上锉碎，每服半两，姜枣煎服，食前五六服寒热腹痛皆退，崩漏未止，续服后熟附丸。
熟附丸
熟附子 木贼（去节） 龙骨（ ） 赤石脂（ ，各半两） 川芎 当归（各一两）
上为细末，醋糊为丸，如梧子大。每服五六十丸，食前米饮下。一妇人年五十以
上，经断七年，忽然经行，遂成崩漏，发热腹痛，两月不瘥。予诊其脉虚细疾数。予曰∶
此乃阴虚而致，宜服此药。
鹿茸丸 治经候过多，其色瘀黑，甚者崩下，吸吸少气，脐腹冷极则汗出如雨，尺
脉微小，由冲任虚衰，为风冷客乘胞中，气不能固。可灸关元百壮，在脐下正中三寸。
鹿茸（燎去毛，酥炙） 赤石脂（制） 禹余粮（制，各一两） 艾叶（一方无） 柏叶
附子（炮，各半两） 熟地黄 当归 续断（各二两）
上为细末，酒糊和丸梧子大。每服三十丸，空心温酒下。一方炼蜜丸亦可。
赤龙丹 治崩中不止。
禹余粮（炒） 乌贼骨 鹿茸 龙骨 石燕（ ） 阿胶 当归 干姜（各等分）
上为末，酒醋糊为丸。每服五十丸，温酒下。
紫金散 治月水过多，崩漏带下，淋沥不断，腰腹重痛，一切五色带疾。
禹余粮（ 赤，醋淬七次，细研水飞 干，秤三两） 白芍药 川芎 熟地黄
附子 当归（各一两） 干姜（炮） 肉桂（各半两） 赤石脂 龙骨（各 ，并一两，别研）
上为细末，每服二钱，入麝香少许，米饮空心调下。
白芷暖宫丸 暖血海，实冲任。治子宫虚弱，风寒客滞，断绪不成孕育，及数坠胎；
或带下赤白，漏下五色，虚眩少气，胸腹满痛，心下烦悸，自汗，下血过多。
禹余粮（制，一两） 干姜（炮） 芍药 白芷 川椒（制） 阿胶（粉炒）
艾叶（制） 川芎（各七钱半）
上为细末，蜜丸梧子大。每服四十丸，米饮、温酒、醋汤任下。
《和剂》震灵丹 治崩中下血不止，或脉虚细，手足或冷。以芎归汤加木香煎送下，或
陈皮、香附子煎汤下三丸，或灵砂丹亦可。兼治暴惊风，九窍出血。独参汤下。（方见杂病泄
泻门。）
又方 治崩中不止。
丁香二两为细末，用酒三升，煮取一升，空心顿服。《必效方》用丁香百颗，酒煎服。
又方 益智炒为细末，盐米饮调下。
和剂暖宫丸 内补当归丸 熟干地黄丸 济阴丹 禹余粮丸 内灸散 皱血丸 紫石英丸
上诸方并治崩中带漏，并见前通治门及调经门。
〔薛〕表弟方健甫内，五十岁，辛丑患血崩，诸药罔效。壬寅八月，身热体痛，头
晕涕出，吐痰少食，众作火治，展转发热，绝粒数日。余诊之曰∶脾胃久虚，过服寒药，中
病未已，寒病复起，遂用八味丸料一服，翌早遂索粥数匙，再服食倍，热减痛止。乃服
八味丸而愈，癸卯秋，因劳役忧怒，甲辰夏，病复作，胸饱发热，脊痛腰疼，神气怫郁，或
作内伤，或作中暑，崩血便血，烦渴引饮，粒米不进，昏愦时作，脉洪大按之微弱，此无
根之火，内虚寒而外假热也。以十全大补加附子一剂，遂食粥三四匙，崩血渐减。日服
八味丸，始得全愈。大尹王天成之内，久患崩，自服四物凉血之剂，或作或辍。因怒
发热，其血不止，服前药不应，乃主降火，更加腹胁大痛，手足俱冷。余曰∶此脾胃虚寒
所致。先用附子理中汤，体热痛止；又用济生归脾、补中益气二汤，崩血顿愈。若泥痛
无补法，则误矣。锦衣杨永兴之内，患前证过服寒凉之剂，其证益甚，更加肚腹痞闷，
饮食不入，发热烦躁，脉洪大而虚。余曰∶此脾经气血虚而发躁也。当急用八珍汤加炮姜
以温补之，缓则不救。不信，乃服止血降火之剂，虚证蜂起，始信余言，缓不及治矣。
〔涩剂〕
〔大〕治崩中下血不止，小腹痛。
芍药（一两，炒黄） 柏叶（六两，微炒。丹溪云∶柏叶性多燥。）
上用水一升，煎取六合，入酒五合，煎取七合。空心分为二服。一方为细末，酒调
二钱。一方有鹿角胶等分，酒调治白带脐腹痛。
〔世〕牡蛎散 治月水不止，众药不愈者。
牡蛎火 研细，用醋调成丸，再 过通红，候冷研细，出火毒，却用醋调艾末，熬
成膏，和丸如桐子大。每服五十丸，醋艾汤下。
〔燥剂〕
〔云〕柏黄散 疗经血不止。
黄芩（一两二钱半） 侧柏叶 蒲黄（各一两） 伏龙肝（二两）
上 咀，水二升，煎取八合，分为二服。
又方 治患崩中不止，结作血片，如鸡肝色，碎烂。
芎 （十二分） 阿胶 青竹茹（各八分） 续断 地榆 小蓟根（各三分） 当归（六分）
生地黄 伏龙肝（各十一分）
上用水九盏，煮取三盏，去滓分三服。
〔《衍》〕治妇人血露，蚕砂一两炒，伏龙肝半两，阿胶一两，同为末。温酒调，空
心二三钱，以知为度。（《大全》名无比散，无阿胶。）
〔罗〕伏龙肝散 治气血劳伤，冲任脉虚。经云∶非时忽然崩下，或如豆汁，或成血片，
或五色相杂，或赤白相兼，脐腹冷痛，经久未止，令人黄瘦，口干，饮食减少，四肢无力，虚烦惊悸。
伏龙肝（一两） 甘草（半两） 赤石脂（一两） 芎 （三两） 肉桂（半两） 熟地黄 艾叶（微炒，各
二两） 当归 干姜（各七钱半） 麦门冬（去心，一两半）
上为粗末，每服四钱，枣一枚，水同煎。
地榆散 治妇人崩中漏下不止。
地榆（锉） 蒲黄 白芍药 白茯苓 柏叶（微炒） 蟹爪（微炒） 熟地黄 鹿
角胶（捣碎，炒令黄燥） 漏芦（各一两） 芎 当归（锉炒，各七钱半） 伏龙肝（一两半）
干姜（炮） 桂心 甘草（锉，炙赤，各半两）
上锉碎，每服三钱，水一中盏，入竹茹一分，煎至七分，去滓，食前温服。
上五方，伏龙肝例，盖燥可去湿也。前二方去湿热，后二方去寒湿。按伏龙肝为止
血之圣药，先贤治崩，用旋复花、半夏治膈间湿痰而崩止者，亦此意。
〔补涩〕
鹿茸散 治崩中漏下不止虚损羸瘦。
鹿茸（二两，去毛涂酥，炙微黄） 白龙骨 鳖甲（涂酥炙令黄，去裙） 熟地黄
白芍药 白石脂 乌贼鱼骨（炙黄） 续断（各一两） 肉苁蓉（一两半，酒浸一宿，刮去
皱皮，炙干）
上为细末，每服二钱，食前粥饮调下。
柏叶散 治妇人崩中漏下，不问年月远近，渐至黄瘦，四肢无力，腹内疼痛，不思
饮食。
柏叶 续断 川芎 生地黄 当归 龟甲 鳖甲（各一两半） 禹余粮（二两半）
阿胶 牡蛎 地榆 赤石脂 艾叶 鹿茸（各一两）
上为细末，每服二钱，食前粥饮调下。一方有丹参，加鹿茸炼蜜和丸，如梧子大。每
服三四十丸，空心用温酒送下。或醋汤亦可。
补宫丸 治妇人诸虚不足，久不妊娠，骨热形羸，崩中带下。
白薇 牡蛎 白芍药 鹿角霜 山药 白术 白茯苓 乌贼鱼骨 白芷（各等分）
上为细末，面糊和丸，如梧子大。每服五十丸，空心用米饮送下。
镇宫丸 治妇人崩漏不止，或下五色，或赤白不定，或如豆汁，或状如豚肝，或下瘀
