（附论）
夫诸阳受病。不发其汗。热毒入深。结于五脏。内有瘀积。故令吐血也。
方
生干地黄散（出圣惠方）治热病。发汗而汗不发。致内有积瘀。故吐血不止
。宜服。
生干地黄 赤芍药 刺蓟（一两） 犀角屑（半两） 牡丹皮 柏叶（各三分） 上为
散。每
服四钱。以水一中盏。煎至六分。去滓。不计时候。温服之。
大黄散（出圣惠方）治热病。吐血不止。心身烦闷。宜服。
川大黄（锉碎微炒） 甘草（炙微赤锉各三分） 犀角屑 赤芍药 黄芩 生干地黄（各
一
两） 上为散。每服四钱。水一中盏。煎至六分。去滓。不计时候。温服。
刺蓟散（出圣惠方）治热病吐血。并鼻衄不止。头面俱热。宜服。
刺蓟 川升麻 鸡苏茎叶 川朴硝（各一两） 赤芍药 子芩（各一两半） 大青 犀
角屑
甘草（炙微赤锉各三分） 生干地黄（二两） 上为散。每服四钱。水一中盏。煎至六分。
去滓。
不计时候。温服。
竹茹散（出圣惠方）治热病吐血。并鼻衄不止。宜服。
青竹茹（一两半） 子芩（一两） 蒲黄 伏龙肝（末各二钱） 生藕（二合） 上以
水一大钟
半。煎竹茹、子芩、至一盏。去滓。下蒲黄等三味。搅令匀。不计时候。分为三服。
犀角散（出圣惠方）治热病。毒瓦斯未解心肺积热。吐血不止。心中壅闷。宜
服
。
犀角屑 栀子仁 地骨皮 子芩 川大黄（锉碎微炒） 甘草（炙微赤锉） 茯神 川
升麻
茅根（锉） 芦根（锉各半两） 麦门冬（三分去心） 生干地黄（一两） 上为散。每服
四钱。以
水一中盏。煎至六分。去滓。不计时候。温服。
红蓝花散（出圣惠方）治热病吐血。心胸不利。宜服。
红蓝花 川大黄（锉碎微炒各一两） 诃黎勒皮 羚羊角屑 黄芩 刺蓟（各三分） 上
为
粗散。每服五钱。以水一大盏。煎至五分。去滓。下赤马通汁半合。更煎一两沸。不计时候。
温服。
又方（出圣惠方）
以生地黄捣绞取汁。每服一小盏。频三五服即瘥。
又方（出圣惠方）
以生藕捣绞取汁。每服一小盏。入生蜜一匙。搅匀服之。频服即止。
又方（出圣惠方）
以生刺蓟捣绞取汁。每服一小盏。入生蜜一匙。搅匀服之。频服即止。
又方（出圣惠方）
以伏龙肝水浸取清。每服一小盏服之。
地血散（出活人书）热毒深入吐血。
茜根（四钱） 大豆（二钱） 黄药子 甘草（各一两） 上为细末。每服三钱。新汲
水调下。
三黄丸（出御药院）治法千金方同。治吐血黄胆热病。
黄连（半两） 黄芩 大黄（各二钱半） 上件为细末。炼蜜和丸。如梧桐子大。每服
五十
丸。食前。温水下之。
【附论】
凡是阳经受邪，如果不通过发汗来解表，热毒就会深入体内，结聚在五脏之中，导致内部有瘀血积滞，从而引起吐血。
方剂
生干地黄散（出自《圣惠方》）：治疗热病，想要发汗但汗不得出，致使体内产生瘀积，因此吐血不止。适宜服用此方。
药材：生干地黄、赤芍药、刺蓟（各一两）、犀角屑（半两）、牡丹皮、柏叶（各三分）。
制法与服法：将上述药材研为散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
大黄散（出自《圣惠方》）：治疗热病，吐血不止，伴有心身烦闷。适宜服用此方。
药材：川大黄（锉碎后微炒）、甘草（炙至微红并锉碎，各三分）、犀角屑、赤芍药、黄芩、生干地黄（各一两）。
制法与服法：将上述药材研为散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
刺蓟散（出自《圣惠方》）：治疗热病引起的吐血，以及鼻衄（鼻出血）不止，头面部均发热。适宜服用此方。
药材：刺蓟、川升麻、鸡苏茎叶、川朴硝（各一两）、赤芍药、子芩（各一两半）、大青、犀角屑、甘草（炙至微红并锉碎，各三分）、生干地黄（二两）。
制法与服法：将上述药材研为散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
竹茹散（出自《圣惠方》）：治疗热病引起的吐血，以及鼻衄不止。适宜服用此方。
药材：青竹茹（一两半）、子芩（一两）、蒲黄、伏龙肝（末，各二钱）、生藕（二合）。
制法与服法：先用水一大钟半，煎煮竹茹和子芩，至一盏时，滤去药渣。然后加入蒲黄等三味药，搅拌使其均匀。不分时候，分为三次服用。
犀角散（出自《圣惠方》）：治疗热病，毒气未解，心肺积热，导致吐血不止，心中壅塞闷乱。适宜服用此方。
药材：犀角屑、栀子仁、地骨皮、子芩、川大黄（锉碎后微炒）、甘草（炙至微红并锉碎）、茯神、川升麻、茅根（锉）、芦根（锉，各半两）、麦门冬（三分，去心）、生干地黄（一两）。
制法与服法：将上述药材研为散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
红蓝花散（出自《圣惠方》）：治疗热病引起的吐血，心胸不畅利。适宜服用此方。
药材：红蓝花、川大黄（锉碎后微炒，各一两）、诃黎勒皮、羚羊角屑、黄芩、刺蓟（各三分）。
制法与服法：将上述药材研为粗散。每次服用五钱，用水一大盏，煎煮至五分，滤去药渣。加入赤马通汁（马粪浸出液）半合，再煎煮一两沸。不分时候，温服。
又一方（出自《圣惠方》）：
用生地黄捣烂绞取汁液。每次服用一小盏，频繁服用三五次即可痊愈。
又一方（出自《圣惠方》）：
用生藕捣烂绞取汁液。每次服用一小盏，加入生蜜一匙，搅拌均匀后服用。频繁服用即可止血。
又一方（出自《圣惠方》）：
用生刺蓟捣烂绞取汁液。每次服用一小盏，加入生蜜一匙，搅拌均匀后服用。频繁服用即可止血。
又一方（出自《圣惠方》）：
用伏龙肝加水浸泡取清液。每次服用一小盏。
地血散（出自《活人书》）：治疗热毒深入引起的吐血。
药材：茜根（四钱）、大豆（二钱）、黄药子、甘草（各一两）。
制法与服法：将上述药材研为细末。每次服用三钱，用新汲水调服。
三黄丸（出自《御药院方》）：治法与《千金方》相同。治疗吐血、黄疸、热病。
药材：黄连（半两）、黄芩、大黄（各二钱半）。
