治热伤吐衄, 便血, 妇人血崩, 赤淋.
生犀角 生地黄 白芍 牡丹皮, 右四味, 先用三物水煎, 去滓, 入
生犀汁, 热服.
【注】吐血之因有三: 曰劳伤, 曰努伤, 曰热伤. 劳伤以理损为主,
努伤以去瘀为主, 热伤以清热为主. 热伤阳络则吐衄, 热伤阴络则下
血.是汤治热伤也, 故用: 犀角, 清心去火之本. 生地, 凉血以生新
血.白芍, 敛血止血妄行. 丹皮, 破血以逐其瘀. 此方虽曰清火, 而
实滋阴; 虽曰止血, 而实去瘀. 瘀去新生, 阴滋火熄, 可为探本求穷
源之法也. 若心火独盛, 则加黄芩, 黄连以泻热; 血瘀胸痛, 则加大
黄,桃仁以逐瘀也.
治阳盛阴虚, 血热妄行, 或吐或衄者.
生地黄 生柏叶 生荷叶 生艾叶各等分, 右四味, 捣烂为丸, 如鸡
子大, 每服一丸, 滚汤化服.
【集注】柯琴曰: 阴虚而阳无所附, 则火炎上焦; 阳盛则阳络伤, 故
血上溢于口鼻也. 凡草木之性, 生者凉, 而熟之则温; 熟者补, 而生
者泻. 四味皆清寒之品, 尽取其生者, 而捣烂为丸, 所以全其水气,
不经火煮, 更远于火令矣. 生地多膏, 清心肾而通血脉之源. 柏叶西
指,清肺金而调营卫之气. 艾叶芳香, 入脾胃而擅去瘀生新之权. 荷
叶法震, 入肝家而和藏血摄血之用. 五志之火既清, 五脏之阴安堵,
则阴平阳秘, 而血归经矣. 是方也, 可暂用以遏妄行之热血, 如多用
则反伤营. 盖血得寒, 则瘀血不散, 而新生血不生也. 设但知清火凉
血,而不用归脾, 养荣等剂以善其后, 群有不绵连岁月而毙者. 非立
法之不善, 妄用者之过耳.
治疗热邪损伤导致的吐血、鼻出血，便血，妇女血崩，以及赤色淋证。
生犀角、生地黄、白芍、牡丹皮，以上四味药，先用前三味药用水煎煮，滤去药渣，加入生犀角汁，趁热服用。
【注】吐血的病因有三种：一是劳伤，二是努伤（用力过度造成的损伤），三是热伤。劳伤以调理亏损为主，努伤以去除瘀血为主，热伤以清热为主。热邪损伤阳络则导致吐血和鼻出血，热邪损伤阴络则导致下部出血。这个方子用于治疗热伤，所以使用：犀角，清心火并去除火的根本；生地，凉血以生成新血；白芍，收敛血液以制止妄行；丹皮，破血以驱逐瘀血。此方虽然说是清火，但实际上是滋阴；虽然说是止血，但实际上是去瘀。瘀血去除，新血再生，阴液滋润，火势熄灭，可以说是探求本源的方法。如果心火单独旺盛，则加入黄芩、黄连以泻热；如果血瘀导致胸痛，则加入大黄、桃仁以逐瘀。
治疗阳气盛而阴气虚，血热妄行，或者吐血或者鼻出血的情况。
生地黄、生柏叶、生荷叶、生艾叶各等分，以上四味药，捣烂制成丸药，如鸡蛋大小，每次服用一丸，用滚开水化开服用。
【集注】柯琴说：阴虚而阳气无所依附，则火炎上焦；阳盛则损伤阳络，所以血液向上溢出到口鼻。凡是草木的性质，生的性凉，熟的性温；熟的可补，生的可泻。这四味都是清寒性质的药物，全部取用生品，捣烂制成丸药，是为了保全其水气，不经过火煮，更远离火性了。生地多膏脂，清心肾并疏通血脉之源。柏叶向西指（象征西方金），清肺金并调节营卫之气。艾叶芳香，入脾胃而擅长去瘀生新的功能。荷叶法象震动（震为雷，属木，对应肝），入肝家而调和藏血摄血的作用。五志之火既然清除，五脏之阴安稳，那么阴平阳秘，血液回归经脉。这个方子，可以暂时用来遏制妄行的热血，如果多用则会反而伤害营血。因为血遇到寒，则瘀血不散，而新血不能产生。假如只知道清火凉血，而不用归脾汤、养荣汤等剂来善后调理，很多人会有不连续服药多年而死亡的。不是立法不好，而是滥用者的过错。
Treats hematemesis (vomiting blood) and epistaxis (nosebleed) caused by heat injury, hematochezia (blood in stool), metrorrhagia (uterine bleeding) in women, and red strangury (painful urination with blood).