血，脐腹胀痛，头晕眼花，久而不止，令人黄瘦，口干，胸烦不食。
代赭石（火 ，醋淬） 紫石英 禹余粮（制并同上） 香附子（醋煮，各二两）
阳起石（火锻，细研） 鹿茸（燎去毛，醋蒸焙） 茯神（去皮、木） 阿胶（锉
碎，蛤粉炒成珠） 当归（去芦，酒浸） 蒲黄（炒） 芎 （各一两） 血竭（半两，别研）
上为细末，用艾煎醋汁，煮糯米粉糊丸，如梧子大。每服七十丸，空心米饮下。
〔血见黑则止〕
治暴崩下血。京墨为末二钱匕，同烧露蜂房为末三指撮，酒调服。
又方∶百草霜二钱，狗胆汁拌定，分作二服，当归酒调下。
〔世〕治血崩。用葫芦去子幅，实荆芥穗烧存性，饮汤调服。
治室女血崩，不以冷热皆可服。
荆芥 莲房壳（各等分，各烧灰存性）
上为细末，每服二钱，空心米饮调下。
十灰丸 治崩中下血不止。
锦灰 黄绢灰 马尾灰 艾叶灰 藕节灰 莲房灰 油发灰 赤松皮灰 棕榈灰 蒲黄灰（各等分）
上研匀，用醋煮糯米糊和丸，如梧子大。每服七十丸，加至一百丸，空心米饮送下。
十灰散 治下血不止。
锦片 木贼 棕榈 柏叶 艾叶 干漆 鲫鱼鳞 鲤鱼鳞 血余 当归（以上逐味火化存性，
各等分，研末） 麝香（少许研上研匀，每服二钱，空心温酒调服。）
一笑散 治妇人血崩。
上用新绵一口，烧灰研末，空心酒调下，立止。
治妇人经年血崩。
香附子（二两，炒赤） 莲壳（五枚，烧存性）
上为细末，每服二钱，空心陈米饮调下。
〔世〕香矾散 治血崩。香附子不以多少，极酸醋浸一宿，炒焦为灰存性。每一两入白矾末
二钱，米饮调服，空心，神效。一法，用荷叶汤尤妙。
〔大〕用香附子去毛，炒焦黑存性，为细末，用极热酒调下二钱，放温服，不过两
服立愈，昏迷甚者三钱匕。如血山崩不止者，亦能解之。米饮调亦可。
许学士云∶治下血不止，或成五色崩漏，香附子是妇人仙药也。砂仁不以多少，新瓦
上炒黑为末，米饮调。一方，益智仁炒黑为末，盐米饮调下。
〔世〕妇人血崩不止。用槟榔烧灰存性，碾末，以温酒调下甚妙。
〔大〕五灵脂散 治妇人血崩诸药不止者。五灵脂炒令烟尽为末，每服一钱，温酒
调下。一法，每服一钱，水酒、童便各半盏，煎服。名抽刀散。
琥珀散 治崩暴不止。
赤芍药 香附子 枯荷叶 男子发（皂荚水洗） 当归 棕榈（炒焦存性）
乌纱帽（是漆纱头巾，取阳气上冲故也）
上等分，除棕榈外，其余并用粗片，新瓦上 成黑灰存性三分，为细末。每服五钱，
空心童便调下，如人行十里，再一服，七八服即止。若产后血去多，加米醋、京墨、麝
香少许。一法，先以五积散加醋煎，投一二服，次服五灵脂散。
〔衍〕黄牛角腮，用尖，烧为黑灰，微存性。治妇人血崩，大便血及冷痢、白痢。
〔大〕治漏下不止者。鹿角烧灰细研，食前温酒调下二钱。又方，桃仁烧灰研细，
食前温酒调下二钱。又方，乳发，皂角水洗净，烧为细末，空心温酒调二钱。
〔世〕治血久崩。夏枯草烧存性为末，空心米饮调下。此用灰，与前用草不同。
〔大〕荆芥散 治妇人崩中不止。用好麻油点灯，多着灯心，就上烧荆芥焦色，为
细末，每服三钱，童便调下。
〔简〕治妇人漏下血不绝。槐花鹅不以多少，烧作灰，细研，食前温酒调二钱匕。
〔产宝〕治崩中不止，不问年月远近。用槐耳烧作灰为末，以酒服方寸匕。
〔大〕神应散 治血崩不止。桂心不以多少，炒极焦存性，为末，每服一二钱，米
饮调下。
〔杨氏家藏〕黑金散 治妇人血气虚
损，经候不调，崩中漏下。
鲤鱼皮 黄牛角腮 棕榈皮 破故纸 乳发（各一两） 乌贼鱼骨 熟地黄 干姜（炮）
当归（洗，焙） 木贼（各半两）
上锉拌入瓷瓶内，盐泥固济，候干，炭火五斤 通赤，烟尽埋土内令冷，取研细。每三钱，
入麝少许，米饮空心调下。
如圣散 治血山崩。
棕榈 乌梅肉（各一两） 干姜（一两五钱，并烧存性）
上为细末，每服二钱，乌梅酒调下，空心食前服。久患不过三服愈。
治血崩屡效方。
当归 白芍药 干姜 棕榈（各等分）
上各 存性，研为细末，醋调以有节朱箸左搅四十九转，食前服。
又方 用棕榈、白矾 为末，酒调二钱服。
乌金散 治血崩不止。
棕榈毛（烧存性，一两） 龙骨（ 过，二钱）
上为细末，研匀，每三钱，空心好酒调服，二服立止。
梅饮子 治妇人血崩。
上以盐白梅烧灰存性，为末，空心米饮调下。
治妇人血崩方。
上用乌梅烧灰研末，以乌梅汤调下。酒调亦可。
又方
乌梅（肥大者半斤，以酸醋浸，经一宿取出，去核，研为膏） 百草霜（研细）
上捣和丸如梧桐子大。每服三四十丸，空心，以淡醋汤送下，日进一服。
上三十二方，皆烧灰黑药。经云∶北方黑色，入通于肾。皆通肾经之药也。夫血者，
心之色也，血见黑即止者，由肾水能制心火故也。
〔海〕治崩不定，或淋淫经年者。
白矾（溶开成汁，一两） 没药（一钱） 砂 黄丹（各五分）
上件将白矾溶开成汁，下余药细末，一处搅匀，就成丸子，如弹子大。每用一丸，新
绵裹纳阴中，立效。
〔运气〕
运气血崩，皆属风火。经云∶少阳司天之政，初之气，风胜乃摇，候乃大温，其病
血崩是也。
〔针灸〕
〔摘〕经血过多不止，并崩中。（《心术》同。） 三阴交 行间（各针讫灸之。）
通里（足小指上二寸，刺二分，灸二七壮。）
〔桑〕漏下不止。（《心术》《摘英》同。）三阴交 太冲
〔东〕胞门不闭，漏下恶血不禁。气门（在关元傍三寸，刺入五分。）
将药材切碎，每次服用半两，用生姜和大枣煎煮服用。在饭前服用五六次后，寒热和腹痛都会消退；如果崩漏仍未停止，继续服用后面的熟附丸。
熟附丸
配方：熟附子、木贼（去节）、龙骨、赤石脂（各半两）、川芎、当归（各一两）。
制法：将上述药材研成细末，用醋糊制作成梧桐子大小的药丸。
用法：每次服用五六十丸，饭前用米汤送服。
医案：有一位五十岁以上的女性，绝经七年后突然又来月经，于是形成崩漏，伴有发热和腹痛，两个月未痊愈。我诊察她的脉搏，发现脉象虚细且疾数。我说：“这是由于阴虚导致的，适宜服用此药。”
鹿茸丸：治疗月经量过多，经血颜色瘀黑，严重者出现崩中下血，呼吸短促，脐腹冷极则汗出如雨，尺脉微小。这是因为冲任二脉虚衰，风冷之邪侵袭胞宫，气不能固摄所致。可以艾灸关元穴一百壮，该穴位位于脐下正中三寸处。
配方：鹿茸（燎去毛，用酥炙）、赤石脂（制）、禹余粮（制，各一两）、艾叶（一方无）、柏叶、附子（炮，各半两）、熟地黄、当归、续断（各二两）。
制法：将上述药材研成细末，用酒糊调和制成梧桐子大小的药丸。
