从前衄血。都以养阴益气而愈。知非实热。皆劳役伤胃以致阴血之动也。
今壮年肌肉不充。身动气促如喘。口中腻涎浊沫。竟是肾精损伤。收纳失职之
象。急急保养。远戒酒色。犹可向安。
熟地 人参 萸肉 湖莲 芡实 补骨脂 山药粉丸
行走多动阳。酒湿多变热。热气上升。犯冒清窍。头蒙 胀。衄血成流。上
腐疡。久必漏卮。世俗通套。每用犀角地黄。然酒性先入胆。次及胃。酒客性恶甜
腻。从苦降定议。以苦能却湿也。
桑叶 苦丁茶 连翘 荷叶边 丹皮 射干
病患述遇春季失血。烦劳必有衄血。凡冬天大气藏伏。壮年自能聚精汇
神。不加保养。春半阳生升发。反为发病根机。是皆身中精气之薄。胃旺安纳。能
自接饮静养。则神乃藏。
熟地 萸肉 山药 芡实 湘莲 茯苓 金樱子 五味子 青龙骨
脉左虚涩。右缓大。尾闾痛连脊骨。便后有血。自觉惶惶欲晕。兼之纳谷最
少。明是中下交损。八脉全亏。早进青囊斑龙丸。峻补玉堂关元。暮服归脾膏。涵
养营阴。守之经年。形体自固。
鹿茸 鹿角霜 鹿角胶 柏子仁 熟地 韭子 菟丝子 赤白茯苓 补骨脂
脉小。泻血有二十年。经云。阴络伤。血内溢。自病起十六载。不得孕育。述心
中痛坠血下。不论粪前粪后。且脊椎腰尻酸楚。而经水仍至。跗膝常冷。而骨髓
热灼。由阴液损伤。伤及阳不固密。阅频年服药。归 杂入凉肝。焉是遵古治病。
议从奇经升固一法。
鹿茸 鹿角霜 枸杞子 归身 紫石英 沙苑 生杜仲 炒大茴 补骨脂 禹余粮石 蒸饼浆丸
入暮腹痛鸣响。睾丸久已偏坠。春正下血。经月颜色鲜明。此痛决非伤于
积聚。乃营损寒乘。木来侮土。致十四载之缠绵。调养培土以甘。泄木散郁宜辛。
节口戒欲。百天可效。
人参 炒当归 炒白芍 肉桂 炮姜 茯苓 炙草 南枣
脉小左数。便实下血。乃肝络热腾。血不自宁。医投参 归桂。甘辛温暖。昧
于相火寄藏肝胆。火焰风翔。上蒙清空。鼻塞头晕。呛咳不已。一误再误。遗患中
厥。夫下虚则上实。阴伤阳浮。此乃一定至理。
连翘心 竹叶心 鲜生地 元参 丹皮 川斛
又 下血阴伤走泄。虚阳上升。头为清窍。参 术桂。辛甘助上。致鼻塞耳聋。用
清上五六日。右脉已小。左仍细数。乃阴亏本象。下愈虚则上愈实。议以滋水制
火之方。
生地 元参 天冬 川斛 茯神 炒牛膝
年前痰饮哮喘。不得安卧。以辛温通阳劫饮而愈。知脾阳内弱。运气失职。
水谷气蒸。饮邪由湿而成。湿属阴。久郁化热。热入络。血必自下。但体质仍属阳
虚。凡肠红成方。每多苦寒。若脏连之类。于体未合。毋欲速也。
生于术 茯苓 泽泻 地榆炭 桑叶 丹皮
脉缓濡弱。阳气不足。过饮湿胜。大便溏滑。似乎不禁。便后血色红紫。兼有
成块而下。论理是少阴肾脏失司固摄。而阳明胃脉。但开无合矣。从来治腑。以
通为补。与治脏补法迥异。先拟暖胃通阳一法。
生茅术 人参 茯苓 新会皮 浓朴 炮附子 炮姜炭 地榆炭
嗔怒动肝。络血乃下。按之痛减为虚。夫肝木上升。必犯胃口。遂胀欲呕。清
阳下陷。门户失藏。致里急便血。参术炮姜。辛甘温暖。乃太阴脾药。焉能和及肝
胃。丹溪云。上升之气。自肝而出。自觉冷者。非真冷也。
驻车丸
寒热如疟。便血不已。左胁有块。攻逆不已而作痛。脉弦数兼涩。弦则为风。
数则为热。涩则气结。此肝脾之气悒郁不宣。胸中阳和抑而成火。故神明不清。
肝之应为风。肝气动则风从之。故表见寒热也。人身左半。肝肾主之。肝风自逆。
故左胁攻楚有块也。肝为藏血之地。肝伤则血不守。且以风淫热胜。盖为亡血之由也。
生首乌 黄连 柴胡 黄芩 知母 枳实 浓朴
患溺血症。已三月矣。前用升补法不应。右脉涩无神。左关独弦。茎中作痛。
