治吐血，衄血，大小便下血方。
竹茹（二升） 甘草 川芎 黄芩 当归（各六分） 芍药 白术 人参 桂心（各一
两）
上九味 咀，以水一斗煮取三升，分四服，日三夜一。
治九孔出血方∶
捣荆叶汁，酒服二合。（一本作荆芥。）
治吐血蛊毒痔血，女子腰腹痛，大便后出清血者方∶
取东向 荷根捣绞取汁二升，顿服立瘥。
诸下血先见血后见便为远血，宜服黄土汤（方见本门七味仲景方是）。先见便后见血，
宜
服赤小豆散方。
赤豆（三升，熬令折） 当归（三两）
上二味治，下筛，每服方寸匕，日三。
治虚劳，胸腹烦满疼痛瘀血往来，脏虚不受谷，气逆不得食，补中
干地黄（三两） 当归 干姜 麦门冬 甘草 黄芩（各二两） 浓朴 干漆 枳实 防
风
虫（各五
十枚）
上十八味为末，蜜丸如梧子大，先食服十丸，日三，稍加。
治凡下血虚极方。
麦门冬 白术（各四两） 甘草（一两） 牡蛎 芍药 阿胶（各三两） 大枣（二十
枚）
上七味 咀，以水八升煮取二升，分再服。
胸中瘀血 满，胁膈痛不能久立，膝痿寒，三里主之。呕血肩胁痛，口干心痛与背相
引不可咳，咳引肾痛，不容主之。心膈下呕血，上脘主之，唾血振寒咽干，太渊主之。
呕血，大陵及 门主之。呕血上气，神门主之。内伤唾血不足，外无膏泽，刺地五会。
虚劳吐血，灸胃脘三百壮，亦主劳呕逆吐血少食多饱多唾（一作多睡）。吐血唾血，灸胸堂
百壮，不
吐血唾血，上气咳逆，灸肺俞随年壮。
吐血呕逆，灸手心主五十壮（《千金翼》云大陵是）。凡口鼻出血不止，名脑衄，灸上星
五十壮，入发际一寸是。大便下血。
灸第二十椎，随年壮。
治疗吐血、鼻出血（衄血），以及大小便下血的方剂。
竹茹（二升） 甘草 川芎 黄芩 当归（各六分） 芍药 白术 人参 桂心（各一两）
以上九味药，切碎，用水一斗煎煮，取汁三升，分四次服用，白天服三次，夜间服一次。
治疗九窍出血的方剂：
捣碎荆叶取汁，用酒送服二合。（另一版本作荆芥。）
治疗吐血、蛊毒引起的出血、痔疮出血，女子腰腹痛，大便后排出清血（纯血）的方剂：
取向东生长的藕根，捣碎绞取汁液二升，一次性服下，立即痊愈。
凡是下部出血，先见血后见粪便的为远血，适宜服用黄土汤（方剂见本门七味仲景方）。先见粪便后见血的，适宜服用赤小豆散方。
赤小豆（三升，炒至熟透可折断） 当归（三两）
以上两味药处理后过筛，每次服用一方寸匕，每日三次。
治疗虚劳，胸腹烦闷胀满疼痛，瘀血往来，脏腑虚弱不能受纳谷物，气逆不能进食的方剂：
干地黄（三两） 当归 干姜 麦门冬 甘草 黄芩（各二两） 厚朴 干漆 枳实 防风 䗪虫（各五十枚）
以上十八味药研为末，蜂蜜炼丸如梧桐子大，饭前服用十丸，每日三次，逐渐增加剂量。
治疗各种下血导致极度虚弱的方剂。
麦门冬 白术（各四两） 甘草（一两） 牡蛎 芍药 阿胶（各三两） 大枣（二十枚）
以上七味药，切碎，用水八升煎煮，取汁二升，分两次服用。
胸中瘀血导致胀满，胁肋膈部疼痛不能久立，膝部痿软寒冷，由足三里穴主治。呕血伴肩胁痛，口干心痛且牵引背部不可咳嗽，咳嗽牵引肾部疼痛，由不容穴主治。心膈下方呕血，由上脘穴主治，唾血伴发冷咽干，由太渊穴主治。呕血，由大陵穴及内关穴主治。呕血伴气逆上冲，由神门穴主治。内伤导致唾血不足，体表无光泽，针刺地五会穴。虚劳吐血，灸胃脘穴三百壮，也主治劳损引起的呕逆、吐血、少食多饱、多唾（另一版本作多睡）。吐血唾血，灸胸堂穴一百壮。不吐血唾血，但气逆咳嗽，灸肺俞穴随患者年龄定壮数。
吐血呕逆，灸手心主穴五十壮（《千金翼方》说即大陵穴）。凡是口鼻出血不止，称为脑衄，灸上星穴五十壮，位于入发际一寸处。大便下血。
灸第二十椎，随患者年龄定壮数。
Decoction for treating hematemesis (vomiting blood), epistaxis (nosebleed), and bleeding from the lower orifices (hematochezia and hematuria).
