有平时心肾不亏，并无弱症，偶有房劳，猝然呕血者，其血从胃中来，不得以怯症论治
。宜
须柴胡、贝母、桔梗、泽泻、丹皮、白芍、麦冬之类治之。更有劳伤筋力而得者，只宜调其
胃气而自愈。
往往有人患呕血甚多，医者遂认为弱症，误也。此先伤于怒，怒气伤肝，肝脏原有血积
于中
治呕药中，加楂肉先行其瘀，止其吐；后再徐调其他症，自可万全也。
有劳倦伤血，瘀积胃络，兼受风寒，寒邪迫血，火不能降，以致吐血、衄血，不可以弱
症施
降，则血自止矣。或问何以辨之？曰∶头痛、恶寒、战栗、手足逆冷，而其人素无虚症，如
虚火上炎，不足之候，身体不瘦，突然而起者是也。
每见先天不足之人，得肠红便血之症，不肯自认为劳怯，且以为轻病而不治，久久至气
血尽
中州，元气下陷，客风邪火，流入肠胃，气滞血凝，腐败溃乱，而成土崩河决之势。若不速
治，将成大患。治法如何？曰∶不过散其风，燥其湿，
，升其陷而已。散风用炒黑防风、荆芥为主。此二味，生用则能散风于上部，炒用则散风于
二肠，荆芥尤为要药。宽肠行气以炒枳壳为主。止血以炒黑蒲黄、醋炒地榆为主。行瘀以紫
菀为主，兼有调血归经之妙。升陷以升麻、柴胡为主。燥湿以白术、泽泻、茯苓为主。风散
、湿除、气行、瘀消，元阳生发则病自愈。能节劳戒气，贬酒却色，善自调摄，且知起居服
食禁忌，自不复发。更兼以调和气血、补助先天之剂投之，与虚劳血症收功之法同治，终身
可以无患。
有些人平时心肾并未亏损，也没有虚损病症，偶尔因房事过度，突然发生呕血，这种血是从胃中来的，不能当作虚劳怯症来论治。应当使用柴胡、贝母、桔梗、泽泻、丹皮、白芍、麦冬等药物进行治疗。更有因过度劳累损伤筋力而导致的，只需调理胃气即可自愈。
往往有人患呕血量很大，医生就认为是虚损病症，这是错误的。这是因为先因发怒受伤，怒气伤及肝脏，肝脏原本就有瘀血积滞其中。在治疗呕血的药方中，加入山楂肉先行化解瘀血，停止吐血；之后再慢慢调理其他症状，自然可以万无一失。
有因劳累倦怠损伤血液，导致瘀血积聚在胃络，又兼受风寒之邪，寒邪逼迫血液妄行，火气不能下降，从而导致吐血、鼻衄（鼻出血），不可以当作虚损病症来治疗。有人问如何辨别呢？回答说：头痛、恶寒、战栗、手足逆冷，而这个人平素没有虚损症状，如果是虚火上炎、不足的表现，身体不消瘦，且是突然发作的，就是这种情况。
经常见到先天禀赋不足的人，患上肠风便血的症状，不肯自认为是劳损虚怯，并且认为这是小病而不治疗，久而久之导致气血耗尽于中焦脾胃，元气下陷，客风邪火流入肠胃，气机阻滞、血液凝涩，腐败溃乱，形成如土崩河决般的危重局势。如果不迅速治疗，将成为大祸。治疗方法是怎样的？回答说：不过是疏散风邪、燥化湿气、升举下陷之气罢了。疏散风邪用炒黑的防风、荆芥为主药。这两味药，生用能疏散上部的风邪，炒用则能疏散二肠的风邪，荆芥尤为重要。宽肠行气以炒枳壳为主药。止血以炒黑蒲黄、醋炒地榆为主药。化瘀以紫菀为主药，兼有调和血液使其归经的妙用。升举下陷之气以升麻、柴胡为主药。燥湿以白术、泽泻、茯苓为主药。风邪散去、湿气消除、气机通畅、瘀血消散，元阳生发，疾病自然痊愈。若能节制劳累、戒除恼怒、戒酒、清心寡欲，善于自我调养，并且知道起居饮食的禁忌，自然就不会复发。再加上服用调和气血、补助先天之本的药剂，与虚劳血症收功的治疗方法相同，终身可以无患。
There are cases where individuals have no deficiency of the Heart and Kidney (Zang-Fu organs governing essence and spirit) in their daily lives, nor do they present with symptoms of consumptive disease. However, after occasional sexual indiscretion, they suddenly experience hematemesis (vomiting blood). This blood originates from the Stomach and should not be treated as a consumptive disease. Treatment should involve herbs such as Chai Hu (Bupleuri Radix), Bei Mu (Fritillariae Bulbus), Jie Geng (Platycodonis Radix), Ze Xie (Alismatis Rhizoma), Dan Pi (Moutan Cortex), Bai Shao (Paeoniae Radix Alba), and Mai Dong (Ophiopogonis Radix). In other cases caused by labor injury to the sinews and muscles, recovery can be achieved simply by regulating Stomach Qi.
