夫口鼻之中俱出血者。由劳热而成。是以血者本属于心。经脉流行。不暂停滞。一关不
利。
心胸
治吐血衄血。此为内损。或劳伤所致。宜服竹茹散方。
青竹茹（一两） 白芍药（一两） 芎 （一两） 桂心（一两） 生干地黄（三两） 当
归（一
两）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治吐血衄血。至一斗不止。宜服麦门冬饮子方。
生麦门冬汁（五合） 生刺蓟汁（五合） 生地黄汁（五合）
上件药汁相和。于银锅中。略暖过。每服一小盏。调伏龙肝末一钱。服之。
治吐血衄血。藕汁饮子方。
生藕汁（三合） 生地黄汁（三合） 牛蒡根汁（二合） 生蜜（一匙）
上件药汁。调和令匀。每服一小盏。细细饮之。
治吐血衄血不止。郁金散方。
郁金 木香 飞罗面 黄柏（锉以上各一两） 甘草（一两半炙微赤锉）
上件药。捣罗为散。以生地黄汁一大盏。旋旋拌药后。焙令干。又拌之。令地黄汁尽为
度。
治吐血衄血。立效鸡子白丸方。
鸡子白（三个） 好香墨（二两）
上件药。捣墨细罗为末。以鸡子白和丸。如梧桐子大。不计时候。以生地黄汁下十丸。
治吐血衄血。或发或止。皆心脏积热所致。宜服黄芩散方。
黄芩（一两去心中黑腐）
上捣细罗为散。每服三钱。以水一中盏。煎至六分。不计时候。和滓温服。
又方。
伏龙肝（一两）
上捣细罗为散。不计时候。以蜜水调下二钱。
又方。
贝母（一两炮令黄）
上捣细罗为散。不计时候。以温浆调下二钱。
治吐血衄血。积日不止方。
新羊血
上热饮一二小盏即愈。慎勿刺羊取血。神道不 。当无瘥也。
又方。
石榴树根下地龙粪（不限多少细研）
上以新汲水一中盏。调三钱。饮之即瘥。
又方。
柿（楮）叶
上捣绞取汁。不计时候。服一小盏。
又方。
人中白
上细研为散。入少许麝香相和。以少许吹入鼻中。立效。
When bleeding occurs from both the mouth and the nose, it is caused by exhaustion and heat. Blood belongs to the Heart (Xin) and circulates through the meridians without pausing. If a pathway becomes obstructed, it leads to damage in the chest and heart region. The treatment of hematemesis (vomiting blood) and epistaxis (nosebleed), which constitutes internal injury often resulting from overexertion, is suitable for the Zhuru San (Bamboo Shavings Powder).
Qingzhuru (Green Bamboo Shavings, 1 liang), Baishao Yao (White Peony Root, 1 liang), Xiong (Szechwan Lovage Rhizome, 1 liang), Guixin (Cinnamon Twig Bark, 1 liang), Shenggan Dihuang (Raw Dried Rehmannia Root, 3 liang), Danggui (Angelica Sinensis, 1 liang).
The above herbs are crushed, sifted, and made into a powder. Take 3 qian per dose, decoct with one zhongzhan (approx. 200-250 ml) of water until reduced to six-tenths, strain, and take warm at any time.
For hematemesis and epistaxis where bleeding amounts to one dou (approx. 10 liters) and does not stop, the Menmendong Yinzi (Ophiopogon Decoction) is suitable.
Sheng Menmendong Zhi (Fresh Ophiopogon Juice, 5 he), Sheng Ciji Zhi (Fresh Pteris Multifida Juice, 5 he), Sheng Dihuang Zhi (Fresh Rehmannia Juice, 5 he).
Mix the above juices, warm them slightly in a silver pot. Take one xiaozhan (approx. 50-60 ml) per dose, mixed with 1 qian of Fulonggan (Hearth Earth) powder.
For hematemesis and epistaxis, the Ou Zhi Yinzi (Lotus Root Juice Drink) is used.
Sheng Ou Zhi (Fresh Lotus Root Juice, 3 he), Sheng Dihuang Zhi (Fresh Rehmannia Juice, 3 he), Niubanggen Zhi (Arctium Root Juice, 2 he), Sheng Mi (Fresh Honey, 1 chi).
Mix the above juices evenly. Take one xiaozhan per dose, sip slowly.
For persistent hematemesis and epistaxis, the Yujin San (Curcuma Powder) is used.
Yujin (Turmeric Tuber), Muxiang (Aucklandia Root), Feiluo Mian (Fine Wheat Flour), Huangbai (Phellodendron Bark, sliced, 1 liang each), Gancao (Licorice Root, honey-fried until slightly red and sliced, 1.5 liang).
The above herbs are crushed, sifted, and made into a powder. Mix with one zhongzhan of Sheng Dihuang Zhi (Fresh Rehmannia Juice), stir, and bake until dry. Repeat stirring and baking until the juice is exhausted.
For immediate effect in treating hematemesis and epistaxis, the Lixiao Jizi Bai Wan (Egg White Pill) is used.
Jizi Bai (Egg White, 3 units), Hao Xiangmo (Good Ink Stick, 2 liang).
Crush the ink finely, sift it, and mix with egg white to form pills the size of Sophora seeds. Take ten pills at any time, washed down with Sheng Dihuang Zhi (Fresh Rehmannia Juice).
Hematemesis and epistaxis that come and go are caused by accumulated heat in the Heart. The Huangqin San (Scutellaria Powder) is suitable.
Huangqin (Scutellaria Root, 1 liang, remove black rot from the center).
Crush finely, sift, and make into a powder. Take 3 qian per dose, decoct with one zhongzhan of water until reduced to six-tenths, and take warm with the dregs at any time.
Another prescription:
Fulonggan (Hearth Earth, 1 liang).
Crush finely, sift, and take 2 qian at any time, mixed with honey water.
Another prescription:
Beimu (Fritillaria Bulb, 1 liang, processed until yellow).
Crush finely, sift, and take 2 qian at any time, mixed with warm fermented grain liquid.
For hematemesis and epistaxis persisting for many days:
Xin Yangxue (Fresh Sheep Blood).
Heat and drink one or two xiaozhan; recovery will follow. Do not obtain blood by stabbing the sheep, as this violates divine principles and the illness will not heal.
Another prescription:
Dilong Fen (Earthworm Excrement) under Pomegranate Tree Roots (quantity unlimited, finely ground).
Take 3 qian mixed with one zhongzhan of fresh well water; drinking it will cure the condition.
Another prescription:
Shiye (Persimmon Leaf) or Chu Ye (Paper Mulberry Leaf).
Crush and press to extract juice. Take one xiaozhan at any time.
Another prescription:
Renzhongbai (Calculus Bileum / Human Tooth Deposit).
Finely grind into a powder, mix with a small amount of Shexiang (Musk), and insufflate a small amount into the nose for immediate effect.