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Commentary: When spleen heat transfers to the liver, it results in fright and epistaxis (nosebleed). This is because wood overacts on earth (liver wood controls spleen earth); when spleen earth heat transfers to liver wood, the spirit and soul are frightened, causing blood to flow abnormally. The lung governs qi and opens into the nose; blood follows qi rising upward. Since the blood is now flowing recklessly, it exits through the nasal orifice, resulting in epistaxis.

Treatment for epistaxis. Fulonggan Tang (Dragon's House Earth Decoction) Formula:
Fulonggan (Dragon's House Earth), Xixin (Asari Radix et Rhizoma, de-rooted and de-leafed, each 0.5 liang), Chuanxiong (Ligusticum Chuanxiong Rhizome, 1 fen), Guizhi (Cinnamon Twig, bark removed), Baizhi (Angelicae Dahuricae Radix), Ganjiang (Dried Ginger, processed), Shaoyao (Paeoniae Radix), Gancao (Licorice Root, roasted and cut).
The above nine ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted with one zhan of wine until reduced to 7/10. Add one he of fresh Rehmanniae Radix juice, boil for one or two more boils, strain, and take warm. Administer three times daily.

Treatment for epistaxis. Puhuang San (Lygodii Spora Powder) Formula:
Puhuang (Lygodii Spora), Baiziren (Biota Seed, pounded), Danggui (Angelicae Sinensis Radix, sliced and dried), Ejiao (Donkey-hide Gelatin, roasted dry), Zonglv (Palmae Folium Carbonisatum, burned to retain efficacy and pounded), Luangfa Hui (Ash of Human Hair, pounded, each 1 qian).
The above six ingredients are pounded and ground into a powder. Each dose is 2 qianbi, taken with natural juice from fresh Lotus Rhizome Node. If due to lung injury and hemoptysis, use natural juice of Rehmanniae Radix. For intestinal wind bleeding, use decoction of Buteae Cortex. For leukorrhea in women, use Artemisia Argyi Tea.

Treatment for epistaxis and irritability caused by pathogenic heat attacking upwards. Bijin Wan (Gold Comparison Pill) Formula:
Yujin (Curcumae Radix, boiled in snow water until penetrated, sliced, dried, 1 liang), Zhi Shiyin (Fluorite), Bai Shiyin (Quartz), Baifuling (Poria, black skin removed), Shuiyin (Mercurius), Heiqian (Lead, each 1 fen).
The above eight ingredients, excluding sand, are pounded and ground into powder. Mix with bile of a yellow ox to form pills the size of a bullet. Take one pill per dose, grinding it down with cooled Licorice Decoction.

Treatment for epistaxis. Suihuang San (Sleeping Yellow Powder) Formula:
Eshi (Fructus Arctii), Xionghuang (Realgar, pounded), Mayaxiao (Sodium Sulfate, pounded), Gancao (Licorice Root, raw and cut, each 0.5 liang), Niuhuang (Calculus Bovis, pounded, 1 qian).
The above five ingredients are pounded and ground into a powder. Each dose is 2 qianbi, taken with pig bile and fresh drawn water. Sleep immediately after taking; slight sweating indicates efficacy. For epidemic jaundice with tongue swelling and throat swelling, or extreme heat, adjust the dosage according to the above method.

Treatment for epistaxis. Bi Fang (Nasal Formula):
Tuofen (Camel Dung).
Take an unspecified amount, place it in a new jar with the bottom opened, burn it to ash, remove and grind finely. Mix with a small amount of Moschus (Musk) evenly. Apply to the nostril corresponding to the bleeding side.

Treatment for epistaxis. Fangji San (Stephania Tetrandra Powder) Formula:
Fangji (Stephaniae Tetrandrae Radix, raw, 3 liang).
One ingredient, pounded and sieved into a fine powder. Each dose is 2 qianbi, taken with fresh drawn water. For elderly and children, take 1 qianbi with wine. After taking, drink a little hot water to induce airflow from the nose, which is beneficial.

Treatment for epistaxis. Wusha San (Black Sand Powder) Formula:
Xiyanxiangmo (Fine Smoke Inkstick, 2 liang).
One ingredient, made into a fine powder. Each dose is 1 qianbi, taken with strong tea infusion.

Treatment for epistaxis. Dijin Tang (Earth Gold Decoction) Formula:
Sheng Gan Dihuang (Dried Raw Rehmanniae Radix, baked), Sheng Gan Oujie (Dried Raw Lotus Rhizome Node, each 2 liang).
The above two ingredients are finely cut like hemp seeds. Each dose is 3 qianbi, decocted with one zhan of water until reduced to 6/10. Strain and take warm after meals before retiring.

