水半盏。搅令匀。不计时候。调下二钱。频服。以瘥为度。
治伤寒胸膈间有余热。衄血不止。（出圣惠方）
牡蛎（二两烧为粉） 石膏 上件药。捣细罗为散。每服不计时候。以生姜汤调下二钱。
频服。以瘥为度。
刺蓟散（出圣惠方）治伤寒毒瓦斯热盛。鼻衄不止。
刺蓟（半两） 土瓜根（半两） 子芩（半两） 腊面茶（一分） 麝香（半钱研） 上
件药。为
细散。入麝香。研令匀。每服不计时候。以冷蜜水调下二钱。以瘥为度。
黄药散（出圣惠方）治伤寒鼻衄。可及一斗以来。不止方。
黄药（一两） 上捣细罗为散。每服不计时候。以新汲水调下二钱。
犀角地黄汤（出鲍氏方）治鼻衄。伤寒阳气重。不得汗。或姜附侵于阴者。
芍药（七钱半） 生地黄（八两） 牡丹皮（一两） 犀角屑（一两或升麻代） 上为
散。每服
三钱。以水一大盏。煎至六分。去滓。不计时候。温服。
桃仁承气汤（出德生堂）治伤寒鼻口出血。及大便秘结。小便黑赤如血。此小
腹中有瘀血故
枳实（一钱） 浓朴（二钱） 桃仁（二十四个去皮尖切碎） 大黄（三钱另研下） 上
咀。
如法修制。作一服。水盏半。煎一盏。却下大黄末。每二三沸。去滓。温服。大便内下黑白
血粪。为愈。此下之重剂。
又方止血（出德生堂）
上用山栀子。乱头发。烧灰。研为细末。吹入鼻。愈。
治伤寒热毒瓦斯攻于肝心两脏。毒瓦斯烦盛。上冲于肺。血随气逆。鼻中衄血。口中吐
血。甚则耳中眼中皆有血出。（出护命方）
杏仁 贝母（去心） 射干 连翘 牡丹皮（去心） 羌活 玄参 黄芩 山栀 大黄 升
麻荆芥穗 硝石 麦门冬（去心各一分） 郁金（三枚） 牵牛（一两） 麻黄（去根半
两） 上
细杵。罗为末。每服四钱。以水一盏半。同煎一两沸。便泻出。食后临卧。去滓。徐徐吃。
不要炼。炼过即无验。
黄芩芍药汤（出活人书）治伤寒衄血。
黄芩（三分） 芍药 甘草（各半两） 上为粗末。每服三钱。水一盏。煎至六分。去
滓。
温服。
治大病瘥后。小劳便鼻衄。（出肘后方）
牡蛎十方味咸平。微寒毒。贝母为之使。得甘草、牛膝、远志、蛇床、良姜麻黄、吴茱
萸、辛夷为之助。用东流水煮过。火烧令通赤。同捣末。酒服方寸匕。日三四。亦可蜜丸。
如梧桐大。服之。
Take half a cup of water, stir until uniform. Take at any time, mixing two qian (approx. 6-9g depending on era/standard) with the liquid. Administer frequently, stopping when cured.
Treats residual heat in the chest and diaphragm due to Shanghan (Cold Damage), with continuous epistaxis (nosebleed). (From *Shenghui Fang*)
Ostreae Concha (Calcined Oyster Shell) (two liang, calcined to powder) Shizao Gypsum (Gypsum Fibrosum). The above herbs are pounded into a fine powder passing through a fine sieve. Each dose is taken at any time, mixed with ginger soup, two qian.
Administer frequently, stopping when cured.
Ciji San (Thistle Powder) (From *Shenghui Fang*) Treats severe toxic heat from Shanghan, with continuous epistaxis.
Ciji (Herba Cirsii Japonici) (half liang) Tugua Gen (Radix Trichosanthis Kirilowii) (half liang) Ziqin (Radix Scutellariae) (half liang) Lamiantea Tea (Folium Camelliae Sinensis, aged) (one fen) Moschus (Musk) (half qian, ground). The above herbs are made into a fine powder. Add Musk, grind uniformly. Each dose is taken at any time, mixed with cold honey water, two qian, stopping when cured.
Huangyao San (Yellow Herb Powder) (From *Shenghui Fang*) A formula for Shanghan epistaxis where bleeding may amount to one dou (approx. 10 liters) and still not stop.
