Written By Jun Heo(許浚, 1539~1615), Translated by Namil Kim, Wung Seok Cha et al., Published by Ministry of Health & Welfare (Korea)
17 Bloody Stool 便血변혈
① In the Inner Classic (內經), it is said, “If yin is bound, the patient has 1 doe of bloody stool; if it is bound again, he/she has 2 doe of bloody stool, and if it is bound one more time, he/she has 3 doe of bloody stool.” In the Interpretation, it is said, “When yin is bound, yin-qi is lumped inside and cannot go outside. It cannot lead blood; therefore, the blood soaks into the intestines and induces the bloody stool. The pulse is vacuous, rough, and the blood is lumped and cannot flow, thus it gushes out downward.” A Sanguisorba Calm Stomach Decoction and Fructify Yin Elixir are mainly prescribed.
② In the Divine Pivot (靈樞), it is said, “If pathogenic qi is in the five viscera, the yin channels become irregular, and if yin channels are irregular, blood cannot flow.” If pathogenic qi enters the five viscera, the three yin channels lose their harmony and lump together. Therefore, blood cannot flow, so it stagnates and flows into the intestines and forms bloody stools.
③ Zhongjing (仲景) said, “If blood comes out after the stool, it indicates that this is distal bleeding, thus a Yellow Earth Decoction is mainly prescribed. If blood comes out before the stool, it indicates that this is proximal bleeding, thus Adzuki Bean and Angelica Powder is mainly used.”
④ To treat bloody stools, use a stomach Wind Decoction. [The prescription is mentioned in the chapter on Feces.], Clear Organ Decoction, Sanguisorba and Amomum Decoction, Sanguisorba Powder, Forsythia Pill, Modified Four Substances Decoction, or Sophora Flower Powder. If the patient has excessive heat, use an Angelica Coordinate Qi Decoction. If the bloody stool is protracted and source qi sags down, use a Magnolia Bark Formula or Tonify the Center to Augment the qi Decoction. [The prescription is mentioned in the chapter on Internal Damage]. If the patient has internal damage due to food, use Calm Stomach Powder [the prescription is mentioned in the chapter on Internal Damage] with Aruantii Fructus Immaturus (枳殼), Sophorae Flos (槐花), Angelica Gigantis Radix (當歸), and Mume Fructus Praeparatum (烏梅). If the patient has a bloody stool due to alcoholic toxin, use a Wine Steamed Coptis Pill.
- Sanguisorba Calm Stomach Decoction 平胃地楡湯 평위지유탕: It cures the bloody stool caused by lumped yin. 1 don of Atractylodis Rhizoma (蒼朮), Cimicifugae Rhizoma (升麻) and Aconiti Lateralis Radix Preparata (附子) (wrapped with damp paper and baked) each, 7 pun of Sanguisorbae Radix (地楡), 5 pun of Puerariae Radix (葛根), Magnoliae Cortex (厚朴), Atractylodis Rhizoma Alba (白朮), Citrus Unshius Pericarpium (陳皮) and Poria Sclerotium Rubra (赤茯苓) each, and 3 pun of Zingiberis Rhizoma (乾薑), Angelica Gigantis Radix (當歸), Massa Medicata Fermentata (stir-baked), Paeoniae Radix
Alba (白芍藥), Alpiniae Oxyphyllae Fructus, Ginseng Radix (人蔘) and Glycyrrhizae Radix (甘草) (baked) each. Mince these drugs to make 1 package and decoct in water with 3 pieces of Zingiberis Rhizoma Crudus (生薑) and 2 Zizyphi Fructus (大棗). - Fructify Yin Elixir 結陰丹 결음단: It cures the bloody stool caused by lumped yin. 5 don of Aruantii Fructus Immaturus (枳殼), Clematidis Radix, Astragali Radix (黃芪), Citrus Unshius Pericarpium (陳皮), Cortex Toonae Sinensis, Polygoni Multiflori Radix, and Schizonepetae Spica (荊芥) each. Grind these drugs into powder and knead this powder with paste prepared with alcohol to make pills as big as the seed of the royal foxglove tree. Mix vinegar to a thin gruel made of old rice, and take 50~70 pills with this gruel.
- Yellow Earth Decoction 黃土湯 황토탕: It treats cases when blood comes out after the stool. 3 don of Yellow Terra in the fireplace, 1 don of Rehmanniae Radix Preparata (熟地黃), Atractylodis Rhizoma Alba (白朮) and Aconiti Lateralis Radix Preparata (附子) wrapped with damp paper, Asini Corii Colla (阿膠珠) and Scutellariae Radix (黃芩), and 1 don of Glycyrrhizae Radix (甘草). Mince these drugs to make 1 package and decoct in water.
