气虚、血虚、血热、血崩，东垣有治法，但不言热，其主在寒，学人宜再思之。经曰∶阴虚阳搏谓之崩。观此可知
矣。急则治其标，白芷汤调百草霜，甚者，棕榈皮灰极妙。后用四物汤加甘草、生姜调理。因劳者，用参、 带升补
药；因寒者，干姜；因热者，黄芩。崩过多者，先用五灵末一服，当分寒热。五灵脂能行能止。一妇血崩，用白
芷、香附，等分为末，作丸服。又方，用生狗头骨烧灰存性，酒调服，或入药服之。又方，五灵脂半生半熟，为
末，酒调服。气虚、血虚者，皆以四物汤加参、 。漏下，乃热而虚，四物汤加黄连。治崩漏四物汤加香附、白
芷、黄芩、阿胶、干姜。又有血热崩者，大剂解毒汤。
治血崩，四物汤调苍耳灰服之。有大惊恐而崩漏者，多因气所使而下∶香附（炒至黑一钱） 白芍药（一钱炒）
川芎（五分） 熟地黄（一钱） 黄 （五分） 白术（一钱） 地榆（五分） 蒲黄（五分炒） 人参（五
分） 升麻（三分） 当归（一钱） 煎服。甚者，调棕毛灰一钱服。崩中血不止，生蓟根汁服半升，定止。
又方，香附炒焦黑色为末二两，连翘五个，烧灰为末，每服三钱，陈米汤调送局方
震灵丹十数粒。又方，黄芩为末，烧秤锤淬酒调下。无故尿血，龙骨末之，酒调下方寸匕。
气虚、血虚、血热、血崩，李东垣有治疗方法，但不强调热证，其主旨在于寒证，学习者应当再深思。《内经》说：阴虚而阳脉搏动称为崩漏。看这句话就可以知道了。急则治其标，用白芷汤调服百草霜，病情严重的，棕榈皮灰非常有效。之后用四物汤加甘草、生姜进行调理。因劳累引起的，用人参等具有升提补益作用的药物；因寒邪引起的，用干姜；因热邪引起的，用黄芩。崩漏出血过多的，先用五灵脂末一服，应当分辨寒热属性。五灵脂既能行血又能止血。有一位妇女血崩，用白芷、香附，等分为末，制成丸剂服用。另一个方子，用生狗头骨烧灰存性，用酒调服，或者加入药中服用。又一个方子，五灵脂一半生用一半炒熟，研为末，用酒调服。气虚、血虚的，都用四物汤加人参、黄芪。漏下（淋漓不断），是热兼虚证，四物汤加黄连。治疗崩漏的四物汤加香附、白芷、黄芩、阿胶、干姜。又有血热导致的崩漏，用大剂量的解毒汤。
治疗血崩，用四物汤调服苍耳草灰。有大惊恐而导致崩漏的，多因气机紊乱而下陷：香附（炒至黑色一钱）、白芍药（一钱，炒）、川芎（五分）、熟地黄（一钱）、黄芪（五分）、白术（一钱）、地榆（五分）、蒲黄（五分，炒）、人参（五分）、升麻（三分）、当归（一钱），煎服。病情严重的，调服棕毛灰一钱。崩中出血不止，服用生蓟根汁半升，即可定止。又一个方子，香附炒焦黑色为末二两，连翘五个，烧灰为末，每次服用三钱，陈米汤调送，配合局方震灵丹十数粒。又一个方子，黄芩为末，用烧红的秤锤淬酒调下。无故尿血，用龙骨末之，酒调下方寸匕。
Qi deficiency, blood deficiency, blood heat, and metrorrhagia (uterine bleeding) have treatment methods described by Li Dongyuan, but he does not emphasize heat syndromes; his main focus is on cold syndromes. Students should reflect further on this. The *Classic of Internal Medicine* states: "Yin deficiency with pulsating Yang pulse is called metrorrhagia." From this statement, it can be understood. In acute cases, treat the branch symptoms first: use Bai Zhi Tang (Angelica Dahurica Decoction) to mix with Bai Cao Shuang (soot from burning various herbs). For severe cases, Zong Lu Pi Hui (ash of palm bark) is extremely effective. Subsequently, regulate the condition using Si Wu Tang (Four Substances Decoction) added with Gan Cao (Licorice Root) and Sheng Jiang (Fresh Ginger). If caused by overexertion, use Shen (Ginseng) and other herbs that have lifting and tonifying properties; if caused by cold, use Gan Jiang (Dried Ginger); if caused by heat, use Huang Qin (Scutellaria Root). For excessive bleeding, administer a dose of Wu Ling Zhi Mo (Trogopterus Dung Powder) first, distinguishing between cold and heat syndromes. Wu Ling Zhi (Trogopterus Dung) can both invigorate blood and stop bleeding. A woman with metrorrhagia was treated with Bai Zhi (Angelica Dahurica) and Xiang Fu (Cyperus Rhizome), ground into powder in equal parts, and taken as pills. Another prescription uses Sheng