袁（右） 经来淋沥，满腹痛胀，甚则四肢肩背攻注作痛。厥气纵横，气行入络。当正其气。
橘皮（一钱） 砂仁（五分） 香橼皮（一钱） 川朴（一钱） 大腹皮（二钱） 枳壳（一钱）
香附（二钱） 藿香（三钱） 苏梗（三钱）
金（右） 淋带漏下，少腹自觉冷气结聚，气分攻撑。此冲气不和，
冲脉不固，为崩败之先声也。
党参 阿胶 吴萸 炮姜 炙草 茯神 当归 白芍 香附
某（右） 崩下之势，尚算和平，而呕吐恶心，滴水不能容纳。脉细弦，苔浊质腻。此由血去过多，木失涵
养，致厥阳冲侮胃土，胃中之浊阻而不降。恐致痉厥。
台参须 炒竹茹 茯苓神 干姜 川连（连姜同炒） 血余炭（包）
陈皮 制半夏 旱莲草 茜草炭 炙乌贼骨 炒黑蒲黄（一钱五分） 藕节
徐（右） 崩带日久，脉形濡大。年近花甲，中气虚而不摄。恐难以草木奏功。
党参 黄 冬术 生地炭 茯神 当归炭 阿胶 炙枣仁 炙椿皮 蕲艾炭（三分） 公丁香（三分）
严（右） 久咳痰多气逆。脉象沉弦，苔白粘腻。此饮邪阻肺，而天癸当止反多。恐有崩坏之虞。
党参 茯苓神 炙乌贼骨 土炒于术 炙黄 茜草炭 蒲黄炭 当归炭 远志肉 炒苏子 枣仁 藕节
某右 经至如崩，腹胀已舒，心悸头晕。统藏失职。再益心脾。
炙黄 （二钱） 野于术（一钱五分） 血余炭（一钱） 阿胶珠（三钱） 党参（三钱） 炒枣仁（三钱）
乌贼骨（三钱） 蒲黄炭（八分） 朱茯神（三钱） 龙眼肉（三枚）
某（右） 崩淋不止，腰府作酸，其血即下。奇脉暗损。再参固摄。
生地炭（四钱） 乌贼骨（四钱） 茜草炭（一钱） 浓杜仲（三钱） 旱莲草（三钱） 地榆炭（二钱）
丹皮炭（二钱） 血余炭（一钱） 百草霜（一钱与血余炭同包） 藕（二两煎汤代水）
刘（右） 经积九月而崩，崩后又停年余，腹满不和，脐下气坠，胸脘灼热。脉形沉滞。此血因气滞，冲脉阻
闭。若壅极而决，必至复崩，不可不慎。
延胡索 粉全归 茺蔚子 炒赤芍 粉丹皮 制香附 降香片 丹参 川芎 郁金
右 半产之后，淋漓不止，去冬竟至崩败，崩止而漏下咳频。冲任俱损，兼感风邪。宜为兼顾。
当归炭（二钱） 炙乌贼骨（四钱） 前胡（一钱） 沙苑子（三钱） 震灵丹（二钱） 象贝母（二钱）
川断肉（一钱五分） 杜仲（三钱） 杏仁泥（三钱）
右 屡次血崩，由崩成漏，少腹作痛。冲任奇经失束。恐复崩致厥。
蕲艾炭 真阿胶 制香附 浓杜仲 公丁香 乌贼骨 沙苑子 菟丝子 川断肉 震灵丹（二钱）
范（右） 崩漏数日不止，始则少腹作痛，今则痛止而觉作酸，间数日辄成块作片而下，头晕耳鸣，面色
浮黄，饮食少思，中脘不舒。脉数濡软，舌苔浮白无华。此久崩之下，肝脾并亏，统藏失职。恐血复下而致晕厥。
台参须（另煎冲七分） 远志肉（甘草汤拌炒五分） 朱茯神（三钱） 炮姜（四分） 炒山药（三钱） 血余
炭（一钱） 熟附片（三分） 野于术（一钱五分） 木香（四分） 当归（炒透一钱五分） 潼沙苑（盐水炒三钱）
川断肉（三钱） 震灵丹（莲子汤送下）
张（右） 漏经不止，成块作片而下。迩则胸脘不舒，涎涌作恶，气撑腹满。脉细，关部弦劲。此由阴血失营，
致厥气冲侮胃土。恐虚中生变不可不慎。
广皮 制半夏 茯苓 旋复花 赭石 金铃子 金石斛 砂仁 盐水炒竹茹 左金丸
