍曰∶月事一月一行，其常也。或先或后，或通或塞，其病也。有行期只吐血、衄血，或眼、耳出
血，是谓倒经；有三月一行，是谓居经；有一年一行，是谓避年；有一生不行而受胎者，是谓暗经；有受胎
后，月月行经而产子者，是谓胎盛，俗名胎垢；有受胎数月，血忽大下而胎不陨者，是谓漏胎。此虽以气
血有余不足言，而亦异常矣。
王孟英按∶有未及二七之年而经水已行者；有年逾花甲而月事不绝者；有无病而偶停数月者；有壮年
而月信即断者；有带下过甚而经不行者；有数月而一行者；有产后自乳而仍按月行经者；有一产而停经一二
年者。秉赋不齐，不可以常理概也。
（血大至曰崩，此是急病）
《素问》云∶阴虚阳搏谓之崩。
许叔微曰∶经云，天暑地热，经水沸溢。又曰，阴
虚者尺脉虚浮，阳搏者寸脉弦急，是阴血不足，阳邪有余，故为失血内崩。宜奇效四物汤，或四物汤加黄连。
奇效四物汤
当归（酒洗） 川芎 白芍（炒） 熟地黄 阿胶 艾叶 黄芩（炒，各一钱）
叔微又曰∶女人因气不先理，然后血脉不顺，生崩带等证。香附是妇人仙药，醋炒为末，久服为佳，每服
二钱，清米饮调下。徐朝奉内人遍药不效，服此获安。
徐蔼辉曰∶叔微“理气”二字，专主怒气、郁气伤肝，故用香附调气以和肝，慎不可用破气药。
薛立斋曰∶肝经风热，或怒动肝火，俱宜加味逍遥散。
加味逍遥散
当归 白芍 柴胡 甘草 茯苓 白术 丹皮 黑山栀 加薄荷、姜、枣煎。
李太素曰∶崩宜理气、降火、升提。
《金匮》云∶寸口脉微而缓，微者卫气疏，疏则其肤空；缓者胃弱不实，则谷消而水化。谷入于胃，脉
道乃行；水入于经，其血乃成。营盛则其肤必疏，三焦绝经，名曰血崩。
赵养葵曰∶气为阳主升，血为阴主降。阳有余则升者胜，血出上窍；阳不足则降者胜，血出下窍。气
虚者面色必白，尺脉虚大。
东垣曰∶下血证，须用四君子补气药收功。
东垣又曰∶人伤饮食，医多妄下。清气下陷，浊气不降，乃生 胀，所以胃脘之阳不能升举，其气陷
下致崩，宜补中汤。
丹溪云∶有涎郁胸中，清气不升，故经脉壅遏而降下。非开涎不足以行气；非气升则血不能归隧道。其
证或腹满如孕；或脐腹疗痛；或血结成片；或血出则快，止则闷；或脐上动。治宜开结痰、行滞气、消污血。
沈尧封曰∶冲为血海，并阳明之经而行，故东垣、丹溪皆主胃脘之阳不升。顾其病源各异，李曰妄下，朱
曰痰郁，有腹满如孕，血出反快，止反闷等证可认。妄下则无有也，非问不得。
戴元礼曰∶血大至曰崩，或清或浊，或纯下紫血，势不可止。有崩甚腹痛，人多疑恶血未尽，又见血色
紫黑，愈信为恶血，不敢止截。凡血之为患，欲出未出之际，停在腹中，即成紫血。以紫血为不可留，又
安知紫血之不为虚寒乎？瘀而腹痛，血行则痛止；崩而腹痛，血止则痛止。芎归汤加姜、附，止其血而痛自止。
薛立斋曰∶有妇患崩，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，日服八味丸而愈。又有久患
崩，服四物汤凉血剂；或作或止，有主降火；加腹痛，手足厥冷，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，崩顿止。若泥痛无补法，误矣。
沈尧封曰∶崩证热多寒少。若血大至色赤者，是热非寒；倘色紫黑者，出络而凝，其中有阳虚一证。经
云，阳气者，卫外而为固也。营行脉中，卫行脉外，脉外之阳虚，失于卫护，则脉中之营血漏泄。既出络脉，
凝而不流，渐渐变紫变黑。然必须少腹恶寒，方可投温。
崩证极验方
地榆 生牡蛎（各二钱） 生地（四钱） 生白芍（三钱） 黄芩 丹皮（各一钱半） 川连（五分）
甘草（八分炒） 莲须 黑栀（各一钱） 水煎服。
