妇女情欲不遂，沉思极郁，心脾气结，致伤冲任之源，而肾气日消，轻则或早或迟，重则渐成枯闭，宜服
秘元煎。
秘元煎
远志（炒，八分） 山药（炒，二钱） 芡实（炒，一钱） 枣仁（炒杵，二钱） 白术（蜜炙）
茯苓（各二钱五分） 炙甘草（一钱） 人参（一钱） 五味子（十四粒） 金樱子（去核，二钱）
水二钟，煎七分，食远服。
崩漏不止，经乱之甚者也。盖非时血下淋沥不止，谓之漏下。忽然暴下，若山崩然，谓之崩。中由漏而淋，
由淋而崩，总因血病调治之法。凡崩漏初起，治宜先止血，以塞其流，加减四物汤，十灰丸主之。崩漏初止，
又宜清热，以清其源，地黄汤，或奇效四物汤主之。崩漏既止，里热已除，更宜补气血以端其本，加减补中
益气汤主之。要知崩漏皆由中气虚，不能受敛其血，加以积热在里，迫血妄行，或不时血下，或忽然暴下，为
崩为漏。此证初起，宜先止血，以塞其流，急则治其标也。血既止矣，如不清源，则滔天之势必不可遏。热
既清矣，如不端本，则散失之，阳无以自持故。治崩漏之法，必守此三者次第治之，庶不致误。先贤有云∶凡治
下血证，须用四君子辈以收功，其旨深矣。
加减四物汤
当归尾 生地黄 川芎 赤芍 白芷 荆芥穗（炒黑） 甘草（各一钱）
水煎服。
十灰丸
藕节 艾叶 侧柏叶 棕榈皮（败者） 头发（皂角水洗） 大蓟 小蓟 牡丹皮 干姜 白茅根
各烧灰存性，为末等分，醋煮糯米糊丸，加减四物汤送下，以血止为度。
地黄汤
白芍 生地黄 当归身 川芎（各一钱） 羌活 防风 柴胡 荆芥穗（炒黑） 升麻（炒） 甘草（各七分）
黄芩（酒
炒） 黄连（姜汁炒） 黄柏（酒炒） 本 蔓荆子（各五分） 细辛 红花（各一分）
水煎空心服。
奇效四物汤
生地黄 川芎 当归（酒洗） 白芍（酒炒） 阿胶（蛤粉炒珠） 艾叶 条芩（酒炒，各一钱）
姜五片，水煎空心服。如血未尽止，再服十灰丸。
加减补中益气汤
人参（三钱） 黄 （蜜炙） 白术（蜜炙） 白芍（酒炒） 当归身（酒洗） 川芎 陈皮（各一钱）
柴胡 白芷 茯苓 黄柏（酒炒） 知母（酒炒） 生地黄（各七分） 炙甘草（五分）
姜三片，枣二枚，水二钟，煎七分，食前服。如气滞作痛，加青皮、木香、香附（酒炒）各一钱，或加
五灵脂一钱（炒，令烟尽，研极细末，临服加入）。
妇女情欲得不到满足，长期沉思且极度抑郁，导致心脾之气郁结，进而损伤冲任二脉的根本，使肾气日渐消减。轻者月经或提前或推后，重者逐渐发展为经血枯竭、闭经，适宜服用秘元煎。
秘元煎
远志（炒制，八分） 山药（炒制，二钱） 芡实（炒制，一钱） 酸枣仁（炒后捣碎，二钱） 白术（蜂蜜炙）
茯苓（各二钱五分） 炙甘草（一钱） 人参（一钱） 五味子（十四粒） 金樱子（去核，二钱）
加水两钟，煎至七分，在饭后较远的时间服用。
崩漏是月经紊乱中最为严重的情况。非经期阴道出血淋漓不尽，称为漏下。突然大量出血，如同山崩一般，称为崩。病情往往由漏发展至淋，再由淋发展为崩，总归属于血病范畴。治疗原则方面，凡崩漏初起，治疗应先止血，以堵塞其流（治标），主方用加减四物汤或十灰丸。崩漏刚刚停止时，又宜清热，以清除其源（治本），主方用地黄汤或奇效四物汤。崩漏已经停止，体内热邪已除，更应补益气血以固根本，主方用加减补中益气汤。要知道，崩漏皆因中气虚弱，不能统摄血液，加之积热在内，逼迫血液妄行，导致不时出血或突然暴下，形成崩或漏。此证初起，宜先止血以堵塞其流，这是“急则治其标”的原则。血液既已止住，如不清除热源，则滔天之势必然无法遏制。热邪既已清除，如不固本培元，则散失的阳气将无法维持平衡。因此，治疗崩漏的方法，必须遵循这三者的先后次序进行治疗，才不至于出错。先贤曾说：“凡是治疗下部出血证，必须用四君子汤之类的方剂来收功”，其中的旨意深远啊。
加减四物汤
当归尾 生地黄 川芎 赤芍 白芷 荆芥穗（炒黑） 甘草（各一钱）
加水煎服。
十灰丸
藕节 艾叶 侧柏叶 棕榈皮（陈旧的） 头发（用皂角水清洗） 大蓟 小蓟 牡丹皮 干姜 白茅根
以上药材各烧成炭存性，研为细末，按等比例混合，用醋煮糯米糊制成丸药，用加减四物汤送服，以血止为度。
地黄汤
白芍 生地黄 当归身 川芎（各一钱） 羌活 防风 柴胡 荆芥穗（炒黑） 升麻（炒） 甘草（各七分）
黄芩（酒炒） 黄连（姜汁炒） 黄柏（酒炒） 藁本 蔓荆子（各五分） 细辛 红花（各一分）
空腹加水煎服。
奇效四物汤
生地黄 川芎 当归（酒洗） 白芍（酒炒） 阿胶（蛤粉炒成珠状） 艾叶 条芩（酒炒，各一钱）
生姜五片，加水煎服，空腹服用。如果血未完全止住，再服用十灰丸。
加减补中益气汤
人参（三钱） 黄芪（蜜炙） 白术（蜜炙） 白芍（酒炒） 当归身（酒洗） 川芎 陈皮（各一钱）
柴胡 白芷 茯苓 黄柏（酒炒） 知母（酒炒） 生地黄（各七分） 炙甘草（五分）
生姜三片，大枣二枚，加水两钟，煎至七分，饭前服用。如果出现气滞疼痛，加青皮、木香、香附（酒炒）各一钱，或者加五灵脂一钱（炒至烟尽，研成极细末，临服药时加入）。
Women whose emotional desires are unfulfilled, who dwell in deep contemplation and extreme depression, may suffer from Qi stagnation in the Heart and Spleen. This damages the source of the Chong and Ren vessels (Chong and Ren meridians), causing Kidney Qi to diminish day by day. Mild cases may present with early or delayed menstruation, while severe cases gradually develop into amenorrhea due to exhaustion of blood. The appropriate prescription is Mi Yuan Jian.
