论曰内经谓胆移热于脑，则辛 鼻渊，传为衄 瞑目，夫血得热则涌溢，得寒则凝泣，
胆受胃热，循脉而上，乃移于脑，盖阳络溢则血妄行，在鼻为衄，在汗孔为 ，二者不同，
皆热厥血溢之过也，今之治衄 者，专于治血，不知血之行留，气为之本，犹海水潮汐，阴
阳之气使然也，明夫经络逆顺，则血与气俱流通，而无妄行之患矣。
治衄血汗血，热盛所致，竹茹汤方
生竹茹 生地黄（切焙） 黄芩（去黑心各二两） 浦黄 芍药 麦门冬（去心皮各一
两）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至八分去滓，食后温服，日三。
治鼻衄汗血，黄柏饮方
黄柏（去粗皮） 葛根（锉） 黄芩（去黑心各一两半） 鸡苏（一两） 凝水石（二
两） 生竹茹（半两）
上六味，粗捣筛，每服三钱匕，水一盏，入生地黄半分切。煎至七分去滓，食后临卧温
服。
治衄血汗血。白芍药散方
白芍药（二两半） 生地黄汁（三合） 生藕汁（一合） 姜汁（少许）
上四味，捣白药为末，先煎三物汁令沸，每以半盏，入熟水一合，白药末二钱匕，搅匀，
食后温饮之。
治衄血汗血久不止。紫参散方
紫参 黄芩（去黑心各一分） 郁金 甘草（炙各半分）
上四味、捣罗为散，每服三钱匕，以生地黄汁一合，白蜜一匙，水一盏，同煎沸，微温
调下、日三。
治血汗，鼻衄不止。定命散方
丹砂 水银 麝香（各一分）
上三味细研，分为二服，用新汲水调下。
治衄血，血汗不止，地黄散方
生干地黄（焙） 阿胶（炙令燥各三两） 蒲黄（二两）
上三味，捣罗为散，每服二钱匕，温糯米饮调下，不拘时。
治衄血汗。郁金散方
郁金 甘草（炙） 青黛（各半两）
上三味，捣罗为散，每服二钱匕，用鸡子白调下。
治衄血血汗，消热结。地黄竹茹汤方
生地黄（切焙一斤） 青竹茹（五两） 黄芩（去黑心） 当归（焙） 甘草（炙） 芍
药芎 （各三两） 桂
上九味， 咀如麻豆大，每服五钱匕，水一盏半，煎至八分，去滓温服。
治血妄行，或衄或 ，独圣汤方
黄芩（去黑心五两）
上一味，细锉如麻豆大，每服七钱匕，水二盏，煎至一盏，去滓温服。
治热气上行衄血汗血 刺蓟汤方
刺蓟 鸡苏叶（各二两） 黄连（去须） 犀角（镑） 生干地黄（各一两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服、不拘时。
论述说：《内经》中提到，胆经的热邪移注于脑，就会引发鼻流浊涕的“鼻渊”病证，进而发展为鼻衄（鼻出血）和视物昏花。血液遇到热邪就会涌溢妄行，遇到寒邪就会凝滞不畅。胆经受胃中热邪影响，循着经脉向上，从而移注于脑部。大概是因为阳络受损则血液妄行，在鼻子表现为鼻衄，在汗孔表现为血汗，这两种情况虽然表现不同，但都是由于热厥导致血液溢出所致。如今治疗鼻衄和血汗的人，专门专注于止血，却不知道血液的运行与停留，是以气为根本的，就像海水的潮汐一样，是由阴阳之气的作用所决定的。明白了经络气血逆顺的道理，那么血与气就能共同流通，而不会出现血液妄行的祸患了。
治疗因热盛导致的鼻衄和血汗，使用竹茹汤方：
生竹茹、生地黄（切片后烘焙）、黄芩（去除黑心部分，各二两）、蒲黄、芍药、麦门冬（去除心部和皮，各一两）。
以上六味药，粗捣筛碎，每次服用五钱匕，用水一盏半，煎煮至八分，去渣滓，饭后温服，每日三次。
治疗鼻衄和血汗，使用黄柏饮方：
黄柏（去除粗糙外皮）、葛根（锉碎）、黄芩（去除黑心部分，各一两半）、鸡苏（一两）、凝水石（二两）、生竹茹（半两）。
以上六味药，粗捣筛碎，每次服用三钱匕，用水一盏，加入切碎的半分生地黄。煎煮至七分，去渣滓，饭后及睡前温服。
治疗鼻衄和血汗，使用白芍药散方：
白芍药（二两半）、生地黄汁（三合）、生藕汁（一合）、姜汁（少许）。
以上四味药，将白芍药捣成粉末，先煎煮另外三种汁液使其沸腾，每次取半盏，加入熟开水一合，再加入白芍药末二钱匕，搅拌均匀，饭后温饮。
治疗鼻衄和血汗久治不愈，使用紫参散方：
紫参、黄芩（去除黑心部分，各一分）、郁金、甘草（炙制，各半分）。
以上四味药，捣罗成散剂，每次服用三钱匕，用生地黄汁一合、白蜜一匙、水一盏，一同煎沸，微温调服，每日三次。
治疗血汗、鼻衄不止，使用定命散方：
丹砂、水银、麝香（各一分）。
以上三味药细研，分为两次服用，用新汲水调服。
治疗鼻衄、血汗不止，使用地黄散方：
生干地黄（烘焙）、阿胶（炙至干燥，各三两）、蒲黄（二两）。
以上三味药，捣罗成散剂，每次服用二钱匕，用温糯米饮调服，不拘时间。
治疗鼻衄和血汗，使用郁金散方：
郁金、甘草（炙制）、青黛（各半两）。
以上三味药，捣罗成散剂，每次服用二钱匕，用鸡蛋清调服。
治疗鼻衄和血汗，消除热结，使用地黄竹茹汤方：
生地黄（切片烘焙，一斤）、青竹茹（五两）、黄芩（去除黑心部分）、当归（烘焙）、甘草（炙制）、芍药、川芎（各三两）、桂枝。
以上九味药，切碎如麻豆大小，每次服用五钱匕，用水一盏半，煎煮至八分，去渣滓温服。
治疗血液妄行，或鼻衄或血汗，使用独圣汤方：
黄芩（去除黑心部分，五两）。
以上一味药，细锉如麻豆大小，每次服用七钱匕，用水二盏，煎煮至一盏，去渣滓温服。
治疗热气上行导致的鼻衄和血汗，使用刺蓟汤方：