Zhu Ru (Bamboo Shavings, *Phyllostachys heterocycla* var. *pubescens*) (2 sheng) Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Chuan Xiong (Sichuan Lovage Rhizome, *Ligusticum chuanxiong*), Huang Qin (Scutellaria Root, *Scutellariae Radix*), Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) (each 6 fen); Shao Yao (Peony Root, *Paeoniae Radix*), Bai Zhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*), Ren Shen (Ginseng Root, *Ginseng Radix*), Gui Xin (Cinnamon Twig Heart, *Cinnamomi Ramulus*) (each 1 liang).
Crush the above nine ingredients, decoct with one dou of water until three sheng remain, divide into four doses, take three times during the day and once at night.
Formula for treating bleeding from the nine orifices:
Crush fresh leaves of *Vitex negundo* (Jing Ye) to extract juice, take two he with wine. (Another version uses Jing Jie / Schizonepeta Spike, *Schizonepetae Spica*.)
Formula for treating hematemesis, bleeding due to Gu poison, hemorrhoidal bleeding, lower abdominal pain in women, and passage of pure blood after defecation:
Take lotus root (*Nelumbinis Rhizoma*) growing facing east, crush and squeeze to obtain two sheng of juice, take all at once for immediate recovery.
In cases of lower bleeding, if blood appears before stool, it is termed "Yuan Xue" (distant blood), suitable for treatment with Huang Tu Tang (Yellow Earth Decoction; see the seven-ingredient formula by Zhang Zhongjing in this section). If stool appears before blood, it is suitable for treatment with Chi Xiao Dou San (Red Bean Powder).
Chi Xiao Dou (Red Adzuki Bean, *Vigna angularis*, 3 sheng, roasted until brittle) Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*, 3 liang).
Process the above two ingredients, sift into powder, take one fang cun bi per dose, three times daily.
Formula for treating deficiency-wasting syndrome (Xu Lao), with fullness, distension, and pain in the chest and abdomen, wandering blood stasis, visceral deficiency unable to accept grain, rebellious Qi preventing food intake:
Shu Di Huang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*, 3 liang) Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*) Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*) Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*) Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) Huang Qin (Scutellaria Root, *Scutellariae Radix*) (each 2 liang); Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*) Gan Qi (Dried Lacquer) Zhi Shi (Immature Bitter Orange, *Citri Reticulatae Fructus Immaturus*) Fang Feng (Saposhnikovia Root, *Saposhnikoviae Radix*) E Chong (Ground Beetle, *Echinosphaerae*, each 50 pieces).
Grind the above eighteen ingredients into powder, make pills with honey the size of wu zi (wuju seeds), take ten pills before meals, three times daily, gradually increasing the dose.
Formula for treating extreme deficiency due to various forms of lower bleeding.
Mai Men Dong (Ophiopogon Tuber, *Ophiopogonis Tuber*) Bai Zhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*) (each 4 liang) Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 1 liang) Mu Li (Oyster Shell, *Ostreae Concha*) Shao Yao (Peony Root, *Paeoniae Radix*) E Jiao (Donkey-Hide Gelatin, *Asini Corii Colla*) (each 3 liang) Da Zao (Jujube Fruit, *Ziziphi Jujubae Fructus*, 20 pieces).
Crush the above seven ingredients, decoct with eight sheng of water until two sheng remain, divide into two doses.
Blood stasis in the chest causing fullness, pain in the hypochondrium and diaphragm making prolonged standing impossible, flaccidity and coldness of the knees: Zusanli (ST36) is indicated. Hematemesis with shoulder and hypochondriac pain, dry mouth, heart pain radiating to the back, inability to cough, cough radiating to kidney pain: Burong (ST18) is indicated. Vomiting blood below the heart and diaphragm: Shangwan (CV13) is indicated. Spitting blood with chills and dry throat: Taiyuan (LU9) is indicated. Hematemesis: Daling (PC7) and Neiguan (PC6) are indicated. Hematemesis with rebellious Qi: Shenmen (HT7) is indicated. Internal injury causing insufficient spitting blood and lack of luster on the body:刺 (Puncture) Di Wuhui (GB24). Deficiency-wasting hematemesis: Moxibustion on Weiwanyu (CV12) 300 zhuang; also treats wasting-induced rebellious vomiting, hematemesis, anorexia with early satiety, excessive salivation (another version: excessive sleep). Hematemesis and spitting blood: Moxibustion on Xiongzhong (EX-UE11) 100 zhuang. For non-hematemesis/non-spitting-blood but with rebellious Qi and cough: Moxibustion on Feishu (BL13) according to age in zhuang. Hematemesis and rebellious vomiting: Moxibustion on Shou Xin Zhu (Pericardium Master, i.e., Daling PC7) 50 zhuang (Qianjin Yi Fang states Daling). Continuous bleeding from mouth and nose, named Naodu (Brain Epistaxis): Moxibustion on Shangxing (GV23) 50 zhuang, located one cun inside the hairline. Lower rectal bleeding: Moxibustion on the twentieth vertebral spinous process (Dazhui GV14 area, specifically referring to the level corresponding to the lower back) according to age in zhuang.