- Adzuki Bean and Angelica Powder 赤小豆當歸散 적소두당귀산: It treats cases when blood comes out before the bloody stool. 5 nyang of Phaseoli Angularis Semen (赤小豆) (soaked in water until it sprouts and then dried in the sun), 1 nyang of Angelica Gigantis Radix (當歸). Pound these drugs and make into powder, mix 2 don of this powder in the upper water
of millet gruel and take 3 times a day. - Clear the Organs Decoction 淸臟湯 청장탕: It cures bleeding through the stool. 1 don of Rehmanniae Radix Crudus (生
地黃), 8 pun of Angelica Gigantis Radix (當歸) (washed with alcohol) and Sanguisorbae Radix (地楡) each, 7 pun of Scutellariae Radix (黃芩), Gardeniae Fructus (梔子) (stir-baked until it becomes black) and Phellodendri Cortex (黃柏) (stir-baked) each, 6 pun of Paeoniae Radix Alba (白芍藥), Coptidis Rhizoma (黃連), Thujae Orientalis Folium (側柏葉) and Asini Corii Colla (阿膠珠) each, and 5 pun of Cnidii Rhizoma (川芎) and Sophorae Fructus (stir-baked) each. Mince these drugs to make 1 package and decoct in water. - Sanguisorba and Amomum Decoction 楡砂湯 유사탕: It cures a bloody stool caused by lumped yin. 4 nyang of Sanguisorbae Radix (地楡), 7 Amomi Fructus (ground), 1.5 don of Glycyrrhizae Radix (甘草) (crude one) and 1 don of Glycyrrhizae Radix (甘草) (baked). Mince these drugs and decoct in water.
- Sanguisorba Powder 地楡散 지유산: It cures protracted dysentry. 5 don of Sanguisorbae Radix (地楡) and Selaginellae
Herba (卷柏). Mince these drugs, put them in porcelain, boil 10 times, and take it warm. - Forsythia Pill 連殼丸 연각환: ① It cures dysentry caused by internal damage. This drug loosens up the lumped collateral vessels. Mince 2 nyang of Coptidis Rhizoma (黃連) and Aruantii Fructus Immaturus (枳殼) each, stir-bake it with 4 nyang of Sophorae Flos (槐花), then pick out the Sophorae Flos (槐花) and throw away. Grind these drugs into powder, knead with steamed rice cake, and make pills as big as the seed of the royal foxglove tree. Take 50~70 pills with boiled water. ② This is the same prescription with the Bitter Orange Decoction in the Orthodox Transmission of Medicine (正傳). Mince 5 don and decoct in water.
- Modified Four Substances Decoction 加減四物湯 가감사물탕: It cures the bloody stool and also intestinal wind. 1 don of Thujae Orientalis Folium (側柏葉), Rehmanniae Radix Crudus (生地黃), Angelica Gigantis Radix (當歸) and Cnidii Rhizoma (川芎) each, and 5 pun of Aruantii Fructus Immaturus (枳殼), Schizonepetae Spica (荊芥), Sophorae Flos (槐花) (stir-baked) and Glycyrrhizae Radix (甘草) (baked) each. Mince these drugs to make 1 package and decoct with 3 pieces of Zingiberis Rhizoma Crudus (生薑) and 1 Mume Fructus Praeparatum (烏梅).
- Sophora Flower Powder 槐花散 괴화산: It treats cases where dampness persists in the intestines and stomach, which causes the patient to feel distention, fullness and dysentry. 2 don of Sophorae Flos (槐花) (stir-baked), 1 don of Atractylodis Rhizoma (蒼朮), Magnoliae Cortex (厚朴), Citrus Unshius Pericarpium (陳皮), Angelica Gigantis Radix (當歸) and Aruantii Fructus Immaturus (枳殼) each, and 5 pun of Mume Fructus Praeparatum (烏梅) and Glycyrrhizae Radix (甘草) (baked) each. Mince these drugs to make 1 package and decoct in water.
- Angelica Coordinate Qi Decoction 當歸承氣湯 당귀승기탕: It cures the bloody stool caused by excessive heat. 2 don of Angelica Gigantis Radix (當歸), 8 pun of Magnoliae Cortex (厚朴), Ponciri Fructus Immaturus and Rhei Radix et Rhizoma (大黃) each, and 7 pun of Natrii Sulfas (芒硝). Mince these drugs and decoct in water.
