人参 白术 当归头 侧柏叶(炒) 生地(各一钱) 炙甘草(五分) 茯苓 川芎 紫苏(各
八分) 水煎服。如血晕加荆芥。泽兰叶(各八分) 虚汗加炙黄 (一钱) 枣仁(八分) 崩
中日久。白带不止。加龙骨。牡蛎( 各一钱) 血来不止。加旧棕。(烧灰) 绵灰(各三分)
经血得热。崩漏不止。口苦咽干。小便短。大便燥结。加黄连。黄芩。山栀。(各五分俱
酒炒) 血多而紫黑如泥。凝块者。亦当用之。
妇人血崩不止。由胃弱阴虚。不能镇胞络相火。故血走成崩。
当归 地黄(各一钱) 黄芩 黄连 黄柏 知母 防风 荆芥(各八分) 细辛(二分) 蔓荆
羌活(各六分) 本(四分) 甘草 升麻(各三分) 水煎食前服。
妇人大怒后。经血暴下。
当归 香附(各二钱) 川芎 白芍 青皮(醋炒) 柴胡(各一钱) 甘草(三分) 水煎食前服
妇人胎前产后。崩漏虚损诸症。
川芎 当归(酒洗) 酒芍 人参 黄芩(蜜炙) 陈皮(各一钱) 熟地(酒蒸) 白术(炒) 鹿
角胶(各一两五钱) 砂仁(五钱) 为末。蜜丸每服八十丸。空心白汤下。
妇人月经不断。崩漏带下。
艾叶(酒浸一宿煮干为度) 牡蛎(盐泥包煨) 龙骨( 各一两) 赤石脂(醋 七次一两五钱)
吴茱萸(炮) 当归(酒蒸各七钱) 为末。酒丸。每服三四十丸。酒送。或淡盐汤亦可。
论妇人赤白带症。皆荣卫滞气之所成也。赤者属荣。白者属卫。乃病之常。然其症皆因喜。
怒。忧。思。素有湿热。伤于荣卫胞络。使浊气渗入膀胱。故流带下。轻则来而不来。重则
来而无度。使腰膝酸痛。饮食减常。精神短少。法当清上实下。清浊自分。理脾养气。湿热
自解。更能薄滋味。然后温补下元。则带症自除矣。
人参、白术、当归头、侧柏叶(炒制)、生地黄(各一钱),炙甘草(五分),茯苓、川芎、紫苏(各八分)。水煎服。若出现血晕,加荆芥、泽兰叶(各八分);若出现虚汗,加炙黄芪(一钱)、酸枣仁(八分)。崩中日久不止,白带淋漓不断,加龙骨、牡蛎(各一钱);若经血仍不止,加陈棕炭(烧成灰)、绵灰(各三分)。若因经血受热导致崩漏不止,伴有口苦咽干、小便短赤、大便燥结,加黄连、黄芩、山栀(各五分,均用酒炒制)。若出血量大且色紫黑如泥状、有凝块者,也应当使用此法。
妇人血崩不止,是由于胃气虚弱、阴液不足,不能制约胞络中的相火,导致血液妄行而成崩漏。
方药:当归、生地黄(各一钱),黄芩、黄连、黄柏、知母、防风、荆芥(各八分),细辛(二分),蔓荆子、羌活(各六分),藁本(四分),甘草、升麻(各三分)。水煎,饭前服用。
妇人因大怒之后,经血突然大量下泄。
方药:当归、香附(各二钱),川芎、白芍、青皮(醋炒)、柴胡(各一钱),甘草(三分)。水煎,饭前服用。
方药:川芎、当归(酒洗)、酒白芍、人参、黄芩(蜜炙)、陈皮(各一钱),熟地黄(酒蒸)、白术(炒)、鹿角胶(各一两五钱),砂仁(五钱)。研为细末,炼蜜为丸,每次服用八十丸,空腹时用白开水送服。
方药:艾叶(酒浸一夜煮干为止)、牡蛎(盐泥包裹煨制)、龙骨(各一两),赤石脂(醋淬七次,一两五钱),吴茱萸(炮制)、当归(酒蒸,各七钱)。研为细末,制成酒丸,每次服用三四十丸,用酒送服,或用淡盐水汤送服亦可。
论述妇人赤白带下的症状,都是由营卫之气运行滞涩所致。红色分泌物属于营分病变,白色分泌物属于卫分病变,这是疾病的常态。然而这些症状多因喜怒忧思等情志失调,加之体内素有湿热,损伤了营卫和胞络,致使浊气渗入膀胱,从而形成带下病。轻则时断时续,重则量多无度,并伴有腰膝酸痛、饮食减少、精神萎靡等症状。治疗法则应当清上焦之热以固下焦,使清浊分离,调理脾胃、补养正气,湿热自然得以解除。若能清淡饮食,随后温补下元,则带下症自能消除。
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Rhizoma), Dang Gui Tou (Angelicae Sinensis Radix Head), Ce Bai Ye (Biota Top Leaf, stir-fried), Sheng Di Huang (Rehmanniae Radix) (each 1 qian), Zhi Gan Cao (Prepared Licorice Root) (0.5 qian), Fu Ling (Poria), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Zi Su (Perillae Folium) (each 0.8 qian). Decoct in water and take orally. If syncope due to blood loss occurs, add Jing Jie (Schizonepetae Herba) and Ze Lan Ye (Leonuri Herba) (each 0.8 qian); if spontaneous sweating due to deficiency occurs, add Zhi Huang Qi (Prepared Astragali Radix) (1 qian) and Zao Ren (Ziziphi Spinosomi Semen) (0.8 qian). For prolonged metrorrhagia with continuous leukorrhea, add Long Gu (Fossilia Ossis Mastodi) and Mu Li (Concha Ostreae) (each 1 qian); if bleeding persists, add Jiu Zong Tan (Carbonized Cinnamon Twig, specifically old palm fiber carbonized) and Mian Hui (Cotton Ash) (each 0.3 qian). If metrorrhagia and metrostaxis are caused by heat in the menstrual blood, accompanied by bitter taste in the mouth, dry throat, short urine, and dry stool, add Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), and Shan Zhi (Gardeniae Fructus) (each 0.5 qian, all stir-fried with wine). This method is also indicated when the volume of blood is large, color is purple-black like mud, and clots are present.
