青黛（水飞） 栝蒌仁（去油） 海石（炒黑） 山栀（炒黑） 诃子肉
等分为末，蜜丸。噙化。嗽甚加杏仁。
咳嗽痰血，固属君相之火犯肺。此方但清火而不治血，乃去所扰则自安之义。然业经失
血则肺已大伤，岂可置之不论不议。去诃子而加清养肺阴之药，始为得之。
白芨
为末，每服二钱，临卧糯米汤下。
肺坏能补，惟有白芨，此“独圣”之所以得名也。
薄荷十两 川芎 防风 犀角 柿霜 甘草二两 桔梗三两
蜜丸。
于清凉中寓升散之法，非特火郁则发之，亦非此不能清解上焦也。
童便。
取十一、二岁无病童子，不茹荤辛，清澈如水者，去头尾，热饮。冬则用汤温之，
或加藕汁和服。
童便乃真阴，又无嗜欲，以之滋肾降火，诚治血之妙品。
桂枝五分 麻黄 黄 甘草（炙） 白芍各一钱 人参三分 大麦冬三分 五味子五
粒当归五分
热服。
麻黄人参汤，非教人补中当用散药，正教人散中当用补药也。气血亏弱之人，易受外感，
风寒深入，不得不为表散。若径用麻桂等汤，发汗后，虚阳欲绝矣。东垣立此方，以治虚人
之
生地黄一两五钱 白芍一两 丹皮 犀角二钱五分
每服五钱。
犀角化斑解毒，凉血清心，又能引地黄直达肾经，壮水制火，故吐衄症中多用之。然治
心肾则有余，而非肺肝之正药，若治衄血等，不如羚羊角之效。至谓升麻可代犀角，则其说
尤谬。既有郁火，再加风药，逼血上升，不旋踵而败矣！
青黛（经水飞法处理） 栝蒌仁（去除油脂） 海浮石（炒至黑色） 山栀子（炒至黑色） 诃子肉
以上药材等量研磨成细末，用蜂蜜制成丸剂。含服化咽。若咳嗽剧烈，可加入杏仁。
咳嗽伴有痰中带血，固然属于君火与相火侵犯肺脏所致。此方仅清泻火热而不直接止血，体现了去除扰动因素则气血自安的医理。然而，既然已经发生失血，说明肺脏已受到严重损伤，怎能对此置之不理、不加讨论呢？应当去掉诃子，加入滋养肺阴的药物，这样才更为恰当。
白及
研磨成细末，每次服用二钱，临睡前用糯米汤送服。
肺部受损能够修复的，唯有白及，这就是它被称为“独圣”的原因所在。
薄荷十两 川芎 防风 犀角 柿霜 甘草二两 桔梗三两
用蜂蜜制成丸剂。
在清凉药物中蕴含升散的方法，这不仅符合“火郁发之”的原则，而且如果不是这种方法，也无法清解上焦的热邪。
童便（儿童尿液）。
选取十一、十二岁身体健康的儿童，不食用荤腥辛辣食物，尿液清澈如水的，去掉前段和后段，温热饮用。冬季则用汤药温服，或者加入藕汁混合服用。
童便是真阴之物，且使用者无嗜欲，用它来滋补肾阴、降泄虚火，确实是治疗出血证的妙品。
桂枝五分 麻黄 甘草（炙烤） 白芍各一钱 人参三分 大麦冬三分 五味子五粒 当归五分
热服。
麻黄人参汤，并非教导人在补益中气时应当使用发散药物，而是教导人在使用发散药物时应当配合补益药物。气血虚弱的人，容易感受外邪，风寒之邪深入体内，不得不采用表散之法。如果直接使用麻黄汤、桂枝汤等方剂，发汗之后，虚弱的阳气就会濒临衰竭。东垣创立此方，是为了治疗虚人……
生地黄一两五钱 白芍一两 牡丹皮 犀角二钱五分
每次服用五钱。
犀角能化解斑毒、清热解毒，凉血清心，又能引导生地黄直达肾经，通过壮水制火（滋阴降火），因此在吐血、衄血病症中多被使用。然而，在治疗心肾方面虽然有余，但它并非治疗肺肝的正药，如果是治疗衄血等症状，不如羚羊角的疗效好。至于说可以用升麻代替犀角，这种说法更是荒谬。既然已有郁结之火，再添加风药（升散药），会逼迫血液上行，顷刻之间就会导致败症！
Qingdai (Indigo Naturalis, processed by water flotation) Gualuan Ren (Trichosanthis Semen, oil removed) Haishi (Pumex, stir-fried until black) Shanzhi (Gardeniae Fructus, stir-fried until black) Hezi Rou (Terminalia Chebula Retocarp, mesocarp)
Grind these ingredients into fine powder in equal proportions, and form pills with honey. Hold in the mouth to dissolve slowly. If cough is severe, add Xingren (Prunus Armeniaca Seed).
