(咳血出于肺,嗽血出于脾,咯血出于心,唾血出于肾。有火郁,有虚劳)
【火郁】麦门冬 片黄芩 桔梗 生地黄 金丝草 茅根 贝母 姜黄 牡丹
皮芎 白芍药 大青 香附子 茜根 丹参 知母 荷叶(末。) 藕汁 桃仁
柿霜 干柿(入脾肺,消宿血、咯血、痰涎血。) 杏仁(肺热咳血,同青黛、黄蜡
作饼,干柿夹煨,日食。) 水苏(研末饮服。) 紫菀(同五味子蜜丸服。并治吐血
后咳。) 白前
桔煎服。) 蒲黄 桑白皮 茯神 柳絮(末。) 韭(汁,和童尿。) 生姜(蘸百草霜。
)黄柏 槐花(末服。) 槲若(水煎。) 发灰 童尿(并主咳咯唾血。) 栀子(炒焦,
清胃脘血。) 诃子(火郁嗽血。)
【虚劳】人参 地黄 百合 紫菀 白芨 黄 五味子 阿胶 白胶 酥酪 黄明
胶(肺损嗽血,炙研汤服。) 猪胰(一切肺病,咳唾脓血。) 猪肺(肺虚咳血,蘸薏苡仁
末食。) 猪心(心
(有气虚,血虚,风热,湿热)
【气虚】黄 (泄邪火,益元气,实皮毛。) 人参(一切虚汗。同当归、猪肾煮食,
止
怔忡自汗。) 白术(末服,或同小麦煎服,止自汗。同黄 、石斛、牡蛎末服,主脾虚自
汗。) 麻黄根(止
附子(亡阳自汗。) 艾叶(盗汗,同茯神、乌梅煎服。) 何首乌(贴脐。) 郁金(涂乳。)
粳米粉(外扑。) 麻勃(中风汗出。) 糯米(同麦麸炒,末服。) 韭根(四十九根煎服,
止盗汗。) 〔果木〕酸枣仁(睡中汗出,同参、苓末服。) 茯神(虚汗盗汗,乌梅汤服
。血虚心头出汗,艾汤调服。) 柏实(养心止汗。) 桂(主表虚自汗。) 杜仲(产后虚
汗,同牡蛎服。) 吴茱萸(产后盗汗恶寒。) 雷丸(同胡粉扑。) 〔虫兽〕五倍子(同
荞
麦粉作饼,煨食,仍以唾和填脐中。) 牡蛎粉(气虚盗汗,同杜仲酒服;虚劳盗汗,同黄
、麻黄根煎服;产后盗汗,麸炒研,猪肉汁服;阴汗,同蛇床子、干姜、麻黄根扑之。)
龙骨(止夜卧惊汗。) 黄雌鸡(伤寒后虚汗,同麻黄根煮汁,入肉苁蓉、牡蛎粉煎服。)
猪肝(脾虚,食即汗出,为丸服
【血虚】〔草兽〕当归 地黄 白芍药 猪膏(产后虚汗,同姜汁、蜜、酒煎服。)猪
心(心虚自汗,同参、归煮食。) 肾(产后汗蓐劳,煮粥 食。)
【风热】〔草部〕防风(止盗汗,同人参、芎 末服;自汗,为末,麦汤服。) 白芷
(盗汗,同朱砂服。)
,为末酒服,或加防风。) 黄连(降心火,止汗。) 胡黄连
〔谷菜〕小麦 浮麦 麦面(盗汗,作丸煮食。) 豉(盗汗,熬末酒服。 蒸饼每夜食一
枚,止自汗盗汗。) 黄蒸米醋(并止黄汗。) 胡瓜(小儿出汗,同黄连、胡黄连、黄柏、
大黄诸药,丸服。)〔果木〕桃枭(止盗汗,同霜梅、葱白、灯心等,煎服。) 椒目(盗
汗,炒研,猪唇汤服。) 盐麸子(收汗。) 经霜桑叶(除寒热盗汗,末服。) 竹沥(产
后虚汗,热服。) 〔服器〕败蒲扇灰(水服并扑。) 甑蔽灰(水服。) 死人席灰(煮浴
。)
(咳血源于肺,嗽血源于脾,咯血源于心,唾血源于肾。病因分为火郁和虚劳两类。)
