夫伤寒衄者。鼻中血出者是也。杂病衄者。责热在里。伤寒衄者。责热在表。何以言之。
病源曰。人之肝藏血。肺主气。开窍于鼻。血得热则散。随气上从鼻中出。则为衄。是杂病
者。责热在里也。经曰。伤寒脉浮紧。不发汗。因致衄者。宜麻黄汤。伤寒不大便六七日。
头痛有热者。与承气汤。其小便清者。知不在里。仍在表也。当须发汗。头痛者必衄。宜桂
枝汤。以此观之。是伤寒衄者。责热在表也。千金翼曰。吐血有三种。一曰肺疽。二曰伤胃。
三曰内衄。既吐血家谓之内衄。其鼻中出血者。可谓之外衄。是经络之血妄行也。经络热盛
。阳气拥重。迫血妄行。出于鼻则为衄。经曰。其人发烦目瞑。剧者心衄。衄乃解。所以然
者。阳气重故也。又曰。阳盛则欲衄。阴虚小便难。言衄为经中阳盛烦。伤寒脉浮。鼻中燥
。口干。但欲漱水。不欲咽者。是欲衄也。经曰阳明病。口干鼻燥。能食者。则衄。又有不
应发汗。而强发汗。因致衄。经曰。少阴病。但厥无汗。而强发之。必动其血。未知从何道
出。或从口鼻。或从目出。是名下厥上竭。为难治是也。衄家。虽为邪热在经。而又不可发
汗。经曰。衄家。不可发汗。发汗。则额上陷。脉紧急。直视。不能 。不得眠。前云桂枝
汤麻黄汤治衄者。非治衄也。即是发散经中邪气尔。若邪气不得发散。拥盛于经。逼迫于血
。则因致衄也。即非桂枝麻黄汤专治衄也。太阳病。脉浮紧。发热。身无汗。自衄者愈。是
经中之邪随而散。则解矣。故知衄者。不得桂枝汤麻黄汤发散之也。衄者。若但头汗出。身
无汗。及汗出不至足者死。黄帝又皆为下治之疾。临病之际。审而治。则不失矣。
歌曰。太阳自衄病将解。衄后仍将脉审详。有汗脉浮虽用桂。紧而无汗用麻黄。
桂即桂枝汤也。麻黄即麻黄汤也。太阳病。自衄。及服诸表药后自衄者。为欲解也。有
汗脉浮。再用桂枝汤。无汗脉紧。再与麻黄汤。脉微者。犀角地黄汤。又黄芩芍药汤。茅花
汤。衄而渴欲饮。水入即吐。先服五苓散。次竹叶汤。阴证无热汗有血。少阴证但厥而无汗。
强发之。必动血。动血者死。或退场门鼻。或出耳目也。是谓下厥上竭。圣济总录论云。伤寒
鼻衄者。由热气盛。血液妄行。盖心主血。肝则藏之。肺主气。鼻则通之。心肝为热邪所伤。
血则随气行。所以随鼻出也。昔人谓阳盛则衄者。盖阳盛则热盛。热盛则宜衄。故伤寒太阳
证。衄血乃解。谓是故也。至于阴病。则不宜衄。盖阴证自无热。安得而衄。故少阴病。但
厥无汗。强发之。必动血。从口鼻耳目出者。是谓下厥上竭。为难治也。
歌曰。阳明口燥若头疼。水不下咽得衄血。瘀血停留定发狂。病家外证无寒热。
阳明身热头疼。鼻衄。脉微者。犀角地黄汤。外证无寒热者。必发狂。此瘀血停留也。
轻者。犀角、桃仁、承气汤。甚者。抵当汤。取尽黑物为度。
方
茅花汤（出圣济总录）治伤寒衄血不止。
茅花（一把） 上锉碎。以水三盏。煎浓汁一盏。分二服。无花。以根代之。一方加灯
心。
竹茹汤（出圣济总录）治伤寒鼻衄不止。
青竹茹 黄芩（去黑心各一两） 蒲黄 伏龙肝（各半两） 上粗捣筛。每服五钱。水
一盏
半。煎至八分。去滓。下藕汁一合。搅匀。食后温服。
犀角汤（出圣济总录）治伤寒鼻衄不止。头面俱热。
犀角（镑） 大青 甘草（炙各三分） 升麻 鸡苏茎叶 小蓟（各一两） 黄芩（去
黑心）
芍药（各一两半） 生干地黄（焙） 朴硝（各二两） 上 咀如麻豆。每服五钱。水一钱
半。煎
至八分。去滓。温服。
阿胶汤（出圣济总录）治伤寒鼻衄不止。此是阳毒攻肺。
阿胶（炙令燥） 黄芩（去黑心各一分） 葱白（五寸连须） 豉（一百粒） 干艾叶
（炒半两）
上细锉。分作二服。每服用水一盏半。煎至七分。去滓。下生地黄汁一合。搅匀。食后温服。
黄芩汤（出圣济总录）治伤寒鼻衄不止。
黄芩（去黑心） 栀子仁 大黄（锉炒） 蒲黄 荆芥穗（各半两） 上锉如麻豆大。
每服三
钱。水一盏半。煎至八分。去滓。温服。不拘时候。
金黄散（出圣济总录）治伤寒鼻衄不止。
郁金 甘草（炙各一两） 黄药子 黄柏（去粗皮各一两半） 上捣罗为细散。每服二
钱。
冷水调下。不拘时。以止为度。
钩藤散（出圣济总录）治伤寒头痛壮热。鼻衄不止。
钩藤 桑根白皮（锉） 马牙硝（各一两） 栀子仁 甘草（炙各三分） 大黄（锉炒）
黄芩
（去黑心各一两半） 上粗捣筛。每服三钱。水一盏。竹叶三七片。煎至六分。去滓。下生
地
黄
竹茹汤（出圣济总录）治伤寒鼻衄不止。
青竹茹（鸡子大一块） 生地黄（半两拍碎） 上以水一盏半。煎至八分。去滓。食后
温服。
羚羊角汤（出圣济总录）治伤寒肺热。鼻衄不止。
羚羊角（镑） 犀角 栀子仁 麦门冬（去心焙） 紫菀（去苗毛各三分） 牛黄（研）
玄参
（各一分） 黄 人参 甘草（炙各半两） 赤茯苓（去黑皮一两） 上粗捣筛。每服五
钱。水
一
前胡汤（出圣济总录）治伤寒内热。鼻衄。痰壅吐逆。
前胡（去芦头） 甘草（炙） 白术 陈橘皮（汤浸去白焙） 大腹皮（各三分） 赤
茯苓（去
黑皮） 旋复花 桔梗（炒各半两） 半夏（汤浸七遍一分） 上粗捣筛。每服五钱。水一
盏半。
生姜
发灰散（出圣济总录）治伤寒鼻衄不止。
乱发（一团如碗火烧成灰） 麝香（研半钱） 上同研极细。每服一钱匕。新水调下。
又取
少许吹鼻中。立瘥。
四生饮 治伤寒衄血。心胸烦满。
生地黄汁（三合） 生藕汁（二合） 生蓟汁（一合） 生姜汁（半合） 白药子（一
分细末）
上和匀。于银石器中。微温过后。分二服。
升麻汤（出圣济总录）治伤寒鼻衄不止。头痛壮热。
升麻 鸡苏茎叶 芍药（各一分） 青蒿 犀角（镑各半两） 芒硝（三分） 上粗捣
筛。每
服五钱匕。水一盏。煎至六分。去滓。下地黄汁一合。食后温服。
地黄饮（出圣济总录）治伤寒鼻衄。
生地黄汁（二合） 蜜（二合） 上搅匀。顿服。
加减柴胡汤（出经验良方）治伤寒鼻衄。
柴胡（去芦八钱） 半夏（姜制二钱半） 黄芩（去心） 人参（去芦） 甘草（炙各
三钱） 加
生熟地黄（共半两） 上 咀。每服二钱。水一盏半。生姜二片。枣一枚。煎至七分。去滓。
温服。大人倍加。煎服。
滑石汤（出本事方）治伤寒衄血。
上用滑石末。不以多少。饭丸如桐子大。每服十丸。微嚼破。新水咽下。立止。只用药
末一钱。以饭少许。同嚼下。亦得。老幼皆可服。汤晦叔云。鼻衄者。当汗不汗所致。其血
青黑时。不以多少。乃得止。且服温和药。以调其荣卫。才见血鲜。急以此药止之。
血溢汤 治少阴病。气厥发衄者。
黄药（二两） 甘草（炙一两） 上以水三升。煮取一升。去滓。分温再服。
治伤寒鼻衄。肺间有余热故也。血因热自止。不止。用此方。
牡蛎（二两半） 石膏（一两六钱） 上治下筛。酒服方寸匕。日三四。亦可蜜丸如桐
子大。
用治大病瘥后。小劳便鼻衄者。
苦参汤 治衄鼻。
苦参（三分） 黄连（二两） 栀子（二七枚擘破） 大黄（一两） 地黄（生干一两）
上切。
以水五升。煮取二升半。去滓。分再服。吾往年已疗数十人。无不瘥者。忌芜荑、猪肉、冷
水。
生地黄 熟地黄 枸杞 地骨皮（各半两） 白芍药 当归（各一两） 上为末。每服
三钱
重。冷酒半盏。调服。
鼻神效散（出德生堂）止血。
真胆矾 上不以多少。碾为细末。苇管吹入鼻。血立住。
麻黄升麻汤（出危氏方）治伤寒发热不停。血随气壅。俗谓红汗者。
麻黄（去节） 升麻（各一两一分） 黄芩 芍药 甘草 石膏 茯苓（各一两） 上
锉散。
每服四钱。水一盏。生姜三片。煎热服。微汗解。
桂枝栝蒌汤（出危氏方）治伤风汗下不解。郁于经络。随气泄衄出。清血。或
清道用流入胃
桂心 白芍药 甘草 川芎 栝蒌根 上捣为锉散。每服四钱。水一盏半。姜三片。枣
一枚。煎服。头痛。可加石膏。
黄芩散（出圣惠方）治伤寒上焦壅热。心神烦躁。鼻衄不止。
黄芩（三分） 川大黄（三分锉碎微炒） 栀子仁（一分） 犀角屑（三分） 石膏（三
分） 羚
羊角（半两） 蓝菜（三分） 川朴硝（一两） 甘草（半两炙微赤锉） 上件。捣筛为散。
每服五
钱。水一大盏。煎至五分。去滓。不计时候。温服。以瘥为度。
