（附痰涎血）
咯血，痰带血丝出者，用姜汁、青黛、童便、竹沥入血药中用，如四物汤加地黄
膏、牛膝膏之
类。咯唾，血出于肾，以天门冬、麦门冬、贝母、知母、桔梗、百部、黄柏、远志、熟地黄
牡蛎、姜、桂之类；痰涎，血出于脾，以葛根、黄 、黄连、芍药、当归、甘草、沉香之类
入方 治痰中血。
白术（一钱半） 当归（一钱） 芍药（一钱） 牡丹皮（一钱半） 桃仁（一钱研） 山栀（炒黑，八分）
桔梗（七分） 贝母（一钱） 黄芩（五分） 甘草（三分） 青皮（五分）
上以水煎服。
又方 治痰中血。
白术（一钱半） 牡丹皮（一钱半） 贝母（一钱） 芍药（一钱） 桑白（一钱） 山栀（炒黑，一钱一分）
桃仁（一钱，研） 甘草（三分）
又方 治痰中血。
橘红（二钱） 半夏（五分） 茯苓（一钱） 甘草（三分） 白术（一钱） 枳壳（一钱） 桔
梗（一钱） 五味（十
上以水一钟，生姜三片，煎服，或加青黛半钱。
又方
橘红（一钱半） 半夏（一钱） 茯苓（一钱） 甘草（五分） 牡丹（一钱） 贝母（一钱） 黄连（七
分） 桃仁
上以水煎，生姜三片。
附方∶治咯血。
荷叶（不以多少，焙干）
上为末。米汤调二钱匕。
初虞世方 治咯血并肺痿多痰。
防己 葶苈（等分）
上为末。 米饮调下一钱。
又方 治咯血及衄血。
白芍（一两） 犀角末（二钱半）
上为末。新汲水服一钱匕，血止为限。
天门冬丸 治咯血并吐血。又能润肺止嗽。
阿胶（炮，各半两） 天门冬（一两） 甘草 杏仁（炒） 贝母 白茯苓（各半两）
上为末。蜜丸如弹大。服一丸。噙化。
又方 治咯血。
桑皮（一钱半） 半夏（一钱，炒） 知母（一钱） 贝母（一钱） 茯苓（一钱） 阿胶（炒，半钱） 桔梗（七
分） 陈皮（一钱） 甘草（五分） 杏仁（五分，炒） 生地黄（一钱） 山栀（七分，炒）
柳桂（二分，即桂之嫩小枝条也，宜入上焦）
上以水煎。生姜三片。
(Attached: Hemoptysis with Phlegm-Saliva)
Hemoptysis, characterized by blood streaks appearing in sputum during coughing, is treated by adding Ginger Juice (Jiangzhi), Qingdai (Indigo Naturalis), Tongbian (Child's Urine), and Zhuli (Bamboo Sap) to hemostatic formulas, such as Siwu Tang (Four Substances Decoction) supplemented with Dihuang Gao (Rehmannia Paste) or Niuxi Gao (Achyranthes Paste). Hemoptysis from spitting originates from the Kidney; it is treated with herbs such as Tianmendong (Asparagus Root), Maimendong (Ophiopogon Root), Beimu (Fritillaria Bulb), Zhimu (Anemarrhena Rhizome), Jiegeng (Platycodon Root), Baibu (Stemona Root), Huangbai (Phellodendron Bark), Yuanzhi (Polygala Root), Shudihuang (Prepared Rehmannia Root), Muli (Oyster Shell), Shengjiang (Fresh Ginger), and Guirou (Cinnamon Bark). Hemoptysis with phlegm-saliva originates from the Spleen; it is treated with herbs such as Gegen (Pueraria Root), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome), Shaoyao (Peony Root), Danggui (Angelica Sinensis), Gancao (Licorice Root), and Chenxiang (Agarwood) incorporated into formulas for treating blood in phlegm.
Baizhu (1.5 qian), Danggui (1 qian), Shaoyao (1 qian), Mudanpi (1.5 qian), Taoren (1 qian, crushed), Shanzhi (stir-fried until black, 0.8 fen),
Jiegeng (0.7 fen), Beimu (1 qian), Huangqin (0.5 fen), Gancao (0.3 fen), Qingpi (0.5 fen).
Decoct these ingredients in water and take orally.
Another prescription for treating blood in phlegm.
Baizhu (1.5 qian), Mudanpi (1.5 qian), Beimu (1 qian), Shaoyao (1 qian), Sangbaipi (1 qian), Shanzhi (stir-fried until black, 1.1 fen),
Taoren (1 qian, crushed), Gancao (0.3 fen).
Another prescription for treating blood in phlegm.
Juhong (2 qian), Banxia (0.5 fen), Fuling (1 qian), Gancao (0.3 fen), Baizhu (1 qian), Zhike (1 qian), Jiegeng (1 qian), Wuweizi (10 grains).
Decoct these ingredients in one zhong of water with three slices of fresh ginger, and take orally. Alternatively, add 0.5 qian of Qingdai.
Another prescription.
Juhong (1.5 qian), Banxia (1 qian), Fuling (1 qian), Gancao (0.5 fen), Mudanpi (1 qian), Beimu (1 qian), Huanglian (0.7 fen), Taoren.
Decoct these ingredients in water with three slices of fresh ginger.
Attached Prescription: For treating hemoptysis.
Heye (Lotus Leaf, as needed, dried by roasting).
Grind into fine powder. Mix with rice soup and administer two qianbi per dose.
Chu Yushi’s Prescription: For treating hemoptysis and pulmonary萎 (Feiwei) with excessive phlegm.
Fangji and Tinglizi (equal parts).
Grind into fine powder. Administer one qian mixed with rice drink.
Another prescription: For treating hemoptysis and epistaxis.
Baishao (1 liang), Xijiao Mo (Rhinoceros Horn Powder, 2.5 qian).
Grind into fine powder. Administer one qianbi with fresh drawn cold water. Discontinue when bleeding stops.
Tianmendong Wan (Asparagus Root Pill): For treating hemoptysis and hematemesis. It also moistens the lungs and stops coughing.
Ejiao (prepared, 0.5 liang each), Tianmendong (1 liang), Gancao, Xingren (stir-fried), Beimu, Baifuling (0.5 liang each).
Grind into fine powder. Form pills using honey, sized like a bullet. Take one pill at a time, holding it in the mouth to dissolve slowly.
Another prescription: For treating hemoptysis.
Sangbaipi (1.5 qian), Banxia (1 qian, stir-fried), Zhimu (1 qian), Beimu (1 qian), Fuling (1 qian), Ejiao (stir-fried, 0.5 qian), Jiegeng (0.7 fen), Chenpi (1 qian), Gancao (0.5 fen), Xingren (0.5 fen, stir-fried), Shengdihuang (1 qian), Shanzhi (0.7 fen, stir-fried).
Liugui (0.2 fen, i.e., tender small branches of cinnamon, suitable for disorders of the Upper Jiao).
Decoct these ingredients in water with three slices of fresh ginger.