竹泉生曰∶以上所论，血瘀血枯，或虚或实，宜补宜攻，皆两相对照。此卷所列虽四种，然皆失血之候，治之宜补
涩而稍带通行。惟闪跌一证，则似崩而非崩，故宜清瘀、实此卷中之宾也。五带虽另为一卷，其义实附与调经，调血一
门，与调经之道相表里发明，故其义直接调经。而下卷所论血证，又此卷之附也。至于此卷之末，附浊证一条，则前说
言之矣。
（〔批〕血崩第一条即从经水而来，见得经血两者虽不相同，实有唇齿相根据之义。）
经水过多，或至再行，此血不归经，随天癸而外溢也。其人必郁冒咽燥，腰痛疲倦，便难，脉见散大浮数，按前，
“调经门”经水再至两法治之。
血崩证有纯因气虚者，其血正红，或块结续下，其脉芤，息促，其体不瘠，面色白（〔批〕失血家津液暴涸面色多苍，
今乃面白，故知其亡阳气虚也。）平时便秘，时复 溏，甚或完谷不化，四末常冷，治之专责脾阳，补命火，引血归经。
人参 制白术 炒当归 川芎 芥穗炭 贯众炭 炙 益智仁 龙骨 附片 山萸肉 姜炭
血崩证，两目黑暗，昏冒仆地，不省人事者。用独参汤冲贯众炭末灌之，苏少定，气不逆，舌不深紫，此阴虚也。
虽有浮火，勿泄之。
大熟地 制白术 人参 当归 麦冬肉 姜炭 大生地 生黄 甘草 元参 贯众炭 萸肉
竹泉生说：以上所论述的，血瘀与血枯，或是虚证或是实证，应当补益或攻逐，都是相互对照的。这一卷所列出的虽然只有四种情况，但都属于失血的证候，治疗时宜用补涩法，并稍微兼带通行之法。唯有闪跌损伤这一证候，则看似崩漏而非真正的崩漏，所以适宜清化瘀血，这是本卷中的次要内容（宾）。五带病虽然另成一卷，但其义理实际上依附于调经，调血一门，与调经之道互为表里、互相发明，所以其义理直接关联调经。而下卷所论述的血证，又是这一卷的附属内容。至于这一卷末尾，附有一条关于浊证的论述，前面的解说已经讲过了。
（〔批注〕血崩第一条即是从月经而来，可见经血两者虽然不相同，实则有着唇齿相依的关系。）
月经量过多，或者一个月来两次，这是血不归经，随着天癸而外溢。患者必定出现郁冒（头晕目眩）、咽干口燥、腰痛疲倦、大便困难，脉象表现为散大浮数。参照前面“调经门”中治疗经水再至的两种方法进行治疗。
血崩证有纯粹因为气虚引起的，血色正红，或者有血块结聚随后排出，脉象芤（中空），呼吸急促，身体不消瘦，面色苍白（〔批注〕失血的人津液突然枯竭，面色大多青苍，现在却是面白，所以知道是亡阳气虚）。平时便秘，有时又腹泻，甚至完谷不化，四肢经常发冷，治疗专门责之于脾阳，补命门之火，引血归经。人参、制白术、炒当归、川芎、芥穗炭、贯众炭、炙益智仁、龙骨、附片、山萸肉、姜炭。
血崩证，两眼黑暗，昏晕仆倒在地，不省人事的。用独参汤冲服贯众炭末灌下，苏醒稍定，气不逆乱，舌色不深紫，这是阴虚证。虽然有浮火，不要泄之。大熟地、制白术、人参、当归、麦冬肉、姜炭、大生地、生黄芪、甘草、元参、贯众炭、萸肉。
Zhu Quansheng stated: The above discussions on blood stasis and blood depletion, whether deficiency or excess syndromes, and whether tonification or purgation is indicated, are all mutually contrasting. Although this volume lists only four types, they all belong to hemorrhagic conditions; treatment should employ astringent and tonifying methods, slightly combined with promoting circulation. Only the condition of sprain and fall injury appears like metrorrhagia but is not true metrorrhagia, thus it is suitable for clearing blood stasis; this is the secondary content (guest) in this volume. The five types of leukorrhea, although forming another volume, its principles are actually attached to regulating menstruation. The category of regulating blood is mutually explanatory with the principles of regulating menstruation, so its meaning directly relates to regulating menstruation. And the blood syndromes discussed in the lower volume are attachments to this volume. As for the single entry on turbid discharge at the end of this volume, the previous explanations have already covered it.
[Commentary: The first item of metrorrhagia originates from menstrual flow, showing that although menstrual blood and metrorrhagic blood are not identical, they have a relationship as close as lips and teeth.]
Excessive menstrual flow, or occurring twice within one month, indicates that blood does not return to its vessels and overflows along with Tian Gui (heavenly water/reproductive essence). The patient must suffer from vertigo and dizziness (Yu Mao), dry throat, lower back pain, fatigue, and difficult defecation. The pulse is scattered, large, floating, and rapid. Refer to the two treatment methods for recurrent menstruation in the "Regulating Menstruation" section mentioned earlier.
Metrorrhagia caused purely by Qi deficiency presents with bright red blood, possibly with clumps of blood expelled subsequently. The pulse is hollow (Kou), respiration is hurried, the body is not emaciated, and the complexion is pale [Commentary: Patients who lose blood often have a sallow complexion due to sudden depletion of body fluids; since the complexion here is white, it indicates Yang Qi collapse and Qi deficiency]. They usually suffer from constipation, sometimes alternating with diarrhea, or even undigested food in stool. The four extremities are often cold. Treatment focuses specifically on Spleen Yang, tonifying Mingmen Fire, and guiding blood back to the vessels. Ren Shen (Ginseng Radix et Rhizoma), Zhi Bai Zhu (Prepared Atractylodis Macrocephalae Rhizoma), Chao Dang Gui (Stir-fried Angelicae Sinensis Radix), Chuan Xiong (Ligusticum Chuanxiong Rhizome), Jie Sui Tan (Carbonized Schizonepetae Spica), Guan Zhong Tan (Carbonized Cibotii Rhizoma), Zhi Yi Zhi Ren (Honey-fried Alpinia Oxyphylla Fruit), Long Gu (Fossilized Bones), Fu Pian (Prepared Aconiti Lateralis Radix), Shan Yu Rou (Corni Fructus), Jiang Tan (Carbonized Ginger).
For metrorrhagia where the eyes go dark, fainting occurs leading to falling to the ground, and loss of consciousness: Use Du Shen Tang (Single Ginseng Decoction) mixed with Guan Zhong Tan powder and administered via gavage. Once the patient regains slight stability, if Qi does not rebel and the tongue is not deep purple, this indicates Yin deficiency. Although there may be floating fire, do not drain it. Da Shu Di (Prepared Rehmanniae Radix), Zhi Bai Zhu (Prepared Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Mai Dong Rou (Ophiopogonis Tuber), Jiang Tan (Carbonized Ginger), Da Sheng Di (Raw Rehmanniae Radix), Sheng Huang Qi (Raw Astragali Membranacei Radix), Gan Cao (Licorice Root), Yuan Shen (Scrophulariae Radix), Guan Zhong Tan (Carbonized Cibotii Rhizoma), Yu Rou (Corni Fructus).