凡人感暑伤气,忽然吐血盈盆,人以为阴虚,不知阴虚吐血,与阳虚不同∶阴虚吐血者,
人
渴
石膏(三钱) 青蒿(五钱) 香薷(三钱) 荆芥(一钱) 当归(三钱) 人参(三
钱) 水煎服
此乃阳症吐血之神剂也。方中虽有解暑之味,然而补正多于解暑。去香薷一味,实可通
治。
又 方
凡人吐血,人以为火也。用凉药以泻火,乃火愈退而血愈多;或用止血之品仍不效,此
乃血
人参(五钱) 当归(一两) 荆芥(三钱,炒黑) 丹皮(二钱,炒黑) 水煎服
〔服〕一剂而血无不止者。〔此〕方妙在不专补血,而反去补气以补血;尤妙在不去止
血,
有奇
有大怒后吐血,或倾盆而出,或冲口而来,一时昏晕,死在顷刻也。以止血治之,则气
闷而
平气
白芍(二两) 当归(二两) 黑荆芥(三钱) 柴胡(八分) 黑栀(三钱) 红花
(二钱)
一剂而气平舒,二剂而血止息,三剂而病大愈。盖怒伤肝,不能平其气,以致吐血。〔若〕
不先舒气而遽止血,〔则〕愈激动肝木之气,气愈旺而血愈吐矣。方中芍药〔为〕多用之妙
品,平肝又舒气。荆芥、柴胡,皆引血归经之品。〔当归、红花生新去旧,安有不愈者哉?
〕
丹皮(七分,炒黑) 栀子(五分) 真蒲黄(一钱二分,炒黑) 贝母(一钱) 陈
皮
此方治吐血之症,神效无比,二剂而自止。
凡人感受暑邪损伤正气,突然吐血满盆,人们以为是阴虚所致,却不知道阴虚吐血与阳虚(此处原文语境实指阳热实证,傅青主常以阴阳辨寒热虚实,此处“阳症”即指火热亢盛之证)不同:阴虚吐血者,人体会口渴。
石膏(三钱) 青蒿(五钱) 香薷(三钱) 荆芥(一钱) 当归(三钱) 人参(三钱) 水煎服
这是治疗阳热证吐血的特效方剂。方中虽然有清解暑热的药物,然而补益正气的药量多于清解暑热的药量。去掉香薷一味药,实际上可以通治此类病症。
又一方
凡人吐血,人们认为是火邪作祟。使用凉药来泻火,结果火气越退血液流出越多;或者使用止血药物仍然无效,这是因为血(原文此处似有缺漏,结合下文及傅青主学术思想,通常指血热妄行或气逆血溢,但依原文仅保留“此乃血”后的逻辑,后文接方剂,故译为:这是因为血……[注:原文此处语句未完,直接列出方剂])。
人参(五钱) 当归(一两) 荆芥(三钱,炒黑) 丹皮(二钱,炒黑) 水煎服
服用一剂而血无不立即止住的。这个方剂的妙处不在于专门补血,反而通过补气来达到补血的目的;更妙的是不专门去止血,[原文此处似有缺漏,结合上下文意为通过调理气血使血自止],有奇效。
有大怒之后吐血,有的倾盆而出,有的冲口而来,一时昏晕,顷刻间就有生命危险。如果用常规止血方法治疗,则会导致气机闷滞而[原文此处似有缺漏,通常为“气逆更甚”或类似表述,依原文仅保留“气闷而”]。
平气[方名缺失,根据内容推测为疏肝平气类方]
白芍(二两) 当归(二两) 黑荆芥(三钱) 柴胡(八分) 黑栀(三钱) 红花(二钱)
服用一剂而气机平和舒畅,服用两剂而出血停止,服用三剂而病情大愈。因为愤怒伤肝,不能平复肝气,以致导致吐血。如果不先疏通气机而急于止血,则会更加激动肝木之气,气越旺盛血液就越会吐出。方中芍药是多用之妙的佳品,既能平抑肝阳又能舒缓气机。荆芥、柴胡,都是引导血液回归经脉的药物。当归、红花能生新血去旧瘀,哪有不好的道理呢?
