三因茯苓补心汤治心气虚耗不能藏血以致面色黄瘁五心烦热咳嗽唾血
半夏 前胡 紫苏 茯苓 人参 枳壳(炒) 桔梗 甘草 干葛(各半两) 当归(一两
三钱) 川芎(三分) 陈皮 白芍(各二两) 熟地黄(一两半)
上 咀每半两入姜枣煎
本事槐角散治肠胃不调胀满下血
苍术 浓朴 陈皮 当归 枳壳(各一两) 槐角(二两) 甘草 乌梅(各半两)
上 咀每五钱水煎服
按以上又气血药也然三因方虽云补剂而杂以发表之药姑存之收入此理气例
济生鸡苏散治劳伤肺经唾内有血咽喉不利
鸡苏叶 黄 生地黄 阿胶(炒) 贝母 白茅根(各一两) 桔梗 麦门冬 蒲黄 甘
草(各半两炒)
上 咀每四五钱入姜煎
归脾汤治思虑伤脾不能统摄心血以此致妄行或吐血下血
白术 茯神 黄 龙眼肉 酸枣仁(各一两) 人参 木香(各半两) 甘草(炙二钱半)
上 咀每四五钱入枣姜煎
东垣麦门冬饮子治吐血久不愈者
五味子(十个) 麦门冬(去心) 黄 (各一钱) 当归身 人参 生地黄(各半钱)
上 咀水煎服
金匮赤豆当归散治先血后粪此近血也
赤豆(浸出芽) 当归
上二味为散浆水调服
三因伏龙肝汤治先粪后血此远血也
伏龙肝(半斤) 甘草(炙) 白术 阿胶 黄芩 熟地黄(各三两)
上 咀每四五钱水煎服
发灰散治小便尿血或便前便后亦远近之谓也发灰
上一味每二钱以米醋二合汤少许服井花水调亦得
玉屑膏治尿血
黄 人参(等分)
上为末用萝卜大者切一指浓四五片蜜淹少时蜜炙干尽蜜二两为度勿令焦点药末吃不以
时仍以盐汤送下
按以上诸方平补药也然病体亦有寒热气积等因不同用者自宜求责
Huanglian Jiedu Tang (Coptis Decoction for Alleviating Toxicity)
Dajinhua Wan (Great Golden Flower Pill)
Both formulas are cited in the "Fire Gate" chapter.
Sanyin Fuling Buxin Tang (Three Causes Poria Heart-Nourishing Decoction): Treats deficiency and depletion of Heart Qi, leading to an inability to store blood, resulting in sallow and withered complexion, heat sensation in the five centers (palms, soles, and chest), cough, and hemoptysis (coughing up blood).
Herbs: Banxia (Pinelliae Rhizoma), Qianhu (Peucedani Radix), Zisu (Perillae Folium), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus, stir-fried), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Gange (Puerariae Radix) (each 0.5 liang); Danggui (Angelicae Sinensis Radix) (1 liang 3 qian); Chuanxiong (Ligustici Chuanxiong Rhizoma) (3 fen); Chenpi (Citri Reticulatae Pericarpium); Baishao (Paeoniae Radix Alba) (each 2 liang); Shudihuang (Rehmanniae Radix Praeparata) (1.5 liang).
Usage: Coarsely crush the herbs. For each dose of 0.5 liang, decoct with fresh ginger and jujube.
Benshi Huaijiao San (Ben Shi Sophora Seed Powder): Treats dysfunction of the intestines and stomach, manifesting as abdominal distension and fullness, and hematochezia (blood in stool).
Herbs: Cangzhu (Atractylodis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus) (each 1 liang); Huaijiao (Sophorae Flavescentis Fructus) (2 liang); Gancao (Glycyrrhizae Radix et Rhizoma); Wumei (Mume Fructus) (each 0.5 liang).
Usage: Coarsely crush the herbs. For each dose of 5 qian, decoct with water and take orally.
Note: The above formulas also belong to blood-qi tonifying categories. However, although *San Yin Fang* classifies them as tonics, they contain herbs that release the exterior. They are tentatively retained and included here under the category of regulating qi.
Jisheng Jisu San (Ji Sheng Houttonia Powder): Treats damage from overwork affecting the Lung meridian, resulting in blood in saliva and throat discomfort.
Herbs: Jisu Ye (Houttoniae Folium), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini, stir-fried), Beimu (Fritillariae Cirrhosae Bulbus), Baimaogen (Imperatae Rhizoma) (each 1 liang); Jiegeng (Platycodonis Radix); Maimendong (Ophiopogonis Radix); Puhuang (Typhae Pollen); Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (each 0.5 liang).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with fresh ginger.
Guipi Tang (Restore the Spleen Decoction): Treats spleen injury caused by excessive thinking, leading to the spleen's inability to control heart blood, resulting in reckless bleeding, such as hematemesis (vomiting blood) or hematochezia.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria with Hostwood), Huangqi (Astragali Radix), Longyanrou (Longan Aril), Suanzaoren (Ziziphi Spinosae Semen) (each 1 liang); Renshen (Ginseng Radix et Rhizoma); Muxiang (Aucklandiae Radix) (each 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (2.5 qian).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with jujube and fresh ginger.
Dongyuan Maimendong Yinzi (Dong Yuan Ophiopogon Infusion): Treats chronic hematemesis that has not healed for a long time.
Herbs: Wuweizi (Schisandrae Chinensis Fructus) (10 fruits); Maimendong (Ophiopogonis Radix, heart removed); Huangqi (Astragali Radix) (each 1 qian); Dangguishen (Angelicae Sinensis Radix Stem), Renshen (Ginseng Radix et Rhizoma), Shengdihuang (Rehmanniae Radix) (each 0.5 qian).
Usage: Coarsely crush the herbs, decoct with water, and take orally.
Jingui Chidou Danggui San (Golden Cabinet Red Bean and Angelica Powder): Treats bleeding preceding defecation, known as "near blood."
Herbs: Chidou (Phaseoli Radiati Semen, soaked until sprouted); Danggui (Angelicae Sinensis Radix).
Usage: Grind the two ingredients into powder, mix with Jiangshui (fermented grain water), and take orally.
Sanyin Fulonggan Tang (Three Causes Dragon Liver Decoction): Treats bleeding following defecation, known as "far blood."
Herbs: Fulonggan (Caulis Argillae Rubrae) (8 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried); Baizhu (Atractylodis Macrocephalae Rhizoma); Ejiao (Colla Corii Asini); Huangqin (Scutellariae Radix); Shudihuang (Rehmanniae Radix Praeparata) (each 3 liang).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with water and take orally.
Fahui San (Hair Ash Powder): Treats hematuria (blood in urine), or bleeding before or after defecation, which also pertains to the distinction between near and far blood. The herb is Fahui (Ash of Hair).
Usage: Single ingredient. For each dose of 2 qian, take with 2 he of rice vinegar and a small amount of soup, or mix with well-water (Jinghua Shui).
Yuxie Gao (Jade Paste): Treats hematuria.
Herbs: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma) (equal parts).
Usage: Grind into fine powder. Take large radishes, cut into slices about one finger thick, four to five slices. Marinate briefly in honey, then roast with honey until the honey is fully absorbed and dry, using 2 liang of honey as the limit; do not let it burn. Take the powder at any time, washed down with salt water.
Note: The above formulas are all mild tonifying agents. However, patients' constitutions may vary due to cold, heat, qi stagnation, etc. Users should investigate the specific causes and treat accordingly.