上件为粗末,每服四钱,枣二枚,水同煎。
上四方伏龙肝例,盖燥可去湿也。前二方去湿热,后二方去寒湿。按伏龙肝为止血之圣药,先贤
治崩,用旋复花、半夏辈。治膈间湿痰而崩止者,亦是此意。
〔《大》〕崩中下血不止,小腹痛。
芍药(一两,炒黄) 柏叶(六两,微炒。丹溪云∶柏叶性多燥)
上水一升,煎取六合,入酒五合,煎取七合,空心,分为二服。一方为细末,酒调二钱。一方有
鹿角胶等分,酒调,治白带,脐腹痛。
〔世〕牡蛎散 治月水不止,众药不愈者。
牡蛎火 研细,用醋调成丸,再 过通红,候冷研细,出火毒,却用醋调艾末,熬成膏,和丸如桐子大。
每服五十丸,醋艾汤下。
〔《素》〕阴虚阳搏,谓之崩。(阴阳别论)
〔垣〕凉血地黄汤 治妇人血崩。是肾水阴虚,不能镇守胞络相火,故血走而崩也。
生地(半两) 黄连(三分) 黄柏(二分) 黄芩(一分) 羌活 柴胡 知母 升麻 川芎(各二分)
防风(三分) 本(二分) 甘草(一分) 红花(少许) 归身(五分) 细辛(一分) 荆芥穗
蔓荆子(一分)
上 咀,都作一服,水三大盏,煎至一盏,去渣,稍热服,空心。足太阴脾之经中血海二穴,在
膝膑上内 ,白肉际二寸中。治女子漏中恶血,月事不调,逆气腹胀,其脉缓者是也,灸三壮。足少阴肾
之经中阴谷二穴,在膝内辅骨后,大筋下、小筋上,按之应手,屈膝取之。治膝如锥,不得屈伸,舌
纵涎流,烦逆溺难,少腹急引阴痛,股内痛,妇人漏下不止,腹胀满不得息,小便黄如蛊,女子如妊
身,可灸三壮。
〔《大》〕小蓟汤 治崩漏不止,色明如水,得温则烦闷者。此阳伤于阴,令人下血,当补其阴。
脉数疾小者顺,大者逆。
小蓟茎叶(研,取汁一盏) 生地黄汁(一盏) 白术(半两,锉)
上三件,入水一盏,煎至一半,去渣温服。
芎 酒 治崩中,昼夜不止,医不能治。
芎 (一两) 生地汁(一盏)
上用酒五盏,煮芎 一盏,去渣,下地黄汁,再煎二三沸,分为三服。
治崩中去血不止。
大、小蓟根(五两) 白茅根(三两)
上二味,细切,用酒五升,煮取四升,去渣,分四服。
〔丹〕漏下乃热兼虚,四物加黄连。
〔云〕金华散 治血室有热,崩下不止,服温药不效者。
延胡索 瞿麦穗 当归 干姜 牡丹皮(各一两) 石膏(二两) 桂心(别研为末,七钱半)
蒲黄(半两) 威灵仙(七钱半)
上为细末,每服三钱,水一盏半,空心温服,日二。
〔《大》〕治崩中下血。黄芩不以多少,为细末,每服一钱,烧秤锤通赤,投酒中令沸,却用其酒
调服。(许学士云∶崩中多用止血补血药治之。阳乘于阴,前所谓天暑地热,经水沸溢是也。金华
散亦妙。)
〔丹〕经水多,去不能住,以三补丸加莎根、龟板、金毛狗脊。(三补者,芩、连、柏也。)
〔子和〕孟官人母,年五十余,血崩一载,佥用泽兰丸、黑神散、保安丸、白薇散,补之不效。戴人见之
曰∶天癸已尽,本不当下血,盖血得热而流散,非寒也。夫女子血崩,多因大悲哭,悲甚则肺叶布,
心系为之急,血不禁而下崩。《内经》曰∶阴虚阳搏谓之崩。阴脉不足,阳脉有余,数则内崩,血乃下流,
举世以虚损治之,莫有知其非者。可服大剂。大剂者,黄连解毒汤是也。次以香附二两炒,白芍药二两
焙,当归二两焙。三味同为细末,水调下。又服槟榔丸,不旬日而安。
〔垣〕丁香胶艾汤 治崩漏不止。盖心气不足,劳役及饮食不节所得。经隔少时,其脉两尺俱弦紧
而洪,按之无力,其证自觉脐下如冰,求浓衣被以御其寒,白带白滑之物虽多,间下如屋漏水,下时
有鲜血不多,右尺脉时微洪,屋漏水多暴下者,是急弦脉为寒多,而洪脉时见乃热少,合而言之,急弦
者北方寒水多也,洪脉时出者命门胞络之火也,黑物多赤物少,合现房漏水之状也。
川芎(四分) 归身(一钱二分) 生艾叶(一钱) 阿胶(六分,另后炮入) 白芍(三分) 熟地(三分,
以泻大洪脉) 丁香(四分)
上为细末,作一服,水二盏,煎至五沸,去渣,入胶、艾,再上火煎至一大盏,空心宿食消尽带热服之,
三服效。
〔《大》〕治血崩。
熟艾(如鸡子大) 阿胶(半两) 干姜(一钱)
上粗末,用水五盏,先煎艾叶、姜至二盏半,入胶稍温分二服,空心服。
又方 治崩中不止。丁香二两为细末,用酒三升,煮取一升,空心顿服。《必效方》用丁香百颗,酒煎
服。又方,益智炒为细末,盐汤米饮调下。
〔世〕香矾散 治血崩。
香附不以多少,极酸醋浸一宿,炒焦为灰存性,每一两,入白矾末二钱,米饮调服,空心,神妙。
一法用荷叶汤调,尤妙。
〔《大》〕用香附子去毛,炒焦黑存性,为细末,用极热酒调下二钱,放温服,不过两服立愈。
昏迷甚者,三钱匕。如血山崩不止者,亦能解之,米饮调亦可。许学士云∶治下血不止,或成五色崩
漏,香附子是妇人仙药也。
〔世〕妇人血崩不止。用槟榔烧灰存性,碾末,以温酒调下,甚妙。
