治饮酒过多，蕴热胸膈，以致吐血衄血。若吐衄脉滑数，难治。
葛花（二两如无以根代之） 黄连（四两）
上为细末，以大黄末熬膏子，丸如梧桐子大，每服一百丸，温汤下。或煎服亦可。（《乾坤生意》）《商便奇
方》葛花丸，于本方加栀子、山楂。《士林余业》用葛粉、大黄、黄连，水煎五沸服。
肥盛或酒客辈，痰中有血，滚痰丸佳。（《大还》）
治吐血呕血，五灵脂饼子方。
五灵脂（一两） 芦荟（二钱）
上二味捣研为末，滴水和丸，如鸡头大，捏作饼子，每
服二饼，龙脑浆水化下，不拘时。（《圣济》）（按∶此方无类可隶，姑附于此。）
今人治吐血者，以凉水濯其两足，此釜底抽薪之意也。（《医方考》）
止遏诸方 侧柏散，治内损吐血下血，皆因酒色太过，劳损于内，或血气妄行（按∶《经验良方》作或
因酒色劳损，或心肺脉破，血气妄行），其出如涌泉，口鼻皆流，须臾不救。
柏叶（一两半蒸干） 人参（一两） 荆芥穗（一两烧灰）
上为末，每服二、三钱，入飞罗面二钱和匀，新汲水调如稀糊啜服。血如涌泉，不过二钱。（《家宝》）《澹寮》
去荆芥。《经验良方》华佗《肘后》仓卒十病，去荆芥，云∶如无前药，用荆芥一握烧过，盖于地上，要出火
毒，细研如粉，以陈米饮调下三钱许与服，不过二服效。又无荆芥，用釜底墨，刮下细研如粉，每服三钱，浓米
饮调下，连进二、三服。《原病集》咯血，用侧柏叶、沙参各一两，焙研为末，入飞面二钱，水调如稀糊啜服。
（《入门》名参柏糊。）
参香丸，治咳嗽吐红。
辰砂 人参 乳香
上三味等分，用乌梅肉为丸，麦门冬汤下，京口失医方（《朱氏》）
花蕊石散，五脏崩损，涌喷血成升斗，用此止之。
花蕊石（火 存性研为粉）
上用童便一钟炖温，调末三钱，甚者五钱，食后服下。男子用酒一半，女人用醋一半，与童便和药服，使瘀血化为
黄水。服此药以后，补之。（《十药神书》）（按∶后药言独参汤。又《和剂》花蕊石散，治一切伤损，用花蕊石、硫黄二
味，宜考。）
四生丸，疗吐血。凡吐血衄血，阳乘于阴，血热妄行，宜服此药。
生荷叶 生艾叶 生柏叶 生地黄
上等分烂研，丸如鸡子大，每服一丸，水三盏，煎至一盏去滓，温服无时候。（《妇人良方》）（按∶此方
本出《杨氏》，名四味丸，三叶并不用生。）《济生全书》四生散，并取自然汁，入童便不拘多少，和药汁温服。
干则水煎，亦入童便温服愈。
黑神散，治大吐血，及伤酒食饱，低头掬损，吐血至多，并血妄行，口鼻中俱出，但声未失，无有不效。百
草霜（村中烧草锅底煤最妙）不拘多少，罗细为末，每服一钱，糯米饮调下。鼻衄搐一字。皮破血出，灸疮出血，
掺上止。并治舌忽然肿破，干掺。（《得效》）（《经验良方》同。）
黑散子，诸窍出血并主之。
隔年莲蓬 败棕榈 头发（并烧存性等分）
上为末，每服二钱，煎南木香汤调下。或只用棕榈烧灰，米汤调下，亦可。（《直指》）
十灰散，治呕血吐血咯血嗽血，先用此药止之。
大蓟 小蓟 荷叶 扁柏叶 茅根 茜根 山栀 大黄 牡丹皮 棕榈皮（各等分）
上各烧灰存性，研极细末，用纸包，碗盖于地上一夕，出火毒。用时先将白藕捣汁或萝卜汁磨京墨半碗，调
服五钱，食后服下。如病势轻，用此立止。如血出成升斗者，用后药止之。（《十药神书》）（后药即花蕊石散。）
治吐血方，用鸡蛋一个打开，和三七末一钱，藕汁一小钟，再入酒半钟，隔汤炖熟食之，不过三两枚自愈。（《集验
良方》）
清凉诸方 治吐血，酒客、温疫中热毒，干呕心烦者方。
蒲黄 栝蒌根 犀角 甘草（各二两） 桑寄生 葛根（各三两）
上六味 咀，以水七升，煮取三升，分三服。（《千金》）（《衍义》曰∶寄生真者绝不易得，昔人以芦根
汁代用，亦颇有效。）《外台》引《古今录验》名蒲黄汤。
治卒吐血，皆因心肺暴热毒入胃，致吐不止，宜服生地黄散方。
生干地黄 阿胶 甘草（各二两） 黄芩 柏叶 犀角屑 刺蓟（各一两）
上件药捣筛为散，每服三钱，以水一中盏，入青竹茹一鸡子大，同煎至六分去滓，不计时候温服。（《圣惠》）
（按∶此本《千金》治衄生地黄汤，今加犀角、刺蓟、竹茹。）
治吐血不止，红蓝花饮方。
红蓝花（二两） 伏龙肝（三两以水五升五合浸滤取汁） 犀角（镑一分） 甜竹茹（三分） 白茅根（锉）
麦门冬（去心锉各半两）
上六味，将伏龙肝汁煎诸药，取六合去滓，食后分三服。每服更入乱发灰一钱匕，和匀服。（《圣济》）
（按∶此本《圣惠》治心热吐血方，今加犀角、茅根、麦门冬。）
上焦热极，吐血鲜红，以黄连解毒汤加生地黄、犀角主之。若大便燥结，加大黄。（《原病集》）
凉血地黄汤，如上焦火盛，口舌生疮发热，或血热上行，或吐血，或衄血，或下血，一切失血及不嗽血自来者，
并宜。
乌犀角（镑二钱） 怀生地黄（二钱五分） 赤芍（一钱五分） 牡丹
皮（二钱） 黄连 黄芩 玄参（各一钱）
上锉一剂，水煎服。一方加郁金末一钱，入本汤药内饮之，其血自清。如吐血成块者，加大黄一钱，桃仁十个去皮
尖研如泥。如血鲜者，不必加此二味。（《慈航》）《汇言》治热极失血，吐衄不止，于本方（犀角磨汁半盏）去黄
芩、玄参，加童便半盏、炮姜炭、甘草。
治心胸烦热，吐血不止，口舌干燥，头疼，宜服石膏散方。
