TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS
Bleeding
Bleeding can be caused by Trauma, ruopture of Blood vessel, Ulcers, abrasions, chronic inflammation etc. Bleeding may also occur during Fevers.
In Traditional Medicine it is important to differentiate between Heat-type and Cold-type Bleeding.
- Heat-type Bleeding: Bleeding with Fever, red face, red tongue, big or fast pulse. The person feels hot, the blood is brighter in color, and there maybe other signs of heat such as strong colored urine, constipation or insomnia and restlessness.
- Cold-type Bleeding: pale face, feels cold, pale tongue, low pulse. The bleeding tends to be more moderate and the blood is more pale or waterish. The person will be cold to the touch, maybe with pale, copious urine.
In TCM the Spleen is regarded as controlling the Blood, and therefore Bleeding with deficiency may be treated with medicines to strengthen the Qi.
Common clinical Bleeding conditions in moderen clinical practice are associated with female Menstruation and Pregnancy, such as excessive menstruation, spotting, flooding, uterine bleeding, bleeding during pregnancy etc. These conditions have special formulas dedicated to them.
Bleeding is also commonly associated with Trauma. Even mild Trauma causing some internal damage and bleeding. In these cases medicines to stop bleeding may be intitally used, followed by medicines to resolve Blood stagnation. The same approach is used in Apoplexy.
See also
L. Stop Bleeding
2P. HEMOSTATICS
Bleeding in General
Western Tradition
Simples
Red Sandalwood
Shepherd’s Purse
Madder torrefied
Red Coral
Amber
Alum
Rose
Agrimony
Rhubarb torrefied
Red Earth
Hematite
1. Red Earth, Madder, Rhubarb
2. Symplocos racemosa, Costus, Aegle marmelos (Ayur.)
Bleeding in General
Styptic Decoction
Electuary of Micleta (Nicholas)
Philonium Persicum
Triphera Minor (Triphera Phoenonis) (Mesue)
Powder of Amber (Unani)
Styptic Powder (Fuller)
Powder to Stop Bleeding (Wirztung)
Troches of Amber (Galen)
Troches of Amber (Trochisci de Succino) (Mesue)
Troches of Coral (Diacorallium) (Galen)
Troches of Coral (Diacorallium) (Nicholas)
Troches of Earth of Lemnos (Trochisci de Terra Lemna)
Pills of Bdellium (Mesue)
Styptic Pills
Safflower 8 (Gur gum brgyad pa) (Tibetan)
Bleeding from Heat
Styptic Decoction
Syrup of Comfrey Compound
Syrup of Plantain and Comfrey
Philonium Perscium
Styptic Powder (Fuller)
Powder to Stop Bleeding (Wirtzung)
Powder to Suppress Hemorrhage (Unani)
Tragacanth Cooling Powder (with Armenian Earth)
Troches of Amber (Mesue)
Troches of Coral (Diacorallium) (Galen)
Troches of Earth of Lemnos
Troches of Red Coral
Troches of Red Coral (Samarqandi)
Troches of Spodium (Tabasheer) (Mesue)
Pills to Stop Bleeding (Unani)
Styptic Pills
Mauktika Yukta (Pearl Compound) (Ayurveda)
Bezoar 13 (Gi Wan 13) (Tibetan)
Bleeding from Cold – Passive Bleeding
Athanasia Greater (Nicholas)
TCM Classification
Simples
Agrimonia Xian He Cao
Bletilla Bai Ji
Imperata Bai Mao Gen
Platycladus Ce Bai Ye
Crisium Da Ji
Burnet (Di Yu)
Cattail pollen (Pu Huang)
Madder (Qian Cao) torrefied
Notoginseng San Qi
Red Earth (Chi Shi Zhi)
Bleeding in General
Huang Tu Tang
Shi Hui San
Coughing Blood
Hemoptysis
Hemoptysis can come from excess Lung Heat, or Yin deficiency.
The best drink is Barley water with Licorice.
Syrup of Comfrey, of Plantain, or juice of Purslane
1. A spoonful of mundified Barley taken before sleep. “The effect is very great” (Alexis)
2. Purslane juice with a little sugar added.
3. Plantain juice with Vinegar.
4. Mother of Thyme decocted in vinegar and Honey. Give 4 ounces of the decoction every day.
5. “A weak Decoction of Yarrow drunk ordinarily is good against all bleeding”. (The Practice of Physick, 1663)
6. “It is a remedy most certain and approved … to eat every morning fasting a scruple of Rhubarb root” (Alexis)
7. White Poppy seed (1 dram) with Conserve of Roses.
8. Dragon’s Blood (½ dram) with Plantain water.
9. Comfrey leaf
Plantain leaf equal parts
Decoct.
10. Yarrow juice 2 oz.
Hematite 1 dram
11. Purslane juice
Plantain juice 1 oz. ea.
Red Coral 1 dram
Hematite ½ dram
12. Roasted Rhubarb 2 drams
Purslane seed
Coriander seed 1 dram ea.
Powder, mix with Purslane juice and give some often
13. Conserve of Roses
Comfrey 1 oz. ea.
