论曰∶藏真高于肺而主气,藏真通于心而主血,藏真散于肝而藏血。是三者,或因愁忧
思虑,与夫恚怒气逆,伤之则气乱而血妄行,下入于胃,胃受之则满胀,其气贲冲于上,故
吐血不止也。
治吐血极者不止。大圣散方。
金星石 银星石 禹余粮 寒水石(以上并碎) 不灰木 半夏(汤洗七遍去滑,生姜
汁
制,焙) 大黄(锉) 蛤粉
上八味,等分,捣罗为散。每服一钱匕,新汲水调,更入龙脑少许佳。兼解五毒。
治吐血不止。阿胶散方。
阿胶(炒令燥半两) 生干地黄(焙一两) 人参(一分) 黄柏(去粗皮,蜜炙) 蝉
壳(去
土)
上七味,捣罗为散。每服一钱匕,糯米饮调下,不拘时候服。
治吐血不止。苎根散方。
苎根 人参 白垩 蛤粉各一分
上四味,捣罗为散。每服一钱匕,糯米饮调下,不拘时候。
治吐血不止。金散方。
黄柏(去粗皮,涂蜜炙令赤二两) 寒食面(微炒一两) 黄明胶(炙令燥一两)
上三味,捣罗为散。每服三钱匕,冷熟水调下,食后临卧服。
治吐血不止。鳖甲散方。
鳖甲(一两锉作片子) 蛤粉(一两鳖甲相和于铫内炒香,黄色) 熟干地黄(一两半
曝
干)
上三味,捣为细散。每服二钱匕,食后腊茶清调下,服药讫可睡少时。
治吐血不止。郁金散方。
郁金(一两) 莲实(去皮) 黄 (锉各一分)
上三味,捣罗为散。每服一钱匕,冷水调下,不计时候服。
治吐血不止。二黄汤方。
生干地黄(焙) 蒲黄(各一两)
上二味,粗捣筛。每服二钱匕,水一盏,入竹叶七片,煎七分,去滓,放冷,细呷,食
后。
治吐血不止。调胃散方。
紫背荷叶(焙半两) 黄 (锉一分)
上二味,捣罗为细散。每服一钱匕,生姜蜜水调下,不拘时候。
治吐血不止。白蔹汤方。
白蔹三两 阿胶(二两炙令燥)
上二味,粗捣筛。每服二钱匕,酒水共一盏,入生地黄汁二合,同煎至七分,去滓温服。
如无地黄汁,入生干地黄一分同煎亦得。
治吐血,肺损不止。白金散方。
白面 九节菖蒲末(各一两)
上二味,再研匀。每服二钱匕,新汲水调下,未止再服。如中暑毒瓦斯,生姜蜜水调下。
治吐血似鹅鸭肝,昼夜不止。生犀散方。
犀角(二两镑屑,生用) 桔梗(二两生用)
上二味,捣罗为散。暖酒调下二钱匕。
治吐血,成块不止。箬叶散方。
箬叶(半两烧灰) 枫香脂(一两)
上二味,研为散。每服一钱匕,煎黄牛皮汤调下,不计时候服。
治吐血不止。人参散方。
人参(一分) 天茄子苗(半两)
上二味,捣罗为散。每服二钱匕,新水调下,不拘时。
治血妄行入胃,吐血不止。黄 散方。
黄 (半两细研) 五灵脂(一两)
上二味,捣罗为散。每服二钱匕,新水调下,不拘时。
治吐血不止。黄药汤方。
黄药子(万州者)一两
上一味,捣碎,用水二盏,煎至一盏,去滓,温热服。治吐血不止。槐香散方。槐花不
拘多少
上一味,火烧存性,研细,入麝香少许。每服三钱匕,温糯米饮调下,立效。
治吐血不止方。
黄栌木(不拘多少锉碎)
上一味,粗捣筛。每服三钱匕,以水一盏,煎至六分,去滓温服。
治吐血不止。如圣散方。
上用上色白瓷碗盘,椎碎,捣罗为细末,打皂荚子入煎汤。调下二钱匕,连三服立愈
治暴吐血不止。人参散方。
人参
上一味,为散,每服三钱匕,用鸡子清和新汲水半盏调下。
治吐血不止。茜草饮方。
茜草(一两生用)
上一味,粗捣筛。每服三钱匕,水一盏,煎至七分,去滓,放冷服,食后。治吐血不
止。如圣散方。
枫香脂(不拘多少)上一味,细研为散。每服二钱匕,新汲水调下,不计时候。
治吐血不止。蛛丝散方。
大蜘蛛网一大块
上一味,于铫中炒令黄色,研为散。以温酒调下,立止。
治吐血不止,咳嗽。补肺百花煎方。
生地黄汁(一升) 生姜汁(半升) 黄牛乳(一升半) 藕汁(一升) 胡桃瓤(十
枚研如糊) 干柿五(枚细锉,研如糊) 大枣(二十一枚煮去皮、核,研如糊) 清酒(一
升以上数味一处入银锅中煎,候沸方下后药) 黄明胶(炙燥为末) 秦艽末(各半两) 杏
仁(汤浸去皮尖
上一十一味,相次下,煎减一半,却入上色蜜四两,徐徐着火,养成煎后,入瓷合中盛。
每日三度服,每服一匙头,糯米饮调下,酒下亦得。
