夫伤寒。诸阳受邪。热初在表。应发汗而汗不发。致使热毒入深。结于五脏。有瘀积故
吐血也。
治伤寒吐血。心烦不食。宜服伏龙肝散方。
伏龙肝〔一（三）两〕 生干地黄（一两） 柏叶（一两） 茜根（一两） 阿胶（一
两捣碎炒
令黄燥） 黄芩（一两） 黄连（一两去须） 甘草〔一两（半）炙微赤锉〕
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒温病。时气疫毒。及饮酒伤中。吐血不止。面黄干呕。心烦。止血蒲黄散方
。
蒲黄（二两） 栝蒌（二两） 犀角屑〔一（二）两〕 甘草（二两炙微赤锉） 桑寄
生（二两）
葛根〔三（二）两锉〕
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治伤寒吐血不止。宜服此方。
伏龙肝 甘草（炙微赤锉） 茜根 生干地黄 阿胶（捣碎炒令黄色） 黄芩（以上各
一两）
上件药。捣筛为散。每服四钱。以水一大盏。入竹茹一分。煎至六分。去滓。不计时候
温服。
治伤寒吐血。心神烦闷。宜服子芩散方。
子芩（三分） 栀子仁（半两） 远志（一分去心） 桂心（半两） 黄连（三分去须）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
又方。
黄连（一两去须） 荷叶（一两） 艾叶（三分微炒） 柏叶（三分）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。入地黄汁半合。更煎一
两沸。不计时候温服。
治伤寒吐血。目眩烦闷。宜服当归散方。
当归 赤芍药 黄芩 伏龙肝 阿胶（捣碎炒令黄燥）（以上各一两） 干姜（半两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒心热。及余毒不退。吐血一二升不止。宜服生干地黄散方。
生干地黄（一两） 黄柏（三分锉） 黄芩（一两） 吴蓝（一两） 黄连（三分去须）
伏龙肝
（一两） 麦门冬（一两去心）
上件药。捣筛为散。每服五（四）钱。以水一中盏。入竹茹一分。煎至五（六）分。去
滓。
不计时候温服。
治伤寒心热。吐血不止方。
伏龙肝（一分） 红蓝花〔一合（分）〕 乱发灰（半两）
上件药。捣筛为散。每服五钱。以水一大盏。入竹茹一分。煎至五分。去滓。不计时候
温服。
治伤寒。心肺热。因嗽吐血或唾血。宜服茅根饮子方。
茅根（三两） 犀角屑（一两） 黄芩（一两） 桑根白皮（二两） 竹茹（一两） 刺
蓟（一两
半） 紫菀（二两洗去苗土）
上件药。细锉和匀。每服半两。以水一大盏。煎至六分。去滓。入生地黄汁一合。更煎
一两沸。不计时候。分温二服。
治伤寒烦热。吐血不止。心胸痛。宜服刺蓟散方。
刺蓟（一两） 赤芍药（一两半） 茅根（二两） 麦门冬（三两去心焙） 犀角屑（一
两半）
甘草（半两生用）
上件药。捣粗罗为散。每服半两。以水一大盏。煎至六分。去滓。入藕汁生地黄汁各半
合。更煎一两沸。不计时候。分为二服。
治伤寒吐血不止。柏叶散方。
青柏叶（一两） 生干地黄（一两） 阿胶（一分捣碎炒令黄）
上件药。捣筛为末。以水一大盏半。煎至一盏。去滓。别搅马通汁一合相和。更煎一两
沸。不计时候。分温三服。
治伤寒。壅极吐血。百治不瘥方。
生地黄汁（一中盏） 川大黄（一分锉微炒碎末）
上件药。先煎地黄汁三两沸。纳大黄末调令匀。不计时候温服。
In the context of cold damage diseases, when pathogens affect the Yang meridians and heat initially resides in the exterior, sweating should be induced. If sweating is not performed, heat toxins penetrate deeply, accumulating in the five zang organs. Due to the presence of blood stasis and accumulation, hematemesis (vomiting blood) occurs.
For hematemesis caused by cold damage, accompanied by mental restlessness and loss of appetite, the Fulonggan San (Dragon's House Earth Powder) formula is suitable.
