杭氏 崩漏日久，近添腹痛。医疑孀居气悒失调，用失笑散破血中气滞，加阿胶、归、芍熄风和营。究竟
腹痛未止，淋沥益加，血如豆汁。晡时神倦火升，阴络既伤，奇脉不固，虚阳易炎，左部虚不受按，右部浮大
少力。治宜固摄冲任，兼镇虚阳。赤石脂（二钱）、五味（五分）、龙骨（ ）、丹皮（各钱二分）、
杜仲（盐水炒）、熟地（砂仁蒸）、白芍、山药（俱炒。各二钱）、钗石斛、茯神（各三钱）、莲子（十五粒）、
鸡血藤膏（二钱）、四服淋痛已止。去石脂、龙骨，加杞子（焙，一钱五分）、龟甲心（炙，三钱），虚火亦
除。冲任为奇经，崩久不止，必固奇经之药，鸡血藤膏用以引入阴络也。
邹氏 五旬外暴崩成块，晕绝而苏，脉虚芤。此虚风扰动阴络也。用阿胶（三钱）水煨服，血止。仍用熟
地、茯神、白芍、荆芥（醋炒黑）、续断、杞子、甘草（炙黑）、乌梅，取甘酸化阴熄风之旨，寻愈。
贡氏 小水闭涩，服导赤散加归尾、赤芍、赤苓、牛膝，得利。尺脉犹坚搏，知必经闭血瘀为患，逾旬寒
热腹痛，暴崩紫黑成块，继而鲜红如注，后则淡红如水，或红白相间，淋沥匝月不止，头晕脘痞，粥饮不入，
神惫肢冷，脉细欲绝。此阳衰不能摄阴，滑而将脱也。急用四维散加半夏、砂仁、茯神，脉症乃定，后用大补
汤而安。
吴氏 胎漏半产已匝月，崩带未止。用补气摄血之剂，犹淋沥不断，延至怔忡不安，腰腿酸痛，《脉诀》所
谓崩中日久为白带漏下多时骨髓枯也。急须摄固奇经，仿徐之才涩以止脱意，用金锁匙丹。龙骨（ 研）、牡
蛎（醋 研）、茯神、远志（炒）、赤石脂（研）、杞子（酒焙），加杜仲、枣仁（俱炒）、乌梅，一服漏止，
怔忡亦减。又加减前方而安。
王氏 七七之期，经断半载，忽又崩淋不已，虽血海亏虚，但宜续、杜摄血，兼艾、附调气足矣。医辄以
棕灰、黑蒲黄止涩，乃至小腹胀满硬痛拒按，头疼脘痞，热渴心烦，小水短涩，脉左弦右数，此络瘀阻痹攻痛。
宜主理瘀，佐通络，乃奇经治法，非失笑散决津煎之比。五灵脂、郁金汁（各八分）、牛膝、栝蒌、橘络（各
钱半）、延胡、桃仁、赤芍、木通（各一钱）、当归须、降香末（各二钱），三服瘀行腹软。但口干微渴，
头仍不清，必由液虚风动。改用阿胶、甘菊（炒）、麦冬，石斛、荆芥（醋炒）、枣仁、茯神、白芍、
莲子、龙眼肉，血止，诸症亦退。又下白带，为气虚陷。用党参、玉竹、茯苓、续断、杜仲（盐水炒）、生
地炭、芡实、杞子（俱焙），三服全愈。
许氏 中年血脱，延为带浊，必冲任脉虚。夫冲为血海，任主担受，而冲脉隶于阳明，阳明先衰，胃纳不
旺，致血海不固，担任失司，此淋漏根由也。近则食后脘腹不爽，或暖腐宵胀，必由脾肾阳虚。治法摄阴先
在益阳，以崇生气，以纳谷味。且脉来左右缓弱，温通为宜。制附子（三分）、益智仁（煨八分）、沙苑子、
白芍、归身、制半夏（各二钱）、破故纸、杞子（俱焙）、乌 骨（醋炙）、续断（酒炒。各一钱半）、
胡桃肉（二枚）、煨姜（三钱），三服漏止食进，去附子、故纸、半夏，加芡实、杜仲、菟丝子（俱炒），又
数服乃固。
包氏 经闭疑胎，血下每谓胎漏，忽然崩注，杂下脂膜甚多，身热头晕，面赤心烦，咳呕绿沫。上咳则下
漏，呕作晕频，汤饮不纳，急用煨姜汁止呕，咳逆定，神渐苏。脉虚小而数，沉候如无，两尺空空，显非胎象。
良由起居不时，生冷失节，气血阻滞，一时暴下阴虚，阳失根据附，变化内风，眩冒呕逆，如风翔浪翻，当知阴
虚阳搏，崩漏乃成。血海空乏，虚阳升逆，乃气不摄血之咎，况阴从阳长，宜宗立斋、景岳两先生治法，敛
阳以摄阴。用洋参（焙）、茯神、白芍（炒。各三钱）、炮姜（一钱）、五味（五分）、制半夏、焦白术、甘
草（炙黑）、续断、杜仲（盐水炒各二钱），二服漏止热退。稍恶寒，阳气尚虚，前剂加制川附（五分），
遂愈。
谢氏 天癸当断之年屡患崩漏，近兼利血白带，头震耳鸣，项麻面赤。症由任带两亏，火升风煽，致
心神浮越，怔悸不安。治以镇阳摄阴，务使阳下交阴，阴上恋阳，震麻暂已。再血海保存，阴络不伤，下元重
振，专在静摄。勿以操持扰动厥阳，则宵寤汗泄渐安矣。熟地、山药、五味（焙）、杞子（焙）、龟板、龙骨、
阿胶、牡蛎（ 研）、杜仲（盐水炒）、龙眼肉，数服甚适。去龙骨、牡蛎、杜仲，加羚羊角、丹皮、白芍、
