益胃升阳汤 血脱益气，古人之法也。先补胃气，以助生长，故曰阳生阴长，诸甘药为
之先务，举世皆以为补气，殊不知甘能生血，此阳生阴长之理也，故先理胃气，人之一身，
内谷为宝。
黄 （二钱） 人参（有嗽去之） 神曲（炒，各一钱半） 白术（三钱） 当归身（酒浸） 陈皮 甘
草（炙，各一钱） 升麻 柴胡（各五分） 生黄芩（二钱，泻盛暑之伏热刑金肺逆，秋凉不用）
上为粗末。每服三钱，或五钱，如食添，再加之，如食减，已定三钱内更减之，不可多
服，每服二钱，水煎，去滓热服。如腹痛，每服加白芍药二分、中桂少许；如渴口干，加干
葛二分；如嗽，去人参。如服此不止，却服后方柴胡调经汤，大举大升之也。
柴胡调经汤 治经水不止，鲜血，项筋急，脑痛，脊骨强痛，不思饮食。（要知鲜血不用清凉，而用升举，当
在不思饮食上揣摩）
羌活 独活 本 升麻（各五分） 苍术（一钱） 柴胡（七分） 葛根 当归身 甘草（炙，各三
分） 红花（少许）
上 咀。作一服，水煎去渣，稍热空心服，微汗立止。（外症属太阳者多半，而方药又兼少阳、阳明、太阴、
厥阴，且君以苍术，少加当归、红花，引入血分，以升阳气，乃为之大举大升，此从阴用阳之义也）
调经升阳除湿汤 治女子漏下恶血（前曰鲜，此曰恶，二字有别，当细思之），月事不调，或暴崩不止，多下
水浆之物，皆由饮食
不节，或劳伤形体，或素有心气不足，因饮酒劳倦，致令心火乘脾，其人必怠惰嗜卧，四肢
不收，困倦乏力，无气以动，气短上气，逆急上冲，其脉缓而弦急，按之洪大，皆中之下得
之，脾土受邪也。脾主滋荣周身者也，心主血，血主脉，二者受邪，病皆在脉。脉者血之府
也，脉者人之神也，心不主令，胞络代之，故曰心之脉，主属心系。心系者，胞络命门之脉
也，主月事。皆由脾胃虚，而心胞乘之，故漏下血水不调也。况脾胃为血气阴阳之根蒂，当
除湿去热，益风气上升以胜其湿。又云∶火郁则发之。
黄 苍术 羌活（各一钱半） 防风 本 升麻 柴胡 甘草（炙，各一钱） 当归（酒浸）
独活（各五分） 蔓荆子（七分）
上 咀。水五大盏，煎至一大盏，去滓，稍热服。空心服药毕，待少时，以早膳压
之，可一服而已（土陷则湿，故怠惰嗜卧，木郁则热，故气逆上冲，缓为湿之征，弦为木之象，郁而不伸则热，
此心火乘脾之意也，其脉按之洪大者，火在下也，见中之下者，土之位也，胞络为相火，寄于命门，为多血之经，
病从火治。心火以藏德为神，相火听命于心，三焦主气，胞络主血，故血分之火。专主胞络，气分之火，专主三焦，
郁则火不得遂，炎上之性，迫于血分，故阴络伤也。此方以苍术、升麻发太阴、阳明之湿；柴胡、防风达厥阴、少
阳之本，羌活、 本以升举少阴、太阳下部之郁，所谓下者举之也。是皆升散之物，过则气耗而伤金，故又以黄 以保
肺，当归引血，使各有所归；甘草和气。蔓荆凉血，此四种者，又制亢害之法也。其曰可一服已，何其神哉！读者当得
此意）。如灸足太阴脾经中血海穴二七壮，或三七壮，立已。
此药乃从权衡之法，用风胜湿，为胃气下陷，而气迫于下，以救其血之暴崩也。若病愈
，经血恶物已尽，主病虽除，后必须以黄 、甘草、人参、当归之类，数服以补之，于补气
升阳汤中，加和血药是也。若经血恶物下之不绝，尤宜救其根源，治其本经。只益脾胃，退
心火之亢，乃治其根蒂也。若遇夏月白带下脱，漏不止，宜用此汤，一服立止。（以升举主治者，以标为本也，以退心
火为治者，以本为主也，以益脾胃为法者，标本不舍也。东垣专主脾胃之意，盖如此。白带主湿，故一服立止，夏月
二字，亦宜死）
益胃升阳汤：血脱证采用益气法，是古人的治疗原则。先补益胃气，以助长生机，所以说“阳生则阴长”，各种甘味药物是首要任务，世人都认为这是补气，却不知道甘味能生血，这正是“阳生阴长”的道理，所以先调理胃气，人体以内谷之气为宝。
黄芪（二钱） 人参（有咳嗽者去掉） 神曲（炒制，各一钱半） 白术（三钱） 当归身（酒浸） 陈皮 甘草（炙制，各一钱） 升麻 柴胡（各五分） 生黄芩（二钱，用于泻除盛暑时节潜伏的热邪克制肺金引起的肺气上逆，秋季凉爽时不用）
以上药材捣成粗末。每次服用三钱或五钱，如果食欲增加，再加量；如果食欲减退，在三钱的基础上再减少，不可多服，每次最少两钱，加水煎煮，去渣后热服。如果出现腹痛，每次加白芍药二分、肉桂少许；如果口渴口干，加干葛二分；如果有咳嗽，去掉人参。如果服用此方后出血不止，转而服用后方的柴胡调经汤，进行大幅度的升提举陷。
柴胡调经汤：治疗月经淋漓不止，血色鲜红，项部筋脉拘急，头痛，脊柱强痛，不想饮食。（要知道对于鲜血出血不使用清凉止血法，而使用升提举陷法，应当在“不思饮食”这一症状上仔细揣摩）
羌活 独活 藁本 升麻（各五分） 苍术（一钱） 柴胡（七分） 葛根 当归身 甘草（炙制，各三分） 红花（少许）
以上药材切碎。作一剂服用，加水煎煮去渣，稍热时空腹服用，微微出汗即可立即停止出血。（外在症状属于太阳经的多半，但方药又兼治少阳、阳明、太阴、厥阴经，且以苍术为君药，少加当归、红花，引入血分，以升发阳气，这是大幅度升提举陷，体现了从阴用阳的意义）
