乌 骨即海螵蛸，芦茹即茜草。详阅诸家本草，载此二药之主治，皆谓其能治崩带，是与《内经》用二药
之义相合也。又皆谓其能消 瘕，是又与《内经》用二药之义相反也。本草所载二药之性，如此自相矛盾，令
后世医者并疑《内经》之方而不敢轻用，则良方几埋没矣。而愚对于此二药，其能治崩带洵有确实征验，其能
消瘕与否，则又不敢遽断也。
《内经》有四乌 骨一芦茹丸，治伤肝之病，时时前后血。方用乌 骨四芦茹一丸，以雀卵如小豆大，
每服五丸，鲍鱼汤送下。
海螵蛸为乌贼鱼骨，其鱼常口中吐墨，水为之黑，故能补益肾经，而助其闭藏之用。友人孙××妻经水行
时多而且久。孙××用微火，将海螵蛸煨至半黑、半黄为末，用鹿角胶化水送服，一次即愈，其性之收涩可知。
茜草一名地血，可以染绛，《内经》名茹芦，即茹芦根也。
【附案】忆在籍时，曾治沧州董姓妇人，患血崩甚剧。其脉象虚而无力，遂重用黄 、白术，辅以龙骨、
牡蛎、萸肉诸收涩之品，服后病稍见愈，遂即原方加海螵蛸四钱，茜草二钱，服后其
病顿愈，而分毫不见血矣。愚于斯深知二药止血之能力，遂拟得安冲汤、固冲汤二方，于方中皆用此二药。
本邑一少妇，累年多病，身形羸弱，继又下白带甚剧，屡经医治不效。诊其脉迟弱无力，自觉下焦凉甚，
治以清带汤，为加干姜六钱、鹿角胶三钱、炙甘草三钱，连服十剂全愈。统以上经验观之，则海螵蛸、茜草之
治带下不又确有把握哉。至其能消 瘕与否，因未尝单重用之，实犹欠此经验而不敢遽定也。
乌贼骨即海螵蛸，茜草即芦茹。详细查阅各家本草著作，记载这两种药物的主治功效，都说它们能治疗崩漏和带下病，这与《内经》使用这两种药物的意义相符合。又说它们能消除癥瘕（腹内结块），这又与《内经》使用这两种药物的意义相反。本草著作中记载的这两种药性如此自相矛盾，导致后世医生连《内经》的方剂也产生怀疑而不敢轻易使用，那么良方几乎就要被埋没了。而我对于这两种药物，其能治疗崩漏确实有确切的验证，至于其能否消除癥瘕，则不敢贸然断定。
《内经》中有四乌贼骨一芦茹丸，用于治疗损伤肝脏的疾病，表现为时常前后阴出血。方剂组成是：乌贼骨四份、茜草一份制成丸剂，用雀卵大小如小豆，每次服用五丸，用鲍鱼汤送服。
海螵蛸是乌贼鱼的骨骼，这种鱼经常口中吐出墨汁，使水变黑，所以它能补益肾经，并帮助肾脏发挥闭藏的功能。我的朋友孙××的妻子月经来潮时量多且时间长。孙××用微火将海螵蛸煨至半黑、半黄后研成粉末，用鹿角胶化水送服，一次就治愈了，由此可知其收涩的性质。
茜草又名地血，可以用来染深红色，《内经》中称为茹芦，就是茹芦根的意思。
【附案】回忆我在家乡时，曾治疗沧州董姓妇人，患严重的血崩症。她的脉象虚而无力，于是重用黄芪、白术，辅以龙骨、牡蛎、山茱萸等具有收涩作用的药物，服药后病情稍见好转，随即在原方中加入海螵蛸四钱、茜草二钱，服药后病情顿时痊愈，分毫不见出血。我因此深知这两种药物止血的能力，于是拟定了安冲汤、固冲汤两个方剂，在这两个方剂中都使用了这两种药物。本县一位年轻妇女，多年患病，身体瘦弱，随后又出现严重的白带下注，多次医治无效。诊察其脉象迟弱无力，自觉下焦非常寒冷，治疗使用清带汤，加入干姜六钱、鹿角胶三钱、炙甘草三钱，连续服用十剂后完全痊愈。综合以上经验来看，海螵蛸、茜草治疗带下病不又有确切的把握吗？至于它们能否消除癥瘕，因为未曾单独重用这两种药物，实际上还缺乏这方面的经验，所以不敢贸然下定论。
Wu Gu (Sepiae Endoconcha, cuttlebone) is Hai Piao Xiao (Sepiae Endoconcha), and Lu Ru is Qian Cao (Rubiae Radix et Rhizoma). A detailed review of various Materia Medica texts indicates that the indicated uses for these two herbs are all stated to treat Beng Lou (metrorrhagia and metrostaxis) and Dai Xia (leukorrhea), which aligns with the meaning of using these two herbs in the *Nei Jing* (Classic of Internal Medicine). It is also stated that they can eliminate Zheng Jia (abdominal masses), which contradicts the meaning of using these two herbs in the *Nei Jing*. The properties of these two herbs recorded in the Materia Medica are so self-contradictory that later physicians doubt the prescriptions of the *Nei Jing* and dare not use them lightly, causing good prescriptions to be nearly buried. As for my view on these two herbs, their ability to treat Beng Lou indeed has solid empirical evidence, but whether they can eliminate Zheng Jia, I dare not make a hasty judgment.
