夫时气衄血者。由五脏热结所为。心主于血。邪热中于手少阴之经。客于足阳明之络。
故衄血也。衄者。血从鼻中出也。
治时气鼻衄。烦躁不止。头痛气逆。宜服石膏饮子方。
石膏(二两捣碎) 甘草(半两炙微赤锉) 赤芍药(一两) 黄芩(一两) 柴胡(一
两去苗)
桂心(半两) 生地黄(三两) 竹茹(二两)
上件药。细锉和匀。每服半两。先以水一大盏半。浸伏龙肝二两。澄取清一大盏。煎至
五分。去滓。不计时候。温服。
治时气心腹中热。鼻衄不止方。
胡粉(炒令黑细研) 干姜(炮裂杵为末) 乱发灰(细研) 釜底墨(细研) 伏龙
(细研)
上件药。但得一味。吹于鼻中便止。若各吹一大豆许。更效。
治时气鼻衄。心膈躁闷。面赤目黄。起卧不定方。
乌贼鱼骨(二两) 刺蓟(二两) 蒲黄(二两)
上件药。捣细罗为散。每服不计时候。以冷粥饮。调下二钱。频服。以定为度。
治时气鼻衄。诸药无效者。宜服此方。
白马通(七枚绞取浓汁) 阿胶(半两杵碎炒令黄燥为末)
上件药。相和熟搅。以滴鼻中。仍用新汲水微浸足。即止。
治时气鼻衄。日夜不止。面色如金黄方。
上取韭根一握。捣取汁。 中盛。以索悬于井中。浸良久。急取出。滴二七滴于鼻中。
即止。
治时气鼻衄不止方。
上以郁金捣罗为末。每服不计时候。以冷水调下二钱。以定为度。
又方。
熟艾(一鸡子大) 牛皮胶(一片如手大杵碎炒令黄燥)
上件药。以豉汁二大盏。煎取一大盏。去滓。分温二服。
时气病出现鼻出血的症状,是由于五脏热邪郁结所致。心主司血液运行,邪热侵入手少阴心经,并客居于足阳明胃经的络脉,从而导致鼻出血。所谓“衄”,是指血液从鼻腔流出。
治疗时气病引起的鼻出血,伴有烦躁不安且不止,头痛,气机上逆等症状,适宜服用石膏饮子方。
药材及用量:石膏(二两,捣碎)、甘草(半两,炙至微红后锉碎)、赤芍药(一两)、黄芩(一两)、柴胡(一两,去苗)、桂心(半两)、生地黄(三两)、竹茹(二两)。
制法与用法:将上述药物细切并混合均匀。每次服用半两。先取一大盏半水,浸泡伏龙肝二两,澄清后取清液一大盏,煎煮至剩余五分之一的量,滤去药渣。不分具体时间,温服。
治疗时气病导致的心腹中热、鼻出血不止的方剂。
药材:胡粉(炒至黑细并研碎)、干姜(炮裂后杵成粉末)、乱发灰(细研)、釜底墨(细研)、伏龙肝(细研)。
制法与用法:上述药物只要有一种即可,将其吹入鼻腔中即可止血。如果每种都吹入如大豆大小的量,效果更佳。
治疗时气病引起鼻出血,伴有心胸膈部躁动烦闷,面色发红,眼睛发黄,坐卧不宁等症状的方剂。
药材:乌贼鱼骨(二两)、刺蓟(二两)、蒲黄(二两)。
制法与用法:将上述药物捣碎过细罗成为散剂。每次服用不拘时间,用冷米汤送服二钱,频繁服用,以症状停止为度。
治疗时气病鼻出血,其他药物无效的情况,适宜服用此方。
药材:白马通(即白马粪,七枚,绞取浓汁)、阿胶(半两,捣碎炒至黄色干燥后研末)。
制法与用法:将上述药物混合均匀搅拌,滴入鼻腔中。同时用新汲井水轻微浸泡双脚,出血即可停止。
治疗时气病鼻出血,日夜不止,面色呈现如黄金般的黄色的方剂。
制法与用法:取一把韭菜根,捣烂取汁。在盛夏时节,用绳子系住浸在井水中,浸泡较长时间后迅速取出,向鼻腔内滴入十四滴,出血即可停止。
治疗时气病鼻出血不止的方剂。
制法与用法:取郁金捣碎过罗成为粉末。每次服用不拘时间,用冷水调服二钱,以症状停止为度。
又一方。
药材:熟艾(如鸡蛋大小)、牛皮胶(一片如手掌大,捣碎炒至黄色干燥)。
制法与用法:用豆豉汁两大盏,煎煮取一大盏,滤去药渣。分两次温服。
Epistaxis (nosebleed) occurring in the context of seasonal pathogens is caused by the accumulation of heat in the five zang organs. The Heart governs blood. When pathogenic heat invades the Hand-Shaoyin (Heart) meridian and lodges in the collaterals of the Foot-Yangming (Stomach) meridian, epistaxis occurs. "Nu" refers to bleeding from the nose.
