妇人鼻衄，亦由气血伤动而作也。凡气血调和，则循环表里经络，涩则不散。若劳伤
损动，因而生热气逆，流溢入于鼻者，则成鼻衄也。产后见衄者不可治。
刺苏散 治妇人鼻衄不止。
刺苏 生地黄（各二两） 桑耳 发灰 艾叶（炒） 蒲黄（炒。各一两）
为细末，每服二钱，无时米饮调下。
（《千金》）伏龙肝散 治男妇五脏结热，衄血、吐血并皆治之。
伏龙肝 生地黄 竹茹（一弹丸） 芍药 当归 黄芩（各一钱） 川芎 甘草（各五分）
上咀，水盏半，煎一盏，温服。
（《百问》）茅花汤 治鼻衄，立止。
白茅花
浓煎汁饮之。一方捣茅根，取汁一合，饮之即止。
（《局方》）犀角地黄汤、四生丸、鸡苏散、四物汤加侧柏叶、山栀仁，并治鼻衄极效。
（方见前。）
脏腑损伤，风邪易入。凡热气在内，令人下血；风气在内，大便血色如豆汁，腹中疼痛。
妇人面无血色，时有寒热，而脉浮弱，按之绝者，为下血也。
加减四物汤 治妇人肠风下血不已。
侧柏叶 生地黄 当归 川芎（各一钱） 枳壳 荆芥 槐花 甘草（各五分）
上咀，水盏半，姜三片、枣一枚，煎七分，空心温服。
肠风黑散 治酒色太过，或食生冷炙爆，积毒肠间，致使脾虚，糟粕不聚，脐腹痛，大便
鲜血，里急后重，或肛门脱出，或久患酒痢，大便频并，并可治之。
败棕（烧，存性） 木馒头（烧） 乌梅肉 粉草（炙。各等分。）
上为细末，每服二钱，水一盏，煎七分，空心，连渣温服。
地榆汤 治阴结便血。
地榆（半两） 甘草（一钱） 砂仁（十粒）
上咀，分二服，每服水盏半，煎七分，空心服。
防风如神散 治妇人风虚，大便后时时下血。
防风 枳壳（各等分）
上咀，每服三钱，水盏半煎七分，空心服。
冬青子煎、酒蒸黄连丸、消风散并治下血。（方并见血证门。）
灸法令患人平立，量脊骨中与脐平处，灸七壮立止。
Epistaxis in women is also caused by the injury and disturbance of Qi and Blood. When Qi and Blood are harmonious, they circulate through the exterior and interior meridians, remaining contained within the vessels without leaking. However, if labor or injury causes the movement of Qi and Blood, generating internal heat that rebels upward and flows into the nasal cavity, epistaxis (nosebleed) occurs. Epistaxis occurring postpartum is considered difficult to treat.
Cisu San (Perilla Decoction): Treats persistent epistaxis in women.
Ingredients: Cisu (Perillae Folium), Shengdihuang (Rehmanniae Radix Recens) (each 2 liang), Sang'er (Auricularia Auricula-Judae), Fahui (Burnt Hair), Aiye (Artemisiae Argyi Folium, stir-fried), Puhuang (Typhae Pollen, stir-fried) (each 1 liang).
Grind into fine powder. Take 2 qian each time, at any time, mixed with rice water for administration. (From *Qianjin Fang*)
Fulonggan San (Dragon's House Earth Powder): Treats internal accumulation of heat in the five Zang organs in both men and women; effective for epistaxis and hematemesis.
Ingredients: Fulonggan (Caulis Longanii Carbonisatum), Shengdihuang (Rehmanniae Radix Recens), Zhuru (Bambusae Caulis in Taeniam), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 fen).
Cut into small pieces. Add 1.5 cups of water, decoct to 1 cup, and take warm. (From *Baiwen Fang*)
Maohua Tang (White Imperata Flower Decoction): Treats epistaxis, stopping it immediately.
Ingredients: Bai Maohua (Flores Imperatae).
Decoct strongly and drink the juice. Another method: crush Baigen (Imperatae Rhizoma), extract one he of juice, and drink it to stop bleeding. (From *Jufang* / *Standard Prescriptions of the Imperial Medical Bureau*)
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction), Sisheng Wan (Four Raw Substances Pill), Jisu San (Perilla and Mint Powder), Siwu Tang (Four Substances Decoction) plus Ce Bai Ye (Biota Top Leaf) and Shanzhiren (Gardeniae Semen), are all highly effective for treating epistaxis. (Formulas seen previously.)
When the Zang-Fu organs are damaged, Wind pathogen easily invades. Internal Heat causes lower body bleeding; internal Wind results in bloody stool resembling bean dregs, accompanied by abdominal pain.
In women, a lack of color in the face, intermittent chills and fever, and a floating and weak pulse that disappears upon deep pressure indicate lower body bleeding.
Modified Siwu Tang: Treats persistent intestinal wind bleeding in women.
Ingredients: Ce Bai Ye (Biota Top Leaf), Shengdihuang (Rehmanniae Radix Recens), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Zhiqiao (Aurantii Fructus), Jingjie (Schizonepetae Spica), Huaihua (Sophorae Flos), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 fen).
Cut into small pieces. Add 1.5 cups of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and one Zao (Jujubae Fructus). Decoct to 0.7 parts, and take warm on an empty stomach.
Changfeng Heisan (Intestinal Wind Black Powder): Treats conditions caused by excessive sexual activity or consumption of raw/cold and roasted/fried foods, leading to toxin accumulation in the intestines, spleen deficiency, improper aggregation of waste products, umbilical and abdominal pain, bright red blood in stool, tenesmus, rectal prolapse, frequent stools due to chronic alcoholic dysentery, etc.
Ingredients: Baizong (Carbonized Palm Fiber), Mumantou (Morus Fruit, carbonized), Wumei Rou (Semen Pruni Mume), Fengcao (Prepared Licorice Root) (equal parts).
Grind into fine powder. Take 2 qian each time, with 1 cup of water, decoct to 0.7 parts, and take warm with the dregs on an empty stomach.
Diyu Tang (Sanguisorba Decoction): Treats Yin obstruction with bloody stool.
Ingredients: Diyu (Sanguisorbae Radix) (0.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian), Sharen (Amomi Fructus) (10 grains).
Cut into small pieces. Divide into two doses. For each dose, add 1.5 cups of water, decoct to 0.7 parts, and take on an empty stomach.
Fangfeng Rushen San (Saposhnikovia Divine Powder): Treats Wind-deficiency in women, causing intermittent bleeding after defecation.
Ingredients: Fangfeng (Saposhnikoviae Radix), Zhiqiao (Aurantii Fructus) (equal parts).
Cut into small pieces. Take 3 qian each time, with 1.5 cups of water, decoct to 0.7 parts, and take on an empty stomach.
Dongqingzi Jian (Wintergreen Seed Decoction), Jiuzheng Huanglian Wan (Alcohol-Steamed Coptis Pill), and Xiaofeng San (Wind-Dispersing Powder) all treat lower body bleeding. (Formulas seen in the Blood Syndrome section.)
Moxibustion Method: Have the patient stand upright. Measure the point on the spine level with the umbilicus. Apply seven moxa cones here to stop bleeding immediately.