大小蓟根（五两） 白茅根（三两）
上二味细切，用酒五斤煮，取四斤，去渣，分四服。（用酒之意，便是升法）
一方治妇人血崩
槐花（半两，炒） 黄芩（二两，去皮）
上二味，共为细末。每服五钱，好酒一碗，用铜秤锤一枚，桑柴火烧红，浸入酒内，调
服，不拘时。忌生冷、油腻之物。
金华散 治血室有热，崩下不止，服温药不效者。
玄胡索 当归 瞿麦穗 牡丹皮 干姜（各一两） 石膏（二两） 桂心（另研） 威灵仙（各七钱）
蒲黄（半两）
上为细末。每服三钱，水煎空心温服，日二次。（此方用石膏，以阳明为血海也，而干姜、桂心为之从治，威灵仙
去肠中宿脓恶水，惟败腐不清，热结血凝者可用）
简易黄芩汤 治崩中下血，今人多用止血补血之药，惟此方治阳乘阴，所谓天暑地热，
经水沸溢者。
黄芩一味研为细末。每服三钱，霹雳酒调下（即烧秤锤淬酒）。一方荆芥汤煎下。
胶艾四物汤 治劳伤血气，月水过多，或崩漏不止，及妊娠胎气不安，或因损动，漏血
伤胎者，亦宜。
当归 川芎 白芍药 熟地黄 阿胶（炒成珠） 艾叶（各一钱） 甘草（炙，五分）
上锉。水酒各半煎，空心服。（与奇效四物少异，彼用黄芩，此用甘草，彼以水煎，此又半酒，其温凉不同如此）
当归芍药汤 治妇人经脉漏下不止，其色鲜红，先因劳役，脾胃虚弱，气短气逆，自汗
不止，身热闷乱，恶见饮食，四肢倦怠，大便时泄。
黄 （一钱半） 白术 苍术（泔浸去皮） 当归身 白芍药（各一钱） 陈皮 熟地黄（各五分）
生地黄 甘草（炙，各三分） 柴胡（二分）（据见证悉属脾胃气虚，当用补中益气为主，今此方不用人参、升麻何也，
苍术气悍燥散，其色鲜红，又何用之？况与地黄同用，岂不为时人所笑！要知古人皆因证立方，但求至理所在，而不
必拘方以试病也）
上作一服，水煎，空心热服。（东垣为一妇人制此方，一服之后，诸证悉去。予族一妇
，因劳役下血，每来两旬不止，医者拘血热之说，用四物加芩连，累治不愈。一日血大下，
昏迷不醒，急以问予，予用此药一剂，少顷顿醒，过两时血遂止，后常用此药，其病遂不复
作。盖血虚须兼补气，尝譬之血犹水也，气犹堤也，堤坚则水不横决，气固则血不妄行，自
然之理也。此药黄 最多，白术次之，所以神效。俗医不达此理，专用凉药，不知凉药伤胃
，服久则正气愈弱，血安得固，故特为表而出之也）
归脾汤 治妇人思虑伤脾，不能摄血，以致妄行，或健忘怔忡，惊悸不寐，或心脾伤痛
，怠惰嗜卧，不思饮食。（此为气犹夫也，血犹妻也，血随气升，夫唱妇随之道耳。夫营出中焦，脾胃气虚，则中气
下陷，是营血失其夫矣，此方益营助脾，而以气药为君者，正此意）
人参 黄 （炒） 白术 白茯苓 当归 远志（去心） 酸枣仁（炒，各一钱） 木香 甘草
（炙，各五分） 龙眼肉
上锉。加生姜三片，枣一枚，水煎服。（心脾气虚气结者宜之） 加柴胡、山栀，名加味归脾汤。
柏子仁汤 治妇人忧思过度，劳伤心经，不能藏血，遂致崩中下血不止。
柏子仁（炒） 香附子（炒） 芎 鹿茸（燎去毛，酒蒸焙） 茯神（去木） 当归（各一钱半
川续断（二钱） 阿胶（炒） 远志（去心，各一钱） 甘草（炙，五分）
上作一服，生姜五片，水煎，空心服。（此《济生方》也，而立斋加柴、栀以清厥阴之火，以升甲胆之气。鹿茸
乃阴中至阳，阴体而阳用也，非血脱气衰者不用）
养血平肝散 治大怒经血暴下。
当归（酒浸） 白芍药（炒） 香附（炒黑，各二钱） 青皮（醋炒） 柴胡 川芎 生地黄（各八
分） 甘草（五分）
上锉。水煎，食前服。（以大怒而用是，故曰平肝，香附、青皮、柴胡、芍药、甘草、川芎，缓肝疏肝，升提肝气；
当归、生地，养血荣肝。然所重在大怒，故立方如此）
【大小蓟根方】
取大蓟根五两、白茅根三两。