石膏（二两） 甘草（半两） 麦门冬 川升麻 黄芩 生干地黄 青竹茹 栝蒌根 葛根（各一两）
上件药捣筛为散，每服三钱，以水一中盏，煎至六分去滓，不计时候温服。（《圣惠》）
黄连石膏汤，治吐血。
黄连 黄芩 石膏 知母 甘草
本方加升麻、葛根，治饮酒过多衄血。（《苍生司命》）
凉荣汤，治吐衄诸血。
生地黄 川归尾 扁柏叶（炒） 蒲黄（炒） 白芍药 甘草 麦门冬（去心） 知母（炒） 黄柏（各等分）
上各制炒，每服八钱，白水煎服。（《诸证辨疑》）《百代医宗》用侧柏叶，不用扁柏。《寿世保元》滋阴清火
汤，于本方去柏叶、蒲黄，加川芎、牡丹皮、玄参、犀角、山栀、阿胶。
郁金四物汤，治吐血、衄血、唾血、大便下血及一切失血神效。如郁金不真，则不效。
当归（酒洗一钱） 生地黄（一钱三分） 白芍药（炒八分） 川芎（六分） 韭汁（一酒杯） 郁金（二枚磨
水） 姜汁（一酒杯） 童便（一酒杯以上四味并临服时入）
上将前四味，用水二钟，煎一钟，入四味，温服。（《医汇》）
郁金末，治吐血，入姜汁、童便良。治吐血或衄血上行，用郁金，后以犀角地黄汤加郁金。（《丹溪》）
尝治诸虚吐衄咯血药中，每入童便半合，其效甚速。或单用以重汤炖服，无不应效。盖溲溺降火滋阴，又能
消瘀血，止吐衄诸血。童便一名溲溺，一名轮回酒，一名还元汤，但取年十二岁以下无病者童子，绝其烹炮咸
味，令其洁净，亦当与淡肉味，凡溺下却以瓷器盛之，少顷每一钟少入生姜自然汁二三点，搅匀徐徐服之，日
进二、三次。如大寒，却以重汤温服，服此但以饮食相远为佳。（《辨疑》）（按∶《菽园杂记》轮回酒，人尿
也。《续医说》引，当参。）《济世全书》轮回汤，即自己小便，入甘草末一钱，通口服，随以甘草末嚼之，或
生姜一小片嚼之。（原文稍长，须参。）
《王氏手集》青金散，治肺嗽喘息有音，及热搏上焦，血溢妄行，咳唾血出，咽嗌疼痛，烦渴呕吐，寒热休
歇，减食羸瘦方。
白芨 青黛（研各半两）
上同研匀，每服半钱或一钱，糯米饮调下。（《幼幼》）（按∶白芨治咯血，《医说》引《癸志》，宜考。）
小柴胡汤，治男女诸热出血，血热蕴隆。（《直指》）
止红散，治心肺客热，咳嗽吐血。
北柴胡（去苗一两） 胡黄连 宣连（各半两）
上件为细末，入朱砂少许研匀，每服二钱，水一盏，煎至半盏，通口服，食后。（《杨氏》）
柴胡清肝散，治肝胆二经风热怒火血证。
柴胡 黄芩（各一钱） 黄连 山栀子（各□分） 当归（一钱）
川芎（六分） 牡丹皮（一钱） 升麻（八分） 甘草（三分）
水煎服。（《识病捷法》）（柴胡疏肝散出《瘀血》中，宜参。）
人有大怒而吐血者，或倾盆而出，或冲口而来，一时昏晕。方用解血平气汤，白芍二两，当归二两，荆芥炒
黑三钱，柴胡八分，红花二钱，炒栀子三钱，甘草一钱，水煎服。（《石室秘 》）
滋润诸方 耆婆方，治人唾血及水涎，不能食方。
干地黄 人参 蒲黄
等分为散，以饮服一钱匕，日二。腹痛者，加芍药二分。（《医心》）
参地煎，即人参、生地黄也。凡因热伤，衄吐血不已者，则热已随血减，然气亦随血亡也。气虚甚者，当倍
人参为君。血热者，宜倍生地为君。时时煎服，自止也。（《金鉴》）
五伤汤，治劳伤荣卫，吐血下血，诸虚不足。
当归 白芍药（各三分） 人参 川芎（各二分） 甘草 桂（各一两） 阿胶（一分）
上为粗末，每服二钱，水一盏，生姜三片，枣一枚，同煎至六分，去滓食前温服。（《鸡峰》）
麦门冬饮子，治吐血久不愈。以三棱针于气街出血，立愈。
黄 （一钱） 麦门冬 当归身 生地黄 人参（以上各五分） 五味子（十个）
上为粗末，都作一服，水二盏，煎至一盏，去渣热服不拘时。（《兰室秘藏》）又人参饮子，治脾胃虚弱，
气促气弱，精神短少，衄血吐血，于本方去生地黄，加白芍药、甘
草。（《宝鉴》更加紫菀。）
阿胶散，治肺破嗽血唾血。
人参 茯苓 生干地黄 天门冬（水浸去心） 北五味子（各一分） 阿胶（炒酥） 白芨（各二分）
上白芨别为末，余药锉散，每服三钱，水一大盏，入蜜二大匙，秫米百粒，姜五片，同煎，临熟入白芨少许，
食后服。（《直指》）
诸血后虚怯主方，治吐衄咳唾等证，血失既多，虚羸昏倦，精神怯弱，血尚未尽。
人参（一钱） 黄 （蜜炒一钱） 甘草（炙五分） 白芨（一钱） 百合（一钱） 熟地黄（二钱）
生地黄（二钱） 当归（身头一钱五分） 牡丹皮（一钱） 阿胶（蛤粉炒成珠一钱） 鹿角胶（一钱）
以上作一剂，用藕节五个，水煎，临服时，入童便一盏，藕汁二杯，候温徐徐缓服。（《痰火点雪》）
治肺损，吐血不止，地黄饮方。
生地黄（八两碎取汁） 鹿角胶（一两炙燥碾为末）
上二味，先以童子小便五合，于铜器中煎，次下地黄汁及胶末，打令匀，煎令熔，十沸后，分作三服，当止。
（《圣济》）《直指》入姜汁少许调下。无鹿胶，则以透明阿胶炒酥代用。
茯苓补心汤，治心气虚耗，不能藏血，以致面色黄瘁，五心烦热，咳嗽唾血。（《得效》）一方用参苏饮三
两，加局方四物汤一半，合和名茯苓补心汤，大治男子妇人虚劳发热，或五心烦热，并治吐血衄血便血，并妇人下
血过多，致虚热者。（《易简》）（按∶此方本出《三因》。）
如味芎 汤，治打扑伤损，败血流入胃脘，呕吐黑血，或如豆羹汁。
