夫伤寒吐血者。热在阳经。邪盛于表。应汗不汗。热毒入深。结于五脏。遂成瘀热。熏
于上焦。热随气行。并入胃中。胃得血则满闷气逆。故吐血也。
歌曰。皆因邪热中三阳。当汗医家失料量。热毒入深留五脏。故成吐血可惊惶。
言当汗失汗也。返故热毒入深。故吐血也。瘀血盛者。抵当丸。轻者。桃仁承气汤。兼
服犀角地黄汤。证治论。三黄泻心汤。柏皮地血散。大下后。寸脉沉迟。尺脉不至。咽喉不
利。唾脓血者。麻黄升麻汤。服桂枝汤吐者。其后必吐脓血。犀角地黄汤。吐血。
诸阳受热邪。不发表。咎在医家。因而热毒流于脏地。三黄汤主之。凡诸阳受热。其邪
在表。当汗不汗。致使热毒入脏。积瘀于内。遂成吐血。盖伤寒失汗。则邪热化为恶血。
蕴毒不除。亦能蒸腐其血。凡眼闭目红。神昏语短。心忪痛闷。眩冒迷忘。漱水燥烦。呕吐
喘促。惊狂谵语。鼻衄吐血。脊冷足寒。骨热肤开。四肢厥逆。多汗。顽痰。胸胁少腹满急。
大便黑而微利。小便多而不禁。此等皆瘀血证也。男女切有此血脉。妇人伤寒尤多见之。以
其得病于经水来去之期。或受病中间。经水适至耳。血之为痛。大抵夜重日轻。或昼明而暮
谵语。血属阴。从其类也。前证不必悉具。但见三分晓。便作血证主张。犀角地黄汤。小柴
胡汤。桃仁承气。三黄汤。凡酌量轻重。用于血结。其抵当汤丸主之。以川芎为佐。尽大便
黑物。则佳。虽然。伤寒咯血。尤难救疗。况吐血乎。凡吐血。皆非美恙。初病犹可用攻。
有陆续而来。或经散时而复吐者。断不可救药也。方药详见解题。通用萝卜汁一小盏。入新
汲水。煎茅花主之。血热者。黄连阿胶汤。证治论。用地血散。柏皮汤。三黄泻心汤。大下
后。寸脉沉迟。尺脉不至。咽喉不利。唾脓血者。麻黄升麻汤。此有两证。一阳毒。一少阴。
在
方
伏龙肝散（出圣惠方）治伤寒吐血。心烦不食。
伏龙肝（三两） 生干地黄（一两） 柏叶（一两） 阿胶（一两捣炒令黄燥） 黄芩
（一两）
黄连（一两去须） 甘草（两半炙微赤锉） 茜根（一两） 上为散。每服四钱。水一中盏。
煎至
六分。去滓。不计时候。温服。
蒲黄散（又名蒲黄汤出圣惠方）治伤寒瘟病时气疫毒。及饮酒伤中。吐血不
止。面黄干呕。
蒲黄 栝蒌（一作桔梗） 犀角屑 甘草（炙微赤锉） 桑寄生（各三两） 葛根（三
两锉）
上为散。每服五钱。水一大盏。煎至五分。去滓。不计时候服。一方无栝蒌。
治伤寒吐血不止（出圣惠方）
伏龙肝 甘草（炙微赤锉） 茜根 生干地黄 阿胶（捣碎炒令黄燥） 黄芩（以上各
一两）
上为散。每服四钱。水一大盏。入竹茹一分。煎至六分。去滓。不计时候。温服。
子芩散（出圣惠方）治伤寒吐血。心神烦闷。
子芩（三分） 栀子仁（五钱） 远志（一分去心） 桂心（五钱） 黄连（五分去须）
上为
散。每服四钱。水一中盏。煎至六分。去滓。不计时候。温服。
又方（一名黄连散出圣惠方）
黄连（一两去须） 荷叶（一两） 艾叶（三分微炒） 柏叶（三分） 上为散。每服
四钱。水
一中盏。煎至六分。去渣。入生地黄汁半合。更煎一两沸。不计时候。温服。圣济方。用黄
连一两半。艾叶五钱。名黄连汤。
当归散（出圣惠方）治伤寒吐血。目眩烦闷。
当归 赤芍药 黄芩 伏龙肝 阿胶（捣碎炒黄燥各一两） 干姜（五钱） 上为散。
每服
四钱。水一中盏。煎至六分。去滓。不计时候。温服。
生干地黄散（出圣惠方）治伤寒心热。及余毒不退。吐血一二升不止。
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。
治伤寒心热不止方
伏龙肝（一合） 红蓝花（一合） 乱发灰（五钱） 上为散。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。
茅根饮子（出圣惠方）治伤寒心肺热。因嗽吐血。或吐血。宜服。
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（两半）
紫菀（二两洗去苗） 上为散。每服五钱。水一大盏。煎至六分。去渣。入生地黄汁一合。