制法与服法：将上述药材研为细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用五十丸，饭前用温水送下。
[Supplementary Discussion]
When the Yang meridians are affected by pathogenic factors, if sweating is not induced to release the exterior, heat-toxin will penetrate deeply and accumulate in the Five Viscera. This leads to internal blood stasis and accumulation, resulting in hematemesis (vomiting blood).
Formulas
Sheng Gan Di Huang San (Raw Rehmannia Root Powder) [Source: *Sheng Hui Fang*]: Treats febrile diseases where sweating fails to occur despite attempts, causing internal accumulation of blood stasis and continuous hematemesis. It is suitable for this condition.
Ingredients: Sheng Gan Di Huang (Prepared Rehmanniae Radix), Chi Shao Yao (Red Peony Root), Ci Ji (Cirsii Herba) (each 1 liang), Xi Jiao Xie (Rhinoceri Cornu Fragmentes) (0.5 liang), Mu Dan Pi (Moutan Cortex), Bai Ye (Plagiopteris Folium) (each 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm, regardless of meal times.
Da Huang San (Rhubarb Powder) [Source: *Sheng Hui Fang*]: Treats febrile diseases with continuous hematemesis accompanied by mental restlessness and bodily discomfort. It is suitable for this condition.
Ingredients: Chuan Da Huang (Radix Rhei Palmatae) (crushed and lightly stir-fried), Gan Cao (Radix Glycyrrhizae) (honey-fried until slightly red and crushed, each 3 fen), Xi Jiao Xie (Rhinoceri Cornu Fragmentes), Chi Shao Yao (Red Peony Root), Huang Qin (Scutellariae Radix), Sheng Gan Di Huang (Prepared Rehmanniae Radix) (each 1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm, regardless of meal times.
Ci Ji San (Cirsii Herba Powder) [Source: *Sheng Hui Fang*]: Treats hematemesis and epistaxis (nosebleed) caused by febrile diseases that do not stop, along with heat in the head and face. It is suitable for this condition.
Ingredients: Ci Ji (Cirsii Herba), Chuan Sheng Ma (Bupleuri Radix) (each 1 liang), Chi Shao Yao (Red Peony Root), Zi Qin (Scutellariae Radix) (each 1.5 liang), Da Qing (Isatidis Folium), Xi Jiao Xie (Rhinoceri Cornu Fragmentes), Gan Cao (Radix Glycyrrhizae) (honey-fried until slightly red and crushed, each 3 fen), Sheng Gan Di Huang (Prepared Rehmanniae Radix) (2 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm, regardless of meal times.
Zhu Ru San (Bamboo Shavings Powder) [Source: *Sheng Hui Fang*]: Treats hematemesis and epistaxis caused by febrile diseases. It is suitable for this condition.