- Magnolia Bark Formula 厚朴煎 후박전: It cures the bloody stool and all kinds of vaginal discharge. 5 nyang of Magnoliae Cortex (厚朴) and Zingiberis Rhizoma Crudus (生薑) (pound together and stir-bake until they become yellow) each, and 1 nyang of Atractylodis Rhizoma Alba (白朮), Massa Medicata Fermentata (神麴), Hordei Fructus Germinatus (麥芽) and Schisandrae Fructus (五味子) each. Grind these drugs into powder, knead with paste made from water, and make pills as big as the seed of the royal foxglove tree. Take 100 pills with thin rice gruel. The spleen and stomach do not contain blood originally. However, if the intestines become thin due to a qi deficiency, blood from nutrient and defense qi soak into
the intestines, which causes vaginal bleeding. Magnoliae Cortex (厚朴) makes the intestines and stomach thicker, Hordei Fructus Germinatus (麥芽) helps in the digestion of alcohol and food, Atractylodis Rhizoma Alba (白朮) leads water, therefore blood cannot be produced. This prescription has a very marvelous effect. - Wine Steamed Coptis Pill 酒蒸黃連丸 주증황련환: It treats bloody stools due to the accumulation of heat caused by alcoholic toxins and scorching heat in the anus. Grind 4 nyang of Coptidis Rhizoma (黃連) (minced, soaked in alcohol overnight, and dried in the sun) into powder, knead with paste made from millet, and make pills as big as the seed of
the royal foxglove tree. Take 30~50 pills with boiled water.
18 Dysentery 腸澼證장벽증
It is mentioned in detail in the chapter on Anus.
19 Gum Bleeding 齒衄 잇몸의 출혈
① In the Introduction to Medicine (入門), it is said, “If blood comes out from the gums, we call it gum bleeding.” and also “The gums belong to the stomach, and the teeth belong to the kidneys. If pathogenic qi enters lesser yin from yang brightness and the pathogenic qi of the two meridians combine together, blood gushes out from the gums.” People do not know that this blood comes out from the gums. If the patient gargles with cold water, the bleeding stops for a moment but starts again. Apply Green Robe Powder on the site of bleeding, take a Resolve Toxicity Decoction [prescription is mentioned in the chapter on Cold] with a Rhinocerotis Cornu and Rehmannia Decoction added or take a Rehmannia, Scutellaria and Coptis Decoction [prescription is mentioned later]. ② To treat gum bleeding, use Schizonopeta and Sophora Powder, Curcuma Powder, or Cephalonoplosi Herba Powder.
- Green Robe Powder 綠袍散 녹포산: It is used when the gums continue to bleed. The same amounts of Phellodendri Cortex (黃柏), Menthae Herba (薄荷), Natrii Sulfas (芒硝), and Indigo Pulverata Levis (靑黛). Grind these drugs into powder, add Borneolum a little and sprinkle on the gums. The bleeding will stop.
- Schizonopeta and Sophora Powder 荊槐散 형괴산: It cures bleeding from the teeth. The same amounts of Schizonepetae Spica (荊芥) and Sophorae Flos (槐花) (stir-baked). Grind these drugs into powder, rub the teeth with this powder regularly or take it in small amounts.
- Curcuma Powder 鬱金散 울금산: It cures gum bleeding. The same amounts of Curcumae Radix (鬱金), Angelicae Dahuricae Radix (白芷) and Asiasari Radix et Rhizoma (細辛). Grind these drugs into powder and rub the teeth with this powder regularly. Decoct Phyllostachys Folium (竹葉) and Bambusae Caulis in Taeniam (竹茹) with salt, keep in the mouth and gargle.
- Cephalonoplosi Herba Powder 小薊散 소계산: It cures bleeding from teeth. 5 don of Fulvis Fumi Carbonisatus (百草霜),
Cephalonoplosi Herba (小薊葉), Cyperi Rhizoma (香附子), and Typhae Pollen (蒲黃) (stir-baked) each. Grind these drugs into powder and rub the teeth with this powder regularly and the bleeding will stop immediately. - Another Prescription 又方 또 다른 처방: ① If the gums bleed severely, gargle salt water regularly, and apply salt powder. ② Soak Bambusae Caulis in Taeniam (竹茹) in vinegar overnight, keep in the mouth and gargle. Decoct Phyllostachys Folium (竹葉) with salt, keep in the mouth, and gargle. Moreover, keep strong tea in the mouth and gargle. All these methods have marvelous effects. ③ To treat a toothache and bleeding, grind Cyperi Rhizoma (香附子) into powder and soak in Zingiberis Rhizoma Crudus (生薑) juice overnight; keep this juice in the mouth, gargle, and rub the teeth. ④ If the teeth bleed a mouthful of blood, gargle with a decoction of Lycii Radicis Cortex (地骨皮) and then drink it.
