脉∶诸症见血，皆见芤脉。随其上下，以验所出。大凡失血，脉贵沉细；设见洪大，后
必难治。
吐血、衄血、咳血、咯血、唾血、溺血、便血、肠风、脏毒。
血症者，人身之血，血为荣，气为卫；心主血，肝藏血，脾为总管；血随气行，气逆
则血逆；脏得血而能津，腑得血而能润，目得血而能视，舌得血而能言，手得血而能握，足
得血而能摄。荣卫昼夜循环，营运不息。若是劳伤火动，皆令失血。一切血症，皆属于热。
药用清凉。俱是阳盛阴虚，火载血上，错经妄行而为逆也。用犀角地黄汤随症加减。鲜血
者，新血也，用止之；紫黑成块者，瘀血也，宜去之；已后俱用补荣汤加减调理。失血脉沉
细和缓，不宜浮大实大。血得热则行，得冷则凝；赤属火而黑属水也。见黑必止，理之自然
。如或暴吐紫血，多者无事，是平昔热伤死血在胃口，吐出为好。若止早，吐不尽，后成血
结块痛难治，用活血汤加减（方见腹痛）；若先吐血后见痰者，是阴虚火动，用滋阴降火汤加
减；若先痰后见血者，是积热，清肺汤加减治之。
吐血者，出于胃，吐出全是血也。
犀角地黄汤 治一切吐血、衄血、咳血、咯血、唾血，并皆治之。
犀角（一钱，镑） 牡丹皮（一钱半） 生地黄（二钱） 赤芍药（一钱半） 当归（一钱） 黄连（一钱） 黄
芩（一钱）
上锉一剂。水煎熟，入茅根汁，磨京墨调服。吐血，加天门冬、山栀子、阿胶、蛤粉（
炒）；衄血，加山栀、阿胶；咯血，加山栀、麦门冬、黄柏、知母、熟地；唾血，加山栀、
麦门冬、黄柏、知母、熟地；凡吐紫黑血块，胸中气塞，加桃仁、大黄。
治诸血上攻，不问男女并治。皮硝二钱
为末。用童便一钟，好酒一钟，炖热化硝，调匀温服。
治吐血不止方 将本人血，闻不臭，可治；若臭，不可治也。将本人吐的血取来，用砂
锅焙干为细末。每服一钱或一钱二分，麦门冬（去心）煎汤调服。
七生汤 治血向口鼻中出如涌泉者，诸药止之不效。
生地黄 生荷叶 生藕汁 生韭叶 生茅根各一两 生姜五钱
俱捣自然汁一碗，磨京墨与汁同服。
贯仲汤 治吐血成斗，命在须臾。
贯仲（二钱，净末） 血余（五钱，烧灰） 侧柏叶（捣，汁一碗）
上将药末二味，入柏汁内搅匀，于大碗内盛之。重汤煮一炷香时取出，待温，入童便一
小钟，黄酒少许，频频温服。
先吐痰而后见血者，是积热也。
清肺汤
茯苓（去皮） 陈皮 当归 生地黄 芍药 天门冬（去心） 麦门冬（去心） 黄芩 山栀
紫菀 阿胶（蛤粉炒） 桑白皮（各等分） 甘草（减半） 乌梅（一个）
上锉一剂。枣二枚，水煎温服。喘急，加苏子，去天门冬。
先吐血而后见痰者，是阴虚也。
滋阴降火汤 治吐血后见痰，乃是阴虚火动（方见虚劳）。
清火滋阴汤 治吐血、咳血、嗽血、唾血、呕血。
天门冬（去心） 麦门冬（去心） 生地黄 牡丹皮 赤芍 栀子仁 黄连（去毛） 山药
山茱萸（酒蒸，去核） 泽泻 赤茯苓（去皮） 甘草
上锉。水煎，入童便同服。
若吐血、衄血、咳血、唾血，用六味丸加犀角、阿胶（炒，各二两，方见补益）。
一人气上奔，吐血、心膈痛。枳壳三钱 青皮二钱 桔梗 生地黄 木通 牡丹皮各二
钱半 桃仁二十八个 川芎 黄芩 黄连各一钱 甘草少许 生干姜分四剂，水煎服。
一暴吐紫血一碗者无事，吐出好。此热伤血死肝中，宜服四物汤、解毒之类，不宜早止
一吐血觉胸中气塞，吐紫血，桃仁承气汤下之（方见伤寒）。
一男子吐血，遇劳即作。余以为劳伤肺气，血不归元，与补中益气汤加麦门、五味、山
药、熟地、茯神、远志，服之而愈（方见补益）。
一男子咳嗽吐血，热渴痰盛，盗汗遗精。余以为肾水亏损，用六味丸料加麦门、五味，
以壮水而愈。后因劳怒，忽紫血成块上涌。先用花蕊石（火 存性为末）三钱，童便、黄酒温
热调服以化之；又用独参汤以补之；仍用前药调理，遂愈。后每劳则咳嗽，有痰，吐血，脾
肺肾三脉皆洪数。用补中益气汤加贝母、茯苓、山茱萸、山药、麦门冬、五味子，与前药间
服之而愈（方见补益）。
衄血者，出于肺，鼻中出血也。
清衄汤
当归 芍药 生地 香附（炒） 黄芩（各一钱） 栀子（炒，一钱） 黄连（七分） 赤芍 桔梗（各
五分） 生甘草 柏叶（七枚） 藕节（五个）
上锉一剂。水煎，入童便共服。
一方 用人乳一半，好酒、童便一半，合一碗，重汤煮温，随服随止。
一方 治鼻衄久不止。驴粪（焙干为末）、血余（烧灰）等分。每用少许，吹鼻，立止。
一方 用白龙骨末，吹入鼻中，立应。
一方 用烧纸七层，水湿，于顶门上，以熨斗熨之，即止。
一方 用大蒜去壳捣如泥，左鼻出，敷左脚心；右鼻出，敷右脚心；两鼻出，左右俱敷
咳血者，出于肺，咳嗽痰中带血也。
清咳汤
当归 白芍 桃仁（去皮） 贝母（各一钱） 白术（去皮） 牡丹皮 黄芩 栀子（炒黑，各八
分） 青皮（去穣） 桔梗（各五分） 甘草（三分）
上锉一剂。水煎温服。潮热，加柴胡、赤茯苓。
咯血者，出于肾，咯出血屑也。
清咯汤
陈皮 半夏（姜制） 茯苓（去皮） 知母 贝母（去心） 生地（各一钱） 桔梗 栀子（炒黑，
各七分） 杏仁（去皮） 阿胶（各五分） 桑皮（二钱半） 甘草（五分） 柳桂（二分）
上锉一剂。生姜三片，水煎，温服。
唾血者，出于肾，鲜血随唾而出也。
清唾汤
知母（去毛） 贝母（去心） 桔梗 黄柏 熟地 玄参 远志（去心） 天门冬（去心） 麦
门冬（去心，各等分） 干姜（炮，炒黑，减半）
上锉一剂。水煎，温服。
诸失血者，止后宜调理也。
补荣汤 治吐血，衄血，咯、咳血，唾血，用此调理。
当归 芍药 生地 熟地 人参减半 茯苓（去皮） 栀子 麦门冬（去心） 陈皮（各等分