更
煎一两沸。不计时候。分温三服。
刺蓟散（出圣惠方）治伤寒烦热。吐血不止。
刺蓟（一两） 赤芍药（两半） 茅根（二两） 麦门冬（去心三两焙） 犀角屑（两
半） 甘草
（五钱生用） 上为散。每服五钱。水一大盏。煎至六分。去渣。入藕汁生地黄汁各五钱。
更
煎
柏叶散（出圣惠方）治伤寒吐血不止。
青柏叶（一两） 生干地黄（一两） 阿胶（一分捣碎炒令黄燥） 上为散。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。分温三服。
治伤寒壅极吐血。百治不瘥方。（出圣惠方）
生地黄汁（一中盏） 川大黄（一分锉微炒） 上为散。先煎地黄汁三五沸。内大黄末。
调
令均。不计时候。温服。
麦门冬汤（出圣济总录）
荠 吴蓝 甘草（炙锉） 黄芩（去黑心） 茅根 生干地黄（焙干各一两） 上粗
捣筛。
每服五钱。盐水一盏半。入豉百粒。同煎至八分。去滓。食后温服。
地黄汤 治伤寒热病。当发汗而不发。内有余热。鼻衄吐血不止。面黄。大便黑。
此方主消化瘀血。兼治疮疹出得大盛。以此解之。
生干地黄（焙） 芍药 犀角（镑各一两） 牡丹皮（三分） 上粗捣筛。每服五钱。
用盐水
一盏半。煎至一盏。去滓。食后温服。有热如狂者。加黄芩三两。其人脉大来迟。腹不满。
自言满者。为无热。更不用黄芩、大黄也。
犀角汤（出圣济总录）治伤寒吐血不止。喜忘如狂。热毒不散。内有蓄瘀。
犀角（镑一两） 大黄（锉炒三两） 芍药 黄芩（去黑心各一两） 牡丹皮（三分） 生
干地
黄（焙一两半） 上粗捣筛。每服五钱。盐水一盏半。煎至半盏。去滓。食后温服。
黄芩汤（出圣济总录）治伤寒吐血。心神烦闷。
黄芩（去黑心三分） 山栀子仁（三钱） 远志（去心一分） 桂（去粗皮五分） 黄
连（去须）
竹茹（各三分） 上粗捣筛。每服五钱。盐水一盏半。煎至一盏。去滓。食后温服。
三黄汤（出圣济总录）治伤寒后。心气不足。吐血衄血。及黄胆。
大黄（锉焙） 黄连（去须） 黄芩（去黑心各一两） 上粗捣筛。每服五钱。盐水一
盏半。
煎至八分。去滓。食后温服。亦名三黄丸。用炼蜜为丸。如梧桐子大。每服十五丸。白汤下。
紫河车散（出圣济总录）治伤寒吐血。烦躁。
紫河车（三分） 朴硝 甘草（各半两生） 蛤粉（一分） 上捣罗为散。每服二钱。
盐、沙
糖、新汲水调下。不计时候。日三服。
金花散（出圣济总录）治伤寒吐血不止。
郁金 甘草（炙锉） 青黛（各五钱） 上捣罗为散。每服二钱。用盐鸡子白调下。
地黄散（出圣济总录）治伤寒吐血不止。
大黄（锉炒捣末一两） 龙脑（研一钱） 上合研均。每服二钱。用生地黄汁调下。
人参汤（出圣济总录）治伤寒吐血下血。及血汗。
人参 芍药 桔梗（锉炒） 芎 当归（切焙） 桂（去粗皮） 甘草（炙锉各一两）
竹茹
（三分） 上粗捣筛。每服五钱。盐水一盏半。煎至八分。去滓。食后温服。
治伤寒后。余毒不解。心脏热极。吐血不止方。（出圣济总录）
生藕汁（二合） 生地黄汁（三合） 恶实根汁（二合） 刺蓟根汁（二合） 蜜（一
合） 上相
和搅均。每服三合。不计时候。频频服。
柏叶汤（金匮方）治吐血不止者。
侧柏叶（三两） 干姜（三两切） 艾（三把） 上以水五升。煮取一升。去渣。别绞
取新出
马通汁一升。相和合。煎取一升。绵裹滤去之。温分再服。马通。是马屎汁也。一方有阿胶。
无
黄土汤（出金匮方）治吐血下血。先便后血。此远血也。
釜灶下黄焦土（半升绵裹） 甘草（炙） 干地黄 白术 附子（炮裂） 阿胶（炙末）
黄芩
（各三两） 上切。以水八升。煮六味。取三升。去滓。纳胶令烊。分三服。忌海藻、菘菜、
芜
治伤寒吐血。而齿缝皆流血不止。\x
用开口川椒四十九粒。用法醋一大盏。同煎令熟。入白矾少许漱口。含在口中。少顷出。
再啜漱而含。
