产后血大来，宜审血色之红紫，视形色之虚实。如血多色紫有块，乃当去之败血也。若
止留
反作痛，不可论崩，如鲜红之血大来，乃是惊伤心不能主，怒伤肝不能藏，劳伤脾不能统血
归经耳。当以崩论，先服生化汤几帖，则行中有补，而血宁生旺矣。若崩形脱，或有汗，或
气促，宜倍参生化汤以益气，斯阳生而阴血生旺矣，非棕灰之可止者。如产半月后崩，又宜
升举大补汤治之。（方载八卷中。）
生化止崩汤 治产后血崩。
川芎（一钱） 当归（二钱，去尾） 干姜（四分） 炙甘草（五分） 桃仁（十粒） 荆芥（
五分，炒）
枣引，水煎。
忌姜、椒、热物、生冷。
鲜红血大来，加荆芥穗一钱、炒，白芷五分。血块不痛，形脱，加人参三钱。汗多气促
，加
人参三四钱。无汗，形不脱，气不促，只多服生化汤，则血自宁，勿言芎归活血助崩，误矣
。
滋荣益气止崩汤
川芎（一钱） 麦冬（一钱） 黄 （一钱） 人参（一钱） 白术（二钱） 熟地（二钱） 当归
（二钱） 白芷（四分） 荆芥穗（四分） 陈皮（四分） 甘草（四分） 升麻（四分） 黄连（三分）
枣引，水煎。
汗多，加麻黄根一钱，浮小麦一撮。大便不通。加肉苁蓉一钱。有热，加磨木香一分。
痰，
加贝母六分，竹沥姜汁。寒嗽加杏仁一钱，桔梗一钱，知母一钱。惊悸，加枣仁一钱，柏子
仁一钱。伤饭面，加神曲一钱，麦芽一钱。伤肉，加山楂一钱，砂仁八分。自热不可用芩、
连、柏。大便不通禁大黄。伤食怒气，不可单用消耗无补药。凡年老虚人患崩，宜用升举大
补汤。（方详八卷中。）
产后阴道出血量极大，应当审察血液颜色的红或紫，观察患者形色的虚或实。如果血量多、颜色紫暗且有血块，这是应当祛除的败血（瘀血）。如果仅仅是少量残留恶露反而引起疼痛，这不属于崩漏；如果是鲜红色的血液大量涌出，这是由于惊恐损伤心脏导致不能主血脉，愤怒损伤肝脏导致不能藏血，劳累损伤脾脏导致不能统摄血液回归经脉所致。这种情况应当按照崩漏论治，先服用生化汤几剂，这样在行血的同时兼有补益作用，血液就能安宁并恢复旺盛。如果出现面色苍白、形体脱失的症状，或者伴有出汗、气短急促，应当加倍使用人参于生化汤中以益气，这样阳气生发而阴血也能随之生长旺盛，这不是用棕榈灰等收敛止血药所能止住的。如果在分娩半个月后出现崩漏，又适宜用升举大补汤来治疗。（方剂记载在第八卷中。）
生化止崩汤：治疗产后血崩。
川芎（一钱） 当归（二钱，去掉尾部） 干姜（四分） 炙甘草（五分） 桃仁（十粒） 荆芥（五分，炒制）
以红枣为引，加水煎服。
禁忌食用生姜、花椒、热性食物以及生冷食物。
如果是鲜红色血液大量涌出，加荆芥穗一钱（炒制）、白芷五分。如果只有血块而不痛，且出现形体脱失症状，加人参三钱。如果出汗多、气短急促，加人参三至四钱。如果没有汗，形体未脱，气不短促，只需多服用生化汤，血液自然安宁，不要说川芎、当归活血会加重崩漏，那是错误的观点。
滋荣益气止崩汤
川芎（一钱） 麦冬（一钱） 黄芪（一钱） 人参（一钱） 白术（二钱） 熟地黄（二钱） 当归（二钱） 白芷（四分） 荆芥穗（四分） 陈皮（四分） 甘草（四分） 升麻（四分） 黄连（三分）
以红枣为引，加水煎服。
如果出汗多，加麻黄根一钱，浮小麦一撮。如果大便不通畅，加肉苁蓉一钱。如果有热象，加木香一分（磨汁）。如果有痰，加贝母六分，竹沥和姜汁。如果是寒性咳嗽，加杏仁一钱，桔梗一钱，知母一钱。如果惊悸不安，加酸枣仁一钱，柏子仁一钱。如果因饮食面食伤食，加神曲一钱，麦芽一钱。如果因肉食伤食，加山楂一钱，砂仁八分。如果是阴虚内热，不可使用黄芩、黄连、黄柏。大便不通禁用大黄。如果是因饮食停滞或怒气导致的病症，不可单独使用耗散亏损而无补益作用的药物。凡是年老体虚之人患崩漏，适宜使用升举大补汤。（方剂详情见第八卷。）
Postpartum hemorrhage with massive bleeding requires examination of the blood color (red or purple) and assessment of the patient's physical constitution (deficiency or excess). If the volume is large, the color is dark purple, and clots are present, this indicates stasis (blood stasis) that should be expelled. If there is merely residual lochia causing pain, it does not constitute metrorrhagia; however, if bright red blood flows profusely, it results from fright injuring the Heart (Zang-fu organ), causing failure to govern the vessels; anger injuring the Liver (Zang-fu organ), causing failure to store blood; or overexertion injuring the Spleen (Zang-fu organ), causing failure to control blood within the meridians. This condition should be treated as metrorrhagia. Initially, administer Shenghua Tang (Life-Birth Decoction) for several doses; this promotes blood circulation while simultaneously tonifying, allowing the blood to settle and flourish. If signs of collapse appear, such as pallor, sweating, or shortness of breath, increase the dosage of Renshen (Ginseng Root) in Shenghua Tang to boost Qi (vital energy); thus, Yang generates Yin, and blood flourishes. This cannot be stopped by astringents like Zonghui (Cinnabar Ash). If metrorrhagia occurs half a month after delivery, Shengju Dabu Tang (Great Tonification and Lifting Decoction) is appropriate. (The formula is recorded in Volume VIII.)
