丹皮（三钱） 麦冬（三钱） 桔梗（三钱） 甘草（一钱） 玄参（五钱） 人参（一钱） 熟地（一两）
五味子（一钱） 黄连（三分） 肉桂（一分） 水煎服。一剂而舌之血即止，连服四剂，而舌之烂
亦愈。
此方全不治舌，而但交其心肾，心肾交，而心之气下通于肾，宁再求济于舌乎。舌不耗津于心，
则舌得自养，此不治舌正胜于治舌，不止血而正胜于止血耳。
此症用清心救命丹亦神效。
玄参 麦冬（各一两） 甘草（一钱） 菖蒲（三分） 茯神 人参 三七根末（各三钱） 五味子（三粒）
水煎调服。一剂即止血。
人有齿缝出血者，其血之来，如一线之标，此乃肾火之沸腾也。夫齿属肾，肾
热而齿亦热，肾虚而齿亦虚，肾欲出血而齿即出血矣。虽然齿若坚固，则肾即欲出
血，无隙可乘，似乎必须治齿，然而徒治齿无益，仍须治肾，盖肾为本，而齿为末
也。夫肾火乃龙雷之火，直奔于咽喉，血宜从口而出，何以入于齿耶？盖肾火走任、
督之路而上趋于唇齿，无可出之路，乘齿缝有隙而出之。龙雷之火，其性最急，而
齿缝之隙细小，不足以畅其所出，故激而标出如线也。方用六味地黄汤加麦冬、五
味、骨碎补治之。
熟地（一两） 山药（四钱） 山茱萸（四钱） 丹皮（五钱） 泽泻（三钱） 茯苓（三钱）
麦冬（五钱） 五味子（一钱） 骨碎补（一钱） 水煎服。一剂而血即止也。连服四剂，永不再发。
六味地黄汤大补肾中之真水，水足而火自降，火降而血不妄行矣。又虑徒补肾
水，而水不易生，用麦冬、五味子以补其肺，从肾之化源而补之也。补肺而水尤易
生，加入骨碎补透骨以补其漏，则血欲不止而不可得矣。
此症亦可用阖缝丹∶
猴姜 人参 北五味 三七根末（各一钱） 甘草（三分） 各为细末，擦牙，含漱即止血。
止后用六味丸则不再发。
人有脐中流血者，其血不十分多，夹水流出，人亦不十分野狼狈。然脐通气海、
关元、命门，乌可泄气乎？虽流血非泄气之比，而日日流血，则气亦随之而泄矣。
治法自应闭塞脐门，然而不清其源，而徒闭其门，亦徒然也。夫脐之所以出血者，
乃大小肠之火也，二火齐旺，必两相争斗于肠中，小肠之火欲趋出于大肠，而大肠
之火欲升腾于小肠，两不相受，而火乃无根据，上下皆不可泄，因脐有隙，乃直攻其
隙而出。火出于脐，而血亦随之矣。然则治脐之出血，可不急安其大小肠之火乎。
然大小肠之所以动火，以肾经干燥无水以润之也。故治大小肠之火，仍须以治肾为
主。方用两止汤∶
熟地（三两） 山茱萸（一两） 麦冬（一两） 北五味（五钱） 白术（五钱） 水煎服。
一剂即止血不流，四剂除根。
熟地、山茱以补肾水，麦冬、五味以益肺气，多用五味子者不特生水，而又取
其酸而敛之也，加白术以利腰脐，腰脐利则水火流通，自然大小肠各取给于肾水，而无相争之乱，
水足而火息，血不止而自止也。
此症用障脐汤亦甚神。
大黄（五分） 当归 生地（各一两） 地榆（三钱） 水煎服。一剂即止血。
人有九窍流血者，其症气息奄奄，欲卧不欲见日，头晕身困，人以为祟凭之，
不知此乃热血妄行，散走于九窍也。视其症若重，然较狂血走一经者反轻，引血归
经则血不再流矣。夫人一身之中无非血也，九窍出血，乃由近而远，非尽从脏腑而
出，然而治法，仍须治脏腑，而不可止治经络，以脏腑能统摄经络也。方用当归补
血汤加味治之。
当归（五钱） 黄 （一两） 荆芥（炒黑，三钱） 人参（三钱） 白术（五钱） 生地（五钱）
水煎服。一剂即止血，二剂不再流矣。
热血妄行，不清火而反补其气，因由于气之虚也。气虚则不能摄血，血得火而
妄行，逢窍则钻，今补其气则气旺矣，气旺自能摄血。倘用止抑之法则一窍闭，而
众窍安保其尽闭乎。用补血汤，而又行气凉血，未尝无清火之味，焉得不奏功如神哉。
此症可用掩窍丹∶
人参 当归 生地 玄参（各一两） 炒黑荆芥（三钱） 甘草（一钱） 水煎服。一剂即止血，
二剂全愈。
人有大便出血者，或粪前而先便，或粪后而始来，人以为粪前来者属大肠之火，
粪后来者属小肠之火，其实皆大肠之火也。夫肠中本无血也，因大肠多火，烁干肠
中之液，则肠薄而开裂，血得渗入，裂窍在上则血来迟，裂窍在下则血来速，非小
肠之能出血也。小肠出血，则人且立死，盖小肠无血，如有血则心伤矣，心伤安能
存活乎。故大便出血，统小肠论之，以辨症则可，谓大便之血，以粪后属小肠，则
不可也。是治便血之症，宜单治大肠，然而大肠之所以出血，非大肠之故也。肾主
大小便，肾水无济于大肠，故火旺而致便血也。方用三地汤∶
熟地（一两） 当归（一两） 生地（一两） 地榆（三钱） 木耳末（五钱） 水煎调服。一剂
即止血，
二剂全愈。
精血双补，则肠中自润，既无干燥之苦，自无渗漏之患，况地榆以凉之，木耳
以塞之，有不取效之速者乎。
此症用荠 熟地汤亦神。
熟地（三两） 地粟（三两，捣汁，同熟地煎汤服。二剂即止血。）
人有小便溺血者，其症痛涩马口，如刀割刺触而难忍，人以为小肠之血也，而
不知非也。小肠出血，则人立死，安得痛楚而犹生乎？因人不慎于酒色，欲泄不泄，
受惊而成之者。精本欲泄，因惊而缩，入则精已离宫，不能仍反于肾中，而小肠又
因受惊，不得直泄其水，则水积而火生，于是热极而煎熬，将所留之精化血而出于
小便之外，其实乃肾经之精，而非小便之血也。治法宜解其小肠之火，然而解火而
不利其水，则水壅而火仍不得出，精血又何从而外泄哉。方用水火两通丹∶
车前子（三钱） 茯苓（五钱） 木通（一钱） 栀子（三钱） 黄柏（一钱） 当归（五钱）
白芍（一两） 蓄（一钱） 生地（一两） 水煎服。一剂而涩痛除，二剂而溺血止，三剂全愈，不必用四剂也。
方中通利水火，而又加平肝补血之药者，盖血症最惧肝木克脾胃，则脾胃之气
不能升腾，而气乃下陷，气陷而血又何从而升散乎。今平其肝则肝气舒，而脾胃之
气亦舒，小肠之水火两通，败精有不速去者乎。
此症用通溺饮亦神。
黄柏 车前（各三钱） 茯苓 白术（各五钱） 王不留行（二钱） 肉桂（三分） 黄连（一钱）
水煎服。二剂即止血。
人有皮毛中出血者，或标出如一线，或渗出如一丝，或出于头上，或出于身中，
或出于两胫之间，皆肺肾两经之亏，火乘隙而外越也。此等之症，舍补肾水，无第二法可救。
然而补肾之功缓，必须急补其气，气旺则肺金自旺，而皮毛自固矣。方
用肺肾两益汤∶
