夫忧愁思虑则伤心，恚怒气逆，上而不下则伤肝，盖心主血，肝藏血，二脏俱伤，则血
不循
方
款冬花丸（出《圣济总录》）治吐血唾血，咳逆气喘短气。
款冬花 紫菀（去苗土各三两） 杏仁（汤浸去皮尖双仁炒） 豉（炒各二两半） 人
参桂（去
（去梗焙） 生干地黄
下，日三夜二服。
伏龙肝散（出《圣惠方》）治呕血不止，胸膈烦痛，心气逆。
伏龙肝（一两） 桂心 当归 赤芍药 白芷 芎 甘草（炙微赤锉各一两） 细辛
（半两）
以水一大盏，煎
茹，无阿胶。
竹茹散（出《圣惠方》）治呕血久不瘥，心神烦闷，脏腑劳伤。
竹茹（一团如鸡子大） 白芍药 当归 生干地黄（各半两） 羚羊角屑 鹿角胶 麦
门冬（去
姜半分，煎
黄 散（出《圣惠方》）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
黄 （锉一两半） 桂心（一两半） 阿胶（捣碎炒令黄燥） 生干地黄 当归 远志
（去心） 人
半分，煎至六
泽兰汤（出《千金方》）治伤中里急，胸胁挛痛，欲呕血，时寒时热，小便
黄，皆伤于房劳
泽兰 糖（各一斤） 桂心 桑根白皮 人参（各三两） 远志（二两） 生姜（五两）
麻仁（一
忌劳动。
麦门冬汁（出《圣济总录》）治呕吐血及鼻衄。
生麦门冬（汁） 生地黄（汁） 生藕（汁） 冷熟水（各一盏） 白药（一两为末） 上
合和匀，每
泽兰汤（出《圣济总录》）治伤中胸内急痛，咳嗽呕吐血，时寒时热，小便
黄赤。
泽兰叶（六两） 大黄（锉炒） 远志（去心各一两） 人参（三两） 麻仁 桑根白
皮（锉各四两）
生地黄汤（出《千金方》）治忧恚呕血，烦满少气，胸中痛。
生地黄（一斤） 大枣（五十枚） 阿胶 甘草（各三两） 上 咀，以水一斗，煮
取四升，分
四味丸（一名四生丸）治呕血、吐血、衄血，若阳乘阴，血热妄行，宜服此
药。（方见四生丸）
治忧恚呕吐，烦满少气，胸中疼痛。
用柏叶捣罗为散，不计时候，以粥饮调下二钱。
荆芥饮（出《圣济总录》）治呕血不止。
荆芥穗 栀子仁 黄芩（去黑心） 蒲黄（各一两） 上粗捣筛，每服三钱，水一盏，
煎至七分
阿胶散（出《经验良方》）治伤损呕血，开胃。
阿胶（三个好者炒） 木香（一钱） 糯米（一合半） 上为细末，每服一钱，百沸汤
点，不拘时
羚羊角饮（出《圣济总录》）治卒呕血。
羚羊角（镑一两半） 桂（去粗皮二两） 大黄（锉炒一两） 上粗捣筛，每服三钱，
水一盏半，
刺蓟散（出《圣惠方》）治呕血、头疼壮热，遍身疼痛，四肢烦闷。
刺蓟 青竹茹（各一两） 鸡苏叶 白茯苓（各半两） 麦门冬（一两半去心焙） 上
为散，每服
温服。
郁金散（出《圣济总录》）治呕血
五灵脂饼子（出《圣济总录》）治吐血呕血。
五灵脂（一两） 芦荟（二钱） 上药滴水和丸，如鸡头大，捏作饼子，每服二饼，龙
脑浆水下
赤芍药汤（出《医方大成》）治瘀血蓄胃，心下胀满，食入即呕血，名曰血
呕。
赤芍药（二两） 半夏（一两半汤炮七次） 陈皮（一两） 上 咀，每服四钱，水一
盏半，姜七
阿胶汤（出《圣济总录》）治呕血，烦满少气，胸中痛。
阿胶（炙令燥） 甘草（炙一两半） 上粗捣筛，每服三钱，水一盏，入生地黄汁三合，
同煎至
大蓟饮（出《济生方》）治呕血吐血。
大蓟汁 生地黄汁（等分） 上和匀，入姜汁少许，生蜜少许，搅匀冷服，不拘时
候。
荆芥汤（出《圣济总录》）治呕血。
治呕血（出《本草》）
以黄柏好者，蜜涂炙干，杵为末，用麦门冬熟水，调下二钱匕，立瘥
生姜竹茹汤（出《指南方》）治呕血
竹茹 甘草 川芎 黄芩 当归（各一两半） 白术 芍药 官桂 人参（各一两） 上
为末，
治唾血（出《本草》）
取鳔胶长八寸，阔二寸，炙令黄，刮二钱已来，用蔗节三十五个，取自然汁调下。
治忧恚呕血，烦闷少气，胸中疼痛。
上用荆芥为末，不拘时候，以生地黄汁，调下二钱。
Sorrow and excessive thinking damage the Heart (Zang-organ), while anger causes Qi (Vital Energy) to rebel and ascend without descending, thereby damaging the Liver (Zang-organ). Since the Heart governs Blood (Xue) and the Liver stores Blood (Xue), injury to both organs results in Blood failing to circulate within the normal vessels.
Kuandonghua Wan (Caulis Flos Flos Decoction Pill) [Source: *Shengji Zonglu*] treats hematemesis (vomiting blood), spitting of blood, accompanied by cough with rebellious Qi, panting, and shortness of breath.
