凡治崩漏。先止血以塞其流。次清热凉血。以清其源。后补气血。以复其旧。如不清源。则
而不复旧。则孤孑之阳。无以久立。必本未兼举。前后不紊。乃可治
之。要之崩疾皆因中气虚。不能收敛其血。加以积热在里。迫血妄行。故血暴下为崩。崩久
不止。遂成为漏。脉诀云。崩中日久。为白带漏下。时多骨髓枯是也。
归尾 生地 川芎 赤芍(各二钱) 白芷 荆芥(炒) 甘草(各一钱) 空心服。兼服十灰散
藕节 艾叶 柏叶 棕榈 大小蓟 丹皮 山栀 胎发 干姜(俱烧灰存性去火毒。)
合匀为末。每服二钱。用上加味四物汤调送。以血止为度。
(〔吴按〕胎发难觅。即用无油发亦可。)
崩漏止后。宜服清凉之剂。以除热清源。
生地 归身 川芎(各二钱) 黄芩 黄连 知母 黄柏 本 柴胡 羌活 防风 荆芥(
升麻 红花(各六分) 甘草(八分) 姜引。空心服。或用下加味四
物汤亦可。
生地 川芎 当归 白芍(各二钱) 阿胶(炒) 艾叶 条芩(各一钱) 姜引。如血未尽。再
崩漏止后。里热已除。宜补气血。以复其旧。宜服补中益气汤。加白芷。茯苓。黄柏。知母
枣引。
人参(三钱) 炙黄 炒白术 酒芍 归身 川芎 陈皮(各一钱) 柴胡(七分) 炙草(三
痛。加青皮。香附。木香(各等分) 或用五灵脂(炒烟尽一钱) 为末
。温酒送。亦能止滞气痛。
久崩成漏。远年不休。此中气虚下陷。下元不固。宜服补中益气汤。兼鹿角霜丸。
凡是治疗崩漏（非经期阴道大量出血或淋漓不尽），首先要止血以堵塞其源头，其次要清热凉血以清除病源，最后要补益气血以恢复身体常态。如果不清除病源，则无法恢复常态；如果只恢复常态而不除病源，那么孤立的阳气将无法长久维持。必须标本兼治，前后有序不乱，才可以进行治疗。总之，崩疾都是因为中气虚弱，不能收敛血液，加上体内积热，逼迫血液妄行，所以血液突然大量下泄形成崩证；崩证日久不止，就演变为漏证。《脉诀》中说：“崩中日久，为白带漏下，时多骨髓枯”就是这个道理。
处方：当归尾、生地黄、川芎、赤芍（各二钱），白芷、荆芥（炒）、甘草（各一钱）。空腹服用。同时服用十灰散。
十灰散组成：藕节、艾叶、侧柏叶、棕榈皮、大蓟、小蓟、牡丹皮、山栀、胎发、干姜（全部烧成炭保留药性，去除火毒）。混合均匀制成粉末。每次服用二钱，用加味四物汤调服，直到血止为止。（吴氏按语：胎发难以寻找，即使用无油的头发也可以。）
崩漏停止后，适宜服用清凉的药物，以清除余热、净化病源。
处方：生地黄、当归身、川芎（各二钱），黄芩、黄连、知母、黄柏、藁本、柴胡、羌活、防风、荆芥、升麻、红花（各六分），甘草（八分）。生姜为引，空腹服用。或者使用下面的加味四物汤也可以。
加味四物汤组成：生地黄、川芎、当归、白芍（各二钱），阿胶（炒）、艾叶、黄芩（条芩）（各一钱）。生姜为引。如果血未排尽，再……（原文此处似有缺漏或排版错误，结合语境意为若血未尽可继续调理）。
崩漏停止后，体内的热邪已经清除，应当补益气血，以恢复身体常态。适宜服用补中益气汤，加入白芷、茯苓、黄柏、知母，以大枣为引。
补中益气汤组成：人参（三钱），炙黄芪、炒白术、酒白芍、当归身、川芎、陈皮（各一钱），柴胡（七分），炙甘草（三钱）。如果有疼痛症状，加入青皮、香附、木香（各等分）。或者使用五灵脂（炒至无烟尽，一钱）研末，温酒送服，也能缓解气滞引起的疼痛。
In the treatment of *Beng Lou* (metrorrhagia and metrostaxis, characterized by sudden heavy bleeding or prolonged spotting), one must first stop the bleeding to block the flow (*sai qi liu*), then clear heat and cool blood (*qing re liang xue*) to purify the source (*qing qi yuan*), and finally tonify Qi and Blood (*bu qi xue*) to restore normalcy (*fu qi jiu*). If the source is not cleared, normalcy cannot be restored; if normalcy is restored without clearing the source, isolated Yang Qi (*gu jie zhi yang*) will lack the foundation to stand for long. One must address both the root and the branch (*ben mo jian ju*) and maintain order in the sequence of treatment (*qian hou bu wen*) to be effective. In essence, *Beng* diseases arise from deficiency of Middle Qi (*Zhong Qi Xu*), which fails to contain the blood, compounded by accumulated heat within, forcing blood to move recklessly. Thus, sudden massive downward discharge constitutes *Beng*; if *Beng* persists, it evolves into *Lou*. The *Mai Jue* (Pulse Classic) states: "Long-standing *Beng* leads to leukorrhea and *Lou* discharge; excessive loss withers the bone marrow." This is the principle at play.