〔《大》〕五灵脂散 治妇人血山崩,诸药不止者。
五灵脂炒令烟尽,为末,每服一钱,温酒调下。
一法每服三钱,水酒、童便各半盏,煎服,名抽刀散。
琥珀散 治崩暴下血。
赤芍 香附子 枯荷叶 男子发(皂荚水洗) 当归 棕榈(炒焦,存性) 乌纱帽(是漆纱头
巾,取阳气先出故也)
上等分,除棕榈外,其余并用粗片,新瓦上 成黑灰,存性三分,为细末,每服五钱,空心童
便调下。如人行十里,再一服,七八服即止。若产后血去多,加米醋、京墨、麝香少许。一法,先以五
积散加醋煎,投一二服,次服五灵脂散。
疗经血不止∶
妇人经血正淋漓 旧蕊莲蓬烧作灰
热酒一杯调八字 自然安乐更无疑
〔《衍》〕黄牛角 用尖,烧为黑灰,微存性,治妇人血崩,大便血,及冷痢白痢。
〔《大》〕治漏下不止者。鹿角烧灰,细研,食前温酒调下二钱。
又方 桃仁烧灰研细,食前温酒调下二钱。又方,乱发,皂角水洗净,烧为细末,空心温酒调
下二钱。
〔世〕治血久崩。夏枯草烧存性,为末,空心米饮调下。此用灰,与前用草不同。
〔《大》〕荆芥散 治妇人崩中不止。
用好麻油点灯,多着灯心,就上烧荆芥焦色,为细末,每服三钱,童便调下。
〔《简》〕治妇人漏下血不绝。槐花蛾不以多少,烧作灰,细研,食前温酒调二钱匕。
〔《产宝》〕治崩中不止,不问年月远近。用槐耳烧作灰,为末,以酒服方寸匕。
〔《大》〕神应散 治血崩不止。
桂心不以多少,炒极焦存性,为末,每服一二钱,米饮调下。
如圣散 治血山崩。
棕榈 乌梅(各一两) 干姜(一两五钱,并烧过存性)
上为细末,每服二钱,乌梅酒调下,空心食前服。久患,不过三服愈。
治血崩屡效方。
当归 白芍 干姜 棕榈(各等分)
上各 存性,研为细末,醋调,以有节朱箸,左搅四十九转,食前服。
又方 用棕榈、白矾, 为末,酒调二钱服。
治暴崩下血。百草霜二钱,狗胆汁一处拌定,分作二服,当归酒调下。
又方 京墨为末二钱匕,同烧露蜂房为末,三指撮,酒调服。
〔世〕治血崩。用葫芦去子穣实,荆芥穗烧存性,饮汤服。
上二十一方,皆烧灰黑药。经云∶北方黑色,入通于肾。皆通肾经之药也。夫血者心之色也,
血见黑即止者,由肾水能制心火故也。
运气 血崩皆属风火。经云∶少阳司天之政,初之气,风胜乃摇,候乃大温,其病血崩是也。
〔海〕治崩不定,或淋淫经年者。
白矾(溶开成汁,一两) 没药(一钱) 砂(五分) 黄丹(五分)
上件,将白矾溶开成汁,下余药细末,一处搅匀,就成丸子,如弹子大。每用一丸,新绵裹定,纳阴中,
立效。
〔《摘》〕经血过多不止,并崩中(《心术》同∶) 三阴交 行间(各针讫灸之。) 通里(足小
指上二寸,刺二分,灸二七壮。)
〔桑〕漏下不止(《心术》、《摘英》同∶)三阴交 太冲
〔东〕胞门不闭,漏下恶血不禁∶气门(在关元傍三寸,刺入五分。)
〔《集》〕血崩并漏下∶中极(补。)子宫(二寸半。)败血不止∶三阴交 百劳 风门 中极 肾俞
膏肓 曲池 绝骨
〔《甲》〕妇人不字,阴暴出,经水漏,然谷主之。妇人漏血,腹胀满,不得息,小便黄,阴谷
主之。(《千金》云∶漏血少腹痛胀满如阻,体寒热,腹偏肿。)女子血不通,会阴主之。女子漏血,太
冲主之。
〔《脉》〕问曰∶五崩何等类?师曰∶白崩者形如涕,赤崩者形如绛,黄崩者形如烂瓜,青崩者形
如蓝色,黑崩者形如 血也。寸口脉弦而大,弦则为减,大则为芤,减则为寒,芤则为虚,寒虚相搏,
此名曰革,妇人则半产漏下。(又见诸见血。)
〔仲〕寸口脉微而缓,微者卫气疏,疏则其肤空,缓者胃气实,实则谷消而水化也。谷入于胃,脉道乃
行,水入于经,其血乃成,荣盛则其肤必疏,三焦绝经,名曰血崩。
〔《脉》〕诊妇人漏血下赤白,日下血数升,脉急疾者死,迟者生。诊妇人漏下赤白不止,脉小虚
滑者生,大紧实数者死。
将上述药材加工成粗颗粒,每次服用四钱,配大枣两枚,加水共同煎煮。
以上四个方剂均使用伏龙肝(灶心土),大概是因为其干燥之性可以去除湿气。前两个方剂用于清除湿热,后两个方剂用于清除寒湿。据考证,伏龙肝是止血的圣药,先贤治疗崩漏时,常使用旋复花、半夏这类药物。通过治疗膈间的湿痰而使崩漏停止的,也是这个意思。
〔《太平惠民和剂局方》〕崩中下血不止,伴有小腹部疼痛。
芍药(一两,炒至微黄) 柏叶(六两,微炒。朱丹溪说:柏叶性质多燥)
以上用水一升,煎取六合药液,加入酒五合,继续煎取七合药液,空腹时分两次服用。另一个方子是将药研成细末,用酒调服二钱。还有一个方子加入等分的鹿角胶,用酒调服,用于治疗白带过多及脐腹疼痛。
〔世医〕牡蛎散 治疗月经淋漓不尽,其他药物治疗无效的情况。
