(Blood Disorders, Dysuria, and Hemorrhoids) Nineteen Sections in Total

*Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) on the Condition of Pediatric Hematemesis: When children exhibit hematemesis, it is due to excessive internal heat combined with blood deficiency. Heat pathogenic factors invade the blood; when blood is affected by heat, its nature becomes fluid and erratic, leading to reckless movement. If Qi rebels upward, blood follows Qi ascending, thus causing hematemesis.

Qian Yi discussed the differences between tonifying and purging treatments: The son of Duan Zhaolang, aged four, suffered from coughing, fever, and expectoration for several days, followed by hemoptysis. Physicians treated him with Jiegeng Tang (Platycodon Decoction) and Fangji Wan (Stephania Pill) without success. His phlegm-saliva attacked upwards, resulting in continuous vomiting and wheezing. He was referred to Qian Yi, who administered a large dose of Pianyin Wan (Biased Silver Pill) (see Phlegm-Saliva Section), followed by Bufei San (Lung-Tonifying Powder) and Bupi San (Spleen-Tonifying Powder) (see Stomach Qi Disharmony Section). Now, since the Duan family's child has hemoptysis and lung deficiency, why use purging methods? The response was: Although the lungs are bleeding, this is caused by heat. Prolonged illness leads to deficiency and atrophy. Currently, phlegm-saliva is surging upwards causing vomiting; one must purge the phlegm-saliva first. If the phlegm-saliva is not expelled, the condition will worsen. Vomiting phlegm can deplete healthy Qi and induce fright. Excess phlegm attacking upwards can also cause convulsions. Therefore, according to the method, one should first purge the phlegm, then tonify the spleen and lungs. Only when the phlegm stops will the vomiting cease. Tonifying the lungs first would be contrary to the principle; purging the phlegm first is in accordance with the principle. Purging first and tonifying later is the optimal approach.

*Yingtong Baojian* (Precious Mirror for Infants and Children) Song on Pediatric Hematemesis:
Blood belongs to Ying (Nutritive Qi), while Qi belongs to Wei (Defensive Qi). These two energies follow each other without stagnation. Suddenly, if Blood moves and Qi rushes against it, they recklessly deviate from their proper positions. Blood follows Qi upwards to the Heart, and the sight of vomiting blood is as gruesome as a slaughterhouse, hard to bear. One must administer medicine and provide careful nursing, resolving heat and following the correct sequence.

*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) Formula for Treating Pediatric Hematemesis.
Take powdered burnt snake skin, and administer with milk. Also treats polyglottis (double tongue).

*Qianjin Fang* Another Formula
Take three parts oil and one part wine, mix them. Divide into two doses.

*Jianyao Jizhong Shu* (Concise Book for Universal Relief) Formula for Treating Continuous Pediatric Hematemesis.
Finely grind Puhuang (Pollens Typhae). Take half a qian per dose, mixed with juice of fresh Rehmanniae Radix (Shengdihuang). Adjust dosage according to the child's age and size.

*Jianyao Jizhong Shu* Another Formula for Treating Continuous Pediatric Hematemesis.
Take one liang of Huanglian (Coptidis Rhizoma), remove the stamens, and grind into powder. Take one qian per dose, add twenty grains of Chi Dou (Fermented Soybean) to seven parts water, decoct until five parts remain, strain, and take warm. Adjust dosage according to the child's age and size.

*Shenghui Fang* (Prescriptions of Holy Grace) Xijiao San (Rhinoceros Horn Powder) for Non-timely Hematemesis in Children Aged Four or Five.
Xijiao (Horn of Rhinoceros, processed into flakes), Zhizi Ren (Gardeniae Fructus), Sheng/Shu Dihuang (Fresh/Dried Rehmanniae Radix), Zixin (Scutellariae Radix), Zishen (Bistortae Rhizoma), Ciji (Acanthopanacis Tricnophylli Caulis) (each one fen).
Grind the above herbs, sieve coarsely to make a powder. Take one qian per dose, decoct in one small cup of water until five parts remain, strain, and take warm at any time. Adjust dosage according to the child's age and size.

*Shenghui Fang* Puhuang San (Typha Pollen Powder) for Treating Continuous Pediatric Hematemesis.
Puhuang (Pollens Typhae), Luankua (Human Hair, burned to ash) (each one fen), Fulonggan (Dragon's Liver) (half a liang).
Grind the above herbs together until fine and uniform. Take half a qian mixed with warm juice of fresh Rehmanniae Radix at any time. Adjust dosage according to the child's age and size.

*Shenghui Fang* Qiangen San (Qiancao Root Powder) for Treating Pediatric Hematemesis with Restlessness and Oppression.
Qiangen (Rubiae Radix) (half a liang), Xijiao (Horn of Rhinoceros, processed into flakes), Chuanshengma (Bupleuri Radix), Chuandahuang (Rhei Radix et Rhizoma, sliced, slightly stir-fried), Huangqin (Scutellariae Radix), Gancao (Licorice Root, honey-fried until slightly red, sliced) (each one fen).
Grind the above herbs, sieve coarsely to make a powder. Take one qian per dose, add thirty black soybeans and half a fen of Danzhuru (Bambusa Textilis Calamus prepared with lime) to one small cup of water, decoct until six parts remain, strain, and take warm at any time. Adjust dosage according to the child's age and size.

