脉经曰∶问五崩何等类？师曰∶白崩者，形如涕；赤崩者，形如绛津；黄崩者，形
如烂瓜；青崩者，形如蓝色；黑崩者，形如衄血也。寸口弦而大，弦则为减（减即小也），大则为芤，减
则为寒，芤则为虚，寒虚相搏，脉则为革，妇人则半产漏下。尺脉急而弦大，风邪入少阴之
经，女子漏下赤白。漏血下赤白不止，脉小虚滑者生，大紧实数者死。漏下赤白，日下血数
升，脉急疾者死，迟者生。
荆芥四物汤 治崩漏初起，不问虚实，服之立止。
当归 川芎 白芍药（炒） 生地黄 荆芥穗 条芩（炒） 香附子（炒，各一钱）
上锉。水煎服。（血藏于肝，肝气不升，则热迫于下，故血不能藏而崩也。况厥阴之经环阴器，而庭孔前阴皆属之，
荆芥升肝气，香附理肝气，条芩除内热，四物生地、芍药养血凉血，故皆取效） 如不止，加防风、升麻、白术、蒲
黄。一方加地榆尤效。一方四物加芩
奇效四物汤 治肝经虚热，血沸腾而久不止。
当归（酒洗） 川芎 白芍药（炒） 熟地黄 阿胶（炒成珠） 艾叶 黄芩（炒，各一钱）
上锉。水煎服。（此方用熟地以补肝之母，以阿胶、黄芩益肝之气，艾叶温下元，以助真气之升，所谓阴从阳起也）
河间生地黄散 治经漏下血，脉虚洪，经水紫黑。
生地黄 熟地黄 白芍药 黄 枸杞子 天门冬（去心） 地骨皮 柴胡
上 咀。水煎服。（洪虚者气不足，紫黑者血之热，黄 所以补气，然气盛则生火，又加天
冬、地骨以清气中之火，熟地所以生血，血生而不凉，尤虚妄行，故以生地、黄连以凉心，芍药、甘草缓肝益脾，柴
胡、黄芩清肝升举，枸杞、熟地，又肝肾同归者也） 便血者，加地榆。
凉血地黄汤 治妇人血崩不止，肾水阴虚，不能镇守胞络相火，故血走而崩也。
生地黄 当归尾（各五分） 黄连 黄柏 知母 本 川芎 升麻（各二分） 柴胡 防风
羌活 黄芩 细辛 荆芥 蔓荆子 甘草（炙，各一分） 红花（少许）
上 咀。作一服，水煎，空心稍热服。（经曰∶阴者从阳而亟起也。血属阴，阴不自升，故诸经之血，必随诸
经之气而后升，若气有所陷，则热迫血而内崩矣。故用黄柏以清下焦胞络之火；心者火之主也，故又以生地、黄连以治
火之源；知母、黄芩滋水之母；归尾破瘀，红花生血，所谓去故生新也；川芎行血海之余；蔓荆凉诸经之血，而风药
者，皆所以升诸经之气也，诸经气升则阴血不得不随之而起矣。故曰从阳亟起也，有是症者法之）
小蓟汤 治崩漏不止，色明如水，得温则烦闷者，此阳伤于阴，令人下血，当补其阴，
脉数疾小者顺，大者逆。
小蓟茎叶（捣取汁） 生地黄（捣取汁，各一盏） 白术（半两，锉）
上三件，入水一盏，煎减一半，去渣温服。
芎 酒 治崩中，昼夜不止，医不能治者。
川芎（一两） 生地黄汁（一盏）
上用酒五盏，煮川一盏，去滓，下地黄汁，再煎二三沸，分为三服。（此方以酒煎川芎配生地汁，自有妙用，甚
奇甚奇）
《脉经》说：问五种崩漏分别像什么？老师回答说：白崩，形态像鼻涕；赤崩，形态像深红色的津液；黄崩，形态像腐烂的瓜；青崩，形态像蓝色；黑崩，形态像鼻出血。
寸口脉弦而大，弦脉表示阳气减损（减即小），大脉表示中空如芤，阳气减损则主寒，中空如芤则主虚，寒与虚相互搏结，脉象变为革脉，妇女就会出现半产（流产）和漏下（非经期阴道出血）。尺部脉急而弦大，是风邪侵入少阴经脉，女子会出现赤白漏下。漏下赤白不止，如果脉象小、虚、滑，预后良好（生）；如果脉象大、紧、实、数，预后不良（死）。漏下赤白，每天出血数升，如果脉象急疾，预后不良（死）；如果脉象迟缓，预后良好（生）。
荆芥四物汤：治疗崩漏初起，不论虚实，服用后立止。
当归、川芎、白芍药（炒）、生地黄、荆芥穗、条芩（炒）、香附子（炒，各一钱）。
以上药物切碎。用水煎服。（血藏于肝，肝气不升，则热迫于下，所以血不能藏而崩漏。况且厥阴经环绕阴器，前阴庭孔都归属于它，荆芥能升发肝气，香附能调理肝气，条芩能清除内热，四物汤中的生地、芍药能养血凉血，所以都能取得疗效。）如果不止，加防风、升麻、白术、蒲黄。另一方案加地榆尤其有效。另一方案是四物汤加黄芩。
奇效四物汤：治疗肝经虚热，血液沸腾而久不止。
当归（酒洗）、川芎、白芍药（炒）、熟地黄、阿胶（炒成珠状）、艾叶、黄芩（炒，各一钱）。
以上药物切碎。用水煎服。（此方用熟地来补肝之母（肾），用阿胶、黄芩来益肝之气，艾叶温补下元，以助真气的升发，这就是所谓“阴从阳起”。）
河间生地黄散：治疗经漏下血，脉象虚洪，经水紫黑。
生地黄、熟地黄、白芍药、黄芪、枸杞子、天门冬（去心）、地骨皮、柴胡。
以上药物切碎。用水煎服。（脉洪虚说明气不足，经色紫黑说明血有热，黄芪用来补气，然而气盛容易生火，又加天冬、地骨皮来清清气中之火，熟地用来生血，血生而不凉，容易导致妄行，所以用地黄、黄连来凉心，芍药、甘草来缓肝益脾，柴胡、黄芩来清肝升举，枸杞、熟地，又是肝肾同归的药物。）便血者，加地榆。
凉血地黄汤：治疗妇人血崩不止，肾水阴虚，不能镇守胞络相火，所以血走而崩漏。
生地黄、当归尾（各五分）、黄连、黄柏、知母、藁本、川芎、升麻（各二分）、柴胡、防风、羌活、黄芩、细辛、荆芥、蔓荆子、甘草（炙，各一分）、红花（少许）。
以上药物切碎。作一剂，用水煎，空腹稍热服用。（经文说：阴者从阳而亟起也。血属阴，阴不能自升，所以各经之血，必须随着各经之气而后升，如果气有所陷，则热迫血而内崩。所以用黄柏来清下焦胞络之火；心是火之主，所以又用地黄、黄连来治火之源；知母、黄芩滋水之母（肾）；归尾破瘀，红花生血，这就是所谓“去故生新”；川芎行血海之余；蔓荆凉诸经之血，而风药者，都是用来升诸经之气的，诸经气升则阴血不得不随之而起。所以说“从阳亟起”，有此症状者按此法治疗。）
小蓟汤：治疗崩漏不止，血色明如水，得温则烦闷者，这是阳伤于阴，令人下血，应当补其阴，脉数疾小者顺，大者逆。
小蓟茎叶（捣取汁）、生地黄（捣取汁，各一盏）、白术（半两，切碎）。
以上三味，加入水一盏，煎至减半，去渣温服。
芎䓖酒：治疗崩中，昼夜不止，医生不能治愈者。
川芎（一两）、生地黄汁（一盏）。
以上用酒五盏，煮川芎至一盏，去滓，下地黄汁，再煎二三沸，分为三服。（此方以酒煎川芎配生地汁，自有妙用，非常奇妙。）
