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-> -> 卷二

《卷二》[View] [Edit] [History]

1
诸血统论
2
失血诸证,妄行于上则吐衄。衰涸于内则虚劳。妄返于下则便红。积热膀胱则癃闭、尿渗透肠间,则为肠风。阴虚阳搏,则为崩中。湿蒸热瘀、则为滞下。热极腐化,则为脓血。
3
火极似水,则血色紫黑。热胜于阴,则发为疡。湿滞于血,则发为痛痹。瘾疹皮肤,则为冷痹。蓄之在上,其人喜狂。蓄之在下,其人喜忘。
4
血出上七窍为血溢,大小便下血为血泄,然《内经》云:溢则后血,是血下出,亦可云溢,正不必拘也。
5
先见血,后见痰嗽,多是阴虚。先见痰嗽,后见血,多是痰火积热。
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凡吐衄血太甚不止,当防其血晕,用茅根烧烟将醋洒之,令鼻嗅气以遏其势,或蓦然以血虚眩晕卒倒,不可艾灸,惊哭叫动,动则乘虚而死矣。须以当归、川芎、白芍、熟地黄、人参、白术、茯苓、陈皮、荆芥穗、甘草各七分,枣二枚,乌梅一个,同煎服之。
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凡用血药,不可单行单止,又不可纯用寒凉,必加辛温升药。如用寒凉药,用酒煎、酒炒之类,乃寒因热用也。久患血证,血不归元,久服药而无效者,以川芎为君则效。丹溪。凡呕吐血,若出未多,必有瘀于胸膈者,当先消而去之。骤用补法,血成瘀而热,多致业师薛一瓢先生治陆元宾劳伤吐血,后日渐消瘦,有时发寒热,饮食减少,微有乾咳,四肢无力,语亦懒。师用大当归一只,重二两者,木器捶松、陈酒煎,令服三剂。以其人素不饮酒,改用酒水各半煎,果三服而诸病皆愈。
URN: ctp:ws111665

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