*Shenghui Fang* Another Formula
Ciji (Acanthopanacis Tricnophylli Caulis) (fresh juice, unlimited amount).
Take one he of the juice, warm it. Take mixed with half a qian of Yuanmingfen (Mirabilite) at any time. Adjust dosage according to the child's age and size.

*Shenghui Fang* Another Formula
Take one he of fresh Rehmanniae Radix juice, warm it. Take mixed with half a qian of Mianchen (Wheat Flour Ash) at any time. Adjust dosage according to the child's age and size.

*Shenghui Fang* Another Formula
Burn human hair to ash, grind finely. Take one zi per dose mixed with warm water. Zhang Rui's *Jifeng Fang* suggests taking it mixed with rice drink.

*Yingru Fang* Kundong Tang (Colt's Foot Flower Decoction) for Treating Blood in Cough and Sputum in Young Children.
Kundonghua (Farfarae Flos), Ganjiang (Zingiberis Rhizoma), Ejiao (Asini Corii Colla, honey-fried) (each two liang), Wuzhuyu (Evodiae Fructus) (one sheng), Guixin (Cinnamomi Ramulus), Ai Ye (Artemisiae Argyi Folium, size of an egg), Carp (one fish, length one chi two cun).
Grind finely, mix with wine, place inside the carp belly, steam in a copper vessel until cooked, extract the juice. Adults take one sheng, children take one he, adjust as appropriate.

*Yingru Fang* Tunfei San (Pig Lung Powder) for Treating Cough and Reverse Qi in Young Children, Severe Cases with Epistaxis.
Take pig lung, soak in good wine overnight, take at dawn, dry by roasting, and grind into powder. Take one cuo per dose with water.

*Yingru Fang* Shengma Tang (Saussurea Decoction) for Treating Pediatric Febrile Disease with Epistaxis or Hemoptysis.
Shengma (Saussureae Involucratae Radix et Rhizoma) (eight fen), Danzhuqingpi (Bambusa Textilis Cortex), Lingyangjiao (Saigae Tataricae Cornu) (each five fen), Shengdihuang (Rehmanniae Radix) (seven fen), Gancao (Licorice Root) (four fen), Shaoyao (Paeoniae Radix) (six fen).
Decoct three sheng of water to obtain one sheng. For a one-year-old child, divide into three doses.

*Yingru Fang* Formula for Treating Children with Fluid Output Like Paste, Epistaxis, Hematemesis, Hematuria, and Critical Condition.
Duliangxiang (Litsea Cubeba Rhizoma), Gandi (Rehmanniae Radix Preparata) (each two liang), Ziwan (Adenophorae Radix), Guixin (Cinnamomi Ramulus), Renshen (Ginseng Radix), Qingzhuyeh (Bambusa Textilis Folium), Congrong (Cynomorii Herba) (each one liang).
Grind into powder. Take one fangcunbi with wine, three times daily and once at night, up to two fangcunbi.

Zhang Huan's Zishen San (Bistort Powder) for Treating Internal Pathogenic Heat in Children Causing Erratic Blood Flow, Rebellious Qi Leading to Hematemesis or Epistaxis.
Zishen (Bistortae Rhizoma), Sheng Gan Dihuang (Dried Fresh Rehmanniae Radix), Shanzhizi (Gardeniae Fructus) (each one liang), Ciji (Acanthopanacis Tricnophylli Caulis), Luankua (Human Hair, burned to ash) (each one fen).
Grind and sieve the above into fine powder. Then add: Puhuang (Pollens Typhae), Fulonggan (Dragon's Liver) (each finely ground, one fen).
Mix all evenly. Take half to one qian per dose, mixed with decoction of Bambusa Textilis Calamus prepared with lime.

Zhang Rui's *Jifeng Fang* (Chicken Peak Formulas) for Treating Hematemesis.
Take powdered Fulonggan (Dragon's Liver). Take two qian per dose, decoct with one cup of water until six parts remain, strain, and take warm at any time.

Zhang Rui's *Jifeng Fang* for Treating Hematemesis and Epistaxis.
Take Bai Mao Hua (Imperatae Rhizoma Flos). Weigh one qian per dose, decoct with one cup of water until six parts remain, strain, and take warm at any time.

Zhang Rui's *Jifeng Fang* Another Formula
Take new cotton wool, burn to ash, grind finely. Take one qian per dose, add a little coarse incense, mix with warm wine or rice drink.

*Wangshi Shouji* (Hand Collection by Master Wang) Qingjin San (Blue Gold Powder) for Treating Pulmonary Cough, Wheezing with Sound, Heat Clashing in Upper Jiao, Erratic Blood Overflow, Hemoptysis, Throat Pain, Restlessness and Thirst, Vomiting, Alternating Chills and Fever, Reduced Appetite, Emaciation.
Baiji (Bletillae Rhizoma), Qingdai (Indigo Naturalis, ground) (each half a liang).
Grind together uniformly. Take half or one qian per dose, mixed with glutinous rice drink.