Ingredients: Caulis Flos Flos (Tansy Flower), Radix Asteris Tatarici (Aster Root) (deprived of sprouts and soil, each 3 liang), Semen Pruni Armeniacae (Apricot Seed) (soaked in hot water, skin and tip removed, double-kernel stir-fried), Fermented Soybean (Stir-fried, each 2.5 liang), Radix Ginseng, Ramulus Cinnamomi (bark removed and baked), Radix Rehmanniae Preparata (Dried Prepared Rehmannia Root).
Administration: The herbs are pounded and sifted into a powder. Take 3 qian per dose, decoct with one zhan of water until reduced to 0.7 zhan. Take warm at any time. Three doses daily and two doses at night.
Fulonggan San (Dragon's House Earth Powder) [Source: *Shenghui Fang*] treats persistent hematemesis, vexation and pain in the chest and diaphragm, and rebellious Heart Qi.
Ingredients: Fulonggan (Dragon's House Earth, 1 liang), Ramulus Cinnamomi (Guixin), Radix Angelicae Sinensis, Radix Paeoniae Rubra, Radix Angelicae Dahuricae, Rhizoma Chuanxiong, Radix Glycyrrhizae Preparata (stir-baked until slightly red and crushed, each 1 liang), Radix Asari (0.5 liang).
Administration: Decoct with one large zhan of water. If Ejiao is not suitable for the patient, it may be omitted.
Zhuru San (Bamboo Shavings Powder) [Source: *Shenghui Fang*] treats chronic hematemesis that has not healed, mental restlessness, and visceral fatigue/injury.
Ingredients: Zhuru (Bamboo Shavings, one piece the size of a chicken egg), Radix Paeoniae Alba, Radix Angelicae Sinensis, Radix Rehmanniae Recens (each 0.5 liang), Cornu Saigae Tataricae (cut into flakes), Cornu Cervi Colla, Radix Ophiopogonis (heart removed).
Administration: Add 0.5 fen of Zingiberis Rhizoma Recens (Fresh Ginger), decoct and take.
Huangqi San (Astragalus Powder) [Source: *Shenghui Fang*] treats internal injury causing cramping pain in the chest, coughing and vomiting blood, alternating chills and fever, and dark yellow urine; this is caused by overexertion/fatigue.
Ingredients: Radix Astragali (crushed, 1.5 liang), Ramulus Cinnamomi (1.5 liang), Cornu Cervi Colla (crushed and stir-baked until yellow and dry), Radix Rehmanniae Recens, Radix Angelicae Sinensis, Radix Polygalae (heart removed), Radix Ginseng.
