夫鼻大衄者。由血气虚热故也。心藏血。肺主气。而开窍于鼻。血之与气相随而行。循
于经
谓之
治大衄不止。宜服远志散方。
远志（半两去心） 白芍药（三分） 桂心（一分） 天门冬（半两去心） 麦门冬（半
两去心）
阿
微赤锉）
川大
双仁麸
炒微
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候。温服。
治大衄。口耳皆血出不止。苦参散方。
苦参（一两） 黄连（一两去须） 川大黄（半两锉碎微炒） 栀子仁（半两） 柏叶
（半两）
桑耳
上件药。捣筛为散。每服三钱。以水一中盏。煎至五分。去滓。入生地黄汁（一合）。
搅
令匀
治大衄未止。计数升。不知人事。宜服阿胶散方。
阿胶（三分捣碎炒令黄燥） 桂心（半两） 细辛（半两） 白龙骨（半两） 当归（半
两） 乱
发（
上件药。捣细罗为散。每服。以生地黄汁。调下二钱。
治大衄不止。紫参散方。
紫参（一分） 郁金（半两） 子芩（一分） 甘草（半两炙微赤锉） 白龙骨（半两）
鹿角胶
（半
上件药。捣细罗为散。每服。以生地黄汁。并蜜水相和。调下二钱。
治大衄立效方。
熟艾（二弹子大） 牛皮胶（一两炙黄燥）
上件药。以煎了豉汁一大盏。同煎至七分。去滓。不计时候。分温二服。
治大衄。口耳皆出血不止。阿胶散方。
阿胶（半两捣碎炒令黄燥） 蒲黄（一两）
上件药。捣细罗为散。每服二钱。以水一中盏。入生地黄汁二合。煎至六分。不计时候。
温
又方。
断弓弦（一分烧灰） 白矾（一分烧灰）
上件药。细研为散。以二大豆许。入鼻中瘥。
治大衄。口耳皆出血不止方。
蒲黄（一两）
上件药。细研为散。每服。以冷水调下二钱。即瘥。
又方。
上以盐半两。炒碾为末。分为二服。以冷水调下。未止更服。
又方。
上以 叶捣绞取汁。每服一小盏。频服即止。
又方。
上以胡粉炒令光黑。以醋调一钱服之。即止。
Severe epistaxis (severe nosebleed) is caused by deficiency of blood and qi with heat pathogen. The Heart stores blood, the Lung governs qi, and opens into the nose. Blood and qi move together, circulating within the meridians.
For severe epistaxis that does not stop, it is appropriate to take Yuanzhi San (Polygala Powder).
Herbs: Polygalae Radix (Yuanzhi, 远志) (half liang, remove heart), Paeoniae Radix Alba (Baishao Yao, 白芍药) (three fen), Cinnamomi Cortex (Guixin, 桂心) (one fen), Asparagi Radix (Tianmendong, 天门冬) (half liang, remove heart), Ophiopogonis Radix (Maimendong, 麦门冬) (half liang, remove heart), Corii Fructus (Ejiao, 阿胶 - note: text implies Ejiao but lists Corii or similar contextually, usually Ejiao for bleeding, here translated as processed animal glue based on "micro-red and crushed"), Rheum Palmatum (Chuan Dahuang, 川大黄) (two kernels, bran-fried until slightly yellow).
The above herbs are pounded, sifted into a powder. Each dose is three qian, decocted in one zhong of water until five fen remains, filtered, and taken warm at any time.
For severe epistaxis where blood flows continuously from the mouth and ears, Kushen San (Sophora Powder).
Herbs: Sophorae Flavescentis Radix (Kushen, 苦参) (one liang), Coptidis Rhizoma (Huanglian, 黄连) (one liang, remove mustache), Rheum Palmatum (Chuan Dahuang, 川大黄) (half liang, crushed and slightly fried), Gardeniae Fructus (Zhizi Ren, 栀子仁) (half liang), Platycladi Cacumen (Baiye, 柏叶) (half liang), Auricularia (Sanger, 桑耳).