沈尧封曰∶一妇日服人参、阿胶，血不止，投此即效。因伊芳带多，偶以苦参易芩，血复至，用芩即止；
去连，血又至，加连即止。
尧封又曰∶一妇患崩月余，余诊时，大崩发晕几脱。是方加人参一钱，服之即完，十剂而安。
尧封又曰∶一妇患此，年逾五旬，投人参、阿胶不效。一日用黄连五分，甚不相安。一医云∶是气病。
用酒炒香附、归、芍、丹皮、黄芩、牡蛎、枣仁、黑荆芥各二钱，郁金一钱五分，橘皮一钱，上沉香磨冲
三分，柴胡五分，棕榈炭八分，煎服，一剂崩止。除柴胡、荆芥、棕炭，数剂食进。复加白术为散，服之
作胀，减去即安。
尧封又曰∶一崩证，少腹恶寒，用附桂八味丸，收全效。
王孟英按∶经漏崩淋，并由精窍出，惟溺血从溺窍而下。妇女虽自知，然赧于细述。医者不知分辨，往往
误治。更有因病汛愆，而冲脉之血改从大肠而下者，人亦但知为便血也，临证均须细审。
（经漏，即月经淋漓不断）
陈良甫说：有的因为气虚不能统摄血液；有的在行经期间进行房事，外邪侵入胞宫内部。
《黄帝内经》说，女子到了四十九岁（七七之年），天癸就会枯竭。如果有年过五十岁，月经仍然不止的：许叔微主张是血有余，不可强行止住，适宜用当归散；《产宝》主张是劳伤过度、喜怒情绪不节制；李时珍认为是败血论。这三种说法不同，应当参考脉象和证候来辨别。
李时珍说：月经每月来潮一次，这是正常的。或者提前或者推后，或者通畅或者闭塞，这是病态。有在经期只出现吐血、鼻出血，或者眼睛、耳朵出血的，这叫做倒经；有三个月来潮一次的，这叫做居经；有一年来潮一次的，这叫做避年；有一生都不来月经却能受孕的，这叫做暗经；有受孕之后，每个月仍然来月经并生下孩子的，这叫做胎盛，俗称胎垢；有受孕几个月后，突然大量出血但胎儿不堕落的，这叫做漏胎。这些虽然可以用气血有余或不足来解释，但也属于异常情况。
王孟英按语：有不到十四岁（二七之年）而月经已经来潮的；有超过六十岁（花甲之年）而月经仍不绝的；有没生病而偶尔停经几个月的；有正值壮年而月经就断绝的；有白带过多而导致月经不行的；有几个月才来潮一次的；有产后自己哺乳而仍然按月来月经的；有一次生产后停经一两年的。由于先天禀赋不同，不可以用常规道理一概而论。
（血量极大称为崩，这是急症）
《素问》说：阴虚而阳脉搏击有力，称为崩漏。
许叔微说：《内经》说，天气炎热大地燥热，经水像沸溢一样流出。又说，阴虚的人尺脉虚浮，阳搏的人寸脉弦急，这是阴血不足，阳邪有余，所以导致失血和内崩。适宜用奇效四物汤，或者四物汤加黄连。
奇效四物汤
当归（酒洗） 川芎 白芍（炒） 熟地黄 阿胶 艾叶 黄芩（炒，各一钱）
许叔微又说：女人因为气机不调畅，然后血脉不顺，产生崩漏带下等证候。香附是妇女的仙药，醋炒成末，长期服用很好，每次服用二钱，用清米饮调服。徐朝奉的妻子遍试药物无效，服用此药获得安宁。
徐蔼辉说：许叔微提到的“理气”二字，专门针对怒气、郁气损伤肝脏，所以用香附调气以调和肝脏，千万不要使用破气药。
加味逍遥散
当归 白芍 柴胡 甘草 茯苓 白术 丹皮 黑山栀 加薄荷、生姜、大枣煎服。
《金匮要略》说：寸口脉微弱而缓，微代表卫气疏泄，疏泄则肌肤空虚；缓代表胃弱不实，则食物消化而水液代谢异常。谷物进入胃中，脉道才能运行；水液进入经脉，血液才能生成。营气旺盛则肌肤必然疏松，三焦经络隔绝，名叫血崩。
赵养葵说：气属阳主升，血属阴主降。阳气有余则升的力量强胜，血从上窍出；阳气不足则降的力量强胜，血从下窍出。气虚的人面色必定发白，尺脉虚大。
李东垣又说：人损伤饮食，医生多妄用攻下药。清气下陷，浊气不降，于是产生胀满，所以胃脘之阳不能升举，气机下陷导致崩漏，适宜用补中益气汤。
