小儿雀目。夜不见物。灸手大拇指甲后一寸内 横纹头白肉际。灸一壮。炷如小麦大。
小儿疳眼。灸合谷二穴各一壮。炷如小麦大。在手大指次指两骨间陷中者是。
论曰。胆遗热于脑。则嚏频而鼻渊脑热。浊涕不止。如涌泉不常。久而不已。必成衄血之疾。
宜以防风汤主之。
【防风汤】
防风(去芦。一钱半) 人参 黄芩 麦门冬(去心)
甘草(炙) 川芎(各一两)
上为末。每服二钱,。沸汤点服。食后。日三服。
【犀角地黄汤】治伤寒及温病。应发汗而不发汗。内有瘀血。鼻衄吐血。面黄。大便黑。
此方主消化瘀血。兼治疮疹出得太盛。以此解之。
犀角(一两。如无。以升麻代之) 生地黄(半斤) 牡丹皮(去心。一两)
芍药(七钱半)
上 咀。每服五钱。水一盏半。煎至一盏服。有热加黄芩二两。脉大来迟。腹不满自言满。为
无热。不加黄芩也。
【生地黄汤】治鼻衄昏迷不省。以生地黄三五斤。不暇取汁。使患衄者生吃。吸汁一二斤
许。又以渣塞鼻。须臾血止。取汁服尤佳。一妇人病经血半年不通。因见涂中余渣汁。以为弃去。
言可惜。辄饮数杯。其经即通。乃知地黄之治血。其功如此。
【地黄散】治衄血往来久不愈。
生地黄 熟地黄 枸杞子 地骨皮(各等分)
上四味。焙干为末。每服二钱。蜜汤调下。日三服。不拘时。
【三黄补血汤】治六脉俱大。按之空虚。必面赤善惊上热。乃手少阴心之脉也。此气盛多
而亡血。以甘寒镇坠之剂泻火补气。以坠气浮。以甘温微苦酸补其血。此药补之。以防血溢止渴。
生地黄(三钱) 熟地黄(二钱) 川芎(二钱) 当归
柴胡(各钱半) 升麻 黄 牡丹皮(各一钱)
芍药(半两)
上 咀。每服五钱。水二盏。煎至一盏。去渣稍热服。食前。凡两寸脉两头则有中间全无曰芤
。以血在上焦。或衄血。或呕血。以犀角地黄汤则愈。
【清肺饮子】治衄血吐血久不愈。服此药。以三棱针刺气冲穴出血。立愈。
五味子(十个) 黄 (一钱) 当归身 麦门冬(去心)
生地黄 人参(各半钱)
上为粗末。都作一服。水二盏。煎至一盏。去渣温服。不拘时候。治鼻衄不止。或素有热而暴
衄。诸药不效。以白纸一张。作八叠或十叠。极冷水内浸湿。纸置项中。以热熨斗熨至一二重纸干
。立愈。
【寸金散】治鼻衄不止。
甘草(生) 土马 (墙上有者是。各一两) 黄药子(半两)
上为末。每服二钱。新汲水调下。未止再服。立止。
【麦门冬饮子】治脾胃虚弱。气促气弱。精神短少。衄血吐血。
人参(去芦) 麦门冬 当归身(各五分) 五味子(五个)
黄 甘草 芍药(各一钱) 紫菀(一钱半)
上 咀。分作二服。水二盏。煎至一盏。去渣。温服。食前。
【丽泽通气汤】治鼻不闻香气。服之。忌一切冷物。及风寒处坐卧行立。
黄 (四钱) 羌活 独活 防风
升麻 葛根 苍术(各三钱) 甘草(炙三钱)
白芷 麻黄(不去节) 川椒(各一钱)
上 咀。每服五钱。水二盏。姜三片。枣二枚。葱白三寸。煎至一盏。去渣。稍热。食远服之。
【轻黄散】治鼻中 肉。
轻粉(一钱) 雄黄(半两) 杏仁(一钱。汤浸之。去皮尖。并双仁)
麝香(少许)
上于乳钵内。先研杏仁如泥。余药同研细匀。瓷盒盖定。每有患者。不问深浅。夜卧用骨箸或
竹箸。点如粳米大在鼻中 肉上。隔一日夜。卧点一次。半月取效。
【铅红散】治风热上攻阳明经络。面鼻紫赤刺瘾疹。俗呼肺风。以肺而浅(一作泄)在
皮肤也。
舶上硫黄 白矾灰(各半两)
上为末。入黄丹少许。染与病患面色同。每上半钱。津液涂之。洗漱罢。及临卧再上。兼服升
麻汤。下泻青丸服之。除其本也。
小儿雀目(夜间视力障碍)。夜晚看不见东西。艾灸手大拇指指甲后方一寸内的横纹头白肉际处。灸一壮。艾炷大小如小麦。
小儿疳眼(因疳积导致的眼睛病变)。艾灸合谷穴,双侧各灸一壮。艾炷大小如小麦。穴位位于手食指与大拇指两骨之间的凹陷处。
