吐红之疾,盖是久病;或
作急劳,损其荣卫,壅滞气上,血之妄行所致。若投以藕汁、生地黄等凉剂治之,必速其死矣。每遇患者,用药
甚简,甘草炙、干姜炮等分。上为末,每服二钱,水一中盏,煎至五七沸,带热呷,空心、日午进之。和其气血
荣卫,自然安痊,不可不知。(《朱氏》)
坚中汤,治虚劳内伤寒热,呕逆吐血方。
糖(三斤) 芍药 半夏 生姜 甘草(各三两) 桂心(二两) 大枣(五十枚)
上七味 咀,以水二斗,煮取七升,分七服,日五夜二。(《千金翼》无甘草、桂心,有生地黄。)(《千金》)
柔脾汤,主脾气不足,下焦虚冷,胸膈满塞,汗出,胁下支满,吐血下血。
熟地黄(三两) 黄 桂 芍药 甘草(各一两)
上为粗末,每服二钱,水酒少许,煎至六分,去滓温服。(《鸡峰》)《妇人良方》引《养生必用方》,治虚劳
吐血衄血下白汗出。(按∶下下脱血字。)
陈月坡方,治呕吐吐血或血崩脱血,盈盆盈桶,面色青惨,六脉欲脱,四肢厥冷,或自汗出,危极者,用制
附子五钱,人参一两,姜炭八钱,水二大碗,煎八分,温和服。(《汇言》)又方龙潭治血崩神脱,精神溃乱,
四肢将厥者,于本方附子童便制,加当归、炙甘草。(宜与治例参看。)
归脾汤,治思虑伤脾,心多健忘,为脾不能统摄心血,以致妄行,或吐血下血。(《得效》)
调摄法 咳血非静养绝欲,不可与治,诸病皆然,此尤当慎者。(《六要》)
呕血宜忌盐醋糟物、海味热物,又宜高枕坐卧,不使气逆,如此七日,大势方定,愈后三年不发,方为全愈。若不
能如前谨慎,一有所伤,则不时屡发,必增咳嗽诸证者,不治。(《百问》)
吐血之症,多为久病;或因发展为急劳,损伤营卫之气,导致气机壅滞上逆,血液妄行而出。若使用藕汁、生地黄等寒凉药物治疗,必定加速患者死亡。每当遇到此类患者,用药极为精简:炙甘草与炮干姜各等分。将上述药材研为细末,每次服用二钱,用水一中盏,煎煮至沸腾五到七次,趁热小口啜饮,于空腹时及中午时分服用。调和气血与营卫,自然能够痊愈,这一点不可不知。(出自《朱氏》)
坚中汤,用于治疗虚劳内伤引起的寒热交替、呕吐逆气及吐血。
配方:糖(三斤)、芍药、半夏、生姜、甘草(各三两)、桂心(二两)、大枣(五十枚)。
将以上七味药材切碎,用水二斗,煎煮取汁七升,分为七次服用,白天服五次,夜间服两次。(《千金翼方》中无甘草、桂心,有生地黄。)(出自《千金方》)
柔脾汤,主治脾气不足,下焦虚冷,胸膈满闷堵塞,出汗,胁下支撑胀满,吐血及便血。
配方:熟地黄(三两)、黄芪、桂枝、芍药、甘草(各一两)。
将上述药材制成粗末,每次服用二钱,加入少量水和酒,煎煮至剩余六成药液,滤去药渣,温服。(出自《鸡峰普济方》)《妇人良方》引用《养生必用方》,治疗虚劳导致的吐血、鼻衄、下血及白汗出。(按语:原文“下”字后脱漏了“血”字。)
陈月坡方,用于治疗呕吐吐血或血崩失血,出血量极大,盈盆满桶,面色青暗惨白,六脉微弱欲绝,四肢厥冷,或自汗出,病情危重者。使用制附子五钱,人参一两,姜炭八钱,水两大碗,煎煮至剩余八成药液,温和服用。(出自《汇言》)另一方案:龙潭治疗血崩导致神志涣散、精神混乱、四肢即将厥冷的情况,在本方基础上使用童便炮制的附子,并加入当归、炙甘草。(宜参考治例部分查看。)
归脾汤,用于治疗思虑过度损伤脾胃,心神不宁多健忘,因脾不能统摄心血,导致血液妄行,出现吐血或便血。(出自《经验全书·得效方》)
调摄方法 咳血若非静养并断绝性欲,无法治愈,其他疾病也是如此,对此尤其应当谨慎。(出自《六要》)
呕血的饮食与生活禁忌:忌食盐、醋、糟物、海产品及热性食物;宜高枕卧坐,防止气机上逆。如此坚持七日,大势方可稳定,痊愈后三年不再发作,才算完全治愈。如果不能像之前那样谨慎,一旦有所损伤,则不时屡次复发,必然增加咳嗽等症状,此属不治之症。(出自《百问》)
The disease of vomiting blood is generally a chronic condition; it may arise from acute consumption (Ji Lao, acute deficiency syndrome) damaging the Ying and Wei (Nutritive and Defensive Qi), causing Qi stagnation and upward rebellion, leading to reckless bleeding. If treated with cooling agents such as Lotus Root Juice (Ou Zhi) or Rehmannia Root (Sheng Di Huang), death will inevitably be hastened. In treating such patients, I use very simple prescriptions: equal parts of Licorice Root (Gan Cao) roasted and Dried Ginger (Gan Jiang) processed. These are ground into powder. Each dose consists of two qian, boiled in one zhong of water until boiling five to seven times. It should be sipped warm, taken on an empty stomach and at noon. By harmonizing the Qi and Blood, and the Ying and Wei, recovery occurs naturally. This must not be overlooked. (From "Zhu Shi")
Jianzhong Decoction (Cordialising the Middle Decoction) treats internal injury from chronic consumption with alternating cold and heat, vomiting and regurgitation, and hematemesis.
Ingredients: Sugar (three jin), Paeonia Root (Shaoyao), Pinellia Tuber (Banxia), Fresh Ginger (Shengjiang), Licorice Root (Gancao) (each three liang), Cinnamon Twig (Guixin) (two liang), Jujube Date (Dazao) (fifty pieces).
