《病源论》云∶肺开窍于鼻,热乘于肺,则气亦热也。血气俱热,血随气发出于鼻,为
鼻衄
《医门方》云∶上实下虚,其人必衄,衄发从春至夏,为大阳衄;从秋至冬为阳明衄。
《短剧方》治鼻衄血出数斗,眩(胡蠲反)冒,剧者不知人方∶
干姜屑,龙骨末,吹之即止。
又方∶取乱发五两烧之,冶末,取如枣核着筒头,吹着鼻孔中。不止,益末吹之。并服
方寸
又云∶治鼻衄积年,夜卧起而肩头有凝血数升,众治不瘥方∶
舂 叶绞取汁,日饮三升,不过四五饮愈,神良。
《千金方》治鼻血出不止方∶
冷水净漱口,含水,以苇管中吹二孔中,即止。
又方∶葱白一把,切,捣,绞取汁,沥鼻中三两滴,入即止。
又方∶地黄汁五合,酒一合,煮取四合,空腹服之。
禁酒炙肉。旦旦服粳米饮。
又方∶湿布敷胸上。
又方∶灸上星穴五十壮,在当鼻入发际一寸。
又方∶灸涌泉二穴各百壮,在足心陷者中。
《葛氏方》治鼻卒衄方∶
苦酒渍绵,塞鼻孔。
又方∶釜底黑末,以吹纳鼻中。
又方∶水和粉如粥状,以墨和,服之多少在意,立愈。
又方∶以绵裹白马矢塞鼻。杂文马矢悉可用,若大甚者绞马矢汁,饮一二升。可用干者
绞取
又云∶大衄口耳皆血出不止方∶
蒲黄五合,以水一升和,一顿服。
又方∶铧 以柱鼻下。
又方∶熬盐三指撮,以酒服之,不止,更服也。
《极要方》疗鼻衄出数升,令人眩冒,剧者不知人方∶
桂心(三两) 干姜(一两) 乱发灰(一两)
上,为散,先食浆水,粥服方寸匕,日二。
《博济安众方》疗鼻衄不止方∶上,以糯米二合细研,以冷水顿服。
《广济方》治鼻衄出血不止方∶
新汲水淋头顶上六七斗,并将浸脚立效。
又方∶童子小便三四灌入鼻中,立效。
又方∶干姜削令头尖,微煨,塞鼻中,立效。
《范汪方》卒衄出不止方∶
书额上作“由”字。
又方∶浓融胶,胶额,胶燥血断已,用良。
又云∶热病鼻衄多者出血一二斛方∶
蒲黄五合,水五升和,饮一顿尽,即愈。
《医门方》治鼻衄血出不止方∶
生地黄汁服一升,须臾二三服,兼以冷水淋顶上,立愈。
《如意方》治鼻衄术∶取衄血以书其人额云“今某日,血忌”字,即止。当随今日甲乙
也
《广利方》疗鼻衄出血不止方∶
浓研经墨点鼻中,立效。
《龙门方》疗鼻出血不止方∶
捣刺蓟汁饮一升,验。
又方∶灸头顶上七壮。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: The lung opens into the nose. If heat pathogens invade the lung, the lung qi also becomes heated. When both blood and qi are heated, blood follows the upward movement of qi and issues from the nose, a condition known as Bi Nu (Nosebleed).
The *Yi Men Fang* (Medical Gate Formulas) states: Individuals with excess in the upper body and deficiency in the lower body will inevitably suffer from nosebleeds. Nosebleeds occurring from spring to summer are termed Tai Yang Nu (Taiyang Nosebleed); those occurring from autumn to winter are termed Yang Ming Nu (Yangming Nosebleed).
The *Duan Ju Fang* (Short Drama Formulas) provides a formula for treating severe nosebleeds where several dou of blood are lost, accompanied by dizziness and vertigo (Hu Juan fan), and in severe cases, loss of consciousness:
Take dried ginger powder (Gan Jiang Xie) and dragon bone powder (Long Gu Mo), and insufflate them into the nasal cavity to stop bleeding immediately.
Another formula: Take five liang of tangled hair, burn it to ash, and grind it into fine powder. Take an amount the size of a jujube pit, place it at the end of a tube-like instrument, and insufflate it into the nostril. If bleeding does not stop, increase the amount of powder and insufflate again. Concurrently, administer one fang cun bi (a traditional measure, approx. one level spoonful) of the powder orally.
It is also recorded: For chronic nosebleeds persisting for years, where several sheng of clotted blood are found on the shoulders upon waking at night, and which have resisted various treatments:
Pound mugwort leaves (Ai Ye), wring out the juice, and drink three sheng daily. Curing within four or five doses is expected; this method is miraculous and excellent.