Administration: Add 0.5 fen of Zingiberis Rhizoma Recens, decoct until reduced to 0.6 zhan, strain, and take warm.
Zelan Tang (Lycopus Decoction) [Source: *Qianjin Fang*] treats internal injury causing abdominal urgency, cramping pain in the chest and hypochondrium, desire to vomit blood, alternating chills and fever, and yellow urine; all caused by sexual exhaustion.
Ingredients: Herba Lycopersi, Maltose (each 1 jin), Ramulus Cinnamomi, Cortex Morus Radicis, Radix Ginseng (each 3 liang), Radix Polygalae (2 liang), Zingiberis Rhizoma Recens (5 liang), Semen Cannabis.
Dietary Advice: Avoid labor.
Mendong Zhi (Ophiopogon Juice) [Source: *Shengji Zonglu*] treats vomiting blood and epistaxis.
Ingredients: Radix Ophiopogonis Recens (juice), Radix Rehmanniae Recens (juice), Rhizoma Nelumbinis Nuciferae Recens (juice), cold boiled water (each 1 zhan), Baiyao (1 liang, powdered).
Administration: Mix evenly. Take appropriate amount.
Zelan Tang (Lycopus Decoction) [Source: *Shengji Zonglu*] treats internal injury causing acute pain in the chest, coughing and vomiting blood, alternating chills and fever, and yellow-red urine.
Ingredients: Folium Lycopersi (6 liang), Radix Rhei (crushed and stir-fried), Radix Polygalae (heart removed, each 1 liang), Radix Ginseng (3 liang), Semen Cannabis, Cortex Morus Radicis (crushed, each 4 liang), Radix Rehmanniae Recens.
Shengdihuang Tang (Rehmannia Decoction) [Source: *Qianjin Fang*] treats hematemesis due to sorrow and indignation, vexation and fullness, shortness of breath, and chest pain.
Ingredients: Radix Rehmanniae Recens (1 jin), Fructus Jujubae (50 pieces), Cornu Cervi Colla, Radix Glycyrrhizae Preparata (each 3 liang).
Administration: Cut the herbs, decoct with 1 dou of water until 4 sheng remains. Divide into four doses.
Siwei Wan (Four Ingredients Pill), also known as Sisheng Wan, treats hematemesis, vomiting blood, and epistaxis. It is indicated when Yang pathogen attacks Yin, causing heat in the blood leading to reckless bleeding. (See entry for Sisheng Wan).
For treating vomiting due to sorrow/indignation, vexation, fullness, shortness of breath, and chest pain:
Use Folium Bletillae (Ce Bai Ye) pounded and sifted into powder. Take 2 qian mixed with rice broth at any time.
Jingjie Yin (Schizonepeta Drink) [Source: *Shengji Zonglu*] treats persistent hematemesis.
Ingredients: Spica Schizonepetae, Semen Gossampini (Gardenia Seed), Radix Scutellariae (black heart removed), Spora Lycopodii (each 1 liang).
Administration: Coarsely crush and sieve. Take 3 qian per dose, decoct with one zhan of water until reduced to 0.7 zhan. Take warm.
Ejiao San (Colla Corii Asini Powder) [Source: *Jingyan Liangfang*] treats hematemesis due to trauma/injury and opens the stomach.
Ingredients: Cornu Cervi Colla (three good ones, stir-baked), Radix Aucklandoniae (1 qian), Glutinosa Rice (1 he half).
Administration: Pound into fine powder. Take 1 qian per dose, mix with boiling water. Take at any time.
Lingyangjiao Yin (Saiga Antelope Horn Drink) [Source: *Shengji Zonglu*] treats sudden hematemesis.
Ingredients: Cornu Saigae Tataricae (shaved, 1.5 liang), Ramulus Cinnamomi (bark removed, 2 liang), Radix Rhei (crushed and stir-fried, 1 liang).
