论曰∶五脏所藏，心藏血也，血之伤盛，则心脱力，制固无守，自然流溢。为阳气伤故
也，或有衄血者，加以肺风热之谓也，若益之于服石，则客热复盛，营卫增劳，旋周无度，
则投虚而出，出而多则伤营气。色夺而黄，久不疗则气撮撮伤损，先须破污血，留好血，调
经络，平腑脏则愈也。
疗石发热盛吐血方。
生地黄（五两捣碎） 小蓟根（切一升） 黄芩（二两） 豉（一升） 栀子仁（三七
枚）
上五味切，以水五升，煮取二升，分温服之。
又衄血方
生地黄汁 小蓟汁
上二味随多少，以点鼻中，兼服之良。
又疗心腑中热甚，鼻中衄血不止方。
胡粉（熬） 光墨（末） 釜下墨（末） 干姜 发灰 伏龙肝（末等分）
上六种但得一物，以两棋子许，以竹筒吹令入两鼻孔中，即止。
又方
橘皮 苍耳茎叶 翘遥茎叶 生地黄 鸡苏苗
上五种但得一味，捣绞汁，服五六合即止，如未定，即更服之。
又疗头痛壮热，鼻衄血，心上硬，遍身疼痛，四肢烦闷，两膊举不得方。
小蓟（四两） 青竹茹 生麦门冬（去心碎） 鸡苏（各三两） 生姜（二两切） 生
地黄汁（
半斤）
上六味切，以水九升，煮取三升，去滓分服之，以止为度，忌如常法。
又疗卒吐血一二升，口鼻俱出至一二斗者方。
生地黄汁 小蓟汁 生麦门冬汁 伏龙肝（十匙）
上地黄等三味汁相和，每服五合，着伏龙肝末一匙许。和搅服之，以止为度，忌如常
法。
又疗心闷吐血方。
生麦门冬（八分去心） 生地黄（二十四分碎） 甘草（四分炙） 荠 干姜（各六
分） 茅
根（十分） 香豉（五合以绵裹）
上七味切，以水五升，煮取二升，去滓分服之，忌如常法。
论述说：五脏中，心主藏血。如果血液受损且耗散过多，就会导致心气虚弱无力，失去固摄能力，血液自然就会外溢。这是因为阳气受损的缘故。有的人出现鼻出血（衄血），这是兼有肺经风热的表现。如果在服用石药（指古代服食矿物丹药）的基础上，又遭遇客热邪气亢盛，导致营卫之气劳损，气血运行循环无度，那么血液就会从虚损之处流出，如果出血量大，就会损伤营气。面色枯黄无华，如果长期不治疗，元气会严重受损。治疗时，必须先破除瘀血，保留好血，调理经络，平衡脏腑功能，这样病就能痊愈。
治疗因石药引发的发热、大量吐血的方法。
生地黄（五两，捣碎） 小蓟根（切一升） 黄芩（二两） 豆豉（一升） 栀子仁（三十七枚）
以上五味药切碎，用水五升，煎煮取汁二升，分次温服。
又治鼻出血的方法
生地黄汁 小蓟汁
以上两种药汁，根据病情需要适量使用，滴入鼻孔中，同时内服效果良好。
又治疗心腑中热邪极盛，鼻出血不止的方法。
胡粉（炒制） 光墨（研末） 釜下墨（锅底灰，研末） 干姜 发灰 伏龙肝（各等分，研末）
以上六种药，只要有一种即可，取约两枚棋子大小的量，用竹筒吹入两个鼻孔中，出血立即停止。
又一方
橘皮 苍耳茎叶 翘遥茎叶（注：疑为某种草药名，原文如此） 生地黄 鸡苏苗
以上五种药，只要有一种即可，捣烂绞取汁液，服用五六合（容量单位）即可止血，如果未止住，再服用。
又治疗头痛高热，鼻出血，心口部位硬满，全身疼痛，四肢烦闷不适，双臂抬不起来的方法。
小蓟（四两） 青竹茹 生麦门冬（去心，捣碎） 鸡苏（各三两） 生姜（二两，切片） 生地黄汁（半斤）
以上六味药切碎，用水九升，煎煮取汁三升，去掉药渣，分次服用，以血止为限度，禁忌事项同常规方法。
又治疗突然吐血一二升，口鼻俱出，总量达一二斗的方法。
生地黄汁 小蓟汁 生麦门冬汁 伏龙肝（十匙）
将上述三种药汁混合，每次服用五合，加入伏龙肝末约一匙。调和搅拌后服用，以血止为限度，禁忌事项同常规方法。
又治疗心胸闷痛伴吐血的方法。
生麦门冬（八分，去心） 生地黄（二十四分，捣碎） 甘草（四分，炙过） 荠菜 干姜（各六分） 茅根（十分） 香豉（五合，用绵布包裹）
以上七味药切碎，用水五升，煎煮取汁二升，去掉药渣，分次服用，禁忌事项同常规方法。
Translation:
The treatise states: Among the five zang organs, the Heart stores Blood. If Blood is damaged and excessively depleted, it leads to a deficiency of Heart Qi and strength, causing a loss of containment and control, resulting in natural leakage or overflow. This is due to the injury of Yang Qi. Some individuals suffer from epistaxis (nosebleed), which indicates an accompanying wind-heat in the Lung channel. If this occurs in patients taking mineral drugs (Shi Yao, referring to ancient ingestion of mineral elixirs), the exogenous heat becomes excessive, leading to exhaustion of Ying and Wei Qi. The circulation of Qi and Blood becomes unregulated, causing blood to flow out from areas of deficiency; if the volume of bleeding is large, it damages Ying Qi. The complexion becomes sallow and lusterless. If left untreated for a long time, Yuan Qi will be severely damaged. Treatment must first involve resolving stasis and eliminating turbid blood while preserving good blood, regulating the meridians, and balancing the fu organs, after which the disease will heal.