茯神、莲子、芡实、续断等熬膏，即用阿胶收，小麦煎汤和服。渐愈。
王氏 崩漏成带，至小溲如泔如涕，髀骨痛，腰膝酸。从未饵药，势必沥枯髓液，延成不治。近又春
温气泄，身热食少，口渴颊红，液涸阳升，脉右弦左弱，急摄阴固下。熟地（炒）、阿胶（烊）、石斛（各二钱）、
洋参（三钱）、麦冬、茯神、赤石脂（各钱半）、白芍、杜仲（青盐炒）、甘杞子、续断（各三钱），加莲、
枣煎。数服症渐减，去石脂再服。又去阿胶，加芡实、山药（俱炒，各三钱），又数十服得效。
魏氏 经阻暴崩，疑为胎漏，按脉无孕象，乃聚瘀日久致患，曾经调治得安。今暑湿令行，头晕呕恶，
晡后骨蒸，寤不成寐，忽又暴崩，脉虚疾。症属内因，必由阳明脉亏，木火乘侮，是以贯膈犯巅，震及血海，血
海一空，则骨骱生热。治宜和阳安胃，佐以镇络。嫩桑叶、甘菊（炒）、天麻、白芍、钗斛、枣仁、茯神、牡
蛎（ 研）、海螵蛸（醋炙）、橘红、半夏曲（炒）、续断，数服诸症悉平。惟左关尺芤弱，乃肝肾阴伤。
用熟地、萸肉、山药、白芍（俱炒）、茯苓、杜仲（盐水炒）、海螵蛸、鳖甲（俱炙）、阿胶（烊），数十
服得痊。又接服鸡血藤膏而经固。
杭氏，崩漏日久，近期增添了腹痛。医生怀疑是寡妇独居导致气机郁结失调，使用失笑散来破除血中的气滞，加入阿胶、当归、白芍以熄风和营。然而腹痛仍未停止，淋漓出血反而加重，血色像豆汁一样。傍晚时分精神疲倦、虚火上升，阴络已经受伤，奇经八脉不固，虚阳容易上炎，左部脉象虚弱且不耐按压，右部脉象浮大但力量不足。治疗应当固摄冲任二脉，兼以镇潜虚阳。赤石脂（二钱）、五味子（五分）、龙骨（未注明剂量）、丹皮（各一钱二分）、杜仲（盐水炒）、熟地黄（砂仁蒸）、白芍、山药（均炒，各二钱）、钗石斛、茯神（各三钱）、莲子（十五粒）、鸡血藤膏（二钱），服用四剂后淋痛已止。去掉赤石脂、龙骨，加入枸杞子（焙干，一钱五分）、龟甲心（炙，三钱），虚火也随之消除。冲任属于奇经，崩漏日久不止，必须使用固摄奇经的药物，鸡血藤膏用来引导药力进入阴络。
邹氏，五十多岁突发大量出血并伴有血块，晕厥后苏醒，脉象虚而中空（芤脉）。这是虚风扰动阴络所致。使用阿胶（三钱）用水煨服，血即止住。随后继续使用熟地黄、茯神、白芍、荆芥（醋炒黑）、续断、枸杞子、甘草（炙黑）、乌梅，取甘酸化阴、熄风的旨意，不久痊愈。
贡氏，小便闭塞涩痛，服用导赤散加当归尾、赤芍、赤茯苓、牛膝，得以通利。但尺脉仍然坚搏有力，知道必定是经闭血瘀为患，过了十天出现寒热交替、腹痛，突然暴崩，血色紫黑成块，继而鲜红如注，后来变成淡红如水，或红白相间，淋漓不断一个月不止，头晕胃脘痞闷，饮食不进，精神疲惫、四肢冰冷，脉细弱几乎摸不到。这是阳气衰微不能摄纳阴血，脉滑而有脱绝之象。紧急使用四维散加半夏、砂仁、茯神，脉症才稳定，之后用大补汤调理而安。
吴氏，胎漏或小产已过一个月，崩漏带下仍未停止。使用补气摄血的药剂，仍然淋漓不断，拖延至心悸不安、腰腿酸痛，《脉诀》所谓“崩中日久为白带，漏下多时骨髓枯”。急需固摄奇经，仿效徐之才“涩以止脱”的意思，使用金锁匙丹。龙骨（研末）、牡蛎（醋研末）、茯神、远志（炒）、赤石脂（研末）、枸杞子（酒焙），加入杜仲、酸枣仁（均炒）、乌梅，一剂后漏止，心悸也减轻。又加减前方而安。
王氏，四十九岁左右，月经中断半年，忽然又崩漏不止，虽然血海亏虚，但适宜用续断、杜仲摄血，兼用艾叶、附子调气即可足矣。医生却用棕榈灰、黑蒲黄强行止涩，导致小腹胀满硬痛且拒按，头痛胃脘痞闷，发热口渴心烦，小便短少涩痛，脉象左弦右数，这是络脉瘀阻痹痛攻窜。应当以理瘀为主，佐以通络，这才是奇经的治疗法则，不是失笑散、决津煎所能比拟的。五灵脂、郁金汁（各八分）、牛膝、瓜蒌、橘络（各一钱半）、延胡索、桃仁、赤芍、木通（各一钱）、当归须、降香末（各二钱），三剂后瘀血行出腹部变软。但口干微渴，头仍不清爽，必定是由于津液亏损导致虚风内动。改用阿胶、甘菊花（炒）、麦冬、石斛、荆芥（醋炒）、酸枣仁、茯神、白芍、莲子、龙眼肉，血止，诸症也消退。后来又出现白带，是因为气虚下陷。使用党参、玉竹、茯苓、续断、杜仲（盐水炒）、生地黄炭、芡实、枸杞子（均焙干），三剂后全愈。
