妇人年七七，数尽而经不断，此乃气血有余也，不可止之。若既绝而复来者，或伤损，或淤血，皆以
两胁、少腹急痛为辨，宜四乌汤，用赤芍；其势不可
止，宜八物汤加芩、连，然不可遽投，恐伤脾胃。
老年淋漓不断，因幼时气多，积久而成。经水每月二、三至者，多成崩淋，宜大剂八物汤主之。
淋漓白滑，间有如屋漏水状，下而不止，止而复来，脐下如冰者，宜香胶艾叶汤。若劳伤血气虚
弱，淋漓日久者，宜胶艾汤加炒蒲黄、黄芩。如有汗，加黄 ；如虚者，加人参。
【香胶艾叶汤】丁香 阿胶 艾叶 川芎 熟地 当归 白芍
血淋不断，三、五日一至，积久不愈，或因经来入房致劳，或因受气郁结所致。须视小腹痛与不
痛、脾胃实与不实。若房劳所伤，宜先活血，后理其经。如小腹痛者，以归附丸治之；如小腹不痛者，以
内补汤治之。如气伤，胸满迷闷，腹痛，与脾胃不实者，恐上有淤血，未可止也。宜四乌汤、归附丸、大
个散、四物汤加陈、甘、桂、附，后以补宫汤、安胎饮。
【内补汤】地黄 当归 川芎 白芍 橘红 茯苓 白术 甘草
【大个散】半夏 陈皮 甘草 桔梗 浓朴 苏梗 香附 藿香 白芷 茯苓 菟丝子
【安胎饮】白术 黄芩 地榆 甘草 熟地 当归 白芍 川芎 阿胶 艾叶 半夏
腹不痛，胃实而淋日久者，宜八物汤加芩、连，若食少者，略加陈、楂少许，或内补汤、补宫汤
治之。若泻，腹不痛者，宜胃苓汤治之；若泻，腹冷痛者，宜五积散治之。若嗽而不泻者，宜二四汤治
之；嗽而兼泻者，宜胃苓汤治之。大凡治血淋症，必以胃气为本，故先理胃健脾为要。如嗽急淋缓，先止
其淋，勿可忽也。
【胃苓汤】（又名五苓平胃散） 肉桂 白术 茯苓 猪苓 泽泻 苍术 浓朴 陈皮 甘草 生姜 大枣
【五积散】肉桂 干姜 白芷 茯苓 麻黄 藿香 甘草 桔梗 半夏 生姜 浓朴 陈皮 川芎
枳壳 当归 白芍
淋虽有赤白之分，不过虚寒郁结为多。如淋漓不断，养胃汤加香附；红色者，用八物汤；白色者，
用艾煎、归附二丸；如淋而带沙者，尤当分气血轻重，不可渺也。若白淋变为黄水，则将变血为淋矣，
宜艾煎丸加白芍。
【养胃汤】生地 当归 白芍 川芎 丹皮 青皮 姜黄 白芷 生姜 海桐皮 五加皮
白浊者，膀胱经热也，失治当生痈疽，宜服清心莲子饮。若白淫者，或一时放白水，寡妇尼姑多有
是疾，此乃郁火也，宜降火为主。或有劳伤肾虚，或
有心虚而得，或因思虑过度。若过虑伤脾，宜四七汤、锁精丸，重则加益智、盐煎。
【清心莲子饮】人参 黄 茯苓 甘草 黄芩 车前子 石莲子 地骨皮 麦冬
水煎候冷，空腹服。
【四七汤】半夏 浓朴 茯苓 苏叶 生姜 大枣
【锁精丸】青盐 茯苓 五味子 破故纸
上四味，等份为末，蜜丸，淡盐汤下。
妇女到了四十九岁，月经周期数已尽而经血仍不止，这是气血有余的表现，不可强行止血。如果月经已经停止后又再次出血，或因外伤损伤，或因瘀血阻滞，都应以两胁部和少腹部拘急疼痛作为辨证依据，适宜使用四乌汤，并加入赤芍；若出血势头猛烈无法遏制，适宜使用八物汤加黄芩、黄连，但不可立即投药，恐怕会损伤脾胃。
老年人淋漓不断（指带下或小便淋沥），是因为幼年时阳气偏盛，积久所致。月经每月来两三次者，多发展为崩漏（非经期大量出血或淋漓不尽），适宜用大剂量的八物汤主治。
白带淋漓滑腻，间或有如屋漏水状，下泄不止，止住后又复发，脐下感觉冰冷者，适宜使用香胶艾叶汤。如果是劳倦损伤导致气血虚弱，淋漓日久者，适宜使用胶艾汤加炒蒲黄、黄芩。如果有汗出，加黄芪；如果体质虚弱，加人参。
血淋（尿中带血）淋漓不断，三至五天发作一次，积久不愈，可能是因为经期行房导致劳伤，也可能是因为情志郁结所致。必须观察小腹痛与不痛、脾胃实证与虚证的区别。如果是房劳所伤，适宜先活血，后调理经脉。如果小腹痛的，用归附丸治疗；如果小腹不痛的，用内补汤治疗。如果是气机受伤，出现胸满闷乱、腹痛，且脾胃虚弱不实者，恐怕上部有瘀血，不可急于止血。适宜使用四乌汤、归附丸、大个散、四物汤加陈皮、甘草、肉桂、附子，随后再用补宫汤、安胎饮调理。
