夫鼻衄者，由热乘血气也。肝藏血，肺主气，开窍于鼻中。若脏腑劳损，血气生热，血
得热
色
方
桑根白皮丸（出《圣济总录》）治鼻久衄不止。
桑根白皮（炙锉） 山栀子（去皮壳） 黄芩（去黑心） 甘草（炙锉） 羌活（去芦
头） 防风（去
参白茯苓（去皮） 柴胡
空心食前，温酒送下。
五黄丸（出《济生拔萃方》）治衄血久不止，大便结燥者下之。
大黄（五钱） 芒硝（三钱） 甘草（一钱） 生地黄（三钱） 栀子（一钱） 黄芩
（一钱） 黄连（一
阿胶散（出《圣惠方》）治衄久不止。
阿胶（杵碎二两炒黄燥） 桂心 当归 细辛（各一两） 龙骨（二两）
两） 乱发（三两烧灰） 上为细散，每服以粥饮调下二钱，一方有芎 ，无蒲黄。
清肺饮子（一名麦门饮出《试效方》）治衄血吐血，久不愈。
五味子（十个） 麦门冬（去心） 当归身 人参 生地黄（各半钱） 黄 （一钱）上
为粗末，
刺蓟散（出《圣惠方》）治鼻衄久不止。
刺蓟（二两） 竹茹（二两） 蒲黄 艾叶 乱发灰 白药（各一两） 上为散，每服
三钱，水一
地黄散（出《济生拔萃方》）治衄往来久不愈。
生地黄 熟地黄 枸杞子 地骨皮（各等分） 上为细末，每服二钱，蜜汤调下，日三。
茜梅丸（出《医方大成》）治衄血无时。
茜草根 艾叶（各一两） 乌梅肉（焙干半两） 上为末，炼蜜为丸，如梧桐子大，
每服三十
尝苦此
乱发灰散（出《圣惠方》）治鼻衄久不止，令人目眩心烦。
乱发灰（一分） 桂心（半两） 干姜（一分炮制） 上为细末，每服二钱，温浆水调
下二钱，先
榴花散（出《圣惠方》）治鼻衄久不止，诸药不效。
石榴花（曝干） 故绵灰（各半两） 人中白（一分） 上同研细，更入麝香一钱，研
均，少少吹
麦门冬饮子（出《济生拔萃方》）治衄血不止。
麦门冬 生地黄（各等分）上锉，每服一两，水煎服，又衄血、先朱砂蛤粉之药，次
木香并
用之。
蒲黄散（出《圣惠方》）治鼻衄，经久不止。
蒲黄（二两） 石榴花（一两末）上和研为散，每服以新汲水，调下一钱。
治鼻衄久不止，身面俱黄，（出《圣惠方》）
赤马通（七块以水一盏绞汁） 阿胶（三分捣碎炒令黄燥） 上将马通汁，调阿胶，令
稀稠得所
吹鼻散（出《圣惠方》）治鼻久衄不止。
绯帛灰（三钱） 乱发灰（二钱） 上研细，少许吹入鼻中。
铅丹散（出《圣济总录》）治鼻久衄。
上用铅丹不拘多少，研如粉，每服二钱，发时新汲水调下。
白矾散（出《圣济总录》）治鼻久衄。
上用铅矾半两，烧令汁尽，细研罗为末，以少许吹鼻中。
特效方（出《危氏方》）治衄血久不止。
上以蒲黄、血竭为末，吹入鼻中。
又方
上用薄荷，以水童便煎，用纱帛包，塞入鼻中。
又方（《旅舍备要方》）
用棕榈烧灰，随左右鼻搐之。
叶氏方
上随衄左右，以新汲水洗足。
又方
上以左捻纸索子，系手第四指，咒曰∶血神住。立止。
治鼻衄血，久不止，（出《肘后方》）
上用桔梗为末，水服方寸匕，日四五服，立止吐血下血。
又方（出《圣惠方》）
用老鸱翅关大骨，微炙捣为细末，少少吹入鼻中。
又方（出《圣惠方》）
上用乌贼鱼骨半两，去甲捣为细散，少许吹入鼻中即止，如未便着，少许干浮萍草末，
吹入
又方（出《圣惠方》）
用干苔二两，烧灰为末，少许吹入鼻中。
治鼻中沥血，经旬日不止，（出《圣惠方》）
上用南墙墙衣，如两杏仁大，鼻中塞之，初时被血推却，仍取塞之。
鼻出血（鼻衄），是由于热邪侵袭血气所致。肝主藏血，肺主气，且肺开窍于鼻中。如果脏腑因劳损而产生内热，导致血气生热，血液受热则妄行外溢。
