一方∶治风热血崩，用荆芥穗灯火烧焦为末，每服一二钱，童便调服。
一方∶治血崩，用陈槐花一两，百草霜半两，为末，每服一二钱，烧红秤锤淬酒服。
增损四物汤（妇百十 虚不固摄） 一味防风散（妇百十五 肝经风热血崩） 防风黄芩汤
（妇一二三 风热血崩） 柏叶散（妇一二一 虚弱久崩） 棕灰散（和二一五 固涩崩漏） 龙
脑鸡苏丸（和三七二 虚火崩淋下血）
陈临川《良方》云∶妇人血崩而心痛甚，名曰杀血心痛，由心脾血虚也。若小产去血过
多，而心痛甚者亦然，用乌贼鱼骨炒为末，醋汤调下；失血散亦效。
立斋曰∶前证若阴血耗散，用乌贼丸收敛之；若瘀血不散，用失笑散行散之；若心血虚
弱，用芎归汤补养之；若郁结伤血，用归脾汤调补之。
附按∶一妇人血崩兼心痛三年矣，诸药不应，每痛甚，虚证悉具，面色痿黄。余曰∶心
主血，盖由去血过多，心无所养，以致作痛，宜用十全大补汤，参术倍之。三十余剂稍愈，
百余剂全愈。
愚谓杀血心痛，既由血去过多而心痛甚，明属心无所养，但当专用甘温以养营气，如十
全大补汤、大营煎、小营煎、五福饮之类为宜。若失笑散者，惟气滞血逆而用以行之、散之
则可，必不可以治血虚也。再如乌贼丸，乃《内经·腹中论》用治血枯者，亦恐于血虚心痛
未必即效，用者审之。
一方：治疗风热引起的血崩，使用荆芥穗在灯火上烧成焦黑后研为细末，每次服用一钱或二钱，用童子尿调服。
另一方：治疗血崩，使用陈年槐花一两，百草霜半两，研为细末，每次服用一钱或二钱，将烧红的秤锤投入酒中淬取药汁送服。
增损四物汤（出自《妇人良方》卷百十，主治虚损不固摄） 一味防风散（出自《妇人良方》卷百十五，主治肝经风热导致的血崩） 防风黄芩汤（出自《妇人良方》卷一二三，主治风热血崩） 柏叶散（出自《妇人良方》卷一二一，主治虚弱久崩） 棕灰散（出自《和剂局方》卷二一五，主治固涩崩漏） 龙脑鸡苏丸（出自《和剂局方》卷三七二，主治虚火引起的崩淋下血）
陈临川在《良方》中说：妇女发生血崩且心痛剧烈，称为“杀血心痛”，这是由于心脾血液亏虚所致。如果是小产失血过多，导致心痛剧烈的情况也是如此，可使用乌贼鱼骨炒成细末，用醋汤调服；失血散也有效。
薛立斋说：上述病症如果属于阴血耗散，使用乌贼丸以收敛止血；如果属于瘀血不散，使用失笑散以行气活血、消散瘀血；如果属于心血虚弱，使用芎归汤以补养心血；如果属于郁结损伤气血，使用归脾汤以调理补益。
附按：有一位妇女患血崩兼带心痛三年了，各种药物均无效，每次疼痛剧烈时，虚证表现全部具备，面色萎黄无华。我说：心主血脉，这是因为失血过多，心脏失去滋养，从而导致疼痛，适宜使用十全大补汤，并加倍人参和白术的用量。服用三十多剂后症状稍有好转，服用一百多剂后完全痊愈。
我认为，“杀血心痛”既然因为失血过多而导致心痛剧烈，明确属于心脏缺乏滋养，应当专门使用甘温性质的药物来滋养营气，如十全大补汤、大营煎、小营煎、五福饮等较为适宜。至于失笑散，仅适用于气滞血逆的情况，用来行气散瘀是可以的，但绝不能用于治疗血虚。再比如乌贼丸，是《内经·腹中论》中用于治疗血枯病的，恐怕对于血虚引起的心痛未必立即见效，使用者需谨慎斟酌。
One prescription: For treating blood flooding (hemorrhage) caused by wind-heat, use Jingjie Sui (Schizonepetae Spica) scorched to black over a lamp flame, ground into powder. Take one or two qian per dose, mixed with Tongbian (urine of a healthy young boy).