朱丹溪说：有痰涎郁结在胸中，清气不升，所以经脉壅塞遏阻而降下。不开除痰涎不足以行气；气不升则血不能回归隧道。其证候有的腹部胀满像怀孕一样；有的脐腹刺痛；有的血结成块；有的血出来感觉爽快，停止则感到闷堵；有的脐上跳动。治疗适宜开结痰、行滞气、消污血。
沈尧封说：冲脉为血海，与阳明经并行，所以李东垣、朱丹溪都主张是胃脘之阳不升。但是他们的病源各不相同，李时珍说是误用攻下药，朱丹溪说是痰郁，有腹部胀满像怀孕，血出来反而爽快，停止反而闷堵等证候可以辨认。如果是误用攻下药导致的，就不会有上述症状，不是问诊无法得知。
戴元礼说：血量极大称为崩，或者清稀或者浑浊，或者纯下紫黑色血，势头不可阻挡。有崩漏严重伴随腹痛的，人们多怀疑恶血未尽，又见到血色紫黑，更加确信是恶血，不敢止血截断。凡是血为患，想要出来还没出来的时候，停在腹中，就变成紫血。认为紫血不可留，又怎么知道紫血不是虚寒呢？瘀血导致腹痛，血行通则痛止；崩漏导致腹痛，血止住则痛止。用芎归汤加生姜、附子，止住血而疼痛自然停止。
薛立斋说：有妇女患崩漏，过服寒凉药物，脾胃长久虚弱，原来的病没好，寒病又起，烦渴引水，粒米不进，昏愦时常发作，脉象洪大，重按微弱。这是无根之火，内里虚寒而外表假热。用十全大补汤加附子，崩漏减轻，每天服用八味丸而痊愈。又有长久患崩漏，服用四物汤凉血剂；有时发作有时停止，有人主张降火；加上腹痛，手脚冰冷，这是脾胃虚寒所致，先用附子理中汤，再用济生归脾汤、补中益气汤两方，崩漏立刻停止。如果拘泥于“痛无补法”，就错了。
沈尧封说：崩漏证候热多寒少。如果血量极大颜色鲜红的，是热不是寒；倘若颜色紫黑的，是流出络脉而凝结，其中有一种证候是阳虚。《内经》说，阳气在外护卫而固密。营气行于脉中，卫气行于脉外，脉外的阳气虚，失去护卫，则脉中的营血漏泄。既然流出络脉，凝结而不流动，渐渐变成紫色变黑。然而必须有小腹怕冷，才可以投用温补药。
崩漏极验方
地榆 生牡蛎（各二钱） 生地（四钱） 生白芍（三钱） 黄芩 丹皮（各一钱半） 川连（五分）
甘草（八分炒） 莲须 黑栀（各一钱） 水煎服。
沈尧封说：一位妇女每天服用人参、阿胶，血不止，投用此方立即见效。因为她白带多，偶然用苦参代替黄芩，血又至，用黄芩就止住了；去掉黄连，血又至，加上黄连就止住了。
尧封又说：一位妇女患崩漏一个多月，我诊脉时，大崩漏发作头晕几乎晕厥。此方加人参一钱，服用后立即好转，十剂后安稳。
尧封又说：一位妇女患此病，年过五十，投用人参、阿胶无效。一天用黄连五分，非常不舒服。一位医生说：这是气病。用酒炒香附、当归、白芍、丹皮、黄芩、牡蛎、枣仁、黑荆芥各二钱，郁金一钱五分，橘皮一钱，上沉香磨汁冲服三分，柴胡五分，棕榈炭八分，煎服，一剂崩漏停止。除去柴胡、荆芥、棕炭，数剂后进食。再加白术做成散剂，服用后腹胀，减去即安。
王孟英按语：经漏崩淋，都是由精窍排出，只有溺血是从尿道而下。妇女虽然自己知道，但羞于详细叙述。医生不知道分辨，往往误治。更有因为月经失调，冲脉的血改从大肠排出的，人们也只知是便血，临证都必须仔细审察。
(Jing Lou, also known as Menstrual Dripping)
Chen Liangfu stated: Some cases arise because Qi deficiency fails to control the blood; others occur when sexual intercourse takes place during menstruation, allowing external pathogens to invade the interior of the uterus.
