崩者血暴下成块，如山冢 崩。漏者经绵延不止，如漏卮难塞。《素问》曰∶阴虚阳搏谓之崩。又曰∶
阴络伤则血内溢，盖血行络中，汇于冲脉。冲为血海。非阳盛搏阴，致损内络则不至横决而下。且心主血，
脾统血，肝藏血，凡忧思怒劳，激动五志之火，皆能损络，使冲任任主胞胎失守，致经血暴注，久而不止，谓
之崩中。《良方》亦谓妇人崩中，由脏腑虚，冲任亦虚，不能约制其经血，或阳搏阴，热伤冲任，血得热则流
溢，甚至昏仆。其脉疾小为顺，洪大为逆。大法当调补脾胃。《济阴纲目》曰∶崩漏属气虚，不能约制，则宜
补气，其为热乘者，则凉血。不当混言调补脾胃，尝析而言之，有脏腑及冲任阳虚者，有脏腑及冲任阴虚者，
有阴虚兼阳亢者，有初损脏腑，久崩久漏，屡伤冲任，以致络虚不能摄血者。概言调脾胃，尚未切中 要。
昔东垣治崩，亦言大补脾胃，升降气血，以气血为脾胃所生，且冲脉隶在阳明耳。经既明言络伤血溢，得
不堤防约束，为之弥缝其隙乎。如阿胶、鸡血藤膏、赤石脂、紫石英等。惟血中有滞气，脐腹隐痛者，不宜骤
用固涩，变成肿胀，须参经旨，通因通用。用益母、香附、泽兰、白芍、延胡索、海螵蛸、归尾等。和其气
而血自调。按《产宝》分阴崩阳崩，受热而赤，谓之阳崩；受冷而白，谓之阴崩。赤属血热，白属气虚。然
崩中日久，则为白带，如此直须补摄。用杜仲、续断、芡实、牡蛎、沙苑子、菟丝子等。勿令延至髓枯精竭。
宜人参、熟地黄、杞子、茯神、鹿胶、五味、苁蓉、当归等。药用大剂，填塞下元。
东垣论气陷血脱，法当升举。
立斋论崩之患，或因脾虚不能摄血，或因肝火迫血妄行；或暴怒伤肝，血热沸腾；或脾经郁火，血不归
经；或悲伤心包，血乃下脱。治法，脾经亏损者，六君子汤加芎、归、柴胡。脾气虚
陷者，补中益气汤加酒炒白芍。肝经有火者，四物汤加柴胡、山栀、丹皮，怒火伤肝者，小柴胡汤加山栀、丹、
芍。肝经风热者，加味逍遥散。思郁伤脾者，归脾汤加山栀。悲伤心包者，四君子汤加柴、栀、升麻。故先哲
论下血，须用四君子汤收功，所谓血脱益气也。凡大脱血后，急用独参汤。其发热咳嗽脉数，乃元气虚弱假热
之象，尤当加用人参之类调补脾元。以无形之气，生有形之血，所谓阴从阳长也。若脉虚大，察其有胃气，
受补则可救，不可误投寒凉，复伤生气。其治因怒血崩，面青黄或赤，为肝木制脾土。以小柴胡汤合四物汤。
治肝脾郁火，血崩乳肿胁痛，逍遥散加酒炒龙胆、山栀。再用归脾汤加山栀、贝母。治崩症，身热头晕，食少吐
痰，用八味丸而愈。后因劳役复发，脉洪大，按之微弱，此无根之火，内虚寒，外假热，用十全大补汤一剂
渐减。又服八味丸愈。其崩久脾胃虚寒，肢冷腹痛，先用附子理中汤，再用归脾汤、补中益气汤愈。过服寒凉，
腹闷烦躁，脉洪而虚，急用八珍汤加炮姜。以温补之，缓则不救。
元礼论崩中，或清或浊，或纯下瘀血，甚则头目昏晕，四肢厥冷，并宜胶艾汤、咽震灵丹。佐以三灰散，
或以童便煎理中汤。血崩腹痛，人疑恶血未净，及见血色瘀晦，愈信恶血，不敢止截。岂知经血出络，一停即成
黯色，未必尽为瘀热，又焉知瘀之不为虚冷乎！且瘀而腹痛，血行则痛止。崩而腹痛，血住则痛止。宜芎归汤
加熟附、干姜各五分。止其血而痛自止。武叔卿以此非崩久气脱者不可用。
《千金》治崩淋带下，用小牛角 散。若积冷崩中，去血不止，腰背痛，四肢重，虚极者，大牛角 散。
《本经》云∶牛角 下瘀血闭血。女人带下血崩，燔之酒服。寇宗 疏云∶烧灰，主妇人血崩便血血利。虚
人以独参汤，保元汤送下。崩中去血不断，用角腮鹿茸散。崩中赤白，或如豆汁，伏龙肝汤。
《医通》治崩漏过多，补泻不应者，用牛角腮 存性，酒服二三钱。虚寒血色稀淡者，牛角腮同鹿茸
服，尤妙。崩漏经年不止者，用莲房五枚烧存性，香附二两炒黑，为细末。空心陈酒下二钱。风入胞门，忽
下鲜血者，一味防风丸、旋复花汤下。崩漏
初起，不问虚实，荆芥四物汤。肝经虚热，奇效四物汤。因怒动血，养血平肝散。劳心过度，柏子仁汤。漏
下伤胎，胶艾四物汤。脾虚恶食，当归芍药汤。血脱气陷，益胃升阳汤。赤白崩带，艾附汤。虚寒崩漏不止，
丁香胶艾汤。崩漏渐成虚羸，鹿茸散。崩中诸药不愈，牡蛎丸。年高而崩者，法在不治。凡崩症，多用醋炒荆
