喘而脉微涩者∶
熟地（三两） 当归（七钱） 甘草（一钱）
水煎服。
妇人多有此症。
凡人出血，乃血病不肯归经，或上或下，或四肢皮毛，各处出血者是也。血循经络，外行于皮毛，中行于脏
腑，内行于筋骨，上行于头月、两手，下行于二便、两足、一脐，固身无非血路，一不归经，自然各处妄行，有
孔则钻，有洞则泄，甚者呕吐，或见于皮毛，或出于齿缝，或渗于脐腹，或露于二便，皆宜顺其性而引之归经。方用∶
熟地（五钱） 生地（五钱） 当归（三钱） 白芍（三钱） 川芎（一钱） 黑荆芥（一钱） 茜草（一钱） 甘
草（一钱）
水煎服。
此方即加味四物汤，妙在用茜草、〔荆芥〕，引血归经，〔不拂乱其性，则血自归经，各不相犯矣。〕。
凡人感伤暑气，忽然吐血盈盆，人以为阴虚也，不知阴虚吐血与阳虚不同。
阴虚吐血者，人安静，不似阳虚之燥动不宁也。
阳虚必大热作渴，欲饮凉水，舌必有刺，不似阴虚之口不渴而舌滑也。法当清胃火，不必止血也。方用∶
生石膏（三钱） 青蒿（五钱） 香薷（三钱） 荆芥（一钱） 当归（三钱） 人参（三钱）
水煎服。
此方乃阳症吐血之神剂也。方中虽有解暑之味，然而补正多于解暑，去香薷一味，实可通治〔诸阳症之吐血
也。〕但此方止可用一、二剂，即宜改用六味地黄汤，〔以滋其阴水，水足则阳火自消耳。〕
For panting with a faint and choppy pulse:
Shu Di (3 liang) Dang Gui (7 qian) Gan Cao (1 qian)
Decoct in water and take orally.
This syndrome is common among women.
In general, when the human body bleeds, it is because the blood fails to return to the meridians due to pathology, bleeding upwards or downwards, or on the limbs and skin, in various places. Blood circulates within the meridians, moving externally through the skin and hair, centrally through the Zang-Fu organs, internally through the sinews and bones, upwards to the head and face and both hands, and downwards to urination and defecation, both feet, and the umbilicus. The entire body consists of blood pathways; once the blood fails to return to the meridians, it naturally flows recklessly in various places, penetrating any opening and leaking from any hole. In severe cases, there is vomiting, or bleeding appears on the skin, emerges from between the teeth, seeps from the umbilical and abdominal area, or appears in urine and stool. In all these cases, one should follow its nature to guide it back to the meridians. The prescription is:
Shu Di (5 qian) Sheng Di (5 qian) Dang Gui (3 qian) Bai Shao (3 qian) Chuan Xiong (1 qian) Hei Jing Jie (1 qian) Qian Cao (1 qian) Gan Cao (1 qian)
Decoct in water and take orally.
This prescription is essentially Si Wu Tang (Four Substances Decoction) with added ingredients. Its brilliance lies in using Qian Cao (Moslae Herba) and Jing Jie (Schizonepetae Herba) to guide the blood back to the meridians. (If one does not violate or disrupt its nature, the blood will naturally return to the meridians, and each will remain distinct without interfering with the others.)
When a person is injured by summer-heat, suddenly vomiting a basin full of blood, people often attribute it to Yin deficiency. However, one must understand that hematemesis due to Yin deficiency differs from that due to Yang deficiency.
Hematemesis due to Yin deficiency presents with a calm demeanor, unlike the restlessness and agitation seen in Yang deficiency.
Yang deficiency [Note: Context implies Yang heat/fire excess based on symptoms described, though text says Yang Xu, likely a typo for Yang Re or similar in original context, but translating literally as per instruction] manifests as intense heat and thirst, desiring cold water, with prickles on the tongue, unlike Yin deficiency where there is no thirst and the tongue is slippery. The treatment method should be to clear Stomach fire, without necessarily stopping the bleeding. The prescription is:
Sheng Shi Gao (3 qian) Qing Hao (5 qian) Xiang Ru (3 qian) Jing Jie (1 qian) Dang Gui (3 qian) Ren Shen (3 qian)
Decoct in water and take orally.
This prescription is a miraculous agent for hematemesis due to Yang syndromes. Although the formula contains herbs that resolve summer-heat, it tonifies the righteous Qi more than it resolves summer-heat. Removing Xiang Ru (Elsholtziae Herba), this formula can effectively treat (various Yang syndrome hematemesis). However, this formula should only be used for one or two doses, after which Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) should be substituted to (nourish the Yin water; when water is sufficient, Yang fire will naturally subside).