人有一时狂吐血者，未有不本之火者也。然血已吐出如倾盆，则火必变为虚火
矣。实火可泻，而虚火断不可泻，况血已吐出，无血养身，而又用泻火之药，以重
伤其胃气，毋论血不能骤生，而气亦不能遽转，往往有至气脱而死者。治法不可止
血，而当活血，尤不可活血，而急当固气。盖气固则已失之血可以渐生，未失之血
可以再旺耳。方用固气生血汤∶
黄 （一两） 当归（五钱） 荆芥（炒黑，二钱） 水煎服。一剂血止，再剂气旺，
四剂血各归经，不致再吐矣。
此方即补血汤之变，全在荆芥引血归于气分之中，引气生于血分之内，气血之
阴阳既交，则水火之阴阳自济，断不至脏腑经络再有拂逆，使血冲击而再呕也。盖
有形之血不能速生，无形之气所宜急固，吐血不治血而治气，前人已有言之者，余
不必再论也。大约此方，治初起呕狂血者，若吐血既久，尚宜斟酌。
此症用黄荆汤亦神。
生地（四两） 炒黑荆芥（三钱） 煎服血止。
人有久吐血而未止，或半月一吐，或一月一吐，或三月数吐，或终年频吐，虽
未咳嗽，而吐痰不已，委困殊甚，此肾肝之吐也。夫吐血未必皆是肾肝之病，然吐
血而多，经岁月未有不伤肾肝者。肾肝既伤，则水不能养肝，而肝木必燥，龙雷之
火不能安于木中，必下克于脾胃，而脾胃寒虚，龙雷之火，乃逆冲于上，以欺肺金
之弱，挟胃中之血，遂火旺而沸腾，随口而出矣。治法必肾、肝、肺三经统补之。
方用三台救命汤∶
熟地（半斤） 麦冬（三两） 丹皮（二两） 水煎二碗，一日服尽，不再吐。
熟地补肾以滋肝，麦冬清肺以制肝，丹皮去肝中浮游之火，又能引上焦之火以
下归于肾脏，使血归经也。然非大用之，则火势燎原，何能止抑其炎炎之势，故必
用重剂，则滂沱大雨，而遍野炎氛始能熄焰。至于火息血静，用地黄丸调理三年，
乃延生之善计，愿人守服以当续命膏也。
此症用填精止血汤甚佳。
熟地（二两） 山茱萸（四钱） 麦冬（五钱） 北五味子（一钱） 炒黑荆芥（三钱） 白芍（一两）
水煎服。十剂血不再吐。
人有吐黑血者，虽不至于倾盆，而痰嗽必甚，口渴思饮，此肾经之实火也。盖
肾中之火，又挟心包相火并起而上冲耳。然而心包之火可泻，而肾火终不可泻，泻
心包之火，必致有伤于肾，吾乃泻其肝，则二经之火不泻而自泻也。肝为心包之母，
而肾之子也，母弱而子不能强，子虚而母亦自弱耳。方用两泻汤∶
白芍（一两） 丹皮（一两） 地骨皮（一两） 炒黑栀子（三钱） 玄参（一两） 水煎服。连服二剂，
而黑血变为红色矣，再服二剂而咳嗽除，血自止，神效也。
夫黑乃北方之色也，黑血宜属肾，而乃兼属之心火者，亦犹火热之极，投于水中，则
化为乌薪。心包之火同入于肾中，则火极似水，又何疑乎。今用两泻之汤，虽泻肝木，其实
仍是两泻心包与肾经也。火得水而解，血得寒而化，此黑血之所以易变，而吐血之所以易止也。
此症亦可用三仙散火汤∶
玄参（三两） 生地（二两） 白芍（一两） 水煎服。二剂即止血。
人有感触暑气，一时气不得转，狂呕血块而不止者，此暑邪犯胃也。其症必头痛如破，
汗出如雨，口必大渴，发狂乱叫，若作虚症治之，必反增剧，如当归补血
汤又不可轻用也。法宜消暑热之气，而佐之下降归经之药，则气不逆，而血自止矣。
方用∶
青蒿（一两） 当归（五钱） 荆芥（炒黑，三钱） 石膏（一两） 麦冬（五钱） 玄参（五钱）
大黄（一钱） 水煎服。一剂而暑气消，口渴止，二剂而血归于经，诸症悉愈，不可再用三剂也。
此方名为解暑止血汤。青蒿能于解暑之中善退阴火，则阴阳既济，而拂抑之气自除，于是
以石膏退胃火，麦冬退肺火，玄参退肾火，荆芥从上焦而引火下行，又得大黄HT 逐不再停于胃，
又恐血既上越，大肠必然燥结，加入当归之滑，以助其速行之势，故旋转如环，而取效甚捷也。
此症亦可用散暑止血汤甚神。
大黄 生地 石膏（各三钱。）
人有痰中吐血如血丝者，日间则少，夜间则多，咳嗽不已，多不能眠，此乃肾
中之火，冲入咽喉，而火不得下归于命门，故火沸为痰而上升，而心火又欺肺金之
弱，复来相刑，是水之中，兼有火之气，所以痰中见血丝也。方用化丝汤∶
熟地（一两） 麦冬（五钱） 贝母（一钱） 玄参（五钱） 茯苓（三钱） 苏子（一钱） 地骨皮（三钱）
沙参（三钱） 荆芥（炒黑，一钱） 水煎服。一剂而血丝少，再剂而血丝断矣。
此方肺、肾、心三经并治，加之去痰退火之剂，消弭于无形，故能成功之速，
倘不用补剂，而唯事于去痰退火，吾恐痰愈多而血愈结也。惟是既愈之后，不可仍
服此方，宜服益阴地黄丸。方用∶
熟地（一斤） 山药（八两） 麦冬（十两） 北五味（三两） 山茱萸（八两） 丹皮（六两） 茯苓（六两）
地骨皮（十两） 泽泻（四两） 蜜为丸。服一年，永不再发。
此症用还源汤亦佳。
熟地（一两） 山茱萸（五钱） 炒黑荆芥（三钱） 地骨皮（五钱） 麦冬（三钱） 天门冬（二钱）
甘草 贝母（各三分） 桔梗（五分） 水煎服。三十剂愈。
人有久吐血，百计止之而不效者，盖血犯浊道也。夫火不盛与气不逆，则血俱不吐，当知气
逆由于火盛，欲治气逆，必须降火。然而火盛既久，则火不能盛，气逆既久，则气更加逆，似乎
泻火易而降气难，不知火泻则气亦随之而降矣。但火久则变为虚火，虚火宜引，而引火之药，多是辛
热之味，恐反有助逆之虑，不若壮水以镇阳火之为得也。方用壮水汤∶
熟地（二两） 生地（一两） 荆芥（炒黑，二钱） 三七根末（三钱） 水煎调服。一剂而血即止，
再剂而血即断，不再发也。
熟地与生地同用，补精之中，即寓止血之妙，荆芥引血而归于经络，三七根即随之而断其路
