陆（十八） 衄血久而不止，身热脉数，重取豁然，鼻衄方药，施用殆遍，全无一效。不
知去血过多，虚而发热也。
黄 （四钱） 熟地（六钱） 归身（二钱） 白芍（一钱五分） 牛漆（二钱） 荆芥炭（一钱）
陈皮（八分） 侧柏叶汁（一小杯）
此方出余臆见，名加味补血汤，三服即愈。
朱（十一） 热邪迫入太阳，溺赤溲血，治宜嘘血归经，导去火邪。
黄 当归 柴胡 升麻 黄柏 生地 木通 知母 甘草 淡竹叶
张（六岁） 赤痢三月，延为便血，日数回，肌色惨淡，而不可遽补，因腑阳困塞故也。
生茅术（一钱） 橘皮（一钱） 浓朴（一钱） 砂仁壳（一钱） 鸡内金（一具炙） 炙草（四
分）
陆（六三） 便红有年，大便常泄，左尺独小。古有病久不愈，责诸肾者，盖因肾为胃之
关，今用其意。
生地（四钱） 萸肉（二钱） 菟丝子饼（二钱） 山药（二钱） 荆芥炭（一钱） 茅苍术（一
钱五分） 浓朴（一钱） 橘皮（一钱） 茯苓（一钱五分） 侧柏叶（一钱五分） 山楂肉（二钱）
张僮（十四） 自述前年嬉戏举石，旋即便血。此为努力伤脾，脾不统血；久则肾亦不固
，肾为胃之关，当双补之。
党参（一两五钱） 蒸冬术（一两五钱） 生茅术（一两） 黄 （二两） 橘皮（一两） 山药
（一两五钱） 山萸肉（一两五钱） 菟丝子饼（二两） 砂仁末（七钱） 茯苓（一两五钱） 炙草
（五钱） 侧柏叶（一两）
枣肉为丸，晨服四钱，一料痊愈。
顾（三二） 肠风便血，下必有声，兼见咳嗽，当宗东垣法。
茅术 防风 荆芥炭 羌活 柴胡 升麻 川连 侧柏叶（炒黑）
投升阳散风燥血之剂，数服后，血嗽俱减。肺与大肠相为表里，然今脉软弱，脐不快而
痛。此失血过多所致，当补中气，仍佐升发。
党参 白术 黄 归身炭 杜仲 防风 升麻 橘皮 荆芥炭 生地炭 炙草
张（六十） 大肠之气虚滞不和，腹痛便血。
生地 茅术 浓朴 橘皮 砂仁壳 白芍 黄 蒸于术 党参 楂肉 炙草 蛀大枣
四服其病顿愈。此方黑地黄丸与补中益气相配成方，疗虚人便血最效。
陆某（第十八例）：鼻出血日久不止，身体发热，脉搏快，重按脉象豁然空虚。治疗鼻衄的各种方药几乎都用遍了，却完全无效。这是因为失血过多，导致虚性发热。
黄凯钧：黄芪（四钱），熟地黄（六钱），当归身（二钱），白芍（一钱五分），牛膝（二钱），荆芥炭（一钱），陈皮（八分），侧柏叶汁（一小杯）。
此方出自我的个人见解，名为加味补血汤，服用三剂后痊愈。
朱某（第十一例）：热邪侵入太阳经，小便红赤并伴有尿血，治疗应当引血归经，引导火邪排出。
黄凯钧：黄芪，当归，柴胡，升麻，黄柏，生地黄，木通，知母，甘草，淡竹叶。
张某（六岁）：患赤痢三个月，进而发展为便血，每天数次，面色苍白惨淡，但不能急于进补，因为腑阳被困阻的缘故。
生茅术（一钱），橘皮（一钱），厚朴（一钱），砂仁壳（一钱），鸡内金（一枚，炙过），炙甘草（四分）。
陆某（六十三岁）：便血多年，大便经常泄泻，左尺脉单独细小。古人认为久病不愈，要责之于肾，大概是因为肾是胃的关口，如今采用这个思路。
生地黄（四钱），山茱萸肉（二钱），菟丝子饼（二钱），山药（二钱），荆芥炭（一钱），茅苍术（一钱五分），厚朴（一钱），橘皮（一钱），茯苓（一钱五分），侧柏叶（一钱五分），山楂肉（二钱）。
张家的僮仆（十四岁）：自述前年嬉戏举重物，随即出现便血。这是用力过度损伤脾气，脾不能统摄血液；时间久了，肾气也不固守。肾是胃的关口，应当脾肾双补。
党参（一两五钱），蒸冬术（一两五钱），生茅术（一两），黄芪（二两），橘皮（一两），山药（一两五钱），山茱萸肉（一两五钱），菟丝子饼（二两），砂仁末（七钱），茯苓（一两五钱），炙甘草（五钱），侧柏叶（一两）。
用枣肉制成丸药，早晨服用四钱，一料药后痊愈。
顾某（三十二岁）：肠风便血，排便时必然有声响，兼见咳嗽，应当遵循李东垣的方法。
茅术，防风，荆芥炭，羌活，柴胡，升麻，黄连，侧柏叶（炒黑）。
投用升阳散风燥血的药剂，服用数剂后，便血和咳嗽都减轻了。肺与大肠互为表里，然而现在脉象软弱，肚脐周围感觉不适且疼痛。这是由于失血过多所致，应当补益中气，同时佐以升发之气。
党参，白术，黄芪，当归身炭，杜仲，防风，升麻，橘皮，荆芥炭，生地黄炭，炙甘草。
生地黄，茅术，厚朴，橘皮，砂仁壳，白芍，黄芪，蒸于术，党参，山楂肉，炙甘草，蛀大枣。
服用四剂后病情顿时痊愈。此方是黑地黄丸与补中益气汤配合而成的方剂，治疗虚人便血最为有效。
Lu (Case 18): Epistaxis has persisted for a long time without stopping, accompanied by fever and a rapid pulse. Upon deep palpation, the pulse feels hollow. Various prescriptions for treating epistaxis have been almost exhausted, yet none have shown any effect. This is due to deficiency-induced fever caused by excessive blood loss.
