治虚劳内伤,寒热呕逆吐血方。
糖(三斤) 芍药 半夏 生姜 甘草(各三两) 桂心(二两) 大枣(五十枚)
上七味 咀,以水二斗煮取七升,分七服,日五夜二。(《翼方》无甘草、桂心,有生
地黄)
治噫止唾血方∶
石膏(四两) 浓朴(三两) 麻黄 生姜 五味子 半夏 杏仁(各二两) 小麦(一
升)
上八味 咀,以水一斗煮麻黄,去沫澄取七升,纳药煮取二升半,分再服。
治吐血胸中塞痛方∶
芍药 干姜 茯苓 桂心 当归 大黄 芒硝(各三两) 阿胶 甘草 人参(各二两)
麻黄(一两) 干地黄(四两) 虻虫 水蛭(各八十枚) 大枣(二十枚) 桃仁(一百
枚)
上十六味 咀,以水一斗七升煮取四升,分五服,日三夜二。
治吐血内崩上气面色如土方。
干姜 阿胶 柏叶(各二两) 艾(一把)
上四味 咀,以水五升煮取一升,纳马通汁一升,煮取一升,顿服。(仲景不用阿胶,
《短剧》、《肘后》俱不用柏叶)
治吐血酒客温疫中热毒干呕心烦方∶
蒲黄 犀角 栝蒌根 甘草(各二两) 葛根 桑寄生(各二两)
上六味 咀,以水七升,煮取三升,分三服
治伤中里急,胸胁挛痛欲呕血,时寒时热,小便赤黄,此皆伤于房劳故也。
泽兰 糖(各一斤) 桂心 桑根白皮 人参(各二两) 远志(二两) 生姜(五两)
麻仁
(一升)
上八味 咀,以醇酒一斗五升,煮取七升,去滓,纳糖,食前服一升,日三夜一,勿
劳动。
治忽吐血一二口,或者心衄,或者内崩方∶
蛴螬(五枚) 牛膝(生) 王不留行 牡丹 麦门冬(各二两) 萆 芍药 干地黄(各
四两) 续断 阿胶(各三两)
上十味 咀,以生地黄汁五升、赤马通汁三升,煮取三升,分三服。不瘥更合数剂,
取瘥止。
又方 熟艾三鸡子许,水五升煮取二升,顿服。
又方 烧乱发灰,水服方寸匕,日三服。(《集验》云治舌上忽出血如簪孔者,亦治小
便出血者。)
治虚劳吐血方∶
生地黄肥者五升捣,以酒一升煮沸三上三下,去滓顿服。
又方 凡吐血服桂心末方寸匕,日夜可二十服。(《肘后》亦云疗下血。)
又方 生地黄五斤绞取汁,微火煎三沸,投白蜜一斤,又煎取三升,每服半升,日三
。主胸痛,百病久服佳。
又方 柏叶一升,以水六升煮取三升,分三服。
又方 生地黄汁(半升) 川大黄末(一方寸匕)
上二味先温地黄汁一沸,次纳大黄搅和,空腹顿服,日三瘥。
Formula for treating deficiency consumption and internal injury, characterized by alternating chills and fever, vomiting with counterflow qi, and hematemesis.
Bing (Rock Sugar) (3 jin), Shaoyao (Paeoniae Radix), Banxia (Pinelliae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang), Guixin (Cinnamomi Cortex), Dazao (Jujubae Fructus) (50 pieces).
The above seven ingredients are coarsely crushed, boiled in two dou of water to obtain seven sheng of decoction. Divide into seven doses: five during the day and two at night. (Qianjin Yifang omits Gancao and Guixin, adding Shengdihuang instead.)
Formula for treating belching and stopping hemoptysis/sputum with blood:
Shigao (Gypsum Fibrosum), Houpo (Magnoliae Officinalis Cortex), Mahuang (Ephedrae Herba), Shengjiang (Zingiberis Rhizoma Recens), Wuweizi (Schisandrae Fructus), Banxia (Pinelliae Rhizoma), Xingren (Armeniacae Semen Amarum) (each 2 liang), Xiaomai (Tritici Fructus) (1 sheng).
The above eight ingredients are coarsely crushed. Boil Mahuang in one dou of water, remove the foam, clarify to obtain seven sheng. Add other herbs and boil to obtain two and a half sheng. Divide into two doses.
