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For the treatment of hematemesis (vomiting blood), people often advocate for drugs that can be taken over a long period. However, Mr. Ge first presented two formulas as key measures for stopping bleeding. These are clearly drastic purgative agents, yet they were used without any hesitation. By deducing from this, I realized that symptoms such as fever and facial redness are invariably caused by this condition. Therefore, preserving one part of one's own blood reduces one part of the rising fire, making the condition easier to manage. Why do physicians today constantly talk about "guiding blood back to its vessels," claiming that hemostatic agents cannot be used indiscriminately? Some even argue that if blood溢s outside the body and is vomited out, it is beneficial, whereas retaining it inside causes harm. Consequently, patients believe this, delaying treatment until yin deficiency and yang hyperactivity cause continuous simmering, leading to an incurable state. Whose fault is this? If one argues for guiding blood back to its vessels, one might wait a few days before using yin-nourishing herbs, hoping the primordial spirit can recover. However, I fear how can有形 (substantial) blood be generated quickly? And what method can rapidly descend unpaired yang? Thus, after repeated contemplation, I understood Mr. Ge's main intent in urgently stopping bleeding.

Pan's Commentary: In treating consumptive disease (Xu Lao), *Jin Gui Yao Lue* establishes three major principles: tonifying deficiency, dispelling wind, and removing blood stasis. These are unchangeable standards.

Chen Xiuyuan's Commentary: For consumptive disease, *Jin Gui Yao Lue* uses Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell) to establish treatment based on kidney deficiency; Jianzhong Tang (Middle-Jian Decoction) to establish treatment based on spleen deficiency. This constitutes the principle of tonifying deficiency. Shuyu Wan (Dioscorea Pill) is used to treat various diseases caused by wind qi and general weakness and insufficiency, constituting the principle of dispelling wind. Dahuang Zhechong Wan (Rhubarb and Ground Beetle Pill) is used to treat labor caused by dry blood, constituting the principle of removing blood stasis. These three principles stand firm like the legs of a tripod, serving as the unchangeable standard for this disease. Now, Ge Xianweng follows Shihui San (Ten Ashes Powder) with Huarui Shi San (Flower Stalactite Powder). Although stated as stopping bleeding, its actual purpose is to transform blood stasis into yellow fluid so that no blood is visible. However, from my perspective, once hematemesis stops, the blood that has left its vessels accumulates and does not circulate; it is necessary to use this powder to resolve it. If the bleeding is profuse like a gushing spring and continuous, using only this powder to convert all blood into water would mean losing all blood in the body, leaving no vitality? One must not interpret texts literally; this is one point. Furthermore, while these three principles address labor caused by deficiency, with many treatments recorded in medical books, those caused by wind are rarely mentioned, and those caused by blood stasis are elucidated only by Zhang Zhongjing's *Jin Gui Yao Lue* Dahuang Zhechong Wan and his Duanju Bailao Wan. Moreover, *Jin Gui Yao Lue* pairs Shuyu Wan with Dahuang Zhechong Wan, implying that if wind qi is not removed, it damages righteous qi and hinders nourishment; if dry blood is not removed, it obstructs new blood generation and impedes circulation, giving rise to various symptoms of timidity and weakness. When treating hematemesis where other herbs fail, I use Xie Xin Tang (Drain the Epigastrium Decoction) from *Jin Gui Yao Lue*, which is effective every time. Its efficacy lies in the heavy use of raw Dahuang (Rhei Radix et Rhizoma) to move blood stasis. Appendix: Formula for Zhongjing's Bailao Wan: Danggui (Angelicae Sinensis Radix) stir-fried, Ruxiang (Olibanum), Moyao (Myrrha) each 1 qian; Ren Shen (Ginseng Radix) amount missing; Mengchong (Blatta Orientalis) 14 pieces, wings and feet removed; Shuizhi (Hirudo) 14 pieces; Taoren (Persicae Semen) 14 pieces, stir-fried, skin and tips removed; Dahuang (Rhei Radix et Rhizoma) 4 qian. Honey-pilled to the size of wutong seeds. Total quantity makes one dose of 100 pills. Take at dawn (5-7 AM) with Billaoshui (Bailao Water), aiming to expel foul matter. Eat white porridge for ten days after taking the medicine. Billaoshui is made by scooping and pouring water 100 times, also known as Ganlan Shui (Sweet Ripple Water). (Zhechong, also known as Dibie.)

Pan's Commentary: Shuyu Wan treats various deficiencies of consumptive disease and diseases caused by wind qi. Zhechong Wan treats injuries from the five labors with internal dry blood. It addresses rough, scaly skin and wind qi... [Text implies] Zhechong Wan specifically treats labor caused by blood stasis.