血崩不止,由肾弱阴虚,不能镇制胞络相火,故血热成崩,恐则大下也。宜服凉血汤。
凉血汤
当归 生地黄(各一钱) 黄连(姜制) 黄芩 黄柏(酒炒) 知母(酒炒) 防风 荆芥(各八分)
细辛 蔓荆子 羌活(各六分) 本(四分) 甘草 升麻(炒,各三分)
水煎,食前服。
妇女大怒之后,经血暴下,此暴怒伤肝,肝不藏血,而血妄行者。治宜平肝养血,宜服养血汤。
养血汤
当归(酒洗) 白芍 白术(蜜炙) 茯苓 香附(制)
青皮 柴胡(各一钱) 炙甘草(五分)
用水一钟半,煎一钟,食前服。
若久崩者,宜服鸡子汤。如小腹痛,宜服加味四物汤。
鸡子汤
鸡子(三个) 葱(三茎) 姜(一两)
上将葱姜共捣如泥。鸡子去壳和匀,入麻油半两,锅内同炒,酒煮温服。
加味四物汤
熟地黄(三钱) 川芎 当归 玄胡索 乌药(炒,各一钱) 白芍(炒) 小茴香(各八分)
姜三片,水煎空心服。
久崩成漏,远年不休,此中气下陷,下元不固,而虚之甚者也。宜服补中益气汤,兼鹿角丸。
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(七分) 炙甘草(五分)
姜三片,枣二枚,水煎服。
鹿角丸
鹿角霜 当归身 茯神 龙骨( ) 阿胶(牡蛎粉炒珠) 柏子仁(炒) 香附(酒炒) 山药(各二两)
川芎 川续断(各一钱) 炙甘草(五分)
上为末,取白茅根捣汁糊丸,补中益气汤送下七十丸,空心服。
血崩(阴道大量出血)不止,是由于肾气虚弱、阴液不足,无法制约胞宫络脉中的相火(寄居于肝肾的命门之火),导致血热妄行而成崩漏,这种状况类似于惊恐导致的严重下泄。适宜服用凉血汤。
凉血汤
当归 生地黄(各一钱) 黄连(姜汁制) 黄芩 黄柏(酒炒) 知母(酒炒) 防风 荆芥(各八分)
细辛 蔓荆子 羌活(各六分) 藁本(四分) 甘草 升麻(炒,各三分)
加水煎煮,饭前服用。
妇女在极度愤怒之后,经血突然大量下行,这是因为暴怒损伤了肝脏,肝失藏血功能,导致血液妄行。治疗应当平抑肝气、滋养血液,适宜服用养血汤。
养血汤
当归(酒洗) 白芍 白术(蜜炙) 茯苓 香附(制)
青皮 柴胡(各一钱) 炙甘草(五分)
用水一钟半,煎至一钟,饭前服用。
如果是长期崩漏者,适宜服用鸡子汤。如果伴有小腹部疼痛,适宜服用加味四物汤。
鸡子汤
鸡蛋(三个) 葱(三根) 生姜(一两)
先将葱姜共同捣碎成泥状。鸡蛋去壳后与葱姜泥混合均匀,加入麻油半两,在锅内一同炒熟,用酒煮温后服用。
加味四物汤
熟地黄(三钱) 川芎 当归 玄胡索 乌药(炒,各一钱) 白芍(炒) 小茴香(各八分)
生姜三片,加水煎煮,空腹服用。
久崩转为漏下(淋漓不尽),长年不愈,这是中气下陷、下元不固,属于极度虚损的证候。适宜服用补中益气汤,并配合鹿角丸。
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(七分) 炙甘草(五分)
生姜三片,大枣二枚,加水煎服。
鹿角丸
鹿角霜 当归身 茯神 龙骨(煅) 阿胶(牡蛎粉炒成珠) 柏子仁(炒) 香附(酒炒) 山药(各二两)
川芎 川续断(各一钱) 炙甘草(五分)
以上药物研为细末,取白茅根捣汁制成糊状作为粘合剂丸药,用补中益气汤送服七十丸,空腹服用。
Metrorrhagia (profuse vaginal bleeding) that does not cease is caused by weak kidney qi and yin deficiency, which fails to control the ministerial fire (mingmen fire residing in liver and kidney) in the uterine collaterals. This leads to blood heat causing metrorrhagia, a condition resembling severe downward discharge due to fright. It is appropriate to take Liangxue Tang (Cooling Blood Decoction).