调经升阳除湿汤：治疗女子漏下恶血（前文说鲜红，这里说恶臭，这两个字有区别，应当仔细思考），月经不调，或者突然崩中不止，大量排出水样浆液之物，这都是由于饮食不节制，或者劳力损伤形体，或者素来心气不足，因为饮酒和劳累疲倦，导致心火乘袭脾土，这个人一定表现为怠惰嗜睡，四肢无力收持，困倦乏力，没有力气活动，气短且气逆上冲，急促上冲，脉象缓而弦急，按之洪大，都是在关中之下部得之，这是脾土受邪所致。脾主滋养周身，心主血，血主脉，二者受邪，病都在脉。脉是血的府库，脉也是人的神志所在，心如果不主导命令，由胞络代替，所以说心的脉，主要归属于心系。心系，就是胞络命门的脉，主管月经。这都是因为脾胃虚弱，而心包乘袭所致，所以出现漏下血水不调的情况。况且脾胃是气血阴阳的根本，应当除湿去热，提升风气上升以战胜湿气。又说：“火郁结则发散它”。
黄芪 苍术 羌活（各一钱半） 防风 藁本 升麻 柴胡 甘草（炙制，各一钱） 当归（酒浸） 独活（各五分） 蔓荆子（七分）
以上药材切碎。用水五大盏，煎至一大盏，去渣，稍热服用。空腹服药完毕后，过一会儿，用早饭压住药力，可以只服一剂即可（土气下陷则生湿，所以怠惰嗜睡；木气郁结则生热，所以气逆上冲；缓脉是湿的征象，弦脉是木的意象，郁结而不伸展则生热，这就是心火乘袭脾土的意思；脉按之洪大的，是因为火在下部；出现在关中之下部，是土的方位；胞络为相火，寄居于命门，是多血的经脉，病从火治疗。心火以藏匿德行作为神志表现，相火听命于心，三焦主气，胞络主血，所以血分的火专门主治胞络，气分的火专门主治三焦，郁结则火不能舒展，炎上的本性，逼迫于血分，所以阴络受伤。此方用苍术、升麻发散太阴、阳明经的湿气；柴胡、防风通达厥阴、少阳经的根本；羌活、藁本以升举少阴、太阳经下部的郁结，所谓下陷的就举提它。这些都是升散的药物，过量则耗气伤肺金，所以又用黄芪以保肺，当归引血，使各有所归；甘草调和气机。蔓荆子凉血，这四种药物，又是制约亢盛危害的方法。说可以一剂见效，多么神奇啊！读者应当领会这个意思）。如果灸足太阴脾经的血海穴十四壮，或者二十一壮，立即停止。
这个药是从权衡的角度出发，用风药胜湿，针对胃气下陷，而气迫于下部，以挽救暴崩失血的情况。如果病愈，经血恶物已排尽，主病虽然去除，之后必须以黄芪、甘草、人参、当归之类，多次服用以补益身体，即在补气升阳汤中加入和血药物即可。如果经血恶物下个不停，尤其应该救其根源，治疗其本经。只是补益脾胃，退减心火的亢盛，这才是治其根本。如果遇到夏季白带下脱，漏下不止，适宜用此汤，一剂立即停止。（以升提举陷为主治，是以标症为本；以退心火为治疗，是以本因为主；以补益脾胃为方法，是不舍标本兼顾。东垣先生专门注重脾胃的意思，大概就是这样。白带主湿，所以一剂立即停止，“夏季”二字，也应当死记硬背/牢记）
Yiwei Shengyang Decoction: The method of tonifying Qi for blood loss is an ancient principle. First, tonify the Stomach Qi to assist growth; thus it is said that "when Yang grows, Yin grows." Sweet herbs are the primary task. The world generally considers this as tonifying Qi, but little do they know that sweet flavors can generate Blood, which is the principle of "Yang growing leads to Yin growing." Therefore, first regulate Stomach Qi; in the human body, internal Grain Qi is precious.
Huangqi (Astragali Radix) (2 qian), Renshen (Ginseng Radix et Rhizoma) (remove if coughing exists), Shenqu (Massa Medicata Fermentata) (stir-fried, each 1.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian), Dangguishen (Radix Angelicae Sinensis, root part) (soaked in wine), Chenpi (Citri Reticulatae Pericarpium), Gancao (Liquorice Radix et Rhizoma) (honey-fried, each 1 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (each 0.5 fen), Sheng Huangqin (Scutellariae Radix) (2 qian, to drain latent heat from intense summer heat that injures Metal and causes Lung Qi rebellion; not used in autumn coolness).
