论曰血与气相随而行,外养肌肉,内荣脏腑,劳伤腑脏,则血液妄行,损轻则随唾而出,
损极则血下于胃,因呕而出,胸膈气逆,甚乃吐血,此盖虚劳之人,脏气内伤故也。
治虚劳不足,内伤呕血吐血,麦门冬汤方
麦门冬(去心焙三两) 桂(去粗皮) 干姜(炮裂各半两) 甘草(炙锉) 阿胶(炙
令燥)
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,空心日午夜卧,各一
服。
治虚劳内伤,寒热咳逆,呕血吐血,坚中汤方
芍药 半夏(汤洗去滑姜汁炒各三两) 甘草(炙) 桂(去粗皮各二两)
上四味, 咀如麻豆,每服三钱匕,水一盏半,入生姜半分拍碎,枣二枚劈,煎至七分。
去滓入饴糖一分,再煎令沸,空腹温服,食后再服。
治虚劳咳嗽唾血,知母散方
知母 白芷 半夏(汤浸洗七遍切入生姜半两同捣作末曝干) 杏仁(去皮尖双仁用栝
蒌
上八味,捣罗为散,每服一钱匕,食后临卧糯米饮调下。
治虚劳吐血,胸膈烦满,柴胡丸方
柴胡(去苗一两) 贝母(去心) 知母(焙) 麦门冬(去心焙) 芎 款冬花(各
半两)
上七味,捣罗为末,童子小便五盏,入药在内,慢火熬,柳枝搅成煎,放冷候可丸,即
丸小弹子大,每服一丸,人参汤化下,不计时候。
治虚劳内伤吐血,香胶散方
鹿角胶 阿胶 槐实 人参 黄药(去皮面炒黄) 荷叶(生) 蒲黄(生各一两)
上七味,将鹿角胶阿胶槐实三味,同糯米一合,炒胶令燥,与余四味为散研匀,每服一
钱匕,藕汁调下,日三服食后。
治虚劳喘急咳嗽,吐血咯血,定喘,七宝丸方
卢会 柏子仁 茯神(去木) 款冬花 麦门冬(去心焙) 知母(各一两) 生干地
黄(焙半两)
上七味,捣罗为末,炼蜜为丸,如弹丸大,每服一丸,河水一盏,入生姜少许,煎至六
分,和滓温服,不拘时。
治虚劳咳嗽咯血,日渐瘦劣,声音不出,葶苈汤方
葶苈(隔纸炒) 杏仁(去皮尖双仁麸炒) 贝母(去心) 百合 麦门冬(去心) 生
干地黄
上六味等分,粗捣筛,每服三钱匕,水一盏,入皂荚子二七枚,同煎至五分,去滓稍热
服,空心夜卧服。
治虚劳吐血,咳嗽烦满,当归散方
当归(切焙) 甘草(炙锉各二两) 人参 生干地黄(半斤以生姜半斤取汁浸一宿切
焙)
上六味,捣罗为散,每服二钱至三钱匕,米饮调下,不拘时。
治肺劳吐血,人参散方
人参(半两) 黄蜀葵花(一两)
上二味,捣罗为散,每服一钱匕,糯米饮调下,食后服。
治虚劳咯血吐血不止,独圣散方
枫香脂(不计多少)
上一味细研为散,每服一钱匕,煎人参糯米饮调下,不计时候。
治虚劳吐血不止,箬叶散方
箬叶(不计多少烧灰研一两) 麝香(一钱研)
上二味研匀,每服一钱匕。煎阿胶人参汤调下,食后临卧服。
治丈夫妇人虚劳咳嗽,兼咯血吐血等疾,知母汤方
知母(焙) 贝母(去心) 百合 半夏(汤洗去滑生姜汁制炒干) 防己 枇杷叶(去
毛焙
两)
上一十味,粗捣筛,每服三钱匕,水一盏,入红绵子少许,乌梅三枚,煎至半盏。去滓
温服。
论述说:血与气相互伴随而行,在外滋养肌肉,在内荣养脏腑。如果劳损伤及脏腑,就会导致血液妄行。损伤较轻时,血液随唾液而出;损伤极重时,血液下行至胃,因呕吐而排出。此时胸膈之气上逆,严重时会吐血,这大概是虚劳之人,内脏之气内伤的缘故。
治疗虚劳不足,内伤导致的呕血、吐血,麦门冬汤方:
麦门冬(去除心部,焙干三两) 桂枝(去除粗皮) 干姜(炮制裂开,各半两) 甘草(炙烤后锉碎) 阿胶(炙烤至干燥)
以上七味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至一盏,去渣温服,空腹时、半夜和睡前,各服一次。
治疗虚劳内伤,寒热往来、咳嗽气逆、呕血、吐血,坚中汤方:
芍药 半夏(用汤洗去滑腻,姜汁炒,各三两) 甘草(炙烤) 桂枝(去除粗皮,各二两)
以上四味药,切碎如麻豆大小,每次服用三钱匕,用水一盏半,加入生姜半分拍碎,大枣两枚劈开,煎煮至七分。去渣后加入饴糖一份,再次煎沸,空腹温服,饭后再服。
治疗虚劳咳嗽唾血,知母散方:
知母 白芷 半夏(用汤浸泡清洗七遍,切入生姜半两同捣成末,晒干) 杏仁(去皮尖,双仁使用,栝楼... [原文此处似有缺漏或排版错误,依文意理解为药材组合])
以上八味药,捣碎过筛为散剂,每次服用一钱匕,饭后临睡前用糯米饮调服。
治疗虚劳吐血,胸膈烦闷胀满,柴胡丸方:
柴胡(去除苗茎一两) 贝母(去除心部) 知母(焙干) 麦门冬(去除心部焙干) 川芎 款冬花(各半两)
以上七味药,捣碎过筛为末,取童子小便五盏,将药放入其中,用慢火熬制,用柳枝搅拌成煎膏,放冷后等待可以制丸时,即制成小弹子大小的丸药,每次服用一丸,用人参汤化开送下,不限时间。
治疗虚劳内伤吐血,香胶散方:
鹿角胶 阿胶 槐实 人参 黄药(去除皮面炒黄) 荷叶(生用) 蒲黄(生用,各一两)
以上七味药,将鹿角胶、阿胶、槐实三味药,同糯米一合,炒胶使其干燥,与其他四味药混合研匀为散剂,每次服用一钱匕,用藕汁调服,每日三次,饭后服用。
治疗虚劳喘急咳嗽,吐血咯血,定喘,七宝丸方:
芦荟 柏子仁 茯神(去除木质) 款冬花 麦门冬(去除心部焙干) 知母(各一两) 生干地黄(焙干半两)
以上七味药,捣碎过筛为末,用炼蜜制成丸药,如弹丸大小,每次服用一丸,用河水一盏,加入少许生姜,煎煮至六分,连同药渣一起温服,不限时间。
治疗虚劳咳嗽咯血,日渐消瘦衰弱,声音不出,葶苈汤方:
葶苈子(隔纸炒) 杏仁(去皮尖双仁,麸炒) 贝母(去除心部) 百合 麦门冬(去除心部) 生干地黄
以上六味药等量分配,粗捣筛过,每次服用三钱匕,用水一盏,加入皂荚子十四枚,同煎至五分,去渣稍热服,空腹和睡前服用。
治疗虚劳吐血,咳嗽烦闷胀满,当归散方:
当归(切后焙干) 甘草(炙烤锉碎,各二两) 人参 生干地黄(半斤,用生姜半斤取汁浸泡一夜,切后焙干)
以上六味药,捣碎过筛为散剂,每次服用二钱至三钱匕,用米饮调服,不限时间。
治疗肺劳吐血,人参散方:
人参(半两) 黄蜀葵花(一两)
以上两味药,捣碎过筛为散剂,每次服用一钱匕,用糯米饮调服,饭后服用。
治疗虚劳咯血吐血不止,独圣散方:
枫香脂(数量不限)
以上一味药细研为散剂,每次服用一钱匕,煎煮人参糯米饮调服,不限时间。
治疗虚劳吐血不止,箬叶散方:
箬叶(数量不限,烧成灰研细一两) 麝香(一钱,研细)
以上两味药研匀,每次服用一钱匕。煎煮阿胶人参汤调服,饭后临睡前服用。
治疗男子妇人虚劳咳嗽,兼咯血吐血等疾病,知母汤方:
知母(焙干) 贝母(去除心部) 百合 半夏(用汤洗去滑腻,生姜汁制炒干) 防己 枇杷叶(去除毛焙干,两... [原文此处似有缺漏,依文意理解为剂量单位])
以上十味药,粗捣筛过,每次服用三钱匕,用水一盏,加入红绵子少许,乌梅三枚,煎煮至半盏。去渣温服。
It is stated that blood and qi follow each other in circulation, nourishing muscles externally and enriching the zang-fu organs internally. If labor and injury damage the zang-fu organs, blood will flow recklessly. If the damage is slight, blood will emerge with saliva; if the damage is extreme, blood will descend into the stomach and be expelled through vomiting. At this time, qi in the chest and diaphragm rebels upward, and in severe cases, hematemesis occurs. This is generally due to internal injury of the visceral qi in individuals with consumptive disease (Xu Lao).
For treating insufficiency of consumptive disease, internal injury leading to hematemesis and spitting blood, the Ophiopogon Decoction formula:
Ophiopogonis Radix (remove heart, roasted, 3 liang) Cinnamomi Ramulus (remove coarse bark) Zingiberis Rhizoma Preparatum (pao until cracked, half liang each) Glycyrrhizae Radix et Rhizoma (roasted and chopped) Coagulum Sanguinis Bovis (roasted until dry)
The above seven ingredients are coarsely pounded and sieved. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm. Take one dose on an empty stomach, at midnight, and before sleep.
