三宁血。吐既止。瘀既消。或数日间。或数十日间。其血复潮动而吐者。乃血不安其经常故也。必用宁之之
法。使血得安乃愈。其法于止吐消瘀中。已寓厥治。然前药多猛峻以取效。乃削平寇盗之术。尚非抚绥之
政。故特将宁血旨意。重加发明。以尽其用。有外感风寒。以致吐血。止后荣卫未和。必有身痛寒热等证。香
苏饮。加柴胡黄芩当归白芍丹皮阿胶治之。有胃经遗热。气燥血伤。而血不得安者。其证口渴哕气。恶闻
人声。多躁怒。闻木音则惊。卧寐烦而不安。犀角地黄汤主之。重则合白虎汤。大清大凉。以清胃热。轻则止
用甘露饮。以生胃津。而血自愈。有因肺经燥气。气不清和。失其津润之制节。而见喘逆咳嗽等证。以致其
血牵动。清燥救肺汤主之。火甚。加犀角。血虚加生地。痰多加尖贝。润燥宁血。为肺痿等证之良方。葛可久
第三法为宁血。吐血停止后，瘀血已消散，但经过数日或数十日后，血液再次潮动而吐血，这是因为血液不能安守其常道所致。必须使用宁静的治疗方法，使血液得以安宁才能痊愈。这种治法在止吐和消瘀的过程中已经蕴含其中。然而，前面的药物大多猛烈峻急以取效，这属于削平寇盗的手段，尚非安抚绥靖的政策。因此特别将宁血的宗旨意义，重新加以阐发，以尽其效用。若有因外感风寒导致吐血，止血后营卫尚未调和，必然出现身体疼痛、寒热等症状，用香苏饮加柴胡、黄芩、当归、白芍、丹皮、阿胶治疗。若有胃经遗留的热邪，气燥伤血，导致血液不得安宁，其症状表现为口渴、呃逆、厌恶听到人声、多烦躁易怒、听到木器敲击声则惊恐、睡眠烦躁不安，用犀角地黄汤主治。病情重的合用白虎汤，大清大凉，以清除胃热；病情轻的只用甘露饮，以滋生胃中津液，血液自然痊愈。有因肺经燥气，气不清和，失去津润的制约调节功能，而出现气喘、咳嗽等症状，导致血液牵动，用清燥救肺汤主治。火邪甚重的加犀角，血虚的加生地黄，痰多的加川贝母，润燥宁血，是治疗肺痿等证的良方。葛可久
The third method is to calm the blood. After hematemesis has ceased and stasis has dissipated, if bleeding recurs after several days or dozens of days due to the surging movement of blood, it is because the blood fails to remain in its normal course. It is necessary to employ methods that calm the blood so that it may become tranquil and the patient may recover. This therapeutic principle is already implicit in the processes of stopping vomiting and eliminating stasis. However, the preceding formulas are often potent and drastic to achieve efficacy, which constitutes a strategy akin to suppressing bandits rather than a policy of pacification. Therefore, the principles of calming the blood are specifically elucidated anew to fully utilize their application. If hematemesis is caused by external contraction of wind-cold, and after cessation of bleeding the Ying (Nutritive) and Wei (Defensive) levels remain unharmonized, symptoms such as body pain and alternating chills and fever will inevitably appear; this is treated with Xiangsu Yin (Fragrant Perilla Decoction) added with Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Danpi (Moutan Cortex), and Ejiao (Colla Corii Asini). If there is residual heat in the Stomach channel causing dryness of Qi and injury to Blood, leading to blood instability, symptoms include thirst, hiccups, aversion to hearing human voices, irritability, anger,惊 (fright) upon hearing the sound of wood, and restless sleep; this is primarily treated with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). In severe cases, it is combined with Baihu Tang (White Tiger Decoction) for profound clearing and cooling to purge Stomach heat; in mild cases, only Ganlu Yin (Sweet Dew Decoction) is used to generate Stomach fluids, allowing the blood to heal spontaneously. If lung dryness causes Qi to lose its clear and harmonious state, failing to maintain its moistening and regulating function, resulting in wheezing, coughing, and other symptoms that disturb the blood, Qingzao Jiufei Tang (Moistening Dryness and Saving the Lung Decoction) is primarily indicated. If fire is excessive, add Xijiao (Rhino Horn); if Blood deficiency exists, add Shengdi (Rehmanniae Radix); if phlegm is abundant, add Jianbei (Fritillariae Thunbergii Bulbus). This formula, which moistens dryness and calms the blood, is an excellent prescription for conditions such as Fei Wei (Lung Atrophy). Ge Kejiu