Wang Mengying added in commentary: There are also cases caused by Blood Heat failing to follow its normal course.
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that at age forty-nine (seven times seven), Tian Gui (Heavenly Water, referring to reproductive essence/fluids) ceases. For those over fifty whose menstruation does not stop: Xu Shuwei advocated that this is due to an excess of Blood and should not be forcibly stopped, recommending Danggui San (Angelica Powder); the *Chanbao* (Treasures of Childbirth) attributed it to excessive labor injury and irregular emotions of joy and anger; Li Shizhen proposed a theory of "Decayed Blood." These three theories differ, so one must refer to the pulse and symptoms for differentiation.
Li Shizhen said: Menstruation occurring once a month is the norm. Occurring early or late, freely or obstructed, constitutes pathology. If only hematemesis (vomiting blood) or epistaxis (nosebleed) occurs during the menstrual period, or bleeding from the eyes or ears, this is called Dao Jing (Reverse Menstruation). If it occurs once every three months, it is called Ju Jing (Resident Menstruation). If once a year, Bi Nian (Avoidance Year). If a woman never menstruates but can conceive, it is called An Jing (Hidden Menstruation). If she continues to menstruate monthly after conception and delivers a child, it is called Tai Sheng (Fetal Abundance), commonly known as Tai Gou (Fetal Filth). If heavy bleeding occurs several months into pregnancy without fetal loss, it is called Lou Tai (Leaking Fetus). Although these can be explained by excess or deficiency of Qi and Blood, they are all considered abnormal conditions.
Wang Mengying added in commentary: There are cases where menstruation begins before age fourteen (two times seven); there are cases where menstruation continues past age sixty (one hundred years cycle); there are healthy women who occasionally stop menstruating for several months; there are women in their prime whose menstruation ceases abruptly; there are cases where excessive leukorrhea prevents menstruation; there are cases where menstruation occurs only once every few months; there are postpartum women who breastfeed yet still menstruate monthly; there are women who stop menstruating for one or two years after a single childbirth. Due to varying constitutional endowments, one cannot generalize using standard rules.
(When blood volume is extremely large, it is termed Beng [Catastrophic Bleeding], which is an acute condition.)
The *Suwen* (Basic Questions) states: Yin deficiency with Yang pulse striking forcefully is termed Beng.
Xu Shuwei said: The *Neijing* says, "When heaven is hot and earth is dry, the menstrual water boils over." It also states, "In Yin deficiency, the Chi (cun-chi) pulse is deficient and floating; in Yang striking, the Cun (inch) pulse is wiry and urgent." This indicates insufficient Yin Blood and excess Yang pathogenic factors, leading to internal hemorrhage and catastrophic bleeding. Qixiao Siwu Tang (Miraculous Effect Four Substances Decoction) is appropriate, or Siwu Tang (Four Substances Decoction) with added Huanglian (Coptis Rhizome).
Qixiao Siwu Tang
Danggui (washed with wine) Chuanxiong Baishao (fried) Shudihuang (Prepared Rehmannia Root) Ejiao (Donkey-hide Gelatin) Aiye (Mugwort Leaf) Huangqin (Scutellaria Root, fried, each 1 qian)
Xu Shuwei further stated: Women suffer from disordered Qi first, causing unsmooth blood vessels, resulting in syndromes such as Beng and Dai (leukorrhea). Xiangfu (Cyperus Rhizome) is a miraculous herb for women. When stir-fried with vinegar and made into powder, long-term use is beneficial. Take 2 qian per dose, mixed with clear rice water. The wife of Xu Chaofeng tried many medicines without effect but found relief with this remedy.
