戴氏曰∶血大至，曰崩中，或清或浊，或纯下瘀血成腐，势不可止，证状非一，所感亦
异，甚则头目昏晕，四肢厥冷，并宜胶艾汤、咽震灵丹（震灵丹能止能行，非元礼不能道不能用），佐以三灰散，
或以童子小便煎理中
汤，或以沉香降气汤加入百草霜，米饮调下。血崩甚而腹痛，人多疑恶血未尽（有此特见），又见血色瘀
黑，愈信恶血之说，不敢止截。大凡血之为患，欲出未出之际，停在腹中，即成瘀色，难尽
以瘀为恶（妙论），又焉知瘀之不为虚冷乎？若必待见瘀血之后截之，恐并与人无之矣。此腹痛更有
说瘀而腹痛，血通而痛止，崩而腹痛，血住则痛止，宜芎归汤加干姜、熟附一钱（非久崩气脱者，不可用），止其血，
而痛自止（以下皆止涩之法，而蟹壳、黄麻又有破血之能），仍以刺花绣拭黑片，烧灰研末，米饮调下。一方以毛蟹壳
烧存性，米饮下。亦有
薛氏曰∶表弟方健甫内五十岁，辛丑患血崩，诸药罔效，壬寅八月，身热体痛，头晕涕
出，吐痰少食，众作火治，展转发热，绝粒数日。余诊之曰∶脾胃久虚，过服寒药，中病未
已，寒病复起。遂用八味丸料一服，翌早遂索粥数匙，再服，食倍热减痛止，乃服八味丸而
愈。癸卯秋因劳役忧怒，甲辰夏病复作，胸饱发热，脊痛腰疼，神气怫郁，或作中暑，崩血
便血，烦渴引饮，粒米不进，昏愦时作，脉洪大，按之微弱，此无根之火，内虚寒而外假热
也，以十全大补加附子一剂，遂食粥三四匙，崩血渐减，日服八味丸，始得痊愈。（种种得窍，如此大法，自有知者）
大尹王天成之内，久患崩，自服四物凉血之剂，或作或辍，因怒发热，其血不止，服前
药不应，乃主降火，更加腹胁大痛，手足俱冷。余曰∶此脾胃虚寒所致，先用附子理中汤，
体热痛止，又用《济生》归脾、补中益气二汤，崩血顿愈。若泥痛无补法，则误矣。（因怒发热，不主于肝，而专温补
脾胃，此得治本之道。然与前中寒之症，方药迥别，又孰是耶）
锦衣杨永兴之内，患前证，过服寒凉之剂，其证益甚，更加肚腹痞闷，饮食不入，发热
烦躁，脉洪大而虚。余曰∶此脾经气血虚而发躁也。当急用八珍汤加炮姜以温补之，缓则不
救。不信，乃服止血降火之剂，虚证蜂起，始信余言，缓不及治矣。（均一寒凉过剂，而方药应用不同，然皆不舍姜、
附，是必有道。又两服之而愈，一不听而殁，可不知所集之意哉）
戴氏说：血液大量涌出，称为崩中，血色或清或浊，或纯为瘀血腐败之物，势态无法停止，症状表现不一，致病原因也各异，严重时出现头目昏晕、四肢厥冷，均适宜使用胶艾汤，服用震灵丹（震灵丹既能止血又能行血，非元礼不能道出且不能用），并佐以三灰散；或者用童子小便煎煮理中汤；或者在沉香降气汤中加入百草霜，用米饮调服。血崩严重且伴有腹痛时，人们多怀疑恶血未尽（这是独到的见解），又见血色瘀黑，更加确信是恶血的说法，不敢使用止涩法。大凡血液为患，在欲出未出的时候，停留在腹中，就会变成瘀色，难以全部认为是恶血（精妙的论述），又怎知瘀血不是由于虚冷造成的呢？如果一定要等到看到瘀血之后再使用截断止涩法，恐怕连正常的血液也会耗竭殆尽。关于这种腹痛还有另一种说法：因瘀血阻滞而腹痛，血液通畅则疼痛停止；因崩漏而腹痛，血液止住则疼痛停止，适宜使用芎归汤加入干姜、熟附子一钱（如果不是长期崩漏导致气脱的患者，不可使用），止住血液，疼痛自然停止（以下都是止涩的方法，但蟹壳、黄麻又有破血的功能），仍然使用刺花绣擦拭过的黑片，烧成灰研成末，用米饮调服。另一方法是用毛蟹壳烧存性，用米饮送下。
薛氏说：表弟方健甫的妻子五十岁时，辛丑年患血崩，各种药物无效，壬寅年八月，身体发热、肢体疼痛、头晕、流涕、吐痰、食欲减少，众人当作火热证治疗，导致发热加重，绝食数日。我诊察后说：脾胃长久虚弱，过服寒凉药物，病邪未除，寒病又起。于是使用八味丸料，服用一次，第二天早晨就索要几匙粥，再服用后，饮食加倍，热减痛止，接着服用八味丸而痊愈。癸卯年秋天因为劳累、忧郁、愤怒，甲辰年夏天病情复发，胸脘饱胀、发热、脊背疼痛、腰部疼痛，神气郁结，有人当作中暑治疗，出现崩血、便血、烦躁口渴、引水自饮、粒米不进、时而昏迷，脉象洪大，重按微弱，这是无根之火，内里虚寒而外表假热，使用十全大补汤加入附子一剂，随即能吃三四匙粥，崩血逐渐减少，每天服用八味丸，才得以痊愈。（种种得窍，如此大法，自有知音者）
大尹王天成的妻子，长期患有崩漏，自行服用四物汤等凉血药剂，时好时坏，因为愤怒而发热，出血不止，服用前面的药物无效，于是主张降火，反而加剧了腹胁部剧烈疼痛，手足俱冷。我说：这是脾胃虚寒所致，先用附子理中汤，身体发热和疼痛停止，又使用《济生》归脾汤、补中益气汤两方，崩血顿时痊愈。如果拘泥于“痛无补法”的说法，那就错了。（因为愤怒而发热，不主要责之于肝，而专门温补脾胃，这是抓住了治本之道。然而与前文中寒的病症，方药截然不同，又有谁是对的呢？）
锦衣杨永兴的妻子，患上述病症，过服寒凉药剂，症状更加严重，加上肚腹痞闷，饮食不入，发热烦躁，脉象洪大而虚。我说：这是脾经气血虚弱而导致的烦躁。应当紧急使用八珍汤加入炮姜来温补，如果迟缓则无法救治。患者不信，反而服用止血降火的药剂，虚证蜂拥而起，才相信我的话，但已经迟缓来不及救治了。（同样是过用寒凉，而方药应用不同，然而都不舍弃姜、附，这必定是有道理的。又有两人服药后痊愈，一人不听从而死亡，可知其中集注的用意吗？）
