咳血者,宜此一物饮之。
褚澄,齐之圣医也。其《遗书》曰∶咳血不易医,喉不容物,毫发必咳,血渗入喉,愈
渗愈咳,愈咳愈渗,饮溲溺则百不一死,服寒凉则百不一生。吾于是乎师其言矣。
青黛(一钱) 杏仁(四十枚,去皮尖)
以黄 煎汤炒黄色,二味研作饼子,入柿饼内,湿纸包煨,连柿饼研细,米饮调服。
咯血者,此方主之。
咯血者,咯而出血,责之脾胃也。青黛去土中之火,杏仁利中宫之气。气利火去则不咯
,不咯则不血矣。
荷叶(不拘多少,焙干为末)
咯血,此方亦良。
气分有火,则令人咯,久久咯之,则动其血。褚氏曰∶血虽阴类,运之者其和阳乎!荷
叶有仰盂之形,得震卦之象,有轻香之气,得清和之体,故能和阳定咯而运血。
黄柏(一物,炒褐色作丸)
呕血者,此方主之。
呕与咯不同,声出于上焦为咯,重而短也。声出于下焦为呕,浊而长也。黄柏苦而润
,苦故能泻火,润故能就下也。
侧柏叶一味,为末。
米饮调下三钱。
此亦治呕血之方也。
侧,阴象也。柏,遇寒而不凋,得阴气之最浓也,故能入阴而泻呕逆之火。然其性微香
,则其妙又能和阳,而不偏于阴矣。此其所以为良也。
咳血者,适宜饮用这一味药。
褚澄是南齐时期的圣明医生。他的《遗书》中说:咳血是不容易治疗的病,咽喉部位不能容纳异物,稍有刺激就会引发咳嗽;血液渗入咽喉,越渗越咳,越咳越渗,此时若饮用人尿则百人中难得一人死亡,若服用寒凉药物则百人中没有能存活的。我因此效法他的言论。
青黛(一钱) 杏仁(四十枚,去皮和尖)
用黄酒煎汤炒至黄色,将这两味药研成饼状,放入柿饼内,用湿纸包裹后煨熟,连同柿饼一起研细,用米汤调服。
咯血者,此方为主治方。
咯血,是指咯吐出血,责之于脾胃。青黛能清除土中之火,杏仁能疏通中宫之气。气机通畅、火热消退则不再咯血,不再咯血则不出血了。
荷叶(不拘多少,焙干研为粉末)
咯血,此方也良好。
气分有火,会导致人咯血,久久咯血不止,则会扰动血液。褚氏说:血虽然属于阴类,但推动它运行的难道是温和的阳气吗!荷叶具有向上仰盂的形状,符合震卦的形象,具有轻清芳香的气味,具备清和的本质,所以能够调和阳气、安定咯血并运行血液。
黄柏(单味药,炒至褐色制成丸剂)
呕血者,此方为主治方。
呕与咯不同,声音出于上焦称为咯,声音沉重而短促。声音出于下焦称为呕,声音浑浊而悠长。黄柏苦而滋润,苦故能泻火,滋润故能引药下行。
侧柏叶一味,研为粉末。
用米汤调服三钱。
这也是治疗呕血的方子。
“侧”象征阴象。“柏”,遇寒而不凋谢,得到最浓郁的阴气,所以能入阴分而泻除呕逆之火。然而它的性质微香,其妙处又能调和阳气,而不偏于阴。这就是它良好的原因。
For hemoptysis (coughing up blood), it is appropriate to drink this single substance.
Chu Cheng was a sage physician of the Qi dynasty. In his "Remnant Writings," he stated: Hemoptysis is difficult to treat; the throat cannot tolerate foreign matter, and even the slightest irritation will induce coughing. When blood seeps into the throat, the more it seeps, the more one coughs; the more one coughs, the more it seeps. Drinking urine results in less than one death per hundred, whereas taking cold-natured medicines results in no survivors out of a hundred. I therefore follow his words.
Qingdai (Indigo Naturalis) (1 qian) Xingren (Apricot Seed) (40 seeds, skin and tips removed)
Stir-fry with Huangjiu (Yellow Wine) decoction until yellow. Grind these two substances into cake-like shapes, place them inside persimmon cakes, wrap in wet paper, and bake/roast. Grind finely together with the persimmon cakes, and take with rice water.
This formula is indicated for hematemesis due to lung issues (spitting up blood).
Spitting up blood (hemoptysis/lung bleeding) involves spitting out blood and is attributed to the Spleen and Stomach. Qingdai clears fire from the earth element; Xingren promotes the movement of qi in the central palace. When qi moves smoothly and fire is cleared, there is no spitting; when there is no spitting, there is no bleeding.
Heye (Lotus Leaf) (as needed, dried by roasting and ground into powder)
For spitting up blood, this formula is also effective.
When there is fire in the qi level, it causes people to spit blood; prolonged spitting disturbs the blood. Master Chu said: Although blood belongs to yin, what moves it is likely harmonious yang! Lotus leaf has the shape of an upward-facing cup, corresponds to the Zhen trigram, possesses a light and fragrant aroma, and embodies a clear and harmonious nature. Therefore, it can harmonize yang, stabilize spitting, and move blood.
Huangbai (Phellodendri Cortex) (single substance, stir-fried until brown and made into pills)
This formula is indicated for vomiting blood (hematemesis).
Vomiting (ou) differs from spitting (ke). Sound originating from the upper jiao is called ke; it is heavy and short. Sound originating from the lower jiao is called ou; it is turbid and long. Huangbai is bitter and moistening. Bitterness allows it to drain fire; moistening allows it to descend.
Cebaiye (Biota Tops) (single substance, ground into powder)
Take 3 qian mixed with rice water.
This is also a formula for treating vomiting blood.
"Ce" (side) symbolizes yin. "Bai" (biota), does not wither when encountering cold, obtaining the most concentrated yin qi. Thus, it enters the yin level and drains the fire of rebellious vomiting. However, its nature is slightly fragrant, so its subtlety lies in harmonizing yang without bias toward yin. This is why it is excellent.
Yaxuan refers to bleeding from the tooth roots, caused by heat from rich and sweet foods. Usually, after the evening meal, rinsing the mouth with tea cleanses it, and the illness heals.