（附亡血出汗，亡血昏愦。）
吴给事坠马伤首，出血过多，发热烦躁，肉 筋惕，或欲投破伤风药。曰∶此血虚火动所致，当
峻补其血为善。遂用圣愈汤，二剂即安，又养气血而瘥。
一男子损臂，出血过多又下之，致烦热不止，瘀肉不腐，以圣愈汤，四剂少安。以八珍汤加五味
子、麦冬而安。更以六君子汤加芎、归、黄 ，四剂而溃，又二十余剂而敛。大抵此症，须分所患轻
重，有无瘀血，及元气虚实，不可概下。盖恐有伤气血，难以溃敛，常治先以童便和酒饮之，或加红
花、苏木，其功甚捷。若概用攻利之剂，鲜有不误。凡疮愈之迟速，在血气之虚实故也。
张进士季秋坠马，亡血过多，出汗烦躁。翌日，其汗自止，热躁益甚，口噤手颤，此阴血虚，阳
火乘之而汗出，为寒气收敛腠理，故汗不得出，火不得泄，怫郁内甚，而益增他症也。（凡一切病，
火盛而汗出者，若骤敛之，反增
他症。）乃用四物加柴胡、黄芩、山栀，四剂少止。又用四物、参、 、软柴胡、五味、麦冬，治之
而痊。
一妇人孟冬伤足，亡血，头汗，内热作渴，短气烦躁，不时昏愦，其脉洪大，按之微弱，此阴血
虚于下，孤阳炎于上，故发厥而头出汗也。以四物合小柴胡汤，一剂汗即止。以四物去川芎，加参、
、麦冬、五味、炙草，少用肉桂，四剂诸症悉去，又三十余剂，血气复而愈。
一男子孟夏折腿，出血过多，其初眩晕眼花，后则昏愦，此阴血伤损，阳火炽甚，制金不能平木，
木旺生风所致。急灌童便，更用人参、当归各五钱，荆芥、川芎、柴胡、白芍、白术各二钱，山栀、
黄芩、桔梗各一钱，甘草五分，服之随爽。又用四物，参、 各三钱，生地、柴胡各一钱，四剂烦躁
悉去。
（附：失血过多伴出汗，失血导致神志昏沉。）
吴给事从马上摔下伤及头部，因出血过多，出现发热、烦躁不安、肌肉跳动和筋脉抽搐的症状，有人建议投用治疗破伤风的药物。我说：这是血虚导致虚火内动引起的，应当大力补益血液才是上策。于是使用圣愈汤，服用两剂后病情即安定，随后通过调养气血而痊愈。
一名男子手臂受损，出血过多后又误用泻下法，导致烦热不止，肌肉腐烂不愈合，使用圣愈汤，服用四剂后稍见好转。再用八珍汤加五味子、麦冬，病情得以安宁。接着改用六君子汤加川芎、当归、黄芪，服用四剂后疮口溃破排脓，又服用二十多剂后疮口收敛愈合。大抵此类病症，必须区分患病的轻重，有无瘀血，以及元气的虚实，不可一概使用攻下之法。因为恐怕会损伤气血，导致难以溃破和收敛。通常治疗先用童便调和酒饮用，或者加入红花、苏木，效果非常迅速。如果一概使用攻利之剂，很少有不误事的。凡是疮疡愈合的快慢，取决于气血的虚实。
张进士在深秋时节从马上摔下，失血过多，出汗且烦躁。第二天，他的汗自然停止，但燥热更加严重，牙关紧闭，手部颤抖，这是阴血亏虚，阳气之火乘虚侵袭而出汗；由于寒气收敛腠理，所以汗不得出，火邪不得宣泄，郁结于体内甚重，从而增加了其他症状。（凡是一切疾病，火盛而出汗的，如果骤然收敛止汗，反而会增加其他病症。）于是使用四物汤加柴胡、黄芩、山栀，服用四剂后症状稍止。又用四物汤加人参、白术、软柴胡、五味子、麦冬，治疗而痊愈。
一名妇女在初冬时节脚部受伤，失血，头部出汗，体内发热作渴，气短烦躁，不时神志昏沉，其脉象洪大，但重按微弱，这是下部阴血亏虚，孤阳在上炎蒸，所以发生厥逆并头部出汗。使用四物汤合小柴胡汤，服用一剂后汗即停止。再用四物汤去掉川芎，加入人参、白术、麦冬、五味子、炙甘草，少量使用肉桂，服用四剂后所有症状全部消除，又服用三十多剂，气血恢复而痊愈。
一名男子在孟夏时节腿部骨折，出血过多，起初眩晕眼花，后来神志昏沉，这是阴血受损，阳气之火炽盛，制约肺金不能平抑肝木，肝木旺盛生风所致。紧急灌服童便，又用人参、当归各五钱，荆芥、川芎、柴胡、白芍、白术各二钱，山栀、黄芩、桔梗各一钱，甘草五分，服用后随即感到清爽。又用四物汤，人参、白术各三钱，生地、柴胡各一钱，服用四剂后烦躁全部去除。
(Attached: Profuse bleeding with sweating, loss of blood leading to mental confusion.)