川芎 当归 白芍药 百合（水浸半日） 荆芥穗（各等分）
上锉散，每服四钱，水一盏，酒半盏，同煎七分，去滓无时服。（《三因》）（按∶上方与此方并无类可隶，
姑列于此。）
补阳诸方《录验方》治吐血，生姜汤方。
生姜（五两） 人参（一两） 甘草（三两） 大枣（十枚）
凡四物 咀，以水三升，煮取一升半，分再服。（《医心》）
《胜金方》治吐血，以人参一味为末，鸡子清搅新汲水调下一钱。（《本草》）（按∶又引《灵苑方》，不
用新汲水。）《圣济》名异功散。（文与《灵苑》同。）
人参汤，治吐咯血。
新罗人参，慢火煎服。（《直指》）独参汤，止血后，此药补之。大人参二两去芦。上每服，水二盏，枣五
枚，煎一盏细呷之，服后熟睡一觉后，服诸药除根。《十药神书》）诸失血后，倦怠昏愦，面失色，懒于言动，
浓煎独参汤（《医通》曰∶加橘皮），所谓血脱补气也，最妙。（《六要》）《医通》煎人参入童便与服。（有
治验，宜参。又有说，录在前验色中。）
理中汤，能止伤胃吐血者，以其功最理中脘，分利阴阳，安定血脉。方证广如《局方》，但不出吐血证，学
者当自知之。或只煮干姜甘草汤饮之亦妙，方见《养生必用》。（《三因》）《养生必用方》云∶凡吐血须煎干
姜甘草汤与服，或四物理中汤亦可。干姜甘草汤，若阴乘于阳，心肺经寒而呕血者，宜服。（《妇人良方》）甘
草干姜汤，男女诸虚出血，胃寒不能引气归元，无以收约其血。（《直指》）二神汤，治吐血绝妙。治男子妇人
To treat vomiting of blood and epistaxis caused by excessive alcohol consumption, leading to heat accumulation in the chest and diaphragm. If the pulse is slippery and rapid during bleeding, it is difficult to treat.
Ge Hua (Floris Puerariae Flos, 2 liang; if unavailable, the root may be substituted) Huang Lian (Coptidis Rhizoma, 4 liang)
Grind the above ingredients into a fine powder. Use Da Huang (Rhei Radix et Rhizoma) powder boiled into a paste to make pills the size of paulownia seeds. Take 100 pills each time with warm water. Decoction is also acceptable. (From *Qiankun Shengyi*) The Ge Hua Wan (Pueraria Flower Pill) in *Shang Bian Qi Fang* adds Zhi Zi (Gardeniae Fructus) and Shan Zha (Crataegi Fructus) to this formula. *Shi Lin Yu Ye* uses Ge Fen (Puerariae Radix Amylum), Da Huang, and Huang Lian, decocted in water until boiling five times before taking.
For obese individuals or habitual drinkers with blood in sputum, Gun Tan Wan (Rolling Phlegm Pill) is effective. (From *Da Huan*)
To treat hematemesis and hematemesis, use Wu Ling Zhi Bing Zi Formula.
Wu Ling Zui (Trogopterori Faeces, 1 liang) Lu Hui (Aloe, 2 qian)
Grind these two ingredients into a powder, add water dropwise to form pills the size of corn kernels, shape them into cakes. Take two cakes each time, dissolved in Long Nao (Borneolum Syntheticum) Jiang Shui (Plumbaginis Decoction), at any time. (From *Sheng Ji Zong Lu*) (Note: This formula does not fit neatly into a category, so it is attached here.)
