论曰∶五脏所藏,心藏血也,血之伤盛,则心脱力,制固无守,自然流溢。为阳气伤故
也,或有衄血者,加以肺风热之谓也,若益之于服石,则客热复盛,营卫增劳,旋周无度,
则投虚而出,出而多则伤营气。色夺而黄,久不疗则气撮撮伤损,先须破污血,留好血,调
经络,平腑脏则愈也。
疗石发热盛吐血方。
生地黄(五两捣碎) 小蓟根(切一升) 黄芩(二两) 豉(一升) 栀子仁(三七
枚)
上五味切,以水五升,煮取二升,分温服之。
又衄血方
生地黄汁 小蓟汁
上二味随多少,以点鼻中,兼服之良。
又疗心腑中热甚,鼻中衄血不止方。
胡粉(熬) 光墨(末) 釜下墨(末) 干姜 发灰 伏龙肝(末等分)
上六种但得一物,以两棋子许,以竹筒吹令入两鼻孔中,即止。
又方
橘皮 苍耳茎叶 翘遥茎叶 生地黄 鸡苏苗
上五种但得一味,捣绞汁,服五六合即止,如未定,即更服之。
又疗头痛壮热,鼻衄血,心上硬,遍身疼痛,四肢烦闷,两膊举不得方。
小蓟(四两) 青竹茹 生麦门冬(去心碎) 鸡苏(各三两) 生姜(二两切) 生
地黄汁(
半斤)
上六味切,以水九升,煮取三升,去滓分服之,以止为度,忌如常法。
又疗卒吐血一二升,口鼻俱出至一二斗者方。
生地黄汁 小蓟汁 生麦门冬汁 伏龙肝(十匙)
上地黄等三味汁相和,每服五合,着伏龙肝末一匙许。和搅服之,以止为度,忌如常
法。
又疗心闷吐血方。
生麦门冬(八分去心) 生地黄(二十四分碎) 甘草(四分炙) 荠 干姜(各六
分) 茅
根(十分) 香豉(五合以绵裹)
上七味切,以水五升,煮取二升,去滓分服之,忌如常法。
Translation:
The treatise states: Among the five zang organs, the Heart stores Blood. If Blood is damaged and excessively depleted, it leads to a deficiency of Heart Qi and strength, causing a loss of containment and control, resulting in natural leakage or overflow. This is due to the injury of Yang Qi. Some individuals suffer from epistaxis (nosebleed), which indicates an accompanying wind-heat in the Lung channel. If this occurs in patients taking mineral drugs (Shi Yao, referring to ancient ingestion of mineral elixirs), the exogenous heat becomes excessive, leading to exhaustion of Ying and Wei Qi. The circulation of Qi and Blood becomes unregulated, causing blood to flow out from areas of deficiency; if the volume of bleeding is large, it damages Ying Qi. The complexion becomes sallow and lusterless. If left untreated for a long time, Yuan Qi will be severely damaged. Treatment must first involve resolving stasis and eliminating turbid blood while preserving good blood, regulating the meridians, and balancing the fu organs, after which the disease will heal.
Formula for treating severe fever caused by mineral drugs accompanied by hematemesis (vomiting blood).
Sheng Di Huang (Rehmanniae Radix, 5 liang, crushed) Xiao Ji Gen (Cirsii Japonici Radix, cut, 1 sheng) Huang Qin (Scutellariae Radix, 2 liang) Chi Dou (Fermented Soybean, 1 sheng) Zhi Zi Ren (Gardeniae Semen, 37 seeds)
Cut the above five herbs, add 5 sheng of water, decoct to obtain 2 sheng of liquid, and take warm in divided doses.
Another formula for epistaxis.
Sheng Di Huang Zhi (Juice of Rehmanniae Radix) Xiao Ji Zhi (Juice of Cirsii Japonici Radix)
For the above two juices, use an appropriate amount according to the condition. Drip into the nostrils and take orally for better efficacy.
Another formula for treating extreme heat in the Heart fu organ with persistent epistaxis.
Hu Fen (Lead Carbonate, calcined) Guang Mo (Lampblack, powdered) Fu Xia Mo (Soot from the bottom of the cauldron, powdered) Gan Jiang (Dried Ginger Fa) Fa Hui (Ash of Human Hair) Fu Long Gan (Dragon's House Earth, powdered, equal parts)
Of the above six substances, any one may be used. Take an amount equivalent to two chess pieces, place it in a bamboo tube, and blow it into both nostrils to stop the bleeding immediately.
Another prescription.
Ju Pi (Citri Reticulatae Pericarpium) Cang Er Jing Ye (Xanthii Cacumen et Folium) Qiao Yao Jing Ye (Stems and leaves of [herb name], as per original text) Sheng Di Huang (Fresh Rehmanniae Radix) Ji Su Miao (Elsholtziae Herba seedlings)
Of the above five herbs, any one may be used. Crush and squeeze to obtain juice, take 5-6 he (a unit of volume) to stop bleeding. If not stopped, administer again.
Another formula for treating headache with high fever, epistaxis, hardness in the heart region, generalized body pain, restlessness in the four limbs, and inability to raise both arms.
Xiao Ji (Cirsii Japonici Herba, 4 liang) Qing Zhu Ru (Bamboo Sap, fresh) Sheng Mai Men Dong (Ophiopogonis Radix, fresh, de-hearted and crushed) Ji Su (Elsholtziae Herba, 3 liang each) Sheng Jiang (Zingiberis Rhizoma Recens, 2 liang, sliced) Sheng Di Huang Zhi (Juice of Fresh Rehmanniae Radix, 0.5 jin)
Cut the above six ingredients, add 9 sheng of water, decoct to obtain 3 sheng, remove the dregs, and take in divided doses. Stop when bleeding ceases. Observe dietary restrictions as usual.
Another formula for treating sudden hematemesis of 1-2 sheng, with blood exiting from both mouth and nose, totaling 1-2 dou.
Sheng Di Huang Zhi (Juice of Rehmanniae Radix) Xiao Ji Zhi (Juice of Cirsii Japonici Radix) Sheng Mai Men Dong Zhi (Juice of Ophiopogonis Radix) Fu Long Gan (Dragon's House Earth, 10 spoons)
Mix the juices of the first three ingredients. Take 5 he per dose, adding approximately one spoonful of Fu Long Gan powder. Mix well and ingest. Stop when bleeding ceases. Observe dietary restrictions as usual.
Another formula for treating chest oppression and fullness with hematemesis.
Sheng Mai Men Dong (Ophiopogonis Radix, fresh, 8 fen, de-hearted) Sheng Di Huang (Rehmanniae Radix, fresh, 24 fen, crushed) Gan Cao (Licorice Root, 4 fen, honey-fried) Ji (Shepherd's Purse Herb) Gan Jiang (Dried Ginger, 6 fen each) Mao Gen (Imperatae Rhizoma, 10 fen) Xiang Chi (Perfumed Fermented Soybean, 5 he, wrapped in silk)
Cut the above seven ingredients, add 5 sheng of water, decoct to obtain 2 sheng, remove the dregs, and take in divided doses. Observe dietary restrictions as usual.