Mi Yuan Jian (Secreted Origin Decoction)
Polygalae Radix (Zhiyuan, stir-fried, 8 fen)
Dioscoreae Rhizoma (Shanyao, stir-fried, 2 qian)
Euryales Semen (Qianshi, stir-fried, 1 qian)
Ziziphi Spinosae Semen (Zaoren, stir-fried and pounded, 2 qian)
Atractylodis Macrocephalae Rhizoma (Baizhu, honey-roasted)
Poria (Fuling, each 2.5 qian)
Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 1 qian)
Ginseng Radix (Renshen, 1 qian)
Schisandrae Fructus (Wuweizi, 14 grains)
Rosa laevigata (Jinyingzi, pitted, 2 qian)
Add two zhong of water, decoct until one-seventh remains, and take at a time far removed from meals.
Beng Lou (Metrorrhagia and Metrostaxis) represents the most severe form of menstrual irregularity. Non-menstrual vaginal bleeding that drips continuously is called Lou Xia (Leaking Down). Sudden profuse bleeding, resembling a mountain collapse, is called Beng (Collapse). The condition often progresses from leaking to dripping, and from dripping to collapsing; it fundamentally belongs to disorders of blood. In the initial stage of Beng Lou, treatment should prioritize stopping bleeding to block the flow (treating the branch), primarily using Jiajian Siwu Tang or Shihui Wan. Once Beng Lou has just stopped, heat-clearing is indicated to clear the source (treating the root), primarily using Dihuang Tang or Qixiao Siwu Tang. After Beng Lou has ceased and internal heat has been eliminated, tonifying Qi and Blood to secure the foundation is necessary, primarily using Jiajian Buzhong Yiqi Tang. It must be understood that Beng Lou arises from deficiency of Middle Qi, which fails to contain the blood, compounded by accumulated heat within forcing blood to move recklessly, resulting in intermittent or sudden profuse bleeding, manifesting as Beng or Lou. In the initial stage, stopping bleeding to block the flow is essential, adhering to the principle of "treating the acute symptoms first." Once bleeding stops, if the source (heat) is not cleared, the torrential momentum cannot be restrained. Once heat is cleared, if the foundation is not secured, the scattered Yang Qi will lack support. Therefore, the treatment of Beng Lou must strictly follow this sequence: stop bleeding, clear heat, then tonify. Only then can errors be avoided. As the sages said, "In treating all lower jiao hemorrhagic syndromes, one must use formulas from the Four Gentlemen category to conclude treatment," the implication of which is profound.