Hematemesis caused by cold damage (Shanghan) occurs when heat resides in the Yang meridians. Pathogenic factors are abundant at the exterior. If sweating should have been induced but was not, heat toxins penetrate deeply and knot within the five Zang organs, thereby forming blood stasis and heat. This steams upward to the Upper Jiao. Heat travels with Qi and merges into the Stomach. When the Stomach receives blood, it becomes distended and full, and Qi rebels upward, thus causing hematemesis.
The song states: "All because pathogenic heat strikes the Three Yang meridians; physicians failed to measure [the situation] when they should have induced sweating. Heat toxins penetrate deeply and remain in the five Zang organs, thus causing hematemesis, which is alarming." This refers to the failure to induce sweating when indicated, allowing heat toxins to penetrate deeply, thus causing hematemesis. In cases of severe blood stasis, use Didang Wan (Madder and Dogwood Pill). For mild cases, use Tao Ren Chengqi Tang (Peach Kernel and Rhubarb Decoction); concurrently administer Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). According to the Treatise on Syndrome Differentiation and Treatment, use Sanhuang Xiexin Tang (Three Yellows Heart-Draining Decoction) or Bai Pi Di Xue San (Cypress Leaf and Earth-Blood Powder). After drastic purgation, if the Cun pulse is deep and slow, the Chi pulse is absent, there is throat obstruction, and one spits pus and blood, use Mahuang Shengma Tang (Ephedra and Asarum Decoction). If vomiting occurs after taking Guizhi Tang (Cinnamon Twig Decoction), pus and blood will subsequently be vomited; treat hematemesis with Xijiao Dihuang Tang.