用法：每次服用三十丸，空腹时用温酒送服。另一方也可以用炼蜜制丸。
赤龙丹：治疗崩中不止。
配方：禹余粮（炒）、乌贼骨、鹿茸、龙骨、石燕、阿胶、当归、干姜（各等分）。
制法：将上述药材研成粉末，用酒醋糊制作成药丸。
用法：每次服用五十丸，用温酒送服。
紫金散：治疗月经过多，崩漏带下，淋漓不断，腰腹重痛，以及一切五色带下疾病。
配方：禹余粮（煅红，用醋淬七次，细研水飞，干燥，称三两）、白芍药、川芎、熟地黄、附子、当归（各一两）、干姜（炮）、肉桂（各半两）、赤石脂、龙骨（各一两，分别研细）。
制法：将上述药材研成细末。
用法：每次服用二钱，加入少许麝香，空腹时用米汤调服。
白芷暖宫丸：温暖血海，充实冲任。治疗子宫虚弱，风寒滞留，导致不孕或多次流产；或者白带赤白，漏下五色，虚眩少气，胸腹满痛，心下烦悸，自汗，下血过多。
配方：禹余粮（制，一两）、干姜（炮）、芍药、白芷、川椒（制）、阿胶（粉炒）、艾叶（制）、川芎（各七钱半）。
制法：将上述药材研成细末，用蜂蜜制成梧桐子大小的药丸。
用法：每次服用四十丸，可用米汤、温酒或醋汤任一种送服。
《和剂局方》震灵丹：治疗崩中下血不止，或者脉象虚细，手足发冷。用芎归汤加木香煎汤送下，或者用陈皮、香附子煎汤送下三丸，或者使用灵砂丹也可以。兼治暴惊风，九窍出血。也可用独参汤送下。（方剂见杂病泄泻门。）
又一方：治疗崩中不止。
将丁香二两研成细末，用三升酒，煮取一升，空腹一次性服下。《必效方》用丁香百颗，用酒煎服。
又一方：将益智仁炒后研成细末，用盐米汤调服。
和剂暖宫丸、内补当归丸、熟干地黄丸、济阴丹、禹余粮丸、内灸散、皱血丸、紫石英丸：以上各方均治疗崩中带漏，详见前面的通治门及调经门。
〔薛己〕表弟方健甫的妻子，五十岁，辛丑年患血崩，各种药物无效。壬寅年八月，身体发热疼痛，头晕流涕，吐痰少食，众人认为是火证而治疗，导致病情加重，连续几天绝食。我诊察后说：“脾胃长期虚弱，过服寒凉药物，中病未愈，寒病又起。”于是用八味丸料一剂，第二天早上便索要几匙粥，再服药后食量加倍，热减痛止。后来服用八味丸而痊愈。癸卯年秋天，因劳累忧怒，甲辰年夏天，病复发，胸饱发热，脊痛腰疼，神气郁结，有时被认为是内伤，有时被认为是中暑，出现崩血便血，烦渴引饮，粒米不进，昏愦时作，脉洪大但按之微弱，这是无根之火，内虚寒而外假热。我用十全大补汤加附子一剂，随后能吃三四匙粥，崩血渐减。每天服用八味丸，最终完全痊愈。
大尹王天成的妻子，长期患崩漏，自行服用四物汤等凉血药剂，时好时坏。因为愤怒发热，出血不止，服用前面的药物无效，于是主张降火，结果腹部胁部剧痛，手足俱冷。我说：“这是脾胃虚寒所致。”先用附子理中汤，体热痛止；又用济生归脾汤、补中益气汤两方，崩血顿愈。如果拘泥于“痛无补法”，那就错了。
锦衣杨永兴的妻子，患前述病症，过服寒凉药剂，症状更加严重，加上肚腹痞闷，饮食不入，发热烦躁，脉洪大而虚。我说：“这是脾经气血虚而发躁。”应当紧急使用八珍汤加炮姜以温补，迟缓则无法救治。患者不信，反而服用止血降火的药剂，虚证蜂起，才相信我的话，但已经来不及救治了。
〔涩剂〕
〔大论〕治疗崩中下血不止，小腹痛。
配方：芍药（一两，炒黄）、柏叶（六两，微炒。丹溪说：柏叶性多燥。）
制法：用水一升，煎取六合，加入酒五合，再煎取七合。空腹分为两次服用。另一方研成细末，用酒调服二钱。另一方有鹿角胶等分，用酒调治白带脐腹痛。
〔世医〕牡蛎散：治疗月经不止，众药不愈者。
制法：将牡蛎火煅研细，用醋调成丸，再煅烧至通红，候冷研细，去除火毒，再用醋调艾末，熬成膏，和丸如桐子大。
用法：每次服用五十丸，用醋艾汤送服。
〔燥剂〕
〔云岐子〕柏黄散：治疗经血不止。
配方：黄芩（一两二钱半）、侧柏叶、蒲黄（各一两）、伏龙肝（二两）。
制法：将药材切碎，用水二升，煎取八合，分为两次服用。
又一方：治疗患崩中不止，结成血片，如鸡肝色，碎烂。
配方：川芎（十二分）、阿胶、青竹茹（各八分）、续断、地榆、小蓟根（各三分）、当归（六分）、生地黄、伏龙肝（各十一分）。
制法：用水九盏，煮取三盏，去滓分三次服用。
〔《衍义》〕治疗妇人血露：蚕砂一两炒，伏龙肝半两，阿胶一两，同为末。温酒调服，空腹二三钱，以见效为度。（《大全》名无比散，无阿胶。）
〔罗谦甫〕伏龙肝散：治疗气血劳伤，冲任脉虚。经云：非时忽然崩下，或如豆汁，或成血片，或五色相杂，或赤白相兼，脐腹冷痛，经久未止，令人黄瘦，口干，饮食减少，四肢无力，虚烦惊悸。
配方：伏龙肝（一两）、甘草（半两）、赤石脂（一两）、川芎（三两）、肉桂（半两）、熟地黄、艾叶（微炒，各二两）、当归、干姜（各七钱半）、麦门冬（去心，一两半）。
制法：将上述药材研成粗末。
用法：每次服用四钱，加枣一枚，水同煎。
地榆散：治疗妇人崩中漏下不止。
配方：地榆（锉）、蒲黄、白芍药、白茯苓、柏叶（微炒）、蟹爪（微炒）、熟地黄、鹿角胶（捣碎，炒令黄燥）、漏芦（各一两）、川芎、当归（锉炒，各七钱半）、伏龙肝（一两半）、干姜（炮）、桂心、甘草（锉，炙赤，各半两）。
制法：将药材切碎。
用法：每次服用三钱，水一中盏，入竹茹一分，煎至七分，去滓，食前温服。
以上五方，使用伏龙肝的例子，大概是因为燥可去湿。前二方去湿热，后二方去寒湿。据考证，伏龙肝为止血之圣药，先贤治疗崩漏，有用旋复花、半夏治疗膈间湿痰而崩止的，也是这个意思。
〔补涩〕
鹿茸散：治疗崩中漏下不止虚损羸瘦。
配方：鹿茸（二两，去毛涂酥，炙微黄）、白龙骨、鳖甲（涂酥炙令黄，去裙）、熟地黄、白芍药、白石脂、乌贼鱼骨（炙黄）、续断（各一两）、肉苁蓉（一两半，酒浸一宿，刮去皱皮，炙干）。
制法：将上述药材研成细末。
用法：每次服用二钱，饭前用粥饮调服。
柏叶散：治疗妇人崩中漏下，不问年月远近，渐至黄瘦，四肢无力，腹内疼痛，不思饮食。
配方：柏叶、续断、川芎、生地黄、当归、龟甲、鳖甲（各一两半）、禹余粮（二两半）、阿胶、牡蛎、地榆、赤石脂、艾叶、鹿茸（各一两）。
制法：将上述药材研成细末。
用法：每次服用二钱，饭前用粥饮调服。一方有丹参，加鹿茸炼蜜和丸，如梧子大。每次服用三四十丸，空腹用温酒送下。或用醋汤亦可。
补宫丸：治疗妇人诸虚不足，久不妊娠，骨热形羸，崩中带下。
配方：白薇、牡蛎、白芍药、鹿角霜、山药、白术、白茯苓、乌贼鱼骨、白芷（各等分）。