芥、升麻，醋能收敛故也。五灰、十灰诸散，药用 炒者，红见黑则止也。红为火象，黑为水色。血症多兼
黑药，水能遏火之义。或用鹿茸丸。
景岳治血热妄行，保阴煎，或加减一阴煎。火盛迫血，徙薪饮加续断、丹参。脾肾虚寒，兼呕兼溏泻而畏
寒，理阴煎，或理中汤。脾肾阴气不固，固阴煎，或秘元煎。阳虚脱陷，四维散。血脱气竭，独参汤，或当
归补血汤。血滑不禁，龙骨散加人参。血臭脉滑者多火，宜从清凉。血腥清寒，脉细者多虚，必须温补。
景岳又云∶血崩来如潮涌，明是热势妄行，然又不可用寒治。盖寒则血凝，而热郁于内，治宜清补，兼
为升提，血自循经，经自摄血，而又不可骤止也。宜地黄、阿胶、白芍、麦冬、桑耳灰、木耳灰之属。久则
多虚寒，又宜温补脾胃。
《女科纂要》云，崩宜理气、降火、升提。漏宜养气补火，或兼制火。凡崩漏不可多用寒凉，致伤脾胃，
不能摄血归源，是速其危也。
崩证表现为血液突然大量下泄并结成血块，如同山丘崩塌。漏证表现为月经绵延不断，如同漏斗难以堵塞。《素问》说：阴虚而阳脉搏击有力称为崩。又说：阴络受损则血液在内溢出，大概因为血液运行于络脉之中，汇聚于冲脉。冲脉被称为血海。如果不是阳气过盛搏击阴分，导致损伤内部络脉，就不会出现血液横决而下。况且心主司血液，脾统摄血液，肝贮藏血液，凡是忧愁、思虑、愤怒、劳累，激动五脏情志之火，都能损伤络脉，使主管胞胎的冲任二脉失守，导致经血暴注且久不止住，这称为崩中。《良方》也说妇人崩中，是由于脏腑虚弱，冲任也虚，不能约束控制经血，或者是阳热搏击阴分，热邪损伤冲任，血液受热则流溢，甚至昏倒仆地。其脉象疾速细小为顺证，洪大则为逆证。治疗的大法应当调补脾胃。《济阴纲目》说：崩漏属于气虚，不能约束控制，则适宜补气；如果是热邪乘袭所致，则宜凉血。不应当笼统地说调补脾胃，应当详细分析，有脏腑及冲任阳虚的，有脏腑及冲任阴虚的，有阴虚兼阳气亢盛的，有初起损伤脏腑，久崩久漏，屡次损伤冲任，导致络脉空虚不能摄血的。一概谈论调补脾胃，尚未切中要害。
过去李东垣治疗崩证，也说大补脾胃，升举和降纳气血，因为气血是由脾胃所生，而且冲脉隶属于阳明胃经。经文既然明确说明络伤血溢，难道不需要堤防约束，为之修补缝隙吗？比如阿胶、鸡血藤膏、赤石脂、紫石英等药。只有当血中有滞气，脐腹部隐痛时，不适宜骤然使用固涩药，以免变成肿胀，必须参考经文旨意，采用通因通用的方法。使用益母草、香附、泽兰、白芍、延胡索、海螵蛸、当归尾等药。调和其气而血自然调顺。按《产宝》分为阴崩和阳崩，受热而血色红赤的，称为阳崩；受冷而血色白的，称为阴崩。红色属于血热，白色属于气虚。然而崩中日久，就会转为白带，像这样直接须要补益固摄。使用杜仲、续断、芡实、牡蛎、沙苑子、菟丝子等药。不要让病情拖延至髓枯精竭。适宜用人参、熟地黄、枸杞子、茯神、鹿角胶、五味子、肉苁蓉、当归等药。药物用量要大，以填塞下元。
薛立斋论述崩证的患因，有的因为脾虚不能摄血，有的因为肝火迫血妄行；有的因暴怒伤肝，血热沸腾；有的因脾经郁火，血不归经；有的因悲伤伤心包，血乃下脱。治法方面，脾经亏损者，用六君子汤加川芎、当归、柴胡。脾气虚陷者，用补中益气汤加酒炒白芍。肝经有火者，用四物汤加柴胡、山栀、丹皮，怒火伤肝者，用小柴胡汤加山栀、丹皮、白芍。肝经风热者，用加味逍遥散。思虑郁结伤脾者，用归脾汤加山栀。悲伤伤心包者，用四君子汤加柴胡、山栀、升麻。所以先哲论治下部出血，须用四君子汤收功，所谓血脱益气的道理。凡是大出血后，急用独参汤。如果伴有发热咳嗽脉数，这是元气虚弱假热的征象，尤其应当加入人参之类调补脾元。以无形之气，生成有形之血，所谓阴随阳长的道理。如果脉象虚大，观察其有胃气，能够接受补益则可以救治，不可误投寒凉药，再次损伤生气。其治疗因怒致血崩，面色青黄或赤，是肝木克制脾土。用小柴胡汤合四物汤。治疗肝脾郁火，血崩乳房肿胀胁痛，用逍遥散加酒炒龙胆草、山栀。再用归脾汤加山栀、贝母。治疗崩症，身热头晕，食少吐痰，用八味丸而痊愈。后来因劳累复发，脉象洪大，重按微弱，这是无根之火，内里虚寒，外表假热，用十全大补汤一剂逐渐减轻。又服用八味丸痊愈。其崩久脾胃虚寒，四肢冷腹痛，先用附子理中汤，再用归脾汤、补中益气汤痊愈。过服寒凉药，腹闷烦躁，脉象洪大而虚，急用八珍汤加炮姜。以温补之法，迟缓则无法救治。