下多血块形色憔悴。又多嗳气。据脉论症。乃肝脾积热也。肝热则阴火不宁。而
阴血自动。以血为肝脏所藏。而三焦之火。又寄养于肝也。故溺血。茎中作痛。脾
热则湿气内壅。而生气不伸。以脾为湿土之化。而三焦之气。又营运于脾也。故
时时嗳气。形色憔悴。法当益肝之阴。则火自平。利脾之湿。则气自和。
生地 白芍 萆 丹皮 甘草 车前
稚年泻血。是饮食不调。热蒸于络。为肠胃之病。肛痔亦由湿热内蒸而致。
热甚则阴液不充。风热上升故干呛。法当与甘寒之剂。俾金水同出一源。况肺
热必移大肠。肾开窍于二阴也。
鲜生地 地骨皮 麦门冬 金银花 豆皮 肥知母
伤寒蓄血。都是邪入于里。内经谓阴络伤。血乃下溢。阴为脏病。阴气从下
走泄。阳气失恋上冒。遂令神识昏狂。乃脱症也。况在立冬大节之交关。阅医药。
今朝所服。犹是羌防菖根。前此柴防服之屡屡。身中阴阳。遭此魔障劫尽。焉有
安逸之理。虽急急收拾散越。恐未稳追返耳。
人参 茯神 禹余粮 木瓜 五味 小麦
从前衄血(鼻出血)的病例,大多通过滋养阴液、补益元气而痊愈。这说明并非实热证,而是由于劳累过度损伤了胃气,导致阴血妄动所致。
如今这位壮年患者肌肉消瘦不丰满,身体稍动就气短急促像喘一样,口中流出黏腻浑浊的涎沫。这完全是肾精受损、收纳功能失职的表现。必须紧急保养,严格戒除酒色,还可以趋向安宁。
方药:熟地黄、人参、山茱萸、湖南莲子、芡实、补骨脂、山药,制成粉丸。
行走多动则阳气升浮,饮酒生湿则易变热。热气上升,侵犯并蒙蔽清窍(头面部孔窍),导致头部昏蒙胀痛,鼻出血如水流不止,上部发生腐败溃疡,日久必成漏管(瘘管)。世俗通用的套方,往往使用犀角地黄汤。然而酒性先入胆经,次及胃经,嗜酒者本性厌恶甜腻之物,因此决定采用苦味降逆的方法,因为苦味能燥湿。
方药:桑叶、苦丁茶、连翘、荷叶边、牡丹皮、射干。
患者自述每逢春季失血,烦劳后必然出现鼻出血。大凡冬天自然界大气潜藏伏匿,壮年人本应能汇聚精气神,若不加保养,到了春半时节阳气生发升腾,反而成为发病的根源。这都是因为体内精气薄弱。若能使胃气旺盛且安于纳受,能够自行节制饮食、静心调养,那么神气就能内藏。
方药:熟地黄、山茱萸、山药、芡实、湘莲、茯苓、金樱子、五味子、龙骨,制成蒸饼浆丸。
脉象左手虚涩,右手缓大。尾闾(脊柱下端)疼痛牵连脊骨,便后有血,自觉心慌害怕想要晕倒。加上进食极少,明显是中下二焦交相亏损,奇经八脉全部亏虚。早晨服用青囊斑龙丸,峻补玉堂穴和关元穴;晚上服用归脾膏,涵养营阴。坚持数年,形体自然坚固。
方药:鹿茸、鹿角霜、鹿角胶、柏子仁、熟地黄、韭菜子、菟丝子、赤茯苓、白茯苓、补骨脂。
脉象细小,泻血已有二十年。《内经》说:“阴络受伤,血液在内溢出。”从发病起十六年来,不能孕育。患者诉说心中疼痛坠胀感伴随血液下行,不论大便前还是大便后都有。且脊椎腰部酸痛,但月经仍然来潮,足背膝盖常冷,而骨髓感觉热灼。这是由于阴液损伤,进而伤及阳气不能固密。翻阅历年服药记录,多杂用凉肝药物,哪里是遵循古法治病?
建议从奇经升提固摄的方法入手。
方药:鹿茸、鹿角霜、枸杞子、当归身、紫石英、沙苑蒺藜、生杜仲、炒大茴香、补骨脂、禹余粮石,制成蒸饼浆丸。
入夜腹痛肠鸣,睾丸长久以来偏坠。正月时下血,经月血色鲜明。这种疼痛决不是由积聚(肿块)引起的,而是营血受损、寒邪乘虚而入,肝木来侮脾土,导致了十四年的缠绵病疾。调养培补脾胃宜用甘味,疏泄肝木散解郁结宜用辛味。节制口腹之欲,戒除房事,百日可见效。
方药:人参、炒当归、炒白芍、肉桂、炮姜、茯苓、炙甘草、南枣。