制法：将上述药材研成细末，用面糊和丸，如梧子大。
用法：每次服用五十丸，空腹用米饮送下。
镇宫丸：治疗妇人崩漏不止，或下五色，或赤白不定，或如豆汁，或状如豚肝，或下瘀血，脐腹胀痛，头晕眼花，久而不止，令人黄瘦，口干，胸烦不食。
配方：代赭石（火煅，醋淬）、紫石英、禹余粮（制并同上）、香附子（醋煮，各二两）、阳起石（火锻，细研）、鹿茸（燎去毛，醋蒸焙）、茯神（去皮、木）、阿胶（锉碎，蛤粉炒成珠）、当归（去芦，酒浸）、蒲黄（炒）、川芎（各一两）、血竭（半两，别研）。
制法：将上述药材研成细末，用艾煎醋汁，煮糯米粉糊丸，如梧子大。
用法：每次服用七十丸，空腹米饮送下。
〔血见黑则止〕
治疗暴崩下血：京墨为末二钱匕，同烧露蜂房为末三指撮，酒调服。
又方：百草霜二钱，狗胆汁拌定，分作二服，当归酒调下。
治疗室女血崩，不以冷热皆可服。
配方：荆芥、莲房壳（各等分，各烧灰存性）。
制法：将上述药材研成细末。
用法：每次服用二钱，空腹米饮调下。
十灰丸：治疗崩中下血不止。
配方：锦灰、黄绢灰、马尾灰、艾叶灰、藕节灰、莲房灰、油发灰、赤松皮灰、棕榈灰、蒲黄灰（各等分）。
制法：研匀，用醋煮糯米糊和丸，如梧子大。
用法：每次服用七十丸，加至一百丸，空腹米饮送下。
十灰散：治疗下血不止。
配方：锦片、木贼、棕榈、柏叶、艾叶、干漆、鲫鱼鳞、鲤鱼鳞、血余、当归（以上逐味火化存性，各等分，研末）、麝香（少许研上研匀）。
用法：每服二钱，空心温酒调服。
一笑散：治疗妇人血崩。
用法：用新绵一口，烧灰研末，空心酒调下，立止。
治疗妇人经年血崩。
配方：香附子（二两，炒赤）、莲壳（五枚，烧存性）。
制法：将上述药材研成细末。
用法：每次服用二钱，空腹陈米饮调下。
〔世医〕香矾散：治疗血崩。香附子不以多少，极酸醋浸一宿，炒焦为灰存性。每一两入白矾末二钱，米饮调服，空心，神效。一法，用荷叶汤尤妙。
〔大论〕用香附子去毛，炒焦黑存性，为细末，用极热酒调下二钱，放温服，不过两服立愈，昏迷甚者三钱匕。如血山崩不止者，亦能解之。米饮调亦可。
许学士云：治疗下血不止，或成五色崩漏，香附子是妇人仙药也。砂仁不以多少，新瓦上炒黑为末，米饮调。一方，益智仁炒黑为末，盐米饮调下。
〔世医〕妇人血崩不止：用槟榔烧灰存性，碾末，以温酒调下甚妙。
〔大论〕五灵脂散：治疗妇人血崩诸药不止者。五灵脂炒令烟尽为末，每服一钱，温酒调下。一法，每服一钱，水酒、童便各半盏，煎服。名抽刀散。
琥珀散：治疗崩暴不止。
配方：赤芍药、香附子、枯荷叶、男子发（皂荚水洗）、当归、棕榈（炒焦存性）、乌纱帽（是漆纱头巾，取阳气上冲故也）。
制法：上等分，除棕榈外，其余并用粗片，新瓦上煅成黑灰存性三分，为细末。
用法：每服五钱，空心童便调下，如人行十里，再一服，七八服即止。若产后血去多，加米醋、京墨、麝香少许。一法，先以五积散加醋煎，投一二服，次服五灵脂散。
〔衍义〕黄牛角腮，用尖，烧为黑灰，微存性。治疗妇人血崩，大便血及冷痢、白痢。
〔大论〕治疗漏下不止者：鹿角烧灰细研，食前温酒调下二钱。又方，桃仁烧灰研细，食前温酒调下二钱。又方，乳发，皂角水洗净，烧为细末，空心温酒调二钱。
〔世医〕治血久崩：夏枯草烧存性为末，空心米饮调下。此用灰，与前用草不同。
〔大论〕荆芥散：治疗妇人崩中不止。用好麻油点灯，多着灯心，就上烧荆芥焦色，为细末，每服三钱，童便调下。
〔简〕治疗妇人漏下血不绝：槐花鹅不以多少，烧作灰，细研，食前温酒调二钱匕。
〔产宝〕治疗崩中不止，不问年月远近：用槐耳烧作灰为末，以酒服方寸匕。
〔大论〕神应散：治疗血崩不止。桂心不以多少，炒极焦存性，为末，每服一二钱，米饮调下。
〔杨氏家藏〕黑金散：治疗妇人血气虚损，经候不调，崩中漏下。
配方：鲤鱼皮、黄牛角腮、棕榈皮、破故纸、乳发（各一两）、乌贼鱼骨、熟地黄、干姜（炮）、当归（洗，焙）、木贼（各半两）。
制法：将药材切碎拌入瓷瓶内，盐泥固济，候干，炭火五斤煅通赤，烟尽埋土内令冷，取研细。
用法：每三钱，入麝少许，米饮空心调下。
如圣散：治疗血山崩。
配方：棕榈、乌梅肉（各一两）、干姜（一两五钱，并烧存性）。
制法：将上述药材研成细末。
用法：每服二钱，乌梅酒调下，空心食前服。久患不过三服愈。
治疗血崩屡效方。
配方：当归、白芍药、干姜、棕榈（各等分）。
制法：各烧存性，研为细末，醋调以有节朱箸左搅四十九转，食前服。
乌金散：治疗血崩不止。
配方：棕榈毛（烧存性，一两）、龙骨（煅过，二钱）。
制法：将上述药材研成细末，研匀。
用法：每三钱，空心好酒调服，二服立止。
梅饮子：治疗妇人血崩。
用法：以盐白梅烧灰存性，为末，空心米饮调下。
治疗妇人血崩方。
用法：用乌梅烧灰研末，以乌梅汤调下。酒调亦可。
又方
配方：乌梅（肥大者半斤，以酸醋浸，经一宿取出，去核，研为膏）、百草霜（研细）。
制法：捣和丸如梧桐子大。
用法：每服三四十丸，空心，以淡醋汤送下，日进一服。
以上三十二方，皆是烧灰黑药。经云：北方黑色，入通于肾。皆通肾经之药也。夫血者，心之色也，血见黑即止者，由肾水能制心火故也。
〔王海藏〕治疗崩不定，或淋淫经年者。
配方：白矾（溶开成汁，一两）、没药（一钱）、砂、黄丹（各五分）。
制法：将白矾溶开成汁，下余药细末，一处搅匀，就成丸子，如弹子大。
用法：每用一丸，新绵裹纳阴中，立效。
〔运气〕
运气血崩，皆属风火。经云：少阳司天之政，初之气，风胜乃摇，候乃大温，其病血崩是也。
〔针灸〕
〔摘英〕经血过多不止，并崩中。（《心术》同。） 三阴交、行间（各针讫灸之。） 通里（足小指上二寸，刺二分，灸二七壮。）
Crush the herbs, take half a liang per dose, decoct with ginger and jujube, and take before meals. After taking five or six doses before meals, chills, fever, abdominal pain, and cramping will subside. If metrorrhagia and metrostaxis persist, continue to take the subsequent Shu Fu Wan (Prepared Aconite Pill).