元礼论述崩中，或清或浊，或纯下瘀血，甚至头目昏晕，四肢厥冷，都适宜用胶艾汤、咽震灵丹。佐以三灰散，或者用童便煎煮理中汤。血崩腹痛，人们怀疑恶血未净，以及见到血色瘀晦，更加相信是恶血，不敢止截。哪里知道经血出离络脉，一旦停留即成暗色，未必尽是瘀热，又怎么知道瘀血不是由于虚冷呢！况且瘀血导致腹痛，血行通畅则痛止。崩中证腹痛，血止住则痛止。适宜用芎归汤加熟附子、干姜各五分。止住其血而痛自然停止。武叔卿认为此法非崩久气脱者不可用。
《千金方》治疗崩淋带下，用小牛角腮散。若是积冷崩中，去血不止，腰背痛，四肢沉重，极度虚弱者，用大牛角腮散。《本经》说：牛角腮能下瘀血闭血。女人带下血崩，烧焦后用酒送服。寇宗奭疏解说：烧成灰，主治妇人血崩便血血利。体虚之人用独参汤、保元汤送下。崩中去血不断，用角腮鹿茸散。崩中赤白，或如豆汁，用伏龙肝汤。
《医通》治疗崩漏过多，补泻不应验的，用牛角腮存性，酒服二三钱。虚寒血色稀淡者，牛角腮同鹿茸服，尤其奇妙。崩漏经年不止者，用莲房五枚烧存性，香附二两炒黑，研为细末。空腹陈酒送下二钱。风入胞门，忽然下鲜血者，用一味防风丸、旋复花汤送下。崩漏初起，不问虚实，用荆芥四物汤。肝经虚热，用奇效四物汤。因怒动血，用养血平肝散。劳心过度，用柏子仁汤。漏下伤胎，用胶艾四物汤。脾虚恶食，用当归芍药汤。血脱气陷，用益胃升阳汤。赤白崩带，用艾附汤。虚寒崩漏不止，用丁香胶艾汤。崩漏渐成虚羸，用鹿茸散。崩中诸药不愈，用牡蛎丸。年高而崩者，治法上认为不治。凡崩症，多用醋炒荆芥、升麻，醋能收敛的缘故。五灰、十灰诸散，药物用炒黑的，红见黑则止的道理。红为火象，黑为水色。血症多兼用黑药，取用水能遏火的含义。或者用鹿茸丸。
张景岳治疗血热妄行，用保阴煎，或加减一阴煎。火盛迫血，用徙薪饮加续断、丹参。脾肾虚寒，兼呕吐兼溏泻而畏寒，用理阴煎，或理中汤。脾肾阴气不固，用固阴煎，或秘元煎。阳虚脱陷，用四维散。血脱气竭，用独参汤，或当归补血汤。血滑不禁，用龙骨散加人参。血臭脉滑者多火，宜从清凉法。血腥清寒，脉细者多虚，必须温补。
张景岳又说：血崩来势如潮涌，明明是热势妄行，然而又不可用寒凉法治。因为寒则血凝，而热郁于内，治宜清补，兼为升提，血自然循经，经自摄血，而又不可骤然止住。适宜用地黄、阿胶、白芍、麦冬、桑耳灰、木耳灰之类的药。久了则多虚寒，又宜温补脾胃。
《女科纂要》说，崩宜理气、降火、升提。漏宜养气补火，或兼制火。凡崩漏不可多用寒凉，以致损伤脾胃，不能摄血归源，这是加速其危殆。
Beng (sudden, heavy uterine bleeding) presents as blood flowing down violently in clots, resembling a landslide. Lou (prolonged, scanty uterine bleeding) presents as menstruation lingering without cessation, like an unstoppered funnel. The *Suwen* states: "Yin deficiency with vigorous Yang pulse is called Beng." It also says: "When Yin collaterals are injured, blood overflows internally." This is because blood circulates within the collaterals and converges at the Chong Mai (Penetrating Vessel), which is known as the Sea of Blood. Unless excessive Yang attacks Yin, causing damage to the internal