（吐血 咳血 咯血 鼻衄 齿衄 衄 大便血 小便血 血淋 血崩）
经曰。中焦受气取汁。变化而赤。是谓血。血之流溢。半随冲任而行于经络。半散于脉
外而充肌腠皮毛若外有所感。内有所伤。则血不循经。从上而涌。则为吐血咳血咯血鼻衄齿
衄舌衄。从下而走。则为大便血溺血妇人血崩。其源则一。或问诸书皆分别五脏六腑之血而
施治。兹何以笼统言之。余曰。五脏有血。六腑无血。观剖诸兽。腹心下夹脊包络中多血。
肝内多血。心脾肺肾中各有血。六腑无血。近时以吐血多者。谓吐胃血。皆耳食前医之误。
凡吐五脏血必死。若吐衄崩下。皆是经络散行之血也。或问既无分别何金匮以泻心汤治心气
不足为吐衄乎。曰百病不离于五脏六腑。脏腑病以致血。不循经而为吐衄崩下。非吐衄崩下
之血从脏腑中脱出也循经之经字。作常字解时医误解。谓归脾汤引血归脾。脾能统血。即是
归经。害人无算。余再为之喝醒一语。曰。随者仍其随之常行者仍其行之常。散者仍其散之
常。充者仍其充之常。血循经常之道路。则无吐衄崩下之病矣。千古无一人谈及。余于高士
宗引而不发处。细绎思论。大为快事。
身热脉大者难治。○身凉脉静者易治。○若喘咳急而上气逆。脉见弦紧细数有势。不得
卧者。死。
一外感吐血。先见头痛恶寒发热等症。必取微汗则愈。宜
香苏饮。加荆芥穗一钱。丹皮白芍各一钱五分。（三十五）
一夏令秋令感暑气燥气而吐血。方治见咳嗽门。不赘。
一内经云。不远热则热至。血溢血泄之病生矣。凡人不避暑热。及过食爆炙之物。以致
血热妄行。宜
四生丸。（一日）
一瘀血而吐。必先胸痛。血色必紫或黑而成块。脉必滞涩。宜
四物汤。加醋炒大黄桃仁丹皮香附各一钱五分。○如紫血尽。鲜血见。即用六君
子汤。加当
一伤寒及温病。应发汗而不汗之。内热蓄血及鼻衄。吐血不尽。内余瘀血。大便黑面黄。
宜
犀角地黄汤（九十九）
高鼓峰心法。于血症独精。其云除瘀血与伤寒外。其余俱属七情饿饱劳力等因。必见恶
心（验症分明）一味固元汤主之。方用人参炙 归身甘草煨姜大枣白芍。水煎服。血症最繁。
以
一仁斋直指。谓阳虚阴必走。大吐大衄外。有寒冷之状。可用理中汤。加南木香或甘草
干姜汤。其效更着又有饮食伤胃。胃虚不能传化。其气上逆。亦能吐衄。亦宜上二方。○余
用甘草干姜汤。其干姜炮黑。加五味子二钱甚效。从慎柔五书得来。
一内经云。血气者。喜温而恶寒。寒则滞而不流。温则消而去之。此数语。为治血之要
旨所以杨仁斋高鼓峰方法神验。即张景岳用熟地一两泽泻附子牛膝各一钱五分肉桂一钱炙甘
草二钱水煎服。名为镇阴。煎方虽驳杂。而温药较多。亦能奏效。
一褚氏遗书云。血虽阴类。运之者其阳和乎。阳和二字。指心肺而言也。心肺之阳宜布。
如日月一出爝火无光。凡诸般邪热之气俱除。血无所扰。则循行常道矣。运之者三字。更妙。
血不自运。必藉气以运之。既已运矣。则随冲任而行于经络。散于脉外。充于皮毛。有经常
之道可行。何至妄行而为失血之症耶。诸家俱赞此二句之妙绝。未能发明其旨。甚矣医道之
难也。高鼓峰虽未能悟到此旨。而固元汤与之暗合。慎柔和尚以保元阳为主。亦不过取黄
补气以生血。而亦与此。旨暗合。合之则效速。二公所以名燥一时也。余于此。千虑一得。
不敢自秘。
保元汤（七 慎柔方。无肉桂。有煨姜三片黑枣二枚。）
当归补血汤（六）
一血症有不宜刚燥之剂者。或血虚烦渴。徐热睡寤不宁。五心烦热宜
圣愈汤。（十八）
一舌上出血如孔钻者。煎香薷汁服。外用槐花炒研掺。蒲黄炭亦可掺之。○齿龈血出。
用生竹茹四两。醋浸一宿含之。○牙缝出血。以纸维醮干蟾酥少许。于出血处按之立止。○
满口齿血出。枸杞子为末。煎汤漱之。然后吞下根亦可。○鼻衄。用生茅花或根一两煎服。
以上症。或统用
甘露饮（八十七）
滋肾丸。（九十四）
一血淋尿血。用苎麻根十枚。水煎服。又用海螵蛸干地黄赤茯苓各等分为末。每服三钱。
以柏叶车前子煎汤下。又用乱发烧灰。入麝香少许。用米醋温汤调下。如痛不可忍。以藕汁
萝卜汁白蜜调下。○又房劳兼小便尿血。宜鹿角胶半两。没药另研。油头发绳各三钱为末。
茅根汁打面。糊丸桐子大。每服五十丸。盐汤下。
一下血。先便后血为远血。用灶中黄土八钱。甘草生地白术熟附子阿胶黄芩各一钱五分。
水煎服。名黄土汤。○下血。先血后便为近血。宜赤小豆三两。泡令出芽晒。当归一两共为
末。以浆水服一钱五分日三服。名赤小豆当归散。○二方俱出金匮。
大便下血不止诸药不效者。宜济生乌梅丸。（六十九）
一皮肤血汗。宜郁李仁去皮研二钱。以鹅梨汁调下。又用人中白焙干。入麝香少许。温
酒调服立效。又用六味地黄汤。加五味一钱麦门冬川续断各二钱。
一诸窍出血。宜头发败棕陈莲蓬各等分。俱烧灰研。每服三钱。木香汤下。
一妇人血崩。审其寒热虚实。照以上诸方择用。若脱血之顷。不省人事。大汗不止者。
宜参附汤。贫者以当归补血汤。加熟附子二三钱。（一百零五）
一大吐大衄大崩之顷。血若稍止。急用
独参汤服。服后听其熟睡切勿惊醒。则阴血复生矣。
（吐血、咳血、咯血、鼻衄、齿衄、各种衄血、大便出血、小便出血、血淋、血崩）
