治杂血兼治蛊及着药等下血而有热者
干蓝 犀角 地榆(各八分) 蜜(二合)
上四味 咀以水五升煮取一升半去滓下蜜煎取五合分三服此药治热毒蛊妙
治血
艾叶 赤小豆 当归 阿胶(各四分)
上为细末水煮面糊丸如梧桐子大每服三十丸空心米饮下
治吐血至一斗脉细小气奔急此由阳暴逆其血横流无所居不循经络而行故其出亦暴譬如泥
水之
柏叶 干姜 阿胶
上件等分为粗末每服五钱水二盏煎至一盏去滓温服
吐血服汤转加闷乱烦躁纷纷欲呕颠倒不安者此由逆气停留血在胸上其脉沉伏急须吐之
瓜蒂(三分) 杜衡 人参(各一两)
上为细末温浆水调方寸匕须臾更吐清黄汁或血一二升无害
治鼻衄不止
朱砂 硼砂 牙硝(各一钱)
上为细末醋煮面糊和丸如麻粒大遇衄时先用新汲水洗两脚心净次用蒜二片研如泥贴在脚
心上
论诸气皆属于阳诸血皆属于阴阴盛则阳亏阳盛则阴亏经所谓阳胜则阴病阴胜则阳病诸血
衄血
斗此
有衄
在后)
柏皮 栀子(各一两) 甘草(半两)
上为粗末每服五钱水二盏煎至一盏去滓温服
治疗各种出血,兼治蛊毒及药物中毒等引起的下血且伴有热象的方剂:
干蓝、犀角、地榆(各八分),蜂蜜(二合)。
以上四味药,切碎,用水五升煎煮,取汁一升半,去渣后加入蜂蜜,煎至五合,分三次服用。此药治疗热毒蛊毒效果显著。
治疗便血/尿血(泛指下部出血):
艾叶、赤小豆、当归、阿胶(各四分)。
以上药物研为细末,用水煮面糊作为粘合剂,制成梧桐子大小的丸剂。每次服用三十丸,空腹时用米汤送服。
治疗吐血量大(达一斗),脉象细小,气息急促奔迫。这是由于阳气暴逆,血液横流,无处安身,不循经络而行,所以出血也迅猛,就像泥土中的水一样泛滥。
侧柏叶、干姜、阿胶。
以上药物等分为粗末,每次服用五钱,加水两盏,煎至一盏,去渣后温服。
对于服用汤药后吐血反而加重,出现胸闷混乱、烦躁不安、频频欲呕、颠倒不安症状的患者,这是由于逆气停留,血液积聚在胸上,脉象沉伏,急需使用催吐法排出瘀血。
瓜蒂(三分)、杜衡、人参(各一两)。
以上药物研为细末,用温浆水调服一方寸匕的量,不久后会吐出清黄色的汁液或一二升血液,这是无害的正常反应。
治疗吐血不止:
黄芩、阿胶。
以上药物等分为细末,用米汤调服二钱,不限时间服用。
治疗鼻衄不止:
朱砂、硼砂、牙硝(各一钱)。
以上药物研为细末,用醋煮面糊调和,制成麻粒大小的丸剂。遇到鼻衄时,先用新汲水洗净双脚脚心,然后将两片大蒜研成泥,贴在脚心上。
论述:诸气皆归属于阳,诸血皆归属于阴。阴盛则阳气亏损,阳盛则阴气亏损。《内经》所谓“阳胜则阴病,阴胜则阳病”。各类出血、衄血……(原文此处有缺漏或错简,推测意为针对此类出血的治疗)……
侧柏皮、栀子(各一两)、甘草(半两)。
以上药物研为粗末,每次服用五钱,加水两盏,煎至一盏,去渣后温服。
治疗脾虚导致的失血:
生地黄汁(半升)、大黄末(一两)。
先将生地黄汁熬去一半,再加入大黄末,一起再熬制,和匀制成梧桐子大小的丸剂。每次服用五丸,用米汤送服,不限时间。
Treatment for miscellaneous bleeding, including hematochezia or hematuria caused by gu poison (parasitic disease) and drug toxicity, accompanied by heat syndromes:
*Isatis Radix* (Ganlan), *Rhinoceros Horn* (Xijiao), *Sanguisorbae Radix* (Diyu) (each 8 fen), *Honey* (Mi) (2 he).