Currently, people treat hematemesis by washing both feet with cold water, which embodies the principle of "removing firewood from under the cauldron" (eliminating the root cause). (From *Yi Fang Kao*)
Formulas for Stopping Bleeding
Ce Bai San (Biota Top Leaf Powder) treats internal injury causing hematemesis and lower gastrointestinal bleeding, often due to excess alcohol and sexual activity, internal exhaustion, or reckless movement of Qi and Blood (Note: *Jing Yan Liang Fang* states due to alcohol/sexual excess, internal exhaustion, or rupture of heart/lung vessels causing reckless Qi/Blood movement). Bleeding flows like a gushing spring from mouth and nose; without immediate rescue, death ensues.
Bai Ye (Biota Cacumen, 1.5 liang steamed dry) Ren Shen (Ginseng Radix et Rhizoma, 1 liang) Jing Jie Sui (Schizonepetae Spica, 1 liang charred to ash)
Grind into powder. Take 2-3 qian each time, mix with 2 qian of Fei Luo Mian (fine wheat flour), and take as a thin paste mixed with fresh well water. If bleeding is like a gushing spring, no more than 2 qian is needed. (From *Jia Bao*) *Dan Liao* removes Jing Jie. *Jing Yan Liang Fang* cites Hua Tuo's *Zhou Hou Bei Ji Fang* for emergency ten diseases, removing Jing Jie, stating: if previous herbs are unavailable, use a handful of Jing Jie, burn it, cover on the ground to remove fire toxicity, grind finely to powder, take about 3 qian mixed with aged rice drink, effective within two doses. If Jing Jie is unavailable, use Fu Di Mo (soot from cooking pot bottom), scrape off, grind finely, take 3 qian mixed with thick rice drink, continue for 2-3 doses. *Yuan Bing Ji* treats hemoptysis using Ce Bai Ye and Sha Shen (Adenophorae Radix) 1 liang each, roasted and ground, mixed with 2 qian fine flour, taken as a thin paste mixed with water. (*Ru Men* names this Shen Bai Hu).
Shen Xiang Wan (Ginseng and Frankincense Pill) treats coughing up red blood.
Chen Sha (Cinnabaris) Ren Shen (Ginseng Radix et Rhizoma) Ru Xiang (Olibanum)
Mix equal parts of the three ingredients, form pills using Mei Rou (Pruni Mume Carpos), take with Mai Dong Tang (Ophiopogonis Decoction). Lost medical formula from Jingkou (From *Zhu Shi*).
Hua Rui Shi San (Auripigmentum and Pyrolaite Powder) treats collapse and damage of the five zang organs, where blood spurts out in sheng and dou quantities; use this to stop it.
Hua Rui Shi (Pyrolaite, fired until stable nature remains, ground to powder)
Warm one zhong of Tong Bian (Child Urine), mix with 3 qian of powder, or 5 qian for severe cases, take after meals. For men, mix with half wine; for women, mix with half vinegar, combined with Tong Bian for administration, transforming stasis into yellow fluid. After taking this medicine, tonify the body. (From *Shi Yao Shen Shu*) (Note: Later text mentions Du Shen Tang. Also, *He Ji Ju Fang*'s Hua Rui Shi San treats all injuries using Hua Rui Shi and Liu Huang, which should be verified.)
Si Sheng Wan (Four Raw Ingredients Pill) treats hematemesis. For hematemesis and epistaxis where Yang invades Yin and blood heat causes reckless movement, this medicine is suitable.
Sheng He Ye (Lotus Leaf, raw) Sheng Ai Ye (Artemisiae Argyi Folium, raw) Sheng Bai Ye (Biota Cacumen, raw) Sheng Di Huang (Rehmanniae Radix, raw)
Equal parts, pounded and studied, form pills the size of chicken eggs. Take one pill each time, decoct in 3 zhan of water until 1 zhan remains, remove dregs, take warm at any time. (From *Fu Ren Liang Fang*) (Note: This formula originally comes from *Yang Shi*, named Si Wei Wan, where the three leaves were not used raw.) *Ji Sheng Quan Shu*'s Si Sheng San takes natural juices, mixes with Tong Bian in any amount, and takes warm with medicinal juice. If dried, decoct with water and Tong Bian, take warm to cure.
Hei Shen San (Black Divine Powder) treats massive hematemesis, and excessive bleeding due to drunkenness/fullness, bending over causing injury, massive hematemesis, and reckless blood flow from mouth and nose. As long as voice is preserved, it is effective.
Bai Cao Shuang (Soot from grass burning, soot from village cooking pots is best) any amount, sifted fine to powder. Take 1 qian each time, mixed with Nuomi Yin (Glutinous Rice Drink). For epistaxis, insuffuse a character-sized dose. For broken skin bleeding or moxibustion wound bleeding, sprinkle on top to stop. Also treats sudden swelling and rupture of the tongue, apply dry powder. (From *De Xiao Fang*) (Same as *Jing Yan Liang Fang*).
Hei San Zi (Black Powder) primarily treats bleeding from various orifices.
Ge Nian Lian Peng (Lotus Capsule from Previous Year) Bai Zong Lv (Old Palm Fiber) Tou Fa (Human Hair) (All burned until stable nature remains, equal parts)
Grind to powder. Take 2 qian each time, mixed with Nan Mu Xiang Tang (Aquilariae Decoction). Or simply use Bai Zong Lv charred to ash, mixed with Mi Tang (Rice Decoction), which is also effective. (From *Zhi Zhi Fang*)
Shi Hui San (Ten Ashes Powder) treats hematemesis, hemoptysis, spitting blood, and coughing blood; use this first to stop it.
