〔《心》〕妊孕寒热往来，咳嗽血痰，或呕吐不食无力，或喘满乳脊相应痛，或口中唾如霜雪，
出语无声，或耳鸣，或痰涎日夜数碗，误用热药之故也。风门 魂户（各五分） 支沟 间使（各相透）
如寒热未解，百节螈 昏愦，再取绝骨（五分） 太溪（三分） 如脉气未平，泻太渊 太白（各二分） 中府。
以上穴，实泻虚补，治产前病立效，此病安后半年，必有一变，四肢消瘦，单腹肿胀，即
取阴交一穴，去其恶物也。
〔无〕玉屑膏治尿血，并五淋砂石，疼痛不可忍受者。
黄 人参（各等分）
上为末，用萝卜大者，切一指浓，三指大四五片，蜜淹少时，蘸蜜炙干，复蘸复炙，尽蜜
二两为度，勿令焦。至熟，蘸黄 、人参末吃，不以时，仍以盐汤送下。
〔《外》〕疗虚尿血方。干胶三两，炙捣末，酒二升，和温服。
〔无〕发灰散治小便尿血。
发灰（《本草》云∶发灰能消瘀血，通关格，利水道，破痈疽血衄。丹溪云∶发，补阴甚捷。）
上一味，每用二钱，以米醋二合，汤少许服，井花水调亦得。一法茅草根、车前子煎汤调
下尤妙。兼治肺疽心衄，内崩吐血一两口，或舌上出血如针孔。若鼻衄，吹内立已。
〔葛〕治小便出血。当归四两，细锉，酒三升，煮取一升顿服。
〔丹〕有血虚，四物汤加牛膝膏。
悲哀太甚则胞络绝，胞络绝则阳气内动，发则心下崩，数溲血也。（全文见痿。）
〔姚氏〕治小便出血。龙骨末方寸匕，水调温服，日三服瘥。
〔《肘》〕治淋下血。麻根十枚，水五升，煮取二升一服，取血神效。
〔《经》〕治尿血不止。以郁金一两捣为末，葱白一握相和，水一盏，煎三合去渣温服，日
三服。
〔《济》〕鹿角胶丸治房室劳伤，小便尿血。
鹿角胶（半两） 没药（另研） 油头发灰（各三钱）
上为末，用茅根汁打面糊丸，如桐子大。每服五十丸，盐汤下。
胞移热于膀胱，则癃溺血。（全文见诊病传变。）
〔仲〕热在下焦者，则尿血．亦令淋 不通。
〔丹〕溺血属热，山栀炒水煎，或用小蓟、琥珀。
〔《玄》〕小便出血，是心伏热在于小肠，宜镜面草自然汁，加生蜜一匙服之，以八正散加麦
门冬，葱煎服。如小便涩痛，以海金沙细末调治之。（八正散见淋条。）
〔《外》〕治尿血。车前草捣取汁五合，空心服之。
〔《济》〕小蓟饮子治下焦结热，尿血成淋。
生地（四两） 小蓟根 滑石 通草 蒲黄（炒） 藕节 淡竹叶 当归（去芦，酒浸）
山栀仁 甘草（炙。各半两）
上 咀，每服四钱，水一盏，煎八分，空心温服。
〔无〕 草汁法。（方见淋。）
〔丹〕尿血实者，可用当归承气汤下之，后以四物加山栀。（当归承气汤即调胃承气加当归。）
〔《脉》〕尺脉滑，气血实，妇人经脉不利，男子尿血，宜服朴硝煎大黄汤下去经血，针关元
泻之。
〔丹〕冬荣散治小便出血，及肠风下血。
用夏枯草烧灰存性为末，米饮下。一方，用凉水调下。
少阴涩，则病积溲血。（又见积块。）
咳而且溲血脱形，其脉小劲，是逆也。（全文见诊生死。）
咳溲血，形肉脱，脉搏，是逆也。（同上。凡脉曰劳曰强曰劲曰搏者皆谓有力而实也。）
【《备急千金要方》】妊娠期间出现寒热往来、咳嗽伴有血痰，或呕吐不能进食且身体无力，或气喘胸满且乳房与脊柱相应部位疼痛，或口中唾沫如霜雪般洁白，说话声音嘶哑甚至失声，或耳鸣，或痰涎日夜分泌达数碗之多，这些都是误用热性药物所导致的后果。针刺风门穴、魂户穴（各五分深）、支沟穴、间使穴（各采用透刺法）。如果寒热症状仍未解除，全身关节抽搐、神志昏沉混乱，再取绝骨穴（五分深）、太溪穴（三分深）。如果脉气仍未平稳，泻太渊穴、太白穴（各二分深），并针刺中府穴。以上穴位，实证用泻法，虚证用补法，治疗产前疾病立竿见影。此病痊愈后半年内，必然会出现一种变证：四肢消瘦，腹部单独肿胀，此时只取阴交一穴，以排出体内的恶露瘀血。
【无（指《太平惠民和剂局方》作者陈师文等）】玉屑膏治疗尿血，以及五种淋证中的砂石淋，疼痛难以忍受者。
黄芪、人参（各等分）
将上述药材研为细末。选用大萝卜，切成厚约一指、直径约三指的片状，每次四五片，用蜂蜜浸泡片刻，蘸蜜炙烤至干，再次蘸蜜再次炙烤，直到用完二两蜂蜜为止，注意不要烤焦。待萝卜熟透后，蘸取黄芪、人参粉末食用，不限时间，仍可用盐汤送服。
【《外台秘要》】治疗虚损所致尿血的方子。阿胶三两，炙烤后捣成粉末，用酒二升，调和后温服。
【无】发灰散治疗小便尿血。
头发灰（《本草纲目》记载：头发灰能消除瘀血，通利关格，通畅水道，破除痈疽及鼻衄出血。朱丹溪说：头发，滋补阴液非常快捷。）
以上一味药，每次使用二钱，用米醋二合，加少许热水送服，用井花水调服也可以。另一种方法是用茅草根、车前子煎汤调下效果更好。兼治肺痈吐血、心衄出血一两口，或舌上出血如针孔状。如果是鼻衄，将药粉吹入鼻腔立即见效。
【葛洪】治疗小便出血。当归四两，细细切碎，用酒三升，煮取一升，一次性服用。
悲哀过度会导致胞络断绝，胞络断绝则阳气在内扰动，发作时心下崩漏，频繁尿血。（全文详见“痿”篇。）
【姚氏】治疗小便出血。龙骨末一方寸匕，用水调匀温服，每日三次，痊愈为止。
【《肘后备急方》】治疗淋证下血。麻根十枚，用水五升，煮取二升，一次服用，止血效果神奇。
【《黄帝内经》】治疗尿血不止。用郁金一两捣为粉末，葱白一把与之混合，用水一盏，煎至三合，去渣滓温服，每日三次。