径，使其入而不再出也。火得水而消，气得水而降，此中自有至理也。
此症单用三七根末三钱，加入童便一碗，调服即止。
人有大怒吐血，色紫气逆，两胁胀满作痛，此怒气伤血，不能藏而吐也。肝本藏血，逢怒则肝
叶开张，血即不能藏矣。肝气本急，怒则更急，急则血自难留，故一涌而出，往往有倾盆而吐者。
况肝中原有龙雷之火，因怒而击动其火，于是劈木焚林，而血乃上越矣。血既上涌，肝无血养，自
然两胁作痛，轻则胀满矣。治法急宜平其肝气，而少加清凉之品，则怒气一平，而龙雷之火自收，
血症可愈。倘一味用止血之药，反足以拂其火热之性也。方用平肝止血散∶
白芍（二两） 当归（一两） 荆芥（炒黑，三钱） 炒栀子（二钱） 甘草（一钱） 丹皮（二钱）
水煎服。
一剂而肝气平，二剂而吐血止，三剂气不逆，而胀痛尽除也。
芍药平肝，而又能益肝中之气血，同当归用之，则生血活血，实有神功。丹皮、
栀子不过少凉其血，以清其火，以便荆芥之引经，甘草之缓急也。
此症用断红饮亦神效。
白芍 当归（各一两） 荆芥（炒黑，三钱） 三七根末（三钱） 水煎调服。一剂即止血。
人有咯血者，血不骤出，必先咳嗽不已，觉喉下气不能止，必咯出其血而后快，
人以为肺气之逆也，谁知是肾气之逆乎。肾气者，肾中之虚火也。虚火之盛，出于
真水之衰，不能制火，致火逆冲而上，血遂宜大吐矣，又何必咳而后出，盖肺气阻
之也。夫肺为肾之母，肾水者肺之顺子，肾火者肺之骄子也。肺本生肾水，而不生
肾火，恶骄子之凌犯也，其骄子因肺母之偏于肾水，乃上犯劫夺肺金之血，而肺又
不肯遽予，故两相牵掣而咯血也。方用六味地黄汤∶
熟地（一两） 山茱萸（三钱） 山药（三钱） 麦冬（一两） 五味子（一钱）
茯苓 泽泻 丹皮（各二钱）
水煎服。连服四剂，血必不咯矣，服一月全愈。
用六味汤以大资其肾水，用麦冬、五味以大益其肺金，自足以制火之有余，何
至于血之再咯而出哉。此治水所以不须泻火也。
此症用生熟二地汤亦妙。
生地 熟地（各二两） 水煎服。十剂即愈。
人有嗽血者，因咳嗽而出血也。其症多因劳伤而成，耗损肾水，水不能分给于
各脏，而又不慎于女色，则水益涸矣。水涸而肺金必来相生，以泄肺金之气，而无
如肾水日日之取给也，则子贫而母亦贫矣。夫贫子盗母之资，则母有剥肤之痛，欲
求救于胃，而胃又受肝火之凌，则胃不敢生肺，肝木生火，则心火必旺，心火一旺，
必来乘肺，肺受外侮，必呼子以相援，而肾子水衰，不能制火，火欺水之无用，凌
肺愈甚，肺欲避之子宫，而肾子之家，又窘迫干枯，无藏身之地，势不得不仍返
于本宫，而咳嗽吐血矣。治法自宜救肺，然而徒救肺，而肾之涸如故，则肺之液仍
去顾肾而肺仍伤也。故治肺仍须补肾，肾水足而肝木平，心火息，不必治肺而肺已
安矣。方用救涸汤∶
麦冬（二两） 熟地（二两） 地骨皮（一两） 丹皮（一两） 白芥子（三钱）
水煎服。一剂而嗽轻，二剂而咳轻，连服十剂，咳嗽除而血亦自愈。
麦冬与熟地同用，乃肺肾两治之法也，加入地骨、丹皮者，实有微义。盖嗽血
必损其阴，阴虚则火旺，然此火旺者，仍是阴火，而非阳火也。我用地骨、丹皮以
解骨髓中之内热，则肾中无煎熬之苦，自然不索于肺金，而肺中滋润，自然清肃之
气下济于肾内，子母相安，则肾水渐濡，可以养肝木，可以制心火，外侮不侵，家
庭乐豫，何至有损耗之失哉。至于白芥子，不过消膜膈之痰，无他深意，以阴虚咳
嗽者，吐必有痰，故取其不耗真阴之气也。
此症用麦冬熟地汤亦佳。
熟地（二两） 麦冬（一两） 水煎服。十剂全愈。
人有鼻中流血，经年经月而不止者，或愈或不愈，此虽较口中吐血者少轻，然
而听其流血而不治，与治不得其法，皆能杀人。盖吐血犯胃，衄血犯肺，胃为浊道，
肺为清道也。犯浊道，则五脏尽皆反复，犯清道，则止肺经一脏之逆也。气逆则变
症多端，故皆能杀人。治法宜调其肺气之逆，但肺逆成于肺经之火。夫肺属金，本
无火也，肺经之火，仍是肾水之火，肺因心火之侵，肾水救母而致干涸，以肾火来
助，乃火与火斗，而血遂妄行，从鼻而上越矣。然则调气之法，舍调肾无他法也，
而调肾在于补水以制火。方用止衄汤∶
生地（一两） 麦冬（三两） 玄参（二两） 水煎服。一服即止。
麦冬直治其肺金之匮乏，生地、玄参以解其肾中遏抑之火。火退而气自顺，血
自归经矣。倘畏此方之重而减轻，则火势炎炎，未易止遏，不能取效也。
此症用麦冬三七汤亦神。
麦冬（三两） 二七根末（三钱） 水煎调服。二剂即止。
人有耳中出血者，涓涓不绝，流三日不止而人死矣。此病世不尝有，然而实有
其症也。耳者，肾之窍也，耳中流血，自是肾虚之病，然而肾虚，血不走胃，不从
口出，而偏从耳出者，正有其故。盖心包火引之也，心包之火，与命门之火原自相
通，二火沸腾，则血不走胃而走耳矣。盖胃为心包之子，胃恐肾火之害心，而兼害
胃，故引其火而上走于耳，诸经所过之地，尽卷土而行，故血乃随之而出也。虽耳
窍甚细，不比胃口之大，无冲决之虞，而涓涓不绝，岂能久乎？故必须急止之。方
用填窍止氛汤∶
麦冬（一两） 熟地（二两） 菖蒲（一钱） 水煎服。一剂而效如响。
用熟地以填补肾经之水，麦冬以息心包之焰，二经之火息，而耳窍不闭，则有
孔可钻，虽暂止血，未必不仍然越出也。故用菖蒲，引二味直透于耳中，又引耳中
之火，而仍返于心包，火归而耳之窍闭矣。如此用药之神，真有不可思议之妙。
此症用截流汤亦神效。
熟地（二两） 生地 麦冬（各一两） 三七根末（三钱） 菖蒲（一钱） 水煎服。一剂即止血。
