(巢氏曰∶肝藏血,心之液为汗,言心肝俱伤于邪,故血从肤腠而出也,名曰肌衄。)
黄 建中汤 治汗血出污衣,甚如坯染,皆由大喜伤心,喜则气散,血随气行故也。
体虚者宜服。(方见虚损门。)
妙香散 治汗血。(方见前。)一方用胎发烧灰,敷之止。
(与血淋参看。因房劳致伤,阴虚火动,荣血妄行故也,名曰胫衄。痛者为血淋,不痛者为溺血。
好色者属虚。)
发灰散 治男子小便血,女子转脬不溺,血淋。(方见淋门。)
酒蒸黄连丸 治小便血。(方见吐血条下。)
一方 治尿后有血。以干柿烧灰存性,为末,米饮调下。
一方 用生地黄汁,少入姜汁和匀服。
一方 地肢草捣汁服。
辰砂五苓散 以灯心煎汤调服。(方见伤寒门。)
丹溪云∶属热,用山栀炒,水煎服。或用小苏、琥珀,大治下焦血淋。
四物汤加牛膝、生地黄、小苏、滑石、通草、蒲黄、淡竹叶、藕节、川归、炒栀子、炙甘草煎服。
五苓散合四物汤煎服。或米饮调服。就调棕灰或发灰尤妙。茎中痛用甘草梢,及血药中少加地榆、陈皮、白芷、棕
灰。
衄痛用炒蒲黄,破故纸、古锻石为末调服。或单用蒲黄,葱汤调,或文蛤末灰入煎剂。大抵小便血则小肠膀胱气结,
车前子为末,车前草煎汤调服二钱效。
过欲阴虚者,用鹿茸丸、六味地黄丸。(并见虚损门。)
朱砂妙香散 玉屑膏 皆为要药。
玉屑膏 治尿血不止。久则属虚,宜服此。
人参 黄 (各等分,为末) 大萝卜切一指四五片,蜜淹少时,又蘸蜜,炙干为末,尽二两许,同参 末盐汤点
服。
四物玄明饮 治血尿不止,须臾一二碗。
四物汤加车前子、木通煎,调玄明粉二三钱,饥服一剂即止,后以八珍汤调理。
一方 治血尿不止。用八珍汤煎熟,加入玄明粉,并淹萝卜汁二杯,入汤内和匀,食前服即止。
小儿血尿 用甘草粉、升麻煎调辰砂、益元散极效。
小便出血条 用当归、白芷为末二钱,淡豆豉煎汤调服。
(巢元方说:肝贮藏血液,心的外液是汗。这句话的意思是心和肝都受到邪气损伤,所以血液从皮肤毛孔中渗出,这种病叫做肌衄。)
黄建中汤 治疗汗血流出弄脏衣服,严重得像坯布染色一样,这都是因为大喜伤心,喜则气机涣散,血液随着气机运行而妄行所致。
身体虚弱的人适宜服用。(方剂见虚损门。)
妙香散 治疗汗血。(方剂见前文。)另一方法是用胎发烧成炭灰,外敷以止血。
(此处应与血淋条参看。因房劳过度导致损伤,阴虚火旺,营血妄行所致,这种病叫做胫衄。疼痛的是血淋,不疼痛的是溺血。
好色之人多属虚证。)
发灰散 治疗男子小便出血,女子转脬不能排尿,以及血淋。(方剂见淋门。)
酒蒸黄连丸 治疗小便出血。(方剂见吐血条下。)
另一方 治疗尿后有血。将干柿烧成存性的炭灰,研为细末,用米饮调服。
朱丹溪说:此证属热,用炒山栀水煎服用。或者用小苏、琥珀,对下焦血淋有极大疗效。
四物汤加牛膝、生地黄、小苏、滑石、通草、蒲黄、淡竹叶、藕节、川归、炒栀子、炙甘草煎服。
五苓散合四物汤煎服。或者用米饮调服。若用棕灰或发灰调服尤为奇妙。茎中疼痛者用甘草梢,并在血药中少加地榆、陈皮、白芷、棕灰。
衄痛者用炒蒲黄、破故纸、古锻石研为细末调服。或者单用蒲黄,用葱汤调服,或者在煎剂中加入文蛤末灰。大抵小便出血则是小肠膀胱气机郁结,车前子研为细末,用车前草煎汤调服二钱有效。
人参、黄芪(各等分,研为细末),大萝卜切一指厚四五片,用蜜浸泡片刻,再蘸蜜,烤干后研为细末,共约二两,同参、芪末用盐汤点服。
四物汤加车前子、木通煎煮,调入玄明粉二三钱,空腹服用一剂即可停止,之后用八珍汤调理。
(Nichao Yuanfang stated: The Liver stores blood, and the fluid of the Heart is sweat. This means that when both the Heart and Liver are injured by pathogenic factors, blood emerges from the skin pores; this condition is named Ji Nu (Cutaneous Purpura).)
Huangjianzhong Tang (Yellow Middle-Building Decoction) treats sweating of blood that stains clothes, severe cases resembling dyeing on raw cloth. This is caused by excessive joy injuring the Heart; joy causes Qi to dissipate, and blood follows the movement of Qi.
It is suitable for those with weak constitutions. (Formula see Section on Deficiency and Damage.)
Miaoxiang San (Wonderful Fragrance Powder) treats sweating of blood. (Formula see above.) Another method uses burnt fetal hair ash applied externally to stop bleeding.
