〔集〕血崩并漏下。中极（补） 子宫（二寸半。） 败血不止。三阴交 百劳 风门 中
极肾俞 膏肓 曲池 绝骨。
〔甲〕妇人不字，阴暴出，经水漏。然谷主之。妇人漏血，腹胀满不得息，小便黄。
阴谷主之。（《千金》云∶漏血，少腹满如阻，体寒热，腹偏肿。）女子血不通。会阴主之。女子
漏血。太冲主之。
〔脉〕问曰∶五崩何等类？师曰∶白崩者形如涕，赤崩者形如绛，黄崩者形如烂瓜，
青崩者形如蓝色，黑崩者形如 血也。寸口脉弦而大，弦则为减，大则为芤，减则为寒，
芤则为虚，寒虚相搏，此名曰革，妇人则半产漏下。（又见诸见血。）
〔仲〕寸口脉微而缓，微者卫气疏，疏则其肤空，缓者胃弱不实，则谷消而水化也。
谷入于胃，脉道乃行，水入于经，其血乃成，荣盛则其肤必疏，三焦绝经，名曰血崩。
〔脉〕诊妇人漏下赤白，日下血数升，脉急疾者死，迟者生。诊妇人漏下赤白不
止，脉小虚滑者生，大紧实数者死。
尺寸脉虚者漏血，脉浮者俱不治。（峻实其下，亦有得全者。）
〔良〕妇人冲任二脉，为经脉之海，外循经络，内荣脏腑。若阴阳和平，经下根据时。
若劳伤不能约制，则忽然暴下，甚则昏闷。若寸脉微迟，为寒在上焦，则吐血、衄血。尺
脉微迟，为寒在下焦，则崩血、便血。大抵数小为顺，洪大为逆。大法当调补脾胃为主。
〔杀血心痛〕
〔良〕妇人血崩而心痛甚，名曰杀血心痛，由心脾血虚也。若小产去血过多而心痛
甚者亦然。用乌贼鱼骨炒为末，醋汤调下。失笑散亦效。
〔薛〕前证若阴血耗散，用乌贼丸收敛之。若瘀血不散，用失笑散行散之。若心血
虚弱，用芎归汤补养之。若郁结伤血，用归脾汤调补之。一妇人血崩兼心痛三年矣，诸
药不应，每痛甚虚证悉具，面色痿黄。余曰∶心主血，盖由去血过多，心无所养，以致作
痛，宜用十全大补汤，参、术倍之。三十余剂稍愈，百余剂全愈。
【集验】治疗血崩及经血淋漓不尽。选取中极穴（采用补法）、子宫穴（深刺二寸半）。若败血不止，选取三阴交、百劳、风门、中极、肾俞、膏肓、曲池、绝骨等穴。
【甲乙经】妇女不孕，阴道突然大量出血，月经淋漓不尽，由然谷穴主治。妇女漏下出血，腹部胀满导致呼吸困难，小便色黄，由阴谷穴主治。（《千金方》记载：漏血，少腹胀满如有阻塞感，身体忽冷忽热，腹部一侧肿胀。）女子经血不通，由会阴穴主治。女子漏血，由太冲穴主治。
【脉诀】问：五崩各属于什么类别？老师说：白崩的形态像鼻涕，赤崩的形态像深红色液体，黄崩的形态像腐烂的瓜，青崩的形态像蓝色液体，黑崩的形态像凝血块。寸口脉象弦而大，弦脉表示阳气减损，大脉表示中空如芤，阳气减损则生寒，中空则主虚，寒与虚相互搏结，这种脉象称为革脉，妇女出现此脉则会导致小产及经血淋漓不尽。（又见于各种出血症。）
【仲景】寸口脉微而缓，微脉表示卫气疏泄，疏泄则肌肤腠理空虚；缓脉表示胃气虚弱不实，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。营气旺盛则肌肤腠理必然疏松，三焦经络隔绝，这就叫做血崩。
【脉诀】诊察妇女漏下赤白分泌物，每日失血量达数升，脉象急疾者死，脉象迟缓者生。诊察妇女漏下赤白不止，脉象小、虚、滑者生，脉象大、紧、实、数者死。
尺部和寸部脉象虚弱者漏血，脉象浮者均难治愈。（若能峻补其下部，也有痊愈的。）
【千金方】妇女的冲脉和任脉，是十二经脉之海，外沿经络循行，内滋养脏腑。如果阴阳平和，月经按时来潮。如果因劳伤导致不能约束控制，则突然暴下，严重时甚至昏厥闷乱。如果寸脉微迟，表示寒邪在上焦，则会出现吐血、鼻衄。尺脉微迟，表示寒邪在下焦，则会出现崩血、便血。大致而言，脉象细小数为顺证，洪大为逆证。大法应当以调补脾胃为主。
【杀血心痛】
【千金方】妇女血崩且心痛剧烈，名叫“杀血心痛”，这是由于心脾血虚所致。如果是小产后失血过多而导致心痛剧烈的，情况也是如此。使用乌贼鱼骨炒成粉末，用醋汤送服。失笑散也有效。
【薛己】上述病症如果阴血耗散，使用乌贼丸收敛止血。如果瘀血不散，使用失笑散活血行散。如果心血虚弱，使用芎归汤补养。如果郁结损伤气血，使用归脾汤调补。有一位妇人患血崩兼带心痛三年了，各种药物无效，每次疼痛剧烈时虚证症状全部显现，面色萎黄。我说：心主血脉，大概是因为失血过多，心脏得不到滋养，从而导致疼痛，适宜使用十全大补汤，并加倍人参和白术。服用三十多剂后稍有好转，服用一百多剂后完全痊愈。
[Collected Experiences] Treatment for metrorrhagia (uterine bleeding) and leukorrhea with blood staining. Select Zhongji (CV3) using the tonification method, Zigong (EX-CA1) needled at a depth of two and a half cun. If bloody stasis does not cease, select Sanyinjiao (SP6), Bailao (EX-HN2), Fengmen (BL12), Zhongji (CV3), Shenshu (BL23), Gao Huang (BL43), Quchi (LI11), and Juegu (GB39).
