失血脉数大为阳盛,涩细为血少,细数为阴火郁于血中,芤为失血,弦紧胁痛为瘀结。寸大尺微,为肺中
伏火。尺盛而寸虚,为肾虚阴火。尺滑而疾,为血虚有热。右脉虚大,为脾胃火。左脉数盛,为肝胆火。失
血脉微弱细小和缓者易治;洪数实大弦急,或虽小按之如循刃,及衄血身热,脉至而搏,呕血胸满引背,脉
小而疾,皆不治。咳出白血,似肉似肺,浅红色者死;喘咳失血,气逆,脉见弦紧细数,有热,不得卧者死。
吐唾血,脉细弱者生,实大者死。
〔心脾〕归脾汤 见本卷劳瘵。
〔益肺〕生脉散 参 麦 五味
〔虚寒〕理中汤 参 术 姜 草
〔补肾〕六味丸 七味丸 八味丸 俱见一卷中风。六味丸加五味,名都气丸。
〔热寒〕麻黄人参芍药汤 麻 桂 参 归 芍 麦 五 味 草
〔补气〕保元汤 见一卷火。
〔壮水〕青铅六味饮 六味汤加青铅。
〔导下〕复元活血汤 柴胡 当归 花粉 甲片 红花 桃仁 大黄 甘草
〔攻瘀〕代抵当汤 大黄 归尾 生地 甲片 元明粉 桂
〔通补〕元戎四物汤 地 芍 归 芎 加桃仁、红花。
〔和营〕当归建中汤 见一卷伤风,加人参,名人参建中汤。
〔通络〕旋复花汤 见本卷痰饮。
〔烟酒〕紫草茸汤 紫草茸 白术 泽泻 丹皮 麦冬 犀角 甘草 藕汁 薇衔
〔胃火〕犀角地黄汤 见一卷温。
〔肺伤〕补中益气汤 见一卷中风。
〔肝逆〕化肝煎 青 陈 芍 贝(各二钱) 丹 栀 泽(各钱半)
〔心气〕天冬汤 参 归 芍 地 草 二冬 远志 阿胶 没药 藕节 姜
〔胃阳〕归 异功散 参 苓 术 草 陈 归
〔胃阴〕金匮麦门冬汤 见一卷燥。
〔肺痿〕人参固本丸 见一卷中风。
〔劳怯〕四阴煎 见本卷痰饮。
〔血虚〕当归补血汤 (一两) 归(二两)
〔血虚〕十全大补汤 见一卷中风。
〔气虚〕养营汤 见本卷劳瘵。
〔津涸〕元霜紫雪膏 悉尼(六十枚) 藕汁(十杯) 生地汁(十杯) 麦冬汁(五杯) 莱菔汁(五杯)
茅根汁(十杯) 合煎。去渣,入炼蜜(一斤) 饴糖(八两) 姜汁(半杯) 再熬服。
〔胸痛〕小乌沉汤 童便制香附(三钱) 乌药(钱半) 炙草(一钱) 沉香(五分磨汁) 加入盐一字。
〔去瘀〕黑神散 熟地 归尾 赤芍 蒲黄 桂心 炮姜 甘草 黑豆(炒去皮) 童便、酒各半,煎。
〔虚劳〕劫劳散 见本卷咳嗽。
〔干咳〕琼玉膏 见一卷燥。
〔降痰〕天门冬丸 (一两) 阿胶 茯苓 杏仁 贝母(各五钱) 蜜丸。
〔阴虚〕六味阿胶饮 六味丸加阿胶。
〔潮热〕八珍汤 见一卷中风。
〔劳嗽〕人参饮子 人参(二钱) 五味(二十粒) 麦 归 芍(各钱半) 甘草(一钱)
〔止血〕花蕊石散 花蕊石( 研细,三钱) 以童便煎温调下,男用酒一半,女用醋一半,和。
〔逐瘀〕大黄黄连泻心汤 大黄 黄连
〔咽火〕清咽太平丸 薄荷(十两) 川芎 防风 犀角 柿霜
甘草(各二两) 桔梗(三两) 蜜丸。
〔补心〕养心汤 见本卷劳瘵。
〔唾血〕清唾汤 二母 桔梗 元参 黄柏 熟地 天冬 远志 麦冬(各一钱) 炮姜(五分)
〔胃虚〕七珍散 参 苓 术 草 山药 粟米
〔劳唾〕黄 散 炙 糯米(炒) 阿胶 等分为末,米汤下三钱。
〔肺痿〕人参平肺散 见一卷火。
〔怒呕〕柴胡疏肝散 见本卷劳瘵。
〔胃伤〕是斋白术散 参 术 苓(各一钱) 山药 百合(各八分) 姜(三片) 枣(二枚)
〔酒伤〕葛黄散 黄连(四两) 葛花(三两) 用大黄末水熬成膏为丸,或为末服,温汤下。
失血患者的脉象若表现为数、大、有力,属于阳热亢盛;若脉象涩而细,说明血液亏少;脉象细数,是阴火郁结于血中;脉象芤(中空如葱管),主失血;脉象弦紧且伴有胁肋疼痛,表明有瘀血结聚。寸口脉大而尺部脉微,是肺中有伏火;尺部脉盛而寸部脉虚,是肾虚导致的阴火上炎;尺部脉滑且疾速,是血虚而有内热;右脉虚大,是脾胃之火;左脉数而盛大,是肝胆之火。失血患者若脉象微弱细小且和缓,容易治疗;若脉象洪大、数急、实大、弦急,或者虽然脉小但重按感觉像触摸刀刃一样坚硬锐利,以及出现鼻衄身热、脉搏搏动剧烈、呕血伴胸满牵引背部疼痛、脉小而疾速等情况,都属于难治或不治之症。咳出白色血液,形状似肉似肺,颜色浅红的,预后不良,多致死;喘咳失血,气机上逆,脉象见弦紧细数,伴有发热,不能平卧的,预后不良,多致死。吐血或唾血,若脉象细弱则生机尚存,若脉象实大则预后不良,多致死。