Metrorrhagia in women is caused by weak stomach qi and yin deficiency, which fail to control the ministerial fire in the Bao Luo (uterine collaterals), leading to reckless blood movement resulting in collapse.
Formula: Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix) (each 1 qian), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Herba) (each 0.8 qian), Xi Xin (Asari Radix et Rhizoma) (0.2 qian), Man Jing Zi (Viticis Semen), Qiang Huo (Notopterygii Rhizoma et Radix) (each 0.6 qian), Gao Ben (Ligustici Rhizoma) (0.4 qian), Gan Cao (Licorice Root), Sheng Ma (Cimicifugae Rhizoma) (each 0.3 qian). Decoct in water and take before meals.
After severe anger, a woman experiences sudden profuse vaginal bleeding.
Formula: Dang Gui (Angelicae Sinensis Radix), Xiang Fu (Cyperi Rhizoma) (each 2 qian), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Bai Shao (Paeoniae Radix Alba), Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried with vinegar), Chai Hu (Bupleuri Radix) (each 1 qian), Gan Cao (Licorice Root) (0.3 qian). Decoct in water and take before meals.
Various conditions such as metrorrhagia, metrostaxis, and deficiency damage occurring during pregnancy and postpartum in women.
Formula: Chuan Xiong (Ligusticum Chuanxiong Rhizome), Dang Gui (Angelicae Sinensis Radix, washed with wine), Jiu Shao (Paeoniae Radix Alba processed with wine), Ren Shen (Ginseng Radix), Huang Qin (Scutellariae Radix, honey-roasted), Chen Pi (Citri Reticulatae Pericarpium) (each 1 qian), Shu Di Huang (Prepared Rehmanniae Radix, steamed with wine), Bai Zhu (Atractylodis Rhizoma, stir-fried), Lu Jiao Jiao (Colla Cornus Cervi) (each 1 liang 5 qian), Sha Ren (Amomi Fructus) (5 qian). Grind into fine powder, form pills with honey. Take 80 pills per dose with plain warm water on an empty stomach.
Continuous menstruation, metrorrhagia, metrostaxis, and leukorrhea in women.
Formula: Ai Ye (Artemisiae Argyi Folium, soaked in wine overnight and boiled until dry), Mu Li (Concha Ostreae, baked in salt mud), Long Gu (Fossilia Ossis Mastodi) (each 1 liang), Chi Shi Zhi (Halloysit Rubrum, quenched in vinegar seven times, 1 liang 5 qian), Wu Zhu Yu (Evodiae Fructus, processed), Dang Gui (Angelicae Sinensis Radix, steamed with wine) (each 7 qian). Grind into fine powder, form pills with wine. Take 30-40 pills per dose with wine, or alternatively with light salt water decoction.
Regarding leukorrhea (red and white discharge) in women, it is formed by stagnation of Ying Wei (Nutritive and Defensive Qi). Red discharge belongs to Ying (Nutritive) level, and white discharge belongs to Wei (Defensive) level; this is the normal pathological presentation. However, these symptoms arise from emotional disturbances such as joy, anger, sorrow, and overthinking, combined with pre-existing damp-heat, which injure the Ying Wei and Bao Luo (uterine collaterals). This causes turbid qi to seep into the Bladder, resulting in leukorrhea. Mild cases present with intermittent flow, while severe cases present with excessive, uncontrolled flow, accompanied by soreness and pain in the waist and knees, reduced appetite, and diminished spirit. The treatment principle should be to clear the upper jiao and solidify the lower jiao, allowing clear and turbid substances to separate naturally; regulate the Spleen and nourish qi, so that damp-heat resolves spontaneously. Furthermore, maintaining a bland diet followed by warming and tonifying the Lower Yuan (Lower Source) will eliminate the leukorrhea.