〔世〕久衄。炒糯米为末，水调服神妙。（详见衄。）
〔垣〕黄 芍药汤治鼻衄血，面多黄，眼涩多眩，手麻木。张彦明男衄血多岁，不效，用
此方。
黄 （一两） 甘草（炙，二两） 升麻（一两） 葛根 羌活（各半两） 白芍药（二钱）
上为粗末，每服半两，水二盏，煎至一盏，去滓，温服，二十五帖而愈。
六脉细弦而涩，按之空虚，其色必白而夭不泽者，脱血也。此大寒证，以辛温补之，以养
血。以甘温润之剂佐之，即愈。此脱血伤精气之证也。六脉俱大，按之空虚，心动面赤，善惊
上热，乃手少阴心之脉也。
此因气盛多而亡血，以甘寒镇坠之剂，泻火与气，以坠浮气。以辛温微苦，峻补其血，再用
三黄补血汤。
三黄补血汤
熟地（二钱） 生地（三钱） 当归 柴胡（各钱半） 白芍药（五钱） 川芎（二钱） 牡丹皮
升麻 黄 （各一钱。补之，治血溢者上竭。）
上为粗末，每服半两，水二盏，煎五沸，去渣温服，食前。两手脉芤，两头则有，中间全
无而虚曰芤。血至胸中，或衄血吐血，以犀角地黄汤主之。
〔罗〕地黄散治衄血往来久不愈。
生地 熟地 枸杞子 地骨皮（各等分）
上为细末，每服二钱，蜜汤调下，日三服。
〔世〕治鼻血常发者，于发时，用生姜杵碎，合额上一日，如痒就搔之，永不再发。
〔《肘》〕治人少小鼻衄，小劳辄出。桑耳无多少，炒令焦捣末，每衄发以杏仁大塞鼻中，数度
可。
大病瘥后，小劳便鼻衄。牡蛎一分，石膏五分，捣末酒服方寸匕，日三四服。亦可蜜丸，
如桐子大服之。
【世医经验】长期鼻出血。将炒过的糯米研成粉末，用水调服，效果神奇。（详细内容参见“衄血”条目。）
【李东垣经验】黄耆芍药汤治疗鼻出血、面色多黄、眼睛干涩且经常眩晕、手部麻木。张彦明的儿子患鼻出血多年，其他方法无效，使用此方治愈。
处方组成：黄耆（一两）、甘草（炙，二两）、升麻（一两）、葛根、羌活（各半两）、白芍药（二钱）。
制法与用法：以上药物捣碎成粗末，每次服用半两，加水两盏，煎煮至一盏，滤去药渣，温服，共服用二十五帖后痊愈。
脉象分析：六脉细弦而涩，重按感觉空虚，面色必定苍白无光泽，这是失血证。这属于大寒证，应用辛温药物补益，以滋养血液。配合甘温润燥的药物辅助，即可痊愈。这是失血损伤精气的证候。如果六脉都大，重按空虚，心跳快、面色红、容易受惊、上部有热感，这是手少阴心经的脉象。
病机与治疗：这是因为气盛导致亡血，应用甘寒沉降的药物，泻火与气，以压制浮越之气。再用辛温微苦的药物峻补其血，随后使用三黄补血汤。
三黄补血汤
处方组成：熟地黄（二钱）、生地黄（三钱）、当归、柴胡（各钱半）、白芍药（五钱）、川芎（二钱）、牡丹皮、升麻、黄耆（各一钱。此处用于补益，治疗血溢上行竭绝之症）。
制法与用法：以上药物捣碎成粗末，每次服用半两，加水两盏，煮沸五次，滤去药渣，饭前温服。两手脉象呈芤脉，指下感觉两头有脉动，中间完全空虚称为芤脉。如果血液涌至胸中，或者出现鼻出血、吐血，应以犀角地黄汤为主治方剂。
【罗天益经验】地黄散治疗鼻出血反复发作、久不愈合。
处方组成：生地黄、熟地黄、枸杞子、地骨皮（各等分）。
制法与用法：以上药物研成细末，每次服用二钱，用蜜水调服，每日三次。
【世医经验】治疗经常发作的鼻血，在发作时，用生姜捣碎，敷贴在前额上一天，如果感到痒就抓挠它，可以永远不再发作。
【《肘后备急方》经验】治疗儿童及青少年鼻出血，稍微劳累就会出血。桑耳不限多少，炒至焦黑后捣成粉末，每次鼻出血时用杏仁大小的量塞入鼻孔中，多次使用有效。
大病初愈后，稍微劳累就鼻出血。牡蛎一分，石膏五分，捣成粉末，用酒送服一方寸匕的量，每日三四次。也可以制成蜜丸，如梧桐子大小服用。
[Shi's Experience] Chronic epistaxis. Roasted glutinous rice is ground into powder and taken with water, yielding miraculous results. (For details, see the entry on "Epistaxis".)