【火郁】麦门冬、片黄芩、桔梗、生地黄、金丝草、茅根、贝母、姜黄、牡丹皮、川芎、白芍药、大青、香附子、茜根、丹参、知母、荷叶(研末)、藕汁、桃仁、柿霜、干柿(入脾肺经,能消除积血、咯血、痰涎血)。杏仁(用于肺热咳血,与青黛、黄蜡制成饼状,用干柿夹住煨熟,每日食用)。水苏(研末冲服)。紫菀(与五味子制成蜜丸服用。并治疗吐血后的咳嗽)。白前(煎汤服用)。蒲黄、桑白皮、茯神、柳絮(研末)。韭菜(取汁,与童子尿混合)。生姜(蘸百草霜粉)。黄柏、槐花(研末服用)。槲若(水煎)。发灰、童尿(均主治咳、咯、唾血)。栀子(炒焦,清胃脘部出血)。诃子(主治火郁引起的嗽血)。
【虚劳】人参、地黄、百合、紫菀、白芨、黄芪、五味子、阿胶、白胶、酥酪、黄明胶(肺损伤导致的嗽血,炙烤后研末,用汤剂送服)。猪胰(适用于各种肺病,咳吐脓血)。猪肺(肺虚咳血,蘸薏苡仁末食用)。猪心(心……)
(此外还有气虚、血虚、风热、湿热四种情况。)
【气虚】黄芪(泻邪火,补元气,固表实皮毛)。人参(适用于一切虚汗。与当归、猪肾同煮食用,可止怔忡自汗)。白术(研末服用,或与小麦同煎服用,止自汗。与黄芪、石斛、牡蛎末同服,主治脾虚自汗)。麻黄根(止汗)。附子(亡阳自汗)。艾叶(盗汗,与茯神、乌梅同煎服用)。何首乌(贴敷脐部)。郁金(涂抹乳房)。粳米粉(外用扑洒)。麻勃(中风汗出)。糯米(与麦麸同炒,研末服用)。韭根(四十九根煎服,止盗汗)。〔果木类〕酸枣仁(睡中出汗,与人参、茯苓末同服)。茯神(虚汗盗汗,用乌梅汤送服。血虚心头出汗,用艾汤调服)。柏实(养心止汗)。桂(主治表虚自汗)。杜仲(产后虚汗,与牡蛎同服)。吴茱萸(产后盗汗恶寒)。雷丸(与胡粉同用扑洒)。〔虫兽类〕五倍子(与荞麦粉做成饼,煨食,仍用唾液调和填塞脐中)。牡蛎粉(气虚盗汗,与杜仲酒送服;虚劳盗汗,与黄芪、麻黄根同煎服用;产后盗汗,麸炒研末,猪肉汁送服;阴汗,与蛇床子、干姜、麻黄根同用扑洒)。龙骨(止夜间惊悸出汗)。黄雌鸡(伤寒后虚汗,与麻黄根煮汁,加入肉苁蓉、牡蛎粉煎服)。猪肝(脾虚,进食即汗出,制成丸剂服用)。
【血虚】〔草兽类〕当归、地黄、白芍药、猪膏(产后虚汗,与姜汁、蜜、酒同煎服用)。猪心(心虚自汗,与人参、当归同煮食用)。肾(产后汗蓐劳,煮粥食用)。
【风热】〔草部〕防风(止盗汗,与人参、川芎末同服;自汗,研末,用麦汤送服)。白芷(盗汗,与朱砂同服)。[此处原文有缺漏或排版错误,推测为某药],研末酒服,或加防风。黄连(降心火,止汗)。胡黄连。〔谷菜类〕小麦、浮麦、麦面(盗汗,做成丸剂煮食)。豉(盗汗,熬成末用酒送服。蒸饼每晚吃一枚,止自汗盗汗)。黄蒸米醋(均止黄汗)。胡瓜(小儿出汗,与黄连、胡黄连、黄柏、大黄等药制成丸剂服用)。〔果木类〕桃枭(止盗汗,与霜梅、葱白、灯心等煎服)。椒目(盗汗,炒研,用猪唇汤送服)。盐麸子(收敛止汗)。经霜桑叶(除寒热盗汗,研末服用)。竹沥(产后虚汗,热服)。〔服器类〕败蒲扇灰(用水送服或外扑)。甑蔽灰(用水送服)。死人席灰(煮水洗澡)。
(Hemoptysis originates from the Lung, coughing blood from the Spleen, spitting blood from the Heart, and salivary blood from the Kidney. Etiologies are categorized into Fire Stagnation (Huoyu) and Deficiency Consumption (Xulao).)
