干血,血瘀而干也。瘀则生热,内伤肝肺,发热咳嗽,日以益甚,不已则成劳。《金匮
》所谓经络营卫气伤,内有干血,肌肤甲错,两目黯黑者是也。
大黄 虫丸
大黄(二两五钱) 黄芩(二两) 甘草(三两) 桃仁(一升) 杏仁(一升) 虻虫(
升) 虫(半升) 蛴螬(百枚) 芍药(四两) 干地黄(十两) 干漆(一两)
上为末,蜜丸小豆大,酒服五丸,日三服。
王念西云∶虚劳发热,未有不由瘀血者,而瘀血未有不由内伤者。人之起居饮食,一有
,便能成伤。瘀积之血,牢不可拔,新生之血,不得周灌,与日俱积,其人尚有生理乎。仲
景施活人手眼,以润剂濡干血,以蠕动啖血之物行死血,死血既去,病根以铲,而后可以从
事于滋补矣。陈大夫百劳丸可与此互用。
喻嘉言曰∶此世俗所称干血劳之良治,血结在内,手足脉必相失,宜服此方。然必兼大
补剂琼玉膏之类服之。按∶相失者,不相得也。血结脉不通使然。
陈大夫百劳丸 治一切劳瘵积滞,疾不经药坏者宜服。
锦纹大黄(去皮及黑心,四钱) 乳香 没药 当归(各一钱) 人参(二钱) 桃仁
(去皮尖,另研如泥) 虻虫 水蛭(各十四枚,炒)
上为极细末,炼蜜丸桐子大,都作一服,可百丸,五更用百劳水下,取恶物为度,服白
按∶都作一服,服当作剂。剂,量也。量病之轻重而制其大小也。云取恶物为度,则非一服令尽可知。
Dry blood refers to blood that is stagnant and dried. Stagnation generates heat, which internally damages the Liver and Lung, causing fever and coughing that worsen day by day; if untreated, it develops into consumptive disease (Xulao). This corresponds to what is stated in *Jinkui Yaolue*: "The meridians, collaterals, Ying, and Wei Qi are damaged; there is dry blood within, the skin is rough like fish scales or armor plates, and the area around both eyes is dark."
Dahuang Zhechong Wan (Cinnamon Twig and Ground Beetle Pill)
Ingredients: Dahuang (Rhei Radix et Rhizoma, 2 liang 5 qian), Huangqin (Scutellariae Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang), Taoren (Persicae Semen, 1 sheng), Xingren (Armeniacae Semen Amarum, 1 sheng), Mengchong (Asii Mantis Ootheca, half sheng), Zhechong (Eupolyphaga seu Steleophaga, half sheng), Qicao (Larva of Meloe, 100 pieces), Shaoyao (Paeoniae Radix Alba, 4 liang), Dihuang (Rehmanniae Radix Preparata, 10 liang), Ganqi (Lac Cinnamomi, 1 liang).
Preparation and Administration: Grind the above ingredients into fine powder, mix with honey to form pills the size of small beans. Take five pills per dose, administered with wine, three times daily.
Wang Nianxi stated: Fever arising from deficiency-consumption is invariably caused by blood stasis, and blood stasis invariably arises from internal injury. Any slight disharmony in one's daily routine or diet can cause injury. The accumulated stagnant blood is firmly fixed and difficult to dislodge; new blood cannot circulate throughout the body. As the accumulation increases day by day, how can the person retain vitality? Zhang Zhongjing employed extraordinary methods: using moistening agents to soften the dry blood, and using creeping creatures that feed on blood to move the dead blood. Once the dead blood is removed, the root of the disease is eradicated, allowing for subsequent tonification and nourishment. Chen Dafu's Bailao Wan can be used in conjunction with this formula.
Yu Jiayan stated: This is an excellent treatment for the dry-blood consumption commonly known in secular practice. When blood is knotted internally, the pulses in the hands and feet will necessarily be discordant; this formula is appropriate. However, it must be taken concurrently with a major tonic such as Qiongyu Gao (Jade Dew Paste). Note: "Discordant" means not harmonious. This is due to the obstruction of the vessels caused by blood knotting.
Chen Dafu Bailao Wan (Master Chen's Hundred Consumptions Pill)
Indications: Suitable for all types of consumptive diseases with stagnation, and for conditions deteriorated due to improper medication.
Ingredients: Jinwen Dahuang (Rhei Radix et Rhizoma, peeled and core removed, 4 qian), Ruxiang (Boswelliae Resina), Moyao (Commiphorae Resina), Danggui (Angelicae Sinensis Radix, each 1 qian), Renshen (Ginseng Radix, 2 qian), Taoren (Persicae Semen, peeled and germ removed, ground separately into a paste), Mengchong (Asii Mantis Ootheca), Shuizhi (Hirudo, each 14 pieces, stir-fried).
Preparation and Administration: Grind the above ingredients into an extremely fine powder. Mix with refined honey to form pills the size of tung tree seeds. Prepare enough for a single dose, approximately 100 pills. Administer at the fifth watch (early morning) with Bailao Water, until foul matter is expelled. Follow with white porridge.
Note: The text states "prepare as one dose"; here, "dose" should be interpreted as "quantity/formulation." Quantity refers to dosage. The size and number of pills are determined according to the severity of the illness. The phrase "until foul matter is expelled" indicates that the entire amount is not necessarily consumed in one sitting.