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The *Qianjin Yi Fang* records a prescription for treating blackness of the tongue with multiple holes bleeding like a gushing spring; this is a formula for Heart disease.
Rongyan (Halite), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma) (each 5 liang), Renshen (Ginseng Radix), Guixin (Cinnamomi Ramulus) (each 2 liang), Gancao (Licorice Radix et Rhizoma) (1 liang, honey-fried).
The above seven herbs are powdered, mixed with refined honey to make pills the size of a Chinese quince seed. Take ten pills per dose, three times daily. Additionally, apply hot iron cauterization.

[Zeng] Why do infants suffer from bleeding in the nine orifices? Essentially, what humans possess is Blood and Qi. The Heart is the master of Blood, and the Lungs are the master of Qi. Qi primarily governs movement, while Blood primarily nourishes and moistens, benefiting the bones and meridians, irrigating the collaterals, ascending and descending, harmonizing Ying and Wei, thus naturally smooth and appropriate. If harmony is disrupted, disease arises. This may be due to external invasion by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) or internal obstruction by the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright). Qi stagnates and fails to move; Blood becomes obstructed and fails to nourish. Internal and external depression prevents flow and nourishment of the body, inevitably leading to reckless bleeding. He Suhe considered the Kou pulse (hollow pulse) as indicative of blood loss because it belongs to Yang among the seven superficial pulses. The Yangming channel governs abundant Qi and Blood, and such conditions rarely occur without Heat. Generally, when both Qi and Blood are hot, Heat stagnates internally and forces outward, losing its normal measure, causing Blood to run recklessly. Infants suffering from this condition are not injured by emotions but rather because the wet nurse holds onto distress without self-comfort, or consumes spicy foods, allowing heat to flow into the milk channels. After the infant drinks, it stagnates and does not disperse, steaming internally, which can also agitate Blood. Alternatively, residing in heavy curtains and warm rooms, where fire-qi熏逼 (pursues and presses), preventing exposure to wind and sunlight, accumulates warmth into Heat. When Heat seeds, it causes gushing discharge: vomiting, epistaxis, or bleeding from the bowels and bladder. In cases of Qi deficiency where pathogenic Heat takes advantage, Blood cannot follow its proper course, leaking into the various meridians, resulting in leakage syndromes. Symptoms include pale complexion, deep and minute pulse, pale purple blood, and slow breath. Furthermore, infants are fragile, prone to deficiency and excess. Due to internal attacking Heat, Blood follows Qi; it may obstruct and reverse upward, or descend and fail to return, leading to hematemesis, epistaxis, hematochezia, and hematuria. However, Blood does not move recklessly without cause; it is driven by Qi. Wind does not generate spontaneously; it arises from Heat. By this reasoning, other cases can be inferred. Treatment methods require first distinguishing deficiency and excess, examining the source of disease, and treating according to the meridians. If medication fails, one has missed the key point. For excess patterns, use Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Rehmanniae Radix) and Simaogen (Imperatae Rhizoma), or Kushen (Sophorae Flavescentis Radix) is also good, decocted in water. Or combine Wuling San (Five-Ingredient Powder with Poria) and Wuhe Tang (Five-Harmony Decoction), adding Simaogen and Kushen, decocted in water, along with administering Xiaodu Yin (Detoxification Decoction). Subsequently, use Jisu Wan (Chicken Mint Pill) and Sanhuang Wan (Three-Yellow Pill) from the *Jufang*, taken alternately. For deficiency patterns, Lizhong Tang (Regulate the Middle Decoction) and Ren Shen Xiong Gui Tang (Ginseng, Ligusticum, and Angelica Decoction) are suitable. Occasionally, physicians see profuse bleeding and assume extreme Heat, over-administering cold agents, causing Blood to become cold, unable to return to its source, and flowing recklessly. The color becomes dark purple and stagnant, forming small clots. One should administer Jiangfu agents (Ginger and Aconite preparations) to warm it, ensuring natural flow and avoiding reckless bleeding.
Xiaochaihu Tang (Tidal Fever) Wuling San (Fright) Wuhe Tang (Interior Heat) Xiaodu Yin (Sore Throat) Jufang Jisu Wan (Severe Hematemesis) Sanhuang Wan (Interior Heat) Lizhong Tang (Vomiting and Diarrhea)
Ren Shen Xiong Gui Tang treats reckless bleeding in the nine orifices.
Renshen (Ginseng Radix, remove rhizome), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix, wine-washed) (each half liang), Jingjie (Schizonepetae Spica) (2.5 qian).
Take two qian per dose, one lamp of water, decoct to seven-tenths, take warm, at any time.
Huangqin Wan (Scutellaria Pill) treats infantile epistaxis, hematemesis, and lower bleeding.
Powder Huangqin (Scutellariae Radix), mix with refined honey to make pills the size of a chicken head. Three-year-olds take one pill, swallowed with strong salt water. Baiye (Membranaceae Folium) and Shiliuhua (Punica Granatum Flower), powdered and insufflated into the nose, treat epistaxis and hematemesis. Another method: Dingzhou porcelain powder treats hematemesis and stops bleeding by breaking stasis.
Maohua Tang (Thatch Flower Decoction) treats persistent epistaxis, hematemesis, and lower bleeding.
Use a large handful of Maohua (Miscanthus flower), three lamps of water, decoct to obtain one lamp of concentrated juice, divide into two doses, and recover immediately. If flowers are unavailable, use roots and stems instead. Also treats bloody dysentery and black dysentery.