When various Yang meridians are affected by heat pathogens and the exterior is not released, the fault lies with the physician. Consequently, heat toxins flow into the Zang organs, and Sanhuang Tang (Three Yellows Decoction) is the primary treatment. Whenever Yang meridians are affected by heat, and the pathogen is at the exterior, if sweating is neglected, heat toxins enter the Zang organs, accumulate and form stasis internally, eventually leading to hematemesis. Generally, if cold damage fails to induce sweating, pathogenic heat transforms into evil blood. If the accumulated toxin is not eliminated, it can also steam and rot the blood. Symptoms include eyes closed and red, mental confusion with short speech, palpitations with chest pain and oppression, dizziness and fainting, desire to rinse the mouth without swallowing, restlessness, vomiting, panting,惊狂 (frightened mania), delirium, epistaxis or hematemesis, cold spine and feet, bone heat with open skin, cold limbs, excessive sweating, stubborn phlegm, distension and urgency in the chest, hypochondrium, and lower abdomen, black stool with slight diarrhea, frequent urination with incontinence. These are all signs of blood stasis syndrome. Both men and women possess this vascular pathology; women suffering from cold damage see it particularly often, as they contract the disease during the onset or cessation of menstruation, or while ill, their menses happen to arrive. Pain from blood stasis is generally heavier at night and lighter during the day, or clear during the day and delirious at dusk. Blood belongs to Yin, aligning with its category [night/Yin]. The aforementioned symptoms need not all be present; if even a fraction appears, one should proceed with treating it as a blood syndrome. Select Xijiao Dihuang Tang, Xiaochaihu Tang (Minor Bupleurum Decoction), Tao Ren Chengqi Tang, or Sanhuang Tang. Whatever the severity, for blood binding, Didang Tang/Wan is primary, assisted by Chuanxiong (Sichuan Lovage Rhizome). It is favorable until black stools are completely expelled. Nevertheless, hemoptysis in cold damage is especially difficult to rescue, let alone hematemesis. Hematemesis is never a minor ailment. In the initial stage, attack methods may still be used. However, if bleeding comes continuously or recurs after dispersal treatments, it is absolutely incurable. Detailed formulas are found in the Preface. A general remedy: take one small cup of radish juice, add fresh well water, decoct Maohua (Lily Flower Bud), and administer. For blood heat, use Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction). According to the Treatise on Syndrome Differentiation and Treatment, use Dixue San (Earth-Blood Powder), Baipi Tang (Cypress Bark Decoction), or Sanhuang Xiexin Tang. After drastic purgation, if the Cun pulse is deep and slow, the Chi pulse is absent, there is throat obstruction, and one spits pus and blood, use Mahuang Shengma Tang. There are two syndromes here: one is Yang Du (Yang Toxin), the other is Shaoyin syndrome.
Fulonggan San (Dragon's House Soil Powder, from *Shenghui Fang*) treats cold damage hematemesis, irritability, and anorexia.
Ingredients: Fulonggan (Dragon's House Soil) (3 liang), Sheng Gan Dihuang (Raw Dried Rehmannia Root) (1 liang), Baiye (Cypress Leaf) (1 liang), Ejiao (Donkey-Hide Gelatin) (1 liang, crushed and stir-fried until yellow and dry), Huangqin (Scutellaria Root) (1 liang), Huanglian (Coptis Rhizome) (1 liang, remove whiskers), Gancao (Licorice Root) (1.5 liang, honey-fried until slightly red and sliced), Qian Gen (Madder Root) (1 liang). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time.
Puhuang San (Polygonum Seed Powder, also known as Puhuang Tang, from *Shenghui Fang*) treats cold damage plague diseases, seasonal qi epidemic toxins, and injury to the middle jiao from alcohol consumption, causing continuous hematemesis, sallow complexion, and dry retching.
Ingredients: Puhuang (Polygonum Seed), Gualou (Trichosanthes Fruit) (or Jiegeng/Pleurotel Root), Xijiao Xie (Rhinoceros Horn Chips), Gancao (Licorice Root, honey-fried until slightly red and sliced), Sangjisheng (Taxillus Branch) (3 liang each), Gegen (Kudzu Root) (3 liang, sliced). Grind all ingredients into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 5 fen. Strain. Take at any time. Another version excludes Gualou.
Treatment for continuous hematemesis due to cold damage (from *Shenghui Fang*)
Ingredients: Fulonggan (Dragon's House Soil), Gancao (Licorice Root, honey-fried until slightly red and sliced), Qian Gen (Madder Root), Sheng Gan Dihuang (Raw Dried Rehmannia Root), Ejiao (Donkey-Hide Gelatin, crushed and stir-fried until yellow and dry), Huangqin (Scutellaria Root) (1 liang each). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one large cup of water plus Zhuru (Bamboo Shavings) (1 fen) until reduced to 6 fen. Strain. Take warm at any time.
Zixin San (Scutellaria Powder, from *Shenghui Fang*) treats cold damage hematemesis with mental irritability and oppression.
Ingredients: Zixin (Scutellaria Root) (3 fen), Zhizi Ren (Gardenia Seed) (5 qian), Yuanzhi (Polygala Root, remove heart) (1 fen), Guixin (Cinnamon Heart) (5 qian), Huanglian (Coptis Rhizome, remove whiskers) (5 fen). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time.
