南天竺饮（《圣济》） 治血妄行，九窍皆出，服药不止者。
南天竺草（生瞿麦是，如拇指大一把，锉碎） 生姜（一块，如拇指大） 山栀子（三十枚，去皮） 灯
心（如小拇指一把） 大枣（去核，五枚） 甘草（炙，半两）
水一大碗，煎至半碗，去渣，不拘时温服。
四神汤（《元戎》） 治妇人血气，心腹痛不可忍者。
当归 川芎 赤芍药（各一两） 干姜（炮，半两）
上为细末，酒调服三钱。
十全大补汤（见虚损。）
茜根汤（《普济》） 治吐血、咯血、呕血等症。
四物汤加童便浸香附（一钱五分），茜草根（二钱半），忌铁水煎，二、三服立愈。
生血地黄百花丸（《良方》） 治诸虚不足，下血、咯血、衄血、肠 内痔，虚劳寒热，肌肉枯瘦。
生地黄（十斤，捣汁（生姜（半斤，捣汁） 藕（四斤，捣汁） 白沙蜜（四两） 无灰酒（一升）
以上五味，用银器或砂锅内熬至二碗许，渐成膏，一半瓷器收之，一半入干山药末三
两，再熬一二十沸，次入后药∶
当归（焙） 熟地黄（焙） 肉苁蓉（酒浸，焙） 破故纸 阿胶（麸炒） 黄 （蜜炎） 石斛（去根，焙）
覆盆子 远志（去心） 麦门冬（去心） 白茯苓（去皮） 枸杞子（以上各二两）
上为细末，以山药膏子和丸，如梧桐子大。每服五十丸，用温酒调地黄膏子送下，空
心食前，日进三服。
生地黄饮子（《良方》） 治诸吐血、下血、溺血、衄血。
生地黄 熟地黄 枸杞子 地骨皮 天门冬 黄 芍药 黄芩 甘草（各等分）
上锉碎，每服一两，水二盏，煎七分，食后温服。如脉微身凉恶风，加桂半钱，吐血
者多有此证。
必胜散（《元戎》） 治男女血妄行，吐血、呕血、咯血、衄血。
人参 当归 熟地黄 小蓟（并根用） 川芎 蒲黄（炒） 乌梅肉
上等分，粗末，水煎，去滓温服，无时。
柏皮汤（《元戎》） 治衄血、吐血、呕血，皆失血虚损，形气不理，羸瘦不能食，心忪
少气，燥渴发热。
生地黄 甘草 黄柏 白芍药（各一两）
上 咀，用醇酒三升，渍之一宿，以铜器盛，米饮下蒸一炊时久，渍汁半升服，食
后。时对病增损。《肘后》用熟地黄，水、酒煎饮清。
犀角地黄汤 治主脉浮，客脉芤，浮芤相合，血积胸中，热之甚，血在上焦，此药主之。
犀角 大黄（各一钱） 黄芩（三钱） 黄连（二钱） 生地黄（四钱）
水二盅，煎至一盅，食后服。
Nantianzhu Yin (from *Shengji Zonglu*): Treats reckless bleeding where blood flows from all nine orifices, and other medications fail to stop the bleeding.
Ingredients: Nantianzhu Cao (Southern Indian Lotus Herb; identified as Sheng Qumai, fresh Dianthus superbus Herba, size of a thumb, one handful, chopped), Shengjiang (Fresh Ginger, one piece, size of a thumb), Shanzhizi (Gardenia Fruit, thirty pieces, peeled), Dengxin (Juncus Medulla, one handful, size of a small thumb), Dazao (Jujube Fruit, five pieces, pitted), Gancao (Licorice Root, roasted, half liang).
Preparation and Administration: Decoct in one large bowl of water until reduced to half a bowl. Strain the dregs and take warm at any time.
Sishen Tang (Four-God Decoction) (from *Yuanrong*): Treats women's blood and qi disorders, characterized by unbearable pain in the heart and abdomen.
Ingredients: Danggui (Angelica Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Chi Shaoyao (Red Peony Root), each one liang; Ganjiang (Dried Ginger, processed/roasted), half liang.
Preparation and Administration: Grind into fine powder. Take three qian mixed with wine.
Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) (see "Xu Sun" / Deficiency and Damage chapter).
Qiangeng Tang (Qian Gen Decoction) (from *Puji Fang*): Treats hematemesis (vomiting blood), hemoptysis (coughing up blood), and hematemesis due to stomach heat.
Formula: Siwu Tang (Four Substances Decoction) plus Xiangfu (Cyperus Rotundus Rhizome, soaked in child's urine, one qian 5 fen), Qiangencgen (Rubia Cordifolia Root, two qian 5 fen). Avoid decocting in iron vessels. Two to three doses will bring immediate recovery.
Shengxue Dihuang Baihua Wan (Blood-Generating Rehmannia Hundred-Flower Pill) (from *Liangfang*): Treats various deficiencies and insufficiencies, including lower gastrointestinal bleeding, hemoptysis, epistaxis, intestinal wind and hemorrhoids, consumptive fever with chills, and emaciation.
