衄血，凉血行血为主，大抵与吐血同，用山茶花为末，童便、姜汁酒调下。犀
生地黄汤，入郁金同用，如黄芩、升麻、犀角能解毒。又以郁金末、童便、姜汁并酒调服
血逆行，成血腥，或吐血，或唾血，用韭汁服之，立效。治血汗血衄，以人中白，新瓦上
火逼干，入麝香少许，研细，酒调下，经验。人中白，即溺盆白 秋石也。衄血出于肺，以犀
角、升麻、栀子、黄芩、芍药、生地黄、紫菀、丹参、阿胶之类主之。《原病式》曰∶衄者
，阳热怫郁，干于足阳明而上，热则血妄行，故鼻衄也。
附方
河间生地黄散 治郁热衄血，或咯吐血，皆治之。
枸杞 柴胡 黄连 地骨 天门冬 白芍 甘草 黄芩 黄 生地黄 熟地黄（等分）
上 咀。汤煎服。若下血，加地榆。
又方 治衄血。
伏龙肝（半升）
上以新汲水一大碗，淘取汁，和蜜顿服。
茜根散 治鼻不止。
茜根 阿胶（蛤粉炒） 梅芩（各一两） 甘草（炙，半两） 侧柏叶 生地黄
上以水一钟，姜三片，煎服。
黄芩芍药汤 治鼻衄不止。
黄芩 芍药 甘草（各等分）
上以水煎服。或犀角地黄汤，如无犀角，以升麻代之。鼻通于脑，血上溢于脑，所以从
出。凡鼻衄，并以茅花调止衄散，时进淅二泔，仍令其以麻油滴入鼻，或以萝卜汁滴入亦可
。又茅花、白芍药，对半尤稳。外迎法∶以井花水湿纸，顶上贴之。左鼻，以线
札左手中指；右出，札右手；俱出，两手俱札，或炒黑蒲黄吹鼻中，又龙骨
止衄散
黄 （六钱） 赤茯苓 白芍 当归 生地黄 阿胶（各三钱）
上为末。每服二钱，食后黄 汤调服。
芎附饮
川芎（二两） 香附（四两）
上为末。每服二钱，茶汤调下。
又法 治心热吐血，及衄血不止。
百叶榴花（不以多少）
上干为末。吹出鼻中，立瘥。
Epistaxis is primarily treated by cooling the blood and promoting blood circulation, which is generally similar to hematemesis. Camellia flower powder can be administered with child's urine (Tongbian), ginger juice, and wine mixed together. Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) should be used in conjunction with Yujin (Curcuma aromatica). Huangqin (Scutellaria baicalensis), Shengma (Cimicifuga foetida), and Xijiao (Rhinoceros horn) possess detoxifying properties. Alternatively, Yujin powder mixed with child's urine, ginger juice, and wine can be taken orally. If blood flows retrograde and forms bloody clots, manifesting as hematemesis or spitting of blood, drinking leek juice (Jiu zhi) yields immediate results. For treating sweating blood, bloody sweat, and epistaxis, Renzhongbai (Human Urine Sediment, also known as Qiushi/Calcined Human Urine Stone) is heated on a new tile until dry, mixed with a small amount of Shexiang (Musk), ground into fine powder, and taken with wine; this method is empirically effective. Epistaxis originates from the Lung; it is primarily treated with substances such as Xijiao (Rhinoceros horn), Shengma (Cimicifuga foetida), Zhizi (Gardenia jasminoides), Huangqin (Scutellaria baicalensis), Shaoyao (Peony root), Shengdihuang (Rehmannia glutinosa fresh root), Ziwan (Aster tataricus), Danshen (Salvia miltiorrhiza), and Ejiao (Donkey-hide gelatin). The *Yuanbing Shi* states: "Nü" refers to Yang-heat stagnation obstructing the Foot-Yangming Meridian and rising upward; heat causes blood to move recklessly, thus resulting in epistaxis.