论述说:胆将热邪遗留在脑部,就会频繁打喷嚏并出现鼻渊(鼻窦炎)、脑热、浊涕不止,像泉水涌出一样不停歇。如果久治不愈,必然发展成衄血(鼻出血)的疾病。
适宜用防风汤来主治。
【防风汤】
防风(去芦头,一钱半) 人参 黄芩 麦门冬(去心)
甘草(炙) 川芎(各一两)
以上药物研为细末。每次服用二钱,用沸水冲服。饭后服用,每日三次。
【犀角地黄汤】治疗伤寒及温病。应当发汗而没有发汗,体内有瘀血,导致鼻衄吐血,面色发黄,大便黑色。
此方主要作用是消化瘀血,兼治疮疹发出过于旺盛的情况,以此方解除之。
犀角(一两,如果没有,可以用升麻代替) 生地黄(半斤) 牡丹皮(去心,一两)
芍药(七钱半)
以上药物切碎。每次服用五钱,用水一盏半,煎煮至一盏量时服用。如果有热象,加黄芩二两;如果脉象大而迟缓,腹部不胀满但患者自述胀满,这是无热的表现,不加黄芩。
【生地黄汤】治疗鼻衄昏迷不省人事。取生地黄三五斤,来不及榨汁,让患鼻衄的人直接生吃,吸食汁液一二斤左右。又将药渣塞入鼻孔,片刻后血止。取汁液服用效果更佳。有一位妇女患经血半年不通,因为看到路上剩下的药渣汁液,觉得可惜丢弃了,就喝了几杯,月经随即通畅。这才知道地黄治疗血证的功效如此之大。
【地黄散】治疗衄血反复发作,长久不愈。
生地黄 熟地黄 枸杞子 地骨皮(各等分)
以上四味药,焙干后研为细末。每次服用二钱,用蜜水调服。每日三次,不限时间。
【三黄补血汤】治疗六脉都大,按之空虚,必然面红易惊,上部有热,这是手少阴心经的脉象。这是气盛而血亏,用甘寒重镇的药物泻火补气,以沉降浮越之气,用甘温微苦酸的药物补其血。此药能补血,防止血溢,止渴。
生地黄(三钱) 熟地黄(二钱) 川芎(二钱) 当归
柴胡(各钱半) 升麻 黄芩 牡丹皮(各一钱)
芍药(半两)
以上药物切碎。每次服用五钱,用水二盏,煎煮至一盏,去渣,稍热时服用。饭前服用。凡两寸脉两头有脉中间完全无脉称为芤脉。如果血在上焦,或者鼻衄,或者呕血,用犀角地黄汤即可痊愈。
【清肺饮子】治疗鼻衄吐血长久不愈。服用此药,并用三棱针刺气冲穴出血,立刻痊愈。
五味子(十个) 黄芩(一钱) 当归身 麦门冬(去心)
生地黄 人参(各半钱)
以上药物研为粗末。全部作为一剂,用水二盏,煎煮至一盏,去渣,温服。不限时候。治疗鼻衄不止,或者素有热邪而突发鼻衄,其他药物无效时,用白纸一张,折叠八层或十层,在极冷水中浸湿,将纸置于颈项中,用热熨斗熨烫直到一到两层纸变干,立刻痊愈。
【寸金散】治疗鼻衄不止。
甘草(生用) 土马齿苋(墙上有的是,各一两) 黄药子(半两)
以上药物研为细末。每次服用二钱,用新汲水调服。如果未止,再服用,立刻停止。
【麦门冬饮子】治疗脾胃虚弱,气促气弱,精神短少,衄血吐血。
人参(去芦头) 麦门冬 当归身(各五分) 五味子(五个)
黄芪 甘草 芍药(各一钱) 紫菀(一钱半)
以上药物切碎,分为两份服用。用水二盏,煎煮至一盏,去渣,温服。饭前服用。
【丽泽通气汤】治疗鼻子闻不到香气。服用此药,忌食一切冷物,以及避免在风寒处坐卧行立。
黄芪(四钱) 羌活 独活 防风
升麻 葛根 苍术(各三钱) 甘草(炙三钱)
白芷 麻黄(不去节) 川椒(各一钱)
以上药物切碎。每次服用五钱,用水二盏,生姜三片,大枣二枚,葱白三寸,煎煮至一盏,去渣,稍热时,饭后远隔一段时间服用。
【轻黄散】治疗鼻中生息肉。
轻粉(一钱) 雄黄(半两) 杏仁(一钱,热水浸泡,去皮尖,并去除双仁)
麝香(少许)
以上药物在乳钵内,先研磨杏仁成泥状,其余药物一同研细均匀。装入瓷盒盖好。每当有患者,不问深浅,晚上睡觉时用骨筷或竹筷,蘸取如粳米大小的药点在鼻中息肉上。隔一天一夜,睡前点一次。半个月见效。
