2001年《中医妇产科学》认为：崩漏的病因病机，前人有不少探讨，认识各有侧重，而今之临床多从患者现证出发，审证求因。这种传统的认证释理的方法未能说明崩漏的发病的根本。“本病属月经疾病，而‘经水出诸肾’（《傅青主女科》），‘月经全借肾水施化’（《医学正传》），故本病虽有在气、在血、在脏、在经的不同，其根本则在肾气，变化在天癸，病位在冲任，见证在气血。因此，本病的认病释理当从肾气－天癸－冲任－子宫生殖轴入手，调节其间的阴阳动态平衡为治。”
The "Chinese gynecology and obstetrics," of 2001 said : many predecessors has discussed the etiology of Metrorrhagiaand had different focuses. Now most of the treatment were from the clinical evidence of patients, study the symptom and requested the reason. This traditional method can’t elucidate the ultimate reason of metrorrhagia. "The disease is a disease of menstruation, while ' menstruation is out  from kidney' (" Fuqingzhunvke Branch ") 'menstrual are all facilitated by renal water ' ("Medical Story"), so the disease has the differences in Qi, in Blood, in viscera, but the fundamental is in Kidney qi, the changes in Tiangui, the disease part is at Chongren. So the pathology of this disease should proceed with the procreation axial of kidney Qi-Tiangui-Chongren-uteru, adjust the dynamic balance of the Yin and Yang.”
2001年夏桂成依据《素问?上古天真论》“女子七岁，肾气盛……二七，天癸至，任脉通，太冲脉盛，月事以时下”、《素问?评热病论》“胞脉者属心而络于胞中”、《素问?奇病论》“胞络者，系于肾”、马元台《女科经论》“胞络下系于肾，上通于心”等论述，结合自己的临床实践，创立了心－肾－子宫生殖轴学说，并依据该理论诊疗月经疾患。
In the year 2001, Xia Guicheng's based on the <Plain Question? Ancient naive>, "seven-year-old girl, shenqi flooming ... February 7, Tiangui come , Ren vessel Link, Taichong vellse flooming and menstruate come at the age of fourteen ", <Plain Question ? Comment on the Heat Disease>" Cellular vein was belonged to the heart and distributed in uterine collaterals", <Plain Question-Disease Theory> " uterine collaterals contact person is in the with kidney" ,Ma Yuan Taiwan < Menstruate Theory of Women>" uterine collaterals contact with kidney and the Heart ", combined with his own clinical practice, he created the heart-kidney-uterine reproductive axis theory and treat menstrual disorders according to the theory.
（3）50、60年代起中西医结合研究中“肾本质”、“肾主生殖”研究的逐步开展：
(3) During the 1950s and 1960s, the combination of Western medicine and TCM research gradually start the study on "kidney essence", "kidney manages reproductive":
张文阁言：“自从有的学者开展了对‘肾’的实验研究，阐述了中医的‘肾’与西医内分泌的密切关系，并广为医学界所接受，加之其它脏腑与内分泌的关系鲜为人们所研究，其实验研究起步晚，所以一时间凡属于内分泌系统妇科疾患，中医多从肾虚论治。中医对‘功血’多责之肾虚”。
Zhang Wenge stated that: "Since some scholars conducted a 'kidney' experimental study, the close relationship between the C 'kidney' in TCM and endocrine of Western Medicine was elucidated, and it was widely accepted by the medical profession, together with the study of the relationship of other internal organs with endocrine was less and the perimental study started late, So gynecological endocrine system disorders were treated from kidney asthenia direction at one time.  TCM attribute ' DUB ' to kidney deficiency”.
李广文指出：“根据肾的实验研究，中医的‘肾’包括了西医的生殖系统、泌尿系统、神经系统、内分泌系统和免疫系统的功能。而月经恰恰与这些系统有着十分密切的关系。根据以上所述，肾虚乃是引起崩漏的根本原因是确凿无疑的。”
Li Wenguang figured out: “According to the experimental study of kidney, 'kidney' in TCM includes the Western reproductive system, urinary system, the nervous system, endocrine system and the function of the immune system.  And emmenia precisely have a very close relationship with these systems. Based on the above, kidney deficiency is the fundamental reason of uterine bleeding.”

华译网北京翻译公司翻译过大量有关气虚的文件资料,Beijing Chinese Translation Service Company has translated many technical documents about Qi deficiency
《中国医学通史》：根据中医肾主生殖的理论，自60年代以来，不少学者致力于这一理论的研究。上海第一医学院妇产科医院1958年首先认为中医脏腑学说中，有关肾上通于脑，下连冲任而系胞宫，调节女子一生的生殖生理活动的肾主生殖理论，与现代医学的生殖生理功能由中枢神经－下丘脑－垂体－卵巢轴的反馈调节有类似之处。1958年李超荆开始运用肾主生殖的理论对100例无排卵型功能性子宫出血病人进行补肾治疗，证明其与卵巢功能密切相关。1962年相继开展了这方面的工作，至80年代通过大量临床实践，应用补肾治疗功能失调性月经病、闭经、多囊卵巢等疾病均取得良好的效果。经过近30年的努力，提出了肾－天癸－冲任－子宫是构成女性生殖轴的学术观点。
<General History of Chinese Medicine>: According to the theory of kidney governs the reproduction, since the 1960s, Many scholars throwed themselves to study this theory.  The theory of kidney govern the reproduction in TCM figured that the kidney link to the brain at top, link Chongren below and connect the uterus, regulating the physiological reproductive function of the woman through the whole life, Shanghai First Medical College of Obstetrics and Gynecology Hospital put forward firstly in the year 1958 that this theory was similar to the theory of modern medicine that the central nervous system -the hypothalamic-pituitary-ovarian axis feedback regulate the physiology of reproductive function.In the year 1958, Li Chaojing begun to use the theory of kidney governing the reproduction to treat 100 cases of non-ovulatory dysfunctional uterine bleeding patients with invigorating the kidney, proved that the kidney had close relationship with ovarian function.In year 1962,the work in this regard started, till the 1980s o a large number of clinical practice showed that the application invigorating the kidney to treat the dysfunctional menopathy, amenorrhea, polycystic ovarian disease achieved good results After nearly 30 years of efforts, a academic perspective of kidney-Tiangui-Chongren-uterus constitutes female reproductive axis had been put forward.
4．气虚：
4. Qi deficiency:
其影响因素可能与医家逐渐认识到肾虚为本，气虚为果，而肾虚证呈非常显著上升趋势有关。夏桂成（1988）指出“肾虚为本，气虚脾虚为果”；李广文（1988）指出“肾虚是根本，气虚是结果”。
Factors affected it was likely that doctors gradually understand that kidney deficiency was the root, Qi deficiency was the fruit and Kidney deficiency had a trend of significantly ascending. Xia Guicheng (1988) figured out“kidney deficiency was the root, Qi and Spleen deficiency were the fruit”; Li Wenguang (1988) figured out“kidney deficiency was the root, Qi deficiency were the fruit”.
5．血虚、血热：
5. Blood deficiency, Heat Blood:
其影响因素有待进一步探讨。
Its impact factors need to be further discussion