〔心脾两虚〕归脾汤 参见本卷劳瘵篇。
〔益肺气〕生脉散 人参、麦冬、五味子
〔虚寒证〕理中汤 人参、白术、干姜、甘草
〔补肾阴〕六味丸、七味丸、八味丸 均见于一卷中风篇。六味丸加五味子,名为都气丸。
〔寒热错杂〕麻黄人参芍药汤 麻黄、桂枝、人参、当归、芍药、麦冬、五味子、甘草
〔补气〕保元汤 参见一卷火篇。
〔壮水制火〕青铅六味饮 六味地黄汤加青铅。
〔导下泄热〕复元活血汤 柴胡、当归、天花粉、穿山甲片、红花、桃仁、大黄、甘草
〔攻逐瘀血〕代抵当汤 大黄、当归尾、生地黄、穿山甲片、玄明粉、桂枝
〔通补兼施〕元戎四物汤 熟地、芍药、当归、川芎,加桃仁、红花。
〔调和营血〕当归建中汤 参见一卷伤风篇,加人参,即为人参建中汤。
〔通络〕旋复花汤 参见本卷痰饮篇。
〔烟酒损伤〕紫草茸汤 紫草茸、白术、泽泻、牡丹皮、麦冬、犀角、甘草、藕汁、薇衔草
〔胃火炽盛〕犀角地黄汤 参见一卷温病篇。
〔肺脏受损〕补中益气汤 参见一卷中风篇。
〔肝气上逆〕化肝煎 青皮、陈皮、芍药、贝母(各二钱)、丹皮、栀子、泽泻(各钱半)
〔心气不足〕天冬汤 人参、当归、芍药、生地、甘草、天冬、麦冬、远志、阿胶、没药、藕节、生姜
〔胃阳虚弱〕归异功散 人参、茯苓、白术、甘草、陈皮、当归
〔胃阴不足〕金匮麦门冬汤 参见一卷燥证篇。
〔肺痿〕人参固本丸 参见一卷中风篇。
〔劳损怯弱〕四阴煎 参见本卷痰饮篇。
〔血虚〕当归补血汤 (黄芪一两) 当归(二两)
〔血虚〕十全大补汤 参见一卷中风篇。
〔气虚〕养营汤 参见本卷劳瘵篇。
〔津液枯竭〕元霜紫雪膏 雪梨(六十枚)、藕汁(十杯)、生地黄汁(十杯)、麦冬汁(五杯)、莱菔汁(五杯)、白茅根汁(十杯)合并煎煮。去渣,加入炼蜜(一斤)、饴糖(八两)、姜汁(半杯),再熬制成膏服用。
〔胸痛〕小乌沉汤 童便制香附(三钱)、乌药(钱半)、炙甘草(一钱)、沉香(五分磨汁),加入盐少许。
〔祛除瘀血〕黑神散 熟地黄、当归尾、赤芍药、蒲黄、桂心、炮姜、甘草、黑豆(炒后去皮),用童便和酒各一半煎服。
〔虚劳〕劫劳散 参见本卷咳嗽篇。
〔干咳〕琼玉膏 参见一卷燥证篇。
〔降痰〕天门冬丸 (黄芪一两) 阿胶、茯苓、杏仁、贝母(各五钱),蜂蜜为丸。
〔阴虚〕六味阿胶饮 六味地黄丸加阿胶。
〔潮热〕八珍汤 参见一卷中风篇。
〔劳嗽〕人参饮子 人参(二钱)、五味子(二十粒)、麦冬、当归、芍药(各钱半)、甘草(一钱)
〔止血〕花蕊石散 花蕊石(研细,三钱),用童便煎温调服,男性用酒一半,女性用醋一半,混合服用。
〔逐瘀〕大黄黄连泻心汤 大黄、黄连
〔咽喉火热〕清咽太平丸 薄荷(十两)、川芎、防风、犀角、柿霜、甘草(各二两)、桔梗(三两),蜂蜜为丸。
〔补心〕养心汤 参见本卷劳瘵篇。
〔唾血〕清唾汤 知母、贝母、桔梗、玄参、黄柏、熟地黄、天冬、远志、麦冬(各一钱)、炮姜(五分)
〔胃虚〕七珍散 人参、茯苓、白术、甘草、山药、粟米
〔劳损唾血〕黄耆散 炙黄耆、糯米(炒)、阿胶,等分为末,米汤送服三钱。
〔肺痿〕人参平肺散 参见一卷火篇。
〔怒致呕吐〕柴胡疏肝散 参见本卷劳瘵篇。
〔胃受伤〕是斋白术散 人参、白术、茯苓(各一钱)、山药、百合(各八分)、生姜(三片)、大枣(二枚)
〔酒伤〕葛黄散 黄连(四两)、葛花(三两),用大黄末和水熬成膏制成丸剂,或研为末服用,温开水送下。
