东垣麻黄桂枝汤治感寒发衄脉微弱者
麻黄 黄 白芍 甘草(各一钱) 桂枝 当归(各半钱) 人参(一分) 麦门冬(三分)
五味子(五个)
上 咀作一服水煎
按此太阳例药也伤寒论有例兹不详录
济生断红丸治脏腑虚寒下血不止面色痿黄羸瘦
侧柏叶(炒) 川续断(酒浸) 鹿茸(醋煮) 附子(炮) 黄 阿胶(炒) 当归(各一两)
白矾(枯一两)
上为末醋煮米糊丸如梧子大每七十丸空心米饮送下
按此厥阴例药也
宝鉴平胃地榆汤治结阴便血
白术 陈皮 茯苓 浓朴 葛根(各半钱) 地榆(七分) 干姜(五分) 炙甘草 当归
炒曲 白芍 人参 益智仁(各三分) 苍术 升麻 附子(炮各一钱)
上 咀作一服水煎加姜枣
按此少阴例药也
局方黄连香薷饮治伏暑纯下鲜血
方见暑门
按此手少阴足太阴药心主血脾裹血也
枇杷叶散治水毒攻心呕吐鲜血
香薷(二钱) 浓朴(一钱半) 甘草(炙) 麦门冬 干木瓜 白茅根(各一钱) 枇杷叶
陈皮 丁香(各半钱)
上细末每二钱入姜煎
按此手足太阴经药中热者慎之
胃风汤治风湿乘虚入于肠胃下瘀血者
方见滞下门
拔萃升阳和血汤治肠癖下血作派其血唧出有力而远射四散如筛春二月中下二行腹中大作
痛乃阳明气冲热毒所作也当去湿毒和血而愈
生地黄 牡丹皮 生甘草(各半钱) 炙甘草 黄 (各一钱) 当归身 熟地黄 苍术
秦艽 肉桂(各三分) 陈皮(二分) 升麻(七分) 芍药(一钱半)
上 咀作一服水煎
当归和血散治肠癖湿毒下血
槐花 青皮(各六分) 当归身 升麻(各二钱) 川芎(四分) 荆芥穗 熟地黄 白术(
各六分)
上为末每服三二钱米饮调下
按此诸方疏风胜湿药也然湿热者多宜从滞下法择用
Dongyuan Mahuang Guizhi Decoction is used to treat epistaxis (nosebleed) caused by cold invasion in patients with a weak pulse.
Ingredients: Ephedrae Herba (Mahuang, 麻黄), Astragali Radix (Huangqi, 黄芪), Paeoniae Radix Alba (Baishao, 白芍), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (each 1 qian); Cinnamomi Ramulus (Guizhi, 桂枝), Angelicae Sinensis Radix (Danggui, 当归) (each 0.5 qian); Ginseng Radix (Renshen, 人参) (1 fen); Ophiopogonis Tuber (Maidong, 麦门冬) (3 fen); Schisandrae Fructus (Wuweizi, 五味子) (5 berries).
Preparation: Coarsely crush the herbs into one dose and decoct with water.
Note: This prescription follows the pattern of Taiyang disease (diseases affecting the Taiyang channel). The *Shanghan Lun* contains such examples; they are not recorded here in detail.
Jisheng Duanhong Pill is used to treat persistent lower bleeding due to deficiency-cold of the Zang-Fu organs, accompanied with sallow complexion and emaciation.
Ingredients: Platycladi Cacumen (Cebaiye, 侧柏叶) (stir-fried); Dipsaci Radix (Chuanduan, 川续断) (soaked in wine); Cervi Cornu Degelatinatum (Lurong, 鹿茸) (boiled in vinegar); Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed); Astragali Radix (Huangqi, 黄芪); Ecliptae Caulis (Ejiao, 阿胶) (stir-fried); Angelicae Sinensis Radix (Danggui, 当归) (each 1 liang); Alumen (Baijian, 白矾) (calcined, 1 liang).
Preparation: Grind into fine powder, mix with rice paste boiled in vinegar to form pills the size of sophora seeds. Take 70 pills on an empty stomach, washed down with rice drink.
Note: This prescription follows the pattern of Jueyin disease (pathology of the Foot-Jueyin Liver channel).
Baojian Pingwei Diyü Decoction is used to treat hematochezia (blood in stool) resulting from Yin binding (internal stagnation of Yin qi).