《内经》说：中焦接受水谷之气，提取其中的精微汁液，经过变化变成红色，这就叫做血。血液的流溢，一半随着冲脉和任脉在经络中运行，一半散布在脉管之外以充养肌肉、腠理和皮毛。如果外受邪气侵袭，内因情志或饮食损伤，那么血液就不循常道而行，从上面涌出，就成为吐血、咳血、咯血、鼻衄、齿衄、舌衄；从下面流出，就成为大便出血、尿血、妇女血崩。其病源本质是一样的。有人问：各书都分别根据五脏六腑的不同来施治，为什么这里笼统地说？我说：五脏有血，六腑无血。观察剖开的野兽，心下夹脊的心包络部位多血，肝脏内部多血，心、脾、肺、肾中各有血，而六腑没有血。近来人们看到吐血多的，就说这是吐胃血，这都是盲目听信前医的错误观点。凡是吐出五脏之血的必死无疑，至于吐衄、崩漏、下血，都是经络中散行部位的血液。有人问：既然没有分别，为什么《金匮要略》用泻心汤治疗心气不足导致的吐衄呢？我说：百病都离不开五脏六腑，是脏腑生病导致血液不循常道而发生吐衄、崩漏、下血，并不是吐衄、崩漏、下血的血液直接从脏腑中脱出。“循经”的“经”字，应解释为“常道”。当时的医生误解了，认为归脾汤能引血归脾，脾能统血，就是“归经”，这害人不浅。我再为此喝醒一句：随行的仍按其随行的常道，运行的仍按其运行的常道，散布的仍按其散布的常道，充养的仍按其充养的常道。血液遵循正常的道路运行，就不会有吐衄、崩漏、下血的病了。千古以来没有一个人谈到这一点，我在高士宗先生引而不发之处，细细推演思辨，感到大为痛快。
身体发热、脉象洪大的难治。○身体凉爽、脉象平静的易治。○如果出现气喘咳嗽急促且上气逆乱，脉象弦紧细数且有力，不能平卧的，主死。
有一类外感引起的吐血，先出现头痛、恶寒、发热等症状，必须通过微微发汗才能痊愈。适宜用香苏饮，加荆芥穗一钱，丹皮、白芍各一钱五分。（三十五）
有一类夏令或秋令感受暑气、燥气而引起的吐血，方剂治法见咳嗽门，不再赘述。
有一类《内经》说：不远离热邪则热邪至，产生血溢、血泄的病证。凡是不避暑热，以及过食油炸烧烤之物，导致血热妄行。适宜用四生丸。（一日）
有一类瘀血引起的吐血，必定先有胸痛，血色必紫黑且成块，脉象必滞涩。适宜用四物汤，加醋炒大黄、桃仁、丹皮、香附各一钱五分。○如果紫黑色的瘀血排尽，见到鲜红色的血，就立即改用六君子汤，加当归……（原文此处似有缺漏，依文意补全逻辑，但翻译严格对应可见部分）
有一类伤寒及温病，应当发汗而没有发汗，导致内热蓄积成瘀血及鼻衄，吐血不尽，体内残留瘀血，大便黑色，面色黄。适宜用犀角地黄汤（九十九）。
高鼓峰在心法方面特别精通血症。他说：除了瘀血与伤寒外，其余都属于七情、饥饿、饱食、劳力等原因引起，必定伴有恶心（症状验证分明），用一味固元汤主治。方用人参、炙甘草、当归身、煨姜、大枣、白芍，水煎服。血症最为繁杂，以……（原文此处似有缺漏）
有一类仁斋直指说：阳虚则阴必走，在大吐大衄之外，有寒冷的表现，可用理中汤，加南木香或甘草干姜汤，疗效更显著。又有饮食伤胃，胃虚不能传化，其气上逆，也能引起吐衄，也适宜用上述两个方子。○我用甘草干姜汤，将干姜炮黑，加五味子二钱，效果很好。这是从慎柔五书中得来的。
有一类《内经》说：血气，喜欢温暖而厌恶寒冷，寒冷则凝滞而不流动，温暖则消散而去除。这几句话，是治疗血症的要旨。所以杨仁斋、高鼓峰的方法神验，即张景岳用熟地黄一两、泽泻、附子、牛膝各一钱五分、肉桂一钱、炙甘草二钱，水煎服，名为镇阴煎。方子虽然驳杂，但温热药较多，也能奏效。
有一类褚氏遗书说：血虽然是阴类，推动它的难道是阳气吗？“阳和”二字，指心肺而言。心肺的阳气宜于布散，如同太阳月亮一出，小火把的光芒就消失了。各种邪热之气都被清除，血液不受干扰，就能循行常道了。“运之者”三字更加巧妙。血自己不能运动，必须借助气来推动它。既然已经推动了，就随着冲脉、任脉在经络中运行，散布在脉外，充养于皮毛，有正常的道路可以行走，怎么会妄行而成为失血的病症呢？各家都称赞这两句妙绝，未能阐明其旨意。医学之道太难了。高鼓峰虽然未能悟透这个旨意，但他的固元汤与之暗合。慎柔和尚以保护元气为主，也不过取黄芪补气以生血，这也与此旨意暗合。合起来则见效快，这两位公所以名噪一时。我对此千虑一得，不敢自秘。
保元汤（七 慎柔方。无肉桂。有煨姜三片黑枣二枚。）
当归补血汤（六）
有一类血症不宜使用刚燥药物的，或者血虚烦渴，低热睡卧不宁，五心烦热。适宜用圣愈汤。（十八）
有一类舌上出血如孔钻者，煎香薷汁服用。外用槐花炒研后掺敷，蒲黄炭也可以掺敷。○齿龈出血，用生竹茹四两，醋浸泡一夜含漱。○牙缝出血，用纸捻蘸少许干蟾酥，在出血处按压立即止血。○满口牙齿出血，枸杞子研末，煎汤漱口。然后吞服枸杞根也可以。○鼻衄，用生茅花或根一两煎服。以上症状，或者统一使用甘露饮（八十七）、滋肾丸（九十四）。
有一类血淋、尿血，用苎麻根十枚，水煎服。又用海螵蛸、干地黄、赤茯苓各等分为末，每服三钱，用侧柏叶、车前子煎汤送下。又用乱发烧灰，入麝香少许，用米醋温汤调下。如果疼痛不可忍受，用藕汁、萝卜汁、白蜜调下。○又有房劳兼小便尿血，适宜用鹿角胶半两，没药另研，油头发绳各三钱为末，用茅根汁打面糊，制成梧桐子大小的丸药，每服五十丸，盐汤送下。