[Dongyuan Li's Experience] Huangqi Shaoyao Tang (Astragalus and White Peony Decoction) treats nasal bleeding accompanied by a sallow complexion, dry eyes with frequent dizziness, and numbness in the hands. Zhang Yanming’s son suffered from epistaxis for over a year without success from other treatments; this formula cured him.
Ingredients: Astragali Radix (Huangqi, 黄耆) (1 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang, honey-fried), Cimicifugae Rhizoma (Shengma, 升麻) (1 liang), Puerariae Radix (Gegen, 葛根), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (each 0.5 liang), Paeoniae Radix Alba (Baishaoyao, 白芍药) (2 qian).
Preparation and Administration: The above herbs are coarsely crushed. Each dose consists of 0.5 liang, boiled in two zhen of water until reduced to one zhen. Strain and take warm. After taking 25 doses, the patient recovered.
Pulse Analysis: If the six pulses are fine, wiry, and choppy, feeling empty upon deep pressure, and the complexion is pale and lusterless, this indicates blood loss. This is a severe cold syndrome; it should be treated with acrid-warm tonifying methods to nourish the blood. Assisted by sweet-warm moistening agents, recovery occurs. This is a syndrome of blood loss damaging essence and qi. If all six pulses are large but empty upon deep pressure, accompanied by palpitations, flushed face, susceptibility to fright, and heat in the upper body, this corresponds to the pulse of the Hand-Shaoyin Heart meridian.
Pathogenesis and Treatment: This arises from excessive qi leading to blood loss. Sweet-cold sinking agents should be used to purge fire and qi, suppressing floating qi. Then, use acrid-warm slightly bitter agents to vigorously tonify the blood, followed by Sanhuang Buxue Tang.
Sanhuang Buxue Tang (Three Yellows Blood-Nourishing Decoction)
Ingredients: Rehmanniae Radix Praeparata (Shudihuang, 熟地黄) (2 qian), Rehmanniae Radix (Shengdihuang, 生地黄) (3 qian), Angelicae Sinensis Radix (Danggui, 当归), Bupleuri Radix (Chaihu, 柴胡) (each 1.5 qian), Paeoniae Radix Alba (Baishaoyao, 白芍药) (5 qian), Chuanxiong Rhizoma (Chuanxiong, 川芎) (2 qian), Moutan Cortex (Mudanpi, 牡丹皮), Cimicifugae Rhizoma (Shengma, 升麻), Astragali Radix (Huangqi, 黄耆) (each 1 qian. Used here for tonification, treating blood effusion and upper exhaustion.)
Preparation and Administration: The above herbs are coarsely crushed. Each dose consists of 0.5 liang, boiled in two zhen of water for five boils. Strain and take warm before meals. A Kou pulse (Kou Mai, 芤脉) feels like having pulses at both ends but completely empty in the middle. If blood surges to the chest, or if epistaxis and hematemesis occur, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) should be the primary treatment.
[Luo Tianyi's Experience] Dihuang San (Rehmannia Powder) treats recurrent epistaxis that persists for a long time.
Ingredients: Rehmanniae Radix (Shengdihuang, 生地黄), Rehmanniae Radix Praeparata (Shudihuang, 熟地黄), Lycii Fructus (Gouqizi, 枸杞子), Dictamni Cortex (Digupi, 地骨皮) (equal parts).
Preparation and Administration: The above herbs are ground into fine powder. Each dose is 2 qian, taken with honey-water, three times daily.
[Shi's Experience] To treat frequently recurring epistaxis, during an episode, crush fresh ginger and apply it to the forehead for one day. If itching occurs, scratch it; this can prevent recurrence permanently.
[From *Zhou Hou Bei Ji Fang*] To treat children and adolescents with epistaxis triggered by slight exertion, use Auricularia Judae (Sanger, 桑耳) in any quantity. Stir-fry until scorched, grind into powder, and insert an amount the size of an almond into the nostril each time bleeding occurs. Repeated applications are effective.
After recovering from a major illness, epistaxis occurs upon slight exertion. Use Oyster Shell (Muli, 牡蛎) 1 fen and Gypsum Fibrosum (Shigao, 石膏) 5 fen, grind into powder, and administer with wine using a measure of one cun bi. Take three to four times daily. Alternatively, prepare as honey pills the size of paulownia seeds and take orally.