The *Nei Jing* contains Si Wu Gu Yi Lu Ru Wan (Four Wu Gu One Lu Ru Pill), used to treat diseases damaging the Liver, manifesting as frequent bleeding from both anterior and posterior orifices. The prescription consists of four parts Wu Gu (Sepiae Endoconcha) and one part Lu Ru (Rubiae Radix et Rhizoma) made into pills. Each pill is the size of a small bean; take five pills per dose, delivered with Abalone Soup.
Hai Piao Xiao (Sepiae Endoconcha) is the bone of the cuttlefish. This fish often ejects ink from its mouth, turning the water black; therefore, it can tonify the Kidney Meridian and assist its function of closure and storage. My friend Sun XX's wife had excessive and prolonged menstruation. Sun XX roasted Hai Piao Xiao (Sepiae Endoconcha) over low heat until it was half black and half yellow, then ground it into powder. It was taken with Lu Jiao Jiao (Cervi Cornus Colla, deer antler glue) dissolved in water, resulting in a cure after a single dose, demonstrating its astringent nature.
Qian Cao (Rubiae Radix et Rhizoma) is also known as Di Xue (Earth Blood) and can be used to dye crimson red. In the *Nei Jing*, it is called Ru Lu, which refers to the root of Ru Lu.
[Attached Case] Recalling when I was at home, I once treated a woman surnamed Dong from Cangzhou who suffered from severe Beng Lou (metrorrhagia). Her pulse was deficient and weak. Therefore, I heavily used Huang Qi (Astragali Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), assisted by Long Gu (Fossilia Ossis Mastodi) and Mu Li (Concha Ostreae), and Yu Rou (Fructus Corni), other astringent substances. After taking the medicine, her condition improved slightly. Subsequently, I added Hai Piao Xiao (Sepiae Endoconcha) 4 qian and Qian Cao (Rubiae Radix et Rhizoma) 2 qian to the original prescription. After taking it, her illness was instantly cured, with not a drop of blood seen. From this, I deeply understood the hemostatic capability of these two herbs. Thus, I formulated An Chong Tang (Stabilize the Pulsation Decoction) and Gu Chong Tang (Consolidate the Pulsation Decoction), both of which utilize these two herbs.
A young woman in our county had been ill for many years, her body emaciated. She subsequently developed severe Dai Xia (leukorrhea). Multiple treatments were ineffective. Her pulse was slow, weak, and powerless, and she felt extreme cold in the lower jiao. Treatment employed Qing Dai Tang (Clear Leukorrhea Decoction), with Gan Jiang (Zingiberis Rhizoma) 6 qian, Lu Jiao Jiao (Cervi Cornus Colla) 3 qian, and Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) 3 qian added. After ten doses, she was completely cured. Based on the above experiences, does the treatment of Dai Xia (leukorrhea) with Hai Piao Xiao (Sepiae Endoconcha) and Qian Cao (Rubiae Radix et Rhizoma) not have firm assurance? Regarding whether they can eliminate Zheng Jia (abdominal masses), since I have never used them singly in heavy doses, I actually lack this experience and dare not make a definitive conclusion.