论曰内经谓悲哀太甚，则胞络绝，阳气动中，数溲血，又曰，胞移热于膀胱，为癃溺血，
二者皆虚热妄溢，故溲血不止也，治宜去邪热，调心气。
治小便出血，水道中涩痛。榆白皮汤方
榆白皮（锉三两） 冬葵子（一合） 滑石（二两） 石苇（去毛） 瞿麦（用穗） 生
干地黄（各一两）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至六分，去滓入笔头灰半钱匕、搅匀，食
前温服。
治小便出血，水道中涩痛，金黄汤方
郁金（锉） 瞿麦穗 生干地黄 车前叶 芒硝 滑石（各一两）
上六味，粗捣筛，每服五钱匕，水一盏半，同煎至七分，去滓温服，不拘时候。
治小便失血，面色萎黄，饮食不进，木通汤方
木通（锉） 冬葵子（各半两） 灯心（切一握）
上三味，粗捣筛，每服五钱匕，水二盏，煎至一盏，去滓温服，不拘时候。
治小便出血，槐金散方
槐花（炒） 郁金（锉各一两）
上二味，捣罗为散，每服二钱匕，煎木通汤调下，不拘时候。
治小便出血疼痛，滑石丸方
滑石 车前子 海蛤（各一两） 瞿麦穗 牡蛎（烧） 海金沙 木通（锉） 甘草（炙
各半
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，小蓟汤下，不拘时候。
治小便出血，车前叶汤方
车前叶（干者） 茜根（洗锉） 黄芩（去黑心） 阿胶（炒燥） 地骨皮（洗） 红
蓝花（炒各
上六味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时候。
治小便出血，人参汤方
人参 生干地黄（锉） 芍药（锉） 桔梗（锉） 当归（切焙） 甘草（炙锉） 桂
（去粗皮）
上九味，粗捣筛，每服四钱匕，水二盏，煎至一盏，去滓温服，不拘时候。
治小便出血，木通饮方
木通（锉一两半） 冬葵子（炒半两） 滑石（碎二两） 石苇（去毛炙一两）
上四味，粗捣筛，每服五钱匕，水二盏，煎至一盏，去滓温服，不拘时候。
治肾客热连心，小便出血疼痛，阿胶汤方
阿胶（炒燥） 黄芩（去黑心各三分） 甘草（炙半两） 生地黄（绞取汁） 车前叶
（生者绞
上七味，将前三味粗捣筛，同后四味搅匀，每服一大匙，水一盏，煎至七分，去滓温服，
不拘时候。
治小便出血，木通散方
木通（锉）白茯苓（去黑皮锉各一两） 葶苈（隔纸炒一分）
上三味，捣罗为散，每服二钱匕，煎粟米饮调下，不拘时候。
治小便出血不止，柏叶汤方
柏叶（去梗焙） 甘草（炙锉） 阿胶（炒燥） 黄芩（去黑心锉） 竹茹（切） 生
干地黄（切
上六味，粗捣筛，每服四钱匕，水一盏半，同煎至八分，去滓温服。不拘时候。
治小便出血，地黄丸方
生干地黄（焙） 菟丝子（酒浸一宿曝别捣） 白芷 牡荆实（去萼） 冬葵子（炒） 当
归（
上一十味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，煎粟米饮下，日三。
治小便出血不绝，鸡苏汤方
鸡苏（去土） 石膏（各二两） 竹叶（锉一两）
上三味，粗捣筛，每服四钱匕，水一盏半，煎至一盏，去滓温服，不拘时候。
治膀胱热，小便血不止，蒲黄散方
蒲黄（微炒二两） 郁金（锉三两）
上二味，捣罗为散，每服一钱匕，粟米饮调下，空心晚食前服。
治小便赤色，或小便鲜血，车前子散方
车前子 木通（锉） 泽泻 当归（切焙） 桑螵蛸（炙） 桂（去粗皮） 滑石（等
分）
上七味，捣罗为散，每服二钱匕，煎冬葵根汤下。
治小便出血，黄芩汤方
黄芩（去黑心） 阿胶（炒燥） 甘草（炙锉各二两） 柏叶（一把锉）
上四味，粗捣筛，每服五钱匕，水一盏半，入生地黄一分拍碎，同煎至八分，去滓温服
食前。
治小便血、日夜不止，鹿茸散方
鹿茸（酥炙去毛） 当归（锉焙） 生干地黄（焙各二两） 冬葵子（炒四两半） 蒲
黄（一合）
上五味，捣罗为细散，空腹温酒调三钱匕服，日二。
治小便出血，地黄饮方
地黄汁（一升） 生姜汁（一合）
上二味，并取自然汁相和，分作三服，每服煎一沸温服，自早至日中服尽。
治小肠尿血方
指甲（半钱） 头发（一分）
上二味，烧灰研匀，空心温酒调一钱匕，顿服。
Commentary states: The *Neijing* (Inner Canon) mentions that excessive sorrow leads to the obstruction of the Bao Luo (uterine or bladder collaterals), causing Yang Qi to move chaotically within, resulting in frequent hematuria. It also states that heat transferring from the Bao to the Bladder causes strangury with blood in the urine. Both conditions belong to deficiency-heat forcing blood to overflow recklessly, thus causing persistent hematuria. Treatment should focus on eliminating pathogenic heat and regulating Heart Qi.