许氏，中年血脱，拖延成为带下浑浊，必定是冲任脉虚。冲脉为血海，任脉主担受，而冲脉隶属于阳明胃经，阳明先衰，胃纳不佳，导致血海不固，任脉失职，这是淋漏的根本原因。近来食后胃腹不适，或有嗳气腐臭、夜间胀满，必定是由脾肾阳虚引起。治法在于摄阴先要益阳，以培养生气，以增进谷味。而且脉象左右缓弱，温通为宜。制附子（三分）、益智仁（煨八分）、沙苑子、白芍、当归身、制半夏（各二钱）、破故纸（补骨脂）、枸杞子（均焙干）、乌骨鸡（醋炙）、续断（酒炒，各一钱半）、胡桃肉（两枚）、煨姜（三钱），三剂后漏止食欲进，去掉附子、破故纸、半夏，加入芡实、杜仲、菟丝子（均炒），又服几剂才稳固。
包氏，闭经怀疑怀孕，阴道出血每次都说胎漏，忽然崩注，夹杂排出很多脂膜，身体发热头晕，面赤心烦，咳嗽呕吐绿色泡沫。上咳则下漏，呕吐发作则晕眩频繁，汤水无法吞咽，紧急使用煨姜汁止呕，咳逆定，神志逐渐清醒。脉象虚小且数，沉取如无，两尺脉空空荡荡，明显不是胎象。良由起居无常，生冷失节，气血阻滞，一时暴下导致阴虚，阳气失去依附，变化为内风，眩晕冒昧呕吐逆乱，如同风翔浪翻，应当知道阴虚阳搏，崩漏乃成。血海空乏，虚阳升逆，这是气不摄血的过错，况且阴随阳长，应当遵循立斋、景岳两位先生的治法，敛阳以摄阴。使用西洋参（焙干）、茯神、白芍（炒，各三钱）、炮姜（一钱）、五味子（五分）、制半夏、焦白术、甘草（炙黑）、续断、杜仲（盐水炒，各二钱），二剂后漏止热退。稍感恶寒，说明阳气尚虚，前方加入制川附子（五分），于是痊愈。
谢氏，天癸当断之年屡次患崩漏，近期兼有痢疾样血白带，头部震颤耳鸣，项部麻木面赤。病症由于任带两脉亏虚，火升风煽，导致心神浮越，惊悸不安。治疗以镇阳摄阴，务必使阳下交于阴，阴上恋于阳，震颤麻木暂时停止。再保养血海，不伤阴络，下元重新振奋，关键在于静摄。不要以操劳扰动厥阳，那么夜间出汗和睡眠将逐渐安宁。熟地黄、山药、五味子（焙干）、枸杞子（焙干）、龟板、龙骨、阿胶、牡蛎（研末）、杜仲（盐水炒）、龙眼肉，数剂后非常舒适。去掉龙骨、牡蛎、杜仲，加入羚羊角、丹皮、白芍、茯神、莲子、芡实、续断等熬膏，即用阿胶收膏，小麦煎汤送服。逐渐痊愈。
王氏，崩漏转为带下，直到小便如米泔水或鼻涕状，大腿骨疼痛，腰膝酸软。从未服药，势必沥尽髓液，拖延成不治之症。近期又逢春温之气外泄，身体发热食少，口渴颊红，津液枯竭阳气上升，脉象右弦左弱，急需摄阴固下。熟地黄（炒）、阿胶（烊化）、石斛（各二钱）、西洋参（三钱）、麦冬、茯神、赤石脂（各一钱半）、白芍、杜仲（青盐炒）、甘枸杞子、续断（各三钱），加莲子、大枣煎服。数剂后症状渐减，去掉赤石脂再服。又去掉阿胶，加入芡实、山药（均炒，各三钱），又服几十剂见效。
魏氏，经血阻滞突发暴崩，怀疑为胎漏，诊脉无孕象，乃是瘀血积聚日久致病，曾经调理治疗得安。如今暑湿时令流行，头晕恶心，傍晚后骨蒸潮热，夜间无法入睡，忽然又暴崩，脉象虚疾。病症属于内因，必定由阳明脉亏，肝木火气乘侮脾胃，因此贯穿膈部犯及头顶，震动波及血海，血海一空，则骨骼关节生热。治疗宜调和阳气安胃，佐以镇络。嫩桑叶、甘菊花（炒）、天麻、白芍、钗石斛、酸枣仁、茯神、牡蛎（研末）、海螵蛸（醋炙）、橘红、半夏曲（炒）、续断，数剂后诸症悉平。只有左关尺脉芤弱，是肝肾阴伤。使用熟地黄、山茱萸、山药、白芍（均炒）、茯苓、杜仲（盐水炒）、海螵蛸、鳖甲（均炙）、阿胶（烊化），数十剂后痊愈。接着服用鸡血藤膏而使经血稳固。
