夫热病鼻衄者。心脏伤热所为也。心主血。肺主气。肺开窍于鼻。邪热与血气并。故衄
也。
治热病。头痛壮热。鼻衄及吐血。心中紧硬。遍身疼痛。四肢烦闷。宜服刺蓟饮
子方。
刺蓟（一两） 生地黄（一两） 鸡苏（半两） 生姜（半两） 赤茯苓（半两） 青
竹茹（一分）
生麦门冬（一两去心）
上件药。并细锉。以水二（三）大盏。煎至一盏半。去滓。不计时候。分温三服。
治热病鼻衄。去五脏热气。黄龙汤方。
伏龙肝（半两） 当归（三分锉微炒） 甘草（三分炙微赤锉） 赤芍药（三分） 黄
芩（三分）
川朴硝（三分） 川升麻（三分） 生干地黄（一两半）
上件药。捣粗罗为散。每服五钱。以水一大盏。入竹茹一分。煎至五分。去滓。不计时
候。温服。
治热病。鼻衄不止。此是阳毒伤肺。宜服阿胶散方。
阿胶（三分捣碎炒令黄燥） 伏龙肝（三分） 黄芩（三分） 葱白连须（二茎） 豉
（一合）
地骨皮（三分）
上件药。并细锉令匀。都以水一大盏半。煎至一盏。去滓。入生地黄汁二合。搅令匀。
不计时候。分温三服。
治热病鼻衄不止。宜服黄芩散方。
黄芩（一两） 川大黄（一两锉碎微炒） 栀子仁（半两） 刺蓟（一两） 蒲黄（半
两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治热病鼻衄出多。面无颜色。昏闷虚困。熟干地黄散方。
熟干地黄（三分） 白芍药（三分） 黄 （一两半锉） 阿胶（半两捣碎炒令黄燥） 当
归（
半两锉微炒） 人参（三分去芦头） 天竺黄（三分）
上件药。捣细罗为散。每服不计时候。以黄 汤调下二钱。
治热病鼻衄不止。贝母散方。
贝母（一两煨微黄色） 刺蓟（一两） 蒲黄（一两）
上件药。捣细罗为散。每服。不计时候。以新汲水调下一钱。
治热病鼻衄不止方。
蛤粉（一钱） 黄丹（半钱） 香墨末（一钱）
上件药。相和令匀。以新汲水调。顿服。
治热病鼻衄。诸药无效者。宜服此方。
赤马通（二枚绞取汁） 阿胶（三分炙令微黄捣末）
上件药。二味相和。熟搅令匀。每用少许滴鼻中。仍以新汲水略蘸足即止。
治热病衄血。日夜无度。身面如金黄方。
上以韭根一握。捣绞取汁。以罐索投于井中深处。良久。急取出。沥水相和。滴二七滴
于鼻中。瘥。
治热病鼻衄。血下数升去。宜服此方。
好松烟墨（二两）
上捣。细罗为末。用鸡子白和。丸如梧桐子大。每服。以生地黄汁。下二十丸。如人行
五里。再服。以瘥为度。
Epistaxis caused by febrile disease is attributed to heat injuring the Heart. The Heart governs blood, and the Lung governs Qi. The Lung opens into the nose. When pathogenic heat combines with Qi and blood, epistaxis occurs.
For febrile disease presenting with headache, high fever, epistaxis, hematemesis, a sensation of tightness and hardness in the heart region, generalized body pain, and irritability and oppression in the four limbs, Ci Ji Yin Zi Decoction (Thistle Drink) is indicated.
Ci Ji (Thistle, *Cirsii Japonici Herba*), 1 liang; Sheng Di Huang (Fresh Rehmannia Root, *Rehmanniae Radix Recens*), 1 liang; Ji Su (Elsholtzia, *Elsholtziae Herba*), 0.5 liang; Sheng Jiang (Fresh Ginger Rhizome, *Zingiberis Rhizoma Recens*), 0.5 liang; Chi Fu Ling (Red Poria, *Poria cum Ligno*), 0.5 liang; Qing Zhu Ru (Green Bamboo Shavings, *Bambusae Caulis in Taeniam*), 1 fen; Sheng Mai Men Dong (Fresh Ophiopogon Tuber, *Ophiopogonis Radix Recens*), 1 liang, heart removed.
All ingredients are finely chopped. Boil in 3 large bowls of water until reduced to 1.5 bowls. Strain the dregs. Take warm, divided into three doses, without regard to time.
To treat febrile disease with epistaxis and clear heat from the five Zang organs, Huang Long Tang (Yellow Dragon Decoction) is used.
Fu Long Gan (Dried Cow Dung Brick, *Farris Bovis Carbonisatus*), 0.5 liang; Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), 3 qian, chopped and slightly stir-fried; Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), 3 qian, honey-fried until slightly red and chopped; Chi Shao Yao (Red Peony Root, *Paeoniae Radix Rubra*), 3 qian; Huang Qin (Scutellaria Root, *Scutellariae Radix*), 3 qian; Chuan Po Xiao (Mirabilite, *Natrii Sulfas*), 3 qian; Chuan Sheng Ma (Bupleurum Root, *Bupleuri Radix*), 3 qian; Sheng Gan Di Huang (Dried Rehmannia Root, *Rehmanniae Radix*), 1.5 liang.