collaterals, blood would not gush forth uncontrollably. Furthermore, the Heart governs blood, the Spleen controls blood, and the Liver stores blood. Any worry, thought, anger, or fatigue that stirs the fire of the Five Emotions can damage the collaterals, causing the Chong and Ren Mai (Conception Vessel), which govern pregnancy, to lose their hold. This leads to sudden, profuse menstrual bleeding that persists, termed Beng Zhong (Central Beng). The *Liangfang* also states that women's Beng Zhong results from deficiency of the Zang-Fu organs and deficiency of the Chong and Ren Mai, which cannot constrain the menstrual blood. Alternatively, Yang heat attacks Yin, damaging the Chong and Ren Mai with heat; blood flows freely when heated, potentially leading to fainting and collapse. A rapid and small pulse indicates a favorable prognosis, while a surging and large pulse indicates unfavorable. The general principle of treatment should be to regulate and tonify the Spleen and Stomach. The *Jiyin Gangmu* states: "Beng and Lou belong to Qi deficiency, unable to constrain; thus, tonifying Qi is appropriate. If caused by heat invasion, cooling the blood is appropriate." One should not vaguely speak only of regulating and tonifying the Spleen and Stomach, but analyze specifically: there are cases of Yang deficiency of the Zang-Fu and Chong/Ren Mai, Yin deficiency of the Zang-Fu and Chong/Ren Mai, Yin deficiency with concurrent Yang hyperactivity, and cases where initial injury to the Zang-Fu leads to prolonged Beng/Lou, repeatedly damaging the Chong/Ren Mai until the collaterals are deficient and unable to grasp the blood. Simply discussing Spleen and Stomach regulation has not hit the crucial point.
