(纲目云经水先期者宜凉血四物加芩连知黄柏艾附草胶过多者四物加芩木蒲
艾附草胶治崩漏有补中益气与六味地黄合用法又火旺用凉血地黄气陷用益胃升阳)
此膏主举
不止。(阴虚不足以制胞络之火)或崩中。(阴虚而阳搏之也有因心郁者有悲哀太甚而致者有
内伤中气下陷者○暴下曰崩崩断非寒病然曰久则阳亡)或漏下。(淋沥不断为漏下有降而无升
也)或兼湿热带下。或五旬后经行者。(大都是热)皆可用。(血崩有用蒲黄炒灵脂炒发灰牛胶
醋熬者又摄生用归尾三钱黑荆穗二钱白芷川芎各一钱升麻柴胡各五分二方即是收涩升提之法
如合用敷脐下可助膏力○清阳膏升滋阴膏收并可参)上贴心口。中贴脐眼下贴丹田。或兼贴
对脐两腰。
全当归(三两血能归经则不至妄行矣) 丹皮(酒炒) 柴胡 酒芍 生地 黄芩
知母 麦冬 地骨皮 川芎 贝母 黄连(各二两) 羌活 防风 连翘 薄荷 蔓荆子 紫
苏独活 本 细辛 丹参 党参 黄 熟地 元参 白术 天冬 赤芍 白微 苍术
萸肉 淮山药 枳壳 枯梗 麦芽 郁金 贯众 青皮 陈皮 半夏 胆南星 白芷 升
麻葛根 黄柏 黑山栀 生甘草 熟牛膝 杜仲 续断(炒) 桑白皮 椿白皮 樗白皮
秦皮 醋炒延胡 醋炒蒲黄 醋炒香附 黑荆穗 黑灵脂 地榆炭 栝蒌皮(炒) 五味子
五倍子 诃子肉 乌贼骨 龙骨 左顾牡蛎 炮山甲 炒黑蚕砂(各一两) 龟板 鳖甲
(各二两) 炮姜炭(五钱)
生姜(二两) 葱白(大蒜) 韭白(各四两) 紫花地丁(即大蓟)
益母草 槐枝(连实) 柳枝 桑枝(各八两) 茅根 干荷叶 侧柏叶 霜桑叶 薄荷叶(各
二两) 凤仙草(半株) 苍耳草(全株) 艾 乌梅(各二两)○两共享油二十四斤分熬去渣后
并熬丹收○再入陈壁土 枯矾 百草霜 发灰 赤石脂 紫石英( 各一两) 牛胶(四两酒
蒸化如清阳膏下法)
(《本草纲目》记载:月经先期来潮者,适宜使用凉血四物汤加黄芩、黄连、知母、黄柏;若经量过多,则用四物汤加黄芩、木香、蒲黄、艾叶、附子、阿胶、甘草;治疗崩漏有补中益气汤与六味地黄丸合用的方法;又如火旺者用凉血地黄汤,气陷者用益胃升阳汤。)
此膏主治经血不止。(因阴虚不足以制约胞络之火)或出现崩中。(阴虚而阳气搏动所致,有的因心气郁结引起,有的因悲哀过度导致,有的因内伤中气下陷引起○暴下如注称为“崩”,崩漏并非寒病,但久病则会导致阳气亡失)或出现漏下。(淋漓不断称为“漏”,这是只有下降而没有上升的表现)或兼有湿热带下。或五十岁后仍行经者。(大都是热证)以上情况皆可使用。(治疗血崩有用蒲黄、炒五灵脂、炒发灰、牛胶、醋熬制的方子,又有养生家用的当归尾三钱、黑荆穗二钱、白芷一钱、川芎一钱、升麻五分、柴胡五分两方,即是收敛固涩、升提举陷的方法,如果配合敷贴脐下,可辅助膏药之力○清阳膏主升提,滋阴膏主收敛,均可参考)上方贴心口穴,中间贴脐下穴,下方贴丹田穴。或者兼贴对脐两侧腰部。
全当归(三两,血能归经则不会妄行) 丹皮(酒炒) 柴胡 酒芍药 生地 黄芩 知母 麦冬 地骨皮 川芎 贝母 黄连(各二两) 羌活 防风 连翘 薄荷 蔓荆子 紫苏 独活 藁本 细辛 丹参 党参 黄芪 熟地 元参 白术 天冬 赤芍 白薇 苍术 山茱萸 淮山药 枳壳 桔梗 麦芽 郁金 贯众 青皮 陈皮 半夏 胆南星 白芷 升麻 葛根 黄柏 黑山栀 生甘草 熟牛膝 杜仲 续断(炒) 桑白皮 椿白皮 樗白皮 秦皮 醋炒延胡索 醋炒蒲黄 醋炒香附 黑荆穗 黑五灵脂 地榆炭 栝蒌皮(炒) 五味子 五倍子 诃子肉 乌贼骨 龙骨 左顾牡蛎 炮穿山甲 炒黑蚕砂(各一两) 龟板 鳖甲(各二两) 炮姜炭(五钱)
生姜(二两) 葱白(大蒜) 韭白(各四两) 紫花地丁(即大蓟) 益母草 槐枝(带果实) 柳枝 桑枝(各八两) 茅根 干荷叶 侧柏叶 霜桑叶 薄荷叶(各二两) 凤仙草(半株) 苍耳草(全株) 艾叶 乌梅(各二两)○以上药材共用油二十四斤,分次熬煮去渣后,再加入红丹收膏○再入陈壁土、枯矾、百草霜、发灰、赤石脂、紫石英(各一两)、牛胶(四两,酒蒸化,如清阳膏的下法)
(The *Compendium of Materia Medica* states: For menstruation occurring early, it is suitable to use Liangxue Siwu Tang (Cooling Blood Four Substances Decoction) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Zhimu (Anemarrhenae Rhizoma), and Huangbai (Phellodendri Cortex); if the menstrual flow is excessive, Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Muxiang (Aucklandiae Radix), Puhuang (Pollinis Typhae), Aye (Mosses Folium), Fuzi (Aconiti Lateralis Radix Praeparata), Ejiao (Colla Corii Asini), and Gancao (Glycyrrhizae Radix et Rhizoma) should be used. There is a