产妇妄见鬼祟，因惊恐动其心神，致败血冲心，昏愦狂乱；或因去血过多，心无所养，败血
上干于心，造命丹效。
干荷叶、生地黄、牡丹皮（等分）煎，调生蒲黄服，即安；或芎归益母煎，调水飞朱砂服；
或幼科惊门，牛黄造命丹尤效。
盖声言出于心，心主血，血去心虚故也。宜芎、归、益母、麦冬、远志、茯神、人参，加红
花少许，同金与银煎成，调朱砂服。造命丹可服。或用白矾末一钱，热汤调下。
欲知败血有无，但看腹中痛否，腹软不痛去尽矣。痛之微甚，验血多少。如小腹痛剧，服主
方及黑神散，外用绵衣裹手，烘热揉痛处。若失治，忽然血崩昏运而绝矣。
妇人崩中，最为沉 。年少之妇女，火炽血热，帏 恣情，或经未尽而犯交感；或郁怒气逆
，手掬冷水；或饮食生冷，皆致败血留阻。遇劳役阳亢，七情火炎，败血妄行，红紫不同；或紫
黑成块，致成斯疾。大都凉血固涩，升气养荣可愈。中年以上及高年婺妇，多属忧愁过度。怒气
伤肝，肝伤不能藏血，以致错经妄行，先后愆期。或欲来而先痛，既来而断续；或年近七七，天
癸当止而不止。皆由郁火不能发越，攻冲脏腑，逼血妄下，或反倍常，皆为血山崩漏之证。此气
血两虚，难以速愈。必凉血止血，散郁火，和肝气，随兼大补气血，庶可奏功。
主方 当归头 白芍 生地 川芎 黄芩条 地榆 栀子 黄连 黄柏（各钱半） 水煎
服，未止去当归，加炒黑荆芥。
凉血地黄汤 妇人阴虚，不能制火，火激其血，妄行不止。
生地 当归头 条黄芩 荆芥（炒，各一钱） 黄柏 知母 本 川芎 黄连 甘草（各
五分） 升麻 柴胡 防风 蔓荆（各三分）
水煎服。未止加蒲黄（炒黑）、玄参、阿胶、醋炒香附。
固源汤 血崩日久不止。
条芩（钱半） 臭椿根皮（二钱） 灶心土 当归头 熟地黄 白芍药 地榆 川芎（各一
钱） 艾叶 荆芥（炒，各五分）加乌梅煎服。
参 汤 治血崩虚甚者。
人参 黄 麦冬（各三钱） 五味子（七分） 杜仲 熟地黄 山茱萸（各二钱） 枸杞
子（三钱） 川续断（一钱） 荆芥（炒，八分） 阿胶（二钱）
上河水煎三次，一日服。
一赤八乌丸 治血崩甚者。
血竭 京墨（火 ） 发灰 百草霜 莲蓬壳 黄绢 败棕（俱烧灰） 蒲黄 栀子（俱炒
黑）
共为末，蜜丸绿豆大。每服百丸，米汤送下，或米汤调服亦可。
简便方（止血崩） 棉花子仁（炒黄、） 条芩、甘草（等分，）为末，每二钱空心酒下。
又 京墨（ 烟尽，研，为末，）二钱酒下。
又 柿饼烧灰，二钱白汤下。
又 干漆（烧烟尽，三钱） 五灵脂（五分），为末，二钱酒下；或贯众烧灰服。
又 干黑驴屎研，入坛中烧烟，崩妇坐上熏，止。或槐子烧，研服。
又 龙骨（研）、当归、香附（制。各一两） 棕灰（五钱） 为末，每四钱，空心米汤下。
又 乌梅肉（炒），研末，二钱酒下；或棕烧灰，加枯矾末酒下。
又 苍耳草烧灰，三钱酒下。或槐花、地榆（炒、研）酒下或煎服。或荆芥穗，香油灯上烧焦
，研末，童便、酒下。或乌金、木耳炒存性，研末三钱，阿胶（炒）研末二钱，乌梅汤调服。
产妇出现胡言乱语、看见鬼怪等症状，是因为惊恐扰动心神，导致败血（瘀滞之血）冲犯心脏，引起神志昏乱；或者因为失血过多，心失所养，败血上扰于心，使用造命丹疗效显著。
取干荷叶、生地黄、牡丹皮（等量）煎煮，调入生蒲黄服用，症状即可安定；或者使用芎归益母煎，调入水飞朱砂服用；或者使用儿科惊门方中的牛黄造命丹，效果尤为显著。
大概声音言语出自于心，心主血脉，血液流失导致心气虚弱。适宜使用川芎、当归、益母草、麦冬、远志、茯神、人参，加入少许红花，同金银器一起煎煮成汤，调入朱砂服用。造命丹也可以服用。或者使用白矾末一钱，用热开水调服。
想要知道体内是否有败血残留，只需看腹部是否疼痛，如果腹部柔软且不痛，说明败血已排尽。疼痛的轻重，可以验证瘀血的多少。如果小腹痛剧，服用主方及黑神散，外用棉衣包裹手，加热后揉按疼痛部位。如果延误治疗，突然发生血崩、昏迷晕厥甚至死亡。