将这两味药细细切碎，用五斤酒煎煮，浓缩至四斤，滤去药渣，分四次服用。（使用酒的用意，在于利用其升提之性）
【一方治妇人血崩】
槐花半两（炒制）、黄芩二两（去皮）。
将这两味药共同研成细末。每次服用五钱，用一碗好酒，取一枚铜秤锤，用桑柴火烧红后浸入酒中，以此调服药末，不限具体时间。忌食生冷、油腻食物。
【金华散】
主治血室有热，导致经血崩漏不止，服用温热药物无效者。
玄胡索一两、当归一两、瞿麦穗一两、牡丹皮一两、干姜一两、石膏二两、桂心（另研成粉）、威灵仙七钱、蒲黄半两。
将上述药物研成细末。每次服用三钱，空腹时用水煎服，每日两次。（此方使用石膏，是因为阳明经为血海，而干姜、桂心作为辅助治疗，威灵仙能去除肠道中的陈旧脓液和恶水，仅适用于腐败不清、热结血凝的证候）
【简易黄芩汤】
主治崩中下血。如今人们多用止血补血的药物，唯独此方治疗阳乘阴的情况，即所谓“天暑地热，经水沸溢”的状态。
单用黄芩一味，研成细末。每次服用三钱，用霹雳酒送服（即用烧红的秤锤淬酒而成的酒）。另一法是用荆芥汤煎服。
【胶艾四物汤】
主治劳损伤及气血，月经量过多，或崩漏不止，以及妊娠期间胎气不安，或因损伤扰动导致漏血伤胎者，也适宜使用。
当归一钱、川芎一钱、白芍药一钱、熟地黄一钱、阿胶（炒至珠状）一钱、艾叶一钱、甘草（炙）五分。
将药材切碎。用水和酒各半煎煮，空腹服用。（与奇效四物汤略有不同，奇效四物汤用黄芩，此方用甘草；奇效四物汤纯水煎，此方加半酒，因此温凉性质不同如此）
【当归芍药汤】
主治妇人经脉漏下不止，血色鲜红。起因于劳累役使，脾胃虚弱，气短气逆，自汗不止，身体发热闷乱，厌恶饮食，四肢倦怠，大便时常泄泻。
黄芪一钱半、白术一钱、苍术（泔水浸泡去皮）一钱、当归身一钱、白芍药一钱、陈皮五分、熟地黄五分、生地黄三分、甘草（炙）三分、柴胡二分。（根据症状判断均属脾胃气虚，应当以补中益气为主。为何此方不用人参、升麻？苍术气味悍烈且燥散，若血色鲜红又何必使用？况且与地黄同用，岂不被时人嘲笑！要知道古人都是因证立法，只求符合至理所在，不必拘泥于固定方剂来试探疾病。）
以上为一服的量，用水煎煮，空腹热服。（此方是李东垣为一位妇人制定的，服用一次后，所有症状全部消除。我的族中一位妇人，因劳累导致下血，每次持续半个月不止。医生拘泥于血热的说法，使用四物汤加黄芩、黄连，多次治疗未愈。一日突然大量出血，昏迷不醒，急忙来问我。我使用此药一剂，不久便苏醒，过了两个时辰血便停止，此后常用此药，病再未发作。大概血虚必须兼补气，我曾比喻：血就像水，气就像堤坝，堤坝坚固则水不会横决泛滥，气固摄则血不会妄行，这是自然之理。此药中黄芪最多，白术次之，所以神效。世俗医生不懂这个道理，专用寒凉药物，不知寒凉药会损伤胃气，服用久了正气更加虚弱，血怎么能固摄呢？因此特意列出并阐明此理。）
【归脾汤】
主治妇人思虑伤脾，不能统摄血液，导致血液妄行，或者健忘怔忡，惊悸失眠，或者心脾疼痛，怠惰嗜卧，不思饮食。（这好比气是丈夫，血是妻子，血随气上升，这是夫唱妇随的道理。营气出于中焦，脾胃气虚则中气下陷，这就是营血失去了丈夫的依附。此方益营助脾，以气药为君药，正是这个意思。）
人参一钱、黄芪（炒）一钱、白术一钱、白茯苓一钱、当归一钱、远志（去心）一钱、酸枣仁（炒）一钱、木香五分、甘草（炙）五分、龙眼肉适量。
将药材切碎。加生姜三片、大枣一枚，用水煎服。（适合心脾气虚气结者）加入柴胡、山栀，名为加味归脾汤。
【柏子仁汤】
主治妇人忧思过度，劳伤心经，不能藏血，导致崩中下血不止。
柏子仁（炒）一钱半、香附子（炒）一钱半、川芎一钱半、鹿茸（燎去毛，酒蒸焙）一钱半、茯神（去木）一钱半、当归一钱半、川续断二钱、阿胶（炒）一钱、远志（去心）一钱、甘草（炙）五分。
