舌上无故忽出血线，此心、脾、肾诸经之火所致，（三经脉皆及舌。）槐花炒研末糁之。
（或浦黄炒为末。）《准绳》云∶文蛤散治热壅舌出血如泉，五 子、白胶香、牡蛎粉等分为
末，每月少许糁患处。又云∶肝壅则舌血上涌，服清肝之药。（按肝脉络于舌本。）
耳中出血也。小肠、三焦、胆各脉俱入耳中。又耳属肾，诸经皆足为病。龙骨
末吹入即止。若左关脉弦洪，柴胡清肝散。尺脉或躁或弱，六味地黄丸。（见虚损）
血自毛孔中出，曰血汗，又名脉益。心主血脉，极虚有火则见。脉益汤∶人
参、黄 、当归、伏神、麦冬、石莲、朱砂、姜汁、生地。（益疑溢。）
耳、目、口、鼻一齐出血，药不及煎，死在须臾。先将水当面喷几口，急分开
头发，用粗纸数层蘸醋令透，搭在囟门，血即止。次用当归一两煎好，磨沉、降香
各五钱，加童便服。或瞿麦饮∶瞿麦、生姜、栀子、灯心、炙草、枣。再用发灰二
钱，茅根、车前草煎汤下之，血自归经。然后以四物加人参五味丸服，可收万全之
功。九窍出血，兼身热不能卧者死。惟妇人产后瘀血妄行，九窍出血，有用逐瘀之
药而生者。若无故卒然暴厥，九窍出血者死。久病之人，忽然上下出血，亦死。
搔痒血出不止，粪桶箍烧灰敷之。吕元膺治一僧，搔 中疥，出血如涌泉，竟
日不止，营气暴衰，止余尺脉如丝，与四神汤加荆芥穗、防风，晨夜并进，明日脉
渐出，服十全大补（见虚损）而愈。
舌头上没有原因地突然流出血线，这是心、脾、肾各经的火邪所致。（这三条经脉都联系到舌头。）将槐花炒后研成粉末，撒在患处。
（或者使用蒲黄炒成粉末。）《准绳》记载：文蛤散治疗因热邪壅滞导致舌头出血如泉水涌出，用五子、白胶香、牡蛎粉等量研成粉末，每次取少许撒在患处。又说：肝气壅滞则舌血上涌，服用清肝的药物。（按：肝的脉络连接于舌根。）
耳朵里出血。小肠、三焦、胆的各条经脉都进入耳中。另外耳朵属于肾，各经病变都可能引起此病。将龙骨研成末吹入耳中即可止血。如果左关脉呈现弦洪之象，使用柴胡清肝散。尺脉如果躁动或虚弱，使用六味地黄丸。（见虚损章节）
血液从毛孔中渗出，称为“血汗”，又名“脉溢”。心主血脉，极度虚弱且有火邪时会出现此症。脉溢汤配方：人参、黄芪、当归、茯神、麦冬、石莲、朱砂、姜汁、生地黄。（“益”疑为“溢”字之误。）
耳朵、眼睛、嘴巴、鼻子同时出血，药物来不及煎煮，片刻就会死亡。先将水对着脸喷几口，急忙分开头发，用几层粗纸蘸透醋，敷在囟门处，血就会停止。接着用一两当归煎好，加入磨碎的沉香、降香各五钱，配合童便服用。或者使用瞿麦饮：瞿麦、生姜、栀子、灯心草、炙甘草、大枣。再用两钱发灰，配合白茅根、车前草煎汤送服，血液自然回归经络。然后用四物汤加人参、五味子制成的丸药服用，可以收到万无一失的效果。九窍出血，兼有身体发热不能躺卧的，预后不良致死。只有妇女产后瘀血妄行导致九窍出血，有用逐瘀药物而治愈的案例。如果是无缘无故突然昏厥暴死，九窍出血的，必死无疑。久病之人，忽然上下同时出血的，也必死无疑。
搔痒导致血液不止，将粪桶箍烧成灰敷在患处。吕元膺治疗一位僧人，瘙痒中的疥疮出血如涌泉，整天不止，营气突然衰败，只剩下尺脉细如丝线，给予四神汤加荆芥穗、防风，早晚连续进服，第二天脉象逐渐显现，服用十全大补汤（见虚损章节）而痊愈。
Blood lines suddenly appear on the tongue without any apparent cause; this is caused by fire pathogens in the Heart, Spleen, and Kidney meridians. (These three meridians all connect to the tongue.) Stir-fry Sophorae Flos (Huaihua), grind it into powder, and apply it to the affected area.
