治寒在膈上噎塞咽膈不通
木香 青皮(各二分) 白僵蚕 姜黄 泽泻 柴胡(各四分) 当归身 甘草(各六分炙)
麦 面(一钱五分)
上为细末汤浸蒸饼为丸如绿豆大每服二三十丸温水送下勿多饮汤恐速下细嚼亦
治吐血久不愈以三棱针于气街出血立愈
黄 (一钱) 麦门冬 当归身 生地黄 人参(各五分) 五味子(十个)
上为粗末都作一服水二盏煎至一盏去渣热服不拘时
治脾胃虚弱气促气弱精神短少衄血吐血
麦门冬(二分) 人参(去芦) 当归身(各三分) 黄 白芍药 甘草(各一钱) 五味子
(五个)
上为粗末都作一服用水二盏煎至一盏去渣稍热服
一贫者有前证以前药投之愈继而至冬天居旷室中卧大热炕而吐血数次再来求治料此病久
虚弱
附脐有形而有火热在内上气不足阳气外虚当补表之阳气泻其里之虚热是其法也冬天居旷室衣
盖
单薄是重虚其阳表有大寒壅遏里热火邪不得舒伸故血出于口忆仲景伤寒论中一证太阳伤寒当
以麻黄汤发汗而不与之遂成衄却与麻黄汤立愈此法相同予遂用之
治六脉俱大按之空虚心动面赤善惊上热乃手少阴心脉也此气盛多而亡血以甘寒镇坠之剂
大泻其气以坠气浮以甘辛温微苦峻补其血
牡丹皮 黄 升麻(各一钱) 当归 柴胡(各一钱五分) 熟地黄 川芎(各二钱) 生
地黄(三钱) 白芍药(五钱)
上 咀如麻豆大每服五钱水二大盏煎至一大盏去渣稍热服食前
如两寸脉芤血在上焦或衄血或呕血与犀角地黄汤则愈
治疗寒邪停滞在膈上，导致咽喉噎塞、气道不通的病症。
木香、青皮（各二分），白僵蚕、姜黄、泽泻、柴胡（各四分），当归身、甘草（各六分，炙用），麦面（一钱五分）。
将上述药材研成细末，用汤水浸湿后制成蒸饼丸，大小如绿豆。每次服用二三十丸，用温水送服。不要多喝汤水，以免药力迅速下行；也可以细细咀嚼服用。
治疗吐血久治不愈，用三棱针在气街穴放血，可立即痊愈。
黄芪（一钱），麦门冬、当归身、生地黄、人参（各五分），五味子（十个）。
将上述药材捣成粗末，作为一剂服用。加水两盏，煎煮至一盏，去渣后趁热服用，不限时间。
治疗脾胃虚弱，气息短促微弱，精神不足，以及鼻出血、吐血的症状。
麦门冬（二分），人参（去芦头）、当归身（各三分），黄芪、白芍药、甘草（各一钱），五味子（五个）。
将上述药材捣成粗末，作为一剂服用。加水两盏，煎煮至一盏，去渣后稍温热服用。
有一位贫苦患者出现上述症状，投以此药后痊愈。后来到了冬天，他居住在空旷的房间里，睡在大热的炕上，导致吐血数次，再次来求治。推测此病日久，身体虚弱，腹部脐旁有有形之积滞且内部有火热，上焦之气不足，体表阳气外虚。治疗方法应当是补益体表的阳气，清泻体内的虚热。然而他在冬天居住在空旷房间，衣着单薄，这是使阳气更加虚弱；体表受大寒闭塞，导致体内的火邪热气无法舒展发散，因此血液从口中溢出。想起张仲景《伤寒论》中有一证候：太阳伤寒证，本应用麻黄汤发汗，但未给予，遂导致鼻衄，此时再给予麻黄汤即可立即痊愈。此法与此相同，于是我采用了这种方法。
治疗六脉皆大，但重按空虚，心悸，面色红润，易受惊吓，上部有热象，这是手少阴心经脉象。此为气盛而亡血，需用甘寒沉降的药物大力泻其浮越之气，以镇坠上浮之气；再用甘辛温微苦的峻补药物来补血。
牡丹皮、黄芪、升麻（各一钱），当归、柴胡（各一钱五分），熟地黄、川芎（各二钱），生地黄（三钱），白芍药（五钱）。
将上述药材锉碎如麻豆大小。每次服用五钱，加水两大盏，煎煮至一大盏，去渣后稍温热，饭前服用。
如果两手寸脉呈现芤脉（中空如葱管），说明血在上焦，或者出现鼻出血或呕血，服用犀角地黄汤即可痊愈。
Treats the condition where cold pathogen stagnates above the diaphragm, causing dysphagia and obstruction in the throat and esophagus.
