四物汤(见虚劳。) 白扁豆散(见嗽血。) 黑神散 小乌沉汤(俱见鼻衄。) 七珍散(见不能食。)
白芨枇杷丸(戴氏)
白芨(一两) 枇杷叶(去毛,蜜炙) 藕节(各五钱)
上为细末,另以阿胶五钱,锉如豆大,蛤粉炒成珠,生地黄自然汁调之,火上顿化,入
前件为丸,如龙眼大。每服一丸,噙化。
白芨莲须散(《戴氏》)
白芨(一两) 莲花须(金色者佳) 侧柏叶 沙参(各五钱)
上为极细末,入藕节汁、地黄汁,磨京墨令黑,调药二钱,如稀糊啜服。
五苓散(见消瘅。) 四物汤(见虚劳。)
胶艾汤(《和剂》)
阿胶(碎,炒燥) 芎 甘草(炙,各一两) 当归 艾叶(微炒,各三两) 白芍药 熟干地黄(各四两)
每服三钱,水一盏,酒六分,煎八分,空心稍热服。
鹿茸丸(《济生》)
川牛膝(去芦,酒浸) 鹿茸(去毛,酒蒸) 五味子(各二两) 石斛(去根) 棘刺 杜仲(去皮,炒)
阳起石( ) 川巴戟(去心) 山药(炒) 菟丝子(淘净,酒蒸) 附子(炮,去皮尖) 川楝子(取肉,炒)
磁石( ) 官桂(不见火) 泽泻(各一两) 沉香(半两,另研)
上为末,酒糊丸,如梧桐子大。每服七十丸,空心温酒送下。
八味地黄丸(见虚劳。)
鹿角胶丸(《济生》) 治房室劳伤,小便尿血。
鹿角胶(半两) 没药(另研) 油头发灰(各三钱)
上为末,用茅根汁打面糊为丸,如桐子大。每服五十丸,盐汤下。
辰砂妙香散(见心痛。) 调胃承气汤(见发热。)
玉屑膏(《三因》) 治尿血并五淋砂石,疼痛不可忍受者。
黄 人参(各等分)
上为末。用萝卜大者,切一指浓,三指大,四五片,蜜淹少时,蘸蜜炙干,复蘸复
炙,尽蜜二两为度,勿令焦,至熟蘸黄 、人参末吃,不以时,仍以盐汤送下。
小蓟饮子(《济生》) 治下焦结热,尿血成淋。
生地黄(四两) 小蓟根 滑石 通草 蒲黄(炒) 藕节 淡竹叶 当归(去芦,酒浸) 山栀
仁甘草(炙,各半两)
上 咀,每服四钱,水一盏,煎八分,空心温服。
当归散(《玄珠》) 治妇人小便出血,或时尿血。
当归 羚羊角 赤芍药(各五钱) 生地黄(一两) 大蓟叶(七钱半)
分作三帖,水煎,食前服。
治血淋方
牛膝(一两) 黄柏 知母 泽泻(各一两) 麦门冬 天门冬 山栀仁(各一两半) 生地黄(二两)
上为末,粥糊丸,如梧桐子大。每空心白汤吞下八九十丸。
又方
人参 白术 川当归 熟地黄 川芎 山楂 茯苓(各八分) 黄 (七分) 升麻(三分)
上水煎服。
又方
牡丹皮 当归 生地黄 山栀子 白芍药 甘草梢 滑石 泽泻 白茯苓 木通(各等分)
每服五七钱,加生姜皮二分,灯芯一分,水煎,食前服。
瞿麦散(《奇效》下同) 治血淋尿血。
瞿麦穗 赤芍药 车前子 白茅根(无根用花) 赤茯苓 桑白皮(炒) 石韦(去毛) 生干
地黄 阿胶(炒) 滑石 黄芩 甘草(炙。各二钱)
上为细末,每服二钱,入血余烧灰一钱,食前沸汤调服。
柿蒂散 治血淋
上用干柿蒂,烧灰存性,为末。每服二钱,空心米饮调下。
当归汤 治血淋及五淋等疾。
当归(去芦) 淡竹叶 灯芯 竹园荽 红枣 麦门冬(去心) 乌梅 木龙(一名野葡萄藤) 甘草
上各等分,锉碎,煎汤作熟水,患此疾者多渴,随意饮之。
羚羊角饮 治血淋,小便结热涩痛。