For treating consumptive disease with internal injury, alternating cold and heat, cough with rebellious qi, hematemesis, and spitting blood, the Jianzhong Decoction formula:
Paeoniae Radix Alba Poria Cocos (remove woody part) Stemonae Radix (boil in water, wash away slipperiness, stir-fry with ginger juice, 3 liang each) Glycyrrhizae Radix et Rhizoma (roasted) Cinnamomi Ramulus (remove coarse bark, 2 liang each)
The above four ingredients are chopped like hemp or soybeans. Each dose consists of 3 qian bi, boiled in 1.5 sheng of water with half a qian of crushed fresh ginger and two split jujubes. Boil until reduced to 70%. Strain, add malt sugar, boil again until boiling. Take warm on an empty stomach, and take another dose after meals.
For treating consumptive disease with cough and spitting blood, the Anemarrhenae Powder formula:
Anemarrhenae Rhizoma Angelicae Dahuricae Pinelliae Rhizoma (soak in water, wash seven times, cut with half a liang of fresh ginger, pound together into powder, sun-dry) Armeniacae Semen Amarum (remove skin and tip, use double kernels, Trichosanthis Fructus...)
The above eight ingredients are pounded and sieved into a powder. Each dose consists of 1 qian bi, taken after meals and before sleep, mixed with rice gruel.
For treating consumptive disease with hematemesis, chest and diaphragm fullness and oppression, the Bupleuri Pill formula:
Bupleuri Radix (remove seedlings, 1 liang) Fritillariae Bulbus (remove heart) Anemarrhenae Rhizoma (roasted) Ophiopogonis Radix (remove heart, roasted) Chuanxiong Rhizome Todaliae Flos (half liang each)
The above seven ingredients are pounded and sieved into powder. Add five sheng of urine from a healthy boy, place the medicine inside, simmer over low heat, stir with a willow branch until it becomes a paste. Let cool, wait until it can be formed into pills, then make them small as bullet seeds. Take one pill each time, dissolved in Ginseng decoction, at any time.