牡蛎经火煅烧后研成细粉,用醋调和制成丸药,再次放入火中烧至通红,待冷却后研成细粉,以去除火毒,然后用醋调和艾叶粉末,熬成膏状,与牡蛎粉混合制成如梧桐子大小的丸药。
每次服用五十丸,用醋艾汤送服。
〔《黄帝内经·素问》〕阴虚而阳脉搏动有力,称为崩漏。(出自《阴阳别论》篇)
〔李东垣〕凉血地黄汤 治疗妇女血崩。这是由于肾水阴虚,不能镇守胞络中的相火,导致血液妄行而引发崩漏。
生地黄(半两) 黄连(三分) 黄柏(二分) 黄芩(一分) 羌活 柴胡 知母 升麻 川芎(各二分)
防风(三分) 藁本(二分) 甘草(一分) 红花(少许) 当归身(五分) 细辛(一分) 荆芥穗
蔓荆子(一分)
以上药材切碎,作为一剂服用,用水三大盏,煎至一盏,去渣滓,稍温热后空腹服用。足太阴脾经中的血海穴,位于膝盖髌骨内侧上方,白肉际(肌肉与皮肤交界处)内开二寸处。主治女子漏下恶血、月经不调、气逆腹胀,脉象缓弱者,可灸三壮。足少阴肾经中的阴谷穴,位于膝内侧辅骨后方,大筋之下、小筋之上,按压有感觉,屈膝取穴。主治膝痛如锥刺、不能屈伸、舌纵流涎、烦闷气逆、小便困难、少腹急迫牵引阴部疼痛、大腿内侧疼痛、妇人漏下不止、腹胀满呼吸困难、小便黄如蛊毒之色、女子感觉如同怀孕等症,可灸三壮。
〔《太平惠民和剂局方》〕小蓟汤 治疗崩漏不止,血色明亮如水,遇温暖则感到烦闷者。这是阳气受损于阴分,导致人体下血,应当补益阴分。
脉象数疾且细小者为顺证,脉象大者为逆证。
小蓟茎叶(研磨取汁一盏) 生地黄汁(一盏) 白术(半两,锉碎)
以上三味,加入水一盏,煎至一半量,去渣滓温服。
川芎酒 治疗崩中出血,昼夜不止,医生无法治愈的情况。
川芎(一两) 生地黄汁(一盏)
以上用酒五盏,煮川芎至一盏量,去渣滓,加入地黄汁,再煎二三沸,分三次服用。
治疗崩漏下血不止。
大蓟根、小蓟根(五两) 白茅根(三两)
以上两味,细细切碎,用酒五升,煮取四升,去渣滓,分四次服用。
〔张云〕金华散 治疗血室有热,崩漏不止,服用温热药物无效的情况。
延胡索 瞿麦穗 当归 干姜 牡丹皮(各一两) 石膏(二两) 桂心(另研为末,七钱半)
蒲黄(半两) 威灵仙(七钱半)
以上研成细末,每次服用三钱,用水一盏半,空腹温服,每日两次。
〔《太平惠民和剂局方》〕治疗崩中下血。黄芩不限多少,研成细末,每次服用一钱,将秤锤烧得通红,投入酒中使其沸腾,然后用这酒调服药粉服用。(许学士说:治疗崩中多用止血补血药治疗。这是阳乘于阴,即前面所说的天暑地热,经水沸溢的情况。金华散也非常妙。)
〔朱丹溪〕经血量多,流失无法停止,可用三补丸加莎草根、龟板、金毛狗脊。(三补是指黄芩、黄连、黄柏。)
〔张子和〕孟官人的母亲,五十多岁,血崩持续一年,大家都用泽兰丸、黑神散、保安丸、白薇散治疗,补益无效。戴人(张子和号)见到后说:天癸已尽,本来不应该再下血,大概是血受热而流散,并非寒证。女子血崩,多因大悲哭所致,悲伤过度则肺叶舒展,心系收紧,血液不禁而下崩。《内经》说:阴虚阳搏谓之崩。阴脉不足,阳脉有余,数脉则内部崩漏,血液下流,世人皆以虚损治疗,没有人知道这是错误的。可以服用大剂量药物。所谓大剂,就是黄连解毒汤。其次用香附二两炒制,白芍药二两焙干,当归二两焙干。三味药同为细末,用水调服。又服用槟榔丸,不到十天就痊愈了。
〔李东垣〕丁香胶艾汤 治疗崩漏不止。大概是因为心气不足,由劳役及饮食不节制所引起。经过一段时间后,其脉象两尺部俱弦紧而洪大,按之无力,患者自觉脐下如冰,寻求厚衣厚被以御寒,白带白滑之物虽多,间或排出如屋漏水样的东西,下血时鲜血不多,右尺脉时而微洪,屋漏水样血暴下者,是急弦脉表示寒多,而洪脉时而出现表示热少,综合来说,急弦者是北方寒水多,洪脉时而出现的是命门胞络之火,黑物多赤物少,符合房漏水之状。
川芎(四分) 当归身(一钱二分) 生艾叶(一钱) 阿胶(六分,另外炮制后加入) 白芍(三分) 熟地黄(三分,用以泻大洪脉) 丁香(四分)
以上研成细末,作为一剂服用,用水二盏,煎至五沸,去渣滓,加入胶、艾,再上火煎至一大盏,空腹待宿食消尽后带热服用,三剂见效。
〔《太平惠民和剂局方》〕治疗血崩。
熟艾(如鸡蛋大小) 阿胶(半两) 干姜(一钱)
以上切成粗末,用水五盏,先煎艾叶、姜至二盏半,加入胶稍温后分两次服用,空腹服用。
另一个方子 治疗崩中不止。丁香二两研成细末,用酒三升,煮取一升,空腹顿服。《必效方》用丁香百颗,酒煎服。又一个方子,益智仁炒后研成细末,盐汤米饮调服。
〔世医〕香矾散 治疗血崩。
香附不限多少,用极酸醋浸泡一夜,炒焦成灰但存其药性,每一两香附灰,加入白矾末二钱,米饮调服,空腹服用,效果神妙。
一种方法是用荷叶汤调服,尤其奇妙。