Liangxue Tang (Cooling Blood Decoction)
Danggui (Radix Angelicae Sinensis), Shengdihuang (Rhizoma Rehmanniae Recens) (each 1 qian); Huanglian (Radix Coptidis, processed with ginger juice), Huangqin (Radix Scutellariae), Huangbai (Cortex Phellodendri, stir-fried with wine), Zhimu (Rhizoma Anemarrhenae, stir-fried with wine), Fangfeng (Radix Saposhnikoviae), Jingjie (Herba Schizonepetae) (each 8 fen); Xixin (Radix Asari), Manjingzi (Fructus Viticis), Qianghuo (Rhizoma Notopterygii) (each 6 fen); Gaoben (Rhizoma Ligustici Chuanxiong) (4 fen); Gancao (Radix Glycyrrhizae), Shengma (Rhizoma Cimicifugae, stir-fried) (each 3 fen).
Decoct in water and take before meals.
After a woman experiences extreme anger, menstrual blood flows down suddenly and profusely. This is because violent anger injures the Liver; the Liver loses its function of storing blood, causing blood to move recklessly. The treatment should soothe the Liver and nourish the blood; it is appropriate to take Yangxue Tang (Nourishing Blood Decoction).
Yangxue Tang (Nourishing Blood Decoction)
Danggui (Radix Angelicae Sinensis, washed with wine), Baishao (Radix Paeoniae Alba), Baizhu (Rhizoma Atractylodis Macrocephalae, honey-roasted), Fuling (Sclerotium Poriae), Xiangfu (Rhizoma Cyperi, processed); Qingpi (Pericarpium Citri Reticulatae Viride), Chaihu (Radix Bupleuri) (each 1 qian); Zhigancao (Radix Glycyrrhizae Preparata) (5 fen).
Decoct 1.5 zhong of water until 1 zhong remains, and take before meals.
For cases of prolonged metrorrhagia, it is appropriate to take Jizi Tang (Egg Yolk Decoction). If accompanied by lower abdominal pain, it is appropriate to take Jiawei Siwu Tang (Modified Four Substances Decoction).
Jizi Tang (Egg Yolk Decoction)
Jizi (Chicken Egg, 3 pieces); Congbai (Bulbus Allii Cepae, 3 stalks); Shengjiang (Rhizoma Zingiberis Recens, 1 liang).
First, crush the scallion and ginger together into a paste. Remove the eggshells, mix the eggs evenly with the paste, add 0.5 liang of sesame oil, stir-fry together in a pan, decoct with wine, warm, and take.
Jiawei Siwu Tang (Modified Four Substances Decoction)
Shudihuang (Radix Rehmanniae Preparata, 3 qian); Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), Yuanhusuo (Rhizoma Corydalis), Wuyao (Fructus Linderae, stir-fried) (each 1 qian); Baishao (Radix Paeoniae Alba, stir-fried), Xiaohuixiang (Fructus Foeniculi) (each 8 fen).
Add 3 slices of ginger, decoct in water, and take on an empty stomach.
Prolonged metrorrhagia turning into leukorrhea-like bleeding (metrorrhagia with dripping discharge) that persists for years without cessation is due to sinking of middle qi and insecurity of the lower origin, representing a state of extreme deficiency. It is appropriate to take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), combined with Lujiao Wan (Deer Antler Pill).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
Renshen (Radix Ginseng, 3 qian); Huangqi (Radix Astragali, honey-roasted), Baizhu (Rhizoma Atractylodis Macrocephalae, honey-roasted), Baishao (Radix Paeoniae Alba, stir-fried with wine), Dangguishen (Radix Angelicae Sinensis, heart portion, washed with wine), Chuanxiong (Rhizoma Chuanxiong), Chenpi (Pericarpium Citri Reticulatae) (each 1 qian); Chaihu (Radix Bupleuri, 7 fen); Zhigancao (Radix Glycyrrhizae Preparata, 5 fen).
Add 3 slices of ginger and 2 jujubes, decoct in water, and take.
Lujiao Wan (Deer Antler Pill)
Lujiaoshuang (Cornu Cervi Degelatinatum), Dangguishen (Radix Angelicae Sinensis, heart portion), Fushen (Sclerotium Poriae cum Radice), Longgu (Os Mastodi seu Ossis Femoris, calcined), Ejiao (Colla Corii Asini, stir-fried with Ostreum Powder into pearls), Baiziren (Semen Platycladi, stir-fried), Xiangfu (Rhizoma Cyperi, stir-fried with wine), Shanyao (Rhizoma Dioscoreae) (each 2 liang); Chuanxiong (Rhizoma Chuanxiong), Chuanxuduan (Radix Dipsaci, each 1 qian); Zhigancao (Radix Glycyrrhizae Preparata, 5 fen).
Grind the above ingredients into powder. Use juice from crushed Baimaogen (Radix Imperatae) as a paste to form pills. Take 70 pills with Buzhong Yiqi Tang on an empty stomach.