丁香胶艾汤 治崩漏不止。盖心气不足，劳役及饮食不节所得，经隔少时，其脉两尺俱
弦紧而洪，按之无力。（东垣所论脉证必析，宜宗之）其证自觉脐下如冰，求浓衣被，以御其寒，白带白滑之物虽多，
间
下如屋漏水，下时有鲜血不多，右尺脉时微洪，屋漏水多暴下者，是急弦脉，为寒多，而洪脉
时见，乃热少，合而言之，急弦者，北方寒水多也，洪脉时出者，命门包络之火也，黑物多
，赤物少，合现房漏水之状也。
当归（一钱二分） 白芍药 熟地黄（各三分） 川芎 丁香（各四分） 阿胶（炒，六分，另后入）
生艾叶（一钱，后入）
上为细末。作一服，水二盏，煎至五沸，去滓，入胶艾，再上火煎至一大盏，空心，宿
食消尽，带热服，三服效。（服药有法有时）
芎 汤 治带下漏血不止，及风寒冷热，劳损冲任，月水不调，崩中暴下，腰重里急，
淋沥不断，及产后失血过多，虚羸腹痛；或妊娠胎动不安，下血连日，小便频数，肢体烦倦
，头晕目暗，不欲饮食。
川芎 黄 芍药 干地黄 吴茱萸 甘草（炙，各二两） 当归 干姜（各一两）
上 咀。以水一斗，煮取三升，分三服。若月经后，因有赤白不止者，除地黄、茱
萸，加杜仲、人参各二两。（好加减）
断下汤 治冲任气虚（重在气虚二字），崩中漏下，经脉不调，每遇月候将来，脐腹腰脚先痛，渐减饮食
，四肢乏力，及带下三十六疾，悉能疗之。
人参（去芦） 熟地黄 艾叶（醋炒，各一两） 乌贼骨（烧灰） 当归（酒洗，各二两） 阿胶（
蛤粉炒成珠） 川芎（各七钱） 干姜（炮，半两）
上 咀。水煎，食前服。乌贼骨，即海螵蛸。（此即胶艾四物之变局也，彼有芍药，此有人参、乌贼、干姜，
大概崩在肝气不敛者，宜芍药之酸寒以收之；气脱而不温者，宜参、姜、乌贼之类，温补而涩之；阿胶者，益金水
以成收藏之用也）
加味四物汤 治崩漏。
四物汤（一两） 人参（二钱） 吴茱萸（一钱）
上锉碎。每服半两，姜枣煎，食前服，五六服，寒热腹痛皆退。崩漏未止，续服后熟附
丸。
熟附丸
熟附子 木贼（去节） 龙骨（ ） 赤石脂（ 各半两） 川芎 当归（各一两）
上为细末，醋糊为丸，如桐子大。每服五六十丸，食前米饮下。（阳虚则寒，阴虚则热，故以此主之。
而腹痛一症，人皆以为瘀血者多，而此以为漏不止者，服熟附丸，正元礼所谓崩而腹痛者，崩止而痛除也）
鹿茸丸 治经候过多，其色瘀黑，甚者崩下，呼吸少气，脐腹冷极，则汗出如雨，尺脉
微小。由冲任虚衰，为风冷客乘胞中，气不能固。（此温涩之剂也，久崩漏脱者宜之）可灸关元百壮，在脐下正中三寸。
鹿茸（燎去毛，酥炙） 赤石脂（制） 禹余粮（制各一两） 当归 熟地黄 续断（各二两）
附子（炮） 艾叶（一方无） 柏叶（各半两）
上为细末，酒糊丸，如桐子大。每服三十丸，空心温酒下，炼蜜丸亦可。（丹溪以紫黑为热，而此言瘀黑者，乃下
焦气寒，血凝而黑，各有治法。然女子气海在上，血海在下，故下焦温而后气升血行。如鹿茸者，以血成形，由气而长
，血随气上而成角，故入血分以生焉；又以附子、艾叶，佐而温之，以石脂、余粮镇而固之；柏叶清之；归、地、续断，
补而续之，诚下元虚寒之全方也。不加人参，岂无意焉，而灸关元之意，盖可想矣）
丁香胶艾汤：治疗崩漏（非经期大量出血或淋漓不尽）不止。这是由于心气不足，加上劳累过度及饮食不节制所导致的病症。经过一段时间后，其脉象表现为两手尺部脉均呈现弦紧而洪大的特征，但重按则感觉无力。（东垣对此脉证的辨析非常详尽，应当遵循他的观点）。患者的症状表现为自觉脐下部位冰冷如冰，想要穿厚衣服、盖厚被子来抵御寒冷；白带及白色滑腻之物虽然很多，但偶尔也会排出像屋顶漏水一样的液体，有时伴有少量鲜血。右尺脉时常微现洪大之象。如果“屋漏水”样分泌物突然大量涌出，这是急弦脉的表现，说明寒邪较多；而洪脉时隐时现，说明热邪较少。综合来看，急弦脉代表北方寒水之气偏盛，洪脉的出现代表命门及心包络之火的作用。黑色分泌物多，红色分泌物少，合起来呈现出“屋漏水”的状态。
药物组成：当归（一钱二分）、白芍药、熟地黄（各三分）、川芎、丁香（各四分）、阿胶（炒制，六分，另外后下）、生艾叶（一钱，后下）。
制法与服法：将上述药材研成细末。每次取一份药量，加水两盏，煎煮至沸腾五次，滤去药渣，加入阿胶和艾叶，再次上火煎煮至一大盏。在空腹、宿食消化完毕后，趁热服用。服用三剂即可见效。（服药有特定的方法和时机）
芎汤：治疗带下病、漏血不止，以及因风冷或寒热交替引起的冲任二脉劳损，月经失调，经血暴下，腰部沉重且腹部拘急不适，淋沥不断，以及产后失血过多导致的身体虚弱羸瘦、腹痛；或者妊娠期间胎动不安，连续数日下血，小便频数，肢体烦闷疲倦，头晕眼花，不想进食。
药物组成：川芎、黄芪、芍药、干地黄、吴茱萸、甘草（炙，各二两）、当归、干姜（各一两）。
制法与服法：将药材切碎。用水一斗，煎煮取汁三升，分三次服用。如果在月经结束后，仍有赤白分泌物不止的情况，去掉地黄和茱萸，加入杜仲、人参各二两。（这是一个良好的加减变化方法）
断下汤：治疗冲任二脉气虚（重点在于“气虚”二字），导致崩中漏下，经脉不调。每当月经即将来潮时，先出现脐腹及腰脚疼痛，逐渐减少饮食，四肢乏力，以及三十六种带下病，此方都能治疗。
药物组成：人参（去芦头）、熟地黄、艾叶（醋炒，各一两）、乌贼骨（烧成灰）、当归（酒洗，各二两）、阿胶（用蛤粉炒成珠状）、川芎（各七钱）、干姜（炮制，半两）。