At the onset of *Beng Lou*, stopping bleeding should be prioritized, adhering to the principle of "treating the branch in acute conditions" (*ji ze zhi qi biao*).
Prescription: Danggui Wei (Tail of Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chishao (Paeoniae Radix Rubra) (each 2 qian); Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Herba, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian). Take on an empty stomach. Concurrently administer Shihui San (Ten Charcoals Powder).
Shihui San Composition: Ou Jie (Nelumbinis Nodeus), Ai Ye (Artemisiae Argyi Folium), Bai Ye (Platycladi Cacumen), Zonglv (Cannabidis Fructus Carbonisatus), Daji (Aconiti Lateralis Radix Preparata - *Note: Context implies Aconitum or similar, but standard Shihui San uses Daji as Polyporus or similar herb depending on version, here likely referring to a specific hemostatic herb, often interpreted as Daji (Big Thistle) or similar. Given WHO context, we stick to literal translation of names provided*), Xiaoji (Cirsii Japonici Herba), Danpi (Moutan Cortex), Shanzhi (Gardeniae Fructus), Taifa (Capilli Humani Carbonisatus), Ganjiang (Zingiberis Rhizoma) (all carbonized to retain efficacy while removing fire toxicity). Mix evenly into powder. Take 2 qian per dose, washed down with Jiawei Siwu Tang (Modified Four Substances Decoction), until bleeding stops. ([Wu's Note]: Human hair is hard to find; clean, oil-free hair may be used.)
After *Beng Lou* has stopped, cooling agents are appropriate to eliminate residual heat and purify the source.
Prescription: Shengdihuang (Rehmanniae Radix Recens), Danggui Shen (Body of Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 qian); Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Bencao (Ligustici Wallichii Rhizoma), Chaihu (Bupleuri Radix), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Shengma (Cimicifugae Rhizoma), Honghua (Carthami Flos) (each 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (8 fen). Use fresh ginger as a guide, take on an empty stomach. Alternatively, the following Modified Four Substances Decoction may be used.
Modified Four Substances Decoction Composition: Shengdihuang (Rehmanniae Radix Recens), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba) (each 2 qian); Ejiao (Asini Corii Colla, stir-fried), Ai Ye (Artemisiae Argyi Folium), Tiao Qin (Scutellariae Radix) (each 1 qian). Use fresh ginger as a guide. If blood has not fully cleared, continue... [Text fragment].
After *Beng Lou* stops and internal heat is resolved, tonifying Qi and Blood to restore normalcy is indicated. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is appropriate, added with Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Huangbai (Phellodendri Cortex), and Zhimu (Anemarrhenae Rhizoma), using Jujube (Ziziphi Jujubae Fructus) as a guide.
Buzhong Yiqi Tang Composition: Renshen (Ginseng Radix et Rhizoma) (3 qian), Zhi Huangqi (Astragali Radix, honey-fried), Chao Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Jiu Shaoyao (Paeoniae Radix Alba, wine-processed), Danggui Shen (Body of Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium) (each 1 qian), Chaihu (Bupleuri Radix) (7 fen), Zhi Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (3 qian). If pain is present, add Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma), and Muxiang (Aucklandiae Radix) (equal parts). Alternatively, Wulingzhi (Trogopterori Faeces, stir-fried until smoke ceases, 1 qian) can be powdered and taken with warm wine to alleviate Qi stagnation pain.
For chronic *Beng* evolving into *Lou*, persisting for years, this indicates sinking of deficient Middle Qi and insecurity of the Lower Yuan (*Xia Yuan*). Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) should be administered concurrently with Lujiaoshuang Wan (Deer Antler Frost Pill).