有一患者,瘀血流注,腰膂、两足俱黑,随饮童便酒,砭出瘀血糜肉,投以小柴胡汤,
去半夏,加山栀、芩、连、骨碎补,以清肝火,用八珍茯苓,以壮脾胃,死肉溃而新肉
生,后疮复溃得静,调治年余而痊。 有一患者,瘀血攻注,阴囊溃而成漏,脓水清稀,
所服皆寒凉之剂,诊其肝脉短涩,余脉浮而无力,此肝木受肺金克制,又元气虚不能收
敛,遂用壮脾胃,生气血之方,元气少复。后终殁于金旺之日。
伤重昏愦者,急灌以独参汤,虽内瘀血,切不可下,急用花蕊石散内化之,恐因泻而
亡阴也。若元气虚者,尤不可下,亦用以前散化之。凡瘀血在内,大小便不通,用大黄、
朴硝,血凝而不下者,急用木香、肉桂末三二钱,以热酒调灌服,血下乃生。如怯弱之
人,用硝黄须加肉桂、木香同煎,假其热以行其寒也。 一妇人,孟冬伤足,亡血头汗,
内热作渴,短气烦躁,不时昏愦,其脉洪大,按之微弱,此阴血虚于下,孤阳炎于上,故
发厥而头出汗也,以四物合小柴胡汤一剂,汗即止,以四物,去川芎,加参、 、麦门、五
味、炙草,少用肉桂,四剂诸症悉去,又三十余剂,血气复而愈。 一男子,孟夏折腿,
出血过多,其初眩晕眼花,后则昏愦,此阴血伤损,阳火炽甚,制金不能平木,木旺生
风所致,急灌童便,更用人参、当归(各五钱),荆芥、川芎、柴胡、芍药、白术(各二钱),山栀、
黄柏、黄芩、桔梗(各一钱),甘草(五分),服之随爽,又用四物,参 (各三钱),生地、柴胡各一
钱,四剂烦躁悉去。
有一位患者,瘀血流注(瘀血随经络流窜停聚),腰部脊柱和双足都发黑,随即饮用童便酒,用砭石刺破皮肤放出瘀血及腐肉,接着投予小柴胡汤,去掉半夏,加入山栀、黄芩、黄连以清泻肝火,使用八珍茯苓散以补益脾胃,坏死的肌肉溃脱而新肉生长,后来疮口再次溃破但趋于平静,经过一年多的调理而痊愈。
有一位患者,瘀血攻注阴囊,导致阴囊溃烂形成瘘管,脓液清稀,所服用的都是寒凉药物,诊察其肝脉短涩,其余脉象浮而无力,这是肝木受到肺金克制,加上元气虚弱不能收敛,于是采用补益脾胃、生气血的方剂,元气稍微恢复。但最终在金气旺盛的日子去世。
伤势严重出现神志昏乱者,紧急灌服独参汤,即使体内有瘀血,也绝对不可使用泻下法,应紧急使用花蕊石散内服以化解瘀血,恐怕因为泻下而导致亡阴。如果是元气虚弱的人,尤其不可使用泻下法,也用上述的花蕊石散来化解。凡是瘀血在体内,导致大小便不通畅,若血液凝固而不下行,紧急使用木香、肉桂末二三钱,用热酒调匀灌服,瘀血下行后患者才能存活。对于体质怯弱的人,使用芒硝、大黄时必须加入肉桂、木香同煎,借助它们的温热之性来推动寒凉药物的运行。
一位妇女,初冬时节脚部受伤,失血并头部出汗,体内发热感到口渴,气短烦躁,不时出现神志昏乱,脉象洪大,重按则微弱,这是下部阴血亏虚,孤阳上浮炎灼,所以发生厥逆并头部出汗,服用四物汤合小柴胡汤一剂,汗即停止,再用四物汤,去掉川芎,加入人参、白术、麦门冬、五味子、炙甘草,少量使用肉桂,服用四剂后所有症状全部消除,又服用三十多剂,气血恢复而痊愈。
一位男子,初夏时节腿部骨折,出血过多,起初眩晕眼花,后来出现神志昏乱,这是阴血损伤,阳气之火炽盛,制约肺气不能平抑肝木,肝木旺盛生风所致,紧急灌服童便,再用人参、当归(各五钱),荆芥、川芎、柴胡、芍药、白术(各二钱),山栀、黄柏、黄芩、桔梗(各一钱),甘草(五分),服用后随即感觉清爽,后又使用四物汤,人参、白术(各三钱),生地、柴胡各一钱,服用四剂后烦躁全部去除。
A patient suffered from blood stasis flowing and accumulating (blood stasis circulating along the meridians and stagnating), with the lumbar spine and both feet turning black. After drinking urine of a young boy mixed with wine, bi stone therapy was used to pierce the skin and release the stagnant blood and necrotic flesh. Then, Xiao Chai Hu Tang (Minor Bupleurum Decoction) was administered, with Ban Xia (Pinelliae Rhizoma) removed, and Shan Zhi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), and Lian Zi (Coptidis Rhizoma) added to clear Liver Fire. Ba Zhen Fu Ling San (Eight-Treasure Poria Powder) was used to strengthen the Spleen and Stomach. The necrotic tissue sloughed off while new flesh grew; later, the wound ulcerated again but became calm. After more than a year of regulation and treatment, the patient recovered.
