产后崩淋，及赤白带下者，皆因七情内伤，或下元虚弱。王叔和曰∶始病血崩，久则血少亡
阳，故白滑之物，下流不止，是本经血海先枯，津液消亡干涸，不能交养筋骨。用药之法，
须以本部行经药，为引为使，用辛甘油腻之物，润其枯涸，而滋益津液，以大辛热之药，裨
补阳道，生其血脉，以寒苦之物泻其肺，以人参补之，微苦湿药佐之，以治此症之大法也。
崩中者，由脏腑伤损冲任二脉，气虚血虚之故，此二脉为经里之海，气血之行，外循经络，
内荣脏腑，腑因冲任二脉之气伤虚极，不能约制厥经之血，故忽然而下，谓之崩中暴下，治
当大补气血之药，举养脾胃，微加提镇坠下心火之药，宜补心泻火汤，血自止矣。凡淋带之
症，俱是痰积流下，渗入膀胱而成也，治宜升提，以提其气下陷，用二陈加二术。肥人多湿痰
，加半夏、南星、炒黄柏、川芎、椿皮、青黛。瘦人多火，加黄柏、椿皮、海石、滑石、蛤
粉。赤白兼下，加炒蔓荆子末，酒调下二钱。
娄全善曰∶产后阴脱者，因产时努力太过，以致阴脱，状若脱肛，阴户挺出，逼近肿痛，举
重房劳，皆能致此。清水续续，小便淋漓，用硫黄、乌贼骨各五钱，五味一分为末，敷患处
。兼服参、 、归、草、升麻等补药自愈。
丹溪治一妇人，三十余岁生女，二日后，产户一物如手帕，下有帕尖。因思之，此由胎前劳
乏伤气，或肝痿致此，却喜血不甚虚，其时岁暮天寒，恐冷干坏了，急与参、 一钱，白术
五分，当归一钱半，升麻五分，三帖，连服之即上，得汗遍身乃安。但下而沾席处，干者落
一片，盖脂膜也。食进能眠，诊其脉皆涩，左略弦，视其形却实，与白术、白芍各五分，陈
皮一钱，姜一片，连三四服遂安。
又一妇人产子后，阴户中有一物，如合钵状，有两歧。其夫求治，予思之，此子宫也。必气
血虚弱而下坠也，遂用升麻、黄 大料二服与之。半日后，其夫复来曰∶服二贴后，觉一声
响，视之，已收阴户讫。但因经缩干着席破一块，如掌心大粘席，其妻在家，哭泣自伤，恐
损破，不能复生。予思之，此非肠胃，乃糟粕也，何骇之有?肌肉破，尚可复完，若气血充
盛，可以生满，遂用四物汤加人参，与百帖。三年后，始复生子。
产后出现崩漏（指非经期阴道大量出血或淋漓不尽）以及赤白带下的症状，都是因为七情（喜、怒、忧、思、悲、恐、惊）内伤，或者下元（肾与命门）虚弱所致。王叔和说：起初发病是血崩，时间久了则因失血过多导致亡阳，所以白色的滑腻物质不断流出不止。这是本经的血海先枯竭，津液消亡干涸，不能滋养筋骨。用药的原则，必须以能够引导药物进入经脉的本部行经药作为引经使药，使用辛甘且油腻性质的药物，来滋润干枯之处，并滋益津液；用大辛大热的药物，以补助阳气之道，生发血脉；用寒凉苦味的药物泻肺火，用人参补益肺气，用微苦湿的药物辅助治疗，这就是治疗这类病症的大法。
崩中（指阴道突然大量出血），是由于脏腑受损，冲脉和任脉受伤，气虚和血虚的缘故。这两条经脉是经络中的大海，气血的运行，外沿经络循行，内荣养脏腑。因为冲任二脉的气损伤到了极点，不能制约厥阴经之血，所以血液忽然大量下行，称为崩中暴下。治疗应当使用大补气血的药物，提升养护脾胃之气，稍微加入一些具有提举、镇坠作用以清降心火的药物，适宜使用补心泻火汤，血液自然就会停止。
凡是淋证（小便频数短涩）和带下病，都是痰积流注下行，渗入膀胱而形成的。治疗宜用升提之法，以提升下陷之气，可用二陈汤加苍术、白术。肥胖之人多湿痰，可加半夏、天南星、炒黄柏、川芎、椿根皮、青黛。消瘦之人多火，可加黄柏、椿根皮、海浮石、滑石、蛤粉。如果赤白带下兼有，可加炒蔓荆子末，用酒调服二钱。
娄全善说：产后子宫脱垂，是因为分娩时用力过度，导致阴户脱出，形状像脱肛一样，阴户挺出体外，伴有肿痛。举重或房劳过度，都能导致此症。若有清水持续流出，小便淋漓不尽，可用硫黄、乌贼骨各五钱，五味子一分研为细末，敷于患处。同时内服人参、黄芪、当归、甘草、升麻等补益药物，即可自愈。
朱丹溪治疗一位三十多岁的妇人，生下女儿后两天，产户有一物像手帕，下面有手帕的尖角。思考其原因，这是由于产前劳累乏力损伤了正气，或者是肝痿导致此症。幸好血虚不严重。当时正值岁末天寒，担心寒冷干燥损伤组织，急忙给予人参一钱，白术五分，当归一钱半，升麻五分，三帖药，连续服用后子宫即回纳，全身出汗后才安稳。但下垂接触床席的部分，干燥脱落了一片，那是脂膜。患者食欲恢复能入睡，诊其脉象皆涩，左脉略微弦，看其形体却充实，于是给予白术、白芍各五分，陈皮一钱，生姜一片，连续三四服后病情安定。
又有一位妇人生产后，阴户中有一物，像合钵的形状，有两个分叉。她的丈夫求治，我思考后认为，这是子宫。必定是气血虚弱导致下坠。于是用大剂量的升麻、黄芪两付给她服用。半天后，她的丈夫再次前来，说：服用两帖后，听到一声响，查看发现，阴户已经收摄完毕。但因为月经收缩干燥粘在席子上破了一块，像掌心大小粘在席上。妻子在家哭泣自伤，担心破损，不能再生。我思考后认为，这不是肠胃，而是糟粕（恶露残留物），有什么好惊恐的？肌肉破损，尚可修复，如果气血充盛，可以生长填满。于是给予四物汤加人参，共一百帖。三年后，才又生育子女。
