崩淋者。其病相似。而实不同。崩者如土之崩。源泉逆流而不禁。乃血热而兼气虚。不
能收
摄也。淋者。如水之淋病。艰涩而不通快乃内有郁热。而气亦滞也。然崩则皆血。而淋则有
赤白砂石之异。赤者属血。白者属气。砂石者气血之犹浊者也。治此病者。惟调其气血。清
其内热而已。
脉数小为顺。洪大为逆。
如神饮 治血崩。来如涌泉。面黄肌瘦。
蒲黄 艾叶 升麻 黄芩 地榆(各八分) 归身 柴胡 血见愁 黄连 山栀(各一钱)
紫荆皮(一钱二分) 灯心三十茎空心煎服。
断泉神秘丸 治一切远年近日血崩等症。并治妇天癸当住。行之不止。
牡蛎 山栀 黄连(各一两) 陈棕( 灰存性) 槐花(各四钱) 侧柏叶 人参 黄 (
各八钱) 苍耳草( 灰三钱)
上为末。捣小蓟汁。藕汁。以二汁为丸每服一钱五分空心盐汤送下。
秘方 治血崩初起。一服立效。
当归 蕲艾(各一两) 升麻(四钱) 荆芥穗(三两炒黑)
上为末。每三钱。空心童便调下。即止。
又方 治崩淋经年不住。手足俱有血丝露。去血如流者。
白芷(一两) 百草霜 五灵脂 荆芥穗(各八钱) 赤石脂(四两) 黄连(四两熬汁)
上为末。以黄连汁为丸。如绿豆大。每一钱。空心白滚汤送下。
胶连饮 治一切崩淋神效。
黄连 当归身 阿胶(各二钱) 赤芍 芡实 泽泻 车前子 牛膝 山药(各七分) 川
芎熟地(各一钱) 水煎临服加入童便一小钟
崩漏与淋证,症状相似,但实质不同。崩漏如同土崩,源泉逆流而失控,这是由于血热兼有气虚,无法固摄血液所致。淋证则如水淋,排尿艰涩不畅快,这是因为体内有郁热,且气机阻滞。然而,崩漏全是血证,而淋证则有赤、白、砂石的区别:红色属于血分病变,白色属于气分病变,砂石则是气血中较为浑浊的部分。治疗这类疾病,只需调理气血,清除内部热邪即可。
脉象细数为顺证,洪大为逆证。
如神饮:治疗血崩。症见出血如涌泉般喷涌,面色萎黄,肌肉消瘦。
处方:蒲黄、艾叶、升麻、黄芩、地榆(各八分);当归身、柴胡、血见愁、黄连、山栀(各一钱);紫荆皮(一钱二分)。灯心草三十茎。空腹煎服。
断泉神秘丸:治疗各种陈年或近期的血崩等症。并治疗妇女月经应当停止却淋漓不止的情况。
处方:牡蛎、山栀、黄连(各一两);陈棕灰(存性)、槐花(各四钱);侧柏叶、人参、黄芪(各八钱);苍耳草灰(三钱)。
将上述药物研为细末,用小蓟汁和藕汁调和,制成丸药。每次服用一钱五分,空腹时用盐汤送服。
秘方:治疗血崩初起,服用一次立即见效。
处方:当归、蕲艾(各一两);升麻(四钱);荆芥穗(三两,炒黑)。
将上述药物研为细末。每次取三钱,空腹时用童便调服,出血即止。
又一方:治疗崩漏经年不止,手足皮肤出现血丝渗出,出血如流水般不止的情况。
处方:白芷(一两);百草霜、五灵脂、荆芥穗(各八钱);赤石脂(四两);黄连(四两,熬成汁)。
将上述药物研为细末,用黄连汁调和制成丸药,大小如绿豆。每次服用一钱,空腹时用白开水送服。
胶连饮:治疗各种崩漏,效果神奇。
处方:黄连、当归身、阿胶(各二钱);赤芍、芡实、泽泻、车前子、牛膝、山药(各七分);川芎、熟地黄(各一钱)。
水煎,临服用时加入一小钟童便。
Beng (flooding) and Lin (strangury) share similar symptoms but are fundamentally different. Beng is like a landslide, where the source flows backward uncontrollably; it is caused by blood heat combined with Qi deficiency, leading to an inability to consolidate and hold the blood. Lin is like water dripping or pouring, characterized by difficult, unsmooth, and uncomfortable urination; this is due to internal stagnant heat and Qi stagnation. However, Beng involves only blood, whereas Lin presents differences in red, white, and gravelly discharges: red indicates involvement of the Blood aspect, white indicates involvement of the Qi aspect, and gravelly discharge represents turbid matter within the Qi and Blood. To treat these conditions, one need only regulate Qi and Blood and clear internal heat.