〔《太平惠民和剂局方》〕用香附子去毛,炒焦黑存性,研成细末,用极热的酒调下二钱,放温后服用,不超过两服即可立愈。昏迷严重的,用三钱匕。如果是血山崩不止者,也能解除,用米饮调服也可以。许学士说:治疗下血不止,或形成五色崩漏,香附子是妇人的仙药。
〔世医〕妇人血崩不止。用槟榔烧灰存性,碾成末,用温酒调服,非常奇妙。
〔《太平惠民和剂局方》〕五灵脂散 治疗妇人血山崩,各种药物无效的情况。
五灵脂炒至烟尽,研成末,每次服用一钱,温酒调服。
另一种方法每次服用三钱,用水、酒、童便各半盏,煎服,名为抽刀散。
琥珀散 治疗崩漏暴下血。
赤芍 香附子 枯荷叶 男子发(用皂荚水洗) 当归 棕榈(炒焦,存性) 乌纱帽(是漆纱头巾,取阳气先出之意)
以上等分,除棕榈外,其余均切成粗片,在新瓦上烧成黑灰,存其药性三分,研成细末,每次服用五钱,空腹用童便调服。如果人行走十里路,再服一次,七八次即可停止。若是产后失血过多,加入米醋、京墨、麝香少许。另一种方法,先用五积散加醋煎,投服一二剂,接着服用五灵脂散。
治疗经血不止:
妇人经血正淋漓 旧蕊莲蓬烧作灰
热酒一杯调八字 自然安乐更无疑
〔《衍义》〕黄牛角尖,烧成黑灰,微存其药性,治疗妇人血崩、大便出血,以及冷痢、白痢。
〔《太平惠民和剂局方》〕治疗漏下不止者。鹿角烧灰,细研,食前用温酒调下二钱。
又一个方子 桃仁烧灰研细,食前用温酒调下二钱。又一个方子,乱发,用皂角水洗净,烧成细末,空腹用温酒调下二钱。
〔世医〕治疗血久崩。夏枯草烧存性,研成末,空腹用米饮调服。这里用的是灰,与前文用草不同。
〔《太平惠民和剂局方》〕荆芥散 治疗妇人崩中不止。
用好麻油点灯,多放灯芯,在上面烧荆芥至焦色,研成细末,每次服用三钱,用童便调服。
〔《简易方》〕治疗妇人漏下血不绝。槐花蛾不限多少,烧成灰,细研,食前用温酒调二钱匕。
〔《产宝》〕治疗崩中不止,不问年月远近。用槐耳烧成灰,研成末,用酒服方寸匕。
〔《太平惠民和剂局方》〕神应散 治疗血崩不止。
桂心不限多少,炒至极焦存性,研成末,每次服用一二钱,米饮调服。
如圣散 治疗血山崩。
棕榈 乌梅(各一两) 干姜(一两五钱,并烧过存性)
以上研成细末,每次服用二钱,乌梅酒调服,空腹食前服用。久患此病,不超过三服即可痊愈。
治疗血崩屡验方。
当归 白芍 干姜 棕榈(各等分)
以上各药烧存性,研为细末,醋调,用有节的红筷子,向左搅拌四十九转,食前服用。
治疗暴崩下血。百草霜二钱,与狗胆汁一处拌定,分作二服,用当归酒调下。
又一个方子 京墨研为末二钱匕,同烧露蜂房研为末,三指撮,酒调服。
〔世医〕治疗血崩。用葫芦去掉籽瓤实,荆芥穗烧存性,饮汤送服。
以上二十一方,都是烧成黑灰的药物。经文说:北方黑色,入通于肾。都是通肾经的药物。血是心的颜色,血见黑即止,是因为肾水能制约心火的关系。
运气学说认为,血崩皆属于风火。经文说:少阳司天之政,初之气,风胜乃摇,气候乃大温,其病即为血崩。
〔王海藏〕治疗崩漏不定,或淋淫经年者。
白矾(溶开成汁,一两) 没药(一钱) 砂(五分) 黄丹(五分)
以上药材,将白矾溶开成汁,下余药细末,一处搅匀,直接做成丸子,如弹子大。每次用一丸,新棉包裹,纳入阴道中,立即见效。
〔《摘玄方》〕经血过多不止,并崩中(《心术》相同:) 三阴交 行间(各针刺后艾灸。) 通里(足小指上二寸,刺二分,灸十四壮。)
〔王好古〕胞门不闭,漏下恶血不禁∶气门(在关元穴旁三寸,刺入五分。)
〔《针灸集成》〕血崩并漏下∶中极(补法。)子宫(深二寸半。)败血不止∶三阴交 百劳 风门 中极 肾俞 膏肓 曲池 绝骨
〔《甲乙经》〕妇人不孕,阴户突然突出,经血漏下,由然谷穴主治。妇人漏血,腹胀满,呼吸困难,小便黄,由阴谷穴主治。(《千金方》说:漏血伴少腹痛胀满如阻塞感,身体寒热交替,腹部偏肿。)女子血不通,由会阴穴主治。女子漏血,由太冲穴主治。
〔《脉经》〕问曰:五崩分别是什么形态?师曰:白崩形状像鼻涕,赤崩形状像绛色,黄崩形状像烂瓜,青崩形状像蓝色,黑崩形状像凝血块。寸口脉弦而大,弦则为减,大则为芤,减则为寒,芤则为虚,寒虚相搏,此名曰革脉,妇人则会出现半产漏下。(又见于诸见血证。)
〔张仲景〕寸口脉微而缓,微者卫气疏,疏则其肤空,缓者胃气实,实则谷消而水化也。谷入于胃,脉道乃行,水入于经,其血乃成,荣盛则其肤必疏,三焦绝经,名曰血崩。
The above ingredients are processed into coarse granules. Each dose consists of four qian, with two jujubes, decocted together in water.