甘草（减半） 乌梅（一个）
上锉一剂。枣二枚，水煎，温服。
溺血者，小便出血，心移热于小肠也。
清肠汤
当归 生地（焙） 栀子（炒黑） 黄连 芍药 黄柏 瞿麦 赤茯苓 木通 蓄 知母
麦门冬（去心，各一钱） 甘草（减半）
上锉一剂。灯心一团，乌梅一个，水煎，空心服。溺血，茎中痛，加滑石、枳壳，去芍
药、茯苓。
便血者，大便出血，脏腑蕴积湿热也。
清脏汤 治大便下血，不问粪前粪后，并肠风下血。
当归（酒洗，八分） 川芎（五分） 生地（二钱） 白芍（炒） 黄连（炒，各六分） 黄芩（炒） 栀子
（炒黑） 黄柏（炒，各七分） 地榆（八分） 槐角（炒，五分） 柏叶（炒） 阿胶（炒，各六分）
上锉一剂。水煎，空心服。腹胀，加陈皮六分；气虚，加人参、白术、木香各三分；肠
风，加荆芥五分；气下陷，加升麻五分；心血不足，加茯苓六分；虚寒，加炒黑干姜五分；
一方去阿胶，加苦参七分。
滋阴脏连丸 治大便下血去多，心虚，四肢无力，面色痿黄。
怀生地 熟地（各四两） 山茱萸（酒蒸，去核） 牡丹皮 泽泻 白茯苓（去皮，以上各三两
山药（四两） 川黄连（酒炒） 槐花（人乳拌蒸） 川大黄（酒蒸九次，以上各三两）
上俱为细末，装入雄猪大肠内，两头用线扎住；糯米三升，水浸透米去水，即将药肠藏
糯米甑内，蒸一炷香时为度，捣药肠为丸，如梧桐子大。每服八十丸，空心，盐汤送下。
一虚人大便下血，用补中益气汤加炒阿胶、酒炒椿根皮、地榆、槐花之类（方见补益）。
肠风下血者，必在粪前，名近血也。
柏叶汤
侧柏叶 当归 生地 黄连 枳壳 槐花 地榆 荆芥（各等分） 甘草（炙，减半）
上锉一剂。乌梅一个，生姜三片，水煎，空心服。
地榆散
乌梅（一两，焙干，去核） 五倍子（炒，五钱） 槐花 枳壳（麸炒，一钱） 黄连（三钱，炒） 地
榆（二钱） 荆芥穗（三钱） 白芷（一钱）
上为细末。每服三钱，空心酒调下。远年者，服至断根为度。
脏毒下血者，必在粪后，名远血也。
解毒汤 一名八宝汤，治脏下血。
黄连 黄芩 黄柏 栀子 连翘 槐花（各二钱半） 细辛 甘草（各四分）
上锉一剂。水煎，空心服。
槐花散 治粪后红。
当归 地榆（各一钱） 生地 芍药 黄芩 升麻（各七分） 枳壳 槐花 阿胶（各八分） 防
风侧柏叶（各五分）
上锉一剂。水煎，空心服。
灸法 治下血无度。灸脊中对脐一穴五壮或七壮，永不再发。
补遗方
清荣槐花饮 治便血不拘新久。
当归（一钱，酒洗） 白芍（一钱） 生地黄（一钱） 川芎（盐酒制，六分） 槐花（一钱） 槐角（八分）
黄连（酒炒，八分） 枳壳（麸炒，七分） 黄芩（酒炒，七分） 苍术（八分） 防风（六分） 升麻（四分） 荆
芥穗（八分） 生甘草（四分）
上锉一剂。水煎，空心热服。渣再煎服。
地榆槐角丸
当归（酒洗，二两） 川芎（一两） 白芍（酒炒，一两） 生地黄（二两） 黄连（酒炒，一两（ 条芩（
酒洗，一两） 黄柏（酒炒，一两） 栀子（炒，一两） 连翘（一两） 地榆（二两） 槐角（一两半） 防风（一
两） 荆芥（五钱） 枳壳（去穣，二两） 茜根（五钱） 侧柏叶（五钱） 茯神（五钱） 陈皮（五钱）
上为细末，酒糊为丸，如梧桐子大。每服七十丸，空心，白滚水送下。或加细茶亦可。
实肠化毒丸 治肠风下血、赤白痢疾。
黄连（一斤，摘去须芦） 猪大肠（一条，洗净，将黄连入内煮一日，晒干） 当归（酒洗） 川
芎（酒浸） 芍药 生地黄（酒洗，各二两） 猪蹄甲（一付，洗净，酥油炙）
上各为细末，炼蜜为丸，如梧桐子大。每服百丸，空心，滚水下。
一儒者，素善饮，不时便血，或在粪前，或在粪后，食少体倦，面色痿黄。此乃脾气虚
而不能统血。以补中益气汤加吴茱萸、黄连，三十余剂，而永不再发（方见补益）。
<Pulse>: In various conditions presenting with bleeding, a Kou pulse (Kong pulse, hollow like a scallion stalk) is observed. By examining the location of this pulse, one can verify the source of the bleeding. Generally, for blood loss, a deep and fine pulse is desirable; if a surging and large pulse appears, the condition will be difficult to treat later.
Hematemesis (vomiting blood), epistaxis (nosebleed), hemoptysis (coughing up blood), spitting blood, sputum blood, hematuria (blood in urine), hematochezia (blood in stool), Changfeng (bleeding before stool), Zangdu (bleeding after stool).