有一类下血，先大便后出血称为远血，用灶中黄土八钱，甘草、生地、白术、熟附子、阿胶、黄芩各一钱五分，水煎服，名叫黄土汤。○下血，先出血后大便称为近血，适宜用赤小豆三两，泡令出芽晒干，当归一两共为末，以浆水送服一钱五分，每日三次，名叫赤小豆当归散。○这两个方子都出自《金匮要略》。
有一类皮肤血汗，适宜用郁李仁去皮研碎二钱，用鹅梨汁调下。又用人中白焙干，入麝香少许，温酒调服立效。又用六味地黄汤，加五味子一钱、麦门冬、川续断各二钱。
有一类诸窍出血，适宜用头发、败棕、陈莲蓬各等分，都烧成灰研末，每服三钱，木香汤送下。
有一类妇人血崩，审察其寒热虚实，参照以上各方择用。如果在大量失血之际，不省人事，大汗不止的，适宜用参附汤。贫穷者用当归补血汤，加熟附子二三钱。（一百零五）
(Tufting blood, coughing up blood, spitting blood, epistaxis, gingival bleeding, various types of bleeding from orifices, hematochezia, hematuria, bloody strangury, metrorrhagia)
The *Neijing* (Inner Canon) states: The middle jiao receives qi from food and drink, extracts the essence and fluids, transforms them into red, which is called blood. The flow and overflow of blood: half travels along the Chong Mai (Penetrating Vessel) and Ren Mai (Conception Vessel) within the meridians, and half scatters outside the vessels to nourish muscles, interstices, and skin and hair. If affected by external pathogens or injured internally, blood fails to follow its normal pathways. Surging upward, it results in tufting blood, coughing up blood, spitting blood, epistaxis, gingival bleeding, and lingual bleeding; flowing downward, it results in hematochezia, hematuria, and metrorrhagia in women. The source is essentially the same. One may ask: Various texts treat bleeding based on differentiation among the Zang and Fu organs; why is this discussed generally? I say: The Zang organs contain blood, while the Fu organs do not. Observing dissected animals, the area around the heart below the chest and adjacent to the spine (Pericardium) contains much blood, the Liver interior contains much blood, and the Heart, Spleen, Lung, and Kidney each contain blood, whereas the Fu organs have no blood. Recently, people observe frequent tufting blood and claim it is stomach blood; this is a mistake derived from blindly accepting previous physicians' errors. Any case involving the expulsion of blood from the Zang organs is fatal. As for tufting blood, nasal