凡病者诸血积聚，合发为衄。而清气道闭，浊气滂溢。凝停胸胃中，即满闷吐出数斗。
至于
聚膈
方
必胜散（出《医方大成》）治男子妇人血妄流溢，吐血、衄血、呕血、咯
血，并妇人下血过多，致发虚热，调血则热自不作，又用心过度发热，当以参苏饮二
分，四物汤一分用之。
小蓟（并用根） 蒲黄（微炒） 熟地黄（洗） 芎 当归（去芦） 人参（去芦） 乌
梅（去核各
柏皮汤（出《朱氏集验方》）治血常失道暴出，色鲜，燥引饮。
大柏皮 栀子（各一两） 甘草（半两） 上 咀，每服五钱，水二盏，煎至一盏，去
滓温服。
地黄五味丸（出《百一选方》）治妄行吐血。
生地黄 熟地黄 五味子（各二两） 为细末，炼蜜为丸，如梧桐子大，每服三十丸，
一日三
地黄散（出《经验良方》）治经血妄行，及鼻衄不止。
生干地黄 龙脑薄荷（各二两） 甘草（生用一两） 为末，每服一钱，食后新汲水
调下。
蒜连丸 治诸血妄行。
黄连（日干研为末七） 独头蒜（一颗煨热取肉研细） 上入米醋些子，捣和丸，如梧
桐子大，
金屑丹（出《三因方》）治三因吐血，及衄血下血，一切血溢妄行。
用雌黄须叶子者，为粗末，入枣肉，线系定，满着汤煮。用黑锡同雌黄斤两，熔作汁，
倾入
每服
治妄行吐血，（出《经验良方》）
用熟地黄洗去土，焙干为细末，用好真金墨，新汲水，磨半盏许，分作二服，调熟地黄
末服
锻石散 治吐血妄行。
以锻石刀头上烧，用井水调下，后用扁柏叶，同阶前草根，研自然汁咽下。
治血妄行。
用牛口苏连根，握起洗净，于石臼中椿细。用生姜数片绞汁，或井花水，多用热酒调服，
将
归脾汤（出《危氏方》）治思虑伤脾，心多健忘，为脾不能统摄血，以致妄
行，或吐血下血
白术 茯神 黄 酸枣仁（炒去壳） 龙眼肉（各一两） 人参 木香（各半两） 甘
草（二钱
南天竹饮（出《圣济总录》）治血妄行，九窍皆出，服药不住者。
南天竹草（生如拇指大一把锉） 山栀子（三十枚去皮） 生姜（一块如指大） 大枣
（五枚去核）
至半盏去滓通口服
大效黄 汤（出《卫生家宝方》）治诸血妄行。
绵黄 （打扁二寸许切，以汤炮蜜一大匙，浸半日控干焙黄色一两） 官桂（八钱去粗
皮不见
败龟壳（一两醮醋
两旋取微焙用） 白茯苓（
龙肝（半两） 甘草（一分炙）
服妙。
顺气散（出《卫生家宝方》）治气弱不足，血气欲妄行，觉喉口血腥，微微
咯出，唾中带些
当归（一两洗净去芦细切） 川芎（二两细切） 木香（四两细锉） 陈皮（二钱洗去
白焙细锉）
煎七分，去滓温
土马骏汤（出《圣济总录》）治心肺蕴热，或恚怒气逆，使血妄行，日夕不
止。\x
土马骏（焙干二两） 枳实（去瓤麸炒） 白茯苓（去黑皮） 甘草（炙锉） 秦艽（去
苗土） 柴胡
至七分，去滓食后
凡是患病者，各种血液积聚，最终引发鼻出血。如果清气通道闭塞，浊气泛滥溢出，凝结停滞在胸胃之中，就会导致胸闷胀满，吐出数斗之多的血。
至于
聚膈
方剂
必胜散（出自《医方大成》）：治疗男女患者血液妄自流溢，出现吐血、鼻出血、呕血、咯血，以及妇女经血过多，导致虚热发作。调理血液则热自消退；又如因用心过度导致的发热，应当使用参苏饮二分，四物汤一分配合服用。
小蓟（根和叶并用） 蒲黄（微炒） 熟地黄（洗净） 川芎 当归（去芦头） 人参（去芦头） 乌梅（去核，各适量）
柏皮汤（出自《朱氏集验方》）：治疗血液常失正道突然涌出，血色鲜红，伴有口干引饮的症状。