Formula for treating hematemesis with chest fullness and pain:
Shaoyao (Paeoniae Radix), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Guixin (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Ejiao (Colla Corii Asini), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix) (each 2 liang), Mahuang (Ephedrae Herba) (1 liang), Ganyedi Huang (Rehmanniae Radix Preparata) (4 liang), Mengchong (Tabani Larva), Shuizhi (Hirudo) (each 80 pieces), Dazao (Jujubae Fructus) (20 pieces), Taoren (Persicae Semen) (100 pieces).
The above sixteen ingredients are coarsely crushed, boiled in one dan seven sheng of water to obtain four sheng of decoction. Divide into five doses: three during the day and two at night.
Formula for treating hematemesis, internal rupture (neibeng), upward rushing qi, and sallow complexion resembling earth.
Ganjiang (Zingiberis Rhizoma), Ejiao (Colla Corii Asini), Baiye (Platycladi Cacumen) (each 2 liang), Ai (Artemisiae Argyi Folium) (one handful).
The above four ingredients are coarsely crushed, boiled in five sheng of water to obtain one sheng. Add one sheng of horse dung juice (Matong Zhi) and boil again to obtain one sheng. Take in one dose. (Zhang Zhongjing's formulas do not use Ejiao; Duanju Fang and Zhouhou Beiji Fang do not use Baiye.)
Formula for treating hematemesis in wine drinkers suffering from warm epidemic heat toxin, dry retching, and irritability due to internal heat toxin.
Puhuang (Typhae Pollen), Xijiao (Rhinocerotis Cornu), Gualougen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 liang), Gegen (Puerariae Lobatae Radix), Sangjisheng (Taxilli Herba) (each 2 liang).
The above six ingredients are coarsely crushed, boiled in seven sheng of water to obtain three sheng of decoction. Divide into three doses.
For damage to the middle jiao causing abdominal urgency, spasm and pain in the chest and hypochondrium, desire to vomit blood, alternating chills and fever, and dark yellow urine, all caused by sexual exhaustion.
Zelan (Lycopus Herba), Bing (Rock Sugar) (each 1 jin), Guixin (Cinnamomi Cortex), Sanggen Baipi (Mori Cortex), Renshen (Ginseng Radix) (each 2 liang), Yuanzhi (Polygalae Radix) (2 liang), Shengjiang (Zingiberis Rhizoma Recens) (5 liang), Haren (Cannabis Fructus) (1 sheng).
The above eight ingredients are coarsely crushed, boiled in fifteen sheng of strong wine to obtain seven sheng. Strain, add sugar, and take one sheng before meals: three times during the day and once at night. Avoid physical exertion.
Formula for sudden hematemesis (one or two mouthfuls), epistaxis, or internal rupture.
Qicao (Silphidae Larva), Niuxi (Achyranthis Bidentatae Radix, raw), Wangbulexing (Vaccariae Semen), Mudanpi (Moutan Cortex), Maimendong (Ophiopogonis Radix) (each 2 liang), Bixie (Dioscoreae Hypoglaucae Rhizoma), Shaoyao (Paeoniae Radix), Ganyedi Huang (Rehmanniae Radix Preparata) (each 4 liang), Xuduan (Dipsaci Radix), Ejiao (Colla Corii Asini) (each 3 liang).
The above ten ingredients are coarsely crushed, boiled in five sheng of fresh Rehmannia juice and three sheng of red horse dung juice to obtain three sheng of decoction. Divide into three doses. If not cured, prepare more doses until cured.
Another formula: Cook ripe Artemisia argyi folium equivalent to three chicken eggs in five sheng of water to obtain two sheng. Take in one dose.
Another formula: Burn human hair to ash, take one fangcun bi with water, three times daily. (Jiyan Fang states this treats sudden bleeding from the tongue like needle holes, and also treats hematuria.)
Formula for deficiency consumption hematemesis:
Take five sheng of large fresh Rehmannia root, crush it, boil in one sheng of wine through three cycles of boiling and cooling. Strain and take in one dose.
Another formula: For any hematemesis, take Cinnamomi Cortex powder one fangcun bi, up to twenty times day and night. (Zhouhou Beiji Fang also states this treats lower body bleeding.)
Another formula: Juice five jin of fresh Rehmannia root, boil gently for three boils, add one jin of white honey, and boil again to obtain three sheng. Take half sheng each time, three times daily. Mainly treats chest pain; long-term use is beneficial for various diseases.
Another formula: One sheng of Platycladi Cacumen, boiled in six sheng of water to obtain three sheng. Divide into three doses.
Another formula: Fresh Rehmannia juice (half sheng), powdered Chuan Dahuang (one fangcun bi).
Warm the fresh Rehmannia juice for one boil, then add the Dahuang powder and mix. Take on an empty stomach in one dose, three times daily, stop when cured.