川芎(一钱) 当归(二钱) 人参(二钱) 黄 (生用二钱) 生地(二钱) 于术(二钱) 麦冬(一钱) 陈
皮(五分) 升麻(四分) 防风(三分) 白芷(四分) 甘草(炙四分) 荆芥穗(四分)
上药加黑枣一枚。用水一盏半煎七分。稍热服。
汗多加麻黄根。(麻黄发汗。根止汗。宜用根。)五分。浮小麦一撮。大便不通加肉苁蓉二钱。气不舒展加木香一钱。
有痰加竹沥一匙。姜汁半匙。咳嗽加苦杏仁二钱。惊悸加炒酸枣仁一钱。柏子仁一钱。伤食加神曲一钱。炒麦芽一钱。
伤肉食加炒山楂一钱。砂仁八分。
眼黑头眩。昏迷不省人事。即是血晕。其因有三。一因劳倦甚而气竭神昏。二因血大脱而气欲绝。三因痰火乘虚泛
上而神不清。患此三者。急服生化汤。以行块定痛。化旧生新。斯血遂生而气转清。频服数剂。治其昏乱。气血即定矣。
外用前韭醋熏鼻之法治之。切勿认为恶血上冲。昏迷心窍。以致轻用散血之剂。亦勿认为痰火。而用消耗之品。庶无贻
患。
血晕形色俱脱。服生化夺命汤。倍加人参。万勿疑为太补。以致迁延不救。如痰火乘虚泛上而晕。于生化汤中加橘
红四分。甚虚亦加人参二钱。肥人多痰加竹沥一匙。姜汁半匙。
晕症切勿用苏木破血等药。若血块痛甚。以生化汤调益母膏。或送鹿角灰。或送延胡索散俱效。
川芎(一钱) 当归(二钱) 人参(二钱) 黄芪(生用二钱) 生地(二钱) 于术(二钱) 麦冬(一钱) 陈皮(五分) 升麻(四分) 防风(三分) 白芷(四分) 甘草(炙四分) 荆芥穗(四分)
以上药物加入黑枣一枚。用水一盏半煎至七分。稍热服用。
出汗多者加麻黄根(麻黄发汗,根部止汗,宜用根部。)五分。浮小麦一撮。大便不通加肉苁蓉二钱。气机不舒展加木香一钱。
有痰加竹沥一匙。姜汁半匙。咳嗽加苦杏仁二钱。惊悸加炒酸枣仁一钱、柏子仁一钱。伤食加神曲一钱、炒麦芽一钱。
伤肉食加炒山楂一钱、砂仁八分。
眼前发黑、头晕目眩、昏迷不省人事,这就是血晕。其成因有三:一是因过度劳累导致气竭神昏;二是因大量失血导致气欲绝;三是因痰火乘虚上泛导致神志不清。患此三种情况,急服生化汤(Shenghua Decoction),以消除瘀块、定痛、化瘀生新。这样血液得以生成而气机转为清朗,频繁服用数剂,治疗其昏乱,气血即可安定。
外用前韭醋熏鼻的方法治疗它。切勿认为是恶血上冲、昏迷心窍,以致轻率使用散血之剂。也不要认为是痰火,而使用消耗正气的药物,这样才能避免留下后患。
血晕且形色俱脱者,服用生化夺命汤,倍加人参。千万不要怀疑是过于补益,以致延误救治。如果是痰火乘虚上泛导致的晕厥,在生化汤中加入橘红四分,即使非常虚弱也加入人参二钱。肥胖之人多痰,加竹沥一匙、姜汁半匙。
晕症切勿使用苏木破血等药物。如果血块疼痛严重,用生化汤调服益母膏,或者送服鹿角灰,或者送服延胡索散,都有效。
Chuanxiong Radix (1 qian) Danggui Radix (2 qian) Ginseng Radix (2 qian) Astragali Membranacei Radix (Shengyong, 2 qian) Rehmanniae Radix (2 qian) Atractylodis Macrocephalae Rhizoma (2 qian) Ophiopogonis Radix (1 qian) Citri Reticulatae Pericarpium (5 fen) Cimicifugae Rhizoma (4 fen) Saposhnikoviae Radix (3 fen) Angelicae Dahuricae Radix (4 fen) Glycyrrhizae Radix et Rhizoma (Zhi, 4 fen) Schizonepetae Spica (4 fen)
Add one black date to the above herbs. Decoct with one and a half cups of water until reduced to seven-tenths. Take slightly warm.
For excessive sweating, add Ephedrae Radix et Rhizoma Root (Mahuang induces sweating, the root stops sweating; use the root.) (5 fen). Triticum Vulgare Fructus (Fuxiaomai), a pinch. For constipation, add Cistanche Deserticola Herba (Roucongrong) (2 qian). For stagnant Qi, add Aucklandiae Radix (Muxiang) (1 qian).
For phlegm, add Phragmitis Caulis Juice (Zhuli) (1 chi) and Zingiberis Recensis Rhizoma Juice (Jiangzhi) (half chi). For cough, add Armeniacae Semen Amarum (Kuxingren) (2 qian). For palpitations and fright, add Ziziphi Spinosae Semen (Chao Suanzaoren) (1 qian) and Biota Seed (Baiziren) (1 qian). For food stagnation, add Schisandrae Chinensis Fructus (Shenqu) (1 qian) and Hordeum Vulgare Fructum Germinatum (Chao Maiya) (1 qian).
For meat food stagnation, add Crataegi Fructus (Chao Shanzha) (1 qian) and Amomi Fructus (Sharen) (8 fen).
Blurred vision, dizziness, coma, and loss of consciousness constitute Blood Fainting (Xueyun). There are three causes: first, exhaustion of Qi and clouding of the Spirit due to severe fatigue; second, impending collapse of Qi due to massive blood loss; third, clouding of the Spirit due to Phlegm-Fire mounting upward while deficiency exists. In these three cases, urgently administer Shenghua Decoction (Shenghua Tang) to resolve masses, alleviate pain, transform stasis, and generate new blood. This allows blood to be generated and Qi to become clear. Frequent administration over several doses treats the confusion, and Qi and Blood will stabilize.
Externally, treat it using the method of fumigating the nose with vinegar-steamed leeks. Do not mistakenly attribute this to malignant blood rushing upward and clouding the Heart orifices, thereby rashly using blood-dispersing agents. Nor should you attribute it to Phlegm-Fire and use substances that consume healthy Qi, so as to avoid leaving aftereffects.
For Blood Fainting accompanied by pallor and depletion of form, administer Shenghua Duoming Decoction (Shenghua Duoming Tang) with doubled Ginseng Radix. Do not hesitate due to fear of excessive tonification, which may lead to delayed treatment and death. If fainting is caused by Phlegm-Fire mounting upward due to deficiency, add Tangerine Peel (Juhong) (4 fen) to Shenghua Decoction; even in severe deficiency, add Ginseng Radix (2 qian). For obese individuals prone to phlegm, add Phragmitis Caulis Juice (Zhuli) (1 chi) and Zingiberis Recensis Rhizoma Juice (Jiangzhi) (half chi).
In cases of fainting, absolutely avoid using blood-breaking herbs such as Sappanwood (Sumu). If pain from blood masses is severe, mix Shenghua Decoction with Motherwort Paste (Yimu Gao), or administer with Deer Antler Ash (Lujiao Hui), or administer with Corydalis Rhizoma Powder (Yanhusuo San); all are effective.