Huang Kaijun: Huangqi (Astragali Radix, 4 qian), Shudi (Rehmanniae Radix Praeparata, 6 qian), Guishen (Angelicae Sinensis Radix, 2 qian), Baishao (Paeoniae Radix Alba, 1.5 qian), Niuxi (Achyranthis Bidentatae Radix, 2 qian), Jingjie Tan (Schizonepetae Spica Carbonisata, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.8 fen), Cebaiye Zhi (Platycladi Cacumen Juice, one small cup).
This prescription originates from my personal insight and is named Jiawei Bushue Tang (Modified Blood-Nourishing Decoction). It cured the patient after three doses.
Zhu (Case 11): Pathogenic heat has forced its way into the Taiyang channel, resulting in reddish urine and hematuria. The treatment should aim to guide blood back to its vessels and lead out the fire pathogen.
Huang Kaijun: Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Huangbai (Phellodendri Cortex), Shengdi (Rehmanniae Radix), Mutong (Akebiae Caulis), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Danzhuye (Lophatheri Herba).
Zhang (Age 6): Suffered from bloody dysentery for three months, which progressed to hematochezia, occurring several times a day. The complexion was pale and dull. Immediate tonification is contraindicated because the Yang of the fu organs is obstructed.
Sheng Maoyu (Atractylodis Rhizoma, 1 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Sha Ren Qiao (Amomi Fructus Shell, 1 qian), Ji Nei Jin (Galli Gigerii Endothelium Corneum, one piece, processed with heat), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.4 fen).
Lu (Age 63): Hematochezia has persisted for years, accompanied by frequent loose stools. The left Chi pulse alone is fine and small. Ancient texts state that for chronic diseases that do not heal, one should look to the Kidney, primarily because the Kidney serves as the gate of the Stomach. I now apply this principle.