刺蓟、鸡苏叶（各二两）、黄连（去除须根）、犀角（镑片）、生干地黄（各一两）。
以上五味药，粗捣筛碎，每次服用五钱匕，用水一盏半，煎煮至八分，去渣滓温服，不拘时间。
It is stated in the discussion: The *Neijing* (Classic of Internal Medicine) mentions that when heat from the Gallbladder channel transfers to the brain, it causes "Bi Yuan" (Nasal Sinusitis/Rhinorrhea), which may progress to "Nu Xue" (Epistaxis/Nosebleed) and blurred vision. Blood tends to surge and overflow when exposed to heat, but coagulates and stagnates when exposed to cold. When the Gallbladder receives heat from the Stomach, it travels upward along its meridian and transfers to the brain. Generally speaking, when the Yang collaterals are damaged, blood flows recklessly; this manifests as epistaxis in the nose and as bloody sweat at the sweat pores. Although these two conditions differ in presentation, both are caused by heat-jue (reversal of qi due to extreme heat) leading to blood extravasation. Currently, those treating epistaxis and bloody sweat focus solely on stopping bleeding, failing to realize that the movement and retention of blood are fundamentally governed by Qi, just as ocean tides are driven by Yin and Yang Qi. Understanding the reversal and smooth flow of meridians allows both blood and Qi to circulate freely, preventing the disaster of reckless blood flow.
For treating epistaxis and bloody sweat caused by excessive heat, use Zhuru Tang (Bamboo Shavings Decoction):
Sheng Zhu Ru (Fresh Bamboo Shavings), Sheng Di Huang (Rehmanniae Radix Recens, sliced and dried), Huang Qin (Scutellariae Radix, black heart removed, each 2 liang); Pu Huang (Typhae Pollen), Bai Shao (Paeoniae Radix Alba), Mai Men Dong (Ophiopogonis Radix, heart and skin removed, each 1 liang).
The above six herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove dregs, and take warm after meals, three times daily.
For treating epistaxis and bloody sweat, use Huangbai Yin (Phellodendron Drink):
Huang Bo (Phellodendri Cortex, rough bark removed), Ge Gen (Puerariae Radix, chopped), Huang Qin (Scutellariae Radix, black heart removed, each 1.5 liang); Ji Su (Elsholtziae Herba, 1 liang), Ning Shui Shi (Halloysitum Rubrum, 2 liang), Sheng Zhu Ru (Fresh Bamboo Shavings, 0.5 liang).