黄连散（出圣惠方）治伤寒心肺热毒。鼻衄不止。或兼唾血。
黄连（三分去须） 黄芩（一两） 栀子仁（半两） 甘草（半两炙微赤锉） 伏龙肝
（二分）
淡竹叶（一两） 上件。捣筛为散。每服五钱。水一大盏。入生姜半分。煎至五分。去滓。
入
生地黄汁一合。乱发灰一钱。搅匀。更煎三两沸。不计时候。温。顿服。以瘥为度。
艾叶汤（出圣惠方）治伤寒衄血。及吐血。连日不绝。欲死。
艾叶（半两细锉炒微黄） 生干地黄（半两） 阿胶（一分杵研碎炒令黄燥为末） 上
件药。
都和匀。分为二服。水一中盏。煎至五分。去滓。下赤马通汁一合。搅令匀。不计时候。温
服。以瘥为度。
羚羊角散（出圣惠方）治伤寒衄血不止。宜服。
羚羊角屑（三分） 犀角（二分） 牛黄（一分研细） 人参（半两去芦头） 白茯苓
（一两）
麦门冬（三分去心） 黄 （三分锉） 栀子仁（三分） 甘草（一两炙微赤锉） 紫菀（三
分去苗
土） 丹参（半两） 玄参（三分） 上件。捣筛为散。每服五钱。水一大盏。煎至五分。
去滓。
入牛
升麻散（出圣惠方）治伤寒鼻衄不止。头痛壮热。
川升麻（一两） 青蒿（半两） 犀角屑（半两） 鸡苏茎叶（一两） 麦门冬（一两
去心） 川
朴硝（三分） 上件。捣筛为散。每服四钱。水一中盏。煎至五分。去滓。下地黄汁一合。
更
煎一两沸。不计时候。温温服之。
刺蓟散（出圣惠方）治伤寒鼻衄不止。兼唾血。
刺蓟（一两） 黄连（三分去须） 黄芩（一两） 栀子仁（三分） 乱发灰（一分） 紫
苏茎叶
（半两） 阿胶（二两研杵炒令黄燥） 甘草（三分炙微赤） 羚羊角屑（三分） 上件。
捣筛为
散。每服五钱。水一大盏。煎至五分。去滓。下地黄汁。生姜汁各半两。和令匀。不计时候
服之。以瘥为度。
生干地黄散（出圣惠方）治伤寒发汗。而汗不快。致内有蓄热。及鼻衄血不
尽。内有余血者
生干地黄（四两） 赤芍药（一两） 牡丹（二两） 犀角屑（一两） 黄芩（一两） 茜
根（一
两） 上为散。每服五钱。水一盏。煎至五分。去滓。不计时候。温服。
飞雪汤（出圣惠方）治伤寒衄血数升不住者。
麻黄（三两去根节） 石膏（三两研碎） 芫花（一两） 川大黄（二两） 上件药。
都切。水
一斗半。煮取七升。放冷。披发仰卧。以淋其面。血即住。
苦参散（出圣惠方）治伤寒鼻衄血。
苦参（三两锉） 黄连（二两去须） 栀子仁（二七枚） 川大黄（一两锉碎微炒） 生
干地黄
（一两） 石榴花（半两微炒） 上件药。捣筛为散。每服五钱。水一中盏。煎至五分。去
滓。
不
蒲黄散（出圣惠方）治伤寒鼻衄不止。心胸烦闷。
蒲黄（三分） 犀角屑（半两） 子芩（三分） 紫苏茎叶（半两） 侧柏叶（半两） 甘
草（一
分炙微赤锉） 上为粗散。每服五钱。水一大盏。煎至六分。去滓。以伏龙肝半两。水搅。
取清一合。相合令匀。不计时候。分为二服。以瘥为度。
又方（一名鸡苏散出圣惠方）
甘草（一两炙微赤锉） 鸡苏茎叶（一两） 淡竹叶（一握） 上件药。 捣碎。水一
大盏半。
煎至八分。去滓。不计时候。分为二服。以瘥为度。
治伤寒衄血不止。（出圣惠方）
阿胶（一两杵碎炒令黄燥） 贝母（半两煨令微黄） 上捣罗为散。每服不计时候。以
温水
调下一钱。
又方（出圣惠方）
赤马粪（半两烧为灰） 石耳（半两） 龙骨（半两） 上捣罗为散。更研令极细。取
少许吹
入鼻内。未定。相续用之。
治伤寒口鼻俱出血。可及三五升。宜服此方。（出圣惠方）
乱发灰（半两） 伏龙肝（一两） 上件药。同研令细。每服不计时候。以新汲水调下
二钱。
顿服。以瘥为度。
鸡冠花散（出圣惠方）治伤寒鼻衄不止。
鸡冠花（一两） 麝香（一分细研） 上件。细罗为散。与麝香同研。以生地黄汁一合。
冷
伤寒引起的鼻衄，是指鼻腔出血的症状。杂病引起的鼻衄，责之于体内有热。伤寒引起的鼻衄，责之于体表有热。为什么这样说呢？
《病源》说：人的肝脏贮藏血液，肺脏主管气机，开窍于鼻。血液遇到热就会散乱，随着气机上逆从鼻腔流出，这就称为衄血。所以杂病引起的鼻衄，是责之于体内有热。
《内经》说：伤寒脉象浮紧，如果不发汗，就会导致鼻衄，适宜用麻黄汤（Cinnamon Twig and Ephedra Decoction）。伤寒病人六七天不大便，头痛且发热，应当给予承气汤（Gastrointestinal Releasing Decoction）。如果小便清长，说明病邪不在体内，仍在体表，此时应当发汗。头痛的人一定会发生鼻衄，适宜用桂枝汤（Aged Poria and Cinnamon Twig Decoction）。由此看来，伤寒引起的鼻衄，是责之于体表有热。
《千金翼方》说：吐血有三种类型。一是肺疽，二是伤胃，三是内衄。既然吐血被称为内衄，那么鼻腔出血的，就可以称为外衄。这是经络中的血液妄行所致。经络中热势炽盛，阳气郁结厚重，逼迫血液妄行，出于鼻腔就形成鼻衄。
《内经》说：病人感到心烦、眼睛昏花，病情严重的会出现“心衄”（指因热盛导致的严重鼻衄或精神恍惚），衄血后病情得以缓解。之所以这样，是因为阳气郁结厚重的缘故。
又说：阳热亢盛则想要鼻衄，阴虚则小便困难。这里说的衄，是经脉中阳热亢盛烦扰的表现。伤寒脉浮，鼻中干燥，口干，只想含水漱口而不想咽下，这是将要发生鼻衄的征兆。
又有不应当发汗而强行发汗，导致鼻衄的情况。《内经》说：少阴病，只有四肢厥冷而没有汗，如果强行发汗，必定扰动血液，不知道血液会从哪个通道流出，有的从口鼻出，有的从眼睛出，这称为“下厥上竭”（下部阳气厥逆，上部阴血枯竭），属于难治之症。
素有鼻衄病史的人（衄家），虽然是因为邪热在经脉，但也不可再发汗。《内经》说：衄家不可发汗。如果发汗，会导致额头凹陷，脉搏紧急，两眼直视，不能闭目，无法入睡。前面所说的桂枝汤、麻黄汤治疗鼻衄，并不是直接治疗鼻衄本身，而是为了发散经脉中的邪气罢了。如果邪气不能被发散，郁积在经脉中，逼迫血液，从而导致鼻衄。这并不是说桂枝汤、麻黄汤专门治疗鼻衄。
太阳病，脉浮紧，发热，身体无汗，如果自然鼻衄，病就会痊愈。这是因为经脉中的邪气随着衄血而消散，所以病解了。因此知道，鼻衄之后，不得再用桂枝汤、麻黄汤来发散。
如果鼻衄病人，只是头部出汗，身体无汗，或者汗出不到脚部，这种预后不良，主死。黄帝认为这些都是可以通过下法治疗的疾病。临证之际，仔细审察并治疗，就不会失误了。
歌诀说：太阳病自衄，病势将解；衄血后仍要仔细诊察脉象。如果有汗且脉浮，虽可用桂枝汤；如果脉紧且无汗，用麻黄汤。这里的桂枝即指桂枝汤，麻黄即指麻黄汤。太阳病，自衄，以及服用各种解表药后出现自衄的，都是病欲解除的表现。如果有汗且脉浮，再用桂枝汤；如果无汗且脉紧，再给予麻黄汤。如果脉微细，用犀角地黄汤（Rhinoceros Horn and Rehmannia Decoction），或者黄芩芍药汤、茅花汤。
如果鼻衄且口渴想喝水，水喝下去立即呕吐，先服五苓散（Poria Decoction），次服竹叶汤（Bamboo Leaf Decoction）。阴证没有发热但有出血，少阴病只有厥冷而无汗，强行发汗必定动血，动血者死。血液可能从肛门、鼻腔或耳目流出，这称为下厥上竭，为难治之症。
《圣济总录》论述说：伤寒鼻衄，是由于热气炽盛，血液妄行。心主血，肝藏血，肺主气，鼻通气。心肝被热邪所伤，血液随气运行，所以从鼻腔流出。古人说阳盛则衄，意思是阳盛则热盛，热盛则宜衄。所以伤寒太阳证，通过衄血可以解除病邪，说的就是这个道理。至于阴病，则不宜衄。因为阴证本来就没有热，怎么能衄血呢？所以少阴病，只有厥冷而无汗，强行发汗必定动血，从口鼻耳目流出的，称为下厥上竭，为难治之症。
歌诀说：阳明病口燥若头痛，水不下咽得衄血。瘀血停留定发狂，病家外证无寒热。
阳明病身热头疼，鼻衄，脉微细的，用犀角地黄汤。外证没有寒热的，必定发狂，这是瘀血停留所致。轻症的，用犀角、桃仁、承气汤；重症的，用抵当汤（Ephedra, Myrobalan and Dogbane Decoction），以排出黑色瘀血为度。