【大个散】半夏、陈皮、甘草、桔梗、厚朴、苏梗、香附、藿香、白芷、茯苓、菟丝子。
【安胎饮】白术、黄芩、地榆、甘草、熟地黄、当归、白芍、川芎、阿胶、艾叶、半夏。
腹部不痛，胃气充实而淋症日久者，适宜用八物汤加黄芩、黄连；如果食欲减退者，略加陈皮、山楂少许，或者用内补汤、补宫汤治疗。如果出现腹泻，腹部不痛的，适宜用胃苓汤治疗；如果腹泻，腹部冷痛的，适宜用五积散治疗。如果咳嗽而不腹泻者，适宜用二四汤治疗；咳嗽兼有腹泻者，适宜用胃苓汤治疗。大凡治疗血淋症，必须以胃气为本，所以先调理脾胃是关键。如果咳嗽急迫而淋症缓和，应先止住淋症，不可忽视。
【胃苓汤】（又名五苓平胃散）肉桂、白术、茯苓、猪苓、泽泻、苍术、厚朴、陈皮、甘草、生姜、大枣。
【五积散】肉桂、干姜、白芷、茯苓、麻黄、藿香、甘草、桔梗、半夏、生姜、厚朴、陈皮、川芎、枳壳、当归、白芍。
淋症虽然有赤色和白色之分，不过多为虚寒郁结所致。如淋漓不断，用养胃汤加香附；颜色红的，用八物汤；颜色白的，用艾煎丸、归附二丸；如果淋症伴有沙粒者，尤其应当分辨气血轻重的程度，不可轻视。如果白淋变为黄水，将要转变为血淋了，适宜用艾煎丸加白芍。
【养胃汤】生地黄、当归、白芍、川芎、牡丹皮、青皮、姜黄、白芷、生姜、海桐皮、五加皮。
白浊（尿道口流出白色分泌物）是膀胱经有热所致，失治可能会生痈疽，适宜服用清心莲子饮。如果是白淫（指不因性交而精液自行流出的病证，此处指女性阴道流出白色粘液），有时突然流出白水，寡妇、尼姑多有此疾，这是由于郁火所致，适宜以降火为主。有的因劳伤肾虚，有的因心虚而得，也有的因思虑过度所致。如果思虑过度损伤脾脏，适宜用四七汤、锁精丸，重症加益智仁、盐煎。
【清心莲子饮】人参、黄芪、茯苓、甘草、黄芩、车前子、石莲子、地骨皮、麦冬。
用水煎煮，待冷却后，空腹服用。
以上四味药，等分为末，蜜制为丸，淡盐汤送服。
When a woman reaches the age of forty-nine (seven times seven), and her menstrual cycle count is exhausted yet menstruation does not cease, this indicates an excess of Qi and Blood. It should not be forcibly stopped. If menstruation has ceased but then resumes, whether due to trauma or blood stasis, differentiation should be based on urgency and pain in the hypochondrium and lower abdomen. The appropriate formula is Siwu Tang (Four Substance Decoction) with added Chishao (Radix Paeoniae Rubra). If the bleeding is too vigorous to stop, Bayi Tang (Eight Ingredient Decoction) with Huangqin (Radix Scutellariae) and Lianzi (Fructus Loranthi) is suitable, but it should not be administered abruptly, as it may damage the Spleen and Stomach.
