生荷叶 生艾叶 生地黄 生柏叶
四件烂捣，丸如鸡子大。每服一丸。
阳乘于阴，血热妄行，或吐或衄，此方亦良。
统而论之，生之则寒，则四生皆能去火。析而论之，则荷、艾轻香，去火于气。 、柏
质实，泻火于阴。火去则血归经，而吐衄愈矣。
黄连 黄芩 黄柏 栀子（各三钱，炒）
阳毒，上窍出血者，此方主之。
治病必求其本。阳毒上窍出血，则热为本，血为标。能去其热，则血不必治而自归经矣
，故用、芩、栀、柏苦寒解热之物以主之。然惟阳毒实火用之为宜。若阴虚之火，则降多
亡阴，苦从火化，而出血益甚，是方在所禁矣。
新瓦上逼干，温汤调下三钱。
衄血不止者，此方主之。
人中白，即《本草》溺白 也。其味咸寒，咸则能入血，寒则能胜热。其味浓于人便，
故其奏功尤捷。
取生 十余斤，只用新布拭净捣绞取汁，勿用生水洗之。
吐衄不止者，此方亦良。
东垣曰∶生地黄，凉心火之血热，泻脾土之湿热，止鼻中之衄热，除五心之烦热。故吐
衄之疾，取自然汁呷之，血凉而止。
茜根 阿胶 黄芩 侧柏叶 生地黄（各一两） 炙甘草（五钱）
阴虚衄血者，此方主之。
阴阳之在人，平则治，偏则病。若肾阴一虚，则阳胜矣，故载血上行而令衄。是方也，
阿胶能补虚，黄芩能养阴，甘草能缓急，茜根、侧柏、生地黄，则皆去血中之热，能生阴于
火亢之时者也。
生荷叶、生艾叶、生地黄、生柏叶
将这四味药捣烂，制成如鸡蛋大小的丸剂。每次服用一丸。
阳气乘袭阴分，导致血热妄行，出现呕吐或鼻出血的症状，此方效果良好。
总体来看，药物为生品则性寒，因此四味药都能清热泻火。具体分析而言，荷叶和艾叶气味轻清芳香，能在气分层面清除火热；侧柏叶和生地黄质地坚实，能在阴分层面泻火。火热去除后，血液回归经脉，呕吐和鼻出血的症状自然痊愈。
黄连、黄芩、黄柏、栀子（各三钱，炒制）
对于阳毒引起的上部孔窍出血，此方为主治方剂。
治病必须探究其根本。阳毒导致上部孔窍出血，热邪是根本，出血是表象。能够清除热邪，那么血液不必专门治疗就能自行回归经脉，因此使用黄连、黄芩、栀子、黄柏这些苦寒性质的药物来解除热邪。然而，只有阳毒实火证适合使用此方。如果是阴虚导致的虚火，则因降火药过多会耗伤阴液，且苦寒之性易从火化，反而使出血更加严重，因此此方在阴虚火旺的情况下属于禁忌。
在新瓦上烘干，用温水调服三钱。
对于鼻出血不止的情况，此方为主治方剂。
人中白，即《本草》中记载的溺白（人尿沉淀物）。它的味道咸寒，咸味能入血分，寒性能胜热。其气味浓度大于人便，因此疗效尤为迅速。
取生地黄十余斤，只用新布擦拭干净后捣碎绞取汁液，不要用生水清洗。
对于呕吐和鼻出血不止的情况，此方效果也很好。
李东垣说：生地黄能凉解心火的血热，泻除脾土的湿热，停止鼻中的衄热，消除五心烦热。因此对于吐衄疾病，取其自然汁液慢慢咽下，血液冷却后出血即可停止。
茜根、阿胶、黄芩、侧柏叶、生地黄（各一两），炙甘草（五钱）
对于阴虚引起的鼻出血，此方为主治方剂。
阴阳在人身上，平衡则健康，偏颇则生病。如果肾阴一旦虚弱，阳气就会相对亢盛，导致载血上行而发生鼻出血。这个方子中，阿胶能补益虚损，黄芩能滋养阴液，甘草能缓解急迫，茜根、侧柏叶、生地黄，都能清除血中的热邪，能够在火势亢盛之时滋生阴液。
Fresh Lotus Leaf (He Ye), Fresh Mugwort Leaf (Ai Ye), Fresh Rehmannia Root (Sheng Di Huang), Fresh Biota Seedling (Ce Bai Ye)
Mash these four ingredients thoroughly and form pills the size of a chicken egg. Take one pill per dose.
When Yang invades Yin, causing blood heat to move recklessly, resulting in hematemesis or epistaxis, this formula is also effective.
Generally speaking, since the herbs are used in their raw state, they possess cold properties, thus all four can clear fire. Specifically analyzed, Lotus Leaf and Mugwort Leaf have light, fragrant aromas, clearing fire at the Qi level; Biota Seedling and Rehmannia Root have solid substance, draining fire at the Yin level. Once fire is eliminated, blood returns to its vessels, and hematemesis and epistaxis heal.
Coptis Rhizome (Huang Lian), Scutellaria Root (Huang Qin), Phellodendron Bark (Huang Bo), Gardenia Fruit (Zhi Zi) (each 3 qian, stir-fried)
For bleeding from upper orifices caused by Yang toxicity, this formula is indicated.
Treating disease requires seeking its root. In cases of upper orifice bleeding due to Yang toxicity, heat is the root, and bleeding is the branch. By eliminating heat, blood need not be specifically treated but will naturally return to its vessels. Therefore, bitter-cold substances such as Coptis Rhizome, Scutellaria Root, Gardenia Fruit, and Phellodendron Bark are used to resolve heat. However, this formula is suitable only for excess fire due to Yang toxicity. If the fire is due to Yin deficiency, excessive use of downward-draining herbs will deplete Yin, and the bitter nature may transform into fire, exacerbating bleeding; thus, this formula is contraindicated in such cases.
Dry on a new tile, take 3 qian mixed with warm water.
For persistent epistaxis, this formula is indicated.
Ren Zhong Bai (Human Urine Sediment), also known as Niao Bai in *Ben Cao*, has a salty and cold flavor. Salty enters the Blood level, and cold overcomes heat. Its potency is stronger than human urine itself, hence its efficacy is particularly rapid.
Take over 10 jin of fresh Rehmannia Root, wipe clean with a new cloth, crush, and squeeze out the juice. Do not wash with raw water.
For persistent hematemesis and epistaxis, this formula is also effective.
Li Dongyuan stated: "Rehmannia Root cools blood heat in the Heart Fire, drains damp-heat in Spleen Earth, stops nasal heat causing epistaxis, and removes five-palm vexation-heat." Therefore, for diseases of hematemesis and epistaxis, taking its natural juice slowly allows the blood to cool and bleeding to stop.
Rubia Root (Qian Gen), Donkey-hide Gelatin (E Jiao), Scutellaria Root (Huang Qin), Biota Seedling (Ce Bai Ye), Rehmannia Root (Sheng Di Huang) (each 1 liang), Honey-fried Licorice Root (Zhi Gan Cao) (5 qian)
For epistaxis due to Yin deficiency, this formula is indicated.
In humans, Yin and Yang are healthy when balanced and diseased when imbalanced. If Kidney Yin becomes deficient, Yang becomes relatively excessive, carrying blood upward and causing epistaxis. In this formula, Donkey-hide Gelatin tonifies deficiency, Scutellaria Root nourishes Yin, Licorice Root relieves urgency, while Rubia Root, Biota Seedling, and Rehmannia Root all clear heat from the Blood, capable of generating Yin during periods of hyperactive fire.