method of combining Buzhong Yiqi Tang (Decoction for Replenishing the Middle and Boosting Qi) with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) for treating Benglou (Metrorrhagia and Leukorrhea). Furthermore, for fire hyperactivity, Liangxue Dihuang Tang (Cooling Blood Rehmannia Decoction) is used, while for Qi sinking, Yiyi Shengyang Tang (Decoction for Benefiting Stomach and Raising Yang) is employed.)
This plaster primarily treats persistent uterine bleeding. It addresses cases due to Yin deficiency failing to control the fire in the Baoluo (Uterine Collaterals), or Bengzhong (Sudden heavy uterine bleeding). Bengzhong results from Yin deficiency with Yang hyperactivity; some cases are caused by Heart Qi stagnation, some by excessive grief, and some by internal injury leading to Spleen Qi sinking. "Baoxia" (sudden profuse flow) is termed "Beng". Although Beng is not a cold disease, prolonged illness leads to Yang collapse. It also treats Louxia (dribbling uterine bleeding), characterized by continuous dripping without rising, indicating descent without ascent. It may also treat concurrent damp-heat leukorrhea, or menstruation continuing after age fifty (mostly heat patterns). All these conditions can use this plaster. (For metrorrhagia, there are formulas using Puhuang (Pollinis Typhae), Chao Wulingzhi (Fried Trogopterori Faeces), Chao Fahui (Fired Hair Ash), Niujiao (Ox Hide Glue), and Vinegar; another regimen for health preservation uses Guiwei (Radix Angelicae Sinensis Caulis) 3 qian, Hei Jingsui (Fried Viticis Spicae) 2 qian, Baizhi (Angelicae Dahuricae Radix) 1 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 qian, Shengma (Cimicifugae Rhizoma) 0.5 qian, and Chaihu (Bupleuri Radix) 0.5 qian. These two methods represent astringent and lifting techniques. If applied to the navel area, they can assist the plaster's efficacy. Qingyang Gao (Clear Yang Plaster) lifts, and Ziyin Gao (Nourish Yin Plaster) astringes; both can be referenced.) Apply the upper part to Xin Kou (Heart Gate, located at the epigastrium), the middle part to Qi Hai (Sea of Qi, below the umbilicus), and the lower part to Dan Tian (Elixir Field, lower abdomen). Alternatively, apply additionally to the waist areas opposite the umbilicus.