Ingredients: Fulonggan (Dragon's House Earth, 3 liang), Sheng Gan Di Huang (Dried Rehmannia Root, 1 liang), Bai Ye (Cacumen Platycladi, 1 liang), Qian Gen (Radix Rubiae, 1 liang), Ejiao (Donkey-hide Gelatin, 1 liang, crushed and stir-fried until yellow and dry), Huang Qin (Scutellaria Root, 1 liang), Huang Lian (Coptis Rhizome, 1 liang, remove the mustache), Gan Cao (Licorice Root, 1.5 liang, honey-fried until slightly red and chopped).
Process the above herbs by crushing them into a coarse powder. Take 4 qian per dose, decoct with one zhong zhan (approx. 200-250ml) of water until reduced to 6 fen (approx. 60%), strain off the dregs, and take warm at any time.
For hematemesis caused by cold damage warm diseases, seasonal epidemic toxins, or injury to the middle jiao due to alcohol consumption, presenting with continuous bleeding, sallow complexion, dry retching, and mental restlessness, the Zhixue Puhuang San (Hemostatic Poria and Typha Powder) formula is suitable.
Ingredients: Pu Huang (Pollen Typhae, 2 liang), Gua Lou (Fructus Trichosanthis, 2 liang), Xi Jiao Xie (Horn Rhinocerotis, 1-2 liang), Gan Cao (Licorice Root, 2 liang, honey-fried until slightly red and chopped), Sang Ji Sheng (Ramulus Taxilli, 2 liang), Ge Gen (Puerariae Radix, 2-3 liang, chopped).
Process the above herbs by crushing them into a coarse powder. Take 5 qian per dose, decoct with one da zhan (approx. 300-400ml) of water until reduced to 5 fen (approx. 50%), strain off the dregs, and take warm at any time.
For continuous hematemesis caused by cold damage, this formula is suitable.
Ingredients: Fulonggan (Dragon's House Earth), Gan Cao (Licorice Root, honey-fried until slightly red and chopped), Qian Gen (Radix Rubiae), Sheng Gan Di Huang (Dried Rehmannia Root), Ejiao (Donkey-hide Gelatin, crushed and stir-fried until yellow), Huang Qin (Scutellaria Root) (each 1 liang).
Process the above herbs by crushing and sieving them into a powder. Take 4 qian per dose, decoct with one da zhan of water, add Zhu Ru (Bamboo Shavings, 1 fen), decoct until reduced to 6 fen (approx. 60%), strain off the dregs, and take warm at any time.
For hematemesis caused by cold damage, accompanied by mental restlessness and oppression, the Zixin San (Scutellaria Baicalensis Powder) formula is suitable.
Ingredients: Zi Xin (Radix Scutellariae, 3 fen), Zhi Zi Ren (Semen Gardeniae, 0.5 liang), Yuan Zhi (Radix Polygalae, 1 fen, remove the heart), Gui Xin (Cortex Cinnamomi, 0.5 liang), Huang Lian (Coptis Rhizome, 3 fen, remove the mustache).
Process the above herbs by crushing and sieving them into a powder. Take 4 qian per dose, decoct with one zhong zhan of water until reduced to 6 fen (approx. 60%), strain off the dregs, and take warm at any time.
Another prescription.
Ingredients: Huang Lian (Coptis Rhizome, 1 liang, remove the mustache), He Ye (Folium Nelumbinis, 1 liang), Ai Ye (Folium Artemisiae Argyi, 3 fen, lightly stir-fried), Bai Ye (Cacumen Platycladi, 3 fen).
Process the above herbs by crushing and sieving them into a powder. Take 4 qian per dose, decoct with one zhong zhan of water until reduced to 6 fen (approx. 60%), strain off the dregs, add Di Huang Zhi (Rehmannia Juice, 0.5 he), boil for one or two more boils, and take warm at any time.
For hematemesis caused by cold damage, accompanied by vertigo and mental restlessness, the Dang Gui San (Angelica Sinensis Powder) formula is suitable.
Ingredients: Dang Gui (Radix Angelicae Sinensis), Chi Shao Yao (Radix Paeoniae Rubra), Huang Qin (Scutellaria Root), Fulonggan (Dragon's House Earth), Ejiao (Donkey-hide Gelatin, crushed and stir-fried until yellow and dry) (each 1 liang), Gan Jiang (Rhizoma Zingiberis, 0.5 liang).
Process the above herbs by crushing and sieving them into a powder. Take 4 qian per dose, decoct with one zhong zhan of water until reduced to 6 fen (approx. 60%), strain off the dregs, and take warm at any time.
For heat in the heart caused by cold damage, lingering pathogens not cleared, and continuous hematemesis of one to two sheng, the Sheng Gan Di Huang San (Fresh/Dried Dried Rehmannia Powder) formula is suitable.