【《济生方》】鹿角胶丸治疗房劳损伤，小便尿血。
鹿角胶（半两） 没药（另研） 油头发灰（各三钱）
将上述药材研为细末，用茅根汁打面糊制作成梧桐子大小的丸药。每次服用五十丸，用盐汤送下。
胞宫的热邪转移至膀胱，则导致小便不利且尿血。（全文详见“诊病传变”。）
【张仲景】热邪在下焦的，就会尿血，也会引起淋证和小便不通畅。
【朱丹溪】溺血属于热证，可用炒山栀煎水服用，或者用小蓟、琥珀。
【《玄珠密语》】小便出血，是心伏热在于小肠，宜用镜面草自然汁，加生蜜一匙服用，或用八正散加麦门冬、葱煎服。如果小便涩痛，用海金沙细末调治。（八正散见淋证条。）
【《外台秘要》】治疗尿血。车前草捣取汁液五合，空腹服用。
【《济生方》】小蓟饮子治疗下焦结热，尿血成淋。
生地（四两） 小蓟根 滑石 通草 蒲黄（炒） 藕节 淡竹叶 当归（去芦，酒浸）
山栀仁 甘草（炙。各半两）
将药材切碎，每次服用四钱，用水一盏，煎至八分，空腹温服。
【朱丹溪】尿血属实证的，可用当归承气汤攻下，之后用四物汤加山栀。
【《脉经》】尺脉滑，气血实盛，妇女经脉不通利，男子尿血，宜服用朴硝煎大黄汤以下去经血，针刺关元穴用泻法。
【朱丹溪】冬荣散治疗小便出血，以及肠风下血。
用夏枯草烧灰存性研为粉末，米饮送下。另一方，用凉水调下。
[From *Qianjin Fang*] During pregnancy, if there is alternating chills and fever, coughing with bloody sputum, or vomiting with inability to eat and weakness, or panting and chest fullness with corresponding pain in the breasts and spine, or saliva in the mouth like frost and snow, loss of voice when speaking, or tinnitus, or production of phlegm and saliva amounting to several bowls day and night, these are all due to the mistaken use of hot-natured medicines. Acupuncture at Fengmen (BL12) and Hunhu (EX-HN10), each needled 5 fen deep; Zhigou (SJ6) and Jianshi (PC5), each using penetrating needle technique. If the chills and fever have not resolved, and there is twitching of all joints and confusion/drowsiness, additionally needle Juegu (GB39) 5 fen deep and Taixi (KI3) 3 fen deep. If the pulse qi has not yet stabilized, reduce Taiyuan (LU9) and Baihui (SP3), each 2 fen deep, and needle Zhongfu (LU1). For the above acupoints, apply reducing method for excess patterns and tonifying method for deficiency patterns; this treats prenatal diseases with immediate effect. Half a year after this disease resolves, a transformation will inevitably occur: emaciation of the four limbs and isolated abdominal swelling. At this point, only needle Yinjiao (CV7) to expel evil substances (lochia/stasis).
[From *Hui Min He Ji Ju Fang*] Yuxie Gao (Jade Paste) treats hematuria and five types of strangury with gravel, where pain is unbearable.
Astragali Radix (Huangqi), Ginseng Radix et Rhizoma (Renshen) (equal parts).
