虚劳崩漏 归脾汤证案

某妇,三十有五,产育频频,操劳过度。月事淋漓不断,已历三月,色淡质稀,心悸怔忡,少寐多梦,面色萎黄,食少懒言,四肢倦怠。舌淡苔薄,脉细弱。

A thirty-five-year-old woman, frequently childbearing and overworked. Her menses have dribbled continuously for three months, pale and thin, accompanied by palpitations and fluster, poor sleep with many dreams, sallow complexion, reduced appetite with reluctance to speak, and limb weariness. Tongue pale with thin coat; pulse thin and weak.

心脾两虚,气不摄血,脾不统血之崩漏。

Dual deficiency of heart and spleen; qi fails to contain blood and spleen fails to govern blood — a flooding-and-spotting case.

先生云:'宜甘温养心脾,摄血归经。'服归脾汤加阿胶、炮姜炭十剂,漏下渐止;继服二十剂,心悸寐安,气血渐复,经事调匀。

The master said: 'Sweet-warm herbs should nourish heart and spleen, containing blood back to its channels.' Gui Pi Tang with added E Jiao and charred Pao Jiang was given for ten doses; spotting gradually stopped. Twenty more doses settled the palpitations and sleep, restored qi and blood, and regularised the menses.