开胃醒脾药，崩晕顿减。继服大补脾丸，甫半月，饮啖起居如故。若泥血病而专用血药，其与刻舟求剑者何以异？
张飞畴治郭孝闻室，暑月经行时，凉卧风中，先下淋漓，加以恼怒跌哭，遂崩脱不止，小腹中如线下垂，
贯心掣痛，常发热头痛，遍体烦疼。服止血药不应，而进参、 ，忽昏愦不省，崩脱愈甚。深夜忽遽邀往，脉
得弦大而芤，独左寸尤滑，知冲任二脉受病，明是风入胞门所致。久之风从木化，血愈伤而火愈炽，非旋复花
汤、金铃子散兼进，不能清其风热，降其逆气也。况此症多有火淫血室，湿结子户，及郁结伤脾，怒动肝火，
及惊恐失跌，种种不同。若用通套升发补敛之药，乌能获效哉？遂如法治之而愈。
妇人崩中下血，多因温热伤脾胃而致。盖脾统血，伤则失守也。医不知其脾湿而化，与固脱之剂，血虽止
而湿转郁矣。是以崩中之后，多成胀满黄病，医多不能识此。
沈尧封曰∶崩症热多寒少，若血大至，色赤者是热非寒。倘色紫黑，出络而凝，其中有阳虚一症。经云∶
阳气者，卫外而为固也。荣行脉中，卫行脉外。脉外之阳虚，失于护卫，则脉中之荣血漏泄。既出经络，脉凝
而不流，渐渐变紫变黑，然必须少腹恶寒，方可投温。
一妇血崩，日服人参、阿胶，血不止。用地榆二钱，生地四钱，生白芍三钱，川黄连五分，黄芩一钱五分，
炒甘草八分，莲须一钱，丹皮一钱五分，黑栀子一钱，生牡蛎二钱，煎服即效。因其带多，偶以苦参易芩，血
复至，用芩即止。去连，血又至，加连即止。又一妇患崩月余，发晕几脱，是方加参一钱，服之即定，十剂而安。
一妇患崩，年五旬，投人参、阿胶不效。一二日用黄连五分，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。去柴胡、棕榈、荆芥，数剂食进。后加白术为散，服之作胀，减去即安。
一崩症少腹恶寒，用桂附八味丸收全效。
毛达可妇人，迈年骤然血海大崩不止，名曰倒经。用胶红饮神效。其方∶陈阿胶，米粉拌炒成珠一两，全
当归一两，红花八钱，冬瓜子五钱，以天泉水煎服，一剂即止。如犹发热，再以六安茶叶三钱，煎服一次，身
热即退。后用六君子汤加归、芍调理而安。昔当中丞幕友王遇伯之母，年逾七旬，偶患此症，诸药不应。李廉
访治运转，此方投之即愈。叶天士云∶初崩宜通，久崩宜塞，即此义也。予每治老妪倒经，极多神应。后
见少妇大崩不止，屡服大料补剂不效，血流反多，昏晕几危，予取此方，减去红花一半，投之立效。如法调理，
康复如常。
服用开胃醒脾的药物，崩漏和眩晕的症状立刻减轻。接着服用大补脾丸，刚过半个月，饮食起居就恢复了正常。如果拘泥于“血病”而专门使用补血止血药，这与刻舟求剑的人有什么区别呢？
张飞畴治疗郭孝闻的妻子，正值暑天月经来潮时，因在风中凉卧，先出现经血淋漓不尽，加上恼怒跌倒哭泣，于是导致崩漏不止，小腹中有如线状物下垂，牵连心脏掣痛，经常发热头痛，全身烦疼。服用止血药无效，进而进服人参、[药材缺失]，突然昏愦不省人事，崩漏更加严重。深夜忽然匆忙邀请前往诊治，脉象弦大而芤（中空），唯独左寸脉尤其滑利，判断是冲任二脉受病，明确是风邪侵入胞宫所致。时间久了风邪从木化火，血液越受伤而火势越炽盛，如果不将旋复花汤和金铃子散同时服用，就不能清除风热，降逆气。况且这种病症多有火热淫乱血室，湿气结聚子宫，以及郁结伤脾，愤怒触动肝火，以及惊恐失足跌倒，种种情况不同。如果使用通用的升提发散、补益收敛的药物，怎么能获得疗效呢？于是按照这种方法治疗而痊愈。
妇人崩中下血，多因温热之邪损伤脾胃而导致。因为脾统摄血液，受损则失去固守能力。医生不知道这是脾湿所化，给予固脱的药剂，虽然血止住了，但湿气反而郁结。因此崩中之后，多形成胀满发黄之症，医生大多不能识别这一点。
沈尧封说：崩证热多寒少，如果血量很大，颜色鲜红的是热证而非寒证。倘若颜色紫黑，流出脉络而凝结，其中有一种阳虚证候。《内经》说：阳气，护卫体表并使其坚固。营气行于脉中，卫气行于脉外。脉外的阳气虚弱，失去护卫作用，则脉中的营血就会漏泄。既然出了经络，脉道凝滞而不流动，渐渐变成紫色变黑，然而必须伴有小腹部怕冷，才可以投用温性药物。
一位妇女血崩，每天服用人参、阿胶，血仍不止。用地榆二钱，生地四钱，生白芍三钱，川黄连五分，黄芩一钱五分，炒甘草八分，莲须一钱，丹皮一钱五分，黑栀子一钱，生牡蛎二钱，煎服后立即见效。因为她白带多，偶然用苦参替换黄芩，血又流出，改用黄芩即停止。去掉黄连，血又流出，加入黄连即停止。又有一位妇女患崩漏月余，头晕几乎晕厥，此方加人参一钱，服用后即安定，十剂后安稳。
一位妇女患崩漏，年五十岁，投用人参、阿胶无效。一二日内服用黄连五分，非常不适。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。去掉柴胡、棕榈、荆芥，数剂后进食增加。后来加白术制成散剂，服用后腹胀，减去即安。
一例崩证小腹部怕冷，用桂附八味丸收得全效。
毛达可的妻子，年迈骤然血海大崩不止，名叫倒经。用胶红饮神效。其方：陈阿胶，米粉拌炒成珠一两，全当归一两，红花八钱，冬瓜子五钱，以天泉水煎服，一剂即止。如果还有发热，再用六安茶叶三钱，煎服一次，身热即退。后用六君子汤加当归、白芍调理而安。昔日当中丞幕僚的王遇伯的母亲，年过七十，偶然患此症，各种药物无效。李廉访诊治运转，此方投用即愈。叶天士说：初崩宜通，久崩宜塞，就是这个道理。我每次治疗老年妇女倒经，极多神效。后来见到年轻妇女大崩不止，屡次服用大量补剂无效，血流反而增多，昏晕几乎危及生命，我取此方，减去一半红花，投用立即见效。按法调理，康复如常。
Taking herbs to open the stomach and awaken the spleen, the metrorrhagia (uterine bleeding) and dizziness were instantly alleviated. Subsequently taking Dabu Pi Wan (Greatly Tonify the Spleen Pill), after just half a month, diet and daily activities returned to normal. If one sticks rigidly to "blood diseases" and exclusively uses blood-tonifying or hemostatic herbs, what difference is there from carving a mark on a moving boat?
