(有阳明风热,湿热,肾虚)
【除热】防风 羌活 生 黄连
【清补】人参(齿缝出血成条,同茯苓、麦门冬煎服,奇效。上盛下虚,服凉药益
甚者,六味地黄丸,黑锡丹。)
【外治】香附(姜汁炒研,或同青盐、百草霜。) 蒲黄(炒焦。) 苦参(同枯矾。)
骨碎补(炒焦。) 丝瓜藤(灰。) 寒水石(同朱砂、甘草、片脑。) 五倍子(烧。)
地龙(同矾、麝。) 紫矿 枯矾 百草霜(并揩掺。) 麦门冬 屋游 地骨皮 苦竹叶
盐
烙。)
(即肌衄,又名脉溢,血自毛孔出。心主血,又主汗,极虚有火也)
【内治】人参(气散血虚,红汗污衣,同归、 诸药煎服。又建中汤、辰砂妙香散皆
宜。抓伤血络,血出不止,以一两煎服。) 草(产妇大喜,汗出赤色污衣,喜则气出
也。捣汁一升,入醋一合,时服一杯。) 黄芩(灸疮,血出不止,酒炒末下。) 生姜汁
(毛窍节次血出,不出则皮胀如鼓,须臾口目皆胀合,名脉溢,以水和汁各半服。) 郁
李仁(鹅梨汁调末服,止血汗。) 朱砂(血汗,入麝,水服。) 人中白(血从肤腠出,入
麝,酒服二钱。) 水银(毛孔出血,同朱砂、麝香服。) 黄犊脐中屎(九窍四肢指歧间
血出,乃暴怒所致,烧末水服方寸匕,日五次。)
【外治】旱莲(敷灸疮,血出不止。) 蜣螂灰(同上。) 粪桶箍(烧敷搔痒,血出
不止。) 五灵脂
(病因包括阳明经风热、湿热内蕴、肾虚)
【清热祛邪】防风、羌活(生用)、黄连。
【清补兼施】人参(若齿缝出血呈条状,可与人参、茯苓、麦门冬同煎服用,疗效奇特。若是上实下虚之证,服用凉药后病情加重者,宜用六味地黄丸、黑锡丹。)
【外治法】香附(用姜汁炒制后研末,或同青盐、百草霜配合使用。)蒲黄(炒至焦黑。)苦参(同枯矾配合使用。)骨碎补(炒至焦黑。)丝瓜藤(烧成灰。)寒水石(同朱砂、甘草、冰片配合使用。)五倍子(烧存性。)地龙(同明矾、麝香配合使用。)紫矿、枯矾、百草霜(均可直接涂抹患处。)麦门冬、屋游(即苔藓类植物)、地骨皮、苦竹叶、盐(烙敷患处)。
(此症即肌衄,又名脉溢,指血液从毛孔渗出。心主血,又主汗,此乃极度虚弱伴有虚火所致)
【内治法】人参(用于气散血虚、红汗污染衣物者,可与当归及其他药物同煎服用。另外建中汤、辰砂妙香散也适宜。若是抓伤血络导致出血不止,可用一两人参煎服。)草(此处原文似有脱漏,结合语境推测为某种止血草药,如“旱莲”或泛指某草,但原文仅写“草”,且后文有“产妇大喜...捣汁”,通常指“旱莲草”或类似,但严格按原文提取实体,此处暂不强行补全具体药名,仅记录症状描述:产妇因大喜出汗,汗液呈红色污染衣物,这是因为喜则气泄所致。取汁一升,加入醋一合,每次服用一杯。)黄芩(用于灸疮出血不止,酒炒后研末服用。)生姜汁(用于毛窍依次出血,若不出血则皮肤肿胀如鼓,片刻后口目皆胀合,称为脉溢,用水和姜汁各半混合服用。)郁李仁(用鹅梨汁调匀药末服用,以止住血汗。)朱砂(治疗血汗,加入麝香,用水送服。)人中白(血液从肌肤腠理渗出,加入麝香,用酒送服二钱。)水银(毛孔出血,同朱砂、麝香服用。)黄犊脐中屎(九窍及四肢指歧间出血,乃因暴怒所致,烧成粉末,用水送服一方寸匕,每日五次。)
【外治法】旱莲(敷于灸疮处,用于止血不止。)蜣螂灰(同上用法。)粪桶箍(烧成灰敷于搔痒出血不止处。)五灵脂。
(Causes include wind-heat in the Yangming channel, damp-heat accumulation, and Kidney deficiency.)