Main Ingredients: Shengdihuang (Rehmannia Glutinosa Root, fresh, ten jin, crushed for juice), Shengjiang (Fresh Ginger, half jin, crushed for juice), Ou (Lotus Rhizome, four jin, crushed for juice), Baisha Mi (White Sand Honey, four liang), Wuhui Jiu (Unadulterated Wine, one sheng).
Adjuvant Ingredients: Danggui (Angelica Sinensis Radix, baked), Shudihuang (Rehmannia Glutinosa Root, prepared, baked), Rousongrong (Cistanche Deserticola Stem, wine-soaked then baked), Pogu Zhi (Burmese Date Seed, i.e., Psoralea Corylifolia Fruit), Ejiao (Donkey-Hide Gelatin, bran-fried), Huangqi (Astragalus Membranaceus Root, honey-roasted), Shihu (Dendrobium Stem, roots removed, baked), Fupenzi (Raspberry, i.e., Rubus Chingii Fruit), Yuanzhi (Polygala Root, heart removed), Maimendong (Ophiopogon Tuber, heart removed), Bai Fuling (Poria Cocos, skin removed), Gouqizi (Goji Berry, i.e., Lycium Barbarum Fruit). The above adjuvants are each two liang.
Preparation and Administration: Boil the five main ingredients in a silver or clay pot until reduced to approximately two bowls, gradually forming a paste. Store half in a porcelain vessel. To the remaining half, add three liang of dried Chinese Yam (Shanyao) powder, and boil for another twenty times boiling. Then add the adjuvant ingredients, grind into fine powder, and mix with the Shanyao paste to form pills the size of paulownia seeds. Take fifty pills per dose, delivered with warm wine mixed with Dihuang paste. Take on an empty stomach before meals, three times daily.
Shengdihuang Yinzi (Rehmannia Decoction) (from *Liangfang*): Treats various forms of bleeding including hematemesis, lower GI bleeding, hematuria, and epistaxis.
Ingredients: Shengdihuang (Fresh Rehmannia Root), Shudihuang (Prepared Rehmannia Root), Gouqizi (Goji Berry), Digupi (Phellodendri Cortex, i.e., Dogwood Bark contextually often refers to Corni Fructus but here likely Digupi based on formula structure, usually Phellodendri or Corni depending on text variant, standard is Digupi - Phellodendri Cortex or Corni Fructus? In this context of bleeding, Digupi usually refers to Phellodendri Cortex or sometimes Corni. Given "Di Gu Pi", it is Phellodendri Cortex. Wait, standard TCM Di Gu Pi is Phellodendri Cortex. However, in bleeding formulas, sometimes Corni is used. Let's stick to literal: Di Gu Pi (Phellodendri Cortex)), Tianmendong (Asparagus Tuber), Huangqi (Astragalus Root), Shaoyao (Peony Root), Huangqin (Scutellaria Root), Gancao (Licorice Root). All in equal proportions.
Preparation and Administration: Chop coarsely. Take one liang per dose, add two zhan of water, decoct to seven-tenths. Take warm after meals. If the pulse is faint, body is cool, and there is aversion to wind, add Ban qian of Guizhi (Cinnamon Twig). This pattern is common in patients with hematemesis.
Bisheng San (Victorious Powder) (from *Yuanrong*): Treats reckless bleeding in men and women, manifesting as hematemesis, vomiting blood, hemoptysis, and epistaxis.
Ingredients: Renshen (Ginseng Radix), Danggui (Angelica Sinensis Radix), Shudihuang (Prepared Rehmannia Root), Xiaoji (Cirsium Japonicum Herba, using both root and herb), Chuanxiong (Ligusticum Chuanxiong Rhizome), Puhuang (Typha Pollen, stir-fried), Wumei Rou (Mume Fruit Flesh).
Preparation and Administration: Equal parts, ground into coarse powder. Decoct in water, strain dregs, and take warm at any time.
Baipi Tang (Bark Skin Decoction) (from *Yuanrong*): Treats epistaxis, hematemesis, and vomiting blood caused by deficiency and damage from blood loss. Symptoms include disharmony of form and qi, emaciation, inability to eat, palpitations, shortness of breath, dry thirst, and fever.
Ingredients: Shengdihuang (Fresh Rehmannia Root), Gancao (Licorice Root), Huangbai (Phellodendri Cortex), Baishaoyao (White Peony Root), each one liang.
Preparation and Administration: Chop coarsely. Soak in three sheng of strong wine overnight. Place in a copper vessel and steam for the duration of cooking a meal. Take half a sheng of the infused liquid after meals. Adjust dosage according to the progression of the disease. *Zhouhou Fang* uses Shudihuang (Prepared Rehmannia Root), decocted with water and wine, drinking the clear liquid.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction): Mainly indicated when the pulse is floating and the guest pulse is knifelike (Kou). The combination of floating and knifelike pulses indicates blood accumulation in the chest, extreme heat, and blood stasis in the upper jiao. This decoction treats this condition.
Ingredients: Xijiao (Rhinoceros Horn, one qian), Dahuang (Rhubarb Root, one qian), Huangqin (Scutellaria Root, three qian), Huanglian (Coptis Rhizome, two qian), Shengdihuang (Fresh Rehmannia Root, four qian).
Preparation and Administration: Decoct in two zhong of water until reduced to one zhong. Take after meals.