Administration: Coarsely crush and sieve. Take 3 qian per dose, decoct with 1.5 zhan of water. Take warm.
Ciji San (Cirsium Powder) [Source: *Shenghui Fang*] treats hematemesis, headache with high fever, generalized body pain, and limb restlessness.
Ingredients: Herba Cirsii, Qingzhuru (Green Bamboo Shavings, each 1 liang), Herba Elsholtziae, Poria (each 0.5 liang), Radix Ophiopogonis (1.5 liang, heart removed and baked).
Administration: Make into powder. Take appropriate dose. Take warm.
Yujin San (Curcuma Powder) [Source: *Shengji Zonglu*] treats hematemesis.
Wulingzhi Bingzi (Trogopterus Dung Cake) [Source: *Shengji Zonglu*] treats hematemesis and vomiting blood.
Ingredients: Faeces Trogopterori (1 liang), Radix Atractylodis Macrocephalae (Lu Hui/Aloe, 2 qian).
Administration: Mix herbs with water to form pills the size of a chicken head, shape into cakes. Take 2 cakes per dose, swallow with Longnao Jiangshui (Borneol solution).
Chishaoyao Tang (Red Peony Root Decoction) [Source: *Yifang Dacheng*] treats blood stasis accumulating in the Stomach, distension below the heart, immediate hematemesis after eating, termed "Blood Hematemesis".
Ingredients: Radix Paeoniae Rubra (2 liang), Rhizoma Pinelliae Preparata (1.5 liang, processed in hot water seven times), Pericarpium Citri Reticulatae (1 liang).
Administration: Cut herbs. Take 4 qian per dose, decoct with 1.5 zhan of water and 7 slices of Zingiberis Rhizoma Recens.
Ejiao Tang (Colla Corii Asini Decoction) [Source: *Shengji Zonglu*] treats hematemesis, vexation and fullness, shortness of breath, and chest pain.
Ingredients: Cornu Cervi Colla (roasted until dry), Radix Glycyrrhizae Preparata (roasted, 1.5 liang).
Administration: Coarsely crush and sieve. Take 3 qian per dose, decoct with one zhan of water plus 3 he of Radix Rehmanniae Recens juice. Simmer together.
Daji Yin (Great Thistle Drink) [Source: *Jisheng Fang*] treats hematemesis and vomiting blood.
Ingredients: Herba Taraxaci (Juice), Radix Rehmanniae Recens (Juice) (equal parts).
Administration: Mix evenly. Add a little Zingiberis Rhizoma Recens juice and raw honey. Stir well and take cold. Take at any time.
Jingjie Tang (Schizonepeta Decoction) [Source: *Shengji Zonglu*] treats hematemesis.
Treating Hematemesis [Source: *Bencao*]:
Select high-quality Cortex Phellodendri (Huangbai), coat with honey, roast until dry, pound into powder. Take 2 qianbi (two coin-sized scoops) mixed with Mashui (cooked water of Radix Ophiopogonis). Cure immediately.
Shengjiang Zhuru Tang (Fresh Ginger and Bamboo Shavings Decoction) [Source: *Zhinan Fang*] treats hematemesis.
Ingredients: Zhuru (Bamboo Shavings), Radix Glycyrrhizae, Rhizoma Chuanxiong, Radix Scutellariae, Radix Angelicae Sinensis (each 1.5 liang), Rhizoma Atractylodis Macrocephalae, Radix Paeoniae, Guanni Gui (Official Cinnamon Twig), Radix Ginseng (each 1 liang).
Administration: Make into powder, decoct and take.
Treating Spitting of Blood [Source: *Bencao*]:
Take Bladder Fish Maw (Biao Jiao) 8 cun long and 2 cun wide. Roast until yellow. Scrape off about 2 qian. Mix with natural juice from 35 segments of Saccharum Officinarum (Sugar Cane joint) and take.
Treating Hematemesis due to Sorrow/Indignation, Vexation, Shortness of Breath, and Chest Pain:
Use Jingjie (Schizonepeta) pounded into powder. At any time, take 2 qian mixed with Radix Rehmanniae Recens juice.