人有舌上出血不止者，舌必红烂，其裂纹之中，有红痕发现，血从痕中流出，
虽不能一时杀人，然而日加顿困，久亦不可救援也。此症乃心火太炎，而肾中之水
不来相济。夫心必得水以相养，邪水犯心则死，真水养心则生，故心肾似乎相克，
而其实相生也。今肾水不交于心，则欲求肾之养而不可得，乃借资于舌下之廉泉，
终日取给其津液，未免舌为之敝而干涸矣。夫廉泉有水能灌注五脏，然而肾水足，
而廉泉之水亦足，肾水枯而廉泉之水亦枯，譬如江河之水旺，而井水亦满也。今肾
水既不济于心之中，何能越心而上升于唇口之上，此廉泉欲自养方寸之舌而不能，
何能济心之炎热乎。故泉脉断而井 裂，亦无济于心而并烂其舌，舌即烂矣，清泉
泥泞必流红水而成血也。治法必大补其心肾，使心肾交济，而舌血不断而自止也。
方用护舌丹∶
A person who suddenly vomits blood violently has invariably a root in fire. However, once the blood pours out like an overturned basin, the excess fire must transform into deficiency fire. Excess fire can be purged, but deficiency fire absolutely cannot be purged. Moreover, since blood has been lost and the body lacks blood nourishment, using fire-purging herbs would severely damage stomach qi. Not only can blood not regenerate rapidly, but qi also cannot recover immediately; often, this leads to death from qi collapse. The treatment method should not merely stop bleeding, but should invigorate blood; even more importantly, it should urgently consolidate qi. When qi is consolidated, lost blood can gradually regenerate, and unlost blood can become vigorous again. Use Guqi Shengxue Tang (Consolidate Qi and Generate Blood Decoction):
Renshen (Ginseng Radix) (30g) Danggui (Angelicae Sinensis Radix) (15g) Jingjie (Schizonepetae Herba, stir-fried until black) (6g) Decoct in water and take orally. After one dose, bleeding stops; after two doses, qi becomes vigorous; after four doses, blood returns to its meridians, preventing further vomiting.
This formula is a variation of Buxue Tang (Tonify Blood Decoction). Its efficacy lies entirely in Jingjie guiding blood into the qi aspect and guiding qi to generate within the blood aspect. Once the yin and yang of qi and blood interact, the yin and yang of water and fire naturally assist each other, ensuring that zang-fu organs and collaterals do not experience reversal, which would cause blood to surge and induce vomiting again. Generally, tangible blood cannot be generated quickly, whereas intangible qi is suitable for urgent consolidation. Treating hematemesis by regulating qi rather than blood has been discussed by predecessors, so I need not elaborate further. This formula is suitable for initial cases of violent hematemesis; if hematemesis has persisted for a long time, modification is necessary.
