主衄血方。
生地黄 黄芩（各一两） 柏叶（一把） 阿胶（炙） 甘草（炙，各二两）
上五味， 咀。以水七升，煮取三升，去滓，纳胶煎取二升五合，分三服。
又方∶
生地黄（三斤，切） 阿胶（二两，炙） 蒲黄（六合）
上三味，以水五升，煮取三升，分三服。
治鼻口沥血三升，气欲绝方。
龙骨细筛一枣核许，微以气吹入鼻中即断，更出者再吹之，取瘥止。
又方∶细切葱白，捣绞取汁，沥鼻中一枣许，即断，慎酒、肉、五辛、热面、生冷等。
主衄血不止方∶
阿胶（炙） 龙骨 当归 细辛 桂心（各一两） 蒲黄（五合） 乱发（三两，烧灰）
上七味，捣筛为散。先食饮服方寸匕，日三服，三剂瘥，亦可蜜丸酒服。
主鼻衄、五脏热结，或吐血、衄血方。
伏龙肝（鸡子大，一枚） 生地黄（一斤，切） 生竹茹（一升） 芍药 当归 黄芩 芎
上九味， 咀。以水一斗三升煮竹茹，减三升，纳药，煮取三升，分三服。（《千金》
无桂心）
主失血虚劳，胸腹烦满疼痛，血来脏虚不受谷气，呕逆，不用食，补中治血方。
干地黄（三两） 浓朴（炙） 干漆（熬） 枳实（炙） 干姜 防风 大黄 细辛 白
术（各
一两） 前胡（一两半） 人参 茯苓（各五分） 虻虫（去翅足，熬） 虫（熬，各十
五枚）
当归 黄芩 麦门冬（去心） 甘草（炙，各二两）
上一十八味，捣罗为末，炼蜜和丸，如梧子。先食，酒服五丸，日三。
论曰∶凡下血者，先见血后见便，此为远血，宜服黄土汤；先见便，后见血，此为近血
，宜服赤小豆当归散。人病虽一，得病之始不同，血气强弱堪否次第，是以用药制方，随其
浅深，取其能堪，为方不一，各取所宜也。
黄土汤方
灶中黄土（半升） 甘草（炙） 干地黄 白术 附子（炮，去皮） 阿胶 黄芩（各
三两）
上七味， 咀。以水八升，煮取二升，分温三服，亦主吐血。
赤小豆当归散方
赤小豆（三升浸令芽出，曝干） 当归（三两）
上二味，捣筛为散。浆服一方寸匕，日三。
Formulas for Epistaxis.
**Formula for Epistaxis**
*Shengdihuang* (Radix Rehmanniae Preparata), *Huangqin* (Scutellariae Radix) [1 liang each], *Baiye* (Cacumen Platycladi) [one handful], *Ejiao* (Colla Corii Asini, prepared by frying) [2 liang], *Gancao* (Radix Glycyrrhizae Preparatae) [2 liang].
Crush the above five herbs. Decoct in 7 sheng of water to obtain 3 sheng. Strain the dregs, add *Ejiao*, and decoct again to obtain 2.5 sheng. Divide into three doses.
**Another Formula**
*Shengdihuang* (Radix Rehmanniae Preparata) [3 jin, sliced], *Ejiao* (Colla Corii Asini, prepared by frying) [2 liang], *Puhuang* (Pollen Typhae) [6 he].
Decoct the above three herbs in 5 sheng of water to obtain 3 sheng. Divide into three doses.
**Formula for Nasal and Oral Hemorrhage with Impending Collapse**
For nasal and oral hemorrhage amounting to 3 sheng, with breath nearly failing:
Sift fine powder of *Longgu* (Os Draconis or Os Mastodi). Take an amount the size of a jujube pit, gently blow it into the nostril to stop bleeding. If bleeding recurs, blow again. Continue until healed.
**Another Formula**
Finely chop white parts of scallion (*Congbai*), crush and squeeze to extract juice. Drip an amount the size of a jujube pit into the nostril to stop bleeding. Avoid alcohol, meat, "five pungent spices" (garlic, allium nectar, turnip greens, coriander, asafetida), hot noodles, and raw/cold foods.
