吐血衄血之宜分真假也虽上文已言之矣而真假尚未言之也真者非寒热之论也假者非虚实
之论
也有人跌磕而忽然鼻血如涌泉而出者此假衄血非内伤而然也吐血而受人打伤以至倾盆而出者
亦假吐血而非真吐血也此真假如此之分辨而非前症之言阴阳虚实也二症亦相同同是外伤而治
法亦宜相同然而不可同也盖跌磕伤鼻病在上殴伤吐血病在上中下也我今定二方一治跌磕鼻伤
衄血之症方名补金丹一剂而血止再剂而不再发此方妙在入肺而又上能入鼻使伤损者重全而窍
开者重闭又能生血补血以大益其肺金自能奏功如神也殴伤吐血者方名为护损奇丹此方用归芍
以生血而用大黄以逐淤淤血去而新血生新血生而淤血止实有神功也二方救跌磕损伤俱妙不独
治二症之伤损也
补金丹
生地（一两） 麦冬（一两） 枳壳（五分） 败龟板（一付） 甘草（一钱） 荆芥（炒黑二钱） 人参
（三钱） 当归头（三钱） 丹皮（三钱） 桃仁（七粒）水煎服
护损奇丹
当归（一两） 牛膝（三钱） 生地（五钱） 大黄（五钱） 红花（三钱） 丹皮（三钱） 白芍（一两）
甘草（三钱） 桃花（二十粒） 荆芥（三钱炒黑）水煎服
发狂有真有假虽虚实可包其内然而真假非虚实之论也人有一时闷乱妄言见鬼此痰迷心窍
而非
火毒入心非假狂而何若作狂症治之则死矣如人不得志先议论纷纭以曲为直讥刺雌黄本为无心
之论以消其郁郁不平之气久之而狂成矣见妻子而怒骂谒官府而指摘甚至赤身露体终年累月而
不止者乃因假而成真非若一时发狂登高而歌弃衣而走见水而入之可比也此等之病但可治狂而
不可泻火若作火狂治之亦顷刻死矣吾所以又立一门而畅谈之也特传一方二症俱可治之方名为
释狂丹病患不肯服两人执其手一人抱其身一人掘其齿一人灌药服后必然大骂久之而身倦又久
之而身卧矣听其自睡切勿惊他醒来前症顿失彼自索药减半再与二剂无不全愈神之神也
释狂丹
人参（五钱） 天花粉（五钱） 生枣仁（五钱） 白术（一两） 白芥子（五钱） 陈皮（一钱） 菖蒲
（二
钱） 丹砂（一钱） 柴胡（二钱） 白芍（一两） 当归（五钱） 郁金（五钱） 枳壳（一钱） 神曲（五钱）
水煎服
吐血和鼻出血需要区分真假。虽然前文已经提及，但尚未详细阐述真假的定义。所谓“真”，并非指寒热性质的争论；所谓“假”，也并非指虚实性质的争论。
有些人因跌打碰撞导致突然鼻血如涌泉般流出，这是假性鼻衄（鼻出血），并非由内伤引起。有人因被人殴打导致吐血，甚至血流如倾盆，这也是假性吐血，而非真正的内伤吐血。这种真假的区别，不同于前文所述关于阴阳虚实的论述。这两种症状虽然相同，都是外伤所致，治疗方法也应当相似，然而又不能完全相同。因为跌打损伤鼻子，病位在上部；而殴打导致的吐血，病位涉及上、中、下三焦。我现在制定两个方剂：一个治疗跌打损伤鼻子引起的鼻衄，方名补金丹，服用一剂即可止血，再服一剂便不再复发。此方妙在入肺经，又能上行至鼻窍，使受损的组织重新愈合，使破裂的孔窍重新闭合，又能生血补血以大益肺金，自然能奏效如神。对于殴打导致的吐血，方名为护损奇丹。此方用当归、白芍来生血，用大黄来逐瘀，瘀血去除则新血生成，新血生成则瘀血自止，确实有神奇的功效。这两个方剂救治跌打损伤都非常巧妙，不仅用于治疗这两种特定的损伤。
补金丹
生地（一两） 麦冬（一两） 枳壳（五分） 败龟板（一副） 甘草（一钱） 荆芥（炒黑二钱） 人参（三钱） 当归头（三钱） 丹皮（三钱） 桃仁（七粒） 水煎服
护损奇丹
当归（一两） 牛膝（三钱） 生地（五钱） 大黄（五钱） 红花（三钱） 丹皮（三钱） 白芍（一两） 甘草（三钱） 桃花（二十粒） 荆芥（三钱，炒黑） 水煎服
发狂也有真有假，虽然虚实可以包含在内，但真假并非等同于虚实的论述。有些人一时之间烦闷混乱、胡言乱语、看见鬼怪，这是痰迷心窍，而非火毒入心，这难道不是假狂吗？如果按照狂症治疗，病人就会死亡。又如有些人不得志，起初议论纷纷，颠倒黑白，讥讽批评，本是为了发泄心中郁结不平之气，久而久之形成了狂症，见到妻子儿女就怒骂，拜见官府就指责，甚至赤身裸体，终年累月不停止。这是因假狂演变成真狂，不像那种一时发狂、登高唱歌、脱衣奔跑、跳入水中的情况可比。这类疾病只能治疗狂症，不可泻火。如果按照火狂治疗，病人也会顷刻死亡。所以我另外设立一门专门畅谈此病。特传授一方，两种病症均可治疗，方名为释狂丹。患者不肯服药时，需两人抓住他的手，一人抱住他的身体，一人撬开他的牙齿，一人灌药。服药后，患者必定会大骂，久之身体疲倦，又久之身体躺卧。听其自然入睡，切勿惊扰他醒来。之前的症状顿时消失，他自己会索要药物减半剂量，再给予两剂，没有不痊愈的，真是神乎其神。
释狂丹
人参（五钱） 天花粉（五钱） 生枣仁（五钱） 白术（一两） 白芥子（五钱） 陈皮（一钱） 菖蒲（二钱） 丹砂（一钱） 柴胡（二钱） 白芍（一两） 当归（五钱） 郁金（五钱） 枳壳（一钱） 神曲（五钱） 水煎服