[Clear Heat and Expel Pathogens] Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix, used raw), Huanglian (Coptidis Rhizoma).
[Clear Heat and Tonify] Renshen (Ginseng Radix et Rhizoma) (If bleeding from the gum fissures occurs in strips, decoct with Fuling (Poria), Maidong (Ophiopogonis Radix) for remarkable efficacy. For patterns of excess above and deficiency below, where cooling herbs worsen the condition, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) or Heixi Dan (Black Tin Pill) are indicated.)
[External Treatment] Xiangfu (Cyperi Rhizoma, stir-fried with ginger juice and powdered, or combined with Qingyan (Halitum) and Baicaoshuang (Fuliginis Pulvis)). Puhuang (Lygodii Spora, charred). Kushen (Sophorae Flavescentis Radix, combined with Kufan (Alumen)). Gusuibu (Drynariae Rhizoma, charred). Sigua Teng (Luffae Caulis, ash). Hanshuishi (Calcitrum, combined with Zhusha (Cinnabaris), Gancao (Glycyrrhizae Radix et Rhizoma), Pian Nao (Borneolum Syntheticum)). Wubeizi (Myrobalani Fructus, burned). Dilong (Pheretima, combined with Fan (Alumen) and Shexiang (Moschus)). Zikuang (Dragon's Blood), Kufan (Alumen), Baicaoshuang (Fuliginis Pulvis) (all can be applied directly to the affected area). Maidong (Ophiopogonis Radix), Wuyou (Moss), Digupi (Lycii Cortex), Ku Zhu Ye (Bitter Bamboo Leaf), Yan (Salt) (for cauterization/branding).
(This condition is also known as Ji Nu (Capillary Hemorrhage) or Mai Yi (Vascular Overflow), where blood exudes from hair follicles. The Heart governs blood and sweat; this condition arises from extreme deficiency accompanied by deficient fire.)
[Internal Treatment] Renshen (Ginseng Radix et Rhizoma) (For scattered Qi and blood deficiency, or "red sweat" staining clothes, decoct with Danggui (Angelicae Sinensis Radix) and other herbs. Jianzhong Tang (Build the Middle Decoction) and Chensha Miaoxiang San (Cinnabar Wonderful Fragrance Powder) are also suitable. For unceasing bleeding due to scratched blood collaterals, decoct 1 liang for administration.) Cao (Herb - *Note: Original text appears truncated here, likely referring to a specific herb like Hanlian Cao based on context, but strictly extracted as generic "Cao"*). Huangqin (Scutellariae Radix) (For unceasing bleeding from moxibustion wounds, wine-fried and powdered for administration). Shengjiang Zhi (Zingiberis Recens Juice) (For sequential bleeding from hair follicles; if blood does not flow, skin swells like a drum, and mouth/eyes swell shut shortly after, termed Mai Yi. Mix water and juice equally for administration). Yuliren (Prunus Semen) (Mix powder with E Li Zhi (Pyri Fructus) juice for administration to stop bloody sweat). Zhusha (Cinnabaris) (For bloody sweat, mix with Shexiang (Moschus), administer with water). Renzhongbai (Urinae Humanis Depuratum) (Blood exuding from skin pores, mix with Shexiang (Moschus), administer 2 qian with wine). Shuiyin (Hydrargyrum) (For bleeding from hair follicles, combine with Zhusha (Cinnabaris) and Muxiang (Moschus) for administration). Huangdu Qi Zhong Shi (Excrement from the umbilicus of a yellow calf) (For bleeding from the nine orifices and between fingers/toes, caused by sudden anger. Burn to powder, administer 1 fang cun bi with water, five times daily).
[External Treatment] Hanlian (Ecliptae Herba) (Apply to moxibustion wounds for unceasing bleeding). Qianglang Hui (Ash of Dung Beetle, same usage as above). Fentong Gu (Ash of Hoop from a Chamber Pot, burn and apply for itching with unceasing bleeding). Wulingzhi (Trogopterori Faeces).