羚羊角屑 栀子仁 葵子(炒。以上各一两) 青葙子 红蓝花(炒) 麦门冬(去心) 大青
大黄(炒。各半两)
上捣筛,每服三钱匕,水一盏,煎七分,去滓,不拘时温服。
鸡苏饮子 治血淋不绝。
鸡苏(一握,切) 石膏(八分,碎) 竹叶(一握,切) 生地黄(一升,切) 蜀葵子(四分,为末)
上先将四味,以水五升,煮取二升,去滓,下葵子末,分温二服,如人行五里久进
一服。忌芜荑、蒜、面、炙肉等。
金黄散 治小便血淋疼痛。
大黄(煨) 人参 蛤粉 黄蜀葵花(焙,各等分)
上为细末,每服一钱匕,灯芯煎汤调服,日三。
神效方 治血淋。
海螵蛸 生干地黄 赤茯苓(各等分)
上为细末,每服一钱,用柏叶、车前子煎汤下。
发灰散 治血淋,若单单小便出血如尿。
上用乱发烧灰,入麝香少许,每服一钱,用米醋温汤调下。
治尿血方
淡竹叶 麦门冬 白茅花 车前子 陈柳枝 天门冬(去心) 地榆 香附子 郁金
灯芯(各半钱。)
上以水二碗,煎八分,去滓,调四苓散,空心服。
四苓散
茯苓(去皮) 猪苓(去皮) 白术 泽泻(各等分)
上为细末,每服二钱,空心用前煎药调服。
蒲黄丸 治虚损,膀胱有热、尿血不止。
蒲黄 葵子 赤茯苓 黄 (以上各一两) 车前子 当归(微炒) 荆实(以上各七钱半) 麦
门冬(去心) 生地黄(各二两)
上为细末,炼蜜和捣二三百杵,丸如梧桐子大。每服三十丸,食前用米饮送下。
牡蛎散 治劳损伤中尿血。
牡蛎( ,为粉) 车前子 白龙骨( 令赤) 熟地黄 黄芩 桂心(各一两)
上为细末,每服二钱,食前米饮调下。
如神散 治心脏有热,热乘于血,血渗小肠,故尿血也。
阿胶(蛤粉炒,一两) 山栀仁 车前子 黄芩 甘草(各二钱半)
上细末,每服半钱或一钱,井花水调服,日三。
鹿茸散 治小便尿血,日夜不止。
鹿茸(酒洗,去毛,涂酥炙令黄) 生地黄(焙) 当归(焙。以上各二两) 蒲黄(一合) 冬葵子(炒,四两半)
上为极细末,每服三钱匕,空心用温酒调服,日二。一方,治下元虚惫尿血,炼蜜
为丸,如梧桐子大。每服二十丸,食前用炒盐汤下。
治小便频数,卒然下血不止,并不疼痛。此缘心中积恶,机谋艰险,长怀嫉妒,多积
忿气,伤损肝心正气;又因色伤,小肠气虚,血乘虚妄行,故有此疾,宜服此方。
桑寄生(一两) 熟地黄 茯苓(各半两) 人参 川芎 独活 蒲黄(各二钱半) 甘松 沉香(各八分四厘)
上为细末,每服三钱匕,水一盏,煎一二沸,便泻出去滓,非时吃。服此药后,其
血已安,校觉丹田元气之虚,腰膝沉重,多困少力者,宜用桑寄生为细末,每服一二钱,
非时点服补之。
犀角地黄汤 治小肠淋沥出血,疼痛难忍,及治心血妄行衄血等疾,食后临卧服之,
用丝茅根煎服。余癸丑夏,尝苦淋漓之疾,出血不已,得黄应明授此方,数服而愈。
犀角(如无,以升麻代之,半两) 芍药(二钱) 牡丹皮(半两) 生地黄(二钱)
上锉碎,作一服,水一盏,煎八分,空心服。
Siwu Tang (see Xu Lao). Baibian Dou San (see Sou Xue). Heishen San. Xiaowuchen Tang (all see Bi Nie). Shizhen San (see Bu Neng Shi).