Blood disorders refer to pathological changes in the body's blood. Blood belongs to Ying (Nutritive Qi), and Qi belongs to Wei (Defensive Qi); the Heart governs blood, the Liver stores blood, and the Spleen controls blood; blood follows the movement of Qi, and when Qi rebels, blood also rebels; organs and bowels require blood to perform their functions of moistening and nourishing; the eyes require blood to see, the tongue requires blood to speak, the hands require blood to grasp, and the feet require blood to walk. Ying and Wei circulate day and night without ceasing. If injury from overwork leads to internal fire agitation, it causes blood loss. All blood disorders belong to Heat syndromes. Medications should be cooling. These are caused by excess Yang and deficiency Yin, where Fire carries blood upward, causing blood to flow recklessly and rebel. Use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) with modifications based on symptoms. Fresh red blood indicates new blood, which should be stopped with hemostatic agents; purple-black clotted blood indicates stasis, which should be removed with blood-invigorating agents; afterwards, use Burong Tang (Nourish Ying Decoction) for regulation. The pulse after blood loss should be deep, fine, and gentle, not floating, large, or solid. Blood flows when hot and coagulates when cold; red color belongs to Fire, and black color belongs to Water. Seeing black blood necessitates stopping the bleeding, which is natural. If sudden massive vomiting of purple blood occurs, it is harmless because dead blood damaged by heat previously stagnated in the stomach region, and vomiting it out is beneficial. If bleeding is stopped too early, leaving blood behind, it may later form painful blood masses that are difficult to treat; use Huoxue Tang (Invigorate Blood Decoction) with modifications (see Abdominal Pain chapter); if hematemesis is followed by phlegm, it indicates Yin deficiency with Fire agitation, treated with Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction) with modifications; if phlegm precedes blood, it indicates accumulated Heat, treated with Qingfei Tang (Clear Lung Decoction) with modifications.
Hematemesis originates from the Stomach, and what is vomited is pure blood.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction): Treats all types of hematemesis, epistaxis, hemoptysis, spitting blood, and sputum blood.
