夫脾移热于肝。则为惊衄。脾土也。肝木也。木本克土。今脾热。为土气翻盛。逆往乘
木。
也。
散。
于鼻
而弱
肝脉
眼中
也。发
睛晕黄
小滑者
则吐血
夫鼻衄者。由气虚热故也。肝藏血。肺主气。而开窍于鼻。血之与气。相随而行。循于
经络
之衄
治五脏热结。鼻衄。心胸烦闷。宜服伏龙肝散方。
伏龙肝〔三（一）两〕 当归（二两） 赤芍药（二两） 黄芩（二两） 犀角屑（一
两） 生干
地黄
上件药。捣筛为散。每服五钱。以水一大盏。入青竹茹一鸡子大。煎至五分。去滓。温
温服
治鼻衄。终日不止。心神烦闷。宜服茜根散方。
茜根草 黄芩 侧柏叶 阿胶（杵碎炒令黄燥） 甘草（锉生用以上各一两）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生地黄半两。煎至六分。去滓。温温
服
又方。
生干地黄（一两锉） 阿胶（一两杵碎炒令黄燥） 蒲黄（半两）
上件药。以水二大盏。煎至一盏半。去滓。分为三服。温温服之。
又方。
生地黄〔二（三）两研取汁〕 生姜（半两研取汁） 阿胶（半两杵碎炒令黄燥捣为末）
上件药。以生姜地黄汁。入阿胶末。和匀。于银器内暖过。旋旋服之。兼治吐血。
又方。
豉（二合） 艾叶（如鸡子大） 鹿角胶（二两杵碎炒令黄燥）
上件药。以水二大盏。煎取一盏二分。分为三服。徐徐服之。
又方。
上用故屏风纸。烧灰细研。以温酒调下一钱。立止。
又方。
上以贝母二两。炮黄。捣罗为末。以浆水调二钱。良久再服。瘥。
又方。
上以生干地黄一两。细锉。于银器中。以酒一中盏。煎三五沸。去滓。顿服。其血立止。
又方。
上用谷精草。捣罗为末。以热面汤。调下二钱。
又方。
上以龙骨一两。捣碎。以水一大盏。煎至半盏。温温尽服之。
又方。
上用楮树叶。研绞取汁。温饮一大盏。立止。如未止再饮。
又方。
上取生葛根。捣取汁。每服一小盏。三服即止。
又方。
上用黄明胶洋心稠饧。涂帛上。贴额上立止。
又方。
上用桑木耳。熬令焦。捣罗为末。撮如杏仁大。绵裹塞鼻中。数过即止。
又方。
上用人中白一分。硬成片者。入麝香末一钱。细研令匀。吹鼻内瘥。
又方。
上用石榴花。捣末吹鼻内效。
又方。
上用垣衣捣绞取汁。每服一小盏。频服效。
又方。
上用苍耳茎叶。捣绞取汁。每服一小盏。频服效。
治鼻卒衄。吹鼻散方。
上用釜底墨。细研。以少许吹鼻中。即止。
治鼻衄塞鼻散方。
上以 皮一枚。烧为灰。细研。每用半钱。绵裹纳鼻中。数易之瘥。
又方。
上以赤马通。以绵裹如枣大。塞鼻中。新旧者悉可用。若大衄者。以水绞取汁。饮一二
升。
治卒鼻衄方。
上用水罐一枚。钻底小窍子。盛新汲水。淋项后宛宛中。淋不止。一两罐即瘥。
When the Spleen transfers heat to the Liver, it results in惊衄 (Jing Nu, nasal hemorrhage accompanied by fright). The Spleen belongs to Earth, and the Liver belongs to Wood. Normally, Wood controls Earth; however, now due to Spleen heat, the Qi of Earth becomes excessively abundant and reverses to invade Wood.
Nasal hemorrhage (Bi Xue) is caused by Qi deficiency and heat. The Liver stores Blood, and the Lung governs Qi and opens into the nose. Blood and Qi travel together along the meridians. If the Liver pulse is small and slippery, and the eyes appear yellowish and blurry, hematemesis (Tu Xue) will occur.
For nasal hemorrhage caused by heat accumulation in the five Zang organs, accompanied by chest and heart irritability, the Fulonggan San (Dragon's House Soil Powder) formula is suitable.
Fulonggan (Soil from under the cooking stove, 3 liang), Danggui (Angelicae Sinensis Radix, 2 liang), Chishaoyao (Radix Paeoniae Rubra, 2 liang), Huangqin (Scutellariae Radix, 2 liang), Xijiaoxie (Cornu Rhinocerotis Truncatum, 1 liang), Shenggan Dihuang (Prepared Rehmanniae Radix, 2 liang).
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose, add 1 large cup of water and a piece of Qingzhuru (Bamboo Shavings) the size of an egg, decoct until 0.5 cups remain, strain, and take warm.
