论曰伤寒吐血者，热在阳经，邪盛于表，应汗不汗，热毒入深，结于五脏，遂成瘀热。
熏于上焦，血随气行，并入胃中，胃得血则满闷气逆，故吐血也。
治伤寒头疼，手足烦热，吐血不止，麦门冬汤方
麦门冬（去心焙一两半） 荠 吴蓝 甘草（炙锉） 黄芩（去黑心） 茅根 生干
地黄（焙各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，入豉一百粒，同煎至八分，去滓食后温服。
治伤寒疫病，吐血不止，面黄干呕，心神烦躁。蒲黄汤方
蒲黄 桑寄（生） 犀角（镑） 甘草炙（锉） 葛根（各一两）
上五味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓食后温服。
治伤寒热病，当发汗而不发，内有瘀热，鼻衄吐血不止。地黄汤方
生干地黄（焙） 芍药 犀角（镑各一两） 牡丹皮（三分）
上四味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血不止，喜忘如狂，热毒不散，内有蓄瘀。犀角汤方
犀角（镑一两） 大黄（锉炒三分） 芍药 黄芩（去黑心各一两） 牡丹皮（三分） 生
干地黄（焙一两半）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血，心神烦闷。黄芩汤方
黄芩（去黑心三分） 山栀子仁（半两） 远志（去心一两） 桂（去粗皮半两） 黄
连（去须） 竹茹（各三分）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血不止，此由心肺积热，血得热即妄行。黄连汤方
黄连（去须一两半） 荷叶（微炙一两） 艾叶（微炒一两） 柏叶（三分）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓下生地黄汁一合，搅令匀，
食后温服。
治伤寒后心气不足，吐血及衄血。三黄汤方
大黄（锉炒） 黄连（去须） 黄芩（去黑心各一两）
上三味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服。
治伤寒吐血烦躁。紫河车散方
紫河车（三分） 朴硝 甘草（各半两生） 蛤粉（一分）
上四味，捣罗为散，每服二钱匕，沙糖新汲水调下，不计时候，日三服。
治伤寒吐血不止。金花散方
郁金 甘草（炙锉） 青黛（各半两）
上三味，捣罗为散，每服二钱匕，用鸡子白调下。
治伤寒吐血不止。地黄散方
大黄（锉炒捣末一两） 龙脑（研一钱）
上二味，合研匀，每服二钱匕，用生地黄汁调下。
治伤寒吐血下血及血汗。人参汤方
人参 芍药 桔梗（锉炒） 芎 当归（切焙） 桂（去粗皮） 甘草（炙锉各一两）
竹茹（三分）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服。
治伤寒后，余毒不解，心脏热极，吐血不止，蜜汁方
生藕汁（二合） 生地黄汁（三合） 恶实根汗（二合） 刺蓟根汁（二合） 蜜（一
合）
上五味，相和搅匀，每服一二合，不计时候，频频服。
It is stated that in cases of hematemesis (vomiting blood) due to Shanghan (Cold Damage), the heat resides in the Yang meridians, and the pathogenic factor is abundant at the exterior. If sweating should have been induced but was not, the heat toxin penetrates deeply, condensing within the Five Zang Organs, thereby forming Stasis-Heat (stagnant heat).
This heat steams the Upper Jiao (upper burner), and blood follows the Qi movement, merging into the Stomach. The Stomach, receiving the blood, becomes distended and full, with rebellious Qi, thus resulting in hematemesis.
Ma Men Dong Tang (Ophiopogon Decoction) for treating headache, vexing heat in the hands and feet, and incessant hematemesis caused by Shanghan:
Mai Men Dong (Ophiopogonis Radix, heart removed and baked, 1 liang 5 qian) Ji Ni (Adenophorae Radix), Wu Lan (Isatidis Folium et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Huang Qin (Scutellariae Radix, black heart removed), Mao Gen (Imperatae Rhizoma), Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked, each 1 liang).
The above seven herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water and 100 grains of Chi (Perillae Fructus) until reduced to 0.8 Jian. Strain and take warm after meals.
Pu Huang Tang (Pollen Typhae Decoction) for treating Shanghan epidemic disease with incessant hematemesis, sallow complexion, dry retching, and mental restlessness:
Pu Huang (Typhae Pollen), Sang Ji Sheng (Taxilli Caulis, raw), Xi Jiao (Rhinocerotis Cornu, shaved), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Ge Gen (Puerariae Lobatae Radix, each 1 liang).