Shu Fu Wan (Prepared Aconite Pill)
Ingredients: Prepared Aconite Root (Fuzi), Equisetum Rami et Folium (Muzei), Dragon Bone (Longgu), Red Kaolin (Chishizhi) (each half a liang), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui) (each one liang).
Preparation: Grind the above ingredients into fine powder, mix with vinegar paste to form pills the size of mulberry seeds.
Administration: Take fifty to sixty pills per dose, before meals, washed down with rice water.
Case Study: A woman over fifty years old had been amenorrheic for seven years but suddenly experienced vaginal bleeding, leading to metrorrhagia and metrostaxis accompanied by fever and abdominal pain, which persisted for two months without improvement. Upon examination, her pulse was found to be deficient, thin, rapid, and frequent. I stated, "This is caused by Yin deficiency; it is appropriate to take this medicine."
Lurong Wan (Deer Antler Pill): Treats excessive menstruation with dark,瘀 black blood, severe cases of metrorrhagia, shortness of breath, extreme cold in the umbilical and abdominal regions causing sweat like rain, and a minute and faint radial pulse. This condition arises from the deficiency and decline of the Chong and Ren meridians, where wind-cold pathogens invade the uterus, preventing Qi from securing the blood. Moxibustion can be applied to the Guanyuan CV-4 acupoint (located three cun directly below the umbilicus) for one hundred moxa cones.
Ingredients: Deer Antler (Lu Rong, hair removed and fried with butter), Red Kaolin (Chishizhi, processed), Halloysitum Rubrum (Yuyuliang, processed) (each one liang), Mugwort Leaf (Ai Ye, absent in one prescription), Cinnabar Barrenwort Epimedium Herba (Baye), Prepared Aconite Root (Fuzi, processed) (each half a liang), Prepared Rehmannia Root (Shudihuang), Angelica Sinensis Radix (Danggui), Dipsacus Asperoides Root (Xuduan) (each two liang).
Preparation: Grind into fine powder, mix with wine paste to form pills the size of mulberry seeds.
Administration: Take thirty pills per dose, on an empty stomach with warm wine. Another method uses refined honey for pill formation.
Chilong Dan (Red Dragon Pill): Treats continuous metrorrhagia.
Ingredients: Halloysitum Rubrum (Yuyuliang, stir-fried), Cuttlefish Bone (Wuzeiguz), Deer Antler (Lurong), Dragon Bone (Longgu), Swallow Stone (Shiyan), Donkey-hide Gelatin (Ejiao), Angelica Sinensis Radix (Danggui), Dried Ginger (Ganjiang) (equal parts).
Preparation: Grind into powder, mix with wine and vinegar paste to form pills.
Administration: Take fifty pills per dose, with warm wine.
Zijin San (Purple Gold Powder): Treats menorrhagia, metrorrhagia and leukorrhea, continuous dripping, heavy pain in the waist and abdomen, and all types of leukorrhea with five colors.
Ingredients: Halloysitum Rubrum (Yuyuliang, calcined red, quenched in vinegar seven times, finely ground and floated in water, dried, weighed at three liang), White Peony Root (Baishaoyao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Prepared Rehmannia Root (Shudihuang), Aconite Root (Fuzi), Angelica Sinensis Radix (Danggui) (each one liang), Dried Ginger (Ganjiang, processed), Cinnamon Bark (Rougui) (each half a liang), Red Kaolin (Chishizhi), Dragon Bone (Longgu) (each one liang, separately ground).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, add a small amount of Moschus (Shexiang), and mix with rice water on an empty stomach.
Baizhi Nuangong Wan (Angelica Dahurica Uterus-Warming Pill): Warms the Blood Sea and fills the Chong and Ren meridians. Treats uterine weakness, stagnation of wind-cold, infertility due to disrupted menstrual cycles or repeated miscarriages; or leukorrhea that is red and white, leakage of five-colored discharge, dizziness and shortness of breath due to deficiency, fullness and pain in the chest and abdomen, palpitations and irritability in the epigastrium, spontaneous sweating, and excessive vaginal bleeding.
Ingredients: Halloysitum Rubrum (Yuyuliang, processed, one liang), Dried Ginger (Ganjiang, processed), Peony Root (Shaoyao), Angelica Dahurica Radix (Baizhi), Sichuan Pepper (Chuanjiao, processed), Donkey-hide Gelatin (Ejiao, fried with flour powder), Mugwort Leaf (Ai Ye, processed), Ligusticum Chuanxiong Rhizome (Chuanxiong) (each seven qian and half).
Preparation: Grind into fine powder, mix with honey to form pills the size of mulberry seeds.
Administration: Take forty pills per dose, washed down with rice water, warm wine, or vinegar soup as preferred.
Zhenling Dan (Thunder Spirit Pill) from *Heji Jufang*: Treats continuous metrorrhagia and hematochezia, or a deficient and thin pulse with cold extremities. Administer with Xiong Gui Tang (Ligusticum and Angelica Decoction) added with Aucklandia Root (Muxiang), or with Chenpi (Tangerine Peel) and Cyperi Rhizoma (Xiangfuzi) decoction, three pills at a time. Lingsha Dan (Spirit Sand Pill) may also be used. It also treats sudden fright wind and bleeding from the nine orifices. Can be taken with Ginseng Decoction (Dushen Tang). (See formula in the section on miscellaneous diseases - diarrhea.)
Another Prescription: Treats continuous metrorrhagia.
Grind two liang of Clove (Dingxiang) into fine powder, boil in three sheng of wine until one sheng remains, and take all at once on an empty stomach. *Bixiao Fang* uses one hundred cloves, decocted in wine.
Another Prescription: Stir-fry Alpinia Oxyphylla Fruit (Yizhi) into powder, mix with salted rice water and take.
Nuangong Wan (Uterus-Warming Pill) from Heji, Neibu Danggui Wan (Internal Nourishing Angelica Pill), Shugan Dihuang Wan (Prepared Rehmannia Pill), Ji Yin Dan (Nourishing Yin Pill), Yuyuliang Wan (Halloysite Pill), Neijiu San (Internal Moxibustion Powder), Zhouxue Wan (Constricting Blood Pill), Zishiyang Wan (Purple Quartz Pill): All these formulas treat metrorrhagia and metrostaxis; see the previous sections on General Treatment and Regulating Menstruation.