For this syndrome, Huangjing Tang (Rehmannia and Schizonepeta Decoction) is also miraculous.
Shengdi (Rehmanniae Radix) (120g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Decoct and take orally to stop bleeding.
A person with chronic hematemesis that does not cease, or vomits every half month, every month, several times every three months, or frequently throughout the year, although without coughing, yet continues to expectorate phlegm and is extremely fatigued, this is hematemesis originating from the Kidney and Liver. Hematemesis is not necessarily always a disease of the Kidney and Liver, but frequent hematemesis over time inevitably damages the Kidney and Liver. Once damaged, Water fails to nourish Liver Wood, causing Liver Wood to dry up. The Dragon-Lei Fire (Hyperactive Fire) cannot remain within the Wood and attacks the Spleen and Stomach downwards, causing Cold-Deficiency in the Spleen and Stomach. Consequently, Dragon-Lei Fire reverses and rushes upwards, bullying the weakness of Lung Metal, carrying blood from the Stomach, leading to boiling due to excessive fire, and exiting through the mouth. The treatment must tonify the Kidney, Liver, and Lung meridians simultaneously. Use Santai Jiming Tang (Three-Terrace Life-Saving Decoction):
Shudi (Prepared Rehmanniae Radix) (240g) Maidong (Ophiopogonis Radix) (90g) Danpi (Moutan Cortex) (60g) Decoct in water to yield two bowls, consume within one day to stop vomiting blood.
Shudi tonifies the Kidney to nourish the Liver; Maidong clears the Lung to restrain the Liver; Danpi removes floating fire from the Liver and guides upper Jiao fire down to the Kidney, returning blood to its meridians. However, without heavy dosage, the fire spreads like a prairie fire, making it impossible to suppress its blazing intensity. Therefore, heavy dosage is required, like torrential rain extinguishing widespread heat. Once the fire subsides and blood calms, regulating with Dihuang Wan (Rehmannia Pill) for three years is the best strategy for longevity; I urge people to adhere to this regimen as a life-extending elixir.
For this syndrome, Tianjing Zhixue Tang (Fill Essence and Stop Bleeding Decoction) is excellent.
