论曰∶上焦有邪，则伤于藏，藏气伤则吐血。人病吐血之后，荣卫俱虚，阴阳否隔，阳
气不降，故身体虚热，胸中烦痞而口舌干也。
治吐血后，胸中痞痛，口燥不喜食。补肺汤方。
黄 （细锉） 桂（去粗皮） 生干地黄（焙） 赤茯苓（去黑皮） 浓朴（去粗皮，
生姜汁炙）
两） 远志（去心） 麦
门冬（去心，焙） 甘草（炙，锉） 钟乳（研成粉） 白石英（研成粉） 人参 桑根白
皮（锉，
炒各一两）
上一十六味，除别研外，粗捣筛，再入研药同和匀。每服五钱匕，以水一盏半，大枣二
枚（劈破），同煎至一盏，去滓温服，日二夜一。
治心肺壅热，上焦不利，吐血，胸中痞，口干。地黄汤方。
生干地黄（焙） 地骨皮 赤茯苓（去黑皮） 甘草（炙，锉） 大黄（湿纸裹煨，锉）
玄参
菀（去苗土）
桑根白皮（锉各一两）
上一十三味，粗捣筛。每服五钱匕，水一盏半，煎至一盏，去滓温服，不拘时。
治吐血后，身体虚热，胸中痞隔，口舌干燥。茯苓汤方。
赤茯苓（去黑皮） 黄连（去须） 生干地黄（焙） 栀子仁 杏仁（汤浸去皮尖、双
仁，麸
炒） 黄芩（去黑心） 大黄（锉，炒）各一两 桂（去粗皮） 栝蒌根（各三分）
上九味，粗捣筛。每服三钱匕，水一盏，煎至七分，去滓，不拘时温服。
治吐血后胸中痞，口干。柏叶散方。
柏叶（焙） 蒲黄（各一两） 木香 乌鱼骨（去甲，炙） 棕皮 当归（洗，切，焙）
妇
人油
上八味，捣罗为细散。每服一钱匕，用糯米粥饮入地黄汁少许，暖合温调下，不计时候
服。
治吐血后虚热，胸中痞，口燥。鹿角胶散方。
鹿角胶（炙燥） 阿胶（炙燥） 秦艽（去苗土） 糯米（炒黄） 乌梅（去核，炒各
等分）
上五味，捣罗为细散。每服二钱匕，温糯米饮调下，早晚食后临卧服。
治男子妇人吐血后膈上虚热。抵圣汤方。
阴地蕨 紫河车（锉） 贯众（去毛土） 甘草（炙，锉各半两）
上四味，粗捣筛。每服三钱匕，水一盏，煎至七分，去滓，食后温服。
治吐血后上脘痞隔，虚热口燥。阿胶散方。
阿胶（炙燥） 生干地黄（焙） 黄柏（去粗皮，蜜炙各半两） 甘草（炙，锉一分）
上四味，捣罗为细散。每服二钱匕，用绵灰蜜汤调下，日三服。
治吐血后虚热，胸中痞，口干。人参散方。
人参（二两） 阿胶（炙蜜一两） 甘草（炙，锉半两） 黄 （细锉一两半）
上四味，捣罗为细散。每服二钱匕，温糯米饮调下，不拘时候。
治吐血后虚热躁渴。及解毒。茜草丸方。
茜草（锉） 雄黑豆（去皮） 甘草（炙，锉各等分）
上三味，捣罗为细末，井华水和丸如弹子大。每服一丸，温熟水化下，不拘时服。
治吐血后虚热，胸中痞，口燥。鹿角胶散方。
鹿角胶（炙燥） 黄柏（去粗皮，蜜炙各十两） 杏仁四十九枚（汤去皮尖、双仁，麸
炒）
上三味，捣罗为细散。每服一钱匕，用温水调下，不拘时服。
治肺脏壅热吐血，心膈烦闷。天竺黄散方。
天竺黄 人参 侧柏叶（焙） 大黄（锉，炒） 犀角（镑） 黄 （锉，焙） 赤茯
苓（去黑
皮） 马兜铃（焙各半两） 鹿角胶（炒燥一两）
上九味，捣罗为散。每服一钱匕，暖生地黄汁调下，不拘时。
论述说：上焦有邪气，就会损伤脏腑，脏腑之气受损就会导致吐血。人在吐血之后，营气和卫气都虚弱，阴阳之气阻隔不通，阳气不能下降，所以身体出现虚热，胸中烦闷痞塞且口舌干燥。
治疗吐血后，胸中痞塞疼痛，口干不想吃东西的补肺汤方。
黄（细切） 桂枝（去掉粗皮） 生干地黄（焙干） 赤茯苓（去掉黑皮） 厚朴（去掉粗皮，用生姜汁炙烤） 远志（去掉心） 麦门冬（去掉心，焙干） 甘草（炙烤，切碎） 钟乳粉（研成粉末） 白石英（研成粉末） 人参 桑根白皮（切碎，炒制，各一两）
以上十六味药，除了需要单独研磨的药外，其余粗捣筛过，再与研磨好的药混合均匀。每次服用五钱匕，用水一盏半，大枣二枚（掰破），一起煎煮至一盏，去渣温服，每天两次，夜间一次。
治疗心肺壅滞有热，上焦不利，吐血，胸中痞塞，口干的地黄汤方。
