治伤寒及温病应发汗而不汗之内蓄血、及鼻衄、吐血不尽,内余瘀血,
大便黑、面黄,消瘀血方。
犀角(一两) 生地黄(八两) 芍药(三两) 牡丹皮(二两)
上四味 咀,以水九升煮取三升,分三服。喜妄如狂者加大黄二两,黄芩三两。其人
脉大来迟,腹不满自言满者,为无热,但根据方不须有所增加。
治五脏热结吐血、衄血方∶
伏龙肝(鸡子大一枚) 生竹茹(一升) 芍药 当归 黄芩 芎 甘草(各二两) 生
地黄(
一斤)
上八味 咀,以水一斗三升先煮竹茹,减三升,下诸药取二升,分三服。(《翼方》有桂
心
。)
治衄血吐血方。
当归 干姜 芍药 阿胶(各二两) 黄芩(三两)
上五味 咀,以水六升煮取二升,分三服。
治上焦热膈伤、吐血、衄血或下血连日不止欲死并主之方∶
艾叶 竹茹(各一升) 阿胶(如手掌大) 干姜(二两)
上四味 咀,以水三升煮取一升,去滓。纳马通汁半升煮取一升,顿服。取新马屎与少
水和绞取汁服。
(一方不用竹茹,加干姜作七两。
治虚劳崩中吐血,下血,上气短,气欲绝,面黑如漆方∶
黄 芍药 芎 甘草(各四两) 生姜(一斤)
上五味 咀,以酒五升浸一宿,明旦更以水五升,煮取四升,分四服,日三夜一。下
阴中毒如汤沃雪,凡夏月不得宿浸药。酒客劳热发痔下血谷道热者,去生姜用生地黄代之,
凡进三
治疗伤寒及温病应当发汗却没有发汗,导致体内蓄积瘀血,以及鼻出血、吐血未止,体内残留的瘀血,出现大便颜色发黑、面色发黄的症状,此方用于消除瘀血。
犀角(一两) 生地黄(八两) 芍药(三两) 牡丹皮(二两)
以上四味药,切碎,用水九升煎煮至三升,分三次服用。如果患者出现神志恍惚、胡言乱语甚至像发狂一样的症状,加大黄二两,黄芩三两。如果患者脉象虽然大但来势迟缓,腹部并不胀满却自述胀满,这是没有热邪的表现,仅依据原方即可,不需要增加药物。
治疗五脏热结导致的吐血、鼻出血的方子:
伏龙肝(如鸡蛋大小的一块) 生竹茹(一升) 芍药 当归 黄芩 川芎 甘草(各二两) 生地黄(一斤)
以上八味药,切碎,用水一斗三升先煎煮竹茹,水量减少三升后,加入其他药物,煎煮至二升,分三次服用。(《千金翼方》中有桂心。)
治疗鼻出血、吐血的方子。
当归 干姜 芍药 阿胶(各二两) 黄芩(三两)
以上五味药,切碎,用水六升煎煮至二升,分三次服用。
治疗上焦热邪损伤膈膜,导致吐血、鼻出血或下部出血连续多日不止、危及生命的方子,主治此类病症:
艾叶 竹茹(各一升) 阿胶(如手掌大小的一块) 干姜(二两)
以上四味药,切碎,用水三升煎煮至一升,滤去药渣。加入马粪汁半升,再煎煮至一升,一次性服下。取新鲜马屎,加少量水搅拌绞取汁液服用。
(另一处方不用竹茹,将干姜用量改为七两。)
治疗虚劳引起的崩中漏下、吐血、下部出血,伴有气短、气息微弱欲绝、面色黑得像漆一样的方子:
黄芪 芍药 川芎 甘草(各四两) 生姜(一斤)
以上五味药,切碎,用酒五升浸泡一夜,第二天早晨再加水五升,煎煮至四升,分四次服用,白天服三次,夜间服一次。服药后若感到阴部中毒般的灼热感,如同热水浇在雪上一样迅速消散,凡是夏季不得隔夜浸泡药物。嗜酒之人因劳热引发痔疮下部出血、肛门发热者,去掉生姜,用生地黄代替,凡是进药……
Treats internal accumulation of blood stasis due to failure to induce sweating in cases of Shanghan (Cold Damage) and Wenbing (Warm Diseases) where sweating should have been induced, as well as persistent epistaxis (nosebleed) and hematemesis (vomiting blood) with residual intra-abdominal blood stasis. It addresses symptoms such as black stools and yellowish complexion, serving as a formula to resolve blood stasis.
