夫《内经》谓胆移热于脑,则辛 鼻渊,传为衄蔑瞑目。夫血得热则涌溢,得寒则凝滞。
胆
不
汐
方
地黄竹茹汤(出《圣济总录》)治衄血汗血,消热结。
生地黄(切焙一斤) 青竹茹(五两) 黄芩(去黑心) 当归(焙) 甘草(炙) 芍
药芎 (各三
大,每服五钱,水一
竹茹汤(出《圣济总录》)治血衄汗血,热盛所致。
生竹茹 生地黄(切焙) 黄芩(去黑心各二两) 蒲黄 芍药 麦门冬(去黑心各一
两) 上粗
黄柏饮(出《圣济总录》)治鼻衄汗血。
黄柏(去粗皮) 葛根(锉) 黄芩(去黑心各一两半) 鸡苏(一两) 凝水石(二
两) 生竹茹(
后临卧温服。
白药散(出《圣济总录》)治衄血汗出。
白药(二两半) 生地黄(汁三合) 生藕汁(一合) 生姜汁(少许) 上捣白药
为末,先煎三
冬汁三合,和
紫参散(出《圣济总录》)治衄血汗血久不止。
紫参 黄芩(去黑心各一分) 郁金 甘草(炙各半分) 上为散,每服三钱,以生地
黄汁一合
刺蓟汤(出《圣济总录》)治热气上行,衄血汗血。
刺蓟 鸡苏叶(各二两) 黄连(去须) 犀角(镑) 生干地黄(各一两) 上粗
捣筛,每服五
定命散(出《宣明论》)治胆受热,血妄行,鼻中衄蔑,并血汗不止。
朱砂 水银 麝香(各等分) 上为末,每服半钱,新汲水调下,不计时候,如引药看
老幼虚
郁金散(一名金光散出《圣济总录》)治衄血汗血。
郁金 甘草(炙) 青黛(各半两) 上为散,每服二钱,用鸡子调下。
生地黄饮(出《圣济总录》)治衄血汗血。
独圣汤(出《圣济总录》)治血妄行,或衄或蔑。
上用黄芩五两,去黑心,细锉如麻豆大,每服七钱,水二盏,煎至一盏,去滓温服,一
方为
《内经》中说,胆经的热邪移注于脑部,就会引起鼻渊(以流浊涕为主的症状),进而发展为鼻衄或目出血、视物昏花。血液遇到热邪则沸腾涌溢,遇到寒邪则凝结停滞。
地黄竹茹汤(出自《圣济总录》):治疗鼻衄和汗血,消除热结。
药材包括:生地黄(切片焙干,一斤)、青竹茹(五两)、黄芩(去除黑色中心部分)、当归(焙干)、甘草(炙烤)、芍药、川芎(各三两)。将上述药材切碎如麻豆大小,每次服用五钱,加水一盏半,煎煮至一盏,去渣后温服。
竹茹汤(出自《圣济总录》):治疗血从鼻出及汗血,由热盛所致。
药材包括:生竹茹、生地黄(切片焙干)、黄芩(去除黑色中心部分,各二两)、蒲黄、芍药、麦门冬(去除黑色中心部分,各一两)。将上述药材粗捣筛过,每次服用五钱,加水一盏半,煎煮至一盏,去渣后温服。
黄柏饮(出自《圣济总录》):治疗鼻衄和汗血。
药材包括:黄柏(去除粗糙外皮)、葛根(锉碎)、黄芩(去除黑色中心部分,各一两半)、鸡苏(一两)、凝水石(二两)、生竹茹(一两)。将上述药材粗捣筛过,每次服用五钱,加水一盏半,煎煮至一盏,去渣后临睡前温服。
白药散(出自《圣济总录》):治疗鼻衄和汗血。
药材包括:白药(二两半)、生地黄汁(三合)、生藕汁(一合)、生姜汁(少许)。将白药捣成粉末,先煎煮生地汁、藕汁、姜汁三合,混合均匀后送服白药散。
紫参散(出自《圣济总录》):治疗鼻衄和汗血久治不愈。
药材包括:紫参、黄芩(去除黑色中心部分,各一分)、郁金、甘草(炙烤,各半分)。将上述药材研为散剂,每次服用三钱,用生地黄汁一合调下。
刺蓟汤(出自《圣济总录》):治疗热气上行导致的鼻衄和汗血。
药材包括:刺蓟、鸡苏叶(各二两)、黄连(去除须根)、犀角(镑片)、生干地黄(各一两)。将上述药材粗捣筛过,每次服用五钱,加水一盏半,煎煮至一盏,去渣后温服。
定命散(出自《宣明论》):治疗胆受热邪,血液妄行,出现鼻衄或目出血,以及血汗不止。
药材包括:朱砂、水银、麝香(各等分)。将上述药材研为细末,每次服用半钱,用新汲水调服,不限时候,需根据患者年龄、体质虚实调整用药剂量。
郁金散(又名金光散,出自《圣济总录》):治疗鼻衄和汗血。
药材包括:郁金、甘草(炙烤)、青黛(各半两)。将上述药材研为散剂,每次服用二钱,用鸡蛋清调下。
生地黄饮(出自《圣济总录》):治疗鼻衄和汗血。
(原文此处未列具体组成,仅列方名)
独圣汤(出自《圣济总录》):治疗血液妄行,表现为鼻衄或目出血。
用法:取黄芩五两,去除黑色中心部分,细锉如麻豆大小,每次服用七钱,加水二盏,煎煮至一盏,去渣后温服。另有说法认为……(原文未完)
The *Neijing* states that when heat from the Gallbladder channel shifts to the brain, it causes Bi Yuan (nasal sinusitis characterized by turbid discharge), which may transmit and develop into Nosebleed (epistaxis) or bleeding from the eyes with blurred vision. Blood surges and overflows when exposed to heat, but coagulates and stagnates when exposed to cold.
