治阳盛阴虚,热迫血而妄行,以致吐血、咯血、衄血,法当清降。
生地黄 生荷叶 生侧柏叶 生艾叶(各等分
细切,同捣极烂为丸,如鸡子大。每服一丸,水煎,去渣服。
吐甚者,用此丸煎汤,调下花蕊散一、二钱,尤佳。
能化瘀血为水,而不动脏腑,真神药也。
花蕊石(一斤) 明硫黄(四两
入瓦罐内,封口,铁线紧扎,盐泥包裹,晒干,硬炭围定,炼二炷香,研细,筛过,每
服二三钱,童便、热酒调服。
生地(三钱) 牛膝 丹皮 黑山栀(各一钱) 丹参 元参 麦冬 白芍(各一钱五分) 郁金
广三七 荷叶(各七分
水煎,加陈墨汁、清童便各半杯,和服。
六味地黄丸 滋益先天,生肾水,制虚火,乃医门要药,尤红症之灵丹也。见类中。
理中汤 (见中寒门)
治阴盛阳虚,不能统血,以致阴血走散,法当温补。
人参 白术 茯苓 炙甘草(各一钱
大枣二枚,生姜一片,水煎服。
治大吐血,成升斗者。先用花蕊散止之,随用独参汤补之,所谓血脱益气,阳生阴长之
理。贫者以归脾汤代之。
人参(去芦,一两)
水煎服,听其熟睡,切勿惊醒,则阴血复生矣。
白术 人参 当归 枣仁(炒) 白芍(各一钱) 黄 (一钱五分) 远志(去心泡,七分) 甘草(
炙,五分) 元眼肉(五枚
水煎服。
治疗阳气偏盛、阴液亏虚,热邪逼迫血液妄行,导致吐血、咯血、鼻衄的症状,治法应当清热降逆。
生地黄、生荷叶、生侧柏叶、生艾叶(各取等分),切碎,一同捣烂制成丸药,大小如鸡蛋。每次服用一丸,用水煎煮,去渣后服用。
如果吐血严重,用此丸煎汤,调服花蕊散一至二钱,效果更佳。
(花蕊散)能将瘀血化为水液,而不损伤脏腑,真是神效的药物。
花蕊石(一斤)、明硫黄(四两),放入瓦罐内,封口,用铁线紧紧扎住,用盐泥包裹,晒干,周围用硬炭围定,燃烧两炷香的时间进行炼制,研成细粉,筛过。每次服用二三钱,用童便、热酒调服。
生地黄(三钱)、牛膝、丹皮、黑山栀(各一钱)、丹参、元参、麦冬、白芍(各一钱五分)、郁金、广三七、荷叶(各七分),用水煎煮,加入陈墨汁、清童便各半杯,混合服用。
六味地黄丸能滋益先天之本,滋生肾水,制约虚火,是医家的重要药物,尤其对于出血症是灵丹妙药。(详见“类中”章节)。
理中汤(详见“中寒门”章节)。
治疗阴气偏盛、阳气虚弱,不能统摄血液,导致阴血走散的症状,治法应当温补。
人参、白术、茯苓、炙甘草(各一钱),大枣二枚,生姜一片,用水煎煮服用。
治疗大量吐血,一次吐出一升或一斗的情况。先用花蕊散止血,随后用独参汤补益,这就是所谓的“血脱益气”,遵循“阳生阴长”的道理。贫穷者可以用归脾汤替代。
人参(去掉芦头,一两),用水煎煮服用,让患者熟睡,切勿惊醒,那么阴血就能恢复生成。
白术、人参、当归、枣仁(炒)、白芍(各一钱)、黄芪(一钱五分)、远志(去心泡制,七分)、甘草(炙,五分)、龙眼肉(五枚),用水煎煮服用。
Treatment for conditions of Excess Yang and Deficiency Yin, where Heat forces blood to run recklessly, resulting in hematemesis (vomiting blood), hemoptysis (coughing up blood), or epistaxis (nosebleed). The therapeutic principle is to Clear Heat and Descend.
Sheng Di Huang (Rehmanniae Radix Praeparata) [Note: Text says 生地黄 which is raw, usually Sheng Di Huang], Sheng He Ye (Nelumbinis Folium), Sheng Ce Bai Ye (Platycladi Cacumen), Sheng Ai Ye (Artemisiae Argyi Folium) (equal parts). Finely cut, pounded together until extremely soft to form pills the size of a chicken egg. Take one pill per dose, decoct in water, remove dregs, and take.
For severe hematemesis, decoct this pill in water, mix with 1-2 qian of Hua Rui San, which is especially effective.
Hua Rui San can transform stasis into fluid without damaging the Zang-Fu organs; it is truly a miraculous medicine.
Hua Rui Shi (Pyritum) (one jin), Ming Liu Huang (Sulfur) (four liang). Place in a clay pot, seal the mouth, tightly bind with iron wire, wrap with salt mud, dry in the sun, surround with hard charcoal, refine by burning two incense sticks, grind into fine powder, sieve. Take 2-3 qian per dose, mix with child's urine (Tong Bian) and hot wine.
Sheng Di Huang (San Qi / three qian), Niu Xi (Achyranthis Bidentatae Radix), Dan Pi (Moutan Cortex), Hei Shan Zhi (Gardeniae Fructus Carbonized) (each Yi Qian / one qian), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Yuan Shen (Scrophulariae Radix), Mai Dong (Ophiopogonis Tuber), Bai Shao (Paeoniae Radix Alba) (each Yi Qian Wu Fen / one qian five fen), Yu Jin (Curcumae Radix), Guang San Qi (Notoginseng Radix et Rhizoma), He Ye (Nelumbinis Folium) (each Qi Fen / seven fen). Decoct in water, add half cup of Chen Mo Zhi (Ink stick juice) and half cup of Qing Tong Bian (clear child's urine), mix and take.
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) nourishes the congenital foundation, generates Kidney Water, and controls deficiency Fire. It is an essential medicine in medical practice and a spiritual elixir for red symptoms (bleeding disorders). See "Lei Zhong" (Apoplexy-like syndromes).
Li Zhong Tang (Regulate the Middle Decoction) (See "Zhong Han Men" - Cold Damage to the Middle Jiao).
Treatment for conditions of Excess Yin and Deficiency Yang, where the body cannot control blood, leading to the scattering of Yin blood. The therapeutic principle is to Warm and Tonify.
Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata) (each Yi Qian / one qian), Da Zao (Jujubae Fructus) two pieces, Sheng Jiang (Zingiberis Rhizoma Recens) one piece. Decoct in water and take.
For massive hematemesis, vomiting a sheng or dou (large quantities). First use Hua Rui San to stop bleeding, then follow with Du Shen Tang (Single Ginseng Decoction) to tonify. This follows the principle of "Tonifying Qi when Blood is depleted," adhering to the theory that "Yang generates Yin." For those of poor means, Gui Pi Tang may be used as a substitute.
Ren Shen (remove Lu / rhizome, one liang). Decoct in water and take. Allow the patient to fall into a deep sleep; do not wake them abruptly, so that Yin blood can regenerate.
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Zao Ren (Ziziphi Spinosae Semen, stir-fried), Bai Shao (Paeoniae Radix Alba) (each Yi Qian / one qian), Huang Qi (Astragali Radix) (Yi Qian Wu Fen / one qian five fen), Yuan Zhi (Polygalae Radix, remove heart, soak) (Qi Fen / seven fen), Gan Cao (Licorice Root, prepared) (Wu Fen / five fen), Yuan Yan Rou (Longan Aril) (five pieces). Decoct in water and take.