夫心主血。肝藏于血。是以愁忧思虑。则伤心。恚怒气逆。上而不下。则伤肝。肝心二
脏俱
治吐血。心胸气逆。疼痛。宜服伏龙肝散方。
伏龙肝（二两） 生干地黄（二两） 芎 （半两） 赤芍药（半两） 当归（半两） 桂
心（半
两）
上件药。捣粗罗为散。每服五钱。以水一大盏。入竹茹一鸡子大。煎至五分。去滓。放
温。
治心热。吐血不止。黄芩散方。
黄芩（一两半） 地榆（一两半锉） 玄参（二两） 茜根（二两锉） 寒水石（一两）
麦门冬
（二
上件药。捣粗罗为散。每服五钱。以水一大盏。入竹叶二七片。煎至五分。去滓。每于
食后
治吐血者。皆由脏气虚。气上冲所为。宜服黄 散方。
黄 （锉） 白芍药 芎 当归 桂心 黄芩 甘草（炙微赤锉以上各一两）
上件药。捣粗罗为散。每服五钱。以水一大盏。入竹茹一鸡子大。煎至五分。去滓。每
于食
治吐血并衄血不止。紫苏散方。
紫苏〔一（二）两〕 桂心（一两） 生干地黄（二两） 当归（一两） 牛膝（一两
去苗） 阿
胶（
上件药。捣筛为散。每服五钱。以水一中盏。煎至五分。去滓。每于食后。温服。
治吐血内崩上气。面色如土。宜服艾叶散方。
艾叶（二两） 阿胶（二两捣碎炒令黄燥） 柏叶〔一（二）两〕 干姜（一两炮裂锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
治心肺热盛。吐血不止。宜服地榆散方。
地榆（半两锉） 柏叶（三分） 甘草（半两锉生用） 吴蓝（三分） 黄芩（三分） 刺
蓟（一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入青竹茹一分。煎至六分。去滓。每于
食后
治吐血衄血。及大小便下血不止。宜服刺蓟散方。
刺蓟 白芍药 白术 人参（去芦头） 生干地黄 鹿角胶（捣碎炒令黄燥以上各一两）
芎
上件药。捣细罗为散。不计时候。以生地黄汁。调下二钱。
治吐血不止。心胸疼痛方。
当归（二两） 黄芩（二两） 干姜（一两炮裂锉） 白芍药（一两） 阿胶（二两捣
碎炒令黄
燥）
上件药。捣细罗为散。不计时候。以生地黄汁。调下二钱。
治吐血久不止。松花散方。
松花（一两半） 甘草（半两炙微赤锉） 紫菀（半两去苗） 百合（半两） 薯蓣（一
两） 人
参（
草根
（半
上件药。捣细罗为散。不计时候。以粥饮调下二钱。
治肺心热盛。吐血不止方。
伏龙肝〔（一合）分〕 红蓝花（二两） 甘草（半两生用）
上件药。捣细罗为散。每于食后。煎竹茹汤。调下二钱。
治吐血口鼻俱出。至一斗不止方。
生地黄汁（半升） 刺蓟汁（半升） 白蜜（三合） 麦门冬汁（半升） 伏龙肝（二
两细研如
粉）
上件药。相和。以慢火熬如稀饧。不计时候。含半匙咽津。
治吐血经日。百治不瘥者。宜服此方。
生地黄汁（一升） 川大黄（一两锉碎微炒杵末）
上件药。相和。煎至半升。分为二服。温温食后服之。
治吐血红花散方。
红花（一两） 诃黎勒（三枚兼核生用） 川朴硝（五两）
上件药。捣粗罗为散。每服三钱。以酒半中盏。水半中盏。煎至六分。去滓。入赤马通
一合。不计时候。温服。
又方。
生藕汁（二合） 刺蓟汁（二合）
上件药。合搅令匀。入生蜜一匙。调和令细呷之。
治吐血立效方。
白蒲薄纸（五张烧灰）
上将纸灰。以水调。顿服之。立效。
治吐鲜血方。
红锦（三寸）
上将锦烧灰。研为末。水调服之瘥。
治吐血及鼻衄不止方。
上以伏龙肝二两。用新汲水一大盏。淘取汁。入蜜一匙。搅匀。顿服之。
又方。
上以乌贼鱼骨。捣细罗为散。不计时候。以清粥饮调下二钱。
又方。
生刺蓟（三两） 生地黄（五两）
上捣绞取汁。入白蜜一两。煎三五沸。不计时候。温服。
又方。
上以生葛根捣绞取汁。每服一小盏。宜频服。以止为度。
又方。
上以刺蓟根叶。捣绞取汁一中盏。分为二服。相次服之。
The Heart governs the blood. The Liver stores the blood. Therefore, excessive worry and overthinking damage the Heart (Xin), while anger causing Qi rebellion that ascends without descending damages the Liver (Gan). Damage to both the Liver and Heart can lead to hematemesis (vomiting blood). If there is rebellious Qi in the chest and heart region accompanied by pain, it is suitable to take Fulonggan San (Dragon's House Soil Powder).
