一论溺血者。小便出血。乃心移热于小肠也。宜
清肠汤
当归 生地黄(焙) 栀子(炒) 黄连 芍药 黄柏 瞿麦 赤茯苓 木通 蓄 知母
(各一钱) 甘草(减半) 麦门冬(一钱去心)
上锉一剂。灯心、乌梅。水煎。空心服。溺血茎中痛。加滑石、枳壳。去芍药、茯苓。
金黄散 治尿血。
槐花(净炒) 郁金(湿纸包火煨各一两)
上为细末。每服二钱。淡豆豉汤送下。
一治小便下血不止。地骨皮。烧酒二钟。煎至七分。去渣。空心服。立止。
一治小便溺血。旱莲草、车前草。各取自然汁。每服半茶钟。空心服自愈。
又方。用壮年无病患头发。不拘多少。烧存性。将侧伯叶捣汁。糯米糊为丸。如梧桐子
大。每服百丸。以四物汤下。
一治溺血不止效方
小蓟根 生地黄(各二钱) 通草 滑石 蒲黄(炒) 淡竹叶 当归 藕节 山栀
甘草(各六分) 茯苓 车前草(各八分)
上锉一剂。水煎。空心服。
一治尿后有鲜血。用柿子三枚。烧灰。陈米煎汤调服。因柿性寒故也。
一治尿血。六味地黄丸。加黄柏、知母。殊效。
一尿血。因心肾气结所致。或忧劳房室过度而得之。实因精气滑脱。阴虚火动。荣血妄
行耳。尿行则不痛。尿淋血行则痛。
一治暴热尿血。山栀子去皮炒。水煎服。
一治小便出血。以车前草根叶。多取洗净。取汁频服。可通五淋。
A discussion on hematuria (bleeding from the urine). The presence of blood in the urine is caused by the transfer of heat from the Heart to the Small Intestine. It is suitable to use Qingchang Tang (Clear the Intestines Decoction).
Prescription composition: Danggui (Radix Angelicae Sinensis), Shengdihuang (Rehmanniae Radix, roasted), Zhizi (Gardeniae Fructus, stir-fried), Huanglian (Coptidis Rhizoma), Shaoyao (Paeoniae Radix Alba or Rubra), Huangbai (Phellodendri Cortex), Qumai (Dianthi Herba), Chi Fuling (Polyporus with Red Mycelium), Mutong (Akebiae Caulis), Xianhecao (Herba Agrimoniae), Zhimu (Anemarrhenae Rhizoma) (each 1 qian), Gancao (Licorice Root, half dose), Maimendong (Ophiopogonis Radix, 1 qian, heart removed).
The above herbs are coarsely chopped for one dose. Add Dengxincao (Junci Medullia) and Wumei (Mume Fructus). Decoct in water. Take on an empty stomach. If hematuria is accompanied by pain in the urethra, add Huashi (Talcum) and Zhike (Aurantii Fructus), and remove Shaoyao and Fuling.
Jinhuang San (Golden Powder): Treats hematuria.
Prescription composition: Huaihua (Sophorae Flos, clean and stir-fried), Yujin (Curcumae Radix) (wrapped in wet paper and roasted over fire, each 1 liang).
Grind into a fine powder. Take 2 qian per dose, delivered with Dan Douchi (Sojae Semen Praeparatum) decoction.
One prescription treats continuous bleeding from the urine. Use Gudupi (Lycii Cortex). Combine with 2 zhong of Shaojiu (burnt wine). Decoct until three-tenths remain. Remove the dregs. Take on an empty stomach; it stops immediately.
One prescription treats hematuria. Take Hanlincao (Ecliptae Herba) and Cheqiancao (Plantaginis Herba). Extract their natural juices. Take half a tea cup per dose. Self-healing occurs when taken on an empty stomach.
Another prescription. Use hair from a healthy young adult, quantity unrestricted. Burn until "cun xing" (preserving the medicinal property). Crush Ce Bai Ye (Platycladi Cacumen) to extract juice. Form pills using glutinous rice paste, sized like Sophora seeds. Take 100 pills per dose, delivered with Siwu Tang (Four Substances Decoction).
One effective prescription for persistent hematuria.
Prescription composition: Xiaoji Gen (Sonchi Radix), Shengdihuang (Rehmanniae Radix) (each 2 qian), Tongcao (Tetrapanacis Medulla), Huashi (Talcum), Puhuang (Typhae Pollen, stir-fried), Danzhuye (Lophatheri Folium), Danggui (Radix Angelicae Sinensis), Ou Jie (Nelumbinis Node), Shanzhi (Gardeniae Fructus), Gancao (Licorice Root) (each 6 fen), Fuling (Poria), Cheqiancao (Plantaginis Herba) (each 8 fen).
Coarsely chop for one dose. Decoct in water. Take on an empty stomach.
One prescription treats fresh blood appearing after urination. Use 3 persimmons. Burn to ash. Mix with Chenmi (aged rice) decoction and take orally. This is because persimmon has a cold nature.
One prescription treats hematuria. Use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), adding Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma). It yields remarkable effects.
A case of hematuria is caused by Qi stagnation in the Heart and Kidney. It may result from worry, overwork, or excessive sexual activity. Essentially, it is due to the slipping and loss of Essence and Qi, Yin deficiency with hyperactive Fire, causing Ying Blood to move recklessly. Urination without pain indicates simple hematuria; if there is strangury (Lin syndrome) with blood flow, it causes pain.
One prescription treats hematuria caused by sudden heat. Shanzhi (Gardeniae Fructus), peeled and stir-fried. Decoct in water and take orally.
One prescription treats bleeding from the urine. Use roots and leaves of Cheqiancao (Plantago), take plenty, wash clean, extract juice, and take frequently. It can treat the five types of strangury (Wu Lin).