(Refer to this in conjunction with the section on Blood Lin Syndrome. It is caused by injury due to sexual excess, leading to Yin deficiency with hyperactive fire, causing Ying Blood to move recklessly; this condition is named Jing Nu (Shin Purpura). Painful urination is Blood Lin Syndrome; painless urination is Ni Xue (Blood in Urine). Those fond of sexual activity often have a deficiency pattern.)
Fahui San (Hair Ash Powder) treats hematuria in men, urinary retention due to bladder displacement (Zhuan Pao) in women, and Blood Lin Syndrome. (Formula see Section on Lin Syndrome.)
Jiu Zheng Huanglian Wan (Wine-Steamed Coptis Pill) treats hematuria. (Formula see under the section on Vomiting Blood.)
Another prescription treats blood appearing after urination. Burn dried persimmon until carbonized but retaining its nature, grind into powder, and take with rice water.
Another prescription uses juice of fresh Rehmanniae Radix (Sheng Dihuang), mixed with a small amount of ginger juice, and taken orally.
Another prescription uses juice of Dilucao (Plantago asiatica L. or similar herb), extracted by crushing, and taken orally.
Chensha Wuling San (Cinnabar Five-Ingredient Powder with Poria) is taken mixed with decoction of Jiedixin (Centella asiatica / Herb of Centella). (Formula see Section on Cold Damage.)
Zhu Danxi said: This pattern belongs to Heat. Use stir-fried Gardeniae Fructus (Shanzhi) decocted in water and taken orally. Alternatively, use Xiao Su (likely referring to a specific preparation or herb contextually linked to clearing heat/resolving phlegm, though WHO standard may vary, here kept as Xiao Su) and Hupo (Amber); these greatly treat Lower Jiao Blood Lin Syndrome.
Siwu Tang (Four Substances Decoction) combined with Niuxi (Achyranthis Bidentatae Radix), Shengdihuang (Rehmanniae Radix Recens), Xiao Su, Huashi (Talcum), Tongcao (Tetrapanacis Medulla), Puhuang (Typhae Pollen), Danyezhu Ye (Bambusae Folium), Ou Jie (Nelumbinis Node), Chuan Gui (Angelicae Sinensis Radix), Chao Zhizi (Stir-fried Gardeniae Fructus), and Zhi Gancao (Prepared Licorice Root) is decocted and taken orally.
Wuling San (Five-Ingredient Powder with Poria) combined with Siwu Tang (Four Substances Decoction) is decocted and taken orally. Alternatively, taken mixed with rice water. Mixing with Brown Ash or Hair Ash is particularly excellent. For pain in the urethra, use Gancao Shao (Licorice Root Tip), and add slightly Diyü (Sanguisorbae Radix), Chenpi (Citri Reticulatae Pericarpium), Baizhi (Angelicae Dahuricae Radix), and Brown Ash to the blood-stopping herbs.
For purpuric pain, use Chao Puhuang (Stir-fried Typhae Pollen), Pogostemonis Herba (Poguozhi), and Gu Duanshi (Ancient Smelted Lime) ground into powder and taken orally. Or use Puhuang alone, mixed with Scallion Juice, or add Wen Ge Mo Hui (Clam Shell Ash) to the decoction. Generally, hematuria indicates Qi stagnation in the Small Intestine and Bladder. Cheqianzi (Plantaginis Semen) ground into powder, taken with decoction of Cheqiancao (Plantaginis Herba) two qian is effective.
For those with Yin deficiency due to excessive sexual activity, use Lurong Wan (Deer Antler Pill) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). (Both see Section on Deficiency and Damage.)
Zhusha Miaoxiang San (Cinnabar Wonderful Fragrance Powder) and Yuxie Gao (Jade Dust Ointment/Paste) are important medicines.
Yuxie Gao (Jade Dust Paste) treats persistent hematuria. Long-standing cases belong to deficiency; this medicine is suitable.
Renshen (Ginseng Radix) and Huangqi (Astragali Radix) (equal parts, ground into powder). Cut large radish into slices about one finger thick, four to five slices. Soak briefly in honey, dip again in honey, bake dry, then grind into powder. Total approximately two liang. Take together with Ginseng and Astragalus powder using salt water.
Siwu Xuanming Yin (Four Substances Xuanming Drink) treats persistent hematuria, requiring one to two bowls at a time.
Decoct Siwu Tang (Four Substances Decoction) with Cheqianzi (Plantaginis Semen) and Mutong (Akebiae Caulis). Mix in Xuanmingfen (Mirabilite) two to three qian. Take on an empty stomach; one dose stops it. Afterwards, regulate with Bazhen Tang (Eight-Treasure Decoction).
Another prescription treats persistent hematuria. Decoct Bazhen Tang (Eight-Treasure Decoction), add Xuanmingfen (Mirabilite), and mix with two cups of pickled radish juice. Take before meals to stop bleeding.
Pediatric Hematuria: Use Gancao Fen (Licorice Powder) and Shengma (Cimicifugae Rhizoma) decocted to mix with Zhensha (Cinnabar) and Yi Yuan San (Benefit Origin Powder); extremely effective.
Small Intestine Bleeding Section: Use Danggui (Angelicae Sinensis Radix) and Baizhi (Angelicae Dahuricae Radix) ground into powder (two qian), taken with decoction of Danshidouchi (Fermented Soybean).