身热,多是血虚。血温身热者,死不治。火载血上,错经妄行。
泻火 呕吐血出于胃,犀角地黄,保命生地黄散,柴胡、黄连、黄芩、黄 、地骨、
生熟地黄、白芍。
调荣 衄涕血出于肺∶犀角、升麻、丹参、紫参、生地、芍药、黄芩。咯唾血出于肾
∶紫菀、知母、熟地、远志、门冬。痰涎血出于脾∶葛、 、黄连、芍、沉香、甘草。虚者
,小建中加黄连,或前保命生地黄散,再加天门冬、枸杞子、甘草等分,水煎服。
调卫 分气紫苏饮,由七情致者。
针 隐白、脾俞、上脘、肝俞。
下血结胸中,心下手不可近,为中部蓄血,桃仁承气汤。小腹硬满,小便自利,大
便反黑,脐下手不可近,为下部蓄血,宜抵当汤。呕吐血,宜三黄汤顺下之。
调理 脉大而热,或喉中痛,是气虚,用人参、黄 蜜炒、黄柏、荆芥、生地、地骨
、当归头。咯血,用桑白皮、半夏、知母、贝母、茯菟、阿胶、桔梗、陈皮、甘草、杏仁、
生地之类。衄血及嗽,以上药加蒲黄、五倍灰,入煎剂服妙。
外迎 以井花水湿纸,于顶中贴之。左鼻衄以线扎左手中指,右出扎右中指。俱出,
左右二指俱扎。或以炒黑蒲墨吹鼻中。
清热降火 二陈加知母、桑白、桔梗、黄连、黄芩、生地、石膏之类,煎药水和入墨
身体发热,多是因为血虚。血液过热导致身体发热的,属于死证,难以治疗。火邪逼迫血液上行,导致血液错乱妄行。
泻火法:呕吐出的血来源于胃,可用犀角地黄汤、保命生地黄散,药物包括柴胡、黄连、黄芩、黄柏、地骨皮、生地黄和熟地黄、白芍。
调荣法:鼻出血及涕中带血来源于肺,可用犀角、升麻、丹参、紫参、生地黄、芍药、黄芩。咳唾出的血来源于肾,可用紫菀、知母、熟地黄、远志、麦冬。痰涎中带血来源于脾,可用葛根、黄柏、黄连、芍药、沉香、甘草。若属虚证,用小建中汤加黄连,或用前述的保命生地黄散,再加天门冬、枸杞子、甘草各等分,水煎服用。
调卫法:分气紫苏饮,适用于由七情(喜、怒、忧、思、悲、恐、惊)致病者。
下血结于胸中,心窝下方疼痛拒按,称为中部蓄血,用桃仁承气汤。小腹硬满,小便自利,大便反而发黑,脐下疼痛拒按,称为下部蓄血,宜用抵当汤。呕吐出血,宜用三黄汤使其下行排出。
调理法:脉象大而发热,或喉咙痛,这是气虚,用人参、黄芪(蜜炒)、黄柏、荆芥、生地黄、地骨皮、当归头。咳血,用桑白皮、半夏、知母、贝母、茯菟丝子、阿胶、桔梗、陈皮、甘草、杏仁、生地黄之类。鼻出血及咳嗽,在上述药物中加入蒲黄、五倍子灰,入煎剂服用效果妙。
外治法:用井花水浸湿纸张,贴在头顶正中。左鼻孔出血用线扎左手的中指,右鼻孔出血扎右手的中指。双侧都出血,则左右两指都扎。或者将炒黑的蒲黄墨粉吹入鼻中。
Body heat is mostly due to blood deficiency. When blood heat causes body fever, it is a death syndrome and difficult to treat. Fire forcing blood upward leads to chaotic and reckless bleeding.
Clearing Fire: Hematemesis (vomiting blood) originating from the Stomach can be treated with Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction), Baoming Shengdi Huang San (Life-Preserving Raw Rehmannia Powder), containing Chaihu (Bupleurum Root), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Huangbai (Phellodendron Bark), Digupi (Lycium Bark), Shengdihuang (Raw Rehmannia Root), Shudihuang (Prepared Rehmannia Root), and Shaoyao (Peony Root).
