或出血属热,胃口有热。有风寒、湿热虫蛀。
疏风 川芎、石膏、升麻、细辛、草乌、白芷、防风、羌活擦之,或单用鹤虱。一方
用升麻、石膏、细辛、 本、檀香、麝香、皂角。
行湿 细辛、芫花、苍耳叶、大戟、小麦、川椒煎水漱之。
清热 石膏、升麻、地骨皮、羊胫骨灰。
解铁杂之邪 东垣当归龙胆散。治寒热,用元戎梧桐泪散。
下 神功丸、凉膈散、调胃承气汤为末,蜜丸服之。
行血 牙疳蚀臭出血,当作阳明蓄血治之,桃仁承气汤蜜丸服之。东垣清胃散。有服
牛尿,漱而得血者,立愈。
散寒 草豆蔻、白芷、细辛、草乌、丁香、蝎梢。
取 皂角树上蛾子,或白马蛆,或用草乌、川椒、细辛。
益肾 肾虚者,骨热而苏苏然痛者,滋肾丸。
灸 颊车、听会、曲池。
熏 用韭子。
治虫 天仙子烧烟。用竹筒抵牙,引烟熏之,其虫即死。
针 合谷、内庭、浮白、阳谷、三间。
擦药 元戎问玉散方∶
醋榴皮 诃子(各二两) 升麻 何首乌 绿矾(枯) 青盐 百药煎 五倍子 没石子(
半) 麝(一钱) 白茯菟(一两) 细辛 石胆矾(各半两) 荷叶灰 白檀 芎 芷 甘粉
苓苓香 茴香 藿香 猪牙皂角灰 木别子(各二钱) 青黛(一钱半) 共为末。
有的出血属于热证,是胃中有热。也有因风寒、湿热或虫蛀引起的。
疏风法:用川芎、石膏、升麻、细辛、草乌、白芷、防风、羌活研末外擦,或者单用鹤虱。另一配方用升麻、石膏、细辛、藁本、檀香、麝香、皂角。
解铁杂之邪(此处指治疗寒热往来等复杂病邪):东垣的当归龙胆散。治疗寒热症状,用元戎的梧桐泪散。
攻下法:将神功丸、凉膈散、调胃承气汤研为细末,用蜂蜜制成丸剂服用。
行血法:牙龈溃烂发臭出血,应当当作阳明经蓄血证来治疗,用桃仁承气汤制成蜜丸服用。东垣的清胃散也可用。有人服用牛尿,漱口后排出瘀血,立刻痊愈。
取虫法:使用皂角树上的蛾子,或者白马蛆,或者用草乌、川椒、细辛。
治虫法:烧天仙子产生烟雾。用竹筒抵住牙齿,引导烟雾熏蒸,虫子就会死亡。
擦药方:元戎问玉散方:
醋制石榴皮、诃子(各二两)、升麻、何首乌、绿矾(煅枯)、青盐、百药煎、五倍子、没石子(半两)、麝香(一钱)、白茯苓、菟丝子(一两)、细辛、石胆矾(各半两)、荷叶灰、白檀香、川芎、白芷、甘松、苓苓香、茴香、藿香、猪牙皂角灰、木鳖子(各二钱)、青黛(一钱半)。共研为细末。
Some cases of bleeding are attributed to heat, specifically heat in the stomach. Others may be caused by wind-cold, damp-heat, or tooth decay due to worms.
To dispel wind: Apply a powder of Chuanxiong Rhizoma (Chuanxiong), Gypsum Fibrosum (Shigao), Cimicifugae Rhizoma (Shengma), Asari Radix (Xixin), Aconiti Lateralis Radix Preparata (Caowu), Angelicae Dahuricae Radix (Baizhi), Saposhnikoviae Radix (Fangfeng), and Notopterygii Rhizoma et Radix (Qianghuo) externally to the affected area, or use only Dictamni Radicis Cortex (Heshe). Another prescription uses Shengma, Shigao, Xixin, Ligustici Rhizoma et Radix (Gaben), Santalum Album Lignum (Tanxiang), Moschus (Shexiang), and Phaseoli Semen (Zaojiao).
To promote dampness resolution: Decoct Xixin, Genkwa Flos (Yuanhua), Xanthii Folium (Canger Ye), Euphorbiae Pekinensis Radix (Daji), Tritici Fructus (Xiaomai), and Zanthoxyli Pericarpium (Chuanjiao) in water for rinsing the mouth.
To clear heat: Use Shigao, Shengma, Lycii Cortex (Digupi), and bone ash from sheep tibia (Yangjing Guhui).
To resolve complex pathogens (such as alternating chills and fever): Dongyuan's Danggui Longdan San. For treating chills and fever, use Yuanrong's Wutong Lei San.
To purge downward: Powder Shen Gong Wan, Liang Ge San, and Tiaowei Chengqi Tang, then form pills with honey for oral administration.
To invigorate blood: In cases of gingival ulceration, foul odor, and bleeding, treat it as blood stasis in the Yangming channel. Administer Tao Ren Cheng Qi Tang formed into honeyed pills. Dongyuan's Qingwei San is also applicable. There are records of patients who drank cattle urine, rinsed their mouths, expelled blood clots, and were cured immediately.
To disperse cold: Use Caodoukou, Baizhi, Xixin, Caowu, Eugeniae Caryophyllati Flos (Dingxiang), and Scorpio (Xieshao).
To expel parasites: Use moths from soapberry trees (Zaogiao Shu Shang Ezi), or maggots from white horses (Baima Qu), or use Caowu, Chuanjiao, and Xixin.
To tonify kidney: For kidney deficiency causing bone heat and dull pain, use Zishen Wan.
Moxibustion: Apply moxa to Jiache (ST6), Tinghui (GB2), and Quchi (LI11).
Fumigation: Use Allii Tuberosi Semen (Jiu Zi).
To treat parasites: Burn Hyoscyami Semen (Tianxian Zi) to produce smoke. Hold a bamboo tube against the teeth to direct the smoke for fumigation, which will kill the parasites.
Acupuncture: Needle Hegu (LI4), Neiting (ST44), Fu Bai (BL79), Yanggu (SI2), and Sanjian (LI3).
Topical application powder: Yuanrong Wen Yu San formula:
Vinegar-treated Pomegranate Peel (Cu Liu Pi) and Chebulae Fructus (Hezi) (each 2 liang), Shengma, Polygoni Multiflori Radix (Heshouwu), Vitriolum Viride (Lvfan, calcined), Qingyan, Baiyaojian, Myrobalan (Wubeizi), Myrobalan (Meishi) (half liang), Moschus (Shexiang) (1 qian), Poria (Baifu Ling), Cuscutae Semen (Tusi) (1 liang), Xixin, Alum (Shidan Fan) (each half liang), Lotus Leaf Ash (Heye Hui), Santalum Album Lignum (Baitan), Chuanxiong, Baizhi, Nardostachyos Radix et Rhizoma (Gansong), Ligusticum Chuanxiong Rhizoma (Lingling Xiang), Foeniculi Fructus (Huixiang), Agastaches Herba (Huoxiang), Phaseoli Semen (Zhuya Zaogiao Hui), Strychni Semen (Miebiezi) (each 2 qian), Indigo Naturalis (Qingdai) (1.5 qian). Grind all ingredients into a fine powder.