Another prescription: For treating blood flooding, use Chen Huaihua (Sophorae Flos) one liang, Baicaoshuang (soot from burning various herbs) half a liang, ground into powder. Take one or two qian per dose, taken with wine in which a red-hot steelyard weight has been quenched.
Zengsun Siwu Tang (Modified Four Substances Decoction) [Source: *Furen Bai Shi*, deficiency failing to secure and hold] Yiwei Fangfeng San (Single-Ingredient Saposhnikoviae Powder) [Source: *Furen Bai Wu Shi*, liver meridian wind-heat causing blood flooding] Fangfeng Huangqin Tang (Saposhnikoviae and Scutellaria Decoction) [Source: *Furen Yi Er San*, wind-heat blood flooding] Baiye San (Cacumen Platycladi Powder) [Source: *Furen Yi Er Yi*, prolonged flooding due to weakness] Zonghui San (Brown Ash Powder) [Source: *Heji Yifang* Vol. 215, astringing for metrorrhagia and metrostaxis] Longnao Jisu Wan (Borneol and Elsholtzia Pill) [Source: *Heji Yifang* Vol. 372, bleeding from metrorrhagia and metrostaxis due to deficient fire]
Chen Linchuan stated in *Liangfang*: When a woman suffers from blood flooding accompanied by severe heart pain, it is named "Killing Blood Heart Pain" (Shaxue Xintong), caused by deficiency of heart and spleen blood. If excessive blood loss occurs during a miscarriage leading to severe heart pain, the condition is similar. Use Ooctopus Sepiae (Cuttlefish Bone) stir-fried into powder, taken with vinegar water; Shixue San (Blood-Loss Powder) is also effective.
Xue Lizhai said: For the aforementioned conditions, if yin-blood is depleted and scattered, use Ouqi Wan (Sepiae Pill) to astringe and consolidate; if stasis-blood does not dissipate, use Shixiao San (Pain-Stopping Powder) to move and disperse; if heart blood is weak and deficient, use Xionggui Tang (Ligusticum and Angelica Decoction) to tonify and nourish; if emotional constraint damages blood, use Guipi Tang (Restore the Spleen Decoction) to regulate and tonify.
Attached Note: A woman suffered from blood flooding combined with heart pain for three years, and various medicines were ineffective. Whenever the pain was severe, all signs of deficiency were present, and her complexion was sallow and withered. I said: The heart governs blood. This is because excessive blood loss has left the heart without nourishment, resulting in pain. It is appropriate to use Shiquan Dabu Tang (Complete Great Tonifying Decoction), doubling the dosage of Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). After more than thirty doses, symptoms slightly improved; after more than one hundred doses, she was completely cured.
I believe that "Killing Blood Heart Pain," since it arises from excessive blood loss causing severe heart pain, clearly belongs to the category of the heart lacking nourishment. One should exclusively use sweet-warm substances to nourish Ying-qi (Nutritive Qi), such as Shiquan Dabu Tang (Complete Great Tonifying Decoction), Daying Jian (Great Camp Decoction), Xiaoying Jian (Small Camp Decoction), and Wufu Yin (Five Blessings Drink), which are suitable. As for Shixiao San (Pain-Stopping Powder), it is only applicable when there is qi stagnation and blood rebellion, used to move and disperse; it must not be used to treat blood deficiency. Furthermore, Ouqi Wan (Sepiae Pill) is used in *Neijing · Fuzhong Lun* (Abdominal Discussions) to treat Xueku (Blood Dryness); it may not necessarily be effective for heart pain caused by blood deficiency. Users should exercise caution.