In elderly women, continuous dripping (referring to leukorrhea or urinary dribbling) occurs because Yang Qi was abundant in childhood and accumulated over time. Menstruation occurring two or three times a month often develops into Benglou (sudden profuse bleeding or prolonged spotting). The main treatment is a large dose of Bayi Tang (Eight Ingredient Decoction).
Continuous, slippery leukorrhea, sometimes resembling leaking roof water, flowing incessantly, stopping and restarting, accompanied by a cold sensation below the umbilicus, is treated with Xiangjiao Aiye Tang (Aromatic Gum and Mugwort Leaf Decoction). If caused by labor injury leading to Qi and Blood deficiency with long-standing dripping, Jiao'ai Tang (Gelatin and Mugwort Leaf Decoction) with fried Puhuang (Pollen Typhae) and Huangqin (Radix Scutellariae) is suitable. If sweating is present, add Huangqi (Radix Astragali); if there is deficiency, add Renshen (Radix Ginseng).
[Xiangjiao Aiye Tang] Dingxiang (Flos Caryophylli), Ejiao (Colla Corii Asini), Aiye (Folium Artemisiae Argyi), Chuanxiong (Rhizoma Chuanxiong), Shudi (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba).
Blood Lin (dysuria with blood) dripping continuously, occurring every three to five days, persisting for a long time without healing, may be due to labor from intercourse during menstruation or due to emotional stagnation. One must observe whether there is lower abdominal pain and whether the Spleen and Stomach are excess or deficient. If injured by sexual labor, invigorate Blood first, then regulate the meridians. If there is lower abdominal pain, treat with Guifu Wan (Guifu Pill); if there is no lower abdominal pain, treat with Neibu Tang (Internal Nourishing Decoction). If Qi is injured, causing chest fullness, confusion, abdominal pain, and Spleen/Stomach deficiency, upper jiao blood stasis is suspected, and stopping bleeding is premature. Treat with Siwu Tang (Four Substance Decoction), Guifu Wan (Guifu Pill), Da Ge San (Da Ge Powder), and Siwu Tang (Four Substance Decoction) plus Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Rougui (Cortex Cinnamomi), and Fuzi (Radix Aconiti Lateralis Preparata), followed by Gongbu Tang (Uterine Nourishing Decoction) and Antai Yin (Fetus-Securing Decoction).
[Neibu Tang] Dihuang (Radix Rehmanniae), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Baishao (Radix Paeoniae Alba), Juhong (Exocarpium Citri Grandis), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae), Gancao (Radix Glycyrrhizae).
[Da Ge San] Banxia (Rhizoma Pinelliae), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Jiegeng (Radix Platycodonis), Houpo (Cortex Magnoliae Officinalis), Sugeng (Caulis Perillae), Xiangfu (Rhizoma Cyperi), Huoxiang (Herba Pogostemonis), Baizhu (Rhizoma Atractylodis Macrocephalae - *Note: Text says Bai Zhi here, likely typo in source or specific variant, translating as Bai Zhi*), Baizhi (Radix Angelicae Dahuricae), Fuling (Poria), Tusizi (Semen Cuscutae).
[Antai Yin] Baizhu (Rhizoma Atractylodis Macrocephalae), Huangqin (Radix Scutellariae), Diyu (Herba Sanguisorbae), Gancao (Radix Glycyrrhizae), Shudi (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Ejiao (Colla Corii Asini), Aiye (Folium Artemisiae Argyi), Banxia (Rhizoma Pinelliae).
If the abdomen is not painful, the Stomach is solid, and Lin syndrome persists for a long time, treat with Bayi Tang (Eight Ingredient Decoction) plus Huangqin (Radix Scutellariae) and Lianzi (Fructus Loranthi). If appetite is poor, add a little Chenpi (Pericarpium Citri Reticulatae) and Zhasha (Fructus Crataegi). Alternatively, use Neibu Tang (Internal Nourishing Decoction) or Gongbu Tang (Uterine Nourishing Decoction). If diarrhea occurs without abdominal pain, treat with Weiling Tang (Stomach-Ling Decoction). If diarrhea occurs with cold abdominal pain, treat with Wuji San (Five Accumulations Powder). If coughing occurs without diarrhea, treat with Er Si Tang (Two Four Decoction). If coughing accompanies diarrhea, treat with Weiling Tang (Stomach-Ling Decoction). Generally, treating Blood Lin requires prioritizing Stomach Qi; thus, regulating the Stomach and strengthening the Spleen is essential. If cough is urgent and Lin is mild, stop the Lin first; do not neglect this.