Often, patients suffer from severe hematemesis, and physicians mistakenly diagnose this as a consumptive disease. This error arises because anger first injures the Liver; since the Liver naturally harbors stagnant blood, treatment for hematemesis should include Shan Zha Rou (Crataegi Fructus) to resolve stasis and stop bleeding initially, followed by gradual regulation of other symptoms to ensure complete recovery.
In cases where fatigue and overwork damage the blood, leading to blood stasis accumulating in the stomach collaterals, combined with an invasion of Wind-Cold pathogenic factors, the Cold forces blood to move recklessly while Fire fails to descend, resulting in hematemesis or epistaxis (nosebleed). These should not be treated as deficiency conditions. How can one differentiate them? The answer is: headache, aversion to cold, shivering, and cold extremities, yet the person has no history of chronic deficiency. If it were deficient Fire flaming upward, signs of insufficiency would be present, such as emaciation. However, if the body is not thin and the onset is sudden, it indicates this specific pattern.
It is frequently observed that individuals with congenital insufficiency develop intestinal wind with bloody stools. They refuse to acknowledge this as a labor-induced consumptive disease and dismiss it as a minor ailment, neglecting treatment. Over time, this leads to the exhaustion of Qi and Blood in the Middle Jiao (Spleen and Stomach), sinking of Yuan Qi (Original Qi), and infiltration of exogenous Wind and pathogenic Fire into the intestines. This results in Qi stagnation and blood coagulation, causing corruption and chaos, creating a crisis akin to a collapsing earth dyke or bursting river. If not treated promptly, it will become a major disaster. What is the treatment method? It involves dispersing Wind, drying Dampness, and lifting the sunken Qi. To disperse Wind, fried black Fang Feng (Saposhnikoviae Radix) and Jing Jie (Schizonepetae Herba) are used as principal herbs. When raw, these herbs disperse Wind in the upper body; when fried, they disperse Wind in the large and small intestines, with Jing Jie being particularly important. To widen the intestines and promote Qi movement, fried Zhi Qiao (Aurantii Fructus) is used. To stop bleeding, fried black Pu Huang (Typhae Pollen) and vinegar-fried Di Yu (Sanguisorbae Radix) are used. To resolve stasis, Zi Wan (Asteris Radix) is used, which also possesses the subtle effect of harmonizing blood and guiding it back to its vessels. To lift the sunken Qi, Sheng Ma (Cimicifugae Rhizoma) and Chai Hu are used. To dry Dampness, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ze Xie, and Fu Ling (Poria) are used. Once Wind is dispersed, Dampness removed, Qi moves freely, and stasis dissipates, the Yuan Yang (Original Yang) generates, and the disease heals spontaneously. If the patient can moderate labor, avoid anger, abstain from alcohol, restrain sexual desire, practice proper self-care, and observe dietary and lifestyle taboos, recurrence will be avoided. Additionally, administering formulas that harmonize Qi and Blood and tonify the congenital foundation, treating it similarly to the concluding phase of consumptive blood diseases, ensures lifelong immunity from such afflictions.