脉象细小,左脉数,大便干燥而下血,这是肝络热盛,血液不能安宁。医生投用参、归、桂等甘辛温热的药物,不明白相火寄居于肝胆,火焰随风飞翔,上蒙清窍,导致鼻塞头晕,呛咳不止。一误再误,遗留患处于中焦厥逆。下虚则上实,阴伤则阳浮,这是一定的至理。
方药:连翘心、竹叶心、鲜生地、玄参、牡丹皮、川石斛。
又诊:下血导致阴伤走泄,虚阳上升。头为清窍,参、术、桂等辛甘助阳之品,致使鼻塞耳聋。使用清热药五六日后,右脉已变小,左脉仍细数,这是阴亏的本象。下愈虚则上愈实,建议采用滋水制火的方剂。
方药:生地、玄参、天冬、川石斛、茯神、炒牛膝。
年前患有痰饮哮喘,不能安卧,用辛温通阳、劫除痰饮的方法而痊愈。可知脾阳内部虚弱,运化功能失职。水谷之气蒸腾,饮邪由湿而成。湿属阴,久郁化热,热入络脉,血液必然自行下溢。但体质仍属阳虚。凡是治疗肠红的成方,多含有苦寒药物,如脏连丸之类,与体质不合。不要追求速效。
方药:生白术、茯苓、泽泻、地榆炭、桑叶、牡丹皮。
脉象缓濡弱,阳气不足。过量饮酒导致湿气胜,大便溏滑,似乎禁不住。便后血色红紫,兼有血块而下。按理说是少阴肾脏失去固摄功能,而阳明胃脉只开不合。历来治疗腑病,以通为补,这与治疗脏病的补法截然不同。先拟定暖胃通阳的方法。
方药:生茅术、人参、茯苓、新会陈皮、厚朴、炮附子、炮姜炭、地榆炭。
嗔怒触动肝气,络脉血液乃下溢。按压后疼痛减轻属于虚证。肝木之气上升,必然侵犯胃口,于是腹胀想呕吐。清阳下陷,门户失守,导致里急后重便血。参、术、炮姜等辛甘温热之品,乃是太阴脾药,怎么能调和肝肾和胃呢?丹溪说:上升的气,发自肝脏。自觉冷的,并非真冷。
方药:驻车丸。
寒热往来像疟疾,便血不停。左胁下有肿块,攻冲逆乱不已而作痛。脉象弦数兼涩。弦则为风,数则为热,涩则气结。这是肝脾之气抑郁不宣,胸中阳气被抑制而成火,所以神明不清。肝的对应属性是风,肝气动则风随之而来,所以表面表现为寒热。人身左半部,由肝肾主宰。肝风自逆,所以左胁攻楚且有肿块。肝是藏血的场所,肝伤则血不守。加之风淫热胜,这就是亡血的原因。
方药:生首乌、黄连、柴胡、黄芩、知母、枳实、厚朴。
患溺血症(尿血),已经三个月了。之前用升补法无效。右脉涩而无神,左关脉独弦。尿道作痛。下血量多,血块形色憔悴,又多嗳气。据脉象论症状,这是肝脾积热。肝热则阴火不安宁,阴血自动荡。血由肝脏所藏,而三焦之火,又寄养于肝。所以尿血,尿道作痛。脾热则湿气内壅,生气不伸展。脾为湿土之化,而三焦之气,又营运于脾。所以时时嗳气,形色憔悴。治法应当补益肝阴,则火自平;利脾湿,则气自和。
方药:生地、白芍、萆薢、牡丹皮、甘草、车前子。
幼年时泻血,是由于饮食不调,热邪蒸腾于络脉,造成肠胃的疾病。肛痔也是由湿热内蒸所致。热甚则阴液不充盈,风热上升故干咳呛咳。治法应当给予甘寒的药剂,使金(肺)水同出一源。况且肺热必移于大肠,肾开窍于二阴。
方药:鲜生地、地骨皮、麦门冬、金银花、豆皮、肥知母。
伤寒蓄血证,都是邪气入里。《内经》说阴络受伤,血液乃下溢。阴主脏病,阴气从下部走泄,阳气失恋而上冒,遂令神识昏狂,这是脱症。何况正值立冬大节之交关。阅看医药记录,今天所服的,仍是羌活、防风、菖蒲根。此前柴胡、防风服用了屡次,身体中的阴阳,遭受此魔障劫尽,哪里有安逸的道理。虽然急急收拾散越之气,恐怕未能稳妥追回。
方药:人参、茯神、禹余粮、木瓜、五味子、小麦。
