鸡苏叶 黄芩(各一两) 当归 赤芍药(各半两) 伏龙肝 阿胶(各二两)
上为粗末,每服四钱。水一盏,煎至六分,去滓温服。
治妇人热毒上攻,吐血不止。
生藕汁 刺蓟汁 生地黄汁(各三两) 生姜汁(半合) 白蜜(一合)
上和煎三、两沸,无时,以一小盏,调炒面尘一钱服。
《千金翼》治吐血百方不瘥,疗十十瘥,神验不传方。详此药性,治热毒吐血有效。
地黄汁(半升) 生大黄末(一方寸匕)
上煎地黄汁三、两沸,调大黄末,分为三服。
又方∶伏龙肝
上研令极细,每服二钱。新汲水调下,频服取效。
又方∶白茅根(一握长六寸)
上以水一大盏,煎取七分,去滓温服。
又方∶治吐血。
桂心末
上水调方寸匕,日夜可二十服。
又方∶生地黄(三斤,切) 阿胶(二两,炒) 蒲黄(六合)
上水五升,煮取三升,分三服。
仆尝治一人吐血,诊其脉,肝部弦,气口濡,此因怒极而得之。遂用苏合香丸和鸡苏丸
服即效。《养生必用方》云∶凡吐血,须煎干姜甘草汤与服,或四物、理中汤亦可,如此无
不愈者。服生地黄、竹茹、藕汁,去生便远。
治虚劳吐血、衄血、下白、汗出方。(出《养生必用》)
甘草 白芍药 黄 (各一两) 熟地黄(三两)
上为末,每服四钱。水、酒各一盏,以上煎至七分,去滓,取六分,清汁温服,食前。
余尝治一女人,年十九岁,月经不行,遂妄行而呕血,诸药无效。察其形容,人肥,脉
不大不小。仆投以四生丸即安。
Jisu Ye (Hedeae Herba), Huangqin (Scutellariae Radix) (each 1 liang), Danggui (Angelicae Sinensis Radix), Chishao Yao (Paeoniae Radix Rubra) (each 0.5 liang), Fulonggan (Dragon's House Earth), Ejiao (Colla Corii Asini) (each 2 liang).
Crush the above herbs into coarse powder. For each dose, take 4 qian. Add 1 zhen of water, decoct until 0.6 zhen remains, remove the dregs, and take warm.
Treats women suffering from continuous hematemesis due to heat-toxin attacking upwards.
Sheng Ou Zhi (Fresh Lotus Rhizome Juice), Ci Ji Zhi (Cirsii Japonici Juice), Sheng Dihuang Zhi (Fresh Rehmanniae Radix Juice) (each 3 liang), Sheng Jiang Zhi (Fresh Ginger Juice) (0.5 he), Bai Mi (White Honey) (1 he).
Mix and decoct the above ingredients for three or two boils. Take at any time, one small zhen mixed with 1 qian of roasted flour dust.
Qianjin Yi Fang records: For hematemesis unresponsive to a hundred prescriptions, this formula cures ten out of ten cases; it is a miraculous, non-transmitted prescription. Upon detailed analysis of its properties, it is effective for hematemesis caused by heat-toxin.
Dihuang Zhi (Rehmanniae Radix Juice) (0.5 sheng), Sheng Dahuang Mo (Raw Rheum Palmatum Powder) (one square-inch spoonful).
Decoct the Dihuang Zhi for three or two boils, mix in the Dahuang powder, and divide into three doses.
Another prescription: Fulonggan (Dragon's House Earth).
Grind to an extremely fine powder. Take 2 qian per dose, mixed with fresh well water. Administer frequently until efficacy is achieved.
Another prescription: Baimaogen (Imperatae Rhizoma) (one handful, six cun long).
Add 1 zhen of water, decoct until 0.7 zhen remains, remove dregs, and take warm.
Another prescription: Treats hematemesis.
Guixin Mo (Cinnamomi Cortex Powder).
Mix with water, take one square-inch spoonful. Can be taken up to twenty times day and night.
Another prescription: Sheng Dihuang (Fresh Rehmanniae Radix) (3 jin, sliced), Ejiao (Colla Corii Asini) (2 liang, stir-fried), Puhuang (Typhae Pollen) (6 he).
Add 5 sheng of water, boil down to 3 sheng, and divide into three doses.
I once treated a patient with hematemesis. His pulse was wiry in the Liver position and soggy at the Qi Kou (Radial Artery location). This was caused by extreme anger. I administered Suhexiang Wan (Styrax Pills) combined with Jisu Wan (Hedeae Pills), and immediate relief was observed. Yangsheng Bi Yong Fang states: For all cases of hematemesis, Ganjiang Gancao Tang (Dried Ginger and Licorice Decoction) should be decocted and taken, or Siwu Tang (Four Substances Decoction) and Lizhong Tang (Regulate the Middle Decoction) may also be used; thus, there is no case that does not heal. Taking Sheng Dihuang (Fresh Rehmanniae Radix), Zhuru (Bambusae Caulis in Taenia), and Ou Zhi (Lotus Rhizome Juice) helps move away from coldness and promotes recovery.
Prescription for treating deficiency-consumption hematemesis, epistaxis, leukorrhea, and sweating. (From Yangsheng Bi Yong Fang)
Gancao (Glycyrrhizae Radix et Rhizoma), Baishao Yao (Paeoniae Radix Alba), Huangqi (Astragali Radix) (each 1 liang), Shu Dihuang (Prepared Rehmanniae Radix) (3 liang).
Grind the above into powder. Take 4 qian per dose. Add 1 zhen of water and 1 zhen of wine, decoct together until 0.7 zhen remains, remove dregs, take 0.6 zhen of clear liquid, and consume warm before meals.
I once treated a nineteen-year-old woman whose menstruation had ceased, followed by abnormal bleeding and hematemesis. Various medicines were ineffective. Observing her physique, she was obese, and her pulse was neither large nor small. I administered Sisheng Wan (Four Generations Pill), and she recovered immediately.