The above four formulas all use Fulonggan (Zao Xin Tu, Hearth Soil), likely because its dry nature can remove dampness. The first two formulas are used to clear damp-heat, while the latter two are used to clear cold-dampness. According to records, Fulonggan is a holy medicine for stopping bleeding. Ancients treated Binglou (uterine bleeding) using herbs like Xuanjinhua (Inula Flower) and Banxia (Pinellia Rhizome). Stopping Binglou by treating wet-phlegm in the diaphragm follows this same principle.
[《Tai Ping Hui Min He Ji Ju Fang》] Bingzhong (sudden heavy uterine bleeding) with continuous lower bleeding and lower abdominal pain.
Shaoyao (Paeoniae Radix Alba, one liang, stir-fried until slightly yellow) Baye (Cacumen Platycladi, six liang, lightly stir-fried. Zhu Danxi said: Cacenmen Platycladi has a drying nature.)
Add one sheng of water, decoct to obtain six ge of liquid, add five ge of wine, and continue decocting to obtain seven ge of liquid. Take half of this amount on an empty stomach as one dose, divided into two doses. Another method is to grind the herbs into fine powder and take two qian mixed with wine. Another formula adds equal parts of Lujiaojiao (Colla Cornus Asini) and takes two qian mixed with wine, treating leukorrhea and umbilical/abdominal pain.
[Worldly Physicians] Muli San (Oyster Shell Powder) treats Menstruation that does not stop, when other medicines fail.
Muli (Concha Ostreae) is calcined over fire, ground into fine powder, mixed with vinegar to form pills, then placed back in fire until red-hot. After cooling, grind into fine powder to remove "fire toxicity". Then mix with mugwort powder prepared with vinegar, boil into a paste, and combine with oyster shell powder to make pills the size of tung tree seeds.
Each dose is fifty pills, taken down with vinegar-mugwort soup.
[《Huangdi Neijing Suwen》] Yin deficiency with vigorous Yang pulse is called Binglou (Uterine Bleeding). (From the chapter "Yin Yang Bie Lun")
[Li Dongyuan] Liangxue Dihuang Tang (Cool Blood Rehmannia Decoction) treats women's blood Bing. This is due to Kidney Water Yin deficiency, failing to control the Ministerial Fire in the Bao Luo (uterine network), causing blood to rush and resulting in Bing.
Shengdihuang (Rehmanniae Radix Recens, half liang) Huanglian (Coptidis Rhizoma, three fen) Huangbai (Phellodendri Cortex, two fen) Huangqin (Scutellariae Radix, one fen) Qianghuo (Notopterygii Rhizoma et Radix) Chaihu (Bupleuri Radix) Zhimu (Anemarrhenae Rhizoma) Shengma (Cimicifugae Rhizoma) Chuanxiong (Ligustici Chuanxiong Rhizoma, each two fen)
Fangfeng (Saposhnikoviae Radix, three fen) Gaoben (Ligustici Wallichii Rhizoma et Radix, two fen) Gancao (Glycyrrhizae Radix et Rhizoma, one fen) Honghua (Carthami Flos, a little) Guishen (Radix Angelicae Sinensis, five fen) Xixin (Asari Radix et Rhizoma, one fen) Jingjisui (Schizonepetae Spica)
Manjingzi (Vernoniae Semen, one fen)
Chop the herbs finely, treat as one dose. Add three large zhan of water, decoct to one zhan, remove dregs, and take slightly warm on an empty stomach. The Xuehai (Sea of Blood) acupoint of the Foot-Taiyin Spleen Meridian is located two cun medial to the white flesh margin, above the inner aspect of the patella. It treats women's Louxia (leukorrhea with blood), irregular menstruation, Qi reversal with abdominal distension, where the pulse is slow; moxa three zhuang. The Yinggu acupoint of the Foot-Shaoyin Kidney Meridian is located behind the medial condyle of the knee, under the large tendon and above the small tendon, palpable upon pressure, taken with flexed knee. It treats knee pain like a awl, inability to flex or extend, tongue protrusion with salivation, irritability and Qi reversal, difficult urination, sudden pulling pain in the lower abdomen radiating to the genitals, pain in the inner thigh, continuous Louxia in women, abdominal fullness with dyspnea, urine yellow like gu poison, and a sensation of pregnancy in women; moxa three zhuang.
[《Tai Ping Hui Min He Ji Ju Fang》] Xiaoji Tang (Small Thistle Decoction) treats Binglou that does not stop, with bright blood color like water, feeling irritable when warmed. This is Yang damaged by Yin, causing lower bleeding; one should tonify Yin.
A rapid and small pulse is favorable; a large pulse is unfavorable.