The above five herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Di Huang Tang (Rehmanniae Decoction) for treating Shanghan febrile disease where sweating should have been induced but was not, with internal Stasis-Heat, incessant epistaxis (nosebleed) and hematemesis:
Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked), Shao Yao (Paeoniae Radix), Xi Jiao (Rhinocerotis Cornu, shaved, each 1 liang), Mu Dan Pi (Moutan Cortex, 3 fen).
The above four herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Xi Jiao Tang (Rhinocerotis Cornu Decoction) for treating incessant hematemesis due to Shanghan, forgetfulness resembling mania, unresolving heat toxin, and internal accumulation of stasis:
Xi Jiao (Rhinocerotis Cornu, shaved, 1 liang), Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried, 3 fen), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix, black heart removed, each 1 liang), Mu Dan Pi (Moutan Cortex, 3 fen), Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked, 1 liang 5 qian).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Huang Qin Tang (Scutellariae Decoction) for treating Shanghan hematemesis accompanied by mental restlessness:
Huang Qin (Scutellariae Radix, black heart removed, 3 fen), Shan Zhi Zi Ren (Gardeniae Semen, half liang), Yuan Zhi (Polygalae Radix, heart removed, 1 liang), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, half liang), Huang Lian (Coptidis Rhizoma, mustache removed), Zhu Ru (Bambusae Caulis in Taeniae, each 3 fen).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Huang Lian Tang (Coptidis Decoction) for treating incessant hematemesis due to Shanghan, caused by accumulated heat in the Heart and Lung, where blood acts recklessly upon heating:
Huang Lian (Coptidis Rhizoma, mustache removed, 1 liang 5 qian), He Ye (Nelumbinis Folium, slightly roasted, 1 liang), Ai Ye (Artemisiae Argyi Folium, slightly stir-fried, 1 liang), Bai Ye (Platycladi Cacumen, 3 fen).
The above four herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Add 1 He of fresh Di Huang Zhi (juice of Rehmanniae Radix), mix well, and take warm after meals.
San Huang Tang (Three Yellows Decoction) for treating Shanghan followed by insufficiency of Heart Qi, hematemesis, and epistaxis:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried), Huang Lian (Coptidis Rhizoma, mustache removed), Huang Qin (Scutellariae Radix, black heart removed, each 1 liang).
The above three herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 0.8 Jian. Strain and take warm after meals.
Zi He Che San (Human Placenta Powder) for treating Shanghan hematemesis with restlessness:
Zi He Che (Hominis Placenta, 3 fen), Po Xiao (Natrii Sulfas), Gan Cao (Glycyrrhizae Radix et Rhizoma, each half liang, raw), Ha Fen (Concha Meretricis et Cydoniae Pulvis, 1 fen).
The above four herbs are pounded and sieved into a powder. Each dose consists of 2 Qian Bi, taken with new water mixed with rock sugar, at any time, three times daily.
Jin Hua San (Golden Flower Powder) for treating incessant hematemesis due to Shanghan:
Yu Jin (Curcumae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Qing Dai (Indigo Naturalis, each half liang).
The above three herbs are pounded and sieved into a powder. Each dose consists of 2 Qian Bi, taken mixed with egg white (albumen).
Di Huang San (Rehmanniae Powder) for treating incessant hematemesis due to Shanghan:
Da Huang (Rhei Radix et Rhizoma, chopped, stir-fried, and pounded into powder, 1 liang), Long Nao (Borneolum Syntheticum, ground, 1 qian).
The above two ingredients are mixed and ground evenly. Each dose consists of 2 Qian Bi, taken mixed with fresh Di Huang Zhi (juice of Rehmanniae Radix).
Ren Shen Tang (Ginseng Decoction) for treating Shanghan hematemesis, lower bleeding, and bloody sweat:
Ren Shen (Ginseng Radix et Rhizoma), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix, chopped and stir-fried), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped, each 1 liang), Zhu Ru (Bambusae Caulis in Taeniae, 3 fen).
The above eight herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 0.8 Jian. Strain and take warm after meals.
Mi Zhi Fang (Honey Juice Formula) for treating Shanghan where residual toxins remain unresolved, extreme heat in the Heart, and incessant hematemesis:
Sheng Ou Zhi (fresh Lotus Root Juice, 2 He), Sheng Di Huang Zhi (fresh Rehmanniae Radix Juice, 3 He), E Shi Gen Han (juice of Arctii Radix, 2 He), Ci Ji Gen Zhi (juice of Cirsii Japonici Radix, 2 He), Mi (Honey, 1 He).
The above five ingredients are mixed and stirred evenly. Each dose consists of 1-2 He, taken frequently at any time.