疮口出血，有因五脏相胜，阴阳不调，而血不止者；有因乳母六淫七情之气不平，而血妄行者。若因肝火内动，用
四物、山栀、牡丹皮。肝经血虚，用六味地黄丸。心虚不能统血，用四物、参、术、丹皮、酸枣仁。脾虚不能统血，用
四君、山栀、牡丹皮。脾气郁滞，用归脾汤。脾肺气虚，用补中益气汤。气血俱虚，用十全大补汤。肾阴不足而肝火内
动，用六味地黄丸、柴胡栀子散加五味子。大凡失血过多，而见烦热发渴等症，勿论其脉，不问其症，急用独参汤以补
其气。经云∶血生于气。苟非参、 、归、术，甘温之药，决不能愈。若发热脉大者，多不治。
一小儿十一岁，眉间一核似赤小豆许，出血如注，发热倦怠，食少体倦，此肝经血热，脾经气虚也，用柴芍参苓
散、九味芦荟丸而痊。
一小儿流注出血，吃逆腹痛，手足并冷，用六君子及独参汤而益甚，此阳气虚寒之甚，药力未能骤及也，遂连服数
剂，诸症渐退，用月许将愈。因饮食失宜，寒热发搐血出，此脾气虚肝火所乘也，用异功散加升麻、柴胡而安，又用八
珍、四君而愈。后因劳心发热头痛，另服清热之剂，汗退场门噤，良久方省，服大补汤数剂而安，又用八珍汤而愈。
一女子臂患疮出血，余谓血虚，用圣愈汤而愈。后因怒，复作如前，先用圣愈汤，又用加味逍遥散将愈。因惑于
人言，别服降火之剂，吐泻腹痛，余用异功散、圣愈汤而愈。
一小儿头疮出血，睡中发搐，审其母素有郁怒发热，用加味逍遥散、加味归脾汤，母服之而子自愈。
一小儿头面生疮出血，右腮赤色，口干饮冷，此胃热有热，先用清胃散渐愈；又用加味解毒散而愈。
一小儿臂疮出血，脉浮大，按之无力，右寸关为甚，此脾肺气虚，不能摄血归源，先用补中益气汤而血止，又用托
里散而疮愈。
一小儿头面生疮，出血作痛，发热饮冷，此胃经热甚而血妄行也，先用仙方活命饮，诸症顿愈；又用清热消毒散，
疮口渐敛。
一女子十四岁，患瘰 ，不时出血，面青善怒，余谓肝胆经气虚，而血不能归经也，欲滋肾水以生肝木。不信，反
清热败毒，血不止而殁。
一小儿患骨疽内溃，脓出甚多，后疮口出血，恶寒体倦，脉之如无，余谓阳随阴散而气脱，用独参汤补之。不信
而殁。
东垣圣愈汤 治诸疮脓血出多，心烦不安，不得眠睡。
熟地黄 生地黄（各二分） 当归 川芎（三分） 黄 （炒，五分） 人参（三分）
上水煎服。
归脾汤 治疮疡，脾气虚不能摄血归经，而疮口出血，或乳母脾经郁热，致儿患疮，发热出血，或疮口不敛。
（方见胁痈）
独参汤 治疮疡溃后，气血俱虚，疮口出血，或发热恶寒，作渴烦躁，宜用此药以补气，则血自生而归经，此
阳生阴长之理。用人参一两、姜十片、枣十枚，水煎服。
三味解毒散 治疮疡热毒出血，或禀热毒、金石毒者，尤宜用之。（自制）
金银花（一两） 甘草（五分） 牛黄（一钱，量人用之）
上为末，每服五分，白汤调下。
四物汤（方见腋痈）
柴胡栀子散（方见胁痈，即栀子清肝散）
柴芍参苏饮（方见热毒瘰 ）
六味地黄丸（方见作渴不止）
加味逍遥散
当归补血汤（二方见发热不止）
补中益气汤（方见肌肉不生）
十全大补汤（方见便痈）
九味芦荟丸（方见喉痹）
四君子汤
清胃散
六君子汤（三方见腹痈）
异功散（方见用败毒之药）
托里散
仙方活命饮（二方见热毒疮疡）
清热消毒散（方见热毒口疮）
疮口出血，有的因为五脏之间相互克制，阴阳失调，导致血液无法停止；有的因为乳母受到六淫（风、寒、暑、湿、燥、火）和七情（喜、怒、忧、思、悲、恐、惊）之气的影响，气机不平，导致血液妄行。如果是由于肝火内动引起的，使用四物汤、山栀、牡丹皮。肝经血虚的，使用六味地黄丸。心气虚弱不能统摄血液的，使用四物汤、人参、白术、牡丹皮、酸枣仁。脾气虚弱不能统摄血液的，使用四君子汤、山栀、牡丹皮。脾气郁滞的，使用归脾汤。脾肺气虚的，使用补中益气汤。气血俱虚的，使用十全大补汤。肾阴不足而肝火内动的，使用六味地黄丸、柴胡栀子散加五味子。大凡失血过多，出现烦热、发渴等症状时，不论其脉象如何，不问其具体症状，紧急使用独参汤来补气。经文说：血生于气。如果不是人参、[黄芪]、当归、白术这些甘温的药物，决不能痊愈。如果发热且脉大的，大多难以治愈。
一个十一岁的小儿，眉间有一个像赤小豆大小的核，出血如注，伴有发热、倦怠、食少、身体疲倦，这是肝经血热、脾经气虚的表现，使用柴芍参苓散、九味芦荟丸而痊愈。
一个小儿患流注病出血，伴有呃逆、腹痛、手足冰冷，使用六君子汤及独参汤后病情反而加重，这是因为阳气虚寒非常严重，药力未能迅速到达所致，于是连续服用数剂，各种症状逐渐消退，大约一个月后即将痊愈。后来因饮食不当，出现寒热、抽搐、出血，这是脾气虚弱被肝火所乘的表现，使用异功散加升麻、柴胡而安定，又用八珍汤、四君子汤而痊愈。后来因劳心导致发热头痛，另服清热药物，汗出后肛门紧闭痉挛，很久才苏醒，服用大补汤数剂而安定，又用八珍汤而痊愈。
一个女子手臂患疮出血，我认为这是血虚，使用圣愈汤而痊愈。后来因发怒，病情复发如前，先用圣愈汤，又用加味逍遥散将愈。因听信他人之言，另外服用降火药物，出现呕吐、腹泻、腹痛，我使用异功散、圣愈汤而治愈。
一个小儿头疮出血，睡梦中发生抽搐，详细询问得知其母亲素有郁怒发热，使用加味逍遥散、加味归脾汤，让母亲服用，孩子自愈。
一个小儿头面生疮出血，右腮发红，口干想喝冷水，这是胃热炽盛，先用清胃散逐渐痊愈；又用加味解毒散而痊愈。
一个小儿臂疮出血，脉浮大，按之无力，右寸关部尤为明显，这是脾肺气虚，不能摄血归源，先用补中益气汤而血止，又用托里散而疮愈。
一个小儿头面生疮，出血作痛，发热想喝冷水，这是胃经热甚导致血液妄行，先用仙方活命饮，各种症状顿时痊愈；又用清热消毒散，疮口逐渐收敛。
一个十四岁的女子，患瘰疬，不时出血，面色青，易怒，我认为这是肝胆经气虚，血液不能归经，想要滋补肾水以生养肝木。患者不信，反而服用清热败毒药物，导致血不止而死。
一个小儿患骨疽内溃，脓液流出很多，后来疮口出血，恶寒身体疲倦，诊脉几乎摸不到，我认为这是阳随阴散而气脱，使用独参汤补气。患者不信而死。
东垣的圣愈汤：治疗各种疮疡脓血流出过多，心烦不安，无法入睡。
