治吐衄咳唾等证，失血既多，虚羸昏倦，精神怯弱，血尚未尽。
人参（一钱，补气生血，吐衄后煎服一两，若内伤血出如涌泉，同荆芥灰蒸柏叶，白
面水服） 黄 （蜜炒，一钱，逐五脏恶血，同紫苏末服，止吐衄不止） 甘草（炙，五分，养
血补血，并咳唾脓血之疾） 白芨（一钱，或为末，以羊肺蘸食，止肺损唾衄，水服止衄）
百合（一钱，主肺病吐血，或和蜜蒸食） 熟地黄（二钱，补血填髓） 生地黄（二钱，凉血，
生血，止血） 当归（身头，一钱五分，止血养血） 牡丹皮（一钱，和血，生血，凉血，退血
中伏火） 阿胶（蛤粉炒，成珠，一钱，主虚损吐血，肺虚咯血） 鹿角胶（一钱，治同上）
上十味，乃补血、养血、清血、归源之品，其间主以参、 者，取阴藉阳生之义。但脉
不实数弦长者，任意服之，无执王氏谬论，以取虚虚之祸也。以上作一剂，用藕节五个，水
煎，临服时入童便一盏，藕汁二杯，俟温徐徐缓服。
按∶《褚澄遗书》云∶人喉有窍，咳血杀人。盖肺体清虚，难容纤物，血既渗入，愈咳
渗，愈渗愈咳。凡诸药味浓气浓者，皆所不利，惟饮童便一物汤，则百无一死。若服寒凉，
则百不一生。又吴氏云∶诸虚吐衄咯血，须用童子小便，其功甚捷。盖溲溺滋阴降火，清瘀
血止吐衄诸血，但取十二岁以下童子，绝其烹炮咸酸，多与米饮，以助水道。每用一盏，入
姜汁或韭汁三五点，徐徐缓服，日进二三服，寒天则炖温服，久自有效也。
治疗吐血、衄血（鼻出血）、咳嗽吐痰带血等证候，失血量已经很多，身体虚弱消瘦，神志昏沉疲倦，精神怯弱，但血液尚未完全止住。
人参（一钱，补气以生血，吐血衄血后煎服一两；如果是内伤导致出血如涌泉般，配合荆芥灰、蒸过的柏叶，用白面水送服） 黄芪（蜜炒，一钱，驱除五脏中的恶血，配合紫苏末服用，若吐血衄血不止时使用） 甘草（炙，五分，滋养和补充血液，并治疗咳嗽吐脓血的疾病） 白芨（一钱，或者研为粉末，用羊肺蘸着吃，停止肺部损伤引起的唾血和衄血；用水送服可止衄血） 百合（一钱，主治肺病吐血，或者与蜂蜜一起蒸食） 熟地黄（二钱，补血填精补髓） 生地黄（二钱，凉血，生血，止血） 当归（身头部分，一钱五分，止血养血） 牡丹皮（一钱，调和血液，生血，凉血，清除血中潜伏的火邪） 阿胶（蛤粉炒至成珠状，一钱，主治虚损引起的吐血，肺虚引起的咯血） 鹿角胶（一钱，治疗同上）
以上十味药，是补血、养血、清血、使血归其本源的药物，其中主要用人参、黄芪，是取“阴藉阳生”（阴血依赖阳气而生发）的含义。只要脉象不是不实、数、弦、长，就可以任意服用，不要固执于王冰的错误理论，以免招致“虚虚”（使虚者更虚）的祸患。以上药物作为一剂，使用藕节五个，加水煎煮，临服用时加入童便一盏，藕汁两杯，待温度适宜后慢慢缓慢服用。
按语：《褚澄遗书》说：人的喉咙有窍道，咳血会杀人。因为肺体清虚，难以容纳微小的异物，血液既然渗入，就会越咳越渗，越渗越咳。凡是药味浓厚、气味浓烈的药物，都不利于此症，只有饮用童便这一种汤剂，则百人中无一死亡。如果服用寒凉药物，则百人中没有能存活的。另外吴氏说：各种虚证引起的吐血、衄血、咯血，必须使用童子小便，其功效非常迅速。因为小便能滋阴降火，清除瘀血，停止吐血、衄血等各种出血，只选取十二岁以下的童子，禁止烹饪时加入咸酸调料，多给米饮，以助水道通畅。每次用一盏，加入姜汁或韭菜汁三五滴，慢慢缓慢服用，每天进二三服，寒冷天气则炖温后服用，时间久了自然有效。
To treat conditions such as hematemesis (vomiting blood), epistaxis (nosebleed), and coughing up sputum with blood, where there has been significant blood loss, resulting in physical weakness and emaciation, mental dullness and fatigue, spiritual timidity and weakness, while the bleeding has not yet completely stopped.