Dai said: When blood flows out in large quantities, it is called "Beng Zhong" (Metrorrhagia), with the blood being either clear or turbid, or purely consisting of stagnant blood that has become putrid. The condition is unstoppable, presenting various symptoms and caused by different factors. In severe cases, dizziness and vertigo of the head and eyes, as well as cold limbs, occur. All such cases are suitable for treatment with Jiao Ai Tang (Cordyceps and Moutan Decoction) and swallowing Zhen Ling Dan (Zhen Spirit Pill, which can both stop bleeding and promote circulation; only Yuanli could explain and use it). It should be assisted with San Hui San (Three Ash Powder), or Li Zhong Tang (Regulate the Middle Decoction) decocted with urine from an uncircumcised boy, or Chen Xiang Jiang Qi Tang (Aucklandia Descending Qi Decoction) added with Bai Cao Shuang (Soot from Hundred Herbs), taken down with rice drink. When metrorrhagia is severe and accompanied by abdominal pain, people often suspect that evil blood has not been fully expelled (a unique insight). Seeing the dark, stagnant color of the blood further confirms this belief, making them afraid to use astringent methods. Generally speaking, when blood is affected, if it stays in the abdomen before flowing out, it turns into a stagnant color. It is difficult to assume all of it is evil blood (a brilliant argument). How can one know that stagnant blood is not due to deficiency and cold? If one must wait until stagnant blood is seen before using astringent methods, it is feared that even normal blood will be exhausted. There is another explanation for this abdominal pain: Abdominal pain caused by blood stasis stops when blood circulation resumes; abdominal pain caused by metrorrhagia stops when bleeding ceases. In such cases, Xiong Gui Tang (Angelica and Chuanxiong Decoction) added with Gan Jiang (Dried Ginger) and Shu Fu Zi (Prepared Aconite Root, 1 qian) is suitable (not to be used if qi collapse has occurred due to long-term metrorrhagia). Once the bleeding stops, the pain naturally subsides (The following are all astringent methods, yet crab shell and Huang Ma have the ability to break blood stasis). One should still use pieces blackened by rubbing with Ci Hua Xiu (Thorn Flower Embroidery?), burn them to ash, grind into powder, and take with rice drink. Another method is to burn Mao Xie Ke (Crab Shell) until it retains its nature, and take it with rice drink.