Crush the above into coarse powder. Take 3 qian or 5 qian per dose. If appetite increases, increase the dose; if appetite decreases, reduce within the 3 qian limit. Do not take too much; minimum 2 qian per dose. Decoct in water, remove dregs, and take hot. If abdominal pain occurs, add Baishaoyao (Paeoniae Radix Alba) 0.2 fen and Rougui (Cinnamomi Cortex) a little per dose; if thirsty with dry mouth, add Gange (Puerariae Radix) 0.2 fen; if coughing, remove Renshen. If bleeding does not stop after taking this, switch to the following Chaihu Tiaojing Tang, performing a major lifting and raising action.
Chaihu Tiaojing Decoction: Treats continuous menstruation, bright red blood, stiffness of neck tendons, headache, stiffness and pain of the spine, and lack of appetite. (One must understand that for bright red blood, cooling methods are not used, but lifting and raising methods are employed; this should be contemplated based on the symptom of "lack of appetite".)
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Gaoben (Ligustici Rhizoma), Shengma (Cimicifugae Rhizoma) (each 0.5 fen), Cangzhu (Atractylodis Rhizoma) (1 qian), Chaihu (Bupleuri Radix) (0.7 fen), Gegen (Puerariae Radix), Dangguishen (Radix Angelicae Sinensis, root part), Gancao (Liquorice Radix et Rhizoma) (honey-fried, each 0.3 fen), Honghua (Carthami Flos) (a small amount).
Cut the above into pieces. Prepare as one dose, decoct in water, remove dregs, and take slightly warm on an empty stomach. Slight sweating will immediately stop the bleeding. (Most external symptoms belong to the Taiyang channel, but the formula also addresses Shaoyang, Yangming, Taiyin, and Jueyin channels. Using Cangzhu as the sovereign herb, with minor amounts of Dangguishen and Honghua introduced into the Blood level to raise Yang Qi, constitutes a major lifting and raising action, embodying the meaning of using Yang from Yin.)
