经凝气滞不流通。启闭将来紫淡红。病后汗多思损血。或因湿热冷兼风。气郁沉微当利气。
槟榔附莪术。桃仁牛膝桂虻虫。弦濡气虚参白术。黄 甘草牡丹芎。
其间胃火干枯涸。酒佐将军大有功。
皆由劳伤气血。损任冲二脉。气血俱虚。不能约制其经血。故血漏下。或渐成淋漓。盖妇人
人少。或故贵势衰。先富后贫。致心火上炎。治当劝谕。而行镇压心
火之药。
崩漏皆由气血伤。脉来弦细大而长。东垣下陷不言热。学人须知要忖量。丹溪要论虚湿热。
而数当清热。荆芥黄芩末服良。百草霜研宗四物。痛入元胡炒黑姜。
脉濡气弱参白术。续断防 功效强。久崩下陷宜升举。养血调脾泻二阳。
赤属血。白属气。湿热为病漏为带。俱是胃中痰积下流。渗入膀胱。稠粘者是。又有如白汤
为先。法当升之。甚用吐法以提其气。宜断浓味。
白带根因湿热多。赤由营卫不调和。来时骨膝皆酸痛。漏若多时真水磨。脉弦而缓伤风火
肝散多灵验。脉数樗根效如何。
伏龙肝 艾叶 川芎(各一钱五分) 赤石脂 麦冬(各四分) 干姜(五分) 川归(三钱) 肉
(各二钱) 枣(二枚) 煎服。或为末米汤送。或酒送。
月经凝结、气机阻滞，导致气血运行不畅。若闭经日久将通未通时，经血颜色由紫转淡红。病后出汗过多会耗损阴血，或者因湿热、寒邪兼夹风邪侵袭所致。若因气郁导致脉象沉微，应当采用利气的方法治疗。
方用槟榔、附子、莪术。配合桃仁、牛膝、桂枝、虻虫。若脉象弦而濡软且气虚，则用人参、白术、黄芩、甘草、牡丹皮、川芎。
其间若有胃火亢盛导致津液干枯枯竭者，用酒送服大黄（将军）大有功效。
以上诸症皆因劳倦损伤气血，损害任脉和冲脉。气血俱虚，不能制约经血，所以血液漏下。或者逐渐形成淋漓不尽的症状。大概因为妇人年少，或者地位尊贵之势衰退，先富后贫，导致心火上炎。治疗应当劝慰开导，并服用镇压心火的药物。
崩漏皆因气血受伤。脉象来势弦细大而长。李东垣认为属气陷而不言热，学习者必须仔细斟酌。朱丹溪强调论述虚、湿、热。若脉数则应当清热。服用荆芥和黄芩的末药效果良好。百草霜研末配合四物汤，疼痛剧烈时加入炒黑的元胡和干姜。
若脉濡软、气弱，用人参和白术。续断和防风功效强劲。久崩导致气机下陷，适宜升举阳气。养血调脾，清泻二阳（指阳明胃与少阳胆，或指上下二焦之阳）。
赤色白带属血分病变，白色白带属气分病变。湿热为患导致的带下漏下，都是胃中痰积向下流注，渗入膀胱，质地稠粘的是此类。又有如米泔水样的白带为先兆。治法应当升提气机，严重时用吐法以提举其气。应当断绝浓味厚腻的食物。
白带根因多为湿热，赤带由于营卫不调和。发作时骨节膝盖都酸痛。若漏下时间过长，真阴会被磨耗。脉弦而缓是伤于风火，肝散（方剂名）多灵验。脉数用樗根（椿根皮）效果如何？
伏龙肝、艾叶、川芎（各一钱五分）、赤石脂、麦冬（各四分）、干姜（五分）、当归（三钱）、肉桂（各二钱）、大枣（二枚），煎服。或者研为末，用米汤送服，或用酒送服。
Menstrual blood coagulates and qi stagnates, failing to circulate freely. When amenorrhea is about to resolve, the menstrual blood color transitions from purple to pale red. Excessive sweating after illness damages blood, or it may be caused by damp-heat combined with cold and wind. If qi depression results in a deep and faint pulse, qi-promoting methods should be employed.
