夫吐血口干者,由脏腑虚竭,营卫不理,阴阳隔绝,阳虚于上,故身体虚热,胸中苦涩,
则
方
石膏散(出《圣惠方》)治心胸烦热,吐血不止,口舌干燥、头疼。
石膏 麦门冬(去心各二两) 甘草(半两炙微赤锉) 黄芩 川升麻 生地黄 青竹
茹栝蒌
放温服。
杏仁散(出《圣惠方》)治心肺客热吐血,唇口干燥。
杏仁(去皮尖双仁汤浸麸炒微黄) 赤茯苓 黄连(去须) 栀子仁 黄芩 川大黄(锉
碎微炒
去滓,不计
犀角散(出《圣惠方》)治心肺壅热、上焦不利、吐血口干。
犀角屑 黄芩 人参(去芦头) 生干地黄 麦门冬(去心) 栝蒌(各一两) 甘草
(半两炙微
煎至六分,
生地黄煎(出《圣惠方》)治肺热吐血,口干心躁。
生地黄汁(一升) 杏仁(二两汤去皮尖双仁烂研) 上煎成膏,不计时候,半匙含化
咽津。
夫伤胃吐血病者,因饮食过度伤胃,或胃虚不能消化,致翻胃吐逆。物与气上冲,蹙胃
口决
方
除湿汤(出《三因方》)治胃脘着湿,郁于经络,血溢作衄,或脾不和,湿
着经络,流入胃
茯苓 干姜(各二两) 甘草(炙) 白术(各一两) 上锉散,每服四大盏,水煎服,
头疼加川
加味理中汤(出《医方大成》)治饮食过度,伤胃不化,致呕吐,其色鲜
红,或心腹绞痛自
人参 干姜(炮) 白术(各一两) 干葛 甘草(各半两) 上锉散,每服三钱,水
一大盏煎,
鸡苏散(出《圣惠方》)治劳伤,或饱食气逆,致卒吐血不止。
鸡苏叶茎 黄 (锉) 甘草(生用) 阿胶(捣碎炒黄燥各一两) 干姜(炮) 艾
叶(各半两)
不计时候温服
五胜汤(出《圣济总录》)治饮食伤肺,吐血并嗽血。
木香 密陀僧 蝉壳(去足) 甘草(炙锉各半两) 黄明牛胶(三片将一片炙一片生
锉一片酥
理中汤(出《三因方》)能止伤胃吐血,以其功最理中脘,分利阴阳,安和
血脉。《方证广
人参 白术 甘草(炙) 干姜(炮炙等分) 上锉为散,每服四钱,水一盏,煎七分
去滓,不
白术丸(出《指南方》)治伤胃吐血。\x
白术(十两) 干姜 黄 人参 伏龙肝(各三两) 上为细末,炼蜜丸如梧桐子大,
每服三
Hematemesis accompanied by dry mouth is caused by the exhaustion of the zang-fu organs, disordered Ying (Nutrient) and Wei (Defensive) qi, and separation of Yin and Yang. With Yang deficiency in the upper jiao, there is a sensation of deficient heat in the body and a bitter/astringent feeling in the chest.
Shigao San (Gypsum Powder, from *Taiping Shenghui Fang*) treats vexatious heat in the heart and chest, continuous hematemesis, dryness of the mouth and tongue, and headache.
Ingredients: Shigao (Gypsum Fibrosum), Maidong (Ophiopogonis Radix, core removed, 2 liang each), Gancao (Licorice Root, half liang, honey-fried until slightly red and crushed), Huangqin (Scutellariae Radix), Chuan Shengma (Cimicifugae Rhizoma), Sheng Dihuang (Rehmanniae Radix), Qing Zhuru (Bambusae Caulis in Taeniam), Gualou (Trichosanthis Fructus).
Usage: Take warm after cooling.
Xingren San (Apricot Seed Powder, from *Taiping Shenghui Fang*) treats hematemesis due to exogenous heat in the heart and lungs, and dryness of the lips and mouth.
Ingredients: Xingren (Armeniacae Semen, skin and tip removed, double-kernel seeds soaked in water and stir-fried with bran until slightly yellow), Chi Fuling (Poria with Red Wood, i.e., Poria Cocos with Rosewood), Huanglian (Coptidis Rhizoma, whiskers removed), Zhizi Ren (Gardeniae Semen, i.e., Gardeniae Fructus pulp), Huangqin (Scutellariae Radix), Chuan Dahuang (Rhei Radix et Rhizoma, crushed and slightly stir-fried).
Usage: Strain the decoction; take at any time.
Xijiao San (Rhino Horn Powder, from *Taiping Shenghui Fang*) treats excessive heat congested in the heart and lungs, dysfunction of the Upper Jiao, hematemesis, and dry mouth.
