凡人感暑伤气，忽然吐血盈盆，人以为阴虚，不知阴虚吐血，与阳虚不同∶阴虚吐血者，
人
渴
石膏（三钱） 青蒿（五钱） 香薷（三钱） 荆芥（一钱） 当归（三钱） 人参（三
钱） 水煎服
此乃阳症吐血之神剂也。方中虽有解暑之味，然而补正多于解暑。去香薷一味，实可通
治。
又 方
凡人吐血，人以为火也。用凉药以泻火，乃火愈退而血愈多；或用止血之品仍不效，此
乃血
人参（五钱） 当归（一两） 荆芥（三钱，炒黑） 丹皮（二钱，炒黑） 水煎服
〔服〕一剂而血无不止者。〔此〕方妙在不专补血，而反去补气以补血；尤妙在不去止
血，
有奇
有大怒后吐血，或倾盆而出，或冲口而来，一时昏晕，死在顷刻也。以止血治之，则气
闷而
平气
白芍（二两） 当归（二两） 黑荆芥（三钱） 柴胡（八分） 黑栀（三钱） 红花
（二钱）
一剂而气平舒，二剂而血止息，三剂而病大愈。盖怒伤肝，不能平其气，以致吐血。〔若〕
不先舒气而遽止血，〔则〕愈激动肝木之气，气愈旺而血愈吐矣。方中芍药〔为〕多用之妙
品，平肝又舒气。荆芥、柴胡，皆引血归经之品。〔当归、红花生新去旧，安有不愈者哉？
〕
丹皮（七分，炒黑） 栀子（五分） 真蒲黄（一钱二分，炒黑） 贝母（一钱） 陈
皮
此方治吐血之症，神效无比，二剂而自止。
When a person is affected by summerheat and their healthy qi is damaged, sudden hematemesis (vomiting of blood) filling a basin may occur. People often attribute this to Yin deficiency (Yin Xu), not realizing that hematemesis due to Yin deficiency differs from that caused by Yang excess (Yang Zheng, referring here to hyperactive fire/heat syndrome): in cases of Yin deficiency hematemesis, the patient experiences thirst.
Shigao (Gypsum Fibrosum, 3 qian) Qinghao (Artemisiae Annuae Herba, 5 qian) Xiangru (Elsholtziae Herba, 3 qian) Jingjie (Schizonepetae Herba, 1 qian) Danggui (Angelicae Sinensis Radix, 3 qian) Renshen (Ginseng Radix et Rhizoma, 3 qian) Decoct with water and take orally.
This is a miraculous formula for treating hematemesis due to Yang excess (heat syndrome). Although the formula contains herbs that resolve summerheat, the dosage of herbs tonifying healthy qi exceeds that of those resolving summerheat. Removing Xiangru allows this formula to be used generally for such conditions.
Another Formula:
When people suffer from hematemesis, it is commonly believed to be caused by Fire. Using cold-natured herbs to purge Fire results in the Fire retreating further yet bleeding increasing; or using hemostatic herbs remains ineffective. This is because [text incomplete in source, implying blood dynamics related to heat/qi].
Renshen (Ginseng Radix et Rhizoma, 5 qian) Danggui (Angelicae Sinensis Radix, 1 liang) Jingjie (Schizonepetae Herba, 3 qian, stir-baked until black) Danpi (Moutan Cortex, 2 qian, stir-baked until black) Decoct with water and take orally.
One dose stops the bleeding immediately. The brilliance of this formula lies not in specifically tonifying blood, but rather in tonifying Qi to nourish Blood; even more ingeniously, it does not focus solely on stopping bleeding, [text incomplete], achieving miraculous effects.
After severe anger, hematemesis may occur, pouring out like a basin or gushing forth, accompanied by sudden fainting and imminent death within moments. Treating with standard hemostatics causes Qi stagnation and [text incomplete].
Formula for Calming Qi:
Baishao (Paeoniae Radix Alba, 2 liang) Danggui (Angelicae Sinensis Radix, 2 liang) Hei Jingjie (Schizonepetae Herba, 3 qian, stir-baked until black) Chaihu (Bupleuri Radix, 8 fen) Hei Zhi (Gardeniae Fructus, 3 qian, stir-baked until black) Honghua (Carthami Flos, 2 qian)
One dose calms and soothes the Qi; two doses stop the bleeding; three doses result in significant recovery. Anger injures the Liver, failing to smooth its Qi, leading to hematemesis. If one does not first soothe the Qi but hastily applies hemostatics, it will further agitate the Qi of Liver Wood, causing stronger Qi and increased bleeding. Baishao in the formula is a wonderful herb used in large doses; it pacifies the Liver and soothes Qi. Jingjie and Chaihu are herbs that guide blood back to its vessels. Danggui and Honghua generate new blood and remove old stasis; how could there be no cure?
Danpi (Moutan Cortex, 7 fen, stir-baked until black) Zhizi (Gardeniae Fructus, 5 fen) Zhen Puhuang (Typhae Pollen, 1.2 qian, stir-baked until black) Beimu (Fritillariae Bulbus, 1 qian) Chenpi [dosage missing]
This formula treats hematemesis with unparalleled miraculous efficacy; two doses cause it to stop naturally.