Quan Danggui (Total Angelicae Sinensis Radix, 3 liang): When blood returns to its vessels, it will not flow recklessly. Danpi (Moutan Cortex, wine-fried). Chaihu (Bupleuri Radix). Jiushaoyao (Paeoniae Radix Alba, wine-treated). Shengdi (Rehmanniae Radix). Huangqin (Scutellariae Radix). Zhimu (Anemarrhenae Rhizoma). Maidong (Ophiopogonis Radix). Digupi (Lycii Cortex). Chuanxiong (Ligustici Chuanxiong Rhizoma). Beimu (Fritillariae Bulbus). Huanglian (Coptidis Rhizoma) (each 2 liang). Qianghuo (Notopterygii Rhizoma et Radix). Fangfeng (Saposhnikoviae Radix). Lianqiao (Forsythiae Fructus). Bohe (Menthae Haplocalycis Herba). Manjingzi (Vittaginis Fructus). Zisu (Perillae Folium). Duhuo (Angelicae Pubescentis Radix). Gaoben (Ligustici Wallichii Rhizoma et Radix). Xixin (Asari Radix et Rhizoma). Danshen (Salviae Miltiorrhizae Radix et Rhizoma). Dangshen (Codonopsis Radix). Huangqi (Astragali Radix). Shudi (Rehmanniae Radix Praeparata). Yuan Shen (Scrophulariae Radix). Baizhu (Atractylodis Macrocephalae Rhizoma). Tiandong (Asparagi Radix). Chishao (Paeoniae Radix Rubra). Baiwei (Cistanches Herba - *Note: likely refers to Baiwei/Cistanches or similar, context suggests clearing heat*). Cangzhu (Atractylodis Rhizoma). Yurou (Corni Fructus). Huai Shanyao (Dioscoreae Hypoglaucae Rhizoma). Zhike (Aurantii Fructus). Jiegeng (Platycodonis Radix). Maiya (Hordei Fructus Germinatus). Yujin (Curcumae Longae Radix). Guanzhong (Dryopteridis Crassirhizomatis Rhizoma). Qingpi (Citri Reticulatae Pericarpium Viride). Chenpi (Citri Reticulatae Pericarpium). Banxia (Pinelliae Rhizoma). Dantanxing (Arisaematis Cum Bile Praeparatum). Baizhi (Angelicae Dahuricae Radix). Shengma (Cimicifugae Rhizoma). Gegen (Puerariae Lobatae Radix). Huangbai (Phellodendri Cortex). Hei Shanzhi (Gardeniae Fructus, charred). Sheng Gancao (Glycyrrhizae Radix et Rhizoma). Shu Niu Xi (Achyranthis Bidentatae Radix). Duzhong (Eucommiae Cortex). Xuduan (Dipsaci Radix, fried). Sangbaipi (Mori Cortex). Chunbaipi (Toosendan Cortex). Chubaipi (Toosendan Cortex). Qinpi (Fraxini Cortex). Cu Yanhusuo (Cyperi Rhizoma, vinegar-fried). Cu Puhuang (Pollinis Typhae, vinegar-fried). Cu Xiangfu (Cyperi Rhizoma, vinegar-fried). Hei Jingsui (Fried Viticis Spicae). Hei Wulingzhi (Fried Trogopterori Faeces). Diyu Tan (Sanguisorbae Radix Charcoal). Gualou Pi (Trichosanthis Pericarpium, fried). Wuweizi (Schisandrae Chinensis Fructus). Wubeizi (Gallae Chinensis). Hezi Rou (Terminaliae Chebulae Fructus). Ouiegu (Sepiae Endoconcha). Longgu (Fossi Mastodi et Oxossi Os). Zuogu Muli (Concha Ostreae, facing left). Pao Shanjiia (Carapax et Plastrum Testudinis, processed). Chaohei Can Sha (Bombyx Batryticatus, stir-fried black) (each 1 liang). Guiban (Carapax et Plastrum Testudinis). Biejia (Carapax Trionycis) (each 2 liang). Pao Jiangtan (Zingiberis Rhizoma Charred, 5 qian).
Shengjiang (Fresh Ginger, 2 liang). Congbai (Scallion White, including Garlic). Jiubai (Garlic Sprout/Leek White) (each 4 liang). Zihuadi Ding (Viola Yedoensis, i.e., Daji/Bleeding Heart Vine). Yi Mucao (Leonuri Herba). Huaizhi (Stoli Sabinae cum Fructu). Liuzhi (Salicis Ramulus). Sangzhi (Mori Ramulus) (each 8 liang). Maogen (Imperatae Rhizoma). Gan Heye (Dried Nelumbinis Folium). Cebaiye (Platycladi Cacumen). Shuang Sangye (Mulberry Leaf Frosted). Bohe Ye (Menthae Haplocalycis Folium) (each 2 liang). Fengxian Cao (Impatiens Herba, half plant). Cang'er Cao (Xanthii Fructus et Herba, whole plant). Aiye (Artemisiae Argyi Folium). Wumei (Mume Fructus) (each 2 liang). ○ Use twenty-four jin of oil for all ingredients above. Boil in batches, strain dregs, then add Red Dan (Mineral Lead Oxide) to form the plaster. ○ Then add Chenbitu (Old Wall Earth), Kufan (Alumen Exsiccatum), Baicaoshuang (Soot from Hundred Herbs), Fahui (Hair Ash), Chishizhi (Halloysitum Rubrum), Zi Shiyunqing (Fluorite), (each 1 liang), and Niu Jiao (Ox Hide Glue, 4 liang, steamed in wine until melted, following the method for Qingyang Gao).