夫尿血者。是膀胱有客热。血渗于脬故也。血得热而妄行。故因热流散。渗于脬内而尿
血也。
治小便出血。心神烦热。口干。眠卧不安。柏叶散方。
柏叶(二两微炙) 黄芩(二两) 车前子(二两) 甘草(二两炙微赤锉) 阿胶(二
两捣碎
炒令黄燥)
上件药。捣粗罗为散。每服四钱。以水一中盏。入生地黄半两。竹叶二七片。
煎至六分。去滓。每于食前温服。
治尿血。水道中痛不可忍。茅根散方。
白茅根(三两锉) 赤芍药(一两) 滑石(二两) 木通(二两锉) 子芩(一两半)
葵子
〔二两(合)〕 乱发灰(一两半)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治小便尿血。皆因膀胱有虚热所致。宜服此方。
柏叶(一两微炙) 黄芩(一两) 甘草(一两炙微赤锉) 阿胶(一两捣碎炒令黄燥)
上件药。捣细罗为散。每于食前。暖生地黄汁一小盏。调下二钱。
治因劳损。尿血不止方。
生地黄汁(五合) 车前叶汁(五合) 鹿角胶(三两捣碎炒令黄燥)
上件药。将二味汁相和。每服食前。暖一小盏。调下胶末二钱。
治虚损。膀胱有热。尿血不止。宜服蒲黄丸方。
蒲黄(一两) 生干地黄(二两) 葵子(一两) 黄 (一两锉) 麦门冬(二两去
心焙) 荆
实(三分) 当归(三分锉微炒) 赤茯苓(一两) 车前子(三分)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
又方。
大麻子根(三两锉) 乱发灰(研令细)
上以水二大盏。煎麻根取一盏三分。去滓。每于食前。暖一小盏。调下发灰一钱。
又方。
蒲黄(二两) 郁金(二两)
上件药。捣细罗为散。每于食前。以粥饮调下二钱。
又方。
生地黄汁(五合) 生藕汁(五合) 蜜(一合)
上三味相和。暖令温。食前分为三服。
Hematuria (blood in urine) is caused by exogenous heat pathogens residing in the Bladder, causing blood to渗 into the bladder. Blood tends to act recklessly when exposed to heat; thus, due to heat, it flows and scatters, infiltrating the interior of the bladder and resulting in hematuria.
Formula for treating bleeding from urination accompanied by mental restlessness, irritability, dry mouth, and restless sleep: Boye San (Cacumen Platycladi Powder).
Cacumen Platycladi (Boye, 2 liang, slightly roasted)
Scutellariae Radix (Huangqin, 2 liang)
Plantaginis Semen (Cheqianzi, 2 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang, roasted until slightly reddish-brown and chopped)
Colla Corii Asini (Ejiao, 2 liang, crushed and roasted until yellow and dry)
Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water, half a liang of fresh Radix Rehmanniae (Sheng Dihuang), and 14 leaves of Bambusae Folium (Zhuye). Decoct until one-sixth of the liquid remains. Strain off the dregs. Take warm before meals.
Formula for treating hematuria with unbearable pain in the urinary tract: Maogen San (Imperatae Rhizoma Powder).
Rhizoma Imperatae Bai (Baimaogen, 3 liang, chopped)
Radix Paeoniae Rubra (Chishaoyao, 1 liang)
Talcum (Huashi, 2 liang)
Akebiae Caulis (Mutong, 2 liang, chopped)
Scutellariae Radix (Ziqin, 1.5 liang)
Abutilonis Semen (Kuizi, 2 liang)
Cinis Crinis Humani (Luangfa Hui, 1.5 liang)
Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose. Add 1 zhong zhan of water. Decoct until one-sixth of the liquid remains. Strain off the dregs. Take warm before meals.
For treating hematuria caused by deficient heat in the Bladder, this formula is suitable:
Cacumen Platycladi (Boye, 1 liang, slightly roasted)
Scutellariae Radix (Huangqin, 1 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 1 liang, roasted until slightly reddish-brown and chopped)
Colla Corii Asini (Ejiao, 1 liang, crushed and roasted until yellow and dry)
Crush the above ingredients finely and sieve them to make a powder. Before meals, take 2 qian of the powder mixed with a small zhong zhan of warm juice from fresh Radix Rehmanniae (Sheng Dihuang).
Formula for treating persistent hematuria due to labor-induced damage:
Jus Radicis Rehmanniae Recens (Sheng Dihuang Zhi, 5 he)
Jus Folii Plantaginis (Cheqian Ye Zhi, 5 he)
Cornu Cervi Colla (Lujiaojiao, 3 liang, crushed and roasted until yellow and dry)
Mix the two juices. Before meals, take a small warm zhong zhan and mix with 2 qian of the collagen powder.
Formula for treating deficiency damage, heat in the Bladder, and persistent hematuria: Puhuang Wan (Polygoni Pollen Pill).
Polygoni Pollen (Puhuang, 1 liang)
Radix Rehmanniae Recens (Sheng Gan Dihuang, 2 liang)
Abutilonis Semen (Kuizi, 1 liang)
Astragali Radix (Huangqi, 1 liang, chopped)
Ophiopogonis Tuber (Mendong, 2 liang, heart removed and baked)
Descurainiae Semen seu Lepidii Semen (Tinglizi, 3 fen)
Angelicae Sinensis Radix (Danggui, 3 fen, chopped and slightly stir-fried)
Poria Cocos cum Ligno Rubra (Chi Fuling, 1 liang)
Plantaginis Semen (Cheqianzi, 3 fen)
Grind the above ingredients into powder. Mix with refined honey and pound three to two hundred times. Form pills the size of Sophora japonica seeds. Before meals, take 30 pills washed down with gruel.
Another formula:
Radix Cannabis Sativae (Dama Zi Gen, 3 liang, chopped)
Cinis Crinis Humani (Luangfa Hui, ground fine)
Add 2 large zhong zhan of water and decoct the hemp root to obtain 1.3 zhong zhan of liquid. Strain off the dregs. Before meals, take a small warm zhong zhan and mix with 1 qian of hair ash.
Another formula:
Polygoni Pollen (Puhuang, 2 liang)
Curcumae Radix (Yujin, 2 liang)
Grind the above ingredients finely and sieve them to make a powder. Before meals, take 2 qian mixed with gruel.
Another formula:
Jus Radicis Rehmanniae Recens (Sheng Dihuang Zhi, 5 he)
Jus Nymphaeae Nelumbinis Rhizomatis Recens (Sheng Ou Zhi, 5 he)
Mel (Mi, 1 he)
Mix the three ingredients and warm them. Divide into three doses to be taken before meals.