以上为一服的量，加生姜五片，用水煎煮，空腹服用。（此方出自《济生方》，但薛立斋加入柴胡、山栀以清厥阴之火，提升胆气。鹿茸是阴中之至阳，具阴体而用阳，非血脱气衰者不用。）
【养血平肝散】
主治大怒导致经血暴下。
当归（酒浸）二钱、白芍药（炒）二钱、香附（炒黑）二钱、青皮（醋炒）八分、柴胡八分、川芎八分、生地黄八分、甘草五分。
将药材切碎。用水煎煮，饭前服用。（因为是大怒致病而用此方，故称平肝。香附、青皮、柴胡、芍药、甘草、川芎，能缓和肝气、疏泄肝气、升提肝气；当归、生地，能养血荣养肝脏。然而重点在于平息大怒，所以如此组方。）
[Da Ji Gen Fang]
Take 5 liang of Radix Cirsii Japonici (Daji) and 3 liang of Rhizoma Imperatae (Baimaogen).
Finely cut these two herbs, decoct them in 5 jin of wine, reduce to 4 jin, strain off the dregs, and divide into four doses. (The intention of using wine is to employ its ascending method.)
[One Prescription for Treating Metrorrhagia in Women]
Take 0.5 liang of Flos Sophorae (Huaihua), stir-fried, and 2 liang of Radix Scutellariae (Huangqin), peeled.
Grind these two herbs together into a fine powder. Take 5 qian per dose, mixed with one bowl of good wine. Heat a copper scale weight until red with mulberry wood fire, then quench it in the wine to mix with the powder. Take at any time. Avoid raw, cold, and greasy foods.
[Jinhua San]
Indicated for heat in the blood chamber causing continuous metrorrhagia, when warm medicines are ineffective.
Take 1 liang each of Rhizoma Corydalis (Yanhusuo), Radix Angelicae Sinensis (Danggui), Spica Lepidii (Qumaisui), Cortex Moutan (Mudanpi), and Rhizoma Zingiberis (Ganjiang); 2 liang of Gypsum Fibrosum (Shigao); 1 liang of Cinnamomi Ramulus (Guixin, ground separately); 7 qian each of Radix Saposhnikoviae (Weilingxian); and 0.5 liang of Polygoni Multiflori Caulis (Puhuang).