Xu Hui noted: Xu Shuwei’s emphasis on "regulating Qi" specifically targets liver injury caused by anger and Qi stagnation. Therefore, Xiangfu is used to regulate Qi and harmonize the Liver. One must strictly avoid herbs that break Qi.
Xue Lizhai stated: For Wind-Heat in the Liver Meridian or Liver Fire stirred by anger, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is suitable.
Jiawei Xiaoyao San
Danggui Baishao Chaihu Gancao Fuling Baizhu Danpi Heishanzhi Add Bohe (Mint), Shengjiang (Fresh Ginger), and Zaoju (Jujube) for decoction.
Li Taisu stated: Treatment for Beng should involve regulating Qi, descending Fire, and lifting.
The *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet) states: A Cun Kou pulse that is faint and slow indicates that faintness represents loose Wei Qi (Defensive Qi), leading to empty skin; slowness indicates weak Stomach Qi lacking substance, causing food digestion and water transformation abnormalities. When grain enters the Stomach, the vessel pathways operate; when water enters the meridians, Blood forms. When Ying Qi (Nutritive Qi) is abundant, the skin becomes loose. When the Three Jiao (Triple Burner) meridians are severed, it is named Blood Beng.
Zhao Yangkui stated: Qi belongs to Yang and governs ascending; Blood belongs to Yin and governs descending. If Yang is in excess, the ascending force prevails, and blood exits from upper orifices; if Yang is deficient, the descending force prevails, and blood exits from lower orifices. Those with Qi deficiency will have a pale complexion and a large, deficient Chi pulse.
Li Dongyuan stated: For syndromes of lower bleeding, one must use Sizijunzi Tang (Four Gentlemen Decoction) to tonify Qi to conclude treatment.
Li Dongyuan further stated: When dietary injury occurs, physicians often recklessly use purgatives. Clear Qi sinks downward, turbid Qi fails to descend, leading to distension. Thus, the Yang of the Epigastrium cannot rise and lift; Qi sinking downward causes Beng. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate.
Zhu Danxi stated: Phlegm-fluids stagnating in the chest prevent Clear Qi from rising, causing meridian obstruction and downward flow. Without resolving phlegm, Qi cannot move; without Qi ascending, Blood cannot return to its vessels. Symptoms may include abdominal fullness resembling pregnancy; stabbing pain around the umbilicus and abdomen; blood clotted into pieces; feeling relieved when blood flows but stifled when it stops; or pulsation above the umbilicus. Treatment should focus on resolving phlegm nodules, moving stagnant Qi, and eliminating foul blood.
Shen Yaofeng stated: The Chong Mai (Penetrating Vessel) is the Sea of Blood and travels alongside the Yangming Meridian. Thus, both Li Dongyuan and Zhu Danxi emphasized the failure of Epigastric Yang to rise. However, their etiologies differed: Li attributed it to reckless purging, while Zhu attributed it to Phlegm stagnation. Symptoms like abdominal fullness resembling pregnancy, relief upon bleeding, and stifling upon cessation help distinguish them. Such symptoms would not exist if caused by reckless purging; inquiry is necessary to determine this.
Dai Yuanli stated: Massive bleeding is termed Beng. It may be clear or turbid, or purely dark purple blood, with unstoppable momentum. In severe Beng accompanied by abdominal pain, people often suspect that evil blood remains and, seeing dark purple color, believe it is evil blood, daring not to stop the bleeding. Whenever blood is pathological, if it stays in the abdomen before fully exiting, it turns purple. Assuming purple blood must be expelled, how do we know it isn't due to Deficiency-Cold? Stasis causes abdominal pain, which stops when blood flows; Beng causes abdominal pain, which stops when bleeding ceases. Xiongui Tang (Cyperi and Angelica Decoction) with Shengjiang (Fresh Ginger) and Fuzi (Aconite Root) stops the blood, and the pain naturally subsides.