The *Mai Jing* (Pulse Classic) states: "Inquiry regarding the five types of Beng (uterine bleeding): what do they resemble?" The Master replied: "White Beng resembles mucus; Red Beng resembles dark red fluid; Yellow Beng resembles rotten melon; Blue Beng resembles blue color; Black Beng resembles epistaxis (nosebleed)."
If the Cun (inch) position pulse is wiry and large, wiry indicates reduction (reduction means small), large indicates hollow like a scallion stalk (Kou). Reduction indicates cold, hollow indicates deficiency. Cold and deficiency intermingling result in a Ge (leather) pulse. In women, this manifests as miscarriage (half-birth) and Lou Xia (dripping vaginal bleeding). If the Chi (cubit) position pulse is urgent, wiry, and large, it indicates wind pathogen invading the Shaoyin meridian, causing women to suffer from red and white dripping bleeding. If red and white dripping bleeding continues without stopping, a pulse that is small, deficient, and slippery indicates survival (good prognosis); a pulse that is large, tight, solid, and rapid indicates death (poor prognosis). If red and white dripping bleeding occurs with several sheng (units of volume) of blood loss daily, a rapid and urgent pulse indicates death; a slow pulse indicates survival.
Jingjie Siwu Tang (Schizonepeta Decoction of Four Substances): Treats early-stage Beng and Lou (uterine bleeding and dripping discharge), regardless of deficiency or excess, stopping immediately upon administration.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao Yao (Paeoniae Radix Alba, stir-fried), Shengdihuang (Rehmanniae Radix Recens), Jingjie Sui (Schizonepetae Spica), Tiaoqin (Scutellariae Radix, stir-fried), Xiangfuzi (Cyperi Rhizoma, stir-fried, each 1 qian).
Crush the above ingredients. Decoct in water and take orally. (Blood is stored in the Liver. If Liver Qi does not ascend, heat forces downward, so blood cannot be contained and Beng occurs. Moreover, the Jueyin meridian circles the genitalia, and the anterior yin orifice belongs to it. Jingjie ascends Liver Qi, Xiangfu regulates Liver Qi, Tiaoqing clears internal heat, and Shengdi and Shaoyao from Siwu Tang nourish blood and cool blood, thus achieving efficacy.) If bleeding does not stop, add Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Puhuang (Typhae Pollen). Another prescription adds Diyü (Sanguisorbae Radix), which is particularly effective. Another prescription is Siwu Tang plus Huangqin (Scutellariae Radix).
