夫鼻衄者，由热乘血气也。肝藏血，肺主气，开窍于鼻中。若脏腑劳损，血气生热，血
得热
色
方
桑根白皮丸（出《圣济总录》）治鼻久衄不止。
桑根白皮（炙锉） 山栀子（去皮壳） 黄芩（去黑心） 甘草（炙锉） 羌活（去芦
头） 防风（去
参白茯苓（去皮） 柴胡
空心食前，温酒送下。
五黄丸（出《济生拔萃方》）治衄血久不止，大便结燥者下之。
大黄（五钱） 芒硝（三钱） 甘草（一钱） 生地黄（三钱） 栀子（一钱） 黄芩
（一钱） 黄连（一
阿胶散（出《圣惠方》）治衄久不止。
阿胶（杵碎二两炒黄燥） 桂心 当归 细辛（各一两） 龙骨（二两）
两） 乱发（三两烧灰） 上为细散，每服以粥饮调下二钱，一方有芎 ，无蒲黄。
清肺饮子（一名麦门饮出《试效方》）治衄血吐血，久不愈。
五味子（十个） 麦门冬（去心） 当归身 人参 生地黄（各半钱） 黄 （一钱）上
为粗末，
刺蓟散（出《圣惠方》）治鼻衄久不止。
刺蓟（二两） 竹茹（二两） 蒲黄 艾叶 乱发灰 白药（各一两） 上为散，每服
三钱，水一
地黄散（出《济生拔萃方》）治衄往来久不愈。
生地黄 熟地黄 枸杞子 地骨皮（各等分） 上为细末，每服二钱，蜜汤调下，日三。
茜梅丸（出《医方大成》）治衄血无时。
茜草根 艾叶（各一两） 乌梅肉（焙干半两） 上为末，炼蜜为丸，如梧桐子大，
每服三十
尝苦此
乱发灰散（出《圣惠方》）治鼻衄久不止，令人目眩心烦。
乱发灰（一分） 桂心（半两） 干姜（一分炮制） 上为细末，每服二钱，温浆水调
下二钱，先
榴花散（出《圣惠方》）治鼻衄久不止，诸药不效。
石榴花（曝干） 故绵灰（各半两） 人中白（一分） 上同研细，更入麝香一钱，研
均，少少吹
麦门冬饮子（出《济生拔萃方》）治衄血不止。
麦门冬 生地黄（各等分）上锉，每服一两，水煎服，又衄血、先朱砂蛤粉之药，次
木香并
用之。
蒲黄散（出《圣惠方》）治鼻衄，经久不止。
蒲黄（二两） 石榴花（一两末）上和研为散，每服以新汲水，调下一钱。
治鼻衄久不止，身面俱黄，（出《圣惠方》）
赤马通（七块以水一盏绞汁） 阿胶（三分捣碎炒令黄燥） 上将马通汁，调阿胶，令
稀稠得所
吹鼻散（出《圣惠方》）治鼻久衄不止。
绯帛灰（三钱） 乱发灰（二钱） 上研细，少许吹入鼻中。
铅丹散（出《圣济总录》）治鼻久衄。
上用铅丹不拘多少，研如粉，每服二钱，发时新汲水调下。
白矾散（出《圣济总录》）治鼻久衄。
上用铅矾半两，烧令汁尽，细研罗为末，以少许吹鼻中。
特效方（出《危氏方》）治衄血久不止。
上以蒲黄、血竭为末，吹入鼻中。
又方
上用薄荷，以水童便煎，用纱帛包，塞入鼻中。
又方（《旅舍备要方》）
用棕榈烧灰，随左右鼻搐之。
叶氏方
上随衄左右，以新汲水洗足。
又方
上以左捻纸索子，系手第四指，咒曰∶血神住。立止。
治鼻衄血，久不止，（出《肘后方》）
上用桔梗为末，水服方寸匕，日四五服，立止吐血下血。
又方（出《圣惠方》）
用老鸱翅关大骨，微炙捣为细末，少少吹入鼻中。
又方（出《圣惠方》）
上用乌贼鱼骨半两，去甲捣为细散，少许吹入鼻中即止，如未便着，少许干浮萍草末，
吹入
又方（出《圣惠方》）
用干苔二两，烧灰为末，少许吹入鼻中。
治鼻中沥血，经旬日不止，（出《圣惠方》）
上用南墙墙衣，如两杏仁大，鼻中塞之，初时被血推却，仍取塞之。
Epistaxis (nosebleed) is caused by heat invading the blood and qi. The Liver stores blood, the Lung governs qi, and the Lung opens into the nose. If the Zang-Fu organs are damaged by overwork, generating internal heat, the blood and qi become heated, causing blood to flow recklessly out of the vessels due to the heat.