[Jia Yi Jing] For women who are infertile, experiencing sudden profuse vaginal discharge, and menstrual spotting, Ran Gu (KI2) is indicated. For women with metrorrhagia, abdominal distension and fullness causing dyspnea, and yellow urine, Yin Gu (KI10) is indicated. (*Qian Jin Fang* records: for metrorrhagia, lower abdominal fullness as if obstructed, alternating chills and fever, and unilateral abdominal swelling.) For women with amenorrhea or obstruction of menstrual blood, Hui Yin (CV1) is indicated. For women with metrorrhagia, Tai Chong (LR3) is indicated.
[Pulse Diagnosis] Question: What are the categories of the Five Metrorrhagias? The Master said: White metrorrhagia resembles mucus; red metrorrhagia resembles dark red fluid; yellow metrorrhagia resembles rotten melon; green metrorrhagia resembles blue liquid; black metrorrhagia resembles coagulated blood. At the Cun Kou pulse position, if the pulse is wiry (Xian) and large, wiry indicates reduction [of yang], and large indicates hollow like a leek stalk (Kou). Reduction implies cold, and hollow implies deficiency. When cold and deficiency interact, this is named Ge pulse. In women, this leads to spontaneous abortion and metrorrhagia. (Also seen in various hemorrhagic conditions.)
[Zhang Zhongjing] At the Cun Kou pulse position, if the pulse is faint (Wei) and slow (Huan), faint indicates sparse Wei Qi (Defensive Qi), and sparse means the skin pores are open; slow indicates weak Stomach Qi lacking solidity, leading to improper digestion of food and transformation of water. When grain enters the Stomach, the pulse channels circulate; when water enters the meridians, blood is formed. If Ying Qi (Nutritive Qi) becomes excessive, the skin pores will inevitably be loose, the San Jiao (Triple Burner) meridians become severed, which is named metrorrhagia.
[Pulse Diagnosis] When diagnosing women with leukorrhea mixed with blood, if they lose several sheng of blood daily and the pulse is rapid and urgent, death ensues; if the pulse is slow, survival is possible. When diagnosing women with continuous leukorrhea mixed with blood, if the pulse is small, deficient, and slippery, survival is possible; if the pulse is large, tight, solid, and rapid, death ensues.
If the Chi and Cun positions of the pulse are deficient, it indicates metrorrhagia; if the pulse is floating, it is generally untreatable. (However, if the lower body is strongly fortified, recovery is possible.)
[Qian Jin Fang] The Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) in women are the Sea of the Twelve Meridians. They circulate externally along the meridians and nourish the internal Zang-Fu organs internally. If Yin and Yang are in harmony, menstruation occurs on schedule. If labor and injury cause a loss of control, sudden profuse bleeding may occur, potentially leading to syncope and confusion. If the Cun position pulse is faint and slow, it indicates cold in the Upper Jiao, leading to hematemesis or epistaxis. If the Chi position pulse is faint and slow, it indicates cold in the Lower Jiao, leading to metrorrhagia or hematochezia. Generally, a small and rapid pulse is favorable, while a洪大 (surging and large) pulse is unfavorable. The general principle is to primarily regulate and tonify the Spleen and Stomach.
[Qian Jin Fang] When a woman suffers from metrorrhagia accompanied by severe heart pain, it is called "Killing Blood Heart Pain," caused by deficiency of Heart and Spleen blood. This also applies if severe heart pain follows excessive blood loss after a miscarriage. Use Sepiae Endoconcha (Hai Piao Xiao, 海螵蛸) stir-fried into powder, taken with vinegar-infused water. Shi Yao San (Pain-Stopping Powder) is also effective.
[Xue Ji] For the aforementioned conditions, if Yin blood is depleted and scattered, use Hai Piao Wan (Sepia Pill) to astringe and stop bleeding. If bloody stasis does not dissipate, use Shi Yao San (Pain-Stopping Powder) to invigorate blood and dissipate stasis. If Heart blood is deficient, use Xiong Gui Tang (Ligusticum and Angelica Decoction) to tonify and nourish. If emotional constraint damages blood, use Gui Pi Tang (Spleen-Restoring Decoction) to regulate and tonify. A woman suffered from metrorrhagia combined with heart pain for three years without response to various medicines. Whenever the pain was severe, all deficiency symptoms manifested, and her complexion was sallow and withered. I stated: The Heart governs blood. It is likely that due to excessive blood loss, the Heart lacks nourishment, causing pain. It is appropriate to use Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction), doubling the dosage of Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). After more than thirty doses, she improved slightly; after more than one hundred doses, she fully recovered.