论曰伤寒吐血者，热在阳经，邪盛于表，应汗不汗，热毒入深，结于五脏，遂成瘀热。
熏于上焦，血随气行，并入胃中，胃得血则满闷气逆，故吐血也。
治伤寒头疼，手足烦热，吐血不止，麦门冬汤方
麦门冬（去心焙一两半） 荠 吴蓝 甘草（炙锉） 黄芩（去黑心） 茅根 生干
地黄（焙各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，入豉一百粒，同煎至八分，去滓食后温服。
治伤寒疫病，吐血不止，面黄干呕，心神烦躁。蒲黄汤方
蒲黄 桑寄（生） 犀角（镑） 甘草炙（锉） 葛根（各一两）
上五味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓食后温服。
治伤寒热病，当发汗而不发，内有瘀热，鼻衄吐血不止。地黄汤方
生干地黄（焙） 芍药 犀角（镑各一两） 牡丹皮（三分）
上四味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血不止，喜忘如狂，热毒不散，内有蓄瘀。犀角汤方
犀角（镑一两） 大黄（锉炒三分） 芍药 黄芩（去黑心各一两） 牡丹皮（三分） 生
干地黄（焙一两半）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血，心神烦闷。黄芩汤方
黄芩（去黑心三分） 山栀子仁（半两） 远志（去心一两） 桂（去粗皮半两） 黄
连（去须） 竹茹（各三分）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓食后温服。
治伤寒吐血不止，此由心肺积热，血得热即妄行。黄连汤方
黄连（去须一两半） 荷叶（微炙一两） 艾叶（微炒一两） 柏叶（三分）
上四味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓下生地黄汁一合，搅令匀，
食后温服。
治伤寒后心气不足，吐血及衄血。三黄汤方
大黄（锉炒） 黄连（去须） 黄芩（去黑心各一两）
上三味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服。
治伤寒吐血烦躁。紫河车散方
紫河车（三分） 朴硝 甘草（各半两生） 蛤粉（一分）
上四味，捣罗为散，每服二钱匕，沙糖新汲水调下，不计时候，日三服。
治伤寒吐血不止。金花散方
郁金 甘草（炙锉） 青黛（各半两）
上三味，捣罗为散，每服二钱匕，用鸡子白调下。
治伤寒吐血不止。地黄散方
大黄（锉炒捣末一两） 龙脑（研一钱）
上二味，合研匀，每服二钱匕，用生地黄汁调下。
治伤寒吐血下血及血汗。人参汤方
人参 芍药 桔梗（锉炒） 芎 当归（切焙） 桂（去粗皮） 甘草（炙锉各一两）
竹茹（三分）
上八味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服。
治伤寒后，余毒不解，心脏热极，吐血不止，蜜汁方
生藕汁（二合） 生地黄汁（三合） 恶实根汗（二合） 刺蓟根汁（二合） 蜜（一
合）
上五味，相和搅匀，每服一二合，不计时候，频频服。
论述说：伤寒病出现吐血症状，是因为热邪在阳经，邪气盛于体表，应当发汗却未发汗，导致热毒深入体内，凝结于五脏，从而形成瘀热。
这种瘀热熏蒸上焦，血液随着气机运行，并入胃中，胃受到血液的影响则出现胀闷、气机上逆的症状，因此发生吐血。
治疗伤寒引起的头痛、手足烦热、吐血不止的麦门冬汤方：
麦门冬（去除心部并焙干一两半） 荠苨 吴蓝 甘草（炙烤后锉碎） 黄芩（去除黑心部分） 茅根 生干地黄（焙干各一两）。
以上七味药，粗捣筛过，每次服用五钱匕，用水一盏半，加入豆豉一百粒，一同煎煮至八分满，滤去药渣，饭后温服。
治疗伤寒疫病，吐血不止，面色发黄，干呕，心神烦躁不安的蒲黄汤方：
蒲黄 桑寄生（生用） 犀角（镑片） 甘草（炙烤后锉碎） 葛根（各一两）。
以上五味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至一盏，滤去药渣，饭后温服。
治疗伤寒热病，应当发汗而未发汗，体内有瘀热，鼻出血和吐血不止的地黄汤方：
生干地黄（焙干） 芍药 犀角（镑片各一两） 牡丹皮（三分）。
以上四味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至一盏，滤去药渣，饭后温服。
治疗伤寒吐血不止，健忘且神情如狂，热毒不散，体内有蓄积瘀血的犀角汤方：
犀角（镑片一两） 大黄（锉碎炒制三分） 芍药 黄芩（去除黑心部分各一两） 牡丹皮（三分） 生干地黄（焙干一两半）。
以上六味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至一盏，滤去药渣，饭后温服。
治疗伤寒吐血，心神烦闷的黄芩汤方：
黄芩（去除黑心部分三分） 山栀子仁（半两） 远志（去除心部一两） 桂枝（去除粗皮半两） 黄连（去除须根） 竹茹（各三分）。
以上六味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至一盏，滤去药渣，饭后温服。
治疗伤寒吐血不止，这是由于心肺积热，血液受热即妄行妄动的黄连汤方：
黄连（去除须根一两半） 荷叶（微炙烤一两） 艾叶（微炒制一两） 侧柏叶（三分）。
以上四味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至一盏，加入生地黄汁一合，搅拌均匀，饭后温服。
治疗伤寒后心气不足，吐血及鼻衄血的三黄汤方：
大黄（锉碎炒制） 黄连（去除须根） 黄芩（去除黑心部分各一两）。
以上三味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至八分，滤去药渣，饭后温服。
治疗伤寒吐血伴烦躁的紫河车散方：
紫河车（三分） 朴硝 甘草（各半两生用） 蛤粉（一分）。
