夫肝藏血。肺主气。肺开窍于鼻。血之与气。相随而行。内荣脏腑。外循经络。腑脏有
热。
治鼻衄血出。经日不止。刺蓟散方。
刺蓟 苦参 黄连（去须） 栀子仁 生干地黄 川大黄（锉碎微炒） 侧柏叶（以
上各一
两）
上件药。捣筛为散。每服五钱。以水一大盏。入青竹茹半鸡子大。煎至五分。去滓。温
温频
治鼻衄不止。子芩散方。
子芩（一两） 蒲黄（三分） 伏龙肝（三分） 青竹茹（三分）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。入生藕汁一合。搅令匀。
温
治鼻衄不止。心神烦闷。宜服生麦门冬煎方。
生麦门冬汁（三合） 生地黄汁（三合） 生藕汁（三合） 生姜汁（少许） 白药（一
两）
上件药。捣罗白药为末。以前四般汁。更入熟水二合。同煎三五沸。用白药末搅令匀。
不计
治鼻衄日夜不止。面无颜色。昏闷。宜服地黄散方。
生干地黄（半两） 赤芍药（三分） 柏叶（一两） 阿胶（半两杵碎炒令黄燥） 当
归（半两）
赤
上件药。细罗为散。每服。煎黄 汤。调下二钱。
又方。
乱发灰（半两） 伏龙肝（一两）
上件药。相和。细研令匀。以新汲水。调三钱服之。
又方。
羊胫炭皮（二两捣碎醋拌烧令通赤） 故纸（三十张多年者烧灰）
上件药。细研为散。以新汲水。调三钱服。
又方。
生地黄汁（一升） 白蜜（半两） 蒲黄〔三（二）两〕
上件药。相和。微暖过。每服一小盏。频服之瘥。
治鼻衄日夜不止。头痛心烦。宜服此方。
石膏（一两细研） 牡蛎（一两烧为粉）
上件药。都细研为散。以新汲水。调如稀面糊。候血滴间断时。便点三五滴于鼻中。仍
以新
治鼻中血出不绝。心闷欲绝方。
刺蓟汁（二合） 生地黄汁（一合） 生姜汁（半合）
上件药。调和令匀。徐徐饮之。仍将滓塞鼻中瘥。
治鼻衄。累日不止。胸中痞闷。宜服此方。
生鸡苏叶（切五合） 香豉（二合）
上件药。捣令极烂。丸如指大。长一寸许。纳鼻中止。
又方。
香墨 葱汁
上件药。以葱汁磨墨。滴少许于鼻中。即止。
治鼻衄不止。心闷欲绝。吹鼻散。
麻鞋 （不限多少烧为灰）
上件药。细研。以少许入吹鼻中。即止。
治鼻衄不止。眩冒欲死。吹鼻龙骨散方。
龙骨（半两） 乱发（一鸡子大烧为灰）
上件药。都研如粉。以少许吹入鼻中立止。
治鼻衄。日夜遏不止。眩冒欲死。灌鼻青葙汁方。
青葙草（不限多少）
上件细锉捣。研绞取汁一两合。少少灌入鼻中瘥。
治鼻衄。经日夜不止方。
上用干姜。削如莲子大。塞鼻中即止。
又方。
上浓研好墨。点鼻中立止。
又方。
上用生姜研汁。滴入鼻中。立止。
治鼻衄。累医不止方。
粟壳（五两烧灰）
上件药。研为末。每服二钱。以粥饮调服之瘥。
治鼻衄不止。兼吐血方。\x
上烧赤马粪。和水绞取汁。每服一小盏。频服之。
The Liver stores blood. The Lung governs Qi. The orifice of the Lung opens at the nose. Blood and Qi follow each other in circulation, nourishing the Zang-Fu organs internally and traversing the meridians externally. If there is heat within the Zang-Fu organs, it can cause persistent epistaxis (nosebleed) that does not cease over days.
**Ciji San (Thistle Powder) Formula:**
Ingredients: Cirsii Herba (Ciji), Sophorae Radicis Cortex (Kushen), Coptidis Rhizoma (Huanglian, removed roots), Gardeniae Fructus (Zhizi Ren), Rehmanniae Radix Recens (Sheng Gan Dihuang), Rheomi Radix et Rhizoma (Chuan Dahuang, crushed and lightly stir-fried), Platycladi Cacumen (Cebaiye). Each ingredient weighs one liang.
Preparation: Crush and sieve the above ingredients to make a powder. Take five qian per dose. Add half an egg-sized portion of Bambusae Caulis Succus (Qingzhuru) to one large cup of water. Decoct until only two-fifths remains. Strain the dregs. Drink warm frequently.
**Zixin San (Scutellaria Powder) Formula:**
Indication: For persistent epistaxis.
Ingredients: Scutellariae Radix (Zixin, one liang), Pappi Cathartici Pollen (Puhuang, three fen), Longstercus Fossilius (Fulonggan, three fen), Bambusae Caulis Succus (Qingzhuru, three fen).
Preparation: Crush and sieve the above ingredients to make a powder. Take three qian per dose. Add one medium cup of water. Decoct until three-sixths remains. Strain the dregs. Add one he of fresh Lotus Rhizome Juice (Sheng'ou Zhi). Stir well. Drink warm.
**Sheng Maidong Jian (Fresh Ophiopogon Decoction) Formula:**
Indication: For persistent epistaxis accompanied by mental restlessness and oppression.
Ingredients: Ophiopogonis Radix Juice (Sheng Maidong Zhi, three he), Rehmanniae Radix Recens Juice (Sheng Dihuang Zhi, three he), Lotus Rhizome Juice (Sheng'ou Zhi, three he), Zingiberis Rhizoma Recens Juice (Shengjiang Zhi, a small amount), Baibao (Yunnan White Medicine, one liang).