Another Formula (also named Huanglian San, from *Shenghui Fang*)
Ingredients: Huanglian (Coptis Rhizome, remove whiskers) (1 liang), Heye (Lotus Leaf) (1 liang), Aiye (Mugwort Leaf, lightly stir-fried) (3 fen), Baiye (Cypress Leaf) (3 fen). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain, add Sheng Dihuang Zhi (Raw Rehmannia Juice) (0.5 he), boil for one liang moment. Take warm at any time. In *Shengji Zonglu*, use Huanglian (1.5 liang) and Aiye (5 qian), named Huanglian Tang.
Danggui San (Angelica Sinensis Powder, from *Shenghui Fang*) treats cold damage hematemesis with vertigo and irritability.
Ingredients: Danggui (Angelica Sinensis Root), Chishaoyao (Red Peony Root), Huangqin (Scutellaria Root), Fulonggan (Dragon's House Soil), Ejiao (Donkey-Hide Gelatin, crushed and stir-fried until yellow and dry, 1 liang each), Ganjiang (Dried Ginger) (5 qian). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time.
Sheng Gan Dihuang San (Raw Dried Rehmannia Powder, from *Shenghui Fang*) treats cold damage heart heat, lingering toxins that do not resolve, and continuous hematemesis of one to two sheng.
Ingredients: Sheng Gan Dihuang (Raw Dried Rehmannia Root) (1 liang), Huangbai (Phellodendron Bark, sliced) (3 fen), Huangqin (Scutellaria Root) (1 liang), Wulan (Isatis Root) (1 liang), Huanglian (Coptis Rhizome, remove whiskers) (3 fen), Fulonggan (Dragon's House Soil) (1 liang), Maimendong (Ophiopogon Tuber, remove heart) (1 liang). Grind all ingredients into powder. Take 4 qian per dose. Decoct with one zhong cup of water until reduced to 6 fen. Strain. Take warm at any time.
Formula for treating unceasing heart heat from cold damage
Ingredients: Fulonggan (Dragon's House Soil) (1 he), Honglanhua (Carthamus Flower) (1 he), Luangefa Hui (Ash of Loose Hair) (5 qian). Grind all ingredients into powder. Take 5 qian per dose. Decoct with one large cup of water plus Zhuru (Bamboo Shavings) (1 fen) until reduced to 5 fen. Strain. Take warm at any time.
Maogen Yinzi (Imperata Rhizome Drink, from *Shenghui Fang*) treats cold damage lung and heart heat, cough-induced hematemesis, or simple hematemesis. Suitable for consumption.
Ingredients: Maogen (Imperata Rhizome) (3 liang), Xijiao Xie (Rhinoceros Horn Chips) (1 liang), Huangqin (Scutellaria Root) (1 liang), Sanggen Bapi (Mulberry Root Bark) (2 liang), Zhuru (Bamboo Shavings) (1 liang), Ciji (Acanthopanacis Tricnophylli Radix) (1.5 liang), Ziwan (Aster Root, wash and remove sprouts) (2 liang). Grind all ingredients into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 6 fen. Strain, add Sheng Dihuang Zhi (Raw Rehmannia Juice) (1 he), boil for one liang moment. Take warm in three divided doses at any time.
Ciji San (Acanthopanacis Tricnophylli Radix Powder, from *Shenghui Fang*) treats cold damage with烦热 (restless heat) and continuous hematemesis.
Ingredients: Ciji (Acanthopanacis Tricnophylli Radix) (1 liang), Chishaoyao (Red Peony Root) (1.5 liang), Maogen (Imperata Rhizome) (2 liang), Maimendong (Ophiopogon Tuber, remove heart, 3 liang, baked), Xijiao Xie (Rhinoceros Horn Chips) (1.5 liang), Gancao (Licorice Root, raw use) (5 qian). Grind all ingredients into powder. Take 5 qian per dose. Decoct with one large cup of water until reduced to 6 fen. Strain, add Ou Zhi (Lotus Root Juice) and Sheng Dihuang Zhi (Raw Rehmannia Juice) (5 qian each), boil again.
Baiye San (Cypress Leaf Powder, from *Shenghui Fang*) treats continuous hematemesis due to cold damage.