Shudi (Prepared Rehmanniae Radix) (60g) Shanzhuyu (Corni Fructus) (12g) Maidong (Ophiopogonis Radix) (15g) Bei Wuweizi (Schisandrae Fructus, Northern) (3g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Baishao (Paeoniae Radix Alba) (30g)
Decoct in water and take orally. After ten doses, bleeding ceases.
A person vomiting black blood, though not profuse, suffers severe phlegm-cough and thirst with desire to drink. This is Excess Fire of the Kidney Meridian. The fire within the Kidney rises together with the Ministerial Fire of the Pericardium. While Pericardium fire can be purged, Kidney fire ultimately cannot; purging Pericardium fire harms the Kidney. Thus, I purge the Liver, so that both Pericardium and Kidney fires are purged indirectly. The Liver is the Mother of the Pericardium and the Child of the Kidney; if the Mother is weak, the Child cannot be strong, and if the Child is deficient, the Mother becomes weak. Use Liangxie Tang (Double-Purging Decoction):
Baishao (Paeoniae Radix Alba) (30g) Danpi (Moutan Cortex) (30g) Digupi (Lycii Cortex) (30g) Chaohei Zhizi (Stir-fried black Gardeniae Fructus) (9g) Xuanshen (Scrophulariae Radix) (30g) Decoct in water and take orally. After two doses, black blood turns red; after another two doses, cough ceases and bleeding stops spontaneously—miraculous effect.
Black is the color of the North; black blood belongs to the Kidney but also involves Heart Fire, similar to extreme heat turning into charcoal when thrown into water. When Pericardium fire enters the Kidney, extreme fire resembles water, leaving no doubt. Although Liangxie Tang purges Liver Wood, it effectively purges both Pericardium and Kidney meridians. Fire resolves with Water; blood transforms with Cold. This explains why black blood changes easily and hematemesis stops readily.
For this syndrome, Sanxian Sanhuo Tang (Three-Immortal Fire-Scattering Decoction) is also usable:
Xuanshen (Scrophulariae Radix) (90g) Shengdi (Raw Rehmanniae Radix) (60g) Baishao (Paeoniae Radix Alba) (30g) Decoct in water and take orally. Stops bleeding after two doses.
A person affected by Summerheat experiences sudden stagnation of Qi, vomiting blood clots violently without cessation. This is Summerheat pathogen invading the Stomach. Symptoms include headache as if splitting, sweating like rain, extreme thirst, maniacal shouting. If treated as Deficiency, symptoms worsen; Danggui Buxue Tang (Danggui Tonify Blood Decoction) should not be used lightly. The method is to dissipate Summerheat Qi and assist with herbs that descend Qi and return blood to meridians, so Qi does not reverse and bleeding stops.
Use:
Qinghao (Artemisiae Annuae Herba) (30g) Danggui (Angelicae Sinensis Radix) (15g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Shigao (Gypsum Fibrosum) (30g) Maidong (Ophiopogonis Radix) (15g) Xuanshen (Scrophulariae Radix) (15g)
Dahuang (Rhei Radix et Rhizoma) (3g) Decoct in water and take orally. After one dose, Summerheat dissipates and thirst stops; after two doses, blood returns to meridians and all symptoms resolve. Do not use beyond two doses.
This formula is named Jieshu Zhixue Tang (Resolve Summerheat and Stop Bleeding Decoction). Qinghao clears Summerheat and retreats Yin Fire, achieving Yin-Yang balance and removing stagnant Qi. Shigao clears Stomach Fire; Maidong clears Lung Fire; Xuanshen clears Kidney Fire; Jingjie guides fire downward from Upper Jiao; Dahuang eliminates stasis preventing retention in the Stomach; Danggui’s slipperiness aids rapid movement, fearing constipation from upward blood flow. Thus, the mechanism rotates smoothly, yielding swift results.
For this syndrome, Sanshu Zhixue Tang (Disperse Summerheat and Stop Bleeding Decoction) is also miraculous:
Dahuang (Rhei Radix et Rhizoma) Shengdi (Raw Rehmanniae Radix) Shigao (Gypsum Fibrosum) (9g each)
Decoct and take orally.
A person expects blood threads in phlegm, less during the day, more at night, with incessant coughing and insomnia. This is Kidney Fire rushing into the throat, unable to descend to the Mingmen (Gate of Life), causing fire to boil phlegm upward. Heart Fire bullies weak Lung Metal, creating a mix of Water and Fire, resulting in blood threads in phlegm. Use Huasi Tang (Transform Threads Decoction):
Shudi (Prepared Rehmanniae Radix) (30g) Maidong (Ophiopogonis Radix) (15g) Beimu (Fritillariae Bulbus) (3g) Xuanshen (Scrophulariae Radix) (15g) Fuling (Poria) (9g) Suzi (Perillae Fructus) (3g) Digupi (Lycii Cortex) (9g)
Shashen (Glehniae Radix) (9g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (3g) Decoct in water and take orally. After one dose, blood threads decrease; after two doses, they cease.