Muxiang (Costi Rhizoma), Qingpi (Pericarpium Citri Reticulatae Viride) (each 2 fen), Baijiangcan (Bombyx Batryticatus), Jianghuang (Curcumae Longae Rhizoma), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix) (each 4 fen), Dangguishen (Radix Angelicae Sinensis - root body), Gancao (Glycyrrhizae Radix et Rhizoma) (each 6 fen, honey-fried), Maimian (Tritici Farina) (1 qian 5 fen).
Grind the above herbs into a fine powder. Moisten with decoction water, steam, and form pills the size of mung beans. Take 20-30 pills per dose with warm water. Do not drink excessive fluids to prevent the medicinal force from descending too rapidly; alternatively, chew thoroughly before swallowing.
Treats persistent hematemesis that has not healed after prolonged treatment. Pricking bloodletting at Qijie (Stomach Meridian point) using a three-edged needle can lead to immediate cure.
Huangqi (Astragali Radix) (1 qian), Maidong (Ophiopogonis Radix), Dangguishen (Radix Angelicae Sinensis - root body), Shengdihuang (Rehmanniae Radix Recens), Renshen (Ginseng Radix) (each 5 fen), Wuweizi (Schisandrae Fructus) (10 fruits).
Grind the above herbs into a coarse powder. Combine as a single dose. Add two zhan of water, decoct until one zhan remains, strain, and take hot. Time is not restricted.
Treats Spleen and Stomach deficiency weakness, shortness of breath and weak qi, diminished spirit, epistaxis, and hematemesis.
Maidong (Ophiopogonis Radix) (2 fen), Renshen (Ginseng Radix) (decocted stem removed), Dangguishen (Radix Angelicae Sinensis - root body) (each 3 fen), Huangqi (Astragali Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), Wuweizi (Schisandrae Fructus) (5 fruits).
Grind the above herbs into a coarse powder. Combine as a single dose. Add two zhan of water, decoct until one zhan remains, strain, and take slightly warm.
A poor patient presented with the aforementioned symptoms and was cured by this prescription. Later, in winter, he resided in an empty room and slept on a very hot kang (heated brick bed), resulting in several episodes of hematemesis. He sought treatment again. It is speculated that due to the chronic nature of the disease, his constitution is deficient. There is a palpable mass near the navel with internal heat, insufficiency of upper jiao qi, and exterior yang deficiency. The treatment method should be to tonify the exterior yang and purge the interior deficiency heat. However, residing in an empty room in winter with thin clothing further depleted his yang. Severe cold on the exterior obstructed the interior fire and heat pathogens, preventing them from dispersing, thus causing blood to erupt from the mouth. Recalling a syndrome in Zhang Zhongjing's "Shanghan Lun" (Treatise on Cold Damage): in Taiyang Shanghan (Cold Damage of the Taiyang Channel), Ma Huang Tang (Ephedra Decoction) should have been used to induce sweating, but it was not administered, leading to epistaxis. Administering Ma Huang Tang at that time would have led to immediate cure. This principle is identical. Therefore, I employed this method.
Treats cases where all six pulses are large but empty upon deep pressure, accompanied by palpitations, ruddy complexion, susceptibility to fright, and upper body heat. This indicates the pulse of the Hand Shaoyin Heart Channel. This condition arises from excess qi and loss of blood. One must use sweet-cold and sinking agents to strongly drain the floating qi and anchor the rising qi. Subsequently, use sweet-acrid-warm and slightly bitter agents to vigorously tonify the blood.
Mudanpi (Moutan Cortex), Huangqi (Astragali Radix), Shengma (Cimicifugae Rhizoma) (each 1 qian), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix) (each 1 qian 5 fen), Shudihuang (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 qian), Shengdihuang (Rehmanniae Radix Recens) (3 qian), Baishao (Paeoniae Radix Alba) (5 qian).
Chop the above herbs into pieces the size of hemp seeds. Take 5 qian per dose. Add two large zhan of water, decoct until one large zhan remains, strain, and take slightly warm before meals.
If the cun pulses of both hands are kou (cork-like, hollow in the middle), indicating blood pathology in the Upper Jiao, or if there is epistaxis or hematemesis, Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) will effect a cure.