【铅红散】治疗风热上攻阳明经络,面部和鼻子紫红刺痛起瘾疹,俗称肺风,因为肺主皮毛,病位浅在皮肤。
舶上硫黄 白矾灰(各半两)
以上药物研为细末,加入少许黄丹,颜色染成与病患面色相同。每次上半钱,用津液涂抹。洗漱完毕后,以及临睡前再次涂抹。兼服升麻汤,下泻青丸服用,以除病根。
Pediatric Night Blindness (Nictalopia). Inability to see objects at night. Moxibustion is applied to the junction of the white flesh and the transverse crease, one cun proximal to the nail of the thumb on the hand. One moxa cone (Zhuang) is used. The moxa cone should be the size of a wheat grain.
Pediatric Gan Eye Disease (Ocular lesions due to Gan syndrome). Moxibustion is applied to the Hegu (LI4) acupoint on both sides, one Zhuang each. The moxa cone should be the size of a wheat grain. The acupoint is located in the depression between the first and second metacarpal bones of the hand.
It is stated: If Gallbladder heat is transmitted to the Brain, it causes frequent sneezing and Bi Yuan (Sinusitis), Brain Heat, and continuous flow of turbid nasal discharge, resembling an unceasing spring. If this condition persists without resolution, it will inevitably develop into Nu Xue (Epistaxis/Nosebleed).
The Fangfeng Tang (Saposhnikovia Decoction) is suitable for treatment.
[Fangfeng Tang]
Fangfeng (Radix Saposhnikoviae, de-rooted, 1.5 qian) Renshen (Radix Ginseng) Huangqin (Radix Scutellariae) Maidong (Radix Ophiopogonis, de-core)
Gancao (Radix Glycyrrhizae, honey-fried) Chuanxiong (Rhizoma Chuanxiong) (each 1 liang)
Grind the above ingredients into fine powder. Take 2 qian per dose. Mix with boiling water and ingest. Take after meals, three times daily.
