产后血水大来，须看颜色之红紫，形气之虚实。如形色多紫，乃当去之败血，勿以崩论。若红而色鲜，乃是惊
伤心不能主血，怒伤肝而不能藏血，劳伤脾而不能摄血，当以崩治。法宜先服生化汤数帖，则行中有补，血自生
旺矣。至若形脱气促，或汗出不止，宜服倍参生化以益气，斯阳生则阴长而血乃生旺，非棕炭等止血药可治也。如
产已盈月外，又宜升举大补汤治之。凡年老积弱人患崩，均宜服此。
加参生化汤（治产后血崩、形脱、汗多、气促）
川芎（三钱） 当归（四钱） 荆芥（四分） 桃仁（十粒） 人参（三钱） 肉桂（五分，二帖后去之）
炙草（五分） 枣（二枚）
水煎热服。汗多，加黄 、人参各三钱。渴，加麦冬、五味。泻，加茯苓、莲子。两手脉伏或右手脉绝，生脉
散倍人参。痰，加竹沥、姜汁、酒一杯。咳嗽，加杏仁、知母、桔梗各一钱。惊悸，加枣仁、柏仁各二钱。久不
进食，闻药即吐，用独参二三钱，水
一杯，煎锅焦末服之，引开胃口。鲜血来多不止，加升麻、白芷各五分。如无汗脱等症，只服生化汤，加炒黑荆
芥自安。世言芎归活血不可治崩，殊误。
升举大补汤
治产后日久，血崩不止，或如鸡卵大块，或去血如片，宜大补脾胃，升提气血，少加镇坠心火之药。此方并治
老少血崩等症。
人参 白术（各三钱） 川芎（一钱） 当归（一钱五分） 熟地（二钱） 黄 （一钱） 白芷（四分） 荆芥
（四分） 陈皮 黄连 黄柏（炒，泻者勿用）
羌活 防风（各四分） 升麻 甘草（各五分）
渴，加麦冬、五味。泻，加泽泻、莲子。痰，加半夏。兼白带者，加苍术、半夏各一钱。
产后出现大量阴道出血（血崩），必须观察血液颜色的红紫以及患者形体的强弱和气息的虚实。如果血色多呈紫色，这是应当祛除的败血（瘀血），不要当作崩漏来论治。如果血色鲜红，这是由于惊恐伤心导致心不能统摄血液，愤怒伤肝导致肝不能贮藏血液，劳累伤脾导致脾不能固摄血液，应当按照崩漏来治疗。治疗方法适宜先服用生化汤几剂，这样在活血的同时兼有补益作用，血液自然就会生发旺盛。至于形体极度虚弱、气息急促，或者汗出不止的情况，适宜服用加倍人参量的生化汤以益气，这样阳气生发则阴血随之生长，血液才能生发旺盛，这不是棕榈炭等单纯止血药物所能治疗的。如果生产已满一个月以后，又适宜用升举大补汤来治疗。凡是年老体弱之人患崩漏，都适宜服用此方。
加参生化汤（治疗产后血崩、形体脱失、汗多、气促）
川芎（三钱） 当归（四钱） 荆芥（四分） 桃仁（十粒） 人参（三钱） 肉桂（五分，两剂后去掉）
炙甘草（五分） 大枣（二枚）
加水煎煮，热服。如果汗多，加黄芪、人参各三钱。口渴，加麦冬、五味子。腹泻，加茯苓、莲子。两手脉象沉伏或右手脉象摸不到，服用生脉散并加倍人参用量。有痰，加竹沥、姜汁、酒一杯。咳嗽，加杏仁、知母、桔梗各一钱。惊悸，加酸枣仁、柏子仁各二钱。久不进食，闻到药味就呕吐，用独参汤二三钱，水一杯，煎至锅焦末状服用，以开启胃口。鲜血流出过多不止，加升麻、白芷各五分。如果没有汗出、脱证等症状，只服用生化汤，加入炒黑的荆芥即可平安无事。世人说川芎、当归活血不可用于治疗崩漏，这是极大的错误。
升举大补汤
治疗产后日久，血崩不止，或者排出如鸡蛋大小的血块，或者去血如片状，适宜大补脾胃，升提气血，少量加入镇坠心火的药物。此方同时治疗老少血崩等病症。
人参 白术（各三钱） 川芎（一钱） 当归（一钱五分） 熟地黄（二钱） 黄芪（一钱） 白芷（四分） 荆芥（四分） 陈皮 黄连 黄柏（炒制，腹泻者勿用）
羌活 防风（各四分） 升麻 甘草（各五分）
口渴，加麦冬、五味子。腹泻，加泽泻、莲子。有痰，加半夏。兼有白带者，加苍术、半夏各一钱。
Postpartum hemorrhage (profuse vaginal bleeding) requires observation of the blood's color (red or purplish) and the patient's constitutional strength and Qi deficiency. If the color is predominantly purple, it indicates stasis (blood stasis) that should be expelled; it should not be treated as metrorrhagia. If the blood is bright red, it results from fright injuring the Heart, causing it to fail to govern the blood; anger injuring the Liver, causing it to fail to store the blood; or overwork injuring the Spleen, causing it to fail to control the blood. In such cases, it should be treated as metrorrhagia. The appropriate method is to first administer Shenghua Tang (Birth Recovery Decoction) for several doses. This allows for both moving blood and tonifying, so that blood generation will naturally flourish. For cases involving extreme physical collapse, rapid breathing, or incessant sweating, a modified Shenghua Tang with doubled Ren Shen (Ginseng Radix et Rhizoma) should be taken to tonify Qi. When Yang is generated, Yin grows, and blood production flourishes; this cannot be treated with hemostatic agents such as Zong Tan (Carbonized Palm Fibers). If more than a month has passed since delivery, Shengju Dabu Tang (Great Tonification and Lifting Decoction) is appropriate. This formula is also suitable for elderly patients with chronic weakness suffering from metrorrhagia.