Da Ji (Cirsii Japonici Herba) Xiao Ji (Cirsii Herba) He Ye (Nelumbinis Folium) Bian Bai Ye (Biota Cacumen) Mao Gen (Imperatae Rhizoma) Qian Gen (Rubiae Radix) Shan Zhi (Gardeniae Fructus) Da Huang (Rhei Radix et Rhizoma) Mu Dan Pi (Moutan Cortex) Zong Lv Pi (Trachycarpi Folium) (Equal parts)
Burn each to ash keeping the nature, grind to extremely fine powder, wrap in paper, cover with bowl on ground overnight to remove fire toxicity. When using, first crush white lotus root for juice or radish juice, grind Jing Mo (Ink Stick) half a bowl, mix and take 5 qian, after meals. If disease is mild, this stops it immediately. If blood spurts in sheng/dou amounts, use the following medicine to stop. (From *Shi Yao Shen Shu*) (The following medicine is Hua Rui Shi San.)
Formula for treating hematemesis: Open one egg, mix with 1 qian of San Qi (Notoginseng Radix et Rhizoma) powder, one zhong of Ou Zhi (Lotus Root Juice), add half zhong of wine, steam-cook and eat. Self-heals within 2-3 eggs. (From *Ji Yan Liang Fang*)
Cooling Formulas
Formula for treating hematemesis, alcoholics, heat-toxin from warm epidemics, dry retching, and irritability.
Pu Huang (Typhae Pollen) Gua Lou Gen (Trichosanthis Radix) Xi Jiao (Rhinocerotis Cornu) Gan Cao (Glycyrrhizae Radix et Rhizoma) (Each 2 liang) Sang Ji Sheng (Taxilli Caulis) Ge Gen (Puerariae Radix) (Each 3 liang)
Chop the six ingredients, decoct in 7 sheng of water to obtain 3 sheng, divide into three doses. (From *Qian Jin Fang*) (*Yan Yi* states: True Sang Ji Sheng is hard to get; previously people used Lu Gen (Phragmitis Rhizoma) juice as substitute, also effective.) *Wai Tai Mi Yao* cites *Gu Jin Lu Yan* naming it Pu Huang Tang.
Treating sudden hematemesis, all due to sudden heat-toxin in heart and lung entering stomach, causing continuous bleeding; suitable to take Sheng Di Huang San.
Sheng Gan Di Huang (Rehmanniae Radix, dried) E Jiao (Colla Corii Asini) Gan Cao (Glycyrrhizae Radix et Rhizoma) (Each 2 liang) Huang Qin (Scutellariae Radix) Bai Ye (Biota Cacumen) Xi Jiao Xie (Rhinocerotis Cornu, sliced) Ci Ji (Cirsii Herba) (Each 1 liang)
Pound and sieve the above medicines into powder. Take 3 qian each time, with one zhong of water, add Qing Zhu Ru (Bambusae Caulis in Taeniam, green bamboo resin) the size of a chicken egg, decoct together until 6 fen remains, remove dregs, take warm at any time. (From *Sheng Hui Fang*) (Note: This originates from *Qian Jin Fang*'s Sheng Di Huang Tang for epistaxis, now adding Xi Jiao, Ci Ji, Zhu Ru.)
Treating continuous hematemesis, use Hong Lan Hua Yin.
Hong Lan Hua (Carthami Flos, 2 liang) Fu Long Gan (Dragon's House Earth, 3 liang soaked in 5 sheng 5 he water, filtered for juice) Xi Jiao (Rhinocerotis Cornu, shaved 1 fen) Tian Zhu Ru (Bambusae Caulis in Taeniam, sweet, 3 fen) Bai Mao Gen (Imperatae Rhizoma, chopped) Mai Dong (Ophiopogonis Radix, heart removed, chopped, each 0.5 liang)
Decoct the six ingredients using Fu Long Gan juice, obtain 6 he, remove dregs, divide into three doses after meals. Each dose adds Luan Fa Hui (Ash of Human Hair) 1 qian bi, mix evenly and take. (From *Sheng Ji Zong Lu*) (Note: This originates from *Sheng Hui Fang*'s formula for heart-heat hematemesis, now adding Xi Jiao, Mao Gen, Mai Dong.)
Extreme heat in Upper Jiao, bright red hematemesis; treat with Huang Lian Jie Du Tang (Coptis Decoction for Solving Toxicity) added with Sheng Di Huang and Xi Jiao. If stool is dry and constipated, add Da Huang. (From *Yuan Bing Ji*)
Liang Xue Di Huang Tang (Cool Blood Rehmannia Decoction) is suitable for excessive fire in Upper Jiao, mouth/tongue ulcers with fever, blood heat moving upward, hematemesis, epistaxis, lower bleeding, all hemorrhages, and spontaneous hemoptysis.
Wu Xi Jiao (Black Rhino Horn, shaved 2 qian) Huai Sheng Di Huang (Rehmanniae Radix, raw, 2.5 qian) Chi Shao (Paeoniae Radix Rubra, 1.5 qian) Mu Dan Pi (Moutan Cortex, 2 qian) Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Xuan Shen (Scrophulariae Radix) (Each 1 qian)
Chop one dose, decoct in water. Another prescription adds Yu Jin (Curcumae Radix) powder 1 qian to this decoction; blood clears naturally. If blood clots are vomited, add Da Huang 1 qian, Tao Ren (Persicae Semen, 10 pieces peeled and crushed to paste). If blood is bright red, these two are not needed. (From *Ci Hang*) *Hui Yan* treats extreme heat hemorrhage, continuous hematemesis/epistaxis, removes Huang Qin and Xuan Shen from this base (Xi Jiao ground juice half zhong), adds Tong Ban half zhong, Pao Jiang Tan (Charred Ginger), Gan Cao.