熟地黄、生地黄（各二分）、当归、川芎（三分）、黄芪（炒，五分）、人参（三分）。
以上用水煎服。
归脾汤：治疗疮疡，脾气虚弱不能摄血归经，导致疮口出血，或乳母脾经郁热，致使婴儿患疮，发热出血，或疮口不愈合。（方剂见胁痈章节）
独参汤：治疗疮疡溃破后，气血俱虚，疮口出血，或发热恶寒，口渴烦躁，宜用此药以补气，则血自生而归经，这是阳生阴长的道理。用人参一两、生姜十片、大枣十枚，用水煎服。
三味解毒散：治疗疮疡热毒出血，或禀受热毒、金石毒者，尤其适宜使用。（自制）
金银花（一两）、甘草（五分）、牛黄（一钱，根据人数调整用量）。
以上研为末，每次服用五分，用白开水调下。
四物汤（方剂见腋痈章节）
柴胡栀子散（方剂见胁痈章节，即栀子清肝散）
柴芍参苏饮（方剂见热毒瘰疬章节）
六味地黄丸（方剂见作渴不止章节）
加味逍遥散
当归补血汤（两个方剂见发热不止章节）
补中益气汤（方剂见肌肉不生章节）
十全大补汤（方剂见便痈章节）
九味芦荟丸（方剂见喉痹章节）
四君子汤
清胃散
六君子汤（三个方剂见腹痈章节）
异功散（方剂见用败毒之药章节）
托里散
仙方活命饮（两个方剂见热毒疮疡章节）
清热消毒散（方剂见热毒口疮章节）
Wound bleeding may occur due to the mutual overcoming of the five Zang organs and disharmony of Yin and Yang, causing blood to fail to stop; or it may result from the imbalance of Qi caused by the Six Exogenous Pathogens (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and Seven Emotions (Joy, Anger, Worry, Pensiveness, Sadness, Fear, Fright) affecting the lactating mother, leading to reckless movement of blood. If caused by internal stirring of Liver Fire, use Siwu Tang (Four Substance Decoction), Gardeniae Fructus (Shanzhi), and Moutan Cortex (Mudanpi). For Blood deficiency in the Liver Meridian, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If Heart Qi is deficient and unable to control blood, use Siwu Tang, Ginseng Radix (Renshen), Atractylodis Rhizoma (Baizhu), Moutan Cortex (Mudanpi), and Ziziphus Seed (Suanzaoren). If Spleen Qi is deficient and unable to control blood, use Sijunzi Tang (Four Gentlemen Decoction), Gardeniae Fructus (Shanzhi), and Moutan Cortex (Mudanpi). For stagnation of Spleen Qi, use Guipi Tang (Restore the Spleen Decoction). For deficiency of both Spleen and Lung Qi, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). For deficiency of both Qi and Blood, use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction). For insufficient Kidney Yin with internal stirring of Liver Fire, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) combined with Chaihu Zhizi San (Bupleurum and Gardenia Powder) plus Schisandrae Fructus (Wuweizi). Generally, when excessive blood loss presents with symptoms such as irritability, heat sensation, and thirst, regardless of the pulse or specific symptoms, urgently use Danshen Tang (Single Ginseng Decoction) to tonify Qi. The Classics state: "Blood is generated from Qi." Without sweet-warm herbs such as Ginseng Radix (Renshen), [Astragali Radix (Huangqi)], Angelicae Sinensis Radix (Danggui), and Atractylodis Rhizoma (Baizhu), recovery is impossible. If fever accompanies a large pulse, the condition is mostly incurable.
