论曰乳石发吐血或衄血者，以石气壅遏于心肺生热故也。心主血，血得热则涌溢，复因
胃气之逆，故吐血也，肺主气，开窍于鼻，气血调和，相为营卫，及为热所乘，则血妄行，
故为鼻衄也。
治乳石发动，心闷吐血。麦门冬汤方
麦门冬（去心焙一两） 生地黄（二两） 甘草（炙） 荠 茅根 干姜（炮各一两）
上六味，锉如麻豆大，每服三钱匕，水一盏，入豉二七粒，煎至七分，去滓温服，空心
日午各一。
治因饵乳石发，心肺中热鼻中衄血。连翘饮方
连翘茎叶（新者一两） 生地黄（二两） 苍耳茎叶（新者） 陈橘皮（汤浸去白） 鸡
苏茎叶
（新者各一两）
上五味，锉碎，以水少许，都捣令烂，生绢绞取汁，每服三合，不拘时，未止再服。
治乳石发动，鼻衄头痛壮热，遍身疼痛烦闷。小蓟汤方
小蓟（锉二两） 鸡苏（锉一两） 青竹茹（新竹取一两半） 麦门冬（去心焙） 生
地黄（切
碎各二两）
上五味，锉如麻豆大，每服三钱匕，水一盏，入生姜三片，煎至七分，去滓不拘时温服
，日三。
治乳石发动，心肺热甚，鼻中衄血不止。吹鼻散方
胡粉（研） 墨（研） 干姜（为末） 发灰（研） 铛墨（研） 伏龙肝（为末各半
钱）
上六味同研，以一字许，吹鼻中，一法，六味中但得一味末，用一字，吹两鼻中亦止。
治乳石发，卒吐血一二升，口鼻俱出者。麦门冬饮方
生麦门冬（去心绞汁一盏） 生地黄（绞汁一盏） 小蓟（切碎绞汁一盏） 伏龙肝末
（二两）
上四味，前三味，各入少水绞取汁，相和匀，每服二合，入伏龙肝末二钱匕调下，每日
空心一服，日午再服。
治乳石发，热盛吐血衄血。生地黄汤方
生地黄（切碎五两） 栀子仁（二十枚） 小蓟根（切三两） 黄芩（去黑心一两）
上四味，锉如麻豆大，每服五钱匕，水一盏半，入豉二七粒，煎至一盏，去滓温服，空
心日晚各一服。
治乳石发，衄血。生地黄饮方
生地黄（切绞汁三合） 小蓟根（切绞汁三合）
上二味，合和令匀，分温作三服，早晨日晚各一。
Discussion states: Hematemesis (vomiting blood) or epistaxis (nosebleed) triggered by the administration of mineral drugs (Rushi, a type of ancient mineral-based tonic) occurs because the qi of the minerals becomes obstructed in the Heart and Lungs, generating heat. The Heart governs Blood; when Blood is heated, it surges and overflows. Compounded by the rebellion of Stomach Qi, hematemesis results. The Lung governs Qi and opens into the nose. When Qi and Blood are harmonious, they mutually nourish and protect as Ying (Nutritive) and Wei (Defensive). However, when attacked by Heat, Blood flows recklessly, resulting in epistaxis.
For treating chest oppression and hematemesis caused by the activation of mineral drugs, Mai Men Dong Tang (Ophiopogon Decoction) is prescribed:
Mai Men Dong (Ophiopogonis Radix, heart removed, baked, 1 liang), Sheng Di Huang (Rehmanniae Radix Recens, 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Qi Gen (Herba Glehniae or similar root, context implies herbal root), Mao Gen (Imperatae Rhizoma, dried ginger, each 1 liang).
The above six herbs are chopped to the size of hemp seeds. Each dose consists of 3 qian bi (approx. 9-10g), boiled with 1 sheng (approx. 200ml) of water and 14 grains of Chi Dou (Fermented Soybean) until reduced to 7/10 volume. Strain and take warm. Administer on an empty stomach and at noon.