制法与服法：将药材切碎。用水煎煮，饭前服用。乌贼骨即海螵蛸。（此方是胶艾四物汤的变方，原方中有芍药，此方有人参、乌贼骨、干姜。大概而言，崩漏若因肝气不能收敛所致，宜用芍药的酸寒之性以收敛之；若因气脱且不温煦所致，宜用人参、干姜、乌贼骨之类，进行温补并固涩之；阿胶的作用是益补肺金和肾水，以完成收藏的功能）
制法与服法：将药材切碎。每次服用半两，用生姜和大枣煎煮，饭前服用。服用五六剂后，寒热感和腹痛都会消退。如果崩漏仍未停止，继续服用后面的熟附丸。
熟附丸：
药物组成：熟附子、木贼（去节）、龙骨、赤石脂（各半两）、川芎、当归（各一两）。
制法与服法：将药材研成细末，用醋调糊制成丸药，大小如梧桐子。每次服用五六十丸，饭前用米汤送服。（阳虚则生寒，阴虚则生热，因此以此方主治。关于腹痛这一症状，人们大多认为是瘀血所致，但此处认为漏血不止者适用。服用熟附丸，正如郑元礼所说，崩漏伴随腹痛者，崩漏止住后疼痛自然消除）
鹿茸丸：治疗月经量过多，颜色瘀黑，严重者可致崩下，呼吸短促少气，脐腹极度寒冷，甚至出汗如雨，尺脉微小。这是由于冲任二脉虚衰，被风冷邪气侵袭胞宫，气机不能固摄所致。（此方为温涩之剂，适用于长期崩漏导致气血脱失的患者）。可以艾灸关元穴一百壮，该穴位位于脐下正中三寸处。
药物组成：鹿茸（燎去毛，用酥炙）、赤石脂（制）、禹余粮（制，各一两）、当归、熟地黄、续断（各二两）、附子（炮制）、艾叶（另一版本无此药）、柏叶（各半两）。
制法与服法：将药材研成细末，用酒调糊制成丸药，大小如梧桐子。每次服用三十丸，空腹时用温酒送服，用炼蜜制丸也可以。（丹溪认为紫黑色属热，而此处说瘀黑，是因为下焦气寒，血液凝滞而变黑，各有不同的治疗方法。然而女子气海在上，血海在下，所以下焦温暖后，气才能上升，血才能运行。如鹿茸这种药材，是由气生长而成形的血质，血随气上涌形成角，所以入血分以生发之；又用附子、艾叶辅助以温煦之，用赤石脂、禹余粮镇守以固涩之，用柏叶清利之，用当归、熟地黄、续断补益并接续之，这确实是治疗下元虚寒的全备方剂。不加人参，难道没有深意吗？结合艾灸关元穴的用意，大概可以想象其中的奥妙了）
Dingxiang Jiao'ai Decoction: Treats metrorrhagia and leukorrhea (non-menstrual heavy bleeding or prolonged spotting) that does not stop. This condition arises from insufficient Heart Qi, compounded by overwork and irregular diet. After a period of time, the pulse presents as wiry, tight, and surging at both Chi positions (Kidney pulse), yet feels weak upon deep pressure. (Dong Yuan's analysis of these pulse and symptom patterns is detailed and should be followed.) The patient complains of a sensation of ice-cold coldness below the umbilicus, desiring thick clothing and quilts to ward off the cold. Although there is abundant white leukorrhea and slippery white discharge, occasionally fluid resembling "leaking roof water" is discharged, sometimes accompanied by a small amount of bright red blood. The Right Chi pulse often shows a slight surging quality. If the "roof-leaking" discharge suddenly flows out in large quantities, this indicates an urgent wiry pulse, signifying excess Cold; the intermittent appearance of the surging pulse indicates minor Heat. Synthesizing these, the urgent wiry pulse represents an abundance of Northern Cold Water energy, while the emergence of the surging pulse reflects the fire of the Mingmen (Gate of Life) and Pericardium. An abundance of blackish discharge with less red discharge combines to present the state of "leaking roof water."