大柏皮 栀子（各一两） 甘草（半两） 以上药材切碎，每次服用五钱，加水二盏，煎煮至一盏，滤去药渣，温服。
地黄五味丸（出自《百一选方》）：治疗血液妄行导致的吐血。
生地黄 熟地黄 五味子（各二两） 研成细末，用炼蜜制成丸药，大小如梧桐子，每次服用三十丸，一日三次。
地黄散（出自《经验良方》）：治疗经血妄行，以及鼻出血不止。
生干地黄 龙脑薄荷（各二两） 甘草（生用一两） 研成粉末，每次服用一钱，饭后用新汲水调服。
蒜连丸：治疗各种血液妄行。
黄连（日晒干燥后研为末七份） 独头蒜（一颗煨热取肉研细） 以上加入少许米醋，捣和制成丸药，大小如梧桐子。
金屑丹（出自《三因方》）：治疗由三因引起的吐血，以及鼻出血、下血，一切血液溢出妄行。
选用雌黄须叶子者，研成粗末，放入枣肉中，用线系紧，完全浸入汤水中煮。使用黑锡与雌黄等量，熔化成汁，倒入……
每次服用……
治疗妄行吐血（出自《经验良方》）
用熟地黄洗净泥土，焙干研为细末，用好真金墨，新汲水，磨取半盏左右，分作两次服用，用熟地黄末调服。
锻石散：治疗吐血妄行。
将锻石在刀头上烧红，用井水调服，之后用扁柏叶，同阶前的草根，研磨取自然汁咽下。
治疗血妄行。
用牛口苏连根，握住提起洗净，在石臼中舂细。用生姜数片绞取汁液，或者用井花水，多用热酒调服，将……
归脾汤（出自《危氏方》）：治疗思虑伤脾，心多健忘，因为脾不能统摄血液，以致血液妄行，或吐血、下血。
白术 茯神 黄芪 酸枣仁（炒去壳） 龙眼肉（各一两） 人参 木香（各半两） 甘草（二钱）
南天竹饮（出自《圣济总录》）：治疗血液妄行，九窍皆出血，服药无效的情况。
南天竹草（生长如拇指大一把，锉碎） 山栀子（三十枚去皮） 生姜（一块如指大） 大枣（五枚去核）
煎至半盏，滤去药渣，通口服下。
大效黄芪汤（出自《卫生家宝方》）：治疗各种血液妄行。
绵黄芪（打扁约二寸切段，以汤泡一大匙蜜，浸泡半天控干焙至黄色一两） 官桂（八钱去粗皮不见火）
败龟壳（一两蘸醋……两旋取微焙用） 白茯苓（……
龙肝（半两） 甘草（一分炙）
服用效果奇妙。
顺气散（出自《卫生家宝方》）：治疗气弱不足，血气欲妄行，感觉喉口有血腥味，微微咯出，唾液中带些……
当归（一两洗净去芦细切） 川芎（二两细切） 木香（四两细锉） 陈皮（二钱洗去白焙细锉）
煎至七分，滤去药渣温服。
土马骏汤（出自《圣济总录》）：治疗心肺蕴热，或因愤怒气逆，使血液妄行，日夜不止。
土马骏（焙干二两） 枳实（去瓤麸炒） 白茯苓（去黑皮） 甘草（炙锉） 秦艽（去苗土） 柴胡
煎至七分，滤去药渣，饭后服用。
In all cases where patients have accumulated blood, it eventually manifests as epistaxis (nosebleed). If the pathway of clear qi is blocked and turbid qi overflows, condensing and stagnating in the chest and stomach, it leads to chest fullness and distension, resulting in vomiting several dou of blood.
