（附论）
夫人吐血者。皆由脏腑亏损所致。夫血者外行于经络。内荣于脏腑。若伤损气血。经络
则虚
血也
方
生地黄煎 治妇人劳热至甚。吐血不止。心烦神躁。少思饮食。
生地黄汁（一升） 生藕汁（三合） 青蒿汁（三合） 生姜（二两取汁） 蜜（四两）
酥（一两）
银器中搅令匀。慢火
鸡苏散 治妇人吐血。心烦昏闷。
麦门冬 当归（八分） 鸡苏叶（一两） 阿胶 刺蓟 生地黄（各一两） 黄 羚
羊角屑 茜
煎至六分。去
刺蓟散 治妇人头疼壮热。心中烦闷吐血。
刺蓟（二两） 鸡苏叶（二两） 赤芍药 麦门冬（二两去心） 赤茯苓（一两） 石
膏（三两） 黄
两） 上为散。每服四
计时候。
阿胶散 治妇人吐血。心神烦热。
阿胶（二分捣碎炒黄燥） 当归（三分） 犀角屑（三分） 黄芩（三分） 鸡苏叶（三
分） 羚羊角
（半两炙赤锉） 上
为散
鸡苏散（出大全良方）治虚损气逆。吐血不止。
鸡苏叶 黄芩（各一两） 当归（半两） 赤芍药 阿胶（二两） 伏龙肝（二两） 刺
蓟生地黄
大全良方
鸡苏
存此也。
麦门冬散（出圣惠方）治妇人心中壅毒。吐血烦闷。
麦门冬（二两） 生干地黄（二两） 荠 （一两半） 犀角屑（一两） 黄芩（一两）
川升麻（一
每服四钱。水一中
时候。
伏龙肝散（出永类钤方）治男子妇人五脏结热。吐血衄血。并皆治之。
伏龙肝 生地黄（各一两） 竹茹（一升） 芍药 当归 黄芩 川芎 桂心 甘草（各
二
两）
生葱心
竹茹汤（出千金方）治妇人汗血、吐血、尿血、下血。
竹茹（二升） 人参 芍药 桔梗 芎 当归 甘草 桂心（各一两） 干地黄（四
两）
上
生地黄散（出济生拔萃）诸见血无寒。衄血下血。吐溺血。背热。属于热。
生地黄 熟地黄 枸杞子 地骨皮 天门冬 黄 芍药 甘草 黄芩（各等分） 上
为
粗末
治肌瘦咯血肺痿等疾。（出大全良方）
蛤蚧（一双全者酒浸一宿捶炒干） 知母 贝母（去心） 人参（去芦） 杏仁（去皮
尖麸炒）
枇
白皮
煎
青饮子（出大全良方）治咯血。
青黛 杏仁 上一处同研成膏。熔黄蜡和作三十饼子。每服一饼子。用干柿半个夹定。
以湿
治妇人热毒上攻。吐血不止。（一名五神汤出圣惠方）
生藕汁 刺蓟 生地黄汁（各三合） 生姜汁（半合） 白蜜（一合） 上和煎三两沸。
无
时以
紫参散（出圣惠方）治妇人卒吐血不止。胸心闷痛。
紫参（一两） 鹿角胶（一两捣研炒黄燥） 青竹茹（一两） 羚羊角屑（一两炒黄燥）
生干
地黄
生地黄散（出圣惠方）治妇人心热。壅闷吐血。
生干地黄（一两半） 麦门冬（一两去心） 甘草（半两炙微赤锉） 荠 （三分） 白
茅根
（一两
至
六分。
柔脾汤（出大全良方）治虚劳吐血。自汗出。
甘草 白芍药 黄 （各一两） 熟地黄（二两） 上为末。每服四钱。水酒各一大盏。
以
上煎
有女年十四。月水不行。遂妄行而呕血。诸药无效。察其形容。人肥脉不大不出。且用
四生
更不
血得热则流散。经水沸溢。宜服凉药以解之。大黄、犀角、生地、生艾
如阴乘于阳。所谓天寒地冻。水凝成冰。宜服温药以暖之。干姜、肉桂
宜思之可也。以上所论中。四生丸青饼子各见于后。
四生丸（出圣惠方）疗吐血。阳乘于阴。血热妄行。宜服此药。
生荷叶 生艾叶 生地黄 生柏叶（各等分） 上等分。烂研丸如鸡子大。每服一丸。
水三盏
经验良方陈氏云。先公游福青灵石寺。见侍者斋罢来侍。立见桌子不稳。急声喊拆之。
登时
丸服
又方（出圣惠方）治妇人吐血。百治不瘥。
龙骨（半两） 当归（三分锉捣炒） 生干地黄（一两） 上俱为细散。以生地汁调下
二钱。不计
又方（出圣惠方）
青竹茹（一两） 生地黄（三两） 羚羊角屑（半两） 上以水一大盏半。煎至一盏。
去滓。分三
又方（出圣惠方）
肉桂心（一两） 阿胶（半两捣碎炒黄燥） 生干地黄（半两） 上为细散。每服一钱。
煎竹茹汤
又方（出圣惠方）治吐血。
生地黄（三升切） 阿胶（二两炒） 蒲黄（六合） 上用水五升。煮取三升。分三服。
仆尝
治一
一方
生地黄竹茹藕汁（出经验方）治妇人吐血。
陈槐花（二两炒） 百草（半两） 上为细末。每服茅蔗根煎酒调下。亦治血崩。一方
无茅
蔗根
治热毒吐血。经日百治不瘥者。（出圣惠方）
地黄汁（半升） 制大黄末（一方寸） 上煎地黄十三两沸。调大黄末令匀。为三服。
又方（出大全良方）治吐血。
用桂心末水调方寸。日夜可二十服。
又方（出圣惠方）治热毒吐血。
用伏龙肝研令极细。每服二钱。新汲水调下。顿服取效。
茅花汤（出圣惠方）