Gou Tou Gu (raw dog skull bone) burned to ash while retaining its nature, taken with wine or added to decoctions. Yet another prescription uses half raw and half roasted Wu Ling Zhi (Trogopterus Dung), ground into powder and taken with wine. For Qi deficiency and blood deficiency, Si Wu Tang (Four Substances Decoction) is used with added Ren Shen (Ginseng) and Huang Qi (Astragalus Root). Leukorrhea with continuous dripping (Lou Xia) results from heat combined with deficiency; Si Wu Tang (Four Substances Decoction) is used with added Huang Lian (Coptis Rhizome). To treat metrorrhagia and leukorrhea, Si Wu Tang (Four Substances Decoction) is modified with Xiang Fu (Cyperus Rhizome), Bai Zhi (Angelica Dahurica), Huang Qin (Scutellaria Root), E Jiao (Donkey-hide Gelatin), and Gan Jiang (Dried Ginger). For metrorrhagia caused by blood heat, a large dose of Jie Du Tang (Detoxification Decoction) is used.
To treat metrorrhagia, Si Wu Tang (Four Substances Decoction) is used to mix with Cang Er Hui (ash of Xanthium Fruit). Metrorrhagia caused by great fright and terror often results from Qi disorder leading to downward collapse: Xiang Fu (Cyperus Rhizome, stir-fried until black, 1 qian), Bai Shao Yao (White Peony Root, 1 qian, stir-fried), Chuan Xiong (Ligusticum Rhizome, 0.5 qian), Shu Di Huang (Prepared Rehmannia Root, 1 qian), Huang Qi (Astragalus Root, 0.5 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 qian), Di Yu (Sanguisorba Root, 0.5 qian), Pu Huang (Typha Pollen, 0.5 qian, stir-fried), Ren Shen (Ginseng, 0.5 qian), Sheng Ma (Cimicifuga Rhizome, 0.3 qian), Dang Gui (Angelica Sinensis Root, 1 qian); decoct and take orally. For severe cases, take 1 qian of Zong Mao Hui (ash of palm hair) mixed with water/decoction. For metrorrhagia with unceasing bleeding, drink half sheng (approx. 200ml) of juice from fresh Ji Gen (Thistle Root) to stop it. Another prescription: Xiang Fu (Cyperus Rhizome) stir-fried until charred black, ground into powder (2 liang); Lian Qiao (Forsythia Fruit), five pieces, burned to ash and ground into powder. Take 3 qian each time, delivered with Chen Mi Tang (aged rice soup), accompanied by Shi Shu li Dan Ju Fang Zhen Ling Dan (Ten-plus pills of Zhen Ling Dan from the Bureau of Medical Relief Formulas). Another prescription: Huang Qin (Scutellaria Root) ground into powder, taken with wine quenched by a red-hot weight (cheng chui). Hematuria without obvious cause: take Long Gu (Fossilized Bones) powder, delivered with wine using a square-inch spoon (fang cun bi).