骆氏曰∶经云有病胸胁支满，妨于食，病至则先闻腥臊臭，出清液，先唾血，四肢清，
目眩，时时前后血，病名曰血枯（此病机也，宜知）。此年少时因大脱血，或醉而入房，亏损肾肝。盖肝藏血，
受天一之气以为滋荣，其经上贯膈，布胁肋。若脱血失精，肝气已伤，肝血枯涸不荣，而胸
胁满，妨于食，则肝病传脾而闻腥臊臭，出清液。若以肝病而肺乘之，则唾血，四肢清，目
眩，时时前后血出，皆肝血伤之症也。（胸胁满证，人皆伐肝，岂知血枯之故，宜养肝血也，当须识此）
良方云∶妇人月水不通，或因醉饱入房，或因劳役过度，或因吐血失血，伤损肝脾
，但滋其化源，其经自通，若小便不利，苦头眩痛，腰背作痛，足寒时痛，久而血结于内，
变为 瘕；若血水相并，脾胃虚弱，壅滞不通，变为水肿；若脾气衰弱，不能制水，渐
渍肌肉，变为肿满。当益其津液，大补脾胃，方可保生。王节斋曰∶妇人女子经脉不行，多
有脾胃损伤而致者，不可便认作经闭死血，轻用通经破血之药（发所未发，极是。但有肝气郁滞，以
致脾土失运不能化血者，又须和肝气为要，医者知之）。遇有此证，便须审其脾胃如
何？若因饮食劳倦，损伤脾胃，少食恶食，泄泻疼痛，或因误服汗下攻克药，伤其中气，以
致血少而不行者，只宜补养脾胃，用白术为君，茯苓、芍药为臣，佐以黄 、甘草、陈皮、
麦芽、川芎、当归、柴胡等分，脾肝药能生血而经自行矣。又有饮食积滞，致损脾胃者，亦
宜消积补脾。若脾胃无病，果有血块凝结，方宜行血通经。
骆氏说：《黄帝内经》记载有一种病，表现为胸胁部支撑胀满，妨碍进食；发病时先闻到腥臊气味，流出清稀液体（如清涕或唾液），先出现唾血，四肢发冷，头晕目眩，时常大小便出血。这种病名叫“血枯”（这是疾病的机理，应当了解）。这是因为年少时曾发生大量失血，或者酒后行房事，导致肾肝亏损。因为肝主藏血，接受先天之气以滋养荣润，其经脉上行贯穿膈肌，分布于胁肋部位。如果失血耗精，肝气已经受伤，肝血枯竭干涸不能濡养身体，就会出现胸胁胀满、妨碍进食的症状；此时肝病传及脾脏，所以闻到腥臊气味，流出清液。如果因肝病导致肺金乘虚侵袭，则会出现唾血、四肢发冷、头晕目眩、时常大小便出血等症状，这些都是肝血受损的表现。（对于胸胁胀满的证候，人们通常都采用伐肝的方法，哪里知道这是血枯的缘故呢？应当滋养肝血，必须认识到这一点）
良方记载：妇女月经不通，可能是因为醉饱后行房事，也可能是因为劳役过度，或者是由于吐血、失血，损伤了肝脾。只要滋养生化的源头，月经自然通畅。如果出现小便不利，头痛眩晕，腰背疼痛，脚冷且时常疼痛，日久血液凝结在体内，就会变成瘕积；如果血与水相互搏结，脾胃虚弱，壅滞不通，就会变成水肿；如果脾气衰弱，不能制约水湿，逐渐浸渍肌肉，就会变成肿满。应当补充津液，大补脾胃，才可以保全生命。王节斋说：妇女月经不行，大多是由脾胃损伤导致的，不可以立刻认定为经闭死血，轻易使用通经破血的药物（提出了前人未发的见解，非常正确。但是如果有肝气郁滞，导致脾土失去运化功能而不能化生血液的情况，又必须以调和肝气为关键，医生们要知道这一点）。遇到这种情况，就必须审查其脾胃状况如何？如果是因饮食和劳累倦怠，损伤了脾胃，导致食欲减少、厌恶进食、泄泻疼痛，或者是因为误服了发汗、攻下、克伐的药物，损伤了中气，从而导致血少而月经不行的，只适宜补养脾胃，以白术为君药，茯苓、芍药为臣药，辅以黄耆、甘草、陈皮、麦芽、川芎、当归、柴胡等分，这些脾肝药物能够生血，月经自然就会通行。又有因饮食积滞，导致损伤脾胃的，也应当消除积滞并补益脾脏。如果脾胃没有疾病，确实有血块凝结，才适宜使用行血通经的药物。
Luo stated: The *Huangdi Neijing* (Yellow Emperor's Inner Canon) records a disease characterized by distension and fullness in the chest and hypochondrium, interfering with food intake. At the onset of the illness, one first smells a fishy or foul odor, secretes clear fluids (such as clear nasal discharge or saliva), experiences hemoptysis (spitting blood), cold limbs, dizziness, and frequent bleeding from both the upper and lower orifices (hematemesis/hematochezia). This disease is named "Blood Depletion" (Xue Ku) (this refers to the pathogenesis of the disease, which should be understood). This occurs because in youth, there was massive blood loss, or sexual intercourse occurred while intoxicated, damaging the Kidney and Liver. Since the Liver stores Blood and receives the Qi of Heaven and Earth (congenital essence) for nourishment and flourishing, its meridian ascends through the diaphragm and spreads over the hypochondrium. If blood is lost and essence is depleted, the Liver Qi is injured, and Liver Blood becomes depleted and dry, failing to nourish the body. Consequently, there is distension in the chest and hypochondrium, interfering with eating; the Liver disease transmits to the Spleen, causing the perception of fishy odors and the secretion of clear fluids. If the Liver disease allows the Lung Metal to overcome it, then hemoptysis, cold limbs, dizziness, and frequent bleeding from the upper and lower orifices occur; all these are symptoms of damaged Liver Blood. (Regarding the syndrome of chest and hypochondriac fullness, people usually employ methods to subdue the Liver, not realizing that this is due to Blood Depletion; one should nourish Liver Blood, and this must be recognized.)