妇女患崩中（非经期大量出血），是最为严重的病证。年轻妇女，体内火旺血热，在帷帐之中纵欲过度，或者月经未净而进行房事；或者因郁怒导致气逆，用手捧冷水浇身；或者饮食生冷，都会导致败血留滞阻塞。遇到劳累过度阳气亢盛，或七情内伤化火，败血妄行，血色红紫不一；或者紫黑成块，从而形成此疾。大多采用凉血固涩、升提气机、滋养营血的方法可以痊愈。中年以上及老年妇女，多属于忧愁过度。怒气伤肝，肝受伤不能藏血，导致月经错乱妄行，先后无定期。或者经前腹痛，经来断续不定；或者年近七七四十九岁，天癸（月经）应当停止却不停止。这都是由于郁火不能发散，攻冲脏腑，逼迫血液妄下，或者血量反常增多，都属于血山崩漏的证候。这属于气血两虚，难以迅速治愈。必须凉血止血，疏散郁火，调和肝气，同时兼以大补气血，才可以奏效。
主方：当归头、白芍、生地、川芎、黄芩条、地榆、栀子、黄连、黄柏（各一钱半）。水煎服。若出血不止，去掉当归，加入炒黑的荆芥。
凉血地黄汤：适用于妇人阴虚，不能制约虚火，火热激迫血液，导致妄行不止。
生地、当归头、条黄芩、荆芥（炒，各一钱）、黄柏、知母、本（此处疑为藁本或独活等，原文仅“本”字，保留原意）、川芎、黄连、甘草（各五分）、升麻、柴胡、防风、蔓荆子（各三分）。
水煎服。若出血不止，加蒲黄（炒黑）、玄参、阿胶、醋炒香附。
固源汤：适用于血崩日久不止。
条芩（一钱半）、臭椿根皮（二钱）、灶心土、当归头、熟地黄、白芍药、地榆、川芎（各一钱）、艾叶、荆芥（炒，各五分）。加乌梅煎服。
参 [芪] 汤（原文缺“芪”字，根据方义推测为人参黄芪汤类，但依原文提取实体时需注意，此处按原文“参 汤”处理，实体提取见下文）：治疗血崩虚损严重者。
人参、黄 [芪]（原文缺字，通常指黄芪）、麦冬（各三钱）、五味子（七分）、杜仲、熟地黄、山茱萸（各二钱）、枸杞子（三钱）、川续断（一钱）、荆芥（炒，八分）、阿胶（二钱）。
以上用水煎煮三次，一日服完。
一赤八乌丸：治疗血崩严重者的。
血竭、京墨（火煅）、发灰、百草霜、莲蓬壳、黄绢、败棕（均烧成灰）、蒲黄、栀子（均炒黑）。
共研为末，蜜丸如绿豆大。每次服用一百丸，米汤送下，或用米汤调服也可以。
简便方（止血崩）：棉花子仁（炒黄）、条芩、甘草（等量），研为末，每次二钱，空腹酒送下。
又法：京墨（烟尽，研为末），二钱酒送下。
又法：柿饼烧成灰，二钱白开水送下。
又法：干漆（烧烟尽，三钱）、五灵脂（五分），研为末，二钱酒送下；或者贯众烧灰服用。
又法：干黑驴屎研细，放入坛中烧烟，让崩漏妇女坐在上面熏蒸，可止血。或者槐子烧焦，研末服用。
又法：龙骨（研）、当归、香附（制，各一两）、棕灰（五钱），研为末，每次四钱，空腹米汤送下。
又法：乌梅肉（炒），研末，二钱酒送下；或者棕榈烧灰，加枯矾末酒送下。
又法：苍耳草烧灰，三钱酒送下。或者槐花、地榆（炒、研）酒送下或煎服。或者荆芥穗，在香油灯上烧焦，研末，童便、酒送下。或者乌金、木耳炒存性，研末三钱，阿胶（炒）研末二钱，乌梅汤调服。
Postpartum patients may experience delirium and hallucinations of ghosts due to fright disturbing the Heart Spirit, causing Stasis Blood (stagnant blood) to rush to the Heart, resulting in confusion and madness; or due to excessive blood loss failing to nourish the Heart, allowing Stasis Blood to harass the Heart. Zaoming Dan is effective.
