（方见火症）
（自制）
治吐血紫黑有块。系热伤络血。或郁怒伤肝。
参三七（研冲一钱） 姜半夏（一钱五分） 浓朴（一钱） 茯苓（三钱） 琥珀末（八
分） 醋
炒柴
如无藕时。
以荷叶一枚代之。
（自制）
治血热妄行。吐血盈碗者。
侧柏叶（二钱） 生地（一两） 炒蕲艾（五分）加荷叶一片。或藕汁一杯冲入。更加
童便一盏冲服。
脉候血家之脉每多芤。芤而数大血盈瓯。寸芤吐咯尺芤脱。濡细因知病欲瘳。紧
凶象露。病久得之却可忧。阴脉为从阳脉逆。寒热温凉仔细筹。吐血之脉
之数。心血难留。左关搏指。肝木失柔。右寸洪大。肺气上
为顺。阳脉难修。
心经病菌怔忡健忘恩负义不眠
心者。君主之官。神明出焉。其性柔。其体阴。其用灵。患怔忡者。定知忧劳太过。每
多抑
济之
非不
来助
忡者
人治
不足
宜
下
一癫者。阴病也。经云。重阴者癫。或歌或笑。如醉如迷。其甚至不知秽洁。其候多静
而昏
一狂者。阳病也。经云。重阳者狂。狂妄难千。由大惊大怒得之。邪在肝胆胃三经。而
治法
乃愈
一痫者。痰迷心窍。阻其灵明之气。古云。一阴一阳变乱谓之痫。须辨明五脏五声。以
分牛
时肢
名马
者
名羊痫。如两手如舞。面赤。声焦如鸡鸣者。曰鸡痫。皆不外乎五志之火。动扰不宁。
痰阻
（方剂见“火症”章节）
（自制方）
治疗吐血，血色紫黑且有血块。这是由于热邪损伤络脉导致出血，或因郁怒伤及肝脏所致。
参三七（研成细粉冲服一钱） 姜半夏（一钱五分） 浓朴（一钱） 茯苓（三钱） 琥珀末（八分） 醋炒柴胡（若无藕时，用荷叶一片代替）。
（自制方）
治疗血热妄行，吐血量大盈碗者。
侧柏叶（二钱） 生地（一两） 炒蕲艾（五分） 加荷叶一片，或藕汁一杯冲入，再加童便一盏冲服。
脉象：血证患者的脉象多呈芤脉（浮大中空，如按葱管）。芤脉且数大，说明出血量大；寸口脉芤主吐血、咯血，尺部脉芤主失血过多致虚脱；若脉象濡细，则知病情即将痊愈；若脉紧，则显露凶险之象；久病出现此脉象却令人担忧。阴脉为顺，阳脉为逆。寒热温凉需仔细斟酌。吐血的脉象若数，说明心血难以留存。左关脉搏指有力，提示肝木失去柔和之性；右寸脉洪大，肺气上逆。此为逆证，阳气难复。
心经病症：怔忡、健忘、恩负义不眠（注：此处原文疑似有误或特定语境，直译为因恩情负义导致的不眠，或指心神不宁之不眠）、癫、狂、痫。
心，是君主之官，神明由此产生。心的性质柔和，形体属阴，功用灵验。患怔忡（心中悸动不安）的人，必定是因为忧思劳损太过，往往多因……（原文此处有缺漏或断句不清，推测意为气血不足或阴阳失调），非不……（原文残缺）……来助……（原文残缺）……忡者……（原文残缺）……人治……（原文残缺）……不足……（原文残缺）……宜……（原文残缺）……下……（原文残缺）。
癫证，属于阴病。经典说：“重阴者癫”。表现为时而唱歌时而大笑，像喝醉了一样，像沉迷其中一样。严重的甚至不知道清洁与肮脏。其候象多为安静而昏沉。
狂证，属于阳病。经典说：“重阳者狂”。狂妄自大，难以干犯（或指行为狂乱），由大惊大怒引起。邪气在胆、肝、胃三条经络，治疗方法得当即可痊愈。
痫证，是痰迷心窍，阻断了灵明之气。古语说：“一阴一阳变乱谓之痫”。必须辨明五脏对应的五种声音，以区分……（原文残缺）……时肢……（原文残缺）……名马……（原文残缺）……者……（原文残缺）……名为羊痫，如两手舞动，面红，声音焦哑像鸡鸣的，称为鸡痫。这些都不外乎五志之火，动扰不宁，痰阻……（原文未完）
(See formula under "Fire Syndrome")
(Self-made Formula)
Treats hematemesis (vomiting blood) with purple-black color and clots. This is caused by heat damaging the collaterals and leading to bleeding, or by depression and anger injuring the Liver.
