Library

The "Middle" refers to the Spleen and Stomach. The Spleen governs the containment of blood; when Spleen Qi is deficient, it fails to control the blood. The Spleen transforms nutrients into blood; when Spleen Qi is deficient, it fails to transport and transform, thereby failing to generate blood. In all these cases, blood loses its master, leading to collapse, sinking, and reckless bleeding. The color of the blood is not bright red but may be purple or black, which is due to the failure of Yang Qi; therefore, there are usually no signs of heat syndromes. If symptoms such as nausea and vomiting appear, Lizhong Tang (Regulate the Middle Decoction) should be used to warm and tonify the Spleen and Stomach. Once the Qi of the Middle Jiao is regulated, the blood will naturally return to its vessels.

Lizhong Tang
Li Wu Tang: A combination of Lizhong Tang and Siwu Tang.

Huangtu Tang (Yellow Earth Decoction)
Baizhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Dihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini), Huangqin (Scutellariae Radix) (each 3 liang), Zaoxin Huangtu (Caulis Cinnamomi Cum Terra / Hearth Earth) (0.5 sheng).
Add 8 sheng of water, boil to obtain 3 sheng of decoction, divide into three doses, and take warm.

From *Ben Shi Fang* (Formulas of Great Reliance): Formula for treating intestinal hemorrhoids located within the abdomen, accompanied by bleeding resembling a mouse's teat.
Bai Wuyi (Chukunthi Fructus), Guanzhong (Cyathulae Rhizoma), Ye Langya Gen (Sibiricne Spirea Root), Chun Dong Yin Zhi (Toona Sinensis Branch Growing Eastward), Huai Dong Yin Zhi (Melia Toosendan Branch Growing Eastward, using white bark) (each 1 fen), Bai Tou (Allii Fistulosi Bulbus) (one bulb, roasted until charred), Xionghuang (Realgar) (0.5 liang), [Text missing, likely Pi] (1 fen, roasted until charred).
Grind the above ingredients into powder, mix with lard from the twelfth lunar month to form pills the size of a bullet, wrap in cotton, and insert into the lower orifice (anus or vagina), changing three times daily.

Supplementary Formula:
Mu'er (Wood Ear Mushroom) (5 qian).
Soak overnight, wash clean, and eat raw on an empty stomach. Avoid drinking tea or soup for about half a day after ingestion. If the taste is bland, add a little salt. Three doses will surely cure the symptom, though it cannot remove the root cause.

Hematuria (blood in urine) can be due to deficiency or excess syndromes. Excess syndromes involve accumulated heat in the Lower Jiao, where blood is forced by heat, resulting in hematuria with strangury (painful urination). Deficiency syndromes often arise from internal injury due to sexual exhaustion, causing blood to lose its control, leading to continuous urinary bleeding. There are also cases of heat in the Heart; when heat invades the blood, blood seeps into the Small Intestine causing hematuria. Treatment should be determined by integrating pulse and symptom analysis.

Generally, if blood exits with urine, forms strangury, and causes pain, or is mixed with urine, the source is the Bladder. If blood exits without pain, it is called hematuria, caused by Heart heat transferring to the Small Intestine, with blood exiting from the essence orifice (urethra).

Xiaoji Yinzi (Small Thistle Drink) from *Jisheng Fang*: A formula for treating constrained heat in the Lower Jiao.
Shengdi (Rehmanniae Radix) (4 liang), Xiaoji Gen (Cephalanoplis Radix), Huashi (Talcum), Tongcao (Tetrapanacis Medulla), Puhuang (Typhae Pollinis, stir-fried), Dan Zhuye (Lophatheri Herba), Ou Jie (Nelumbinis Node), Danggui (Angelicae Sinensis Radix), Shanzhiren (Gardeniae Semen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 0.5 liang).
Coarsely crush the ingredients. Take 4 qian per dose, add one cup of water, decoct to 0.8 cup, and take warm on an empty stomach. Another version includes Baimaogen (Imperatae Rhizoma) and Ejiao.

Lurong San (Deer Antler Powder): A formula for treating deficiency and exhaustion of the Lower Yuan, with hematuria continuing day and night.
Lurong (Cornu Cervi Pantotrichum, washed with wine, hair removed, coated with butter, roasted yellow), Danggui (Angelicae Sinensis Radix, baked), Shengdihuang (Rehmanniae Radix, baked) (each 2 liang), Puhuang (Typhae Pollinis) (1 he).
Grind into an extremely fine powder. Take 3 qianbi per dose, mix with warm wine, and take on an empty stomach, twice daily. Another version uses refined honey to make pills the size of wutong seeds, taking 20 pills per dose.

Rushen San (Miraculous God Powder): A formula for treating heat in the Heart invading the blood.
Ejiao (Colla Corii Asini, fried with clam powder) (1 liang), Shanzhi (Gardeniae Fructus), Cheqianzi (Plantaginis Semen), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 2.5 qian).
Grind into a fine powder. Take 0.5 qian or 1 qian per dose, mixed with Jinghua Shui (first-drawn well water in the morning), three times daily. This formula works well when combined with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction).

Fahui San (Hair Ash Powder)
Burn disordered hair until carbonized, grind into powder. Take 2 qian per dose, mixed with 2 he of vinegar and a little hot water. Alternatively, mix with juice of Ce Bai Ye (Biota Tops) and glutinous rice flour to form pills the size of wutong seeds, taken with water, 50 pills per dose.

Lu Jiao Jiao Wan (Deer Horn Gelatin Pills): For treating injury from sexual activity and hematuria.
Lu Jiao (Cornu Cervi, stir-fried until pearl-like), Moyao (Myrrha), You Fa Hui (Ash of oiled hair) (each 6 qian).
Grind into powder, use juice of Baimaogen (Imperatae Rhizoma) to make paste for pills the size of wutong seeds. Swallow 70-80 pills with salted water on an empty stomach.