桑根白皮丸（出自《圣济总录》）：治疗鼻出血长期不止。
药材组成：桑根白皮（炙后锉碎）、山栀子（去皮壳）、黄芩（去除黑心部分）、甘草（炙后锉碎）、羌活（去芦头）、防风（去叉枝及芦头）、人参、白茯苓（去皮）、柴胡（去苗）。
服用方法：空腹进食前，用温酒送服。
五黄丸（出自《济生拔萃方》）：治疗鼻出血长期不止，且大便干结燥硬者，采用泻下法治疗。
药材组成：大黄（五钱）、芒硝（三钱）、甘草（一钱）、生地黄（三钱）、栀子（一钱）、黄芩（一钱）、黄连（一钱）。
阿胶散（出自《圣惠方》）：治疗鼻出血长期不止。
药材组成：阿胶（捣碎后炒至黄燥，二两）、桂心、当归、细辛（各一两）、龙骨（二两）、蒲黄（二两）、乱发灰（三两，烧成炭灰）。将上述药物研为细散，每次服用二钱，用米汤调服。另一版本含有川芎，不含蒲黄。
清肺饮子（又名麦门饮，出自《试效方》）：治疗鼻出血、吐血，久治不愈者。
药材组成：五味子（十个）、麦门冬（去心）、当归身、人参、生地黄（各半钱）、黄芪（一钱）。将上述药物制成粗末，水煎服。
刺蓟散（出自《圣惠方》）：治疗鼻出血长期不止。
药材组成：刺蓟（二两）、竹茹（二两）、蒲黄、艾叶、乱发灰、白药（各一两）。将上述药物研为散剂，每次服用三钱，用水一盏煎服。
地黄散（出自《济生拔萃方》）：治疗鼻出血反复发作，久治不愈者。
药材组成：生地黄、熟地黄、枸杞子、地骨皮（各等分）。将上述药物研为细末，每次服用二钱，用蜂蜜水调服，每日三次。
茜梅丸（出自《医方大成》）：治疗无定时发作的鼻出血。
药材组成：茜草根、艾叶（各一两）、乌梅肉（焙干，半两）。将上述药物研为末，用炼蜜制成梧桐子大小的丸剂，每次服用三十丸。
我曾苦于鼻出血之症。
乱发灰散（出自《圣惠方》）：治疗鼻出血长期不止，导致头晕目眩、心烦意乱者。
药材组成：乱发灰（一分）、桂心（半两）、干姜（一分，炮制）。将上述药物研为细末，每次服用二钱，用温浆水调服。
榴花散（出自《圣惠方》）：治疗鼻出血长期不止，其他药物无效者。
药材组成：石榴花（晒干）、故绵灰（旧棉絮烧成的灰，各半两）、人中白（一分）。将上述药物共同研细，再加入麝香一钱，研匀，少量吹入鼻中。
麦门冬饮子（出自《济生拔萃方》）：治疗鼻出血不止。
药材组成：麦门冬、生地黄（各等分）。将上述药物锉碎，每次服用一两，水煎服。另外，对于鼻出血，先用朱砂和蛤粉的药物，随后使用木香并配合使用。
蒲黄散（出自《圣惠方》）：治疗鼻出血，经久不止者。
药材组成：蒲黄（二两）、石榴花（一两，研末）。将上述药物混合研为散剂，每次服用一钱，用新汲取的冷水调服。
治疗鼻出血长期不止，身体和面部均发黄者（出自《圣惠方》）：
药材组成：赤马通（即马粪，七块，用水一盏绞取汁液）、阿胶（三分，捣碎后炒至黄燥）。先将马通汁与阿胶调和，使其稀稠适度，服用。
吹鼻散（出自《圣惠方》）：治疗鼻出血长期不止。
药材组成：绯帛灰（红色丝织品烧成的灰，三钱）、乱发灰（二钱）。将上述药物研细，少许吹入鼻中。
铅丹散（出自《圣济总录》）：治疗鼻出血长期不止。
用法：取适量铅丹，研如粉末，每次服用二钱，在出血时用新汲取的冷水调服。
白矾散（出自《圣济总录》）：治疗鼻出血长期不止。
用法：取铅矾半两，烧至汁液流尽，细研过筛为末，取少许吹入鼻中。
特效方（出自《危氏方》）：治疗鼻出血长期不止。
用法：取蒲黄、血竭研为末，吹入鼻中。
又一方：
用法：取薄荷，用水和童便（小男孩的小便）煎煮，用纱布包裹，塞入鼻中。
又一方（出自《旅舍备要方》）：