Renshen (Ginseng Radix et Rhizoma) (1 qian, tonifies Qi to generate Blood; after hematemesis or epistaxis, decoct and take 1 liang; if internal injury causes bleeding like a gushing spring, combine with Jingjie Hui (Ash of Schizonepetae Spica) and Zheng Baiye (Steamed Biota Orientalis Folium), taken with Baomian Shui (water made from white flour)). Huangqi (Astragali Radix) (honey-fried, 1 qian, expels evil blood from the five zang organs; combine with Zisu Mo (Powder of Perillae Folium) for use when hematemesis or epistaxis does not stop). Gancao (Licorice Root) (roasted, 0.5 fen, nourishes and supplements Blood, and treats diseases involving coughing up pus and blood). Baiji (Bletillae Rhizoma) (1 qian, or ground into powder, dipped in Yangfei (Ovis/Capra Lung) and eaten to stop pulmonary damage-induced hemoptysis and epistaxis; taken with water to stop epistaxis). Baihe (Lilii Bulbus) (1 qian, primarily treats lung disease with hemoptysis, or steamed with honey for consumption). Shudihuang (Rehmanniae Radix Praeparata) (2 qian, supplements Blood and fills the marrow). Shengdihuang (Rehmanniae Radix) (2 qian, cools Blood, generates Blood, stops bleeding). Danggui (Angelicae Sinensis Radix) (body and head parts, 1.5 qian, stops bleeding and nourishes Blood). Mudanpi (Moutan Cortex) (1 qian, harmonizes Blood, generates Blood, cools Blood, retreats latent fire within the Blood). Ejiao (Colla Corii Asini) (stir-fried with Ge Fen (Calaminis Pulvis) until it forms beads, 1 qian, primarily treats hematemesis due to deficiency and wasting, and hemoptysis due to lung deficiency). Lujiaojiao (Colla Cornus Cervi) (1 qian, same treatment indications as above).
The above ten herbs are substances that supplement Blood, nourish Blood, clear Blood, and return Blood to its source. Among them, Renshen and Huangqi are used as the principal agents, taking advantage of the principle that "Yin relies on Yang to generate" (Blood generation depends on Qi). Provided the pulse is not deficient, rapid, wiry, or long, they may be taken at will. Do not rigidly adhere to Wang Bing's erroneous theories, lest you incur the disaster of "making the deficient more deficient." Prepare these as one dose, using five Oujie (Nymphaeae Nelumbinis Rhizomatis Node), decoct with water. Just before administration, add one zhan of Tongbian (Urine of a healthy child) and two bei of Oujiang (Lotus Root Juice). Wait until warm, then take slowly and gradually.
Note: *Chu Cheng Yi Shu* states: "The human throat has orifices; coughing blood kills." The lung tissue is pure and empty, unable to tolerate even minute foreign matter. Once blood infiltrates, coughing promotes further infiltration, and infiltration promotes further coughing. Any medicinal ingredients with strong flavors or pungent odors are disadvantageous. Only drinking Tongbian as a single-decoction soup ensures that out of every hundred patients, none will die. If cold-natured cooling drugs are taken, out of every hundred patients, none will survive. Furthermore, Wu Shi stated: For various deficiency-type hematemesis, epistaxis, and hemoptysis, Tongbian must be used, as its efficacy is very swift. Urine nourishes Yin and descends Fire, clears stasis, and stops hematemesis, epistaxis, and other bleeding types. Select urine from boys under twelve years old, prohibit cooking with salty or sour condiments, and provide ample Mi Yin (rice drink) to assist the water passages. Use one zhan per dose, add three to five drops of Jiangzhi (Ginger Juice) or Jiujiangzhī (Chinese Chive Juice), and take slowly. Administer two to three times daily. In cold weather, stew and warm before taking; over time, effectiveness will naturally appear.