Xi Jiao (Rhinoceros Cornu, 1 qian, sliced) Mudan Pi (Moutan Cortex, 1.5 qian) Sheng Di Huang (Rehmanniae Radix Recens, 2 qian) Chi Shao Yao (Paeoniae Radix Rubra, 1.5 qian) Dang Gui (Angelicae Sinensis Radix, 1 qian) Huang Lian (Coptidis Rhizoma, 1 qian) Huang Qin (Scutellariae Radix, 1 qian)
Decoct these ingredients as one dose. Add juice from Bai Mao Gen (Imperatae Rhizoma) after cooking, mix with Jing Mo (Beijing Inkstone ink), and take warm. For hematemesis, add Tian Men Dong (Asparagi Radix), Shan Zhi Zi (Gardeniae Fructus), E Jiao (Colla Corii Asini), and Ge Fen (Concha Meretricis, stir-fried); for epistaxis, add Zhi Zi and E Jiao; for hemoptysis/spitting blood, add Zhi Zi, Mai Men Dong (Ophiopogonis Radix), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Shu Di Huang (Rehmanniae Radix Preparata); for sputum blood, add Zhi Zi, Mai Men Dong, Huang Bo, Zhi Mu, and Shu Di Huang; for vomiting purple-black blood clots with chest oppression, add Tao Ren (Persicae Semen) and Da Huang (Rhei Radix et Rhizoma).
Treats various conditions of blood attacking upwards, applicable to both men and women. Xiao Ming (Natrii Sulfas, 2 qian)
Grind into powder. Mix with one cup of Tong Bian (Child's Urine) and one cup of good wine, heat until dissolved, and take warm.
Formula for intractable hematemesis: Take the patient's own vomited blood; if it does not smell foul, it is treatable; if it smells foul, it is untreatable. Collect the vomited blood, dry it in a clay pot, and grind into fine powder. Take 1 qian or 1.2 qian each time, mixed with Mai Men Dong (Ophiopogonis Radix, heart removed) decoction.
Qisheng Tang (Seven Raw Decoction): Treats blood gushing from mouth and nose like a spring, unresponsive to other medicines.
Sheng Di Huang (Rehmanniae Radix Recens), Sheng He Ye (Nelumbinis Folium), Sheng Ou Zhi (Nelumbinis Rhizoma Juice), Sheng Jiu Ye (Allii Tuberosi Folium), Sheng Mao Gen (Imperatae Rhizoma) each 1 liang; Sheng Jiang (Zingiberis Rhizoma Recens) 5 qian.
Crush all to obtain one bowl of natural juice, mix with Jing Mo (Beijing Inkstone ink), and take together.
Guanzhong Tang (Cyathulae Root Decoction): Treats massive hematemesis, life-threatening.
Guan Zhong (Cyathulae Radix, 2 qian, clean powder) Xue Yu (Capitis Humanis Comburens, 5 qian, burnt ash) Ce Bai Ye (Platycladi Cacumen, crushed to yield one bowl of juice)
Mix the two powders into the Bai Zhi juice, place in a large bowl. Steam over water for the time it takes to burn one incense stick, remove, let cool slightly, add a small cup of Tong Bian (Child's Urine) and a little yellow wine, and take frequently while warm.
If phlegm is vomited first followed by blood, it is due to accumulated Heat.
Qingfei Tang (Clear Lung Decoction)
Fu Ling (Poria, peeled) Chen Pi (Citri Reticulatae Pericarpium) Dang Gui (Angelicae Sinensis Radix) Sheng Di Huang (Rehmanniae Radix Recens) Shao Yao (Paeoniae Radix) Tian Men Dong (Asparagi Radix, heart removed) Mai Men Dong (Ophiopogonis Radix, heart removed) Huang Qin (Scutellariae Radix) Shan Zhi Zi (Gardeniae Fructus) Zi Wan (Asteris Radix) E Jiao (Colla Corii Asini, stir-fried with Ge Fen) Sang Bai Pi (Mori Cortex) equal parts; Gan Cao (Glycyrrhizae Radix et Rhizoma, half dose) Wu Mei (Mume Fructus) one piece.
Decoct as one dose with two dates. Take warm. For wheezing urgency, add Su Zi (Perillae Fructus) and remove Tian Men Dong.
If hematemesis occurs first followed by phlegm, it is due to Yin deficiency.
Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction): Treats phlegm appearing after hematemesis, indicating Yin deficiency with Fire agitation (see Consumption chapter).
Qinghuo Ziyin Tang (Clear Fire and Nourish Yin Decoction): Treats hematemesis, hemoptysis, coughing blood, sputum blood, and emesis of blood.
Tian Men Dong (Asparagi Radix, heart removed) Mai Men Dong (Ophiopogonis Radix, heart removed) Sheng Di Huang (Rehmanniae Radix Recens) Mudan Pi (Moutan Cortex) Chi Shao Yao (Paeoniae Radix Rubra) Zhi Zi Ren (Gardeniae Fructus Seed) Huang Lian (Coptidis Rhizoma, hair removed) Shan Yao (Dioscoreae Rhizoma) Shan Zhu Yu (Corni Fructus, steamed in wine, pitted) Ze Xie (Alismatis Rhizoma) Chi Fu Ling (Poria with Red Core, peeled) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Decoct. Take with Tong Bian (Child's Urine).