又 调气镇逆，而和肝胃之阴，作恶较定，复下血块，气撑胸满，由此而松。良以冲为血海，其脉从气街
夹脐上行，而散于胸中，冲瘀既行，则胸中之气自展。特口中粘腻，津液悉成涎沫，不能下咽，频吐之余，喉舌转燥，
舌边白糜星布，脉虚左大，右关无情。胃阴耗残之甚，恐虚火挟浊上蒸，而糜腐大布，所谓虚中生变者，即此而是。
西洋参 麦冬 赤苓神 制半夏 橘皮 乌贼骨 茜草炭 赭石 竹茹 枇杷叶
又 昨进降胃之逆，和胃之阴，口腻恶心顿减。其为胃阴耗残，略见一斑。脉象较敛，舌糜已化。药既应
手，宜再扩充。
前方去赭石，加细子芩北沙参金石斛。
袁（右侧脉象）：月经淋漓不尽，小腹部胀满疼痛，严重时四肢、肩背部出现游走性攻冲作痛。厥逆之气纵横乱窜，气机运行侵入络脉。应当调理气机。
橘皮（一钱） 砂仁（五分） 香橼皮（一钱） 厚朴（一钱） 大腹皮（二钱） 枳壳（一钱）
香附（二钱） 藿香（三钱） 苏梗（三钱）
金（右侧脉象）：白带淋漓漏下，自觉少腹部有冷气结聚，气分攻撑胀痛。这是冲脉之气不和，
冲脉不固，是崩漏发作的先兆。
党参 阿胶 吴茱萸 炮姜 炙甘草 茯神 当归 白芍 香附
某（右侧脉象）：崩漏下血之势尚算平和，但伴有呕吐恶心，滴水不能入口。脉象细弦，舌苔浊腻，体质偏腻。这是由于失血过多，肝木失去血液的涵养，导致厥阳之气上冲侵犯胃土，胃中浊邪阻滞而不能下降。恐怕会导致痉病或厥证。
人参须 炒竹茹 茯苓神 干姜 黄连（与干姜同炒） 血余炭（包煎）
陈皮 制半夏 旱莲草 茜草炭 炙乌贼骨 炒黑蒲黄（一钱五分） 藕节
徐（右侧脉象）：崩漏带下日久，脉象濡大。年近六十岁，中气虚弱而不能统摄血液。恐怕难以依靠普通草木药物见效。
党参 黄芪 冬术 生地炭 茯神 当归炭 阿胶 炙酸枣仁 炙椿皮 蕲艾炭（三分） 公丁香（三分）
严（右侧脉象）：久咳痰多，气机上逆。脉象沉弦，舌苔白粘腻。这是饮邪阻滞肺脏，而天癸（指女子月经相关的生理物质/功能）该停止时反而增多。恐怕有崩漏坏死的危险。
党参 茯苓神 炙乌贼骨 土炒白术 炙黄芪 茜草炭 蒲黄炭 当归炭 远志肉 炒苏子 枣仁 藕节
某右：月经来潮如崩漏般量大，腹胀已缓解，但有心悸头晕。心脾统藏血液的功能失职。再补益心脾。
炙黄芪（二钱） 野白术（一钱五分） 血余炭（一钱） 阿胶珠（三钱） 党参（三钱） 炒酸枣仁（三钱）
乌贼骨（三钱） 蒲黄炭（八分） 朱茯神（三钱） 龙眼肉（三枚）
某（右侧脉象）：崩漏不止，腰部酸痛，血液随即流出。奇经八脉暗中受损。再参考固摄之法治疗。
生地炭（四钱） 乌贼骨（四钱） 茜草炭（一钱） 浓杜仲（三钱） 旱莲草（三钱） 地榆炭（二钱）
丹皮炭（二钱） 血余炭（一钱） 百草霜（一钱与血余炭同包） 藕（二两煎汤代水）
刘（右侧脉象）：经血积聚九月后发生崩漏，崩漏停止后又停经一年多，腹部胀满不适，脐下有气下坠感，胸脘部灼热。脉象沉滞。这是血因气滞，冲脉阻塞闭郁。如果壅塞至极而决裂，必然再次崩漏，不可不谨慎。
延胡索 粉全当归 茺蔚子 炒赤芍 粉牡丹皮 制香附 降香片 丹参 川芎 郁金
右侧：半产后，淋漓出血不止，去年冬天竟至崩漏败坏，崩止后却频繁咳嗽。冲脉和任脉俱损，兼感风邪。宜兼顾治疗。