Sanggenbaipi Wan (Mulberry Root Bark Pill, from *Shengji Zonglu*): Treats persistent epistaxis.
Ingredients: Sanggenbaipi (Cortex Mori Radicis, roasted and sliced), Shanzhizi (Fructus Gardeniae, peeled), Huangqin (Radix Scutellariae, black heart removed), Gancao (Radix Glycyrrhizae, roasted and sliced), Qianghuo (Rhizoma Notopterygii, rhizome removed), Fangfeng (Radix Saposhnikoviae, twigs and rhizome removed), Renshen (Radix Ginseng), Baifuling (Sclerotium Poriae Cocos, peeled), Chaihu (Radix Bupleuri, sprouts removed).
Administration: Taken with warm wine on an empty stomach before meals.
Wuhuang Wan (Five Yellows Pill, from *Jisheng Babieifang*): Treats persistent epistaxis accompanied by dry and hard stool; employs a purgative method.
Ingredients: Dahuang (Radix et Rhizoma Rhei, 5 qian), Mangxiao (Natrii Sulfas, 3 qian), Gancao (Radix Glycyrrhizae, 1 qian), Shengdihuang (Radix Rehmanniae Recens, 3 qian), Zhizi (Fructus Gardeniae, 1 qian), Huangqin (Radix Scutellariae, 1 qian), Huanglian (Rhizoma Coptidis, 1 qian).
Ejiao San (Donkey-Hide Gelatin Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Ejiao (Colla Corii Asini, crushed and roasted until yellow and dry, 2 liang), Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis), Xixin (Herba Asari), Longgu (Os Mastodi seu Femoris, 2 liang), Puhuang (Pollinis Typhae, 2 liang), Luankuihui (Ash of Human Hair, burned to ash, 3 liang). Grind into fine powder. Take 2 qian each time, mixed with rice water. Another version contains Xiong (Rhizoma Chuanxiong) and lacks Puhuang.
Qingfei Yinzi (Lung-Clearing Decoction, also known as Maidong Yin, from *Shixiao Fang*): Treats epistaxis and hematemesis that persist for a long time.
Ingredients: Wuweizi (Fructus Schisandrae, 10 pieces), Maidong (Tuber Ophiopogonis, heart removed), Dangguishen (Radix Angelicae Sinensis, root body), Renshen (Radix Ginseng), Shengdihuang (Radix Rehmanniae Recens, all half qian), Huangqi (Radix Astragali, 1 qian). Make into coarse powder, decoct with water.
Ciji San (Thistle Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Ciji (Hispida Echinops Fructus, 2 liang), Zhuru (Caulis Bambusae in Taedia, 2 liang), Puhuang (Pollinis Typhae), Aiye (Folium Artemisiae Argyi), Luankuihui (Ash of Human Hair), Baiyao (each 1 liang). Grind into powder. Take 3 qian each time, decoct with one sheng of water.
Dihuang San (Rehmannia Powder, from *Jisheng Babieifang*): Treats recurrent epistaxis persisting for a long time.
Ingredients: Shengdihuang (Radix Rehmanniae Recens), Shudihuang (Radix Rehmanniae Praeparata), Gouqizi (Fructus Lycii), Digupi (Cortex Lycii). All in equal parts. Grind into fine powder. Take 2 qian each time, mixed with honey water. Three times daily.
Qianmei Wan (Qiancao and Plum Pill, from *Yifang Dacheng*): Treats intermittent epistaxis.
Ingredients: Qiancaogen (Radix Rubiae Cordifoliae), Aiye (Folium Artemisiae Argyi, each 1 liang), Wumeirou (Fructus Mume, dried by roasting, half liang). Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills each time.
I once suffered from this condition.
Luankuihui San (Human Hair Ash Powder, from *Shenghui Fang*): Treats persistent epistaxis causing dizziness and restlessness.
Ingredients: Luankuihui (Ash of Human Hair, 1 fen), Guixin (Cortex Cinnamomi, half liang), Ganjiang (Rhizoma Zingiberis Secatum, 1 fen, processed). Grind into fine powder. Take 2 qian each time, mixed with warm grain water.
Liuhua San (Pomegranate Flower Powder, from *Shenghui Fang*): Treats persistent epistaxis unresponsive to other medicines.