For hematemesis, epistaxis, hemoptysis, and sputum blood, use Liuwei Wan (Six-Ingredient Pill) added with Xi Jiao (Rhinoceros Cornu) and E Jiao (Colla Corii Asini, stir-fried, 2 liang each, see Tonification chapter).
A case of Qi rushing upward, causing hematemesis and pain in the heart and diaphragm. Zhi Qiao (Aurantii Fructus, 3 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, 2 qian) Jie Geng (Platycodonis Radix) Sheng Di Huang (Rehmanniae Radix Recens) Mu Tong (Akebiae Caulis) Mudan Pi (Moutan Cortex) each 2.5 qian; Tao Ren (Persicae Semen) 28 pieces; Chuan Xiong (Ligustici Chuanxiong Rhizoma) Huang Qin (Scutellariae Radix) Huang Lian (Coptidis Rhizoma) each 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) a little; Sheng Gan Jiang (Zingiberis Rhizoma Recens) divided into four doses. Decoct in water and take.
A case of sudden vomiting of one bowl of purple blood is harmless; vomiting it out is good. This is dead blood in the Liver damaged by heat. It is suitable to take Siwu Tang (Four Substances Decoction) and detoxifying herbs; do not stop bleeding too early.
A case of hematemesis with chest oppression and purple blood expulsion: Use Taoren Chengqi Tang (Peach Kernel and Rheum Decoction) to purge (see Cold Damage chapter).
A male patient with hematemesis triggered by exertion. I diagnosed this as Lung Qi injury from overwork, with blood failing to return to its origin. Prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Mai Men Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus), Shan Yao (Dioscoreae Rhizoma), Shu Di Huang (Rehmanniae Radix Preparata), Fu Shen (Poria with Hostwood), and Yuan Zhi (Polygalae Radix). The patient recovered (see Tonification chapter).
A male patient with coughing hemoptysis, heat-thirst, abundant phlegm, night sweats, and spermatorrhea. I diagnosed this as Kidney Water deficiency. Used Liujunzi Wan (Six-Ingredient Pill) base added with Mai Men Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus) to strengthen Water and cure. Later, due to exertion and anger, purple blood clots surged upward. First, used Huarui Shi (Charnalite, calcined to preserve nature, powder) 3 qian mixed with warm Tong Bian (Child's Urine) and yellow wine to resolve stasis; then used Dushen Tang (Single Ginseng Decoction) to tonify Qi; continued with previous medications for regulation, and recovered. Later, exertion caused cough, phlegm, and hemoptysis, with surging and rapid pulses in Spleen, Lung, and Kidney meridians. Used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Bei Mu (Fritillariae Bulbus), Fu Ling (Poria), Shan Zhu Yu (Corni Fructus), Shan Yao (Dioscoreae Rhizoma), Mai Men Dong (Ophiopogonis Radix), and Wu Wei Zi (Schisandrae Fructus), alternating with previous meds, and recovered (see Tonification chapter).
Epistaxis originates from the Lung, manifesting as bleeding from the nose.
Qingnie Tang (Clear Nosebleed Decoction)
Dang Gui (Angelicae Sinensis Radix) Shao Yao (Paeoniae Radix) Sheng Di Huang (Rehmanniae Radix Recens) Xiang Fu (Cyperi Rhizoma, stir-fried) Huang Qin (Scutellariae Radix) each 1 qian; Zhi Zi (Gardeniae Fructus, stir-fried) 1 qian; Huang Lian (Coptidis Rhizoma) 7 fen; Chi Shao Yao (Paeoniae Radix Rubra) Jie Geng (Platycodonis Radix) each 5 fen; Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) Ce Bai Ye (Platycladi Cacumen) 7 leaves; Ou Jie (Nelumbinis Rhizomatis Node) 5 nodes.
Decoct as one dose. Take with Tong Bian (Child's Urine).
Another formula: Mix half human milk with half good wine and half Tong Bian (Child's Urine), steam warm, and take; bleeding stops immediately upon administration.
Another formula: For chronic intractable epistaxis. Lv Fen (Donkey Dung, dried and powdered) and Xue Yu (Capitis Humanis Comburens, burnt ash) in equal parts. Apply a small amount to the nose; bleeding stops immediately.
Another formula: Use Bai Long Gu (Fossilia Os Mastodi, powder) blown into the nose; effect is immediate.
Another formula: Use seven layers of burnt paper, wet with water, apply to the top of the head, and iron with an iron; bleeding stops.
Another formula: Peel garlic and crush into paste. If left nostril bleeds, apply to sole of left foot; if right, apply to sole of right foot; if both, apply to both soles.