当归炭（二钱） 炙乌贼骨（四钱） 前胡（一钱） 沙苑子（三钱） 震灵丹（二钱） 象贝母（二钱）
川断肉（一钱五分） 杜仲（三钱） 杏仁泥（三钱）
右侧：屡次血崩，由崩转为漏，少腹部作痛。冲任奇经失去约束。恐怕再次崩漏导致厥证。
蕲艾炭 真阿胶 制香附 浓杜仲 公丁香 乌贼骨 沙苑子 菟丝子 川断肉 震灵丹（二钱）
范（右侧脉象）：崩漏数日不止，起初少腹部作痛，现在痛止但感觉酸痛，每隔几天就成块成片地排出，头晕耳鸣，面色浮黄，饮食缺乏食欲，中脘部不舒服。脉象数而濡软，舌苔浮白无光泽。这是长期崩漏之下，肝脾两亏，统藏血液的脏腑功能失职。恐怕血液再次下行而导致晕厥。
人参须（另煎冲服七分） 远志肉（甘草汤拌炒五分） 朱茯神（三钱） 炮姜（四分） 炒山药（三钱） 血余
炭（一钱） 熟附片（三分） 野白术（一钱五分） 木香（四分） 当归（炒透一钱五分） 潼沙苑（盐水炒三钱）
川断肉（三钱） 震灵丹（莲子汤送下）
张（右侧脉象）：漏经不止，成块成片地排出。近来胸脘部不舒服，涎液涌出感到恶心，气机撑胀腹部。脉象细，关部弦劲。这是由于阴血失于营养，
导致厥气上冲侵犯胃土。恐怕虚证中生变，不可不谨慎。
广陈皮 制半夏 茯苓 旋复花 赭石 金铃子 金石斛 砂仁 盐水炒竹茹 左金丸
又诊：调理气机镇逆，并调和肝胃之阴，恶心症状较前安定，但又排出血块，气撑胸满的症状因此缓解。这是因为冲脉为血海，其脉从气街
夹脐上行，散布于胸中，冲脉瘀血既行，则胸中之气自然舒展。只是口中粘腻，津液全部变成涎沫，不能吞咽，频繁呕吐之后，喉舌转燥，
舌边白腐点星布，脉象虚而左侧大，右关脉无情致。胃阴耗损残存极少，恐怕虚火挟带浊邪上蒸，导致大面积的糜腐，所谓虚中生变，就是指这种情况。
西洋参 麦冬 赤茯苓神 制半夏 橘皮 乌贼骨 茜草炭 赭石 竹茹 枇杷叶
又诊：昨日服用降胃气之逆、和胃阴的药物，口腻恶心顿时减轻。这显示胃阴耗损残存的情况略见一斑。脉象较前收敛，舌面糜腐已化。药既有效，宜再扩充方义。
前方去掉赭石，加黄芩、北沙参、金石斛。
Yuan (Right): Menstrual bleeding is dripping and prolonged, with fullness, pain, and distension in the lower abdomen. In severe cases, pain attacks and radiates to the four limbs, shoulders, and back. Jue Qi (Rebellious Qi) moves wildly, and Qi enters the collaterals. It is necessary to rectify the Qi.
Chenpi (Tangerine Peel, 1 qian), Sharen (Amomum Fruit, 5 fen), Xiangyuan Pi (Citron Rind, 1 qian), Chuan Po (Magnolia Bark, 1 qian), Dafupi (Areca Peel, 2 qian), Zhiqiao (Bitter Orange Fruit, 1 qian).
