血崩，东垣有治法，但不言热，其主在寒。学人宜寻思之。急则治其标，用白
汤调百草霜末，甚者用棕榈灰。后用四物汤加炒干姜调理。因劳者，用参 带升补药；因
者，用干姜；因热者，黄芩；崩过多者，先用五灵脂末一服，当分寒热。盖五灵脂能行能止
，紫色成块者热，以四物汤加黄连之类。妇人血崩，用香附白芷丸服。气虚血虚者，皆以四
物汤加参、 。漏下乃热而虚，四物加黄连。崩中白带，用椒目末，又用白芷、锻石炒去灰
末，茜草少许，粥丸服。一方，用生狗头骨烧灰存性，或酒调服，或入药服。一方，五灵脂
半生半炒为末酒调服。经血逆行，或血腥，或吐血，或唾血，用韭菜汁服效。夫妇人崩中者
由脏腑伤损，冲任二脉，血气俱虚故也。二脉为经脉之海，血气之行，外循经络，内荣脏
。若气血调适，经下根据时。若劳动过极，脏腑俱伤，冲任之气虚，不能约制其经血，故忽然而下
，谓之崩中暴下。治宜当大补气血之药，举养脾胃，微加镇坠心火之药，治其心，补阴泻阳
，经自止矣。
附方
小蓟汤 治崩中不止。
小蓟茎叶（研取汁，一盏） 生地黄汁（一盏） 白术（半两）
上三件，入水一盏煎，温服。
荆芥散 治妇人崩中，连日不止。
用荆芥穗，于灯盏多着灯心，好麻油点灯，就上烧荆芥焦色。
上为末。每服三钱，童便调下。
又方
芥叶（如鸡子大） 阿胶（半两） 干姜（一钱）
上为粗末。用水五盏，先煮艾姜，后入胶烊消，分作二服，空心。
如圣散 治妇人血出崩。
棕榈灰 乌梅（各一两） 干姜（一两五分，并烧灰存性）
上为末。每服二钱，乌梅酒调下，空心。
凉血地黄汤 治妇人血崩，是肾水月虚，不能镇守包络相火，故血走而崩也。
黄芩 荆芥 蔓荆子（各一分） 黄柏 知母 本 细辛 川芎（各二分） 黄连 羌活 柴
胡升麻 防风（各三分） 生地黄 当归（各五分） 甘草（一钱） 红花（炒，少许）
上作一服，水煎，空心稍热服。
血崩，李东垣有治疗方法，但不提及热邪，其治疗重点在于寒证。学习者应当深入思考这一点。急则治其标，用白开水调服百草霜末，病情严重者用棕榈灰。之后用四物汤加炒干姜进行调理。因劳累引起的，使用人参、白术等具有升提补益作用的药物；因寒邪引起的，使用干姜；因热邪引起的，使用黄芩；出血量过多者，先服用一次五灵脂末，应当辨别寒热属性。因为五灵脂既能行血又能止血，经血呈紫色且有血块的是热证，用四物汤加黄连之类药物。妇女血崩，服用香附白芷丸。气虚和血虚者，都用四物汤加人参、白术。漏下（非经期少量持续出血）是热而兼虚，用四物汤加黄连。崩中伴白带，用椒目末，又用白芷、煅石脂炒去灰烬后的细末，加少许茜草，用米粥做成丸剂服用。另一方法，用生狗头骨烧成炭存性，或用酒调服，或入药中服用。另一方法，五灵脂一半生用一半炒熟研为末，用酒调服。经血逆行，出现血腥味，或吐血，或唾血，服用韭菜汁有效。妇女崩中的原因，是由于脏腑受损，冲脉和任脉气血俱虚所致。这两条经脉是十二经脉之海，气血的运行，外沿经络循行，内滋养脏腑。如果气血调和适宜，月经就能按时来潮。如果劳动过度，脏腑都受到损伤，冲任之气虚弱，不能约束控制经血，所以突然大量下泄，称为崩中暴下。治疗应当大补气血的药物，培补养育脾胃，稍微加入镇降心火的药物，治疗心脏，补阴泻阳，月经自然就会停止。
附方
小蓟汤 治疗崩中不止。
小蓟茎叶（研磨取汁，一盏） 生地黄汁（一盏） 白术（半两）
以上三味，加入水一盏煎煮，温服。
荆芥散 治疗妇人崩中，连续多日不止。
取荆芥穗，在灯盏中多放灯芯，用好麻油点灯，在上面将荆芥烧至焦色。
以上研为末。每次服用三钱，用童子尿调下。
又方
艾叶（如鸡蛋大小） 阿胶（半两） 干姜（一钱）
以上研为粗末。用水五盏，先煮艾叶和干姜，后放入阿胶使其溶化消解，分两次服用，空腹时服。
如圣散 治疗妇人血出如崩。
棕榈灰 乌梅（各一两） 干姜（一两五分，均烧炭存性）
以上研为末。每次服用二钱，用乌梅酒调下，空腹时服。
凉血地黄汤 治疗妇人血崩，这是肾水每月亏虚，不能镇守包络相火，导致血液妄行而崩漏。
黄芩 荆芥 蔓荆子（各一分） 黄柏 知母 藁本 细辛 川芎（各二分） 黄连 羌活 柴胡 升麻 防风（各三分） 生地黄 当归（各五分） 甘草（一钱） 红花（炒，少许）
以上为一服量，用水煎煮，空腹时稍热服用。
Blood flooding (metrorrhagia), Li Dongyuan has treatment methods, but does not mention heat pathogen, with the main focus on cold syndrome. Students should ponder this. In acute cases, treat the branch/symptom first: use white water to mix and take Baicaoshuang (Cinnabar/Soot) powder; for severe cases, use Zonglun Hui (Areca Palm Ash). Afterwards, regulate with Siwu Tang (Four Substances Decoction) plus fried Ganjiang (Dried Ginger). For those caused by fatigue, use Shenqi (Ginseng and Atractylodes Macrocephala) and other ascending and tonifying herbs; for those caused by cold, use Ganjiang (Dried Ginger); for those caused by heat, use Huangqin (Scutellaria Root); for excessive bleeding, first administer a dose of Wulingzhi (Trogopterus Dung) powder, distinguishing between cold and heat. This is because Wulingzhi can both invigorate blood and stop bleeding. If the menstrual blood is purple and forms clumps, it is a heat syndrome, treated with Siwu Tang (Four Substances Decoction) plus Huanglian (Coptis Rhizome) and similar herbs. For women with blood flooding, take Xiangfu Baizhi Wan (Cyperi Rhizoma and Angelicae Dahuricae Radix Pill). For Qi deficiency and Blood deficiency, all use Siwu Tang (Four Substances Decoction) plus Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome). Leaking (intermenstrual spotting) is due to heat and deficiency, treated with Siwu Tang (Four Substances Decoction) plus Huanglian (Coptis Rhizome). For flooding accompanied by leukorrhea, use Jiaomu (Semen Lepidii) powder, or a mixture of Baizhu (Angelicae Dahuricae Radix), Duanshizhi (Calcined Alumen), and Qiancao (Rubia Cordifolia Root) made into pills with rice porridge. Another prescription uses Shenggoutougu (Canis