栀、柏，皆当以盐、酒炒，更加肉桂一分许，以泻肾火。如小便血于溺窍中出，涩数成淋成痛，或杂尿而出者，此从膀
胱中来也，本方加栀子仁、瞿麦、牛膝、滑石之类，以泻膀胱之火。如小便出血不痛者，此心移热于小肠，故血从精窍
中出也，本方加黄连、栀子、条芩之类，以泻本经之火。大便未粪而血先来者，谓之近血，知其从大肠中来也，本方加
槟榔、枳实、槐花、条芩之类，以
泻大肠之火。如大便粪而血来者，谓之远血，知其从小肠中来也，本方木通、萸炒黄连之类，以
泻小肠之火。夫血出于口鼻者，或加犀角、芩、连之类以清之，或加茅花、藕节、棕榈灰、炒蒲黄之类以止之，或加韭
汁、童便、山茶花、牡丹皮之类以消之。其血出于大便者，或加槐花、侧柏叶、条芩之类以清之，或加地榆、荆芥、白
芷、茅根之类以止之。其血出于小便者，或加瞿麦、麦门冬、栀子仁之类以清之，或加滑石、木通、大小蓟之类以行之。
或行之，或清之，或止之，皆当视其证新久缓急而施治之，俱以四物为君主之药也。
（祖传方）
治小便溺血。
用车前草叶 金陵草叶（俗名墨斗草）
上二味，捣取自然汁一盏，空腹饮之，立止。
又发灰丸
用小儿胎发，如无，以壮年无病患头发，剪切者为上，自落者次之，烧灰细研，别用新取侧柏叶捣汁，调糯米粉，
打糊为丸，如梧桐子大，每服五十丸，白汤送下，或煎四物汤送下尤妙，空心服之。
又方 治大便下血。
用 竹叶烧灰存性，米糊为丸，如梧桐子大，每服七、八十丸，空心米饮送下。
（医案）
一男子年四十余，素饮酒无度，得大便下血证，一日入厕二、三次，每次便血一升许，予以四物汤加条芩、防风、
荆芥、白芷、槐花等药，连日与服，不效，后用橡斗烧灰二钱七分，调入前药汁内服之，又与灸脊中对脐一穴，血遂止
而平安，其病自此不发。
栀子、黄柏，都应当用盐和酒炒制，再稍微加入一分左右的肉桂，以泻除肾火。如果小便出血是从尿道口出来的，伴有排尿涩滞、频数，形成淋证并感到疼痛，或者血液混杂在尿液中排出，这是病源来自膀胱，应当在基础方中加入栀子仁、瞿麦、牛膝、滑石等药物，以泻除膀胱的火邪。如果小便出血但不疼痛，这是心火移热于小肠，所以血液从精窍（男性生殖泌尿共用之窍）中排出，应当在基础方中加入黄连、栀子、黄芩等药物，以泻除本经（小肠经）的火邪。大便尚未排出粪便而先有血排出的，称为“近血”，可知病源来自大肠，应当在基础方中加入槟榔、枳实、槐花、黄芩等药物，以泻除大肠的火邪。如果大便排出粪便之后才有血排出的，称为“远血”，可知病源来自小肠，应当在基础方中加入木通、吴茱萸炮制的黄连等药物，以泻除小肠的火邪。凡是从口鼻出血的，或者加入犀角、黄芩、黄连等药物以清热，或者加入茅花、藕节、棕榈灰、炒蒲黄等药物以止血，或者加入韭菜汁、童便、山茶花、牡丹皮等药物以消散瘀血。凡是从小便出血的，或者加入槐花、侧柏叶、黄芩等药物以清热，或者加入地榆、荆芥、白芷、白茅根等药物以止血。凡是从小便出血的，或者加入瞿麦、麦冬、栀子仁等药物以清热，或者加入滑石、木通、大蓟、小蓟等药物以行血化瘀。无论是行血、清热还是止血，都应当根据病证的病程新久、病情缓急来施治，均以四物汤作为君药（主药）。
（祖传方）
治疗小便溺血。
用车前草叶、金陵草叶（俗名墨斗草）。
以上两味药，捣碎取自然汁一盏，空腹服用，立即见效止血。
又方：发灰丸
使用小儿胎发，如果没有，则选用壮年无病患者的头发，剪切的为上品，自然脱落的次之。将头发烧成灰后细细研磨，另外取新鲜侧柏叶捣汁，调和糯米粉制成糊状，打制成梧桐子大小的药丸。每次服用五十丸，用温开水送下，或者煎煮四物汤送下更为奇妙，空腹服用。
又一方：治疗大便下血。
用竹叶烧灰存性（保留药效），用米糊制成药丸，如梧桐子大小。每次服用七八十丸，空腹时用米饮送下。
（医案）
有一名四十多岁的男子，平时饮酒无度，患上了大便下血的病症。每天上厕所二三次，每次便血量约一升左右。我给他服用四物汤，加入黄芩、防风、荆芥、白芷、槐花等药物，连续多日服用，没有效果。后来改用橡斗（橡树的果实壳）烧成的灰二钱七分，调入前面的药汁中让他服用，同时在他背部脊柱正中、与肚脐相平的位置（即命门穴）进行艾灸，血随即停止，病人恢复平安，此病从此不再复发。
Gardeniae Fructus (Zhizi) and Phellodendri Cortex (Baihuangbo), both should be stir-fried with salt and wine, and a small amount of approximately one fen of Cinnamomi Ramulus (Rougui) should be added to clear Kidney Fire. If blood in urine exits from the urethral orifice, accompanied by dysuria, frequency, forming strangury (Lin syndrome) with pain, or if blood is mixed with urine, this originates from the Bladder; add Gardeniae Semen (Zhiziren), Polygoni Citrini Herba (Qumai), Achyranthis Bidentatae Radix (Niuxi), and Talcum (Huashi) to the base formula to clear Bladder Fire. If blood in urine is present without pain, this indicates Heart heat transferring to the Small Intestine, so blood exits from the essence orifice (Jingqiao); add Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Zhizi), and Scutellariae Radix (Tiaohuangqin) to the base formula to clear the fire of this meridian (Small Intestine Meridian). If blood appears before stool during defecation, it is called "near blood" (Jinxue), indicating the source is the Large Intestine; add Arecae Semen (Binglang), Aurantii Fructus Immaturus (Zhishi), Sophorae Flavescentis Flos (Huaihua), and Scutellariae Radix (Tiaohuangqin) to the base formula to clear Large Intestine Fire. If blood appears after stool during defecation, it is called "far blood" (Yuanxue), indicating the source is the Small Intestine; add Akebiae Caulis (Mutong) and Coptidis Rhizoma (Huanglian) stir-fried with Cornus Officinalis Fructus (Yu) to the base formula to clear Small