Xue said: My cousin's wife, aged fifty, suffered from metrorrhagia in the Xin Chou year, to which various medicines were ineffective. In the eighth month of the Ren Yin year, she experienced fever, body pain, dizziness, runny nose, expectoration, and poor appetite. The public treated her as having fire-heat, which exacerbated the fever, leading to several days of fasting. Upon diagnosis, I said: The spleen and stomach have been deficient for a long time; overuse of cold medicines has failed to cure the disease, and a cold pathogen has arisen again. Therefore, I used Ba Wei Wan (Eight-Ingredient Pill) ingredients. After one dose, she asked for a few spoons of porridge the next morning. After taking it again, her appetite doubled, fever decreased, and pain stopped. She then took Ba Wei Wan and recovered. In the autumn of the Gui Mao year, due to labor, worry, and anger, the illness recurred in the summer of the Jia Chen year. She had chest fullness, fever, back pain, lumbar pain, and depressed spirit. Some treated it as heatstroke, resulting in metrorrhagia, hematochezia, irritability, thirst with excessive drinking, inability to eat rice, and intermittent coma. The pulse was flooding but weak upon deep pressure. This is rootless fire, internal deficiency-cold with external false-heat. I prescribed Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) added with Fu Zi (Aconite Root) for one dose. She immediately ate three or four spoons of porridge, and the bleeding gradually decreased. Taking Ba Wei Wan daily eventually led to complete recovery. (Various insights and major principles like this have their own understanders.)
The wife of Wang Tiancheng, a Dayin (Magistrate), suffered from long-term metrorrhagia. She self-medicated with Si Wu Tang (Four Substances Decoction) and other cooling-blood agents, with intermittent improvement. Due to anger and fever, the bleeding did not stop. Previous medicines were ineffective, so the focus shifted to clearing fire, which aggravated severe pain in the abdomen and hypochondrium, with cold hands and feet. I said: This is caused by spleen-stomach deficiency-cold. First, use Fu Zi Li Zhong Tang (Aconite Regulate the Middle Decoction). Once body heat and pain subsided, Ji Sheng Gui Pi Tang (Ji Sheng Spleen-Tonifying Decoction) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment Qi Decoction) were used, and the metrorrhagia instantly healed. If one sticks to the notion that "pain cannot be treated with tonification," it would be a mistake. (Fever due to anger is not primarily attributed to the liver, but specifically warming and tonifying the spleen and stomach captures the root cause. However, the prescription differs significantly from the previous cold-injury case; who is correct?)
The wife of Yang Yongxing, a Jin Yi (Imperial Guard), suffered from the aforementioned condition. Overuse of cold-cooling agents worsened her symptoms, adding epigastric fullness, inability to eat, fever, irritability, and a flooding yet empty pulse. I said: This is irritability caused by deficiency of qi and blood in the spleen meridian. Urgent treatment with Ba Zhen Tang (Eight-Treasure Decoction) added with Pao Jiang (Roasted Ginger) for warming and tonification is necessary; delay means no salvation. Disbelieving this, she took hemostatic and fire-clearing agents, causing deficiency syndromes to arise in droves. Only then did she believe my words, but it was too late to treat. (Although both cases involved overuse of cold agents, the prescriptions differed, yet neither abandoned Jiang (Ginger) and Fu Zi (Aconite); there must be a principle. Two recovered after two doses, while one died from non-compliance. Can one not discern the intent of these annotations?)