Written By Jun Heo(許浚, 1539~1615), Translated by Namil Kim, Wung Seok Cha et al., Published by Ministry of Health & Welfare (Korea)
25 Black-colored Medicines Stop Bleeding 黑藥止血 검은색 약은 지혈한다
① In the Compendium of Medicine (綱目) it is said, “Ashes or black-colored medicines can stop bleeding”. In the Classic (經), it is said, “North is black and has a relationship with the kidneys”. Blood shows the color of the heart. If blood meets the black color, the blood stops because kidney-Water controls heart-Fire.
② To stop bleeding, you should use Fivefold Ashes Powder, Tenfold Ashes Powder, or Tenfold Ashes Pill. You can also use the ashes of Fulvis Fumi Carbonisatus (百草霜), Pini Atramentum (松烟墨), Carbonisatus Crinis (油髮) (ashes), Silk thread (新綿) (ashes), Trachycarpi Petiolus (棕櫚) (ashes), Gardeniae Fructus (梔子), sun dried persimmon (乾柿), Schizonepetae Spica (荊芥), Nelumbinis Receptaculum (蓮房), Corium Erinacei seu Hemiechini (蝟皮), and bone gathered from a bull’s horn (牛角䚡) as a single-medicine prescription.
- Fivefold Ashes Powder 五灰散 오회산: It treats all kinds of losses of blood and flooding. Nelumbinis Receptaculum (蓮蓬), yellow silk, Carbonisatus Crinis (油髮), Fulvis Fumi Carbonisatus (百草霜), and Trachycarpi Petiolus (棕櫚皮). Take all these medicines in the same quantities, burn to ashes but the nature of drugs should remain. Add Gardeniae Fructus (梔子) (stir-bake until it becomes black), Typhae Pollen (蒲黃) (stir-baked), Pini Atramentum (松烟墨) and Draconis Sanguis (血竭), and grind into a fine powder. Mix this powder in raw Nelumbinis Rhizoma (蓮根) juice or the fresh juice of Raphani Radix (蘿葍) and take it. You can also knead it with honey and make pills. Take 50 pills with rice gruel.
- Tenfold Ashes Powder 十灰散 십회산: It treats vomiting blood, hematemesis, hemoptysis, coughing with bloody sputum, and hematemesis due to fatigue and deficiency. The same quantities of Cirsii Radix (大薊), Cephalonoplosi Herba (小薊葉), Thujae Orientalis Folium (側柏葉), Nelumbinis Folium (荷葉), Imperatae Rhizoma (白茅根), Rubiae Radix (茜根), Rhei Radix et Rhizoma (大黃), Gardeniae Fructus (梔子), Trachycarpi Petiolus, and Moutan Cortex (牧丹皮). Burn these medicines into ashes but the nature of drugs should remain. Then remove the Fire toxin and grind into fine powder. Mix 5 don to half cup of Pini Atramentum grind with fresh juice of raw Nelumbinis Rhizoma (蓮根) or juice of Raphani Radix (松墨), and the
bleeding will stop. - Tenfold Ashes Pill 十灰丸 십회환: It treats flooding and all sorts of loss of blood. Use the same quantities of yellow silk (ashes), horsehair (ashes), Nelumbinis Rhizomatis Nodus (蓮根) (ashes), Artemisiae Argyi Folium (艾葉) (ashes), Typhae Pollen (蒲黃) (ashes), Nelumbinis Receptaculum (蓮蓬) (ashes), Carbonisatus Crinis (油髮) (ashes), Trachycarpi Petiolus (棕櫚) (ashes), Pine tree (赤松皮) (ashes), and Silk thread (新綿) (ashes). Grind these medicines into powder, knead with paste made of waxy rice, and make pills as big as the seed of the royal foxglove tree. Take 100 pills with rice gruel.
26 Contraindications 禁忌 금기
In the Inner Classic (內經), it is said, “Salty taste enters the blood; therefore, do not eat lots of salty food in the case of a blood disease” and “Excessive use of the eyes damages blood.” Do not perform acupuncture and draw blood from the patient who is deficient in or lacking blood.
