论曰肝脏血，肺主气，今气与血俱热，故气溢则血妄行而为鼻衄。衄久不瘥，则面色不
荣，目昏眩冒。
治鼻久衄不止。桑根白皮丸方
桑根白皮（炙锉） 山栀子（去皮壳） 黄芩（去黑心） 甘草（炙锉） 羌活（去芦
头） 防风（去叉） 当归（切焙） 诃黎勒（煨去核） 胡黄连（各一分） 地骨皮 人
参白茯苓（去皮） 柴胡（去芦头各半两）
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心食前温酒下。
治鼻衄久不止，诸药不效，榴花散方
石榴花（曝干） 故帛灰（各半两） 人中白（一分）
上三味，同细研，更入麝香一钱研匀，少少吹入鼻中，立止。
治鼻衄久不止，血余散方
乱发（灰一钱） 人中白（半两） 麝香（半钱）
上三味，同细研匀，每用吹一小豆许，入鼻中。
治鼻久衄不止。阿胶汤方
阿胶（炙燥二两） 蒲黄（一两）
上二味，粗捣筛，每服三钱匕，水一盏，入生地黄汁二合，同煎至七分，去滓温服。
治鼻久衄。铅丹散方
铅丹（不拘多少）
上一味，细研如粉，每服二钱匕，发时新汲水调下。
治鼻久衄积年，或夜卧血流，常数升，众疗不瘥，谷楮叶汁方
谷楮叶（五七把）
上一味，捣捩取汁，日饮一二盏，不过四五剂愈。
治鼻衄久不止，银分散方
定州白瓷器
上一味，捣研为细散，每 一剜耳许，入鼻中。
治鼻久衄，吹鼻白矾散方
白矾（烧令汁尽半两）
上一味，细研罗为散，以少许吹鼻中。
Discussion states: The Liver stores blood, and the Lung governs Qi. Currently, both Qi and Blood are affected by heat pathogens; thus, when Qi overflows, Blood flows recklessly, resulting in epistaxis (nosebleed). If epistaxis persists for a long time without healing, the complexion loses its luster, accompanied by blurred vision, dizziness, and vertigo.
Formula for treating persistent epistaxis: Sanggenbaipi Wan (Morus Cortex Pill)
Sanggenbaipi (Cortex Mori Radicis, roasted and chopped) Shanzhizi (Fructus Gardeniae, peeled) Huangqin (Radix Scutellariae, black heart removed) Gancao (Radix Glycyrrhizae, roasted and chopped) Qianghuo (Rhizoma Notopterygii, rhizome head removed) Fangfeng (Radix Saposhnikoviae, fork-like branches removed) Danggui (Radix Angelicae Sinensis, sliced and baked) Helile (Fructus Chebulae, baked and pitted) Huhuanglian (Rhizoma Coptidis Chinensis, each one fen) Digupi (Cortex Lycii Radicis) Renshen (Radix Ginseng) Baifuling (Poria with Hostwood, peeled) Chaihu (Radix Bupleuri, rhizome head removed, each half liang)
The above thirteen ingredients are crushed, sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Each dose consists of twenty pills, taken orally with warm wine on an empty stomach before meals.
Formula for treating persistent epistaxis unresponsive to other medicines: Liuhua San (Pomegranate Flower Powder)
Liuhua (Flos Punicae Granati, sun-dried) Guboshi (Ash from old cloth, each half liang) Renzhongbai (Calcinatum Humanis Excrement, one fen)
The above three ingredients are finely ground together, then mixed with one qian of Shexiang (Moschus) until uniform. A small amount is insufflated into the nose to stop bleeding immediately.
Formula for treating persistent epistaxis: Xueyu San (Hair Ash Powder)
Luanfa (Carbonized Hair, one qian) Renzhongbai (Calcinatum Humanis Excrement, half liang) Shexiang (Moschus, half qian)
The above three ingredients are finely ground and mixed uniformly. Each dose is a quantity the size of a small bean, insufflated into the nose.
Formula for treating persistent epistaxis: Ejiao Tang (Colla Corii Asini Decoction)
Ejiao (Colla Corii Asini, roasted until dry, two liang) Puhuang (Pollen Typhae, one liang)
The above two ingredients are coarsely crushed and sifted. Each dose is three qianbi, boiled with one stan of water and two he of fresh Shengdihuang juice (Radix Rehmanniae Recens Juice) until reduced to seven-tenths. The dregs are removed, and the liquid is taken warm.
Formula for treating chronic epistaxis: Qiandan San (Lead Tetroxide Powder)
Qiandan (Minium, any amount)
The single ingredient is finely ground into powder. Each dose is two qianbi, taken orally mixed with newly drawn cold water during an episode.
Formula for treating chronic epistaxis lasting years, or nocturnal bleeding reaching several sheng, unresponsive to various treatments: Guchuye Zhi (Broussonetia Leaf Juice)
Guchuye (Folium Broussonetiae Papyriferae, five to seven bundles)
The single ingredient is crushed and pressed to extract juice. Drink one or two zhan daily. Healing occurs within four or five doses.
Formula for treating persistent epistaxis: Yinsan Fen (Silver Disperse Powder)
Dingzhou Baiqici (White Porcelain from Dingzhou)
The single ingredient is crushed and ground into fine powder. Each dose is the amount fitting an ear-scoop, inserted into the nose.
Formula for insufflating the nose for chronic epistaxis: Chuibi Baifan San (Alum Insufflation Powder)
Baifan (Alumen, calcined until no liquid remains, half liang)
The single ingredient is finely ground and sifted into powder. A small amount is insufflated into the nose.