咯血不嗽而咯出血也。初得病。且宜白扁豆散。加入生地黄藕节各半钱。尤佳。及浓磨
京墨
调黑神散。小乌沉汤各一钱。或新掘生地黄。净洗。生姜少许。捣汁去滓温进。又有以生
姜一片。四面蘸百草霜含咽。如百草霜已淡。吐出再蘸。如姜已无味。则吐出易之。嗽血亦
治。
劳瘵。吐咯血。七珍散。加阿胶当归各半钱。恶甜人。更加百药煎半钱。仍调钟乳粉尤
佳。
一味钟乳粉。用糯米饮调。吐血嗽血亦治。因饱屈身。伤肺吐血者。白芨枇杷丸。或白芨莲
须散。
（附肺痈）
热壅于肺能嗽血。久嗽损肺。亦能嗽血。壅于肺者易治。不过凉之而已。损于肺者难治
已
久成劳也。热嗽有血者。宜金沸草散。加阿胶半钱。劳嗽有血者。宜补肺汤。加阿胶白芨各
半钱。嗽血而气急者。补肺汤加阿胶杏仁桑白皮各半钱。吞养正丹。或灵砂丹。或三砂丹。
间进百花膏。嗽血肺损。薏苡仁十两。杵碎。水三升煎。取一升。入酒少许。分二三次服
或以薏苡仁研细末。煮猪肺。白蘸食之。猪心一个。竹刀切开。勿令相杂。以沉香末一钱
重。半夏七个。入在缝中。纸裹、蘸小便内。令湿。煨熟取出。去半夏。只吃猪心。此方嗽
血吐血均治。热嗽咽疼。痰带血丝。或痰中多血。其色鲜者。并宜金沸草散。若服凉剂。不
愈。其色瘀者。此非热证。宜杏子汤。肺痈为病。胸痛喘满。咯嗽浓血。腥臭异常。久则
唾出如粥。或口燥咽干。皆由肺气不通。以致热血凝滞蓄结。宜千金内补散。去官桂、和补
肺汤半帖。煎服。或金沸草散。去麻黄、加桔梗如数。或更加桑白皮。枇杷叶。仍用杏仁、
去皮尖生研成膏。入百药煎末。丸如弹子大。含化四和膏。亦可。
咯血是指只咯出血液而不伴有咳嗽的症状。刚患病时，适宜使用白扁豆散，加入生地黄和藕节各半钱，效果更佳。或者用浓磨的京墨调服黑神散、小乌沉汤各一钱。也可以用新挖掘的生地黄，洗净后加少许生姜，捣碎取汁，去渣后温服。还有一种方法是用一片生姜，四面蘸取百草霜含在口中咽下，如果百草霜的味道变淡，吐出后再蘸；如果生姜已经无味，则吐出换新的。这种方法对嗽血也有效。
因劳瘵（慢性消耗性疾病）引起的吐血、咯血，可用七珍散，加入阿胶、当归各半钱。对于厌恶甜味的人，再加百药煎半钱，并用钟乳粉调服效果尤佳。
单用一味钟乳粉，用糯米饮调服，也可治疗吐血、嗽血。因饱食后弯腰导致肺部受伤而吐血者，可用白芨枇杷丸，或白芨莲须散。
（附：肺痈）
热邪壅滞于肺能引起嗽血，久咳损伤肺脏也能引起嗽血。热邪壅滞于肺的容易治疗，只需清热凉血即可。损伤肺脏的难以治疗，因为日久已成劳损。热性咳嗽带血的，宜用金沸草散，加阿胶半钱。劳损性咳嗽带血的，宜用补肺汤，加阿胶、白芨各半钱。咳嗽带血且气急的，用补肺汤加阿胶、杏仁、桑白皮各半钱，吞服养正丹，或灵砂丹，或三砂丹。间歇服用百花膏。咳嗽带血且肺脏受损的，用薏苡仁十两，捣碎，加水三升煎煮，取汁一升，加入少许酒，分二三次服用。或者将薏苡仁研成细末，煮猪肺，蘸粉末食用。取一个猪心，用竹刀切开，注意不要与半夏混杂，将沉香末一钱重、半夏七个放入缝中，用纸包裹，浸入小便中使其湿润，煨熟后取出，去掉半夏，只吃猪心。此方对嗽血、吐血均有效。热性咳嗽咽喉疼痛，痰中带血丝，或痰中血量多且颜色鲜红的，都适宜用金沸草散。如果服用凉药无效，且血色瘀暗的，这不是热证，宜用杏子汤。肺痈这种病，表现为胸痛、喘满、咯吐浓血，气味腥臭异常，日久则唾出如粥状，或口燥咽干，这都是由于肺气不通，导致热血凝滞蓄结所致，宜用千金内补散，去掉官桂，配合补肺汤半帖煎服。或者用金沸草散，去掉麻黄，加入桔梗适量，或者再加桑白皮、枇杷叶，仍用杏仁去皮尖生研成膏，加入百药煎末，制成如弹子大的丸剂，含化。四和膏也可以含化。
Hemoptysis (coughing up blood) refers to the symptom of coughing up blood without accompanying cough. At the initial stage of the disease, it is advisable to use *Bai Bian Dou San* (White Hyacinth Bean Powder), adding half a qian of Sheng Di Huang (Rehmanniae Radix Recens) and Ou Jie (Nelumbinis Nodus). This is particularly effective. Alternatively, one may take Hei Shen San (Black Divine Powder) and Xiao Wu Chen Tang (Minor Black Sinking Decoction), each one qian, mixed with concentrated Jing Mo (Beijing Ink). Another method involves using freshly excavated Sheng Di Huang (Rehmanniae Radix Recens), thoroughly washed, mixed with a small amount of Sheng Jiang (Zingiberis Rhizoma Recens), pounded to extract the juice, filtered, and taken warm. Yet another method is to take a slice of Sheng Jiang (Zingiberis Rhizoma Recens), dip all four sides in Bai Cao Shuang (Soot from Hundred Herbs), and hold it in the mouth to swallow. If the taste of Bai Cao Shuang (Soot from Hundred Herbs) fades, spit it out and re-dip; if the ginger loses its flavor, spit it out and replace it. This method is also effective for Sou Xue (hemoptysis associated with cough).