In the past, Li Dongyuan treated Beng by greatly tonifying the Spleen and Stomach, ascending and descending Qi and Blood, because Qi and Blood are generated by the Spleen and Stomach, and the Chong Mai belongs to the Yangming Stomach channel. Since the classics explicitly state that collateral injury causes blood overflow, is it not necessary to build dikes for restraint and mend the gaps? Such as Ejiao (Donkey-hide Gelatin), Jixueteng Gao (Caulis Spatholobi Paste), Chishizhi (Halloysitum Rubrum), Ziyingshi (Fluorite), etc. Only when there is stagnant Qi in the blood, with dull pain in the umbilical and abdominal regions, is it inappropriate to abruptly use astringents, which might cause distension and swelling. One must refer to the classic principles and employ "treat obstruction with unblocking" methods. Use Yimucao (Herba Leonuri), Xiangfu (Rhizoma Cyperi), Zelan (Herba Lycopi), Baishao (Radix Paeoniae Alba), Yanhusuo (Rhizoma Corydalis), Haipiaoxiao (Endoconcha Sepiae), Guiwei (Radix Angelicae Sinensis tail), etc. Harmonize the Qi, and the blood will naturally regulate. According to the *Chanbao*, Beng is divided into Yin Beng and Yang Beng. Those affected by heat with red blood are called Yang Beng; those affected by cold with white blood are called Yin Beng. Red indicates Blood Heat; white indicates Qi deficiency. However, if Beng persists for a long time, it may transform into leukorrhea (Dai Xia); in such cases, direct tonification and consolidation are required. Use Duzhong (Cortex Eucommiae), Xuduan (Radix Dipsaci), Qianshi (Semen Nelumbinis), Muli (Concha Ostreae), Shayuanzi (Semen Astragali Complanati), Tusizi (Semen Cuscutae), etc. Do not allow the condition to progress to exhaustion of marrow and essence. It is suitable to use Renshen (Radix Ginseng), Shudihuang (Radix Rehmanniae Preparata), Gouqizi (Fructus Lycii), Fushen (Poria with Hostwood), Lu'jiao Jiao (Corpus Cornus Cervi Gelatin), Wuweizi (Fructus Schisandrae), Congrong (Cibotium Barometz), Danggui (Radix Angelicae Sinensis), etc. The dosage of herbs should be large to fill the Lower Yuan.
Li Dongyuan discussed Qi sinking and Blood depletion, stating the method should be to lift and raise.
Xue Lizhai discussed the causes of Beng: some due to Spleen deficiency failing to control blood, some due to Liver Fire forcing blood to run recklessly; some due to sudden anger injuring the Liver, causing Blood Heat to boil; some due to stagnant Fire in the Spleen channel, causing blood not to return to its vessels; some due to sorrow injuring the Pericardium, causing blood to fall downward. Treatment methods: For Spleen channel deficiency, use Liujunzi Tang (Six Gentlemen Decoction) plus Chuanxiong (Rhizoma Ligustici Chuanxiong), Danggui (Radix Angelicae Sinensis), Chaihu (Radix Bupleuri). For Spleen Qi deficiency and sinking, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Jiuchao Baishao (Wine-fried Radix Paeoniae Alba). For Liver channel Fire, use Siwu Tang (Four Substances Decoction) plus Chaihu (Radix Bupleuri), Shanzhi (Fructus Gardeniae), Danpi (Cortex Moutan). For anger injuring the Liver, use Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Shanzhi (Fructus Gardeniae), Danpi (Cortex Moutan), Shaoyao (Radix Paeoniae). For Liver channel Wind-Heat, use Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder). For thought and depression injuring the Spleen, use Guipi Tang (Restore the Spleen Decoction) plus Shanzhi (Fructus Gardeniae). For sorrow injuring the Pericardium, use Sijunzi Tang (Four Gentlemen Decoction) plus Chaihu (Radix Bupleuri), Shanzhi (Fructus Gardeniae), Shengma (Rhizoma Cimicifugae). Thus, ancient sages stated that for lower body bleeding, one must conclude treatment with Sijunzi