Fulonggan (Cinnabar Earth) (2 liang), Sheng Gan Dihuang (Raw Dried Rehmanniae Radix) (2 liang), Xiong (Ligustici Chuanxiong Rhizoma) (0.5 liang), Chi Shaoyao (Red Paeoniae Radix) (0.5 liang), Danggui (Angelicae Sinensis Radix) (0.5 liang), Guixin (Cinnamomi Ramulus Cortex) (0.5 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Add one large cup of water and a piece of Zhuru (Bambusae Caulis in Taeniam) the size of a chicken egg. Decoct until only two-fifths of the liquid remains. Strain and drink when warm.
For treating Heat in the Heart with persistent hematemesis, Huangqin San (Scutellariae Radix Powder):
Huangqin (Scutellariae Radix) (1.5 liang), Diyü (Sanguisorbae Radix) (1.5 liang, sliced), Xuanshen (Scrophulariae Radix) (2 liang), Qiangeng (Rubiae Radix et Rhizoma) (2 liang, sliced), Hanshuishi (Calcitum) (1 liang), Maimendong (Ophiopogonis Radix) (2 liang, heart removed).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Add one large cup of water and fourteen Zhu ye (Bambusae Folium). Decoct until only two-fifths of the liquid remains. Strain and take warm after meals.
Those suffering from hematemesis generally do so due to deficiency of Zang organ Qi and ascending rebellious Qi. It is suitable to take Huangqi San (Astragali Radix Powder):
Huangqi (Astragali Radix) (sliced), Baishaoyao (White Paeoniae Radix), Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus Cortex), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (stir-baked until slightly red and sliced; each 1 liang).
Crush the above ingredients into a coarse powder. Take 5 qian per dose. Add one large cup of water and a piece of Zhuru (Bambusae Caulis in Taeniam) the size of a chicken egg. Decoct until only two-fifths of the liquid remains. Strain and take warm after meals.
For treating hematemesis accompanied by epistaxis (nosebleed) that does not stop, Zisu San (Perillae Folium Powder):
Zisu (Perillae Folium) (2 liang), Guixin (Cinnamomi Ramulus Cortex) (1 liang), Sheng Gan Dihuang (Raw Dried Rehmanniae Radix) (2 liang), Danggui (Angelicae Sinensis Radix) (1 liang), Niuxi (Achyranthis Bidentatae Radix) (1 liang, radix removed), Ejiao (Asini Corii Colla) (2 liang, crushed and stir-baked until yellow and dry).
Crush and sieve the above ingredients into a powder. Take 5 qian per dose. Add one medium cup of water. Decoct until only two-fifths of the liquid remains. Strain and take warm after meals.
For treating hematemesis, internal collapse (internal bleeding), rebellious Qi, and a sallow complexion resembling earth, Aiye San (Artemisiae Argyi Folium Powder):
Aiye (Artemisiae Argyi Folium) (2 liang), Ejiao (Asini Corii Colla) (2 liang, crushed and stir-baked until yellow and dry), Baiye (Platycladi Cacumen) (2 liang), Ganjiang (Zingiberis Rhizoma) (1 liang, processed until cracked and sliced).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add one medium cup of water. Decoct until three-sixths of the liquid remains. Strain and take warm after meals.
For treating excess Heat in the Heart and Lungs with persistent hematemesis, Diyü San (Sanguisorbae Radix Powder):
Diyü (Sanguisorbae Radix) (0.5 liang, sliced), Baiye (Platycladi Cacumen) (3 fen), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, sliced and used raw), Wulan (Isatidis Folium) (3 fen), Huangqin (Scutellariae Radix) (3 fen), Ciji (Cirsii Japonici Herba) (1 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose. Add one medium cup of water and 1 fen of Qingzhuru (Green Bambusae Caulis in Taeniam). Decoct until three-sixths of the liquid remains. Strain and take warm after meals.
For treating hematemesis, epistaxis, and continuous bleeding from stool or urine, Ciji San (Cirsii Japonici Herba Powder):
Ciji (Cirsii Japonici Herba), Baishaoyao (White Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) (radicle removed), Sheng Gan Dihuang (Raw Dried Rehmanniae Radix), Lujiaojiao (Corvi Cornus Colla) (crushed and stir-baked until yellow and dry; each 1 liang), Xiong (Ligustici Chuanxiong Rhizoma).