Cranium) burnt to charcoal preserving its nature, taken with wine or in decoction. Another prescription uses half raw and half fried Wulingzhi (Trogopterus Dung) powder, taken with wine. When menstrual blood flows retrograde, presenting with a bloody odor, hematemesis, or spitting blood, drinking Jiucai Zhi (Chinese Chive Juice) is effective. The cause of metrorrhagia in women lies in damage to the Zang-Fu organs, resulting in deficiency of Qi and Blood in the Chong and Ren meridians. These two meridians are the sea of the twelve meridians; the movement of Qi and Blood circulates externally along the collaterals and nourishes the internal Zang-Fu internally. If Qi and Blood are harmonious and balanced, menstruation occurs on time. If labor is excessive, damaging all Zang-Fu organs, the Qi of the Chong and Ren becomes deficient and cannot restrain the menstrual blood, causing sudden profuse discharge, termed "Bengzhong" (sudden flooding). Treatment should employ large doses of herbs to tonify Qi and Blood, support and nourish the Spleen and Stomach, slightly add herbs to suppress Heart Fire, treat the Heart, tonify Yin and drain Yang, and menstruation will naturally cease.
Attached Formulas
Xiaoji Tang (Small Thistle Decoction) treats persistent metrorrhagia.
Xiaoji Jingye (Herba Cirsii Japonici Caulis et Folium) (ground to extract juice, one bowl) Shengdihuang Zhi (Jus Radicis Rehmanniae Recens) (one bowl) Baizhu (Rhizoma Atractylodis Macrocephalae) (half liang)
The above three items, add one bowl of water, decoct, and take warm.
Jingjie San (Schizonepeta Powder) treats women's metrorrhagia, continuous for several days.
Use Jingjie Sui (Cacumen Schizonepetae), place plenty of lamp wicks in a lamp dish, light with good sesame oil, and burn the Jingjie until charred on top.
Grind into powder. Take three qian each time, mixed with Tongbian (Child's Urine).
Another Prescription
Aiye (Folium Artemisiae Argyi) (size of an egg) Ejiao (Corpus Asini Colla) (half liang) Ganjiang (Rhizoma Zingiberis Recens) (one qian)
Grind into coarse powder. Use five bowls of water, first decoct Aiye and Ganjiang, then add Ejiao until dissolved. Divide into two doses, taken on an empty stomach.
Rusheng San (Like-Sage Powder) treats women's blood flowing like flooding.
Zonglun Hui (Cortex Arecae Praeparatus) Wu Mei (Fructus Mume) (each one liang) Ganjiang (Rhizoma Zingiberis Recens) (one liang five qian, all burnt to charcoal preserving nature)
Grind into powder. Take two qian each time, mixed with Wu Mei Wine, on an empty stomach.
Liangxue Dihuang Tang (Cooling Blood and Rehmannia Decoction) treats women's blood flooding. This is due to monthly deficiency of Kidney Water, failing to control the Ministerial Fire of the Pericardium, causing blood to rush and flood.
Huangqin (Radix Scutellariae) Jingjie (Cacumen Schizonepetae) Manjingzi (Fructus Viticis Expensae) (each one fen) Huangbai (Cortex Phellodendri) Zhimu (Rhizoma Anemarrhenae) Gaoben (Rhizoma Ligustici Wallichii) Xixin (Herba Asari) Chuanxiong (Rhizoma Chuanxiong) (each two fen) Huanglian (Rhizoma Coptidis) Qianghuo (Rhizoma Notopterygii) Chaihu (Radix Bupleuri) Shengma (Rhizoma Cimicifugae) Fangfeng (Radix Saposhnikoviae) (each three fen) Shengdihuang (Radix Rehmanniae Recens) Danggui (Radix Angelicae Sinensis) (each five fen) Gancao (Radix Glycyrrhizae) (one qian) Honghua (Flos Carthami) (fried, a small amount)
Make as one dose, decoct with water, take slightly warm on an empty stomach.