Preparation: Grind Baibao into fine powder. Mix with the four juices mentioned above and two he of boiled water. Boil for three to five boils. Stir with the Baibao powder until uniform. Take as needed.
**Dihuang San (Rehmannia Powder) Formula:**
Indication: For day-and-night persistent epistaxis, pale complexion without luster, dizziness, and mental oppression.
Ingredients: Rehmanniae Radix Preparata (Sheng Gan Dihuang, half liang), Paeoniae Radix Rubra (Chishaoyao, three fen), Platycladi Cacumen (Baiye, one liang), Asini Corii Colla (Ejiao, half liang, crushed and stir-fried until yellow and dry), Angelicae Sinensis Radix (Danggui, half liang).
Preparation: Sift finely to make a powder. For each dose, decoct Huangqi Tang (Astragalus Decoction) and take two qian mixed with this powder.
**Another Prescription:**
Ingredients: Cinis Capillorum (Luannian Hui, half liang), Longstercus Fossilius (Fulonggan, one liang).
Preparation: Mix and grind finely. Take three qian mixed with fresh drawn water.
**Another Prescription:**
Ingredients: Os Tibiae Ovillis Carbonis Peridermis (Yangjing Tanpi, two liang, crushed, mixed with vinegar, and fired until red-hot), Semen Papaveris (Guzhi, thirty pieces from old plants, burned to ash).
Preparation: Grind finely into powder. Take three qian mixed with fresh drawn water.
**Another Prescription:**
Ingredients: Rehmanniae Radix Recens Juice (Sheng Dihuang Zhi, one sheng), Mel (Baimi, half liang), Pappi Cathartici Pollen (Puhuang, two or three liang).
Preparation: Mix well. Warm slightly. Take one small cup per dose. Take frequently until cured.
**Shigao Muli San (Gypsum and Oyster Shell Powder):**
Indication: For day-and-night persistent epistaxis accompanied by headache and mental irritability.
Ingredients: Gypsum Fibrosum (Shigao, one liang, finely ground), Ostrea Concha (Muli, one liang, calcined to powder).
Preparation: Grind all ingredients finely into powder. Mix with fresh drawn water to form a thin paste. When the bleeding drops intermittently, instill three to five drops into the nostrils. Rinse with fresh drawn water.
**Formula for Unceasing Epistaxis with Severe Mental Oppression:**
Ingredients: Cirsii Herba Juice (Erji Zhi, two he), Rehmanniae Radix Recens Juice (Sheng Dihuang Zhi, one he), Zingiberis Rhizoma Recens Juice (Shengjiang Zhi, half he).
Preparation: Mix uniformly. Sip slowly. Pack the dregs into the nostrils to stop bleeding.
**Jisu Xiangchi Wan (Perilla and Fermented Soybean Pill) Formula:**
Indication: For persistent epistaxis lasting several days with chest stuffiness and oppression.
Ingredients: Perillae Folium (Sheng Jisu Ye, cut, five he), Fabae Fermentatum Nigrum (Xiangchi, two he).
Preparation: Pound until extremely soft. Shape into pills the size of a finger, about one cun long. Insert into the nostril to stop bleeding.
**Xiangmo Congzhi Formula:**
Another prescription:
Black Ink Stick (Xiangmo), Allii Fistulosi Juice (Congzhi).
Grind the ink stick using the onion juice. Instill a few drops into the nostril to stop bleeding immediately.
**Maxie Chuibi San (Old Shoe Ash Nasal Insufflation Powder):**
Indication: For persistent epistaxis with severe mental oppression.
Ingredients: Calceamentum Textile (Maxie, any quantity, burned to ash).
Preparation: Grind finely. Insufflate a small amount into the nostril to stop bleeding immediately.
**Longgu Chuibi San (Dragon Bone Nasal Insufflation Powder):**
Indication: For persistent epistaxis with dizziness and near-syncope.
Ingredients: Os Draconis (Longgu, half liang), Cinis Capillorum (Luannian, size of an egg, burned to ash).
Preparation: Grind into powder. Insufflate a small amount into the nostril to stop bleeding immediately.
**Qingtang Guanbi Zhi (Celosia Nasal Irrigation Juice):**
Indication: For unceasing day-and-night epistaxis with severe dizziness and near-syncope.
Ingredients: Celosiae Spica (Qingtang Cao, any quantity).
Preparation: Finely chop and pound. Grind and squeeze to obtain one to two he of juice. Instill little by little into the nostril until cured.
**Ganjiang Sai Bi Method:**
Indication: For epistaxis persisting through day and night.
Preparation: Cut dried Zingiberis Rhizoma (Ganjiang) into pieces the size of lotus seeds. Insert into the nostril to stop bleeding immediately.
**Nongmo Dian Bi Method:**
Another prescription:
Grind high-quality black ink thickly. Instill into the nostril to stop bleeding immediately.
**Shengjiang Di Bi Method:**
Another prescription:
Extract juice from fresh Zingiberis Rhizoma (Shengjiang). Instill into the nostril to stop bleeding immediately.
**Suke Zhouyin Method:**
Indication: For persistent epistaxis refractory to multiple treatments.
Ingredients: Pisum Sativum Pericarpium (Suke, five liang, burned to ash).
Preparation: Grind into powder. Take two qian per dose, mixed with rice broth (Zhouyin) until cured.
**Mafen Jiaozhi Method:**
Indication: For persistent epistaxis accompanied by hematemesis (vomiting blood).
Preparation: Burn horse manure (Ma Fen) until red hot. Mix with water and squeeze to extract juice. Take one small cup per dose. Take frequently.