Treating irritability in chest/heart, continuous hematemesis, dry mouth/tongue, headache; suitable to take Shi Gao San.
Shi Gao (Gypsum Fibrosum, 2 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.5 liang) Mai Dong (Ophiopogonis Radix) Chuan Sheng Ma (Bupleuri Radix? No, Cimicifugae Rhizoma) Huang Qin (Scutellariae Radix) Sheng Gan Di Huang (Rehmanniae Radix, dried) Qing Zhu Ru (Bambusae Caulis in Taeniam) Gua Lou Gen (Trichosanthis Radix) Ge Gen (Puerariae Radix) (Each 1 liang)
Pound and sieve into powder. Take 3 qian each time, with one zhong of water, decoct until 6 fen remains, remove dregs, take warm at any time. (From *Sheng Hui Fang*)
Huang Lian Shi Gao Tang (Coptis and Gypsum Decoction) treats hematemesis.
Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Shi Gao (Gypsum Fibrosum) Zhi Mu (Anemarrhenae Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma)
Add Sheng Ma (Cimicifugae Rhizoma) and Ge Gen (Puerariae Radix) to this base to treat epistaxis from excessive drinking. (From *Cang Sheng Si Ming*)
Liang Rong Tang (Cool Radiance Decoction) treats hematemesis and epistaxis.
Sheng Di Huang (Rehmanniae Radix, raw) Chuan Gui Wei (Angelicae Sinensis Radix tail) Bian Bai Ye (Biota Cacumen, fried) Pu Huang (Typhae Pollen, fried) Bai Shao Yao (Paeoniae Radix Alba) Gan Cao (Glycyrrhizae Radix et Rhizoma) Mai Dong (Ophiopogonis Radix, heart removed) Zhi Mu (Anemarrhenae Rhizoma, fried) Huang Bo (Phellodendri Cortex) (Equal parts)
Process and fry each. Take 8 qian each time, decoct in plain water. (From *Zhu Zheng Bian Yi*) *Bai Dai Yi Zong* uses Ce Bai Ye instead of Bian Bai. *Shou Shi Bao Yuan*'s Zi Yin Qing Huo Tang removes Bai Ye and Pu Huang from this base, adds Chuan Xiong (Ligustici Chuanxiong Rhizoma), Mu Dan Pi, Xuan Shen, Xi Jiao, Shan Zhi, E Jiao.
Yu Jin Si Wu Tang (Curcuma Four Substances Decoction) is miraculous for hematemesis, epistaxis, spitting blood, lower GI bleeding, and all hemorrhages. If Yu Jin is not authentic, it is ineffective.
Dang Gui (Angelicae Sinensis Radix, wine-washed 1 qian) Sheng Di Huang (Rehmanniae Radix, raw 1.3 qian) Bai Shao Yao (Paeoniae Radix Alba, fried 0.8 fen) Chuan Xiong (Ligustici Chuanxiong Rhizoma 0.6 fen) Jiu Zhi (Chinese Chive Juice, one wine cup) Yu Jin (Curcumae Radix, 2 pieces ground with water) Jiang Zhi (Ginger Juice, one wine cup) Tong Bian (Child Urine, one wine cup; last four added just before taking)
Decoct the first four ingredients in 2 zhong of water to 1 zhong, add the last four, take warm. (From *Yi Hui*)
Yu Jin Mo (Curcuma Powder) treats hematemesis; adding Jiang Zhi and Tong Bian is good. For hematemesis or epistaxis moving upward, use Yu Jin, followed by Xi Jiao Di Huang Tang (Rhino Horn and Rehmannia Decoction) added with Yu Jin. (From *Dan Xi Xin Fa*)
I have treated various deficiency-type hematemesis/epistaxis/hemoptysis prescriptions, often adding half he of Tong Bian, effect is very fast. Or use alone, double-boiled, always effective. Because urine lowers fire, nourishes yin, eliminates stasis, and stops hematemesis/epistaxis. Tong Bian is also called Sou Niao, Lun Hui Jiu (Wheel Return Wine), Hai Yuan Tang. Use urine from healthy boys under 12 years old, avoid salty/cooked flavors, keep clean, provide light meat diet. Collect urine in porcelain vessel, add 2-3 drops of fresh Ginger Juice per zhong, mix well, take slowly, 2-3 times daily. If severe cold, warm via double-boiling. Best to take far from meals. (From *Bian Yi*) (Note: *Shu Yuan Za Ji* says Lun Hui Jiu is human urine. Cited in *Xu Yi Shuo*, refer.) *Ji Shi Quan Shu*'s Lun Hui Tang is own urine, add 1 qian Gan Cao powder, swallow, then chew Gan Cao powder or small piece of ginger. (Original text is long, refer.)
*Wang Shi Shou Ji*'s Qing Jin San treats pulmonary cough with wheezing sounds, heat attacking Upper Jiao, blood overflowing recklessly, hemoptysis, throat pain, irritability/thirst/vomiting, alternating chills/fever, reduced appetite/emaciation.
Bai Ji (Bletillae Rhizoma) Qing Dai (Indigo Naturalis) (Ground, each 0.5 liang)
Grind uniformly. Take 0.5 qian or 1 qian, mixed with Nuomi Yin (Glutinous Rice Drink). (From *You You Xin Shu*) (Note: Bai Ji treats hemoptysis, cited in *Yi Shuo* from *Gui Zhi*, verify.)