In previous cases of epistaxis (nosebleed), recovery was mostly achieved by nourishing Yin and replenishing Qi. This indicates that it was not a excess-heat syndrome, but rather the movement of Yin blood caused by stomach injury due to overwork.
Currently, this young adult patient has insufficient muscle mass, experiences shortness of breath resembling asthma upon slight movement, and produces sticky, turbid saliva in the mouth. These are signs of kidney essence damage and failure of reception and storage functions. Urgent conservation is required; strict abstinence from alcohol and sexual indulgence will allow him to approach stability.
Formula: Rehmanniae Radix Preparata (Shudi), Ginseng Radix (Renshen), Corni Fructus (Yurou), Nelumbinis Semen (Hulian), Euryales Semen (Qianshi), Psoraleae Fructus (Buguzhi), Dioscoreae Rhizoma (Shanyao), made into powder pills.
Walking and moving excessively causes Yang Qi to float upward; alcohol generates dampness which easily transforms into heat. Rising heat invades and obscures the clear orifices (head and facial apertures), causing head heaviness, distension, and profuse nosebleeds, leading to upper ulcers that may become fistulas if prolonged. The common secular prescription often uses Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). However, alcohol nature first enters the Gallbladder channel, then the Stomach. Alcohol drinkers typically dislike sweet and cloying substances. Therefore, bitter descending methods are adopted, as bitterness can dry dampness.