[Fire Stagnation] Ophiopogonis Radix (Maidong), Scutellariae Radix (Huangqin), Platycodonis Radix (Jiegeng), Rehmanniae Radix Fresh (Shengdihuang), Desmodii Caulis (Jinsicao), Imperatae Rhizoma (Maogen), Fritillariae Bulbus (Beimu), Curcumae Longae Rhizoma (Jianghuang), Moutan Cortex (Mudanpi), Ligustici Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Isatidis Folium (Daqing), Cyperi Rhizoma (Xiangfuzi), Rubiae Radix et Rhizoma (Qigen), Salviae Miltiorrhizae Radix et Rhizoma (Danshen), Anemarrhenae Rhizoma (Zhimu), Nelumbinis Leaf (Heye, powdered), Lotus Root Juice (Ou zhi), Persicae Semen (Taoren), Diospyri Fructus Frost (Shishuang), Dried Persimmon (Ganshi, enters Spleen and Lung meridians, resolves retained blood, hemoptysis, and phlegm-blood). Armeniacae Semen Amarum (Xingren, for lung-heat hemoptysis, made into cakes with Indigo Naturalis (Qingdai) and yellow beeswax, roasted between dried persimmons, eaten daily). Pogostemonis Herba (Shuisu, taken as powder). Asteris Radix (Ziwan, taken as honey pills with Schisandrae Fructus (Wuweizi); also treats cough after hematemesis). Cynanchi Stauntonii Radix (Baiqian, decocted). Lygodii Spora (Puhuang), Morus Albae Cortex (Sangbaipi), Poria (Fushen), Poplar Catkin (Liuxu, powdered). Allii Tuberosi Rhizoma (Jiu, juice mixed with child's urine). Zingiberis Rhizoma Fresh (Shengjiang, dipped in Baicaoshuang powder). Phellodendri Cortex (Huangbai), Sophorae Flavescentis Flos (Huaihua, taken as powder). Quercus variabilis leaf bud (Huruo, decocted). Cineris Capilli (Fa hui), Child's Urine (Tong niao, both treat hemoptysis, spitting blood, and salivary blood). Gardeniae Fructus (Zhizi, charred to clear stomach bleeding). Terminalia Chebulae Fructus (Hezi, treats fire-stagnation coughing blood).
[Deficiency Consumption] Ginseng Radix et Rhizoma (Renshen), Rehmanniae Radix Prepared (Dihuang), Lilii Bulbus (Baihe), Asteris Radix (Ziwan), Bletillae Rhizoma (Baiji), Astragali Radix (Huangqi), Schisandrae Fructus (Wuweizi), Echini Placenta (Ejiao), Asini Corii Colla (Baijiao), Butter and Cheese (Sulao), Bovis Cornu Colla (Huangming jiao, for lung damage causing coughing blood, calcined, powdered, taken with decoction). Porcine Pancreas (Zhu yi, for all lung diseases with coughing up pus and blood). Porcine Lung (Zhu fei, for lung deficiency hemoptysis, eaten dipped in Coicis Semen powder). Porcine Heart (Zhu xin...)
(Additionally, there are Qi Deficiency, Blood Deficiency, Wind-Heat, and Damp-Heat patterns.)