Xiangfu (Cyperus Rhizome, 2 qian), Huoxiang (Patchouli Herb, 3 qian), Sugeng (Perilla Stem, 3 qian).
Jin (Right): Dripping leukorrhea and metrorrhagia. The patient feels cold air accumulating in the lower abdomen, with Qi attacking and distending. This indicates disharmony of the Chong Mai (Penetrating Vessel) and instability of the Chong Mai, which is a precursor to Bing Lou (Metrorrhagia and Metrostaxis).
Dangshen (Codonopsis Root), Ejiao (Donkey-hide Gelatin), Wuyu (Evodia Fruit), Paojiang (Prepared Ginger), Zhigancao (Honey-fried Licorice Root), Fushen (Poria with Hostwood), Danggui (Angelica Sinensis Root), Baishao (White Peony Root), Xiangfu (Cyperus Rhizome).
Certain Patient (Right): The trend of Bing Lou (Metrorrhagia and Metrostaxis) is relatively mild, but accompanied by vomiting and nausea, unable to tolerate even a drop of water. The pulse is fine and wiry; the coating is turbid and greasy, indicating a phlegm-damp constitution. This is due to excessive blood loss causing Liver Wood to lose nourishment, leading to Jue Yang (Hyperactive Yang) rushing up to harass Stomach Earth. Turbid pathogens in the Stomach obstruct and fail to descend. There is fear of developing Jing Jue (Spasm and Coma).
Taishenxu (Ginseng Radicula), Chao Zhuru (Fried Bamboo Shavings), Fuling Shen (Poria with Hostwood), Ganjiang (Dried Ginger), Chuanlian (Coptis Rhizome, stir-fried with Ganjiang), Xueyutan (Charred Human Hair, wrapped), Chenpi (Tangerine Peel), Zhibanxia (Prepared Pinellia Tuber), Hanliancao (Eclipta Herb), Qiancao Tan (Charred Rubia Root), Zhi Ouguz (Prepared Cuttlefish Bone), Chao Hei Huyang (Charred Black Polygonatum Seed, 1.5 qian), Ou jie (Lotus Node).
Xu (Right): Bing Lou (Metrorrhagia and Metrostaxis) and leukorrhea have persisted for a long time; the pulse form is Ru Da (Soft and Large). Approaching sixty years of age, the Middle Qi is deficient and fails to control. It may be difficult to achieve efficacy with ordinary herbal medicines.
Dangshen (Codonopsis Root), Huangqi (Astragalus Root), Dongzhu (Winter Atractylodes Rhizome), Shengdi Tan (Charred Rehmannia Root), Fushen (Poria with Hostwood), Danggui Tan (Charred Angelica Sinensis Root), Ejiao (Donkey-hide Gelatin), Zhi Zaoren (Honey-fried Sour Jujube Seed), Zhi Chunpi (Prepared Toona Leaf Bark), Qiai Tan (Charred Qidong Mugwort Leaf, 3 fen), Gongdingxiang (Cloves, 3 fen).
Yan (Right): Chronic cough with profuse sputum and rebellious Qi. The pulse is Chen Xian (Deep and Wiry); the coating is white, sticky, and greasy. This is Phlegm-Fluid pathogen obstructing the Lung, while Tian Gui (Menstrual Essence) should cease but instead increases. There is fear of Bing Huan (Collapse and Destruction).
Dangshen (Codonopsis Root), Fushen (Poria with Hostwood), Zhi Ouguz (Prepared Cuttlefish Bone), Tu Chao Yuzhu (Earth-fried Atractylodes Rhizome), Zhi Huangqi (Honey-fried Astragalus Root), Qiancao Tan (Charred Rubia Root), Huyang Tan (Charred Polygonatum Seed), Danggui Tan (Charred Angelica Sinensis Root), Yuanzhi Rou (Polygala Root Flesh), Chao Suzi (Fried Perilla Seed), Zaoren (Sour Jujube Seed), Ou jie (Lotus Node).
Certain Patient (Right): Menstruation arrives like a flood (Beng), abdominal distension has relieved, but there is palpitations and dizziness. The Zang organs' function of storing and controlling blood is impaired. Further tonify Heart and Spleen.