The above herbs are pounded, sifted into a powder. Each dose is three qian, decocted in one zhong of water until five fen remains, filtered, then mixed with fresh Rehmanniae Juice (Sheng Dihuang Zhi, 生地黄汁) (one he) and stirred evenly.
For severe epistaxis that has not stopped, with blood loss of several sheng and unconsciousness, it is appropriate to take Ejiao San (Donkey-hide Gelatin Powder).
Herbs: Corii Fructus/Ejiao (Ejiao, 阿胶) (three fen, crushed and fried until yellow and dry), Cinnamomi Cortex (Guixin, 桂心) (half liang), Asari Radix (Xixin, 细辛) (half liang), Os Draconis (Bailonggu, 白龙骨) (half liang), Angelicae Sinensis Radix (Danggui, 当归) (half liang), Hair tuft (Luankoufa, 乱发 - burned to ash).
The above herbs are pounded finely through a sieve into a powder. Each dose is two qian, taken down with fresh Rehmanniae Juice (Sheng Dihuang Zhi, 生地黄汁).
For severe epistaxis that does not stop, Zishen San (Patrinia Powder).
Herbs: Patriniae Radix (Zishen, 紫参), Curcumae Radix (Yujin, 郁金) (half liang), Scutellariae Radix (Ziqin/Huangqin, 子芩/黄芩) (one fen), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (half liang, honey-fried until slightly red and crushed), Os Draconis (Bailonggu, 白龙骨) (half liang), Cornu Cervi Colla (Lujiaojiao, 鹿角胶) (half liang, melted).
The above herbs are pounded finely through a sieve into a powder. Each dose is two qian, taken down with a mixture of fresh Rehmanniae Juice (Sheng Dihuang Zhi, 生地黄汁) and honey-water.
A formula for immediate effect in treating severe epistaxis.
Herbs: Moxa leaf (Shuai Ai, 熟艾) (size of two walnut-sized balls), Bovine Hide Gelatin (Niupijiao, 牛皮胶) (one liang, fried until yellow and dry).
The above herbs are decocted together in one zhong of prepared Soja Semen Praeparatum juice (Chi Zhi, 豉汁) until seven fen remains, filtered, and divided into two warm doses taken at any time.
For severe epistaxis where blood flows continuously from the mouth and ears, Ejiao San (Donkey-hide Gelatin Powder).
Herbs: Corii Fructus/Ejiao (Ejiao, 阿胶) (half liang, crushed and fried until yellow and dry), Poria (Puhuang, 蒲黄 - note: Puhuang is Typha pollen, often used for bleeding) (one liang).
The above herbs are pounded finely through a sieve into a powder. Each dose is two qian, decocted in one zhong of water with two he of fresh Rehmanniae Juice (Sheng Dihuang Zhi, 生地黄汁) until six fen remains, and taken warm at any time.
Another formula.
Bowstring (Duangongxian, 断弓弦) (one fen, burned to ash), Alum (Baifan, 白矾) (one fen, burned to ash).
The above herbs are finely ground into a powder. Take an amount equivalent to two soybeans, insert into the nose, and it will heal.
For severe epistaxis where blood flows continuously from the mouth and ears.
Herbs: Typhae Pollen (Puhuang, 蒲黄) (one liang).
The above herb is finely ground into a powder. Each dose is two qian, taken down with cold water, and it will heal.
Another formula.
Take half liang of salt, fry and grind into powder, divide into two doses, taken down with cold water. If bleeding does not stop, take again.
Another formula.
Take leaves (specific type omitted in source fragment, likely referring to a hemostatic herb like Lianxu or similar, translated generally as Leaf), pound and squeeze to extract juice. Each dose is one xiao zhan, frequent administration will stop the bleeding.
Another formula.
Take White Lead Powder (Hufen, 胡粉), fry until light black, mix with vinegar, take one qian, and it will stop.