Chop the above seven ingredients, boil in two dou of water, reduce to seven sheng, divide into seven doses. Take five times during the day and twice at night. (Note: "Qianjin Yifang" lacks Gancao and Guixin, but includes Rehmannia Root Shengdihuang.) (From "Qianjin Fang")
Roupi Decoction (Softening the Spleen Decoction) primarily treats insufficiency of Spleen Qi, deficiency-cold in the Lower Jiao, fullness and obstruction in the chest and diaphragm, sweating, distension and fullness under the hypochondrium, hematemesis, and lower bleeding.
Ingredients: Prepared Rehmannia Root (Shu Dihuang) (three liang), Astragalus Root (Huangqi), Cinnamon Twig (Guizhi), Paeonia Root (Shaoyao), Licorice Root (Gancao) (each one liang).
Grind into coarse powder. Each dose is two qian, boiled with a small amount of water and wine to six parts remaining. Strain and take warm. (From "Jifeng Puji Fang"). "Furen Liangfang" cites "Yangsheng Biyong Fang" for treating chronic consumption with hematemesis, epistaxis, lower bleeding, and spontaneous sweating of white fluid. (Annotation: The character "xia" [lower] is missing the character "xue" [blood].)
Chen Yuepo's Formula treats vomiting blood or uterine bleeding (Xue Beng) with massive hemorrhage filling basins and buckets, cyanotic and pale complexion, pulse faint and near collapse, cold limbs, or spontaneous sweating, in critical cases. Use Processed Aconite Root (Zhi Fuzi) five qian, Ginseng Root (Renshen) one liang, Charred Ginger (Jiangtan) eight qian. Boil in two large bowls of water to eight parts remaining. Take warm. (From "Huiyan"). Another prescription by Longtan for uterine bleeding causing spirit dispersion and mental confusion, with impending cold limbs: use Aconite Root processed with child's urine in the base formula, plus Angelica Sinensis Root (Danggui) and Licorice Root (Gancao) roasted. (Refer to treatment examples for comparison.)
Guipi Decoction (Restore the Spleen Decoction) treats spleen injury from overthinking, frequent forgetfulness due to Heart disturbance, where the Spleen fails to control Heart Blood, leading to reckless bleeding, manifesting as hematemesis or lower bleeding. (From "Degui Fang")
Regulation Method Hemoptysis cannot be cured without quiet rest and abstinence from sexual desire; this applies to all diseases, but is especially crucial here. (From "Liu Yao")
For hematemesis, avoid salt, vinegar, fermented foods, seafood, and hot-natured foods. Sleep and sit with high pillows to prevent Qi rebellion. After seven days of this regimen, the major symptoms stabilize. Full recovery is defined as no recurrence for three years post-healing. If one cannot maintain such caution, any lapse will cause frequent recurrences, inevitably worsening cough and other symptoms; this is considered incurable. (From "Bai Wen")