用白茅花浓煎饮之立止。捣生白茅根取汁一合饮之亦得。或取根握长六寸。水煎。去滓
温服
又方（出圣惠方）
用生葱心塞鼻即定。若因刺着并刀斧所伤。血不止用之立定。
又方（出大全良方）
用釜底墨研入鼻中。
又方（出圣惠方）
用乱发灰细研。以竹管吹入鼻中立止。
又方（出圣惠方）
取龙骨末吹入鼻中立止。
治一切风并鼻衄吐血。肠风血痢。及崩中带下。
用牡驴皮煎胶食。
疗热甚呕血者。
以犀角地黄汤局方小三黄丸以白茅根煎服。
治吐血及下血。（出本草）
以鸡苏茎叶煎取汁饮之。
(Attached Discussion)
Hematemesis (vomiting blood) is invariably caused by the deficiency of the Zang-Fu organs. Blood circulates externally in the meridians and nourishes internally the Zang-Fu organs. If Qi and Blood are damaged, the meridians become deficient, leading to the extravasation of blood.
Shengdi Huang Decoction: Treats women with severe exhaustion-heat causing persistent hematemesis, mental restlessness, irritability, and poor appetite.
Ingredients: Juice of fresh Rehmanniae Radix (Sheng Di Huang) one sheng, juice of fresh lotus rhizome three he, juice of young Artemisiae Annuae Herba (Qing Hao) three he, ginger two liang (extracted for juice), honey four liang, butter one liang.
Mix evenly in a silver vessel and simmer slowly over low heat.
Jisu San: Treats women with hematemesis accompanied by mental restlessness and drowsy oppression.
Ingredients: Ophiopogonis Radix (Mai Men Dong), Angelicae Sinensis Radix (Dang Gui) eight fen, Heteromatheri Herba (Ji Su Ye) one liang, Donkey-hide Gelatin (E Jiao), Cirsii Japonici Herba (Ci Ji), fresh Rehmanniae Radix (Sheng Di Huang) each one liang, Scutellariae Radix (Huang Qin), horn of antelope shaved, Qian Cao Gen.
Decoct until six parts remain, then remove the dregs.
Ci Ji San: Treats women with headache, high fever, mental restlessness, and hematemesis.
Ingredients: Cirsii Japonici Herba (Ci Ji) two liang, Heteromatheri Herba (Ji Su Ye) two liang, Red Paeonia Root (Chi Shao Yao), Ophiopogonis Radix (Mai Men Dong) two liang (core removed), Red Poria (Chi Fu Ling) one liang, Gypsum Fibrosum (Shi Gao) three liang, Scutellariae Radix (Huang Qin).