Hemoptysis originates from the Lung, manifesting as blood in sputum during coughing.
Qingke Tang (Clear Coughing Blood Decoction)
Dang Gui (Angelicae Sinensis Radix) Bai Shao (Paeoniae Radix Alba) Tao Ren (Persicae Semen, skin removed) Bei Mu (Fritillariae Bulbus) each 1 qian; Bai Zhu (Atractylodis Macrocephalae Rhizoma, peeled) Mudan Pi (Moutan Cortex) Huang Qin (Scutellariae Radix) Zhi Zi (Gardeniae Fructus, stir-fried black) each 8 fen; Qing Pi (Citri Reticulatae Pericarpium Viride, pulp removed) Jie Geng (Platycodonis Radix) each 5 fen; Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 fen.
Decoct as one dose. Take warm. For tidal fever, add Chai Hu (Bupleuri Radix) and Chi Fu Ling (Poria with Red Core).
Spitting blood (from kidneys) originates from the Kidney, manifesting as bloody flecks spat out.
Qingluo Tang (Clear Spitting Blood Decoction)
Chen Pi (Citri Reticulatae Pericarpium) Ban Xia (Pinelliae Rhizoma, ginger-processed) Fu Ling (Poria, peeled) Zhi Mu (Anemarrhenae Rhizoma) Bei Mu (Fritillariae Bulbus, heart removed) Sheng Di Huang (Rehmanniae Radix Recens) each 1 qian; Jie Geng (Platycodonis Radix) Zhi Zi (Gardeniae Fructus, stir-fried black) each 7 fen; Xing Ren (Armeniacae Semen Amarum, skin removed) E Jiao (Colla Corii Asini) each 5 fen; Sang Bai Pi (Mori Cortex) 2.5 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma) 5 fen; Liu Gui (Cinnamomi Ramulus) 2 fen.
Decoct as one dose with three slices of Sheng Jiang (Zingiberis Rhizoma Recens). Take warm.
Sputum blood originates from the Kidney, manifesting as fresh blood mixed with saliva.
Qingtuo Tang (Clear Sputum Blood Decoction)
Zhi Mu (Anemarrhenae Rhizoma, hair removed) Bei Mu (Fritillariae Bulbus, heart removed) Jie Geng (Platycodonis Radix) Huang Bo (Phellodendri Cortex) Shu Di Huang (Rehmanniae Radix Preparata) Xuan Shen (Scrophulariae Radix) Yuan Zhi (Polygalae Radix, heart removed) Tian Men Dong (Asparagi Radix, heart removed) Mai Men Dong (Ophiopogonis Radix, heart removed) equal parts; Gan Jiang (Zingiberis Rhizoma, processed, stir-fried black, half dose).
Decoct as one dose. Take warm.
After stopping bleeding from various sources, regulation is appropriate.
Burong Tang (Nourish Ying Decoction): For regulating hematemesis, epistaxis, spitting blood, hemoptysis, and sputum blood.
Dang Gui (Angelicae Sinensis Radix) Shao Yao (Paeoniae Radix) Sheng Di Huang (Rehmanniae Radix Recens) Shu Di Huang (Rehmanniae Radix Preparata) Ren Shen (Ginseng Radix et Rhizoma, half dose) Fu Ling (Poria, peeled) Zhi Zi (Gardeniae Fructus) Mai Men Dong (Ophiopogonis Radix, heart removed) Chen Pi (Citri Reticulatae Pericarpium) equal parts; Gan Cao (Glycyrrhizae Radix et Rhizoma, half dose) Wu Mei (Mume Fructus) one piece.
Decoct as one dose with two dates. Take warm.
Hematuria (blood in urine) is bleeding in urine, caused by Heart transferring Heat to the Small Intestine.
Qingchang Tang (Clear Intestine Decoction)
Dang Gui (Angelicae Sinensis Radix) Sheng Di Huang (Rehmanniae Radix Recens, baked) Zhi Zi (Gardeniae Fructus, stir-fried black) Huang Lian (Coptidis Rhizoma) Shao Yao (Paeoniae Radix) Huang Bo (Phellodendri Cortex) Qu Mai (Dianthi Herba) Chi Fu Ling (Poria with Red Core) Mu Tong (Akebiae Caulis) Xu Shu (Polygoni Avicularis Herba) Zhi Mu (Anemarrhenae Rhizoma) Mai Men Dong (Ophiopogonis Radix, heart removed) each 1 qian; Gan Cao (Glycyrrhizae Radix et Rhizoma, half dose).
Decoct as one dose with a bundle of Deng Xin Cao (Junci Medulla) and one Wu Mei (Mume Fructus). Take on an empty stomach. For hematuria with pain in the urethra, add Hua Shi (Talcum) and Zhi Qiao (Aurantii Fructus), remove Shao Yao (Paeoniae Radix) and Fu Ling (Poria).
Hematochezia (blood in stool) is bleeding in stool, caused by damp-heat accumulation in organs and bowels.