方剂：
茅花汤（出自《圣济总录》）：治疗伤寒鼻衄不止。
茅花（一把）：切碎，用水三盏，煎取浓汁一盏，分两次服用。如果没有花，可以用根代替。另一方加灯心草。
竹茹汤（出自《圣济总录》）：治疗伤寒鼻衄不止。
青竹茹、黄芩（去黑心各一两）、蒲黄、伏龙肝（各半两）：粗捣筛过。每次服五钱，用水一盏半，煎至八分，去渣，加入藕汁一合，搅匀，饭后温服。
犀角汤（出自《圣济总录》）：治疗伤寒鼻衄不止，头面俱热。
犀角（镑片）、大青、甘草（炙各三分）、升麻、鸡苏茎叶、小蓟（各一两）、黄芩（去黑心）、芍药（各一两半）、生干地黄（焙）、朴硝（各二两）：锉如麻豆大小。每次服五钱，用水一钱半（注：原文此处单位似有误，通常为盏或升，依古制推测），煎至八分，去渣，温服。
阿胶汤（出自《圣济总录》）：治疗伤寒鼻衄不止。此为阳毒攻肺所致。
阿胶（炙令干燥）、黄芩（去黑心各一分）、葱白（五寸连须）、豉（一百粒）、干艾叶（炒半两）：细锉，分作两次服用。每次用水一盏半，煎至七分，去渣，加入生地黄汁一合，搅匀，饭后温服。
黄芩汤（出自《圣济总录》）：治疗伤寒鼻衄不止。
黄芩（去黑心）、栀子仁、大黄（锉炒）、蒲黄、荆芥穗（各半两）：锉如麻豆大。每次服三钱，用水一盏半，煎至八分，去渣，温服。不拘时候。
金黄散（出自《圣济总录》）：治疗伤寒鼻衄不止。
郁金、甘草（炙各一两）、黄药子、黄柏（去粗皮各一两半）：捣罗为细散。每次服二钱，冷水调下。不拘时，以血止为度。
钩藤散（出自《圣济总录》）：治疗伤寒头痛壮热，鼻衄不止。
钩藤、桑根白皮（锉）、马牙硝（各一两）、栀子仁、甘草（炙各三分）、大黄（锉炒）、黄芩（去黑心各一两半）：粗捣筛。每次服三钱，用水一盏，竹叶三七片，煎至六分，去渣，加入生地黄……（原文此处截断，推测为加入生地黄汁等）。
竹茹汤（出自《圣济总录》）：治疗伤寒鼻衄不止。
青竹茹（鸡子大一块）、生地黄（半两拍碎）：用水一盏半，煎至八分，去渣，饭后温服。
羚羊角汤（出自《圣济总录》）：治疗伤寒肺热，鼻衄不止。
羚羊角（镑）、犀角、栀子仁、麦门冬（去心焙）、紫菀（去苗毛各三分）、牛黄（研）、玄参（各一分）、黄芪、人参、甘草（炙各半两）、赤茯苓（去黑皮一两）：粗捣筛。每次服五钱，用水一盏……（原文此处截断）。
前胡汤（出自《圣济总录》）：治疗伤寒内热，鼻衄，痰壅吐逆。
前胡（去芦头）、甘草（炙）、白术、陈橘皮（汤浸去白焙）、大腹皮（各三分）、赤茯苓（去黑皮）、旋复花、桔梗（炒各半两）、半夏（汤浸七遍一分）：粗捣筛。每次服五钱，用水一盏半，生姜……（原文此处截断）。
发灰散（出自《圣济总录》）：治疗伤寒鼻衄不止。
乱发（一团如碗火烧成灰）、麝香（研半钱）：同研极细。每次服一钱匕，新水调下。又取少许吹入鼻中，立愈。
四生饮：治疗伤寒衄血，心胸烦满。
生地黄汁（三合）、生藕汁（二合）、生蓟汁（一合）、生姜汁（半合）、白药子（一分细末）：上和匀，在银石器中微温过后，分两次服用。
升麻汤（出自《圣济总录》）：治疗伤寒鼻衄不止，头痛壮热。
升麻、鸡苏茎叶、芍药（各一分）、青蒿、犀角（镑各半两）、芒硝（三分）：粗捣筛。每次服五钱匕，用水一盏，煎至六分，去渣，加入地黄汁一合，饭后温服。
地黄饮（出自《圣济总录》）：治疗伤寒鼻衄。
生地黄汁（二合）、蜜（二合）：搅匀，顿服。
加减柴胡汤（出自《经验良方》）：治疗伤寒鼻衄。
柴胡（去芦八钱）、半夏（姜制二钱半）、黄芩（去心）、人参（去芦）、甘草（炙各三钱）、加生熟地黄（共半两）：锉。每次服二钱，用水一盏半，生姜二片，枣一枚，煎至七分，去渣，温服。大人加倍煎服。
滑石汤（出自《本事方》）：治疗伤寒衄血。
以上用滑石末，不限多少，饭丸如桐子大。每次服十丸，微嚼破，新水咽下，立止。只用药末一钱，以少许饭同嚼下，也可以。老幼皆可服。汤晦叔说：鼻衄者，是因当汗不汗所致。其血青黑时，不限多少，乃得止。且服温和药，以调其营卫。才见血鲜，急以此药止之。
血溢汤：治疗少阴病，气厥发衄者。
黄药（二两）、甘草（炙一两）：用水三升，煮取一升，去渣，分温两次服用。
治伤寒鼻衄，因肺间有余热故也。血因热自止，不止，用此方。
牡蛎（二两半）、石膏（一两六钱）：治下筛。酒服方寸匕，日三四次。亦可蜜丸如桐子大。
用治大病瘥后，小劳便鼻衄者。
苦参汤：治疗衄鼻。
苦参（三分）、黄连（二两）、栀子（二七枚擘破）、大黄（一两）、地黄（生干一两）：切。用水五升，煮取二升半，去渣，分两次服用。吾往年已疗数十人，无不愈者。忌芜荑、猪肉、冷水。
生地黄、熟地黄、枸杞、地骨皮（各半两）、白芍药、当归（各一两）：为末。每次服三钱重，冷酒半盏，调服。
鼻神效散（出自《德生堂》）：止血。
真胆矾：不限多少，碾为细末，苇管吹入鼻，血立住。
麻黄升麻汤（出自《危氏方》）：治疗伤寒发热不停，血随气壅，俗谓红汗者。
麻黄（去节）、升麻（各一两一分）、黄芩、芍药、甘草、石膏、茯苓（各一两）：锉散。每次服四钱，用水一盏，生姜三片，煎热服，微汗解。
桂枝栝蒌汤（出自《危氏方》）：治疗伤风汗下不解，郁于经络，随气泄衄出，清血，或清道用流入胃……（原文此处语意未完）。
桂心、白芍药、甘草、川芎、栝蒌根：捣为锉散。每次服四钱，用水一盏半，姜三片，枣一枚，煎服。头痛，可加石膏。
黄芩散（出自《圣惠方》）：治疗伤寒上焦壅热，心神烦躁，鼻衄不止。
黄芩（三分）、川大黄（三分锉碎微炒）、栀子仁（一分）、犀角屑（三分）、石膏（三分）、羚羊角（半两）、蓝菜（三分）、川朴硝（一两）、甘草（半两炙微赤锉）：捣筛为散。每次服五钱，水一大盏，煎至五分，去渣，不计时候，温服，以愈为度。
黄连散（出自《圣惠方》）：治疗伤寒心肺热毒，鼻衄不止。或兼唾血。
黄连（三分去须）、黄芩（一两）、栀子仁（半两）、甘草（半两炙微赤锉）、伏龙肝（二分）、淡竹叶（一两）：捣筛为散。每次服五钱，水一大盏，入生姜半分，煎至五分，去渣，入生地黄汁一合，乱发灰一钱，搅匀，更煎三两沸，不计时候，温，顿服，以愈为度。
艾叶汤（出自《圣惠方》）：治疗伤寒衄血，及吐血，连日不绝，欲死。
艾叶（半两细锉炒微黄）、生干地黄（半两）、阿胶（一分杵研碎炒令黄燥为末）：都和匀，分为两次服用。水一中盏，煎至五分，去渣，下赤马通汁一合，搅令匀，不计时候，温服，以愈为度。
羚羊角散（出自《圣惠方》）：治疗伤寒衄血不止，宜服。
羚羊角屑（三分）、犀角（二分）、牛黄（一分研细）、人参（半两去芦头）、白茯苓（一两）、麦门冬（三分去心）、黄芪（三分锉）、栀子仁（三分）、甘草（一两炙微赤锉）、紫菀（三分去苗土）、丹参（半两）、玄参（三分）：捣筛为散。每次服五钱，水一大盏，煎至五分，去渣，入牛……（原文此处截断）。
升麻散（出自《圣惠方》）：治疗伤寒鼻衄不止，头痛壮热。
川升麻（一两）、青蒿（半两）、犀角屑（半两）、鸡苏茎叶（一两）、麦门冬（一两去心）、川朴硝（三分）：捣筛为散。每次服四钱，水一中盏，煎至五分，去渣，下地黄汁一合，更煎一两沸，不计时候，温温服之。
刺蓟散（出自《圣惠方》）：治疗伤寒鼻衄不止，兼唾血。
刺蓟（一两）、黄连（三分去须）、黄芩（一两）、栀子仁（三分）、乱发灰（一分）、紫苏茎叶（半两）、阿胶（二两研杵炒令黄燥）、甘草（三分炙微赤）、羚羊角屑（三分）：捣筛为散。每次服五钱，水一大盏，煎至五分，去渣，下地黄汁、生姜汁各半两，和令匀，不计时候服之，以愈为度。
生干地黄散（出自《圣惠方》）：治疗伤寒发汗，而汗不快，致内有蓄热，及鼻衄血不尽，内有余血者。
生干地黄（四两）、赤芍药（一两）、牡丹（二两）、犀角屑（一两）、黄芩（一两）、茜根（一两）：为散。每次服五钱，水一盏，煎至五分，去渣，不计时候，温服。
飞雪汤（出自《圣惠方》）：治疗伤寒衄血数升不住者。