[Qi Deficiency] Astragali Radix (Huangqi, clears pathogenic fire, benefits primal Qi, consolidates exterior and skin/fur). Ginseng Radix et Rhizoma (Renshen, for all deficiency sweating; cooked with Angelicae Sinensis Radix (Danggui) and porcine kidney to stop palpitations and spontaneous sweating). Atractylodis Macrocephalae Rhizoma (Baizhu, taken as powder or decocted with Triticum Vulgare (Xiaomai) to stop spontaneous sweating; with Huangqi, Dendrobii Caulis (Shihu), and Ostreae Concha (Muli) powder to treat spleen-deficiency spontaneous sweating). Ephedrae Radix et Rhizoma Root (Mahuang gen, stops sweating). Aconiti Lateralis Radix Preparata (Fuzi, for Yang collapse spontaneous sweating). Artemisiae Argyi Folium (Ai ye, night sweats, decocted with Poria (Fushen) and Mume Fructus (Wumei)). Polygoni Multiflori Radix (Heshouwu, applied to umbilicus). Curcumae Radix (Yujin, applied to breasts). Oryzae Fructus Glutinose Farina (Jingmi fen, external application). Cannabis Fructus (Mabo, sweating from wind-stroke). Oryzae Fructus Glutinosa (Nuomi, stir-fried with bran, taken as powder). Allii Tuberosi Radix (Jiu gen, 49 roots decocted to stop night sweats). [Fruits/Trees] Ziziphi Spinosae Semen (Suanzaoren, sweating during sleep, taken with Renshen and Poria powder). Poria (Fushen, deficiency/night sweats, taken with Wumei decoction; heart-head sweating from blood deficiency, taken with Aiye decoction). Platycladi Semen (Baishi, nourishes Heart and stops sweating). Cinnamomi Ramulus (Gui, treats exterior-deficiency spontaneous sweating). Eucommiae Cortex (Duzhong, postpartum deficiency sweating, with Muli). Evodiae Fructus (Wuzhuyu, postpartum night sweats with aversion to cold). Polyporus Umbellatus (Leiwu, with Bai Fen external application). [Insects/Animals] Myrobalani Fructus Chebulae (Wubeizi, made into cakes with Buckwheat Flour, roasted, filled into umbilicus with saliva). Ostreae Concha Powder (Muli fen, qi-deficiency night sweats with Duzhong wine; consumption night sweats with Huangqi and Mahuang gen decoction; postpartum night sweats, bran-fried powder with pork juice; genital sweating with Cnidii Fructus (Shechuangzi), Zingiberis Rhizoma Preparatum (Ganjiang), and Mahuang gen powder). Dragonbone (Longgu, stops night-startle sweating). Gallus Galli Domesticus Female Chicken (Huang ji, post-typhoid deficiency sweating, decocted with Mahuang gen, added with Cistanche Deserticolae Herba (Roucongrou) and Muli powder). Porcine Liver (Zhu gan, spleen deficiency sweating upon eating, made into pills).
[Blood Deficiency] [Herbs/Animals] Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Prepared (Dihuang), Paeoniae Radix Alba (Baishao), Porcine Fat (Zhugao, postpartum deficiency sweating, decocted with Zingiberis Rhizoma Fresh juice, honey, and wine). Porcine Heart (Zhu xin, heart-deficiency spontaneous sweating, cooked with Renshen and Danggui). Kidney (Shen, postpartum sweating from confinement labor, cooked as porridge).
[Wind-Heat] [Grass Category] Saposhnikoviae Radix (Fangfeng, stops night sweats with Renshen and Chuanxiong powder; spontaneous sweating, powder taken with wheat decoction). Angelicae Dahuricae Radix (Baizhi, night sweats with Cinnabaris (Zhusha)). [Text gap/error], powder taken with wine, or add Fangfeng). Coptidis Rhizoma (Huanglian, descends Heart fire, stops sweating). Picrorhizae Rhizoma (Huhuanglian). [Grains/Vegetables] Triticum Vulgare (Xiaomai), Floating Wheat (Fumai), Wheat Flour (Maimian, night sweats, made into pills/paste). Sojae Semen Preparatum (Chi), night sweats, fried powder taken with wine. Steamed cake (Zhengbing), one nightly to stop spontaneous/night sweats). Yellow steamed rice vinegar (Huangzheng mi cu, both stop yellow sweat). Cucumis Melo var. Flexuosus (Hugua, pediatric sweating, with Huanglian, Huhuanglian, Huangbai, Dahuang pills). [Fruits/Trees] Pruni Trichotomi Fructus (Tao xiao, night sweats, with Shuang Mei, Congbai, Jiedixin decoction). Zanthoxyli Semen (Jiaomu, night sweats, fried powder taken with pig lip soup). Tetrastigma Vitis Viniferae Fruit (Yan fuzi, astringes sweat). Mori Folium after frost (Jingshang sangye, eliminates chills/fever night sweats, powder). Bamboo Sap (Zhuli, postpartum deficiency sweating, taken hot). [Utensils] Ash of old cattail fan (Baipu shan hui, taken with water or external). Ash of steamer lid (Zengbi hui, taken with water). Ash of dead person's mat (Siren xi hui, boiled for bathing).