This formula treats Lung, Kidney, and Heart meridians simultaneously, combined with phlegm-resolving and fire-clearing agents, eliminating pathology invisibly, hence its speed. Without tonics, merely clearing phlegm and fire may increase phlegm and blood coagulation. After recovery, discontinue this formula and use Yiyin Dihuang Wan (Nourish Yin Rehmannia Pill). Formula:
Shudi (Prepared Rehmanniae Radix) (500g) Shanyao (Dioscoreae Rhizoma) (400g) Maidong (Ophiopogonis Radix) (500g) Bei Wuwei (Schisandrae Fructus) (150g) Shanzhuyu (Corni Fructus) (400g) Danpi (Moutan Cortex) (300g) Fuling (Poria) (300g)
Digupi (Lycii Cortex) (500g) Zexie (Alismatis Rhizoma) (200g) Honey for pills. Take for one year to prevent recurrence permanently.
For this syndrome, Huanyuan Tang (Return to Source Decoction) is also good:
Shudi (Prepared Rehmanniae Radix) (30g) Shanzhuyu (Corni Fructus) (15g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Digupi (Lycii Cortex) (15g) Maidong (Ophiopogonis Radix) (9g) Tiandong (Asparagi Radix) (6g)
Gancao (Licorice Root) Beimu (Fritillariae Bulbus) (1g each) Jiegeng (Platycodonis Radix) (1.5g) Decoct in water and take orally. Cured after thirty doses.
A person with chronic hematemesis fails all attempts to stop it because blood enters turbid pathways. If Fire is not excessive and Qi does not reverse, blood is not vomited. Know that Qi reversal stems from Excess Fire; to treat Qi reversal, one must descend Fire. However, prolonged Excess Fire diminishes, and prolonged Qi reversal intensifies. It seems easier to purge Fire than descend Qi, but purging Fire causes Qi to descend with it. Long-standing Fire becomes Deficiency Fire, which requires guiding; however, guiding-fire herbs are often acrid-warm, risking aiding reversal. Better to strengthen Water to suppress Yang Fire. Use Zhuangshui Tang (Strengthen Water Decoction):
Shudi (Prepared Rehmanniae Radix) (60g) Shengdi (Raw Rehmanniae Radix) (30g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (6g) Sanqi Gen Mo (Notoginseng Root Powder) (9g) Decoct in water, mix powder, and take orally. Stops bleeding after one dose; ceases after two doses, never recurring.
Using Shudi and Shengdi together contains the subtlety of stopping bleeding while tonifying essence. Jingjie guides blood to meridians; Sanqi cuts off the pathway, preventing re-emergence. Fire消 (dissipates) with Water; Qi descends with Water. This holds profound truth.
For this syndrome, using only 9g Sanqi Gen Mo mixed with one bowl of Tongbian (Child Urine) and taken orally stops bleeding immediately.
A person vomits blood due to great anger, with purple blood and reversed Qi, distension and pain in both hypochondria. Anger injures Blood, preventing storage and causing vomiting. The Liver stores Blood; anger causes Liver lobes to open, losing storage capacity. Liver Qi is inherently urgent; anger makes it more urgent, making blood hard to retain, thus gushing out, sometimes profusely. The Liver contains Dragon-Lei Fire; anger agitates this fire, burning wood and forest, causing blood to rush upward. With blood surging, the Liver lacks nourishment, causing hypochondriac pain and distension. Treatment urgently soothes Liver Qi with cooling herbs. Once anger subsides, Dragon-Lei Fire recedes, and blood disorders heal. Using only hemostatics contradicts the nature of Heat-Fire. Use Pinggan Zhixue San (Soothe Liver and Stop Bleeding Powder):
Baishao (Paeoniae Radix Alba) (60g) Danggui (Angelicae Sinensis Radix) (30g) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Chao Zhizi (Stir-fried Gardeniae Fructus) (6g) Gancao (Licorice Root) (3g) Danpi (Moutan Cortex) (6g)
Decoct in water and take orally.
After one dose, Liver Qi soothes; after two doses, hematemesis stops; after three doses, Qi does not reverse, and distension/pain vanish.
Shaoyao soothes the Liver and benefits Liver Qi/Blood. Combined with Danggui, it generates and invigorates blood miraculously. Danpi and Zhizi slightly cool blood to clear fire, facilitating Jingjie’s meridian guidance and Gancao’s spasm-relief.
For this syndrome, Duanhong Yin (Stop Red Drink) is also miraculous:
Baishao (Paeoniae Radix Alba) Danggui (Angelicae Sinensis Radix) (30g each) Chaohei Jingjie (Stir-fried black Schizonepetae Herba) (9g) Sanqi Gen Mo (Notoginseng Root Powder) (9g) Decoct in water, mix powder, and take orally. Stops bleeding after one dose.