麻黄（三两去根节）、石膏（三两研碎）、芫花（一两）、川大黄（二两）：都切。水一斗半，煮取七升，放冷，披发仰卧，以淋其面，血即住。
苦参散（出自《圣惠方》）：治疗伤寒鼻衄血。
苦参（三两锉）、黄连（二两去须）、栀子仁（二七枚）、川大黄（一两锉碎微炒）、生干地黄（一两）、石榴花（半两微炒）：捣筛为散。每次服五钱，水一中盏，煎至五分，去渣……（原文此处截断）。
蒲黄散（出自《圣惠方》）：治疗伤寒鼻衄不止，心胸烦闷。
蒲黄（三分）、犀角屑（半两）、子芩（三分）、紫苏茎叶（半两）、侧柏叶（半两）、甘草（一分炙微赤锉）：为粗散。每次服五钱，水一大盏，煎至六分，去渣，以伏龙肝半两，水搅，取清一合，相合令匀，不计时候，分为两次服用，以愈为度。
又方（一名鸡苏散，出自《圣惠方》）
甘草（一两炙微赤锉）、鸡苏茎叶（一两）、淡竹叶（一握）：捣碎。水一大盏半，煎至八分，去渣，不计时候，分为两次服用，以愈为度。
治伤寒衄血不止。（出自《圣惠方》）
阿胶（一两杵碎炒令黄燥）、贝母（半两煨令微黄）：捣罗为散。每次不计时候，以温水调下一钱。
又方（出自《圣惠方》）
赤马粪（半两烧为灰）、石耳（半两）、龙骨（半两）：捣罗为散，更研令极细。取少许吹入鼻内，未定，相续用之。
治伤寒口鼻俱出血，可及三五升，宜服此方。（出自《圣惠方》）
乱发灰（半两）、伏龙肝（一两）：同研令细。每次不计时候，以新汲水调下二钱，顿服，以愈为度。
鸡冠花散（出自《圣惠方》）：治疗伤寒鼻衄不止。
鸡冠花（一两）、麝香（一分细研）：细罗为散，与麝香同研，以生地黄汁一合，冷……（原文此处截断）。
Epistaxis caused by cold damage refers to the symptom of bleeding from the nasal cavity. Epistaxis caused by miscellaneous diseases is attributed to heat in the interior. Epistaxis caused by cold damage is attributed to heat in the exterior. Why is this so?
The *Pathogenesis* states: The liver stores blood, and the lung governs qi, opening into the nose. When blood encounters heat, it scatters; following the upward movement of qi, it flows out from the nasal cavity, which is termed "nu" (epistaxis). Therefore, epistaxis from miscellaneous diseases is attributed to heat in the interior.
The *Classic* states: In cold damage, if the pulse is floating and tight, and sweating is not induced, epistaxis may result; Guizhi Tang (Aged Poria and Cinnamon Twig Decoction) is appropriate. If a patient with cold damage has not had a bowel movement for six or seven days, accompanied by headache and fever, Chengqi Tang (Gastrointestinal Releasing Decoction) should be administered. If the urine is clear, it indicates that the pathogen is not in the interior but remains in the exterior; sweating should be induced. Patients with headaches will likely experience epistaxis; Guizhi Tang (Aged Poria and Cinnamon Twig Decoction) is appropriate. From this, we see that epistaxis in cold damage is attributed to heat in the exterior.
The *Qianjin Yi Fang* states: There are three types of hematemesis. One is lung abscess, two is stomach injury, and three is internal epistaxis. Since hematemesis is called internal epistaxis, bleeding from the nasal cavity can be called external epistaxis. This is due to the reckless movement of blood in the meridians. When heat in the meridians is excessive and yang qi is congested and heavy, it forces blood to move recklessly, exiting through the nose as epistaxis.
The *Classic* states: The patient feels vexed and their eyes are dim; in severe cases, "xin nu" (severe epistaxis or mental confusion due to heat) occurs, and the condition resolves after epistaxis. This is because yang qi is congested and heavy.
It is also stated: Excessive yang leads to a desire for epistaxis, while yin deficiency leads to difficult urination. Here, epistaxis refers to the vexation caused by excessive yang in the meridians. In cold damage, if the pulse is floating, the nose is dry, the mouth is parched, and the patient only wants to rinse their mouth with water without swallowing, this indicates an impending epistaxis.
The *Classic* states: In Yangming disease, if the mouth is parched and the nose is dry, and the patient can eat, epistaxis will occur.