[Weiling Tang] (Also known as Wuling Pingwei San) Rougui (Cortex Cinnamomi), Baizhu (Rhizoma Atractylodis Macrocephalae), Fuling (Poria), Zhuling (Poria cum Ramis et Mycelio), Zexie (Rhizoma Alismatis), Cangzhu (Rhizoma Atractylodis Lanceae), Houpo (Cortex Magnoliae Officinalis), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Shengjiang (Rhizoma Zingiberis Recens), Dazao (Fructus Jujubae).
[Wuji San] Rougui (Cortex Cinnamomi), Ganjiang (Rhizoma Zingiberis), Baizhi (Radix Angelicae Dahuricae), Fuling (Poria), Mahuang (Herba Ephedrae), Huoxiang (Herba Pogostemonis), Gancao (Radix Glycyrrhizae), Jiegeng (Radix Platycodonis), Banxia (Rhizoma Pinelliae), Shengjiang (Rhizoma Zingiberis Recens), Houpo (Cortex Magnoliae Officinalis), Chenpi (Pericarpium Citri Reticulatae), Chuanxiong (Rhizoma Chuanxiong), Zhiqiao (Fructus Aurantii), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba).
Lin syndrome, though divided into red and white types, is mostly due to deficiency-cold and stagnation. For continuous dripping, use Yangwei Tang (Stomach-Nourishing Decoction) plus Xiangfu (Rhizoma Cyperi). For red type, use Bayi Tang (Eight Ingredient Decoction). For white type, use Aijian Wan (Mugwort Decoction Pill) and Guifu Er Wan (Guifu Two Pills). If Lin involves sand/gravel, distinguish the severity of Qi and Blood deficiency; do not underestimate it. If white Lin turns into yellow fluid, it will transform into Blood Lin. Treat with Aijian Wan (Mugwort Decoction Pill) plus Baishao (Radix Paeoniae Alba).
[Yangwei Tang] Shengdi (Radix Rehmanniae), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Danpi (Cortex Moutan), Qingpi (Pericarpium Citri Reticulatae Viride), Jianghuang (Rhizoma Curcumae), Baizhi (Radix Angelicae Dahuricae), Shengjiang (Rhizoma Zingiberis Recens), Haitongpi (Caulis Sappan), Wujia Pi (Cortex Acanthopanacis).
Bai Zhuo (white turbid discharge) is heat in the Bladder Meridian. If untreated, it may lead to carbuncles and sores. Treat with Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction). If Bai Yin (white seminal emission/leukorrhea without sexual activity) occurs, sometimes suddenly discharging clear white fluid, common among widows and nuns, it is due to stagnant fire. The primary treatment is to descend fire. Some cases result from labor-induced Kidney deficiency, Heart deficiency, or excessive worry. If excessive worry damages the Spleen, treat with Siqi Tang (Four Seven Decoction) and Suojing Wan (Essence-Locking Pill). In severe cases, add Yizhi (Fructus Alpiniae Oxyphyllae) and Yanjian (Salt-fried preparation).
[Qingxin Lianzi Yin] Renshen (Radix Ginseng), Huangqi (Radix Astragali), Fuling (Poria), Gancao (Radix Glycyrrhizae), Huangqin (Radix Scutellariae), Cheqianzi (Semen Plantaginis), Shilianzi (Fructus Nelumbinis), Digupi (Cortex Lycii), Maidong (Radix Ophiopogonis).
Decoct in water, cool, and take on an empty stomach.
[Siqi Tang] Banxia (Rhizoma Pinelliae), Houpo (Cortex Magnoliae Officinalis), Fuling (Poria), Zisuye (Folium Perillae), Shengjiang (Rhizoma Zingiberis Recens), Dazao (Fructus Jujubae).
[Suojing Wan] Qingyan (Sal), Fuling (Poria), Wuweizi (Fructus Schisandrae), Poguzhi (Semen Psoraleae).
The above four ingredients are ground into powder equally, formed into pills with honey, and taken with light salt water.