Xiaoji Jingye (Herba Siegesbeckiae, extract juice, one zhan) Shengdihuangzhi (Jus Rehmanniae Recens, one zhan) Baizhu (Atractylodis Macrocephalae Rhizoma, half liang, chopped)
Mix the three items with one zhan of water, decoct to half volume, remove dregs, and take warm.
Chuanxiong Jiu (Ligusticum Wine) treats Bingzhong bleeding, day and night without stopping, unresponsive to medical treatment.
Chuanxiong (Rhizoma Ligustici Chuanxiong, one liang) Shengdihuangzhi (Jus Rehmanniae Recens, one zhan)
Use five zhan of wine, boil Chuanxiong until reduced to one zhan, remove dregs, add Rehmannia juice, boil for two or three boils, divide into three doses.
Treats continuous bleeding from Binglou.
Daji Gen (Radix Siegesbeckiae) and Xiaoji Gen (Radix Siegesbeckiae) (five liang) Baimaogen (Radix Imperatae, three liang)
Finely chop the two ingredients, use five sheng of wine, boil to obtain four sheng, remove dregs, divide into four doses.
[Zhu Danxi] Louxia (dribbling bleeding) is caused by heat combined with deficiency; use Siwu Tang (Four Substances Decoction) added with Huanglian (Coptidis Rhizoma).
[Zhang Yun] Jinhua San (Golden Flower Powder) treats Heat in the Blood Chamber (Zi Gong/Uterus), causing continuous Bing, ineffective with warm medicines.
Yanhusuo (Corydalis Rhizoma) Qumaisui (Spica Lygodii) Danggui (Radix Angelicae Sinensis) Ganjiang (Zingiberis Rhizoma) Mudanpi (Cortex Moutan, each one liang) Shigao (Gypsum Fibrosum, two liang) Guixin (Cinnamomi Ramulus, separately ground to powder, seven qian half)
Puhuang (Pollinis Typhae, half liang) Weilingxian (Radix Saposhnikoviae, seven qian half)
Grind into fine powder. Each dose is three qian, with one and a half zhan of water, taken warm on an empty stomach, twice daily.
[《Tai Ping Hui Min He Ji Ju Fang》] Treats Bingzhong lower bleeding. Huangqin (Scutellariae Radix) in any amount, ground to fine powder. Each dose is one qian. Heat a scale weight until red-hot, throw it into wine to make it boil, then use this wine to mix and take the powder. (Xu Xueshi said: Treating Bingzhong mostly uses hemostatic and blood-tonifying medicines. This is Yang overcoming Yin, as previously described as heaven's heat and earth's warmth causing menstrual water to boil over. Jinhua San is also excellent.)
[Zhu Danxi] Excessive menstruation that cannot be stopped: use Sanbu Wan (Three Tonics Pill) added with Shagen (Radix Cyathulae), Guiban (Carapax et Plastrum Testudinis), and Jinmaogouji (Rhizoma Cibotii). (Sanbu refers to Huangqin, Huanglian, and Huangbai.)
[Zhang Zihe] The mother of Official Meng, over fifty years old, had suffered from blood Bing for one year. Everyone used Zeluan Wan (Angelicae Dahuricae Pill), Heishen San (Black Divine Powder), Bao'an Wan (Security Pill), and Baiwei San (Baical Skullcap Powder), but tonification was ineffective. Dairen (Zhang Zihe's pseudonym) saw her and said: Tian Gui (menstrual essence) has ended; she should not be bleeding. It is likely that blood flows and scatters due to heat, not cold. Women's blood Bing is often caused by great sorrow and crying. Extreme sorrow causes the lung lobes to expand and the Heart Tie (pericardium connection) to tighten, leading to uncontrollable downward bleeding. The *Neijing* says: Yin deficiency with vigorous Yang pulse is called Bing. Insufficient Yin pulse, excess Yang pulse, rapid pulse indicates internal Bing, blood flows down. The world treats it as deficiency and exhaustion, none knowing it is wrong. One can take a large dose. The large dose is Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxins). Next, use Xiangfu (Cyperi Rhizoma) two liang stir-fried, Baishao (Paeoniae Radix Alba) two liang baked, Danggui (Angelicae Sinensis Radix) two liang baked. Grind these three into fine powder, mix with water and take. Also take Binglang Wan (Areca Seed Pill); within ten days, she was safe.
[Li Dongyuan] Dingxiang Jiao Ai Tang (Clove and Colla Corii Asini Decoction) treats continuous Binglou. This is likely due to insufficient Heart Qi, obtained from labor and irregular diet. After some time, the pulse at both Chi positions is wiry, tight, and surging, but weak upon pressure. The patient feels ice-cold below the navel, seeking thick clothes and quilts to ward off cold. Although there is much white leukorrhea, occasionally watery discharge like a leaking roof occurs. When bleeding, there is not much fresh blood. The Right Chi pulse is sometimes slightly surging. For the sudden heavy flow of "leaking roof" type blood, the wiry-tight pulse indicates much cold, while the occasional surging pulse indicates little heat. Combined, the wiry-tight pulse represents excessive Northern Cold Water, while the occasional surging pulse represents the Fire of the Mingmen (Gate of Life) and Bao Luo. More black matter than red matter matches the appearance of leaking roof water.
Chuanxiong (Rhizoma Ligustici Chuanxiong, four fen) Guishen (Radix Angelicae Sinensis, one qian two fen) Sheng Aiye (Folium Artemisiae Argyi, one qian) Ejiao (Colla Corii Asini, six fen, prepared separately and added later) Baishao (Paeoniae Radix Alba, three fen) Shudi (Rehmanniae Radix Preparata, three fen, to drain the surging pulse) Dingxiang (Flos Caryophylli, four fen)
Grind into fine powder, treat as one dose. Add two zhan of water, boil five times, remove dregs, add Ejiao and Aiye, boil again on fire until one large zhan remains. Take hot on an empty stomach after residual food is digested. Three doses show effect.