生干地黄（焙干） 地骨皮 赤茯苓（去掉黑皮） 甘草（炙烤，切碎） 大黄（用湿纸包裹煨熟，切碎） 玄参 菟丝子（去掉苗土） 桑根白皮（切碎，各一两）
以上十三味药，粗捣筛过。每次服用五钱匕，水一盏半，煎煮至一盏，去渣温服，不限时间。
治疗吐血后，身体虚热，胸中痞塞阻隔，口舌干燥的茯苓汤方。
赤茯苓（去掉黑皮） 黄连（去掉须） 生干地黄（焙干） 栀子仁 杏仁（热水浸泡去掉皮尖和双仁，麸皮炒） 黄芩（去掉黑心） 大黄（切碎，炒制，各一两） 桂枝（去掉粗皮） 栝蒌根（各三分）
以上九味药，粗捣筛过。每次服用三钱匕，水一盏，煎煮至七分，去渣，不限时间温服。
治疗吐血后胸中痞塞，口干的柏叶散方。
侧柏叶（焙干） 蒲黄（各一两） 木香 乌贼骨（去掉硬壳，炙烤） 棕皮 当归（洗净，切片，焙干） 妇人油
以上八味药，捣碎罗制成细散。每次服用一钱匕，用糯米粥饮送服，加入少许地黄汁，温热调和后服用，不限时间。
治疗吐血后虚热，胸中痞塞，口干的鹿角胶散方。
鹿角胶（炙烤干燥） 阿胶（炙烤干燥） 秦艽（去掉苗土） 糯米（炒黄） 乌梅（去掉核，炒制，各等分）
以上五味药，捣碎罗制成细散。每次服用二钱匕，用温糯米饮调服，早晚饭后临睡前服用。
治疗男子妇人吐血后膈上虚热的抵圣汤方。
阴地蕨 紫河车（切碎） 贯众（去掉毛和土） 甘草（炙烤，切碎，各半两）
以上四味药，粗捣筛过。每次服用三钱匕，水一盏，煎煮至七分，去渣，饭后温服。
治疗吐血后上脘痞塞阻隔，虚热口干的阿胶散方。
阿胶（炙烤干燥） 生干地黄（焙干） 黄柏（去掉粗皮，蜜炙，各半两） 甘草（炙烤，切碎，一分）
以上四味药，捣碎罗制成细散。每次服用二钱匕，用绵灰蜜汤调服，每天三次。
治疗吐血后虚热，胸中痞塞，口干的人参散方。
人参（二两） 阿胶（蜜炙一两） 甘草（炙烤，切碎，半两） 黄芪（细切，一两半）
以上四味药，捣碎罗制成细散。每次服用二钱匕，用温糯米饮调服，不限时间。
治疗吐血后虚热躁渴，以及解毒的茜草丸方。
茜草（切碎） 雄黑豆（去皮） 甘草（炙烤，切碎，各等分）
以上三味药，捣碎罗制成细末，用井华水和匀做成如弹子大的丸药。每次服用一丸，用温熟水化开服用，不限时间。
治疗吐血后虚热，胸中痞塞，口干的鹿角胶散方。
鹿角胶（炙烤干燥） 黄柏（去掉粗皮，蜜炙，各十两） 杏仁四十九枚（热水去掉皮尖、双仁，麸皮炒）
以上三味药，捣碎罗制成细散。每次服用一钱匕，用温水调服，不限时间。
治疗肺脏壅滞有热导致吐血，心膈烦闷的天竺黄散方。
天竺黄 人参 侧柏叶（焙干） 大黄（切碎，炒制） 犀角（镑片） 黄芪（切碎，焙干） 赤茯苓（去掉黑皮） 马兜铃（焙干，各半两） 鹿角胶（炒燥一两）
以上九味药，捣碎罗制成散剂。每次服用一钱匕，用暖热的生地黄汁调服，不限时间。
Commentary states: When pathogenic factors affect the Upper Jiao (Upper Burner), they damage the Zang organs. Damage to the Qi of the Zang organs leads to hematemesis (vomiting blood). After a person suffers from hematemesis, both Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) become deficient. Yin and Yang become obstructed and separated, causing Yang Qi to fail to descend. Consequently, the body experiences deficiency-heat, mental restlessness with chest stuffiness, and dryness of the mouth and tongue.