A person with hemoptysis does not bleed suddenly but first coughs incessantly, feeling stuck Qi below the throat, finding relief only after expelling blood. People think this is Lung Qi reversal, but it is actually Kidney Qi reversal. Kidney Qi here refers to Deficiency Fire in the Kidney. Excessive Deficiency Fire arises from True Water decline, failing to control Fire, causing Fire to reverse upward and bleed heavily. Why cough first? Because Lung Qi obstructs it. The Lung is the Mother of the Kidney; Kidney Water is the obedient child, Kidney Fire is the arrogant child. The Lung generates Kidney Water but not Kidney Fire, detesting the arrogance. The arrogant child, seeing the Mother favor Kidney Water, attacks and steals Lung Metal blood. The Lung refuses to give readily, causing tug-of-war and hemoptysis. Use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill):
Shudi (Prepared Rehmanniae Radix) (30g) Shanzhuyu (Corni Fructus) (9g) Shanyao (Dioscoreae Rhizoma) (9g) Maidong (Ophiopogonis Radix) (30g) Wuweizi (Schisandrae Fructus) (3g)
Fuling (Poria) Zexie (Alismatis Rhizoma) Danpi (Moutan Cortex) (6g each)
Decoct in water and take orally. After four doses, hemoptysis stops; after one month, full recovery.
Liuwei Tang greatly tonifies Kidney Water; Maidong and Wuweizi greatly benefit Lung Metal, sufficient to control Excess Fire, preventing recurrent hemoptysis. This shows treating Water does not require purging Fire.
For this syndrome, Shengshu Er Di Tang (Raw and Prepared Two Earths Decoction) is also wonderful:
Shengdi (Raw Rehmanniae Radix) Shudi (Prepared Rehmanniae Radix) (60g each) Decoct in water and take orally. Cured after ten doses.
A person with hemoptysis bleeds due to coughing. This syndrome often results from labor injury depleting Kidney Water. Water fails to distribute to other Zang organs, and imprudence in sexual activity further dries Water. Dry Water forces Lung Metal to seek generation, draining Lung Qi, while Kidney Water is daily depleted. The poor child steals from the mother, causing maternal pain. Seeking help from the Stomach, but the Stomach is bullied by Liver Fire, so the Stomach dares not generate Lung Metal. Liver Wood generates Fire, making Heart Fire prosperous. Prosperous Heart Fire attacks the Lung. Bullied Lung calls the Child for aid, but Kidney Child Water is weak, unable to control Fire. Fire bullies useless Water, bullying Lung severely. Lung tries to flee to the Child’s home, but the Kidney home is barren and dry, offering no shelter. Forced to return to its own palace, coughing and hemoptysis occur. Treatment should save the Lung, but merely saving the Lung leaves Kidney dry, so Lung fluid still attends to the Kidney, injuring the Lung. Thus, treating the Lung requires tonifying the Kidney. When Kidney Water is sufficient, Liver Wood is calm, Heart Fire rests, and the Lung is peaceful without direct treatment. Use Jiuhuo Tang (Save Desiccation Decoction):
Maidong (Ophiopogonis Radix) (60g) Shudi (Prepared Rehmanniae Radix) (60g) Digupi (Lycii Cortex) (30g) Danpi (Moutan Cortex) (30g) Baijiezi (Brassicae Semen Album) (9g)
Decoct in water and take orally. After one dose, cough lightens; after two doses, wheezing lightens; after ten doses, cough ceases and bleeding heals.
Maidong and Shudi together treat Lung and Kidney. Digupi and Danpi have subtle meaning: Hemoptysis damages Yin; Yin deficiency causes Fire prosperity. This Fire is Yin Fire, not Yang Fire. Digupi and Danpi clear internal heat in bone marrow, relieving Kidney simmering, so it doesn’t demand from Lung Metal. Lung becomes moist, allowing Clear Turbid Qi to descend to Kidney. Mother and Child are at peace; Kidney Water moistens, nourishing Liver Wood and controlling Heart Fire. External evils don’t invade, family harmony prevails, avoiding depletion. Baijiezi simply resolves membrane/phlegm phlegm; no deep meaning, just taking advantage of its non-depletion of True Yin for Yin-deficiency cough with phlegm.
For this syndrome, Maidong Shudi Tang (Maidong and Shudi Decoction) is also good:
Shudi (Prepared Rehmanniae Radix) (60g) Maidong (Ophiopogonis Radix) (30g) Decoct in water and take orally. Full recovery after ten doses.
