气逆失血者，血从气逆，得之暴怒而厥也。经云∶阳气者，大怒则形气绝，而血菀于上，使
人薄厥。又怒则气逆，甚则呕血及飧泄是也。必有胸胁满痛等证。宜芍药、陈皮、枳壳、贝
母之属，行其气而血自下。或肝火因气而逆者，必有烦躁、燥渴等证，宜芍药、生地黄、丹
皮、芩、连之属，降其火而血自宁。
小乌沉汤
乌药（去心，十两） 甘草（炒，一两） 香附子（炒，用砂盆洗去毛皮，然后焙干，二十
上为细末，每服一钱，不拘时沸汤点。
按∶大怒气逆，必有火热从之上行，宜以黄连、青黛、香附、柴胡、甘草、山栀等药，
平其肝则自愈。独进温燥，宁无偏胜之弊。且非古人抑怒全阴之意。
劳伤吐血者，经所谓用力太过则络脉伤是也。盖络脉之血，随经上下，往来不休。若络
伤损之处，其血因得渗漏而出矣。如是者须和养血气，安顺谨调，使损者复完，则血脉循行如
故，所谓劳者逸之是也。此等未关脏气，但体性坚凝，尚可望其生全。若不能如此，而或纵
情违理，络脉完已复损，则必无幸矣。
发灰散
乱发（烧灰）
每服二钱，米醋汤调服，亦治小儿尿血。
治吐血不止。
将本人血，磁锅焙干为末，每一钱二分，以参麦煎汤调下即止。
凡吐粉红色痰涎者，是肺络损伤而血渗也。治以鲜藕、白糯米、红枣三物，煎汤频频服
久自愈。此方系正白旗迟维职所授，用之良验。（迟公曾任崇明及六合县，系一榜出身，三
气逆导致的失血，是指血液随着气的上逆而妄行，多因暴怒导致气机厥逆所致。《内经》说：“人体的阳气，在极度愤怒时会导致形体与气机隔绝，血液郁积于上部，使人发生薄厥。”又云：“愤怒会导致气机上逆，严重时会出现呕血或完谷不化的泄泻。”这类病症必然伴有胸胁部胀满疼痛等症状。适宜使用芍药、陈皮、枳壳、贝母等药物，通过疏通气机使血液自然下行。如果是肝火因气逆而上冲的，必然伴有烦躁、口干舌燥且渴等症状，适宜使用芍药、生地黄、牡丹皮、黄芩、黄连等药物，通过清降肝火使血液自然安宁。
小乌沉汤
乌药（去除中心木质部，十两） 甘草（炒制，一两） 香附子（炒制，用砂盆洗净去除毛皮，然后焙干，二十两），以上三味药研为细末，每次服用一钱，不限时间，用沸水冲服。
按语：大怒导致气机逆乱，必然有火热之邪随气上行，适宜使用黄连、青黛、香附、柴胡、甘草、山栀等药物，平抑肝火则病自愈。如果单独进用温燥性质的药物，难道没有偏颇过胜的弊端吗？而且这也不符合古人抑制怒气、保全阴液的本意。
劳伤导致的吐血，就是《内经》所说的用力过度导致络脉损伤。大概络脉中的血液，随着经脉上下流动，往来不停。如果络脉受损的地方，血液因此渗漏而出。像这样的情况，必须调和养血气，安顺谨慎地调理，使受损之处得以修复，那么血脉循行就会恢复如常，这就是所谓“劳者逸之”（对劳伤者使其休息）的道理。这类病症尚未涉及脏腑之气，只要体质坚实凝练，还希望有望痊愈。如果不能这样，反而放纵情欲违背常理，使得刚刚修复的络脉再次受损，那就必定没有生机了。
发灰散
乱发（烧成炭灰）
每次服用二钱，用米醋汤调服，也可以治疗小儿尿血。
治疗吐血不止。
取患者本人的头发，在磁锅中焙干研为粉末，每次服用一钱二分，用人参和麦冬煎汤送下即可止血。
凡是吐出粉红色痰涎的，是肺络损伤导致血液渗入。治疗方法是用鲜藕、白糯米、红枣三物，煎汤频频服用，时间久了自然会痊愈。此方是由正白旗人迟维职传授，使用效果很好。（迟公曾担任崇明及六合县官职，是一甲进士出身，三……）
Hemorrhage due to Qi rebellion refers to blood flowing recklessly following the upward rebellion of Qi, often resulting from sudden rage causing Qi stagnation and reversal. The Classics state: "The Yang Qi of the human body, when subjected to great anger, causes the form and Qi to become severed, and blood becomes depressed in the upper part, leading to a condition known as Bo Jue (thin syncope)." It is also stated that "anger causes Qi to rebel; in severe cases, it leads to vomiting blood or diarrhea with undigested food." Such conditions must present with symptoms such as fullness and pain in the chest and hypochondrium. It is appropriate to use herbs such as Bai Shao (Radix Paeoniae Alba), Chen Pi (Pericarpium Citri Reticulatae), Zhi Ke (Fructus Aurantii), and Bei Mu (Bulbus Fritillariae Cirrhosae) to move Qi, after which the blood will naturally descend. If Liver Fire rebels due to Qi stagnation, there will inevitably be symptoms such as irritability, dryness, and thirst. It is appropriate to use herbs such as Bai Shao (Radix Paeoniae Alba), Sheng Di Huang (Radix Rehmanniae Preparata), Mu Dan Pi (Cortex Moutan), Huang Qin (Radix Scutellariae), and Lian Zi (Semen Nelumbinis) to subdue the fire, after which the blood will naturally settle.
Xiao Wu Chen Tang (Minor Black Stagnation Decoction)