Xue Lizhai stated: A woman suffering from Beng took too many cold-natured medicines, causing long-term Spleen-Stomach deficiency. The original illness persisted, and Cold pathology re-emerged with irritability, thirst, inability to eat, occasional coma, and a洪大 (Surging-Large) pulse that felt weak upon deep pressure. This is Rootless Fire, with internal Deficiency-Cold and external False-Heat. Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) with added Fuzi reduced the bleeding; daily consumption of Bawei Wan (Eight-Ingredient Pill) led to recovery. Another case involved chronic Beng treated with cooling agents like Siwu Tang; episodes came and went. Some advocated descending Fire. With added abdominal pain and cold limbs, this indicated Spleen-Stomach Deficiency-Cold. First treat with Fuzi Lizhong Tang (Aconite Center-Regulating Decoction), then use Jisheng Guipi Tang (Sagecraft Return-to-Spleen Decoction) and Buzhong Yiqi Tang. The bleeding stopped immediately. Clinging to the rule "pain has no tonification method" is erroneous.
Shen Yaofeng stated: Beng syndromes are mostly Heat with little Cold. If the massive bleeding is bright red, it is Heat, not Cold. If the color is dark purple, it is coagulated after leaving the collaterals, indicating a possible Yang Deficiency syndrome. The *Neijing* states: "Yang Qi guards the exterior and secures." Ying Qi moves within the vessels, Wei Qi moves outside. If exterior Yang is deficient and loses its guarding function, Ying Blood inside the vessels leaks out. Once exiting the collaterals, it coagulates and stops flowing, gradually turning purple and black. However, warming formulas should only be administered if there is cold intolerance in the lower abdomen.
Highly Effective Formula for Beng
Di Yu (Sanguisorba Root) Sheng Muli (Raw Oyster Shell, each 2 qian) Sheng Di Huang (Raw Rehmannia Root, 4 qian) Sheng Baishao (Raw White Peony Root, 3 qian) Huang Qin (Scutellaria Root) Dan Pi (Moutan Cortex, each 1.5 qian) Chuan Lian (Coptis Rhizome, 0.5 qian)
Gancao (Licorice Root, fried, 0.8 fen) Lianxu (Lotus Stamens) Heizhi (Black Gardenia Fruit, each 1 qian) Decoct in water and take orally.
Shen Yaofeng stated: A woman taking Ginseng and Ejiao daily continued to bleed. Upon administering this formula, she responded immediately. Because she had excessive leukorrhea, she accidentally substituted Kushen (Sophora Root) for Huangqin, and bleeding resumed. Using Huangqin stopped it; removing Chuanlian caused bleeding again; adding Chuanlian stopped it.
Yaofeng further stated: A woman suffered from Beng for over a month. When I examined her, she was nearly syncope due to severe bleeding. Adding 1 qian of Renshen (Ginseng Root) to this formula brought immediate improvement; ten doses resulted in stability.
Yaofeng further stated: A woman over fifty suffered from this condition. Renshen and Ejiao were ineffective. One day, she took 0.5 qian of Huanglian and felt very uncomfortable. A physician diagnosed it as a Qi disorder. He prescribed Jiuchao Xiangfu (Vinegar-fried Cyperus), Danggui, Baishao, Danpi, Huangqin, Muli, Zaoren (Ziziphus Seed), Hei Jingjie (Black Schizonepeta), each 2 qian; Yujin (Curcuma Radix), 1.5 qian; Chenpi (Tangerine Peel), 1 qian; Shang Chenxiang (Agarwood), 0.3 qian ground and mixed; Chaihu (Bupleurum Root), 0.5 qian; Zonglutan (Palmae Fructus Carbonisatum), 0.8 fen. Decoct and take orally. The bleeding stopped after one dose. Removing Chaihu, Jingjie, and Zonglutan, and taking several more doses improved appetite. Adding Baizhu (Atractylodes Macrocephala Rhizome) as a powder caused distension; reducing the dose brought comfort.
Yaofeng further stated: In a case of Beng with cold intolerance in the lower abdomen, Fugui Bawei Wan (Aconite and Cinnamon Eight-Ingredient Pill) achieved complete recovery.
Wang Mengying added in commentary: Jing Lou (Menstrual Dripping) and Beng Lin (Catastrophic Bleeding with Dribbling) exit through the Jing Qiao (Reproductive Orifice). Only Niao Xue (Blood in Urine) exits through the Niao Qiao (Urinary Orifice). Although women are aware of this, they are shy to describe it in detail. Physicians who fail to differentiate often misdiagnose. Furthermore, in cases of delayed menstruation, Chong Mai blood may redirect to exit via the Large Intestine. People generally mistake this for Bian Xue (Blood in Stool). Clinical examination must be meticulous.