主先便后血,此为近血方。
续断 当归 阿胶(炙) 桔梗 桂心(各三两) 芎 干姜 干地黄(各四两) 蒲
黄(
一升) 甘草(一两,炙)
上一十味, 咀,以水一斗,煮取五升五合,去滓,下胶消尽,入蒲黄,分为三服。
主先见血后便,转此为远血方。
伏龙肝(五合,研) 干地黄(五两) 发烧屑(二合) 阿胶(三两,炙) 黄芩 干
姜牛
膝槲脉(炙) 甘草(各二两,炙)
上九味, 咀。以水一斗,煮取三升,去滓,下胶及发屑消尽,分三服。
下血方
牛角 (炙) 当归 龙骨 干姜 熟艾(各三两) 蜀椒(一两,去目、闭口者,汗)
黄连(五合) 升麻(一两半) 大枣(二十枚,擘) 附子(炮,去皮,一枚) 黄柏 芎
阿
胶(炙) 浓朴(炙) 赤石脂 芍药 石榴皮 甘草(炙,各二两)
上一十八味, 咀。以水一斗五升,煮取四升,去滓,纳牛角 末、阿胶,消以绵绞去
滓,分七服,日四夜三。(《千金》有橘皮)
治小便出血方
龙骨细粉末之,温汤服方寸匕,日五六服。
又方∶
以酒三升煮当归四两,取一升,顿服之。
治尿血方∶
车前叶,切,五升,水一斗,煮百沸,去滓,纳米煮为粥服之。
凡忧恚绝伤、吐血、胸痛、虚劳,地黄煎方。
生地黄(五斤,捣绞取汁)
上一味,微火煎三沸,纳白蜜一升,又煎三沸,服之日三。
治亡血脱血,鼻头白色,唇白去血,无力者方。
生地黄(十斤)
上一味,捣,以酒一斗,绞取汁令极尽,去滓,微火煎减半,纳白蜜五升,枣膏一升以
搅之,勿止,令可丸下之,酒服如鸡子一丸,日三。久服不已,老而更少,万病除愈。
论曰∶凡亡血吐血衄血愈后,必须用此二方补服三四剂,乃可平复,不尔,恐有大
虚及妇人崩中下血,亦同此方。
主治先排大便后出血的症状,这是治疗近血(病位靠近肛门)的方剂。
续断、当归、阿胶(炙)、桔梗、桂心(各三两)、川芎、干姜、干地黄(各四两)、蒲黄(一升)、甘草(一两,炙)。
以上十味药,切碎,用水一斗,煎煮至五升五合,滤去药渣,加入阿胶使其完全溶化,再放入蒲黄,分三次服用。
主治先见出血后排便的症状,将此方作为治疗远血(病位远离肛门,多指胃或小肠出血)的方剂。
伏龙肝(五合,研细)、干地黄(五两)、血余炭(二合)、阿胶(三两,炙)、黄芩、干姜、牛膝、槲叶脉(即槲寄生,炙)、甘草(各二两,炙)。
以上九味药,切碎。用水一斗,煎煮至三升,滤去药渣,加入阿胶及血余炭使其完全溶化,分三次服用。
治疗下血的方剂:
牛角(炙)、当归、龙骨、干姜、熟艾(各三两)、蜀椒(一两,去除目和闭口者,炒制)、黄连(五合)、升麻(一两半)、大枣(二十枚,掰开)、附子(炮制,去皮,一枚)、黄柏、川芎、阿胶(炙)、厚朴(炙)、赤石脂、芍药、石榴皮、甘草(炙,各二两)。
以上十八味药,切碎。用水一斗五升,煎煮至四升,滤去药渣,纳入牛角末和阿胶,用绵布绞取汁液以去除杂质,分七次服用,白天服四次,夜间服三次。(《千金要方》中有橘皮。)
治疗小便出血的方剂:
将龙骨研成细粉,用温水送服一方寸匕,每日服用五六次。
又一方:
用酒三升煎煮当归四两,取汁一升,一次性服下。
治疗尿血的方剂:
车前叶,切碎,用量五升,加水一斗,煮沸百次,滤去药渣,用此汁米煮粥服用。
凡是因忧思恼怒导致内伤、吐血、胸痛、虚劳等症状,使用地黄煎方。
生地黄(五斤,捣碎绞取汁液)。
以上一味药,用微火煎煮沸腾三次,加入白蜜一升,再煎煮沸腾三次,每日服用三次。
治疗失血过多、脱血,表现为鼻头白色、唇色苍白、无力者的方剂。
生地黄(十斤)。
以上一味药,捣碎,用酒一斗,绞取汁液直至取尽,滤去药渣,用微火煎煮至减半,加入白蜜五升、枣膏一升并不断搅拌,使其能够制成丸剂,每次用酒送服如鸡蛋大小的丸药,每日三次。长期服用不见效,可使老人变年轻,各种疾病痊愈。
论述说:凡是失血、吐血、鼻衄等病症痊愈后,必须使用这两个方剂补服三四剂,才能平复恢复,否则,恐怕会出现严重的虚损,以及妇女崩漏下血,也适用此方。
Indicated for hematochezia occurring after defecation; this is the formula for treating "near blood" (bleeding from the lower rectum or anus).