[《Tai Ping Hui Min He Ji Ju Fang》] Treats blood Bing.
Shuai Ai (Prepared Folium Artemisiae Argyi, size of a chicken egg) Ejiao (Colla Corii Asini, half liang) Ganjiang (Zingiberis Rhizoma, one qian)
Cut into coarse pieces. Use five zhan of water, first decoct Aiye and Jiang until two and a half zhan remain. Add Ejiao, let it become slightly warm, divide into two doses, take on an empty stomach.
Another formula treats Bingzhong that does not stop. Dingxiang (Flos Caryophylli) two liang ground to fine powder. Use three sheng of wine, boil to obtain one sheng, take in one dose on an empty stomach. *Bi Xiao Fang* uses one hundred cloves, decocted in wine. Another formula: Yizhi (Alpiniae Oxymatanga Fructus) stir-fried and ground to powder, taken with salt water and rice drink.
[Worldly Physicians] Xiangfan San (Cyperi and Alum Powder) treats blood Bing.
Xiangfu (Cyperi Rhizoma) in any amount. Soak overnight in very sour vinegar, stir-fry until charred but retaining medicinal property. For every one liang of Xiangfu ash, add two qian of Baifan (Alumen) powder. Take with rice drink on an empty stomach; effect is miraculous.
One method uses Heluye (Nelumbinis Folium) soup to mix; even more wonderful.
[《Tai Ping Hui Min He Ji Ju Fang》] Use Xiangfu zi (Cyperi Rhizoma) removing hairs, stir-fry until charred black retaining property, grind to fine powder. Mix with very hot wine, take two qian, take when warm. Not exceeding two doses will cure immediately. If severe coma, use three qian bi. Even for "Blood Mountain Bing" (massive hemorrhage), it can resolve; rice drink mixing is also acceptable. Xu Xueshi said: For treating continuous lower bleeding or five-color Binglou, Xiangfu zi is a fairy medicine for women.
[Worldly Physicians] Women's blood Bing not stopping. Burn Binglang (Arecae Semen) to ash retaining property, grind to powder, take with warm wine; very wonderful.
[《Tai Ping Hui Min He Ji Ju Fang》] Wulingzhi San (Trogopteri Dung Powder) treats women's Blood Mountain Bing, when various medicines fail.
Wulingzhi (Faeces Trogopterori) stir-fry until smoke ceases, grind to powder. Each dose is one qian, taken with warm wine.
Another method: each dose three qian, decoct with equal parts water, wine, and Tongbian (child's urine), named Choudao San (Knife-Drawing Powder).
Hupo San (Amber Powder) treats sudden heavy bleeding from Bing.
Chishao (Paeoniae Radix Rubra) Xiangfu zi (Cyperi Rhizoma) Kuheye (Dry Nelumbinis Folium) Nanzi Fa (Capillus Virilis, washed with Gleditsiae Sinensis water) Danggui (Radix Angelicae Sinensis) Zonglv (Palmae Fructus, stir-fried charred retaining property) Wushamao (Silk Cap, specifically lacquered gauze headgear, taken because Yang Qi emerges first)
Equal parts. Except for Zonglv, chop the rest into coarse slices. Burn on new tile until black ash, retain three parts of property, grind to fine powder. Each dose is five qian, taken on empty stomach with Tongbian (child's urine). If the person walks ten li, take another dose. Seven or eight doses will stop bleeding. If postpartum blood loss is excessive, add a little Rice Vinegar, Jingmo (Chinese Ink), and Shexiang (Moschus). Another method: first decoct Wuji San (Five Accumulations Powder) with vinegar, take one or two doses, then take Wulingzhi San.
Treating continuous menstrual blood:
Women's menstrual blood drips continuously,
Burn old lotus pods to ash.
Mix one cup of hot wine with eight characters [of ash],
Naturally peaceful and happy, no doubt.
[《Yanyi》] Huangniujiao Jian (Tip of Buffalo Horn) burn to black ash, slightly retaining property. Treats women's blood Bing, blood in stool, and cold dysentery/white dysentery.
[《Tai Ping Hui Min He Ji Ju Fang》] Treats continuous Louxia. Lu jiao (Cornu Cervi Pantotrichum) burn to ash, finely grind. Take two qian with warm wine before meals.
Another formula: Taoren (Persicae Semen) burn to ash, grind fine. Take two qian with warm wine before meals. Another formula: Luannian (Hair) wash clean with Gleditsiae Sinensis water, burn to fine powder. Take two qian with warm wine on empty stomach.
[Worldly Physicians] Treats long-term chronic Bing. Xiakucao (Prunellae Spica) burn retaining property, grind to powder. Take on empty stomach with rice drink. This uses ash, different from using the herb previously.
[《Tai Ping Hui Min He Ji Ju Fang》] Jingjie San (Schizonepeta Powder) treats women's Bingzhong not stopping.
Use good sesame oil to light a lamp, add many wicks, burn Jingjie (Schizonepetae Spica) on top until charred. Grind to fine powder. Each dose is three qian, taken with Tongbian (child's urine).
[《Jian Yi Fang》] Treats women's Louxia blood non-stop. Huaihua E (Moth of Sophora Flower) in any amount, burn to ash, finely grind. Take two qian bi with warm wine before meals.
[《Chan Bao》] Treats Bingzhong not stopping, regardless of how long ago it started. Use Huai'er (Auricularia Auricula-Judae growing on槐树) burn to ash, grind to powder. Take with wine, one fang cun bi.
[《Tai Ping Hui Min He Ji Ju Fang》] Shenying San (Divine Response Powder) treats continuous blood Bing.