Armenian (Red) Earth 2 drams
Mix with Syrup of Roses.
14. Red Coral
Pearl ½ dram ea.
Gum Arabic
Tragacanth 2 drams ea.
Powder
15. Gum Arabic
Tragacanth
Burnt Deer Horn
Calcined Hemetite
Red Coral burned ½ dram ea.
Armenian Earth 2 scruples
Mix with the yolk of a raw egg and take.
16. Burnt Sponge powdered taken with water and wine.
17. Burnt Egg shells 2 drams
Take with 3 Ounces of Plantain water..
18. Inner Egg Membrane:
Dry and powder. Take 2 drams with 2 oz. of Plantain water.
Cupping with Scarification on the Back and Shoulders is good.
Decoction for Spitting Blood
Decoction of Timaei
Styptic Decoction
Infusion for Dr Gill
Syrup of Plantain and Comfrey
Syrup of Horehound
Cooling Powder of Gems
Powder for Hemoptysis (Galen)
Troches of Amber (Trochisci de Succino) (Mesue)
Troches of Earth of Lemnos (Troch. de Terra Lemna)
Troches of Poppy
Troches of Coral (Diacorallium) (Galen)
Troches of Red Coral (Samarqandi)
Electuary For Spitting Blood (Wirtzung)
Philonium Persicum
AthanasiaMagna
Diasulphur
Safflower 8 (Gur gum brgyad pa)
POWDER FOR SPITTING OF BLOOD
Gum Arabic
Tragacanth
Deer horn burned
Hematite burned
Red Coral burned ½ dram ea.
Armenian Earth 2 scruples
Powder, Mix with Egg Yolk and take. “Tried and Proved” (Alexis)
Acute Wind Heat
acute cough with blood-streaked mucus, acute sore throat, fever, mild chills, thirst, headache, sweating. This is mild and acute coughing of Blood due to Cough associated with Cold or Flu.
Yin Qiao San
Huang Lian Jie Du Tang
Phlegm Heat
cough with yellow blood-streaked mucus, rattling sound of phlegm in the throat, oppression of the chest, fever, wheezing, sore throat, chest pain, bitter taste.
Qing Qi Hua Tan Wan
Ke Xue Fang
Lung Heat
dry hacking cough with blood, pain in chest when coughs, and little or no mucus, fever, short of breath, feels heat in the chest, dry mouth, thirst, red face, red tongue with whitish or yellow coat, big, fast pulse
Ma Xing Shi Gan Tang
Ke Xue Fang
Xie Bai San
Yin Deficiency Heat
chronic dry cough with a little blood, night sweats, heat in the palms and soles, restless, insomnia, dry mouth, mild chest pain, lower back pain, tinnitus, dizziness, dry and reddish tongue, maybe with cracks, deep and weak pulse
Da Bu Yin Wan
Bai Hu Gu Jin Tang
Bu Fei E Jiao Tang
Bleeding from the Stomach and Bowels
For Vomiting Blood from excess or Heat, Bleeding from the Basilica (Liver vein), on the right side if from the Liver, on the Left side if from the Spleen. If associated with obstructed Menstruation, the ankle Vein was opened.
Apply Cupping.glasses to the Buttocks, Thighs, Loins, and Hypochondria.
In heat conditions, after due Purging and Bloodletting, a mild purge that has a secondary astringent nature may be used, composed of Rhubarb, Chebulic or Yellow Myrobalans and Tamarind, or with Tryphera Persica.
To prevent the Vomiting of Blood, 1 dram of Rhubarb given once per week on a long-term basis was regarded as very effective.
1. “Let his hands be put into cold Water, for so all Vomiting is stayed”.
(The Practice of Physick, 1663)
2. Purslane or Plantain juice are very good.
3. ½ scruple of Camphor given in 4 oz. of Plantain water which Rondeletius commended as excellent.
4. Water in which Iron has been quenched a number of times taken with Syrup of Quince.
5. “The Troches of Carabe [Amber] do not only astringe, but dissolve congealed blood, therefore use them often”. (The Practice of Physick, 1663)
Powder for Bleeding (Galen)
Powder to Stop Bleeding of the Stomach (Nicholas)
Powder for Bleeding from the Stomach (Nicholas)
Powder for Bleeding from the Stomach (Serapion)
Powder for Vomiting Blood
Troches of Amber (Mesue)
Troches of Coral (Diacorallium) (Galen)
Troches of Coral (Diacorallium) (Nicholas)
Troches Ramich
Troches of Earth of Lemnos (Trochisci de Terra Lemnia)
Electuary of Micleta
Bezoar 13 (Gi Wan 13) (Tibetan)
Safflower 8 (Gur gum brgyad pa)
1. Conserve of Rose
Comfrey root
Syrup fo Quince 1 oz. ea.
Troches of Sealed Earth 2 drams
Red Coral 1 dram
With Syrup of Rose make an Electuary.