For patients with blood loss, a rapid (Shu), large (Da), and forceful pulse indicates hyperactivity of Yang heat; a choppy (Se) and fine (Xi) pulse indicates deficiency of blood; a fine and rapid pulse indicates depression of Yin fire within the blood; a boggy (Kou) pulse, hollow like a green onion stalk, signifies blood loss; a wiry (Xian) and tight (Jin) pulse accompanied by hypochondriac pain indicates stagnation of blood. A large pulse at the Cun position and a faint pulse at the Chi position indicate latent fire in the Lungs; an excessive pulse at the Chi position and a deficient pulse at the Cun position indicate rising Yin fire due to Kidney deficiency; a slippery (Hua) and rapid (Ji) pulse at the Chi position indicates blood deficiency with internal heat; a deficient and large pulse on the Right side indicates Fire in the Spleen and Stomach; a rapid and excessive pulse on the Left side indicates Fire in the Liver and Gallbladder. If the pulse in blood loss is weak, small, and harmonious, it is easy to treat; if the pulse is flooding (Hong), rapid, excess-large, wiry-tight, or if it is small but feels hard and sharp like touching a blade upon deep pressure, or if there is epistaxis with body heat, a pulsating pulse, hematemesis with chest fullness radiating to the back, or a small and rapid pulse, these are all difficult to treat or incurable. Coughing up white blood resembling flesh or lung tissue, light red in color, indicates a fatal prognosis; wheezing cough with blood loss, rebellious Qi, a wiry-tight-fine-rapid pulse, heat, and inability to lie flat indicate a fatal prognosis. Vomiting or spitting blood with a fine-weak pulse suggests survival, whereas a solid-large pulse suggests death.