Ms. Hang suffered from metrorrhagia and metrostaxis for a long time, recently developing abdominal pain. The physician suspected that the emotional depression due to widowhood caused qi stagnation and disharmony, using Shixiao San (Pain-Relieving Powder) to break blood stasis and qi stagnation, adding Ejiao (Donkey-hide Gelatin), Danggui (Angelicae Sinensis Radix), and Baishao (White Peony Root) to extinguish wind and nourish the ying level. However, the abdominal pain did not cease, and the dripping bleeding increased, with blood resembling bean juice. In the late afternoon, she felt mentally exhausted with rising deficiency fire. The yin collaterals were injured, the extraordinary vessels were insecure, and deficiency yang was prone to flaring up. The left pulse was deficient and could not withstand pressure; the right pulse was floating and large but lacked strength. Treatment should focus on securing and controlling the Chong and Ren meridians, while simultaneously anchoring the deficiency yang. Hishi Shi (Red Halloysite, 2 qian), Wuwei Zi (Schisandra Fruit, 0.5 qian), Longgu (Fossilized Bones/Mammal Teeth, dosage unspecified), Danpi (Moutan Cortex, 1.2 qian each), Duzhong (Eucommia Bark, stir-fried with salt water), Shudi (Prepared Rehmannia Root, steamed with Amomum), Baishao (White Peony Root), Shanyao (Dioscorea Rhizome, all stir-fried, 2 qian each), Chai Shihu (Dendrobium Stem), Fushen (Poria with Hostwood, 3 qian each), Lianzi (Lotus Seed, 15 grains), Jixueteng Gao (Spatholobus Paste, 2 qian). After four doses, the dripping pain stopped. Hishi Shi and Longgu were removed, and Qizi (Goji Berry, roasted, 1.5 qian) and Guijia Xin (Heart of Tortoise Shell, roasted, 3 qian) were added, eliminating the deficiency fire. The Chong and Ren are part of the extraordinary vessels; prolonged metrorrhagia requires herbs that secure the extraordinary vessels. Jixueteng Gao is used to guide the medicine into the yin collaterals.