27 Instructions of Administrating Medicinals in Blood Disease 治血藥法 혈병의 용약법
① Danxi (丹溪) said, “When using blood medicine, do not use only medicine that moves blood or medicine that stops bleeding. Also, do not use cold medicine, but use warm, pungent, and upbearing medicine. Moreover, when using cold medicine, decoct or stir-bake in alcohol to change its nature to warm” and “When the patient suffers from chronic blood syndrome, blood cannot return to its origin and medicine does not have effect. Use Cnidii Rhizoma (川芎) as the sovereign medicine and it will be efficacious.”
②Generally, blood circulates when it receives heat, coagulates when it meets coldness, and stops when it meets the color black (some say ashes instead of the black color).
③ If there isn’t much blood when the patient vomits blood, it means that the patient has static blood in the lower chest. Remove the static blood first, then cool the blood, and it stops bleeding. When removing static blood, use a Rhinocerotis Cornu and Rehmannia Decoction, when cooling blood, use Tao Family Rehmannia, Scutellaria, and Coptis Decoction; when stopping bleeding, use Biota Leaves Powder or Canitis Fel Pill.
④ Persicae Semen (桃仁), Carthami Flos (紅花), Sappan Lignum (蘇木), Draconis Sanguis (血竭), and Moutan Cortex (牧丹皮) are used when blood is stagnated. Typhae Pollen (蒲黃), Asini Corii Colla (阿膠珠), Sanguisorbae Radix (地楡), Fulvis Fumi Carbonisatus (百草霜), and Trachycarpi Petiolus (棕櫚) (ashes) are used when blood is flooding. Olibanum (乳香), Myrrha (沒藥), Trogopterorum Faeces (五靈脂), and Campsitis Flos (凌宵花) are used when there is pain due to blood. Cistanchis Herba (肉蓯蓉), Cynomorii Herba (鎖陽), Achyranthis Radix (牛膝), Lycii Fructus (枸杞子), Leonuri Herba (益母草), Prunellae Spica (夏枯草), and Testudinis Plastrum (龜板) are used in the case of a blood deficiency. Butyrum (乳酪) or every kind of blood is used in the case of blood dryness. Zingiberis Rhizoma (乾薑) and Cinnamomi Cortex Spissus (肉桂) are used in the case of blood cold. Rehmanniae Radix Crudus (生地黃) and Sophorae Radix are used in the case of blood heat.
⑤ When treating blood diseases, you should know that Saposhnikoviae Radix (防風) is the courier medicine of the upper energizer; Forsythiae Fructus (連翹) (some books say Coptidis Rhizoma (黃連) instead of Forsythiae Fructus (連翹)) is the courier medicine of the middle energizer, and Sanguisorbae Radix (地楡) is the courier medicine of the lower energizer.
⑥ When the blood is accumulated, the use of water mixed with vinegar works marvelously.
⑦ When the blood cannot conduct qi to the genuine origin due to loss of blood in men and women, use 3 don of Glycyrrhizae Radix (甘草) (baked) and Zingiberis Rhizoma (乾薑) (wrapped in damp paper and baked). It cures marvelously.
⑧ When the blood is deficient, use Glycyrrhizae Radix (甘草); when the blood is coagulated and black, use Rehmanniae Radix Preparata (熟地黃); when the blood is bright red, use Rehmanniae Radix Crudus (生地黃). If the pulse is surging and replete and
pain is severe, use Rhei Radix et Rhizoma (大黃) soaked in alcohol. To harmonize the blood and to stop pain, use Angelica Gigantis Radix (當歸).
28 Medicinals Commonly Used in Blood Diseases 通治血病藥餌 혈병을 두루 치료하는 약
In every disease caused by a loss of blood, a Four Substances Decoction, Tonify Nutrient Qi Decoction, Preserve Life Rehmannia Powder, Clear Heat and Nourish Yin Decoction [prescription is mentioned previously], Water and Fire Paste, Stabilize and Flourish Powder, Blood Surplus Powder, Biotae Cacumen Decoction, and a child’s urine are commonly used.
