夫诸阳受病。不发其汗。热毒入深。结于五脏。内有瘀积。故令吐血也。
治热病发汗。而汗不发。致内有积瘀。故吐血不止。宜服生干地黄散方。
生干地黄（一两） 赤芍药（一两） 牡丹（三分） 犀角屑（半两） 刺蓟（一两） 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。不计时候。温服。
治热病吐血不止。心神烦闷。宜服大黄散方。
川大黄（三分锉碎微炒） 犀角屑（一两） 赤芍药（一两） 黄芩（一两） 生干地
黄（一两）
甘草（三分炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。煎至五（六）分。去滓。不计时候。温服。
治热病。吐血。并鼻衄不止。头面俱热。宜服刺蓟散方。
刺蓟（一两） 川升麻（一两） 子芩（一两半） 大青（六（三）分） 紫苏茎叶（一
两） 赤芍
药（一两半） 犀角屑（三分） 川朴硝（一两） 生干地黄（一两） 甘草（三分炙微赤
锉）
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。
治热病。吐血。兼鼻衄不止。宜服竹茹饮方。
青竹茹〔一两（半）〕 子芩（一两） 蒲黄（二钱） 伏龙肝（二钱末） 生藕汁（二
合）
上件药。先以水一大盏半。煎竹茹子芩至一盏。去滓。下蒲黄等三味。搅令匀。不计时
候。分为三服。
治热病。毒瓦斯未解。心肺积热。吐血不止。心中壅闷。宜服犀角散方。
犀角屑〔一（半）两〕 栀子仁（半两） 地骨皮（半两） 子芩（半两） 川大黄（半
两锉碎
微炒）
干地黄
（一两）
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。
治热病吐血。心胸不利。宜服红蓝花散方。
红蓝花（一两） 川大黄（一两锉碎微炒） 诃黎勒皮（三分） 羚羊角屑（三分） 黄
芩（三
分） 刺蓟（三分）
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。下赤马通汁半合。更
煎一两沸。不计时候。温服。
又方。
上以生地黄。捣绞取汁。每服一小盏。频三五服。即瘥。
又方。
上以生藕捣绞取汁。每服一小盏。入生姜一匙。搅令匀。服之。频服即止。
又方。
上以生刺蓟捣绞取汁。每服一小盏。入生蜜一匙。搅令匀服之。频服即止。
又方。
上以伏龙肝。水浸取清。每服一小盏服之。
When diseases affect the Yang meridians, if sweating is not induced to release the pathogen, heat toxins will penetrate deeply and accumulate in the Five Zang Organs (Five Viscera), causing internal blood stasis and accumulation, which leads to hematemesis (vomiting blood).
In the treatment of febrile diseases, sweating should be induced. However, if sweating fails to occur, it results in internal blood stasis and accumulation, leading to continuous hematemesis. In such cases, it is appropriate to take Sheng Gan Di Huang San (Raw Dried Rehmannia Powder).
Sheng Gan Di Huang (Radix Rehmanniae Preparata, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 1 liang), Mu Dan (Cortex Moutan, 3 fen), Xi Jiao Xie (Hornis Rhinocerotis, 0.5 liang), Ci Ji (Herba Cirsii Japonici, 1 liang), Bai Ye (Folium Nandinae, 3 fen).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 4 qian, boiled with one zhong zhan (approx. 200ml) of water until reduced to six-tenths of the original volume. The dregs are removed, and the decoction is taken warm at any time.
For febrile diseases with continuous hematemesis accompanied by mental restlessness and oppression, it is appropriate to take Da Huang San (Rhubarb Powder).
Chuan Da Huang (Radix et Rhizoma Rhei, 3 fen, crushed and slightly stir-fried), Xi Jiao Xie (Hornis Rhinocerotis, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 1 liang), Huang Qin (Radix Scutellariae, 1 liang), Sheng Gan Di Huang (Radix Rehmanniae Recens, 1 liang), Gan Cao (Radix Glycyrrhizae, 3 fen, honey-fried until slightly red and crushed).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 4 qian, boiled with one zhong zhan of water until reduced to five (or six) tenths of the original volume. The dregs are removed, and the decoction is taken warm at any time.
For febrile diseases causing continuous hematemesis and epistaxis (nosebleed), accompanied by heat in the head and face, it is appropriate to take Ci Ji San (Cirsii Japonici Powder).