[Xue Ji] The wife of my cousin's son-in-law, Fang Jianfu, aged fifty, suffered from metrorrhagia in the Xin Chou year, to which various medicines were ineffective. In the eighth month of the Ren Yin year, she experienced body heat and pain, dizziness, runny nose, expectoration, and poor appetite. Others treated it as a fire syndrome, leading to worsening fever and several days of fasting. Upon examination, I said, "The spleen and stomach have been deficient for a long time; excessive use of cold medicines has not resolved the central pathology, and a cold syndrome has re-emerged." Therefore, I administered one dose of Bawei Wan material. By the next morning, she requested a few spoons of porridge, and after taking the medicine again, her food intake doubled, fever subsided, and pain stopped. She subsequently took Bawei Wan and recovered. In the autumn of the Gui Mao year, due to labor, worry, and anger, the disease recurred in the summer of the Jia Chen year. She experienced chest fullness and fever, back and lower back pain, depressed spirit, sometimes diagnosed as internal injury, sometimes as summerheat. She suffered from metrorrhagia and hematochezia, irritability, thirst with desire to drink, inability to eat even a grain of rice, intermittent coma, and a surging pulse that felt weak upon pressure. This is rootless fire, internal deficiency cold with external false heat. I prescribed Shiquan Dabu Tang (Ten Great Tonifying Decoction) plus one dose of Fuzi (Aconite). Subsequently, she could eat three or four spoons of porridge, and bleeding gradually decreased. Daily administration of Bawei Wan led to complete recovery.
The wife of Wang Tiancheng, Da Yin, suffered from chronic metrorrhagia. She self-administered Siwu Tang (Four Substance Decoction) and other cooling blood agents, with symptoms fluctuating. Due to anger and fever, bleeding did not stop. Previous medicines were ineffective. The physician advocated clearing fire, resulting in severe abdominal and hypochondriac pain and cold extremities. I stated, "This is caused by spleen and stomach deficiency cold." I first used Fuzi Lizhong Tang (Aconite Spleen Center Decoction), which stopped the heat and pain. Then, using Jisheng Guipi Tang (Jisheng Spleen-Restoring Decoction) and Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction), the bleeding ceased immediately. If one adheres rigidly to the rule that "pain has no tonification method," it would be a mistake.
The wife of Yang Yongxing, Jin Yi, suffered from the aforementioned condition. Overuse of cold and cooling agents worsened her symptoms, adding abdominal distension and stuffiness, inability to eat, fever, irritability, and a surging yet empty pulse. I stated, "This is irritability caused by deficiency of Qi and blood in the spleen meridian." Urgent treatment with Bazhen Tang (Eight Treasures Decoction) plus Pao Jiang (Processed Ginger) for warming and tonification was necessary; delay would be fatal. Disbelieving this, she took hemostatic and fire-clearing agents, leading to a proliferation of deficiency syndromes. Only then did she believe me, but it was too late to treat.
[Astringent Agents]
[Da Lun] Treats continuous metrorrhagia and hematochezia with lower abdominal pain.
Ingredients: White Peony Root (Baishaoyao, one liang, stir-fried yellow), Houttuynia Leaf (Baye, six liang, slightly stir-fried. Danxi noted: Baye is often drying.)
Preparation: Decoct in one sheng of water until six ge remains, add five ge of wine, and decoct until seven ge remains. Divide into two doses for consumption on an empty stomach. Another method: grind into fine powder, mix with wine, take two qian. Another method includes equal parts of Cornu Cervi Colla (Lujiaojiao), mixed with wine to treat leukorrhea and umbilical/abdominal pain.
[Shi Yi] Musli San (Oyster Shell Powder): Treats continuous menstruation unresponsive to other medicines.
Preparation: Calcine Ostrea Concha (Muli) until red-hot, grind finely. Mix with vinegar to form pills. Re-calcine until red-hot, cool, grind finely to remove fire toxicity. Mix with mugwort powder prepared with vinegar, simmer into a paste, and form pills the size of tung seeds.
Administration: Take fifty pills per dose, washed down with vinegar-mugwort soup.
[Drying Agents]
[Yun Qizi] Baihuang San (White Yellow Powder): Treats continuous menstrual bleeding.
Ingredients: Scutellaria Baicalensis Root (Huangqin, one liang and two qian and half), Side-Prescription Leaf (Cebaiye), Polygonum Multiflorum Seed (Puhuang) (each one liang), Long Earth (Fulonggan, two liang).
Preparation: Crush the herbs, decoct in two sheng of water until eight ge remains, divide into two doses.
Another Prescription: Treats continuous metrorrhagia where blood clots form like chicken liver, fragmented and rotten.
Ingredients: Ligusticum Chuanxiong Rhizome (Chuanxiong, twelve fen), Donkey-hide Gelatin (Ejiao), Green Bamboo Shavings (Qingzhuru) (each eight fen), Dipsacus Asperoides Root (Xuduan), Sanguisorba Officinalis Root (Diyu), Small Thistle Root (Xiaoji Gen) (each three fen), Angelica Sinensis Radix (Danggui, six fen), Rehmannia Glutinosa Root (Shengdihuang), Long Earth (Fulonggan) (each eleven fen).
Preparation: Decoct in nine zhan of water until three zhan remain, strain, and divide into three doses.
[Yanyi] Treats women's bloody discharge: Stir-fry one liang of Silkworm Sand (Can Sha), half a liang of Long Earth (Fulonggan), one liang of Donkey-hide Gelatin (Ejiao). Grind into powder. Mix with warm wine, take two to three qian on an empty stomach, until effective. (*Daquan* names this Bibi San, without Ejiao.)
[Luo Qianfu] Fulonggan San (Long Earth Powder): Treats Qi and blood exhaustion, deficiency of Chong and Ren meridians. The Classics state: sudden non-time bleeding, resembling bean curd juice, forming blood clots, mixing five colors, or mixing red and white, cold pain in the umbilical and abdominal regions, persistent for a long time, causing sallow emaciation, dry mouth, reduced appetite, limb weakness, deficiency irritability, and palpitations.
Ingredients: Long Earth (Fulonggan, one liang), Licorice Root (Gancao, half a liang), Red Kaolin (Chishizhi, one liang), Ligusticum Chuanxiong Rhizome (Chuanxiong, three liang), Cinnamon Bark (Rougui, half a liang), Prepared Rehmannia Root (Shudihuang), Mugwort Leaf (Ai Ye, slightly stir-fried) (each two liang), Angelica Sinensis Radix (Danggui), Dried Ginger (Ganjiang) (each seven qian and half), Ophiopogon Japonicus Root (Mendong, heart removed, one liang and half).
Preparation: Grind into coarse powder.
Administration: Take four qian per dose, with one jujube, decoct in water.
Diyu San (Sanguisorba Powder): Treats continuous metrorrhagia and metrostaxis in women.
Ingredients: Sanguisorba Officinalis Root (Diyu, crushed), Polygonum Multiflorum Seed (Puhuang), White Peony Root (Baishaoyao), Poria (Baifuling), Houttuynia Leaf (Baye, slightly stir-fried), Crab Claws (Xiezhua, slightly stir-fried), Prepared Rehmannia Root (Shudihuang), Deer Antler Gelatin (Lujiaojiao, crushed and stir-fried until yellow and dry), Agrimonia Pilosa Root (Loulu) (each one liang), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Radix (Danggui, crushed and stir-fried) (each seven qian and half), Long Earth (Fulonggan, one and half liang), Dried Ginger (Ganjiang, processed), Cassia Twig (Guixin), Licorice Root (Gancao, crushed and roasted red) (each half a liang).
Preparation: Crush the herbs.
Administration: Take three qian per dose, with one zhong of water and one fen of Bamboo Shavings (Zhuru), decoct until seven fen remains, strain, and take warm before meals.
Regarding the above five formulas using Long Earth (Fulonggan): Dryness can remove dampness. The first two formulas remove damp-heat, while the latter two remove cold-damp. Long Earth is considered a holy medicine for stopping bleeding. Ancients treated metrorrhagia by using Inula Flower (Xuanfuhua) and Pinellia Tuber (Banxia) to treat phlegm-damp in the diaphragm, thereby stopping bleeding, which follows this same principle.
[Tonifying and Astringing]
Lurong San (Deer Antler Powder): Treats continuous metrorrhagia and metrostaxis with deficiency and emaciation.
