治吐衄证，其人下元虚损，中气衰惫，冲气胃气因虚上逆，其脉弦而硬急，转似有力者。
野台参（五钱） 生赭石（八钱，轧细） 生芡实（六钱） 生山药（六钱） 生杭芍（六钱） 牛蒡子（二钱，
炒捣） 甘草（钱半）
附录∶
友人毛××曾治一少年吐血证。其人向经医者治愈，旋又反复。毛××诊其脉弦而有力，知其为冲胃之气上逆
也。遂于治吐血方中，重用半夏、赭石以降逆，白芍、牡蛎（不 ）以敛冲泻热，又加人参以补其中气，使中
气健旺以斡旋诸药成功。有从前为治愈之医者在座，颇疑半夏不可用，毛××力主服之。一剂血止，再剂脉亦
和平，医者讶为异事。毛××晓知曰∶“此证乃下元虚损，冲气因虚上逆，并迫胃气亦上逆，脉似有力而非真有
力，李士材四字脉诀所谓∶直上直下，冲脉昭昭者，即此谓也。若误认此脉为实热，而恣用苦寒之药凉其血分，
血分因凉而凝，亦可止而不吐，而异日瘀血为恙，竟成劳瘵者多矣。今方中用赭石、半夏以镇冲气，使之安其
故宅，而即用白芍、牡蛎以敛而固之，使之永不上逆。夫血为气之配，气为血之主，气安而血自安矣，此所以
不治吐血，而吐血自止也。况又有人参之大力者，以参赞诸药，使诸药之降者、敛者，皆得有所凭借以成功乎。”
To treat hematemesis (vomiting blood) and epistaxis (nosebleed), where the patient suffers from deficiency and damage in the lower yuan (kidney and mingmen), and exhaustion of middle qi (spleen and stomach qi). The chong qi (penetrating vessel qi) and stomach qi, due to deficiency, rebel upwards. The pulse is wiry, hard, and rapid, appearing seemingly forceful upon movement.
Ye Taishen (Five qian) Raw Hematite (Eight qian, finely ground) Raw Euryale Seed (Six qian) Raw Chinese Yam (Six qian) Raw Hang Peony Root (Six qian) Cowherb Seed (Two qian, stir-fried and crushed) Licorice Root (One and a half qian)
Appendix:
My friend Mao XX once treated a young man suffering from hematemesis. This patient had previously been cured by another physician but relapsed repeatedly. Upon palpating his wiry and seemingly forceful pulse, Mao XX determined that it was caused by the rebellion of chong qi and stomach qi upwards. Consequently, in his formula for treating hematemesis, he heavily used Pinellia Tuber (Banxia) and Hematite (Heshi) to direct rebellious qi downwards, White Peony Root (Baishao) and Oyster Shell (Muli, calcined) to consolidate chong qi and drain heat, and added Ginseng Radix et Rhizoma (Renshen) to tonify middle qi, thereby strengthening middle qi to facilitate the success of the other herbs. A physician who had previously cured this patient was present and greatly doubted the use of Pinellia Tuber, but Mao XX strongly advocated for its administration. After one dose, the bleeding stopped; after two doses, the pulse became harmonious. The physician was astonished, considering it a miraculous event. Mao XX explained: "This condition stems from deficiency and damage in the lower yuan, causing chong qi to rebel upwards due to deficiency, which in turn forces stomach qi to rebel. The pulse appears forceful but is not truly so. As stated in Li Shicai's 'Four-Character Pulse Manual': 'Straight up and straight down, the chong vessel is evident,' refers precisely to this situation. If one mistakenly identifies this pulse as excess heat and recklessly uses bitter-cold drugs to cool the blood level, the blood may coagulate due to coldness, stopping the bleeding temporarily. However, blood stasis may later become a pathology, often evolving into lao zhai (consumptive disease with tuberculosis-like symptoms). In the current formula, Hematite and Pinellia Tuber are used to suppress chong qi, allowing it to remain in its original residence, while Baishao and Muli are used to consolidate and secure it, preventing upward rebellion forever. Blood is the companion of qi, and qi is the master of blood; when qi is tranquil, blood naturally becomes tranquil. This is why we do not directly treat the hematemesis, yet it stops spontaneously. Moreover, the powerful Ginseng Radix et Rhizoma assists the other herbs, enabling the descending and consolidating actions of the formula to succeed through reliance."