Ingredients: Qing Zhu Ru (Bambusae Caulis in Taenia) (1.5 liang), Zi Qin (Scutellariae Radix) (1 liang), Pu Huang (Typhonii Pollen), Fu Long Gan (Caulis Longii Fossilius) (powdered, each 2 qian), Sheng Ou (Nelumbinis Rhizoma) (2 he).
Preparation and Administration: First, decoct Zhu Ru and Zi Qin in 1.5 zhong of water until reduced to 1 zhong. Strain the dregs. Add Pu Huang, Fu Long Gan, and Sheng Ou. Stir well to mix evenly. Divide into three doses and take warm, regardless of meal times.
Xi Jiao San (Rhinoceros Horn Powder) [Source: *Sheng Hui Fang*]: Treats febrile diseases where toxic qi has not resolved, with accumulated heat in the Heart and Lungs, leading to continuous hematemesis and chest oppression/stuffiness. It is suitable for this condition.
Ingredients: Xi Jiao Xie (Rhinoceri Cornu Fragmentes), Zhi Zi Ren (Gardeniae Fructus), Di Gu Pi (Lycii Cortex), Zi Qin (Scutellariae Radix), Chuan Da Huang (Radix Rhei Palmatae) (crushed and lightly stir-fried), Gan Cao (Radix Glycyrrhizae) (honey-fried until slightly red and crushed), Fu Shen (Poria cum Radix Xylomi), Chuan Sheng Ma (Bupleuri Radix), Mao Gen (Imperatae Rhizoma) (crushed), Lu Gen (Phragmitis Rhizoma) (crushed, each 0.5 liang), Mai Men Dong (Ophiopogonis Tuber) (3 fen, heart removed), Sheng Gan Di Huang (Prepared Rehmanniae Radix) (1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 4 qian per dose. Decoct with one zhong of water until reduced to 6 fen. Strain the dregs. Take warm, regardless of meal times.
Hong Lan Hua San (Carthami Flos Powder) [Source: *Sheng Hui Fang*]: Treats hematemesis caused by febrile diseases, with poor circulation in the chest and heart. It is suitable for this condition.
Ingredients: Hong Lan Hua (Carthami Flos), Chuan Da Huang (Radix Rhei Palmatae) (crushed and lightly stir-fried, each 1 liang), He Li Le Pi (Terminaliae Chebulae Pericarpium), Ling Yang Jiao Xie (Saigae Tataricae Cornu Fragmentes), Huang Qin (Scutellariae Radix), Ci Ji (Cirsii Herba) (each 3 fen).
Preparation and Administration: Grind the above ingredients into a coarse powder. Take 5 qian per dose. Decoct with one large zhong of water until reduced to 5 fen. Strain the dregs. Add Ban He Chi Ma Tong (Jus Stercoris Equini Rubrum) half he. Boil for one or two more boils. Take warm, regardless of meal times.
Another Formula [Source: *Sheng Hui Fang*]:
Crush fresh Di Huang (Rehmanniae Radix) and press to extract juice. Take one small zhong per dose. Frequent administration of three to five doses will result in recovery.
Another Formula [Source: *Sheng Hui Fang*]:
Crush fresh Ou (Nelumbinis Rhizoma) and press to extract juice. Take one small zhong per dose. Add one spoonful of raw honey, stir well, and take. Frequent administration will stop bleeding.
Another Formula [Source: *Sheng Hui Fang*]:
Crush fresh Ci Ji (Cirsii Herba) and press to extract juice. Take one small zhong per dose. Add one spoonful of raw honey, stir well, and take. Frequent administration will stop bleeding.
Another Formula [Source: *Sheng Hui Fang*]:
Soak Fu Long Gan (Caulis Longii Fossilius) in water and take the clear supernatant. Take one small zhong per dose.
Di Xue San (Blood Earth Powder) [Source: *Huo Ren Shu*]: Treats hematemesis caused by deep penetration of heat-toxin.
Ingredients: Qian Gen (Rubiae Radix et Rhizoma) (4 qian), Da Dou (Glycines Sojae Semen) (2 qian), Huang Yao Zi (Dioscoreae Hypoglaucae Rhizoma), Gan Cao (Radix Glycyrrhizae) (each 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 3 qian per dose, mixed with freshly drawn water.
San Huang Wan (Three Yellows Pill) [Source: *Yu Yao Yuan Fang*]: The method is the same as in *Qian Jin Fang*. Treats hematemesis, jaundice, and febrile diseases.
Ingredients: Huang Lian (Coptidis Rhizoma) (0.5 liang), Huang Qin (Scutellariae Radix), Da Huang (Radix Rhei Palmatae) (each 2.5 qian).
Preparation and Administration: Grind the above ingredients into a fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 50 pills per dose before meals, washed down with warm water.