For vomiting and hemoptysis caused by Lao Zhai (consumptive disease), *Qi Zhen San* (Seven Treasures Powder) can be used, adding half a qian of E Jiao (Colla Corii Asini) and Dang Gui (Angelicae Sinensis Radix). For those who dislike sweet tastes, add half a qian of Bai Yao Jian (Fermented Medicated Leaven), and mixing with Zhong Lu Fen (Calcitriolum) is especially good.
Using only Zhong Lu Fen (Calcitriolum), mixed with Nuomi Yin (Glutinous Rice Drink), can also treat vomiting and hemoptysis. For bleeding due to lung injury caused by bending over after a full meal, *Bai Ji Pi Pa Wan* (Bletilla and Loquat Pill) or *Bai Ji Lian Xu San* (Bletilla and Lotus Stamen Powder) is indicated.
(Attached: Lung Abscess)
Heat stagnating in the lungs can cause Sou Xue (hemoptysis associated with cough); prolonged coughing damaging the lungs can also cause Sou Xue (hemoptysis associated with cough). Cases where heat stagnates in the lungs are easier to treat, requiring only cooling methods. Cases where the lungs are damaged are difficult to treat, as they have long become consumptive diseases. For hot-type cough with blood, *Jin Fei Cao San* (Golden Whirlweed Powder) with added half a qian of E Jiao (Colla Corii Asini) is suitable. For consumptive-type cough with blood, *Bu Fei Tang* (Lung-Nourishing Decoction) with added half a qian of E Jiao (Colla Corii Asini) and Bai Ji (Bletillae Rhizoma) is suitable. For cough with blood accompanied by shortness of breath, *Bu Fei Tang* (Lung-Nourishing Decoction) with added half a qian of E Jiao (Colla Corii Asini), Xing Ren (Armeniacae Semen), and Sang Bai Pi (Mori Cortex) should be taken, swallowing Yang Zheng Dan (Nourishing Right Pill), Ling Sha Dan (Spiritual Cinnabar Pill), or San Sha Dan (Three Cinnabars Pill). Intermittently, Bai Hua Gao (Hundred Flowers Paste) can be administered. For cough with blood and lung damage, use Shi Yi Yi Ren (Coicis Semen) ten liang, crushed, decocted in three sheng of water until one sheng remains, add a little wine, and divide into two or three doses. Alternatively, grind Shi Yi Yi Ren (Coicis Semen) into fine powder, boil Zhu Fei (Porcine Lung), and eat it dipped in the powder. Take one Zhu Xin (Porcine Heart), cut open with a bamboo knife, ensuring no contamination. Insert one qian of Chen Xiang Mo (Aquilariae Lignum Resinatum) powder and seven Ban Xia (Pinelliae Rhizoma) into the slit. Wrap in paper, soak in urine to moisten, roast until cooked, remove, discard the Ban Xia (Pinelliae Rhizoma), and consume only the Zhu Xin (Porcine Heart). This formula treats both Sou Xue (hemoptysis associated with cough) and Tu Xue (vomiting blood). For hot-type cough with sore throat, sputum with blood streaks, or sputum with abundant fresh red blood, *Jin Fei Cao San* (Golden Whirlweed Powder) is appropriate. If cooling agents fail and the blood is dark/clotted, this is not a heat syndrome; *Xing Zi Tang* (Apricot Seed Decoction) is indicated. Lung Abscess presents with chest pain, distension, and fullness, coughing up thick bloody sputum with an extremely foul odor. In later stages, expectoration resembles porridge, or there is dry mouth and throat. These symptoms arise from lung qi obstruction leading to stagnation and accumulation of hot blood. *Qian Jin Nei Bu San* (Thousand Gold Internal Tonifying Powder) is indicated, removing Guan Gui (Cinnamomi Cortex) and combining with half a dose of *Bu Fei Tang* (Lung-Nourishing Decoction) for decoction and administration. Alternatively, use *Jin Fei Cao San* (Golden Whirlweed Powder), removing Ma Huang (Ephedrae Herba), adding Jie Geng (Platycodonis Radix) in equal amounts, or additionally adding Sang Bai Pi (Mori Cortex) and Pi Pa Ye (Loquats Leaf). Continue using Xing Ren (Armeniacae Semen), peeled, de-husked, raw, ground into paste, mixed with Bai Yao Jian (Fermented Medicated Leaven) powder, formed into pills the size of marbles, and dissolved in the mouth. Si He Gao (Four Harmonies Paste) can also be dissolved in the mouth.