（见积聚。） 治妇人得革脉。则半产漏下。
犀按。旋复花汤金匮中两见。一治积聚症。以通肝着之气。一治妇人杂病症。以化弦芤
为革
（方阙。或云。即是干姜阿胶二味煎服。林云。即是胶艾汤。千金胶艾汤亦可取用。）
治妇人陷经漏下黑不解者。主之。
歌曰 胶姜方阙症犹藏。漏下陷经黑色详。姜性温提胶养血。刚柔运化配阴阳。
道光四年。闽都阃府宋公。其三媳妇产后三月余。夜半腹痛发热。经血暴下鲜红。次下
黑块。继有血水。崩下不止。约有三四盆许。不省人事。牙关紧闭。挽余诊之。时将五鼓矣。
其
灌
干
响
血
姜散寒升气。亦陷者举之。郁者散之。伤者补之育之之义也。
治妇人少腹满如敦状。小便微难而不渴。此为水与血俱结在血室也。此汤主之
大黄（四两。） 甘遂 阿胶（各二两。）
上三味。以水三升。煮取一升。顿服。其血当下。
歌曰 小腹敦形（敦音对。古器也。周礼 以乘血。敦以乘食。小腹高起之状相似也。
小腹
瘀血两弥漫。（结在血室。）大黄四两遂胶二。顿服瘀行病自安。
男元犀按。方中大黄攻血蓄。甘遂攻水蓄。妙得阿胶本清济之水。伏行地中。历千里而
发于古东阿县之井。此方取其以水行水之义也。内经谓济水内合于心。用黑骡皮煎造成胶。
以黑属于肾。水能济火。火熄而血自生。此方取其以补为通之义也。然甘遂似当减半用之。
（此内容参见“积聚”篇。）治疗妇人出现革脉，则会导致半产及漏下。
徐大椿按语：旋复花汤在《金匮要略》中出现两次。一次用于治疗积聚症，以疏通肝气郁结；一次用于治疗妇人杂病，以化解弦、芤脉转化为革脉的病理状态。
（原方缺失。有人说，就是干姜和阿胶两味药煎服。林云认为，就是胶艾汤，《千金方》中的胶艾汤也可以取用。）
歌诀曰：胶姜汤方虽缺但病症犹存，漏下陷经且血色黑需详辨。干姜性温能升提阳气，阿胶养血，刚柔相济以调和阴阳。
道光四年（1824年），福建福州知府宋公的三儿媳，产后三个多月，半夜腹痛发热，经血突然大量流出呈鲜红色，随后排出黑色血块，接着有血水混合而下，崩漏不止，大约三四盆之多，患者昏迷不省人事，牙关紧闭。请我诊治时，已是五更天。灌服该散剂后，干姜散寒并升提下陷之气，这也符合“陷者举之，郁者散之，伤者补之育之”的治疗原则。
治疗妇人少腹部胀满，形状像古代盛食物的器皿“敦”一样，小便轻微困难但不口渴。这是水和血都结聚在血室（子宫）的缘故。此汤主治。
以上三味药，用水三升，煮取一升，一次性服用。瘀血应当随之排出。
歌诀曰：小腹高起如敦形（“敦”音duì，古代器物，周礼中用以盛肉，此处形容小腹高起之状相似于盛食之器），瘀血与水湿两相弥漫（结聚在血室）。大黄四两，甘遂与阿胶各二两，顿服之后瘀血行散，疾病自然安宁。
徐大椿按语：方中大黄攻逐蓄积之血，甘遂攻逐蓄积之水，妙在阿胶本为清济之水所化，潜伏运行于地中，历经千里汇聚于古东阿县的井水中制成。此方取其“以水行水”的意义。《内经》说济水内合于心，用黑骡皮煎制而成胶，黑色归属于肾，水能济火，火熄则血自生。此方取其“以补为通”的意义。然而，甘遂似乎应当减半使用。
(See the section on "Accumulation and Mass".) It treats women presenting with a Ge pulse (革脉,革脉: a pulse that is large, hollow, and tight, resembling a drum skin), which leads to spontaneous abortion or metrorrhagia.
Xu Dachun's commentary: Xuanfuhua Decoction (Caulis Bupleuri Inflorescence Decoction) appears twice in the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet). One instance treats accumulation masses by unblocking Qi stagnation in the Liver; the other treats miscellaneous diseases in women by resolving the pathological transformation from Xian (弦, string-taut) and Kou (芤, scallion-stalk) pulses into a Ge pulse.
(The original formula is missing. Some say it consists of Ganjiang (Dried Ginger) and Ejiao (Donkey-hide Gelatin) decocted together. Lin Yun believes it is Jiao'ai Tang (Gelatin and Mugwort Decoction); the Jiao'ai Tang from *Qianjin Fang* can also be used.)
It is indicated for women with "Xian Jing" syndrome (陷经, sinking of the menses/uterine qi), characterized by continuous leakage of dark/black blood.
Rhyme verse:
Though the formula for Jiao Jiang Tang is lost, the symptoms remain clear;
Leaking black blood due to sinking menses requires careful discernment.
Ganjiang (Dried Ginger) is warm and lifts Qi;
Ejiao nourishes blood; hardness and softness harmonize Yin and Yang.
In the fourth year of Daoguang (1824), the third daughter-in-law of Governor Song of Fuzhou, Fujian, suffered from abdominal pain and fever at midnight, more than three months postpartum. Her menstrual blood suddenly gushed out bright red, followed by black clots, then a mixture of blood and water. The bleeding was profuse and unstoppable, amounting to approximately three or four basins. She fell into unconsciousness with clenched jaw. I was summoned to diagnose her at the fifth watch (early morning). After administering the powder, Ganjiang disperses cold and lifts sinking Qi. This aligns with the therapeutic principles of "lifting what has sunk, dispersing what is stagnant, and tonifying/nourishing what is injured."
It treats women whose lower abdomen is full and distended like a "Dun" (敦, an ancient lidded food vessel), with slightly difficult urination but no thirst. This indicates that both water and blood are bound in the Blood Chamber (血室, uterus). This decoction is indicated.
Da Huang (Rhubarb Root and Rhizome, 4 liang), Gan Sui (Kansui Root, 2 liang), E Jiao (Donkey-hide Gelatin, 2 liang).
These three ingredients are decocted in 3 sheng of water to yield 1 sheng. Take orally in one dose. The blood stasis should be discharged.
Rhyme verse:
The lower abdomen rises like a Dun vessel,
Blood stasis and water dampness both overflow (bound in the Blood Chamber).
Four liang of Da Huang, two liang each of Gan Sui and E Jiao;
One dose clears the stasis, and the disease naturally resolves.
Xu Dachun's commentary: In this formula, Da Huang attacks blood accumulation, and Gan Sui attacks water accumulation. The brilliance lies in E Jiao, which is originally derived from the pure waters of Ji River, circulating underground and converging at wells in the ancient Dong'e County. This formula utilizes the principle of "using water to move water." The *Nei Jing* states that Ji River water internally connects with the Heart. Using hide from black mules to make gelatin, where black corresponds to the Kidney, allows Water to control Fire; when Fire is extinguished, blood is generated naturally. This formula employs the principle of "tonification as a method of purgation." However, Gan Sui should perhaps be used at half dosage.