Tang, following the principle of "tonifying Qi in cases of Blood depletion." After massive blood loss, immediately use Dushen Tang (Single Ginseng Decoction). If accompanied by fever, cough, and rapid pulse, this is a sign of false heat due to weak Yuan Qi; it is especially important to add Renshen (Radix Ginseng) to tonify the Spleen Yuan. Using formless Qi to generate formed Blood follows the principle of "Yin grows from Yang." If the pulse is empty and large, and stomach Qi is present, allowing supplementation can save the patient; do not mistakenly administer cold/cooling herbs, which would further injure the generating Qi. For treating anger-induced Beng with green-yellow or red complexion, indicating Liver Wood suppressing Spleen Earth, use Xiao Chaihu Tang combined with Siwu Tang. For treating Liver-Spleen stagnant Fire, Beng with breast swelling and hypochondriac pain, use Xiaoyao San plus Jiuchao Longdancao (Wine-fried Radix Gentianae) and Shanzhi (Fructus Gardeniae). Then use Guipi Tang plus Shanzhi (Fructus Gardeniae) and Beimu (Bulbus Fritillariae Thunbergii). For treating Beng with body heat, dizziness, poor appetite, and phlegm vomiting, use Bawei Wan (Eight-Ingredient Pill) for recovery. Later, due to labor relapse, with a surging pulse that is weak upon deep pressure, this is rootless Fire, internal deficiency-cold, and external false heat; use Shiquan Dabu Tang (Complete Great Tonifying Decoction) for one dose to gradually reduce symptoms. Then take Bawei Wan to cure. For prolonged Beng with Spleen-Stomach deficiency-cold, cold limbs, and abdominal pain, first use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction), then Guipi Tang and Buzhong Yiqi Tang for recovery. Overconsumption of cold herbs causing abdominal stuffiness, irritability, and a surging yet empty pulse requires immediate Bazhen Tang (Eight Treasures Decoction) plus Paojiang (Prepared Ginger). Warm and tonify; delay means no rescue.
Yuanli discussed Beng Zhong, whether clear or turbid, or purely dark clots, even with dizziness and cold limbs; all are suitable for Jiao'ai Tang (Collagen and Mume Decoction) and Yan Zhenling Dan (Swallowing Spirit Pill). Assist with Sanhui San (Three Ashes Powder), or decoct Lizhong Tang (Regulate the Middle Decoction) with Tongbian (Child's Urine). For Beng with abdominal pain, people suspect evil blood remains, and seeing dark, cloudy blood color confirms evil blood, daring not to stop it. How does one know that blood exiting collaterals turning dark is not merely stagnation, nor that stasis is not due to deficiency-cold! Moreover, stasis causing abdominal pain stops when blood flows; Beng causing abdominal pain stops when bleeding ceases. Suitable is Xiongui Tang (Cyperi and Angelica Decoction) plus Shufu (Prepared Aconite) and Ganjiang (Dried Ginger), each 0.5 fen. Stop the blood, and pain stops naturally. Wu Shuqing believed this method is not applicable unless Qi has collapsed after prolonged Beng.
The *Qianjin Fang* treats Beng, Lin, and leukorrhea using Xiao Niujiao Sai San (Small Horn Scale Powder). If accumulated cold causes Beng with continuous blood loss, backache, heavy limbs, and extreme deficiency, use Da Niujiao Sai San (Large Horn Scale Powder). The *Benjing* states: "Niujiao Sai (Horn Scale) removes stasis and closes blood." For women's leukorrhea and Beng, burn it and take with wine. Kou Zongshi's commentary states: "Burned to ash, it treats women's Beng, hematochezia, and bloody diarrhea. In deficient persons, send down with Dushen Tang or Baoyuan Tang." For continuous blood loss in Beng, use Jiaosai Lurong San (Horn Scale and Deer Antler Powder). For red and white Beng, or like bean curd juice, use Fulonggan Tang (Dragon's House Soil Decoction).