Grind the above into powder. Select large radishes, cut into slices one finger thick and three fingers wide, four or five slices per dose. Soak briefly in honey, dip in honey and roast until dry, repeat dipping and roasting until two liang of honey is consumed. Do not let it burn. Once cooked, dip in Huangqi and Renshen powder and eat. Take at any time, still can be taken down with salt water decoction.
[From *Waitai Miyao*] Formula for treating deficiency-type hematuria. E-Jiao (Donkey-hide gelatin) 3 liang, roasted and ground into powder. Mix with 2 sheng of wine, warm and take.
[From *Hui Min He Ji Ju Fang*] Fahui San (Hair Ash Powder) treats hematuria in urine.
Hair Ash (Fahui) (*Bencao* states: Hair ash can eliminate blood stasis, unblock Guan-Ge obstruction, promote urination, and break abscesses and epistaxis. Zhu Danxi states: Hair is very effective in nourishing Yin.)
Take one ingredient, 2 qian per dose. Take with 2 he of rice vinegar and a little hot water. Taking with well-water is also acceptable. Another method: taking with decoction of Imperatae Rhizoma (Maogen) and Plantaginis Semen (Cheqianzi) is even better. Also treats lung abscess with hematemesis, cardiac epistaxis (one or two mouthfuls), or bleeding from the tongue like pinholes. If epistaxis occurs, insufflate the powder into the nose for immediate relief.
[From Ge Hong] Treats hematuria. Danggui Radix 4 liang, finely chopped. Boil in 3 sheng of wine to obtain 1 sheng. Take in one dose.
[From Zhu Danxi] For hematuria due to Blood deficiency, use Siwu Tang (Four Substances Decoction) added with Niuxi paste.
Excessive grief severs the Bao-Luo (uterine collaterals). When Bao-Luo is severed, Yang Qi moves internally. Upon onset, there is collapse from below the heart and frequent hematuria. (Full text see "Wei" chapter.)
[From Yao Shi] Treats hematuria. Longgu (Fossilized bones/teeth) powder, one cun bi (measure). Mix with water, take warm. Three times daily until cured.
[From *Zhou Hou Bei Ji Fang*] Treats strangury with blood. Mahua Gen (Cannabis root) 10 pieces. Boil in 5 sheng of water to obtain 2 sheng. Take once. Extremely effective for stopping bleeding.