For treating epistaxis due to seasonal pathogens, accompanied by incessant restlessness, headache, and rebellious qi, the Shigao Yinzi (Gypsum Decoction) is indicated.
Ingredients: Shigao (Gypsum Fibrosum, 2 liang, crushed), Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red and cut), Chishao Yao (Red Peony Root, 1 liang), Huangqin (Scutellaria Root, 1 liang), Chai Hu (Bupleurum Root, 1 liang, with sprouts removed), Guixin (Cinnamon Twig, 0.5 liang), Sheng Di Huang (Rehmannia Root, 3 liang), Zhu Ru (Bamboo Shavings, 2 liang).
Preparation and Administration: Finely cut and mix the above ingredients evenly. Take 0.5 liang per dose. First, soak 2 liang of Fulonggan (Hearth Earth) in 1.5 large bowls of water, clarify, and take 1 large bowl of the clear liquid. Decoct until one-fifth remains, strain, and take warm at any time.
A formula for treating heat in the heart and abdomen due to seasonal pathogens with incessant epistaxis.
Ingredients: Hufen (Lead Carbonate, fried until black and fine, ground), Gan Jiang (Dried Ginger, processed until cracked, pounded into powder), Luang Fa Hui (Ash of Tangled Hair, finely ground), Fudi Mo (Soot from the Cauldron Bottom, finely ground), Fulonggan (Hearth Earth, finely ground).
Preparation and Administration: Any one of the above ingredients may be used. Blow it into the nasal cavity to stop bleeding. If each ingredient is blown in an amount equivalent to a soybean, the effect is even better.
A formula for treating epistaxis due to seasonal pathogens, accompanied by restlessness and oppression in the chest and diaphragm, flushed face, yellow eyes, and inability to sit or lie still.
Ingredients: Wuzhou Yu Gu (Cuttlefish Bone, 2 liang), Ciji (Acanthopanacis Tricnophylli Radix, 2 liang), Puhuang (Pollen Typhae, 2 liang).
Preparation and Administration: Pound the above ingredients finely and sieve them into a powder. Take 2 qian per dose at any time, mixed with cold rice decoction. Administer frequently until symptoms cease.
For cases of epistaxis due to seasonal pathogens where other medicines have been ineffective, this formula is suitable.
Ingredients: Baima Tong (White Horse Dung, 7 pieces, squeezed to obtain thick juice), Ejiao (Donkey-Hide Glue, 0.5 liang, crushed and fried until yellow and dry, then powdered).
Preparation and Administration: Mix the above ingredients thoroughly and stir well. Drip into the nasal cavity. Simultaneously, soak the feet slightly in fresh well water; the bleeding will stop.
A formula for treating epistaxis due to seasonal pathogens that persists day and night, with the face appearing golden-yellow.
Preparation and Administration: Take a handful of Jiu Gen (Allium Tuberosum Root), pound and extract the juice. In midsummer, suspend it in a well using a rope, let it soak for a long time, then quickly remove it. Drip 14 drops into the nasal cavity; the bleeding will stop.
A formula for treating incessant epistaxis due to seasonal pathogens.
Preparation and Administration: Take Yujin (Curcuma Longa Rhizome), pound and sieve it into a powder. Take 2 qian per dose at any time, mixed with cold water. Continue until symptoms cease.
Another formula.
Ingredients: Shu Ai (Processed Mugwort Leaf, size of a chicken egg), Niupijiao (Ox Hide Glue, a piece the size of a hand, crushed and fried until yellow and dry).
Preparation and Administration: Decoct in 2 large bowls of Dou Chi Jiang (Fermented Soybean Juice) to obtain 1 large bowl. Strain and divide into two warm doses.