For hematuria accompanied by astringent pain in the urinary tract: Yu Bai Pi Tang (Elm Bark Decoction).
Yu Bai Pi (Cortex Ulmi, sliced, 3 liang), Dong Kui Zi (Semen Malvae, 1 he), Hua Shi (Talcum, 2 liang), Shi Wei (Folium Pyri Betulae, de-hairy), Qu Mai (Herba Dianthi, using spikes), Sheng Gan Di Huang (Radix Rehmanniae Preparata, each 1 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water until reduced to 0.6 zhan. Strain the decoction, add 0.5 qian bi of Bitou Hui (Ash from brush tips), mix well, and take warm before meals.
For hematuria accompanied by astringent pain in the urinary tract: Jin Huang Tang (Golden Yellow Decoction).
Yu Jin (Radix Curcumae Longae, sliced), Qu Mai Sui (Spikes of Herba Dianthi), Sheng Gan Di Huang (Radix Rehmanniae Preparata), Che Qian Ye (Folium Plantaginis), Mang Xiao (Natrii Sulfas), Hua Shi (Talcum, each 1 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water until reduced to 0.7 zhan. Strain and take warm at any time.
For hematuria with sallow complexion and loss of appetite: Mu Tong Tang (Akebia Decoction).
Mu Tong (Caulis Akebiae, sliced), Dong Kui Zi (Semen Malvae, each 0.5 liang), Deng Xin (Medulla Junci, cut into a handful).
The above three herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted in 2 zhan of water until reduced to 1 zhan. Strain and take warm at any time.
For hematuria: Huai Jin San (Sophora and Curcuma Powder).
Huai Hua (Flos Sophorae, stir-fried), Yu Jin (Radix Curcumae Longae, sliced, each 1 liang).
The above two herbs are pounded into a powder. Each dose consists of 2 qian bi, taken with Mu Tong Tang (Akebia Decoction) at any time.
For hematuria with pain: Hua Shi Wan (Talcum Pill).
Hua Shi (Talcum), Che Qian Zi (Semen Plantaginis), Hai Ge (Concha Meretricis, each 1 liang), Qu Mai Sui (Spikes of Herba Dianthi), Mu Li (Concha Ostreae, calcined), Hai Jin Sha (Spora Lycopodii), Mu Tong (Caulis Akebiae, sliced), Zhi Gan Cao (Radix Glycyrrhizae Preparata, each 0.5 liang).
The above eight herbs are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken with Xiao Ji Tang (Cirsium Decoction) at any time.
For hematuria: Che Qian Ye Tang (Plantago Leaf Decoction).
Che Qian Ye (Folium Plantaginis, dried), Qian Gen (Radix Rubiae, washed and sliced), Huang Qin (Radix Scutellariae, remove black heart), E Jiao (Colla Corii Asini, stir-fried until dry), Di Gu Pi (Cortex Lycii, washed), Hong Lan Hua (Flos Carthami, stir-fried, each 1 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 3 qian bi, decocted in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm at any time.
For hematuria: Ren Shen Tang (Ginseng Decoction).
Ren Shen (Radix Ginseng), Sheng Gan Di Huang (Radix Rehmanniae Preparata, sliced), Shao Yao (Radix Paeoniae Alba, sliced), Jie Geng (Radix Platycodonis, sliced), Dang Gui (Radix Angelicae Sinensis, sliced and roasted), Zhi Gan Cao (Radix Glycyrrhizae Preparata, sliced), Gui (Cortex Cinnamomi, remove coarse bark).
The above nine herbs are coarsely crushed and sieved. Each dose consists of 4 qian bi, decocted in 2 zhan of water until reduced to 1 zhan. Strain and take warm at any time.
For hematuria: Mu Tong Yin (Akebia Drink).
Mu Tong (Caulis Akebiae, sliced, 1.5 liang), Chao Dong Kui Zi (Semen Malvae, stir-fried, 0.5 liang), Sui Hua Shi (Talcum, crushed, 2 liang), Zhi Shi Wei (Folium Pyri Betulae, de-hairy and roasted, 1 liang).
The above four herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted in 2 zhan of water until reduced to 1 zhan. Strain and take warm at any time.
For Kidney receiving exogenous heat affecting the Heart, causing hematuria and pain: E Jiao Tang (Colla Corii Asini Decoction).
Chao E Jiao (Colla Corii Asini, stir-fried until dry), Huang Qin (Radix Scutellariae, remove black heart, each 3 fen), Zhi Gan Cao (Radix Glycyrrhizae Preparata, 0.5 liang), Sheng Di Huang (Radix Rehmanniae, juice expressed), Sheng Che Qian Ye (Fresh Folium Plantaginis, juice expressed).
The above seven herbs: the first three are coarsely crushed and sieved, then mixed evenly with the latter four. Each dose consists of 1 large spoon, decocted in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm at any time.