Formula: Mori Folium (Sangye), Kudingcha Tea (Kudingcha), Forsythiae Fructum (Lianqiao), Lotus Leaf Margin (Heyebian), Moutan Cortex (Danpi), Belamcandae Rhizoma (Shegan).
The patient reports bleeding during spring, with nosebleeds inevitably following fatigue. Generally, in winter, atmospheric Qi hides and stores; young adults should naturally gather essence and spirit. If conservation is neglected, when Yang Qi rises and expands in mid-spring, it becomes the root of disease. This is all due to thin body essence and Qi. If Stomach Qi is strong and content with receiving, and one can self-regulate diet and rest quietly, then Spirit will be stored.
Formula: Rehmanniae Radix Preparata (Shudi), Corni Fructus (Yurou), Dioscoreae Rhizoma (Shanyao), Euryales Semen (Qianshi), Xianglian (Xianglian), Poria (Fuling), Rubus Chingii Fructus (Jinyingzi), Schisandrae Fructus (Wuweizi), Long Os (Qinglonggu), made into steamed dough paste pills.
Pulse is deficient and choppy on the left, slow and large on the right. Pain at the tailbone (Weilu) radiates to the spine, with blood after defecation, accompanied by palpitations and near-syncope. Combined with minimal food intake, this clearly indicates mutual damage of Middle and Lower Jiao, and total deficiency of the Eight Extraordinary Vessels. In the morning, take Qingnang Banlong Wan to strongly tonify Yutang and Guanyuan acupoints. In the evening, take Guipi Gao to nourish Ying Yin. Persist for years, and the physical form will naturally solidify.
Formula: Deer Antler Glue (Lurong), Deer Antler Frost (Lu Jiaoshuang), Deer Antler Gelatin (Lu Jiaojiao), Platycladi Seed (Baiziren), Rehmanniae Radix Preparata (Shudi), Allii Tuberosi Fructus (Jiu Zi), Cuscutae Semen (Tusizi), Red and White Poria (Chi Bai Fuling), Psoraleae Fructus (Buguzhi).
Pulse is small. Hematochezia has persisted for twenty years. The Classic says: "When Yin collaterals are injured, blood overflows internally." For sixteen years since onset, conception has been impossible. The patient describes heart pain and bearing-down sensation with blood discharge, regardless of whether before or after stool. Additionally, there is soreness in the spine and sacrum, yet menstruation still occurs. The dorsum of the foot and knees are often cold, while the bone marrow feels burning hot. This results from Yin fluid damage affecting Yang's inability to secure and close. Reviewing years of medication, cooling Liver herbs were mixed in arbitrarily. How does this follow ancient treatment principles?
It is proposed to adopt a method of lifting and securing through the Extraordinary Vessels.
Formula: Deer Antler Glue (Lurong), Deer Antler Frost (Lu Jiaoshuang), Lycii Fructus (Gouqi), Angelicae Sinensis Radix (Guishen), Purple Quartz (Zishi), Astragali Complanati Semen (Shayuan), Eucommiae Cortex (Duzhong), Stir-fried Anise Fruit (Da Hui), Psoraleae Fructus (Buguzhi), Hematitum (Yuyuliangshi), made into steamed dough paste pills.
Abdominal pain and borborygmus occur at night; testicular ptosis has existed for a long time. Bleeding occurred in the first lunar month, with bright red blood throughout the month. This pain is definitely not caused by accumulation masses, but by Ying blood damage and cold invasion, where Liver Wood insults Spleen Earth, causing fourteen years of lingering illness. Nourishing and fortifying Earth should use Sweet flavors; draining Wood and dispersing stagnation should use Acrid flavors. Control diet and abstain from desire; efficacy can be seen in one hundred days.