The *Liangfang* states: In women, amenorrhea may result from sexual intercourse after excessive drinking and eating, from overexertion, or from vomiting blood and hemorrhage, which damages the Liver and Spleen. If the source of transformation and generation is nourished, menstruation will naturally resume. If there is difficulty in urination, severe headache and dizziness, pain in the waist and back, cold feet with intermittent pain, and if blood stagnates internally for a long time, it transforms into a mass (Jia); if blood and water combine, and the Spleen and Stomach are weak with obstruction and blockage, it transforms into edema; if Spleen Qi is weak and cannot control water, gradually infiltrating the muscles, it transforms into generalized swelling and fullness. One should replenish body fluids and greatly tonify the Spleen and Stomach to preserve life. Wang Jiezhai said: Amenorrhea in women is often caused by damage to the Spleen and Stomach; it should not be immediately diagnosed as amenorrhea due to dead blood, nor should drugs that promote menstruation and break blood stasis be used lightly (this expresses insights not previously mentioned, which is very correct. However, if Liver Qi stagnation causes the Spleen Earth to lose its transporting function and fail to transform blood, harmonizing Liver Qi becomes essential; physicians must know this). When encountering such cases, one must examine the condition of the Spleen and Stomach. If the Spleen and Stomach are damaged by diet and fatigue, leading to poor appetite, aversion to food, diarrhea, and pain, or if mistaken use of sweating, purging, or attacking drugs damages the Middle Qi, resulting in blood deficiency and cessation of menstruation, only tonifying and nourishing the Spleen and Stomach is appropriate. Use Bai Zhu (Atractylodis Rhizoma) as the sovereign drug, Fu Ling (Poria) and Shao Yao (Paeoniae Radix) as the minister drugs, assisted by Huang Qi (Astragali Radix), Gan Cao (Glycyrrhizae Radix), Chen Pi (Citri Reticulatae Pericarpium), Mai Ya (Hordei Fructus Germinatus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Chai Hu (Bupleuri Radix) in equal proportions. These Spleen and Liver herbs can generate blood, and menstruation will naturally flow. In cases where dietary stagnation damages the Spleen and Stomach, resolving stagnation and tonifying the Spleen are also appropriate. Only if the Spleen and Stomach are healthy and there are indeed blood clumps congealed, should blood-invigorating and menstruation-promoting drugs be used.