For nasal hemorrhage that persists all day, accompanied by mental restlessness, the Qiangensan (Rubiae Radix Powder) formula is suitable.
Qiangengcao (Rubiae Cordifoliae Herba), Huangqin (Scutellariae Radix), Cebaiye (Platycladi Cacumen), Ejiao (Colla Corii Asini, crushed and fried until yellow and dry), Gancao (Glycyrrhizae Radix et Rhizoma, sliced and used raw, each 1 liang).
Coarsely sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 medium cup of water and 0.5 liang of Shengdihuang (Rehmanniae Radix), decoct until 0.6 cups remain, strain, and take warm.
Another prescription:
Shenggan Dihuang (Prepared Rehmanniae Radix, 1 liang, sliced), Ejiao (Colla Corii Asini, 1 liang, crushed and fried until yellow and dry), Puhuang (Pollinis Typhae, 0.5 liang).
Decoct the above ingredients in 2 large cups of water until 1.5 cups remain, strain, divide into three doses, and take warm.
Another prescription:
Shengdihuang (Fresh Rehmanniae Radix, 2-3 liang, crushed for juice), Shengjiang (Zingiberis Rhizoma Recens, 0.5 liang, crushed for juice), Ejiao (Colla Corii Asini, 0.5 liang, crushed, fried until yellow and dry, ground to powder).
Mix the juices of Shengjiang and Shengdihuang with the Ejiao powder, stir evenly, warm in a silver vessel, and take slowly. This formula also treats hematemesis.
Another prescription:
Chidou (Fermented Soybean, 2 he), Aiye (Artemisiae Argyi Folium, size of an egg), Luanjiaojiao (Colla Cornus Cervi, 2 liang, crushed and fried until yellow and dry).
Decoct the above ingredients in 2 large cups of water until 1.2 cups remain, divide into three doses, and take slowly.
Another prescription:
Burn old screen paper to ash, grind finely, mix with warm wine, take 1 qian, and bleeding stops immediately.
Another prescription:
Use Beimu (Fritillariae Bulbus, 2 liang), processed until yellow, grind to powder, mix with Jiangshui (fermented grain liquid), take 2 qian, repeat after some time, cure.
Another prescription:
Use Shenggan Dihuang (Prepared Rehmanniae Radix, 1 liang), slice finely, decoct in 1 medium cup of wine in a silver vessel for 3-5 boils, strain, take in one dose, and bleeding stops immediately.
Another prescription:
Use Gujingcao (Eriocauli Flos), grind to powder, mix with hot noodle soup water, take 2 qian.
Another prescription:
Use Longgu (Fossilia Ossis Mastodi et Humeri, 1 liang), crush, decoct in 1 large cup of water until 0.5 cups remain, take all warm.
Another prescription:
Use Chuyeshu (Celtis Australis Leaf), crush and extract juice, drink 1 large cup warm, bleeding stops immediately. If not stopped, drink again.
Another prescription:
Take Sheng Gegen (Puerariae Radix), crush for juice, take 1 small cup per dose, stop after three doses.
Another prescription:
Apply Huangmingjiao (Colla Corii Asini, clarified) and Yangxinchoutang (thick malt syrup) on cloth, apply to forehead, bleeding stops immediately.
Another prescription:
Ao Sangermu (Morus Alba Fruit, charred), grind to powder, take amount the size of an almond, wrap in cotton, insert into nostril, change multiple times until stopped.
Another prescription:
Use Renzhongbai (Calculus Ureteris, 1 fen, hard and plate-like), mix with Shexiang (Moschus, 1 qian powder), grind finely, insufflate into nostril, cure.
Another prescription:
Use Shiliuhua (Punicae Granati Flos), grind to powder, insufflate into nostril, effective.
Another prescription:
Use Yuanyi (Wall Moss/Lichen), crush and extract juice, take 1 small cup per dose, frequent administration is effective.
Another prescription:
Use Cang'er Jingye (Xanthii Fructus Stem and Leaf), crush and extract juice, take 1 small cup per dose, frequent administration is effective.
For sudden nasal hemorrhage, Chuibi San (Insufflation Powder for Nose) formula:
Use Fudi Mo (Soot from the bottom of the pot), grind finely, insufflate a small amount into the nose, stops immediately.
For nasal hemorrhage, Sai Bi San (Nose Packing Powder) formula:
Use [missing character] Pi (Bark/Skin, 1 piece), burn to ash, grind finely, use 0.5 qian, wrap in cotton, insert into nose, change frequently, cure.
Another prescription:
Use Chi Matong (Equi Stercus Rubrum), wrap in cotton like a date, insert into nose, fresh or old can be used. For severe hemorrhage, wring out juice with water, drink 1-2 sheng.
For sudden nasal hemorrhage:
Use a water jar, drill a small hole at the bottom, fill with fresh drawn water, pour over the Wanwan region (Dazhui GV14 area) at the back of the neck. Continue pouring until done, using 1-2 jars cures it.