妊妇因行房致小产血崩不止，人以为火动之极也，谁知是气脱之故乎！血崩本于气虚，火盛本于水亏，肾水既
亏，则气之生源涸矣；气源既涸，而气有不脱者乎！此火动是标，而气脱是本也。经云“治病必求其本”，本固
而标自立矣。若只以止血为主，而不急固其气，则气散不能速回，而血何由止！不大补其精，则水涸不能遽长，而
火且益炽，不揣其本，而齐其末，山未见有能济者也。
方用固气填精汤。
人参（一两） 黄 （一两，生用） 白术（五钱，土炒） 大熟地（一两，九蒸） 当归（五钱，酒洗） 三
七（三钱，研末冲） 芥穗（二钱，炒黑）
水煎服。一剂而血止，二剂而身安，四剂则全愈。此方之妙，妙在不去清火，而惟补气补精，其奏功独神者，
以诸药温润能除大热也。盖热是虚，故补气自能摄血，补精自能止血，意在本也。
眉批∶小产血崩多由行房而致。若年逾四十参 宜倍用，熟地宜减半用，以其气虚火衰也，否则每令气脱不救。
凡有妊娠者，须忍欲谨避房事，万勿自蹈危途，慎之！
歌括∶妊妇行房太癫狂，遂致小产血汪洋。
火炽水涸兼气脱，固气填精法为上。
固气填精熟地黄，参 芥穗三七良。
白术当归煎四剂，补气补精施妙方。
妊妇有跌扑闪挫，遂致小产，血流紫块，昏晕欲绝者，人皆曰瘀血作祟也，谁知是血室损伤乎！夫血室与胞
胎相连，如唇齿之相根据。胞胎有伤，则血室亦损，唇亡齿寒，理有必然也。然胞胎伤损而流血者，其伤浅；血室伤
损而流血者，其伤深。伤之浅者，疼在腹；伤之深者，晕在心。同一跌扑损伤，而未小产与已小产，治各不同。未
小产而胎不安者，宜顾其胎，而不可轻去其血；已小产而血大崩，宜散其瘀，而不可重伤其气。盖胎已堕血既脱，
而血室空虚，惟气存耳。倘或再伤其气，安保无气脱之忧乎！经云∶“血为营，气为卫”。使卫有不固，则营无根据
而安矣。故必补气以生血，新血生而瘀血自散矣。
方用理气散瘀汤。
人参（一两） 黄 （一两，生用） 当归（五钱，酒洗） 茯苓（三钱） 红花（一钱） 丹皮（三钱） 姜
炭（五钱）
水煎服。一剂而流血止，二剂而昏晕除，三剂而全安矣。此方用人参、黄 以补气，气旺则血可摄也。用当
归、丹皮以生血，血生则瘀难留也。用红花、黑姜以活血，血活则晕可除也。用茯苓以利水，水利则血易归经也。
眉批∶胎未堕宜加杜仲（炒炭）一钱，续断（炒黑）一钱；若胎已堕服原方。血崩不止，加贯众炭三钱；若
血闭心晕，加元胡炭一钱。
歌括∶闪跌小产血块流，昏晕欲绝命将休。
血室损伤伤甚重，理气散瘀病可瘳。
参 补气气力足，归丹生血瘀难留。
红姜活血除昏晕，茯苓利水血自收。
孕妇因行房事导致小产，且血崩不止，人们认为是火邪极盛所致，谁知这其实是气脱的缘故！血崩的根本在于气虚，火盛的根源在于肾水亏虚。肾水既然亏损，那么气的生化之源也就枯竭了；气的源头既然枯竭，气怎么会不脱失呢！这种火动只是表象，而气脱才是根本。《内经》说：“治病必须探究其根本”，根本稳固了，表象自然就能解决。如果只以止血为主，而不急于固护正气，那么气就会涣散而不能迅速收回，血液又怎能停止呢！如果不大补精气，那么水源枯竭就不能迅速滋长，火势只会更加炽盛。不探究根本，却去处理末梢症状，我从未见过能救治成功的案例。
方剂用固气填精汤。
人参（一两） 黄芪（一两，生用） 白术（五钱，土炒） 大熟地黄（一两，九蒸） 当归（五钱，酒洗） 三七（三钱，研成粉末冲服） 荆芥穗（二钱，炒黑）
用水煎服。一剂后血止，两剂后身体安宁，四剂则完全痊愈。这个方子的妙处，妙在不直接清火，而是专门补气补精，它之所以疗效神奇，是因为这些药物温润能够消除大热。因为这种热是虚热，所以补气自然能摄血，补精自然能止血，用意在于治本。
眉批：小产血崩多由行房引起。如果年龄超过四十岁，人参用量宜加倍，熟地黄用量宜减半，因为此时气虚火衰，否则容易导致气脱无法挽救。凡是怀孕的人，必须克制欲望，谨慎避免房事，千万不要自蹈危险境地，务必慎重！
歌诀：孕妇行房太癫狂，导致小产血流汪洋。
火炽水涸兼气脱，固气填精法是上策。
固气填精用熟地黄，参芪荆穗三七良。
白术当归煎四剂，补气补精施妙方。
孕妇有因跌打闪挫导致小产的，流出紫黑色血块，昏晕几乎要断气的，人们都说是瘀血作祟，谁知这是血室损伤啊！血室与胞胎相连，就像嘴唇和牙齿互相依存一样。胞胎受伤，血室也会受损，唇亡齿寒，道理上是必然的。然而，胞胎受伤而流血，伤势较轻；血室受伤而流血，伤势较重。伤势轻的，疼痛在腹部；伤势重的，昏晕在心胸。同样是跌打损伤，但未小产和已小产，治疗方法各不相同。未小产而胎元不安的，应当顾护胎儿，不可轻易祛除瘀血；已小产而血大崩漏的，应当消散瘀血，不可再重伤正气。因为胎儿已堕，血液已脱失，血室空虚，只剩下正气存在。如果再伤及正气，怎么保证没有气脱的危险呢！《内经》说：“血为营，气为卫”。如果卫气不固，那么营血就没有依托而安定了。所以必须补气以生血，新血生成而瘀血自然消散。
方剂用理气散瘀汤。
人参（一两） 黄芪（一两，生用） 当归（五钱，酒洗） 茯苓（三钱） 红花（一钱） 丹皮（三钱） 姜炭（五钱）
用水煎服。一剂后流血停止，两剂后昏晕消除，三剂后完全安康。这个方子用人参、黄芪来补气，气旺盛则能摄血。用当归、丹皮来生血，血生成则瘀血难留。用红花、黑姜来活血，血通畅则昏晕可除。用茯苓来利水，水道通利则血液容易归经。
