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Ginseng Radix et Rhizoma (remove the rhizome, 2 liang)
For cases of excessive bleeding from either the upper or lower parts of the body, where the pulse is faint and nearly imperceptible, this formula should be urgently employed as the primary treatment.
Blood serves as the guardian of Qi, while Qi acts as the protector of Blood; they are mutually dependent and inseparable. If excessive bleeding occurs, Qi becomes isolated Yang and is on the verge of floating away uncontrollably, resulting in a faint and nearly imperceptible pulse. At such a critical moment, tangible Blood cannot be generated rapidly, whereas the nearly depleted Qi must be urgently consolidated. Therefore, sweet-warm Ren Shen (Radix Ginseng) is used to consolidate Yuan Qi (Original Qi), thereby weighing the urgency against the severity. Thus it is said that "for blood loss, benefit Qi," which is the method of ancient sages. Some who do not understand this principle, upon seeing blood loss, prescribe Si Wu Tang (Four Substances Decoction). However, Chuan Xiong Rhizoma (Rhizoma Chuanxiong)'s aromatic and penetrating nature can scatter the nearly depleted Qi, while Dang Gui Radix (Radix Angelicae Sinensis), Bai Shao Radix (Radix Paeoniae Alba), and Di Huang (Rehmanniae Radix) are all yin-nourishing and descending agents that cannot generate blood instantly. This approach fails to seize the opportunity for rescue, leading to premature death. Is this what medicine is about?

Ren Shen Radix et Rhizoma (remove the rhizome) Atractylodis Macrocephalae Rhizoma (stir-fried) Poria (remove the bark) Glycyrrhizae Radix et Rhizoma Preparata (honey-fried) Dang Gui Radix (wine-washed) Chuan Xiong Rhizoma (wine-washed) Bai Shao Radix (wine-stir-fried)
Di Huang (Rehmanniae Radix)
For conditions characterized by deficiency of both Qi and Blood, this formula is indicated.
The human body consists merely of Qi and Blood. Qi is the father of the hundred bones (the entire skeletal structure and limbs), and Blood is the mother; neither should be allowed to lose nourishment. In this formula, Ren Shen, Bai Zhu, Fu Ling, and Zhi Gan Cao are sweet-warm substances used to tonify Qi. Dang Gui, Chuan Xiong, Bai Shao, and Di Huang are moist and rich substances used to nourish Blood. When Qi is abundant, the hundred bones derive their growth from it; when Blood is abundant, the hundred bones derive their nourishment from it. Once the physical form is充盈 (full and robust), various pathogenic factors cannot invade, hence people find solace in medicinal herbs.

Sheng Xi Jiao (fresh rhinoceros horn, sliced thinly) Sheng Di Huang (fresh Rehmanniae Radix) Bai Shao Radix Mu Dan Pi Cortex Moutan
For persistent hematemesis (vomiting blood) and epistaxis (nosebleed), this formula is indicated.
Bleeding from the mouth is termed hematemesis, while bleeding from the nose is termed epistaxis. These two manifestations arise when fire rebels internally, causing blood to follow the fire upward. However, hematemesis is attributed to the fu organs, while epistaxis is attributed to the meridians; investigating their root cause reveals that both stem from flaming-upward fire. Fire is governed by the Heart, so fresh Xi Jiao (Rhinoceros Horn) and Sheng Di Huang are used to cool the Heart and clear heat. The Heart is generated by the Liver (Wood generates Fire); therefore, Mu Dan Pi and Bai Shao are used to soothe the Liver and drain its mother organ (Liver being the mother of Heart), representing a treatment that addresses the root source. Currently, some physicians treat hematemesis by washing the feet with cold water, embodying the principle of removing firewood from under the cauldron (addressing the root). For epistaxis, they apply cold water to the back of the neck, addressing the fire in the Taiyang Meridian. Both are excellent methods. Refer to the Cough section and the Smallpox/Rash section for cross-references.