Xiao Chai Hu Tang (Minor Bupleurum Decoction) treats heat-related bleeding in men and women, blood heat accumulation. (From *Zhi Zhi Fang*)
Zhi Hong San (Stop Red Powder) treats external heat in heart/lung, coughing hematemesis.
Bei Chai Hu (Bupleuri Radix, stems removed 1 liang) Hu Huang Lian (Coptidis Rhizoma? No, Picrorhizae Rhizoma) Xuan Lian (Coptidis Rhizoma, 0.5 liang each)
Grind to fine powder, add small amount of Zhu Sha (Cinnabaris), grind uniform. Take 2 qian each time, 1 zhong water, decoct to half zhong, swallow, after meals. (From *Yang Shi*)
Chai Hu Qing Gan San (Bupleurum Liver-Clearing Powder) treats wind-heat and fire anger blood syndromes in Liver/Gallbladder meridians.
Chai Hu (Bupleuri Radix) Huang Qin (Scutellariae Radix) (Each 1 qian) Huang Lian (Coptidis Rhizoma) Shan Zhi Zi (Gardeniae Fructus) (Each □ fen) Dang Gui (Angelicae Sinensis Radix 1 qian) Chuan Xiong (Ligustici Chuanxiong Rhizoma 0.6 fen) Mu Dan Pi (Moutan Cortex 1 qian) Sheng Ma (Cimicifugae Rhizoma 0.8 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma 0.3 fen)
Decoct in water. (From *Shi Bing Jie Fa*) (Chai Hu Shu Gan San comes from *Yu Xue*, refer.)
People who vomit blood after great anger, pouring like a basin or rushing from mouth, fainting momentarily. Formula: Jie Xue Ping Qi Tang (Resolve Blood Calm Qi Decoction): Bai Shao 2 liang, Dang Gui 2 liang, Jing Jie charred black 3 qian, Chai Hu 0.8 fen, Hong Hua 2 qian, Fried Shan Zhi 3 qian, Gan Cao 1 qian, decoct in water. (From *Shi Shi Mi Lu*)
Moistening Formulas
Qi Po Formula treats spitting blood and saliva, inability to eat.
Gan Di Huang (Rehmanniae Radix, dried) Ren Shen (Ginseng Radix et Rhizoma) Pu Huang (Typhae Pollen)
Equal parts powder, take 1 qian bi with drink, twice daily. If abdominal pain, add Shao Yao 0.2 fen. (From *Yi Xin Fang*)
Shen Di Jian (Ginseng-Rehmannia Decoction) is Ren Shen and Sheng Di Huang. For heat injury causing continuous epistaxis/hematemesis, heat decreases with blood loss, but Qi also escapes with blood. For severe Qi deficiency, double Ren Shen as sovereign. For blood heat, double Sheng Di Huang as sovereign. Decoct and take frequently, will stop spontaneously. (From *Yi Zong Jin Jian*)
Wu Shang Tang (Five Injuries Decoction) treats labor injury to Ying/Wei, hematemesis/lower bleeding, various deficiencies.
Dang Gui (Angelicae Sinensis Radix) Bai Shao Yao (Paeoniae Radix Alba) (Each 0.3 fen) Ren Shen (Ginseng Radix et Rhizoma) Chuan Xiong (Ligustici Chuanxiong Rhizoma) (Each 0.2 fen) Gan Cao (Glycyrrhizae Radix et Rhizoma) Gui (Cinnamomi Cortex) (Each 1 liang) E Jiao (Colla Corii Asini 0.1 fen)
Coarse powder. Take 2 qian each time, 1 zhong water, 3 slices ginger, 1 jujube, decoct to 6 fen, remove dregs, take warm before meals. (From *Ji Feng Pu Ji Fang*)
Mai Dong Yin Zi (Ophiopogon Drink) treats persistent hematemesis. Prick Qi Street with three-edged needle to bleed, cures instantly.
Huang Qi (Astragali Radix 1 qian) Mai Dong (Ophiopogonis Radix) Dang Gui Shen (Angelicae Sinensis Radix body) Sheng Di Huang (Rehmanniae Radix, raw) Ren Shen (Ginseng Radix et Rhizoma) (Each 0.5 fen) Wu Wei Zi (Schisandrae Fructus 10 pieces)
Coarse powder, one dose. 2 zhan water, decoct to 1 zhan, remove dregs, take hot at any time. (From *Lan Shi Mi Cang*) Another Ren Shen Yin Zi treats Spleen/Stomach weakness, shortness of breath, weak spirit, epistaxis/hematemesis; remove Sheng Di Huang from this base, add Bai Shao Yao, Gan Cao. (From *Bao Jian* adds Zi Wan.)
E Jiao San (Donkey-Hide Gelatin Powder) treats lung rupture coughing/spitting blood.
Ren Shen (Ginseng Radix et Rhizoma) Fu Ling (Poria) Sheng Gan Di Huang (Rehmanniae Radix, dried) Tian Dong (Asparagi Radix, water-soaked heart removed) Bei Wu Wei Zi (Schisandrae Fructus) (Each 0.1 fen) E Jiao (Colla Corii Asini, fried crisp) Bai Ji (Bletillae Rhizoma) (Each 0.2 fen)
Grind Bai Ji separately to powder, chop other medicines to powder. Take 3 qian each time, 1 large zhong water, add 2 large spoons honey, 100 grains Shu Mi (Sorghum), 5 slices ginger, decoct together. Just before completion, add small amount of Bai Ji powder, take after meal. (From *Zhi Zhi Fang*)
Main Formula for Deficiency/Collapse after Various Bleeds, treating hematemesis/epistaxis/coughing/spitting, massive blood loss, emaciation/fatigue, weak spirit, blood not fully stopped.