A person with epistaxis (nosebleed) lasting months or years, intermittently healing or not, is lighter than oral hematemesis, but ignoring it or treating incorrectly can be fatal. Hematemesis affects the Stomach (Turbid Pathway); Epistaxis affects the Lung (Clear Pathway). Affecting the Turbid Pathway reverses all Five Zang; affecting the Clear Pathway reverses only the Lung Meridian. Qi reversal causes diverse complications, hence both can be fatal. Treatment should regulate Lung Qi reversal, caused by Lung Meridian Fire. Lung belongs to Metal, originally having no Fire; Lung Meridian Fire is actually Kidney Water Fire. Due to Heart Fire invasion, Kidney Water saves the Mother (Lung) and dries up, sending Kidney Fire to assist, leading to Fire vs. Fire battle, causing blood to run wild and exit from the nose. Thus, regulating Qi relies on regulating the Kidney, which means tonifying Water to control Fire. Use Zini Tang (Stop Epistaxis Decoction):
Shengdi (Raw Rehmanniae Radix) (30g) Maidong (Ophiopogonis Radix) (90g) Xuanshen (Scrophulariae Radix) (60g) Decoct in water and take orally. Stops after one dose.
Maidong directly treats Lung Metal deficiency; Shengdi and Xuanshen resolve suppressed Fire in the Kidney. As Fire retreats, Qi smooths, and blood returns to meridians. If afraid of heavy dosage and reducing it, blazing Fire won’t be controlled, and efficacy will fail.
For this syndrome, Maidong Sanqi Tang (Maidong and Notoginseng Decoction) is also miraculous:
Maidong (Ophiopogonis Radix) (90g) Sanqi Gen Mo (Notoginseng Root Powder) (9g) Decoct in water, mix powder, and take orally. Stops after two doses.
A person with bleeding from the ears, dripping continuously, dies if it lasts three days without stopping. This disease is rare but real. The Ear is the Orifice of the Kidney; ear bleeding is naturally a Kidney Deficiency disease. However, in Kidney Deficiency, blood doesn’t go to the Stomach or exit the mouth, but exits the ear, for a specific reason. Pericardium Fire guides it. Pericardium Fire connects with Mingmen Fire; boiling of both Fires causes blood to bypass the Stomach and go to the ear. The Stomach is the Child of the Pericardium; fearing Kidney Fire harming the Heart and Stomach, it guides Fire upward to the ear. Along all meridians passing through, soil rolls up, so blood follows. Though ear orifices are small compared to the Stomach opening, continuous dripping isn’t sustainable. Urgent stopping is needed. Use Tinqiao Zhifen Tang (Fill Orifice and Stop Smoke Decoction):
Maidong (Ophiopogonis Radix) (30g) Shudi (Prepared Rehmanniae Radix) (60g) Changpu (Acori Tatarinowii Rhizoma) (3g) Decoct in water and take orally. Effective like an echo after one dose.
Shudi fills Kidney Meridian Water; Maidong extinguishes Pericardium Flame. With Fire of both meridians extinguished, if the ear orifice remains open, there’s a hole to drill through; temporary stopping might not prevent re-bleeding. Thus, Changpu guides the two herbs directly into the ear, guiding Ear Fire back to the Pericardium. Fire returns, ear orifice closes. Such divine medication is truly inconceivable.
For this syndrome, Jieliu Tang (Intercept Flow Decoction) is also miraculous:
Shudi (Prepared Rehmanniae Radix) (60g) Shengdi (Raw Rehmanniae Radix) Maidong (Ophiopogonis Radix) (30g each) Sanqi Gen Mo (Notoginseng Root Powder) (9g) Changpu (Acori Tatarinowii Rhizoma) (3g) Decoct in water and take orally. Stops bleeding after one dose.
A person with unceasing bleeding from the tongue has a red, rotten tongue, with red traces appearing in cracks, blood flowing from these traces. Though not instantly fatal, daily worsening leads to incurable states. This syndrome is excessive Heart Fire without Kidney Water assisting. The Heart must be nourished by Water; Evil Water invading the Heart causes death; True Water nourishing the Heart causes life. Thus, Heart and Kidney seem antagonistic but are actually mutually generating. Now, Kidney Water doesn’t communicate with the Heart, seeking Kidney nourishment is impossible, so it borrows from Lianquan (Spring under the tongue), constantly drawing fluids, causing the tongue to deteriorate and dry up. Lianquan water can irrigate Five Zang, but when Kidney Water is sufficient, Lianquan water is sufficient; when Kidney Water dries, Lianquan water dries, like rivers full making wells full. Now, Kidney Water doesn’t assist the Heart, how can it rise above the Heart to lips/mouth? Lianquan wants to nourish the square-inch tongue but cannot, let alone relieve Heart Heat. Thus, spring veins break and wells crack, failing to assist the Heart and rotting the tongue. Once the tongue rots, clear spring mud flows red water becoming blood. Treatment must greatly tonify Heart and Kidney, enabling mutual assistance, so tongue bleeding stops spontaneously. Use Hushedan (Protect Tongue Elixir):