以上四味药，捣碎研磨成散剂，每次服用二钱匕，用新汲取的水调和沙糖送服，不限时候，每日三次服用。
治疗伤寒吐血不止的金花散方：
郁金 甘草（炙烤后锉碎） 青黛（各半两）。
以上三味药，捣碎研磨成散剂，每次服用二钱匕，用鸡蛋清调和送服。
治疗伤寒吐血不止的地黄散方：
大黄（锉碎炒制后捣成末一两） 龙脑（研细一钱）。
以上两味药，混合研磨均匀，每次服用二钱匕，用生地黄汁调和送服。
治疗伤寒吐血、下血以及血汗的人参汤方：
人参 芍药 桔梗（锉碎炒制） 川芎 当归（切片焙干） 桂枝（去除粗皮） 甘草（炙烤后锉碎各一两） 竹茹（三分）。
以上八味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至八分，滤去药渣，饭后温服。
治疗伤寒后余毒不解，心脏热极，吐血不止的蜜汁方：
生藕汁（二合） 生地黄汁（三合） 牛蒡根汁（二合） 刺蓟根汁（二合） 蜂蜜（一合）。
以上五味药，混合搅拌均匀，每次服用一二合，不限时候，频繁服用。
It is stated that in cases of hematemesis (vomiting blood) due to Shanghan (Cold Damage), the heat resides in the Yang meridians, and the pathogenic factor is abundant at the exterior. If sweating should have been induced but was not, the heat toxin penetrates deeply, condensing within the Five Zang Organs, thereby forming Stasis-Heat (stagnant heat).
This heat steams the Upper Jiao (upper burner), and blood follows the Qi movement, merging into the Stomach. The Stomach, receiving the blood, becomes distended and full, with rebellious Qi, thus resulting in hematemesis.
Ma Men Dong Tang (Ophiopogon Decoction) for treating headache, vexing heat in the hands and feet, and incessant hematemesis caused by Shanghan:
Mai Men Dong (Ophiopogonis Radix, heart removed and baked, 1 liang 5 qian) Ji Ni (Adenophorae Radix), Wu Lan (Isatidis Folium et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Huang Qin (Scutellariae Radix, black heart removed), Mao Gen (Imperatae Rhizoma), Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked, each 1 liang).
The above seven herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water and 100 grains of Chi (Perillae Fructus) until reduced to 0.8 Jian. Strain and take warm after meals.
Pu Huang Tang (Pollen Typhae Decoction) for treating Shanghan epidemic disease with incessant hematemesis, sallow complexion, dry retching, and mental restlessness:
Pu Huang (Typhae Pollen), Sang Ji Sheng (Taxilli Caulis, raw), Xi Jiao (Rhinocerotis Cornu, shaved), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Ge Gen (Puerariae Lobatae Radix, each 1 liang).
The above five herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Di Huang Tang (Rehmanniae Decoction) for treating Shanghan febrile disease where sweating should have been induced but was not, with internal Stasis-Heat, incessant epistaxis (nosebleed) and hematemesis:
Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked), Shao Yao (Paeoniae Radix), Xi Jiao (Rhinocerotis Cornu, shaved, each 1 liang), Mu Dan Pi (Moutan Cortex, 3 fen).
