病者因饮啖辛热,热燥伤肺,血得热则溢,因作呕吐,出血一合或半升许,名曰肺疽。
伤于腑,则属胃;伤于脏,则属肺。
上以此分,不可不究。
治肺疽吐血并妄行。
红枣(和核烧存性) 百药煎( ,各等分)
上为细末。每服二钱,米汤调下。
病者因坠闪肭,致伤五脏,损裂出血,停留中脘,脏热则吐鲜血,脏寒则吐瘀血如豆羹
汁,此名内伤。治之各有方。
治打扑伤损,败血流入胃脘,呕吐黑血,或如豆羹汁。
川芎 当归 白芍药 百合(水浸半日) 荆芥穗(各等分)
上为锉散。每服四钱,水一盏,酒半盏,同煎七分,去滓,不以时服。
病者有所坠堕,恶血留内,或因大怒,汗血 温,停蓄不散,两胁疼痛,脚善 ,骨节
时肿,气上不下,皆由瘀血在内。治之各有方。
治从高坠下,及木石所压。凡是伤损,血瘀凝积,气绝欲死;并久积瘀血,烦
躁疼痛,叫呼不得,并以此药利去瘀血即愈。此药推陈致新,治折伤神效。
大黄(一两,酒蒸) 杏仁(三七粒,去皮尖)
上研细,酒一碗,煎至六分,碗裂去滓,鸡鸣时服,次日取下瘀血即愈;若便觉气绝,
不能言,取药不及,急掰口开,以热小便灌之。
患者因饮食辛辣温热之物,热燥损伤肺脏,血液受热则溢出脉外,因而发生呕吐,出血量约一合或半升左右,这种病症称为肺疽(肺脏受损导致的吐血)。
若病邪伤及六腑,则归属于胃;若伤及五脏,则归属于肺。
从上述部位来区分,不可不深入研究。
治疗肺疽吐血以及血液妄行不止的方剂:
红枣(连核烧至存性) 百药煎(各等分)
将上述药物研成细末。每次服用二钱,用米汤调服。
患者因坠落、闪挫导致内脏受伤,脏腑破裂出血,血液停滞在中脘部位,若脏腑有热则吐出鲜红色血液,若脏腑有寒则吐出如豆羹汁般的瘀血,这种病症称为内伤。对此各有相应的治疗方法。
治疗跌打损伤,败血流入胃脘,呕吐黑色血液,或者像豆羹汁一样的方剂:
川芎 当归 白芍药 百合(用水浸泡半天) 荆芥穗(各等分)
将上述药物切碎制成散剂。每次服用四钱,加水一盏、酒半盏,共同煎煮至七分满,滤去药渣,不拘时候服用。
患者有所坠落,恶血留滞体内,或因大怒,导致汗血(此处疑为“衄血”或特定症状描述,依原文直译)温煦停蓄不散,两胁疼痛,脚部善(此处原文似有缺字,依语境推测可能指拘挛或疼痛,但按规则不增补,仅保留语义连贯),骨节时常肿胀,气机上逆而不能下行,这都是由于瘀血在体内所致。对此各有相应的治疗方法。
治疗从高处置坠落,以及被木石压迫。凡是受到损伤,血液瘀凝积聚,气息微弱欲死;以及长期积存的瘀血,导致烦躁疼痛,呼叫不得,都用此药通利排出瘀血即可痊愈。此药能推陈致新,治疗折伤非常神效。
大黄(一两,用酒蒸制) 杏仁(三十七粒,去皮尖)
将上述药物研细,用一碗酒,煎煮至六分满,碗裂开时滤去药渣,在鸡鸣时分服用,第二天排出瘀血即愈;如果立刻感觉气息断绝,不能说话,来不及取药,急忙掰开嘴巴,用热的小便灌入。
患者或因发汗不彻底,以及吐血、鼻衄不尽,瘀血蓄积在体内,使人面色发黄、嘴唇苍白,大便色黑,脚部软弱气喘,严重时甚至狂乱闷乱,这都是瘀血所致。对此各有相应的治疗方法。
The patient, due to consuming spicy and hot foods, suffers from heat-dryness damaging the Lung. Blood overflows upon heating, leading to vomiting with blood loss of approximately one *ge* or half a *sheng*, a condition named Feiju (Lung Abscess/Tubercle causing hematemesis).
If the injury affects the Fu organs, it belongs to the Stomach; if it affects the Zang organs, it belongs to the Lung.
Distinguishing by these upper locations requires thorough investigation.
Treatment for Feiju hematemesis and reckless bleeding:
Hongzao (Jujube fruit, burnt with seeds to retain charred nature) Baiyaojian (Fermented Medicinal Leaven), each in equal parts.
Grind into fine powder. Take two *qian* per dose, mixed with rice soup.
When patients suffer falls or sprains, injuring the five Zang organs, causing rupture and bleeding, which stagnates in the Zhongwan region: if the Zang is hot, bright red blood is vomited; if the Zang is cold, dark clotted blood resembling bean paste juice is vomited. This is termed Neishang (Internal Injury). Each has its specific treatment.
Treatment for bruises and injuries where damaged blood flows into the stomach cavity, causing vomiting of black blood or fluid resembling bean paste juice:
Chuanxiong (Szechuan Lovage Rhizome) Danggui (Angelica Sinensis Radix) Baishaoyao (White Peony Root) Baihe (Lily Bulb, soaked in water for half a day) Jingjiesui (Perilla Leaf Spike), each in equal parts.
Cut into pieces to make a powder. Take four *qian* per dose, with one cup of water and half a cup of wine, decocted to seven-tenths volume. Strain and take at any time.
When patients fall, leaving evil blood inside, or due to great anger, causing [sweat-blood] warmth to stagnate and not disperse, resulting in pain in both hypochondria, [weak/painful] legs, swelling of bone joints, and rebellious Qi failing to descend, all are caused by blood stasis inside. Each has its specific treatment.
Treatment for falling from heights or being crushed by wood and stone. For any injury where blood stasis coagulates and accumulates, Qi is cut off and near death; as well as long-standing accumulated blood stasis causing restlessness, pain, and inability to cry out, use this medicine to purge the blood stasis for recovery. This medicine pushes out the old and generates the new, showing miraculous efficacy for fractures and injuries.
Dahuang (Rhubarb Root, one liang, steamed with wine) Xingren (Apricot Seed, thirty-seven grains, skin and tips removed).
Grind finely. Use one bowl of wine, decoct to six-tenths volume. When the bowl cracks, strain. Take at cock-crow time. The next day, discharged blood stasis leads to recovery; if suddenly feeling Qi cessation and unable to speak, taking medicine is too late: urgently pry open the mouth and灌 (irrigate/force-feed) with hot urine.
Patients may, due to incomplete sweating therapy, or incomplete resolution of hematemesis and epistaxis, have blood stasis accumulating inside, causing yellow complexion and white lips, black stool, weak legs and asthma, and even severe mania and oppression, all caused by blood stasis. Each has its specific treatment.