治吐血不止。红蓝花饮方。
红蓝花(二两) 伏龙肝(三两以水五升五合浸,滤取汁) 犀角(镑一分) 甜竹茹
(三
分) 白
上六味,将伏龙肝汁煎诸药,取六合。去滓,食后分三服,每服更入乱发灰一钱匕和匀
服。
治卒吐血不止。阿胶汤方。
阿胶(炙燥) 艾叶(焙各三两) 地榆 芍药(各四两) 蓟根(五两)
上五味,粗捣筛。每服五钱匕,水一盏半,煎至八分,去滓温服。
治心肺蕴热,或恚怒气逆,使血妄行,日久不止。土马鬃汤方。
土马鬃(焙干二两) 枳实(去瓤,麸炒) 白茯苓(去黑皮) 秦艽(去苗土) 甘
草(炙,
锉) 柴胡(去苗) 人参 生干地黄(焙各一两)
上八味,粗捣筛。每服三钱匕,水一盏,煎至七分,去滓,食后温服。
治吐血不止方。
生地黄汁
上一味,和生蜜。每服半盏,不拘时候。
Commentary states: Among the Zang organs, the True Qi of the Lung is highest and governs Qi; the True Qi connects with the Heart and governs Blood; the True Qi scatters into the Liver and stores Blood. These three may be injured by sorrow, worry, overthinking, or anger causing Qi rebellion. Injury leads to chaotic Qi and reckless blood flow. The blood enters the Stomach downwards; when the Stomach receives it, distension occurs. The Qi rushes upward, thus causing continuous hematemesis (vomiting blood).
Formula for treating severe hematemesis that does not stop: Dasheng San (Great Sage Powder).
Jinxing Shi (Venus Stone), Yinxing Shi (Silver Star Stone), Yuyuliang (Yu Yu Liang Ore), Hanshui Shi (Cold Water Stone) [all crushed above]; Buhui Mu (Non-ash Wood); Banxia (Pinelliae Rhizoma, washed seven times in decoction to remove slipperiness, processed with Shengjiang Jiang (Fresh Ginger Juice), dried); Dahuang (Rhei Radix et Rhizoma, chopped); Gafen (Calcitum).
The above eight ingredients are mixed in equal parts, pounded and sieved into a powder. Each dose is one qianbi (approx. 3-5g), mixed with newly drawn cold water. Adding a small amount of Longnao (Borneolum Syntheticum) is excellent. It also resolves the five poisons.
Formula for treating hematemesis that does not stop: Ejiao San (Donkey-Hide Gelatin Powder).