Huangyao (One liang). Pound into a fine powder passing through a fine sieve. Each dose is taken at any time, mixed with fresh well water, two qian.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) (From Bao's Formula) Treats epistaxis, Shanghan with heavy Yang qi preventing sweating, or Yin injury caused by excessive use of hot herbs like Ginger and Aconite.
Baishao (Paeoniae Radix Alba) (seven qian half) Shengdihuang (Radix Rehmanniae Recens) (eight liang) Mudanpi (Cortex Moutan) (one liang) Xijiao Xie (Hornis Rhinocerotis Scraps) (one liang, or substitute with Shengma/Cimicifugae Rhizoma). The above are made into a powder. Each dose is three qian. Boil with one large cup of water until reduced to six parts. Strain. Take warm at any time.
Taoren Chengqi Tang (Peach Kernel and Magnolia Bark Decoction) (From Desheng Hall) Treats Shanghan with bleeding from nose and mouth, constipation, and dark red urine resembling blood. This is due to blood stasis in the lower abdomen.
Zhishi (Fructus Aurantii Immaturus) (one qian) Houpo (Cortex Magnoliae Officinalis) (two qian) Taoren (Semen Persicae) (twenty-four seeds, skin and tip removed, chopped) Dahuang (Radix et Rhizoma Rhei) (three qian, added as powder later). The above are cut. Process according to method, as one dose. Use one and a half cups of water, boil to one cup. Then add Dahuang powder. Boil two or three times, strain. Take warm. Healing is indicated by the passage of black and white bloody stool in feces. This is a heavy purgative formula.
Another hemostatic formula (From Desheng Hall)
Use Gardeniae Fructus (Gardeniae Fructus) and human hair, burn to ash, grind to fine powder, blow into the nasal cavity. Cured.
Treats Shanghan toxic heat attacking the Liver and Heart organs, causing severe toxicity rising to the Lung. Blood follows Qi rebellion, causing epistaxis, hematemesis (vomiting blood), and in severe cases, bleeding from ears and eyes. (From *Huming Fang*)
Xingren (Semen Armeniacae Amarum) Beimu (Bulbus Fritillariae Cirrhosae, heart removed) Shegan (Rhizoma Belamcandae) Lianqiao (Fructus Forsythiae) Mudanpi (Cortex Moutan, heart removed) Qianghuo (Rhizoma et Radix Notopterygii) Xuanshen (Radix Scrophulariae) Huangqin (Radix Scutellariae) Zhizi (Fructus Gardeniae) Dahuang (Radix et Rhizoma Rhei) Shengma (Rhizoma Cimicifugae) Jingjiesui (Herba Schizonepetae) Xiaoshi (Natrii Sulfas) Maidong (Radix Ophiopogonis, heart removed, each one fen) Yujin (Rhizoma Curcumae) Qianniu (Semen Pharbitidis) Mahuang (Herba Ephedrae, roots removed, half liang). Pounded finely, sifted into powder. Each dose is four qian. Boil with one and a half cups of water for one boiling point. It induces purging. After meals and before sleep, strain and drink slowly. Do not refine/concentrate excessively; refined versions lose efficacy.
Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) (From *Liuren Shu*) Treats Shanghan epistaxis.
Huangqin (Radix Scutellariae) (three fen) Shaoyao (Paeoniae Radix) Gancao (Radix Glycyrrhizae) (each half liang). Make into coarse powder. Each dose is three qian. Boil with one cup of water until reduced to six parts. Strain.
Take warm.
Treats epistaxis occurring after slight exertion following recovery from a major illness. (From *Zhouhou Fang*)
Ostreae Concha (Oyster Shell) tastes salty and neutral, slightly cold and toxic. Beimu (Bulbus Fritillariae Cirrhosae) acts as its guide drug. Gancao (Radix Glycyrrhizae), Niuxi (Radix Achyranthis Bidentatae), Yuanzhi (Radix Polygalae), Shechuangzi (Fructus Cnidii), Liangjiang (Rhizoma Zingiberis Recens), Mahuang (Herba Ephedrae), Wuzhuyu (Fructus Evodiae), and Xinyi (Flos Magnoliae Bungeanae) act as assisting drugs. Boil in flowing eastward water, fire-burn until red-hot, pound together into powder. Take with wine using a square-inch measure (fangcunbi). Three to four times daily. Can also be made into honey pills, size of Sophora seeds, and taken.