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, add 1 zhan of water, and include 0.5 fen of sliced fresh Sheng Di Huang. Decoct until 0.7 zhan remains, remove dregs, and take warm after meals and before retiring.
For treating epistaxis and bloody sweat, use Baishao Yao San (White Peony Powder):
Bai Shao Yao (Paeoniae Radix Alba, 2.5 liang), Sheng Di Huang Zhi (Juice of Rehmanniae Radix Recens, 3 he), Sheng Ou Zhi (Juice of Nelumbinis Rhizoma, 1 he), Jiang Zhi (Ginger Juice, a little).
The above four ingredients: crush the Bai Shao Yao into powder. First boil the juices of the other three ingredients. For each dose, take half a zhan of the boiled juice, add 1 he of cooked water, and 2 qian bi of Bai Shao Yao powder. Stir well and drink warm after meals.
For treating persistent epistaxis and bloody sweat, use Zishen San (Codonopsis Powder):
Zi Shen (Codonopsis Radix or Scrophulariae Radix depending on context, here likely Codonopsis or similar root), Huang Qin (Scutellariae Radix, black heart removed, each 1 fen); Yu Jin (Curcumae Radix), Gan Cao (Licorice Root, honey-fried, each 0.5 fen).
The above four herbs are pounded and sieved into a powder. Take 3 qian bi per dose, decoct together with 1 he of Sheng Di Huang Zhi, one spoonful of white honey, and 1 zhan of water until boiling. Take warm, three times daily.
For treating bloody sweat and unceasing epistaxis, use Dingming San (Life-Stabilizing Powder):
Dan Sha (Cinnabar), Shui Yin (Quicksilver/Mercury), She Xiang (Moschus, each 1 fen).
The above three herbs are finely ground, divided into two doses, and taken mixed with fresh drawn water.
For treating epistaxis and unceasing bloody sweat, use Dihuang San (Rehmannia Powder):
Sheng Gan Di Huang (Dried Fresh Rehmannia Root, baked), E Jiao (Donkey-Hide Gelatin, fried until dry, each 3 liang); Pu Huang (Typhae Pollen, 2 liang).
The above three herbs are pounded and sieved into a powder. Take 2 qian bi per dose, mixed with warm glutinous rice beverage, at any time.
For treating epistaxis and bloody sweat, use Yujin San (Curcuma Powder):
Yu Jin (Curcumae Radix), Gan Cao (Licorice Root, honey-fried), Qing Dai (Indigo Naturalis, each 0.5 liang).
The above three herbs are pounded and sieved into a powder. Take 2 qian bi per dose, mixed with egg white.
For treating epistaxis and bloody sweat, eliminating heat accumulation, use Dihuang Zhuru Tang (Rehmannia and Bamboo Shavings Decoction):
Sheng Di Huang (Rehmanniae Radix Recens, sliced and baked, 1 jin); Qing Zhu Ru (Green Bamboo Shavings, 5 liang); Huang Qin (Scutellariae Radix, black heart removed), Dang Gui (Angelicae Sinensis Radix, baked), Gan Cao (Licorice Root, honey-fried), Bai Shao (Paeoniae Radix Alba), Xiong Qiong (Ligusticum Chuanxiong Rhizoma, each 3 liang); Gui Zhi (Cinnamomi Ramulus).
The above nine herbs are chopped like hemp seeds. Take 5 qian bi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove dregs, and take warm.
For treating reckless blood flow, whether epistaxis or bloody sweat, use Dusheng Tang (Solely Holy Decoction):
Huang Qin (Scutellariae Radix, black heart removed, 5 liang).
This single herb is finely chopped like hemp seeds. Take 7 qian bi per dose, add 2 zhan of water, decoct until 1 zhan remains, remove dregs, and take warm.
For treating epistaxis and bloody sweat caused by rising heat qi, use Ciji Tang (Acanthopanacis Decoction):
Ci Ji (Acanthopanacis Cortex or similar thorny plant stem, here likely referring to a specific herb like Acanthopanax or similar), Ji Su Ye (Elsholtziae Folium, each 2 liang); Huang Lian (Coptidis Rhizoma, mustards removed), Xi Jiao (Rhinocerotis Cornu, shaved), Sheng Gan Di Huang (Dried Fresh Rehmannia Root, each 1 liang).
The above five herbs are coarsely crushed and sifted. Take 5 qian bi per dose, add 1.5 zhan of water, decoct until 0.8 zhan remains, remove dregs, and take warm, at any time.