（论二首 方二十九首 针灸法十五首）
论曰∶禀丘云∶吐血有三种，有内衄，有肺疽，有伤胃。内衄者出血，如鼻衄但不从鼻
孔出
闷便
满闷吐之时，血从吐后出，或一合半升一升是也。伤胃者，因饮食大饱之后，胃中冷则不能
消化，不
腹绞痛
出清液，
得年少时
茹二味
中但自 然，心中不闷者辄自愈。假令烦躁心中闷乱，纷纷呕吐，颠倒不安，医工又以黄
土汤，阿胶散，益加闷乱卒致不济，如此闷者，当急吐之。
急吐方
瓜蒂（三分） 杜蘅 人参（各一分）
上三味治，下筛，服一钱匕，或无水浆，但得下即可。羸人小减之，吐去青黄或吐血一
二升无苦。
治吐血方。
伏龙肝（鸡子大，二枚） 桂心 干姜 当归 芍药 白芷 甘草 阿胶 芎 （各一
两） 生地黄（二两） 细辛（半两） 吴茱萸（二升）
上十二味 咀，以酒七升、水三升合煮，取三升半，去滓，纳胶，煮取三升，分三服。
亦治血衄。
又方 治卒吐血及衄血方。
伏龙肝（半升） 甘草 干姜（仲景作地黄） 白术 阿胶 黄芩（各三两）
上六味 咀，以水一斗煮取三升，去滓，下胶，分三服。
治忧恚呕血烦满少气胸中痛方。
生地黄（一斤） 大枣（五十枚） 阿胶 甘草（各三两）
上四味 咀，以水一斗煮取四升，分四服，日三夜一。
（论述二篇，方剂二十九首，针灸法十五首）
论述说：禀丘云指出：吐血有三种类型，分别是内衄、肺疽和伤胃。所谓内衄，是指出血情况类似于鼻衄（鼻出血），但血液不从鼻孔流出，而是在感到胸闷腹胀时，在呕吐过程中或呕吐后流出，血量大约为一合、半升或一升。所谓伤胃，是因为饮食过饱之后，胃中寒冷导致无法消化，此时口中自然流出清稀液体，如果年轻人出现这种情况，心中不觉得烦闷的，通常会自行痊愈。假如患者感到烦躁、心中烦乱，频繁呕吐，身体颠倒不安，医生又使用黄土汤、阿胶散等药物，反而加重了患者的烦乱，最终导致病情危急无法救治。对于这种因误治导致的严重烦闷者，应当立即采用催吐法治疗。
紧急催吐方：
瓜蒂（三分）、杜蘅、人参（各一分）。
以上三味药捣碎过筛，服用一钱匕的量。如果没有水浆送服，只要能咽下即可。体质虚弱的人减少剂量。吐出青黄色液体或吐出一二升血都没有妨害。
治疗吐血的方剂：
伏龙肝（如鸡蛋大小，两枚）、桂心、干姜、当归、芍药、白芷、甘草、阿胶、川芎（各一两）、生地黄（二两）、细辛（半两）、吴茱萸（二升）。
以上十二味药切碎，用酒七升、水三升混合煎煮，取汁三升半，去渣，加入阿胶，再煎煮至三升，分三次服用。此方也治疗鼻衄。
又一方：治疗突然吐血及鼻衄的方剂。
伏龙肝（半升）、甘草、干姜（张仲景原方作地黄）、白术、阿胶、黄芩（各三两）。
以上六味药切碎，用水一斗煎煮至三升，去渣，加入阿胶，分三次服用。
治疗因忧怒呕血、烦闷胀满、气短胸痛方的方剂：
生地黄（一斤）、大枣（五十枚）、阿胶、甘草（各三两）。
以上四味药切碎，用水一斗煎煮至四升，分四次服用，每日三次，夜间一次。
(Two treatises, twenty-nine prescriptions, fifteen acupuncture and moxibustion methods)
The treatise states: Bing Qiu Yun pointed out that hematemesis (vomiting blood) has three types: internal nasal bleeding (neinü), lung abscess (feiju), and stomach injury (shangwei). Internal nasal bleeding refers to a condition where bleeding resembles epistaxis (nosebleed), but the blood does not flow from the nostrils; instead, it is expelled during or after vomiting when the patient feels chest and abdominal fullness and oppression, with a volume of approximately one he, half sheng, or one sheng. Stomach injury occurs after overeating, when cold in the stomach prevents digestion, causing clear fluid to naturally flow from the mouth. If this happens to a young person who does not feel mental restlessness, it usually resolves spontaneously. However, if the patient experiences irritability, mental confusion, frequent vomiting, and physical agitation, and the physician administers formulas such as Huangtu Tang (Yellow Earth Decoction) or Ejiao San (Ejiao Powder), the patient's distress may worsen, leading to a critical condition that becomes untreatable. In cases of severe distress caused by such mismanagement, immediate emesis (induced vomiting) should be performed.
Emergency Emesis Prescription:
Gua Di (Thladiantra fruit), 3 fen; Du Heng (Donglingia root), 1 fen; Renshen (Ginseng root), 1 fen.
Grind the above three herbs into powder and sieve. Administer one qianbi dose. If no water or liquid is available, swallowing is sufficient. Reduce the dose for frail individuals. Vomiting up green-yellow fluids or one to two sheng of blood will not cause harm.
Prescription for Treating Hematemesis:
Fulonggan (Calcined earth from the bottom of a cooking clay pot), equivalent to the size of an egg, two pieces; Guixin (Cinnamon twig), 1 liang; Ganjiang (Dried ginger rhizome), 1 liang; Danggui (Angelica sinensis root), 1 liang; Shaoyao (Peony root), 1 liang; Baizhi (Angelica dahurica root), 1 liang; Gancao (Licorice root), 1 liang; Ejiao (Donkey-hide gelatin), 1 liang; Xiongqiong (Ligusticum chuanxiong rhizome), 1 liang; Shengdihuang (Rehmannia glutinosa root prepared fresh), 2 liang; Xixin (Asarum root), 0.5 liang; Wuzhuyu (Evodia fruit), 2 sheng.
Decoct the above twelve herbs (chopped) in seven sheng of wine and three sheng of water. Reduce to three and a half sheng, strain, add Ejiao, and boil until three sheng remain. Divide into three doses. This prescription also treats epistaxis.
Another Prescription for Sudden Hematemesis and Epistaxis:
Fulonggan (Calcined earth from the bottom of a cooking clay pot), 0.5 sheng; Gancao (Licorice root), 3 liang; Ganjiang (Dried ginger rhizome) [Note: Zhang Zhongjing's original formula uses Dihuagn]; Baizhu (Atractylodes macrocephala rhizome), 3 liang; Ejiao (Donkey-hide gelatin), 3 liang; Huangqin (Scutellaria baicalensis root), 3 liang.
Decoct the above six herbs (chopped) in ten dou of water. Reduce to three sheng, strain, add Ejiao, and divide into three doses.
Prescription for Treating Hematemesis due to Grief and Anger, accompanied by Restlessness, Fullness, Shortness of Breath, and Chest Pain:
Shengdihuang (Rehmannia glutinosa root prepared fresh), 1 jin; Dazao (Jujube fruit), fifty pieces; Ejiao (Donkey-hide gelatin), 3 liang; Gancao (Licorice root), 3 liang.
Decoct the above four herbs (chopped) in ten dou of water. Reduce to four sheng. Divide into four doses: three times during the day and once at night.