Baiji Pipa Wan (from Dai Shi):
Baiji (1 liang), Pipaye (dehired, honey-fried), Oujie (each 5 qian).
The above herbs are ground into fine powder. separately, Ejiao (5 qian) is cut into bean-sized pieces, stir-fried with Ge Fen until bead-like, and mixed with the natural juice of raw Dihuang. This mixture is melted over fire, then combined with the aforementioned powder to form pills the size of longan fruits. Take one pill at a time, holding it in the mouth to dissolve slowly.
Baiji Lianxu San (from "Dai Shi"):
Baiji (1 liang), Lianhua Xu (golden ones are best), Cebaiye, Shashen (each 5 qian).
The above herbs are ground into extremely fine powder. Add juice from Oujie and Dihuang, grind Jingmo until the liquid turns black, mix with 2 qian of the medicine, and drink it like a thin paste.
Wuling San (see Xiao Dan). Siwu Tang (see Xu Lao).
Jiao'ai Tang (from "Heji Jufang"):
Ejiao (crushed, fried dry), Xiong, Gancao (fried, each 1 liang), Danggui, Aye (lightly fried, each 3 liang), Baishaoyao, Shu Ganhuidi (each 4 liang).
Take 3 qian per dose, with 1 cup of water and 0.6 cup of wine, decocted to 0.8 cup. Take warm on an empty stomach.
Lurong Wan (from "Jisheng Fang"):
Chuan Niuxi (rhizome removed, soaked in wine), Lurong (hair removed, steamed in wine), Wuweizi (each 2 liang), Shihu (roots removed), Jici, Duzhong (bark removed, fried), Yangqishi, Chuan Bajitian (heart removed), Shanyao (fried), Tusizi (washed clean, steamed in wine), Fuzi (processed, skin and tips removed), Chuan Lianzi (flesh taken, fried), Cishi, Guanzi (not exposed to direct fire), Zexie (each 1 liang), Chenxiang (0.5 liang, ground separately).
Grind all into powder, make pills with wine paste, sized like sophora seeds. Take 70 pills per dose, with warm wine on an empty stomach.
Bawei Dihuang Wan (see Xu Lao).
Lujiao Jiao Wan (from "Jisheng Fang"): Treats hematuria due to sexual exhaustion.
Lujiao Jiao (0.5 liang), Moyao (ground separately), You Toufaxui (each 3 qian).
Grind into powder, make pills with rice flour paste made from Maogen juice, sized like paulownia seeds. Take 50 pills per dose, with salt water.
Chensha Miaoxiang San (see Xin Tong). Tiaowei Chengqi Tang (see Fa Re).
Yuxie Gao (from "San Yin Fang"): Treats hematuria and sand/gravel in the five types of strangury, where pain is unbearable.
Huangqi, Renshen (equal parts).
Grind into powder. Cut large radishes into slices one finger thick and three fingers wide (4-5 slices). Soak briefly in honey, then roast until dry, repeating until 2 liang of honey is used up. Do not burn; cook until soft. Eat dipped in Huangqi and Renshen powder at any time, or take with salt water.
Xiaoji Yinzi (from "Jisheng Fang"): Treats lower jiao heat accumulation causing hematuria transforming into strangury.
Shengdihuang (4 liang), Xiaoji Gen, Huashi, Tongcao, Puhuang (fried), Oujie, Danzhuye, Danggui (rhizome removed, soaked in wine), Shanzhiren, Gancao (fried, each 0.5 liang).