熟地（二两） 人参（一两） 麦冬（一两） 三七根末（三钱） 水煎服。一剂而血即止矣。再用
六味地黄汤加麦冬、五味调服一月，不再发。
盖熟地壮水，麦冬益金，金水相资，则肺肾之火自息，血自归经，何至走入皮
毛而外泄，况三七根原能止血乎。
此症用 归敛血汤亦神效。
黄 玄参（各一两） 当归（五钱） 麦冬（一两） 北五味（一钱） 苏子（二钱） 三七根末（三钱）
水煎调服。一剂即止血。
人有唾血不止者，然止唾一口而不多唾，人以为所唾者不多，其病似轻，而不
知实重。盖此血出于脾，而不出于胃也。夫脾胃相表里者也，血犯胃已伤中州之土，
先天已亏矣，况更犯脾阴之后天乎。胃主受而脾主消，脾气一伤，不能为胃化其津
液，虽糟粕已变，但能化粗而不能化精，以转输于五脏六腑之间，则脏腑皆困，是
脾之唾血，更甚于胃之吐血矣。然而脾之所以唾血者，仍责之胃土之虚，不特胃土
之虚，而尤责之肾水之衰也。盖胃为肾之关门，肾衰则胃不为肾以司开阖，而脾之
血欲上唾，而胃无约束，任其越出于咽喉之上矣。故脾之唾血，虽脾火之沸腾，实
肾胃二火之相助也。治法平脾之火，必须补脾之土，更须补肾水以止胃之火也。方
用滋脾饮∶
人参（三分） 茯苓（二钱） 玄参 丹皮 芡实 茅根 山药（各三钱） 熟地（一两）
沙参（五钱） 甘草（五分）水煎服。一剂而唾血止，再剂全愈。
此方轻于治脾，而重于补肾，诚探本之法也。倘止泻脾火之有余，必致损胃土
之不足，胃气伤，而脾气更伤，然后始去补肾，则不能生肾水矣，何能制脾火之旺
哉，毋论唾血难止。吾恐胃关不闭，而血且大吐矣，此滋脾饮之所以妙耳。
此症用同归汤亦神效。
白术 玄参（各一两） 熟地（二两） 北五味（一钱） 荆芥（炒黑，三钱） 贝母（五分）
水煎服。一剂即止血。
人有双目流血，甚至直射而出，妇人则经闭不行，男子则口干唇燥，人以为肝
血之妄行也，谁知是肾中火动乎。夫肾中之火，相火也，若君火宁静，则相火不敢
上越，惟君火既衰，而后心中少动于嗜欲，则相火即挟君主之令，以役使九窍，而
九窍尊君之命，不敢不从，听其所使矣。心之系通于目，肝之窍开于目，肝中有火，
亦相火也，与肾中命门之相火、心中包络之相火，正同类也。同气相助而沸腾，不
啻如小人结党，比附而不可解，直走心肝之窍系，血不下行而上行矣。治法似宜补
心君之弱，以制肾火之动，然而心火既虚，补心而心不易旺，必须补肾以生心，则
心火不动，而肾火亦静耳。方用助心丹∶
麦冬（一两） 远志（二钱） 茯神（三钱） 熟地（一两） 山茱萸（五钱） 玄参（五钱）
丹皮（三钱） 芡实（三钱） 莲子心（一钱） 当归（三钱） 柴胡（三分） 水煎服。一剂而血止，二剂不再发。
此方心、肝、肾三经同治之药也，补肾以生肝，即补肾以生心耳。或疑肾中火
动，不宜重补其肾，不知肾火之动，乃肾水之衰也，水衰故火动，水旺不火静乎。
况心火必得肾水之资，而火乃旺也，心火旺而肾火自平，非漫然用之耳。
此症用 膏汤亦神效。
熟地 白芍（各一两） 山茱萸（五钱） 柴胡（五分） 荆芥（炒黑，三钱） 北五味（十粒）
竹沥（一合） 同水煎服。二剂愈。
人有舌上出血不止，细观之有小孔标血，此心火上升以克肺金也。夫鼻衄犯气
道也，舌中衄血，不过犯经络之小者耳。然有血出于口者，犯胃而不犯心；血出于
舌者，犯心而不犯胃。犯胃为腑，而犯心为脏，乌可谓经络细小之病而轻治之乎。
治法内补其心中之液，而外填其舌窍之孔，则心火自宁，而舌血易止也。方用补液丹∶
人参（三钱） 生地（三钱） 麦冬（五钱） 丹参（二钱） 北五味子（十粒） 山药（三钱）
当归（五钱） 黄连（一钱） 玄参（五钱） 贝母（一钱） 水煎服。外用炒槐花、三七根各等分，
为末，掺之即愈。
夫槐花、三七本能止血，似不必借重于补液丹也。然而内不治本而徒治其末，
未必不随止而随出也。
此症用柏子安心汤亦神效。
人参 茯神 柏子仁（各三钱） 远志（一钱） 菖蒲（三分） 当归 生地（各五钱） 五味子（十粒）
贝母 黄连（各五分） 水煎服。
二剂即止血。
丹皮（三钱） 麦冬（三钱） 桔梗（三钱） 甘草（一钱） 玄参（五钱） 人参（一钱） 熟地黄（一两）
五味子（一钱） 黄连（三分） 肉桂（一分） 水煎服。服用一剂后舌部出血立即停止，连续服用四剂，舌部的溃烂也痊愈了。
这个方子并不直接治疗舌头，而是旨在交通心肾。心肾相交，则心气下通于肾，哪里还需要另外寻求对舌头的救济呢？舌头不再被心火耗伤津液，就能得到自我滋养。这种不直接治舌的方法，反而比直接治舌更有效；这种不止血而能止血的方法，胜过强行止血。
此症使用清心救命丹也有神效。
玄参、麦冬（各一两） 甘草（一钱） 石菖蒲（三分） 茯神、人参、三七根末（各三钱） 五味子（三粒）
水煎后调服。一剂即可止血。
有人齿缝出血，血流如一线般涌出，这是肾中虚火沸腾所致。牙齿属于肾，肾热则牙齿亦热，肾虚则牙齿亦虚，肾欲出血则牙齿即出血。虽然如此，如果牙齿坚固，即使肾欲出血，也无缝隙可乘，似乎必须治齿，然而单纯治齿无益，仍须治肾，因为肾为本，牙齿为末。肾中之火乃龙雷之火，直奔咽喉，血应从口而出，为何会进入齿缝呢？这是因为肾火走任脉、督脉之路而上趋于唇齿，没有出路，便趁着齿缝有间隙而冲出。龙雷之火，其性最急，而齿缝之隙细小，不足以畅达其出路，所以激荡而像线一样标出。方用六味地黄汤加麦冬、五味子、骨碎补治疗。
熟地黄（一两） 山药（四钱） 山茱萸（四钱） 牡丹皮（五钱） 泽泻（三钱） 茯苓（三钱）
麦冬（五钱） 五味子（一钱） 骨碎补（一钱） 水煎服。一剂后血即止。连服四剂，永不再发。
六味地黄汤大补肾中之真阴（真水），阴足则火自降，火降则血不妄行。又担心单纯补肾水，而水不易生，故用麦冬、五味子以补肺金，从肾的化源（金生水）来补益它。补肺则水更容易生成，加入骨碎补透骨以填补漏洞，则血想不止都不可能了。
此症也可用阖缝丹：
猴姜、人参、北五味子、三七根末（各一钱） 甘草（三分） 各研为细末，擦牙，含漱即可止血。
止血后用六味丸调理则不再复发。
