夫人饮食起居一失其宜，皆能使血瘀滞不行，故百病由污血者多，而医书分门
类，症有七气而无蓄血，予故增着之。衄血，蓄血上焦。心下手不可近，蓄血中焦。
脐腹小肿大痛，蓄血下焦。三焦蓄血，脉俱在左手中。蓄血上焦，活人犀角地
黄汤。蓄血中焦，仲景桃仁承气汤。蓄血下焦，仲景抵当汤、韩氏地黄汤、生漆汤。
海藏云∶蓄血可用仲景抵当汤、丸，恐庸医不知药性，用之太过，有不止、损血之
候，老弱虚人之禁也。故立生地黄汤，虻虫、水蛭、大黄、桃仁，内加生地黄、
干漆、生藕、蓝叶之辈也。又云生漆汤一方，亦恐抵当汤、丸下之太过也。是以知
干漆为破血之剂，比之抵当汤则轻，用之通则重用之，破积治食则重也。食药内干
漆、 砂，非气实不可用也。如牙齿等蚀，数年不愈，当作阳明蓄血治之，以桃仁
承气汤，细末，炼蜜丸桐子大服之。好饮者多有此疾，屡服有效。若登高坠下，重物
撞打，箭镞刃伤，心腹胸中停积郁血不散，以上中下三焦部分分之，以易老犀角地
黄汤、桃仁承气汤、抵当汤、丸之类下之。亦有以小便同酒煎治之者，更有内加生
地黄、当归煎服者，亦有加大黄者。又法，虚人不禁下之者，以四物汤加穿山甲煎
服妙。亦有用花蕊石散，以童子小便煎服，或酒调下。此药与寒药，正分阴阳，
不可不辨也。
凡是人的饮食和起居一旦失当，都能导致血液瘀滞不通，所以许多疾病都是由污血（指败坏、瘀滞之血）引起的。然而医书分类中，病症有“七气”之分却没有“蓄血”这一类，所以我特意增加论述它。
鼻出血，属于上焦蓄血。心下部位疼痛剧烈，手不可触碰，属于中焦蓄血。脐腹部肿大且疼痛，属于下焦蓄血。三焦蓄血的脉象都出现在左手的关部（对应肝胆/中焦区域，此处原文特指左手中）。
治疗上焦蓄血，使用《活人书》中的犀角地黄汤。治疗中焦蓄血，使用张仲景的桃仁承气汤。治疗下焦蓄血，使用张仲景的抵当汤，或韩氏的地黄汤、生漆汤。
张元素（号海藏）说：蓄血可以使用张仲景的抵当汤或丸剂，但担心平庸的医生不了解药性，使用过度，会导致不止血或损伤正气的后果，因此老弱虚损之人禁用。所以他创立了生地黄汤，包含虻虫、水蛭、大黄、桃仁，并加入生地黄、干漆、生藕、蓝叶等药物。他又提到生漆汤一方，也是担心抵当汤、丸攻下太过猛烈。因此知道干漆是破血（消散瘀血）的药物，比抵当汤药力轻缓，用于通利时重用，用于破除积滞和治疗食积时则更重。干漆和砂类药物，如果不是体质壮实者不可使用。
如果是牙齿腐烂脱落，多年不愈，应当当作阳明经蓄血来治疗，用桃仁承气汤研成细末，炼蜜制成梧桐子大小的丸剂服用。喜好饮酒的人多有此病，多次服用有效。
如果是从高处坠落、重物撞击、箭头刀刃外伤，导致心腹胸中积聚瘀血不散，以上、中、下三焦的部位来区分，使用易老（李东垣弟子罗天益，号易老）的犀角地黄汤、桃仁承气汤、抵当汤、丸之类进行攻下治疗。也有用小便同酒煎煮治疗的，更有在里面加入生地黄、当归煎服的方法，也有加入大黄的。另一种方法，对于虚弱不能耐受攻下疗法的人，使用四物汤加穿山甲煎服效果奇妙。也有人使用花蕊石散，用童子小便煎服，或用酒调服。这种药与寒凉药，正好分别对应阳证和阴证，不可不加以辨别。
If a person's diet and daily routine are not in accordance with proper guidelines, it can all lead to blood stasis and obstruction. Therefore, many diseases arise from "stagnant blood" (referring to pathological, stagnant blood). However, medical texts categorize diseases into the "Seven Qi" patterns but do not include "Blood Accumulation" (Xue Xu) as a distinct category; thus, I have added this discussion.