Ingredients: Xijiao Xie (Rhino Horn Shavings), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma, rhizome head removed), Sheng Gan Dihuang (Dried Rehmanniae Radix), Maidong (Ophiopogonis Radix, core removed), Gualou (Trichosanthis Fructus, 1 liang each), Gancao (Licorice Root, half liang, honey-fried until slightly...). [Note: Original text appears truncated here].
Usage: Decoct until reduced to 60%... [Note: Original text appears truncated here].
Shengdihuang Jian (Raw Rehmannia Decoction/Paste, from *Taiping Shenghui Fang*) treats hematemesis due to lung heat, dry mouth, and mental restlessness.
Ingredients: Shengdihuang Zhi (Juice of Raw Rehmanniae Radix, 1 sheng), Xingren (Armeniacae Semen, 2 liang, soaked in water, skin and tip removed, double-kernel seeds ground thoroughly).
Usage: Decoct into a paste; take half a spoonful and dissolve in the mouth at any time, swallowing the saliva.
The disease of hematemesis due to stomach injury occurs because excessive food intake injures the stomach, or weak stomach qi fails to digest food, leading to regurgitation and vomiting. Food and qi rush upward, forcing the stomach... [Note: Original text appears truncated here, likely referring to rupture of blood vessels].
Chushi Tang (Dampness-Removing Decoction, from *San Yin Fang*) treats dampness settling in the epigastrium, stagnation in the collaterals causing blood extravasation as epistaxis/hematemesis, or spleen disharmony where dampness adheres to collaterals and flows into the stomach... [Note: Original text appears truncated here].
Ingredients: Fuling (Poria), Ganjiang (Zingiberis Rhizoma Recens, 2 liang each), Gancao (Licorice Root, honey-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang each).
Usage: Crush into coarse powder; take four large cups per dose, decoct in water and drink. If headache occurs, add Chuan... [Note: Original text appears truncated here, likely Chuanxiong].
Jiawei Lizhong Tang (Modified Lizhong Decoction, from *Yifang Dacheng*) treats excessive food intake injuring the stomach and causing indigestion, leading to vomiting of bright red blood, or sudden colic pain in the heart and abdomen... [Note: Original text appears truncated here].
Ingredients: Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma, processed), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang each), Gange (Puerariae Radix), Gancao (Licorice Root, half liang each).
Usage: Crush into coarse powder; take three qian per dose, decoct in one large cup of water... [Note: Original text appears truncated here].
Jisu San (Elsholtzia Powder, from *Taiping Shenghui Fang*) treats bleeding due to labor injury or qi rebellion after overeating, causing sudden continuous hematemesis.
Ingredients: Jisu Ye Jing (Folium et Caulis Elsholtziae), Huang... [Note: Original text appears truncated here, likely Huangqi or Huangqin] (crushed), Gancao (Licorice Root, raw use), Ejiao (Donkey-hide Gelatin, broken and fried until yellow and dry, 1 liang each), Ganjiang (Zingiberis Rhizoma, processed), Aye (Mugwort Leaf, half liang each).
Usage: Take warm at any time.
Wusheng Tang (Five Victories Decoction, from *Shengji Zonglu*) treats lung injury due to dietary excess, resulting in hematemesis and hemoptysis.
Ingredients: Muxiang (Aucklandiae Radix), Mituosen (Lithargyri Plumbum Oxidum), Chanqiao (Cicadae Periostracum, feet removed), Gancao (Licorice Root, honey-fried and crushed, half liang each), Huangming Niu Jiao (Yellow-bright Cowhide Gelatin, three slices: one fried, one raw-crushed, one酥-fried...) [Note: Original text appears truncated here].
Lizhong Tang (Lizhong Decoction, from *San Yin Fang*) can stop hematemesis due to stomach injury because its efficacy best regulates the Middle Jiao, separates and benefits Yin and Yang, and harmonizes the blood vessels. *Fangzheng Guang...* [Note: Original text appears truncated here].
Ingredients: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice Root, honey-fried), Ganjiang (Zingiberis Rhizoma, processed, equal parts).
Usage: Crush into powder; take four qian per dose, decoct in one cup of water until reduced to 70%, strain, and do not... [Note: Original text appears truncated here].
Baizhu Wan (Atractylodes Pill, from *Zhinan Fang*) treats hematemesis due to stomach injury.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, 10 liang), Ganjiang (Zingiberis Rhizoma), Huang... [Note: Original text appears truncated here], Renshen (Ginseng Radix et Rhizoma), Fulonggan (Dragon's Liver, i.e., Stove Earth, 3 liang each).
Usage: Make into fine powder, mix with refined honey to form pills the size of paulownia seeds; take three... [Note: Original text appears truncated here].