〔大〕妊娠吐血者，皆由脏腑有伤。凡忧思惊怒，皆伤脏腑，气逆于上，血随而溢，
心闷胸满，久而不已，心闷甚者死。妊娠病此，多堕胎也。
〔薛〕前证若肝经怒火，先用小柴胡、山栀、生地，次用前药合四物，后用加味逍
遥散。（调经。）肝经风热，防风子芩丸。（胎漏下血。）心经有热，朱砂安神丸。（杂·虚烦。）心气
不足，补心汤。（惊悸。）思虑伤心，妙香散。（同上。）胃经有火，犀角地黄汤。（吐血。）膏粱积热，
加味清胃散。（齿。）郁结伤脾，加味归脾汤。（健忘。）肺经有火，黄芩清肺饮。（淋 。）因气郁滞，
紫苏饮子（胎上逼心。）气不摄血，用补中益气汤。肾经虚火，加味六味丸。（杂病虚劳。）
局方必胜散 治男子妇人血妄流溢，吐血、衄血、呕血、咯血。
熟干地黄 小苏（并根用） 人参 蒲黄（微炒） 当归（去芦） 芎 乌梅肉（各一两）
上件药捣罗为粗散，每服五钱，水一盏半，煎至七分，去滓温服，不拘时。
治吐血不止。
马气勃用生布擦为末，浓米饮调下。
治鼻衄。以白茅花浓煎汁服。
〔心〕妊孕寒热往来，咳嗽血痰，或呕吐不食，无力，或喘满，乳脊相应痛，或口
中唾如霜雪，出语无声，或耳鸣，或痰涎，日夜数碗，误用热药之故也。刺风门 魂户（各五
分） 支沟 间使（各相透）
如寒热未解，百节螈 ，昏愦。再取绝骨（五分） 太溪（三分）
如脉气未平。泻太渊 太白（各二分） 热府
以上穴实泻虚补，治产前病立效。此病安后半年，必有一变，四肢消瘦，单腹肿胀，
即取阴交一穴，去其恶物也。
[Da] Hematemesis during pregnancy is caused by injury to the Zang-Fu organs. Any emotions such as worry, overthinking, fright, or anger can damage the Zang-Fu organs, causing Qi to rebel upwards and blood to overflow along with it. This presents with mental oppression and chest fullness; if prolonged and unresolved, severe mental oppression leads to death. Pregnancy complicated by this condition often results in miscarriage.
[Xue] For the aforementioned symptoms: If due to Fire from anger in the Liver channel, first use Xiao Chai Hu Tang (Minor Bupleurum Decoction), Gardenia (Zhi Zi), and Rehmanniae Radix (Sheng Di Huang); subsequently combine these with Si Wu Tang (Four Substances Decoction); finally use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). [Regulating menstruation.] If due to Wind-Heat in the Liver channel, use Fang Feng Zi Qin Wan (Saposhnikovia and Scutellaria Pill). [Leaking fetal blood.] If there is Heat in the Heart channel, use Zhu Sha An Shen Wan (Cinnabar Calming the Spirit Pill). [Miscellaneous diseases · Empty irritability.] If Heart Qi is insufficient, use Bu Xin Tang (Tonify Heart Decoction). [Palpitations due to fright.] If overthinking damages the Heart, use Miao Xiang San (Miraculous Fragrance Powder). [Same as above.] If there is Fire in the Stomach channel, use Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction). [Hematemesis.] If accumulation of heat from rich and greasy food, use Jia Wei Qing Wei San (Modified Clearing Stomach Powder). [Dental bleeding.] If constraint injures the Spleen, use Jia Wei Gui Pi Tang (Modified Invigorating the Spleen Decoction). [Forgetfulness.] If there is Fire in the Lung channel, use Huang Qin Qing Fei Yin (Scutellaria Clearing Lung Infusion). [Dysuria.] Due to Qi stagnation, use Zi Su Yin Zi (Perilla Drink). [Fetus pressing on the heart.] If Qi fails to control blood, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If there is Deficient Fire in the Kidney channel, use Jia Wei Liu Wei Wan (Modified Six-Ingredient Pill). [Miscellaneous diseases · Consumptive disease.]
Ju Fang Bi Sheng San (Formula from the Bureau of Medical Effectiveness): Treats abnormal flow and overflow of blood in men and women, including hematemesis, epistaxis, hematemesis (vomiting blood), and hemoptysis.
Ingredients: Prepared Rehmanniae Radix (Shu Gan Di Huang), Perillae Caulis et Folium (Xiao Su, using both root and leaf), Ginseng Radix et Rhizoma (Ren Shen), Poria Cocos (Pu Huang, lightly stir-baked), Angelicae Sinensis Radix (Dang Gui, removing the radix head), Ligusticum Chuanxiong Rhizoma (Chuan Xiong), Prunus mume Semen (Wu Mei Rou) (each 1 liang).
Crush and sieve the above ingredients into a coarse powder. Take 5 qian per dose, add 1.5 zhan of water, decoct until 0.7 zhan remains, strain, and take warm. No specific time restriction.
For intractable hematemesis:
Ma Qi Bo (a specific substance/animal part) rubbed into powder with raw cloth, taken mixed with thick rice drink.
For epistaxis:
Take thick decoction juice of Imperatae Rhizoma Flos (Bai Mao Hua) and ingest.
[Xin] During pregnancy, alternating chills and fever, cough with bloody sputum, vomiting and inability to eat, weakness, or panting and chest fullness, pain corresponding between the breasts and spine, saliva like frost and snow in the mouth, loss of voice, tinnitus, or excessive phlegm-saliva excreted in bowls day and night, are all due to the mistaken use of hot medicines. Acupuncture points: Fengmen (BL12), Hunhu (EX-B1) (each 0.5 cun depth); Zhigou (TE6), Jiashi (PC5) (mutual trans-penetration).
If chills and fever have not resolved, and there is convulsion of joints and confusion/delirium: Add Jiegu (GB39) (0.5 cun depth), Taixi (KI3) (0.3 cun depth).
If the pulse energy has not stabilized: Reduce (sedate) Taiyuan (LU9), Taibai (SP3) (each 0.2 cun depth), and Refu (DU14).
The above points apply the principle of reducing excess and tonifying deficiency, providing immediate effect for prenatal diseases. After this illness subsides, within half a year, a transformation will inevitably occur: emaciation of the four limbs and isolated abdominal swelling. At this point, select the Yinjiao (CV7) acupoint to expel the pathogenic matter.