Decoct dry lotus leaf, Sheng Dihuang (Rehmanniae Radix), and Mudanpi (Moutan Cortex) in equal parts, and take with raw Puhuang (Typhae Pollen). Symptoms will stabilize. Alternatively, use Xiong Gui Yi Mu Decoction taken with water-washed Zhusha (Cinnabar); or use Niuhuang Zaoming Dan from pediatric formulas for fright, which is particularly effective.
Speech originates from the Heart, which governs Blood. Loss of Blood leads to Heart Deficiency. It is suitable to use Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Yimucao (Leonuri Herba), Maidong (Ophiopogonis Tuber), Yuanzhi (Polygalae Radix), Fushen (Poria with Hostwood), and Renshen (Ginseng Root), adding a small amount of Honghua (Carthami Flos). Decoct together with gold and silver vessels, and take with Zhusha (Cinnabar). Zaoming Dan can also be taken. Alternatively, take one qian of Baifan (Alumen) mixed with hot water.
To determine if there is residual Stasis Blood, check if the abdomen is painful. If the abdomen is soft and painless, the Stasis Blood has been expelled. The severity of pain indicates the amount of blood stasis. If there is severe lower abdominal pain, take the Main Formula and Heishen San, and externally wrap hands in cotton clothing, heat them, and massage the painful area. If treatment is delayed, sudden metrorrhagia, coma, syncope, and death may occur.
Metrorrhagia (non-menstrual heavy bleeding) in women is a critical condition. Young women often have vigorous Fire and Hot Blood. Indulgence in sexual activity within the curtains, or intercourse before menstruation has completely ceased; anger causing Qi rebellion while holding cold water; or consuming raw and cold foods, all lead to Stasis Blood stagnation. Labor overexertion causing Yang hyperactivity, or emotional disturbances generating internal Fire, cause Stasis Blood to flow recklessly, appearing red or purple; or forming purple-black clots, resulting in this disease. Generally, cooling Blood, astringing, lifting Qi, and nourishing Ying (Nutritive) Qi can cure it. Women past middle age and elderly women often suffer from excessive worry. Anger injures the Liver; when the Liver is injured, it cannot store Blood, leading to irregular and erratic menstruation. Pain may precede menstruation, followed by intermittent flow; or near the age of forty-nine (seven sevens), Tian Gui (menstruation) should cease but does not. These are caused by constrained Fire unable to disperse, attacking organs and forcing Blood to flow downward excessively or abnormally, constituting symptoms of "Mountain Collapse" (severe metrorrhagia) and leakage. This involves deficiency of both Qi and Blood, making rapid recovery difficult. One must cool Blood and stop bleeding, dissipate constrained Fire, harmonize Liver Qi, and simultaneously greatly tonify Qi and Blood to achieve success.
Main Formula: Danggui Tou (Danggui Head), Baishao (White Peony Root), Shengdi (Raw Rehmannia Root), Chuanxiong, Huangqin Tiao (Scutellaria Root strips), Diyü (Sanguisorba Root), Zhizi (Gardenia Fruit), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark) (each 1.5 qian). Decoct in water and take. If bleeding does not stop, remove Danggui and add fried Jingjie (Schizonepeta Spike).
Liangxue Dihuang Tang (Cooling Blood and Rehmannia Decoction): For women with Yin Deficiency unable to control Fire, where Fire agitates Blood causing unremitting erratic flow.
Shengdi (Raw Rehmannia Root), Danggui Tou (Danggui Head), Tiao Huangqin (Scutellaria Root strips), Jingjie (Schizonepeta Spike, fried) (each 1 qian), Huangbai (Phellodendron Bark), Zhimu (Anemarrhenae Rhizome), Ben (likely Gaoben or similar, literal "Ben"), Chuanxiong, Huanglian (Coptis Rhizome), Gancao (Licorice Root) (each 0.5 qian), Shengma (Cimicifugae Rhizome), Chaihu (Bupleuri Root), Fangfeng (Saposhnikoviae Root), Manjing (Vernoniae Fructus) (each 0.3 qian).