There are also cases where epistaxis results from forced sweating when it was not indicated. The *Classic* states: In Shaoyin disease, if there is only cold extremities without sweat, forcing sweating will surely disturb the blood. It is unknown from which channel the blood will exit; it may come from the mouth or nose, or from the eyes. This is termed "lower jue and upper exhaustion" (cold jue at the lower part and exhaustion of yin blood at the upper part), which is difficult to treat.
Patients with a history of epistaxis ("nu jia"), although having pathogenic heat in the meridians, should not undergo sweating therapy. The *Classic* states: Patients with a history of epistaxis should not undergo sweating. If sweating is induced, it will cause depression of the forehead, urgent pulse, fixed gaze, inability to close the eyes, and insomnia. The previously mentioned use of Guizhi Tang (Aged Poria and Cinnamon Twig Decoction) and Mahuang Tang (Ephedra Decoction) to treat epistaxis is not directly treating the epistaxis itself, but rather dispersing pathogenic qi in the meridians. If pathogenic qi cannot be dispersed and accumulates in the meridians, pressing on the blood, it leads to epistaxis. Thus, Guizhi Tang and Mahuang Tang are not specifically for treating epistaxis.
In Taiyang disease, if the pulse is floating and tight, there is fever, and the body has no sweat, spontaneous epistaxis leads to recovery. This is because the pathogen in the meridians dissipates with the epistaxis, leading to resolution. Therefore, it is known that after epistaxis, one should not use Guizhi Tang (Aged Poria and Cinnamon Twig Decoction) or Mahuang Tang (Ephedra Decoction) to disperse.
If an epistaxis patient has only head sweating, no body sweating, or sweating that does not reach the feet, the prognosis is fatal. Huangdi considers these conditions treatable with purgation. At the time of illness, careful examination and treatment will prevent errors.
The verse says: Spontaneous epistaxis in Taiyang disease indicates the illness is about to resolve; after epistaxis, carefully examine the pulse. If there is sweat and a floating pulse, Guizhi Tang may be used; if there is no sweat and a tight pulse, use Mahuang Tang. Here, "Guizhi" refers to Guizhi Tang (Aged Poria and Cinnamon Twig Decoction), and "Mahuang" refers to Mahuang Tang (Ephedra Decoction). In Taiyang disease, spontaneous epistaxis, or epistaxis occurring after taking various exterior-releasing medicines, indicates the illness is resolving. If there is sweat and a floating pulse, use Guizhi Tang again; if there is no sweat and a tight pulse, give Mahuang Tang again. If the pulse is faint, use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction), or Huangqin Shaoyao Tang, or Maohua Tang.
If epistaxis is accompanied by thirst and desire to drink, but vomiting occurs immediately after drinking water, first administer Wuling San (Poria Decoction), then Zhuye Tang (Bamboo Leaf Decoction). In Yin patterns, there is no fever but there is bleeding; in Shaoyin disease, there are only cold extremities without sweat. Forcing sweating will surely disturb the blood, leading to death. Blood may exit from the anus, nose, or ears/eyes. This is termed "lower jue and upper exhaustion," which is difficult to treat.