Qingzang Tang (Clean Viscera Decoction): Treats lower GI bleeding, whether before or after stool, including Changfeng bleeding.
Dang Gui (Angelicae Sinensis Radix, wine-washed) 8 fen; Chuan Xiong (Ligustici Chuanxiong Rhizoma) 5 fen; Sheng Di Huang (Rehmanniae Radix Recens) 2 qian; Bai Shao (Paeoniae Radix Alba, stir-fried) Huang Lian (Coptidis Rhizoma, stir-fried) each 6 fen; Huang Qin (Scutellariae Radix, stir-fried) Zhi Zi (Gardeniae Fructus, stir-fried black) Huang Bo (Phellodendri Cortex, stir-fried) each 7 fen; Di Yu (Sanguisorbae Radix) 8 fen; Huai Jiao (Stemonae Radix, stir-fried) 5 fen; Ce Bai Ye (Platycladi Cacumen, stir-fried) E Jiao (Colla Corii Asini, stir-fried) each 6 fen.
Decoct as one dose. Take on an empty stomach. For abdominal distension, add Chen Pi (Citri Reticulatae Pericarpium) 6 fen; for Qi deficiency, add Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Mu Xiang (Aucklandiae Radix) each 3 fen; for Changfeng, add Jing Jie (Schizonepetae Herba) 5 fen; for sinking Qi, add Sheng Ma (Cimicifugae Rhizoma) 5 fen; for insufficient Heart Blood, add Fu Ling (Poria) 6 fen; for deficiency-cold, add Chao Hei Gan Jiang (Zingiberis Rhizoma, stir-fried black) 5 fen; another formula removes E Jiao and adds Ku Shen (Sophorae Flavescentis Radix) 7 fen.
Ziyin Zanglian Wan (Nourish Yin and Intestines Pill): Treats excessive lower GI bleeding, Heart deficiency, weakness in limbs, and sallow complexion.
Huai Sheng Di Huang (Rehmanniae Radix Recens) Shu Di Huang (Rehmanniae Radix Preparata) each 4 liang; Shan Zhu Yu (Corni Fructus, steamed in wine, pitted) Mudan Pi (Moutan Cortex) Ze Xie (Alismatis Rhizoma) Bai Fu Ling (Poria, peeled) each 3 liang; Shan Yao (Dioscoreae Rhizoma) 4 liang; Chuan Huang Lian (Coptidis Rhizoma, wine-stir-fried) Huai Hua (Sophorae Flos, steamed in human milk) Chuan Da Huang (Rhei Radix et Rhizoma, wine-steamed nine times) each 3 liang.
Grind all into fine powder, stuff into a male pig large intestine, tie ends with thread. Soak 3 sheng of glutinous rice, drain water, place the medicine-filled intestine in a steamer with the rice, steam for the time of one incense stick. Crush the intestine and medicine into pills the size of paulownia seeds. Take 80 pills on an empty stomach with salt water.
A deficient patient with lower GI bleeding: Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with stir-fried E Jiao (Colla Corii Asini), wine-stir-fried Chun Gen Pi (Toosendan Cortex), Di Yu (Sanguisorbae Radix), and Huai Hua (Sophorae Flos) (see Tonification chapter).
Changfeng bleeding occurs before stool, named Jin Xue (Near Bleeding).
Baiye Tang (Leaf Decoction)
Ce Bai Ye (Platycladi Cacumen) Dang Gui (Angelicae Sinensis Radix) Sheng Di Huang (Rehmanniae Radix Recens) Huang Lian (Coptidis Rhizoma) Zhi Qiao (Aurantii Fructus) Huai Hua (Sophorae Flos) Di Yu (Sanguisorbae Radix) Jing Jie (Schizonepetae Herba) equal parts; Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-roasted, half dose).
Decoct as one dose with one Wu Mei (Mume Fructus) and three slices of Sheng Jiang (Zingiberis Rhizoma Recens). Take on an empty stomach.
Diyu San (Sanguisorba Powder)
Wu Mei (Mume Fructus, 1 liang, baked dry, pitted) Wu Bei Zi (Galla Chinensis, stir-fried) 5 qian; Huai Hua (Sophorae Flos) Zhi Qiao (Aurantii Frictus, bran-stir-fried) 1 qian; Huang Lian (Coptidis Rhizoma, stir-fried) 3 qian; Di Yu (Sanguisorbae Radix) 2 qian; Jing Jie Sui (Schizonepetae Spica) 3 qian; Bai Zhi (Angelicae Dahuricae Radix) 1 qian.
Grind into fine powder. Take 3 qian on an empty stomach mixed with wine. For chronic cases, continue until cured.
Zangdu bleeding occurs after stool, named Yuan Xue (Far Bleeding).
Jiedu Tang (Detoxify Decoction): Also known as Babao Tang (Eight Treasures Decoction), treats lower organ bleeding.
Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Huang Bo (Phellodendri Cortex) Zhi Zi (Gardeniae Fructus) Lian Qiao (Forsythiae Fructus) Huai Hua (Sophorae Flos) each 2.5 qian; Xi Xin (Asari Radix et Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma) each 4 fen.