Grind all into a fine powder. Take 3 qian per dose, decocted in water and taken warm on an empty stomach, twice daily. (This formula uses Shigao because the Yangming channel is the sea of blood; Ganjiang and Guixin serve as adjuvant treatments; Weilingxian removes old pus and foul fluids from the intestines. It is only suitable for cases with rotting impurity, heat binding, and blood stasis.)
[Jianyi Huangqin Tang]
Indicated for metrorrhagia and hematochezia. Nowadays, people mostly use hemostatic and blood-nourishing medicines, but this formula treats "Yang invading Yin," described as "heavenly heat and earthly warmth causing menstrual blood to boil over."
Grind Radix Scutellariae (Huangqin) alone into a fine powder. Take 3 qian per dose, washed down with Pili Jiu (Thunderbolt Wine, i.e., wine quenched with a hot scale weight). Another method is to decoct with Folium Schizonepetae (Jingjie).
[Jiao Ai Siwu Tang]
Indicated for labor injury damaging Qi and Blood, excessive menstruation, or continuous metrorrhagia and leukorrhea; also suitable for fetal restlessness during pregnancy, or leakage bleeding damaging the fetus due to trauma or disturbance.
Take 1 qian each of Radix Angelicae Sinensis (Danggui), Rhizoma Chuanxiong (Chuanxiong), Radix Paeoniae Alba (Baishao), Prepared Radix Rehmanniae (Shudihuang), Colla Corii Asini (Ejiao, fried until bead-like), Folium Artemisiae Argyi (Aiyè), and 5 fen of Radix Glycyrrhizae Preparata (Zhigancao).
Cut the herbs. Decoct with half water and half wine, take on an empty stomach. (Slightly different from Qixiao Siwu Tang: that one uses Huangqin, this one uses Zhigancao; that one uses pure water, this one adds half wine, thus differing in warming and cooling properties.)
[Danggui Shaoyao Tang]
Indicated for continuous intermenstrual bleeding in women with bright red blood. The cause is fatigue and overwork leading to Spleen-Stomach deficiency, shortness of breath, rebellious Qi, spontaneous sweating, fever and mental restlessness, aversion to food, limb fatigue, and occasional diarrhea.
Take 1.5 qian of Radix Astragali (Huangqi); 1 qian each of Rhizoma Atractylodis Macrocephalae (Baizhu), Rhizoma Atractylodis (Cangzhu, soaked in rice water and peeled), Radix Angelicae Sinensis (Dangguishen), and Radix Paeoniae Alba (Baishao); 0.5 qian each of Pericarpium Citri Reticulatae (Chenpi) and Prepared Radix Rehmanniae (Shudihuang); 0.3 qian each of Radix Rehmanniae Recens (Shengdihuang) and Radix Glycyrrhizae Preparata (Zhigancao); and 0.2 qian of Radix Bupleuri (Chaihu). (Based on symptoms, this belongs to Spleen-Stomach Qi deficiency, so Bu Zhong Yi Qi should be primary. Why no Renshen or Shengma here? Cangzhu is pungent, harsh, and drying; if the blood is bright red, why use it? Combined with Dihuáng, would it not be mocked by contemporaries? One must know ancients formulated based on patterns, seeking truth rather than rigidly applying formulas. )
Decoct one dose in water, take hot on an empty stomach. (Li Dongyuan created this for a woman; after one dose, all symptoms vanished. A female relative of mine suffered from bleeding due to overwork, lasting half a month each time. Doctors stuck to the theory of blood heat, using Siwu Tang plus Huangqin and Lianmu, without success. One day she bled heavily and fainted. I prescribed this formula; she woke shortly after, and bleeding stopped within two hours. She used it often thereafter with no recurrence. Blood deficiency requires Qi tonification. I compare Blood to water and Qi to a dike; if the dike is firm, water does not burst forth; if Qi is solid, Blood does not wander recklessly—this is natural law. This formula uses the most Huangqi and Baizhu, hence its miraculous effect. Common doctors do not understand this, using only cooling medicines, which damage Stomach Qi and weaken Zheng Qi, making Blood impossible to secure. Therefore, I highlight this principle.)