有人脐中流血，血量不十分多，夹着水流出，人也不十分狼狈。然而脐部连通气海、关元、命门，怎么可以泄气呢？虽然流血与泄气性质不同，但日日流血，气也会随之而泄。治法自然应当闭塞脐门，然而不清除病源，而只闭塞门户，也是徒劳。脐之所以出血，是因为大小肠之火。两火齐旺，必在肠中相互争斗，小肠之火欲趋出于大肠，而大肠之火欲升腾于小肠，两不相容，火便无根据，上下皆不可泄，因脐有间隙，便直攻其隙而出。火出于脐，血也随之而出。那么治疗脐部出血，难道不急安大小肠之火吗？
然而大小肠之所以动火，是因为肾经干燥无水以滋润它。所以治疗大小肠之火，仍须以治肾为主。方用两止汤：
熟地黄（三两） 山茱萸（一两） 麦冬（一两） 北五味子（五钱） 白术（五钱） 水煎服。
一剂即止血不流，四剂除根。
熟地黄、山茱萸以补肾水，麦冬、五味子以益肺气，多用五味子不仅为了生水，又取其酸收敛之性，加白术以利腰脐，腰脐利则水火流通，自然大小肠各自取给于肾水，而无相争之乱，水足则火息，血想不止也不可能了。
此症用障脐汤也很神效。
大黄（五分） 当归、生地（各一两） 地榆（三钱） 水煎服。一剂即止血。
有人九窍流血，症状气息奄奄，想睡而不愿见日光，头晕身困，人们以为是鬼祟附体，却不知道这是热血妄行，散走于九窍。看这症状若很重，然而比起狂血走一经者反而轻，引血归经则血不再流了。人身之中无非是血，九窍出血，是由近及远，并非全从脏腑而出，然而治法，仍须治脏腑，而不可只治经络，因为脏腑能统摄经络。方用当归补血汤加味治疗。
当归（五钱） 黄芪（一两） 荆芥（炒黑，三钱） 人参（三钱） 白术（五钱） 生地（五钱）
水煎服。一剂即止血，二剂不再流了。
热血妄行，不清火反而补气，是因为源于气虚。气虚则不能摄血，血得火而妄行，逢窍则钻，现在补其气则气旺了，气旺自能摄血。如果用止抑之法，一窍闭了，众窍怎保能尽闭呢？用补血汤，而又行气凉血，未尝没有清火之味，焉能不奏功如神呢？
此症可用掩窍丹：
人参、当归、生地、玄参（各一两） 炒黑荆芥（三钱） 甘草（一钱） 水煎服。一剂即止血，二剂全愈。
有人大便出血，有的在粪便前先出血，有的在粪便后才出血。人们认为粪前来者属大肠之火，粪后来者属小肠之火，其实都是大肠之火。肠中本无血，因大肠多火，烧干肠中之液，则肠壁薄而开裂，血得以渗入，裂窍在上则血来迟，裂窍在下则血来速，并非小肠能出血。小肠出血，人就会立即死亡，盖小肠无血，如有血则心受伤了，心受伤怎能存活呢？所以大便出血，统归于小肠论治是可以的，如果说大便之血，以粪后属小肠，则不可以。是治疗便血之症，宜单治大肠，然而大肠之所以出血，并非大肠的缘故。肾主大小便，肾水无济于大肠，故火旺而致便血。方用三地汤：
熟地黄（一两） 当归（一两） 生地黄（一两） 地榆（三钱） 木耳末（五钱） 水煎调服。一剂
即止血，二剂全愈。
精血双补，则肠中自润，既无干燥之苦，自无渗漏之患，何况用地榆以凉之，木耳以塞之，有不迅速取效的呢？
此症用荠苨熟地汤也神效。
熟地黄（三两） 地粟（三两，捣汁，同熟地黄煎汤服。二剂即止血。）
有人小便溺血，症状痛涩马口（尿道口），如刀割刺触而难忍，人们以为是小肠之血，而不知道不是。小肠出血，人就会立即死亡，怎会有痛楚而还能生存呢？因为人不慎于酒色，欲泄精而不能泄，受惊而成此病。精本欲泄，因惊而缩回，入内则精已离宫，不能仍反于肾中，而小肠又因受惊，不得直泄其水，则水积而火生，于是热极而煎熬，将所留之精化为血而出于小便之外，其实乃是肾经之精，而非小便之血。治法宜解其小肠之火，然而解火而不利其水，则水壅而火仍不得出，精血又何从而外泄哉。方用水火两通丹：
车前子（三钱） 茯苓（五钱） 木通（一钱） 栀子（三钱） 黄柏（一钱） 当归（五钱）
白芍（一两） 蓄草（一钱） 生地黄（一两） 水煎服。一剂而涩痛除，二剂而溺血止，三剂全愈，不必用四剂。
方中通利水火，而又加平肝补血之药，盖血症最惧肝木克脾胃，则脾胃之气不能升腾，而气乃下陷，气陷而血又何从而升散乎。现在平其肝则肝气舒，而脾胃之气亦舒，小肠之水火两通，败精有不速去者乎？
此症用通溺饮也神效。
黄柏、车前子（各三钱） 茯苓、白术（各五钱） 王不留行（二钱） 肉桂（三分） 黄连（一钱）
水煎服。二剂即止血。
有人皮毛中出血，有的像线一样标出，有的像丝一样渗出，或出于头上，或出于身中，或出于两胫之间，皆是肺肾两经亏损，火乘隙而外越。此类病症，舍补肾水，无第二法可救。
然而补肾之功缓，必须急补其气，气旺则肺金自旺，而皮毛自固矣。方用肺肾两益汤：
熟地黄（二两） 人参（一两） 麦冬（一两） 三七根末（三钱） 水煎服。一剂而血即止矣。再用
六味地黄汤加麦冬、五味子调服一月，不再发。
盖熟地黄壮水，麦冬益金，金水相资，则肺肾之火自息，血自归经，何至走入皮毛而外泄，何况三七根本能止血呢？
此症用归敛血汤也神效。
黄芪、玄参（各一两） 当归（五钱） 麦冬（一两） 北五味子（一钱） 苏子（二钱） 三七根末（三钱）
水煎调服。一剂即止血。
有人唾血不止，然而只唾一口而不多唾，人们以为所唾者不多，其病似轻，而不知道实际重。盖此血出于脾，而不出于胃。夫脾胃相表里者也，血犯胃已伤中州之土，先天已亏矣，况更犯脾阴之后天乎。胃主受纳而脾主运化，脾气一伤，不能为胃化其津液，虽糟粕已变，但能化粗而不能化精，以转输于五脏六腑之间，则脏腑皆困，是脾之唾血，更甚于胃之吐血矣。然而脾之所以唾血者，仍责之胃土之虚，不特胃土之虚，而尤责之肾水之衰也。盖胃为肾之关门，肾衰则胃不为肾以司开阖，而脾之血欲上唾，而胃无约束，任其越出于咽喉之上矣。故脾之唾血，虽脾火之沸腾，实肾胃二火之相助也。治法平脾之火，必须补脾之土，更须补肾水以止胃之火也。方用滋脾饮：
人参（三分） 茯苓（二钱） 玄参、牡丹皮、芡实、茅根、山药（各三钱） 熟地黄（一两）
沙参（五钱） 甘草（五分） 水煎服。一剂而唾血止，再剂全愈。
此方轻于治脾，而重于补肾，诚探本之法也。倘只泻脾火之有余，必致损胃土之不足，胃气伤，而脾气更伤，然后始去补肾，则不能生肾水矣，何能制脾火之旺哉，毋论唾血难止。吾恐胃关不闭，而血且大吐矣，此滋脾饮之所以妙耳。
此症用同归汤也神效。
白术、玄参（各一两） 熟地黄（二两） 北五味子（一钱） 荆芥（炒黑，三钱） 贝母（五分）
水煎服。一剂即止血。