Grind the above into powder. Take four qian per dose, decoct according to time.
E Jiao San: Treats women with hematemesis and mental restlessness due to heat.
Ingredients: Donkey-hide Gelatin (E Jiao) two fen (crushed and fried until yellow and dry), Angelicae Sinensis Radix (Dang Gui) three fen, Rhinocerotis Cornu (Xi Jiao) three fen, Scutellariae Radix (Huang Qin) three fen, Heteromatheri Herba (Ji Su Ye) three fen, horn of antelope half liang (fried red and crushed).
Grind the above into powder.
Jisu San (from *Da Quan Liang Fang*): Treats deficiency damage with rebellious Qi and persistent hematemesis.
Ingredients: Heteromatheri Herba (Ji Su Ye), Scutellariae Radix (Huang Qin) each one liang, Angelicae Sinensis Radix (Dang Gui) half liang, Red Paeonia Root (Chi Shao Yao), Donkey-hide Gelatin (E Jiao) two liang, Longum Cinere (Fu Long Gan) two liang, Cirsii Japonici Herba (Ci Ji), fresh Rehmanniae Radix (Sheng Di Huang).
From *Da Quan Liang Fang*, only the formula name is preserved here.
Mai Men Dong San (from *Sheng Hui Fang*): Treats women with toxic accumulation in the heart causing hematemesis and mental restlessness.
Ingredients: Ophiopogonis Radix (Mai Men Dong) two liang, dried fresh Rehmanniae Radix (Sheng Gan Di Huang) two liang, Circaeae Herba (Qi Ni) one and a half liang, Rhinocerotis Cornu (Xi Jiao) one liang, Scutellariae Radix (Huang Qin) one liang, Cimicifugae Rhizoma (Chuan Sheng Ma).
Take four qian per dose, decoct with one zhong of water.
Fu Long Gan San (from *Yong Lei Qian Fang*): Treats internal heat accumulation in the five Zang organs of men and women, treating both hematemesis and epistaxis.
Ingredients: Longum Cinere (Fu Long Gan), fresh Rehmanniae Radix (Sheng Di Huang) each one liang, Bamboo Shavings (Zhu Ru) one sheng, Paeonia Root (Shao Yao), Angelicae Sinensis Radix (Dang Gui), Scutellariae Radix (Huang Qin), Ligusticum Chuanxiong Rhizoma (Chuan Xiong), Cinnamomi Cortex (Gui Xin), Glycyrrhizae Radix et Rhizoma (Gan Cao) each two liang, green onion heart.
Zhu Ru Tang (from *Qian Jin Fang*): Treats women with hematohidrosis, hematemesis, hematuria, and lower bleeding.
Ingredients: Bamboo Shavings (Zhu Ru) two sheng, Ginseng Radix et Rhizoma (Ren Shen), Paeonia Root (Shao Yao), Platycodonis Radix (Jie Geng), Ligusticum Chuanxiong Rhizoma (Xiong), Angelicae Sinensis Radix (Dang Gui), Glycyrrhizae Radix et Rhizoma (Gan Cao), Cinnamomi Cortex (Gui Xin) each one liang, dried Rehmanniae Radix (Di Huang) four liang.
The above ingredients...
Sheng Di Huang San (from *Ji Sheng Ba Cui*): For all bleeding conditions without cold signs, such as epistaxis, lower bleeding, hematemesis/hematuria, and back heat, which belong to heat syndromes.
Ingredients: Fresh Rehmanniae Radix (Sheng Di Huang), Prepared Rehmanniae Radix (Shu Di Huang), Lycii Fructus (Gou Qi Zi), Phellodendri Cortex (Di Gu Pi), Asparagi Radix (Tian Men Dong), Astragali Radix (Huang Qi), Paeonia Root (Shao Yao), Glycyrrhizae Radix et Rhizoma (Gan Cao), Scutellariae Radix (Huang Qin) (each equal portion).
Grind the above into coarse powder.
Treating emaciation, hemoptysis, lung atrophy, etc. (from *Da Quan Liang Fang*).
Ingredients: Gecko (Ge Jie) one pair (whole, soaked in wine overnight, pounded and fried dry), Anemarrhenae Rhizoma (Zhi Mu), Fritillariae Bulbus (Bei Mu) (core removed), Ginseng Radix et Rhizoma (Ren Shen) (rhizome removed), Prunus Armeniaca Semen (Xing Ren) (skin and tip removed, bran-fried), Loquat Leaf (Pi Pa Ye) (hair removed), white bark.