Ms. Zou, over fifty years old, suddenly experienced massive bleeding with clots, fainted, and then recovered. Her pulse was deficient and hollow (Kou pulse). This indicated deficiency wind disturbing the yin collaterals. Ejiao (3 qian) was decocted in water and taken, stopping the bleeding. Subsequently, Shudi, Fushen, Baishao, Jingjie (Schizonepeta, stir-fried with vinegar until black), Xuduan (Dipsacus Root), Qizi, Gancao (Licorice Root, roasted until black), and Wumei (Mume Fruit) were used, following the principle of sweet flavor transforming into yin to extinguish wind. She recovered soon after.
Ms. Gong had obstructed and painful urination. She took Daochi San (Guide Out Red Powder) with Danggui Wei (Angelicae Sinensis Radix Tail), Chishao (Red Peony Root), Chiling (Poria with Red Coir), and Niuxi (Achyranthes Root), which resulted in urination. However, the Chi pulse remained firm and forceful, indicating amenorrhea due to blood stasis. After ten days, she developed alternating chills and fever, abdominal pain, and sudden severe bleeding with dark purple clots, followed by bright red flow like a gush, later turning pale red like water, or mixed red and white, dripping continuously for a month. She suffered from dizziness, epigastric fullness, inability to eat or drink, mental fatigue, cold limbs, and a fine pulse nearly imperceptible. This indicated yang decline unable to control yin, with a slippery pulse suggesting impending collapse. Emergency treatment used Siwei San (Four-Dimension Powder) with Banxia (Pinellia Rhizome), Sharen (Amomum Fruit), and Fushen. The pulse and symptoms stabilized, and she was later treated with Dabu Tang (Great Tonifying Decoction) to recover.
Ms. Wu had vaginal bleeding during pregnancy or miscarriage for over a month, with continuous metrorrhagia and leukorrhea. Qi-tonifying and blood-stanching agents failed to stop the dripping, leading to palpitations, restlessness, and soreness/pain in the lower back and legs. As stated in the Mai Jue (Pulse Classic): "Metrorrhagia lasting many days leads to leukorrhea; metrostaxis lasting long depletes the marrow." Urgent securing of the extraordinary vessels was needed, imitating Xu Zhicai’s idea of "astringing to stop collapse," using Jin Suo Shen Dan (Golden Lock Key Pill). Longgu (ground), Muli (Oyster Shell, vinegar-ground), Fushen, Yuanzhi (Polygala Root, stir-fried), Hishi Shi (ground), Qizi (wine-roasted), plus Duzhong, Zaoren (Sour Jujube Seed, both stir-fried), and Wumei. One dose stopped the leakage and reduced palpitations. Further modifications brought stability.