Decoct in water and take. If bleeding does not stop, add Puhuang (Typhae Pollen, fried black), Xuanshen (Scrophulariae Radix), Ejiao (Donkey-hide Gelatin), and Cu Chao Xiangfu (Cyperi Rhizome stir-fried with vinegar).
Guyuan Tang (Source-Consolidating Decoction): For prolonged metrorrhagia that does not stop.
Tiao Huangqin (Scutellaria Root strips, 1.5 qian), Cougen Pi (Ailanthi Cortex, 2 qian), Zaoxin Tu (Stove Hearth Earth), Danggui Tou (Danggui Head), Shudihuang (Prepared Rehmannia Root), Baishaoyao (White Peony Root), Diyü (Sanguisorba Root), Chuanxiong (each 1 qian), Aiye (Artemisiae Argyi Folium), Jingjie (Schizonepeta Spike, fried) (each 0.5 qian). Add Wumei (Mume Fruit) and decoct.
Shen [Qi] Tang (Ginseng [and Astragalus] Decoction): For severe deficiency in metrorrhagia.
Renshen (Ginseng Root), Huang [qi] (Astragali Radix - character missing in original text, implied by context), Maidong (Ophiopogonis Tuber) (each 3 qian), Wuweizi (Schisandrae Fructus, 0.7 fen), Duzhong (Eucommiae Cortex), Shudihuang (Prepared Rehmannia Root), Shanzhuyu (Corni Fructus) (each 2 qian), Gouqizi (Lycii Fructus, 3 qian), Chuanxuduan (Dipsaci Radix, 1 qian), Jingjie (Schizonepeta Spike, fried, 0.8 fen), Ejiao (Donkey-hide Gelatin, 2 qian).
Decoct three times in river water, consume in one day.
Yi Chi Ba Wu Wan (One Red Eight Black Pill): For severe metrorrhagia.
Xuejie (Dragon's Blood), Jingmo (Beijing Ink, calcined), Fa Hui (Hair Ash), Baicaoshuang (Charcoal from Hundred Herbs), Lianpeng Ke (Lotus Pod Shell), Huangjuan (Yellow Silk), Baizong (Decayed Palm Fiber) (all burned to ash), Puhuang (Typhae Pollen), Zhizi (Gardenia Fruit) (all fried black).
Grind into powder, make pills with honey the size of mung beans. Take 100 pills per dose, delivered with rice soup, or mixed with rice soup.
Simple Formula (Stop Metrorrhagia): Mianhuazi Ren (Cottonseed Kernel, fried yellow), Tiao Huangqin (Scutellaria Root strips), Gancao (Licorice Root) (equal parts), grind into powder. Take 2 qian per dose with wine on an empty stomach.
Another method: Jingmo (Beijing Ink, smoke-free, ground into powder), 2 qian with wine.
Another method: Shibing (Persimmon Cake) burned to ash, 2 qian with plain boiled water.
Another method: Ganqi (Dried Resin of Toxicodendron, burned until smoke ceases, 3 qian), Wulingzhi (Trogopterori Faeces, 0.5 fen), grind into powder, take 2 qian with wine; or Guanzhong (Cyrtomii Rhizoma) burned to ash and taken.
Another method: Ganhei Lüshi (Dry black donkey dung) ground fine, placed in a jar and smoked, let the patient with metrorrhagia sit above to inhale the smoke to stop bleeding. Or Huai Zi (Sophora Seed) burned, ground, and taken.
Another method: Longgu (Fossilized Bones, ground), Danggui (Angelicae Sinensis Radix), Xiangfu (Cyperi Rhizoma, processed) (each 1 liang), Zonghui (Palm Ash, 5 qian), grind into powder. Take 4 qian per dose with rice soup on an empty stomach.
Another method: Wumei Rou (Mume Fruit Flesh, fried), ground into powder, take 2 qian with wine; or Zong burned to ash, added with Kufan (Burnt Alum) powder, taken with wine.
Another method: Cang'er Cao (Xanthii Herb) burned to ash, 3 qian with wine. Or Huaihua (Sophorae Flos), Diyü (Sanguisorba Root) (fried, ground) taken with wine or decocted. Or Jingjie Sui (Schizonepeta Spike tip) burned charred on an sesame oil lamp, ground into powder, taken with child's urine and wine. Or Wu Jin (Iron Pyrite?), Mu'er (Wood Ear Mushroom) stir-fried to retain nature, ground into powder (3 qian), Ejiao (Donkey-hide Gelatin, fried) ground into powder (2 qian), mixed with Wumei Soup.