The *Qian Jin Fang* (Essential Prescriptions Worth a Thousand Gold) provides formulas for uncontrollable nosebleeds:
Rinse the mouth thoroughly with cold water, hold the water in the mouth, and use a reed tube to blow air into both nostrils to stop bleeding immediately.
Another formula: Take one bunch of scallion whites (Cong Bai), chop, pound, and wring out the juice. Drip two or three drops into the nostrils; bleeding stops immediately upon entry.
Another formula: Take five he of Rehmannia root juice (Di Huang Zhi) and one he of wine. Boil until four he remain, and take on an empty stomach.
Avoid alcohol and roasted meats. Consume rice gruel (Jing Mi Yin) every morning.
Another formula: Apply a wet cloth compress to the chest.
Another formula: Moxibustion on Shang Xing (GV23), 50 moxa cones. This acupoint is located one cun above the glabella, entering the hairline.
Another formula: Moxibustion on Yong Quan (KI1), 100 moxa cones per side. This acupoint is located in the depression of the sole of the foot.
The *Ge Shi Fang* (Ge's Formulas) provides a formula for sudden nosebleeds:
Soak cotton wool in vinegar (Ku Jiu) and pack it into the nostrils.
Another formula: Insufflate soot from the bottom of a cauldron (Fu Di Hei Mo) into the nasal cavity.
Another formula: Mix flour with water to form a porridge-like consistency, blend with ink, and take as much as the patient desires; recovery is immediate.
Another formula: Wrap white horse manure in cotton wool and insert it into the nostril. Manure from horses of any color can be used. In extremely severe cases, wring out the juice of horse manure and drink one or two sheng. Dried manure can also be used to extract juice.
It is also recorded: For massive hemorrhage causing continuous bleeding from the mouth and ears:
Take five he of Rhizoma Cyperi (Pu Huang), mix with one sheng of water, and consume in one dose.
Another formula: Place the head of a plowshare under the nose.
Another formula: Stir-fry salt, take an amount held between three fingers, and swallow with wine. If bleeding persists, administer another dose.
The *Ji Yao Fang* (Extremely Important Formulas) provides a formula for nosebleeds losing several sheng, causing dizziness and vertigo, and in severe cases, loss of consciousness:
Gui Xin (Cinnamon Heart) 3 liang, Gan Jiang (Dried Ginger) 1 liang, Luan Fa Hui (Ash of Tangled Hair) 1 liang.
Grind all ingredients into a powder. Before meals, administer one fang cun bi with fermented grain water (Jiang Shui) or rice gruel, twice daily.
The *Bo Ji An Zhong Fang* (Formulas for Universal Relief and Public Safety) provides a formula for uncontrollable nosebleeds:
Finely grind two he of glutinous rice (Nu Mi), and consume in one dose with cold water.
The *Guang Ji Fang* (Broad Salvation Formulas) provides formulas for uncontrollable nosebleeds:
Pour six or seven dou of freshly drawn cold water over the top of the head, and simultaneously immerse the feet in cold water; effect is immediate.
Another formula: Instill three or four doses of urine from a young boy (Tong Zi Xiao Bian) into the nasal cavity; effect is immediate.
Another formula: Sharpen dried ginger (Gan Jiang) to a point, lightly roast it, and insert it into the nostril; effect is immediate.
The *Fan Wang Fang* (Fan Wang's Formulas) provides a formula for sudden uncontrollable nosebleeds:
Write the character "You" (由) on the forehead.
Another formula: Melt glue thickly and apply it to the forehead. Once the glue dries, the clotted blood will detach; this is effective.
It is also recorded: For severe nosebleeds caused by febrile diseases, resulting in the loss of one or two hu of blood:
Take five he of Rhizoma Cyperi (Pu Huang), mix with five sheng of water, and drink all in one dose; recovery is immediate.
The *Yi Men Fang* (Medical Gate Formulas) provides a formula for uncontrollable nosebleeds:
Consume one sheng of fresh Rehmannia root juice (Sheng Di Huang Zhi), divided into two or three doses taken shortly after each other. Simultaneously, pour cold water over the top of the head; recovery is immediate.
The *Ru Yi Fang* (As-You-Wish Formulas) describes a method for treating nosebleeds: Write the nosebleed blood on the person's forehead, inscribing "Today [Date], Blood Taboo" (Jin Mou Ri, Xue Ji). Bleeding stops. This should correspond to the Heavenly Stems (Jia, Yi, etc.) of the current day.
The *Guang Li Fang* (Broad Benefit Formulas) provides a formula for uncontrollable nosebleeds:
Grind traditional inkstick (Jing Mo) thickly and apply dots into the nasal cavity; effect is immediate.
The *Long Men Fang* (Dragon Gate Formulas) provides a formula for uncontrollable nosebleeds:
Pound Thistle (Ci Ji) and drink one sheng of the juice; this is verified to be effective.
Another formula: Perform seven moxa cones on the vertex of the head.