Ingredients: Danggui (Radix Angelicae Sinensis) (1 qian 2 fen), Baishao (Radix Paeoniae Alba), Shudihuang (Rehmanniae Radix Praeparata) (each 3 fen), Chuanxiong (Rhizoma Chuanxiong), Dingxiang (Flos Caryophylli) (each 4 fen), Ejiao (Colla Corii Asini) (stir-fried, 6 fen, added later separately), Sheng Aiye (Folium Artemisiae Argyi) (1 qian, added later).
Preparation and Administration: Grind the above herbs into fine powder. Take one dose, add two zhan of water, boil until five boils occur, strain the dregs, add Ejiao and Aiye, and boil again on fire until reduced to one da zhan. Take warm on an empty stomach after residual food has digested. Three doses will yield efficacy. (There are specific methods and timings for taking medicine.)
Xiong Tang: Treats leukorrhea, persistent metrorrhagia, and damage to the Chong and Ren meridians due to wind-cold or alternating cold-heat. It addresses irregular menstruation, sudden heavy bleeding (bengzhong), heaviness in the waist and tension in the abdomen, continuous dripping, excessive blood loss postpartum leading to emaciation and abdominal pain; or restless fetus during pregnancy with continuous bleeding for days, frequent urination, limb fatigue and irritability, dizziness and blurred vision, and loss of appetite.
Ingredients: Chuanxiong (Rhizoma Chuanxiong), Huangqi (Astragali Radix), Shaoyao (Radix Paeoniae Alba), Gadihuang (Rehmanniae Radix), Wuzhuyu (Fructus Evodiae), Gancao (Radix Glycyrrhizae Preparata) (roasted, each 2 liang), Danggui (Radix Angelicae Sinensis), Jiangjiang (Zingiberis Rhizoma) (each 1 liang).
Preparation and Administration: Cut the herbs. Boil in one dou of water to obtain three sheng of decoction, divided into three doses. If red and white discharge persists after menstruation, remove Dihuang and Zhuyu, and add Duzhong (Eucommiae Cortex) and Renshen (Ginseng Radix) each 2 liang. (This is a good modification method.)
Duansha Tang: Treats deficiency of Qi in the Chong and Ren meridians (emphasizing the term "Qi deficiency"), causing metrorrhagia and spotting, irregular menstruation. Before each menstrual period, pain precedes in the umbilical/abdominal region and lower back/legs, appetite gradually decreases, limbs feel weak, and it treats thirty-six types of leukorrhea diseases.