[From *Huangdi Neijing*] Treats persistent hematuria. Yujin (Curcuma rhizome) 1 liang, ground to powder. Mix with one handful of Congbai (Scallion white). Add one zhan of water, decoct to 3 he. Strain and take warm. Three times daily.
[From *Jisheng Fang*] Lujiao Jiao Wan (Deer Antler Gelatin Pill) treats sexual exhaustion injury and hematuria.
Lujiao Jiao (Deer Antler Gelatin) 0.5 liang; Moyao (Myrrh), You Tou Fahui (Oily Hair Ash) (each 3 qian).
Grind into powder. Use juice from Maogen (Imperatae Rhizoma) to make wheat starch paste pills, size of paulownia seeds. Take 50 pills per dose, taken down with salt water.
Heat from the Bao (uterus) transfers to the Bladder, resulting in difficulty urinating and hematuria. (Full text see "Diagnosis of Disease Transmission".)
[From Zhang Zhongjing] Heat in the Lower Jiao causes hematuria and also leads to strangury and urinary obstruction.
[From Zhu Danxi] Hematuria belongs to Heat patterns. Use Chao Zhi Zi (Roasted Gardenia) decocted in water, or use Xiaoji (Little Thistle) and Hupo (Amber).
[From *Xuanzhu Mi Yu*] Hematuria indicates latent Heart heat in the Small Intestine. Use natural juice of Jingmian Cao (Plantago asiatica or similar) with one spoonful of raw honey. Alternatively, use Bazheng San (Eight Corrective Powder) plus Maidong (Ophiopogon) and Congbai (Scallion) decocted. If there is astringency and pain in urination, treat with fine powder of Haijinsha (Lygodium spore). (Bazheng San see Strangury section.)
[From *Waitai Miyao*] Treats hematuria. Cheqian Cao (Plantago herb) crushed to extract 5 he of juice. Take on an empty stomach.
[From *Jisheng Fang*] Xiaoji Yinzi (Little Thistle Drink) treats Lower Jiao constrained heat and hematuria becoming strangury.
Shengdi Huang (Rehmannia root) 4 liang; Xiaoji Gen (Little Thistle root), Huashi (Talcum), Tongcao (Tetrapanax pith), Puhuang (Typha pollen, stir-fried), Ou Jie (Lotus node stem), Danyezhu Ye (Light Bamboo leaf), Danggui Radix (devoid of radix, soaked in wine); Shanzhi Ren (Gardenia seed), Gancao (Licorice root, roasted). (Each 0.5 liang except Shengdi).
Cut into small pieces. Each dose 4 qian, add one zhan of water, decoct to 8 fen. Take warm on an empty stomach.
[From *Hui Min He Ji Ju Fang*] Pian Xu Cao Zhi Fa (Pianxu Juice Method). (Formula see Strangury section.)
[From Zhu Danxi] For excess-type hematuria, use Danggui Chengqi Tang (Danggui Magnolia Bark and Rhubarb Decoction) to purge, followed by Siwu Tang (Four Substances Decoction) added with Shanzhi (Gardenia). (Danggui Chengqi Tang is Tiaowei Chengqi Tang added with Danggui.)
[From *Maiching*] Chi Mai (Radial pulse at cun position) slippery indicates Excess of Qi and Blood. In women, menstrual flow is obstructed; in men, hematuria. It is appropriate to take Xiaoming Jian Dahuang Tang (Mirabilite and Rhubarb Decoction) to purge menstrual blood/blood stasis, and needle Guanyuan (CV4) with reducing method.
[From Zhu Danxi] Dongrong San (Winter Glory Powder) treats hematuria and intestinal wind bleeding.
Burn Xiakucao (Prunella vulgaris) to ash retaining its nature, grind to powder. Take with rice drink. Another formula: take mixed with cold water.
Shaoyin pulse涩 (choppy) indicates accumulation disease and hematuria. (Also seen in Accumulation masses.)
Coughing with hematuria and emaciation, with a small and forceful pulse, is a contrary/reverse sign. (Full text see "Diagnosing Life and Death".)
Coughing with hematuria, emaciation of flesh, and a pulsating pulse are signs of reversal. (Same as above. Any pulse described as Lao, Qiang, Jin, or Bo refers to a pulse that is forceful and solid.)