For treating chest stuffiness and pain, dry mouth, and loss of appetite following hematemesis, the Bu Fei Tang (Tonify Lung Decoction) formula is prescribed.
Huangqi (Astragali Radix, finely cut) Guizhi (Cinnamomi Ramulus, coarse bark removed) Sheng Dihuang (Rehmanniae Radix, dried, roasted) Chifuling (Poria cum mycelium, black skin removed) Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice) Yuanzhi (Polygalae Radix, heart removed) Maidong (Ophiopogonis Radix, heart removed, roasted) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut) Zhongru (Gypsum Fibrosum, ground into powder) Baishiying (Quartz, ground into powder) Renshen (Ginseng Radix et Rhizoma) Sangbaipi (Mori Cortex, cut, stir-fried, each 1 liang)
The above sixteen ingredients are coarsely crushed and sifted. Ingredients requiring separate grinding are processed accordingly and then mixed uniformly with the coarsely crushed herbs. Each dose consists of 5 qianbi (approx. 5-10g depending on era measurement), boiled in 1.5 sheng (approx. 300ml) of water with 2 dates (split). Simmer until reduced to 1 sheng. Strain and take warm. Administer twice daily and once at night.
For treating heat accumulation in the Heart and Lungs, dysfunction of the Upper Jiao, hematemesis, chest stuffiness, and dry mouth, the Dihuang Tang (Rehmannia Decoction) formula is prescribed.
Sheng Dihuang (Rehmanniae Radix, dried, roasted) Digupi (Lycii Cortex) Chifuling (Poria cum mycelium, black skin removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut) Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and baked, cut) Xuanshen (Scrophulariae Radix) Tusizi (Cuscutae Semen, seedlings and soil removed) Sangbaipi (Mori Cortex, cut, each 1 liang)
The above thirteen ingredients are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm. Take at any time.
For treating deficiency-heat of the body, chest obstruction, and dryness of the mouth and tongue following hematemesis, the Fuling Tang (Poria Decoction) formula is prescribed.
Chifuling (Poria cum mycelium, black skin removed) Huanglian (Coptidis Rhizoma, whiskers removed) Sheng Dihuang (Rehmanniae Radix, dried, roasted) Zhizi Ren (Gardeniae Semen, embryo removed) Xingren (Armeniacae Semen Amarum, soaked in hot water, peel and tips removed, stir-fried with bran) Huangqin (Scutellariae Radix, black heart removed) Dahuang (Rhei Radix et Rhizoma, cut, stir-fried, each 1 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed) Gualougen (Trichosanthis Radix, each 3 fen)
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 sheng of water until reduced to 70%. Strain and take warm at any time.
For treating chest stuffiness and dry mouth following hematemesis, the Baiye San (Biota Leaf Powder) formula is prescribed.
Baiye (Biota Orientalis Folium, roasted) Puhuang (Typhae Pollen, each 1 liang) Muxiang (Aucklandiae Radix) Wuyu Gu (Sepia Ecria, hard shell removed, stir-fried) Zongpi (Arengae Fibrum) Danggui (Angelicae Sinensis Radix, washed, sliced, roasted) Funu You (Human Oil)
The above eight ingredients are pounded and sieved into a fine powder. Each dose consists of 1 qianbi, taken with rice gruel and a small amount of Rehmannia juice, warmed and mixed. Take at any time.
