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Treatment for conditions of Excess Yang and Deficiency Yin, where Heat forces blood to run recklessly, resulting in hematemesis (vomiting blood), hemoptysis (coughing up blood), or epistaxis (nosebleed). The therapeutic principle is to Clear Heat and Descend.

Sheng Di Huang (Rehmanniae Radix Praeparata) [Note: Text says 生地黄 which is raw, usually Sheng Di Huang], Sheng He Ye (Nelumbinis Folium), Sheng Ce Bai Ye (Platycladi Cacumen), Sheng Ai Ye (Artemisiae Argyi Folium) (equal parts). Finely cut, pounded together until extremely soft to form pills the size of a chicken egg. Take one pill per dose, decoct in water, remove dregs, and take.
For severe hematemesis, decoct this pill in water, mix with 1-2 qian of Hua Rui San, which is especially effective.

Hua Rui San can transform stasis into fluid without damaging the Zang-Fu organs; it is truly a miraculous medicine.
Hua Rui Shi (Pyritum) (one jin), Ming Liu Huang (Sulfur) (four liang). Place in a clay pot, seal the mouth, tightly bind with iron wire, wrap with salt mud, dry in the sun, surround with hard charcoal, refine by burning two incense sticks, grind into fine powder, sieve. Take 2-3 qian per dose, mix with child's urine (Tong Bian) and hot wine.

Sheng Di Huang (San Qi / three qian), Niu Xi (Achyranthis Bidentatae Radix), Dan Pi (Moutan Cortex), Hei Shan Zhi (Gardeniae Fructus Carbonized) (each Yi Qian / one qian), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Yuan Shen (Scrophulariae Radix), Mai Dong (Ophiopogonis Tuber), Bai Shao (Paeoniae Radix Alba) (each Yi Qian Wu Fen / one qian five fen), Yu Jin (Curcumae Radix), Guang San Qi (Notoginseng Radix et Rhizoma), He Ye (Nelumbinis Folium) (each Qi Fen / seven fen). Decoct in water, add half cup of Chen Mo Zhi (Ink stick juice) and half cup of Qing Tong Bian (clear child's urine), mix and take.
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) nourishes the congenital foundation, generates Kidney Water, and controls deficiency Fire. It is an essential medicine in medical practice and a spiritual elixir for red symptoms (bleeding disorders). See "Lei Zhong" (Apoplexy-like syndromes).
Li Zhong Tang (Regulate the Middle Decoction) (See "Zhong Han Men" - Cold Damage to the Middle Jiao).

Treatment for conditions of Excess Yin and Deficiency Yang, where the body cannot control blood, leading to the scattering of Yin blood. The therapeutic principle is to Warm and Tonify.

Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (each Yi Qian / one qian), Da Zao (Jujubae Fructus) two pieces, Sheng Jiang (Zingiberis Rhizoma Recens) one piece. Decoct in water and take.

For massive hematemesis, vomiting a sheng or dou (large quantities). First use Hua Rui San to stop bleeding, then follow with Du Shen Tang (Single Ginseng Decoction) to tonify. This follows the principle of "Tonifying Qi when Blood is depleted," adhering to the theory that "Yang generates Yin." For those of poor means, Gui Pi Tang may be used as a substitute.
Ren Shen (remove Lu / rhizome, one liang). Decoct in water and take. Allow the patient to fall into a deep sleep; do not wake them abruptly, so that Yin blood can regenerate.

Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Zao Ren (Ziziphi Spinosae Semen, stir-fried), Bai Shao (Paeoniae Radix Alba) (each Yi Qian / one qian), Huang Qi (Astragali Radix) (Yi Qian Wu Fen / one qian five fen), Yuan Zhi (Polygalae Radix, remove heart, soak) (Qi Fen / seven fen), Gan Cao (Licorice Root, prepared) (Wu Fen / five fen), Yuan Yan Rou (Longan Aril) (five pieces). Decoct in water and take.