The *Shengji Zonglu* discusses: Cold damage epistaxis is caused by excessive heat causing reckless blood movement. The heart governs blood, the liver stores it, the lung governs qi, and the nose vents it. When the heart and liver are injured by pathogenic heat, blood follows qi and exits through the nose. Ancients said "excessive yang leads to epistaxis," meaning excessive yang leads to excessive heat, and excessive heat leads to epistaxis. Thus, in Taiyang pattern of cold damage, epistaxis resolves the disease. As for Yin diseases, epistaxis is not suitable. Since Yin patterns lack heat, how can epistaxis occur? Therefore, in Shaoyin disease, with only cold extremities and no sweat, forcing sweating disturbs the blood, exiting from mouth, nose, ears, or eyes, termed "lower jue and upper exhaustion," which is difficult to treat.
The verse says: Yangming disease with dry mouth and headache, water not swallowed leads to epistaxis. Stagnant blood causes mania; the patient has no exterior cold or heat symptoms.
In Yangming disease, with body heat, headache, and epistaxis, if the pulse is faint, use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). If there are no exterior cold or heat symptoms, mania will definitely occur, indicating stagnant blood. For mild cases, use Rhinoceros Horn, Tao Ren, and Chengqi Tang; for severe cases, use Didang Tang (Ephedra, Myrobalan and Dogbane Decoction), until black material is expelled.
Formulas:
Maohua Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Maohua (one handful): Crushed. Boil in three cups of water to obtain one cup of concentrated decoction. Divide into two doses. If flowers are unavailable, use roots. Another formula adds Dengxincao (Juncus Effusus Herb).
Zhuru Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Qingzhuru (Green Bamboo Shavings), Huangqin (Scutellaria Root, removed black heart, 1 liang each), Puhuang (Lygodium Spore), Fulonggan (Dragon's House Earth, 0.5 liang each): Coarsely crushed and sieved. Take 5 qian per dose. Boil in 1.5 cups of water until reduced to 0.8 cups. Strain, add Ouzhi (Lotus Root Juice, 1 he), mix well, and take warm after meals.
Xijiao Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage with heat in head and face.
Xijiao (Rhinoceros Horn, sliced), Daqing (Arnebia Root), Gancao (Licorice Root, honey-fried, 3 fen each), Shengma (Cimicifuga Rhizome), Jisu Jingye (Perilla Stem and Leaf), Xiaoji (Cirsium Herba, 1 liang each), Huangqin (Scutellaria Root, removed black heart), Shaoyao (Peony Root, 1.5 liang each), Sheng Gan Dihuang (Dried Rehmannia Root, baked), Poxiao (Mirabilite, 2 liang each): Cut like hemp seeds. Take 5 qian per dose. Boil in 1.5 cups of water (Note: original text unit seems small, likely a typo for larger volume) until reduced to 0.8 cups. Strain and take warm.
Ejiao Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage. This is due to Yang toxin attacking the lung.
Ejiao (Donkey-hide Gelatin, fried until dry), Huangqin (Scutellaria Root, removed black heart, 1 fen each), Congbai (Green Onion White, 5 cun with roots), Chi (Fermented Soybean, 100 grains), Gan Aiye (Dried Mugwort Leaf, stir-fried 0.5 liang): Finely cut. Divide into two doses. Boil each dose in 1.5 cups of water until reduced to 0.7 cups. Strain, add Sheng Dihuangzhi (Fresh Rehmannia Juice, 1 he), mix well, and take warm after meals.
Huangqin Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Huangqin (Scutellaria Root, removed black heart), Zhizi Ren (Gardenia Seed), Dahuang (Rhubarb Root, cut and stir-fried), Puhuang (Lygodium Spore), Jingjie Sui (Schizonepeta Spike, 0.5 liang each): Cut like hemp seeds. Take 3 qian per dose. Boil in 1.5 cups of water until reduced to 0.8 cups. Strain and take warm. No specific timing.
Jinhuang San (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Yujin (Curcuma Tuber), Gancao (Licorice Root, honey-fried, 1 liang each), Huangyaozi (Dioscorea Bulbil), Huangbo (Phellodendron Bark, removed rough skin, 1.5 liang each): Pounded and sifted into fine powder. Take 2 qian per dose, mixed with cold water. No specific timing, stop when bleeding ceases.
Gouteng San (from *Shengji Zonglu*): Treats cold damage with headache, high fever, and unceasing epistaxis.
Gouteng (Uncaria Ramulus cum Uncis), Sanggen Baipi (Mulberry Root Bark, cut), Mayaxiao (Sodium Chloride, 1 liang each), Zhizi Ren (Gardenia Seed), Gancao (Licorice Root, honey-fried, 3 fen each), Dahuang (Rhubarb Root, cut and stir-fried), Huangqin (Scutellaria Root, removed black heart, 1.5 liang each): Coarsely crushed and sieved. Take 3 qian per dose. Boil in 1 cup of water with 37 leaves of Zhuye (Bamboo Leaf) until reduced to 0.6 cups. Strain, add Sheng Dihuang... (Text cuts off here, likely adding Fresh Rehmannia Juice).
Zhuru Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Qingzhuru (Green Bamboo Shavings, size of a chicken egg), Sheng Dihuang (Fresh Rehmannia Root, 0.5 liang, smashed): Boil in 1.5 cups of water until reduced to 0.8 cups. Strain and take warm after meals.
Lingyangjiao Tang (from *Shengji Zonglu*): Treats cold damage with lung heat and unceasing epistaxis.
Lingyangjiao (Antelope Horn, sliced), Xijiao (Rhinoceros Horn), Zhizi Ren (Gardenia Seed), Maidong (Ophiopogon Tuber, dehearted and baked), Ziwan (Aster Root, de-stemmed and de-hairy, 3 fen each), Niuhuang (Calculus Bovis, ground), Xuanshen (Scrophularia Root, 1 fen each), Huangqi (Astragalus Root), Renshen (Ginseng Root), Gancao (Licorice Root, honey-fried, 0.5 liang each), Chifuling (Red Poria, removed black skin, 1 liang): Coarsely crushed and sieved. Take 5 qian per dose. Boil in 1 cup of water... (Text cuts off here).
Qianhu Tang (from *Shengji Zonglu*): Treats cold damage with internal heat, epistaxis, phlegm obstruction, and vomiting.
Qianhu (Peucedani Radix), Gancao (Licorice Root, honey-fried), Baizhu (Atractylodes Macrocephala Rhizome), Chenjupi (Tangerine Peel, soaked in water, white part removed, baked), Dafupi (Areca Peel, 3 fen each), Chifuling (Red Poria, removed black skin), Xuanfuhua (Inula Flower), Jiegeng (Platycodon Root, stir-fried, 0.5 liang each), Banxia (Pinellia Tuber, soaked in water seven times, 1 fen): Coarsely crushed and sieved. Take 5 qian per dose. Boil in 1.5 cups of water with Shengjiang (Fresh Ginger)... (Text cuts off here).
Fahui San (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage.
Luannai (Human Hair, burnt to ash in a bowl-sized amount), Shexiang (Musk, ground 0.5 qian): Grind together extremely finely. Take 1 qian per dose, mixed with fresh water. Also, take a small amount and blow into the nasal cavity for immediate relief.
Sisheng Yin: Treats cold damage epistaxis with chest and heart vexation.
Sheng Dihuangzhi (Fresh Rehmannia Juice, 3 he), Sheng Ouji (Fresh Lotus Root Juice, 2 he), Sheng Jiji (Fresh Cirsium Juice, 1 he), Sheng Jiangzhi (Fresh Ginger Juice, 0.5 he), Baiyaobi (Baiyaobi Powder, 1 fen fine powder): Mix well. Warm slightly in a silver or ceramic vessel. Divide into two doses.