Xuduan (Dipsaci Radix), Danggui (Angelicae Sinensis Radix), Ejiao (Colla Corii Asini, prepared with heat), Jiegeng (Platycodonis Radix), Guixin (Cinnamomi Ramulus) (each 3 liang), Xiong (Ligustici Chuanxiong Rhizoma), Ganjiang (Zingiberis Rhizoma), Dihuang (Rehmanniae Radix) (each 4 liang), Puhuang (Pollinis Typhae), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with heat) (1 liang).
The above ten ingredients are coarsely crushed. Decoct in 10 dou of water until reduced to 5.5 sheng. Strain the dregs, add Ejiao and stir until completely dissolved, then add Puhuang. Divide into three doses.
Indicated for bleeding appearing before defecation; this is the formula for treating "far blood" (bleeding from the upper gastrointestinal tract).
Fulonggan (Caulinis Fuliginis), Dihuang (Rehmanniae Radix) (5 liang), Faxie (Hair Charcoal) (2 he), Ejiao (Colla Corii Asini, prepared with heat) (3 liang), Huangqin (Scutellariae Radix), Ganjiang (Zingiberis Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Humai (Viscum coloratum, prepared with heat), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with heat) (each 2 liang).
The above nine ingredients are coarsely crushed. Decoct in 10 dou of water until reduced to 3 sheng. Strain the dregs, add Ejiao and Faxie and stir until completely dissolved. Divide into three doses.
Formula for treating lower bleeding:
Niujiao (Bovis Cornu, prepared with heat), Danggui (Angelicae Sinensis Radix), Longgu (Fossilia Ossis Mastodi et Dentis Mamuthi), Ganjiang (Zingiberis Rhizoma), Shuai (Artemisiae Argyi Folium, processed) (each 3 liang), Shujiao (Zanthoxyli Pericarpium) (1 liang, remove eyes and closed ones, stir-fry), Huanglian (Coptidis Rhizoma) (5 he), Shengma (Bupleuri Radix) (1.5 liang), Dazao (Jujubae Fructus) (20 pieces, split), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, 1 piece), Huangbai (Phellodendri Cortex), Xiong (Ligustici Chuanxiong Rhizoma), Ejiao (Colla Corii Asini, prepared with heat), Houpo (Magnoliae Officinalis Cortex, prepared with heat), Chishizhi (Halloysit Rubra), Shaoyao (Paeoniae Radix), Shiliupi (Punicae Granati Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma, prepared with heat) (each 2 liang).
The above eighteen ingredients are coarsely crushed. Decoct in 1.5 dou of water until reduced to 4 sheng. Strain the dregs, add Niujiao powder and Ejiao, dissolve, strain through silk cloth to remove impurities. Divide into seven doses: four during the day and three at night. (Jinqian Yaofang contains Juapi.)
Formula for treating hematuria:
Grind Longgu (Fossilia Ossis Mastodi et Dentis Mamuthi) into fine powder. Take one fangcun bi with warm water, five or six times daily.
Another formula:
Decoct Danggui (Angelicae Sinensis Radix) (4 liang) in 3 sheng of wine until reduced to 1 sheng. Take all at once.
Formula for treating urinary bleeding:
Cut Cheqianye (Plantaginis Herba), use 5 sheng. Decoct in 10 dou of water for a hundred boils. Strain the dregs, use the liquid to cook rice porridge and take orally.
For conditions caused by sorrow and anger leading to internal injury, hematemesis, chest pain, and deficiency consumption, use Dihuang Jian (Rehmannia Decoction).
Shengdihuang (Rehmanniae Radix Recens) (5 jin, crush and press to extract juice).
The above single ingredient is simmered over low heat until it boils three times. Add 1 sheng of white honey and boil three more times. Take three times daily.
Formula for treating massive blood loss and depletion, presenting with a white nasal tip, pale lips, and weakness:
Shengdihuang (Rehmanniae Radix Recens) (10 jin).
The above single ingredient is crushed, pressed in 10 dou of wine to extract the juice completely, strained, and simmered over low heat until reduced by half. Add 5 sheng of white honey and 1 sheng of jujube paste, stirring continuously until it can be formed into pills. Take one pill the size of a chicken egg with wine, three times daily. Long-term use reverses aging and cures myriad diseases.
Discussion states: After recovery from any condition involving blood loss, hematemesis, or epistaxis, these two formulas must be used for supplementation for three to four doses to restore balance. Otherwise, severe deficiency may occur. This also applies to women with metrorrhagia and lower bleeding.