All ingredients are coarsely ground and sieved into a powder. Each dose consists of 5 qian. Boil in 1 bowl of water with 1 fen of Zhu Ru (Bamboo Shavings, *Bambusae Caulis in Taeniam*) until reduced to 0.5 bowl. Strain. Take warm, without regard to time.
For febrile disease with persistent epistaxis, which is caused by Yang toxicity injuring the Lung, E Jiao San (Donkey-hide Gelatin Powder) is indicated.
E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*), 3 qian, crushed and fried until yellow and dry; Fu Long Gan (Dried Cow Dung Brick, *Farris Bovis Carbonisatus*), 3 qian; Huang Qin (Scutellaria Root, *Scutellariae Radix*), 3 qian; Cong Bai Lian Xu (Scallion White with Roots, *Allii Fistulosi Bulbus*), 2 stalks; Chi Dou (Black Soybean Fermented, *Sojae Semen Nigrum Preparatum*), 1 he; Di Gu Pi (Lycium Bark, *Lycii Cortex*), 3 qian.
All ingredients are finely chopped uniformly. Boil in 1.5 bowls of water until reduced to 1 bowl. Strain. Add 2 he of Sheng Di Huang Juice (Fresh Rehmannia Juice, *Rehmanniae Radix Succus*). Stir well. Take warm, divided into three doses, without regard to time.
For persistent epistaxis due to febrile disease, Huang Qin San (Scutellaria Powder) is indicated.
Huang Qin (Scutellaria Root, *Scutellariae Radix*), 1 liang; Chuan Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*), 1 liang, chopped and slightly stir-fried; Zhi Zi Ren (Gardenia Seed, *Gardeniae Fructus*), 0.5 liang; Ci Ji (Thistle, *Cirsii Japonici Herba*), 1 liang; Pu Huang (Typha Pollen, *Typhae Pollen*), 0.5 liang.
All ingredients are ground and sieved into a powder. Each dose consists of 4 qian. Boil in 1 medium bowl of water until reduced to 0.6 bowl. Strain. Take warm, without regard to time.
For febrile disease with heavy epistaxis, pale complexion, dizziness, oppression, and weakness, Shu Gan Di Huang San (Prepared Rehmannia Powder) is indicated.
Shu Gan Di Huang (Prepared Rehmannia Root, *Rehmanniae Radix Praeparata*), 3 qian; Bai Shao Yao (White Peony Root, *Paeoniae Radix Alba*), 3 qian; Huang Qi (Astragalus Root, *Astragali Radix*), 1.5 liang, chopped; E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*), 0.5 liang, crushed and fried until yellow and dry; Dang Gui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), 0.5 liang, chopped and slightly stir-fried; Ren Shen (Ginseng Root, *Panacis Ginseng Radix*), 3 qian, radix tip removed; Tian Zhu Huang (Calculus Bovis Indicus, *Calculus Bovis), 3 qian.
All ingredients are finely ground and sieved. Each dose consists of 2 qian, taken without regard to time, mixed with Huang Qi Decoction (Astragalus Decoction).
For persistent epistaxis due to febrile disease, Bei Mu San (Fritillaria Powder) is indicated.
Bei Mu (Fritillaria Bulb, *Fritillariae Bulbus*), 1 liang, roasted until slightly yellow; Ci Ji (Thistle, *Cirsii Japonici Herba*), 1 liang; Pu Huang (Typha Pollen, *Typhae Pollen*), 1 liang.
All ingredients are finely ground and sieved. Each dose consists of 1 qian, taken without regard to time, mixed with fresh drawn cold water.
Formula for persistent epistaxis due to febrile disease.
Ge Fen (Calcined Shell Powder, *Concha Margaritifera Textilis*), 1 qian; Huang Dan (Lead Monoxide, *Plumbi Oxidum Rubrum*), 0.5 qian; Xiang Mo Mo (Ink Powder, *Tintae Mola Pulvis*), 1 qian.
Mix all ingredients uniformly. Mix with fresh drawn cold water and take in one dose.
For febrile disease with epistaxis unresponsive to other medications, this formula is indicated.
Chi Ma Tong (Fresh Horse Manure Juice, *Equi Fimis Succus*), 2 pieces, juice extracted; E Jiao (Donkey-hide Gelatin, *Colla Corii Asini*), 3 qian, fried until slightly yellow and ground into powder.
Mix the two ingredients thoroughly. Apply a small amount to the nostrils. Dipping feet in fresh drawn cold water may also help stop bleeding.
For febrile disease with severe epistaxis, day and night without limit, and jaundice-like yellow coloration of the body and face.
Take a handful of Jiu Gen (Garlic Chive Root, *Allii Tuberosi Radix*). Crush and extract the juice. Immerse an earthenware rope in deep well water for a long time, then quickly retrieve it. Mix the dripping water with the juice. Instill 14 drops (two sets of seven) into the nostrils. The condition will resolve.
For febrile disease with massive epistaxis (loss of several sheng of blood), this formula is indicated.
Hao Song Yan Mo (High-quality Pine Soot Ink, *Tinctura Pinus Pulvis*), 2 liang.
Grind and sieve into a fine powder. Mix with Bai Ji (Egg White, *Ovi Albumen*) to form pills the size of Sophora seeds. Each dose consists of 20 pills, taken with Sheng Di Huang Juice (Fresh Rehmannia Juice, *Rehmanniae Radix Succus*). If the patient can walk five li, administer another dose. Continue until cured.