眉批：胎儿未堕时宜加杜仲（炒炭）一钱，续断（炒黑）一钱；若胎儿已堕服用原方。血崩不止，加贯众炭三钱；若血闭心窍致昏晕，加元胡炭一钱。
歌诀：闪跌小产血块流，昏晕欲绝命将休。
血室损伤伤甚重，理气散瘀病可瘳。
参芪补气气力足，归丹生血瘀难留。
红姜活血除昏晕，茯苓利水血自收。
Pregnant women who suffer miscarriage and uncontrollable metrorrhagia due to sexual intercourse are often thought by people to be caused by extreme fire agitation. Who would know that this is actually due to Qi collapse! Metrorrhagia originates from Qi deficiency, while excessive fire stems from Kidney Water depletion. Once Kidney Water is depleted, the source of Qi generation becomes dry; once the Qi source is dry, how can Qi fail to collapse! This fire agitation is the branch (manifestation), while Qi collapse is the root (essence). The Classics state: "In treating disease, one must seek the root." When the root is solidified, the branch will naturally stabilize. If one only focuses on stopping bleeding without urgently consolidating Qi, the Qi will scatter and cannot return quickly, so how can the blood stop! If Jing (Essence) is not greatly supplemented, the water source will not grow rapidly, and the fire will become even more blazing. Not examining the root but merely addressing the branches, I have never seen such cases successfully treated.
The formula used is Guqi Tianjing Tang (Solidify Qi and Fill Essence Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Huang Qi (Astragali Radix, 1 liang, raw), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian, stir-fried with soil), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang, steamed nine times), Dang Gui (Angelicae Sinensis Radix, 5 qian, washed with wine), San Qi (Notoginseng Radix et Rhizoma, 3 qian, ground into powder and taken with decoction), Jing Jie Sui (Schizonepetae Spica, 2 qian, stir-fried until black).
Decoct in water and take orally. After one dose, bleeding stops; after two doses, the body feels at ease; after four doses, full recovery is achieved. The brilliance of this formula lies not in clearing fire, but solely in tonifying Qi and Jing. Its unique efficacy arises because these herbs are warm and moistening, capable of eliminating great heat. Since this heat is deficient heat, tonifying Qi naturally controls bleeding, and tonifying Jing naturally stops bleeding; the intent is to treat the root.