用法：将棕榈烧成灰，根据出血的鼻孔左右，将其搐入鼻中。
叶氏方：
用法：根据出血的鼻孔左右，用新汲取的冷水洗脚。
又一方：
用法：用左手搓捻纸绳，系在手第四指上，咒语说：“血神住。”立即止血。
治疗鼻出血，长期不止（出自《肘后方》）：
用法：取桔梗研为末，用水送服方寸匕，每日四五次，可立即停止吐血和下血。
又一方（出自《圣惠方》）：
用法：取老鸱翅上的关节大骨，微火炙烤后捣为细末，少量吹入鼻中。
又一方（出自《圣惠方》）：
用法：取乌贼鱼骨半两，去掉硬甲后捣为细散，少许吹入鼻中即可止血。如果尚未止住，取少许干浮萍草末，吹入鼻中。
又一方（出自《圣惠方》）：
用法：取干苔二两，烧成灰研为末，少许吹入鼻中。
治疗鼻中滴血，经过十天半个月不止（出自《圣惠方》）：
用法：取南墙墙衣（墙壁上的苔藓或泥土层），大小如两粒杏仁，塞入鼻中。起初会被血液推出，仍需重新塞入。
Epistaxis (nosebleed) is caused by heat invading the blood and qi. The Liver stores blood, the Lung governs qi, and the Lung opens into the nose. If the Zang-Fu organs are damaged by overwork, generating internal heat, the blood and qi become heated, causing blood to flow recklessly out of the vessels due to the heat.
Sanggenbaipi Wan (Mulberry Root Bark Pill, from *Shengji Zonglu*): Treats persistent epistaxis.
Ingredients: Sanggenbaipi (Cortex Mori Radicis, roasted and sliced), Shanzhizi (Fructus Gardeniae, peeled), Huangqin (Radix Scutellariae, black heart removed), Gancao (Radix Glycyrrhizae, roasted and sliced), Qianghuo (Rhizoma Notopterygii, rhizome removed), Fangfeng (Radix Saposhnikoviae, twigs and rhizome removed), Renshen (Radix Ginseng), Baifuling (Sclerotium Poriae Cocos, peeled), Chaihu (Radix Bupleuri, sprouts removed).
Administration: Taken with warm wine on an empty stomach before meals.
Wuhuang Wan (Five Yellows Pill, from *Jisheng Babieifang*): Treats persistent epistaxis accompanied by dry and hard stool; employs a purgative method.