有人双目流血，甚至直射而出，妇人则经闭不行，男子则口干唇燥，人们以为肝血之妄行也，谁知是肾中火动乎。夫肾中之火，相火也，若君火宁静，则相火不敢上越，惟君火既衰，而后心中少动于嗜欲，则相火即挟君主之令，以役使九窍，而九窍尊君之命，不敢不从，听其所使矣。心之系通于目，肝之窍开于目，肝中有火，亦相火也，与肾中命门之相火、心中包络之相火，正同类也。同气相助而沸腾，不啻如小人结党，比附而不可解，直走心肝之窍系，血不下行而上行矣。治法似宜补心君之弱，以制肾火之动，然而心火既虚，补心而心不易旺，必须补肾以生心，则心火不动，而肾火亦静耳。方用助心丹：
麦冬（一两） 远志（二钱） 茯神（三钱） 熟地黄（一两） 山茱萸（五钱） 玄参（五钱）
牡丹皮（三钱） 芡实（三钱） 莲子心（一钱） 当归（三钱） 柴胡（三分） 水煎服。一剂而血止，二剂不再发。
此方心、肝、肾三经同治之药也，补肾以生肝，即补肾以生心耳。或疑肾中火动，不宜重补其肾，不知肾火之动，乃肾水之衰也，水衰故火动，水旺不火静乎。
况心火必得肾水之资，而火乃旺也，心火旺而肾火自平，非漫然用之耳。
此症用膏汤也神效。
熟地黄、白芍（各一两） 山茱萸（五钱） 柴胡（五分） 荆芥（炒黑，三钱） 北五味子（十粒）
竹沥（一合） 同水煎服。二剂愈。
有人舌上出血不止，细观之有小孔标血，此心火上升以克肺金也。夫鼻衄犯气道也，舌中衄血，不过犯经络之小者耳。然有血出于口者，犯胃而不犯心；血出于舌者，犯心而不犯胃。犯胃为腑，而犯心为脏，乌可谓经络细小之病而轻治之乎。
治法内补其心中之液，而外填其舌窍之孔，则心火自宁，而舌血易止也。方用补液丹：
人参（三钱） 生地黄（三钱） 麦冬（五钱） 丹参（二钱） 北五味子（十粒） 山药（三钱）
当归（五钱） 黄连（一钱） 玄参（五钱） 贝母（一钱） 水煎服。外用炒槐花、三七根各等分，
为末，掺之即愈。
夫槐花、三七本能止血，似不必借重于补液丹也。然而内不治本而徒治其末，
未必不随止而随出也。
此症用柏子安心汤也神效。
人参、茯神、柏子仁（各三钱） 远志（一钱） 石菖蒲（三分） 当归、生地黄（各五钱） 五味子（十粒）
贝母、黄连（各五分） 水煎服。
二剂即止血。
Mudan Pi (Cortex Moutan Radicis) (3 qian), Maidong (Radix Ophiopogonis Japonici) (3 qian), Jiegeng (Radix Platycodonis Grandiflori) (3 qian), Gancao (Radix Glycyrrhizae Uralensis) (1 qian), Xuanshen (Radix Scrophulariae Ningpoensis) (5 qian), Renshen (Radix Ginseng) (1 qian), Shudi (Radix Rehmanniae Preparata) (1 liang),
Wuweizi (Fructus Schisandrae Chinensis) (1 qian), Huanglian (Rhizoma Coptidis Chinensis) (3 fen), Rougui (Cortex Cinnamomi Cassiae) (1 fen). Decoct in water and take orally. After one dose, bleeding from the tongue stops immediately; after four consecutive doses, the ulceration on the tongue heals.
This prescription does not directly treat the tongue but aims to facilitate the interaction between the Heart and Kidney (Heart-Kidney Interaction). When the Heart and Kidney interact, Heart Qi descends to the Kidney, making it unnecessary to seek specific relief for the tongue. If the tongue is not depleted of fluids by Heart Fire, it can nourish itself. This approach of not directly treating the tongue is superior to direct treatment; this method of stopping bleeding without forcibly arresting blood flow is more effective than mere hemostasis.
For this condition, Qingxin Mingming Dan (Clear Heart and Save Life Pill) is also highly effective.
Xuanshen (Scrophularia Root), Maidong (Ophiopogon Root) (each 1 liang), Gancao (Licorice Root) (1 qian), Changpu (Acorus Tatarinowii Rhizome) (3 fen), Fushen (Poria with Hostwood) (3 qian), Renshen (Ginseng Root) (3 qian), Sanqi Gen Mo (Powder of Notoginseng Root) (3 qian), Wuweizi (Schisandra Fruit) (3 grains).
Decoct in water and take with the decoction. One dose stops bleeding.