Ejiao (Asini Corii Colla, fried until dry, half liang); Shenggan Dihuang (Rehmanniae Radix Preparata, dried, one liang); Renshen (Ginseng Radix et Rhizoma, one fen); Huangbai (Phellodendri Cortex, coarse skin removed, honey-fried); Chanqiao (Cicadae Periostracum, soil removed).
The above seven ingredients are pounded and sieved into a powder. Each dose is one qianbi, taken with Mixian Yin (Glutinous Rice Decoction), at any time.
Formula for treating hematemesis that does not stop: Zhugen San (Boehmeriae Root Powder).
Zhugen (Boehmeriae Caulis Foliumque Radix), Renshen (Ginseng Radix et Rhizoma), Bai'e (Kaolinite), Gafen (Calcitum) [each one fen].
The above four ingredients are pounded and sieved into a powder. Each dose is one qianbi, taken with Mixian Yin (Glutinous Rice Decoction), at any time.
Formula for treating hematemesis that does not stop: Jin San (Gold Powder).
Huangbai (Phellodendri Cortex, coarse skin removed, coated with honey and fried until red, two liang); Hanshi Mian (Han Shi Noodle, lightly fried, one liang); Huangming Jiao (Huangming Jiao, fried until dry, one liang).
The above three ingredients are pounded and sieved into a powder. Each dose is three qianbi, taken with cold boiled water, after meals and before sleep.
Formula for treating hematemesis that does not stop: Biejia San (Trionycis Carapax Powder).
Biejia (Trionycis Carapax, one liang, chopped into slices); Gafen (Calcitum, one liang, fried together with Biejia in a pot until fragrant and yellow); Shugan Dihuang (Rehmanniae Radix Preparata, dried by sun, one and a half liang).
The above three ingredients are pounded into a fine powder. Each dose is two qianbi, taken after meals with La Cha Qing (Aged Tea Infusion). One may rest briefly after taking the medicine.
Formula for treating hematemesis that does not stop: Yujin San (Curcumae Radix Powder).
Yujin (Curcumae Radix, one liang); Lianshi (Nelumbinis Semen, peeled); Huangqin (Scutellariae Radix, chopped, each one fen).
The above three ingredients are pounded and sieved into a powder. Each dose is one qianbi, taken with cold water, at any time.
Formula for treating hematemesis that does not stop: Erhuang Tang (Two Yellow Decoction).
Shenggan Dihuang (Rehmanniae Radix Preparata, dried); Puhuang (Pollinis Typhae, each one liang).
The above two ingredients are coarsely pounded and sieved. Each dose is two qianbi, with one zhan (approx. 200ml) of water, adding seven leaves of Zhuye (Bambusae Folium), decocted to seven-tenths volume. Strain, cool, and sip slowly. Take after meals.
Formula for treating hematemesis that does not stop: Tiaowei San (Regulate Stomach Powder).
Zibei Heye (Nymphaeae Folium with purple back, dried, half liang); Huangqin (Scutellariae Radix, chopped, one fen).
The above two ingredients are pounded and sieved into a fine powder. Each dose is one qianbi, taken with Shengjiang Mi Shui (Ginger and Honey Water), at any time.
Formula for treating hematemesis that does not stop: Bailian Tang (Ampelopsis Radix Decoction).
Bailian (Ampelopsis Radix, three liang); Ejiao (Asini Corii Colla, two liang, fried until dry).
The above two ingredients are coarsely pounded and sieved. Each dose is two qianbi, with one zhan of wine and water combined, adding Ersheng Dihuang Zhi (Fresh Rehmanniae Juice, two he). Decoct together to seven-tenths volume, strain, and take warm. If fresh Rehmanniae juice is unavailable, adding Shenggan Dihuang (Rehmanniae Radix Preparata, one fen) for decoction is also acceptable.
Formula for treating hematemesis due to Lung damage that does not stop: Baijin San (White Platinum Powder).
Baifan (Alumen), Jiujie Changpu (Acori Tatarinowii Rhizoma selected as nine-jointed), powdered (each one liang).
