此症吐血，人以为火盛，用凉药以泻火，乃火愈盛而血愈多；或用止血之品仍不效〔者〕，谁知是血不归
经乎？治法当用补气之药，而佐以引血归经之味，不止血而自止矣。方用∶
人参（五钱） 当归（一两） 炒丹皮（三钱） 炒荆芥（三钱）
水煎服。
一剂而血无不止者。此方妙在不专补血，而反去补气以补血；尤妙在不去止血，而去行血以止血。盖血逢寒则
凝结而不行，逢散则归经而不逆，救死于呼吸之际，实大
有奇功。
有大怒后吐血，或倾盆而出，或冲口而来，一时昏晕，死在顷刻也。以止血治之，则气闷而不安；以补血
治之，则胸满而不受；有变症蜂起而死者，不可不治之得法也。方用解血平气汤，
白芍（二两） 当归（二两） 炒荆芥（三钱） 黑栀子（三钱） 柴胡（八分） 红花（二钱） 甘草（一钱）
水煎服。
一剂而气平舒，二剂而血止息，三剂而病大愈。盖怒
伤肝，不能平其气，以致吐血。若不先舒气而遽止血，则愈激动肝木之气，必气愈旺而血愈吐矣。方中芍药为多
用之品，平肝而又舒气；荆芥、柴胡，皆引血归经之品；当归，红花，生新去旧；安有不愈者哉？
六味地黄汤加麦冬、五味子，最能补肾滋肝，木得其养，则有可藏之经而不外泄，血症最宜服之。
据《石室秘录》“血治法”录如下∶
〔血病最忌寒凉之品，寒则凝滞而不行，难以归经。六味地黄丸、汤，妙在不寒不热，补肾水以滋肝木，肝木
得养，则血有可藏之经，自然不致外泄，何至上吐？方用六味地黄汤加麦冬、五味子∶〕
熟地（五钱） 山萸（三钱） 山药（二钱） 丹皮（三钱） 泽泻（二钱） 茯苓（二钱） 麦冬（三钱） 五
味子（一钱）
水煎服。
六味地黄汤得麦、味二味，又能清补肺金，使毛皮得养，毛孔坚固，则血难外越。肺金不干，下且足以克肝，
而肝木畏金之克，又何至上犯于肺耶？故血症最宜用此方，久服三年不吐，始庆重生，否则尚在生死之间也。
这种吐血的症状，人们认为是火气旺盛，使用寒凉药物来泻火，结果火气更旺而出血更多；或者使用止血药物仍然无效，谁知道这是血液不能回归经脉呢？治疗方法应当使用补气药物，并辅以引导血液回归经脉的药物，不专门止血而血自然停止。方剂如下：
人参（五钱） 当归（一两） 炒丹皮（三钱） 炒荆芥（三钱）
水煎服。
服用一剂后血无不立即止住的。这个方剂的妙处在于不专门补血，反而通过补气来达到补血的目的；尤其妙处在于不专门止血，而是通过活血来达到止血的效果。因为血液遇到寒凉就会凝结而不流动，遇到疏散就能回归经脉而不逆乱，在生死攸关之际挽救生命，确实有奇效。
有大怒之后吐血，有的像倾盆大雨般涌出，有的从口中冲射而出，一时昏晕，片刻之间就可能死亡。如果用止血的方法治疗，会导致气机郁闷而不安；如果用补血的方法治疗，会导致胸膈胀满而无法受纳；有的出现各种变证而死，所以必须治疗得当。方剂用解血平气汤：
白芍（二两） 当归（二两） 炒荆芥（三钱） 黑栀子（三钱） 柴胡（八分） 红花（二钱） 甘草（一钱）
水煎服。
服用一剂后气机平和舒畅，两剂后血停止，三剂后病情大大好转。因为愤怒损伤肝脏，导致肝气不能平和，从而引起吐血。如果不先疏通气机就急于止血，就会更加激动肝木之气，必然导致气更旺而血更吐。方中芍药用量较多，能平抑肝阳又疏理气机；荆芥、柴胡，都是引导血液回归经脉的药物；当归、红花，能生新血去旧瘀；哪有不好的道理呢？
六味地黄汤（Liuwei Dihuang Decoction）加入麦冬、五味子，最能补肾滋肝，肝木得到滋养，就有可以藏血的经脉而不外泄，血症最适合服用此方。
根据《石室秘录》“血治法”记载如下：
〔血病最忌讳寒凉药物，寒则凝滞而不流动，难以回归经脉。六味地黄丸、汤，妙处在于不寒不热，补肾水以滋助肝木，肝木得到滋养，血液就有可藏的经脉，自然不至于外泄，怎么会向上呕吐呢？方剂用六味地黄汤加麦冬、五味子：〕
熟地（五钱） 山萸肉（三钱） 山药（二钱） 丹皮（三钱） 泽泻（二钱） 茯苓（二钱） 麦冬（三钱） 五味子（一钱）
水煎服。
六味地黄汤得到麦冬、五味子这两味药，又能清补肺金，使皮毛得到滋养，毛孔坚固，那么血液就难以外越。肺金不受干扰，向下足以克制肝木，而肝木畏惧金的克制，又怎么会向上侵犯肺脏呢？所以血症最适合使用此方，长期服用三年不再吐血，才值得庆贺重获新生，否则还在生死边缘徘徊。
This type of hematemesis is commonly attributed by people to excessive Fire, leading to the use of cold-natured herbs to purge Fire. However, this results in even more vigorous Fire and increased bleeding; or if hemostatic agents are used without effect, who would realize that this is Blood failing to return to its vessels? The treatment method should employ Qi-tonifying herbs, assisted by those that guide Blood back into the vessels, achieving hemostasis without directly stopping blood. The prescription is as follows:
Ren Shen (Ginseng Radix) (5 qian), Dang Gui (Angelicae Sinensis Radix) (1 liang), Chao Dan Pi (Fried Moutan Cortex) (3 qian), Chao Jing Jie (Fried Schizonepetae Spica) (3 qian).