Shenghua Zhibeng Tang: Treats postpartum metrorrhagia.
Chuanxiong Rhizome (1 qian) Danggui Radix (2 qian, tail removed) Dried Ginger (4 fen) Peaches Seed (10 grains) Jingjie (5 fen, stir-fried) Prepared Licorice Root (5 fen)
Use Jujube Fruit as a guide, decoct in water.
Avoid ginger, pepper, hot-natured foods, and raw/cold foods.
For profuse bright red bleeding, add Jingjie Sui (Schizonepeta Spike, 1 qian, stir-fried) and Baizhi (Angelica Dahurica Root, 5 fen). For clots without pain accompanied by signs of collapse, add Renshen (Ginseng Root, 3 qian). For excessive sweating and shortness of breath, add Renshen (Ginseng Root, 3–4 qian). For no sweating, no collapse, and no shortness of breath, simply administer more Shenghua Tang (Life-Birth Decoction) until the blood settles. Do not claim that Chuanxiong and Danggui promote blood circulation and exacerbate hemorrhage; this is erroneous.
Zirong Yiqi Zhibeng Tang
Chuanxiong Rhizome (1 qian) Ophiopogon Tuber (1 qian) Astragalus Root (1 qian) Ginseng Root (1 qian) Atractylodes Macrocephala Rhizome (2 qian) Prepared Rehmannia Root (2 qian) Angelica Sinensis Radix (2 qian) Angelica Dahurica Root (4 fen) Schizonepeta Spike (4 fen) Tangerine Peel (4 fen) Licorice Root (4 fen) Cimicifuga Rhizome (4 fen) Scutellaria Root (3 fen)
Use Jujube Fruit as a guide, decoct in water.
For excessive sweating, add Ma Huang Gen (Ephedra Root, 1 qian) and Xiaomai (Triticum Vulgare Grain, a pinch). For constipation, add Congrong (Cistanche Stem, 1 qian). For heat symptoms, add Muxiang (Aucklandia Root, 1 fen, ground juice). For phlegm, add Beimu (Fritillaria Bulb, 6 fen), Zhuli (Bamboo Sap), and Jiangzhi (Ginger Juice). For cold cough, add Xingren (Apricot Seed, 1 qian), Jiegeng (Platycodon Root, 1 qian), and Zhimu (Anemarrhena Rhizome, 1 qian). For palpitations due to fright, add Zaoren (Sour Jujube Seed, 1 qian) and Baiziren (Biota Seed, 1 qian). For food stagnation from rice/noodles, add Shenqu (Medicated Leaven, 1 qian) and Maiya (Sprouted Hordeum Grain, 1 qian). For food stagnation from meat, add Shanzha (Hawthorn Fruit, 1 qian) and Sharen (Amomum Fruit, 8 fen). For internal heat due to deficiency, avoid Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), and Huangbai (Phellodendron Bark). Constipation contraindicates Dahuang (Rhubarb Root). For stagnation due to diet or anger, do not use solely draining/depleting herbs without tonifying agents. For elderly or deficient patients suffering from metrorrhagia, Shengju Dabu Tang (Great Tonification and Lifting Decoction) is appropriate. (Details in Volume VIII.)