Decoct and take.
Qing Yin Zi (from *Da Quan Liang Fang*): Treats hemoptysis.
Ingredients: Indigo Naturalis (Qing Dai), Prunus Armeniaca Semen (Xing Ren).
Grind together into a paste, mix with melted beeswax to make thirty cakes. Take one cake per dose, sandwiched between half a dried persimmon, wrapped in wet paper and roasted, then taken.
Treating women with heat-toxin attacking upward causing persistent hematemesis. (Also known as Wu Shen Tang, from *Sheng Hui Fang*).
Ingredients: Juice of fresh lotus rhizome, Cirsii Japonici Herba (Ci Ji), juice of fresh Rehmanniae Radix (Sheng Di Huang) each three he, ginger juice half he, white honey one he.
Mix and decoct for three boils. Take warm at any time.
Zi Shen San (from *Sheng Hui Fang*): Treats women with sudden persistent hematemesis and chest/heart oppression and pain.
Ingredients: Purple Ginseng (Zi Shen) one liang, Deer Antler Gelatin (Lu Jiao Jiao) one liang (crushed, ground, fried yellow and dry), Green Bamboo Shavings (Qing Zhu Ru) one liang, horn of antelope shaved (Ling Yang Jiao Xie) one liang (fried yellow and dry), dried fresh Rehmanniae Radix (Sheng Gan Di Huang).
Sheng Di Huang San (from *Sheng Hui Fang*): Treats women with heart heat, oppression, and hematemesis.
Ingredients: Dried fresh Rehmanniae Radix (Sheng Gan Di Huang) one and a half liang, Ophiopogonis Radix (Mai Men Dong) one liang (core removed), Glycyrrhizae Radix et Rhizoma (Gan Cao) half liang (fried slightly red and crushed), Circaeae Herba (Qi Ni) three fen, Imperatae Rhizoma (Bai Mao Gen) one liang.
Decoct to six parts...
Rou Pi Tang (from *Da Quan Liang Fang*): Treats deficiency-wasting hematemesis with spontaneous sweating.
Ingredients: Glycyrrhizae Radix et Rhizoma (Gan Cao), White Paeonia Root (Bai Shao Yao), Astragali Radix (Huang Qi) each one liang, Prepared Rehmanniae Radix (Shu Di Huang) two liang.
Grind the above into powder. Take four qian per dose, decoct with one large cup of water and one large cup of wine.
A fourteen-year-old girl had amenorrhea, followed by vomiting blood. Various medicines were ineffective. Observing her physique, she was fat but the pulse was not prominent. Temporarily use Si Sheng Wan... No longer...
Blood flows and scatters when heated; menstrual blood boils and overflows. It is appropriate to take cooling medicines to resolve it. Da Huang, Xi Jiao, Sheng Di, Sheng Ai...
As if Yin attacks Yang, like heaven being cold and earth frozen, water condensing into ice. It is appropriate to take warming medicines to warm it. Gan Jiang, Rou Gui...
One should ponder this deeply. Among the above discussions, Si Sheng Wan and Qing Bing Zi are listed later.
Si Sheng Wan (from *Sheng Hui Fang*): Treats hematemesis where Yang invades Yin, causing reckless blood flow due to heat. This medicine is appropriate.
Ingredients: Fresh Lotus Leaf (Sheng He Ye), fresh Mugwort Leaf (Sheng Ai Ye), fresh Rehmanniae Radix (Sheng Di Huang), fresh Biota Top (Sheng Bai Ye) (each equal portion).
Divide equally, pound thoroughly, and make pills the size of chicken eggs. Take one pill per dose, with three cups of water...
Experience Good Prescription by Chen Shi: My late father traveled to Lingshi Temple in Fuqing, seeing an attendant serving after meal. Standing, he saw the table unstable, urgently shouted to dismantle it. Immediately...
Take as pills.
Another prescription (from *Sheng Hui Fang*): Treats women with hematemesis unresponsive to hundred treatments.
Ingredients: Dragon Bone (Long Gu) half liang, Angelicae Sinensis Radix (Dang Gui) three fen (crushed, pounded, fried), dried fresh Rehmanniae Radix (Sheng Gan Di Huang) one liang.