As for
Ju Ge
Formulas
Bisheng San (Victorious Victory Powder) [from *Yifang Dacheng*]: Treats men and women with blood flowing and overflowing recklessly, presenting with hematemesis (vomiting blood), epistaxis, hematemesis from the esophagus, hemoptysis (coughing up blood), and women with excessive uterine bleeding leading to deficiency heat. Regulating the blood causes the heat to subside naturally; also treats fever caused by excessive mental exertion. It should be used in combination with Shensu Yin (Ginseng and Perilla Decoction) two parts and Siwu Tang (Four Substance Decoction) one part.
Xiaoji (Cirsii Herba, 小蓟) (roots and leaves both used) Puhuang (Typhonii Rhizoma Pollen, 蒲黄) (lightly stir-fried) Shudihuang (Rehmanniae Radix Praeparata, 熟地黄) (washed) Xiong (Ligustici Chuanxiong Rhizoma, 川芎) Danggui (Angelicae Sinensis Radix, 当归) (radicle removed) Renshen (Ginseng Radix, 人参) (radicle removed) Wumei (Mume Fructus, 乌梅) (pits removed, each appropriate amount)
Baipi Tang (Cortex Phellodendri Decoction) [from *Zhu Shi Jiyan Fang*]: Treats blood suddenly gushing out due to failing to follow its proper course, with bright red color and dryness prompting thirst.
Dabaipi (Phellodendri Cortex, 大柏皮) Zhizi (Gardeniae Fructus, 栀子) (each 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (0.5 liang) The above are cut into small pieces. Each dose is 5 qian, boiled with 2 zhan of water until reduced to 1 zhan. Strain and take warm.
Dihuang Wuwei Wan (Rehmannia and Schisandra Pill) [from *Baiyi Xuanfang*]: Treats hematemesis caused by reckless blood flow.
Shengdihuang (Rehmanniae Radix, 生地黄) Shudihuang (Rehmanniae Radix Praeparata, 熟地黄) Wuweizi (Schisandrae Chinensis Fructus, 五味子) (each 2 liang) Made into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 30 pills per dose, three times a day.
Dihuang San (Rehmannia Powder) [from *Jingyan Liangfang*]: Treats reckless menstrual bleeding and persistent epistaxis.
Shenggandihuang (Dried Rehmanniae Radix, 生干地黄) Longnaobohhe (Menthae Haplocalycis Herba, 龙脑薄荷) (each 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (raw, 1 liang) Made into powder. Take 1 qian per dose, mixed with fresh well water after meals.
Salian Wan (Garlic and Coptis Pill): Treats various forms of reckless blood flow.
Huanglian (Coptidis Rhizoma, 黄连) (sun-dried and ground into powder, 7 parts) Dutousuan (Allium Sativum Bulb, 独头蒜) (one clove, baked hot, flesh taken and ground finely) Add a little rice vinegar to the above, pound and mix to form pills the size of paulownia seeds.
Jinxie Dan (Gold Dust Pill) [from *Sanyin Fang*]: Treats hematemesis, epistaxis, and lower bleeding caused by the Three Causes, and all forms of reckless blood overflow.
Use雌黄 (Realgar, 雌黄) that has leaf-like structures, grind into coarse powder, place inside jujube flesh, tie securely with thread, and boil fully submerged in water. Use Heixi (Black Tin, 黑锡) equal in weight to Realgar, melt into liquid, pour into...
Each dose...
Treat reckless hematemesis [from *Jingyan Liangfang*]
Take Shudihuang (Rehmanniae Radix Praeparata, 熟地黄), wash away dirt, bake dry, and grind into fine powder. Use high-quality real gold ink, grind with fresh well water to obtain about half a zhan. Divide into two doses, mixing with Shudihuang powder to take.
Duanshi San (Smelted Iron Oxide Powder): Treats reckless hematemesis.