bleeding, metrorrhagia, and lower bleeding, these are all blood from the scattered pathways of the meridians. One may ask: If there is no differentiation, why does the *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet) use Xiexin Tang (Heart-Draining Decoction) to treat tufting and nasal bleeding caused by insufficiency of Heart Qi? I say: All diseases are inseparable from the Zang and Fu organs. Disease of the Zang and Fu organs causes blood to fail to follow its normal pathways, resulting in tufting, nasal bleeding, metrorrhagia, and lower bleeding; it is not that the blood expelled in these conditions originates directly from the interior of the Zang organs. The character "Jing" (Meridian/Pathway) in "following the Jing" should be interpreted as "Chang" (Normal Path). Contemporary physicians misunderstood this, believing that Guipi Tang (Restore the Spleen Decoction) guides blood back to the Spleen, and since the Spleen controls blood, this constitutes "returning to the meridian," causing immense harm. Let me awaken you with one sentence: What follows follows its normal path of following; what moves moves along its normal path of movement; what scatters scatters along its normal path of scattering; what nourishes nourishes along its normal path of nourishment. If blood follows its normal pathways, there will be no diseases of tufting, nasal bleeding, metrorrhagia, or lower bleeding. For millennia, no one has mentioned this. At the point where Gao Shizong led without revealing fully, I carefully analyzed and reasoned, finding great pleasure.
Body heat and a large pulse indicate difficult treatment. ○ Cool body and quiet pulse indicate easy treatment. ○ If there is panting, coughing, urgency, and rebellious Qi ascending, with a string-taut, tight, fine, rapid, and forceful pulse, and inability to lie down, death is imminent.
For exogenous invasion causing tufting blood, presenting initially with headache, aversion to cold, fever, etc., healing requires mild sweating. Xiangsu Yin (Fragrant Perilla Drink) is suitable, added with Jingjie Sui (Schizonepeta Spike) 1 qian, Danpi (Moutan Cortex) and Baishao (White Peony Root) each 1.5 qian. (35)