Sheng Xijiao (Raw Rhinoceros Horn), Sheng Dihuang (Raw Rehmanniae Radix), Baishao (White Peony Root), Mudanpi (Moutan Cortex), these four ingredients. First, decoct the first three ingredients in water, remove the dregs, add Sheng Xiji (Raw Rhinoceros Horn Juice), and take warm.
[Annotation] The causes of hematemesis are threefold: labor injury (Laoshang), strain injury (Nushang), and heat injury (Reshang). Labor injury is primarily treated by regulating deficiency; strain injury is primarily treated by removing blood stasis; heat injury is primarily treated by clearing heat. Heat injuring the Yang collaterals leads to hematemesis and epistaxis; heat injuring the Yin collaterals leads to lower body bleeding. This formula treats heat injury, thus using: Xijiao (Rhinoceros Horn), which clears the Heart and removes the root of fire; Shengdihuang (Raw Rehmanniae Radix), which cools blood to generate new blood; Baishao (White Peony Root), which astringes blood to stop reckless flow; Mudanpi (Moutan Cortex), which breaks blood stasis to expel it. Although this formula is said to clear fire, it actually nourishes Yin; although it is said to stop bleeding, it actually removes stasis. Once stasis is removed and new blood generated, Yin is nourished and fire extinguished, representing a method of seeking the root cause. If Heart Fire alone is excessive, add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) to purge heat; if blood stasis causes chest pain, add Dahuang (Rhei Radix et Rhizoma) and Taoren (Persicae Semen) to expel stasis.
Treats conditions where Yang is excessive and Yin is deficient, causing reckless movement of hot blood, resulting in either hematemesis or epistaxis.
Shengdihuang (Raw Rehmanniae Radix), Sheng Baiye (Fresh Biota Tops), Sheng Heye (Fresh Nelumbinis Folium), Sheng Aiyi (Fresh Mugwort Leaves), each in equal parts. These four ingredients are pounded into a paste and formed into pills, the size of a chicken egg. Take one pill per dose, dissolved in boiling water.
[Collected Annotations] Ke Qin stated: When Yin is deficient and Yang has no attachment, fire flares up to the Upper Jiao; when Yang is excessive, the Yang collaterals are damaged, so blood overflows from the mouth and nose. Generally, the nature of herbs is cool when raw and warm when cooked; cooked forms tonify, while raw forms purge. These four ingredients are all cooling and cold in nature. By taking them all in their raw state and pounding them into pills without cooking, their aqueous qi is preserved, distancing them further from the nature of fire. Shengdihuang (Raw Rehmanniae Radix) is rich in essence, clearing the Heart and Kidney and unblocking the source of blood vessels. Baiye (Biota Tops) points west (symbolizing Metal), clearing Lung Metal and regulating Ying and Wei Qi. Aiyi (Mugwort Leaf) is aromatic, entering the Spleen and Stomach, excelling in the power to remove stasis and generate new blood. Heye (Lotus Leaf) corresponds to Zhen (Thunder/Wood), entering the Liver to harmonize the functions of storing and controlling blood. Once the fire of the Five Emotions is cleared and the Yin of the Five Zang Organs is secure, Yin and Yang will be balanced and stable, and blood will return to its vessels. This formula can be used temporarily to suppress reckless hot blood; however, excessive use will damage Ying Blood. Because blood congeals when exposed to cold, blood stasis will not disperse, and new blood will not be generated. If one only knows how to clear fire and cool blood but does not follow up with formulas such as Guipi Tang (Restore the Spleen Decoction) or Rongying Decoctions to consolidate recovery, many patients may die after years of continuous illness. This is not due to poor formulation principles, but rather the fault of those who misuse them.