Heat Duanshi (Haematitum, 锻石) on the tip of a knife, mix with well water to take. Afterwards, use Bianbaiye (Platycladi Cacumen, 扁柏叶) and grass roots from the steps, grind to extract natural juice, and swallow.
Treat reckless blood flow.
Take Niukousu (Perillae Frutescens Herb, 牛口苏) including roots, hold and wash clean, pound finely in a stone mortar. Squeeze juice from several slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜), or use Jinghua shui (well water drawn at dawn). Mix with plenty of hot wine to take, and...
Guipi Tang (Restore the Spleen Decoction) [from *Wei Shi Fang*]: Treats spleen injury from overthinking, frequent forgetfulness due to heart issues, where the spleen fails to control blood, leading to reckless flow, or hematemesis and lower bleeding.
Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) Fushen (Poria with Hostwood, 茯神) Huangqi (Astragali Radix, 黄芪) Suanzaoren (Ziziphi Spinosae Semen, 酸枣仁) (stir-fried, shells removed) Longyanrou (Longan Aril, 龙眼肉) (each 1 liang) Renshen (Ginseng Radix, 人参) Muxiang (Aucklandiae Radix, 木香) (each 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (2 qian)
Nantianzhu Yin (Southern Bamboo Drink) [from *Shengji Zonglu*]: Treats reckless blood flow where blood exits from all nine orifices, and medication is ineffective.
Nantianzhu Cao (Nandinae Herba, 南天竹草) (fresh, thumb-sized, one handful, chopped) Shanzhizi (Gardeniae Fructus, 山栀子) (30 pieces, peeled) Shengjiang (Zingiberis Rhizoma Recens, 生姜) (a piece finger-sized) Dazao (Jujubae Fructus, 大枣) (5 pieces, pits removed)
Boil until half a zhan remains, strain, and take orally.
Da Xiao Huangqi Tang (Great Efficacy Astragalus Decoction) [from *Weisheng Jiabao Fang*]: Treats various forms of reckless blood flow.
Mian Huangqi (Astragali Radix, 绵黄芪) (beaten flat, cut into ~2 cun segments, soaked in 1 large spoon of honey in water for half a day, drained and baked yellow, 1 liang) Guangui (Cinnamomi Cortex, 官桂) (8 qian, bark removed, not exposed to fire)
Baiguiké (Testudinis Carapax et Plastrum, 败龟壳) (1 liang, dipped in vinegar... lightly baked and taken) Baifuling (Poria, 白茯苓)...
Longgan (Dragon Liver, 龙肝) (0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted, 1 fen)
Taking this yields wonderful results.
Shunqi San (Regulate Qi Powder) [from *Weisheng Jiabao Fang*]: Treats weak qi insufficient to control blood, causing blood to want to flow recklessly, feeling a metallic taste in the throat and mouth, slight hemoptysis, and saliva containing...
Danggui (Angelicae Sinensis Radix, 当归) (1 liang, washed, radicle removed, finely sliced) Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎) (2 liang, finely sliced) Muxiang (Aucklandiae Radix, 木香) (4 liang, finely chopped) Chenpi (Citri Reticulatae Pericarpium, 陈皮) (2 qian, washed, white pith removed, baked, finely chopped)
Boil until 7/10 remains, strain, and take warm.
Tumajun Tang (Earth Horse Bull Decoction) [from *Shengji Zonglu*]: Treats heat accumulating in the heart and lungs, or anger causing qi rebellion, making blood flow recklessly, stopping neither day nor night.
Tumajun (Herba Siegesbeckiae, 土马骏) (baked dry, 2 liang) Zhishi (Aurantii Fructus Immaturus, 枳实) (pulp removed, bran-fried) Baifuling (Poria, 白茯苓) (black skin removed) Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (roasted and chopped) Qinjiao (Gentianae Macrophyllae Radix, 秦艽) (sprouts and dirt removed) Chaihu...
Boil until 7/10 remains, strain, and take after meals.