Treatment for lung congestion and epistaxis. Yuchen San (Jade Dust Powder) Formula:
Baifan (Wheat Flour), Ruoyehui (Bamboo Leaf Ash, each 3 qian).
The above two ingredients are ground evenly and divided into two doses. Take after meals with well-water drawn at dawn.

Treatment for epistaxis. Chuibi Fang (Blow-in-Nose Formula):
Baiye Shiliuhua (Pomegranate Flower with Many Petals).
One ingredient, pounded and sieved into a fine powder. Use a small amount to blow into the nose.

Treatment for epistaxis. Zhier Fang (Plug-Ear Formula):
Yanhusuo (Corydalis Rhizome).
One ingredient, pounded into powder, wrapped in cotton, and plugged into the ear. For left epistaxis, plug the right ear; for right epistaxis, plug the left ear; for bilateral epistaxis, plug both ears.

Treatment for epistaxis. Tieni Fang (Paste-on-Nose Formula):
Lu Jiao Jiao (Deer Antler Glue, unspecified amount).
One ingredient, softened in boiling water, applied to the nasal depression. Adjust the consistency with fermented dough. If the left nostril bleeds, apply to the right side; if the right nostril bleeds, apply to the left side.

Treatment for epistaxis. Tiebei Gao (Paste-on-Back Plaster) Formula:
Jingsanleng (Burreed Tuber, large one piece).
One ingredient, wrapped in wet paper, roasted slowly over low fire until cooked. Crush while hot and sieve into a fine powder. Mix with vinegar and flour paste, apply to the third thoracic vertebra on the back.

Treatment for epistaxis. Kexiao Tang (Rapid Efficacy Decoction) Formula:
Gancao (Licorice Root, roasted and cut), Sang'er (Auricularia Judae, baked, each 3 fen), Zhike (Aurantii Fructus, pith removed, stir-fried with bran), Dahuang (Rhei Radix et Rhizoma, cut and stir-fried, 0.5 liang), Maimendong (Ophiopogonis Radix, heart removed, baked), Huaishi (Sophorae Tonkinensis Fruit, stir-fried, each 1.5 liang), Baizhi (Angelicae Dahuricae Radix), Jisu Ye (Perillae Leaf), Baihe (Lilii Bulbus), Huangqi (Astragali Radix, cut), Baiqian (Cynanchi Stauntonii Radix), Lianqiao (Forsythiae Fructus), Binglang (Arecae Semen, cut, each 1 liang), Jianghuang (Curcumae Longae Rhizoma, 2 liang).
The above fourteen ingredients are coarsely crushed and sifted. Each dose is 5 qianbi, decocted with 1.5 zhan of water and three slices of fresh ginger until reduced to 8/10. Strain and take warm.

Treatment for epistaxis Formula:
Shao Luangfa Hui (Ash of Burnt Human Hair, 1 qian), Renzhongbai (Calcined Human Alispongiosa, 0.5 qian), Shexiang (Moschus, one character).
The above three ingredients are mixed and ground evenly. Blow a small amount into the nose for immediate effect.

Another Formula:
Yangjing Tanpi (Charred Sheep Tibia Skin, smashed and stir-fried until red-hot, 1 liang), Fulonggan (Dragon's House Earth, 0.5 liang), Shexiang (Moschus, 1 qian).
The above three ingredients are finely ground like powder. Each dose is 2 qianbi, taken with cold water. Alternatively, mix with juice of Cirsii Japonici Herba.

Treatment for extreme accumulation of heat in the lungs, resulting in epistaxis and hematemesis. Formula:
Huangming Jiao Mo (Powder of Yellow Clear Gelatin, 1 qian), Sangye Mo (Powder of Mori Folium, 2 qian), Fulonggan Mo (Powder of Dragon's House Earth, 1.5 qian).
The above three ingredients are mixed evenly into a powder. Take 2 qianbi with glutinous rice drink.

Treatment for epistaxis. Ciji Tang (Thistle Decoction) Formula:
Daji Gen (Radix Cirsii Japonici, 1 liang), Xiangsi Zi (Abrus Precatorius Seed, 0.5 liang).
The above two ingredients are coarsely crushed and sifted. Each dose is 3 qian, decocted with one zhan of water until reduced to 7/10. Strain and take when cool.

Treatment for epistaxis. Congbai Zhi Fang (Scallion White Juice Formula):
Congbai (Scallion White).
Take a handful, pound and squeeze to extract juice. Add a little wine, instill two or three drops into the nose for cure.