Guixin (Cinnamomi Ramulus) in any amount, stir-fry until extremely charred retaining property, grind to powder. Each dose is one or two qian, taken with rice drink.
Rusheng San (Like Sage Powder) treats Blood Mountain Bing.
Zonglv (Palmae Fructus) Wumei (Fructus Mume) (each one liang) Ganjiang (Zingiberis Rhizoma, one liang five qian, all burned retaining property)
Grind to fine powder. Each dose is two qian, taken with Wumei wine, on empty stomach before eating. Long-standing illness, not exceeding three doses will cure.
Repeatedly effective formula for blood Bing.
Danggui (Radix Angelicae Sinensis) Baishao (Paeoniae Radix Alba) Ganjiang (Zingiberis Rhizoma) Zonglv (Palmae Fructus) (equal parts)
Each ingredient burned retaining property, ground to fine powder. Mix with vinegar. Use red chopsticks with nodes, stir left forty-nine turns. Take before eating.
Another formula: Use Zonglv (Palmae Fructus) and Baifan (Alumen), burn retaining property, grind to powder. Take two qian with wine.
Treats sudden massive Bing bleeding. Baicaoshuang (Carbonis Herbae) two qian, mix with Gou danzhi (Canis Gallus Bile). Divide into two doses, take with Danggui wine.
Another formula: Jingmo (Chinese Ink) ground to powder two qian bi, mixed with burned Lufengfang (Nidus Vespae) powder. Take three finger-pinches with wine.
[Worldly Physicians] Treats blood Bing. Use Hulu (Calabash) removing seeds and pulp, Jingjisui (Schizonepetae Spica) burn retaining property. Take with drinking water.
The above twenty-one formulas are all medicines burned to black ash. The Classic says: Northern color is black, entering to connect with the Kidney. These are all medicines connecting to the Kidney Meridian. Blood is the color of the Heart. Blood stops when seeing black because Kidney Water can control Heart Fire.
Yunqi (Luck/Movement) theory states that blood Bing belongs to Wind-Fire. The Classic says: When Shaoyang governs Heaven's Policy, in the First Qi, wind prevails causing shaking, climate becomes greatly warm, the disease is blood Bing.
[Wang Haizang] Treats uncertain Bing or dribbling for years.
Baifan (Alumen, melted into juice, one liang) Moyao (Resina Myrrhae, one qian) Sha (Realgar, five fen) Huangdan (Minium, five fen)
Melt Baifan into juice, add remaining powdered medicines, mix evenly, form pills the size of a bullet. Use one pill each time, wrap in new cotton, insert into vagina. Immediate effect.
[《Zhai Xuan Fang》] Excessive menstrual blood not stopping, and Bingzhong (Same as *Xin Shu*): Sanyinjiao (SP6) Xingjian (LR2) (Needle then moxa each.) Tongli (HT5) (Two cun above little toe, needle two fen, moxa fourteen zhuang.)
[Sang Weihan] Louxia not stopping (Same as *Xin Shu*, *Zhai Ying*): Sanyinjiao (SP6) Taichong (LR3)
[Wang Haogu] Baomen (Uterine Gate) not closing, Louxia evil blood uncontrollable: Qimen (GB14? Note: Text says Guan Yuan side 3 cun, likely referring to a specific point or error in source, usually Qimen is LR14, but text specifies location relative to Guanyuan CV4. I will translate literally as stated: Gate Qi point) (Located three cun lateral to Guanyuan, needle five fen.)
[《Zhen Jiu Ji Cheng》] Blood Bing and Louxia: Zhongji (CV3) (Tonify.) Zigong (EX-CA1) (Depth two and a half cun.) Baixue (Defeated Blood) not stopping: Sanyinjiao (SP6) Bailao (EX-B1) Fengmen (BL12) Zhongji (CV3) Shenshu (BL23) Gaohuang (BL43) Quchi (LI11) Jiegu (GB39)
[《Jia Yi Jing》] Women unable to conceive, vagina suddenly protruding, menstrual leakage: Ran Gu (KI2) governs. Women with Louxue (bleeding), abdominal fullness, dyspnea, yellow urine: Ying Gu (KI10) governs. (*Qian Jin* says: Louxue with lower abdominal pain/fullness like obstruction, body chills and fever, abdominal swelling on one side.) Women with blocked blood: Huiyin (CV1) governs. Women with Louxue: Taichong (LR3) governs.
[《Mai Jing》] Question: What are the appearances of the Five Bing? Master said: White Bing looks like mucus, Red Bing looks like crimson dye, Yellow Bing looks like rotten melon, Blue/Green Bing looks like blue color, Black Bing looks like clotted blood. Cun Kou pulse wiry and large: Wiry indicates reduction, Large indicates hollow. Reduction indicates cold, Hollow indicates deficiency. Cold and deficiency combining is called Ge Pulse (Leather Pulse). In women, this leads to miscarriage and Louxia. (Also seen in various bleeding conditions.)
[Zhang Zhongjing] Cun Kou pulse micro and slow. Micro indicates Wei Qi is sparse; sparse means skin pores are open. Slow indicates Stomach Qi is solid; solid means grain is digested and water transformed. Grain enters the Stomach, Mai Dao (vessel pathways) then move. Water enters the Jing (channels), its blood then forms. Ying (Nutritive) abundance means skin must be sparse/open. San Jiao (Triple Burner) cuts off the Jing meridians, named Blood Bing.
[《Mai Jing》] Diagnose women with Louxue (bleeding) discharging red and white, losing several sheng of blood daily. Pulse rapid and urgent indicates death; slow indicates survival. Diagnose women with continuous Louxia of red and white. Pulse small, deficient, slippery indicates survival; pulse large, tight, solid, rapid indicates death.