[Xijiao Dihuang Tang] Treats Shanghan (Cold Damage) and Wenbing (Warm Diseases). When sweating should have been induced but was not, blood stasis remains internally, leading to epistaxis or hematemesis, sallow complexion, and black stools.
This formula primarily resolves blood stasis and also treats excessive eruption of sores and rashes, using this formula to resolve them.
Xijiao (Cornu Rhinocerotis, 1 liang; if unavailable, substitute with Shengma) Shengdihuang (Radix Rehmanniae Recens, half jin) Mudanpi (Cortex Moutan, de-core, 1 liang)
Shaoyao (Radix Paeoniae Alba, 7.5 qian)
Chop the above ingredients. Take 5 qian per dose. Add 1.5 cups of water, decoct until 1 cup remains, then take. If there is heat, add Huangqin (Radix Scutellariae) 2 liang. If the pulse is large but slow, and the abdomen feels full despite not being distended, this indicates absence of heat; do not add Huangqin.
[Shengdihuang Tang] Treats epistaxis accompanied by coma and loss of consciousness. Take 3-5 jin of Shengdihuang (Radix Rehmanniae Recens). If time does not permit juicing, allow the patient with epistaxis to chew and swallow it raw, absorbing 1-2 jin of juice. Stuff the dregs into the nostrils; the bleeding stops shortly thereafter. Taking the juice is even better. A woman suffered from amenorrhea for half a year. Seeing discarded dregs and juice from the road, she thought it a pity to waste them and drank several cups. Her menstruation immediately resumed. Thus, one realizes the efficacy of Dihuang (Rehmannia) in treating blood disorders.
[Dihuang San] Treats recurrent epistaxis that persists for a long time.
Shengdihuang (Radix Rehmanniae Recens) Shudihuang (Radix Rehmanniae Preparata) Gouqizi (Fructus Lycii) Digupi (Cortex Lycii) (equal parts)
Dry the above four herbs by baking, grind into powder. Take 2 qian per dose. Mix with honey water and ingest. Three times daily, at any time.
[Sanhuan Buxue Tang] Treats cases where all six pulses are large but empty upon pressure, invariably presenting with facial redness, susceptibility to fright, and upper body heat. This corresponds to the pulse of the Hand Shaoyin Heart Meridian. This indicates excess Qi and deficient Blood. Use sweet-cold heavy sedatives to drain fire and tonify Qi, to sink floating Qi. Use sweet-warm, slightly bitter-sour agents to tonify Blood. This medicine tonifies to prevent blood extravasation and quench thirst.
Shengdihuang (Radix Rehmanniae Recens, 3 qian) Shudihuang (Radix Rehmanniae Preparata, 2 qian) Chuanxiong (Rhizoma Chuanxiong, 2 qian) Danggui (Radix Angelicae Sinensis)
Chaihu (Radix Bupleuri, each 1.5 qian) Shengma (Rhizoma Cimicifugae) Huangqin (Radix Scutellariae) Mudanpi (Cortex Moutan) (each 1 qian)
Shaoyao (Radix Paeoniae Alba, 0.5 liang)
Chop the above ingredients. Take 5 qian per dose. Add 2 cups of water, decoct until 1 cup remains. Strain and take while slightly warm. Take before meals. If the radial pulse at the Cun position is present at both ends but completely absent in the middle, it is called a Kou Pulse (Kou Mai). If blood is in the Upper Jiao, or if there is epistaxis or hematemesis, Xijiao Dihuang Tang will cure it.
[Qingfei Yinzi] Treats chronic epistaxis and hematemesis. After taking this medicine, puncture the Qichong (ST30) acupoint with a three-edged needle to release blood; immediate cure follows.