Cough with blood-tinged sputum is indeed caused by the invasion of the Lung by Ministerial Fire and Sovereign Fire. This formula only clears heat/fire without directly treating blood, embodying the principle that removing the disturbance allows things to settle naturally. However, since bleeding has already occurred, the Lung has been severely damaged; how can it be ignored or left unaddressed? It is better to remove Hezi and add herbs that nourish Lung Yin, which would be more appropriate.
Baiji (Bletillae Rhizoma)
Grind into powder. Take two qian each time, swallowing with rice gruel decoction before going to bed.
Only Baiji can repair damaged lungs, which is why it is named "Du Sheng" (Solely Holy Herb).
Bohe (Menthae Haplocalycis Herba) ten liang Chuanxiong (Ligustici Chuanxiong Rhizoma) Fangfeng (Saposhnikoviae Radix) Xijiao (Rhinocerotis Cornu) Shishuang (Diospyros Kaki Frost) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) two liang Jiegeng (Platycodonis Radix) three liang
Form pills with honey.
This method contains ascending and dispersing properties within cooling agents. It is not merely applying the principle of "dispersing fire stagnation," but also because without this approach, the Upper Jiao cannot be effectively cleared and resolved.
Tongbian (Urine of a healthy child).
Select urine from an eleven or twelve-year-old boy who is free of disease, does not consume meat or pungent/spicy foods, and is clear as water. Discard the initial and final portions, and drink while hot. In winter, warm it with decoction, or mix with Ouzhi (Nelumbinis Nucifera Juice) for consumption.
Tongbian represents true Yin essence, and its source has no desires. Using it to nourish Kidney Yin and descend fire is indeed a wonderful product for treating hemorrhage.
Guizhi (Cinnamomi Ramulus) five fen Mahuang (Ephedrae Herba) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) Baishao (Paeoniae Radix Alba) one qian each Renshen (Ginseng Radix) three fen Maidong (Ophiopogonis Radix) three fen Wuweizi (Schisandrae Chinensis Fructus) five grains Danggui (Angelicae Sinensis Radix) five fen
Take hot.
Mahuang Renshen Tang (Ephedra and Ginseng Decoction) does not teach people to use dispersing herbs when tonifying the Middle Jiao; rather, it teaches people to use tonifying herbs when using dispersing methods. People with deficient Qi and Blood are prone to external contractions. When Wind-Cold penetrates deeply, surface dispersion is unavoidable. If one were to directly use formulas like Mahuang Tang or Guizhi Tang, after inducing sweating, the deficient Yang would be on the verge of collapse. Dongyuan established this formula to treat individuals with deficiency...
Shengdihuang (Rehmanniae Radix) one liang five qian Baishao (Paeoniae Radix Alba) one liang Danpi (Moutan Cortex) Xijiao (Rhinocerotis Cornu) two qian five fen
Take five qian per dose.
Xijiao resolves macules and detoxifies, cools the blood and clears the Heart, and can guide Shengdihuang directly to the Kidney Meridian to strengthen Water and control Fire. Therefore, it is frequently used in cases of hematemesis and epistaxis. However, while it is sufficient for treating the Heart and Kidney, it is not the primary herb for the Lung and Liver. For treating epistaxis, Lingyangjiao (Saiga Tataricae Cornu) is more effective. The claim that Shengma (Cimicifugae Rhizoma) can replace Xijiao is particularly absurd. Since there is already stagnant fire, adding wind-dispersing herbs will force blood upward, leading to failure almost immediately!