夫大衄者，口耳皆血出是也。盖血为营而藏于肝，气为卫而主于肺，肺开窍于鼻，三者
相为
方
远志汤（出《圣济总录》）治大衄不止。
远志（去心） 天门冬（去心焙） 麦门冬（去心焙） 阿胶（炙燥） 当归（切燥） 藕
节（洗净） 甘
黄（去节） 桃仁（浸去皮尖
筛，每服三钱，以水一盏，煎至七
远志散（出《圣惠方》）治大衄不止。
远志（半两去心） 白芍药（三分） 桂心（一分） 天门冬（去心） 麦门冬（去心）
阿胶（捣碎炒
药生干地黄 柴
钱，水一盏，煎至五分
阿胶散（出《圣惠方》）治大衄未止，计数升，不知人事，以生地黄汁调
服。
立效散（出《十便良方》）治大衄。
熟艾（二弹子大） 牛皮胶（一两炙黄燥） 上以煎了豉汁一大盏，同煎至七分，去滓
不计时候
治鼻血不止，（出《肘后方》）
上用白芨为末，津调涂鼻山根上，立止。
生地黄饮（一名地黄散）治大衄口鼻出血，及胸心气急劳热等证。
黑神散（出《圣济总录》）治鼻中及耳，皆出血不止。
白刺 皮（烧灰存性半两） 人中白（半钱溺盆内积垢）上细研为散，每用少许搐在
鼻中。
苦参散（出《圣惠方》）治大衄，口耳皆出血不止。
苦参（一两） 黄连（一两去须） 川大黄（锉微炒） 栀子仁 柏叶（各半两） 桑
耳（一两） 上
候温服。
紫参散（出《圣惠方》）治大衄不止。
紫参（一分） 郁金（半两） 子芩（一分） 甘草（半分炙微赤锉） 白龙骨（半两）
鹿角胶（半
苦参汤（出《圣济总录》）治大衄口耳皆血出不止。
苦参（锉） 黄连（去须一两） 大黄（炒一两） 生地黄汁（一合） 栀子（七枚去
皮） 上粗捣筛
三黄散（一名泻心汤《旅舍备要方》）治鼻衄过多，并酒渣，大便闭而有热
者，蜜水调服。
柏叶散（一名侧柏散）治口鼻出血，如涌泉，须臾不救。
又方（出《圣惠方》）治大衄，口耳皆出血不止。
断弓弦（一分烧灰） 白矾（一分烧灰） 上为散，以二大豆许，吹入鼻中瘥。
阿胶汤（出《圣惠方》）治大衄口耳皆出血不止。
阿胶（炙燥一两） 蒲黄（半两） 上粗捣筛，每服二钱，水一盏，生地黄汁一合，煎
至六分温
用生地黄切煎
圣效方（出《圣惠方》）治鼻衄至一斗，并大衄。
绵（五两） 人中白（一团如鸡子黄大） 上烧为灰研细，每服二钱，温水调下。
莱菔酒 治大衄不止。
上莱菔不拘多少，每细锉一合，用酒一盏，先煎酒令百沸，再下莱菔，再煎一两沸，俟
温滤
玉浆散（出《传信方》）治大衄。
上白面不拘多少，每服三钱，用冷水调下，一方有盐一钱。
治出血不止。\x
用纸三四层，冷水浸透，搭鼻梁、及项颈二处，干则再用浆水浸湿，血即止。
Da Nu (Severe Hemorrhage) refers to the condition where blood flows from both the mouth and ears. Blood belongs to Ying (Nutritive Qi) and is stored in the Liver; Wei (Defensive Qi) is governed by the Lung; the Lung opens into the nose. These three are interconnected...
Yuanzhi Tang (Decoction of Polygala Root, cited from *Shengji Zonglu*): Treats persistent Da Nu.
Ingredients: Yuanzhi (*Polygalae Radix*, heart removed), Tianmendong (*Asparagi Radix*, heart removed and dried), Maimendong (*Ophiopogonis Radix*, heart removed and dried), Ejiao (*Colla Corii Asini*, roasted until dry), Danggui (*Angelicae Sinensis Radix*, sliced and dried), Oujie (*Nelumbinis Node*, washed clean), Gancao (*Glycyrrhizae Radix et Rhizoma*, nodes removed), Huangqin (*Scutellariae Radix*, nodes removed), Taoren (*Persicae Semen*, soaked, skin and pointed ends removed).
Usage: Coarsely crush and sieve the above ingredients. Take 3 qian per dose, add one zhan of water, decoct to 0.7 zhan, remove dregs, and take warm.
Yuanzhi San (Powder of Polygala Root, cited from *Shenghui Fang*): Treats persistent Da Nu.
Ingredients: Yuanzhi (*Polygalae Radix*, 0.5 liang, heart removed), Baishao Yao (*Paeoniae Radix Alba*, 3 fen), Guixin (*Cinnamomi Cortex*, 1 fen), Tianmendong (*Asparagi Radix*, heart removed), Maimendong (*Ophiopogonis Radix*, heart removed), Ejiao (*Colla Corii Asini*, crushed and fried), Shenggan Dihuang (*Rehmanniae Radix Preparata*), Chaihu (*Bupleuri Radix* [text implies missing/erroneous context]), Zhizi (*Gardeniae Fructus*).
Usage: Powder the ingredients. Take a specific amount, add one zhan of water, decoct to 0.5 zhan.
Ejiao San (Powder of Donkey-Hide Gelatin, cited from *Shenghui Fang*): Treats persistent Da Nu with massive bleeding (several sheng) and loss of consciousness. Mix with fresh Shengdihuang juice (*Rehmanniae Radix* juice) for administration.
Lixiao San (Instant Effect Powder, cited from *Shibian Liangfang*): Treats Da Nu.