Jia Shen Shenghua Tang (Modified Shenghua Tang with Ginseng)
Indications: Postpartum metrorrhagia, physical collapse, profuse sweating, and rapid breathing.
Chuan Xiong (Ligusticum Chuanxiong Rhizome, 3 qian), Dang Gui (Angelica Sinensis Radix, 4 qian), Jing Jie (Schizonepetae Herba, 4 fen), Tao Ren (Persicae Semen, 10 grains), Ren Shen (Ginseng Radix et Rhizoma, 3 qian), Rou Gui (Cinnamomi Cortex, 5 fen, remove after two doses), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen), Da Zao (Ziziphus Jujuba Fructus, 2 pieces).
Decoct in water and take hot. For profuse sweating, add Huang Qi (Astragali Radix) and Ren Shen (Ginseng Radix et Rhizoma), each 3 qian. For thirst, add Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Chinensis Fructus). For diarrhea, add Fu Ling (Poria) and Lian Zi (Nelumbinis Semen). If the pulse is deep and hidden in both hands, or absent in the right hand, use Shengmai San (Generate Pulse Powder) with doubled Ren Shen (Ginseng Radix et Rhizoma). For phlegm, add Zhu Li (Bambusae Caulis in Taenia) and Jiang Zhi (Zingiberis Recens Juice), plus one cup of wine. For cough, add Xing Ren (Armeniacae Semen Amarum), Zhi Mu (Anemarrhenae Rhizoma), and Jie Geng (Platycodonis Radix), each 1 qian. For palpitations due to fright, add Suan Zao Ren (Ziziphi Spinosae Semen) and Bai Ren (Biota Orientalis Semen), each 2 qian. For prolonged anorexia and vomiting upon smelling medicine, use Du Shen Tang (Single Ginseng Decoction): 2-3 qian of Ren Shen (Ginseng Radix et Rhizoma) decocted in one cup of water until reduced to a scum-like consistency, taken to stimulate appetite. For continuous profuse bright red bleeding, add Sheng Ma (Cimicifugae Rhizoma) and Bai Zhi (Angelicae Dahuricae Radix), each 5 fen. If there are no symptoms of sweating or collapse, simply taking Shenghua Tang (Birth Recovery Decoction) with fried black Jing Jie (Schizonepetae Herba) ensures safety. It is a great error to claim that Chuan Xiong (Ligusticum Chuanxiong Rhizome) and Dang Gui (Angelica Sinensis Radix), which invigorate blood, cannot treat metrorrhagia.
Shengju Dabu Tang (Great Tonification and Lifting Decoction)
Indications: Prolonged postpartum metrorrhagia that does not cease, passage of large clots like chicken eggs, or shedding of blood in sheets. The treatment principle is to greatly tonify the Spleen and Stomach, lift Qi and Blood, and add a small amount of herbs that anchor and descend Heart Fire. This formula also treats metrorrhagia in patients of all ages.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), each 3 qian; Chuan Xiong (Ligusticum Chuanxiong Rhizome, 1 qian); Dang Gui (Angelica Sinensis Radix, 1.5 qian); Shu Di Huang (Rehmanniae Radix Praeparata, 2 qian); Huang Qi (Astragali Radix, 1 qian); Bai Zhi (Angelicae Dahuricae Radix, 4 fen); Jing Jie (Schizonepetae Herba, 4 fen); Chen Pi (Citri Reticulatae Pericarpium); Huang Lian (Coptidis Rhizoma); Huang Bo (Phellodendri Cortex, stir-fried; avoid if diarrhea is present); Qiang Huo (Notopterygii Rhizoma et Radix); Fang Feng (Saposhnikoviae Radix), each 4 fen; Sheng Ma (Cimicifugae Rhizoma); Gan Cao (Glycyrrhizae Radix et Rhizoma), each 5 fen.
For thirst, add Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Chinensis Fructus). For diarrhea, add Ze Xie (Alismatis Rhizoma) and Lian Zi (Nelumbinis Semen). For phlegm, add Ban Xia (Pinelliae Rhizoma). For concurrent leukorrhea, add Cang Zhu (Atractylodis Rhizoma) and Ban Xia (Pinelliae Rhizoma), each 1 qian.