Sheng Di (Rehmanniae Radix, 4 qian), Yu Rou (Corni Fructus, 2 qian), Tusizi Bing (Cuscutae Semen Cake, 2 qian), Shan Yao (Dioscoreae Rhizoma, 2 qian), Jingjie Tan (Schizonepetae Spica Carbonisata, 1 qian), Mao Cangzhu (Atractylodis Rhizoma, 1.5 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Fu Ling (Poria, 1.5 qian), Cebai Ye (Platycladi Cacumen, 1.5 qian), Shan Zha Rou (Crataegi Fructus Flesh, 2 qian).
The servant of Zhang (Age 14): Reported that last year, while playing and lifting heavy stones, he immediately developed hematochezia. This was caused by strenuous effort injuring the Spleen Qi, leading to the Spleen's failure to control blood; over time, the Kidney also failed to secure essence. Since the Kidney is the gate of the Stomach, both Spleen and Kidney should be tonified simultaneously.
Dangshen (Codonopsis Radix, 1.5 liang), Zheng Dongzhu (Processed Atractylodis Macrocephalae Rhizoma, 1.5 liang), Sheng Maoyu (Raw Atractylodis Rhizoma, 1 liang), Huangqi (Astragali Radix, 2 liang), Ju Pi (Citri Reticulatae Pericarpium, 1 liang), Shan Yao (Dioscoreae Rhizoma, 1.5 liang), Shan Yurou (Corni Fructus, 1.5 liang), Tusizi Bing (Cuscutae Semen Cake, 2 liang), Sha Ren Mo (Amomi Fructus Powder, 7 qian), Fu Ling (Poria, 1.5 liang), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 5 qian), Cebai Ye (Platycladi Cacumen, 1 liang).
Made into pills with jujube flesh. Take 4 qian in the morning. One course of treatment resulted in a complete cure.
Gu (Age 32): Intestinal wind causing hematochezia, accompanied by audible sounds during defecation and coughing. The method of Li Dongyuan should be followed.
Maoyu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), Jingjie Tan (Schizonepetae Spica Carbonisata), Qianghuo (Notopterygii Rhizoma et Radix), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Chuan Lian (Coptidis Rhizoma), Cebai Ye (Platycladi Cacumen, stir-fried until black).
After administering agents to raise Yang, scatter wind, and dry blood, several doses reduced both bleeding and cough. The Lung and Large Intestine are exterior-interior partners. However, the current pulse is weak, and there is discomfort and pain around the umbilicus. This is caused by excessive blood loss. The Middle Qi should be tonified, assisted by ascending and dispersing agents.
Dangshen (Codonopsis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangqi (Astragali Radix), Guishen Tan (Angelicae Sinensis Radix Carbonisata), Duzhong (Eucommiae Cortex), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Jingjie Tan (Schizonepetae Spica Carbonisata), Shengdi Tan (Rehmanniae Radix Carbonisata), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma).
Zhang (Age 60): Deficiency and stagnation of Qi in the Large Intestine, causing abdominal pain and hematochezia.
Sheng Di (Rehmanniae Radix), Maoyu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Ju Pi (Citri Reticulatae Pericarpium), Sha Ren Qiao (Amomi Fructus Shell), Baishao (Paeoniae Radix Alba), Huangqi (Astragali Radix), Zheng Yuzhu (Processed Atractylodis Macrocephalae Rhizoma), Dangshen (Codonopsis Radix), Zha Rou (Crataegi Fructus Flesh), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma), Zhu Da Zao (Woodworm-eaten Jujubae Fructus).
The illness was instantly cured after four doses. This prescription combines Heidi Huang Wan (Black Earth Yellow Pill) with Buzhong Yiqi Tang (Middle-Boosting Qi-Supplementing Decoction), which is most effective for treating hematochezia in deficient patients.