妇人崩漏,皆因脏腑或冲任二脉损伤,血气虚弱。且二脉乃经脉之血海,血气之行,外循经络,
内荣脏腑,气血均调,经下根据时,脏腑过劳,俱伤冲任之气,故虚不能约制,其经血忽然而下,谓
之崩中。治宜大补气血,滋养脾胃,镇坠心火,助火补阴,经自止矣。又紫血成块,如产血之状,
过多不止,乃谓血热妄行。此时药不能及,急则治标,宜白芷汤,或茅根汤送下,或百草霜、棕
榈炭、二蚕绵炭,加干姜炭最妙,不宜多服,因姜热故也。夫血热则行,冷则凝,逢黑则止。然后
用四物、芩、连、栀子之药。其血去来二三日外,恐气血虚也。宜四物、参、 、芩、术、香附有效。
五灵脂半生半炒,为末,好酒调服,灵脂能行气止血故也。
崩中用荆芥凉血,干姜为血分之药,乌梅能入血分。醋煮香附,妇人要药,气分不可多,血
分不可少。然病有阴阳,药亦阴阳之分。有血枯经闭不通,手足烦热,头痛体弱,微热时来,宜
四物汤、桃仁、红花、牛膝、乌药、生地、香附主之。刘寄奴、桂心,久服自通。
血崩∶棕榈炭 干姜(少用) 二蚕绵炭 乌梅
荆芥汤送下。如血热,加黄柏、黄连、黄 、淮生荆芥、白芷、香附、天门冬煎服。
又方∶用鲜天门冬煮糯米粥,早晚食之效。
妇女崩漏,都是由于脏腑或冲任二脉受损,导致血气虚弱。况且这两条经脉是血液汇聚的海源,气血的运行,向外沿经络循行,向内滋养脏腑,气血调和均匀,月经按时来潮。若脏腑过度劳累,都会损伤冲任之气,因此虚弱而不能制约血液,经血突然大量下泄,称为“崩中”。治疗应当大补气血,滋养脾胃,镇降心火,助阳以补阴,月经自然就会停止。又有紫黑血块结成,像产后恶露的样子,过多不止,这称为血热妄行。此时药物难以直达病所,急则治其标,适宜用白芷汤,或者茅根汤送服,也可以使用百草霜、棕榈炭、二蚕绵炭,加入干姜炭最为妙效,但不宜多服,因为生姜性热的原因。血热则运行加速,寒冷则凝结,遇到黑色(指炒炭)则止血。然后用四物汤以及黄芩、黄连、栀子的药物。在出血停止两三天后,担心气血虚弱,适宜使用四物汤配合人参、[此处原文缺字,推测为黄芪或白术等补气药]、黄芩、白术、香附,效果显著。五灵脂半生半炒,研成粉末,用好酒调服,因为五灵脂能行气止血。
治疗崩中用荆芥凉血,干姜是入血分的药物,乌梅也能入血分。醋煮香附,是妇科重要药物,在气分方面不可多用,在血分方面不可少用。然而疾病有阴阳之分,药物也有阴阳的属性。如有血枯导致经闭不通,手足烦热,头痛身体虚弱,时有微热,适宜用四物汤、桃仁、红花、牛膝、乌药、生地、香附主治。刘寄奴、桂心,长期服用自然通畅。
血崩:棕榈炭、干姜(少量)、二蚕绵炭、乌梅,用荆芥汤送服。如果血热,加黄柏、黄连、黄[此处原文缺字,推测为芪]、淮山药、鲜荆芥、白芷、香附、天门冬煎服。
又一方:用新鲜天门冬煮糯米粥,早晚食用有效。
Women's metrorrhagia and metrostaxis are all caused by damage to the Zang-Fu organs or the Chong and Ren meridians, leading to deficiency of Qi and Blood. These two meridians serve as the Sea of Blood for the meridian system; the movement of Qi and Blood circulates outward along the collaterals and nourishes the Zang-Fu organs internally. When Qi and Blood are harmonious and balanced, menstruation occurs on schedule. If the Zang-Fu organs are overworked, they injure the Qi of the Chong and Ren meridians. Consequently, due to deficiency, they fail to restrain the blood, causing menstrual blood to suddenly flow down in large amounts, which is termed "Beng Zhong" (Sudden Collapse). Treatment should focus on greatly tonifying Qi and Blood, nourishing the Spleen and Stomach, suppressing Heart Fire, assisting Yang to nourish Yin, after which menstruation will naturally cease. Additionally, if dark purple blood clots form resembling postpartum lochia and flow excessively without stopping, this is termed "reckless movement of blood due to Heat." At this stage, medicinal action may not reach the root cause quickly; addressing the acute symptoms first is appropriate. It is suitable to use Baizhi Decoction (Angelica Dahurica Decoction) or send down medicines with Maogen Decoction (Imperata Rhizome Decoction), or use Baicaoshuang (Charred Herbal Ash), Zonglutan (Areca Palm Charcoal), Er Canmian Tan (Charred Silk Cocoon Floss), added with Ganjiang Tan (Charred Dried Ginger), which is most excellent. However, it should not be taken in large quantities because of the heat nature of Ginger. Blood Heat causes rapid circulation, Cold causes coagulation, and encountering black (charred substances) stops bleeding. Subsequently, use Siwu Tang (Four Substance Decoction) along with Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), and Zhizi (Gardenia Fruit). After bleeding has ceased for two to three days, fearing Qi and Blood deficiency, it is suitable to use Siwu Tang combined with Renshen (Ginseng), [missing character, likely Huangqi], Huangqin, Baizhu (Atractylodes Macrocephala Rhizome), and Xiangfu (Cyperus Rhizome), which yields effective results. Wulingzhi (Trogopterus Dung), half raw and half stir-fried, ground into powder and taken with good wine, works because Wulingzhi can promote Qi circulation and stop bleeding.
For treating Beng Zhong, Jingjie (Schizonepeta Herb) clears Blood Heat, Ganjiang (Dried Ginger) enters the Blood aspect, and Wumei (Mume Fruit) also enters the Blood aspect. Vinegar-processed Xiangfu is an essential medicine for women; it should not be used in excess in the Qi aspect, nor should it be lacking in the Blood aspect. However, diseases have Yin and Yang distinctions, and so do medicines. For cases of Blood depletion leading to amenorrhea and obstruction, accompanied by vexing heat in the hands and feet, headache, physical weakness, and occasional slight fever, Siwu Tang (Four Substance Decoction) combined with Taoren (Peach Kernel), Honghua (Carthamus Flower), Niuxi (Achyranthes Root), Wuyao (Lindera Root), Shengdi (Rehmannia Root), and Xiangfu (Cyperus Rhizome) is indicated. Liuji Nu (Artemisia Annua Herb) and Guixin (Cinnamon Twig Bark), when taken for a long time, will naturally restore patency.
Metrorrhagia: Zonglutan (Areca Palm Charcoal), Ganjiang (Dried Ginger - small dose), Er Canmian Tan (Charred Silk Cocoon Floss), Wumei (Mume Fruit), sent down with Jingjie Decoction. If there is Blood Heat, add Huangbai (Phellodendron Bark), Huanglian (Coptis Rhizome), Huang [missing character, likely Huangqi], Huaishanyao (Chinese Yam), fresh Jingjie (Schizonepeta Herb), Baizhi (Angelica Dahurica Root), Xiangfu (Cyperus Rhizome), and Tianmendong (Asparagus Tuber), decocted and taken orally.
Another prescription: Use fresh Tianmendong (Asparagus Tuber) to cook glutinous rice porridge; eating it morning and evening is effective.