Zhang Feichou treated the wife of Guo Xiaowen. During the summer months, while menstruating, she lay coolly in the wind. Initially, there was dripping menstrual flow; aggravated by anger, falling, and crying, it progressed to unstoppable metrorrhagia. There was a sensation of something hanging down like a thread in the lower abdomen, pulling pain extending to the heart, frequent fever and headache, and general body soreness and irritability. Hemostatic herbs were ineffective. Upon administering Ginseng Radix et Rhizoma (Renshen, 人参) and [missing herb], she suddenly became comatose and unconscious, and the metrorrhagia worsened. Summoned urgently late at night, her pulse was wiry, large, and hollow (Kou Mai, 芤脉), with the left Cun position particularly slippery. It was determined that the Chong and Ren meridians were diseased, clearly caused by Wind pathogen invading the uterus (Bao Men, 胞门). Over time, Wind transformed into Wood-Fire, injuring blood further and intensifying Fire. Without simultaneously administering Xuanfu Hua Tang (Inula Flower Decoction) and Jinlingzi San (Corydalis Fruit Powder), the Wind-Heat could not be cleared, nor the rebellious Qi lowered. Moreover, such cases often involve Heat harassing the Blood Chamber, Dampness knotting in the Zi Hu (uterus), emotional stagnation injuring the Spleen, anger stirring Liver Fire, or fright and falling. Using generic ascending, dispersing, tonifying, or astringent herbs would certainly fail. Thus, treating according to this method resulted in a cure.
Female metrorrhagia and hypomenorrhea are often caused by Warm-Heat damaging the Spleen and Stomach. The Spleen controls the blood; when damaged, it loses its holding capacity. Physicians who do not recognize that this arises from Spleen Dampness transformation and administer astringent/depletion-stopping agents may stop the bleeding, but the Dampness becomes stagnant. Consequently, post-metrorrhagia often leads to distension and jaundice, a condition many physicians fail to identify.
Shen Yaofeng stated: Metrorrhagia cases have more Heat than Cold. If the volume is large and the color bright red, it is Heat, not Cold. If the color is purple-black and clots upon exiting the vessels, there is a type of Yang Deficiency. The Classics state: Yang Qi guards the exterior and secures the interior. Ying (Nutritive) Qi circulates within the vessels, while Wei (Defensive) Qi circulates outside. When exterior Yang is deficient and fails to guard, Ying blood within the vessels leaks out. Once out of the collaterals, the vessels congeal and flow stagnates, gradually turning purple and black. However, only if there is cold aversion in the lower abdomen should warming formulas be administered.