Intestine Fire. For bleeding from the mouth and nose, add Rhinocerotis Cornu (Xijiao), Scutellariae Radix (Qin), and Coptidis Rhizoma (Lian) to clear heat; or add Imperatae Rhizoma Spica (Maohua), Nymphaeae Nelumbinis Stamen (Oujie), Palmi Folium Cinis (Zonglühui), and Taraxaci Herba (Chaopuhuang) to stop bleeding; or add Allii Tuberosi Juice (Jiuji), Pueri Urina (Tongbian), Camelliae Japonicae Flos (Shanchahua), and Moutan Cortex (Mudanpi) to dissipate stasis. For bleeding from the intestines (implied context of rectal bleeding based on previous sentence structure, though text says "blood coming out of large intestine"), add Sophorae Flavescentis Flos (Huaihua), Platycladi Cacumen (Cebaiye), and Scutellariae Radix (Tiaohuangqin) to clear heat; or add Sanguisorbae Radix (Diyu), Schizonepetae Spica (Jingjie), Angelicae Dahuricae Radix (Baizhi), and Imperatae Rhizoma (Maogen) to stop bleeding. For bleeding from the urinary tract, add Polygoni Citrini Herba (Qumai), Ophiopogonis Radix (Maidong), and Gardeniae Semen (Zhiziren) to clear heat; or add Talcum (Huashi), Akebiae Caulis (Mutong), and Cirsii Japonici Herba (Da Ji / Xiao Ji) to promote blood circulation. Whether promoting circulation, clearing heat, or stopping bleeding, treatment must be administered according to the novelty, chronicity, and urgency of the condition, all using Siwu Decoction as the sovereign drug (Jun Yao).
(Ancestral Formula)
Treating hematuria.
Use Plantaginis Herba (Cheqiancao) leaves and Smilacis Glabrae Rhizoma (Jinlingcao) leaves (commonly known as Modoucao).
Crush these two ingredients to extract natural juice, one cup, and drink on an empty stomach for immediate cessation of bleeding.
Another: Hair Ash Pill (Fahui Wan)
Use hair from infants. If unavailable, use hair from healthy young adults; cut hair is superior, naturally fallen hair is secondary. Burn the hair into ash and grind finely. Separately, crush fresh Platycladi Cacumen (Cebaiye) to extract juice, mix with glutinous rice flour paste to form pills the size of Sophora seeds. Take 50 pills per dose, washed down with warm water, or preferably with Siwu Decoction decoction. Take on an empty stomach.
Another Formula: Treating rectal bleeding.
Burn bamboo leaves to ash while preserving their nature (Cunxing), bind with rice paste into pills the size of Sophora seeds. Take 70-80 pills per dose, washed down with rice water on an empty stomach.
(Medical Case)
A man in his forties, who had a history of excessive alcohol consumption, suffered from rectal bleeding. He visited the toilet two to three times a day, passing approximately one sheng of blood each time. I prescribed Siwu Decoction supplemented with Scutellariae Radix (Tiaohuangqin), Saposhnikoviae Radix (Fangfeng), Schizonepetae Spica (Jingjie), Angelicae Dahuricae Radix (Baizhi), and Sophorae Flavescentis Flos (Huaihua). After several days of administration, there was no effect. Subsequently, I used two qian and seven fen of ash from oak galls (Roudou), mixed into the previous herbal decoction for him to take. Additionally, moxibustion was applied to Mingmen (GV4), located on the midline of the spine opposite the umbilicus. The bleeding ceased, and he recovered safely; the disease did not recur thereafter.