Use Binglang (Areca Seed), Fuzi (Prepared Aconite Root), E Zhu (Turmeric Tuber). Combine with Taoren (Peach Kernel), Niuxi (Achyranthes Root), Guizhi (Cinnamon Twig), and Mengchong (Blister Beetle). If the pulse is wiry and soggy indicating qi deficiency, use Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), Huangqin (Scutellaria Root), Gancao (Licorice Root), Mudanpi (Moutan Bark), and Xiong (Ligusticum Rhizome).
If stomach fire causes dryness and depletion, administering Dajiang (Rhubarb) with wine yields great efficacy.
All these conditions arise from labor and fatigue damaging qi and blood, injuring the Ren Mai (Conception Vessel) and Chong Mai (Penetrating Vessel). With both qi and blood deficient, they cannot restrain menstrual blood, causing leakage. It may gradually become dripping and continuous. This often occurs because women are young, or their status declines from wealth to poverty, leading to flaming up of heart fire. Treatment should involve persuasion and counseling, along with herbs that suppress heart fire.
Beng Lou (Metrorrhagia and Metrostaxis) all result from injury to qi and blood. The pulse comes wiry, fine, large, and long. Li Dongyuan attributes this to sinking without mentioning heat; students must carefully consider this. Danxi emphasizes discussing deficiency, dampness, and heat. If the pulse is rapid, clearing heat is indicated. Taking Jingjie (Schizonepeta Spike) and Huangqin (Scutellaria Root) as powder is beneficial. Bai Cao Shuang (Soot from Chimney) ground and mixed with Siwu Tang (Four Substances Decoction); for severe pain, add Chao Hei Yuanhu (Stir-fried Black Corydalis Rhizome) and Ganjiang (Dried Ginger).
If the pulse is soggy and qi is weak, use Renshen (Ginseng Root) and Baizhu (Atractylodes Rhizome). Xuduan (Dipsacus Root) and Fangfeng (Saposhnikovia Root) have strong effects. For prolonged beng lou causing sinking, lifting methods are appropriate. Nourish blood, regulate spleen, and drain the two yangs.
Red discharge belongs to blood; white discharge belongs to qi. Damp-heat disease causing leukorrhea involves phlegm accumulation in the stomach flowing downward, seeping into the bladder; thick and sticky texture indicates this type. Another type presents like rice water first. The method should involve lifting qi; in severe cases, emesis is used to raise qi. One should avoid rich and heavy flavors.
The root cause of white leukorrhea is mostly damp-heat; red leukorrhea arises from disharmony of Ying (Nutrient) and Wei (Defensive) levels. Onset brings soreness and pain in bones and knees. If leakage persists for a long time, true yin is worn down. A wiry and slow pulse indicates wind-fire injury; Gansan (Liver Powder) is often effective. How effective is Chugen (Phellodendri Cortex or Broussonetiae Cortex depending on context, here likely Phellodendri or related bark for heat) when the pulse is rapid?
Fulonggan (Dragon's House Soil), Aiye (Mugwort Leaf), Chuanxiong (Ligusticum Rhizome) (1.5 qian each), Chishizhi (Red Halloysite), Maidong (Ophiopogon Root) (0.4 qian each), Ganjiang (Dried Ginger) (0.5 qian), Danggui (Angelica Sinensis Root) (3 qian), Rougui (Cinnamon Bark) (2 qian each), Zaoju (Jujube Fruit) (2 pieces). Decoct and take orally. Alternatively, grind into powder and take with rice water or wine.
Fetal qi should be clear and not hot; quiet and not active. There are cases where fetal pathology causes maternal unrest, and cases where maternal pathology causes fetal unrest. These must be examined in detail.