丹皮(七分,炒黑) 栀子(五分) 真蒲黄(一钱二分,炒黑) 贝母(一钱) 陈皮[剂量缺失]
这个方子治疗吐血的病症,神效无比,服用两剂而自然停止。
When a person is affected by summerheat and their healthy qi is damaged, sudden hematemesis (vomiting of blood) filling a basin may occur. People often attribute this to Yin deficiency (Yin Xu), not realizing that hematemesis due to Yin deficiency differs from that caused by Yang excess (Yang Zheng, referring here to hyperactive fire/heat syndrome): in cases of Yin deficiency hematemesis, the patient experiences thirst.
Shigao (Gypsum Fibrosum, 3 qian) Qinghao (Artemisiae Annuae Herba, 5 qian) Xiangru (Elsholtziae Herba, 3 qian) Jingjie (Schizonepetae Herba, 1 qian) Danggui (Angelicae Sinensis Radix, 3 qian) Renshen (Ginseng Radix et Rhizoma, 3 qian) Decoct with water and take orally.
This is a miraculous formula for treating hematemesis due to Yang excess (heat syndrome). Although the formula contains herbs that resolve summerheat, the dosage of herbs tonifying healthy qi exceeds that of those resolving summerheat. Removing Xiangru allows this formula to be used generally for such conditions.
Another Formula:
When people suffer from hematemesis, it is commonly believed to be caused by Fire. Using cold-natured herbs to purge Fire results in the Fire retreating further yet bleeding increasing; or using hemostatic herbs remains ineffective. This is because [text incomplete in source, implying blood dynamics related to heat/qi].
Renshen (Ginseng Radix et Rhizoma, 5 qian) Danggui (Angelicae Sinensis Radix, 1 liang) Jingjie (Schizonepetae Herba, 3 qian, stir-baked until black) Danpi (Moutan Cortex, 2 qian, stir-baked until black) Decoct with water and take orally.
One dose stops the bleeding immediately. The brilliance of this formula lies not in specifically tonifying blood, but rather in tonifying Qi to nourish Blood; even more ingeniously, it does not focus solely on stopping bleeding, [text incomplete], achieving miraculous effects.
After severe anger, hematemesis may occur, pouring out like a basin or gushing forth, accompanied by sudden fainting and imminent death within moments. Treating with standard hemostatics causes Qi stagnation and [text incomplete].
Formula for Calming Qi:
Baishao (Paeoniae Radix Alba, 2 liang) Danggui (Angelicae Sinensis Radix, 2 liang) Hei Jingjie (Schizonepetae Herba, 3 qian, stir-baked until black) Chaihu (Bupleuri Radix, 8 fen) Hei Zhi (Gardeniae Fructus, 3 qian, stir-baked until black) Honghua (Carthami Flos, 2 qian)
One dose calms and soothes the Qi; two doses stop the bleeding; three doses result in significant recovery. Anger injures the Liver, failing to smooth its Qi, leading to hematemesis. If one does not first soothe the Qi but hastily applies hemostatics, it will further agitate the Qi of Liver Wood, causing stronger Qi and increased bleeding. Baishao in the formula is a wonderful herb used in large doses; it pacifies the Liver and soothes Qi. Jingjie and Chaihu are herbs that guide blood back to its vessels. Danggui and Honghua generate new blood and remove old stasis; how could there be no cure?
Danpi (Moutan Cortex, 7 fen, stir-baked until black) Zhizi (Gardeniae Fructus, 5 fen) Zhen Puhuang (Typhae Pollen, 1.2 qian, stir-baked until black) Beimu (Fritillariae Bulbus, 1 qian) Chenpi [dosage missing]
This formula treats hematemesis with unparalleled miraculous efficacy; two doses cause it to stop naturally.