Decoct in water and take orally.
One dose is sufficient to stop all bleeding. The brilliance of this formula lies not in specifically tonifying Blood, but rather in tonifying Qi to nourish Blood; especially brilliant is that it does not directly stop bleeding, but achieves hemostasis through promoting Blood circulation. This is because Blood coagulates and stagnates when exposed to Cold, but returns to its vessels and does not rebel when dispersed. Saving lives at the critical moment, it indeed possesses miraculous efficacy.
In cases of hematemesis following severe anger, where blood gushes out like a pouring basin or shoots from the mouth, accompanied by sudden fainting and imminent death within moments. Treating with hemostatics causes Qi stagnation and discomfort; treating with Blood-tonics causes chest fullness and intolerance; some die due to various complications arising. Therefore, it is crucial to treat with the correct method. Use the Prescription for Resolving Blood and Calming Qi (Jie Xue Ping Qi Tang):
Bai Shao (White Peony Root) (2 liang), Dang Gui (Angelicae Sinensis Radix) (2 liang), Chao Jing Jie (Fried Schizonepetae Spica) (3 qian), Hei Zhi Zi (Black Gardenia Fruit) (3 qian), Chai Hu (Bupleuri Radix) (8 fen), Hong Hua (Carthami Flos) (2 qian), Gan Cao (Licorice Root) (1 qian).
Decoct in water and take orally.
After one dose, Qi becomes calm and comfortable; after two doses, bleeding stops; after three doses, the condition greatly improves. Anger injures the Liver, causing Liver Qi to become unbalanced, leading to hematemesis. If one does not first soothe the Qi but hastily stops bleeding, it will further agitate the Wood element of the Liver, inevitably making Qi more vigorous and bleeding worse. In this formula, Bai Shao is used in large quantities to pacify the Liver and soothe Qi; Jing Jie and Chai Hu are herbs that guide Blood back into the vessels; Dang Gui and Hong Hua generate new Blood and remove old stasis; how could recovery not be achieved?
Liuwei Dihuang Decoction (Six-Ingredient Rehmannia Pill/Decoction) added with Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus) is most effective in tonifying the Kidney and nourishing the Liver. When Liver Wood is nourished, there is a vessel capable of storing Blood without leakage, making it highly suitable for blood disorders.
Recorded according to "Blood Treatment Methods" in *Shishi Milu*:
[Blood diseases most strictly prohibit cold-natured substances, as Cold causes stagnation and impedes flow, making it difficult for Blood to return to its vessels. Liuwei Dihuang Wan/Decoction is brilliant in being neither cold nor hot; it tonifies Kidney Water to nourish Liver Wood. Once Liver Wood is nourished, Blood has a vessel to reside in and naturally does not leak externally, let alone vomit upwards. The prescription uses Liuwei Dihuang Decoction added with Mai Dong and Wu Wei Zi:]
Shu Di Huang (Prepared Rehmanniae Radix) (5 qian), Shan Zhu Yu (Corni Fructus) (3 qian), Shan Yao (Dioscoreae Rhizoma) (2 qian), Dan Pi (Moutan Cortex) (3 qian), Ze Xie (Alismatis Rhizoma) (2 qian), Fu Ling (Poria) (2 qian), Mai Dong (Ophiopogonis Radix) (3 qian), Wu Wei Zi (Schisandrae Fructus) (1 qian).
Decoct in water and take orally.
With the addition of Mai Dong and Wu Wei Zi, Liuwei Dihuang Decoction can also clear and tonify Lung Metal, nourishing the skin and hair, strengthening pores, thereby preventing Blood from escaping externally. With Lung Metal undisturbed, it sufficiently controls Liver Wood downwards; fearing the control of Metal, Liver Wood would not attack the Lungs upwards. Thus, this formula is most suitable for blood disorders. Long-term use for three years without hematemesis allows one to celebrate rebirth; otherwise, one remains on the brink of life and death.