Grind the above ingredients into a fine powder. Take at any time, mixing 2 qian with Sheng Dihuangzhi (Juice of Raw Rehmanniae Radix) for administration.
For treating persistent hematemesis with chest and heart pain:
Danggui (Angelicae Sinensis Radix) (2 liang), Huangqin (Scutellariae Radix) (2 liang), Ganjiang (Zingiberis Rhizoma) (1 liang, processed until cracked and sliced), Baishaoyao (White Paeoniae Radix) (1 liang), Ejiao (Asini Corii Colla) (2 liang, crushed and stir-baked until yellow and dry).
Grind the above ingredients into a fine powder. Take at any time, mixing 2 qian with Sheng Dihuangzhi (Juice of Raw Rehmanniae Radix) for administration.
For treating long-standing persistent hematemesis, Songhua San (Pinus Pollen Powder):
Songhua (Pinus Pollen) (1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, stir-baked until slightly red and sliced), Ziwan (Asteri Radix) (0.5 liang, radix removed), Baihe (Lilii Bulbus) (0.5 liang), Shuyu (Dioscoreae Rhizoma) (1 liang), Renshen (Ginseng Radix et Rhizoma) (1 liang, radicle removed), Cao Gen (Radix unspecified in text, likely referring to a specific root herb mentioned in original context but omitted here; extracted as generic 'Root').
Grind the above ingredients into a fine powder. Take at any time, mixing 2 qian with porridge water for administration.
For treating excess Heat in the Lungs and Heart with persistent hematemesis:
Fulonggan (Cinnabar Earth) (1 he), Honglanhua (Carthami Flos) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, used raw).
Grind the above ingredients into a fine powder. After meals, mix 2 qian with decoction of Zhuru (Bambusae Caulis in Taeniam) for administration.
For treating hematemesis flowing from both mouth and nose, amounting to one dou per hour without stopping:
Sheng Dihuangzhi (Juice of Raw Rehmanniae Radix) (0.5 sheng), Cijizhi (Juice of Cirsii Japonici Herba) (0.5 sheng), Baimi (White Honey) (3 he), Maimendongzhi (Juice of Ophiopogonis Radix) (0.5 sheng), Fulonggan (Cinnabar Earth) (2 liang, finely ground like powder).
Mix all ingredients and simmer slowly over low heat until resembling thin syrup. Take half a spoonful at any time, swallowing slowly with saliva.
For treating hematemesis lasting a day where various treatments have failed:
Sheng Dihuangzhi (Juice of Raw Rehmanniae Radix) (1 sheng), Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, sliced, lightly fried, and pounded into powder).
Mix ingredients and decoct until 0.5 sheng remains. Divide into two doses. Take warm after meals.
For treating hematemesis, Honghua San (Carthami Flos Powder):
Honghua (Carthami Flos) (1 liang), Helile (Terminaliae Chebulae Fructus) (3 pieces, used raw with seeds), Chuan Pu Xiao (Natrii Sulfas) (5 liang).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add half a medium cup of wine and half a medium cup of water. Decoct until three-sixths of the liquid remains. Strain and add one he of Chimatu (Equi Stercus Fermentatum/Red Horse Dung Juice). Take warm at any time.
Another prescription:
Sheng Ou Zhi (Juice of Raw Nelumbinis Rhizoma) (2 he), Cijizhi (Juice of Cirsii Japonici Herba) (2 he).
Mix well, add one spoonful of raw honey, blend thoroughly, and sip slowly.
For an immediate effect on hematemesis:
Baipu Bozhi (Thin White Paper from Poplar/Cattail, 5 sheets, burned to ash).
Mix the paper ash with water and take in one dose. Immediate effect.
For treating bright red blood vomiting:
Hongjin (Red Brocade, 3 cun).
Burn the brocade to ash, grind into powder, mix with water, and take. Recovery follows.
For treating persistent hematemesis and epistaxis:
Take 2 liang of Fulonggan (Cinnabar Earth). Wash with one large cup of fresh drawn cold water to extract the juice. Add one spoonful of honey, mix well, and take in one dose.
Another prescription:
Grind Haihe Gu (Sepiae Endoconcha) into a fine powder. Take 2 qian at any time mixed with clear porridge water.
Another prescription:
Sheng Ciji (Fresh Cirsii Japonici Herba) (3 liang), Sheng Dihuang (Raw Rehmanniae Radix) (5 liang).
Crush and press to extract juice. Add 1 liang of white honey. Boil for three to five boils. Take warm at any time.
Another prescription:
Press Sheng Gegen (Puerariae Lobatae Radix) to extract juice. Take one small cup per dose. Frequent administration is recommended until bleeding stops.
Another prescription:
Press the roots and leaves of Ciji (Cirsii Japonici Herba) to extract one medium cup of juice. Divide into two doses and take consecutively.