[Heart and Spleen Deficiency] Guipi Tang (Return to the Spleen Decoction) See Tuberculosis section in this volume.
[Nourish Lung Qi] Shengmai San (Generate the Pulse Powder) Ren Shen (Ginseng Radix), Mai Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Fructus)
[Deficiency Cold] Lizhong Tang (Regulate the Middle Decoction) Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Jiang (Zingiberis Rhizoma), Gan Cao (Licorice Root)
[Nourish Kidney Yin] Liuwei Wan (Six-Ingredient Pill), Qiwei Wan (Seven-Ingredient Pill), Bawei Wan (Eight-Ingredient Pill) All seen in Stroke section, Vol 1. Liuwei Wan plus Wu Wei Zi is named Duqi Wan.
[Cold-Heat Complex] Mahuang Renshen Shaoyao Tang (Ephedra, Ginseng, and Peony Decoction) Ma Huang (Ephedrae Herba), Gui Zhi (Cinnamomi Ramulus), Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Mai Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Fructus), Gan Cao (Licorice Root)
[Nourish Qi] Baoyuan Tang (Preserve the Origin Decoction) See Fire section, Vol 1.
[Strengthen Water to Control Fire] Qingqian Liuwei Yin (Green Lead Six-Ingredient Decoction) Liuwei Tang plus Qing Qian (Lead).
[Guide Downward and Purge Heat] Fuyuan Huoxue Tang (Restore Vitality and Invigorate Blood Decothesis) Chai Hu (Bupleuri Radix), Dang Gui (Angelicae Sinensis Radix), Hua Fen (Trichosanthis Radix), Jia Pian (Testudinis Carapax et Plastrum), Hong Hua (Carthami Flos), Tao Ren (Persicae Semen), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Licorice Root)
[Attack and Remove Blood Stasis] Dai Didang Tang (Substitute Dangdang Decoction) Da Huang (Rhei Radix et Rhizoma), Dang Gui Wei (Angelicae Sinensis Radix Tail), Sheng Di Huang (Rehmanniae Radix), Jia Pian (Testudinis Carapax et Plastrum), Yuan Ming Fen (Natrii Sulfas), Gui (Cinnamomi Cortex)
[Unblock and Tonify] Yuanrong Siwu Tang (Yuanrong Four Substances Decoction) Di Huang (Rehmanniae Radix), Shao Yao (Paeoniae Radix), Dang Gui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), plus Tao Ren (Persicae Semen), Hong Hua (Carthami Flos).
[Harmony Ying and Blood] Danggui Jianzhong Tang (Dangui Build the Middle Decoction) See Wind Strike section, Vol 1. Add Ren Shen, named Renshen Jianzhong Tang.
[Unblock Collaterals] Xuanfuhua Tang (Inula Flower Decoction) See Phlegm-Fluids section in this volume.
[Tobacco and Alcohol Damage] Zicao Rong Tang (Arnebiae Decoction) Zi Cao Rong (Arnebiae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ze Xie (Alismatis Rhizoma), Dan Pi (Moutan Cortex), Mai Dong (Ophiopogonis Tuber), Xi Jiao (Rhinocerotis Cornu), Gan Cao (Licorice Root), Ou Zhi (Nelumbinis Rhizoma Juice), Wei Xian (Prunellaae Spica)
[Stomach Fire Hyperactivity] Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) See Warm Disease section, Vol 1.