The differentiation of true and false cases of hematemesis (vomiting blood) and epistaxis (nosebleed) has been mentioned in the preceding text, yet the distinction between true and false has not been fully elaborated. "True" does not refer to the debate on cold and heat syndromes; "false" does not refer to the debate on deficiency and excess syndromes.
There are cases where sudden epistaxis flows like a gushing spring due to falls or collisions; this is false epistaxis, not caused by internal injury. There are cases of hematemesis resulting from beatings, with blood flowing profusely like an overturned basin; this is also false hematemesis, not true internal injury hematemesis. This differentiation of true and false differs from the previous discussion on yin-yang and deficiency-excess. Although both conditions are identical in that they stem from external trauma and their treatment principles should be similar, they cannot be treated identically. This is because nasal injury from falling involves pathology in the upper jiao, whereas hematemesis from beating involves the upper, middle, and lower jiao. I have now formulated two prescriptions: one for treating epistaxis caused by nasal trauma from falls, named Bujin Dan (Tonify Metal Pill), which stops bleeding after one dose and prevents recurrence after a second dose. The efficacy of this prescription lies in its entry into the Lung meridian and its ability to ascend to the nasal orifices, allowing injured tissues to heal and ruptured orifices to close again. It also generates and tonifies blood to greatly benefit Lung Metal (the Lung organ in Five Element theory), thereby achieving miraculous results. For hematemesis caused by beating, the prescription is named Husun Qidan (Extraordinary Pill for Protecting Injuries). This prescription uses Danggui (Angelica Sinensis Root) and Baishao (White Peony Root) to generate blood, and Dahuang (Rhubarb Rhizome) to dispel blood stasis. Once the stasis is removed, new blood is generated; once new blood is generated, the stasis ceases. This indeed possesses miraculous power. Both prescriptions are excellent for rescuing traumatic injuries, not merely for these two specific conditions.