Ingredients: Shuai Ai (*Artemisiae Argyi Folium*, roasted, size of two walnut-sized balls), Niupijiao (*Colla Corii Bovis*, 1 liang, roasted yellow and dry).
Usage: Decoct the above with one large zhan of prepared Douzhi (*Sojae Semens Praeparatum* juice) to 0.7 zhan, remove dregs, and take at any time.
Treatment for Persistent Epistaxis (cited from *Zhouhou Fang*):
Usage: Grind Baiji (*Bletillae Rhizoma*) into fine powder, mix with saliva, and apply to the nasal root (Shangen). It stops immediately.
Shengdihuang Yin (Decoction of Fresh Rehmannia, also known as Dihuang San): Treats Da Nu, oral and nasal hemorrhage, as well as symptoms such as chest distress, palpitations, rapid breathing, asthenic fever, etc.
Heishen San (Black Divine Powder, cited from *Shengji Zonglu*): Treats persistent bleeding from the nose and ears.
Ingredients: Baici Pi (*Rhamni Praincinctae Cortex*, burnt to ash but retaining nature, 0.5 liang), Renzhongbai (*Urinae Calcina*, 0.5 qian, scale from urinals).
Usage: Fine-grind into powder. Apply a small amount insufflated into the nose.
Kushen San (Powder of Sophora Root, cited from *Shenghui Fang*): Treats Da Nu with persistent bleeding from mouth and ears.
Ingredients: Kushen (*Sophorae Flavescentis Radix*, 1 liang), Huanglian (*Coptidis Rhizoma*, 1 liang, whiskers removed), Chuandahuang (*Rhei Radix et Rhizoma*, cut and lightly stir-fried), Zhiziren (*Gardeniae Fructus*), Baye (*Platycladi Cacumen*, each 0.5 liang), Sang'er (*Auriculariae Auricula-Judae*, 1 liang).
Usage: Powder the ingredients and take warm.
Zishen San (Powder of Codonopsis/Pseudostellaria?, cited from *Shenghui Fang*): Treats persistent Da Nu.
Ingredients: Zishen (*Codonopsis Radix* or *Pseudostellariae Radix*, 1 fen), Yujin (*Curcumae Radix*, 0.5 liang), Ziqin (*Scutellariae Radix*, 1 fen), Gancao (*Glycyrrhizae Radix et Rhizoma*, 0.5 fen, roasted slightly red and cut), Bailonggu (*Os Draconis*, 0.5 liang), Lujiaojiao (*Colla Cornus Cervi*, 0.5 liang).
Kushen Tang (Decoction of Sophora Root, cited from *Shengji Zonglu*): Treats persistent Da Nu with bleeding from mouth and ears.
Ingredients: Kushen (*Sophorae Flavescentis Radix*, cut), Huanglian (*Coptidis Rhizoma*, whiskers removed, 1 liang), Dahuang (*Rhei Radix et Rhizoma*, stir-fried, 1 liang), Shengdihuang Zhi (*Fresh Rehmanniae Radix Juice*, 1 he), Zhizi (*Gardeniae Fructus*, 7 pieces, skin removed).
Usage: Coarsely crush and sieve.
Sanhuang San (Three Yellows Powder, also known as Xiexin Tang, cited from *Lvshè Beiyao Fang*): Treats excessive epistaxis, accompanied by rhinophyma, constipation, and heat. Take mixed with honey water.
Baye San (Powder of Platycladus Leaf, also known as Cebai San): Treats oral and nasal hemorrhage gushing like a spring, which is life-threatening if not treated promptly.
Another Formula (cited from *Shenghui Fang*): Treats Da Nu with persistent bleeding from mouth and ears.
Ingredients: Duangongxian (*Tendon of Broken Bowstring*, 1 fen, burnt to ash), Baijian (*Alumen*, 1 fen, burnt to ash).
Usage: Powder the ingredients. Take an amount equivalent to two soybeans, insufflate into the nose. Cure when healed.
Ejiao Tang (Decoction of Donkey-Hide Gelatin, cited from *Shenghui Fang*): Treats persistent Da Nu with bleeding from mouth and ears.
Ingredients: Ejiao (*Colla Corii Asini*, roasted dry, 1 liang), Puhuang (*Pollinis Typhae*, 0.5 liang).
Usage: Coarsely crush and sieve. Take 2 qian per dose, add one zhan of water and one he of Shengdihuang juice, decoct to 0.6 zhan, and take warm.
Alternative Method: Cut Shengdihuang (*Rehmanniae Radix*) and decoct.
Shengxiao Fang (Sage Effect Formula, cited from *Shenghui Fang*): Treats epistaxis up to one dou, and Da Nu.
Ingredients: Mian (Cotton paper/Merino wool? Context suggests paper or absorbent material, likely *Mian* as cotton/paper, 5 liang), Renzhongbai (*Urinae Calcina*, one ball the size of a chicken yolk).
Usage: Burn to ash, grind finely. Take 2 qian per dose, swallow with warm water.
Laifu Jiu (Radish Wine): Treats persistent Da Nu.
Usage: Laifu (*Raphani Fructus*, radish) as needed. Take one he of finely chopped radish, add one zhan of wine. Boil the wine first, then add the radish, boil for one or two more boils. Strain and take when warm.
Yujiang San (Jade Paste Powder, cited from *Chuanxin Fang*): Treats Da Nu.
Usage: Baifan (Wheat flour) as needed. Take 3 qian per dose, mix with cold water. Another version adds 1 qian of salt.
Treatment for Persistent Bleeding:
Usage: Take 3-4 layers of paper, soak thoroughly in cold water, and apply to the nasal bridge and the back of the neck. When dry, re-wet with Jiangshui (fermented grain wash water). The bleeding will stop.