治吐血
甘草 苏木 陈皮(各五分) 升麻 柴胡 苍术(各一钱) 当归梢 熟地黄 白芍药
黄 人参(各二钱)
上为粗末都作一服水二大盏煎至一盏去渣稍温食前服
人参(益上焦元气不足而实其表也) 麦冬(保肺气各三分) 桂枝(以补表虚) 当归身(
和血
养血各五分) 甘草(补其脾胃之虚) 麻黄(去根节) 黄 (实表益卫) 白芍药(各一钱)
五味子(五个安其脉气)
上以水三盏先煮麻黄一味令沸去沫至二盏入余药同煎至一盏去渣热服临卧只一服而愈更
不再作
治鼻衄血多面黄眼涩多眵手麻木
葛根 羌活(各五钱) 升麻(一两) 炙甘草(二两) 白芍药 黄 (各三两)
上 咀每服五钱水二盏煎至一盏食后
六脉弦细而涩按之空虚其色必白而天不泽者脱血也此大寒证以辛温补血益血以甘温甘热
滑润之剂以佐之则愈此亡血亦伤精气
治鼻血久不止素有热而暴作者诸药无验神法以大纸一张作八折或十折于水内湿置顶中以
热熨斗熨至一重或二重纸干立止
丁未冬曹通甫自河南来有役人小翟露宿寒湿之地腰痛不能转侧两胁搐急作痛已经月余不
愈矣
腰痛论中说皆为足太阳足少阴血络中有凝血作痛间有一二证属少阳胆经外络脉病皆去血络之
凝乃愈其内经有云冬三月禁不得用针只宜服药通其经络破其血络中败血以此药主之
酒汉防己 防风(各三分) 炒神曲 独活(各五分) 川芎 柴胡 肉桂 当归梢 炙甘
草苍术(各一钱) 桃仁(五个去皮尖) 羌活(一钱五分)
上 咀都作一服好酒三大盏煎至一大盏去渣稍热食远服
治疗吐血。
甘草、苏木、陈皮(各五分),升麻、柴胡、苍术(各一钱),当归梢、熟地黄、白芍药、黄芪、人参(各二钱)。
以上药物捣成粗末,合并为一剂,加水两大盏,煎煮至一盏,滤去药渣,待药液稍温后,在饭前服用。
人参(补益上焦元气不足以充实肌表),麦冬(保护肺气,各三分),桂枝(用以补益表虚),当归身(调和血液、养血,各五分),甘草(补益脾胃之虚),麻黄(去除根和节),黄芪(固护肌表、增益卫气),白芍药(各一钱),五味子(五个,安定脉气)。
以上药物,先用水三盏单独煎煮麻黄,煮沸后撇去浮沫,煎至两盏时,加入其余药物共同煎煮至一盏,滤去药渣,热服。临睡前仅服一次即可痊愈,不再需要再次服药。
治疗鼻衄出血量多,面色萎黄,眼睛干涩且眼屎多,手足麻木。
葛根、羌活(各五钱),升麻(一两),炙甘草(二两),白芍药、黄芪(各三两)。
以上药物切碎,每次服用五钱,加水两盏,煎煮至一盏,饭后服用。
六脉弦细而涩,重按感觉空虚,面色苍白而无光泽,这是脱血证。此为大寒证,需用辛温补血、益血的药物,配合甘温、甘热、滑润的药剂来辅助治疗,即可痊愈。这种亡血的情况也会损伤精气。
治疗鼻血久治不愈,素体有热且突然发作,服用其他药物无效的神效方法:取一张大纸折叠八折或十折,在水中浸湿,敷贴于头顶正中部位,用热的熨斗熨烫,直到纸张变干,鼻血立即停止。
丁未年冬天,曹通甫从河南来,有一名差役小翟,因露宿在寒湿之地,导致腰痛不能转身侧卧,两胁抽搐急痛,已经一个多月未能痊愈。
《腰痛论》中说,腰痛多为足太阳经、足少阴经的血络中有瘀血阻滞所致疼痛;其中有一二例属于少阳胆经的外络脉病变,都是去除血络中的瘀血后痊愈。《内经》有云:“冬三月禁止使用针刺,只宜服药以疏通经络,破除血络中的败血。”以此方为主进行治疗。
酒制汉防己、防风(各三分),炒神曲、独活(各五分),川芎、柴胡、肉桂、当归梢、炙甘草、苍术(各一钱),桃仁(五个,去皮尖),羌活(一钱五分)。
以上药物切碎,合并为一剂,用好酒三大盏,煎煮至一大盏,滤去药渣,趁稍热时,在离进食较远的时间服用。
Treatment for hematemesis (vomiting blood).