Ingredients: Deer Antler (Lurong, two liang, hair removed, coated with butter, fried until slightly yellow), White Dragon Bone (Bailonggu), Turtle Shell (Biejia, coated with butter, fried until yellow, remove skirt), Prepared Rehmannia Root (Shudihuang), White Peony Root (Baishaoyao), White Kaolin (Baishizhi), Cuttlefish Bone (Wuzeiguz, fried yellow), Dipsacus Asperoides Root (Xuduan) (each one liang), Cistanche Deserticola Stem (Roucongrou, one liang and half, soaked in wine overnight, scraped clean, fried dry).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, before meals, mixed with porridge water.
Baiye San (Houttuynia Leaf Powder): Treats women's metrorrhagia and metrostaxis, regardless of duration, leading to sallow emaciation, limb weakness, abdominal pain, and loss of appetite.
Ingredients: Houttuynia Leaf (Baiye), Dipsacus Asperoides Root (Xuduan), Ligusticum Chuanxiong Rhizome (Chuanxiong), Rehmannia Glutinosa Root (Shengdihuang), Angelica Sinensis Radix (Danggui), Tortoise Plastron (Guijia), Turtle Shell (Biejia) (each one liang and half), Halloysitum Rubrum (Yuyuliang, two liang and half), Donkey-hide Gelatin (Ejiao), Oyster Shell (Muli), Sanguisorba Officinalis Root (Diyu), Red Kaolin (Chishizhi), Mugwort Leaf (Ai Ye), Deer Antler (Lurong) (each one liang).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, before meals, mixed with porridge water. One prescription contains Salvia Miltiorrhiza Radix (Danshen); add Deer Antler (Lurong), mix with refined honey to form pills the size of mulberry seeds. Take thirty to forty pills per dose, on an empty stomach with warm wine. Vinegar soup is also acceptable.
Bugong Wan (Uterus-Nourishing Pill): Treats various deficiencies in women, prolonged infertility, bone heat, emaciation, metrorrhagia, and leukorrhea.
Ingredients: Anemarrhena Asphodeloides Rhizome (Baiwei), Oyster Shell (Muli), White Peony Root (Baishaoyao), Deer Antler Glue (Lujiaoshuang), Yam (Shanyao), Atractylodes Macrocephala Rhizome (Baizhu), Poria (Baifuling), Cuttlefish Bone (Wuzeiguz), Angelica Dahurica Radix (Baizhi) (equal parts).
Preparation: Grind into fine powder, mix with flour paste to form pills the size of mulberry seeds.
Administration: Take fifty pills per dose, on an empty stomach with rice water.
Zhenggong Wan (Uterus-Calming Pill): Treats continuous metrorrhagia and metrostaxis in women, or discharge of five colors, or indeterminate red and white, resembling bean curd juice, or like pig liver, or passing瘀 blood, with umbilical and abdominal distension and pain, dizziness and blurred vision, persistent for a long time, causing sallow emaciation, dry mouth, chest irritability, and anorexia.
Ingredients: Hematitum (Daizheshi, calcined, quenched in vinegar), Purple Fluorspar (Zishiyang), Halloysitum Rubrum (Yuyuliang, processed as above), Cyperi Rhizoma (Xiangfuzi, boiled in vinegar) (each two liang), Stilbite Group Mineral (Yangqishi, calcined, finely ground), Deer Antler (Lurong, hair removed, steamed and baked in vinegar), Spirit of Poria (Fushen, skin and wood removed), Donkey-hide Gelatin (Ejiao, crushed, fried in clam powder until pearl-like), Angelica Sinensis Radix (Danggui, rhizome removed, soaked in wine), Polygonum Multiflorum Seed (Puhuang, stir-fried), Ligusticum Chuanxiong Rhizome (Chuanxiong) (each one liang), Draco Sanguis (Xuemei, half a liang, separately ground).
Preparation: Grind into fine powder, use mugwort decoction with vinegar juice to cook glutinous rice flour paste to form pills the size of mulberry seeds.
Administration: Take seventy pills per dose, on an empty stomach with rice water.
[Blood Stops When Seeing Black]
Treats sudden severe metrorrhagia: Two qian-bi of Jingmo (China Ink) powder, mixed with three finger-pinches of powder from burned Vespa Nest (Luofengfang), mixed with wine and taken.
Another Prescription: Two qian of Baicaosuang (Soot from Chimney), fixed with dog bile, divided into two doses, washed down with Danggui (Angelica) wine.
[Shi Yi] Treats metrorrhagia: Remove the seeds from a gourd rind, fill with Artemisia Carvifolia Leaves (Jingjie Sui), burn until carbonized (preserve nature), mix with drinking water and take.
Treats metrorrhagia in virgin girls; can be taken regardless of temperature.
Ingredients: Artemisia Carvifolia Leaves (Jingjie), Lotus Pod Shell (Lianfang Ke) (equal parts, each burned to ash preserving nature).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, on an empty stomach with rice water.
Shihui Wan (Ten Ashes Pill): Treats continuous metrorrhagia and hematochezia.
Ingredients: Brocade Ash (Jinhui), Yellow Silk Ash (Huangjuan Hui), Horse Tail Ash (Mawei Hui), Mugwort Ash (Aiye Hui), Lotus Node Ash (Oujie Hui), Lotus Pod Ash (Lianfang Hui), Hair Ash (Youfa Hui), Red Pine Bark Ash (Chisongpi Hui), Palm Fiber Ash (Zonglv Hui), Polygonum Multiflorum Seed Ash (Puhuang Hui) (equal parts).
Preparation: Grind evenly, mix with glutinous rice paste cooked in vinegar to form pills the size of mulberry seeds.
Administration: Take seventy pills per dose, increasing to one hundred pills, on an empty stomach with rice water.
Shihui San (Ten Ashes Powder): Treats continuous lower bleeding.
Ingredients: Brocade Pieces (Jinpian), Equisetum Rami et Folium (Muzei), Palm Fiber (Zonglv), Houttuynia Leaf (Baye), Mugwort Leaf (Aiye), Dried Lacquer (Ganqi), Crucian Carp Scales (Jiyulin), Carp Scales (Liyulin), Human Hair Ash (Xueyu), Angelica Sinensis Radix (Danggui) (above items each incinerated to ash preserving nature, equal parts, ground into powder), Moschus (Shexiang, a small amount, ground together evenly).
Administration: Take two qian per dose, on an empty stomach with warm wine.
Yixiao San (One Smile Powder): Treats women's metrorrhagia.
Take one mouthful of new cotton, burn to ash, grind into powder, take with wine on an empty stomach; bleeding stops immediately.
Treats chronic metrorrhagia in women lasting years.
Ingredients: Cyperi Rhizoma (Xiangfuzi, two liang, stir-fried red), Lotus Shell (Lianke, five pieces, burned to ash preserving nature).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, on an empty stomach with aged rice water.
[Shi Yi] Xiangfan San (Cyperi and Alum Powder): Treats metrorrhagia. Cyperi Rhizoma (Xiangfuzi) in any quantity, soak in very sour vinegar overnight, stir-fry until charred to ash preserving nature. For every one liang, add two qian of Alum powder (Baifan), mix with rice water and take on an empty stomach; highly effective. Another method: use Lotus Leaf soup, which is excellent.
[Da Lun] Use Cyperi Rhizoma (Xiangfuzi), remove hairs, stir-fry until charred black preserving nature, grind into fine powder. Mix with very hot wine, take two qian, let cool slightly before drinking. Recovery occurs within two doses. For severe coma, take three qian-bi. Even for severe "blood mountain" metrorrhagia, it can resolve. Rice water mixture is also acceptable.
Scholar Xu stated: To treat continuous lower bleeding or five-color metrorrhagia, Cyperi Rhizoma (Xiangfuzi) is a fairy medicine for women. Amomum Tsao-ko Fruit (Sharen) in any quantity, stir-fry until black on a new tile, grind into powder, mix with rice water. Another prescription: stir-fry Alpinia Oxyphylla Fruit (Yizhiren) until black, grind into powder, mix with salted rice water.
[Shi Yi] Continuous metrorrhagia in women: Burn Areca Seed (Binglang) to ash preserving nature, grind into powder, mix with warm wine; very effective.