Ingredients: Dahuang (Radix et Rhizoma Rhei, 5 qian), Mangxiao (Natrii Sulfas, 3 qian), Gancao (Radix Glycyrrhizae, 1 qian), Shengdihuang (Radix Rehmanniae Recens, 3 qian), Zhizi (Fructus Gardeniae, 1 qian), Huangqin (Radix Scutellariae, 1 qian), Huanglian (Rhizoma Coptidis, 1 qian).
Ejiao San (Donkey-Hide Gelatin Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Ejiao (Colla Corii Asini, crushed and roasted until yellow and dry, 2 liang), Guixin (Cortex Cinnamomi), Danggui (Radix Angelicae Sinensis), Xixin (Herba Asari), Longgu (Os Mastodi seu Femoris, 2 liang), Puhuang (Pollinis Typhae, 2 liang), Luankuihui (Ash of Human Hair, burned to ash, 3 liang). Grind into fine powder. Take 2 qian each time, mixed with rice water. Another version contains Xiong (Rhizoma Chuanxiong) and lacks Puhuang.
Qingfei Yinzi (Lung-Clearing Decoction, also known as Maidong Yin, from *Shixiao Fang*): Treats epistaxis and hematemesis that persist for a long time.
Ingredients: Wuweizi (Fructus Schisandrae, 10 pieces), Maidong (Tuber Ophiopogonis, heart removed), Dangguishen (Radix Angelicae Sinensis, root body), Renshen (Radix Ginseng), Shengdihuang (Radix Rehmanniae Recens, all half qian), Huangqi (Radix Astragali, 1 qian). Make into coarse powder, decoct with water.
Ciji San (Thistle Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Ciji (Hispida Echinops Fructus, 2 liang), Zhuru (Caulis Bambusae in Taedia, 2 liang), Puhuang (Pollinis Typhae), Aiye (Folium Artemisiae Argyi), Luankuihui (Ash of Human Hair), Baiyao (each 1 liang). Grind into powder. Take 3 qian each time, decoct with one sheng of water.
Dihuang San (Rehmannia Powder, from *Jisheng Babieifang*): Treats recurrent epistaxis persisting for a long time.
Ingredients: Shengdihuang (Radix Rehmanniae Recens), Shudihuang (Radix Rehmanniae Praeparata), Gouqizi (Fructus Lycii), Digupi (Cortex Lycii). All in equal parts. Grind into fine powder. Take 2 qian each time, mixed with honey water. Three times daily.
Qianmei Wan (Qiancao and Plum Pill, from *Yifang Dacheng*): Treats intermittent epistaxis.
Ingredients: Qiancaogen (Radix Rubiae Cordifoliae), Aiye (Folium Artemisiae Argyi, each 1 liang), Wumeirou (Fructus Mume, dried by roasting, half liang). Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills each time.
I once suffered from this condition.
Luankuihui San (Human Hair Ash Powder, from *Shenghui Fang*): Treats persistent epistaxis causing dizziness and restlessness.
Ingredients: Luankuihui (Ash of Human Hair, 1 fen), Guixin (Cortex Cinnamomi, half liang), Ganjiang (Rhizoma Zingiberis Secatum, 1 fen, processed). Grind into fine powder. Take 2 qian each time, mixed with warm grain water.
Liuhua San (Pomegranate Flower Powder, from *Shenghui Fang*): Treats persistent epistaxis unresponsive to other medicines.
Ingredients: Shi Liuhua (Flos Punicae Granati, sun-dried), Gu Mianhui (Ash of old cotton, half liang each), Renzhongbai (Concretio Uris, 1 fen). Grind together finely, add Shexiang (Moschus, 1 qian), grind uniformly, and insufflate a small amount into the nose.
Maidong Yinzi (Ophiopogon Decoction, from *Jisheng Babieifang*): Treats persistent epistaxis.