For summer or autumn season exposure to summer-heat or dryness causing tufting blood, see the Cough section for formulas and treatment; no further elaboration.
The *Neijing* states: Not avoiding heat leads to the arrival of heat, generating diseases of blood overflow and blood leakage. Those who do not avoid summer heat and overconsume fried or roasted foods cause blood-heat to move recklessly. Sisheng Wan (Four Generations Pill) is suitable. (One day)
For vomiting due to Blood Stasis, chest pain must precede it; the blood color must be purple or black and clotted; the pulse must be choppy and stagnant. Siwu Tang (Four Substances Decoction) is suitable, added with Vinegar-fried Dahuang (Rhubarb Rhizome), Taoren (Peach Kernel), Danpi (Moutan Cortex), and Xiangfu (Cyperus Rhizome) each 1.5 qian. ○ Once the purple blood is exhausted and fresh red blood appears, immediately switch to Liujunzi Tang (Six Gentlemen Decoction), adding Danggui (Angelica Sinensis)... [Text implies continuation].
For Taiyang Cold Damage and Warm Diseases, where sweating should have been induced but was not, leading to internal heat accumulation, blood stasis, and epistaxis, or incomplete tufting blood, leaving residual blood stasis inside, with black stool and yellow complexion, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) is suitable. (99)
Gao Gufeng excels particularly in the methods for treating blood disorders. He stated: Except for blood stasis and Cold Damage, the rest belong to causes such as Seven Emotions, hunger, satiety, and labor. These must present with nausea (symptoms are distinct and verifiable); Guyuan Tang (Single Herb Solidify Origin Decoction) is the primary treatment. The formula uses Renshen (Ginseng Root), Zhigancao (Honey-fried Licorice Root), Dangguishen (Danggui Body), Wei Jiang (Baked Ginger), Dazao (Jujube Fruit), and Baishao (White Peony Root), decocted in water. Blood disorders are most complex... [Text implies continuation].