Zhi Huangqi (Honey-fried Astragalus Root, 2 qian), Ye Yuzhu (Wild Atractylodes Rhizome, 1.5 qian), Xueyutan (Charred Human Hair, 1 qian), Ejiao Zhu (Gelatin Beads, 3 qian), Dangshen (Codonopsis Root, 3 qian), Chao Zaoren (Fried Sour Jujube Seed, 3 qian).
Ouguz (Cuttlefish Bone, 3 qian), Huyang Tan (Charred Polygonatum Seed, 8 fen), Zhu Fushen (Vermilion-coated Poria with Hostwood, 3 qian), Longyanrou (Longan Aril, 3 pieces).
Certain Patient (Right): Bing Lin (Metrorrhagia and dripping) does not stop; the waist region feels sore, and blood flows down immediately. The Qi Mai (Extraordinary Vessels) are secretly damaged. Further refer to methods of securing and controlling.
Shengdi Tan (Charred Rehmannia Root, 4 qian), Ouguz (Cuttlefish Bone, 4 qian), Qiancao Tan (Charred Rubia Root, 1 qian), Nong Duzhong (Concentrated Eucommia Bark, 3 qian), Hanliancao (Eclipta Herb, 3 qian), Diyu Tan (Charred Sanguisorba Root, 2 qian).
Danpi Tan (Charred Moutan Cortex, 2 qian), Xueyutan (Charred Human Hair, 1 qian), Baicaoshuang (Herbal Charcoal, 1 qian, packed with Xueyutan), Ou (Lotus Root, 2 liang, decocted as water substitute).
Liu (Right): Blood accumulated for nine months before Bing (Flooding) occurred; after stopping, amenorrhea lasted over a year. Abdominal fullness and discomfort, Qi sinking below the umbilicus, burning sensation in the chest and epigastrium. The pulse is Chen Zhi (Deep and Stagnant). This is Blood stasis due to Qi stagnation, blocking the Chong Mai (Penetrating Vessel). If obstruction becomes extreme and ruptures, it will inevitably lead to recurrent Bing (Flooding); caution is essential.
Yanhusuo (Corydalis Rhizome), Fen Quanguidanggui (Powdered Whole Angelica Sinensis Root), Chongweizi (Chenopodium Seed), Chao Chishao (Fried Red Peony Root), Fen Danpi (Powdered Moutan Cortex), Zhi Xiangfu (Processed Cyperus Rhizome), Jiangxiang Pian (Dalbergia Odorifera Chips), Danshen (Salvia Root), Chuanxiong (Ligusticum Rhizome), Yujin (Curcuma Rhizome).
Right: After semi-abortion, dripping bleeding did not stop; last winter it escalated to Bing Bai (Collapse and Destruction). After Bing stopped, leakage continued with frequent coughing. Both Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are damaged, complicated by Wind pathogen invasion. Treatment should address both.
Danggui Tan (Charred Angelica Sinensis Root, 2 qian), Zhi Ouguz (Prepared Cuttlefish Bone, 4 qian), Qianhu (Peucedanum Root, 1 qian), Shayuanzi (Astragalus Complanatus Seed, 3 qian), Zhenling Dan (Zhenling Pill, 2 qian), Xiang Beimu (Fritillaria Thunbergii Bulb, 2 qian).
Chuanduan Rou (Sargentodoxa Stem, 1.5 qian), Duzhong (Eucommia Bark, 3 qian), Xingren Ni (Apricot Kernel Paste, 3 qian).
Right: Recurrent Bing (Flooding), progressing from flooding to leakage (Lou), with lower abdominal pain. The Chong and Ren extraordinary vessels lose their binding constraint. Fear of recurrent Bing leading to Jue (Coma).
Qiai Tan (Charred Qidong Mugwort Leaf), Zhen Ejiao (Authentic Donkey-hide Gelatin), Zhi Xiangfu (Processed Cyperus Rhizome), Nong Duzhong (Concentrated Eucommia Bark), Gong Dingxiang (Cloves), Ouguz (Cuttlefish Bone), Shayuanzi (Astragalus Complanatus Seed), Tusizi (Cuscuta Seed), Chuanduan Rou (Sargentodoxa Stem), Zhenling Dan (Zhenling Pill, 2 qian).