Ren Shen (Ginseng Radix et Rhizoma 1 qian) Huang Qi (Astragali Radix, honey-fried 1 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried 0.5 fen) Bai Ji (Bletillae Rhizoma 1 qian) Bai He (Lilii Bulbus 1 qian) Shu Di Huang (Rehmanniae Radix, prepared 2 qian) Sheng Di Huang (Rehmanniae Radix, raw 2 qian) Dang Gui (Angelicae Sinensis Radix body/head 1.5 qian) Mu Dan Pi (Moutan Cortex 1 qian) E Jiao (Colla Corii Asini, sand-fried to pearls 1 qian) Lu Jiao Jiao (Colla Cornus Cervi 1 qian)
Make one dose, use 5 Ou Jie (Lotus Node), decoct in water. Before taking, add 1 zhong Tong Bian, 2 cups Ou Zhi (Lotus Root Juice), wait for warmth, take slowly. (From *Tan Huo Dian Xue*)
Formula for Lung Damage, continuous hematemesis, Di Huang Yin.
Sheng Di Huang (Rehmanniae Radix, raw 8 liang crushed for juice) Lu Jiao Jiao (Colla Cornus Cervi 1 liang baked dry ground to powder)
First decoct 5 he Tong Bian in copper vessel, then add Di Huang juice and Jiao powder, mix well, boil until melted, boil ten times, divide into three doses, should stop. (From *Sheng Ji Zong Lu*) *Zhi Zhi Fang* adds small amount Jiang Zhi to mix. If no Lu Jiao, use transparent E Jiao fried crisp as substitute.
Fu Ling Bu Xin Tang (Poria Heart-Tonifying Decoction) treats Heart Qi deficiency unable to store blood, causing sallow complexion, five-palm heat, coughing spitting blood. (From *De Xiao Fang*) One formula uses Shen Su Yin 3 liang, plus Ju Fang Si Wu Tang half, mixed name Fu Ling Bu Xin Tang, greatly treats male/female deficiency-labor fever, or five-palm heat, also treats hematemesis/epistaxis/melena, and female excessive lower bleeding causing deficiency-heat. (From *Yi Jian Fang*) (Note: Originates from *San Yin Fang*.)
Ru Wei Xiong Tang treats blunt trauma injuries,敗血 (stagnant blood) flowing to stomach, vomiting black blood or bean soup-like fluid.
Chuan Xiong (Ligustici Chuanxiong Rhizoma) Dang Gui (Angelicae Sinensis Radix) Bai Shao Yao (Paeoniae Radix Alba) Bai He (Lilii Bulbus, water-soaked half day) Jing Jie Sui (Schizonepetae Spica) (Equal parts)
Chop to powder. Take 4 qian each time, 1 zhong water, half zhong wine, decoct to 7 fen, remove dregs, take at any time. (From *San Yin Fang*) (Note: Above formula and this have no clear category, listed here tentatively.)
Tonifying Yang Formulas
*Lu Yan Fang* treats hematemesis, Sheng Jiang Tang.
Sheng Jiang (Zingiberis Rhizoma Recens 5 liang) Ren Shen (Ginseng Radix et Rhizoma 1 liang) Gan Cao (Glycyrrhizae Radix et Rhizoma 3 liang) Da Zao (Jujubae Fructus 10 pieces)
Chop four ingredients, decoct in 3 sheng water to 1.5 sheng, divide into two doses. (From *Yi Xin Fang*)
*Sheng Jin Fang* treats hematemesis, Ren Shen alone ground to powder, mixed with Ji Zi Qing (Egg White) and fresh well water, take 1 qian. (From *Ben Cao*) (Note: Also cites *Ling Yuan Fang*, no fresh well water.) *Sheng Ji Zong Lu* names it Yi Gong San. (Text same as *Ling Yuan*.)
Ren Shen Tang treats hematemesis/hemoptysis.
Xin Luo Ren Shen (Korean Ginseng), slow fire decoct. (From *Zhi Zhi Fang*) Du Shen Tang (Single Ginseng Decoction) tonifies after stopping bleeding. Adult Ren Shen 2 liang remove rhizome. Each dose: 2 zhan water, 5 jujubes, decoct to 1 zhan, sip slowly. After sleeping soundly, take other medicines to eradicate root. (From *Shi Yao Shen Shu*) After various hemorrhages, fatigue/confusion, pale face, reluctance to speak/move, strong brew Du Shen Tang (*Yi Tong* says add Ju Pi), this is "blood loss tonify Qi", most excellent. (From *Liu Yao*) *Yi Tong* decocts Ren Shen with Tong Bian to take. (Has clinical verification, refer. Another saying recorded in previous color verification.)
Li Zhong Tang can stop stomach-injury hematemesis, as its function regulates Middle Jiao, separates Yin/Yang, stabilizes blood vessels. Formula indications broad as *Ju Fang*, but does not explicitly list hematemesis syndrome, scholars should know. Or simply boil Gan Jiang (Zingiberis Rhizoma) and Gan Cao tea, also excellent, formula see *Yang Sheng Bi Yong*. (From *San Yin Fang*) *Yang Sheng Bi Yong* says: For all hematemesis, must decoct Gan Jiang Gan Cao Tang to take, or Si Wu Li Zhong Tang is also okay. Gan Jiang Gan Cao Tang is suitable if Yin invades Yang, Cold in Heart/Lung meridians causing hematemesis. (From *Fu Ren Liang Fang*) Gan Cao Gan Jiang Tang treats various deficiency bleeds in men/women, Stomach Cold unable to guide Qi back to origin, unable to restrain blood. (From *Zhi Zhi Fang*) Er Shen Tang treats hematemesis excellently. Treats men and women...