For treating deficiency-heat, chest stuffiness, and dry mouth following hematemesis, the Lu Jiao Jiao San (Deer Antler Glue Powder) formula is prescribed.
Lu Jiao Jiao (Corvi Cornus Colla, stir-fried until dry) Ejiao (Asini Corii Colla, stir-fried until dry) Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed) Nuomi (Oryza Sativa Glutinosa, stir-fried until yellow) Wumei (Mume Fructus, pit removed, stir-fried, equal parts)
The above five ingredients are pounded and sieved into a fine powder. Each dose consists of 2 qianbi, taken with warm rice gruel. Take in the morning and evening after meals and before bed.
For treating deficiency-heat above the diaphragm following hematemesis in men and women, the Di Sheng Tang (Reach Sage Decoction) formula is prescribed.
Yindi Jue (Polypodiaceae Herb) Zi He Che (Placenta Humana, cut) Guanzhong (Cyathulae Radix or Cibotii Rhizoma, hairs and soil removed) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, each 0.5 liang)
The above four ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in 1 sheng of water until reduced to 70%. Strain and take warm after meals.
For treating upper epigastric obstruction, deficiency-heat, and dry mouth following hematemesis, the Ejiao San (Ejiao Powder) formula is prescribed.
Ejiao (Asini Corii Colla, stir-fried until dry) Sheng Dihuang (Rehmanniae Radix, dried, roasted) Huangbai (Phellodendri Cortex, coarse bark removed, honey-fried, each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, 1 fen)
The above four ingredients are pounded and sieved into a fine powder. Each dose consists of 2 qianbi, taken with honey water prepared using cotton ash. Take three times daily.
For treating deficiency-heat, chest stuffiness, and dry mouth following hematemesis, the Renshen San (Ginseng Powder) formula is prescribed.
Renshen (Ginseng Radix et Rhizoma, 2 liang) Ejiao (Asini Corii Colla, honey-fried, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, 0.5 liang) Huangqi (Astragali Radix, finely cut, 1.5 liang)
The above four ingredients are pounded and sieved into a fine powder. Each dose consists of 2 qianbi, taken with warm rice gruel. Take at any time.
For treating deficiency-heat, irritability, thirst, and detoxification following hematemesis, the Qiancao Wan (Rubia Pill) formula is prescribed.
Qiancao (Rubiae Radix et Rhizoma, cut) Xiongheidou (Soja Glycines Seed, male, peeled) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, cut, equal parts)
The above three ingredients are pounded and sieved into a fine powder. Mix with well water to form pills the size of quail eggs. Each dose consists of one pill, dissolved in warm cooked water. Take at any time.
For treating deficiency-heat, chest stuffiness, and dry mouth following hematemesis, the Lu Jiao Jiao San (Deer Antler Glue Powder) formula is prescribed.
Lu Jiao Jiao (Corvi Cornus Colla, stir-fried until dry) Huangbai (Phellodendri Cortex, coarse bark removed, honey-fried, each 10 liang) Xingren (Armeniacae Semen Amarum, 49 seeds, soaked in hot water, peel and tips removed, stir-fried with bran)
The above three ingredients are pounded and sieved into a fine powder. Each dose consists of 1 qianbi, taken with warm water. Take at any time.
For treating hematemesis due to heat accumulation in the Lungs and mental restlessness in the Heart and diaphragm, the Tian Zhu Huang San (Tian Zhu Huang Powder) formula is prescribed.
Tian Zhu Huang (Bambusae Resina) Renshen (Ginseng Radix et Rhizoma) Ce Bai Ye (Biota Orientalis Folium, roasted) Dahuang (Rhei Radix et Rhizoma, cut, stir-fried) Xijiao (Rhino Cerios Cornu, shaved) Huangqi (Astragali Radix, cut, roasted) Chifuling (Poria cum mycelium, black skin removed) Madouling (Aristolochiae Radix, roasted, each 0.5 liang) Lu Jiao Jiao (Corvi Cornus Colla, stir-fried until dry, 1 liang)
The above nine ingredients are pounded and sieved into a powder. Each dose consists of 1 qianbi, taken with warm fresh Rehmannia juice. Take at any time.