Ingredients: Qingbaiye (Green Cypress Leaf) (1 liang), Sheng Gan Dihuang (Raw Dried Rehmannia Root) (1 liang), Ejiao (Donkey-Hide Gelatin, 1 fen, crushed and stir-fried until yellow and dry). Grind all ingredients into powder. Decoct with 1.5 large cups of water until reduced to 1 cup. Strain, mix with Matong Zhi (Horse Dung Juice) (1 he), boil for one liang moment. Take warm in three divided doses at any time.
Formula for extreme stagnation hematemesis in cold damage, refractory to hundred treatments (from *Shenghui Fang*)
Ingredients: Sheng Dihuang Zhi (Raw Rehmannia Juice) (1 zhong cup), Chuan Dahuang (Sichuan Rhubarb Root, sliced and lightly stir-fried) (1 fen). Grind all ingredients into powder. First boil the Rehmannia juice for three to five boils, add Dahuang powder, mix evenly. Take warm at any time.
Maimendong Tang (Ophiopogon Decoction, from *Shengji Zonglu*)
Ingredients: Ji (Shepherd's Purse? Note: Text says 'Ji', likely specific herb), Wulan (Isatis Root), Gancao (Licorice Root, honey-fried and sliced), Huangqin (Scutellaria Root, remove black heart), Maogen (Imperata Rhizome), Sheng Gan Dihuang (Raw Dried Rehmannia Root, baked, 1 liang each). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, add 100 grains of Chi (Fermented Soybean), decoct together until reduced to 8 fen. Strain. Take warm after meals.
Dihuang Tang (Rehmannia Decoction) treats cold damage febrile disease where sweating should have been induced but was not, leaving residual internal heat, causing continuous epistaxis and hematemesis, sallow complexion, and black stool. This formula primarily digests blood stasis and also treats excessive eruption of sores and rashes, resolving them.
Ingredients: Sheng Gan Dihuang (Raw Dried Rehmannia Root, baked), Shaoyao (Peony Root), Xijiao (Rhinoceros Horn, shaved, 1 liang each), Mudanpi (Tree Peony Bark) (3 fen). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, decoct until reduced to 1 cup. Strain. Take warm after meals. If heat causes mania-like behavior, add Huangqin (3 liang). If the pulse is large but slow, abdomen is not distended, yet the patient claims distension, this indicates no heat; do not use Huangqin or Dahuang.
Xijiao Tang (Rhinoceros Horn Decoction, from *Shengji Zonglu*) treats continuous hematemesis in cold damage, forgetfulness resembling mania, unresolved heat toxins, and internal accumulated blood stasis.
Ingredients: Xijiao (Rhinoceros Horn, shaved, 1 liang), Dahuang (Rhubarb Root, sliced and stir-fried, 3 liang), Shaoyao (Peony Root), Huangqin (Scutellaria Root, remove black heart, 1 liang each), Mudanpi (Tree Peony Bark) (3 fen), Sheng Gan Dihuang (Raw Dried Rehmannia Root, baked, 1.5 liang). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, decoct until reduced to half a cup. Strain. Take warm after meals.
Huangqin Tang (Scutellaria Decoction, from *Shengji Zonglu*) treats cold damage hematemesis with mental irritability and oppression.
Ingredients: Huangqin (Scutellaria Root, remove black heart, 3 fen), Shanzhizi Ren (Gardenia Seed, 3 qian), Yuanzhi (Polygala Root, remove heart, 1 fen), Gui (Cinnamon, remove rough bark, 5 fen), Huanglian (Coptis Rhizome, remove whiskers), Zhuru (Bamboo Shavings) (3 fen each). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, decoct until reduced to 1 cup. Strain. Take warm after meals.
Sanhuang Tang (Three Yellows Decoction, from *Shengji Zonglu*) treats post-cold damage deficiency of Heart Qi, hematemesis, epistaxis, and jaundice.
Ingredients: Dahuang (Rhubarb Root, sliced and baked), Huanglian (Coptis Rhizome, remove whiskers), Huangqin (Scutellaria Root, remove black heart, 1 liang each). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, decoct until reduced to 8 fen. Strain. Take warm after meals. Also called Sanhuang Wan. Made into pills with refined honey, size of Sophora seeds. Take 15 pills per dose with plain warm water.
Ziheche San (Placenta Powder, from *Shengji Zonglu*) treats cold damage hematemesis with irritability.