In cases where bleeding occurs from the gum margins, with blood flowing out like a single thread, this is due to the boiling of Deficient Fire in the Kidney. Teeth belong to the Kidney; if the Kidney is hot, the teeth are hot; if the Kidney is deficient, the teeth are weak. If the Kidney desires to bleed, the teeth will bleed. Although, if the teeth are firm, even if the Kidney desires to bleed, there is no gap to exploit, seemingly requiring treatment of the teeth. However, treating only the teeth is useless; one must still treat the Kidney, as the Kidney is the root and the teeth are the branch. The Fire in the Kidney is Dragon-Lei Fire (Vivid Fire), rushing straight to the throat. Blood should exit from the mouth, why enter the gum margins? This is because Kidney Fire travels along the Ren and Du meridians upwards towards the lips and teeth. With no other outlet, it exploits gaps in the gum margins. Dragon-Lei Fire is most urgent in nature, and the small gaps in the gum margins are insufficient to allow free discharge, causing agitation and emergence like a line. The formula used is Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Maidong, Wuweizi, and Gusuibu.
Shudi (Prepared Rehmannia Root) (1 liang), Shanyao (Dioscorea Rhizome) (4 qian), Shanzhuyu (Cornus Fruit) (4 qian), Danpi (Moutan Bark) (5 qian), Zexie (Alisma Rhizome) (3 qian), Fuling (Poria) (3 qian),
Maidong (Ophiopogon Root) (5 qian), Wuweizi (Schisandra Fruit) (1 qian), Gusuibu (Drynaria Rhizome) (1 qian). Decoct in water and take orally. Bleeding stops after one dose. After four consecutive doses, it never recurs.
Liuwei Dihuang Tang greatly tonifies the True Water (True Yin) in the Kidney. When Yin is sufficient, Fire naturally descends; when Fire descends, blood ceases to act recklessly. Furthermore, fearing that merely tonifying Kidney Water would make water difficult to generate, Maidong and Wuweizi are used to tonify Lung Metal, thereby supplementing from the source of transformation for the Kidney (Metal generates Water). Tonifying the Lung makes water generation easier. Adding Gusuibu penetrates the bone to fill leaks, making it impossible for blood not to stop.
For this condition, Hefeng Dan (Seam-Closing Pill) can also be used:
Houjiang (Asarum Root), Renshen (Ginseng Root), Bei Wuwei (North Schisandra Fruit), Sanqi Gen Mo (Notoginseng Root Powder) (each 1 qian), Gancao (Licorice Root) (3 fen). Grind all into fine powder, apply to teeth, swish and spit or swallow to stop bleeding.
After stopping bleeding, use Liuwei Wan (Six-Ingredient Pill) to prevent recurrence.