Nourishing Ying (Nutritive Qi): Epistaxis (nosebleed) and bloody nasal discharge originating from the Lung can be treated with Xijiao (Rhinoceros Horn), Shengma (Cimicifuga Rhizome), Danshen (Salvia Miltiorrhiza Root), Zishen (Salvia Miltiorrhiza Root, alternative name), Shengdihuang (Raw Rehmannia Root), Shaoyao (Peony Root), and Huangqin (Scutellaria Root). Coughing up sputum with blood originating from the Kidney can be treated with Ziwan (Aster Root), Zhimu (Anemarrhena Rhizome), Shudihuang (Prepared Rehmannia Root), Yuanzhi (Polygala Root), and Dongguandong (Asparagus Tuber). Blood in phlegm and saliva originating from the Spleen can be treated with Gegen (Pueraria Root), Huangbai (Phellodendron Bark), Huanglian (Coptis Rhizome), Shaoyao (Peony Root), Chenxiang (Aquilaria Wood), and Gancao (Licorice Root). For deficiency patterns, use Xiaojianzhong Tang (Minor Construct the Middle Decoction) added with Huanglian (Coptis Rhizome), or the aforementioned Baoming Shengdi Huang San (Life-Preserving Raw Rehmannia Powder) added with Tianmendong (Asparagus Tuber), Gouqizi (Goji Berry), and Gancao (Licorice Root) in equal parts, decocted in water and taken orally.
Nourishing Wei (Defensive Qi): Fenqi Zisu Yin (Separating Qi Perilla Decoction) is indicated for cases caused by the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright).
Acupuncture: Points include Yinbai (SP2), Pishu (BL20), Shangwan (CV13), and Ganshu (BL18).
Lower Bleeding Accumulating in the Chest: If there is lower bleeding accumulating in the chest, with pain below the heart that cannot be touched, it is called "Accumulated Blood in the Middle Jiao," treated with Tao Ren Chengqi Tang (Persicae Semen and Magnolia Bark Decoction). If the lower abdomen is hard and full, urination is normal, stool is black, and there is pain below the navel that cannot be touched, it is called "Accumulated Blood in the Lower Jiao," treated with Didang Tang (Hit-and-kill Decoction). For hematemesis, use Sanhuang Tang (Three Yellows Decoction) to promote downward movement.
Regulation: A large pulse with fever, or throat pain, indicates Qi deficiency. Use Renshen (Ginseng Root), Huangqi (Astragalus Root, honey-fried), Huangbai (Phellodendron Bark), Jingjie (Schizonepeta Spike), Shengdihuang (Raw Rehmannia Root), Digupi (Lycium Bark), and Danggui Tou (Angelica Sinensis Root Head). For hemoptysis (coughing blood), use Sangbaipi (Mulberry Root Bark), Banxia (Pinellia Tuber), Zhimu (Anemarrhena Rhizome), Beimu (Fritillaria Bulb), Futianzi (Cuscuta Seed), Ejiao (Donkey-hide Gelatin), Jiegeng (Platycodon Root), Chenpi (Citrus Peel), Gancao (Licorice Root), Xingren (Apricot Seed), and Shengdihuang (Raw Rehmannia Root). For epistaxis and cough, add Puhuang (Tamarillus Pollen) and Wubeizi Hui (Ash of Chinese Gallnut) to the above herbs, decocted and taken; this is effective.
External Treatment: Wet paper with well water and apply it to the center of the vertex. For left-sided epistaxis, tie a thread around the middle finger of the left hand; for right-sided, tie the right middle finger. If both sides bleed, tie both fingers. Alternatively, blow powdered charcoal made from burned Puhuang (Tamarillus Pollen) into the nose.
Clearing Heat and Descending Fire: Erchen Tang (Two-Aged Decoction) added with Zhimu (Anemarrhena Rhizome), Sangbaipi (Mulberry Root Bark), Jiegeng (Platycodon Root), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Shengdihuang (Raw Rehmannia Root), and Shigao (Gypsum Fibrosum). Decoct these herbs, mix with ink and water, and take orally.