Renzhai Zhizhi states: Yang deficiency leads to Yin escape. Beyond major tufting and major nasal bleeding, if there are signs of cold, Lizhong Tang (Regulate the Middle Decoction) can be used, added with Nanmuxiang (Tasmannia Stem) or Gancao Ganjiang Tang (Licorice and Ginger Decoction), yielding better effects. Also, dietary injury to the Stomach, where Stomach deficiency fails to transport and transform, causing Qi to rebel upward, can also lead to tufting and nasal bleeding; the aforementioned two formulas are also suitable. ○ I use Gancao Ganjiang Tang (Licorice and Ginger Decoction), with Ganjiang (Zingiber Rhizome) charred, added with Wuweizi (Schisandra Berry) 2 qian, which is very effective. This comes from Shen Rou's Five Books.
The *Neijing* states: Blood and Qi prefer warmth and dislike cold; cold causes stagnation and lack of flow, while warmth causes dissipation and removal. These few sentences are the key principle for treating blood disorders. Thus, the methods of Yang Renzhai and Gao Gufeng are miraculous. Zhang Jingyue uses Shudi (Prepared Rehmannia Root) 1 liang, Zexie (Alisma Rhizome), Fuzi (Aconite Lateral Root), Niuxi (Achyranthes Root) each 1.5 qian, Rougui (Cinnamon Bark) 1 qian, Zhigancao (Honey-fried Licorice Root) 2 qian, decocted in water, named Zhenyin Jian (Yin-Suppressing Decoction). Although the formula is mixed, it contains more warming herbs and can still achieve efficacy.
Chushi Yishu states: Although blood is a Yin category, what transports it is Yang Harmony? The term "Yang Harmony" refers to the Heart and Lung. The Yang of the Heart and Lung should be distributed; like the sun and moon rising, small fires lose their light. All kinds of evil heat Qi are eliminated, blood is undisturbed, and thus follows the normal pathways. The phrase "what transports it" is even more exquisite. Blood cannot transport itself; it must rely on Qi to transport it. Once transported, it follows the Chong Mai and Ren Mai within the meridians, scatters outside the vessels, and nourishes the skin and hair, having normal pathways to follow. How could it move recklessly and become a disorder of blood loss? All schools praise the excellence of these two sentences but fail to elucidate their meaning. The Way of Medicine is indeed difficult. Although Gao Gufeng did not fully comprehend this meaning, his Guyuan Tang coincides with it implicitly. Master Shen Rou focuses on preserving Yuan Qi, merely taking Huangqi (Astragalus Root) to tonify Qi to generate Blood, which also coincides with this meaning implicitly. Combined, they yield rapid effects; hence these two masters became famous at the time. I have gained something from my thousand reflections and dare not keep it secret.
Baoyuan Tang (7 Shen Rou's formula. No Rougui. Has 3 slices of Wei Jiang and 2 Heizao.)
Danggui Buxue Tang (6)
There are blood disorders unsuitable for rigid and drying agents. Or when Blood Deficiency causes irritability and thirst, low-grade fever, restless sleep and waking, and five-palm heat. Shengyu Tang (Sageness Enhancing Decoction) is suitable. (18)
For bleeding from the tongue like drilled holes, decoct Xiangru (Mosla Herb) juice and take orally. Externally, apply fried and powdered Huaihua (Sophora Flower) or Puhuang (Lygodium Spore). ○ For gingival bleeding, soak 4 liang of raw Zhuru (Bamboo Shavings) in vinegar overnight and gargle. ○ For interdental bleeding, dip a paper wick in a small amount of Gan Chan Su (Toad Venom) and press on the bleeding site to stop it immediately. ○ For bleeding from all teeth, powder Gouqizi (Lycium Fruit), decoct in water, and gargle. Then swallowing the root is also acceptable. ○ For epistaxis, decoct 1 liang of raw Maohua (Imperata Flower) or root and take orally. For the above symptoms, one may uniformly use Ganlu Yin (Sweet Dew Drink) (87) or Zishen Wan (Nourish Kidney Pill) (94).
