三因茯苓补心汤治心气虚耗不能藏血以致面色黄瘁五心烦热咳嗽唾血
半夏 前胡 紫苏 茯苓 人参 枳壳(炒) 桔梗 甘草 干葛(各半两) 当归(一两
三钱) 川芎(三分) 陈皮 白芍(各二两) 熟地黄(一两半)
上 咀每半两入姜枣煎
本事槐角散治肠胃不调胀满下血
苍术 浓朴 陈皮 当归 枳壳(各一两) 槐角(二两) 甘草 乌梅(各半两)
上 咀每五钱水煎服
按以上又气血药也然三因方虽云补剂而杂以发表之药姑存之收入此理气例
济生鸡苏散治劳伤肺经唾内有血咽喉不利
鸡苏叶 黄 生地黄 阿胶(炒) 贝母 白茅根(各一两) 桔梗 麦门冬 蒲黄 甘
草(各半两炒)
上 咀每四五钱入姜煎
归脾汤治思虑伤脾不能统摄心血以此致妄行或吐血下血
白术 茯神 黄 龙眼肉 酸枣仁(各一两) 人参 木香(各半两) 甘草(炙二钱半)
上 咀每四五钱入枣姜煎
东垣麦门冬饮子治吐血久不愈者
五味子(十个) 麦门冬(去心) 黄 (各一钱) 当归身 人参 生地黄(各半钱)
上 咀水煎服
金匮赤豆当归散治先血后粪此近血也
赤豆(浸出芽) 当归
上二味为散浆水调服
三因伏龙肝汤治先粪后血此远血也
伏龙肝(半斤) 甘草(炙) 白术 阿胶 黄芩 熟地黄(各三两)
上 咀每四五钱水煎服
发灰散治小便尿血或便前便后亦远近之谓也发灰
上一味每二钱以米醋二合汤少许服井花水调亦得
玉屑膏治尿血
黄 人参(等分)
上为末用萝卜大者切一指浓四五片蜜淹少时蜜炙干尽蜜二两为度勿令焦点药末吃不以
时仍以盐汤送下
按以上诸方平补药也然病体亦有寒热气积等因不同用者自宜求责
三因茯苓补心汤:治疗心气虚损,不能固摄血液,从而导致面色萎黄憔悴、五心烦热、咳嗽、唾血。
药材:半夏、前胡、紫苏、茯苓、人参、枳壳(炒制)、桔梗、甘草、干葛(各半两)、当归(一两三钱)、川芎(三分)、陈皮、白芍(各二两)、熟地黄(一两半)。
用法:将药材切碎,每次取半两,加入生姜、大枣煎服。
本事槐角散:治疗肠胃功能失调,出现腹胀满及便血症状。
药材:苍术、浓朴、陈皮、当归、枳壳(各一两)、槐角(二两)、甘草、乌梅(各半两)。
用法:将药材切碎,每次取五钱,用水煎服。
按语:以上方剂也属于气血类药物。然而,《三因方》虽将其归类为补剂,但其中混杂了解表发汗的药物,姑且保留并收入此“理气”类别中。
济生鸡苏散:治疗劳损伤及肺经,导致唾液中带血、咽喉不利。
药材:鸡苏叶、黄芩、生地黄、阿胶(炒制)、贝母、白茅根(各一两)、桔梗、麦门冬、蒲黄、甘草(各半两,炒制)。
用法:将药材切碎,每次取四五钱,加入生姜煎服。
归脾汤:治疗思虑过度损伤脾气,导致脾气不能统摄心血,从而引起血液妄行,或吐血、便血。
药材:白术、茯神、黄芪、龙眼肉、酸枣仁(各一两)、人参、木香(各半两)、甘草(炙制二钱半)。
用法:将药材切碎,每次取四五钱,加入红枣、生姜煎服。
东垣麦门冬饮子:治疗吐血日久不愈者。
药材:五味子(十个)、麦门冬(去心)、黄芪(各一钱)、当归身、人参、生地黄(各半钱)。
用法:将药材切碎,用水煎服。
金匮赤豆当归散:治疗先出血后大便的情况,这称为“近血”。
药材:赤小豆(浸泡至发芽)、当归。
用法:将上述两味药研为散剂,用浆水调服。
三因伏龙肝汤:治疗先排大便后出血的情况,这称为“远血”。
药材:伏龙肝(半斤)、甘草(炙制)、白术、阿胶、黄芩、熟地黄(各三两)。
用法:将药材切碎,每次取四五钱,用水煎服。
发灰散:治疗小便尿血,或者在大便前、大便后出血,这也涉及远近之辨。药材为发灰。
用法:单味药,每次取二钱,用米醋二合及少许汤液送服,或用井花水调服亦可。
玉屑膏:治疗尿血。
药材:黄芪、人参(等分)。
用法:将药材研为细末。选用大萝卜,切成厚约一指的四五片,用蜂蜜腌制片刻,再用蜂蜜炙烤至蜂蜜完全渗入且干燥,以蜂蜜二两为度,注意不要烧焦。服用时不拘时间,将药末用盐汤送下。
按语:以上各方均为平和的补益药物。然而,患者的体质也有寒、热、气积等不同情况,使用者应当自行探究病因,对症施治。
Huanglian Jiedu Tang (Coptis Decoction for Alleviating Toxicity)
Dajinhua Wan (Great Golden Flower Pill)
Both formulas are cited in the "Fire Gate" chapter.