Qixiao Siwu Tang (Miraculously Effective Decoction of Four Substances): Treats deficiency-heat in the Liver meridian, where blood boils and persists for a long time without stopping.
Danggui (Angelicae Sinensis Radix, washed with wine), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao Yao (Paeoniae Radix Alba, stir-fried), Shudihuang (Rehmanniae Radix Preparata), Ejiao (Colla Corii Asini, stir-fried until pearl-like), Aye (Artemisiae Argyi Folium), Huangqin (Scutellariae Radix, stir-fried, each 1 qian).
Crush the above ingredients. Decoct in water and take orally. (This formula uses Shudihuang to tonify the mother of the Liver [Kidney], uses Ejiao and Huangqin to benefit Liver Qi, and uses Aye to warm the lower origin to assist the ascent of true Qi. This is known as 'Yin arises from Yang'.)
Hejian Shengdihuang San (Hejian Rehmannia Powder): Treats menstrual dripping bleeding, with a deficient and flooding pulse, and menstrual blood that is purple-black.
Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata), Baishao Yao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Gouqizi (Lycii Fructus), Tiandong (Asparagi Radix, heart removed), Digupi (Lycii Cortex), Chaihu (Bupleuri Radix).
Chop the above ingredients. Decoct in water and take orally. (A flooding and deficient pulse indicates insufficiency of Qi; purple-black color indicates heat in the blood. Huangqi tonifies Qi, but excessive Qi can generate fire, so Tiandong and Digupi are added to clear fire in the Qi level. Shudihuang generates blood. If generated blood is not cooled, it tends to run recklessly, so Shengdihuang and Huanglian (Coptidis Rhizoma) are used to cool the Heart; Shaoyao and Gancao (Glycyrrhizae Radix et Rhizoma) soothe the Liver and benefit the Spleen; Chaihu and Huangqin clear the Liver and promote ascent; Gouqizi and Shudihuang target both Liver and Kidney.) For hematochezia (blood in stool), add Diyü (Sanguisorbae Radix).
Liangxue Dihuang Tang (Cool Blood Rehmannia Decoction): Treats persistent uterine bleeding in women due to Kidney Water Yin deficiency, failing to suppress the Minister Fire in the Bao Luo (uterine network), causing blood to rush and bleed.
Shengdihuang (Rehmanniae Radix Recens), Danggui Wei (Angelicae Sinensis Radix Tail, each 5 fen), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Ben Cao (Ligustici Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengma (Cimicifugae Rhizoma, each 2 fen), Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Jingjie (Schizonepetae Spica), Manjingzi (Viticis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, each 1 fen), Honghua (Carthami Flos, a small amount).
Chop the above ingredients. Prepare as one dose, decoct in water, and take slightly warm on an empty stomach. (The classic states: 'Yin arises urgently from Yang.' Blood belongs to Yin, and Yin cannot ascend by itself. Therefore, blood from all meridions must ascend following the Qi of those meridians. If Qi sinks, heat forces blood to collapse internally. Thus, Huangbai is used to clear fire in the Lower Jiao and Bao Luo; since the Heart is the master of Fire, Shengdihuang and Huanglian are used to treat the source of fire; Zhimu and Huangqin nourish the mother of Water [Kidney]; Dangguiwei breaks stasis, Honghua generates blood, known as 'removing the old to generate the new'; Chuanxiong moves residual blood in the Blood Sea; Manjingzi cools blood in all meridians; and wind-dispelling herbs are used to ascend Qi in all meridians. When Qi of all meridians ascends, Yin blood inevitably rises with it. Hence, it is said 'arising urgently from Yang.' Those with these symptoms should follow this method.)
Xiaoji Tang (Small Thistle Decoction): Treats persistent Beng and Lou, where blood color is bright like water, and warmth causes irritability. This indicates Yang injury by Yin, leading to lower bleeding; one should tonify Yin. A rapid, urgent, and small pulse is favorable; a large pulse is unfavorable.
Xiaoji Jingye (Herba Cirsii Japonici Stem and Leaf, crushed for juice), Shengdihuang (Rehmanniae Radix Recens, crushed for juice, each 1 zhan), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang, chopped).
Combine the above three items with 1 zhan of water, decoct until reduced by half, remove dregs, and take warm.
Xiongjiu (Chuanxiong Wine): Treats Zhong Beng (heavy uterine bleeding) continuing day and night, refractory to medical treatment.
Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Shengdihuangzhi (Juice of Rehmanniae Radix Recens, 1 zhan).
Use 5 zhan of wine to decoct Chuanxiong until 1 zhan remains, remove dregs, add Shengdihuangzhi, boil for two or three more boils, divide into three doses. (This formula uses wine to decoct Chuanxiong combined with Shengdihuangzhi, possessing subtle efficacy, very miraculous indeed.)