Shengma Tang (from *Shengji Zonglu*): Treats unceasing epistaxis in cold damage with headache and high fever.
Shengma (Cimicifuga Rhizome), Jisu Jingye (Perilla Stem and Leaf), Shaoyao (Peony Root, 1 fen each), Qinghao (Artemisia Annua Herba), Xijiao (Rhinoceros Horn, sliced, 0.5 liang each), Mangxiao (Mirabilite, 3 fen): Coarsely crushed and sieved. Take 5 qian per dose. Boil in 1 cup of water until reduced to 0.6 cups. Strain, add Dihuangzhi (Rehmannia Juice, 1 he), and take warm after meals.
Dihuang Yin (from *Shengji Zonglu*): Treats epistaxis in cold damage.
Sheng Dihuangzhi (Fresh Rehmannia Juice, 2 he), Honey (2 he): Mix well and take in one dose.
Jiajian Chaihu Tang (from *Jingyan Liangfang*): Treats epistaxis in cold damage.
Chaihu (Bupleuri Radix, de-rhizome, 8 qian), Banxia (Pinellia Tuber, ginger-processed, 2.5 qian), Huangqin (Scutellaria Root, de-heart), Renshen (Ginseng Root, de-rhizome), Gancao (Licorice Root, honey-fried, 3 qian each), plus Sheng/Di Dihuang (Fresh/Dried Rehmannia Root, total 0.5 liang): Cut. Take 2 qian per dose. Boil in 1.5 cups of water with 2 slices of Shengjiang (Fresh Ginger) and 1 Jujube until reduced to 0.7 cups. Strain and take warm. Adults double the dose.
Huashi Tang (from *Ben Shi Fang*): Treats epistaxis in cold damage.
Use Huashi (Talcum Powder) in any amount, form pills like wu berry size with rice paste. Take 10 pills per dose, chew slightly, and swallow with fresh water for immediate cessation. Alternatively, take 1 qian of powder, chew with a little rice, and swallow. Suitable for all ages. Tang Huishu said: Epistaxis is caused by failure to sweat when sweating was indicated. When the blood is dark blue/black, take any amount to stop it. Use mild medicines to regulate Ying and Wei. Once bright red blood appears, urgently use this medicine to stop it.
Xueyi Tang: Treats Shaoyin disease with qi jue causing epistaxis.
Huangyao (Dioscorea Bulbil, 2 liang), Gancao (Licorice Root, honey-fried, 1 liang): Boil in 3 sheng of water to obtain 1 sheng. Strain and take warm in two doses.
Treats epistaxis in cold damage due to residual heat in the lungs. Blood stops naturally due to heat; if it does not stop, use this formula.
Muli (Oyster Shell, 2.5 liang), Shigao (Gypsum Fibrosum, 1.6 liang): Process and sieve. Take 1 cun bi with wine, 3-4 times a day. Can also be made into honey pills like wu berry size.
Treats epistaxis after minor exertion following recovery from major illness.
Kushen Tang: Treats epistaxis.
Kushen (Sophora Root, 3 fen), Huanglian (Coptis Rhizome, 2 liang), Zhizi (Gardenia Fruit, 14 pieces, broken), Dahuang (Rhubarb Root, 1 liang), Dihuang (Rehmannia Root, dried, 1 liang): Cut. Boil in 5 sheng of water to obtain 2.5 sheng. Strain and take in two doses. I treated dozens of people in previous years with no failures. Avoid Wuji (Walnut Husk), pork, and cold water.
Sheng Dihuang (Fresh Rehmannia Root), Shu Dihuang (Prepared Rehmannia Root), Gouqi (Goji Berry), Digupi (Dogwood Root Bark, 0.5 liang each), Baishaoyao (White Peony Root), Danggui (Angelica Sinensis Root, 1 liang each): Make into powder. Take 3 qian per dose, mixed with half a cup of cold wine.
Bishen Xiaosan (from *Dashengtang*): Stops bleeding.
Zhen Danfan (Alum): Any amount, grind into fine powder. Blow into the nasal cavity with a reed tube for immediate cessation of bleeding.
Mahuang Shengma Tang (from *Weishi Fang*): Treats persistent fever in cold damage, blood congestion with qi, commonly known as "red sweat."
Mahuang (Ephedra Stem, de-jointed), Shengma (Cimicifuga Rhizome, 1.1 liang each), Huangqin (Scutellaria Root), Shaoyao (Peony Root), Gancao (Licorice Root), Shigao (Gypsum Fibrosum), Fuling (Poria, 1 liang each): Cut into pieces. Take 4 qian per dose. Boil in 1 cup of water with 3 slices of Shengjiang (Fresh Ginger), take hot for slight sweating and resolution.
Guizhi Gualou Tang (from *Weishi Fang*): Treats wind-cold with unresolved sweating and purgation, stagnation in meridians, leading to epistaxis with clear blood, or flow into the stomach via clear pathways... (Text incomplete).
Guixin (Cinnamon Bark), Baishaoyao (White Peony Root), Gancao (Licorice Root), Chuanxiong (Ligusticum Rhizome), Gualou Gen (Trichosanthes Root): Pound into cut pieces. Take 4 qian per dose. Boil in 1.5 cups of water with 3 slices of Ginger and 1 Jujube. Add Shigao (Gypsum Fibrosum) for headache.
Huangqin San (from *Shenghui Fang*): Treats cold damage with upper jiao heat congestion, mental restlessness, and unceasing epistaxis.
Huangqin (Scutellaria Root, 3 fen), Chuan Dahuang (Rhubarb Root, cut, stir-fried, 3 fen), Zhizi Ren (Gardenia Seed, 1 fen), Xijiao Xie (Rhinoceros Horn Shavings, 3 fen), Shigao (Gypsum Fibrosum, 3 fen), Lingyangjiao (Antelope Horn, 0.5 liang), Lancai (Isatis Leaf, 3 fen), Chuan Poxiao (Mirabilite, 1 liang), Gancao (Licorice Root, honey-fried, slightly reddened, cut, 0.5 liang): Pound and sieve into powder. Take 5 qian per dose. Boil in 1 large cup of water until reduced to 0.5 cups. Strain and take warm at any time, until cured.
Huanglian San (from *Shenghui Fang*): Treats cold damage with heart-lung heat toxicity, unceasing epistaxis, or accompanying spitting of blood.
Huanglian (Coptis Rhizome, de-thorns, 3 fen), Huangqin (Scutellaria Root, 1 liang), Zhizi Ren (Gardenia Seed, 0.5 liang), Gancao (Licorice Root, honey-fried, slightly reddened, cut, 0.5 liang), Fulonggan (Dragon's House Earth, 2 fen), Dan Zhuye (Light Bamboo Leaf, 1 liang): Pound and sieve into powder. Take 5 qian per dose. Boil in 1 large cup of water with 0.5 parts of Shengjiang (Fresh Ginger) until reduced to 0.5 cups. Strain, add Sheng Dihuangzhi (Fresh Rehmannia Juice, 1 he) and Luannaihui (Human Hair Ash, 1 qian), mix well, boil for 2-3 more boils. Take warm in one dose at any time, until cured.
Aiye Tang (from *Shenghui Fang*): Treats cold damage epistaxis and hematemesis, continuous for days, nearing death.
