夫鼻衄者。由热乘血气也。肝藏血。肺主气。开窍于鼻。若脏腑劳损。血气生热。血得
热则
治鼻久衄不止。刺蓟散方。
刺蓟（二两） 竹茹（二两） 蒲黄（一两） 艾叶（一两） 乱发灰（一两） 白药
（一两）
上件药。捣罗为散。每服三钱。以水一中盏。煎至六分。去滓。入地黄汁一合。搅令匀。
不
治鼻衄久不止。令人目眩心烦。宜服乱发灰散方。
乱发灰（一分） 桂心（半两） 干姜（一分炮裂）
上件药。捣细罗为散。每服。以温浆水。调下二钱。先食浆水粥。后服。
治衄血久不止。阿胶散方
阿胶（二两杵碎炒令黄燥） 桂心（一两） 当归（一两） 细辛（一两） 龙骨（二
两） 蒲黄
（一
上件药。都捣。细罗为散。每服。以粥饮调下二钱。
又方。
羊胫炭皮（一两杵碎炒令通赤） 伏龙肝（半两） 麝香（一钱细研）
上件药。细研如粉。每服。以新汲水调下二钱。研蓟刺汁调下亦得。
治鼻衄经久不止。立效方。
蒲黄〔二（三）两〕 石榴花（一两末）
上件药。和研为散。每服。以新汲水调下一钱。
又方。
故绵（五寸烧灰） 人中白（一分）
上件药。细研为散。每服。以新汲水调下二钱。
治鼻衄久不止。诸药无效者。宜用此方。
人中白（一分） 石榴花（半两） 故绵灰（半两）
上件药。都细研如面。入麝香一钱。更研令匀。少少吹入鼻中。立止。
治鼻衄久不止方。
乱发灰（一钱） 人中白（半两） 麝香（半钱细研）
上件药。相和细研。吹小豆大入鼻中。立效。
治鼻衄久不止。身面俱黄。宜用滴鼻。赤马通汁方。
赤马通（七块以水一盏绞汁） 阿胶（三分捣碎炒令黄燥）
上件药。以马通汁调阿胶。令稀稠得所。少少滴入鼻中。须臾即止。
治鼻衄久不止。吹鼻散方。
绯帛灰（三钱） 乱发灰（二钱）
上件药。都细研。少少吹入鼻中。立效。
又方。
老鸱翅关大骨（微炙）
上捣细罗为散。少少吹入鼻中。瘥。
又方。
乌贼鱼骨（半两去甲）
上捣细罗为散。少少吹入鼻中即止。如未止。更着少许干浮萍草末。吹入鼻中。即瘥。
又方。
上以干苔三（二）两。烧为灰。吹少许入鼻中。即止。
治鼻中沥血。经旬不止方。\x
南墙墙衣土（两杏仁大）
上以土鼻中塞之。初时被血推却。又取塞之。立止。
Epistaxis (nosebleed) is caused by heat invading the blood and qi. The Liver stores blood, the Lung governs qi, and the Lung opens into the nose. If the Zang-Fu organs are damaged by overwork, leading to internal heat in the blood and qi, the blood becomes heated and flows recklessly out of the vessels.
Ci Ji San Decoction for treating persistent epistaxis:
Cirsii Herba (Erliang), Phyllostachys Bambusae Caulis Ramulus (Erliang), Pappi Cathartici Spadix (Liangqian), Folium Artemisiae Argyi (Liangqian), Cinis Capilli Humani (Liangqian), Baiyao (Liangqian).
The above herbs are crushed, sifted, and made into a powder. Take 3 qian per dose. Add one zhongzhan of water, decoct until reduced to six-tenths, strain, add one he of Radix Rehmanniae Preparata juice, stir well, and take.
Lu Fa Hui San for treating persistent epistaxis causing dizziness and irritability:
Cinis Capilli Humani (Yifen), Cinnamomi Cortex (Banliang), Zingiberis Rhizoma Usturnatum (Yifen, processed until cracked).
The above herbs are finely crushed, sifted, and made into a powder. For each dose, mix with two qian using warm fermented rice water. Consume fermented rice water porridge first, then take the medicine.
Ejiao San for treating persistent hemoptysis/epistaxis:
Colla Corii Asini (Erliang, crushed and fried until yellow and dry), Cinnamomi Cortex (Liangqian), Radix Angelicae Sinensis (Liangqian), Radix Saposhnikoviae (Liangqian), Os Draconis (Erliang), Pappi Cathartici Spadix (Liangqian).
The above herbs are all crushed, finely sifted, and made into a powder. For each dose, mix with two qian using rice drink and take orally.
Another prescription:
Carbonized Tibia Sheath of Ovis Aries (Erliang, crushed and fried until thoroughly red), Caos Tecti (Banliang), Moschus (Yiqian, finely ground).
The above herbs are finely ground into powder. Take two qian per dose mixed with fresh drawn water. Alternatively, it can be taken mixed with juice from thistle spines.
Li Xiao Fang for treating long-standing epistaxis:
Pappi Cathartici Spadix (Two or Three Liang), Flos Granati (Liangqian, powdered).
Mix and grind the above herbs into a powder. Take one qian per dose mixed with fresh drawn water.
Another prescription:
Cinis Telae Sericae Veteris (Wucun, burnt to ash), Numbai (Yifen).
The above herbs are finely ground into a powder. Take two qian per dose mixed with fresh drawn water.
For cases of persistent epistaxis unresponsive to other medicines, use this prescription:
Numbai (Yifen), Flos Granati (Banliang), Cinis Telae Sericae Veteris (Banliang).
Grind the above herbs finely like flour. Add one qian of Moschus and grind evenly. Blow a small amount into the nostrils; bleeding stops immediately.
Prescription for persistent epistaxis:
Cinis Capilli Humani (Yiqian), Numbai (Banliang), Moschus (Banqian, finely ground).
Mix the above herbs and grind finely. Blow an amount the size of a mung bean into the nostrils; effect is immediate.
For persistent epistaxis accompanied by yellowing of the body and face, use nasal dripping with Chima Tongzhi:
Chima Tongzhi (Seven Kuai, squeezed for juice using one zhongzhan of water), Colla Corii Asini (Sanfen, crushed and fried until yellow and dry).
Mix the Colla Corii Asini with the Chima Tongzhi juice to achieve appropriate consistency. Drip a small amount into the nostrils; bleeding stops shortly.
Chuan Bi San for persistent epistaxis:
Cinis Textile Rubrae (Sanqian), Cinis Capilli Humani (Erqian).
Finely grind the above herbs together. Blow a small amount into the nostrils; effect is immediate.
Another prescription:
Os Magnum Articulationis Alarum Buteonis Vulturis (Slightly roasted).
Crush, finely sift, and make into powder. Blow a small amount into the nostrils; condition resolves.
Another prescription:
Endothelium Calami Sepiae (Banliang, remove cuticle).
Crush, finely sift, and make into powder. Blow a small amount into the nostrils; bleeding stops. If it does not stop, add a small amount of dried Lemna Minoris powder and blow into the nostrils; condition resolves.
Another prescription:
Use Gan Tai (Three or Two Liang), burn to ash. Blow a small amount into the nostrils; bleeding stops.
Prescription for nasal drip bleeding lasting more than ten days:
Tu from South Wall (Size of an almond).
Plug the nostril with the earth. Initially, the blood may push it out; retrieve and re-plug. Bleeding stops immediately.