崩漏有虚亦有热，热则流通虚溜泄；
血热则流，虚则溜。凡非时血行淋沥不已，谓之漏下；忽然暴下，若山崩然，谓之崩中。有五色以应五脏。
虚多房劳挟火邪，
经行犯房，及劳役过度，损伤冲任，气血俱虚，不能制约，经血忽然暴下，宜大补气血，大温经汤。气虚
者，四物汤加参、 ；血虚者，四物汤加胶、艾、炒干姜；久不止者，百子附归丸、墨附丸。虚寒脐腹冷痛者，
伏龙肝散。一切虚证，内炙散。虚火，凉血地黄汤、生地芩连汤、补阴丸。久者，当归龙骨丸、大小乌鸡丸。
热只饮食不调节。
有因膏粱浓味，以致脾湿下流于肾，与相火合为湿热，迫经下漏，其色紫黑腐臭，宜解毒四物汤、凉血地
黄汤、胶艾四物汤加黄芩，或单芩心丸。四物坎离丸、固经丸。有因饮食失节，火乘脾胃下陷，颜容似无病者，
外见脾困倦，烦热不卧等证，经水不时暴至，或适来适断，只宜举养脾胃，加以镇坠心火之药，补阴泻阳自止，
升阳调经汤、升阳举经汤。
或因四气苦相侵，
子宫为四气相搏，则血亦难停。大概风冷搏动者，五积散去麻黄，入醋煎服；或不换金正气散加川芎、
官桂；或四物汤加荆芥。寒冷所乘，及年老久崩者，伏龙肝散加附子、鹿茸、阿胶、蒲黄，糯米糊丸服。暑月，
单芩心丸，或益元散加百草霜。湿者，升阳除湿汤。
或为悲忧心痛切；
悲哀甚则胞络绝，胞络绝则阳气内动，发则心下崩，数溲血也，宜备金散、四制香附丸、乌药汤、古橘
归丸。忧郁因先富后贫，先顺后逆，心事不足，郁火旺于血脉之中，宜四物汤加香附、白术各一钱，地榆、黄 、
人参各五分，升麻二分，甚者加棕榈灰，酒调服。心痛甚者，名杀血心痛。小产后血过多，心痛者亦同，用乌
贼鱼墨炒为末，醋汤调服。
势急须宜止且行，
经曰∶阴搏阳，谓之崩。言属热者多也。崩乃经血错乱，不循故道，淖溢妄行。遽止便有积瘀凝成窠臼，
不止又恐昏晕，必先服五灵脂末一钱，其性能行能止，然后分虚热，用调和气血之药一二帖，后再服单五灵脂
散，去故生新。如更不止，乌纱帽散、十灰散、古黑神散、单夏枯草膏；有火者，固经丸；虚者，女金丹。
养胃安心还旧血。
血崩止后，宜四物汤加炒干姜调之。气弱加参、 ；有郁加香附；挟火加芩、连少许，更服二宜丸。四
物汤以还旧血，免致孤阳，防其再发。如脾胃气弱者，补中益气汤；心神不安者，宁神膏、滋阴宁神汤。此疾
有心血不足者，有心火亢甚者，若不早治，变为白浊、白淫、血枯
发热，不可治矣。
崩漏既有虚证，也有热证。热邪会导致血液流通加速而泄漏；血热则血流不止，气虚则血液滑脱不禁。凡是非经期阴道出血、淋漓不尽的，称为“漏下”；突然大量出血，如同山崩一般的，称为“崩中”。五色出血对应五脏病变。
虚证多因房事过度兼夹火邪所致。如果在行经期间行房，以及劳役过度，损伤冲脉和任脉，导致气血俱虚，不能制约经血，致使经血突然暴下，应当大补气血，使用大温经汤。属于气虚的，用四物汤加人参、黄芪；属于血虚的，用四物汤加阿胶、艾叶、炒干姜；久治不愈的，用百子附归丸、墨附丸。伴有虚寒症状，脐腹部冷痛的，用伏龙肝散。所有虚证，可用内炙散。如果是虚火引起的，用凉血地黄汤、生地芩连汤、补阴丸；病程较长的，用当归龙骨丸、大小乌鸡丸。
热证只与饮食调节不当有关。有因食用肥甘厚味，导致脾湿下注于肾，与相火结合形成湿热，逼迫经血下漏，血色紫黑且腐臭，宜用解毒四物汤、凉血地黄汤、胶艾四物汤加黄芩，或者单用芩心丸、四物坎离丸、固经丸。有因饮食不节制，火热之邪乘袭脾胃并导致气机下陷，患者外表看似无病，但外在表现为脾困倦、烦热不能安卧等症状，经血不时暴至，或刚来即断，只宜升举滋养脾胃，配合镇降心火的药物，通过补阴泻阳的方法使出血自止，可用升阳调经汤、升阳举经汤。
或者因外感四时邪气相互侵扰。子宫受到四时邪气搏击，血液也难以停止。大致而言，若是风冷搏结导致的，用五积散去麻黄，加醋煎服；或者用不换金正气散加川芎、官桂；或者用四物汤加荆芥。若是寒冷邪气侵袭，以及年老久患崩漏的，用伏龙肝散加附子、鹿茸、阿胶、蒲黄，用糯米糊制成丸剂服用。夏季暑热时节，单用芩心丸，或者益元散加百草霜。湿气重的，用升阳除湿汤。
或者因悲伤忧愁导致心痛剧烈。悲哀过度会导致胞络阻滞，胞络阻滞则阳气在内扰动，发作时会出现心下出血（指阴道大量出血），频繁尿血的情况，宜用备金散、四制香附丸、乌药汤、古橘归丸。忧郁症是因为先富后贫，境遇由顺转逆，心事未了，郁火旺盛于血脉之中，宜用四物汤加香附、白术各一钱，地榆、黄芩、人参各五分，升麻二分，病情严重的加棕榈灰，用酒调服。心痛剧烈的，名为“杀血心痛”。小产后出血过多导致心痛的，治疗方法相同，用乌贼鱼骨（海螵蛸）炒为末，醋汤调服。
病情紧急时，需要先止血同时兼顾活血。医经说：“阴脉搏动有力，阳脉相对不足，称为崩。”这说明多属热证。崩漏是经血错乱，不循常道，泛滥妄行。如果骤然强行止血，就会形成瘀血积聚的窠臼；如果不停止出血，又恐怕导致昏晕。因此必须先服用五灵脂末一钱，因为它既能行血又能止血，然后再辨别是虚证还是热证，服用一二帖调和气血的药物，之后再服用单五灵脂散，以去除旧血生成新血。如果仍然不止血，可用乌纱帽散、十灰散、古黑神散、单夏枯草膏；有火邪的，用固经丸；虚证的，用女金丹。
通过养胃安心来恢复旧有的血液。
血崩停止后，宜用四物汤加炒干姜进行调理。气弱的加人参、黄芪；有郁滞的加香附；夹有火邪的加少量黄芩、黄连，再服用二宜丸。四物汤用来恢复旧血，避免孤阳独亢，防止疾病复发。如果脾胃气弱，用补中益气汤；心神不安的，用宁神膏、滋阴宁神汤。此病有心血不足的，有心火亢盛的，如果不早期治疗，会转变为白浊、白淫、血枯发热，那就不可治愈了。
Benglou (Metrorrhagia and Metrostaxis) involves both deficiency and heat patterns. Heat causes the blood to flow freely and leak; blood-heat leads to flowing, while deficiency leads to slipping and incontinence. Any non-menstrual vaginal bleeding that drips continuously is called "Louxia" (Leaking Down); sudden violent bleeding, resembling a mountain collapse, is called "Bengzhong" (Central Collapse). The five colors of blood correspond to the five Zang organs.
