夫心者主血。肝者藏血。愁忧思虑则伤心。恚怒气逆。上而不下。则伤肝。肝心二脏俱
伤。
治呕血头疼壮热。遍身疼痛。四肢烦闷。宜服刺蓟散方。
刺蓟（一两） 鸡苏叶（半两） 青竹茹（一两） 麦门冬（一两半去心焙） 白茯苓
（半两）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。入生地
黄汁
治呕血久不瘥。心神烦闷。脏腑劳伤。宜服竹茹散方。
竹茹（一团如鸡子大） 白芍药（半两） 当归（半两） 茜根（二两） 羚羊角屑（一
两半）
甘草
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治伤中胸里。挛痛。咳呕血出。时作寒热。小便赤黄。此是劳伤所致。宜服黄
散方。
黄 （一两半锉） 阿胶（一两捣碎炒令黄燥） 生干地黄（一两） 当归（一两） 桂
心（一
两半）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温
治忧恚呕血。烦满少气。胸中疼痛。宜服阿胶散方。
阿胶（二两捣碎炒令黄燥） 甘草（一两炙微赤锉）
上件药。捣细罗为散。每服三钱。以水一中盏。入生地黄汁二合。煎至七分。和滓温服。
又方。
上以柏叶。捣罗为散。不计时候。以粥饮调下二钱。
又方。
上以荆芥。捣细罗为散。不计时候。以生地黄汁。调下二钱。
The Heart governs the blood. The Liver stores the blood. Excessive worry and contemplation damage the Heart. Anger causes Qi to rebel and ascend without descending, thereby damaging the Liver. When both the Liver and Heart are damaged simultaneously:
For symptoms of hematemesis (vomiting blood), headache, high fever, generalized body pain, and vexation in the four limbs, Ci Ji San (Thistle Powder) is indicated.
Ci Ji (Cirsii Herba, 1 liang) Jisu Ye (Elsholtziae Folium, 0.5 liang) Qing Zhuru (Bambusae Caulis Interluscutus Viridis, 1 liang) Maimendong (Ophiopogonis Radix, 1.5 liang, heart removed, roasted) Baifuling (Poria, 0.5 liang)
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhuan remains. Strain the dregs. Add juice from Sheng Dihuang (Rehmanniae Radix Recens).
For chronic hematemesis that does not heal, accompanied by mental restlessness and visceral exhaustion due to overwork, Zhu Ru San (Bamboo Sheath Powder) is indicated.
Zhuru (Bambusae Caulis Interluscutus, one ball the size of a chicken egg) Baishao Yao (Paeoniae Radix Alba, 0.5 liang) Danggui (Angelicae Sinensis Radix, 0.5 liang) Qigen (Qiancaos Radix, 2 liang) Lingyangjiao Xie (Saigae Tataricae Cornu, 1.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma)
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhuan remains. Strain the dregs. Take at any time.
For internal injury to the chest with spasmodic pain, coughing up blood, alternating chills and fever, and dark yellow urine, caused by consumptive disease, Huang San (Yellow Powder, likely referring to Huangqi/Ephedra or Astragalus based on context, literally "Huang") is indicated.
Huang (Astragali Radix/Huangqi, 1.5 liang, sliced) Ejiao (Asini Corii Colla, 1 liang, crushed, fried until dry and yellow) Shenggan Dihuang (Dry Rehmanniae Radix, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang) Guixin (Cinnamomi Ramulus/Cortex, 1.5 liang)
Sift the above ingredients into a fine powder. Take 3 qian per dose. Add 1 zhuan of water and 0.5 fen of fresh ginger. Decoct until 0.6 zhuan remains. Strain the dregs. Take at any time, warm.
For hematemesis caused by sorrow and indignation, accompanied by fullness, shortness of breath, and chest pain, Ejiao San (Donkey-Hide Gelatin Powder) is indicated.
Ejiao (Asini Corii Colla, 2 liang, crushed, fried until dry and yellow) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red, sliced)
Grind the above ingredients into a fine powder. Take 3 qian per dose. Add 1 zhuan of water and 2 he of juice from Sheng Dihuang (Rehmanniae Radix Recens). Decoct until 0.7 zhuan remains. Take warm, including the dregs.
Another prescription:
Use Baiye (Platycladi Cacumen), crush and sieve into a powder. Take 2 qian mixed with rice broth at any time.
Another prescription:
Use Jingjie (Schizonepetae Spica), grind into a fine powder. Take 2 qian mixed with juice from Sheng Dihuang (Rehmanniae Radix Recens) at any time.