In cases where bleeding occurs from the umbilicus, the amount of blood is not excessive, mixed with fluid, and the patient is not overly distressed. However, the umbilicus connects to Qihai, Guanyuan, and Mingmen points. How can Qi be leaked? Although bleeding is not equivalent to Qi leakage, daily bleeding causes Qi to follow and leak. The treatment method should naturally seal the umbilical gate. However, clearing the source while merely closing the gate is futile. The reason for bleeding from the umbilicus is Fire in the Large and Small Intestines. When both Fires are vigorous, they contend within the intestines. Fire from the Small Intestine seeks to exit into the Large Intestine, while Fire from the Large Intestine seeks to ascend into the Small Intestine. Unable to accept each other, the Fire loses its foundation. Since neither top nor bottom can vent it, it attacks the gap at the umbilicus and exits. Fire exits from the umbilicus, and blood follows. Therefore, treating umbilical bleeding requires urgently calming the Fire in the Large and Small Intestines.
However, the reason for Fire moving in the Large and Small Intestines is Dryness and lack of Water in the Kidney Meridian failing to moisten them. Thus, treating Intestinal Fire still requires prioritizing Kidney treatment. The formula used is Liangzhi Tang (Two-Stopping Decoction):
Shudi (Prepared Rehmannia Root) (3 liang), Shanzhuyu (Cornus Fruit) (1 liang), Maidong (Ophiopogon Root) (1 liang), Bei Wuwei (North Schisandra Fruit) (5 qian), Baizhu (Atractylodes Macrocephala Rhizome) (5 qian). Decoct in water and take orally.
One dose stops bleeding and flow; four doses eradicate the root cause.
Shudi and Shanzhuyu tonify Kidney Water; Maidong and Wuweizi benefit Lung Qi. Using more Wuweizi not only generates Water but also utilizes its sour astringent property. Adding Baizhu benefits the waist and umbilicus. When the waist and umbilicus are unobstructed, Water and Fire circulate freely. Naturally, the Large and Small Intestines draw from Kidney Water, eliminating contention. When Water is sufficient, Fire subsides, and blood stops spontaneously.
For this condition, Zhangqi Tang (Umbilical Barrier Decoction) is also very effective.
Dahuang (Rhubarb Rhizome) (5 fen), Danggui (Angelica Sinensis Root), Shengdi (Rehmannia Root) (each 1 liang), Diyü (Sanguisorba Root) (3 qian). Decoct in water and take orally. One dose stops bleeding.
In cases of bleeding from the nine orifices, the patient's breath is faint, prefers lying down over seeing sunlight, suffers from dizziness and body fatigue. People think it is possessed by spirits, but do not realize this is Reckless Flow of Hot Blood dispersing to the nine orifices. Although the symptoms appear severe, they are actually milder than Wild Blood traveling through a single meridian. Guiding blood back to its vessels stops the bleeding. The human body is full of blood. Bleeding from the nine orifices spreads from near to far, not entirely originating from Zang-Fu organs. However, treatment must focus on Zang-Fu organs, not just collaterals, because Zang-Fu organs govern and control the collaterals. The formula used is Danggui Buxue Tang (Danggui Tonify Blood Decoction) with modifications.
Danggui (Angelica Sinensis Root) (5 qian), Huangqi (Astragalus Root) (1 liang), Jingjie (Schizonepeta Spike, stir-baked black) (3 qian), Renshen (Ginseng Root) (3 qian), Baizhu (Atractylodes Macrocephala Rhizome) (5 qian), Shengdi (Rehmannia Root) (5 qian).
Decoct in water and take orally. One dose stops bleeding; two doses prevent recurrence.
Reckless Flow of Hot Blood is treated by tonifying Qi rather than clearing Fire because the root is Qi Deficiency. Qi Deficiency fails to contain blood; blood, agitated by Fire, acts recklessly and drills into orifices. Now, tonifying Qi makes Qi vigorous, and vigorous Qi naturally contains blood. If using restraining methods, closing one orifice does not guarantee others remain closed. Using Buxue Tang, which moves Qi and cools blood, inherently contains fire-clearing properties, hence its miraculous efficacy.
For this condition, Yanqiao Dan (Orifice-Covering Pill) can be used:
Renshen (Ginseng Root), Danggui (Angelica Sinensis Root), Shengdi (Rehmannia Root), Xuanshen (Scrophularia Root) (each 1 liang), Chaohei Jingjie (Stir-baked Black Schizonepeta Spike) (3 qian), Gancao (Licorice Root) (1 qian). Decoct in water and take orally. One dose stops bleeding; two doses result in complete recovery.
In cases of hematochezia (blood in stool), bleeding may occur before or after defecation. People believe pre-defecation bleeding belongs to Large Intestine Fire, and post-defecation bleeding belongs to Small Intestine Fire. In reality, both are Large Intestine Fire. There is normally no blood in the intestines. Due to excess Fire in the Large Intestine drying intestinal fluids, the intestinal wall becomes thin and cracks. Blood seeps into these cracks. If the crack is upper, blood appears later; if lower, blood appears sooner. It is not Small Intestine bleeding. Small Intestine bleeding would cause immediate death, as the Small Intestine has no blood; if it did, the Heart would be injured, and survival would be impossible. Therefore, discussing hematochezia under the Small Intestine is acceptable for differentiation, but attributing post-defecation blood specifically to the Small Intestine is incorrect. Treatment of hematochezia should focus solely on the Large Intestine. However, the Large Intestine's bleeding is not its own fault. The Kidney governs both urination and defecation. Without Kidney Water assisting the Large Intestine, Fire becomes vigorous causing bleeding. The formula used is Sandi Tang (Three Earths Decoction):
Shudi (Prepared Rehmannia Root) (1 liang), Danggui (Angelica Sinensis Root) (1 liang), Shengdi (Rehmannia Root) (1 liang), Diyü (Sanguisorba Root) (3 qian), Mu'er Mo (Wood Ear Mushroom Powder) (5 qian). Decoct in water, mix with powder, and take orally. One dose
stops bleeding; two doses result in complete recovery.
Tonifying Essence and Blood simultaneously moistens the intestines. With no dryness, there is no leakage. Moreover, Diyü cools and Wood Ear seals, ensuring rapid efficacy.
For this condition, Qishu Di Tang (Shepherd's Purse and Rehmannia Decoction) is also effective.
Shudi (Prepared Rehmannia Root) (3 liang), Dili (Water Chestnut) (3 liang, crushed for juice, decocted together with Shudi). Two doses stop bleeding.
