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Regarding hemoptysis (coughing up blood) caused by true Lao disease (severe pulmonary tuberculosis), Chu Cheng of the Southern Qi dynasty stated, "Drinking urine ensures that not one in a hundred will die." This is because urine can clear deficiency heat from the Zang and Fu organs and subdue floating fire. Hemoptysis due to Lao disease can indeed be treated by this method, which is most crucial. However, there is a specific protocol, commonly known as "Huan Yuan Tang" (Returning to Origin Decoction). This involves drinking one's own fresh urine. During this period, one should avoid eating fishy or foul-smelling foods; the diet should be slightly bland, with white rice porridge for dinner. After persisting in this for several days, during the Wugeng time (3-5 AM) or early morning, discard the initial and final portions of the urine, taking only the middle portion (approximately one bowl) to drink. If one can further practice mental clarity, abstain from sexual desires, and regulate emotions, even chronic ailments can be cured within a few days. In a village temple in Haiyan County, there was a monk skilled in treating all types of overstrain injuries, deficiency damage, and hemoptysis, including dry Lao conditions where no blood remains to be coughed up. This monk knew nothing of the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) or the *Huangdi Neijing* (Yellow Emperor's Inner Canon). He was merely adept at guiding proper daily routines and dietary adjustments. Patients who stayed in his temple for three to six months saw eight or nine out of ten recover. Although this involved no medicinal treatment, it deserves recording among the deeds of renowned physicians. I cite this example to hope that patients understand the methods of proper living and dietary regulation, rather than relying solely on herbal roots and barks, leading to prolonged illness without recovery. Blood is governed by the Heart, controlled by the Spleen, and stored by the Liver. If excessive mental exertion causes Heart Yang to fail in controlling the blood, resulting in hematemesis (vomiting blood), herbs such as *Ren Shen* (Ginseng Radix et Rhizoma), *Zao Ren* (Ziziphi Spinosae Semen), *Fu Shen* (Poria with Hostwood), *Bai Zi Ren* (Biota Seed), *Mai Dong* (Ophiopogonis Radix), *Mu Dan Pi* (Moutan Cortex), *Xi Jiao* (Rhinoceros Horn - note: substitute with Buffalo Horn in modern practice), *Sheng Di Huang* (Rehmanniae Radix), *Mao Gen* (Imperatae Rhizoma), and *Ou Jie* (Nelumbinis Node) may be used. It is necessary to add *Ju Hong* (Citri Reticulatae Pericarpium Rubrum), *Tong Cao* (Tetrapanacis Medulla), and *Niu Xi Tan* (Achyranthis Bidentatae Radix Carbonized) to soothe and unblock the qi. If fatigue and overwork injure the Spleen, herbs such as *Ren Shen*, *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), *Fu Shen*, *Zhi Gan Cao* (Glycyrrhizae Radix et Rhizoma Preparata), *Guang Pi* (Citri Reticulatae Pericarpium), *Gui Shen* (Angelicae Sinensis Radix), *Zhi Ce Bai Ye* (Platycladi Cacumen Preparatum), and *Ou Jie* may be used. If anger injures the Liver, herbs such as *Mu Dan Pi*, *Sang Ye* (Mori Folium), *Sheng Di Huang Tan* (Rehmanniae Radix Carbonized), *Gui Shen Tan* (Angelicae Sinensis Radix Carbonized), *Chao Bai Shao* (Paeoniae Radix Alba Preparata), *Gou Teng* (Uncariae Ramulus cum Uncis), *Bai Ji Li* (Tribuli Fructus), and *Gan Cao* (Glycyrrhizae Radix et Rhizoma) may be used. The above herbs do not constitute a fixed formula; they are selected based on their compatibility with the affected Zang organs. Physicians with flexible clinical reasoning may select and apply them appropriately. There are several types of hemoptysis: Hematemesis belongs to the Yangming Stomach channel and is often associated with the Jueyin Liver channel, hence the large volume filling basins and bowls. Hemoptysis (coughing up blood) and spitting saliva with blood originate from the Lung and Kidney. Coughing up blood may involve the Heart, Lung, and Stomach channels. Blood in sputum is mostly related to the Liver and Kidney; vomiting red phlegm indicates Spleen deficiency and Lung heat. Injury to the Heart, Liver, and Kidney occurs first, subsequently affecting the Spleen, Stomach, and Lung. True Lao disease presenting with hemoptysis is difficult to treat. For other cases, one must differentiate the affected Zang and Fu organs and the etiology, treating according to the symptoms. There are cases of hemoptysis caused by external pathogenic factors; these can be observed in my medical records.