人之一身不离乎气血，凡病经多日疗治不痊，须当为之调血。血之外证，痰呕、烦渴、
昏愦、迷忘、常喜汤水漱口。不问男女老少，血之一字请加意焉。用药川芎、蓬莪术、桃仁、
灵脂、生地黄、北大黄为要。呕甚者多加生姜，以此先利其宿淤，嗣是茯苓、茯神、川芎、
甘草调理之。
《素问》云∶阴虚阳搏谓之崩。此即血得热则宣流之意也。四物汤可以助阴，生料枳壳
散可以抑阳，其间更以茯苓二陈汤和之，使阴阳两得其平，血自循于经络矣。若夫冲任不固，
下
血随气行，气逆而上奔，则血不循于经络而涌吐矣。人知吐血出于上焦，有热固也。然
能用柴胡、黄芩、蒲黄、茅花等辈，而不能用枳壳、北梗、青皮、生姜、乌梅佐之，又不能
用通利丸子，以开其中脘，导其大便，则气如何而下降？血如何而下行？吾恐逆奔而上，有
不可得而止之者，若夫依前治法，血止而后又当以人参、川芎、当归、茯苓、橘皮、半夏、
甘草为之调理，虚则加木香，热则加柴胡，壅则加桑皮，荆芥，尤在权衡。
凡病患兼有燥渴之证，用乌梅、栝蒌根、干葛、甘草数辈皆不作效，遂致引饮过多，两
脚浮肿，此证不可以为里热，盖肾水不上升，心火不下降故也。须用交感丹为主，却以乌梅、
浓蜜、生姜、甘草煎汤咽之。肾水一升，心火一降，其渴自止，脚亦不复肿矣。
人的身体离不开气血，凡是疾病经过多日治疗仍未痊愈的，必须为其调理血液。血分病变的外部表现，包括痰多呕吐、烦躁口渴、神志昏乱迷糊、健忘迷惘，以及经常喜欢用水漱口。不论男女老少，对于“血”这一方面都要格外重视。用药以川芎、蓬莪术、桃仁、五灵脂、生地黄、北大黄为关键。呕吐严重的多加生姜，先用这些药物清除体内的陈旧瘀血，随后用茯苓、茯神、川芎、甘草进行调理。
《素问》说：阴虚而阳脉搏动急促称为崩漏。这就是血液受热则妄行外溢的意思。四物汤可以辅助阴气，生料枳壳散可以抑制阳气，其间再用茯苓二陈汤调和，使阴阳两者达到平衡，血液自然就能在经络中正常运行了。如果冲脉和任脉不稳固，导致下部出血；或者血液随着气机运行，气逆向上奔涌，那么血液就不循经络而行，反而涌出呕吐出来。人们知道吐血出自上焦，是因为有热邪固然不错。然而，如果能使用柴胡、黄芩、蒲黄、茅花等药物，却不能配合使用枳壳、桔梗、青皮、生姜、乌梅来辅助，又不能使用通利丸子来开通中脘部位，引导大便通畅，那么气如何能下降？血又如何能下行？我担心这种逆乱上奔的血症，会有无法止住的时候。如果依照前面的治法，血止之后又应当用人参、川芎、当归、茯苓、橘皮、半夏、甘草来进行调理，虚证加木香，热证加柴胡，壅滞证加桑白皮、荆芥，关键在于权衡利弊。
凡是病人兼有燥渴的症状，使用乌梅、栝蒌根、干葛、甘草等药物都不见效，于是导致饮水过多，双脚浮肿。这个病症不能认为是里热证，这是因为肾水不能上升，心火不能下降的缘故。必须用交感丹作为主药，再用乌梅、浓蜜、生姜、甘草煎汤送服。肾水一旦上升，心火一旦下降，口渴自然停止，脚肿也不再出现了。
The human body relies on Qi and Blood. For any disease that remains uncured after days of treatment, it is necessary to regulate the Blood. External manifestations of Blood disorders include phlegm and vomiting, irritability and thirst, mental confusion and forgetfulness, and a frequent desire to rinse the mouth with water. Regardless of gender or age, one must pay special attention to the aspect of Blood. The essential herbs are Chuanxiong Rhizoma (Chuanxiong), Curcuma Zedoaria Rhizome (Ezhhu), Persicae Semen (Taoren), Trogopterori Faeces (Wulingzhi), Rehmanniae Radix Recens (Shengdihuang), and Rheum Palmatum Root and Rhizome (Beidahuang). In cases of severe vomiting, add fresh ginger (Shengjiang) in greater quantity. First, use these agents to purge old stasis from the body; subsequently, regulate with Poria (Fuling), Poria Cum Radix (Fushen), Chuanxiong Rhizoma (Chuanxiong), and Licorice Root (Gancao).
The *Suwen* states: "Yin deficiency with rapid Yang pulse constitutes Binglou (sudden heavy uterine bleeding)." This refers to the principle that blood flows recklessly when heated by pathogenic factors. Siwu Tang (Four Substances Decoction) can assist Yin, while Shengliao Zhike San (Raw Zhiqiao Powder) can restrain Yang. Between these, Fuling Erchen Tang (Poria and Two Aged Ingredients Decoction) is used to harmonize, ensuring both Yin and Yang achieve balance, so that Blood naturally circulates within the meridians. If the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) are insecure, lower bleeding may occur. Or, if Blood follows Qi movement, and Qi rebels and rushes upward, Blood will not follow the meridians but will instead gush out through vomiting. It is known that hematemesis (vomiting blood) originates from the Upper Jiao (Upper Burner) due to Heat. However, if one uses Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Polygoni Multiflori Caulis (Puhuang), and Phragmitis Rhizoma (Maohua), yet fails to use Aurantii Fructus Immaturus (Zhike), Platycodonis Radix (Jiegeng), Citri Reticulatae Pericarpium (Qingpi), Zingiberis Rhizoma Recens (Shengjiang), and Eucleae Fructus (Wumei) as assistants, nor does one use Tongli Wan (Unblocking Pill) to open the Middle Jiao and guide bowel movements, how can Qi descend? How can Blood flow downward? I fear that such rebellious upward rushing of Blood may become uncontrollable. Following the aforementioned treatment method, once bleeding stops, regulation should be conducted using Ginseng Radix (Renshen), Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Poria (Fuling), Citri Reticulatae Pericarpium (Jupi), Pinelliae Rhizoma (Banxia), and Licorice Root (Gancao). For deficiency, add Aucklandiae Radix (Muxiang); for heat, add Bupleuri Radix (Chaihu); for stagnation, add Morus Alba Cortex (Sangbai) and Schizonepeta Spike (Jingjie). The key lies in weighing the circumstances appropriately.
For patients presenting with dryness and thirst, if Wumei (Chinese Plum Fruit), Trichosanthis Radix (Gualougen), Puerariae Lobatae Radix (Gange), and Licorice Root (Gancao) prove ineffective, excessive drinking ensues, leading to edema in both feet. This condition should not be diagnosed as Interior Heat. Rather, it is caused by Kidney Water failing to ascend and Heart Fire failing to descend. One must primarily use Jiaogan Dan (Harmonizing Soul Pill), administering it with a decoction of Wumei, thick honey, fresh ginger, and licorice root. Once Kidney Water ascends and Heart Fire descends, the thirst will cease, and the foot edema will subside.