Gancao (Radix Glycyrrhizae), Sumu (Lignum Sappan), Chenpi (Pericarpium Citri Reticulatae) (each 5 fen); Shengma (Rhizoma Cimicifugae), Chaihu (Radix Bupleuri), Cangzhu (Rhizoma Atractylodis Chinensis) (each 1 qian); Danggui Shao (Radix Angelicae Sinensis, caudex part), Shudihuang (Radix Rehmanniae Preparata), Baishao Yao (Radix Paeoniae Alba), Huangqi (Radix Astragali), Renshen (Radix Ginseng) (each 2 qian).
Crush the above herbs into coarse powder. Combine as one dose. Add two large liang of water, decoct until one liang remains. Strain and remove dregs. Take warm before meals.
Renshen (Tonifies deficiency of Yuan Qi in the Upper Jiao and consolidates the exterior); Maidong (Fructus Ophiopogonis) (Protects Lung Qi, each 3 fen); Guizhi Tang (Cinnamon Twig Decoction) - specifically Guizhi (Ramulus Cinnamomi) (Supplements deficiency of the exterior); Danggui Shen (Radix Angelicae Sinensis, body part) (Harmonizes and nourishes Blood, each 5 fen); Gancao (Radix Glycyrrhizae) (Tonifies deficiency of Spleen and Stomach); Mahuang (Herba Ephedrae) (remove roots and joints); Huangqi (Radix Astragali) (Consolidates the exterior and benefits Wei Qi); Baishao Yao (Radix Paeoniae Alba) (each 1 qian); Wuweizi (Fructus Schisandrae) (five fruits to calm the pulse qi).
Add three liang of water. First decoct Mahuang alone until boiling. Remove foam. Decoct until two liang remain. Add remaining herbs. Decoct together until one liang remains. Strain and remove dregs. Take hot. Take only one dose at bedtime; cure achieved immediately, no further doses needed.
Treatment for severe epistaxis (nosebleed) with excessive bleeding, sallow complexion, dry eyes with excessive discharge, and numbness of hands and feet.
Gegen (Radix Puerariae), Qianghuo (Rhizoma et Radix Notopterygii) (each 5 qian); Shengma (Rhizoma Cimicifugae) (1 liang); Zhigancao (Radix Glycyrrhizae Preparata) (2 liang); Baishao Yao (Radix Paeoniae Alba), Huangqi (Radix Astragali) (each 3 liang).
Cut the herbs into small pieces. Each dose is 5 qian. Add two liang of water, decoct until one liang remains. Take after meals.
The six pulses are wiry, fine, and choppy; pressing them feels empty. The complexion is white and lacks luster. This is a syndrome of blood loss (Tuo Xue). This is a severe cold syndrome. Treat with acrid-warm herbs to tonify and benefit Blood, assisted by sweet-warm, sweet-hot, and slippery/moistening agents. This will lead to recovery. Such loss of Blood also damages Essence and Qi.
For chronic epistaxis that does not stop, where there is inherent heat and sudden onset, and other medicines have failed: Use this divine method. Take one sheet of large paper, fold it eight or ten times. Wet it in water. Place it on the top center of the head. Iron it with a hot iron until the paper dries. The bleeding will stop immediately.
In the winter of Dingwei year, Cao Tongfu came from Henan. A runner named Xiao Zhai slept exposed in a cold and damp place, resulting in lower back pain unable to turn or lie sideways, and spasmodic pain in both hypochondria. This had persisted for over a month without healing.
The "Treatise on Lower Back Pain" states that lower back pain is mostly due to coagulated blood in the collaterals of the Foot-Taiyang and Foot-Shaoyin meridians causing pain. A few cases belong to diseases of the external collateral vessels of the Shaoyang Gallbladder Meridian. All are cured by removing the coagulated blood in the collaterals. The "Inner Canon" states: "During the three months of winter, acupuncture is prohibited; only medicine should be used to unblock the meridians and break down the stale blood in the collaterals." Use this prescription as the main treatment.
Jiu Hanfangji (Radix Stephaniae Tetrandrae, wine-processed), Fangfeng (Radix Saposhnikoviae) (each 3 fen); Chao Shenqu (Massa Medicata Fermentata, stir-fried), Duhuo (Radix et Rhizoma Notopterygii) (each 5 fen); Chuanxiong (Rhizoma Chuanxiong), Chaihu (Radix Bupleuri), Rougui (Cortex Cinnamomi), Danggui Shao (Radix Angelicae Sinensis, caudex part), Zhigancao (Radix Glycyrrhizae Preparata), Cangzhu (Rhizoma Atractylodis Chinensis) (each 1 qian); Taoren (Semen Persicae) (five seeds, remove skin and tips); Qianghuo (Rhizoma et Radix Notopterygii) (1 qian 5 fen).
Cut the herbs into small pieces. Combine as one dose. Add three large liang of good wine. Decoct until one liang remains. Strain and remove dregs. Take slightly hot, far from mealtime.