Aiye (Mugwort Leaf, finely cut, stir-fried slightly yellow, 0.5 liang), Sheng Gan Dihuang (Dried Rehmannia Root, 0.5 liang), Ejiao (Donkey-hide Gelatin, pounded, ground, stir-fried until yellow and dry, 1 fen): Mix well, divide into two doses. Boil in 1 medium cup of water until reduced to 0.5 cups. Strain, add Chimatongzhi (Red Horse Manure Juice, 1 he), mix well, and take warm at any time, until cured.
Lingyangjiao San (from *Shenghui Fang*): Treats unceasing epistaxis in cold damage.
Lingyangjiao Xie (Antelope Horn Shavings, 3 fen), Xijiao (Rhinoceros Horn, 2 fen), Niuhuang (Calculus Bovis, finely ground, 1 fen), Renshen (Ginseng Root, de-rhizome, 0.5 liang), Baifuling (White Poria, 1 liang), Maidong (Ophiopogon Tuber, dehearted, 3 fen), Huangqi (Astragalus Root, cut, 3 fen), Zhizi Ren (Gardenia Seed, 3 fen), Gancao (Licorice Root, honey-fried, slightly reddened, cut, 1 liang), Ziwan (Aster Root, de-stemmed and de-soiled, 3 fen), Danshen (Salvia Root, 0.5 liang), Xuanshen (Scrophularia Root, 3 fen): Pound and sieve into powder. Take 5 qian per dose. Boil in 1 large cup of water until reduced to 0.5 cups. Strain, add Niu... (Text cuts off here).
Shengma San (from *Shenghui Fang*): Treats unceasing epistaxis in cold damage with headache and high fever.
Chuan Shengma (Cimicifuga Rhizome, 1 liang), Qinghao (Artemisia Annua Herba, 0.5 liang), Xijiao Xie (Rhinoceros Horn Shavings, 0.5 liang), Jisu Jingye (Perilla Stem and Leaf, 1 liang), Maidong (Ophiopogon Tuber, dehearted, 1 liang), Chuan Poxiao (Mirabilite, 3 fen): Pound and sieve into powder. Take 4 qian per dose. Boil in 1 medium cup of water until reduced to 0.5 cups. Strain, add Dihuangzhi (Rehmannia Juice, 1 he), boil for another 1-2 boils. Take warm at any time.
Ciji San (from *Shenghui Fang*): Treats unceasing epistaxis in cold damage, accompanying spitting of blood.
Ciji (Cirsium Herba, 1 liang), Huanglian (Coptis Rhizome, de-thorns, 3 fen), Huangqin (Scutellaria Root, 1 liang), Zhizi Ren (Gardenia Seed, 3 fen), Luannaihui (Human Hair Ash, 1 fen), Zisu Jingye (Perilla Stem and Leaf, 0.5 liang), Ejiao (Donkey-hide Gelatin, pounded, ground, stir-fried until yellow and dry, 2 liang), Gancao (Licorice Root, honey-fried, slightly reddened, 3 fen), Lingyangjiao Xie (Antelope Horn Shavings, 3 fen): Pound and sieve into powder. Take 5 qian per dose. Boil in 1 large cup of water until reduced to 0.5 cups. Strain, add Dihuangzhi (Rehmannia Juice) and Shengjiangzhi (Fresh Ginger Juice, 0.5 liang each), mix well, and take at any time, until cured.
Sheng Gan Dihuang San (from *Shenghui Fang*): Treats cold damage where sweating was induced but ineffective, leading to internal heat accumulation, incomplete epistaxis, and residual blood internally.
Sheng Gan Dihuang (Dried Rehmannia Root, 4 liang), Chishaoyao (Red Peony Root, 1 liang), Mudan (Tree Peony Root Bark, 2 liang), Xijiao Xie (Rhinoceros Horn Shavings, 1 liang), Huangqin (Scutellaria Root, 1 liang), Qigen (Rubia Root, 1 liang): Make into powder. Take 5 qian per dose. Boil in 1 cup of water until reduced to 0.5 cups. Strain and take warm at any time.
Feixue Tang (from *Shenghui Fang*): Treats massive unceasing epistaxis in cold damage.
Mahuang (Ephedra Stem, de-root and joint, 3 liang), Shigao (Gypsum Fibrosum, ground, 3 liang), Yuanhua (Genkwa Flower, 1 liang), Chuan Dahuang (Rhubarb Root, 2 liang): All cut. Boil in 1.5 dou of water to obtain 7 sheng. Cool down. Let the patient lie supine with hair loose, and pour over the face. Bleeding will stop immediately.
Kushen San (from *Shenghui Fang*): Treats epistaxis in cold damage.
Kushen (Sophora Root, cut, 3 liang), Huanglian (Coptis Rhizome, de-thorns, 2 liang), Zhizi Ren (Gardenia Seed, 14 pieces), Chuan Dahuang (Rhubarb Root, cut, stir-fried, 1 liang), Sheng Gan Dihuang (Dried Rehmannia Root, 1 liang), Shiliuhua (Pomegranate Flower, slightly stir-fried, 0.5 liang): Pound and sieve into powder. Take 5 qian per dose. Boil in 1 medium cup of water until reduced to 0.5 cups. Strain... (Text cuts off here).
Puhuang San (from *Shenghui Fang*): Treats unceasing epistaxis in cold damage with chest and heart vexation.
Puhuang (Lygodium Spore, 3 fen), Xijiao Xie (Rhinoceros Horn Shavings, 0.5 liang), Ziqin (Scutellaria Root, 3 fen), Zisu Jingye (Perilla Stem and Leaf, 0.5 liang), Ce Baiye (Biota Top Leaf, 0.5 liang), Gancao (Licorice Root, honey-fried, slightly reddened, cut, 1 fen): Make into coarse powder. Take 5 qian per dose. Boil in 1 large cup of water until reduced to 0.6 cups. Strain, mix Fulonggan (Dragon's House Earth, 0.5 liang) with water, extract 1 he of clear liquid, combine and mix well. Take at any time, divide into two doses, until cured.
Another Formula (also known as Jisu San, from *Shenghui Fang*)
Gancao (Licorice Root, honey-fried, slightly reddened, cut, 1 liang), Jisu Jingye (Perilla Stem and Leaf, 1 liang), Dan Zhuye (Light Bamboo Leaf, one handful): Pound. Boil in 1.5 large cups of water until reduced to 0.8 cups. Strain and take at any time, divide into two doses, until cured.
Treats unceasing epistaxis in cold damage. (From *Shenghui Fang*)
Ejiao (Donkey-hide Gelatin, pounded, stir-fried until yellow and dry, 1 liang), Beimu (Fritillaria Bulb, baked until slightly yellow, 0.5 liang): Pound and sieve into powder. Take 1 qian at any time, mixed with warm water.
Another Formula (From *Shenghui Fang*)
Chi Ma Fen (Red Horse Manure, burnt to ash, 0.5 liang), Shi'er (Rock Ear Mushroom, 0.5 liang), Longgu (Fossilized Bone, 0.5 liang): Pound and sieve into powder, grind extremely fine. Take a small amount and blow into the nasal cavity. Repeat if necessary.
Treats simultaneous bleeding from mouth and nose in cold damage, up to 3-5 sheng. Take this formula. (From *Shenghui Fang*)
Luannaihui (Human Hair Ash, 0.5 liang), Fulonggan (Dragon's House Earth, 1 liang): Grind together finely. Take 2 qian at any time, mixed with fresh water. Take in one dose, until cured.
Jiguanhua San (from *Shenghui Fang*): Treats unceasing epistaxis in cold damage.
Jiguanhua (Cockcomb Flower, 1 liang), Shexiang (Musk, finely ground, 1 fen): Sieve into fine powder, mix with Musk. Mix with Sheng Dihuangzhi (Fresh Rehmannia Juice, 1 he), cold... (Text cuts off here).