Formula: Ginseng Radix (Renshen), Stir-fried Angelicae Sinensis Radix (Chao Danggui), Stir-fried Paeoniae Radix Alba (Chao Baishao), Cinnamomi Cortex (Rougui), Prepared Zingiberis Rhizoma (Pao Jiang), Poria (Fuling), Honey-fried Licorice Root (Zhigancao), Southern Jujube (Nanzao).
Pulse is small, left is rapid. Dry stool with lower bleeding indicates Liver collateral heat surging, causing blood to be restless. The physician administered Shen, Dang, Gui, etc., which are Sweet-Acrid and warm. Ignoring that Ministerial Fire resides in the Liver and Gallbladder, flame flies with wind, obscuring the clear orifices above, causing nasal congestion, dizziness, and incessant choking cough. One error after another leaves complications of Middle Jiao Jue. Lower deficiency leads to Upper excess; Yin damage leads to Yang floating. This is an absolute truth.
Formula: Lonicerae Flos Cor (Lianqiao Xin), Bambusae Folium Cor (Zhuye Xin), Fresh Rehmanniae Radix (Xian Shengdi), Scrophulariae Radix (Yuanshen), Moutan Cortex (Danpi), Dendrobii Caulis (Chuan Hu).
Second visit: Lower bleeding damages Yin and causes leakage, with deficient Yang rising. The head is the clear orifice; Shen, Zhu, Gui are Acrid-Sweet and assist Yang upwards, causing nasal congestion and deafness. After using clearing herbs for five to six days, the right pulse has become small, but the left remains fine and rapid. This is the original aspect of Yin deficiency. The more deficient the lower, the more excessive the upper. It is proposed to use a formula to nourish Water to control Fire.
Formula: Rehmanniae Radix (Shengdi), Scrophulariae Radix (Yuanshen), Asparagi Tuber (Tiandong), Dendrobii Caulis (Chuan Hu), Poria Cum Pinellia (Fushen), Stir-fried Achyranthis Bidentatae Radix (Chao Niuxi).
Last year, phlegm-fluid asthma prevented lying flat. Recovery was achieved using Acrid-Warm methods to unblock Yang and seize fluids. This reveals weak internal Spleen Yang and failed transport function. Steam from water and grain creates fluid pathogens from dampness. Dampness belongs to Yin; long-term stagnation transforms into heat. Heat entering collaterals causes blood to bleed spontaneously. However, the constitution remains Yang deficient. Most prescriptions for intestinal redness contain Bitter-Cold herbs, such as Zanglian Wan, which do not fit the constitution. Do not seek speed.
Formula: Raw Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Poria (Fuling), Alismatis Rhizoma (Zexie), Sophorae Flavescentis Radix Charred (Diyutan), Mori Folium (Sangye), Moutan Cortex (Danpi).
Pulse is slow, soggy, and weak. Insufficient Yang Qi. Excessive drinking leads to dampness dominance, loose slippery stools, seemingly uncontrollable. Blood after stool is red-purple, mixed with clots. Logically, this is Shaoyin Kidney failing to control retention, while Yangming Stomach channel only opens without closing. Historically, treating Fu organs uses "unblocking as tonification," which differs greatly from tonifying Zang organs. First, propose warming the Stomach and unblocking Yang.
Formula: Raw Atractylodis Rhizoma (Sheng Maozhu), Ginseng Radix (Renshen), Poria (Fuling), Citri Reticulatae Pericarpium (Xinhui Pi), Magnoliae Officinalis Cortex (N Houpu), Prepared Aconiti Lateralis Radix (Pao Fuzi), Prepared Zingiberis Rhizoma Charred (Pao Jiangtan), Sophorae Flavescentis Radix Charred (Diyutan).
Anger moves Liver Qi, causing collateral blood to descend. Pain relief upon pressure indicates deficiency. Liver Wood ascending must invade the Stomach gate, causing distension and vomiting. Clear Yang sinks, doors lose storage, leading to tenesmus and hematochezia. Shen, Zhu, Pao Jiang are Acrid-Sweet and warm, being Taiyin Spleen herbs. How can they harmonize Liver and Stomach? Danxi said: Ascending Qi originates from the Liver. Feeling cold is not true cold.