Commentary: Miscarriage with metrorrhagia is mostly caused by sexual intercourse. For those over forty years old, the dosage of Ren Shen should be doubled, and Shu Di Huang should be halved, because Qi is deficient and Fire is weak; otherwise, it may lead to unrecoverable Qi collapse. All pregnant women must restrain desires and carefully avoid sexual activity; do not voluntarily enter dangerous situations. Be cautious!
Verse: Pregnant women engaging in sex act recklessly, leading to miscarriage and flooding blood flow.
Fire blazes, Water dries up, accompanied by Qi collapse; Solidifying Qi and filling Essence is the superior method.
For Solidifying Qi and filling Essence, use Shu Di Huang; Ginseng, Astragalus, Schizonepeta, and Notoginseng are excellent.
Stir-fry Atractylodes and Angelica, decoct for four doses; Tonify Qi and Essence to apply the miraculous prescription.
Pregnant women who suffer miscarriage due to falls or sprains, expelling purple clots and fainting nearly to death, are generally said to be afflicted by Blood stasis. Who would know that this is actually an injury to the Blood Chamber (Xueshi)! The Blood Chamber is connected to the Fetus Sac, relying on each other like lips and teeth. If the Fetus Sac is injured, the Blood Chamber is also damaged; if the lips perish, the teeth feel cold, which is logically inevitable. However, when the Fetus Sac is injured and bleeds, the injury is shallow; when the Blood Chamber is injured and bleeds, the injury is deep. Shallow injuries cause abdominal pain; deep injuries cause cardiac fainting. Although both result from trauma, the treatment differs between pre-miscarriage and post-miscarriage states. If the fetus is unstable but not yet miscarried, one should protect the fetus and not lightly remove blood stasis; if miscarriage has occurred with severe hemorrhage, one should dissipate stasis without further injuring Qi. Since the fetus has fallen and blood has been lost, the Blood Chamber is empty, leaving only Qi. If Qi is injured again, how can we ensure there is no risk of Qi collapse? The Classics say: "Blood is Ying (Nutritive), Qi is Wei (Defensive)." If Wei is not secure, Ying has no foundation to remain stable. Therefore, one must tonify Qi to generate Blood; as new Blood is generated, Blood stasis will naturally dissipate.
The formula used is Liqi Sanyu Tang (Regulate Qi and Dissipate Stasis Decoction).
Ren Shen (Ginseng Radix et Rhizoma, 1 liang), Huang Qi (Astragali Radix, 1 liang, raw), Dang Gui (Angelicae Sinensis Radix, 5 qian, washed with wine), Fu Ling (Poria, 3 qian), Hong Hua (Carthami Flos, 1 qian), Dan Pi (Moutan Cortex, 3 qian), Jiang Tan (Zingiberis Rhizoma Carbonisatum, 5 qian).
Decoct in water and take orally. After one dose, bleeding stops; after two doses, fainting disappears; after three doses, complete safety is restored. This formula uses Ren Shen and Huang Qi to tonify Qi; when Qi is vigorous, it can control Blood. It uses Dang Gui and Dan Pi to generate Blood; when Blood is generated, stasis is hard to retain. It uses Hong Hua and Black Ginger to invigorate Blood circulation; when Blood circulates freely, fainting can be eliminated. It uses Fu Ling to promote diuresis; when water passages are clear, Blood easily returns to its vessels.
Commentary: If the fetus has not yet fallen, add Du Zhong (Eucommiae Cortex, stir-fried until charred) 1 qian and Xu Duan (Dipsaci Radix, stir-fried until black) 1 qian; if the fetus has fallen, use the original formula. For unceasing metrorrhagia, add Guan Zhong Tan (Osmundae Rhizoma Carbonisatum) 3 qian; for blood obstruction causing cardiac fainting, add Yuan Hu Tan (Corydalis Rhizoma Carbonisatum) 1 qian.
Verse: Sprains and falls cause miscarriage with flowing blood clots; fainting nearly to death means life is about to end.
The injury to the Blood Chamber is severe; Regulating Qi and dissipating stasis can cure the disease.
Ginseng and Astragalus tonify Qi, providing sufficient strength; Angelica and Moutan generate Blood, making stasis hard to retain.
Carthamus and Ginger invigorate Blood to remove fainting; Poria promotes diuresis so Blood naturally gathers.