An eleven-year-old child presented with a nodule on the glabella, size of a red adzuki bean, with profuse bleeding, accompanied by fever, fatigue, poor appetite, and general weakness. This indicates Heat in the Blood of the Liver Meridian and Qi deficiency of the Spleen Meridian. Treatment with Chaishao Shenling San (Bupleurum, Peony, Ginseng, and Poria Powder) and Jiwei Lujian Wan (Nine-Ingredient Aloe Pill) resulted in recovery.
A child suffering from Liuzhu (flowing abscess) with bleeding presented with hiccups, abdominal pain, and cold extremities. Treatment with Liujunzi Tang (Six Gentlemen Decoction) and Danshen Tang (Single Ginseng Decoction) initially worsened the condition, indicating severe deficiency-cold of Yang Qi where the medicinal force had not yet taken effect. After continuous administration for several doses, symptoms gradually subsided, and recovery was expected after about one month. Later, due to improper diet, chills, fever, convulsions, and bleeding occurred, indicating Spleen Qi deficiency overwhelmed by Liver Fire. Treatment with Yigong San (Yi Gong Powder) augmented with Cimicifugae Rhizoma (Shengma) and Bupleuri Radix (Chaihu) stabilized the condition, followed by Bazhen Tang (Eight Treasure Decoction) and Sijunzi Tang (Four Gentlemen Decoction) for full recovery. Subsequently, mental exertion led to fever and headache; self-administration of cooling herbs caused sweating, anal spasms, and prolonged unconsciousness. Administration of Dadu Tang (Great Tonifying Decoction) for several doses stabilized the patient, followed by Bazhen Tang (Eight Treasure Decoction) for recovery.
A female patient presented with bleeding from an arm wound. I diagnosed Blood deficiency and treated with Shengyu Tang (Holy Recovery Decoction), resulting in recovery. Due to anger, the condition recurred. Initial treatment with Shengyu Tang (Holy Recovery Decoction) followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) showed improvement. However, influenced by others, she took fire-descending herbs, leading to vomiting, diarrhea, and abdominal pain. I treated with Yigong San (Yi Gong Powder) and Shengyu Tang (Holy Recovery Decoction), resulting in cure.
A child with head sores and bleeding experienced convulsions during sleep. Upon inquiry, the mother was found to have chronic emotional depression, anger, and fever. The mother took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction), which cured the child.