Wu Yao (Linderae Radix, removed core, 10 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-fried, 1 liang), Xiang Fu (Cyperi Rhizoma, stir-fried, washed in a mortar to remove hairs and skin, then dried, 20 liang). The above three ingredients are ground into fine powder. Take 1 qian per dose, at any time, mixed with boiling water.
Note: Great anger causing Qi rebellion inevitably involves heat-fire rising upwards. It is appropriate to use herbs such as Huang Lian (Coptidis Rhizoma), Qing Dai (Indigo Naturalis), Xiang Fu (Cyperi Rhizoma), Chai Hu (Bupleuri Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Shan Zhi (Gardeniae Fructus) to calm the Liver, and the disease will heal itself. To solely administer warm and drying herbs would surely lead to the disadvantage of excessive bias. Moreover, this does not align with the ancient intention of suppressing anger and preserving Yin.
Hematemesis due to overexertion refers to what the Classics describe as injury to the collateral vessels due to excessive physical effort. Generally, the blood within the collateral vessels flows up and down along the meridians without ceasing. If the damaged area of the collateral vessels allows blood to leak out, this occurs. In such cases, one must harmonize and nourish the Qi and Blood, adjust carefully and peacefully, so that the damaged parts may recover completely, and the circulation of blood vessels returns to normal. This is referred to as "resting those who are fatigued." These conditions do not yet involve the Zang-Fu organs; if the constitution is firm and solid, recovery is still possible. However, if one fails to adhere to this and indulges in desires contrary to reason, causing the repaired collateral vessels to be damaged again, there will be no hope for survival.
Fa Hui San (Hair Ash Powder)
Luan Fa (Human Hair, burnt to ash).
Take 2 qian per dose, mixed with rice vinegar soup. It can also treat hematuria in children.
To treat continuous hematemesis.
Take the patient's own hair, bake dry in a porcelain pot, grind into powder. Take 1.2 qian per dose, mixed with decoction of Ren Shen (Ginseng Radix et Rhizoma) and Mai Dong (Ophiopogonis Tuber) to stop bleeding immediately.
Those who expectorate pink phlegm-saliva have suffered damage to the Lung collaterals with blood seepage. The treatment is to decoct fresh lotus root, white glutinous rice, and red dates, and take frequently. After a long time, it will heal spontaneously. This prescription was taught by Chi Weizhi of the Plain White Banner, and its efficacy is excellent. (Official Chi served as magistrate of Chongming and Liuhe counties, having passed the imperial examination as a first-class graduate...)