A fine and rapid pulse is favorable; a large and surging pulse is unfavorable.
Rushen Yin (Miraculous Drink): Treats blood flooding. Symptoms include bleeding gushing forth like a spring, sallow complexion, and emaciation.
Ingredients: Puhuang (Corylinae Pollen), Aiye (Artemisiae Argyi Folium), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Diyu (Sanguisorbae Radix) (each 8 fen); Guishen (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Xuejianchou (Euphorbiae Humifusae Herba), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus) (each 1 qian); Zijingpi (Broussonetiae Cortex). Dengxincao (Junci Medulla) 30 stems. Decoct and take on an empty stomach.
Duanquan Shenmi Wan (Secret Pill to Stop the Spring): Treats all cases of long-standing or recent blood flooding. Also treats women whose menses should have ceased but continue to flow incessantly.
Ingredients: Muli (Ostreae Concha), Shanzhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma) (each 1 liang); Chen Zong Hui (Stamina Cinnamomi Retentum, preserved nature), Huaihua (Sophorae Flos) (each 4 qian); Ce Baiye (Platycladi Cacumen), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix) (each 8 qian); Cang'er Cao Hui (Xanthii Herba Ashes, 3 qian).
Grind into powder. Use juice of Xiaojixi (Cirsii Herba) and lotus root juice to form pills. Take 1.5 qian per dose, administered on an empty stomach with salted water.
Secret Formula: Treats initial onset of blood flooding; effective after one dose.
Ingredients: Danggui (Angelicae Sinensis Radix), Qi Ai (Artemisiae Argyi Folium) (each 1 liang); Shengma (Cimicifugae Rhizoma) (4 qian); Jingjie Sui (Schizonepetae Spica, stir-fried until black) (3 liang).
Grind into powder. Take 3 qian per dose, mixed with child's urine and taken on an empty stomach. Bleeding stops immediately.
Another Prescription: Treats flooding and strangury persisting for years, with blood streaks exuding from hands and feet, and bleeding flowing continuously like water.
Ingredients: Baizhi (Angelicae Dahuricae Radix) (1 liang); Baicaoshuang (Carbonized Herb Powder), Wulingzhi (Trogopterori Faeces), Jingjie Sui (Schizonepetae Spica) (each 8 qian); Chishizhi (Halloysit Rubra) (4 liang); Huanglian (Coptidis Rhizoma) (4 liang, decocted to make juice).
Grind into powder. Use Huanglian juice to form pills, size of mung beans. Take 1 qian per dose, administered on an empty stomach with plain boiled water.
Jiaolian Yin (Gelatin and Coptis Drink): Treats all types of flooding and strangury with miraculous efficacy.
Ingredients: Huanglian (Coptidis Rhizoma), Dangguishen (Angelicae Sinensis Radix), Ejiao (Colla Corii Asini) (each 2 qian); Chishao (Paeoniae Radix Rubra), Qianshi (Nelumbinis Semen), Zexie (Alismatis Rhizoma), Cheqianzi (Plantaginis Semen), Niuxi (Achyranthis Bidentatae Radix), Shanyao (Dioscoreae Rhizoma) (each 7 fen); Chuanxiong (Ligustici Chuanxiong Rhizoma), Shudi (Rehmanniae Radix Preparata) (each 1 qian).
Decoct in water. Before taking, add a small cup of child's urine.