The above four herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Xi Jiao Tang (Rhinocerotis Cornu Decoction) for treating incessant hematemesis due to Shanghan, forgetfulness resembling mania, unresolving heat toxin, and internal accumulation of stasis:
Xi Jiao (Rhinocerotis Cornu, shaved, 1 liang), Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried, 3 fen), Shao Yao (Paeoniae Radix), Huang Qin (Scutellariae Radix, black heart removed, each 1 liang), Mu Dan Pi (Moutan Cortex, 3 fen), Sheng Gan Di Huang (Rehmanniae Radix Preparata, baked, 1 liang 5 qian).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Huang Qin Tang (Scutellariae Decoction) for treating Shanghan hematemesis accompanied by mental restlessness:
Huang Qin (Scutellariae Radix, black heart removed, 3 fen), Shan Zhi Zi Ren (Gardeniae Semen, half liang), Yuan Zhi (Polygalae Radix, heart removed, 1 liang), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, half liang), Huang Lian (Coptidis Rhizoma, mustache removed), Zhu Ru (Bambusae Caulis in Taeniae, each 3 fen).
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Strain and take warm after meals.
Huang Lian Tang (Coptidis Decoction) for treating incessant hematemesis due to Shanghan, caused by accumulated heat in the Heart and Lung, where blood acts recklessly upon heating:
Huang Lian (Coptidis Rhizoma, mustache removed, 1 liang 5 qian), He Ye (Nelumbinis Folium, slightly roasted, 1 liang), Ai Ye (Artemisiae Argyi Folium, slightly stir-fried, 1 liang), Bai Ye (Platycladi Cacumen, 3 fen).
The above four herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 1 Jian. Add 1 He of fresh Di Huang Zhi (juice of Rehmanniae Radix), mix well, and take warm after meals.
San Huang Tang (Three Yellows Decoction) for treating Shanghan followed by insufficiency of Heart Qi, hematemesis, and epistaxis:
Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried), Huang Lian (Coptidis Rhizoma, mustache removed), Huang Qin (Scutellariae Radix, black heart removed, each 1 liang).
The above three herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 0.8 Jian. Strain and take warm after meals.
Zi He Che San (Human Placenta Powder) for treating Shanghan hematemesis with restlessness:
Zi He Che (Hominis Placenta, 3 fen), Po Xiao (Natrii Sulfas), Gan Cao (Glycyrrhizae Radix et Rhizoma, each half liang, raw), Ha Fen (Concha Meretricis et Cydoniae Pulvis, 1 fen).
The above four herbs are pounded and sieved into a powder. Each dose consists of 2 Qian Bi, taken with new water mixed with rock sugar, at any time, three times daily.
Jin Hua San (Golden Flower Powder) for treating incessant hematemesis due to Shanghan:
Yu Jin (Curcumae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Qing Dai (Indigo Naturalis, each half liang).
The above three herbs are pounded and sieved into a powder. Each dose consists of 2 Qian Bi, taken mixed with egg white (albumen).
Di Huang San (Rehmanniae Powder) for treating incessant hematemesis due to Shanghan:
Da Huang (Rhei Radix et Rhizoma, chopped, stir-fried, and pounded into powder, 1 liang), Long Nao (Borneolum Syntheticum, ground, 1 qian).
The above two ingredients are mixed and ground evenly. Each dose consists of 2 Qian Bi, taken mixed with fresh Di Huang Zhi (juice of Rehmanniae Radix).
Ren Shen Tang (Ginseng Decoction) for treating Shanghan hematemesis, lower bleeding, and bloody sweat:
Ren Shen (Ginseng Radix et Rhizoma), Shao Yao (Paeoniae Radix), Jie Geng (Platycodonis Radix, chopped and stir-fried), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, sliced and baked), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped, each 1 liang), Zhu Ru (Bambusae Caulis in Taeniae, 3 fen).
The above eight herbs are coarsely pounded and sifted. Each dose consists of 5 Qian Bi, boiled with 1.5 Jian of water until reduced to 0.8 Jian. Strain and take warm after meals.
Mi Zhi Fang (Honey Juice Formula) for treating Shanghan where residual toxins remain unresolved, extreme heat in the Heart, and incessant hematemesis:
Sheng Ou Zhi (fresh Lotus Root Juice, 2 He), Sheng Di Huang Zhi (fresh Rehmanniae Radix Juice, 3 He), E Shi Gen Han (juice of Arctii Radix, 2 He), Ci Ji Gen Zhi (juice of Cirsii Japonici Radix, 2 He), Mi (Honey, 1 He).
The above five ingredients are mixed and stirred evenly. Each dose consists of 1-2 He, taken frequently at any time.