Bujin Dan (Tonify Metal Pill)
Shengdi (Rehmanniae Radix Preparata, 1 liang) Maidong (Ophiopogonis Tuber, 1 liang) Zhike (Aurantii Fructus Immaturus, 5 fen) Baiguiban (Testudinis et Carapacis et Plastrum, 1 piece) Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian) Jingjie (Schizonepetae Spica, stir-fried black, 2 qian) Renshen (Ginseng Radix et Rhizoma, 3 qian) Danggui Tou (Angelicae Sinensis Radix Head, 3 qian) Danpi (Moutan Cortex, 3 qian) Taoren (Persicae Semen, 7 grains) Decoct with water and take orally.
Husun Qidan (Extraordinary Pill for Protecting Injuries)
Danggui (Angelicae Sinensis Radix, 1 liang) Niuxi (Achyranthis Bidentatae Radix, 3 qian) Shengdi (Rehmanniae Radix Preparata, 5 qian) Dahuang (Rhei Radix et Rhizoma, 5 qian) Honghua (Carthami Flos, 3 qian) Danpi (Moutan Cortex, 3 qian) Baishao (Paeoniae Radix Alba, 1 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian) Taohua (Pruni Persicae Flos, 20 grains) Jingjie (Schizonepetae Spica, stir-fried black, 3 qian) Decoct with water and take orally.
Mania (Frenzy) also has true and false forms. Although deficiency and excess can encompass them, true and false are not synonymous with deficiency and excess. Some individuals experience sudden confusion, delirious speech, and hallucinations of seeing ghosts; this is Phlegm confusing the Heart orifices, not Fire-Toxin entering the Heart. Is this not false mania? If treated as true mania, the patient will die. Furthermore, some individuals who are frustrated may initially engage in chaotic discussions, distorting right and wrong, and criticizing others, originally intending to vent their pent-up resentment. Over time, this develops into mania, where they curse their wives and children upon seeing them, accuse officials when meeting them, and even run naked year-round without stopping. This is a condition where false mania evolves into true mania, which cannot be compared to acute episodes of climbing high and singing, discarding clothes and running, or jumping into water. Such diseases can only be treated by addressing the mania itself and must not be treated by purging Fire. If treated as Fire-driven mania, the patient will die instantly. Therefore, I have established a separate category to discuss this extensively. I specifically transmit one prescription that treats both conditions, named Shikuang Dan (Release Mania Pill). If the patient refuses to take the medicine, two people must hold his hands, one person must embrace his body, one person must pry open his teeth, and another must administer the medicine. After ingestion, the patient will inevitably curse loudly. After a long while, he will become physically exhausted; after a longer while, he will lie down. Allow him to sleep naturally; do not startle him awake. The previous symptoms will vanish instantly. He will then ask for half the dosage of the medicine. Administer two more doses, and recovery will be complete. Truly miraculous.
Shikuang Dan (Release Mania Pill)
Renshen (Ginseng Radix et Rhizoma, 5 qian) Tianhuafen (Trichosanthis Radix, 5 qian) Sheng Zaoren (Ziziphi Spinosomi Semen, 5 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Baijiezi (Sinapis Semen, 5 qian) Chenpi (Citri Reticulatae Pericarpium, 1 qian) Changpu (Acori Tatarinowii Rhizoma, 2 qian) Dansha (Cinnabaris, 1 qian) Chaihu (Bupleuri Radix, 2 qian) Baishao (Paeoniae Radix Alba, 1 liang) Danggui (Angelicae Sinensis Radix, 5 qian) Yujin (Curcumae Longae Radix, 5 qian) Zhike (Aurantii Fructus Immaturus, 1 qian) Shenqu (Massa Medicata Fermentata, 5 qian) Decoct with water and take orally.