Decoct as one dose. Take on an empty stomach.
Huaihua San (Sophora Powder): Treats red blood after stool.
Dang Gui (Angelicae Sinensis Radix) Di Yu (Sanguisorbae Radix) each 1 qian; Sheng Di Huang (Rehmanniae Radix Recens) Shao Yao (Paeoniae Radix) Huang Qin (Scutellariae Radix) Sheng Ma (Cimicifugae Rhizoma) each 7 fen; Zhi Qiao (Aurantii Fructus) Huai Hua (Sophorae Flos) E Jiao (Colla Corii Asini) each 8 fen; Fang Feng (Saposhnikoviae Radix) Ce Bai Ye (Platycladi Cacumen) each 5 fen.
Decoct as one dose. Take on an empty stomach.
Moxibustion: Treats severe lower bleeding. Moxibustion at the acupoint corresponding to the navel on the spine, 5 or 7 moxa cones, prevents recurrence permanently.
Supplementary Formulas
Qingrong Huaihua Yin (Nourish Ying and Sophora Drink): Treats hematochezia regardless of duration.
Dang Gui (Angelicae Sinensis Radix, wine-washed) 1 qian; Bai Shao (Paeoniae Radix Alba) 1 qian; Sheng Di Huang (Rehmanniae Radix Recens) 1 qian; Chuan Xiong (Ligustici Chuanxiong Rhizoma, salt-wine processed) 6 fen; Huai Hua (Sophorae Flos) 1 qian; Huai Jiao (Stemonae Radix) 8 fen; Huang Lian (Coptidis Rhizoma, wine-stir-fried) 8 fen; Zhi Qiao (Aurantii Fructus, bran-stir-fried) 7 fen; Huang Qin (Scutellariae Radix, wine-stir-fried) 7 fen; Cang Zhu (Atractylodis Rhizoma) 8 fen; Fang Feng (Saposhnikoviae Radix) 6 fen; Sheng Ma (Cimicifugae Rhizoma) 4 fen; Jing Jie Sui (Schizonepetae Spica) 8 fen; Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) 4 fen.
Decoct as one dose. Take hot on an empty stomach. Decoct residue again and take.
Diyu Huaijiao Wan (Sanguisorba and Sophora Pill)
Dang Gui (Angelicae Sinensis Radix, wine-washed) 2 liang; Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1 liang; Bai Shao (Paeoniae Radix Alba, wine-stir-fried) 1 liang; Sheng Di Huang (Rehmanniae Radix Recens) 2 liang; Huang Lian (Coptidis Rhizoma, wine-stir-fried) 1 liang; Tiao Qin (Scutellariae Radix, wine-washed) 1 liang; Huang Bo (Phellodendri Cortex, wine-stir-fried) 1 liang; Zhi Zi (Gardeniae Fructus, stir-fried) 1 liang; Lian Qiao (Forsythiae Fructus) 1 liang; Di Yu (Sanguisorbae Radix) 2 liang; Huai Jiao (Stemonae Radix) 1.5 liang; Fang Feng (Saposhnikoviae Radix) 1 liang; Jing Jie (Schizonepetae Herba) 5 qian; Zhi Qiao (Aurantii Fructus, pulp removed) 2 liang; Qian Gen (Rubiae Radix et Rhizoma) 5 qian; Ce Bai Ye (Platycladi Cacumen) 5 qian; Fu Shen (Poria with Hostwood) 5 qian; Chen Pi (Citri Reticulatae Pericarpium) 5 qian.
Grind into fine powder, make pills with wine paste, size of paulownia seeds. Take 70 pills on an empty stomach with plain boiled water. Adding fine tea is also acceptable.
Shichang Huadu Wan (Intestinal Solidification and Toxin Resolution Pill): Treats Changfeng bleeding and dysentery with red and white discharge.
Huang Lian (Coptidis Rhizoma) 1 jin (remove roots/beards); Pig Large Intestine 1 strip (wash clean, boil Huang Lian inside for one day, dry). Dang Gui (Angelicae Sinensis Radix, wine-washed) Chuan Xiong (Ligustici Chuanxiong Rhizoma, wine-soaked) Shao Yao (Paeoniae Radix) Sheng Di Huang (Rehmanniae Radix Recens, wine-washed) each 2 liang; Zhu Ti Jia (Sus Scrofa Domesticus Unguis) 1 set (wash clean, roast with lard).
Grind all into fine powder, make pills with refined honey, size of paulownia seeds. Take 100 pills on an empty stomach with boiling water.
A scholar who loved drinking experienced intermittent hematochezia, either before or after stool, with poor appetite, fatigue, and sallow complexion. This was Spleen Qi deficiency failing to control blood. Prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Wu Zhu Yu (Evodiae Fructus) and Huang Lian (Coptidis Rhizoma). After more than thirty doses, it never recurred (see Tonification chapter).