[Lung Injury] Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) See Stroke section, Vol 1.
[Liver Qi Rebellion] Huagany Jian (Transform Liver Decoction) Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Shao Yao (Paeoniae Radix), Bei Mu (Fritillariae Bulbus) (each 2 qian), Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus), Ze Xie (Alismatis Rhizoma) (each 1.5 qian)
[Heart Qi Deficiency] Tiandong Tang (Asparagus Decoction) Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Di Huang (Rehmanniae Radix), Gan Cao (Licorice Root), Er Dong (Tian Dong and Mai Dong), Yuan Zhi (Polygalae Radix), E Jiao (Colla Corii Asini), Moyao (Myrrha), Ou Jie (Nelumbinis Nodus), Jiang (Zingiberis Rhizoma Recens)
[Stomach Yang Deficiency] Gui Yigong San (Dangui Yigong Powder) Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui (Angelicae Sinensis Radix)
[Stomach Yin Deficiency] Jingui Maidong Tang (Golden Cabinet Ophiopogon Decoction) See Dryness section, Vol 1.
[Phthisis of Lung] Renshen Guben Wan (Ginseng Solidify the Root Pill) See Stroke section, Vol 1.
[Consumptive Weakness] Siyin Jian (Four Yin Decoction) See Phlegm-Fluids section in this volume.
[Blood Deficiency] Danggui Buxue Tang (Dangui Tonify Blood Decoction) Huang Qi (Astragali Radix) (1 liang), Dang Gui (Angelicae Sinensis Radix) (2 liang)
[Blood Deficiency] Shiquan Dabu Tang (Ten Complete Great Tonification Decoction) See Stroke section, Vol 1.
[Qi Deficiency] Yangying Tang (Nourish Camp Decoction) See Tuberculosis section in this volume.
[Dryness and Fluid Exhaustion] Yuanshuang Zixue Gao (Frost Purple Snow Paste) Xi Ni (Pyrus Betulifolia Fruit) (60 pieces), Ou Zhi (Nelumbinis Rhizoma Juice) (10 cups), Sheng Di Zhi (Rehmanniae Radix Juice) (10 cups), Mai Dong Zhi (Ophiopogonis Tuber Juice) (5 cups), Laifu Zhi (Raphani Fructus Juice) (5 cups), Maogen Zhi (Imperatae Rhizoma Juice) (10 cups). Boil together. Strain, add Lian Mi (Refined Honey) (1 jin), Yi Tang (Malt Sugar) (8 liang), Jiang Zhi (Zingiberis Rhizoma Recens Juice) (half cup), boil again and take.
[Chest Pain] Xiao Wuchen Tang (Small Black Sink Decoction) Tong Bian Zhi Xiang Fu (Cyperi Rhizoma processed with Child's Urine) (3 qian), Wu Yao (Linderae Radix) (1.5 qian), Zhi Cao (Prepared Licorice Root) (1 qian), Chen Xiang (Aquilariae Lignum Resinatum) (0.5 qian ground into juice), add a pinch of Yan (Salt).
[Remove Blood Stasis] Heishen San (Black Divine Powder) Shu Di (Prepared Rehmanniae Radix), Dang Gui Wei (Angelicae Sinensis Radix Tail), Chi Shao (Red Paeonia Root), Pu Huang (Typhae Pollen), Gui Xin (Cinnamomi Cortex Center), Pao Jiang (Prepared Zingiberis Rhizoma), Gan Cao (Licorice Root), Hei Dou (Soybean) (stir-fried, skin removed). Decoct with half Tong Bian (Child's Urine) and half Jiu (Wine).
[Deficiency Consumption] Ji Lao San (Rob Consumptive Powder) See Cough section in this volume.
[Dry Cough] Qiongyu Gao (Jade Pearl Paste) See Dryness section, Vol 1.