Ingredients: Ziheche (Human Placenta) (3 fen), Pomiao (Mirabilite), Gancao (Licorice Root, raw use, 0.5 liang each), Ha Fen (Calcined Shell Powder) (1 fen). Grind and sift into powder. Take 2 qian per dose. Mix with salt, brown sugar, and fresh well water. Take at any time. Three times daily.
Jinhua San (Golden Flower Powder, from *Shengji Zonglu*) treats continuous hematemesis due to cold damage.
Ingredients: Yujin (Curcuma Tuber), Gancao (Licorice Root, honey-fried and sliced), Qingdai (Indigo Naturalis) (5 qian each). Grind and sift into powder. Take 2 qian per dose. Mix with salt and egg white.
Dihuang San (Rehmannia Powder, from *Shengji Zonglu*) treats continuous hematemesis due to cold damage.
Ingredients: Dahuang (Rhubarb Root, sliced, stir-fried, ground to powder, 1 liang), Longnao (Borneol, ground, 1 qian). Mix evenly. Take 2 qian per dose. Mix with Raw Rehmannia Juice.
Renshen Tang (Ginseng Decoction, from *Shengji Zonglu*) treats cold damage hematemesis, melena, and hematidrosis.
Ingredients: Renshen (Ginseng Root), Shaoyao (Peony Root), Jiegeng (Platycodon Root, sliced and stir-fried), Xiong (Chuanxiong/Lovage Rhizome), Danggui (Angelica Sinensis Root, sliced and baked), Gui (Cinnamon, remove rough bark), Gancao (Licorice Root, honey-fried and sliced, 1 liang each), Zhuru (Bamboo Shavings) (3 fen). Coarsely grind and sieve. Take 5 qian per dose. Use 1.5 cups of salt water, decoct until reduced to 8 fen. Strain. Take warm after meals.
Formula for post-cold damage lingering toxins not resolved, extreme Heart heat, and continuous hematemesis (from *Shengji Zonglu*)
Ingredients: Sheng Ou Zhi (Fresh Lotus Root Juice) (2 he), Sheng Dihuang Zhi (Raw Rehmannia Juice) (3 he), Eshi Gen Zhi (Arctium Root Juice) (2 he), Ciji Gen Zhi (Acanthopanacis Tricnophylli Radix Juice) (2 he), Mi (Honey) (1 he). Mix and stir evenly. Take 3 he per dose. At any time, take frequently.
Baiye Tang (Cypress Leaf Decoction, from *Jinkui Fang*) treats continuous hematemesis.
Ingredients: Ce Baiye (Biota Top) (3 liang), Ganjiang (Dried Ginger, sliced, 3 liang), Ai (Mugwort, 3 bunches). Decoct with 5 sheng of water until reduced to 1 sheng. Strain. Separately squeeze out 1 sheng of fresh Matong Zhi (Horse Dung Juice). Mix together, decoct until reduced to 1 sheng. Filter through silk cloth. Take warm in two divided doses. Matong is horse dung juice. Another version includes Ejiao and excludes Huangtu.
Huangtu Tang (Yellow Earth Decoction, from *Jinkui Fang*) treats hematemesis and melena, specifically hematochezia following stool, known as distant bleeding.
Ingredients: Fu Zao Xia Huang Jiao Tu (Yellow Scorched Soil from Under Furnace, wrapped in silk, 0.5 sheng), Gancao (Licorice Root, honey-fried), Gan Dihuang (Dried Rehmannia Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuzi (Prepared Aconite Root, cracked and roasted), Ejiao (Donkey-Hide Gelatin, honey-fried and powdered), Huangqin (Scutellaria Root) (3 liang each). Cut into pieces. Decoct the first six ingredients in 8 sheng of water until reduced to 3 sheng. Strain, add gelatin until melted. Divide into three doses. Avoid Seaweed, Chinese Cabbage, and Coriander.
Treatment for cold damage hematemesis with continuous bleeding from gum fissures.
Use 49 grains of Kaikou Chuanjiao (Open-mouth Sichuan Pepper). Decoct with one large cup of Fa Cu (Vinegar) until cooked. Add a little Bai Fan (Alum) to rinse the mouth. Hold in the mouth, spit out after a moment. Repeat rinsing and holding.