Ms. Wang, around forty-nine (seven times seven), had menstruation cease for half a year, then suddenly resumed with continuous metrorrhagia. Although the Blood Sea was deficient, it was sufficient to use Xuduan and Duzhong to secure blood, combined with Aiye (Mugwort Leaf) and Fuzi (Aconite Root) to regulate qi. Instead, the physician used Zonghui (Palma Ash) and Hei Puhuang (Blackened Lygodium Spore) to forcibly astringe, causing lower abdominal distension, hardness, pain, and tenderness, headache, epigastric fullness, fever, thirst, irritability, scanty and painful urination, with a wiry left and rapid right pulse. This indicated collateral obstruction and bi-syndrome pain. The primary treatment should be resolving stasis, assisted by unblocking collaterals, which is the method for extraordinary vessels, not comparable to Shixiao San or Juejin Jian. Wulingzhi (Trogopterus Dung), Yujin Zhi (Curcuma Juice, 0.8 fen each), Niuxi, Gualou (Trichosanthes Fruit), Juluo (Tangerine Medullary Fiber, 1.5 qian each), Yanhu (Corydalis Rhizome), Taoren (Peach Kernel), Chishao, Mutong (Akebia Stem, 1 qian each), Danggui Xu (Angelica Suture), Jiangxiang Mo (Dalbergia Odorifera Dust, 2 qian each). After three doses, stasis moved and the abdomen softened. However, dry mouth and slight thirst persisted, and the head felt unclear, indicating fluid deficiency and internal wind. Ajiao, Ganju (Chrysanthemum, stir-fried), Maidong (Ophiopogon Tuber), Shihu, Jingjie (vinegar-fried), Zaoren, Fushen, Baishao, Lianzi, Longyanrou (Longan Aril) were used. Bleeding stopped, and symptoms receded. Later, leukorrhea appeared due to qi deficiency sinking. Dangshen (Codonopsis), Yuzhu (Polygonatum Odoratum Rhizome), Fuling (Poria), Xuduan, Duzhong (salt-water fried), Shengdi Tan (Charred Rehmannia), Qianshi (Euryale Seed), Qizi (all roasted) were used. Three doses resulted in complete recovery.
Ms. Xu, in middle age, suffered blood loss leading to turbid leukorrhea, indicating deficiency of the Chong and Ren meridians. The Chong is the Sea of Blood, and the Ren governs bearing and carrying. The Chong meridian belongs to the Yangming Stomach channel. Premature decline of Yangming led to poor appetite, causing the Blood Sea to be insecure and the Ren meridian to lose its function, which is the root cause of dripping leakage. Recently, postprandial epigastric discomfort, belching with putrid odor, and night-time blooming occurred, indicating Spleen and Kidney yang deficiency. The treatment principle is to secure yin by first benefiting yang, to promote vital energy and appetite. With slow and weak pulses on both sides, warming and unblocking was appropriate. Zhifu Zi (Processed Aconite, 3 fen), Yizhiren (Alpinia Oxyphylla Fruit, roasted 8 fen), Shayuanzi (Astragalus Complanatus Seed), Baishao, Guishen (Angelica Body), Zhibanxia (Processed Pinellia, 2 qian each), Pogouzhi (Psoralea Fruit), Qizi (both roasted), Wugu (Black-bone Chicken, vinegar-roasted), Xuduan (Jiu-chao, 1.5 qian each), Hutao Rou (Walnut Meat, 2 pieces), Weijiang (Roasted Ginger, 3 qian). Three doses stopped leakage and improved appetite. Zhifu Zi, Pogouzhi, and Banxia were removed, and Qianshi, Duzhong, Tusizi (Dodder Seed, all stir-fried) were added. Several more doses secured the condition.
Ms. Bao had amenorrhea suspected as pregnancy, with vaginal bleeding often attributed to fetal leakage. Suddenly, severe bleeding occurred, discharging much fatty membrane. She had fever, dizziness, red face, irritability, cough, and vomiting of green foam. Upper cough caused lower leakage; frequent vomiting caused frequent dizziness; fluids could not be retained. Emergency Weijiang Zhi (Roasted Ginger Juice) was used to stop vomiting. Once cough and counterflow subsided, consciousness gradually returned. The pulse was deficient, small, and rapid; deep palpation felt empty; both Chi pulses were hollow, clearly not a pregnancy sign. This was due to irregular lifestyle and improper intake of raw/cold foods, causing qi and blood stagnation. Sudden massive loss led to yin deficiency, with yang losing its anchor, transforming into internal wind, causing vertigo, vomiting, and counterflow, like wind flying and waves overturning. It was known that yin deficiency with yang hyperactivity caused metrorrhagia. The Blood Sea was empty, deficiency yang rose counter-flowingly, due to qi failing to control blood. Since yin grows with yang, the methods of Mr. Lizhai and Mr. Jingyue should be followed: astringe yang to secure yin. Yangshen (American Ginseng, roasted), Fushen, Baishao (stir-fried, 3 qian each), Paojiang (Prepared Ginger, 1 qian), Wuwei Zi (0.5 qian), Zhibanxia, Jiaobaizhu (Scorched Atractylodes), Gancao (roasted black), Xuduan, Duzhong (salt-water fried, 2 qian each). Two doses stopped leakage and reduced fever. Slight aversion to cold indicated remaining yang deficiency; Zhichuan Fu Zi (Processed Sichuan Aconite, 5 fen) was added to the previous formula, resulting in cure.