The above four ingredients are cut into small pieces, decocted in five sheng of water to obtain one and a half sheng. Strain the dregs, add honey, and simmer until five he remain. Divide into three doses. This medicine is excellent for treating heat-toxin gu poison.
Treatment for lower jiao bleeding:
*Mugwort Leaf* (Aiye), *Adzuki Bean* (Chixiaodou), *Angelica Sinensis Root* (Danggui), *Donkey-hide Gelatin* (Ejiao) (each 4 fen).
Grind the above ingredients into fine powder. Use wheat flour paste boiled in water as a binder to make pills the size of *Cerasus pseudocerasus* seeds (Wutongzi). Take thirty pills per dose on an empty stomach with rice water.
Treatment for massive hematemesis (up to one dou), with a fine pulse and rapid, rushing breath. This is due to sudden rebellion of Yang Qi, causing blood to flow horizontally without a resting place, deviating from the meridians, resulting in sudden and violent hemorrhage, akin to muddy water overflowing.
*Platycladi Cacumen* (Baiye), *Zingiberis Rhizoma* (Ganjiang), *Donkey-hide Gelatin* (Ejiao).
Grind the above ingredients equally into coarse powder. Take five qian per dose with two zhan of water, decoct until one zhan remains, strain, and take warm.
For patients whose hematemesis worsens after taking decoctions, presenting with chest stuffiness, confusion, irritability, frequent nausea, and restlessness, this is due to rebellious Qi stagnation and blood accumulation in the upper chest. The pulse is deep and hidden; urgent emesis is required to expel the blood.
*Cucumis Melon Seed* (Gua Di) (3 fen), *Asarum Heterotropoides* (Duheng), *Ginseng Radix* (Renshen) (each 1 liang).
Grind the above ingredients into fine powder. Mix with warm fermented grain water and administer one fangcun bi (a square-inch measure). Soon, clear yellow fluid or one to two sheng of blood will be vomited, which is harmless.
Treatment for persistent hematemesis:
*Scutellariae Radix* (Huangqin), *Donkey-hide Gelatin* (Ejiao).
Grind the above ingredients equally into fine powder. Mix with rice water and take two qian at any time.
Treatment for persistent epistaxis:
*Cinnabar* (Zhusha), *Borax* (Pengsha), *Natrii Sulfas* (Yaxiao) (each 1 qian).
Grind the above ingredients into fine powder. Mix with vinegar and wheat flour paste to make pills the size of sesame seeds. When epistaxis occurs, first wash the soles of both feet clean with fresh well water. Then, mash two slices of garlic into a paste and apply them to the soles of the feet.
Discussion: All Qi belongs to Yang, and all Blood belongs to Yin. When Yin is excessive, Yang is deficient; when Yang is excessive, Yin is deficient. As stated in the classics, "When Yang prevails, Yin suffers disease; when Yin prevails, Yang suffers disease." Regarding various types of bleeding and epistaxis... [Text fragment missing]...
*Platycladi Cacumen* (Bai Pi), *Gardeniae Fructus* (Zhizi) (each 1 liang), *Licorice Root* (Gancao) (0.5 liang).
Grind the above ingredients into coarse powder. Take five qian per dose with two zhan of water, decoct until one zhan remains, strain, and take warm.
Treatment for blood loss due to Spleen deficiency:
*Rehmanniae Radix* juice (Sheng Dihuang Zhi) (0.5 sheng), *Rhei Radix et Rhizoma* powder (Dahuang Mo) (1 liang).
First, boil down the Rehmanniae juice by half. Add the Rhei powder and simmer together. Mix and form pills the size of *Cerasus pseudocerasus* seeds. Take five pills per dose with rice water at any time.