Di Huang Zhu Ru Tang (Rehmannia and Bamboo Shavings Decoction) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis (bleeding sweat), resolving heat accumulation.
Ingredients: Sheng Di Huang (Fresh Rehmanniae Radix, sliced and baked, one jin); Qing Zhu Ru (Green Bamboo Shavings, five liang); Huang Qin (Scutellariae Radix, black heart removed); Dang Gui (Angelicae Sinensis Radix, baked); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried); Bai Yao (Paeoniae Radix); Xiong (Ligustici Chuanxiong Rhizoma, three da liang each). The herbs are crushed like hemp seeds. Take five qian per dose, add one and a half zhan of water, decoct to one zhan, remove dregs, and take warm.
Zhu Ru Tang (Bamboo Shavings Decoction) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis caused by excessive heat.
Ingredients: Sheng Zhu Ru (Fresh Bamboo Shavings); Sheng Di Huang (Fresh Rehmanniae Radix, sliced and baked); Huang Qin (Scutellariae Radix, black heart removed, two liang each); Pu Huang (Typhae Pollen); Bai Yao (Paeoniae Radix); Mai Men Dong (Ophiopogonis Radix, black heart removed, one liang each). The herbs are coarsely pounded and sifted. Take five qian per dose, add one and a half zhan of water, decoct to one zhan, remove dregs, and take warm.
Huang Bo Yin (Phellodendron Drink) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis.
Ingredients: Huang Bo (Phellodendri Cortex, rough bark removed); Ge Gen (Puerariae Lobatae Radix, chopped); Huang Qin (Scutellariae Radix, black heart removed, one and a half liang each); Ji Su (Elsholtziae Herba, one liang); Ning Shui Shi (Natrii Sulfas, two liang); Sheng Zhu Ru (Fresh Bamboo Shavings, one liang). The herbs are coarsely pounded and sifted. Take five qian per dose, add one and a half zhan of water, decoct to one zhan, remove dregs, and take warm before retiring.
Bai Yao San (White Herb Powder) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis.
Ingredients: Bai Yao (White Herb, two and a half liang); Sheng Di Huang Zhi (Juice of Fresh Rehmanniae Radix, three he); Sheng Ou Zhi (Juice of Fresh Nelumbinis Rhizoma, one he); Sheng Jiang Zhi (Juice of Fresh Zingiberis Rhizoma Recens, a little). Pound Bai Yao into powder. First decoct the juices of Sheng Di Huang, Sheng Ou, and Sheng Jiang (three he total), mix well, and take with the powder.
Zi Shen San (Codonopsis/Potentilla Powder) [from *Shengji Zonglu*]: Treats persistent epistaxis and hematohidrosis.
Ingredients: Zi Shen (Codonopsis/Caulis Stellerae? Note: Context suggests cooling herb, often Codonopsis or similar in ancient texts, here kept as Zi Shen); Huang Qin (Scutellariae Radix, black heart removed, one fen each); Yu Jin (Curcumae Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried, half fen each). Make into powder. Take three qian per dose, mixed with one he of Sheng Di Huang juice.
Ci Ji Tang (Spiny Thistle Decoction) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis due to upward-shifting heat qi.
Ingredients: Ci Ji (Acanthopanacis Tricosti Ramulus Caulis? Or Acanthospermi Fructus? Text says Ci Ji, likely Acanthospermum or similar thistle herb); Ji Su Ye (Elsholtziae Folium, two liang each); Huang Lian (Coptidis Rhizoma, whiskers removed); Xi Jiao (Rhinocerotis Cornu, shaved); Sheng Gan Di Huang (Dried Fresh Rehmanniae Radix, one liang each). Coarsely pound and sift. Take five qian per dose, add one and a half zhan of water, decoct to one zhan, remove dregs, and take warm.
Ding Ming San (Life-Stabilizing Powder) [from *Xuanming Lun*]: Treats gallbladder heat causing reckless blood movement, resulting in epistaxis, eye bleeding, and unceasing hematohidrosis.
Ingredients: Zhu Sha (Cinnabaris); Shui Yin (Hydrargyrum); She Xiang (Moschus, equal parts). Make into fine powder. Take half a qian per dose, mixed with fresh drawn water. Administer at any time, adjusting dosage based on age and deficiency/excess patterns.
Yu Jin San (Curcuma Powder, also known as Jin Guang San/Golden Light Powder) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis.
Ingredients: Yu Jin (Curcumae Radix); Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried); Qing Dai (Indigo Naturalis, half liang each). Make into powder. Take two qian per dose, mixed with egg white.
Sheng Di Huang Yin (Fresh Rehmannia Drink) [from *Shengji Zonglu*]: Treats epistaxis and hematohidrosis.
(Original text lists only the formula name without ingredients).
Du Sheng Tang (Sole Sage Decoction) [from *Shengji Zonglu*]: Treats reckless blood movement manifesting as epistaxis or eye bleeding.
Usage: Take five liang of Huang Qin (Scutellariae Radix), remove the black heart, finely chop like hemp seeds. Take seven qian per dose, add two zhan of water, decoct to one zhan, remove dregs, and take warm. Another version states... (Text incomplete).