Ms. Xie, at the age when Tian Gui (menstruation) should cease, repeatedly suffered metrorrhagia, recently accompanied by bloody leukorrhea resembling dysentery. She had head tremors, tinnitus, neck numbness, and red face. The syndrome resulted from deficiency of the Ren and Dai meridians, with fire rising and wind stirring, causing floating heart spirit, palpitations, and restlessness. Treatment focused on anchoring yang and securing yin, ensuring yang descends to interact with yin, and yin ascends to cling to yang, temporarily stopping tremors and numbness. Preserving the Blood Sea and protecting yin collaterals, revitalizing the lower origin, relies on quiet securing. Avoid mental exertion disturbing Jueyin yang, so night sweats and sleep will gradually improve. Shudi, Shanyao, Wuwei Zi (roasted), Qizi (roasted), Guiban (Tortoise Shell), Longgu, Ejiao, Muli (ground), Duzhong (salt-water fried), Longyanrou. Several doses felt very comfortable. Longgu, Muli, and Duzhong were removed. Lingyangjiao (Antelope Horn), Danpi, Baishao, Fushen, Lianzi, Qianshi, Xuduan were added to make a paste, bound with Ejiao, and taken with Xiaomai (Wheat) decoction. Gradual recovery ensued.
Ms. Wang, metrorrhagia turned into leukorrhea, until urine resembled rice water or mucus. Thigh bone pain, waist and knee soreness. Having never taken medicine, marrow fluid would inevitably be depleted, leading to incurable disease. Recently, spring warmth leaked out, causing fever, poor appetite, thirst, red cheeks, fluid exhaustion, and yang rising. Right pulse wiry, left pulse weak. Urgent yin securing and lower stabilization was needed. Shudi (stir-fried), Ejiao (melted), Shihu (2 qian each), Yangshen (3 qian), Maidong, Fushen, Hishi Shi (1.5 qian each), Baishao, Duzhong (green salt stir-fried), Gan Qizi, Xuduan (3 qian each), added Lianzi and Dazao for decoction. Symptoms decreased after several doses; Hishi Shi was removed for further doses. Then Ejiao was removed, Qianshi and Shanyao (stir-fried, 3 qian each) were added. Dozens of doses yielded results.
Ms. Wei, with obstructed menstruation and sudden severe bleeding, suspected fetal leakage. Pulse diagnosis showed no pregnancy signs; it was caused by accumulated stasis over a long time, previously managed successfully. Now, during summer-damp season, she had dizziness, nausea, evening bone-steaming fever, insomnia, and sudden severe bleeding with a deficient and rapid pulse. The syndrome belonged to internal causes, likely due to Yangming meridian deficiency, with Wood-Fire attacking Earth, penetrating the diaphragm to the vertex, shaking the Blood Sea. Empty Blood Sea generated heat in bones and joints. Treatment harmonized yang, calmed the stomach, and anchored collaterals. Nensangye (Young Mulberry Leaf), Ganju (stir-fried), Tianma (Gastrodia Rhizome), Baishao, Chaihu, Zaoren, Fushen, Muli (ground), Haipiaoxiao (Cuttlefish Bone, vinegar-roasted), Juhong (Tangerine Peel), Banxiaqu (Pinellia Fermented Curd), Xuduan. Several doses resolved all symptoms. Only the left Guan and Chi pulses were hollow and weak, indicating Liver-Kidney yin injury. Shudi, Yurou (Cornus Fruit), Shanyao, Baishao (all stir-fried), Fuling, Duzhong (salt-water fried), Haipiaoxiao, Biejia (Softshell Turtle Shell, all roasted), Ejiao (melted). Dozens of doses cured her. Follow-up with Jixueteng Gao stabilized menstruation.