For treating epistaxis due to Heat in the Heart and Lungs triggered by the ingestion of mineral drugs, Lian Qiao Yin (Forsythia Drink) is prescribed:
Lian Qiao Jing Ye (Stem and leaves of Forsythiae Fructus, fresh, 1 liang), Sheng Di Huang (Rehmanniae Radix Recens, 2 liang), Cang Er Jing Ye (Stem and leaves of Xanthii Fructus, fresh), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed), Ji Su Jing Ye (Stem and leaves of Elsholtzia Spicata, fresh, each 1 liang).
The above five herbs are chopped finely, mashed with a small amount of water until pulpy, and the juice is extracted through raw silk gauze. Take 3 he (approx. 60ml) per dose, at any time. If bleeding does not stop, administer again.
For treating epistaxis, headache, high fever, generalized body pain, and restlessness caused by the activation of mineral drugs, Xiao Ji Tang (Cirsii Herba Decoction) is prescribed:
Xiao Ji (Herba Cirsii Japonici, chopped, 2 liang), Ji Su (Herba Elsholtziae Spicatae, chopped, 1 liang), Qing Zhu Ru (Bamboo Shavings from new bamboo, 1.5 liang), Mai Men Dong (Ophiopogonis Radix, heart removed, baked), Sheng Di Huang (Rehmanniae Radix Recens, chopped, each 2 liang).
The above five herbs are chopped to the size of hemp seeds. Each dose consists of 3 qian bi, boiled with 1 sheng of water and 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to 7/10 volume. Strain and take warm at any time. Three times daily.
For treating persistent epistaxis due to severe Heat in the Heart and Lungs triggered by mineral drugs, Chui Bi San (Nose-Blowing Powder) is prescribed:
Hu Fen (Cerussa, ground), Mo (Ink stick, ground), Gan Jiang (Zingiberis Rhizoma, powdered), Fa Hui (Hair Ash, ground), Dang Mo (Soot from cauldron, ground), Fu Long Gan (Caulis Longi Farris, powdered, each half qian).
Grind the above six ingredients together. Use approximately one "yi zi" (a traditional measure for nasal insufflation) and blow into the nose. Alternatively, using powder from just one of the six ingredients, apply one "yi zi" to both nostrils to stop bleeding.
For treating sudden hematemesis of one or two sheng, with blood coming from both mouth and nose, triggered by mineral drugs, Mai Men Dong Yin (Ophiopogon Drink) is prescribed:
Sheng Mai Men Dong (Ophiopogonis Radix Recens, heart removed, juice pressed to 1 sheng), Sheng Di Huang (Rehmanniae Radix Recens, juice pressed to 1 sheng), Xiao Ji (Herba Cirsii Japonici, chopped, juice pressed to 1 sheng), Fu Long Gan (Caulis Longi Farris, powdered, 2 liang).
For the first three ingredients, add a little water and press for juice. Mix evenly. Each dose is 2 he, mixed with 2 qian bi of Fu Long Gan powder and taken orally. Take once on an empty stomach and once at noon.
For treating hematemesis and epistaxis due to excessive Heat triggered by mineral drugs, Sheng Di Huang Tang (Rehmannia Decoction) is prescribed:
Sheng Di Huang (Rehmanniae Radix Recens, chopped, 5 liang), Zhi Zi Ren (Gardeniae Semen, 20 units), Xiao Ji Gen (Radix Cirsii Japonici, chopped, 3 liang), Huang Qin (Scutellariae Radix, black heart removed, 1 liang).
Chop the above four herbs to the size of hemp seeds. Each dose consists of 5 qian bi, boiled with 1.5 sheng of water and 14 grains of Chi Dou until reduced to 1 sheng. Strain and take warm. Take once on an empty stomach and once in the evening.
For treating epistaxis triggered by mineral drugs, Sheng Di Huang Yin (Rehmannia Drink) is prescribed:
Sheng Di Huang (Rehmanniae Radix Recens, chopped, juice pressed to 3 he), Xiao Ji Gen (Radix Cirsii Japonici, chopped, juice pressed to 3 he).
Mix the juices of the above two ingredients evenly. Divide into three warm doses. Take once in the morning and once in the evening.