Formula: Zhuche Wan.
Alternating chills and fever like malaria, incessant hematochezia. Mass in left hypochondrium, attacking and reversing endlessly causing pain. Pulse is wiry, rapid, and choppy. Wiry indicates Wind, Rapid indicates Heat, Choppy indicates Qi knotting. This is Liver and Spleen Qi depressed and unexpressed. Yang Harmony in the chest is suppressed into Fire, so Spirit is unclear. Liver corresponds to Wind; Liver Qi movement brings Wind, hence surface manifestations of chills and fever. The left half of the body is governed by Liver and Kidney. Liver Wind rebels, hence left hypochondriac pain and mass. Liver stores blood; Liver injury means blood is not guarded. Plus Wind dominance and Heat excess, this is the cause of blood loss.
Formula: Raw Polygoni Multiflori Caulis (Sheng Shouwu), Coptidis Rhizoma (Huanglian), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Anemarrhenae Rhizoma (Zhimu), Immature Bitter Orange (Zhishi), Magnoliae Officinalis Cortex (N Houpu).
Hematuria has lasted three months. Previous lifting and tonifying methods failed. Right pulse is choppy and spiritless; Left Guan pulse alone is wiry. Urethral pain. Large amount of blood clots, haggard appearance, frequent belching. Based on pulse and symptoms, this is Liver and Spleen accumulated heat. Liver heat makes Yin fire restless, causing spontaneous Yin blood movement. Blood is stored by the Liver, and Sanjiao Fire resides in the Liver. Hence hematuria and urethral pain. Spleen heat causes internal dampness obstruction, preventing vital Qi from extending. Spleen transforms damp earth, and Sanjiao Qi operates in the Spleen. Hence frequent belching and haggard appearance. Method should benefit Liver Yin so Fire calms; drain Spleen dampness so Qi harmonizes.
Formula: Rehmanniae Radix (Shengdi), Paeoniae Radix Alba (Baishao), Smilacis Glabrae Rhizoma (Bixie), Moutan Cortex (Danpi), Glycyrrhizae Radix et Rhizoma (Gancao), Plantaginis Semen (Cheqian).
Childhood hematochezia was due to dietary irregularity, heat steaming collaterals, causing gastrointestinal disease. Anal hemorrhoids are also caused by internal steaming of damp-heat. Severe heat fails to fill Yin fluids; Wind-Heat rises causing dry choking cough. Method should provide Sweet-Cold agents so Metal (Lung) and Water originate from the same source. Moreover, Lung heat transfers to Large Intestine; Kidney opens into the two yin openings.
Formula: Fresh Rehmanniae Radix (Xian Shengdi), Lycii Cortex (Digupi), Ophiopogonis Tuber (Maimendong), Lonicerae Japonicae Flos (Jinyinhua), Bean Skin (Dopi), Fat Anemarrhenae Rhizoma (Fei Zhimu).
Typhoid blood stasis involves pathogen entering interior. The Inner Classic states: When Yin collaterals are injured, blood overflows downward. Yin relates to Zang diseases; Yin Qi leaks from below, Yang Qi loses attachment and floats upward, causing confusion and madness. This is a collapse syndrome. Especially at the critical juncture of Major Snow. Reviewing medical records, today's medicine includes Qianghuo, Fangfeng, Changpu root. Previously, Chaihu and Fangfeng were taken repeatedly. Body Yin and Yang have been exhausted by these demonic obstacles. How could there be peace? Although urgently gathering scattered Qi, it may not be stable enough to retrieve.
Formula: Ginseng Radix (Renshen), Poria with Tuckahoe (Fushen), Hematitum (Yuyuliang), Chaenomelis Fructus (Mu Gua), Schisandrae Fructus (Wuweizi), Triticum Aestivum (Xiaomai).