Cut into small pieces. Take 4 qian per dose, with 1 cup of water, decocted to 0.8 cup. Take warm on an empty stomach.
Danggui San (from "Xuanshu"): Treats women with bleeding from urination or intermittent hematuria.
Danggui, Lingyangjiao, Chishaoyao (each 5 qian), Shengdihuang (1 liang), Dajiye (7.5 qian).
Divide into three doses, decoct in water, take before meals.
Formula for treating Blood Strangury:
Niuxi (1 liang), Huangbai, Zhimu, Zexie (each 1 liang), Maimendong, Tianmendong, Shanzhiren (each 1.5 liang), Shengdihuang (2 liang).
Grind into powder, make pills with porridge paste, sized like sophora seeds. Swallow 80-90 pills with plain water on an empty stomach.
Another Formula:
Renshen, Baizhu, Chuan Danggui, Shudihuang, Chuanxiong, Shanzha, Fuling (each 0.8 fen), Huangqi (0.7 fen), Shengma (0.3 fen).
Decoct in water and take.
Another Formula:
Mudanpi, Danggui, Shengdihuang, Shanzhi, Baishaoyao, Gancaoshao, Huashi, Zexie, Bai Fuling, Mutong (equal parts).
Take 5-7 qian per dose, add 0.2 fen of Jiangshengpi and 0.1 fen of Dengxin, decoct in water, take before meals.
Qumai San (from "Qixiao Liangfang", same below): Treats blood strangury and hematuria.
Qumaishui, Chishaoyao, Cheqianzi, Baimaogen (flowers if roots unavailable), Chi Fuling, Sangbaipi (fried), Shiwei (dehired), Sheng Gan Dihuang, Ejiao (fried), Huashi, Huangqin, Gancao (fried, each 2 qian).
Grind into fine powder. Take 2 qian per dose, add 1 qian of Xueyu ash, mix with boiling water before meals.
Shidi San: Treats blood strangury.
Burn dried persimmon calyxes until carbonized but retaining properties, grind into powder. Take 2 qian per dose, mix with rice drink on an empty stomach.
Danggui Tang: Treats blood strangury and other five stranguries.
Danggui (rhizome removed), Danzhuye, Dengxin, Zhuyuansui, Hongzao, Maimendong (heart removed), Wumei, Mulong (also known as Ye Putaoteng), Gancao.
Equal parts, chopped, decocted as tea. Patients often feel thirsty, so drink freely.
Lingyangjiao Yin: Treats blood strangury with heat accumulation, astringency, and painful urination.
Lingyangjiao xie, Zhiziren, Kuizi (fried, each 1 liang), Qingxiangzi, Honglanhua (fried), Maimendong (heart removed), Daqing, Dahuang (fried, each 0.5 liang).
Pound and sieve. Take 3 qian bi per dose, with 1 cup of water, decocted to 0.7 cup. Strain and take warm at any time.
Jisu Yinzi: Treats continuous blood strangury.
Jisu (one handful, chopped), Shigao (0.8 fen, crushed), Zhuye (one handful, chopped), Shengdihuang (1 sheng, chopped), Shukui Zi (0.4 fen, ground).
First, boil the first four ingredients in 5 sheng of water to obtain 2 sheng. Strain, add Kui Zi powder, divide into two warm doses. Take one dose after walking for about five li. Avoid Yuan Yi, garlic, wheat products, and roasted meat.
Jinhuang San: Treats painful blood strangury in urination.
Dahuang (roasted), Renshen, Ge Fen, Huangshu Kui Hua (baked, equal parts).
Grind into fine powder. Take 1 qian bi per dose, mix with Dengxin decoction, three times daily.
Shenxiao Fang: Treats blood strangury.
Haipiaoxiao, Sheng Gan Dihuang, Chi Fuling (equal parts).
Grind into fine powder. Take 1 qian per dose, with decoction of Cebaiye and Cheqianzi.