The above two ingredients are ground again until uniform. Each dose is two qianbi, taken with newly drawn cold water. If bleeding has not stopped, take another dose. For heatstroke or toxic vapors, take with Shengjiang Mi Shui (Ginger and Honey Water).
Formula for treating hematemesis resembling goose or duck liver, continuing day and night: Shengxi San (Raw Rhinoceros Horn Powder).
Xijiao (Rhinocerotis Cornu, two liang, shaved into flakes, used raw); Jiegeng (Platycodonis Radix, two liang, used raw).
The above two ingredients are pounded and sieved into a powder. Take two qianbi mixed with warm wine.
Formula for treating hematemesis forming clots that does not stop: Ruoye San (Indocalyx Leaf Powder).
Ruoye (Indocalyx Leaf, half liang, burned to ash); Fengxiang Zhi (Liquidambaris Resina, one liang).
The above two ingredients are ground into a powder. Each dose is one qianbi, taken with decoction of Huangniupi Tang (Yellow Cow Hide Decoction), at any time.
Formula for treating hematemesis that does not stop: Renshen San (Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma, one fen); Tian Qiezi Miao (Solanum lyratum Thunb. stem and leaf, half liang).
The above two ingredients are pounded and sieved into a powder. Each dose is two qianbi, taken with new water, at any time.
Formula for treating reckless blood flow entering the Stomach and causing hematemesis that does not stop: Huangqi San (Astragali Radix Powder).
Huangqi (Astragali Radix, half liang, finely ground); Wulingzhi (Trogopterori Faeces, one liang).
The above two ingredients are pounded and sieved into a powder. Each dose is two qianbi, taken with new water, at any time.
Formula for treating hematemesis that does not stop: Huangyao Tang (Dioscoreae Hypoglaucae Rhizoma Decoction).
Huangyaozi (Dioscoreae Hypoglaucae Rhizoma, from Wanzhou) one liang.
The above single ingredient is crushed. Decoct with two zhan of water until one zhan remains. Strain and take warm.
Formula for treating hematemesis that does not stop: Huaixiang San (Sophorae Flower and Musk Powder).
Huaihua (Sophorae Flos), quantity unspecified.
The above single ingredient is fire-roasted to retain its nature, ground finely, and mixed with a small amount of Shexiang (Moschus). Each dose is three qianbi, taken with warm Mixian Yin (Glutinous Rice Decoction). Effect is immediate.
Formula for treating hematemesis that does not stop.
Huanglu Mu (Lithospermum Erythrorhizon Root), quantity unspecified, chopped.
The above single ingredient is coarsely pounded and sieved. Each dose is three qianbi, with one zhan of water, decocted to six-tenths volume. Strain and take warm.
Formula for treating hematemesis that does not stop: Rusheng San (Like-Sage Powder).
Take high-quality white porcelain bowls or plates, crush them, and grind into fine powder. Make a decoction from Zaojia Zi (Gleditsiae Sinensis Fructus seed). Mix the powder with this decoction. Take two qianbi. Three consecutive doses will cure it immediately.
Formula for treating sudden severe hematemesis that does not stop: Renshen San (Ginseng Powder).
Renshen (Ginseng Radix et Rhizoma).
The above single ingredient is made into a powder. Each dose is three qianbi, mixed with Danqing (Egg White) and half zhan of newly drawn cold water.
Formula for treating hematemesis that does not stop: Qiancao Yin (Rubia Cordifolia Drink).
Qiancao (Rubiae Radix et Rhizoma, one liang, used raw).
The above single ingredient is coarsely pounded and sieved. Each dose is three qianbi, with one zhan of water, decocted to seven-tenths volume. Strain, cool, and take after meals.
Formula for treating hematemesis that does not stop: Rusheng San (Like-Sage Powder).
Fengxiang Zhi (Liquidambaris Resina), quantity unspecified.