**Formula for Incessant Epistaxis**
*Ejiao* (Colla Corii Asini, prepared by frying), *Longgu* (Os Draconis or Os Mastodi), *Danggui* (Angelicae Sinensis Radix), *Xixin* (Asari Radix et Rhizoma), *Guixin* (Cortex Cinnamomi) [1 liang each], *Puhuang* (Pollen Typhae) [5 he], *Luanfa* (Hair, burned to ash) [3 liang].
Crush and sieve the above seven herbs into a powder. Take one *cunbi* (square-inch measure) with warm water before meals, three times daily. Three doses will cure. Alternatively, make honey pills and take with wine.
**Formula for Epistaxis, Heat Stagnation in Five Zang Organs, Hematemesis, or Epistaxis**
*Fulonggan* (Caulis Longanae Ardentis), *Shengdihuang* (Radix Rehmanniae Preparata) [1 jin, sliced], *Shengzhuru* (Bambusae Caulis in Taeniam), *Shaoyao* (Paeoniae Radix), *Danggui* (Angelicae Sinensis Radix), *Huangqin* (Scutellariae Radix), *Xiong* (Ligustici Chuanxiong Rhizoma).
Crush the above nine herbs. Decoct *Shengzhuru* in 13 sheng of water until reduced by 3 sheng. Add other herbs and decoct to obtain 3 sheng. Divide into three doses. (Note: *Guixin* is absent in the original text of *Qianjin Yaofang*).
**Formula for Deficiency Consumption due to Blood Loss, Chest/Abdominal Fullness/Pain, Organ Weakness Unable to Receive Grain Qi, Vomiting/Nausea, Anorexia, Tonifying Middle Jiao and Treating Bleeding**
*Gandihuang* (Radix Rehmanniae Preparata) [3 liang], *Houpo* (Magnoliae Officinalis Cortex, prepared by frying), *Ganqi* (Resina Taxodi), *Zhishi* (Fructus Aurantii Immaturus, prepared by frying), *Ganjiang* (Zingiberis Rhizoma), *Fangfeng* (Saposhnikoviae Radix), *Dahuang* (Rhei Radix et Rhizoma), *Xixin* (Asari Radix et Rhizoma), *Baizhu* (Atractylodis Macrocephalae Rhizoma) [1 liang each], *Qianhu* (Peucedani Radix) [1.5 liang], *Renshen* (Ginseng Radix), *Fuling* (Poria) [0.5 fen each], *Mengchong* (Blatta orientalis, wings and feet removed, prepared by frying), *Chong* (Eupolyphaga or Steleophaga, prepared by frying) [15 each], *Danggui* (Angelicae Sinensis Radix), *Huangqin* (Scutellariae Radix), *Mendong* (Ophiopogonis Tuber, heart removed), *Gancao* (Radix Glycyrrhizae Preparatae) [2 liang each].
Crush and sieve the above eighteen herbs into powder. Mix with refined honey to form pills the size of wu zi (wuju fruit seeds). Take five pills with wine before meals, three times daily.
**Discussion:**
In cases of lower gastrointestinal bleeding, if blood appears before stool, it is termed "remote blood" (Yuan Xue), suitable for treatment with *Huangtu Tang*. If stool appears before blood, it is termed "proximate blood" (Jin Xue), suitable for treatment with *Chixiaodou Danggui San*. Although the disease is the same, the initial onset differs, and the strength of qi and blood varies in tolerance. Therefore, prescription formulation must follow the depth of the pathology and the patient's capacity, resulting in diverse formulas tailored to specific indications.
**Huangtu Tang Formula**
*Zaohuangtu* (Caulis Longanae Ardentis) [0.5 sheng], *Gancao* (Radix Glycyrrhizae Preparatae), *Gandihuang* (Radix Rehmanniae Preparata), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Fuzi* (Aconiti Lateralis Radix Praeparata, roasted, skin removed), *Ejiao* (Colla Corii Asini), *Huangqin* (Scutellariae Radix) [3 liang each].
Crush the above seven herbs. Decoct in 8 sheng of water to obtain 2 sheng. Divide into three warm doses. This formula also treats hematemesis.
**Chixiaodou Danggui San Formula**
*Chixiaodou* (Vigna angularis), soaked until sprouted, then dried [3 sheng], *Danggui* (Angelicae Sinensis Radix) [3 liang].
Crush and sieve the above two herbs into a powder. Take one *cunbi* with rice gruel, three times daily.