Formula for treating severe fever caused by mineral drugs accompanied by hematemesis (vomiting blood).
Sheng Di Huang (Rehmanniae Radix, 5 liang, crushed) Xiao Ji Gen (Cirsii Japonici Radix, cut, 1 sheng) Huang Qin (Scutellariae Radix, 2 liang) Chi Dou (Fermented Soybean, 1 sheng) Zhi Zi Ren (Gardeniae Semen, 37 seeds)
Cut the above five herbs, add 5 sheng of water, decoct to obtain 2 sheng of liquid, and take warm in divided doses.
Another formula for epistaxis.
Sheng Di Huang Zhi (Juice of Rehmanniae Radix) Xiao Ji Zhi (Juice of Cirsii Japonici Radix)
For the above two juices, use an appropriate amount according to the condition. Drip into the nostrils and take orally for better efficacy.
Another formula for treating extreme heat in the Heart fu organ with persistent epistaxis.
Hu Fen (Lead Carbonate, calcined) Guang Mo (Lampblack, powdered) Fu Xia Mo (Soot from the bottom of the cauldron, powdered) Gan Jiang (Dried Ginger Fa) Fa Hui (Ash of Human Hair) Fu Long Gan (Dragon's House Earth, powdered, equal parts)
Of the above six substances, any one may be used. Take an amount equivalent to two chess pieces, place it in a bamboo tube, and blow it into both nostrils to stop the bleeding immediately.
Another prescription.
Ju Pi (Citri Reticulatae Pericarpium) Cang Er Jing Ye (Xanthii Cacumen et Folium) Qiao Yao Jing Ye (Stems and leaves of [herb name], as per original text) Sheng Di Huang (Fresh Rehmanniae Radix) Ji Su Miao (Elsholtziae Herba seedlings)
Of the above five herbs, any one may be used. Crush and squeeze to obtain juice, take 5-6 he (a unit of volume) to stop bleeding. If not stopped, administer again.
Another formula for treating headache with high fever, epistaxis, hardness in the heart region, generalized body pain, restlessness in the four limbs, and inability to raise both arms.
Xiao Ji (Cirsii Japonici Herba, 4 liang) Qing Zhu Ru (Bamboo Sap, fresh) Sheng Mai Men Dong (Ophiopogonis Radix, fresh, de-hearted and crushed) Ji Su (Elsholtziae Herba, 3 liang each) Sheng Jiang (Zingiberis Rhizoma Recens, 2 liang, sliced) Sheng Di Huang Zhi (Juice of Fresh Rehmanniae Radix, 0.5 jin)
Cut the above six ingredients, add 9 sheng of water, decoct to obtain 3 sheng, remove the dregs, and take in divided doses. Stop when bleeding ceases. Observe dietary restrictions as usual.
Another formula for treating sudden hematemesis of 1-2 sheng, with blood exiting from both mouth and nose, totaling 1-2 dou.
Sheng Di Huang Zhi (Juice of Rehmanniae Radix) Xiao Ji Zhi (Juice of Cirsii Japonici Radix) Sheng Mai Men Dong Zhi (Juice of Ophiopogonis Radix) Fu Long Gan (Dragon's House Earth, 10 spoons)
Mix the juices of the first three ingredients. Take 5 he per dose, adding approximately one spoonful of Fu Long Gan powder. Mix well and ingest. Stop when bleeding ceases. Observe dietary restrictions as usual.
Another formula for treating chest oppression and fullness with hematemesis.
Sheng Mai Men Dong (Ophiopogonis Radix, fresh, 8 fen, de-hearted) Sheng Di Huang (Rehmanniae Radix, fresh, 24 fen, crushed) Gan Cao (Licorice Root, 4 fen, honey-fried) Ji (Shepherd's Purse Herb) Gan Jiang (Dried Ginger, 6 fen each) Mao Gen (Imperatae Rhizoma, 10 fen) Xiang Chi (Perfumed Fermented Soybean, 5 he, wrapped in silk)
Cut the above seven ingredients, add 5 sheng of water, decoct to obtain 2 sheng, remove the dregs, and take in divided doses. Observe dietary restrictions as usual.