栀、柏，皆当以盐、酒炒，更加肉桂一分许，以泻肾火。如小便血于溺窍中出，涩数成淋成痛，或杂尿而出者，此从膀
胱中来也，本方加栀子仁、瞿麦、牛膝、滑石之类，以泻膀胱之火。如小便出血不痛者，此心移热于小肠，故血从精窍
中出也，本方加黄连、栀子、条芩之类，以泻本经之火。大便未粪而血先来者，谓之近血，知其从大肠中来也，本方加
槟榔、枳实、槐花、条芩之类，以
泻大肠之火。如大便粪而血来者，谓之远血，知其从小肠中来也，本方木通、萸炒黄连之类，以
泻小肠之火。夫血出于口鼻者，或加犀角、芩、连之类以清之，或加茅花、藕节、棕榈灰、炒蒲黄之类以止之，或加韭
汁、童便、山茶花、牡丹皮之类以消之。其血出于大便者，或加槐花、侧柏叶、条芩之类以清之，或加地榆、荆芥、白
芷、茅根之类以止之。其血出于小便者，或加瞿麦、麦门冬、栀子仁之类以清之，或加滑石、木通、大小蓟之类以行之。
或行之，或清之，或止之，皆当视其证新久缓急而施治之，俱以四物为君主之药也。
（祖传方）
治小便溺血。
用车前草叶 金陵草叶（俗名墨斗草）
上二味，捣取自然汁一盏，空腹饮之，立止。
又发灰丸
用小儿胎发，如无，以壮年无病患头发，剪切者为上，自落者次之，烧灰细研，别用新取侧柏叶捣汁，调糯米粉，
打糊为丸，如梧桐子大，每服五十丸，白汤送下，或煎四物汤送下尤妙，空心服之。
又方 治大便下血。
用 竹叶烧灰存性，米糊为丸，如梧桐子大，每服七、八十丸，空心米饮送下。
（医案）
一男子年四十余，素饮酒无度，得大便下血证，一日入厕二、三次，每次便血一升许，予以四物汤加条芩、防风、
荆芥、白芷、槐花等药，连日与服，不效，后用橡斗烧灰二钱七分，调入前药汁内服之，又与灸脊中对脐一穴，血遂止
而平安，其病自此不发。
Gardeniae Fructus (Zhizi) and Phellodendri Cortex (Baihuangbo), both should be stir-fried with salt and wine, and a small amount of approximately one fen of Cinnamomi Ramulus (Rougui) should be added to clear Kidney Fire. If blood in urine exits from the urethral orifice, accompanied by dysuria, frequency, forming strangury (Lin syndrome) with pain, or if blood is mixed with urine, this originates from the Bladder; add Gardeniae Semen (Zhiziren), Polygoni Citrini Herba (Qumai), Achyranthis Bidentatae Radix (Niuxi), and Talcum (Huashi) to the base formula to clear Bladder Fire. If blood in urine is present without pain, this indicates Heart heat transferring to the Small Intestine, so blood exits from the essence orifice (Jingqiao); add Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), and Scutellariae Radix (Tiaohuangqin) to the base formula to clear the fire of this meridian (Small Intestine Meridian). If blood appears before stool during defecation, it is called "near blood" (Jinxue), indicating the source is the Large Intestine; add Arecae Semen (Binglang), Aurantii Fructus Immaturus (Zhishi), Sophorae Flavescentis Flos (Huaihua), and Scutellariae Radix (Tiaohuangqin) to the base formula to clear Large Intestine Fire. If blood appears after stool during defecation, it is called "far blood" (Yuanxue), indicating the source is the Small Intestine; add Akebiae Caulis (Mutong) and Coptidis Rhizoma (Huanglian) stir-fried with Cornus Officinalis Fructus (Yu) to the base formula to clear Small Intestine Fire. For bleeding from the mouth and nose, add Rhinocerotis Cornu (Xijiao), Scutellariae Radix (Qin), and Coptidis Rhizoma (Lian) to clear heat; or add Imperatae Rhizoma Spica (Maohua), Nymphaeae Nelumbinis Stamen (Oujie), Palmi Folium Cinis (Zonglühui), and Taraxaci Herba (Chaopuhuang) to stop bleeding; or add Allii Tuberosi Juice (Jiuji), Pueri Urina (Tongbian), Camelliae Japonicae Flos (Shanchahua), and Moutan Cortex (Mudanpi) to dissipate stasis. For bleeding from the intestines (implied context of rectal bleeding based on previous sentence structure, though text says "blood coming out of large intestine"), add Sophorae Flavescentis Flos (Huaihua), Platycladi Cacumen (Cebaiye), and Scutellariae Radix (Tiaohuangqin) to clear heat; or add Sanguisorbae Radix (Diyu), Schizonepetae Spica (Jingjie), Angelicae Dahuricae Radix (Baizhi), and Imperatae Rhizoma (Maogen) to stop bleeding. For bleeding from the urinary tract, add Polygoni Citrini Herba (Qumai), Ophiopogonis Radix (Maidong), and Gardeniae Semen (Zhiziren) to clear heat; or add Talcum (Huashi), Akebiae Caulis (Mutong), and Cirsii Japonici Herba (Da Ji / Xiao Ji) to promote blood circulation. Whether promoting circulation, clearing heat, or stopping bleeding, treatment must be administered according to the novelty, chronicity, and urgency of the condition, all using Siwu Decoction as the sovereign drug (Jun Yao).
(Ancestral Formula)
Treating hematuria.
Use Plantaginis Herba (Cheqiancao) leaves and Smilacis Glabrae Rhizoma (Jinlingcao) leaves (commonly known as Modoucao).
Crush these two ingredients to extract natural juice, one cup, and drink on an empty stomach for immediate cessation of bleeding.
Another: Hair Ash Pill (Fahui Wan)
Use hair from infants. If unavailable, use hair from healthy young adults; cut hair is superior, naturally fallen hair is secondary. Burn the hair into ash and grind finely. Separately, crush fresh Platycladi Cacumen (Cebaiye) to extract juice, mix with glutinous rice flour paste to form pills the size of Sophora seeds. Take 50 pills per dose, washed down with warm water, or preferably with Siwu Decoction decoction. Take on an empty stomach.
Another Formula: Treating rectal bleeding.
Burn bamboo leaves to ash while preserving their nature (Cunxing), bind with rice paste into pills the size of Sophora seeds. Take 70-80 pills per dose, washed down with rice water on an empty stomach.
(Medical Case)
A man in his forties, who had a history of excessive alcohol consumption, suffered from rectal bleeding. He visited the toilet two to three times a day, passing approximately one sheng of blood each time. I prescribed Siwu Decoction supplemented with Scutellariae Radix (Tiaohuangqin), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Angelicae Dahuricae Radix (Baizhi), and Sophorae Flavescentis Flos (Huaihua). After several days of administration, there was no effect. Subsequently, I used two qian and seven fen of ash from oak galls (Roudou), mixed into the previous herbal decoction for him to take. Additionally, moxibustion was applied to Mingmen (GV4), located on the midline of the spine opposite the umbilicus. The bleeding ceased, and he recovered safely; the disease did not recur thereafter.