Postpartum metrorrhagia (irregular uterine bleeding) and leukorrhea with red or white discharge are all caused by internal injury from the seven emotions (joy, anger, worry, thought, grief, fear, fright), or deficiency of the lower origin (kidney and mingmen). Wang Shuhe stated: Initially, the disease presents as metrorrhagia; over time, blood loss leads to the exhaustion of yang. Consequently, white slippery substances flow continuously without stopping. This indicates that the Blood Sea (Chong Mai) in the relevant meridian is first depleted, body fluids are exhausted and dried up, failing to nourish the sinews and bones. The principle of medication requires using herbs belonging to the meridian system as guiding agents (Yinshi). One should employ pungent, sweet, and greasy-natured herbs to moisten dryness and replenish body fluids; use greatly pungent and hot herbs to assist the Yang pathway and generate blood vessels; use cold and bitter herbs to drain Lung heat; use Ren Shen (Ginseng Root) to tonify Qi; and use slightly bitter and damp herbs as assistants. This constitutes the general method for treating such conditions.
Metrorrhagia (sudden heavy vaginal bleeding) results from damage to the Zang-Fu organs and the Chong and Ren meridians, due to Qi and Blood deficiency. These two meridians serve as the sea within the collaterals. The movement of Qi and Blood circulates externally along the meridians and internally nourishes the Zang-Fu organs. Because the Qi of the Chong and Ren meridians is severely damaged and deficient, it fails to restrain the blood of the Jueyin meridian, causing sudden profuse downward flow, termed "Metrorrhagia and sudden flooding." Treatment should involve large doses of herbs that greatly tonify Qi and Blood, elevate and nourish the Spleen and Stomach, and slightly add herbs that lift and anchor to clear Heart fire. Bu Xin Xie Huo Tang (Tonify Heart and Drain Fire Decoction) is suitable, after which the bleeding will naturally cease.
