竹泉生曰∶血脉不调，小则常抱血病诸证，大则竟成劳瘵，男子且然，妇女尤甚，为其以肝为先天，而阴道以血为
本也。然则调血之义，可不慎重也哉。故余论次女科书，经带之后，列调血一门。
妇人经水不行，少腹有块，或大或小，或痛或否，亦多有经水时行无阻碍者，此乃血积胞宫也。非经水能为块也。
经水中有块者，亦属瘀血，然亦有挟痰饮败精而成块者，虚寒人少腹有瘀块，治宜温痛，有郁热者，加龟版、丹皮、白
芍之属。
党参 当归 黑姜 炙鳖甲 淡吴萸 莪术 芎 艾叶 荸荠粉 桃仁泥
少腹无块，小溲时刺痛不可忍，水自利者，为血结精窍，或在血管，男子亦有患之，治之勿利水。
当归尾 桃仁 黑芥穗 淡苁蓉 生草梢 藕节 盐黄柏
风血相搏，瘀阻关节，掣痛若废，是为历节，祛风行瘀为主。
鹿衔草 威灵仙 茜草 虎骨 宣木瓜 荆芥穗 酒当归 芜荑 川芎 酒白芍
阳气虚泄，寒着肌表，血脉瘀滞，遍体麻木不仁，是为血痹。富贵尊荣而逸豫者，多有患之。其人骨弱体丰，脉微
涩，尺中或关上小紧，失治则脉隧不畅，浸为劳瘵。故仲景《金匮》合虚劳论之，而主以黄 桂枝五物汤，诚不易之圣
方也。（〔批〕因是圣方并未加减，故着分量，然皆三分之一。按∶桂、 、芍原均作三两，今合七钱五分；生姜原作六
两，今合一两五钱；大枣原作十二枚。）
《金匮》黄 桂枝五物汤
黄 （二钱五） 白芍（二钱五） 桂枝（二钱五） 生姜（五钱） 大枣（四个）
竹泉生曰∶圣人之制方，尽美矣，又尽善也。黄 助气，大枣滋脾阴而助血，桂芍虽云分调营卫，然皆长于行血，
生姜重用者，所以温经而散寒，辛通而速行，全资其力也。
竹泉生说：血脉不调，轻则常出现血病各种证候，重则最终形成劳瘵（慢性虚损性疾病），男子尚且如此，妇女更为严重，因为妇女以肝为先天之本，而女性生理以血为根本。既然如此，调理血液的意义，怎能不慎重呢？所以我编撰妇科书籍时，在月经和带下篇之后，列出调血这一门类。
妇人经水不行（闭经），少腹部有肿块，或大或小，或有疼痛或无疼痛，也多有经水按时来潮而无阻碍的情况，这是瘀血积聚在胞宫（子宫）所致。并非经水中含有块状物才叫作“块”。经水中带有血块的，也属于瘀血，然而也有夹杂痰饮、败精而结成块的。虚寒体质的人少腹有瘀块，治疗宜温经止痛；有郁热者，加入龟版、丹皮、白芍这类药物。
党参 当归 黑姜 炙鳖甲 淡吴萸 莪术 川芎 艾叶 荸荠粉 桃仁泥
少腹没有肿块，小便时刺痛难忍，但尿液通畅自利的，这是血结于精窍（生殖泌尿通道），或在血管之中，男子也有患此病的，治疗时不要使用利尿药。
当归尾 桃仁 黑芥穗 淡苁蓉 生草梢 藕节 盐黄柏
风邪与血相搏，瘀血阻滞关节，牵引疼痛如同废用，这称为历节（类风湿性关节炎等关节病变），治疗以祛风行瘀为主。
鹿衔草 威灵仙 茜草 虎骨 宣木瓜 荆芥穗 酒当归 芜荑 川芎 酒白芍
阳气虚弱导致泄泻，寒邪附着于肌表，血脉瘀滞，全身麻木不仁，这称为血痹。富贵安逸之人，多有患此病的。这些人骨骼柔弱身体丰腴，脉象微涩，尺部或关上脉稍紧，若失治则脉道不畅，逐渐演变为劳瘵。所以张仲景《金匮要略》将其合入虚劳论中讨论，并主张使用黄芪桂枝五物汤，这确实是不可更改的圣方。（〔批注〕因为是圣方并未加减，所以标注了分量，但都是原方的三分之一。按：黄芪、桂枝、白芍原方均作三两，现在合计七钱五分；生姜原方作六两，现在合一两五钱；大枣原方作十二枚。）
《金匮要略》黄芪桂枝五物汤
黄芪（二钱五） 白芍（二钱五） 桂枝（二钱五） 生姜（五钱） 大枣（四个）
竹泉生说：圣人制定方剂，真是完美又完善啊。黄芪辅助气，大枣滋养脾阴而助血，桂枝和白芍虽然说是分别调和营卫，但都擅长于行血，重用生姜的原因，是为了温通经脉而散寒，辛散通达而迅速运行，完全依靠它的力量。
Zhuquansheng said: When the blood vessels are not harmonious, mild cases often present various syndromes of blood diseases, while severe cases may eventually develop into Laozai (chronic consumptive disease). This applies to men as well, but is even more pronounced in women, because women regard the Liver as their先天 (innate foundation), and female physiology takes Blood as its root. Therefore, how can the significance of regulating Blood be treated without caution? Thus, when I compiled this gynecological text, after discussing menstruation and leukorrhea, I listed a section on Regulating Blood.