Attached Formulas
Hejian Shengdihuang San (Shengdi Decoction from Hejian): Treats epistaxis due to stagnant heat, or hemoptysis and hematemesis, effective for all.
Ingredients: Gouqi (Lycium fruit), Chaihu (Bupleurum root), Huanglian (Coptis rhizome), Diguxu (Lycium bark root), Tiandong (Asparagus tuber), Baishao (White peony root), Gancao (Licorice root), Huangqin (Scutellaria baicalensis), Huangqi (Astragalus root), Shengdihuang (Rehmannia glutinosa fresh root), Shudihuang (Rehmannia glutinosa prepared root) (equal parts).
Preparation and Administration: Cut the herbs. Decoct in water and take orally. If there is lower body bleeding, add Diyü (Sanguisorba root).
Another Prescription: Treats epistaxis.
Ingredient: Fulonggan (Dragon's House Earth/Fired Clay) (half sheng).
Preparation and Administration: Take one large bowl of fresh well-water, wash the Fulonggan to extract the juice, mix with honey, and take in one dose.
Qigen San (Qian Root Powder): Treats unceasing nasal bleeding.
Ingredients: Qigen (Rubia cordifolia root), Ejiao (Donkey-hide gelatin, stir-fried with clam shell powder), Huangqin (Scutellaria baicalensis) (each 1 liang), Gancao (Licorice root, roasted) (0.5 liang), Cebaiye (Platycladus orientalis leaf), Shengdihuang (Rehmannia glutinosa fresh root).
Preparation and Administration: Decoct with one zhong of water and three slices of ginger. Take orally.
Huangqin Shaoyao Tang (Scutellaria and Peony Decoction): Treats unceasing epistaxis.
Ingredients: Huangqin (Scutellaria baicalensis), Shaoyao (Peony root), Gancao (Licorice root) (equal parts).
Preparation and Administration: Decoct in water and take orally. If Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is used but Rhinoceros horn is unavailable, substitute with Shengma (Cimicifuga foetida). The nose connects to the brain; when blood overflows upwards to the brain, it exits through the nose. For any epistaxis, use Maohua (Foxtail millet flowers) to mix with Zhi Nu San (Stop Bleeding Powder), administer frequently, and allow the patient to drink Xi'er gan (second rice washing water). Additionally, apply sesame oil drops into the nostrils, or radish juice may be used. A combination of Maohua (Foxtail millet flowers) and Baishaoyao (White peony root) in equal halves is particularly stable. External Method: Wet paper with Jinghua shui (well water drawn from the surface), and apply it to the vertex of the head. For left-sided bleeding, tie the middle finger of the left hand with thread; for right-sided bleeding, tie the right hand; if both sides bleed, tie both hands. Alternatively, blow Chaohei Puhuang (charred Lycopodium spores) into the nostrils.
Longgu Zhi Nu San (Dragon Bone Stop-Bleeding Powder):
Ingredients: Huangqi (Astragalus root) (6 qian), Chi Fuling (Red Poria cocos), Baishao (White peony root), Danggui (Angelica sinensis), Shengdihuang (Rehmannia glutinosa fresh root), Ejiao (Donkey-hide gelatin) (each 3 qian).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with Huangqi (Astragalus root) decoction after meals.
Xiong Fu Yin (Chuanxiong and Cyperus Drink):
Ingredients: Chuanxiong (Ligusticum chuanxiong rhizome) (2 liang), Xiangfu (Cyperus rotundus rhizome) (4 liang).
Preparation and Administration: Grind into powder. Take 2 qian per dose, mixed with tea water.
Another Method: Treats hematemesis due to Heart-heat and unceasing epistaxis.
Ingredient: Baiye Liuhua (Flowers of Punica granatum var. multiplex) (as needed).
Preparation and Administration: Dry and grind into powder. Blow into the nostrils; cure is immediate.