Fahui San: Treats blood strangury, specifically when urine is purely bloody.
Burn disordered hair to ash, add a little Moshe. Take 1 qian per dose, mix with warm rice vinegar solution.
Formula for treating Hematuria:
Danzhuye, Maimendong, Baimaohua, Cheqianzi, Chen Liuzhi, Tianmendong (heart removed), Diyü, Xiangfuzi, Yujin, Dengxin (each 0.5 qian).
Decoct 2 bowls of water to 0.8 bowl. Strain, mix with Siling San, take on an empty stomach.
Siling San:
Fuling (peeled), Zhuling (peeled), Baizhu, Zexie (equal parts).
Grind into fine powder. Take 2 qian per dose, mix with the previously decocted medicine on an empty stomach.
Puhuang Wan: Treats deficiency damage, bladder heat, and persistent hematuria.
Puhuang, Kuizi, Chi Fuling, Huangqi (each 1 liang), Cheqianzi, Danggui (lightly fried), Jingshi (each 7.5 qian), Maimendong (heart removed), Shengdihuang (each 2 liang).
Grind into fine powder, mix with refined honey, pound 200-300 times, form pills sized like sophora seeds. Take 30 pills per dose, with rice drink before meals.
Muli San: Treats hematuria due to labor injury affecting the middle.
Muli (calcined, ground to powder), Cheqianzi, Bai Longgu (calcined until red), Shudihuang, Huangqin, Guixin (each 1 liang).
Grind into fine powder. Take 2 qian per dose, with rice drink before meals.
Rushen San: Treats heart heat invading blood, causing blood to seep into the small intestine, resulting in hematuria.
Ejiao (fried with Ge Fen, 1 liang), Shanzhiren, Cheqianzi, Huangqin, Gancao (each 2.5 qian).
Grind into fine powder. Take 0.5 or 1 qian per dose, mixed well water, three times daily.
Lurong San: Treats hematuria day and night without stopping.
Lurong (washed in wine, hair removed, baked with su until yellow), Shengdihuang (baked), Danggui (baked, each 2 liang), Puhuang (1 he), Dongkuizi (fried, 4.5 liang).
Grind into extremely fine powder. Take 3 qian bi per dose, with warm wine on an empty stomach, twice daily. Another method for treating lower yuan deficiency causing hematuria: make pills with refined honey, sized like sophora seeds. Take 20 pills per dose, with fried salt water before meals.
Formula for frequent urination and sudden continuous bleeding without pain: This arises from accumulated evil in the heart, scheming and danger, long-term jealousy, and accumulated resentment damaging the righteous qi of the liver and heart; also due to sexual injury causing small intestine qi deficiency, allowing blood to flow recklessly due to emptiness. It is suitable to take this formula.
Sangjisheng (1 liang), Shudihuang, Fuling (each 0.5 liang), Renshen, Chuanxiong, Duhuo, Puhuang (each 2.5 qian), Gansong, Chenxiang (each 0.84 li).
Grind into fine powder. Take 3 qian bi per dose, with 1 cup of water, boil once or twice, strain immediately, and drink at non-meal times. After taking this medicine, if bleeding stops but you feel emptiness in the dantian, heaviness in waist and knees, and fatigue, use Sangjisheng ground into powder, take 1-2 qian at non-meal times to tonify.
Xijiao Dihuang Tang: Treats dribbling bleeding from the small intestine with unbearable pain, and also treats disorders like epistaxis due to reckless heart blood flow. Take after meals and before sleep, decocted with Simaogen. In the summer of Gui Chou year, I suffered from this dribbling disease with unceasing bleeding. Received this formula from Huang Yingming, cured after several doses.
Xijiao (if unavailable, substitute with Shengma, 0.5 liang), Shaoyao (2 qian), Mudanpi (0.5 liang), Shengdihuang (2 qian).
Chop finely, prepare as one dose. With 1 cup of water, decoct to 0.8 cup. Take on an empty stomach.