Why do people cough up blood? The kind that suddenly coughs up blood. How to treat it? What medicine works? Who can help me solve it?
Hemoptysis blood overflows from the lungs and trachea and coughs up through the mouth, showing blood in the sputum, or blood in the sputum, or pure blood is bright red with foam in the middle, all of which are called hemoptysis, also known as hemoptysis or hemoptysis. A variety of miscellaneous diseases and fever can cause hemoptysis. Hemoptysis within the scope of internal medicine is mainly seen in respiratory diseases, such as bronchiectasis, acute tracheobronchitis, chronic bronchitis, pneumonia, tuberculosis, lung cancer and so on. Among them, tuberculosis and lung cancer still need to refer to the two sections of this book. Fever, wind temperature and summer temperature can cause hemoptysis. See the relevant part of Treatise on Febrile Diseases for details. 1. Symptoms of lung injury caused by dryness and heat: itchy throat and cough, bloody sputum, dry mouth and nose, or body heat, red tongue, little body fluid, thin yellow fur, and rapid pulse. Treatment: clearing away heat and moistening lung, calming collaterals and stopping bleeding. Prescription: Sangxing Decoction. In the prescription, mulberry leaves, gardenia and lobster sauce are used to clear lung heat, Adenophora adenophora and pear peel are used to nourish yin and clear heat, and Fritillaria and almond are used to suppress lung and relieve cough. Rhizoma Imperatae, Radix Rubiae, Nodus Nelumbinis, and Folium Platycladi can be added to cool blood and stop bleeding. If bleeding is excessive, Yunnan Baiyao or Notoginseng Radix can be added. Symptoms such as fever, headache, cough and sore throat can also be seen. Wind-heat invading the lungs, add honeysuckle, forsythia and burdock to cool the table, clear away heat and relieve sore throat. If the body fluid is seriously damaged, but there is no phlegm in dry cough, or sticky phlegm is not easy to cough out, and the tongue is red and coated with less body fluid, Ophiopogon japonicus, Scrophularia, Asparagus and Trichosanthes can be added to nourish yin and moisten dryness. For those with phlegm-heat blocking the lung, lung collateral damage, symptoms such as fever, redness, cough, hemoptysis, yellow and thick expectoration, yellow tongue coating and rapid pulse, Jinqing Huatan Decoction can be used to remove platycodon grandiflorum, increase thistle, thistle and madder. , thus clearing the lungs and resolving phlegm, cooling blood and stopping bleeding; Flos Lonicerae, Fructus Forsythiae, Scutellariae Radix, Rhizoma Phragmitis and Notoginseng Radix are added for hemoptysis due to excessive heat. 2. Liver-fire causing lung symptoms: cough, bloody or pure blood in sputum, chest pain, dysphoria, bitter taste, red tongue, thin yellow fur and rapid pulse. Treatment: clearing liver and purging fire, cooling blood and stopping bleeding. Prescription: Bulbus Allii Macrostemon Powder combined with Daige Powder. After combination, Cortex Mori and Cortex Lycii can clear away lung heat, while Clam Shell and Radix Glycyrrhizae can clear away lung heat and phlegm, while Indigo Naturalis can clear away liver and cool blood. Radix Rehmanniae, Ecliptae Herba, Lalang Grass Rhizome and Cirsium japonicum can be added to cool blood and stop bleeding. Cortex Moutan, Fructus Gardeniae, and Scutellariae Radix are added for patients with severe liver fire, dizziness, and irritability. If the cough volume is large and the pure blood is bright red, it can be taken with Rhinoceros Horn Dihuang Decoction and Sanqi to clear away heat and purge fire, cool blood and stop bleeding. 3. Symptoms of lung heat due to yin deficiency: cough with little phlegm, bloody sputum or repeated coughing, bright red blood, dry mouth and throat, red cheekbones, hot flashes and night sweats, red tongue and rapid pulse. Treatment: nourishing yin and moistening lung, calming collaterals and stopping bleeding. Prescription: Baihe Gujin Decoction. This prescription uses lily, Ophiopogon japonicus, Scrophularia, Rehmannia glutinosa and Rehmannia glutinosa to nourish yin and clear away heat, nourish yin and promote fluid production; Angelica sinensis and Paeonia lactiflora moisten and nourish blood; Fritillaria, licorice. Dispelling lung, resolving phlegm and relieving cough. The platycodon grandiflorum in the prescription is not conducive to coughing up blood, so it should be removed here. Bletilla striata, lotus root, cogongrass rhizome, madder, etc. Hemostasis can be added or mixed with ash to cool blood and stop bleeding. Colla Corii Asini and Notoginseng Radix are added to those who repeatedly cough up blood and have excessive blood volume to nourish blood and stop bleeding; For patients with hot flashes and red cheekbones, Artemisia annua, Carapax Trionycis, Cortex Lycii and Cynanchum atratum are added to clear away deficiency and heat; Add glutinous rice root, floating wheat, Schisandra chinensis and oyster to inhibit and restrain night sweats.