Blood Stasis, Haematemesis, Descent of blood, Sore carbuncle:an introduction.

Introduction
TCM Knowledge:Miscellaneous Internal Disease according to Jin Kui Yao Lue. ✵Blood Stasis, Haematemesis, Descent of blood, Sore carbuncle:The Blood Stasis or stagnant blood is a pathological product of blood stagnation, including extravasated blood and blood moving sluggishly in circulation or congested in a viscus, all of which may turn into pathogenic factors. Haematemesis is vomiting of blood. The sore and carbuncle is any pyogenic infection on the body surface.

 ✵Herbalist Zhang Zhongjing defined the Blood Stasis in about 2 syndromes, defined the Haematemesis in about 2 syndromes, defined the Descent of blood in about 2 syndromes, defined the Sore carbuncle in about 6 syndromes. These syndromes are all defined in details by his famous works:

Blood Stasis.
Miscellaneous Internal Disease according to Jin Kui Yao Lue 
 ✵Cases fullness in the chest, Lip impotence, blue tongue(green tongue), dry mouth, only want to gargle with water, do not want to swallow the water, no cold or fever, pulse slight large and slow, not fullness in the abdomen, self-declared fullness, this is the case of blood stasis.

 ✵Cases symptoms observed similarly as fever, dysphoria, dry mouth, and thirst, but its pulse no heat, on the contrary, this is the case of hidden Yin, is the case of blood stasis, should use the purgative method, better use...

 ✧Cases blood stasis in the diaphragm, in cases hematemesis(vomit blood), color black, use...

 ✦Cases unstoppable hematemesis(vomit blood), use...,or use...

 ✦Cases deficiency Qi of the heart, hematemesis(vomit blood), in cases epistaxis(nose bleed or bleeding from five sense organs or subcutaneous tissue), use...

 ✦ Cases descent of blood, passing stool first and passing blood later, this is the case of distal bleeding(distant anal bleeding, proximal bleeding), use...

 ✦ Cases descent of blood, passing blood first and passing stool later, this is the case of nearby bleeding(nearby anal bleeding, distal bleeding), use...

 ✦Master:cases pale complexion(colorless face), no cold or fever, pulse sunken and string-like, surely will epistaxis(nose bleed or bleeding from five sense organs or subcutaneous tissue); cases pulse floating and weak, pulse verging on expiry when pressed, surely will descent of blood; cases tussiculation, surely will hematemesis(vomit blood).

 ✦ Cases epistaxis(nose bleed or bleeding from five sense organs or subcutaneous tissue) from spring to summer, belong to TaiYang; cases epistaxis from autumn to winter, belong to YangMing.

 ✦ Cases Chi pulse floating, dizziness yellowing of eyeball, the epistaxis(nose bleed or bleeding from five sense organs or subcutaneous tissue) not relieved yet; cases eyeball yellowing disappeared and turn clear, know the epistaxis stopped yet.

 ✦ Asked: Cunkou pulse slight floating and uneven, should observed blood loss, in cases sweating, suggest if in case no sweating, what is it? Master: in case sore(skin ulcer), hurt by knife or ax, is the reason loss blood, this is the case of the incised wound(metal-inflicted wound, Jin Chuang). Cases no pus, use...; cases pus, use..., also use...

 ✦Cases exudative sore(serious exudate ulcer), flow from the open part to the limbs, could be cured; flow from the limbs to the open part, could not be cured.

 ✦Cases exudative sore(serious exudate ulcer), use...

 ✦Cases pulses floating and rapid, should observed fever, but aversion to cold on the contrary, if there is a pain spot, should induce it carbuncle.

 ✦Master: cases carbuncles and swellings, want to know whether there is pus inside or not pus, touch the swelling area with hand, cases heat, is the case pus inside; case no heat, is the case no pus inside.

 ✦Cases chang yong(intestine carbuncle), squamous and dry skin, tense abdominal skin, soft when pressed, symptoms observed as swelling, no gatherings(abdominal mass) in the abdomen, no heat on body, pulse rapid, this is the case carbuncle in the intestine, use...

 ✦Cases distention and swelling of the lower abdomen, pain as stranguria when pressed, free urination, fever regularly, spontaneous sweating, aversion to cold again, this is the case external carbuncle with intestine. Cases pulse sunken and tight, pus not formed, use purgative method should observe blood; cases pulse full and rapid, pus already formed, could use a purgative method, use...

References:
  • 1.Blood Stasis, Haematemesis, Descent of blood, Sore carbuncle:an introduction.
  • 2.Shang Han Za Bing Lun:the Treatise on Cold-induced and Miscellaneous Diseases.By Zhāng Zhòngjǐng.
  • 3.Jin Kui Yao Lue Fang Lun:the Synopsis of Prescriptions of the Golden Chamber.By Zhāng Zhòngjǐng,Wáng Shūhé,Lín Yì,Gāo Bǎohéng.
  • 4.Zhong Jing Quan Shu:the Complete Book of Zhongjing.By Zhào Kāiměi.

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