Ingredients: Shi Liuhua (Flos Punicae Granati, sun-dried), Gu Mianhui (Ash of old cotton, half liang each), Renzhongbai (Concretio Uris, 1 fen). Grind together finely, add Shexiang (Moschus, 1 qian), grind uniformly, and insufflate a small amount into the nose.
Maidong Yinzi (Ophiopogon Decoction, from *Jisheng Babieifang*): Treats persistent epistaxis.
Ingredients: Maidong (Tuber Ophiopogonis), Shengdihuang (Radix Rehmanniae Recens), both in equal parts. Cut into pieces. Take 1 liang each time, decoct with water. Additionally, for epistaxis, first use drugs containing Zhusha (Cinnabaris) and Ge Fen (Concha Margaritiferae Textilis), then use Muxiang (Radix Aucklandiae) in conjunction.
Puhuang San (Typha Pollen Powder, from *Shenghui Fang*): Treats epistaxis persisting for a long time.
Ingredients: Puhuang (Pollinis Typhae, 2 liang), Shi Liuhua (Flos Punicae Granati, 1 liang, powdered). Mix and grind into powder. Take 1 qian each time, mixed with fresh well water.
Treating persistent epistaxis with jaundice of the body and face (from *Shenghui Fang*):
Ingredients: Chi Matong (Excrement Equi, seven pieces, juice extracted with one sheng of water), Ejiao (Colla Corii Asini, 3 fen, crushed and roasted until yellow and dry). Mix the Matong juice with Ejiao to achieve appropriate consistency, then consume.
Chuibi San (Insufflation Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Feiboshihui (Ash of red silk fabric, 3 qian), Luankuihui (Ash of Human Hair, 2 qian). Grind finely, insufflate a small amount into the nose.
Qiandan San (Lead Tetroxide Powder, from *Shengji Zonglu*): Treats persistent epistaxis.
Usage: Take sufficient Qiandan (Mineral Lead Tetroxide), grind into powder. Take 2 qian each time, mixed with fresh well water when bleeding occurs.
Bai Fan San (White Alum Powder, from *Shengji Zonglu*): Treats persistent epistaxis.
Usage: Take Banlianjiao (Alumen, half liang), burn until liquid is exhausted, grind finely and sieve. Insufflate a small amount into the nose.
Te Xiao Fang (Special Effective Prescription, from *Wei Shi Fang*): Treats persistent epistaxis.
Usage: Grind Puhuang (Pollinis Typhae) and Xuexie (Resuma Draconis) into powder, insufflate into the nose.
Another prescription:
Usage: Boil Bohe (Herba Menthae) with water and Tongbian (Uterine Urine/Child's Urine), wrap in gauze, and insert into the nose.
Another prescription (from *Lvshe Beiyao Fang*):
Usage: Burn Zonglv (Trachycarpus Palm Fiber) to ash, insufflate into the nostril corresponding to the side of bleeding.
Ye Shi Fang (Master Ye's Prescription):
Usage: Wash feet with fresh well water corresponding to the side of bleeding.
Another prescription:
Usage: Twist paper into a rope with the left hand, tie it around the fourth finger, and chant: "Blood God, stop." Bleeding stops immediately.
Treating epistaxis persisting for a long time (from *Zhouhou Fang*):
Usage: Grind Jiegeng (Radix Platycodonis) into powder, take with water using a square-inch spoon (fangcun bi). Four to five doses daily. Stops hematemesis and lower gastrointestinal bleeding immediately.
Another prescription (from *Shenghui Fang*):
Usage: Take the joint bones from the wings of an old owl, lightly roast, grind into fine powder, and insufflate a small amount into the nose.
Another prescription (from *Shenghui Fang*):
Usage: Take half liang of Haihe Gu (Cutula Sepiae), remove the shell, grind into fine powder, and insufflate a small amount into the nose to stop bleeding. If not stopped, insufflate a small amount of Gan Fuping Cao (Herba Lemnae) powder into the nose.
Another prescription (from *Shenghui Fang*):
Usage: Take two liang of Gan Tai (Dry Moss), burn to ash, grind into powder, and insufflate a small amount into the nose.
Treating dripping blood from the nose persisting for days or weeks (from *Shenghui Fang*):
Usage: Take Nan Qiang Qiangyi (Wall lichen/moss from the south-facing wall), size of two apricot kernels, insert into the nose. Initially, it may be pushed out by blood; re-insert it.