In cases of hematuria (blood in urine), symptoms include painful, obstructive sensation at the urethral meatus, unbearable like knife cuts or stings. People think it is Small Intestine blood, but this is incorrect. Small Intestine bleeding causes immediate death; how could one survive with such pain? This results from imprudence in alcohol and sexual activity, desire to release essence but failure to do so, compounded by fright. Essence intended to be released retracts due to fright. Once inside, the essence leaves its palace and cannot return to the Kidney. The Small Intestine, also frightened, cannot directly drain water. Water accumulates generating Fire. Extreme heat boils the retained essence, transforming it into blood exiting via urine. Essentially, this is Essence from the Kidney Meridian, not blood from the urine. Treatment should clear Small Intestine Fire. However, clearing Fire without promoting urination leads to water stagnation, preventing Fire from exiting, and thus Essence/Blood cannot escape externally. The formula used is Shuihuo Liangtong Dan (Water-Fire Mutual Unblocking Pill):
Cheqianzi (Plantago Seed) (3 qian), Fuling (Poria) (5 qian), Mutong (Akebia Stem) (1 qian), Zhizi (Gardenia Fruit) (3 qian), Huangbai (Phellodendron Bark) (1 qian), Danggui (Angelica Sinensis Root) (5 qian),
Baishao (White Peony Root) (1 liang), Lümi Cao (Herba Siegesbeckiae) (1 qian), Shengdi (Rehmannia Root) (1 liang). Decoct in water and take orally. One dose removes obstruction and pain; two doses stop hematuria; three doses achieve full recovery; four doses are unnecessary.
The formula promotes the mutual unblocking of Water and Fire, adding Liver-calming and Blood-tonifying herbs. Hemorrhagic diseases fear Liver Wood overcoming Spleen/Stomach, causing Spleen/Stomach Qi to fail to ascend and sink. Sinking Qi prevents blood from rising and dispersing. Calming the Liver soothes Liver Qi, which in turn soothes Spleen/Stomach Qi. With mutual unblocking of Water and Fire in the Small Intestine, stale essence is quickly expelled.
For this condition, Tongni Yin (Unblocking Urine Decoction) is also effective.
Huangbai (Phellodendron Bark), Cheqian (Plantago Seed) (each 3 qian), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome) (each 5 qian), Wangbuliuxing (Vaccaria Seed) (2 qian), Rougui (Cinnamon Bark) (3 fen), Huanglian (Coptis Rhizome) (1 qian).
Decoct in water and take orally. Two doses stop bleeding.
In cases of bleeding from skin and hair follicles, blood may emerge like a thread, ooze like a filament, or come from the head, body, or between the calves. These are deficiencies in the Lung and Kidney meridians, with Fire exploiting gaps to escape outward. For such conditions, tonifying Kidney Water is the only remedy.
However, tonifying the Kidney is slow; urgent Qi tonification is required. Vigorous Qi strengthens Lung Metal, securing the skin and hair. The formula used is Feishen Liangyi Tang (Lung-Kidney Dual-Benefiting Decoction):
Shudi (Prepared Rehmannia Root) (2 liang), Renshen (Ginseng Root) (1 liang), Maidong (Ophiopogon Root) (1 liang), Sanqi Gen Mo (Notoginseng Root Powder) (3 qian). Decoct in water and take orally. One dose stops bleeding. Subsequently, use Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Maidong and Wuweizi, taken for one month, to prevent recurrence.
Shudi strengthens Water, Maidong benefits Metal. Metal and Water support each other, extinguishing Lung-Kidney Fire. Blood returns to its vessels, preventing escape into skin and hair. Moreover, Sanqi root naturally stops bleeding.
For this condition, Gui Lianxue Tang (Angelica Astringent Blood Decoction) is also highly effective.
Huangqi (Astragalus Root), Xuanshen (Scrophularia Root) (each 1 liang), Danggui (Angelica Sinensis Root) (5 qian), Maidong (Ophiopogon Root) (1 liang), Bei Wuwei (North Schisandra Fruit) (1 qian), Suzi (Perilla Fruit) (2 qian), Sanqi Gen Mo (Notoginseng Root Powder) (3 qian).
Decoct in water, mix with powder, and take orally. One dose stops bleeding.
In cases of persistent spitting of blood, where only one mouthful is spat and not much, people think the disease is mild due to the small amount. They do not realize it is actually severe. This blood originates from the Spleen, not the Stomach. The Spleen and Stomach are exterior-interior paired. Blood invading the Stomach damages Central Earth, depleting the Pre-Heaven foundation. How much more so when invading the Post-Heaven Spleen Yin? The Stomach receives, the Spleen transforms. If Spleen Qi is damaged, it cannot transform fluids for the Stomach. Even if waste is processed, it can only process coarse matter, not refined essence, to transport among the Five Viscera and Six Bowels. Thus, all Zang-Fu become exhausted. Spleen-related spitting of blood is worse than Stomach vomiting of blood. However, the reason for Spleen spitting blood lies in Stomach Earth Deficiency. Not only Stomach Earth Deficiency, but especially Kidney Water Decline. The Stomach is the Gatekeeper for the Kidney. Kidney Decline means the Stomach cannot manage opening and closing for the Kidney. Spleen blood desires to spit upward, but without Stomach constraint, it freely escapes above the throat. Thus, Spleen spitting blood, though boiling Spleen Fire, is actually assisted by Kidney and Stomach Fires. Treatment to calm Spleen Fire must tonify Spleen Earth, and further tonify Kidney Water to stop Stomach Fire. The formula used is Zi Pi Yin (Nourish Spleen Decoction):
Renshen (Ginseng Root) (3 fen), Fuling (Poria) (2 qian), Xuanshen (Scrophularia Root), Danpi (Moutan Bark), Qianshi (Euryale Seed), Maogen (Imperata Rhizome), Shanyao (Dioscorea Rhizome) (each 3 qian), Shudi (Prepared Rehmannia Root) (1 liang),
Shashen (Glehnia Root) (5 qian), Gancao (Licorice Root) (5 fen). Decoct in water and take orally. One dose stops spitting blood; two doses achieve full recovery.
