治喘,定哮。
甘草(五分) 桔梗 川贝母 百部 白前 橘红 茯苓 旋复花(各一钱五分
水煎服。
止嗽散 (见伤寒咳嗽。
暴吐血,以祛瘀为主,而兼之降火;久吐血,以养阴为主,而兼之理脾。古方四生丸、
十灰散、花蕊散,祛瘀降火之法也;古方六味汤、四物汤、四君子汤,养阴补脾之法也。
散之。务农赤日,行旅长途,口渴自汗而吐血者,此伤暑也,益元散清之。夏令火炎,更乘
秋燥,发为干咳,脉数大而吐血者,此燥火焚金也,三黄解毒汤降之。此外感之治法也。
又如阴虚吐血者,初用四生丸、十灰散以化之,兼用生地、黄汤以清之。吐止,则用地
黄丸补之。阳虚大吐,血成升斗者,初用花蕊石散以化之,随用独参汤以补之,继则用四君
、八珍等以调之。脏寒吐血,如天寒地冻,水凝成冰也,用理中汤以温之。其或七情气结,
怒动肝火者,则用加味逍遥散以疏达之。伤力吐血者,则用泽兰汤行之。此内伤之治法也。
行。病势既久,气血衰微,饮食渐减,大便不实,法当养阴血兼补脾气。大凡吐血、咯血,
须用四君子之类以收功,盖阴血生于阳气,脾气旺则能生血耳。治者念之。
四生丸 (见虚证。
祛瘀生新,止血之良剂。
大蓟 小蓟 茅根 茜根 老丝瓜 山栀 蒲黄 荷叶 大黄 乱发
烧灰,存性。每服二、三钱,藕汤调下。
花蕊石散、六味汤、四物汤、四君子汤 (并见虚证。
加味香苏散 (即香苏散加山栀、丹皮、丹参。方见伤寒太阳证。
益元散 (见类中。
三黄解毒汤 (见伤寒。
生地黄汤 (见虚证。
独参汤、八珍汤 (见虚证。
理中汤 (见中寒。
加味逍遥散 (见类中)
泽兰汤 (见后腰痛。
To treat wheezing and calm asthma.
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 5 fen) Jiegeng (Platycodon Root, *Platycodi Radix*) Chuanbeimu (Fritillaria Bulb, *Fritillariae Thunbergii Bulbus*) Baibu (Stemona Root, *Stemonae Radix*) Baiqian (Cynanchum Root, *Cynanchi Stauntonii Radix*) Juhong (Tangerine Peel, *Citri Reticulatae Pericarpium*) Fuling (Poria, *Poria*) Xuanfuhua (Inula Flower, *Inulae Flos*, each 1 qian 5 fen).
Decoct in water and take orally.
Zhisou San (Stop Cough Powder) (See "Cold Damage Cough").
For sudden hematemesis, the primary treatment is to dispel blood stasis, supplemented by methods to descend fire; for chronic hematemesis, the primary treatment is to nourish Yin, supplemented by methods to regulate the Spleen and Stomach. Ancient formulas such as Sisheng Wan (Four Generations Pill), Shihui San (Ten Ashes Powder), and Huarui San (Flower Nodule Powder) represent methods of dispelling stasis and descending fire; ancient formulas such as Liuwei Tang (Six-Ingredient Decoction), Siwu Tang (Four Substance Decoction), and Sijunzi Tang (Four Gentlemen Decoction) represent methods of nourishing Yin and tonifying the Spleen.
For those who work in the scorching sun or travel long distances, suffering from thirst, spontaneous sweating, and subsequent hematemesis, this is caused by Summerheat injury; Yi Yuan San (Benefit Primordial Powder) should be used to clear it. In summer, when Fire flares up and combines with Autumn Dryness, leading to dry cough, rapid and large pulse, and hematemesis, this is Dryness-Fire burning the Metal (Lung); Sanhuang Jiedu Tang (Three Yellows Detoxification Decoction) should be used to descend the fire. These are treatments for Exogenous diseases.
Regarding hematemesis due to Yin Deficiency, initially use Sisheng Wan and Shihui San to resolve stasis, combined with Shengdihuang Tang (Rehmannia Decoction) to clear heat. Once bleeding stops, Dihuang Wan (Rehmannia Pill) is used to tonify. For massive hemorrhage due to Yang Deficiency, where blood loss is substantial, initially use Huaruishi San (Flower Nodule Stone Powder) to resolve stasis, immediately followed by Dushen Tang (Single Ginseng Decoction) to tonify Qi and secure collapse, and subsequently use Sijunzi Tang and Bazhen Tang (Eight Treasure Decoction) to regulate. For hematemesis due to Zang Cold, akin to water freezing into ice in severe winter cold, Lizhong Tang (Regulate the Middle Decoction) should be used to warm the interior. If caused by emotional stagnation and Liver Fire stirred by anger, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) should be used to soothe and diffuse. For hematemesis due to physical strain, Zelan Tang (Dewdrop Herb Decoction) should be used to promote circulation. These are treatments for Endogenous injuries.
When the disease has persisted for a long time, Qi and Blood become deficient, food intake gradually decreases, and stools are loose, the method should be to nourish Yin-Blood and simultaneously tonify Spleen-Qi. Generally, for hematemesis and hemoptysis, one must conclude treatment with formulas like Sijunzi Tang, because Yin-Blood is generated from Yang-Qi; when Spleen-Qi is robust, it can generate blood. Practitioners should bear this in mind.
Sisheng Wan (See "Deficiency Syndromes").
A good formula for dispelling stasis to generate new blood and stopping bleeding.
Daji (Great Thistle Root, *Cirsii Japonici Radix*) Xiaoji (Small Thistle Root, *Cirsii setosae Radix*) Maogen (Imperata Rhizome, *Imperatae Rhizoma*) Qiangen (Moutan Root Bark, *Moutan Cortex* - Note: Text says Qian Gen, usually refers to Qian Cao Gen/Cyanotis Root or similar, but contextually often paired with cooling blood herbs. Standard WHO term for Qian Cao Gen is *Radix Rubiae Cordifoliae*. However, text says "Qian Gen". I will use *Rubiae Cordifoliae Radix* assuming Qian Cao Gen based on common pairing in Shihui San, or strictly *Qian Gen* if ambiguous. Given "Shihui San" ingredients usually include Qian Cao Gen, I will map to *Rubiae Cordifoliae Radix*). Zhizi (Gardenia Fruit, *Gardeniae Fructus*) Puhuang (Pollen Typhae) Heye (Lotus Leaf, *Nelumbinis Folium*) Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) Luanfa (Human Hair, *Capilli Humanis Carbonisatus* - burnt to ash, preserving nature). Take 2–3 qian per dose, mixed with Lotus Root Decoction (*Nelumbinis Rhizoma* decoction).
Huaruishi San, Liuwei Tang, Siwu Tang, Sijunzi Tang (All see "Deficiency Syndromes").
Jiawei Xiangsu San (Xiangsu San plus Zhizi, Danpi, Danshen. Formula see "Cold Damage Taiyang Syndrome").
Yi Yuan San (See "Stroke-like Syndromes").
Sanhuang Jiedu Tang (See "Cold Damage").
Shengdihuang Tang (See "Deficiency Syndromes").
Dushen Tang, Bazhen Tang (See "Deficiency Syndromes").
Lizhong Tang (See "Middle Cold").
Jiawei Xiaoyao San (See "Stroke-like Syndromes").
Zelan Tang (See "Lower Back Pain" later).