Wuweizi (Fructus Schisandrae, 10 pieces) Huangqin (Radix Scutellariae, 1 qian) Dangguishen (Radix Angelicae Sinensis, root body) Maidong (Radix Ophiopogonis, de-core)
Shengdihuang (Radix Rehmanniae Recens) Renshen (Radix Ginseng) (each 0.5 qian)
Grind the above ingredients into coarse powder. Combine as one dose. Add 2 cups of water, decoct until 1 cup remains. Strain and take warm. At any time. Treats persistent epistaxis, or sudden epistaxis due to pre-existing heat when other medicines fail. Take a piece of white paper, fold it 8-10 layers, soak it in extremely cold water, place it on the neck, and apply a hot ironing board over it until 1-2 layers become dry. Immediate cure follows.
[Cunjinsan] Treats persistent epistaxis.
Gancao (Radix Glycyrrhizae, raw) Tumashe (Herba Portulacae, those found on walls, each 1 liang) Huangyaozi (Rhizoma Dioscoreae Hypoglaucae) (0.5 liang)
Grind into powder. Take 2 qian per dose. Mix with fresh well-water and ingest. If bleeding does not stop, take again; it stops immediately.
[Maidong Yinzi] Treats Spleen and Stomach deficiency, shortness of breath and weak Qi, diminished spirit, epistaxis, and hematemesis.
Renshen (Radix Ginseng, de-rooted) Maidong (Radix Ophiopogonis) Dangguishen (Radix Angelicae Sinensis, root body) (each 5 fen) Wuweizi (Fructus Schisandrae, 5 pieces)
Huangqi (Radix Astragali) Gancao (Radix Glycyrrhizae) Shaoyao (Radix Paeoniae Alba) (each 1 qian) Ziwan (Radix Asteris, 1.5 qian)
Chop the above ingredients, divide into two doses. Add 2 cups of water, decoct until 1 cup remains. Strain and take warm. Take before meals.
[Lize Tongqi Tang] Treats anosmia (loss of smell). Take this medicine. Avoid all cold foods, and avoid sitting, lying down, walking, or standing in places with wind and cold.
Huangqi (Radix Astragali, 4 qian) Qianghuo (Rhizoma Notopterygii) Duhuo (Radix Angelicae Pubescentis) Fangfeng (Radix Saposhnikoviae)
Shengma (Rhizoma Cimicifugae) Gegen (Radix Puerariae) Cangzhu (Rhizoma Atractylodis Lanceae) (each 3 qian) Gancao (Radix Glycyrrhizae, honey-fried, 3 qian)
Baizhi (Radix Angelicae Dahuricae) Mahuang (Herba Ephedrae, joints not removed) Chuanjiao (Pericarpium Zanthoxyli) (each 1 qian)
Chop the above ingredients. Take 5 qian per dose. Add 2 cups of water, 3 slices of ginger, 2 jujubes, and 3 cun of scallion white. Decoct until 1 cup remains. Strain and take while slightly warm, long after meals.
[Qinghuangsan] Treats nasal polyps.
Qingfen (Calamina, 1 qian) Xionghuang (Realgar, 0.5 liang) Xingren (Semen Armeniacae Amarum, 1 qian, soaked in hot water, skin and tips removed, double kernels removed)
Shexiang (Moschus, a small amount)
In a mortar, first grind Xingren into a paste. Grind the remaining medicines finely and uniformly together. Seal in a porcelain box. For patients, regardless of depth, use a bone or bamboo chopstick at bedtime to apply a rice-grain-sized amount onto the nasal polyp. Apply once every other night. Efficacy appears within half a month.
[Qianhongsan] Treats Wind-Heat attacking the Yangming meridians, causing purple-red, stinging urticaria on the face and nose, commonly known as Lung Wind, because the Lung governs the skin and hair, and the pathology is superficial in the skin.
Boshang Liuhuang (Imported Sulfur) Baijianhui (Ash of White Alum) (each 0.5 liang)
Grind into powder. Add a small amount of Huangdan (Minium). Dye it to match the patient's complexion. Apply 0.5 qian per application. Smear with saliva. After washing and bathing, and before sleep, apply again. Concurrently take Shengma Tang and Xiaxie Qing Wan to eliminate the root cause.