This prescription lightly treats the Spleen but heavily tonifies the Kidney, truly seeking the root. If one only drains excess Spleen Fire, one inevitably damages deficient Stomach Earth. Damaged Stomach Qi further injures Spleen Qi. Only then tonifying the Kidney fails to generate Kidney Water, unable to control vigorous Spleen Fire. Regardless of difficulty stopping spitting blood, I fear the Stomach Gate will not close, leading to massive vomiting of blood. This is the subtlety of Zi Pi Yin.
For this condition, Tonggui Tang (Return Together Decoction) is also highly effective.
Baizhu (Atractylodes Macrocephala Rhizome), Xuanshen (Scrophularia Root) (each 1 liang), Shudi (Prepared Rehmannia Root) (2 liang), Bei Wuwei (North Schisandra Fruit) (1 qian), Jingjie (Schizonepeta Spike, stir-baked black) (3 qian), Beimu (Fritillaria Bulb) (5 fen).
Decoct in water and take orally. One dose stops bleeding.
In cases of bleeding from both eyes, even shooting out directly, women experience amenorrhea, men suffer dry mouth and lips. People think it is reckless Liver Blood flow, who knew it was stirring of Fire in the Kidney? The Fire in the Kidney is Ministerial Fire (Xiang Huo). If Sovereign Fire (Jun Huo) is tranquil, Ministerial Fire dares not ascend. Only when Sovereign Fire declines, and the Heart slightly moves with desires, does Ministerial Fire seize the Sovereign's command to役使 (serve/control) the nine orifices. The nine orifices respect the Sovereign's order, dare not disobey, and obey. The Heart's connection reaches the eyes; the Liver's orifice opens at the eyes. Fire in the Liver is also Ministerial Fire, identical in kind to Ministerial Fire in the Kidney's Mingmen and Pericardium. Similar energies assist each other in boiling, like villains forming cliques, inseparable. They go straight to the Heart-Liver orifice connections, blood flows upward instead of downward. Treatment seems to require tonifying weak Sovereign Heart Fire to control Kidney Fire movement. However, since Heart Fire is already deficient, tonifying the Heart makes it hard to flourish. One must tonify the Kidney to generate Heart Fire. Then Heart Fire remains unmoved, and Kidney Fire becomes quiet. The formula used is Zhuxin Dan (Assist Heart Pill):
Maidong (Ophiopogon Root) (1 liang), Yuanzhi (Polygala Root) (2 qian), Fushen (Poria with Hostwood) (3 qian), Shudi (Prepared Rehmannia Root) (1 liang), Shanzhuyu (Cornus Fruit) (5 qian), Xuanshen (Scrophularia Root) (5 qian),
Danpi (Moutan Bark) (3 qian), Qianshi (Euryale Seed) (3 qian), Lianzixin (Lotus Plumule) (1 qian), Danggui (Angelica Sinensis Root) (3 qian), Chaihu (Bupleurum Root) (3 fen). Decoct in water and take orally. One dose stops bleeding; two doses prevent recurrence.
This prescription treats the Heart, Liver, and Kidney meridians simultaneously. Tonifying the Kidney to generate the Liver is equivalent to tonifying the Kidney to generate the Heart. Some doubt that with stirring Kidney Fire, heavy Kidney tonification is inappropriate. They do not know that stirring Kidney Fire is due to decline of Kidney Water. Water declines, so Fire stirs; if Water is vigorous, does Fire not quiet?
Moreover, Heart Fire must receive assistance from Kidney Water to flourish. If Heart Fire flourishes, Kidney Fire levels itself naturally. This is not random application.
For this condition, Gao Tang (Paste Decoction) is also highly effective.
Shudi (Prepared Rehmannia Root), Baishao (White Peony Root) (each 1 liang), Shanzhuyu (Cornus Fruit) (5 qian), Chaihu (Bupleurum Root) (5 fen), Jingjie (Schizonepeta Spike, stir-baked black) (3 qian), Bei Wuwei (North Schisandra Fruit) (10 grains),
Zhuli (Bamboo Sap) (1 he). Decoct together in water and take orally. Two doses cure.
In cases of persistent bleeding from the tongue, observing closely reveals small pores spurting blood. This is Heart Fire ascending to overcome Lung Metal. Epistaxis (nosebleed) affects the airway; tongue bleeding affects only minor collaterals. However, blood from the mouth invades the Stomach but not the Heart; blood from the tongue invades the Heart but not the Stomach. Invading the Stomach involves a Fu organ; invading the Heart involves a Zang organ. How can one lightly treat an illness of minor collaterals?
Treatment internally replenishes fluids in the Heart and externally fills the pores of the tongue orifice. Then Heart Fire calms, and tongue blood stops easily. The formula used is Buye Dan (Replenish Fluids Pill):
Renshen (Ginseng Root) (3 qian), Shengdi (Rehmannia Root) (3 qian), Maidong (Ophiopogon Root) (5 qian), Danshen (Salvia Root) (2 qian), Bei Wuweizi (North Schisandra Fruit) (10 grains), Shanyao (Dioscorea Rhizome) (3 qian),
Danggui (Angelica Sinensis Root) (5 qian), Huanglian (Coptis Rhizome) (1 qian), Xuanshen (Scrophularia Root) (5 qian), Beimu (Fritillaria Bulb) (1 qian). Decoct in water and take orally. Externally, use equal parts of Chao Huaihua (Stir-fried Sophora Flower) and Sanqi Gen (Notoginseng Root), grind into powder, and sprinkle on the area for healing.
Huaihua and Sanqi naturally stop bleeding, seemingly not needing reliance on Buye Dan. However, treating the branch without addressing the root internally may lead to bleeding resuming immediately after stopping.
For this condition, Baizi Anxin Tang (Seed-of-Tailow-Pod Calm-Heart Decoction) is also highly effective.
Renshen (Ginseng Root), Fushen (Poria with Hostwood), Baiziren (Seed of Tailow-Pod) (each 3 qian), Yuanzhi (Polygala Root) (1 qian), Changpu (Acorus Tatarinowii Rhizome) (3 fen), Danggui (Angelica Sinensis Root), Shengdi (Rehmannia Root) (each 5 qian), Wuweizi (Schisandra Fruit) (10 grains),
Beimu (Fritillaria Bulb), Huanglian (Coptis Rhizome) (each 5 fen). Decoct in water and take orally.
Two doses stop bleeding.