Official Wu fell from a horse and injured his head. Due to excessive blood loss, he experienced fever, irritability, muscle twitching, and tendon tremors. Some suggested administering medicines for tetanus (Po Shang Feng). I said: This is caused by blood deficiency leading to the stirring of deficient fire. The best approach is to vigorously tonify the blood. Thus, Shengyu Tang (Saint's Life Decoction) was used. After two doses, the condition stabilized, and subsequent nourishment of Qi and Blood led to recovery.
A man suffered an arm injury with excessive blood loss, followed by erroneous purgation. This resulted in incessant irritability and heat, and non-healing, necrotic flesh. Shengyu Tang was administered; after four doses, there was slight relief. Then, Bazhen Tang (Eight Treasures Decoction) with Schisandrae Fructus (Wuweizi) and Ophiopogonis Radix (Maidong) brought stability. Subsequently, Liujunzi Tang (Six Gentlemen Decoction) with Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), and Astragali Radix (Huangqi) was used. After four doses, the ulcer opened and drained; after more than twenty doses, it closed and healed. Generally, such cases require distinguishing the severity of the illness, the presence or absence of blood stasis, and the deficiency or excess of Yuan Qi (Original Qi). One must not indiscriminately use purgatives, lest damage to Qi and Blood make opening and closing of ulcers difficult. Often, treatment begins with drinking child's urine mixed with wine, or adding Carthami Flos (Honghua) and Sappan Lignum (Sumu), which yields very rapid results. If aggressive draining agents are used indiscriminately, errors are frequent. The speed of ulcer healing depends on the deficiency or excess of Qi and Blood.
Academician Zhang fell from a horse in late autumn, suffering excessive blood loss, sweating, and irritability. The next day, his sweating stopped spontaneously, but the heat and restlessness worsened, accompanied by trismus (lockjaw) and hand tremors. This indicates Yin Blood deficiency, allowing Yang Fire to invade, causing sweating. However, cold air constricts the Couli (pores/skin texture), preventing sweat release and trapping Fire internally, causing severe stagnation and exacerbating other symptoms. (In all diseases where abundant Fire causes sweating, abruptly stopping the sweat will only increase other symptoms.) Therefore, Siwu Tang (Four Substances Decoction) with Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), and Gardeniae Fructus (Shanzhi) was used. After four doses, symptoms subsided slightly. Then, Siwu Tang with Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), soft Bupleuri Radix (Ruan Chaihu), Schisandrae Fructus (Wuweizi), and Ophiopogonis Radix (Maidong) was used, leading to complete recovery.
A woman injured her foot in early winter, resulting in blood loss, sweating on the head, internal heat with thirst, shortness of breath, irritability, and periodic mental confusion. Her pulse was surging and large but weak upon deep pressure. This signifies Yin Blood deficiency below and solitary Yang flaring above, causing Jue (cold extremities/fainting) and head sweating. Siwu Tang combined with Xiaochaihu Tang (Minor Bupleurum Decoction) was administered; after one dose, sweating stopped. Then, Siwu Tang without Chuanxiong Rhizoma, plus Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Ophiopogonis Radix (Maidong), Schisandrae Fructus (Wuweizi), and Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao), with a small amount of Cinnamomi Cortex (Rougui), was used. After four doses, all symptoms disappeared. After more than thirty doses, Qi and Blood were restored, and she recovered.
A man fractured his leg in early summer, suffering excessive blood loss. Initially, he experienced dizziness and blurred vision, later progressing to mental confusion. This was due to damaged Yin Blood and blazing Yang Fire. The Lung Metal failed to control Liver Wood, causing Liver Wood to flourish and generate Wind. Child's urine was urgently administered. Additionally, Ginseng Radix et Rhizoma (Renshen) and Angelicae Sinensis Radix (Danggui) each 5 qian, Schizonepetae Spica (Jingjie), Chuanxiong Rhizoma (Chuanxiong), Bupleuri Radix (Chaihu), Paeoniae Radix Alba (Baishao), and Atractylodis Macrocephalae Rhizoma (Baizhu) each 2 qian, Gardeniae Fructus (Shanzhi), Scutellariae Radix (Huangqin), and Platycodonis Radix (Jiegeng) each 1 qian, and Glycyrrhizae Radix et Rhizoma (Gancao) 0.5 qian were given. He felt refreshed immediately thereafter. Then, Siwu Tang with Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) each 3 qian, Rehmanniae Radix Preparata (Shengdi), and Bupleuri Radix (Chaihu) each 1 qian were used. After four doses, irritability completely resolved.