治吐衄证，其人下元虚损，中气衰惫，冲气胃气因虚上逆，其脉弦而硬急，转似有力者。
野台参（五钱） 生赭石（八钱，轧细） 生芡实（六钱） 生山药（六钱） 生杭芍（六钱） 牛蒡子（二钱，
炒捣） 甘草（钱半）
附录∶
友人毛××曾治一少年吐血证。其人向经医者治愈，旋又反复。毛××诊其脉弦而有力，知其为冲胃之气上逆
也。遂于治吐血方中，重用半夏、赭石以降逆，白芍、牡蛎（不 ）以敛冲泻热，又加人参以补其中气，使中
气健旺以斡旋诸药成功。有从前为治愈之医者在座，颇疑半夏不可用，毛××力主服之。一剂血止，再剂脉亦
和平，医者讶为异事。毛××晓知曰∶“此证乃下元虚损，冲气因虚上逆，并迫胃气亦上逆，脉似有力而非真有
力，李士材四字脉诀所谓∶直上直下，冲脉昭昭者，即此谓也。若误认此脉为实热，而恣用苦寒之药凉其血分，
血分因凉而凝，亦可止而不吐，而异日瘀血为恙，竟成劳瘵者多矣。今方中用赭石、半夏以镇冲气，使之安其
故宅，而即用白芍、牡蛎以敛而固之，使之永不上逆。夫血为气之配，气为血之主，气安而血自安矣，此所以
不治吐血，而吐血自止也。况又有人参之大力者，以参赞诸药，使诸药之降者、敛者，皆得有所凭借以成功乎。”
治疗吐血、衄血证，患者下元（肾与命门）虚损，中气（脾胃之气）衰弱疲惫，冲脉之气和胃气因虚弱而上逆，其脉象弦硬且急迫，转动间似乎显得有力。
野台参（五钱） 生赭石（八钱，碾细） 生芡实（六钱） 生山药（六钱） 生杭芍（六钱） 牛蒡子（二钱，炒后捣碎） 甘草（一钱半）
附录：
我的朋友毛××曾治疗一名少年吐血证。该患者此前经医生治愈，但随即又反复发作。毛××诊察其脉象弦而有力，判断为冲脉和胃之气上逆所致。于是他在治疗吐血的方剂中，重用半夏、赭石以降逆气，白芍、牡蛎（煅）以收敛冲气并泻热，又加入人参以补益其中气，使中气健旺从而斡旋诸药取得成功。当时有先前治愈该患者的医生在场，对使用半夏颇为怀疑，毛××极力主张服用。服一剂后血止，再服一剂后脉象也平和了，那位医生惊讶地认为这是奇异之事。毛××知晓后解释道：“此证乃是下元虚损，冲脉之气因虚而上逆，并迫使胃气也上逆，脉象看似有力而非真正有力，李士材《四字脉诀》中所说的‘直上直下，冲脉昭昭者’，指的就是这种情况。如果误认此脉为实热，而肆意使用苦寒药物凉血，血分因寒凉而凝滞，也可以止血不吐，但日后瘀血成为病患，竟多演变为劳瘵（虚劳肺痨）。如今方中使用赭石、半夏来镇摄冲气，使其安守原位，同时用白芍、牡蛎来收敛固涩，使其永远不再上逆。血液是气的配偶，气是血的主宰，气安定则血自然安定，这就是之所以不直接治吐血，而吐血自止的原因。况且又有大力的人参，来赞助诸药，使诸药中降逆、收敛的药物，都能有所凭借而取得成功。”
To treat hematemesis (vomiting blood) and epistaxis (nosebleed), where the patient suffers from deficiency and damage in the lower yuan (kidney and mingmen), and exhaustion of middle qi (spleen and stomach qi). The chong qi (penetrating vessel qi) and stomach qi, due to deficiency, rebel upwards. The pulse is wiry, hard, and rapid, appearing seemingly forceful upon movement.
Ye Taishen (Five qian) Raw Hematite (Eight qian, finely ground) Raw Euryale Seed (Six qian) Raw Chinese Yam (Six qian) Raw Hang Peony Root (Six qian) Cowherb Seed (Two qian, stir-fried and crushed) Licorice Root (One and a half qian)
Appendix:
My friend Mao XX once treated a young man suffering from hematemesis. This patient had previously been cured by another physician but relapsed repeatedly. Upon palpating his wiry and seemingly forceful pulse, Mao XX determined that it was caused by the rebellion of chong qi and stomach qi upwards. Consequently, in his formula for treating hematemesis, he heavily used Pinellia Tuber (Banxia) and Hematite (Heshi) to direct rebellious qi downwards, White Peony Root (Baishao) and Oyster Shell (Muli, calcined) to consolidate chong qi and drain heat, and added Ginseng Radix et Rhizoma (Renshen) to tonify middle qi, thereby strengthening middle qi to facilitate the success of the other herbs. A physician who had previously cured this patient was present and greatly doubted the use of Pinellia Tuber, but Mao XX strongly advocated for its administration. After one dose, the bleeding stopped; after two doses, the pulse became harmonious. The physician was astonished, considering it a miraculous event. Mao XX explained: "This condition stems from deficiency and damage in the lower yuan, causing chong qi to rebel upwards due to deficiency, which in turn forces stomach qi to rebel. The pulse appears forceful but is not truly so. As stated in Li Shicai's 'Four-Character Pulse Manual': 'Straight up and straight down, the chong vessel is evident,' refers precisely to this situation. If one mistakenly identifies this pulse as excess heat and recklessly uses bitter-cold drugs to cool the blood level, the blood may coagulate due to coldness, stopping the bleeding temporarily. However, blood stasis may later become a pathology, often evolving into lao zhai (consumptive disease with tuberculosis-like symptoms). In the current formula, Hematite and Pinellia Tuber are used to suppress chong qi, allowing it to remain in its original residence, while Baishao and Muli are used to consolidate and secure it, preventing upward rebellion forever. Blood is the companion of qi, and qi is the master of blood; when qi is tranquil, blood naturally becomes tranquil. This is why we do not directly treat the hematemesis, yet it stops spontaneously. Moreover, the powerful Ginseng Radix et Rhizoma assists the other herbs, enabling the descending and consolidating actions of the formula to succeed through reliance."