A child with head and face sores and bleeding presented with redness on the right cheek and dry mouth desiring cold drinks. This indicates Stomach Heat. Initial treatment with Qingwei San (Clear the Stomach Powder) led to gradual recovery, followed by Jiawei Jiedu San (Modified Detoxification Powder) for complete cure.
A child with arm sores and bleeding presented with a floating and large pulse that was weak upon pressure, especially at the Right Cun and Guan positions. This indicates deficiency of Spleen and Lung Qi, unable to control blood and return it to its source. Initial treatment with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) stopped the bleeding, followed by Tuoli San (Support the Interior Powder) for wound healing.
A child with head and face sores, bleeding, pain, fever, and desire for cold drinks presented with excessive Heat in the Stomach Meridian causing reckless blood movement. Initial treatment with Xianfang Huoming Yin (Immortal Life Elixir) resolved all symptoms suddenly, followed by Qingre Xiaodu San (Clear Heat and Detoxify Powder) for gradual wound contraction.
A fourteen-year-old female suffered from Scrofula (Luoli) with intermittent bleeding, greenish complexion, and irritability. I diagnosed deficiency of Qi in the Liver and Gallbladder meridians, preventing blood from returning to the vessels, and proposed nourishing Kidney Water to generate Liver Wood. The patient refused, taking clearing-heat and detoxifying herbs instead, leading to uncontrollable bleeding and death.
A child with internal ulceration of Bone Abscess (Guju) presented with copious pus, followed by wound bleeding, aversion to cold, body fatigue, and a pulse barely perceptible. I diagnosed dispersion of Yang following Yin and collapse of Qi, treating with Danshen Tang (Single Ginseng Decoction) to tonify Qi. The patient refused, leading to death.
Dongyuan's Shengyu Tang (Holy Recovery Decoction): Treats profuse pus and blood discharge from various sores, restlessness, and insomnia.
Prepared Rehmanniae Radix (Shudihuang), Raw Rehmanniae Radix (Shengdihuang) (each 2 fen), Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong) (3 fen), Astragali Radix (Huangqi) (stir-fried, 5 fen), Ginseng Radix (Renshen) (3 fen).
Decoct in water and take orally.
Guipi Tang (Restore the Spleen Decoction): Treats sores where Spleen Qi deficiency fails to control blood, causing wound bleeding; or where maternal Spleen Meridian heat causes infant sores with fever, bleeding, or non-healing wounds. (See formula under Rib Abscess).
Danshen Tang (Single Ginseng Decoction): Treats post-ulceration deficiency of Qi and Blood, wound bleeding, fever, aversion to cold, thirst, and irritability. It tonifies Qi so that Blood is generated and returns to the vessels, following the principle of "Yang generates Yin." Use 1 liang of Ginseng Radix (Renshen), 10 slices of Ginger, and 10 Jujubes. Decoct in water and take orally.
Sanwei Jiedu San (Three-Ingredient Detoxification Powder): Treats heat-toxin bleeding from sores, or constitutionally predisposed heat-toxin or mineral toxin. Especially suitable. (Self-made).
Honeysuckle Flower (Jinyinhua) (1 liang), Licorice Root (Gancao) (5 fen), Calculus Bovis (Niuhuang) (1 qian, adjust dosage based on patient).
Grind into powder. Take 5 fen each time, mixed with warm water.
Siwu Tang (Four Substance Decoction) (See formula under Axillary Abscess).
Chaihu Zhizi San (Bupleurum and Gardenia Powder) (See formula under Rib Abscess, also known as Zhizi Qinggan San).
Chaishao Shen Su Yin (Bupleurum, Peony, Ginseng, and Perilla Decoction) (See formula under Heat-toxin Scrofula).
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See formula under Unceasing Thirst).
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).
Danggui Buxue Tang (Angelica Tonifying Blood Decoction) (See formulas under Unceasing Fever).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See formula under Failure of Muscle Regeneration).
Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) (See formula under Anal Abscess).
Jiwei Lujian Wan (Nine-Ingredient Aloe Pill) (See formula under Sore Throat).
Sijunzi Tang (Four Gentlemen Decoction).
Qingwei San (Clear the Stomach Powder).
Liujunzi Tang (Six Gentlemen Decoction) (See three formulas under Abdominal Abscess).
Yigong San (Yi Gong Powder) (See formula under Use of Detoxifying Herbs).
Tuoli San (Support the Interior Powder).
Xianfang Huoming Yin (Immortal Life Elixir) (See two formulas under Heat-toxin Sores).
Qingre Xiaodu San (Clear Heat and Detoxify Powder) (See formula under Heat-toxin Mouth Ulcers).