Nosebleeds indicate Blood Accumulation in the Upper Jiao (Upper Burner). Severe pain below the heart where the area is tender to touch indicates Blood Accumulation in the Middle Jiao (Middle Burner). Swelling and pain around the umbilicus and abdomen indicate Blood Accumulation in the Lower Jiao (Lower Burner). In cases of Blood Accumulation across the Three Jiaos, the pulse is consistently found at the middle position of the left hand.
For Blood Accumulation in the Upper Jiao, use Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) from *Qianjin Yifang* (or *Ren Shu*). For Blood Accumulation in the Middle Jiao, use Tao Ren Cheng Qi Tang (Persimmon Seed and Rhubarb Decoction) by Zhang Zhongjing. For Blood Accumulation in the Lower Jiao, use Dangdang Tang (Dangdang Decoction) or Wanji by Zhang Zhongjing, or Han Shi Dihuang Tang (Han's Rehmannia Decoction), or Shengqi Tang (Raw Lacquer Decoction).
Zhang Yuansu (styled Haicang) stated: Blood Accumulation can be treated with Zhang Zhongjing's Dangdang Tang or Wanji. However, one must fear that mediocre physicians may not understand the properties of these drugs and use them excessively, leading to conditions of uncontrolled bleeding or damage to healthy blood; therefore, they are contraindicated for the elderly, weak, and deficient. Thus, he established Shengdi Huang Tang, which contains Ting Chong (Tinglizi/Mayfly), Shui Zhi (Leech), Da Huang (Rhubarb), and Tao Ren (Peach Seed), adding Sheng Di Huang (Fresh Rehmannia Root), Gan Qi (Dried Lacquer), Sheng Ou (Fresh Lotus Rhizome), and Lan Ye (Isatis Leaf). He also mentioned the Shengqi Tang formula, again fearing that Dangdang Tang/Wanji might be too purgative. Hence, it is known that Gan Qi is a blood-breaking agent; its action is milder than Dangdang Tang. It is used heavily for promoting circulation, and even more heavily for breaking accumulations and treating food stagnation. Drugs like Gan Qi and Sha (Sand/Mineral drugs) should not be used unless the patient has strong Qi.
If teeth decay and fall out over several years without healing, it should be treated as Yangming Channel Blood Accumulation. Use Tao Ren Cheng Qi Tang, ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds, and taken orally. Those who enjoy drinking alcohol often suffer from this condition, and repeated administration is effective.
In cases of falls from heights, blows from heavy objects, or injuries from arrowheads and blades, causing stagnant blood to accumulate in the chest, abdomen, and heart without dispersing, differentiate by the Upper, Middle, and Lower Jiao regions. Treat with purgatives such as Yi Lao's Xijiao Dihuang Tang, Tao Ren Cheng Qi Tang, and Dangdang Tang/Wanji. Some treat this by decocting with urine and wine. Others add Sheng Di Huang and Dang Gui to the decoction. Some add Da Huang. Another method: for deficient patients who cannot tolerate purgative therapy, Si Wu Tang (Four Substances Decoction) combined with Chuan Shan Jia (Pangolin Scales) decocted and taken orally yields excellent results. Some use Hua Rui Shi San (Flower Core Stone Powder), decocted with child's urine or taken with wine. This medicine contrasts with cold-natured medicines, representing Yin and Yang respectively; this distinction must not be overlooked.