妇人经水以时下，（〔批〕月事时下，知非倒经，降逆清热，虽相同，而一则宜兼行瘀，一则补虚，为迥不同耳。）忽
呕血，或至冲涌而出，目黑神惫，此肝急冲气逆，血不归经，当以失血论，拟备大法。
嫩白薇 甘草 川石斛 麦冬肉 阿胶 炒当归头 大生地 白芍 北沙参 鹿角胶 淮药 芥穗炭
服三四剂后，去白薇、归头，加党参，白术，茯神，接服十剂。
妇人经带，皆由冲任带三脉血管而下，方下之时，苟无瘀阻，初不自觉。至于浊证则与男子遗精无异，由精窍出，
多自觉之。但欲以情白医者而不可为言，故莫能辨之也。余幼时，闻戚党有患是者，经水不闭，医以带下治之，弗效，
两三月遂死。盖带无死患，矧月事通乎。然病者不可自言，何以辨之？曰∶心诚求之，虽不中，不远矣。但问将出时自
觉之，无他病而常常郁冒，脉浮芤，则可以确知为浊而非带证矣。此虚寒精滑也，有浮火勿问。
党参 熟地 益智仁 菟丝子 黄 萸肉 骨碎补 女贞子
妇女月经按时来潮，（批注：月经按时来潮，可知不是倒经。降逆清热的方法虽然相同，但一则应当兼用行瘀之法，一则应当补虚，这是截然不同的。）忽然呕血，甚至像冲涌一样喷出，眼前发黑，精神疲惫，这是肝气急迫、冲脉之气上逆，血液不循常道运行，应当作为失血证来论治，拟定预备的大法。
嫩白薇 甘草 川石斛 麦冬肉 阿胶 炒当归头 大生地 白芍 北沙参 鹿角胶 淮药 芥穗炭
服用三四剂后，去掉白薇、当归头，加入党参、白术、茯神，继续服用十剂。
妇女的月经和带下，都是由冲脉、任脉、带脉这三条经脉的血管下行所致，在经血刚下之时，如果没有瘀血阻滞，起初自己并不觉得异常。至于白浊证则与男子遗精没有区别，是从精窍排出的，患者大多自己能感觉到。但是患者想向医生说明却难以启齿，所以不能辨别清楚。我小时候，听说亲戚中有患这种病的，月经没有停止，医生把它当作带下病治疗，没有效果，两三个月后就死了。大概带下病不会有生命危险，何况是月经通调呢？然而病人不能自己说清楚，怎么辨别呢？回答说：只要医生诚心探求，即使不完全中肯，也相差无几了。只要询问患者在症状将要出现时自我感觉如何，如果没有其他疾病而常常感到郁闷眩晕，脉象浮而芤，就可以确切知道是白浊而不是带下证了。这属于虚寒导致的精液滑泄，如果有浮火则另当别论。
党参 熟地 益智仁 菟丝子 黄芪 萸肉 骨碎补 女贞子
The woman’s menstruation arrives on time, (Comment: Since the menses arrive on time, it is known not to be retrograde menstruation. Although the methods of descending rebellious Qi and clearing heat are similar, one should simultaneously promote blood circulation to remove stasis, while the other should tonify deficiency; thus, they are vastly different.) Suddenly, she vomits blood, or even spurts out like a gushing stream, with blurred vision and mental exhaustion. This indicates Liver Qi urgency and rebellious Chong Mai (Penetrating Vessel) Qi, with blood failing to return to its vessels. It should be treated as a hemorrhagic disorder. A general therapeutic principle is proposed.
*Radix Bletillae Striatae* (Bai Wei), *Radix Glycyrrhizae* (Gan Cao), *Rhizoma Dendrobii* (Chuan Shi Hu), *Endocarpium Oryzae Sativae* (Mai Dong Rou - note: typically refers to Ophiopogonis Tuber, here likely context-specific), *Colla Corii Asini* (E Jiao), *Radix Angelicae Sinensis* (Chao Dang Gui Tou), *Radix Rehmanniae Preparata* (Da Sheng Di), *Radix Paeoniae Alba* (Bai Shao), *Radix Glehniae* (Bei Sha Shen), *Colla Cornus Cervi* (Lu Jiao Jiao), *Rhizoma Dioscoreae* (Huai Yao), *Semen Carthami Tinctorii Carbonisatum* (Jie Sui Tan).
After taking three to four doses, remove *Radix Bletillae Striatae* (Bai Wei) and *Radix Angelicae Sinensis* (Dang Gui Tou), add *Radix Codonopsis* (Dang Shen), *Rhizoma Atractylodis Macrocephalae* (Bai Zhu), and *Sclerotium Poriae Cocos* (Fu Shen), and continue taking for ten doses.
Menstruation and leukorrhea in women both descend through the vessels of the Chong Mai (Penetrating Vessel), Ren Mai (Conception Vessel), and Dai Mai (Girdle Vessel). At the initial onset of flow, if there is no blood stasis obstruction, the patient initially feels nothing unusual. However, Bai Zhuo (white turbidity) is no different from nocturnal emission in men; it exits from the Jing Qiao (essence orifice), and the patient is usually aware of it. Yet, patients wish to inform the physician but cannot bring themselves to speak of it, making differentiation difficult. In my youth, I heard of a relative who suffered from this condition. Her menstruation did not cease, and the physician treated it as leukorrhea without effect; she died within two or three months. Leukorrhea generally does not lead to death, let alone normal menstruation. However, since the patient cannot describe it herself, how can it be differentiated? The answer is: If the physician sincerely seeks to understand, even if not perfectly accurate, it will not be far off. By asking about the patient's subjective sensation when the discharge is about to occur, if there are no other diseases but frequent feelings of depression and vertigo, and the pulse is Floating and Kou (Hollow), one can definitively diagnose it as Bai Zhuo rather than leukorrhea. This belongs to deficiency-cold causing essence slipping; if there is floating fire, it is a different matter.
*Radix Codonopsis* (Dang Shen), *Radix Rehmanniae Preparata* (Shu Di), *Semen Alpiniae Oxyphyllae* (Yi Zhi Ren), *Semen Cuscutae* (Tu Si Zi), *Radix Astragali Membranacei* (Huang Qi), *Fructus Corni Officinalis* (Yu Rou), *Os Distomi* (Gu Sui Bu), *Fructus Ligustri Lucidi* (Nu Zhen Zi).