治吐血衄血下血
黄土（一升） 甘草 黄芩 附子 白术 阿胶 熟地黄
上件等分为粗末每服三钱水一盏煎至七分去滓食后温服
治吐血
刺蓟 白薄荷（各二两） 荆芥 生地黄 柏叶 赤芍药 甘草（各一两半）
上为细末炼蜜和丸如弹子大食后茶清嚼下一丸
治鼻衄昼夜不止
刺蓟 生地黄 黄连 柏子仁 大黄 柏叶 苦参（各一两）
上为粗末每服五钱水二盏入青竹茹半鸡子大同煎至一盏去滓温服
治五脏经热鼻衄心胸烦闷
伏龙肝 赤芍药 当归 黄 犀角屑 刺蓟（各一两） 生地黄（三两）
上为粗末每服五钱水二盏竹茹一鸡子大煎至一盏去滓温服
治吐血先闻腥臊臭出清液胸胁支满妨于食目眩时时前后失血此由素经大失血若醉入房中
气竭
槐花（四两） 枳壳 地榆 黄 芎 （各二两） 五灵脂 五倍子（各一两）
上为细末水煮面糊和丸如梧桐子大每服三十丸空心米饮下
治宫脏虚弱下血不止
人参 柏叶仁 芍药 熟地黄 当归 阿胶（各半两）
上为粗末每服二钱水一盏煎至六分去滓温服里急虚寒脉凝欲绝者宜加干姜附子桂等分
治咯血
麝香（半钱） 绵灰 乳香（各一钱） 防己（三分） 阿胶 甘草（各半两）
上为细末炼蜜和丸如鸡头大每服一丸含化咽津
Treat hematemesis (vomiting blood), epistaxis (nosebleed), and lower gastrointestinal bleeding.
Huangtu (Yellow Earth, *Lodestone* or specific yellow clay) (one sheng) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) Huangqin (Scutellaria Root, *Scutellariae Radix*) Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) Baizhu (Atractylodes Rhizome, *Atractylodis Macrocephalae Rhizoma*) Ejiao (Donkey-hide Gelatin, *Colla Corii Asini*) Shudihuang (Rehmannia Root, *Rehmanniae Radix Praeparata*).
Grind the above ingredients equally into a coarse powder. For each dose, take three qian with one zhan of water, decoct until reduced to seven-tenths, strain, and take warm after meals.
Treat hematemesis.
Ciji (Thistle Leaf, *Cirsii Japonici Herba*) Bibohe (White Mint, *Menthae Haplocalycis Herba*) [each two liang] Jingjie (Schizonepeta Spike, *Schizonepetae Spica*) Shengdihuang (Rehmannia Root, *Rehmanniae Radix*) Baiye (Biota Tops, *Platycladi Cacumen) Chishaoyao (Red Peony Root, *Paeoniae Radix Rubra*) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [each one-and-a-half liang].
Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of a bullet. After meals, chew one pill while swallowing with clear tea water.
Treat intractable epistaxis occurring day and night.
Ciji (Thistle Leaf, *Cirsii Japonici Herba*) Shengdihuang (Rehmannia Root, *Rehmanniae Radix*) Huanglian (Coptis Rhizome, *Coptidis Rhizoma*) Baiziren (Biota Seed, *Platycladi Semen*) Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) Baiye (Biota Tops, *Platycladi Cacumen*) Kushen (Sophora Root, *Sophorae Flavescentis Radix*) [each one liang].
Grind the above ingredients into a coarse powder. For each dose, take five qian with two zhan of water, add Qingzhuru (Green Bamboo Shavings, *Bambusae Caulis in Taedia*) equivalent to half an egg, decoct together until reduced to one zhan, strain, and take warm.
Treat epistaxis caused by heat in the meridians of the five zang organs, accompanied by restlessness and oppression in the chest and heart.
Fulonggan (Dragon's House Soil, *Longgu* or specifically *Fulongan* - Yellow Earth from hearth) Chishaoyao (Red Peony Root, *Paeoniae Radix Rubra*) Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) Huangqi (Astragalus Root, *Astragali Radix*) Xijiaoxie (Rhinoceros Horn, *Rhinocerotis Cornu* - note: use substitutes like Water Buffalo Horn in modern practice) Ciji (Thistle Leaf, *Cirsii Japonici Herba*) [each one liang] Shengdihuang (Rehmannia Root, *Rehmanniae Radix*) (three liang).
Grind the above ingredients into a coarse powder. For each dose, take five qian with two zhan of water, add Zhuru (Bamboo Shavings, *Bambusae Caulis in Taedia*) equivalent to one egg, decoct until reduced to one zhan, strain, and take warm.
Treat hematemesis preceded by a fishy or foul odor, discharge of clear fluid, distension and fullness in the hypochondrium and chest, difficulty eating, dizziness, and frequent bleeding from both upper and lower orifices. This condition arises from prior massive blood loss followed by sexual intercourse while intoxicated, leading to exhaustion of qi.
Huaihua (Sophora Flower, *Sophorae Flos*) Zhiqiao (Bitter Orange Fruit, *Aurantii Fructus*) Diyu (Sanguisorba Root, *Sanguisorbae Radix*) Huangqi (Astragalus Root, *Astragali Radix*) Xiong (Sichuan Lovage Rhizome, *Ligustici Chuanxiong Rhizoma*) [each two liang] Wulingzhi (Trogopterus Dung, *Excrementum Trogopterori*) Wubeizi (Chinese Gall, *Galla Chinensis*) [each one liang].
Grind the above ingredients into a fine powder. Mix with a paste made from boiled flour and water to form pills the size of sophora seeds. Take thirty pills per dose on an empty stomach, washed down with rice water.
Treat continuous lower bleeding due to uterine deficiency and cold.
Renshen (Ginseng Root, *Panacis Ginseng Radix*) Baiyeren (Biota Seed, *Platycladi Semen*) Shaoyao (Peony Root, *Paeoniae Radix*) Shudihuang (Rehmannia Root, *Rehmanniae Radix Praeparata*) Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) Ejiao (Donkey-hide Gelatin, *Colla Corii Asini*) [each half liang].
Grind the above ingredients into a coarse powder. For each dose, take two qian with one zhan of water, decoct until reduced to six-tenths, strain, and take warm. In cases with tenesmus, deficiency-cold, and a congealed pulse nearing extinction, it is appropriate to add Ganjiang (Dried Ginger, *Zingiberis Rhizoma*), Fuzi (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*), and Guizhi (Cinnamon Twig, *Cinnamomi Ramulus) in equal parts.
Treat hemoptysis (coughing up blood).
Shexiang (Musk, *Moschus*) Mianhui (Cotton Ash, *Gossypii Herba Cinis*) Ruxiang (Frankincense, *Olibanum*) [each one qian] Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*) (three fen) Ejiao (Donkey-hide Gelatin, *Colla Corii Asini*) Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) [each half liang].
Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of a chicken head. Take one pill per dose, dissolve in the mouth, and swallow the saliva.