[Descend Phlegm] Tianmendong Wan (Asparagus Pill) Huang Qi (Astragali Radix) (1 liang), E Jiao (Colla Corii Asini), Fu Ling (Poria), Xing Ren (Armeniacae Semen Amarum), Bei Mu (Fritillariae Bulbus) (each 5 qian). Honey pills.
[Yin Deficiency] Liuwei Ejiao Yin (Six-Ingredient Donkey-Hide Gelatin Decoction) Liuwei Wan plus E Jiao (Colla Corii Asini).
[Tidal Fever] Bazhen Tang (Eight Treasure Decoction) See Stroke section, Vol 1.
[Consumptive Cough] Renshen Yinzi (Ginseng Infusion) Ren Shen (Ginseng Radix) (2 qian), Wu Wei Zi (Schisandrae Fructus) (20 grains), Mai Dong (Ophiopogonis Tuber), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix) (each 1.5 qian), Gan Cao (Licorice Root) (1 qian)
[Stop Bleeding] Huaruishi San (Flower Rock Stone Powder) Huaruishi (Pyritum) (ground fine, 3 qian). Take with warm Tong Bian (Child's Urine). For males, mix with half wine; for females, mix with half vinegar.
[Purge Blood Stasis) Dahuang Huanglian Xiexin Tang (Rhubarb, Coptis, and Heart-Purging Decoction) Da Huang (Rhei Radix et Rhizoma), Huang Lian (Coptidis Rhizoma)
[Throat Fire] Qingyan Taiping Wan (Clear Throat Peace Pill) Bo He (Menthae Haplocalycis Herba) (10 liang), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Fang Feng (Saposhnikoviae Radix), Xi Jiao (Rhinocerotis Cornu), Shi Shuang (Diospyros Fructus Frost), Gan Cao (Licorice Root) (each 2 liang), Jie Geng (Platycodonis Radix) (3 liang). Honey pills.
[Nourish Heart] Yangxin Tang (Nourish Heart Decoction) See Tuberculosis section in this volume.
[Spitting Blood] Qingsuo Tang (Clear Saliva Decoction) Er Mu (Zhi Mu and Bei Mu), Jie Geng (Platycodonis Radix), Yuan Shen (Scrophulariae Radix), Huang Bo (Phellodendri Cortex), Shu Di (Prepared Rehmanniae Radix), Tian Dong (Asparagi Radix), Yuan Zhi (Polygalae Radix), Mai Dong (Ophiopogonis Tuber) (each 1 qian), Pao Jiang (Prepared Zingiberis Rhizoma) (0.5 qian)
[Stomach Deficiency] Zhizhen San (Seven Treasures Powder) Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root), Shan Yao (Dioscoreae Rhizoma), Su Mi (Setaria Italica)
[Consumptive Spitting Blood) Huang San (Yellow Powder) Zhi Huang Qi (Prepared Astragali Radix), Nu Mi (Glutinous Rice) (stir-fried), E Jiao (Colla Corii Asini). Equal parts ground to powder. Take 3 qian with Rice Decoction.
[Phthisis of Lung] Renshen Pingfei San (Ginseng Level Lung Powder) See Fire section, Vol 1.
[Anger-induced Vomiting) Chaihu Shugan San (Bupleurum Soothe Liver Powder) See Tuberculosis section in this volume.
[Stomach Injury) Shizhai Baizhu San (Shizhai Atractylodes Powder) Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria) (each 1 qian), Shan Yao (Dioscoreae Rhizoma), Bai He (Lilii Bulbus) (each 0.8 qian), Jiang (Zingiberis Rhizoma Recens) (3 slices), Zao (Jujubae Fructus) (2 pieces)
[Alcohol Injury) Gehuang San (Kudzu and Rhubarb Powder) Huang Lian (Coptidis Rhizoma) (4 liang), Ge Hua (Kudzu Flower) (3 liang). Use Da Huang (Rhei Radix et Rhizoma) powder, boil with water to make a paste for pills, or take as powder with warm water.