舌衄者,舌出血不止也。心主血,在窍为舌。若心脏蕴热,血得热而妄行,或溢于心之
窍,则有舌上出血之证,甚者出如涌泉。
《圣济》阿胶散
阿胶(炒) 黄 (蜜炙) 蒲黄(新者,一两)
共末,用生地黄汁,空心调下二钱。
《千金》方
乱发烧灰,水服方寸匕,日三服。
(血汗附)
大衄者,口鼻耳目皆出血是也。由热气乘虚入血,则血妄行,与卫气错溢于窍也。阿胶
阿胶汤
阿胶(蛤粉炒,一两) 蒲黄(五钱)
水煎去滓,入生地黄汁服之,急以帛系两乳。
神白散 治血汗。
用人中白瓦上炙,研末,入麝香少许和匀,空心酒下二钱。一方有发灰。
圣惠散 治大衄久衄,及诸窍出血不止。
人中白一团鸡子大,绵五两,烧研,每服二钱,温水服。
许学士云∶予苦疾三十年,蓄下血药方,近五十余品,其间或验或否,或始验而久不应
者,或初不验弃之,再服有验,未易历谈。大抵此病,品类不同,对病则易愈。如下清血色鲜者
,肠风也。血浊而色黯者,脏毒也。肛门射如血线者,脉痔也。亦有一种下部虚,阳气不升
,血随气而降者。仲景云∶脉弦而大,弦则为减,大则为芤,减则为寒,芤则为虚,寒虚相
搏,此名为革。妇人则半产漏下,男子则亡血失精。此下部虚而下血者是也。若是革脉,却
宜服温补药。虫痔宜熏,《千金》用 皮、艾者佳。予尝作,颇得力。
黑地黄丸(颇佳。鹤年)
She Nu (Tongue Hemorrhage) refers to the symptom of continuous bleeding from the tongue. The Heart governs Blood, and its orifice is the tongue. If Heat-Fire accumulates in the Heart, Blood may act recklessly due to Heat, overflowing into the orifices of the Heart, resulting in hemorrhage from the tongue; in severe cases, it flows like a gushing spring.
Jiao'e San (Donkey-Hide Gelatin Decoction) from *Shengji Zonglu*
Ingredients: Jiao'e (Donkey-hide gelatin, stir-fried), Huangqin (Scutellariae Radix, honey-fried), Puhuang (Typhae Pollen, fresh, 1 liang).
Usage: Grind the above ingredients into fine powder. Mix with juice of Shengdihuang (Rehmanniae Radix Recens) and take 2 qian on an empty stomach.
Formula from *Qianjin Fang*
Usage: Burn human hair into ash, take one fangcunbi (a measure roughly equivalent to a tablespoon) with water, three times daily.
(Attached: Xuehan / Blood Sweat)
Da Nu (Major Hemorrhage) refers to simultaneous bleeding from the mouth, nose, ears, and eyes. This occurs when Pathogenic Heat enters the Blood level due to deficiency, causing Blood to act recklessly and overflow into the orifices mixed with Wei Qi (Defensive Qi).
Jiao'e Tang (Donkey-Hide Gelatin Decoction)
Ingredients: Jiao'e (Donkey-hide gelatin, stir-fried with clam powder, 1 liang), Puhuang (Typhae Pollen, 5 qian).
Usage: Decoct in water, strain, add juice of Shengdihuang (Rehmanniae Radix Recens), and drink. Immediately tie both breasts tightly with cloth to stop bleeding.
Shenbai San (Divine White Powder): Treats Xuehan (Blood Sweat).
Ingredients: Renzhongbai (Calcinatio Uraei, calcined on a tile), ground into powder, mixed with a small amount of Shexiang (Moschus).
Usage: Take 2 qian with wine on an empty stomach. Another version includes Fashui (Ash of Hair).
Shenghui San (Sagely Grace Powder): Treats Da Nu (Major Hemorrhage), chronic hemorrhage, and continuous bleeding from various orifices.
Ingredients: One piece of Renzhongbai (Calcinatio Uraei) the size of a chicken egg, Mian (Cotton Wool, 5 liang).
Usage: Burn until charred, grind into powder. Take 2 qian per dose with warm water.
Academician Xu stated: "I have suffered from this disease for thirty years. I have collected nearly fifty formulas for treating lower gastrointestinal bleeding. Some were effective, some ineffective; some effective initially but later ineffective; some seemingly ineffective at first but effective upon re-administration. It is difficult to list them all. Generally, this disease varies in type, but it is easily cured if the formula matches the disease. For example, bright red blood from the lower part indicates Changfeng (Intestinal Wind); turbid blood with dark color indicates Zangdu (Visceral Toxin); blood shooting out like a thread from the anus indicates Maizhi (Vascular Hemorrhoid). There is also a condition where deficiency in the lower part causes Yang Qi to fail to ascend, and Blood descends following Qi. Zhang Zhongjing said: 'A pulse that is wiry and large: wiry indicates reduction, large indicates hollow (Kou). Reduction implies Cold, hollow implies Deficiency. Cold and Deficiency combining is named Ge Pulse (Leather Pulse). In women, this presents as miscarriage with persistent bleeding; in men, as loss of Blood and Essence. This describes lower deficiency with lower bleeding. If the Ge Pulse is present, warming and tonifying medicines are appropriate. For Chongzhi (Worm Hemorrhoid), fumigation is suitable; *Qianjin Fang* recommends using Shepi (Snake Skin) and Aicao (Artemisia argyi), which is excellent. I once prepared this preparation, and it was quite effective.'"
Heidihuang Wan (Black and Yellow Earth Pill) (Very effective. He Nian)