Powerful Traditional Chinese Medicine Remedies for Effectively Treating Vomiting Blood from Qian Jin Fang
This prescription from Qian Jin Fang by Sun Simiao focuses on treating vomiting blood caused by internal bleeding, lung abscesses, or stomach damage. The remedies use natural herbs such as Rehmannia, Gypsum, and Angelica to stop bleeding and alleviate symptoms. Acupuncture and moxibustion are also recommended for relieving chest pain and restoring blood flow.
Gallbladder Section: Treatment for Vomiting Blood (Sixth Section)
(Author: Sun Simiao, from “Qian Jin Fang”)
(2 discussions, 29 formulas, 15 acupuncture/moxibustion methods)
Discussion:
According to the teachings of Bing Qiu, vomiting blood can arise from three main causes: internal bleeding (nei niu), lung abscess (fei ju), or damage to the stomach (shang wei).
- Internal bleeding presents as blood that comes from the body but not through the nose, similar to a nosebleed.
- Lung abscesses produce large quantities of blood when the lungs are affected.
- Stomach damage happens when overeating or coldness in the stomach prevents digestion, leading to vomiting of blood and fluids.
When symptoms include discomfort, restlessness, and the inability to digest food, the patient may feel so distressed that they cannot lie still. In such cases, immediate treatment is required to induce vomiting.
Urgent Vomiting Formula:
- Ingredients: Melon Stalk (Guadi) (3 fen), Du Heng, Ginseng (1 fen each).
Grind these three ingredients into a fine powder. Take 1 qian with water. If the patient is weak, reduce the dosage slightly. This formula helps induce vomiting, expelling greenish-yellow fluids or blood, even up to 2 liters.
Formulas for Treating Vomiting Blood:
1. Yellow Earth Decoction (Huang Tu Tang):
- Ingredients: Fulong Gan (Dragon’s Liver) (2 pieces, the size of a chicken egg), Cinnamon Bark, Dried Ginger, Angelica (Dang Gui), Peony (Shao Yao), White Atractylodes (Bai Zhi), Licorice, Donkey Hide Gelatin (Ejiao), Chuanxiong, Raw Rehmannia Root, Asarum (Xi Xin), Evodia (Wuzhuyu) (2 sheng).
Boil these 12 ingredients with 7 sheng of wine and 3 sheng of water. After reducing, dissolve Donkey Hide Gelatin into the decoction. Divide the resulting 3 sheng into three doses. This formula also treats nosebleeds.
2. Raw Rehmannia Decoction (Sheng Dihuang Tang):
- Ingredients: Raw Rehmannia Root (1 jin), Red Dates (50 pieces), Donkey Hide Gelatin, Licorice (3 liang each).
Boil these 4 ingredients in 10 sheng of water until 4 sheng remain. Divide into four doses and take three times during the day and once at night. This formula relieves blood vomiting caused by worry, frustration, or excessive heat.
3. Firmness Decoction (Jian Zhong Tang):
- Ingredients: Sugar (3 jin), Peony, Pinellia, Fresh Ginger, Licorice (3 liang each), Cinnamon Bark (2 liang), Red Dates (50 pieces).
Boil these 7 ingredients in 2 dou of water until 7 sheng remain. Divide into seven doses, to be taken five times during the day and twice at night.
4. Stone Gypsum Decoction (Shigao Tang):
- Ingredients: Gypsum (4 liang), Magnolia Bark, Ephedra, Fresh Ginger, Schisandra, Pinellia, Apricot Kernel (2 liang each), Wheat (1 sheng).
Boil these 8 ingredients in 10 sheng of water, skimming the foam from the Ephedra and reducing to 2.5 sheng. Divide into two doses.
5. Cypress Leaf Decoction (Baiye Tang):
- Ingredients: Dried Ginger, Donkey Hide Gelatin, Cypress Leaf (2 liang each), Mugwort (a handful).
Boil these 4 ingredients in 5 sheng of water until 1 sheng remains. Add Horse Urine (1 sheng) and boil again until 1 sheng remains. Drink all at once.
Moxibustion and Acupuncture for Vomiting Blood:
- For blood stagnation in the chest and pain in the ribs, apply moxibustion at Zusanli.
- For blood vomiting accompanied by shoulder and rib pain, dry mouth, and pain extending to the back, use acupuncture at Neiguan.
- For chronic blood vomiting with chest fullness and restlessness, moxibustion at Shangwan is recommended.
- Moxibustion at Zhongfu (300 times) for vomiting due to fatigue and internal injuries.