Fan (Right): Bing Lou (Metrorrhagia and Metrostaxis) has not stopped for several days. Initially, there was lower abdominal pain; now the pain has ceased but soreness is felt. Every few days, clumps and sheets are discharged. Dizziness and tinnitus, floating yellow complexion, poor appetite, discomfort in the epigastrium. The pulse is Shu Ru Ruan (Rapid, Soft, and Weak); the tongue coating is floating white and lusterless. This is due to chronic Bing Lou causing deficiency of both Liver and Spleen, and impairment of the Zang organs' function to store and control blood. Fear of recurrent bleeding leading to syncope.
Taishenxu (Ginseng Radicula, separately decocted and taken, 7 fen), Yuanzhi Rou (Polygala Root Flesh, fried with Licorice Decoction, 5 fen), Zhu Fushen (Vermilion-coated Poria with Hostwood, 3 qian), Paojiang (Prepared Ginger, 4 fen), Chao Shanyao (Fried Chinese Yam, 3 qian), Xueyutan (Charred Human Hair, 1 qian).
Shufupian (Prepared Aconite Slice, 3 fen), Ye Yuzhu (Wild Atractylodes Rhizome, 1.5 qian), Muxiang (Aucklandia Root, 4 fen), Danggui (Angelica Sinensis Root, thoroughly fried, 1.5 qian), Tong Shayuan (Astragalus Complanatus Seed, salt-water fried, 3 qian).
Chuanduan Rou (Sargentodoxa Stem, 3 qian), Zhenling Dan (Zhenling Pill, taken with Lotus Seed Decoction).
Zhang (Right): Metrorrhagia does not stop, discharging clumps and sheets. Recently, chest and epigastric discomfort, surging saliva with nausea, Qi distension and abdominal fullness. The pulse is Xi (Fine), Guan position is Xian Jin (Wiry and Forceful). This is due to Yin Blood failing to nourish, causing Jue Qi (Rebellious Qi) to rush up and harass Stomach Earth. Fear of complications arising from deficiency; caution is essential.
Guangpi (Broad Tangerine Peel), Zhibanxia (Prepared Pinellia Tuber), Fuling (Poria), Xuanfuhua (Inula Flower), Zhesi (Hematite), Jinlingzi (Melia Fruit), Jinshihu (Dendrobium Stem), Sharen (Amomum Fruit), Salt-water fried Zhuru (Bamboo Shavings), Zuojin Wan (Left Metal Pill).
Second Visit: Regulating Qi and suppressing rebellion, while harmonizing Liver and Stomach Yin, nausea has stabilized. However, blood clumps were discharged again; Qi distension and chest fullness have since relaxed. This is because Chong Mai (Penetrating Vessel) is the Sea of Blood; its channel ascends from Qichuan alongside the navel and disperses in the chest. Once Chong Mai stasis moves, Qi in the chest naturally expands. However, the mouth remains sticky; all body fluids have turned into saliva/phlegm, unable to swallow. After frequent spitting, the throat and tongue become dry. White fungal spots are scattered on the tongue edges. The pulse is Xu (Deficient) and Left is Large; Right Guan lacks vitality. Stomach Yin is severely depleted. Fear that Deficient Fire carrying turbid pathogens steams upward, causing widespread ulceration/destruction. What is meant by "complications from deficiency" refers precisely to this.
Xiyangshen (American Ginseng), Maidong (Ophiopogon Tuber), Chi Fuling Shen (Red Poria with Hostwood), Zhibanxia (Prepared Pinellia Tuber), Ju pi (Tangerine Peel), Ouguz (Cuttlefish Bone), Qiancao Tan (Charred Rubia Root), Zhesi (Hematite), Zhuru (Bamboo Shavings), Pipaye (Loquat Leaf).
Third Visit: Yesterday, administering herbs to descend rebellious Stomach Qi and harmonize Stomach Yin, oral stickiness and nausea decreased abruptly. This reveals the extent of Stomach Yin depletion. The pulse has become more restrained; tongue ulceration has resolved. Since the medication is effective, the prescription should be expanded.
Remove Zhesi (Hematite) from the previous formula; add Zixi Qin (Young Scutellaria Root), Beishashen (Northern Glehnia Root), Jinshihu (Dendrobium Stem).