A woman with metrorrhagia took Ginseng Radix et Rhizoma (Renshen, 人参) and Donkey-hide Gelatin (Ejiao, 阿胶) daily, but bleeding continued. She was prescribed Diyu Herba (Yusheng, 地榆) 2 qian, Shengdi Huang (Rehmanniae Radix Recens, 生地) 4 qian, Baishao Radix (Raw White Peony Root, 生白芍) 3 qian, Chuan Lianzi (Szechwan Chinaberry Seed, 川黄连 - *Note: Text says Chuan Huanglian, likely Coptidis Rhizoma*), Huanglian (Coptidis Rhizoma, 黄连) 5 fen, Huangqin Radix (Scutellaria Root, 黄芩) 1.5 qian, Chao Gancao (Fried Licorice Root, 炒甘草) 8 fen, Lianxu (Lotus Stamen, 莲须) 1 qian, Danpi (Moutan Cortex, 丹皮) 1.5 qian, Hei Zhizi (Black Gardenia Fruit, 黑栀子) 1 qian, and Sheng Muli (Raw Oyster Shell, 生牡蛎) 2 qian. Decocted and taken, it was effective immediately. Because she had excessive leukorrhea, Kushen Radix (Sophora Root, 苦参) was occasionally substituted for Huangqin, causing bleeding to resume; using Huangqin stopped it again. Removing Huanglian caused bleeding to resume; adding Huanglian stopped it. Another woman suffered from metrorrhagia for over a month, experiencing dizziness nearly leading to collapse. Adding 1 qian of Renshen to this formula stabilized her, and ten doses brought peace.
A fifty-year-old woman with metrorrhagia did not respond to Renshen and Ejiao. Taking 5 fen of Huanglian for one or two days caused significant discomfort. A physician diagnosed this as a Qi disorder and prescribed Jiuchao Xiangfu (Wine-fried Cyperi Rhizoma, 酒炒香附), Danggui Radix (Angelica Sinensis Root, 当归), Baishao Radix (White Peony Root, 白芍), Danpi, Huangqin, Muli, Zaoren (Ziziphus Seed, 枣仁), and Hei Jingjie (Black Schizonepeta, 黑荆芥) each 2 qian, Yujin (Curcuma Tuber, 郁金) 1.5 qian, JuPi (Tangerine Peel, 橘皮) 1 qian, Shang Chenxiang (Agarwood, 沉香) 3 fen ground and mixed, Chaihu (Bupleurum Root, 柴胡) 5 fen, and Zonglutan (Palmae Fructus Carbonisatum, 棕榈炭) 8 fen. One dose stopped the bleeding. Removing Chaihu, Zonglutan, and Jingjie allowed appetite to return over several doses. Later, Baizhu (Atractylodes Macrocephala Rhizome, 白术) was added as a powder; abdominal distension occurred, which resolved upon reduction.
One case of metrorrhagia with cold aversion in the lower abdomen was fully cured using Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill, 桂附八味丸).
The wife of Mao Dakao, an elderly woman, experienced sudden, massive uterine bleeding, termed Daojing (Reverse Menstruation, 倒经). Jiaohong Yin (Gelatin and Safflower Decoction, 胶红饮) was highly effective. The formula consists of Chen Ejiao (Aged Donkey-hide Gelatin, 陈阿胶) stir-fried with rice flour until pearl-like, 1 liang; Quan Danggui (Whole Angelica Sinensis Root, 全当归) 1 liang; Honghua (Carthamus Flower, 红花) 8 qian; Dongguazi (Winter Melon Seed, 冬瓜子) 5 qian. Decocted in Tianquan Spring water, one dose stopped the bleeding. If fever persisted, Lu'an Tea (Lu'an Green Tea, 六安茶叶) 3 qian decocted once reduced the fever. Subsequently, Liujunzi Tang (Six Gentlemen Decoction, 六君子汤) plus Danggui and Baishao regulated her health. Previously, the mother of Wang Yubo, a幕友 (private secretary) to Vice Minister Zhang, over seventy years old, suffered this condition with no response to various medicines. Li Lianfang treated her; this formula cured her instantly. Ye Tianshi said: Initial metrorrhagia should be treated with unblocking methods, prolonged metrorrhagia with astringent methods; this illustrates that principle. I frequently treat elderly women with Daojing with great efficacy. Later, I saw a young woman with unstoppable massive bleeding who failed numerous heavy tonics, resulting in increased flow and near-collapse from syncope. I used this formula, reducing Honghua by half, which worked immediately. Following this regimen, she recovered completely.