Jiajian Siwu Tang (Modified Four Substances Decoction)
Angelicae Sinensis Radix Caudex (Dangguiwei)
Rehmanniae Radix Recens (Shengdihuang)
Ligustici Chuanxiong Rhizoma (Chuanxiong)
Paeoniae Radix Rubra (Chishao)
Angelicae Dahuricae Radix (Baizhi)
Schizonepetae Spica (Jingsheisui, stir-fried until charred)
Glycyrrhizae Radix et Rhizoma (Gancao, each 1 qian)
Decoct in water and take orally.
Shihui Wan (Ten Charcoals Pill)
Nelumbinis Nelumbo (Ou jie)
Artemisiae Argyi Folium (Ai ye)
Platycladi Cacumen (Cebai ye)
Lataniae Fibra (Zonglupi, aged ones)
Capillus Humanus (Toufa, washed with Saposhnikoviae Radix water)
Cirsii Japonici Herba (Daji)
Cirsii Herba (Xiaoji)
Moutan Cortex (Mudanpi)
Zingiberis Rhizoma Pericarpium (Ganjiang)
Imperatae Rhizoma (Baimaogen)
Each ingredient is burned to charcoal while preserving its nature, ground into powder, mixed in equal proportions, and formed into pills using a paste made from glutinous rice boiled in vinegar. Take with Jiajian Siwu Tang until bleeding stops.
Dihuang Tang (Rehmannia Decoction)
Paeoniae Radix Alba (Baishao)
Rehmanniae Radix Recens (Shengdihuang)
Angelicae Sinensis Radix Corpus (Dangguishen)
Ligustici Chuanxiong Rhizoma (Chuanxiong, each 1 qian)
Notopterygii Rhizoma et Radix (Qianghuo)
Saposhnikoviae Radix (Fangfeng)
Bupleuri Radix (Chaihu)
Schizonepetae Spica (Jingsheisui, stir-fried until charred)
Cimicifugae Rhizoma (Shengma, stir-fried)
Glycyrrhizae Radix et Rhizoma (Gancao, each 7 fen)
Scutellariae Radix (Huangqin, wine-fried)
Coptidis Rhizoma (Huanglian, ginger-juice fried)
Phellodendri Cortex (Huangbai, wine-fried)
Ligustici Wallichii Rhizoma (Ben)
Vernoniae Capitulum (Manjingzi, each 5 fen)
Asari Radix et Rhizoma (Xixin)
Carthami Flos (Honghua, each 1 fen)
Decoct in water and take on an empty stomach.
Qixiao Siwu Tang (Miraculously Effective Four Substances Decoction)
Rehmanniae Radix Recens (Shengdihuang)
Ligustici Chuanxiong Rhizoma (Chuanxiong)
Angelicae Sinensis Radix (Danggui, washed with wine)
Paeoniae Radix Alba (Baishao, wine-fried)
Colla Corii Asini (Ejiao, fried with clam powder until granular)
Artemisiae Argyi Folium (Ai ye)
Scutellariae Radix (Tiaohuang, wine-fried, each 1 qian)
Add five slices of Zingiberis Rhizoma Recens (Shengjiang), decoct in water, and take on an empty stomach. If bleeding has not completely stopped, take Shihui Wan again.
Jiajian Buzhong Yiqi Tang (Modified Tonify the Middle and Augment the Qi Decoction)
Ginseng Radix (Renshen, 3 qian)
Astragali Radix (Huangqi, honey-roasted)
Atractylodis Macrocephalae Rhizoma (Baizhu, honey-roasted)
Paeoniae Radix Alba (Baishao, wine-fried)
Angelicae Sinensis Radix Corpus (Dangguishen, wine-washed)
Ligustici Chuanxiong Rhizoma (Chuanxiong)
Citri Reticulatae Pericarpium (Chenpi, each 1 qian)
Bupleuri Radix (Chaihu)
Angelicae Dahuricae Radix (Baizhi)
Poria (Fuling)
Phellodendri Cortex (Huangbai, wine-fried)
Anemarrhenae Rhizoma (Zhimu, wine-fried)
Rehmanniae Radix Recens (Shengdihuang, each 7 fen)
Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 5 fen)
Add three slices of Zingiberis Rhizoma Recens (Shengjiang) and two dates (Zao), decoct two zhong of water until one-seventh remains, and take before meals. If Qi stagnation causes pain, add Aquarum Citri Reticulatae Pericarpium Viride (Qingpi), Aucklandiae Radix (Muxiang), and Cyperi Rhizoma (Xiangfu, wine-fried) each 1 qian; or add Trogopterori Faeces (Wulingzhi) 1 qian (stir-fried until smoke ceases, ground to an extremely fine powder, added immediately before taking the medicine).