Ingredients: Sheng Gan Di Huang (Dried Rehmannia Root, 1 liang), Huang Bo (Cortex Phellodendri, 3 fen, chopped), Huang Qin (Scutellaria Root, 1 liang), Wu Lan (Isatis Root/Leaf, 1 liang), Huang Lian (Coptis Rhizome, 3 fen, remove the mustache), Fulonggan (Dragon's House Earth, 1 liang), Mai Men Dong (Radix Ophiopogonis, 1 liang, remove the heart).
Process the above herbs by crushing and sieving them into a powder. Take 4-5 qian per dose, decoct with one zhong zhan of water, add Zhu Ru (Bamboo Shavings, 1 fen), decoct until reduced to 5-6 fen (approx. 50-60%), strain off the dregs, and take warm at any time.
A prescription for heat in the heart caused by cold damage and continuous hematemesis.
Ingredients: Fulonggan (Dragon's House Earth, 1 fen), Hong Lan Hua (Flos Carthami, 1 he or 1 fen), Luan Fa Hui (Ash of Human Hair, 0.5 liang).
Process the above herbs by crushing and sieving them into a powder. Take 5 qian per dose, decoct with one da zhan of water, add Zhu Ru (Bamboo Shavings, 1 fen), decoct until reduced to 5 fen (approx. 50%), strain off the dregs, and take warm at any time.
For cold damage with heat in the heart and lungs, causing hematemesis or spitting blood due to coughing, the Mao Gen Yin Zi (Imperata Rhizome Decoction) formula is suitable.
Ingredients: Mao Gen (Rhizoma Imperatae, 3 liang), Xi Jiao Xie (Horn Rhinocerotis, 1 liang), Huang Qin (Scutellaria Root, 1 liang), Sang Gen Bai Pi (Cortex Morii Radicis, 2 liang), Zhu Ru (Bamboo Shavings, 1 liang), Ci Ji (Spina Gleditsiae/Cirsium, 1.5 liang), Zi Wan (Herba Asteris Tatarici, 2 liang, washed to remove seedlings and soil).
Finely chop and mix the above herbs evenly. Take 0.5 liang per dose, decoct with one da zhan of water until reduced to 6 fen (approx. 60%), strain off the dregs, add Sheng Di Huang Zhi (Fresh Rehmannia Juice, 1 he), boil for one or two more boils, and divide into two doses to take warm at any time.
For irritability and heat caused by cold damage, continuous hematemesis, and chest and heart pain, the Ci Ji San (Cirsium Powder) formula is suitable.
Ingredients: Ci Ji (Cirsium Japonicum, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 1.5 liang), Mao Gen (Rhizoma Imperatae, 2 liang), Mai Men Dong (Radix Ophiopogonis, 3 liang, remove heart and baked), Xi Jiao Xie (Horn Rhinocerotis, 1.5 liang), Gan Cao (Licorice Root, 0.5 liang, raw use).
Process the above herbs by crushing them into a coarse powder. Take 0.5 liang per dose, decoct with one da zhan of water until reduced to 6 fen (approx. 60%), strain off the dregs, add Ou Zhi (Lotus Root Juice) and Sheng Di Huang Zhi (Rehmannia Juice), each 0.5 he, boil for one or two more boils, and divide into two doses to take at any time.
For continuous hematemesis caused by cold damage, the Bai Ye San (Cacumen Platycladi Powder) formula.
Ingredients: Qing Bai Ye (Green Cacumen Platycladi, 1 liang), Sheng Gan Di Huang (Dried Rehmannia Root, 1 liang), Ejiao (Donkey-hide Gelatin, 1 fen, crushed and stir-fried until yellow).
Process the above herbs by crushing and sieving them into a fine powder. Decoct with 1.5 da zhan of water until reduced to 1 da zhan, strain off the dregs, separately mix with Ma Tong Zhi (Horse Dung Juice, 1 he), boil for one or two more boils, and divide into three doses to take warm at any time.
For cold damage where congestion is extreme leading to hematemesis, unresponsive to various treatments, this formula.
Ingredients: Sheng Di Huang Zhi (Fresh Rehmannia Juice, 1 zhong zhan), Chuan Da Huang (Rhubarb Root, 1 fen, chopped, lightly fried, and ground into powder).
Decoct the Sheng Di Huang Zhi for three boils first, then add the Da Huang powder and mix well. Take warm at any time.