The above single ingredient is finely ground into a powder. Each dose is two qianbi, taken with newly drawn cold water, at any time.
Formula for treating hematemesis that does not stop: Zhusi San (Spider Web Powder).
Large spider web, one piece.
The above single ingredient is fried in a pot until yellow, then ground into a powder. Take with warm wine. Bleeding stops immediately.
Formula for treating hematemesis that does not stop, accompanied by cough: Bufei Baihua Jian (Lung-Nourishing Hundred-Flower Paste).
Shengdihuang Zhi (Fresh Rehmanniae Juice, one sheng); Shengjiang Zhi (Fresh Ginger Juice, half sheng); Huangniu Ru (Cow Milk, one and a half sheng); Ou Zhi (Lotus Root Juice, one sheng); Hutao Rang (Walnut Kernel, ten pieces, ground into paste); Ganshi (Dried Persimmon, five pieces, finely chopped and ground into paste); Dazao (Jujubae Fructus, twenty-one pieces, boiled, skin and pits removed, ground into paste); Qingjiu (Clear Wine, one sheng). Place the above ingredients in a silver pot and decoct. After boiling, add the following medicines: Huangming Jiao (Huangming Jiao, fried dry and powdered); Qin Jiao (Gentianae Macrophyllae Radix, powdered, each half liang); Xingren (Pruni Armeniaci Semen, soaked in water, skin and tips removed). Add these eleven ingredients sequentially. Decoct until volume is reduced by half. Then add four liang of high-quality honey. Slowly cook into a paste. Store in a porcelain container. Take three times daily, one spoonful per dose, mixed with Mixian Yin (Glutinous Rice Decoction). Taking with wine is also acceptable.
Formula for treating hematemesis that does not stop: Honglanhua Yin (Carthamus Tinctorius Drink).
Honglanhua (Carthami Flos, two liang); Fulonggan (Dragon's House Earth, three liang, soaked in five sheng five he of water, filtered to obtain juice); Xijiao (Rhinocerotis Cornu, shaved, one fen); Tian Zhuru (Sweet Bamboo Shavings, three fen); Baiji (Bletillae Rhizoma - *Note: Original text says "Bai", inferred as Baiji based on context of hemostasis formulas*).
The above six ingredients: Decoct all medicines using the Fulonggan juice to obtain six he. Strain. Divide into three doses after meals. Each dose should include one qianbi of Luafa Hui (Burnt Hair Ash) mixed evenly.
Formula for treating sudden hematemesis that does not stop: Ejiao Tang (Donkey-Hide Gelatin Decoction).
Ejiao (Asini Corii Colla, fried dry); Aiye (Artemisiae Argyi Folium, dried, each three liang); Diyü (Sanguisorbae Radix); Shaoyao (Paeoniae Radix, each four liang); Jigen (Cirsii Japonici Radix, five liang).
The above five ingredients are coarsely pounded and sieved. Each dose is five qianbi, with one and a half zhan of water, decocted to eight-tenths volume. Strain and take warm.
Formula for treating Heat accumulation in Heart and Lung, or anger causing Qi rebellion leading to reckless blood flow lasting long without stopping: Tumazong Tang (Wild Horse Mane Decoction).
Tumazong (Herba Leonuri Japonici, dried two liang); Zhishi (Aurantii Fructus, pith removed, bran-fried); Baifuling (Poria, black skin removed); Qin Jiao (Gentianae Macrophyllae Radix, seedlings and soil removed); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, chopped); Chaihu (Bupleuri Radix, seedlings removed); Renshen (Ginseng Radix et Rhizoma); Shenggan Dihuang (Rehmanniae Radix Preparata, dried, each one liang).
The above eight ingredients are coarsely pounded and sieved. Each dose is three qianbi, with one zhan of water, decocted to seven-tenths volume. Strain and take warm after meals.
Formula for treating hematemesis that does not stop.
Shengdihuang Zhi (Fresh Rehmanniae Juice).
The above single ingredient is mixed with raw honey. Each dose is half zhan, at any time.