When a woman's menses do not occur, and there are masses in the lower abdomen, varying in size, with or without pain, yet there are also many cases where menses flow regularly without obstruction, this is due to Blood stasis accumulating in the Baogong (uterus). It is not that the presence of clots in menstrual blood constitutes a "mass." Clots within the menstrual flow also belong to Blood stasis; however, some masses are formed by the combination of Phlegm-fluids and degenerated essence. For patients with deficiency-cold constitution presenting with stasis masses in the lower abdomen, treatment should focus on warming the channels and relieving pain. For those with stagnant heat, add substances such as Gui Ban (Tortoise Shell), Dan Pi (Moutan Cortex), and Bai Shao (White Peony Root).
Dang Shen (Codonopsis Radix) | Dang Gui (Angelicae Sinensis Radix) | Hei Jiang (Charred Zingiberis Rhizoma) | Zhi Bie Jia (Prepared Testudinis Carapax et Plastrum) | Dan Wu Zhu Yu (Evodiae Fructus) | E Zhu (Curcumae Rhizoma) | Xiong (Chuanxiong Rhizome) | Ai Ye (Artemisiae Argyi Folium) | Bi Qi Fen (Dioscoreae Hypoglaucae Amylum) | Tao Ren (Persicae Semen)
If there are no masses in the lower abdomen, but urination causes unbearable stinging pain, yet the urine flows freely and normally, this indicates Blood binding at the Jing Qiao (reproductive/urinary orifice) or within the blood vessels. Men can also suffer from this condition; treatment should avoid using diuretics.
Dang Gui Wei (Tail of Angelicae Sinensis Radix) | Tao Ren (Persicae Semen) | Hei Jie Sui (Saposhnikoviae Radix Charred) | Dan Cong Rong (Cistanches Herba) | Sheng Cao Shao (Glycyrrhizae Radix et Rhizoma with tips) | Ou Jie (Nelumbinis Nelumbo) | Yan Huang Bo (Phellodendri Cortex salt-processed)
When Wind and Blood contend, causing Blood stasis to obstruct the joints, resulting in pulling pain resembling paralysis, this is called Li Jie (Lijoint syndrome, akin to rheumatoid arthritis). The primary treatment principle is to dispel Wind and resolve stasis.
Lu Xian Cao (Herba Drynariae) | Wei Ling Xian (Radix Saposhnikoviae) | Qian Cao (Rubiae Cordifoliae Radix et Rhizoma) | Hu Gu (Ossis Tigris) | Xuan Mu Gua (Chaenomelis Fructus) | Jing Jie Sui (Schizonepetae Spica) | Jiu Dang Gui (Angelicae Sinensis Radix wine-processed) | Wu Yi (Archididis Fructus) | Chuan Xiong (Chuanxiong Rhizome) | Jiu Bai Shao (Paeoniae Radix Alba wine-processed)
When Yang Qi is deficient leading to diarrhea, and Cold pathogen adheres to the muscle surface, causing Blood vessel stasis, resulting in generalized numbness and insensitivity, this is called Xue Bi (Blood Bi syndrome). Individuals of noble status living in luxury and ease often suffer from this. These individuals have weak bones and a plump body, with a pulse that is faint and choppy, or slightly tight at the Chi (cun) or Guan positions. If left untreated, the pulse channels will become obstructed, gradually evolving into Laozai (chronic consumptive disease). Therefore, Zhang Zhongjing in the *Jin Gui Yao Lue* integrates it into the discussion of Xu Lao (deficiency consumption) and advocates the use of Huang Qi Gui Zhi Wu Wu Tang (Astragalus and Cinnamon Twig Five-Ingredient Decoction), which is indeed an unalterable sacred formula. ([Commentary] Since this is a sacred formula without modifications, dosages are specified, though they represent one-third of the original prescription. Note: Huang Qi, Gui Zhi, and Bai Shao were originally three liang each, now totaling seven qian five fen; Sheng Jiang was originally six liang, now one qian five chen; Da Zao was originally twelve pieces.)
*Jin Gui Yao Lue* Huang Qi Gui Zhi Wu Wu Tang (Astragalus and Cinnamon Twig Five-Ingredient Decoction)
Huang Qi (Astragali Radix) (2.5 qian) | Bai Shao (Paeoniae Radix Alba) (2.5 qian) | Gui Zhi (Cinnamomi Ramulus) (2.5 qian) | Sheng Jiang (Zingiberis Rhizoma Recens) (5 qian) | Da Zao (Jujubae Fructus) (4 pieces)
Zhuquansheng said: The formulas formulated by the sages are truly perfect and excellent. Huang Qi assists Qi, Da Zao nourishes Spleen Yin and aids Blood. Although Gui Zhi and Bai Shao are said to separately regulate Ying and Wei, both excel at promoting Blood circulation. The reason for heavily using Sheng Jiang is to warm the channels and disperse Cold; its pungent and unblocking nature allows for rapid movement, relying entirely on its power.