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, 白术); Citri Reticulatae Pericarpium (Chenpi, 陈皮); Poria (Fuling, 茯苓); Magnoliae Officinalis Cortex (Houpo, 浓朴); Puerariae Radix (Gegen, 葛根) (each 0.5 qian); Sanguisorbae Radix (Diyu, 地榆) (0.7 fen); Zingiberis Rhizoma Recens (Ganjiang, 干姜) (0.5 fen); Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, 炙甘草); Angelicae Sinensis Radix (Danggui, 当归); Maltum (Chaoqu, 炒曲); Paeoniae Radix Alba (Baishao, 白芍); Panax Ginseng Radix (Renshen, 人参); Alpiniae Oxyphyllae Fructus (Yizhiren, 益智仁) (each 0.3 qian); Atractylodis Rhizoma (Cangzhu, 苍术); Cimicifugae Rhizoma (Shengma, 升麻); Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (processed, each 1 qian).
Preparation: Coarsely crush into one dose, decoct with water, adding fresh ginger and jujube.
Note: This prescription follows the pattern of Shaoyin disease (pathology of the Hand-Shaoyin Heart or Foot-Shaoyin Kidney channels).
Ju Fang Huanglian Xiangru Decoction is used to treat pure bright red blood in stool caused by latent summerheat.
See "Summerheat Section" for the formula.
Note: This prescription involves herbs of the Hand-Shaoyin Heart and Foot-Taiyin Spleen channels, as the Heart governs the blood vessels and the Spleen controls the blood.
Pipaye San is used to treat vomiting of bright red blood caused by water toxicity attacking the Heart.
Ingredients: Moslae Herba (Xiangru, 香薷) (2 qian); Magnoliae Officinalis Cortex (Houpo, 浓朴) (1.5 qian); Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, 炙甘草); Ophiopogonis Tuber (Maidong, 麦门冬); Dry Quince (Gumu, 干木瓜); Imperatae Rhizoma (Baimaogen, 白茅根) (each 1 qian); Loquat Leaf (Pipaye, 枇杷叶); Citri Reticulatae Pericarpium (Chenpi, 陈皮); Syzygii Flos (Dingxiang, 丁香) (each 0.5 qian).
Preparation: Grind into fine powder. Take 2 qian per dose, decoct with fresh ginger.
Note: This prescription involves herbs of the Hand- and Foot-Taiyin channels. It should be used with caution in cases of internal heat.
Weifeng Tang is used to treat stasis blood in stool caused by wind-dampness invading the intestines and stomach through deficiency.
See "Dysentery Section" for the formula.
Bacui Shengyang Hexue Decoction is used to treat dysentery with bleeding where the blood spurts out forcefully and scatters widely like particles through a sieve, often occurring in the second half of February. Severe abdominal pain occurs. This is caused by Yangming Qi rushing upward with heat-toxin. One should dispel damp-toxin and harmonize the blood to achieve recovery.
Ingredients: Rehmanniae Radix Recens (Shengdihuang, 生地黄); Paeoniae Moutan Cortex (Mudanpi, 牡丹皮); Glycyrrhizae Radix et Rhizoma Cruda (Shenggancao, 生甘草) (each 0.5 qian); Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao, 炙甘草); Astragali Radix (Huangqi, 黄芪) (each 1 qian); Angelicae Sinensis Radix (Dangguishen, 当归身); Rehmanniae Radix Preparata (Shudihuang, 熟地黄); Atractylodis Rhizoma (Cangzhu, 苍术); Gentianae Macrophytae Radix (Qinjiao, 秦艽); Cinnamomi Cortex Rougui (Rougui, 肉桂) (each 0.3 qian); Citri Reticulatae Pericarpium (Chenpi, 陈皮) (0.2 qian); Cimicifugae Rhizoma (Shengma, 升麻) (0.7 fen); Paeoniae Radix (Shaoyao, 芍药) (1.5 qian).
Preparation: Coarsely crush into one dose and decoct with water.
Danggui Hexue San is used to treat bleeding in stool due to damp-toxin in dysentery.
Ingredients: Sophorae Flavescentis Flos (Huaihua, 槐花); Aurantii Fructus Viridis (Qingpi, 青皮) (each 0.6 fen); Angelicae Sinensis Radix (Dangguishen, 当归身); Cimicifugae Rhizoma (Shengma, 升麻) (each 2 qian); Chuanxiong Rhizoma (Chuanxiong, 川芎) (0.4 fen); Schizonepetae Spica (Jingjisui, 荆芥穗); Rehmanniae Radix Preparata (Shudihuang, 熟地黄); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (each 0.6 fen).
Preparation: Grind into fine powder. Take 2-3 qian per dose, mixed with rice drink.
Note: The above prescriptions are all wind-dispelling and damp-resolving formulas. However, patients with damp-heat syndrome should mostly select treatments according to the methods for dysentery.