Vomiting Blood
Heat
vomiting of copious amount of fresh red blood, fever, abdominal fullness and pain, nausea, loss of appetite, bitter taste, high colored urine, big pulse
Shi Hui San
Xie Xin Tang
Xi Jiao Di Huang Tang
Long Dan Xie Gan Tang
Zhi Bai Di Huang Wan
Spleen Qi Deficiency
vomiting of a little blood, mild abdominal pain and distention, poor appetite, low energy, nausea, pale complexion, shortness of breath, spontaneous sweating, pale tongue and a low pulse.
Bu Zhong Yi Qi Tang
Yin Deficiency Heat
vomiting of fresh blood, dull consistent stomach pain, heartburn, dry skin, thirst, constipation, flushing, night sweats, heat in palms and soles, tinnitus.
Yu Nu Jian
Blood Stasis
vomiting of dark or purplish material, black stools, sharp stomach pain with a fixed location, dark complexion, painful menstruation with dark, clotted blood, purple lips, nails and tongue
Xue Fu Zhu Yu Tang
Blood in the Stool
Heat
as for Vomiting of Blood from Heat, above
Damp Heat
dark or fresh blood in the stool, burning sensation of the anus, abdominal distension, poor appetite, bitter taste.
Huai Jiao Wan
Blood Stasis
bleeding of dark blood, abdominal distension and pain, dull or dark complexion, maybe abdominal masses, possibly hemorrhoids, purplish lips, nails and tongue.
Ge Xia Zhu Yu Tang
Shao Fu Zhu Yu Tang
Spleen and Stomach Cold and Weak
bleeding before or after bowel movement, black stools, dull abdominal pain, cold intolerance, fatigue, pale complexion, loss of appetite, anorexia, chronic loose stools or diarrhea.
Li Zhong Wan
Fu Zi Li Zhong Wan
Spleen Qi Deficiency
mild bleeding before or after bowel movement, dull abdominal pain, nausea, loose stools or diarrhea, poor appetite, fatigue, pale face,, shortness of breath, dizziness.
Bu Zhong Yi Qi Tang
Yin Deficienct Heat
as for Vomiting of Blood from Yin Deficient Heat, above
Blood in the Urine
Hematuria
Bleeding the vein in the Ankle is useful.
1. “Hollerius affirms, and Duretus, that the Troches of Gordon are the best for it”.
2. “Christopher Vega commends the Troches of Amber given with Piantane Water”.
Styptic Decoction
Potion for Hematuria
Syrup of Comfrey Compound
Syrup of Comfrey and Plantain (Boyles Syrup)
Electuary of Micleta
Troches of Earth of Lemnos
Troches of Gordon (Trochisci Gordonii)
1. Terrified Rhubarb 1 dram, Red Coral ½ scruple. Take as a dose.
2. “I have cured Pissing of blood with only Sheeps Milk 6 ounces, and one dram of Bole-armeniac (Red Earth).”. (Forestus)
3. Horsetail
Knotgrass
Plantain
Blackberry tops equal parts
Form a decoction.
4. Almonds, Pine nuts ½ dram
Marshmallow seeds
Winter Cherries 1 scruple ea.
Lettice & Poppy feeds ½ scruple
Starch, Tragacanth ½ dram
Licorice 2 drarms
Sugar 6 oz.
Form a confection with pellitory Water; take ½ oz. twice daily.
Heat / Heat and Damp
Scanty, smelling and high-colored and burning urine with blood in it, irritable, maybe fever, red eyes and face, bitter taste
Long Dan Xie Gan Tang
Ba Zheng San
Spleen Deficiency
frequent pink urine, poor appetite, loose stools or diarrhea, abdominal distension, pale complexion, fatigue, lethargy, lower back and knee sore, dizziness, pale tongue, low pulse
Bu Zhong Yi Qi Tang
Gui Pi Tang
Yin Deficiency Fire
hematuria with fresh red blood, lower back pain, knee & heel pain, heat in the palms and soles, dry mouth, irritable, restless, insomnia, facial flushing, night sweats, dizziness.
Zhi Bai Di Huang Wan
Blood Stasis
hematuria with dark blood and clots, difficult or painful urination, lower back pain, dark complexion, lower abdominal masses, maybe varicose veins.
Shao Fu Zhu Yu Tang
Petechia, Purpura
Petechia are tiny red, purple, or brown spots caused by minor bleeding under the skin from broken capillaries.
Purpura are purple, red, or brownish-black spots that appear on the skin or mucous membranes when small blood vessels leak blood underneath.
Blood Heat
purplish spots beneath the skin, bleeding gums, nosebleed, blood in urine, blood in stools, low grade fever, thirst, constipate.
Shi Hui San
Xi Jiao Di Huang Tang
Qi Deficiency
mild purplish or reddish spots under the skin, tiredness, lack of energy, dizziness, pale face, pale complexion, poor appetite.
Gui Pi Tang
Bu Zhong Yi Qi Tang
Yin Deficiency Heat
intermittent purple or green spots, beneath the skin, nosebleed, bleeding gums or for females heavy, period, red cheeks, restlessness, thirst, heat sensation in soles and palms, tidal fever, night sweats.
Liu Wei Di Huang Wan
Zhi Bai Di Huang Wan
Excessive Menstruation
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