Deficiency patterns often result from excessive sexual activity combined with fire pathogens. If intercourse occurs during menstruation, or due to overexertion, the Chong and Ren vessels are damaged, leading to dual deficiency of Qi and Blood, which fails to restrain the menstrual blood, causing sudden violent discharge. In such cases, one should greatly tonify Qi and Blood using Dawen Jing Tang (Great Warming Meridian Decoction). For Qi deficiency, Siwu Tang (Four Substances Decoction) is used with added Renshen (Ginseng) and Huangqi (Astragalus); for Blood deficiency, Siwu Tang is used with added Ejiao (Donkey-hide Gelatin), Aye (Mugwort Leaf), and Chao Ganjiang (Fried Dried Ginger); for chronic cases that do not stop, Baizi Fugui Wan (Hundred Seeds Attaching Return Pill) or Mo Fu Wan (Ink-Attaching Pill) are indicated. For deficiency-cold presenting with cold pain in the umbilical and abdominal regions, Fulonggan San (Dragon's House Earth Powder) is used. For all deficiency patterns, Neizhi San (Internal Moxibustion Powder) may be applied. For deficiency-fire, Liangxue Dihuang Tang (Cooling Blood Rehmannia Decoction), Shengdi Qinlian Tang (Rehmannia, Scutellaria, and Coptis Decoction), or Buyin Wan (Nourishing Yin Pill) are suitable; for chronic cases, Danggui Longgu Wan (Angelica and Dragon Bone Pill) or Da/Xiao Wuji Wan (Large/Small Black Chicken Pills) are used.
Heat patterns are solely related to improper dietary regulation. Some cases arise from consuming rich and greasy foods, causing Spleen-dampness to flow downward to the Kidney, combining with Ministerial Fire to form damp-heat, which forces menstrual blood to leak down. The blood color is purple-black, foul-smelling, and putrid. Suitable formulas include Jiedu Siwu Tang (Detoxifying Four Substances Decoction), Liangxue Dihuang Tang, or Jiao'ai Siwu Tang (Gelatin and Mugwort Four Substances Decoction) added with Huangqin (Scutellaria); alternatively, Qinxin Wan (Scutellaria Heart Pill), Siwu Kanli Wan (Four Substances Kan-Li Pill), or Gujing Wan (Stabilize Menses Pill) can be used. Other cases stem from irregular eating habits, where fire pathogenic factors attack the Spleen and Stomach, causing Qi sinking. Although the patient's appearance may seem normal, external signs include Spleen-related fatigue, irritability, heat, and inability to rest. Menstrual blood arrives suddenly at irregular intervals or stops abruptly after starting. Treatment should focus on raising and nourishing the Spleen and Stomach, combined with herbs that suppress Heart-fire. By nourishing Yin and draining Yang, the bleeding will cease naturally. Shengyang Tiaojing Tang (Raising Yang Regulating Menses Decoction) or Shengyang Ju Jing Tang (Raising Yang Lifting Menses Decoction) are indicated.