[Da Lun] Wulingzhi San (Trogopterus Dung Powder): Treats women's metrorrhagia unresponsive to other medicines. Stir-fry Trogopterus Dung (Wulingzhi) until smoke ceases, grind into powder. Take one qian per dose, mixed with warm wine. Another method: take one qian per dose, decoct in half a zhan of water-wine and half a zhan of child's urine. Named Choudao San (Knife-Drawing Powder).
Hupo San (Amber Powder): Treats sudden and continuous metrorrhagia.
Ingredients: Red Peony Root (Chishaoyao), Cyperi Rhizoma (Xiangfuzi), Withered Lotus Leaf (Kuheye), Male Hair (Nanzi Fa, washed with soap fruit water), Angelica Sinensis Radix (Danggui), Palm Fiber (Zonglv, stir-fried charred preserving nature), Black Gauze Cap (Wushamao - a lacquered gauze headscarf, chosen because yang qi rises upward).
Preparation: Equal parts. Except for palm fiber, chop the rest into coarse pieces. Calcine on a new tile until three parts become black ash preserving nature, grind into fine powder.
Administration: Take five qian per dose, on an empty stomach with child's urine. After walking ten li, take another dose. Seven or eight doses will stop the bleeding. If postpartum blood loss is excessive, add rice vinegar, China ink, and a little Moschus. Another method: first decoct Wuji San (Five Accumulations Powder) with vinegar, take one or two doses, then take Wulingzhi San.
[Yanyi] Horn sheath of yellow cow, use the tip, burn to black ash with slight preservation of nature. Treats women's metrorrhagia, hematochezia, cold dysentery, and white dysentery.
[Da Lun] To treat continuous metrostaxis: Burn deer horn to ash, grind finely, take two qian with warm wine before meals. Another prescription: burn peach kernels to ash, grind finely, take two qian with warm wine before meals. Another prescription: wash lanugo (baby hair) with soap fruit water, burn to fine powder, take two qian with warm wine on an empty stomach.
[Shi Yi] Treats chronic metrorrhagia: Burn Prunella Vulgaris Spike (Xiakucao) to ash preserving nature, grind into powder, take with rice water on an empty stomach. This uses ash, differing from using the herb previously.
[Da Lun] Jingjie San (Artemisia Carvifolia Powder): Treats continuous metrorrhagia in women. Use good sesame oil to light a lamp, add many wicks, burn Artemisia Carvifolia Leaves (Jingjie) on top until scorched black, grind into fine powder. Take three qian per dose, mixed with child's urine.
[Jian] Treats continuous metrostaxis in women: Burn Sophora Flower (Huaihua) or goose [sic] in any quantity to ash, grind finely, take two qian-bi with warm wine before meals.
[Chanbao] Treats continuous metrorrhagia, regardless of duration: Burn Polyporus Umbellatus (Huai'er) to ash, grind into powder, take one cun-bi with wine.
[Da Lun] Shenyingsan (Miraculous Response Powder): Treats continuous metrorrhagia. Cassia Twig (Guixin) in any quantity, stir-fry until extremely charred preserving nature, grind into powder. Take one to two qian per dose, mixed with rice water.
[Yangshi Jiacang] Heijin San (Black Gold Powder): Treats deficiency of Qi and blood in women, irregular menstruation, metrorrhagia, and metrostaxis.
Ingredients: Crucian Carp Skin (Liyupi), Horn Sheath of Yellow Cow (Huangniujiao Sai), Palm Fiber (Zonglvpi), Psoralea Corylifolia Fruit (Po Guzhi), Lanugo (Rufa) (each one liang), Cuttlefish Bone (Wuzeiguz), Prepared Rehmannia Root (Shudihuang), Dried Ginger (Ganjiang, processed), Angelica Sinensis Radix (Danggui, washed and dried), Equisetum Rami et Folium (Muzei) (each half a liang).
Preparation: Chop and mix into a porcelain bottle, seal with salt mud, let dry. Calcine with five jin of charcoal until red-hot, smoke ceases, bury in earth to cool, then grind finely.
Administration: Take three qian per dose, add a little Moschus, mix with rice water on an empty stomach.
Rusheng San (Like Sage Powder): Treats "blood mountain" metrorrhagia.
Ingredients: Palm Fiber (Zonglv), Flesh of Chinese Plum (Wumei Rou) (each one liang), Dried Ginger (Ganjiang, one liang and five qian, all burned to ash preserving nature).
Preparation: Grind into fine powder.
Administration: Take two qian per dose, mixed with Chinese plum wine, on an empty stomach before meals. Chronic cases heal within three doses.
Repeatedly Effective Prescription for Metrorrhagia.
Ingredients: Angelica Sinensis Radix (Danggui), White Peony Root (Baishaoyao), Dried Ginger (Ganjiang), Palm Fiber (Zonglv) (equal parts).
Preparation: Each ingredient burned to ash preserving nature, ground into fine powder. Mix with vinegar, stir counter-clockwise forty-nine turns with a bamboo chopstick with nodes, take before meals.
Another Prescription: Burn Palm Fiber (Zonglv) and Alum (Baifan) to powder, mix with wine, take two qian.
Wujin San (Black Gold Powder): Treats continuous metrorrhagia.
Ingredients: Palm Fiber Hair (Zonglv Mao, burned to ash preserving nature, one liang), Dragon Bone (Longgu, calcined, two qian).
Preparation: Grind into fine powder, mix evenly.
Administration: Take three qian per dose, with good wine on an empty stomach; stops after two doses.
Meiyin Zi (Plum Drink): Treats women's metrorrhagia.
Usage: Burn salted white plums to ash preserving nature, grind into powder, take with rice water on an empty stomach.
Prescription for Women's Metrorrhagia.
Usage: Burn Chinese plums (Wumei) to ash, grind into powder, mix with Chinese plum soup. Wine mixture is also acceptable.
Another Prescription
Ingredients: Chinese Plums (Wumei, large ones, half a jin, soaked in sour vinegar overnight, removed, pitted, ground into paste), Soot from Chimney (Baicaosuang, finely ground).
Preparation: Mix and form pills the size of mulberry seeds.
Administration: Take thirty to forty pills per dose, on an empty stomach, washed down with light vinegar soup, once daily.
The above thirty-two prescriptions are all herbs burned to black ash. The Classics state: "Northern color is black, entering into communication with the Kidney." These are all herbs communicating with the Kidney meridian. Blood is the color of the Heart. Blood stops when seeing black because Kidney Water can control Heart Fire.
[Wang Haizang] Treats unstable metrorrhagia or continuous dripping for years.
Ingredients: Alum (Baifan, melted into liquid, one liang), Myrrh (Moyao, one qian), Realgar (Shasha), Lead Oxide (Huandan) (each five fen).
Preparation: Melt alum into liquid, add remaining powdered herbs, mix evenly, form pills the size of a bullet.
Usage: Take one pill, wrap in new cotton, insert into the vagina; effect is immediate.
[Qi Yun / Fate and Luck]
Metrorrhagia due to Qi Yun belongs to Wind and Fire. The Classics state: "When Shaoyang governs the Heaven's Policy, in the First Qi, wind prevails causing shaking, the climate becomes greatly warm, and the disease is metrorrhagia."
[Acupuncture and Moxibustion]
[Zhai Ying] Continuous excessive menstruation and metrorrhagia. (*Xinshu* is the same.) Sanyinjiao SP-6, Xingjian LR-2 (Needle both, then moxa.) Tongli HT-5 (Two cun above the fifth toe, puncture two fen, moxa twenty-eight cones.)
[Sang] Continuous metrostaxis. (*Xinshu*, *Zhaiying* are the same.) Sanyinjiao SP-6, Taichong LR-3.
[Dong Yuan] Closure of the womb gate fails, continuous uncontrollable leakage of evil blood. Qimen (Three cun lateral to Guanyuan CV-4, puncture five fen.)