All cases of Lin syndrome (dysuria) and leukorrhea are caused by phlegm accumulation flowing downward and infiltrating the Bladder. Treatment should focus on lifting and raising to correct Qi sinking, using Er Chen Tang (Two-Cured Decoction) added with Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma). For obese individuals with much damp-phlegm, add Ban Xia (Pinelliae Tuber), Nan Xing (Arisaematis Rhizoma Praeparatum), Chao Huang Bo (Phellodendri Cortex Prepared), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chun Pi (Toosendanii Cortex), and Qing Dai (Indigo Naturalis). For thin individuals with much fire, add Huang Bo (Phellodendri Cortex), Chun Pi (Toosendanii Cortex), Hai Shi (Spongia), Hua Shi (Talcum), and Ha Fen (Margarita Pulveratum). If red and white discharges occur together, add Chao Man Jing Zi (Vittariae Spora Preparata) powder, taken with wine, two qian per dose.
Lou Quanshan stated: Postpartum prolapse of the uterus occurs due to excessive straining during childbirth, resulting in the protrusion of the vagina, resembling rectal prolapse, with the vaginal opening protruding externally, accompanied by swelling and pain. Lifting heavy objects or sexual fatigue can also cause this condition. If clear fluid flows continuously and urination is dribbling, use Liu Huang (Sulfur) and Ou Ze Gu (Sepiae Endoconcha), each five qian, mixed with one fen of Wu Wei Zi (Schisandrae Fructus) into a fine powder, applied to the affected area. Simultaneously administer tonifying herbs such as Ren Shen (Ginseng Root), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Sheng Ma (Cimicifugae Rhizoma) for self-healing.
Zhu Danxi treated a woman in her thirties who gave birth to a daughter. Two days later, a mass like a handkerchief protruded from the vaginal orifice, with a pointed tip hanging down. He reasoned that this was caused by labor and fatigue before delivery damaging Qi, or possibly Liver flaccidity. Fortunately, blood deficiency was not severe. At that time, it was late winter and cold; fearing cold and dryness would damage the tissue, he urgently prescribed Ren Shen (Ginseng Root) one qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) five fen, Dang Gui (Angelicae Sinensis Radix) one and a half qian, and Sheng Ma (Cimicifugae Rhizoma) five fen. After three doses taken consecutively, the organ retracted, and the patient felt relieved after sweating profusely. However, the part that had touched the bedsheet dried and shed a piece, which was identified as adipose membrane. Her appetite returned, she could sleep, and her pulse was wiry-rough (Se) generally, with the left pulse slightly wiry (Xian). Her physical constitution appeared solid. Thus, he prescribed Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Bai Shao (Paeoniae Radix Alba) five fen each, Chen Pi (Citri Reticulatae Pericarpium) one qian, and one slice of Sheng Jiang (Zingiberis Rhizoma Recens). After three to four doses, she stabilized.
Another woman presented with a mass resembling an inverted bowl with two lobes protruding from the vagina after childbirth. Her husband sought treatment. I reasoned that this was the uterus, likely prolapsed due to Qi and Blood deficiency. Therefore, I prescribed a large dose of Sheng Ma (Cimicifugae Rhizoma) and Huang Qi (Astragali Radix) in two doses. Half a day later, the husband returned, stating that after taking two doses, he heard a sound, and upon inspection, the vagina had retracted completely. However, a piece of tissue, about the size of a palm, had adhered to and torn from the sheet due to drying from menstrual contraction. The wife was weeping, fearing the tissue was damaged beyond regeneration. I explained that this was not intestinal tissue but residual lochia (waste matter), so there was no need for alarm. Muscle tissue can heal; if Qi and Blood become abundant, it will regenerate fully. Thus, I prescribed Si Wu Tang (Four Substance Decoction) added with Ren Shen (Ginseng Root) for one hundred doses. Three years later, she successfully gave birth again.