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For the treatment of persistent hematemesis (vomiting blood), this decoction is indicated.
Cacumen Platycladi (Baiye), dried ginger (Ganjiang) [each 3 liang], mugwort leaf (Aiye) [3 bundles].
Take the above three herbs, add five sheng of water and one sheng of horse dung juice (Matong zhi), boil together to obtain one sheng of liquid, divide into two doses, and take warm. *Qianjin Fang* adds three liang of prepared donkey-hide gelatin (Ejiao), which is also excellent.
The verse states: Hematemesis occurs frequently and refuses to cease. (When vomiting persists for a long time, all medicines of cold, heat, tonification, and purgation have been exhausted.) Trace the source with about one sheng of Matong. (Heat qi hides in the Yin aspect, forcing blood to move recklessly without stopping. The horse belongs to Fire; use its connecting nature of similar qi to guide it out.) Three liang of Ganjiang and three bundles of Aiye. (These two herbs disperse warmth, venting the heat so it moves to the Yang aspect; thus, the blood in the Yin aspect has no force to compel it and remains within the vessels.) Seek three liang of Baiye to regulate the Yin. (Baiye suppresses...)
The sub-notes on the previous verse are quite detailed, requiring no further explanation. However, whenever I use the aforementioned formula, patients are often startled and doubtful, unable to listen. Now I propose an modified method, using fresh lateral...

For the treatment of lower gastrointestinal bleeding where defecation precedes bleeding, this is termed "distant blood" (Yuanxue). This formula is also indicated for hematemesis and epistaxis (nosebleed).
Licorice root (Gancao), Rehmannia root prepared (Shu Dihuang), Atractodes rhizome (Baizhu), Aconite root lateralis preparata (Fuzi, processed), Donkey-hide gelatin (Ejiao), Scutellaria root (Huangqin) [each 3 liang], soil from the center of the stove (Zaozhong Huangtu) [half jin].
Take the above seven herbs, add eight sheng of water, boil to obtain three sheng, divide into three doses, and take warm.
The verse states: Distant blood appears as stool followed by blood; do not hesitate regarding half a jin of Huangtu. Baizhu, Ejiao, Fuzi, Shu Dihuang, Huangqin, and Gancao, taken together in three liang each, cover various blood disorders. (Not only treating lower...)
Wang Jin-san stated that in *Jinkui Yaolue*, lower gastrointestinal bleeding where blood appears before stool is termed "close blood" (Jinxue), clearly indicating injury to the spleen collaterals, with blood seeping daily into the intestines and accumulating below, hence the stool is not...
Of Ejiao Yuanxue Ganjiang (see Huo huo disease.) For the treatment of lower gastrointestinal bleeding where blood appears before stool, this is termed "close blood" (Jinxue). This formula is indicated.
Nan Yuanxi notes: The Liver is the sea of blood, its qi connects with the uterus/cyst (Baozhong), governing the authority of distribution. When deficient, it loses this authority. To say blood appears before stool means the Liver fails to control, cannot distribute downward, causing blood from the Baozhong to seep into the anus. Close blood refers to the stomach connecting to the large and small intestines, with the Baozhong anterior and posterior to the intestines, being the closest relationship. If the stomach and intestines are affected by damp-heat, injuring their qi, it must connect to the Baozhong, forcing blood to move recklessly. Adzuki bean (Chixiaodou) enters the Heart to clear heat and resolve internal toxicity. Angelica sinensis (Danggui) enters the Liver to tonify deficiency and dissipate stagnation, able to distribute blood into the meridians and collaterals.