The *Yitong* treats excessive Beng/Lou where tonification and purgation fail, using Niujiao Sai preserved with nature, taken with wine, 2-3 qian. For deficiency-cold with thin, pale blood color, Niujiao Sai taken with Lurong (Deer Antler) is excellent. For Beng/Lou persisting for years, use 5 Lotus Seed Pods burned to preserve nature, 2 liang Xiangfu stir-fried black, ground to fine powder. Take 2 qian on an empty stomach with aged wine. For wind entering the womb suddenly causing fresh blood flow, use Yiwei Fangfeng Wan (Single Windproof Pill) or Xuanfuhua Tang (Inula Flower Decoction). For early-stage Beng/Lou, regardless of deficiency or excess, use Jingjie Siwu Tang (Schizonepeta Four Substances Decoction). For Liver channel deficiency-heat, use Qixiao Siwu Tang (Miraculous Efficacy Four Substances Decoction). For anger stirring blood, use Yangxue Pinggan San (Nourish Blood Calm Liver Powder). For excessive mental labor, use Baiziren Tang (Biota Seed Decoction). For leakage injuring pregnancy, use Jiao'ai Siwu Tang (Collagen Mume Four Substances Decoction). For Spleen deficiency with aversion to food, use Danggui Shaoyao Tang (Angelica Peony Decoction). For blood depletion and Qi sinking, use Yiwei Shengyang Tang (Benefit Stomach Ascend Yang Decoction). For red-white Beng and leukorrhea, use Aifu Tang (Mugwort Cyperus Decoction). For deficiency-cold persistent Beng/Lou, use Dingxiang Jiao'ai Tang (Clove Collagen Mume Decoction). For Beng/Lou gradually becoming emaciated, use Lurong San (Deer Antler Powder). For various medicines failing in Beng, use Muli Wan (Oyster Shell Pill). For elderly women with Beng, the method considers it untreatable. Generally for Beng, Vinegar-fried Jingjie (Schizonepeta) and Shengma (Rhizoma Cimicifugae) are often used, as vinegar has astringent properties. Various powders like Wuhui and Shihui use stir-fried herbs; red turns black to stop bleeding. Red represents Fire image; black represents Water color. Blood diseases often combine black herbs, meaning Water can suppress Fire. Or use Lurong Wan (Deer Antler Pill).
Zhang Jingyue treats reckless blood flow due to Blood Heat with Bao Yin Jian (Preserve Yin Decoction) or Jiajian Yiyin Jian (Modified One-Yin Decoction). For excessive Fire forcing blood, use Tuxin Yin (Remove Firewood Drink) plus Xuduan (Radix Dipsaci) and Danshen (Radix Salviae Miltiorrhizae). For Spleen-Kidney deficiency-cold with vomiting, loose stools, and aversion to cold, use Liyin Jian (Regulate Yin Decoction) or Lizhong Tang (Regulate the Middle Decoction). For insecure Spleen-Kidney Yin Qi, use Guyin Jian (Secure Yin Decoction) or Miyuan Jian (Secret Origin Decoction). For Yang deficiency collapse, use Siwei San (Four Borders Powder). For blood depletion and Qi exhaustion, use Dushen Tang (Single Ginseng Decoction) or Danggui Buxue Tang (Angelica Tonify Blood Decoction). For slippery, uncontrollable blood, use Longgu San (Dragon Bone Powder) plus Renshen (Radix Ginseng). Bloody odor and slippery pulse indicate much Fire, suitable for cooling. Bloody smell, clear/cold nature, and fine pulse indicate much deficiency, requiring warming and tonification.
Zhang Jingyue also said: Blood Beng coming like a tide surge clearly indicates reckless Heat, yet one must not treat with Cold. Because Cold causes blood coagulation, trapping Heat inside. Treatment should be clearing and tonifying, combined with lifting; blood will naturally follow the channels, and channels will grasp blood, without abrupt stopping. Suitable are Dihuang (Radix Rehmanniae), Ejiao (Donkey-hide Gelatin), Baishao (Radix Paeoniae Alba), Maidong (Radix Ophiopogonis), Sang'er Hui (Ash of Auricularia), Mu'er Hui (Ash of Tremella), etc. Over time, deficiency-cold prevails, requiring warming and tonifying the Spleen and Stomach.
The *Nuke Zuanyao* states: Beng requires regulating Qi, descending Fire, and lifting. Lou requires nourishing Qi and tonifying Fire, or controlling Fire. Generally, Beng/Lou should not use many cold/cooling herbs, which injure the Spleen and Stomach, preventing grasping blood to return to its source, thereby accelerating danger.