Ingredients: Maidong (Tuber Ophiopogonis), Shengdihuang (Radix Rehmanniae Recens), both in equal parts. Cut into pieces. Take 1 liang each time, decoct with water. Additionally, for epistaxis, first use drugs containing Zhusha (Cinnabaris) and Ge Fen (Concha Margaritiferae Textilis), then use Muxiang (Radix Aucklandiae) in conjunction.
Puhuang San (Typha Pollen Powder, from *Shenghui Fang*): Treats epistaxis persisting for a long time.
Ingredients: Puhuang (Pollinis Typhae, 2 liang), Shi Liuhua (Flos Punicae Granati, 1 liang, powdered). Mix and grind into powder. Take 1 qian each time, mixed with fresh well water.
Treating persistent epistaxis with jaundice of the body and face (from *Shenghui Fang*):
Ingredients: Chi Matong (Excrement Equi, seven pieces, juice extracted with one sheng of water), Ejiao (Colla Corii Asini, 3 fen, crushed and roasted until yellow and dry). Mix the Matong juice with Ejiao to achieve appropriate consistency, then consume.
Chuibi San (Insufflation Powder, from *Shenghui Fang*): Treats persistent epistaxis.
Ingredients: Feiboshihui (Ash of red silk fabric, 3 qian), Luankuihui (Ash of Human Hair, 2 qian). Grind finely, insufflate a small amount into the nose.
Qiandan San (Lead Tetroxide Powder, from *Shengji Zonglu*): Treats persistent epistaxis.
Usage: Take sufficient Qiandan (Mineral Lead Tetroxide), grind into powder. Take 2 qian each time, mixed with fresh well water when bleeding occurs.
Bai Fan San (White Alum Powder, from *Shengji Zonglu*): Treats persistent epistaxis.
Usage: Take Banlianjiao (Alumen, half liang), burn until liquid is exhausted, grind finely and sieve. Insufflate a small amount into the nose.
Te Xiao Fang (Special Effective Prescription, from *Wei Shi Fang*): Treats persistent epistaxis.
Usage: Grind Puhuang (Pollinis Typhae) and Xuexie (Resuma Draconis) into powder, insufflate into the nose.
Another prescription:
Usage: Boil Bohe (Herba Menthae) with water and Tongbian (Uterine Urine/Child's Urine), wrap in gauze, and insert into the nose.
Another prescription (from *Lvshe Beiyao Fang*):
Usage: Burn Zonglv (Trachycarpus Palm Fiber) to ash, insufflate into the nostril corresponding to the side of bleeding.
Ye Shi Fang (Master Ye's Prescription):
Usage: Wash feet with fresh well water corresponding to the side of bleeding.
Another prescription:
Usage: Twist paper into a rope with the left hand, tie it around the fourth finger, and chant: "Blood God, stop." Bleeding stops immediately.
Treating epistaxis persisting for a long time (from *Zhouhou Fang*):
Usage: Grind Jiegeng (Radix Platycodonis) into powder, take with water using a square-inch spoon (fangcun bi). Four to five doses daily. Stops hematemesis and lower gastrointestinal bleeding immediately.
Another prescription (from *Shenghui Fang*):
Usage: Take the joint bones from the wings of an old owl, lightly roast, grind into fine powder, and insufflate a small amount into the nose.
Another prescription (from *Shenghui Fang*):
Usage: Take half liang of Haihe Gu (Cutula Sepiae), remove the shell, grind into fine powder, and insufflate a small amount into the nose to stop bleeding. If not stopped, insufflate a small amount of Gan Fuping Cao (Herba Lemnae) powder into the nose.
Another prescription (from *Shenghui Fang*):
Usage: Take two liang of Gan Tai (Dry Moss), burn to ash, grind into powder, and insufflate a small amount into the nose.
Treating dripping blood from the nose persisting for days or weeks (from *Shenghui Fang*):
Usage: Take Nan Qiang Qiangyi (Wall lichen/moss from the south-facing wall), size of two apricot kernels, insert into the nose. Initially, it may be pushed out by blood; re-insert it.