- Four Substances Decoction 四物湯 사물탕: ① It cures all kinds of blood diseases. 1.25 don of Rehmanniae Radix Preparata (熟地黃), Paeoniae Radix Alba (白芍藥), Cnidii Rhizoma (川芎), and Angelica Gigantis Radix (當歸) each. Mince these drugs to make 1 package and decoct in water[B133] ② Sometimes, use twice the amount of Cnidii Rhizoma (川芎) in spring, twice the amount of Paeoniae Radix (芍藥) in summer, twice the amount of Rehmanniae Radix Crudus (生地黃) (Terra) in autumn, and twice the amount of Angelica Gigantis Radix (當歸) in winter. ③ In spring, add Saposhnikoviae Radix (防風); in summer, add Scutellariae Radix (黃芩); in autumn, add Asparagi Tuber (天門冬), and in winter, add Cinnamomi Ramulus (桂枝). ④ Angelica Gigantis Radix (當歸) harmonizes the blood and returns it to the meridians; Paeoniae Radix (芍藥) cools the blood and tonifies the kidneys; Rehmanniae Radix Crudus (生地黃) engenders the blood and relieves the heart; Cnidii Rhizoma (川芎) moves the blood and unblocks the liver. ⑤ Liu Zonghou (劉宗厚) said, “If you are looking for blood medicine, use a Four Substances Decoction.” Cnidii Rhizoma (川芎) is the qi-medicine of the blood,
it unblocks the liver meridian and disperses with its pungent taste. Therefore, it circulates blood accumulated by qi. Rehmanniae Radix Crudus (生地黃) (Terra) is the blood-medicine of the blood, it unblocks the kidney meridian. Its taste
is sweet and its nature cold. Therefore, it saves the patient who has a genuine-yin deficiency. Angelica Gigantis Radix (當歸) is divided in three parts according to its use. It is commonly used for blood diseases and unblocks the liver meridian. Its taste is pungent and its nature is warm. The use of the three parts together activates the blood and returns the blood to its meridians. Paeoniae Radix (芍藥) is medicine of the yin aspect, and it unblocks the spleen meridian. Its taste is sour and its nature cold, so it cools the blood. Moreover, it cures abdominal pain caused by a blood deficiency. If you are looking for yin medicine, use Paeoniae Radix (芍藥) by all means. - Tonify Nutrient Qi Decoction 補榮湯 보영탕: It cures all kinds of loss of blood. 1 don of Angelica Gigantis Radix (當歸),
Paeoniae Radix Alba (白芍藥), Rehmanniae Radix Crudus (生地黃), Rehmanniae Radix Preparata (熟地黃), Poria Sclerotium Rubra (赤茯苓), Gardeniae Fructus (梔子), Liriopis Tuber (麥門冬) and Citrus Unshius Pericarpium (陳皮) each, and 5 pun of
Ginseng Radix (人蔘) and Glycyrrhizae Radix (甘草). Mince these drugs to make 1 package and decoct in water with 2 Zizyphi Fructus (大棗) and 1 Mume Fructus Praeparatum (烏梅). - Preserve Life Rehmannia Powder 保命生地黃散 보명생지황산: It treats all kinds of loss of blood that do not have cold symptoms, like epistaxis, hematemesis, hematochezia, and hematuria due to obstructed heat. 1don of Rehmanniae Radix Crudus (生地黃), Rehmanniae Radix Preparata (熟地黃), Lycii Fructus (枸杞子), Lycii Radicis Cortex (地骨皮), Asparagi Tuber (天門冬), Paeoniae Radix Alba (白芍藥), Astragali Radix (黃芪) and Bupleuri Radix (柴胡) each, and 5 pun of Scutellariae Radix (黃芩), Coptidis Rhizoma (黃連), and Glycyrrhizae Radix (甘草) each. Mince these drugs to make 1 package and
decoct in water. If the patient has a faint pulse and the body is cold, add Cinnamomi Cortex (桂皮).