Ci Ji (Herba Cirsii Japonici, 1 liang), Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang), Zi Qin (Radix Scutellariae, 1.5 liang), Da Qing (Folium Isatidis, 6 (or 3) fen), Zi Su Jing Ye (Folium et Caulis Perillae, 1 liang), Chi Shao Yao (Radix Paeoniae Rubra, 1.5 liang), Xi Jiao Xie (Hornis Rhinocerotis, 3 fen), Chuan Po Xiao (Natrii Sulfas, 1 liang), Sheng Gan Di Huang (Radix Rehmanniae Recens, 1 liang), Gan Cao (Radix Glycyrrhizae, 3 fen, honey-fried until slightly red and crushed).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 4 qian, boiled with one zhong zhan of water until reduced to six-tenths of the original volume. The dregs are removed, and the decoction is taken warm at any time.
For febrile diseases with continuous hematemesis and epistaxis, it is appropriate to take Zhu Ru Yin (Bamboo Shavings Decoction).
Qing Zhu Ru (Spiritus Bambusae in Taenia, [1 liang (or 0.5 liang)]), Zi Qin (Radix Scutellariae, 1 liang), Pu Huang (Pollen Typhae, 2 qian), Fu Long Gan (Ligutum Argilla, 2 qian, powdered), Sheng Ou Zhi (Succus Nelumbinis Nuclei, 2 he).
The above ingredients: first boil Zhu Ru and Zi Qin in one and a half zhong zhan of water until reduced to one zhong zhan. Remove the dregs, add the other three ingredients (Pu Huang, etc.), mix well, and divide into three doses to be taken at any time.
For febrile diseases where toxic qi has not resolved, with accumulated heat in the Heart and Lungs, continuous hematemesis, and chest oppression, it is appropriate to take Xi Jiao San (Rhinoceros Horn Powder).
Xi Jiao Xie (Hornis Rhinocerotis, [1 (or 0.5) liang]), Zhi Zi Ren (Semen Gardenoliae, 0.5 liang), Di Gu Pi (Cortex Lycii, 0.5 liang), Zi Qin (Radix Scutellariae, 0.5 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 0.5 liang, crushed and slightly stir-fried), Gan Di Huang (Radix Rehmanniae Preparata, 1 liang).
The above ingredients are crushed, sifted, and made into a powder. Each dose consists of 4 qian, boiled with one zhong zhan of water until reduced to six-tenths of the original volume. The dregs are removed, and the decoction is taken warm at any time.
For febrile diseases with hematemesis and discomfort in the chest and heart region, it is appropriate to take Hong Lan Hua San (Carthami Tinctorii Powder).
Hong Lan Hua (Flos Carthami Tinctorii, 1 liang), Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, crushed and slightly stir-fried), He Li Le Pi (Pericarpium Chebulae, 3 fen), Ling Yang Jiao Xie (Cornu Saigae Tataricae, 3 fen), Huang Qin (Radix Scutellariae, 3 fen), Ci Ji (Herba Cirsii Japonici, 3 fen).
The above ingredients are coarsely crushed and sifted to make a powder. Each dose consists of 5 qian, boiled with one large zhong zhan of water until reduced to five-tenths of the original volume. Remove the dregs, add Ban He Chi Ma Tong Zhi (Succus Stercoris Equini Rubri, 0.5 he), boil for one or two more boils, and take warm at any time.
Another prescription.
Take fresh Di Huang (Radix Rehmanniae Recens), crush and squeeze to extract juice. Take one small zhong zhan per dose, frequently taking three to five doses, and the condition will heal.
Another prescription.
Take fresh Ou (Rhizoma Nelumbinis), crush and squeeze to extract juice. Take one small zhong zhan per dose, add one spoonful of Sheng Jiang (Rhizoma Zingiberis Recens), mix well, and take. Frequent administration will stop bleeding.
Another prescription.
Take fresh Ci Ji (Herba Cirsii Japonici), crush and squeeze to extract juice. Take one small zhong zhan per dose, add one spoonful of Sheng Mi (Melle, raw honey), mix well, and take. Frequent administration will stop bleeding.
Another prescription.
Take Fu Long Gan (Ligutum Argilla), soak in water and take the clear supernatant. Take one small zhong zhan per dose.