Alternatively, it may be caused by the mutual invasion of the four seasonal pathogens. When the Uterus is subjected to the combat of these four pathogens, blood becomes difficult to stop. Generally, if caused by wind-cold binding, Wuji San (Five Accumulations Powder) without Mahuang (Ephedra) is decocted with vinegar; or Buhuanjin Zhengqi San (Golden Exchange Upright Qi Powder) added with Chuanxiong (Sichuan Lovage Root) and Guigui (Cinnamon Twig); or Siwu Tang added with Jingjie (Schizonepeta). If attacked by cold pathogens, or in elderly patients with chronic benglou, Fulonggan San is used with added Fuzi (Aconite), Lurong (Deer Antler), Ejiao, and Puhuang (Pollen Typhae), formed into pills with rice paste. During summer months, Qinxin Wan alone, or Yiyuan San (Benefit Origin Powder) added with Baicaoshuang (Herb Ash), is used. For dampness, Shengyang Chushi Tang (Raising Yang Draining Dampness Decoction) is indicated.
Or it may be due to severe sorrow and worry causing heart pain. Extreme grief obstructs the Bao Luo (Uterine Collaterals); when the Bao Luo is obstructed, Yang Qi moves internally. Upon onset, this manifests as "Xin Xia Beng" (collapse of blood from below the heart, referring to heavy uterine bleeding) and frequent hematuria. Beijin San (Prepare Metal Powder), Sizhi Xiangfu Wan (Four-Processed Cyperus Pill), Wuyao Tang (Lindera Decoction), or Guju Gui Wan (Ancory Orange Angelica Pill) are suitable. Melancholy arises from a transition from wealth to poverty, or from smooth to adverse circumstances, with unfulfilled desires causing stagnant-fire to flourish within the blood vessels. Siwu Tang is used with added Xiangfu (Cyperus) and Baizhu (Atractylodes Macrocephala), each 1 qian; Diyu (Sanguisorba), Huangqin, and Renshen, each 0.5 qian; Shengma (Cimicifuga), 2 fen. In severe cases, Zonglv Hui (Palmetto Ash) is added, taken with wine. Severe heart pain is named "Shaxue Xin Tong" (Blood-Killing Heart Pain). After spontaneous abortion, if excessive bleeding causes heart pain, the treatment is the same: use Hai'epu (Cuttlefish Bone) stir-fried into powder, taken with vinegar water.
When the condition is urgent, one must first stop bleeding while promoting circulation. The classics state: "Yin pulse beats strongly while Yang pulse is deficient, this is called Beng." This indicates that most cases belong to heat patterns. Benglou involves chaotic menstrual blood that does not follow its proper pathway, overflowing and acting recklessly. If stopped abruptly, stasis will accumulate and form a nest; if not stopped, fainting may occur. Therefore, one must first administer 1 qian of Wulingzhi San (Trogopterus Dung Powder), which has the ability to move and stop blood. Then, differentiate between deficiency and heat, administering one or two doses of herbs that harmonize Qi and Blood. Afterwards, administer Dan Wulingzhi San (Single Trogopterus Dung Powder) to remove the old and generate the new. If bleeding continues, Wushamao San (Black Hat Powder), Shihui San (Ten Charcoals Powder), Gu Heishen San (Ancient Black Divine Powder), or Dan Xiakucao Gao (Single Prunella Paste) may be used; for those with fire, Gujing Wan is used; for deficiency, Nv Jin Dan (Woman's Golden Pill) is used.
By nourishing the Stomach and calming the Mind, the former blood is restored. After the cessation of metrorrhagia, Siwu Tang added with Chao Ganjiang is used for regulation. For weak Qi, add Renshen and Huangqi; for stagnation, add Xiangfu; for accompanying fire, add small amounts of Huangqin and Huanglian, followed by Er Yi Wan (Two Suitability Pill). Siwu Tang is used to restore the former blood, preventing solitary Yang hyperactivity and guarding against recurrence. For weak Spleen and Stomach Qi, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is used; for restless Spirit, Ningshen Gao (Calming Spirit Paste) or Ziyin Ningshen Tang (Nourishing Yin Calming Spirit Decoction) are indicated. This disease involves insufficient Heart Blood or hyperactive Heart Fire. If not treated early, it may transform into Baizhuo (White Turbidity), Baiyin (White Discharge), or Xueku Refa (Blood Depletion Fever), which becomes incurable.