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.
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Western Tradition Simples
2. Symplocos racemosa, Costus, Aegle marmelos (Ayur.) Bleeding 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) Hemoptysis Coughing Blood – Bleeding from the Lungs 1. “It is a remedy most certain and approved … to eat every morning fasting a scruple of Rhubarb root” (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. Comfrey leaf Plantain leaf equal parts Decoct. 6. Yarrow juice, 2 oz. Hematite, 1 dram 7. Purslane juice Plantain juice. 1 oz. ea. Red Coral 1 dram Hematite ½ dram 8. Roasted Rhubarb 2 drams Purslane seed Coriander seed 1 dram ea. Powder, mix with Purslane juice and give some often 9. 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. 10. Burnt Sponge powdered taken with water and wine. 11. Burnt Egg shells. 2 drams Take with 3 Ounces of Plantain water.. 12. Inner Egg Membrane: Dry and powder. Take 2 drams with 2 oz. of Plantain water. 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 Athanasia Magna Diasulphur Safflower 8 (Gur gum brgyad pa) Bleeding from the Stomach or Bowels 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 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) Hematuria Blood in the Urine Styptic Decoction Potion for Hematuria Syrup of Comfrey Compound Syrup of Comfrey and Plantain (Boyles Syrup) Electuary of Micleta Troches of Earth of Lemnos Excessive Menstrual Bleeding Decoction for Excess Menstruatrion Powder of Madder and Cuttlebone Powder for Excess Menstruation (Serapion) Powder for Excessive Menstrual Bleeding (Wirtzung) Powder for Excessive Menstruation (Wirtzung) Powder for Menstrual Flux (Isaac) Cooling Pearl Powder (Diamargariton Frigidum) Troches of Amber (Galen) Troches of Coral (Diacorallium) (Galen) Triphera Minor (Triphera Phoenonis) (Mesue) Athanasia Greater (Nicholas) Bezoar 13 (Gi Wan 13) (Tibetan) Safflower 8 (Gur gum brgyad pa) |
TCM Classification Coughing Blood 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 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 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 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 |