[Guipi Tang]
Indicated for women whose excessive thinking injures the Spleen, failing to control Blood, leading to erratic flow; or forgetfulness, palpitations, fright, insomnia; or Heart-Spleen pain, lethargy, desire to lie down, and loss of appetite. (This illustrates that Qi is like the husband and Blood like the wife; Blood follows Qi upward, following the way of the husband singing and the wife responding. Ying Qi originates from the Middle Jiao; Spleen-Stomach Qi deficiency causes Middle Qi to sink, meaning Ying Blood has lost its 'husband.' This formula nourishes Ying and assists the Spleen, using Qi-tonifying herbs as sovereign agents, reflecting this intent.)
Take 1 qian each of Radix Ginseng (Renshen), Radix Astragali (Huangqi, stir-fried), Rhizoma Atractylodis Macrocephalae (Baizhu), Poria (Baifuling), Radix Angelicae Sinensis (Danggui), Radix Polygalae (Yuanzhi, heart removed), Semen Ziziphi Spinosae (Suanzaoren, stir-fried); and 0.5 qian each of Fructus Amomi (Muxiang) and Radix Glycyrrhizae Preparata (Zhigancao). Add appropriate amount of Sarcandra Glabra (Longyanrou).
Cut the herbs. Add 3 slices of Rhizoma Zingiberis Recens (Shengjiang) and one Jujube (Zao). Decoct in water and take. (Suitable for Heart-Spleen Qi deficiency with Qi stagnation. Add Chaihu and Gardeniae Fructus (Shanzhi) to name Jiawei Guipi Tang.)
[Baizi Ren Tang]
Indicated for women suffering from excessive worry and thought, injuring the Heart channel through labor, failing to store Blood, resulting in continuous metrorrhagia.
Take 1.5 qian each of Semen Biota (Baizi Ren, stir-fried), Rhizoma Cyperi (Xiangfu, stir-fried), Rhizoma Chuanxiong (Xiong), and Radix Panacis Japonici (Lurong, scalded to remove hair, steamed and dried in wine); 1.5 qian of Poria Cum Radix Pinelliae (Fushen, wood removed); 1.5 qian of Radix Angelicae Sinensis (Danggui); 2 qian of Radix Dipsaci (Chuanxuduan); 1 qian each of Radix Polygalae (Yuanzhi, heart removed); and 0.5 qian of Radix Glycyrrhizae Preparata (Zhigancao).
Decoct one dose with 5 slices of Rhizoma Zingiberis Recens (Shengjiang) in water, take on an empty stomach. (This is from *Jisheng Fang*, but Xue Lizhai added Chaihu and Shanzhi to clear Jueyin fire and raise Gallbladder Qi. Lurong is extreme Yang within Yin, possessing Yin substance but Yang function, and is not used unless there is Blood depletion and Qi decline.)
[Xueyang Pinggan San]
Indicated for sudden heavy menstrual flow due to great anger.
Take 2 qian each of Radix Angelicae Sinensis (Danggui, soaked in wine), Radix Paeoniae Alba (Baishao, stir-fried), and Rhizoma Cyperi (Xiangfu, stir-fried black); 0.8 qian each of Exocarpium Citri Grandis (Qingpi, vinegar-fried), Radix Bupleuri (Chaihu), Rhizoma Chuanxiong (Chuanxiong), and Radix Rehmanniae Recens (Shengdihuang); and 0.5 qian of Radix Glycyrrhizae (Gancao).
Cut the herbs. Decoct in water, take before meals. (Used for great anger, hence named Pinggan [Calming Liver]. Xiangfu, Qingpi, Chaihu, Baishao, Gancao, and Chuanxiong soothe, disperse, and lift Liver Qi; Danggui and Shengdihuang nourish Blood and enrich the Liver. The focus is on calming great anger, hence this formulation.)