(Alternatively, use Polygoni Multiflori Caulis (Puhuang) stir-fried and ground into powder.) *Zhunsheng* states: Wen Ge San (Clam Shell Powder) treats heat obstruction causing blood to gush from the tongue like a spring. Mix Semen Plantaginis (Wuzi), Resina Styracis (Baijiaoxiang), and Concha Ostreae (Muli) in equal parts, grind into powder, and apply a small amount to the lesion each time. It also states: Liver qi stagnation causes blood to surge upward in the tongue; administer herbs that clear the Liver. (Note: The Liver meridian connects to the root of the tongue.)
Hemorrhage from the ear. The meridians of the Small Intestine, Sanjiao (Triple Burner), and Gallbladder all enter the ear. Furthermore, the ear belongs to the Kidney, and pathologies in various meridians can cause this condition. Blowing Dragon Bone (Longgu) powder into the ear stops the bleeding immediately. If the pulse at the left Guan position is wiry and surging, use Chaihu Qinggan San (Bupleurum Liver-Clearing Powder). If the Chi position pulse is restless or weak, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). (See Deficiency Damage chapter)
Blood oozing from hair follicles is called "blood sweat," also known as "Maiyi." The Heart governs blood vessels; this condition appears when there is extreme deficiency accompanied by fire. Maiyi Tang formula: Ren Shen (Ginseng), Huang Qi (Astragalus), Dang Gui (Angelica Sinensis), Fu Shen (Poria with Hostwood), Mai Dong (Ophiopogon), Shi Lian (Nelumbinis Nucifera Semen), Zhu Sha (Cinnabar), Jiang Zhi (Fresh Ginger Juice), and Sheng Di Huang (Rehmannia Root). ("Yi" is suspected to be a typo for "Yi" meaning overflow.)
Simultaneous hemorrhage from the ears, eyes, mouth, and nose is fatal within moments before medicine can be decocted. First, spray water onto the face several times, quickly part the hair, soak several layers of coarse paper in vinegar until saturated, and apply it to the Fontanelle (Ximen) point; the bleeding will stop. Next, decoct one liang of Dang Gui (Angelica Sinensis), add five qian of powdered Chen Xiang (Aquilaria Wood) and Jiang Xiang (Daemonorops Spathe), and take with child's urine. Alternatively, use Qumai Yin (Knotweed Decoction): Qumai (Polygonum Aviculare), Sheng Jiang (Fresh Ginger), Zhi Zi (Gardenia), Deng Xin Cao (Juncus Effusus), Zhi Gan Cao (Prepared Licorice), and Da Zao (Jujube). Then, take two qian of Hair Ash (Fahui) with a decoction of Bai Mao Gen (Imperata Rhizome) and Che Qian Cao (Plantago Leaf), which will guide the blood back to its vessels. Subsequently, administer pills made from Siwu Tang (Four Substance Decoction) plus Ren Shen (Ginseng) and Wu Wei Zi (Schisandra) to ensure complete recovery. Hemorrhage from the nine orifices accompanied by fever and inability to lie down indicates death. Only in cases of postpartum women where stasis blood acts recklessly causing nine-orifice hemorrhage is there a possibility of survival using blood-dispelling drugs. Sudden syncope with no apparent cause followed by nine-orifice hemorrhage is fatal. For patients with chronic illness, sudden simultaneous upper and lower hemorrhage is also fatal.
Itching leading to unceasing blood loss can be treated by applying ash from a burned bucket hoop. Lu Yuanying treated a monk who had itching sores that bled like a gushing spring, continuing all day without stopping. His Ying Qi (Nutritive Qi) suddenly declined, leaving only a thread-like Chi pulse. He administered Six Spirit Decoction (Sishen Tang) with Jing Jie Sui (Schizonepeta Head) and Fang Feng (Saposhnikovia Root), given morning and night continuously. By the next day, the pulse gradually reappeared, and he recovered after taking Shiquan Dabu Tang (Ten Significant Tonifying Decoction). (See Deficiency Damage chapter)