Tiaojing Shengyang Qushi Decoction: Treats women with leakage of foul blood (previously mentioned fresh/bright red, here foul/dark, these two words differ and should be carefully considered), irregular menstruation, or sudden severe metrorrhagia, with large amounts of watery discharge. This is caused by unregulated diet, physical overexertion, or inherent deficiency of Heart Qi. Due to alcohol consumption and fatigue, Heart Fire attacks Spleen Earth. The patient will likely exhibit lethargy and desire to lie down, inability to hold the limbs, exhaustion and weakness, lack of energy to move, shortness of breath with rebellious Qi rushing upward, and urgency. The pulse is slow yet wiry and urgent, feeling surging and large upon pressure, obtained at the middle-lower position, indicating Spleen Earth pathogen invasion. The Spleen nourishes the whole body; the Heart governs Blood, and Blood governs the vessels. When both are invaded, the disease resides in the vessels. Vessels are the mansion of Blood and the manifestation of Shen (Spirit). If the Heart does not command, the Bao Luo (Pericardium Collateral) substitutes. Thus, the Heart's vessel belongs to the Xin Xi (Heart System). The Xin Xi refers to the Bao Luo Mingmen vessel, which governs menstruation. All this results from Spleen-Stomach deficiency allowing the Pericardium to attack, causing irregular leakage of blood and water. Moreover, the Spleen and Stomach are the roots of Qi, Blood, Yin, and Yang. One must remove dampness and clear heat, raise Wind Qi to overcome dampness. It is also said: "If Fire is constrained, disperse it."
Huangqi (Astragali Radix), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix) (each 1.5 qian), Fangfeng (Saposhnikoviae Radix), Gaoben (Ligustici Rhizoma), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Gancao (Liquorice Radix et Rhizoma) (honey-fried, each 1 qian), Danggui (Radix Angelicae Sinensis) (soaked in wine), Duhuo (Angelicae Pubescentis Radix) (each 0.5 fen), Manjingzi (Viticis Semen) (0.7 fen).
Cut the above. Decoct in five large bowls of water until reduced to one large bowl, remove dregs, and take slightly warm. After taking medicine on an empty stomach, wait a while and eat breakfast to settle the medicine. One dose may suffice. (Earth sinking generates dampness, hence lethargy and desire to lie down; Wood constraint generates heat, hence rebellious Qi rushing upward. Slow pulse indicates dampness; wiry pulse indicates Wood. Constraint without extension generates heat, representing the intent of Heart Fire attacking Spleen. A surging-large pulse upon pressure indicates Fire below; appearing at the middle-lower position indicates the Earth location. The Bao Luo is Ministerial Fire, residing in the Mingmen, and is a multi-blood vessel; the disease is treated via Fire. Heart Fire hides virtue as Shen; Ministerial Fire obeys the Heart. Sanjiao governs Qi, Bao Luo governs Blood; thus, Fire in the Blood level specifically governs the Bao Luo, while Fire in the Qi level specifically governs the Sanjiao. Constraint prevents Fire from spreading freely; its flaming nature forces itself into the Blood level, injuring Yin collaterals. This formula uses Cangzhu and Shengma to disperse dampness of the Taiyin and Yangming; Chaihu and Fangfeng to reach the root of Jueyin and Shaoyang; Qianghuo and Gaoben to lift depression of the Shaoyin and Taiyang lower parts, i.e., "lifting what has sunk." These are all ascending and dispersing substances; excess consumes Qi and injures Metal, so Huangqi is added to protect the Lung, Danggui guides Blood to return to its source, and Gancao harmonizes Qi. Manjingzi cools Blood. These four agents constitute the method of restraining excessive harm. Saying one dose suffices is miraculous! Readers should grasp this meaning.) If moxibustion is applied to Xuehai (SP10) of the Foot-Taiyin Spleen Channel for 14 or 21 moxa cones, it stops immediately.
This medicine employs a balancing method, using Wind herbs to overcome dampness, addressing Stomach Qi sinking and Qi pressing downward to save from sudden severe hemorrhage. If the illness resolves and menstrual foul matter is exhausted, although the main disease is removed, subsequent doses must use Huangqi, Gancao, Renshen, Danggui, etc., to tonify, adding blood-nourishing herbs to the Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). If menstrual foul matter continues to flow incessantly, one must particularly rescue the root and treat the primary channel. Simply tonify the Spleen and Stomach and retreat the hyperactivity of Heart Fire; this treats the root. If encountering leukorrhea and leakage during summer months, this decoction is suitable, stopping immediately after one dose. (Using lifting and raising as the main treatment addresses the branch as the root; retreating Heart Fire treats the root as the master; tonifying Spleen and Stomach is the method, not abandoning either root or branch. Dongyuan's emphasis on Spleen and Stomach is thus. Leukorrhea is governed by dampness, hence immediate cessation after one dose. The phrase "summer months" should be memorized rigidly.)