Grind all into fine powder. Take two qian mixed with juice of fresh Rehmanniae Radix (Sheng Di Huang), regardless of time.
Another prescription (from *Sheng Hui Fang*)
Ingredients: Green Bamboo Shavings (Qing Zhu Ru) one liang, fresh Rehmanniae Radix (Sheng Di Huang) three liang, horn of antelope shaved (Ling Yang Jiao Xie) half liang.
Add one and a half cups of water, decoct to one cup, remove dregs, divide into three...
Another prescription (from *Sheng Hui Fang*)
Ingredients: Cinnamon Heart (Rou Gui Xin) one liang, Donkey-hide Gelatin (E Jiao) half liang (crushed, fried yellow and dry), dried fresh Rehmanniae Radix (Sheng Gan Di Huang) half liang.
Grind into fine powder. Take one qian per dose, decoct with Bamboo Shavings (Zhu Ru) soup.
Another prescription (from *Sheng Hui Fang*) for hematemesis.
Ingredients: Fresh Rehmanniae Radix (Sheng Di Huang) three sheng (cut), Donkey-hide Gelatin (E Jiao) two liang (fried), Sori Sparganii (Pu Huang) six he.
Add five sheng of water, boil to obtain three sheng, divide into three doses.
I once...
Treated a...
One prescription...
Sheng Di Huang Zhu Ru Ou Zhi (from *Jing Yan Fang*): Treats women with hematemesis.
Ingredients: Old Sophora Flower (Chen Huai Hua) two liang (fried), Hundred Grass Frost (Bai Cao Shuang) half liang.
Grind into fine powder. Take with wine decocted from Cogon Rhizome (Mao) and Sugarcane Root (Zhe Gen). Also treats metrorrhagia. One prescription has no Mao Zhe Gen...
Treating heat-toxin hematemesis unresponsive to hundred treatments over many days. (from *Sheng Hui Fang*).
Ingredients: Juice of Rehmanniae Radix (Di Huang Zhi) half sheng, prepared Rhubarb Powder (Zhi Da Huang Mo) one cun square.
Boil the juice of Rehmanniae Radix (Di Huang) for thirteen boils, mix evenly with Rhubarb Powder (Da Huang Mo), divide into three doses.
Another prescription (from *Da Quan Liang Fang*) for hematemesis.
Use Cinnamon Heart powder (Gui Xin Mo) mixed with water, one cun square, up to twenty doses day and night.
Another prescription (from *Sheng Hui Fang*) for heat-toxin hematemesis.
Grind Longum Cinere (Fu Long Gan) extremely fine. Take two qian per dose, mixed with fresh well water, take in one dose for effect.
Mao Hua Tang (from *Sheng Hui Fang*)
Concentrated decoction of white cattail flower (Bai Mao Hua) stops immediately upon drinking. Crushing fresh cogon root (Sheng Bai Mao Gen) to extract one he of juice and drinking it also works. Or take root segments six cun long, decoct in water, remove dregs, and take warm.
Another prescription (from *Sheng Hui Fang*)
Stuff green onion heart (Sheng Cong Xin) into the nose to stop immediately. If caused by thorn prick or axe/knife injury with persistent bleeding, using this stops it immediately.
Another prescription (from *Da Quan Liang Fang*)
Grind soot from the bottom of the cauldron (Fu Di Mo) and blow into the nose.
Another prescription (from *Sheng Hui Fang*)
Grind ash of tangled hair (Luan Fa Hui) finely, blow into the nose with a bamboo tube to stop immediately.
Another prescription (from *Sheng Hui Fang*)
Blow powder of Dragon Bone (Long Gu) into the nose to stop immediately.
Treating all wind conditions, epistaxis, hematemesis, intestinal wind bloody dysentery, and leukorrhea/menorrhagia.
Eat gelatin boiled from male donkey skin (Mu Lv Pi).
Treating severe heat-induced vomiting of blood.
Use Xi Jiao Di Huang Tang and Ju Fang Xiao San Huang Wan decocted with Imperatae Rhizoma (Bai Mao Gen).
Treating hematemesis and lower bleeding. (from *Ben Cao*)
Decoct stems and leaves of Heteromatheria (Ji Su) to extract juice and drink.