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Jingui Yaolue · Essentials from the Golden Cabinet
16. Fright, Palpitations, Vomiting Blood, Nosebleed, Lower Bleeding, Chest Fullness and Static Blood · Pulses, Signs and Treatment
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Stirring, weak cunkou: stirring means fright, weakness palpitations.
The Master says: Floating pulse and a yellow haze in the eyes mean nosebleeding has not stopped. When haze leaves and eyes are clear, it is known to have stopped.
Again: Nosebleeding from spring through summer belongs to Greater Yang, from autumn through winter to Yang Brightness.
A habitual nosebleeder must not have sweating induced. Sweat must make the forehead sink, pulse tight and urgent, gaze fixed and unable to blink, with no sleep.
A colorless face without cold or heat: deep, wiry pulse means nosebleed; floating, weak pulse disappearing under the hand lower bleeding; vexing cough must mean vomiting blood.
Vomiting blood, counterflow cough and upward qi, rapid pulse with heat and inability to lie mean death according to the text.
A drinker's cough must lead to vomiting blood, caused by extreme excess drinking.
Wiry, large cunkou: wiry means reduction, large hollowness; reduction cold, hollowness deficiency. Their contention is named leather pulse. Women miscarry and bleed downward, men lose blood.
After blood loss do not issue the exterior. Sweating produces cold shivering and trembling.
Chest fullness, withered lips, blue-green tongue, dry mouth, wanting only to rinse water without swallowing, no cold or heat, faintly large and slowly arriving pulse, abdomen not full though the patient says it is: static blood is present.
Seeming heat with vexing fullness, dry mouth and thirst, yet pulse without heat, is hidden yin, static blood. It should be purged.
Fire pathogen is governed by Guizhi Qu Shaoyao Jia Shuqi Muli Longgu Jiuni Tang.
Palpitations below Heart are governed by Banxia Mahuang Wan.
Unceasing vomiting of blood is governed by Baiye Tang.
Lower bleeding after stool is distant bleeding. Huangtu Tang governs.
Lower bleeding before stool is near bleeding. Chixiaodou Danggui San governs; its formula is referred to under Huhuo.
Insufficient Heart qi with vomiting blood or nosebleed is governed by Xiexin Tang.
Xiexin Tang Formula
Dahuang 2 liang; Huanglian and Huangqin 1 liang each.
Boil the three in 3 sheng water to obtain 1 sheng and take at once.
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