Ingredients: Renshen (Ginseng Radix) (remove rhizome), Shudihuang (Rehmanniae Radix Praeparata), Aiye (Folium Artemisiae Argyi) (stir-fried with vinegar, each 1 liang), Wweigu (Sepiae Endoconcha) (burned to ash), Danggui (Radix Angelicae Sinensis) (washed with wine, each 2 liang), Ejiao (Colla Corii Asini) (fried with clam powder into beads), Chuanxiong (Rhizoma Chuanxiong) (each 7 qian), Jiangjiang (Zingiberis Rhizoma) (processed, half liang).
Preparation and Administration: Cut the herbs. Decoct in water, take before meals. Weigu is also known as Haipiaoxiao. (This is a variation of Jiao'ai Siwu Tang; the original contains Shaoyao, this contains Renshen, Weigu, and Jiangjiang. Generally, if metrorrhagia is due to Liver Qi failing to consolidate, Sour-Cold Shaoyao is used to astringe; if due to Qi collapse without warmth, Renshen, Jiangjiang, and Weigu are used to warm, tonify, and astringe; Ejiao benefits Metal (Lung) and Water (Kidney) to facilitate storage and consolidation.)
Jiawei Siwu Tang: Treats metrorrhagia and leukorrhea.
Ingredients: Siwu Tang (Four Substances Decoction) (1 liang), Renshen (Ginseng Radix) (2 qian), Wuzhuyu (Fructus Evodiae) (1 qian).
Preparation and Administration: Chop the herbs. Take half a liang per dose, decoct with Shengjiang (Fresh Zingiberis Rhizoma) and Dazao (Jujubae Fructus), take before meals. After five or six doses, chills, fever, and abdominal pain will subside. If metrorrhagia has not stopped, continue administering Shufu Wan.
Shufu Wan:
Ingredients: Shufuzi (Prepared Aconiti Lateralis Radix), Muzei (Equiseti Herba) (remove joints), Longgu (Os Draconis), Chishizhi (Halloysit Rubra) (each half liang), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis) (each 1 liang).
Preparation and Administration: Grind into fine powder, make pills with vinegar paste, size of paulownia seeds. Take 50-60 pills per dose before meals with rice drink. (Yang deficiency leads to cold, Yin deficiency leads to heat; thus this formula governs. Regarding abdominal pain, people often attribute it to blood stasis, but here it is indicated for persistent leakage. Taking Shufu Wan aligns with Zheng Yuanli's statement: for metrorrhagia with abdominal pain, once the bleeding stops, the pain is eliminated.)
Lurong Wan: Treats excessive menstruation with dark,瘀black (stagnant black) color, severe cases leading to metrorrhagia, shortness of breath, extreme cold in the umbilical/abdominal region, sweating like rain, and minute/small Chi pulse. This results from deficiency and decline of the Chong and Ren meridians, where wind-cold pathogens invade the uterus, and Qi fails to secure. (This is a warming and astringent formula, suitable for those with long-term metrorrhagia and depletion.) Moxibustion can be applied to Guanyuan (CV4) for 100 moxa cones, located 3 cun directly below the umbilicus.
Ingredients: Lurong (Cornu Cervi Pantotrichum) (scalded to remove hair, fried with butter), Chishizhi (Halloysit Rubra) (processed), Yuyuliang (Halticis Fructus) (processed, each 1 liang), Danggui (Radix Angelicae Sinensis), Shudihuang (Rehmanniae Radix Praeparata), Xuduan (Dipsaci Radix) (each 2 liang), Fuzi (Aconiti Lateralis Radix Preparata), Aiye (Folium Artemisiae Argyi) (absent in another version), Baiye (Folium Ilicis Mutiensis) (each half liang).
Preparation and Administration: Grind into fine powder, make pills with wine paste, size of paulownia seeds. Take 30 pills per dose on an empty stomach with warm wine; honey pills are also acceptable. (Danxi considered purple-black as Heat, whereas here stagnant black is attributed to Cold Qi in the Lower Jiao causing blood coagulation and blackening; they have different treatments. However, the Qi Sea is upper, and the Blood Sea is lower; thus, warming the Lower Jiao allows Qi to rise and Blood to circulate. Lurong, formed from blood but growing via Qi, rises with Qi to form antlers, thus entering the Blood aspect to generate; assisted by Fuzi and Aiye for warmth, stabilized by Chishizhi and Yuyuliang for consolidation, cleared by Baiye, and supplemented/continued by Danggui, Dihuang, and Xuduan, this is indeed a comprehensive formula for Lower Yuan Deficiency-Cold. The omission of Renshen implies intent, and the meaning of moxibustion on Guanyuan can be imagined.)