治鼻衄立效。
白芨（不拘多少）
上为末。冷水调，用纸花贴鼻HT 中。一法，用黄胶汤令软，贴鼻HT 中。
病者诸血积聚，合发为衄，而清气道闭，浊道涌溢，停留胸胃中，因即满闷，吐出数斗
至于一石者，名曰内衄；或因四气伤于外，七情动于内，及饮食房劳，坠堕伤损，致荣血留
聚膈间，满则吐溢，世谓妄行。
桂枝栝蒌根汤 治伤风吐血。(方见外因衄血证治)
五苓散 治伤暑吐血。(方见外因衄血证治)
除湿汤 治伤湿吐血。(方见外因衄血证治)
治三因吐血；及衄血下血，一切血溢妄行。
叶子雌黄
上一味，为粗末，入枣肉内，线系定，满着汤煮，用黑锡对雌黄斤两，熔作汁，倾入汤
，煮一日，添汤候冷，取出雌黄洗净，干研为细末，却以煮药枣肉和丸，如梧子大。每服五
七丸，黑锡煎汤下。
病者因饮食过度，伤胃；或胃虚不能消化，致翻呕吐逆，物与气上冲蹙胃口决裂，所伤
吐出，其色鲜红，心腹绞痛，白汗自流，名曰伤胃吐血。
能止伤胃吐血者，以其功最理中脘，分利阴阳，安定血脉，方证广如《局方》
，但不出吐血证，学人当自知之。
人参 白术 甘草(炙) 白姜(炮，各等分)
上为锉散。每服四钱，水一盏，煎七分，去滓，不以时服；或只煮干姜甘草汤饮之亦妙
。方见《养生必用》。
For the treatment of epistaxis with immediate effect.
Bletillae Rhizoma (Baiji) (quantity unrestricted)
Grind the above into powder. Mix with cold water, and apply paper flowers to the nasal cavity [HT]. Another method: soften with Huangjiao Tang (Yellow Gum Decoction), and apply to the nasal cavity [HT].
When various types of blood accumulate in the patient's body and manifest as epistaxis, the pathway of clear Qi becomes blocked, while the pathway of turbid Qi surges upward. The blood remains stagnant in the chest and stomach, causing fullness and oppression. Vomiting several dou or even one shi of blood is termed "internal epistaxis" (Neinu). Alternatively, due to injury by the four external climatic factors, emotional disturbances internally, improper diet, sexual excess, or trauma from falls, Ying Blood may stagnate between the diaphragm. When full, it overflows and vomits out; this is commonly referred to as "reckless bleeding" (Wangxing).
Guizhi Gualougen Tang (Cinnamon Twig and Trichosanthes Root Decoction) treats hematemesis caused by wind-stroke. (Formula see External Causes Epistaxis Treatment section)
Wuling San (Five-Ingredient Powder with Poria) treats hematemesis caused by summerheat. (Formula see External Causes Epistaxis Treatment section)
Chushi Tang (Dampness-Expelling Decoction) treats hematemesis caused by dampness. (Formula see External Causes Epistaxis Treatment section)
Treats hematemesis caused by the three causes (Internal, External, and Non-internal/External); as well as epistaxis, lower gastrointestinal bleeding, and all forms of reckless bleeding overflow.
Yezi Cihuang (Leaf-shaped Orpiment)
Take the single herb above, grind into coarse powder, place within jujube flesh, tie securely with thread, and boil in sufficient water. Use Heixi (Black Tin) equal in weight to the Cihuang, melt the tin into liquid, pour into the decoction, and boil for one day. Add water, allow to cool, remove the Cihuang, wash clean, dry, and grind into fine powder. Then, mix with the boiled jujube flesh to form pills the size of a wutong seed. Take five to seven pills per dose, administered with Heixi Jian Tang (Black Tin Decoction).
If the patient overeats, damaging the Stomach; or if Stomach deficiency fails to digest food, leading to regurgitation and vomiting, where food and Qi rush upward, compressing and rupturing the cardiac orifice, the vomited blood is bright red, accompanied by severe heart and abdominal pain, and spontaneous white sweat. This is termed "Stomach-injury Hematemesis" (Shangwei Tuxue).
The reason this formula can treat Stomach-injury Hematemesis is that its efficacy best regulates the Zhongwan region, separates and benefits Yin and Yang, and stabilizes the blood vessels. The scope of formulas and indications is extensive, similar to *Ju Fang* (Prescriptions of the Bureau), though it does not explicitly list hematemesis syndromes; students should understand this independently.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Licorice Radix et Rhizoma, honey-fried) Jiang (Ginger, processed) (equal parts)
Grind the above into a coarse powder. Take 4 qian per dose, add one lamp of water, decoct until reduced to 0.7 parts, strain, and take at any time; or simply decoct Jiang-Gan Cao Tang (Ginger and Licorice Decoction) and drink it, which is also excellent. Formula see *Yangsheng Biyong*.