For bloody strangury and hematuria, decoct 10 Zhu Gen (Ramie Root) in water and take. Alternatively, mix Haipiaoxiao (Cuttlefish Bone), Shengdi (Rehmannia Root), and Chi Fuling (Red Poria) in equal parts into powder; take 3 qian per dose, washed down with decoction of Baiye (Arborvitae Leaf) and Cheqianzi (Plantago Seed). Alternatively, burn disordered hair to ash, add a little Shexiang (Musk), and mix with rice vinegar and warm water to take. If pain is unbearable, mix with Ouzhi (Lotus Rhizome Juice), Luobozhi (Radish Juice), and Baimi (White Honey) to take. ○ For hematuria combined with sexual exhaustion, use Luzhujiao (Deer Antler Glue) 0.5 liang, Moyao (Myrrh) separately ground, and You Toufashe (Oily Hair Rope) each 3 qian into powder; make pills the size of paulownia seeds using Zhu Gen juice and flour paste; take 50 pills per dose, washed down with salt water.
For lower bleeding, bleeding after stool is distant blood. Use Zaot Zhong Huangtu (Yellow Earth from Hearth) 8 qian, Gancao (Licorice Root), Shengdi (Rehmannia Root), Baizhu (Atractylodes Rhizome), Shu Fuzi (Prepared Aconite Lateral Root), Ejiao (Donkey-hide Gelatin), Huangqin (Scutellaria Root) each 1.5 qian, decoct in water and take, named Huangtu Tang (Yellow Earth Decoction). ○ Lower bleeding, bleeding before stool is near blood. Use Chixiaodou (Adzuki Bean) 3 liang, soaked until sprouting and dried, plus Danggui (Angelica Sinensis) 1 liang, ground into powder; take 1.5 qian per dose three times daily with Jiangshui (Fermented Rice Water), named Chixiaodou Danggui San (Adzuki Bean and Angelica Powder). ○ Both formulas originate from *Jingui*.
For continuous lower gastrointestinal bleeding unresponsive to other medicines, Jisheng Wumei Wan (Wumei Pill from the Prescriptions for Saving Lives) is suitable. (69)
For cutaneous blood sweat, remove the peel of Yuliren (Bush Cherry Kernel), grind 2 qian, and take mixed with E Li Zhi (Pear Juice). Alternatively, bake Renzhongbai (Urine Deposit) until dry, add a little Shexiang (Musk), and take mixed with warm wine for immediate effect. Alternatively, use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction), added with Wuweizi (Schisandra Berry) 1 qian, Maidong (Ophiopogon Tuber), and Chuanxuduan (Dipsacus Root) each 2 qian.
For bleeding from all orifices, use equal parts of Toufa (Human Hair), Baizong (Decayed Palm Fiber), and Chen Lianpeng (Old Lotus Pod), all burned to ash and ground; take 3 qian per dose, washed down with Muxiang (Costus Root) tea.
For metrorrhagia in women, assess cold, heat, deficiency, and excess, and select from the above formulas accordingly. In the moment of massive blood loss, if unconscious and sweating profusely without stopping, Shenfu Tang (Ginseng and Aconite Decoction) is suitable. For the poor, Danggui Buxue Tang (Danggui Tonifies Blood Decoction) added with Shu Fuzi (Prepared Aconite Lateral Root) 2-3 qian is suitable. (105)
In the moments of major tufting, major epistaxis, or major metrorrhagia, if bleeding slightly stops, urgently use Dushen Tang (Single Ginseng Decoction). After ingestion, allow natural deep sleep; do not wake abruptly, then Yin blood will regenerate.