Another patient had blood stasis attacking and accumulating in the scrotum, causing it to ulcerate into a fistula with thin and watery pus. All medications taken were cold and cooling in nature. Examination of the Liver pulse revealed it to be short and choppy, while other pulses were floating and weak. This indicated that Liver Wood was constrained by Lung Metal, and Yuan Qi (Original Qi) was deficient and unable to consolidate. Consequently, formulas to strengthen the Spleen and Stomach and generate Qi and Blood were employed, leading to a slight recovery of Yuan Qi. However, the patient ultimately died on a day when Metal energy was at its peak.
For severe injuries accompanied by confusion and unconsciousness, Du Shen Tang (Single Ginseng Decoction) should be urgently infused. Even if there is internal blood stasis, purgatives must absolutely not be used. Instead, Hua Rui Shi San (Flower Coral Stone Powder) should be urgently administered internally to resolve the stasis, as purgation may lead to the loss of Yin. In cases of deficient Yuan Qi, purgatives are especially contraindicated; the aforementioned powder should also be used to resolve the stasis. Whenever blood stasis remains inside the body causing obstruction of urination and defecation, if the coagulated blood does not descend, Mu Xiang (Aucklandiae Radix) and Rou Gui (Cinnamomi Cortex) powder, two or three qian, should be urgently mixed with hot wine and administered. Life can be saved only after the blood descends. For individuals with weak constitutions, when using Xiao Ming (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma), Rou Gui and Mu Xiang must be added for decoction, utilizing their heat to facilitate the action of the cold medicines.
A woman injured her foot in early winter, resulting in blood loss, sweating on the head, internal heat with thirst, shortness of breath, irritability, and intermittent confusion. Her pulse was surging and large but weak upon deep pressure. This indicated deficiency of Yin Blood below and solitary Yang flaring above, causing Jue syndrome (cold extremities due to Yang deficiency or blockage) and head sweating. One dose of Si Wu Tang (Four-Substance Decoction) combined with Xiao Chai Hu Tang stopped the sweating. Subsequently, Si Wu Tang was used with Chuan Xiong (Ligustici Chuanxiong Rhizoma) removed, and Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Mai Men Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Fructus), and Zhi Gan Cao (Prepared Licorice Root) added, with a small amount of Rou Gui. After four doses, all symptoms disappeared. After another thirty-plus doses, Qi and Blood were restored, and she recovered.
A man fractured his leg in early summer, losing excessive blood. Initially, he experienced dizziness and blurred vision, followed by confusion. This was caused by damage to Yin Blood, blazing Yang Fire, inability of Lung Metal to control Liver Wood, and Liver Wood exuberance generating Wind. Urgent administration of young boy's urine was given, followed by a formula containing Ren Shen and Dang Gui (each 5 qian), Jing Jie (Schizonepetae Spica), Chuan Xiong, Chai Hu (Bupleuri Radix), Shao Yao (Paeoniae Radix), and Bai Zhu (each 2 qian), Shan Zhi, Huang Bo (Phellodendri Cortex), Huang Qin, and Jie Geng (Platycodonis Radix) (each 1 qian), and Gan Cao (0.5 qian). He felt refreshed after taking it. Later, Si Wu Tang was used with Ren Shen and Bai Zhu (each 3 qian), Sheng Di Huang (Rehmanniae Radix), and Chai Hu (each 1 qian). After four doses, irritability completely subsided.