Sanqi (Panax Notoginseng Radix et Rhizoma) (ground into powder and taken with water, 1 qian), Jiang Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 1.5 qian), Houpo (Magnoliae Officinalis Cortex, 1 qian), Fuling (Poria, 3 qian), Hupo (Succinum, 8 fen), Chaihu (Bupleuri Radix stir-fried with vinegar). If lotus root is unavailable, replace with one lotus leaf.
(Self-made Formula)
Treats reckless bleeding due to blood heat, where hematemesis fills a bowl.
Cebaiye (Platycladi Cacumen, 2 qian), Shengdi (Rehmanniae Radix, 1 liang), Qiai (Artemisiae Argyi Folium stir-fried, 5 fen). Add one lotus leaf, or mix in one cup of lotus root juice, and take with one cup of child's urine (Tongbian).
Pulse Diagnosis: The pulse of patients with blood disorders is often Kou (Knotted/Empty pulse, floating and large but empty in the middle, like pressing a scallion stem). A Kou pulse that is rapid and large indicates significant blood loss. A Kou pulse at the Cun position indicates hematemesis or hemoptysis; a Kou pulse at the Chi position indicates deficiency collapse due to excessive blood loss. A Ruo (Soggy/Fine) and Xi (Thready) pulse indicates the disease is about to heal. A Jin (Taut) pulse reveals an ominous sign; if this appears in a chronic illness, it is worrying. Yin pulses are favorable, while Yang pulses are unfavorable. One must carefully consider cold, heat, warmth, and coolness. In hematemesis, a rapid pulse indicates that Heart Blood cannot be retained. A strong, beating pulse at the Left Guan position suggests the Liver Wood has lost its softness. A Hong (Surging) pulse at the Right Cun position indicates Lung Qi rebelling upward. This is an adverse condition, and Yang Qi is difficult to restore.
Heart Meridian Syndromes: Zhengchong (Palpitations), Jianwang (Amnesia), Insomnia (due to emotional distress/unresolved grievances), Dian (Catatonic Schizophrenia-like disorder), Kuang (Manic Psychosis), Xian (Epilepsy).
The Heart is the Sovereign Official, from which Shen Ming (Spirit/Mind) emerges. Its nature is soft, its substance is Yin, and its function is spiritual and agile. Those suffering from Zhengchong (palpitations) certainly have excessive worry and fatigue. Often... [Text fragmentary] ... insufficient ... suitable ... down ...
Dian syndrome belongs to Yin diseases. The Classics state: "Excess Yin leads to Dian." It manifests as singing or laughing intermittently, resembling drunkenness or trance. Severe cases may not recognize cleanliness or filth. The presentation is often quiet and lethargic.
Kuang syndrome belongs to Yang diseases. The Classics state: "Excess Yang leads to Kuang." It involves arrogance and madness, difficult to restrain, arising from great fright and anger. The pathogenic factor resides in the Gallbladder, Liver, and Stomach meridians. With proper treatment, recovery occurs.
Xian syndrome is caused by phlegm confusing the Heart orifices, obstructing the spirit-clearing Qi. Ancient texts say: "When Yin and Yang become chaotic, it is called Xian." One must distinguish the five sounds corresponding to the Five Zang organs to differentiate... [Text fragmentary] ... limb movements ... named Horse Xian ... named Sheep Xian (Yang Xian), where hands move like dancing, face is red, and voice is hoarse like a crow's cry, called Chicken Xian (Ji Xian). All these stem from the fire of the Five Emotions causing restlessness and agitation, obstructed by phlegm... [Text incomplete]