For treating consumptive disease with internal injury and hematemesis, the Xiangjiao Powder formula:
Cervi Cornus Colla Asini Corii Colla Fructus Sophorae Ginseng Radix et Rhizoma (remove skin and surface, stir-fry until yellow) Nelumbinis Folium (raw) Porphyrhyllidis Spora (raw, 1 liang each)
The above seven ingredients: take Cervi Cornus Colla, Asini Corii Colla, and Fructus Sophorae, stir-fry with one he of glutinous rice until the glue is dry. Mix evenly with the remaining four ingredients to form a powder. Take 1 qian bi each time, mixed with lotus root juice. Take three times a day after meals.
For treating consumptive disease with panting, urgent cough, hematemesis, hemoptysis, and asthma, the Qibao Pill formula:
Aloe Jujubae Semen Platycodonis Radix (remove woody part) Todoliae Flos Ophiopogonis Radix (remove heart, roasted) Anemarrhenae Rhizoma (1 liang each) Rehmanniae Radix Preparata (roasted, half liang)
The above seven ingredients are pounded and sieved into powder. Form pills with refined honey, size of bullet seeds. Take one pill each time, boiled in one sheng of river water with a little fresh ginger until reduced to 60%. Take warm with the dregs, at any time.
For treating consumptive disease with cough, hemoptysis, gradual emaciation, and loss of voice, the Descurainiae Seed Decoction formula:
Descurainiae Semen (stir-fry between papers) Armeniacae Semen Amarum (remove skin and tip, stir-fry with bran, double kernels) Fritillariae Bulbus (remove heart) Lilii Bulbus Ophiopogonis Radix (remove heart) Rehmanniae Radix Preparata
The above six ingredients are equal parts, coarsely pounded and sieved. Take 3 qian bi each time, boiled in one sheng of water with fourteen Gleditsiae Sinensis Spina. Boil until reduced to 40%. Strain and take slightly warm on an empty stomach and before sleep.
For treating consumptive disease with hematemesis, cough, and chest fullness, the Angelicae Sinensis Powder formula:
Angelicae Sinensis Radix (cut and roast) Glycyrrhizae Radix et Rhizoma (roast and chop, 2 liang each) Ginseng Radix et Rhizoma Rehmanniae Radix Preparata (8 liang, soak overnight in juice extracted from 8 liang of fresh ginger, cut and roast)
The above six ingredients are pounded and sieved into powder. Take 2 to 3 qian bi each time, mixed with rice drink, at any time.
For treating lung consumption with hematemesis, the Ginseng Powder formula:
Ginseng Radix et Rhizoma (half liang) Hibisci Mutabilis Flos (1 liang)
The above two ingredients are pounded and sieved into powder. Take 1 qian bi each time, mixed with glutinous rice drink, after meals.
For treating consumptive disease with continuous hemoptysis and hematemesis, the Dusheng Powder formula:
Liquidambaris Resina (quantity not specified)
The above single ingredient is finely ground into powder. Take 1 qian bi each time, mixed with Ginseng and glutinous rice decoction, at any time.
For treating consumptive disease with continuous hematemesis, the Ruoye Powder formula:
Indofoli Leaf (quantity not specified, burn to ash, grind to 1 liang) Moschus (1 qian, grind)
The above two ingredients are mixed evenly. Take 1 qian bi each time, mixed with Asini Corii Colla and Ginseng decoction, after meals and before sleep.
For treating men and women with consumptive disease cough, accompanied by hemoptysis and hematemesis, the Anemarrhenae Decoction formula:
Anemarrhenae Rhizoma (roasted) Fritillariae Bulbus (remove heart) Lilii Bulbus Pinelliae Rhizoma (wash in water to remove slipperiness, process with ginger juice, stir-fry dry) Podocarpodendron Cortex Eriobotryae Folium (remove hairs, roast, 2 liang...)
The above ten ingredients are coarsely pounded and sieved. Take 3 qian bi each time, boiled in one sheng of water with a little Hongmianzi and three dark plums. Boil until reduced to half a sheng. Strain and take warm.