Xijiao (Rhinoceros Horn, 1 liang) Shengdihuang (Rehmanniae Radix Recens, 8 liang) Shaoyao (Paeoniae Radix Alba, 3 liang) Mudanpi (Moutan Cortex, 2 liang)
Crush the above four ingredients. Decoct in nine sheng of water until three sheng remain. Divide into three doses. If the patient exhibits delirious speech or manic behavior akin to madness, add Dahuang (Rhei Radix et Rhizoma, 2 liang) and Huangqin (Scutellariae Radix, 3 liang). If the pulse is large but slow in arrival, and the abdomen feels full despite not being distended, this indicates an absence of heat; adhere strictly to the original formula without additions.
Formula for treating hematemesis and epistaxis caused by heat accumulation in the five zang organs:
Fulonggan (Dragon's House Soil, size of one chicken egg) Shengzhuru (Bambusae Caulis in Taeniam, 1 sheng) Shaoyao (Paeoniae Radix Alba) Danggui (Angelicae Sinensis Radix) Huangqin (Scutellariae Radix) Xiong (Chuanxiong Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang each) Shengdihuang (Rehmanniae Radix Recens, 1 jin)
Crush the above eight ingredients. Decoct in thirteen sheng of water, first boiling Zhuru (Bambusae Caulis in Taeniam) until the volume reduces by three sheng. Then add the remaining herbs and decoct until two sheng remain. Divide into three doses. (Qianjin Yifang includes Guixin [Cinnamomi Ramulus].)
Formula for treating epistaxis and hematemesis.
Danggui (Angelicae Sinensis Radix) Ganjiang (Zingiberis Rhizoma) Shaoyao (Paeoniae Radix Alba) Ejiao (Colla Corii Asini, 2 liang each) Huangqin (Scutellariae Radix, 3 liang)
Crush the above five ingredients. Decoct in six sheng of water until two sheng remain. Divide into three doses.
Formula for treating damage to the upper jiao and diaphragm by heat, manifesting as hematemesis, epistaxis, or continuous lower bleeding for several days, potentially fatal. This formula is indicated for these conditions:
Aiye (Artemisiae Argyi Folium) Zhuru (Bambusae Caulis in Taeniam, 1 sheng each) Ejiao (Colla Corii Asini, size of a palm) Ganjiang (Zingiberis Rhizoma, 2 liang)
Crush the above four ingredients. Decoct in three sheng of water until one sheng remains. Strain the dregs. Add Banmatongzhi (Juice of Horse Dung, 0.5 sheng) and decoct until one sheng remains. Take in one dose. Prepare fresh horse dung, mix with a small amount of water, squeeze and wring out the juice, and administer.
(An alternative prescription omits Zhuru and increases Ganjiang to seven liang.)
Formula for treating deficiency consumption (Xulao) presenting with metrorrhagia (Bengzhong), hematemesis, lower bleeding, shortness of breath, impending respiratory failure, and a complexion as dark as lacquer:
Huangqi (Astragali Radix) Shaoyao (Paeoniae Radix Alba) Xiong (Chuanxiong Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, 4 liang each) Shengjiang (Zingiberis Rhizoma Recens, 1 jin)
Crush the above five ingredients. Soak in five sheng of wine overnight. On the following morning, add five sheng of water and decoct until four sheng remain. Divide into four doses: three during the day and one at night. The sensation upon ingestion may feel like cold poison entering the yin region, dissipating rapidly like snow melting under hot water. Note: Do not soak herbs overnight during summer months. For habitual wine drinkers suffering from hemorrhoidal bleeding due to labor-heat and anal heat, omit Shengjiang and substitute with Shengdihuang (Rehmanniae Radix Recens). When administering...