Sanyin Fuling Buxin Tang (Three Causes Poria Heart-Nourishing Decoction): Treats deficiency and depletion of Heart Qi, leading to an inability to store blood, resulting in sallow and withered complexion, heat sensation in the five centers (palms, soles, and chest), cough, and hemoptysis (coughing up blood).
Herbs: Banxia (Pinelliae Rhizoma), Qianhu (Peucedani Radix), Zisu (Perillae Folium), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus, stir-fried), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Gange (Puerariae Radix) (each 0.5 liang); Danggui (Angelicae Sinensis Radix) (1 liang 3 qian); Chuanxiong (Ligustici Chuanxiong Rhizoma) (3 fen); Chenpi (Citri Reticulatae Pericarpium); Baishao (Paeoniae Radix Alba) (each 2 liang); Shudihuang (Rehmanniae Radix Praeparata) (1.5 liang).
Usage: Coarsely crush the herbs. For each dose of 0.5 liang, decoct with fresh ginger and jujube.
Benshi Huaijiao San (Ben Shi Sophora Seed Powder): Treats dysfunction of the intestines and stomach, manifesting as abdominal distension and fullness, and hematochezia (blood in stool).
Herbs: Cangzhu (Atractylodis Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus Immaturus) (each 1 liang); Huaijiao (Sophorae Flavescentis Fructus) (2 liang); Gancao (Glycyrrhizae Radix et Rhizoma); Wumei (Mume Fructus) (each 0.5 liang).
Usage: Coarsely crush the herbs. For each dose of 5 qian, decoct with water and take orally.
Note: The above formulas also belong to blood-qi tonifying categories. However, although *San Yin Fang* classifies them as tonics, they contain herbs that release the exterior. They are tentatively retained and included here under the category of regulating qi.
Jisheng Jisu San (Ji Sheng Houttonia Powder): Treats damage from overwork affecting the Lung meridian, resulting in blood in saliva and throat discomfort.
Herbs: Jisu Ye (Houttoniae Folium), Huangqin (Scutellariae Radix), Shengdihuang (Rehmanniae Radix), Ejiao (Colla Corii Asini, stir-fried), Beimu (Fritillariae Cirrhosae Bulbus), Baimaogen (Imperatae Rhizoma) (each 1 liang); Jiegeng (Platycodonis Radix); Maimendong (Ophiopogonis Radix); Puhuang (Typhae Pollen); Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (each 0.5 liang).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with fresh ginger.
Guipi Tang (Restore the Spleen Decoction): Treats spleen injury caused by excessive thinking, leading to the spleen's inability to control heart blood, resulting in reckless bleeding, such as hematemesis (vomiting blood) or hematochezia.
Herbs: Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria with Hostwood), Huangqi (Astragali Radix), Longyanrou (Longan Aril), Suanzaoren (Ziziphi Spinosae Semen) (each 1 liang); Renshen (Ginseng Radix et Rhizoma); Muxiang (Aucklandiae Radix) (each 0.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (2.5 qian).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with jujube and fresh ginger.
Dongyuan Maimendong Yinzi (Dong Yuan Ophiopogon Infusion): Treats chronic hematemesis that has not healed for a long time.
Herbs: Wuweizi (Schisandrae Chinensis Fructus) (10 fruits); Maimendong (Ophiopogonis Radix, heart removed); Huangqi (Astragali Radix) (each 1 qian); Dangguishen (Angelicae Sinensis Radix Stem), Renshen (Ginseng Radix et Rhizoma), Shengdihuang (Rehmanniae Radix) (each 0.5 qian).
Usage: Coarsely crush the herbs, decoct with water, and take orally.
Jingui Chidou Danggui San (Golden Cabinet Red Bean and Angelica Powder): Treats bleeding preceding defecation, known as "near blood."
Herbs: Chidou (Phaseoli Radiati Semen, soaked until sprouted); Danggui (Angelicae Sinensis Radix).
Usage: Grind the two ingredients into powder, mix with Jiangshui (fermented grain water), and take orally.
Sanyin Fulonggan Tang (Three Causes Dragon Liver Decoction): Treats bleeding following defecation, known as "far blood."
Herbs: Fulonggan (Caulis Argillae Rubrae) (8 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried); Baizhu (Atractylodis Macrocephalae Rhizoma); Ejiao (Colla Corii Asini); Huangqin (Scutellariae Radix); Shudihuang (Rehmanniae Radix Praeparata) (each 3 liang).
Usage: Coarsely crush the herbs. For each dose of 4–5 qian, decoct with water and take orally.
Fahui San (Hair Ash Powder): Treats hematuria (blood in urine), or bleeding before or after defecation, which also pertains to the distinction between near and far blood. The herb is Fahui (Ash of Hair).
Usage: Single ingredient. For each dose of 2 qian, take with 2 he of rice vinegar and a small amount of soup, or mix with well-water (Jinghua Shui).
Yuxie Gao (Jade Paste): Treats hematuria.
Herbs: Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma) (equal parts).
Usage: Grind into fine powder. Take large radishes, cut into slices about one finger thick, four to five slices. Marinate briefly in honey, then roast with honey until the honey is fully absorbed and dry, using 2 liang of honey as the limit; do not let it burn. Take the powder at any time, washed down with salt water.
Note: The above formulas are all mild tonifying agents. However, patients' constitutions may vary due to cold, heat, qi stagnation, etc. Users should investigate the specific causes and treat accordingly.