• Water and Fire Paste 坎离膏 감리고: It cures epistaxis, hematemesis, hemoptysis, and the spitting of blood caused
by a yin deficiency with the frenetic movement of Fire. 4 nyang of Phellodendri Cortex (黃柏) and Anemarrhenae Rhizoma (知母) each, 2 nyang of Rehmanniae Radix Crudus (生地黃), Rehmanniae Radix Preparata (熟地黃), Asparagi Tuber (天門
冬) and Liriopis Tuber (麥門冬) each, 7 don of Armeniacae Semen (杏仁), 4 nyang of the kernel of walnut (peeled and washed), and 4 nyang of honey. First, decoct the Phellodendri Cortex (黃柏) and Anemarrhenae Rhizoma (知母) in 3 bowls
of a child’s urine with one fist of Thujae Orientalis Folium (側柏葉) until it becomes 4 bowls. Put aside the residue. Add the Asparagi Tuber (天門冬), Liriopis Tuber (麥門冬), Rehmanniae Radix Crudus (生地黃), and Rehmanniae Radix Preparata (熟地黃) here with 2 bowls of water and decoct one more time. Put aside the residue again. Pound the residue like mud, add 1~2 bowls of water and boil down. Add this juice to the juice obtained previously. Pulverize Armeniacae Semen (杏仁) and Persicae Semen (桃仁), filter it, remove the residue then add to the previous juice with honey. Boil down all together and make an ointment. Put this ointment in a porcelain jar, seal up the opening and immerse it in water for a day in order to remove the Fire toxin. Take 3~5 spoons with a Thujae Orientalis Folium (側柏葉) decoction on an empty stomach. Avoid using copper or iron containers during the entire procedure. - Stabilize and Flourish Powder 固榮散 고영산: It treats all kinds of loss of blood like hematemesis, epistaxis, hematochezia, and hematuria. 1 nyang of good Typhae Pollen (蒲黃) and Sanguisorbae Radix (地楡) each, 5 don of Angelicae Dahuricae Radix (白芷), and 2.5 don of Glycyrrhizae Radix (甘草). Grind these drugs into powder. Take 4 don of this powder mixed with warm alcohol.
- Blood Surplus Powder 血餘散 혈여산: ① It treats all kinds of loss of blood like hematemesis, epistaxis, hematochezia,
and hematuria. It also cures inside flooding (uterine hemorrhage). Wash Carbonisatus Crinis (亂髮) in a Gleditsiae Spina (皂角) decoction and dry it in the sun. Then burn it and make into powder. Take 2 don of this powder with an Imperatae Rhizoma (白茅根) decoction or vinegar added to water. ② This medicine made as a pill is called a Hair Ash Pill. [prescription is mentioned previously]. - Biotae Cacumen Decoction 側柏湯 측백탕: It treats all kinds of loss of blood like hematemesis, epistaxis, flooding, and
bloody dysentery. Collect Thujae Orientalis Folium (側柏葉) and dry it in the sun. Decoct these leaves and drink it like a tea. It stops bleeding and enriches yin. This is also called Baek-tang (柏湯) or Baek-cha (柏茶). - Infant’s Urine 童子尿 동자뇨: If one puts 1 hop of a child’s urine in medicines treating hematemesis, epistaxis, or hemoptysis caused by a deficiency, the effects show very fast. When using this drug alone, warm it up in a double boiler and take the drug at once, it always works. Urine extinguishes Fire, nourishes yin, removes static blood and stops hematemesis, epistaxis, and all kinds of hemorrhages. Ancient sages said, “When treating all kinds of loss of blood, if the patient takes cold nature medicine, not even one patient out of ten can survive; if the patient takes urine, not one patient out of a hundred dies,” this is reliable. Add 2~3 drops of Zingiberis Rhizoma Crudus (生薑) juice in half doe of children’s urine, mix evenly, and take it slowly. Take it 2~3 times a day.
