桂枝栝蒌根汤
治伤风,汗下不解,郁于经络,随气涌泄,衄出清血。或清道闭,流入胃管
遇寒泣之,血必瘀黑者。
桂心 白芍药 甘草 川芎 栝蒌根
上等分,锉散。每服四大钱,水一盏半,姜三片,枣一枚煎服,头痛,加石膏。
胃风汤
治大人小儿风冷乘虚,入客肠胃,水谷不化,泄泻注下。及肠胃湿毒,下如豆汁,
瘀血,日夜无度。(方见泄泻类。)
麻黄升麻汤
治伤寒发热,解利不行,血随气壅,世谓红汗者。
麻黄(去节) 升麻(一两一分) 黄芩 芍药 甘草 石膏( ) 茯苓(各一两)
上锉散,每服四大钱,水一盏,生姜三片煎,热服,微汗解。
犀角地黄汤
治伤寒及温病,应发汗而不汗,内蓄为瘀血。及鼻衄、吐血不尽,余血停留,
便黑。
犀角(一两) 生地黄(八两) 芍药(三两) 牡丹皮(二两)
上锉散,水煎。狂者,加大黄二两,黄芩三两,其人脉大来迟,腹不满自言满,为无热,
不
小柴胡汤
治同上。(方见伤寒类。)
五苓散
治伏暑饮热,暑气流入经络,壅溢发衄。或胃气虚,血渗入胃,停留不散,吐出一
许。治衄则以茅花煎汤调下。屡用得效。
枇杷叶散
治同上。(方并见伤暑类。)
除湿汤
治冒雨着湿,郁于经络,血溢作衄。或脾不和,湿着经络,流入胃,吐血。
茯苓 干姜(各二两) 甘草(炙) 白术(各一两)
上锉散。每服四大钱,水煎服。头痛,加川芎二钱。最止浴室发衄。
桂枝栝蒌根汤
治疗伤风,经过发汗或攻下治疗后病证未解,邪气郁滞于经络,随着气机逆乱涌泄而出,导致流出清稀的血。或者因为清窍闭塞,血液流入胃管,遇到寒气则凝泣,血液必然瘀滞变黑的情况。
药材:桂心、白芍药、甘草、川芎、栝蒌根。
以上药材等分,切碎成散剂。每次服用四大钱,用水一盏半,生姜三片,大枣一枚煎煮后服用。若伴有头痛,加入石膏。
胃风汤
治疗大人和小孩因风冷乘虚侵入肠胃,导致水谷无法消化,出现泄泻如水注下的症状。以及肠胃有湿毒,大便像豆汁一样,夹杂瘀血,日夜无节制地排泄。(此方详见泄泻类。)
麻黄升麻汤
治疗伤寒发热,通过解表法未能解除病邪,血液随气机壅滞而上溢,世人称之为“红汗”。
药材:麻黄(去节)、升麻(一两一分)、黄芩、芍药、甘草、石膏(剂量缺失)、茯苓(各一两)。
以上药材切碎成散剂,每次服用四大钱,用水一盏,生姜三片煎煮,热服,微微出汗即可痊愈。
犀角地黄汤
治疗伤寒及温病,应当发汗却没有发汗,导致邪气内陷蓄积形成瘀血。以及鼻衄、吐血不尽,余血停留体内,导致大便色黑。
药材:犀角(一两)、生地黄(八两)、芍药(三两)、牡丹皮(二两)。
以上药材切碎成散剂,用水煎煮。若患者出现狂躁症状,加入大黄二两,黄芩三两。如果患者脉象大而来势迟缓,腹部并不胀满却自述胀满,这是没有实热的表现,不适用此方中的某些峻烈药物(此处原文意指辨证要点,通常此类证候需调整用药,但原文仅陈述现象,结合上下文“不”字可能为排版错误或指代前文禁忌,此处直译其描述的症状特征)。
五苓散
治疗暑热潜伏体内饮水过多,暑气流入经络,壅盛溢出导致鼻衄。或者因为胃气虚弱,血液渗入胃中,停留不散,呕吐出许多的血。治疗鼻衄时,用茅花煎汤调服药散。多次使用有效。
除湿汤
治疗冒雨受湿,湿气郁滞于经络,血液外溢导致鼻衄。或者脾脏功能不和,湿气附着于经络,流入胃中,导致吐血。
药材:茯苓、干姜(各二两)、甘草(炙)、白术(各一两)。
以上药材切碎成散剂。每次服用四大钱,用水煎煮后服用。若伴有头痛,加入川芎二钱。此方最擅长治疗在浴室中引发的鼻衄。
Guizhi Gualougen Tang (Cinnamon Twig and Trichosanthes Root Decoction)
Treats wind-strike where sweating or purgation fails to resolve the condition, with pathogenic factors stagnating in the meridians. The qi rebels and forces blood out, resulting in the discharge of clear blood. Or, if the upper orifices are blocked, blood flows into the stomach tube; encountering cold causes it to congeal, resulting in dark,瘀血 (stasis blood).