For hematuria: Mu Tong San (Akebia Powder).
Mu Tong (Caulis Akebiae, sliced), Bai Fu Ling (Poria, remove black skin and sliced, each 1 liang), Ting Li (Semen Lepidii, stir-fried between papers, 1 fen).
The above three herbs are pounded into a powder. Each dose consists of 2 qian bi, taken with Sorghum Drink (Su Mi Yin) at any time.
For persistent hematuria: Bai Ye Tang (Biota Leaf Decoction).
Bai Ye (Folium Biotae, remove stems and roast), Zhi Gan Cao (Radix Glycyrrhizae Preparata, sliced), Chao E Jiao (Colla Corii Asini, stir-fried until dry), Huang Qin (Radix Scutellariae, remove black heart and sliced), Zhu Ru (Caulis Bambusae in Taeniam, cut), Sheng Gan Di Huang (Radix Rehmanniae Preparata, cut, each 1 liang).
The above six herbs are coarsely crushed and sieved. Each dose consists of 4 qian bi, decocted in 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm. Take at any time.
For hematuria: Di Huang Wan (Rehmannia Pill).
Sheng Gan Di Huang (Radix Rehmanniae Preparata, roasted), Tu Si Zi (Semen Cuscutae, soaked in wine overnight, sun-dried and separately pounded), Bai Zhi (Radix Angelicae Dahuricae), Mu Jing Shi (Fructus Viticis, remove calyx), Chao Dong Kui Zi (Semen Malvae, stir-fried), Dang Gui (Radix Angelicae Sinensis, sliced and roasted, each 1 liang).
The above ten herbs are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken with decocted Sorghum Drink, three times daily.
For continuous hematuria: Ji Su Tang (Mint and Schizonepeta Decoction).
Ji Su (Herba Elsholtziae, remove dirt), Shi Gao (Gypsum Fibrosum, each 2 liang), Zhu Ye (Folium Bambusae, sliced, 1 liang).
The above three herbs are coarsely crushed and sieved. Each dose consists of 4 qian bi, decocted in 1.5 zhan of water until reduced to 1 zhan. Strain and take warm at any time.
For Bladder heat with persistent hematuria: Pu Huang San (Lygodium Spore Powder).
Wei Chao Pu Huang (Spora Lycopodii, lightly stir-fried, 2 liang), Cu Yu Jin (Radix Curcumae Longae, sliced, 3 liang).
The above two herbs are pounded into a powder. Each dose consists of 1 qian bi, taken with Sorghum Drink, on an empty stomach and before evening meal.
For red urine or bright red blood in urine: Che Qian Zi San (Plantago Seed Powder).
Che Qian Zi (Semen Plantaginis), Mu Tong (Caulis Akebiae, sliced), Ze Xie (Rhizoma Alismatis), Dang Gui (Radix Angelicae Sinensis, sliced and roasted), Sang Piao Xiao (Ovum Mantidae, roasted), Gui (Cortex Cinnamomi, remove coarse bark), Hua Shi (Talcum, equal parts).
The above seven herbs are pounded into a powder. Each dose consists of 2 qian bi, taken with decocted Dong Kui Gen Tang (Malva Root Decoction).
For hematuria: Huang Qin Tang (Scutellaria Decoction).
Huang Qin (Radix Scutellariae, remove black heart), Chao E Jiao (Colla Corii Asini, stir-fried until dry), Zhi Gan Cao (Radix Glycyrrhizae Preparata, sliced, each 2 liang), Bai Ye (Folium Biotae, one handful, sliced).
The above four herbs are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted in 1.5 zhan of water with 1 fen of Pai Sui Sheng Di Huang (Crushed Fresh Radix Rehmanniae) until reduced to 0.8 zhan. Strain and take warm before meals.
For hematuria persisting day and night: Lu Rong San (Deer Antler Powder).
Su Zhi Qu Mao Lu Rong (Deer Antler, roasted with butter and de-haired), Dang Gui (Radix Angelicae Sinensis, sliced and roasted), Sheng Gan Di Huang (Radix Rehmanniae Preparata, roasted, each 2 liang), Chao Dong Kui Zi (Semen Malvae, stir-fried, 4.5 liang), Pu Huang (Spora Lycopodii, 1 he).
The above five herbs are pounded into a fine powder. Each dose consists of 3 qian bi, taken with warm alcohol on an empty stomach, twice daily.
For hematuria: Di Huang Yin (Rehmannia Drink).
Di Huang Zhi (Juice of Radix Rehmanniae, 1 sheng), Sheng Jiang Zhi (Juice of Rhizoma Zingiberis, 1 he).
The above two ingredients are natural juices mixed together, divided into three doses. Each dose is boiled once, taken warm, and consumed entirely from morning until noon.
For Small Intestine hematuria:
Zhi Jia (Fingernail, 0.5 qian), Tou Fa (Hair, 1 fen).
The above two ingredients are burned to ash, ground evenly. Each dose consists of 1 qian bi, taken with warm alcohol on an empty stomach, in one dose.