Ingredients: Guixin (Cinnamon Heart), Baishao Yao (White Peony Root), Gancao (Licorice Root), Chuanxiong (Szechwan Lovage Rhizome), Gualougen (Trichosanthes Root).
Equal parts of the above ingredients are crushed into a powder. Take 4 qian per dose, decocted with 1.5 sheng of water, 3 slices of Shengjiang (Fresh Ginger), and 1 Zao (Jujube). Take warm. If headache is present, add Shigao (Gypsum Fibrosum).
Weifeng Tang (Stomach Wind Decoction)
Treats adults and children whose intestines and stomach are invaded by wind-cold due to deficiency, leading to indigestion of food and fluids, and profuse watery diarrhea. It also treats damp-toxin in the intestines and stomach, where stool resembles bean dregs mixed with stasis blood, occurring incessantly day and night. (See formula under Diarrhea category.)
Mahuang Shengma Tang (Ephedra and Cimicifuga Decoction)
Treats febrile disease with fever, where exterior-releasing methods fail to resolve the pathogen. Blood follows the rebellious qi and overflows, known in the world as "red sweat."
Ingredients: Mahuang (Ephedrae Herba, nodes removed), Shengma (Cimicifugae Rhizoma, 1 liang 1 fen), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum [dose missing]), Fuling (Poria). All equal to 1 liang.
The above ingredients are crushed into a powder. Take 4 qian per dose, decocted with 1 sheng of water and 3 slices of Shengjiang (Fresh Ginger). Take hot to induce slight sweating for resolution.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction)
Treats febrile disease and warm-pathogen diseases where sweating should have been induced but was not, causing internal accumulation and formation of stasis blood. It also treats incomplete epistaxis or hematemesis, where residual blood remains stagnant, leading to black stools.
Ingredients: Xijiao (Rhinocerotis Cornu), Shengdihuang (Rehmanniae Radix Recens, 8 liang), Shaoyao (Paeoniae Radix, 3 liang), Mudanpi (Moutan Cortex, 2 liang).
The above ingredients are crushed into a powder and decocted in water. For patients with mania, add Dahuang (Rhei Radix et Rhizoma, 2 liang) and Huangqin (Scutellariae Radix, 3 liang). If the pulse is large but slow upon arrival, and the abdomen is not distended yet the patient complains of fullness, this indicates absence of excess heat, [and thus certain harsh purgatives may be contraindicated or adjusted].
Xiaochaihu Tang (Minor Bupleurum Decoction)
Treats the same conditions as above. (See formula under Febrile Disease category.)
Wuling San (Five-Ingredient Powder with Poria)
Treats latent summerheat from excessive drinking of hot fluids, where summerheat qi enters the meridians, becomes congested, overflows, and causes epistaxis. Or, due to deficiency of Stomach qi, blood渗 into the stomach, remains stagnant, and is vomited up. To treat epistaxis, administer the powder mixed with decoction of Maohua (Miscanthus Flower). Repeated use yields good results.
Pipaye San (Loquat Leaf Powder)
Treats the same conditions as above. (See formula under Summerheat Injury category.)
Chushi Tang (Dampness-Expelling Decoction)
Treats exposure to rain and dampness, where dampness stagnates in the meridians, causing blood to overflow and result in epistaxis. Or, due to disharmony of the Spleen, dampness adheres to the meridians, flows into the Stomach, and causes hematemesis.
Ingredients: Fuling (Poria, 2 liang), Ganjiang (Zingiberis Rhizoma, 2 liang), Zhigancao (Prepared Licorice Root), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang each).
The above ingredients are crushed into a powder. Take 4 qian per dose, decocted in water. If headache is present, add Chuanxiong (Ligustici Chuanxiong Rhizoma, 2 qian). This formula is most effective for treating epistaxis caused by bathing in a steam bath.