唇衄之名，医书未载，而予则亲见之。证治之奇，理不可测。乾隆壬子秋，一商人求诊
，据
述上唇偶起一疮，擦破血出不止，或直射如箭，已经旬矣。求与止血之药。按唇属脾，必由
脾热上蒸，以故血流不止，补用清剂不效，因血流多，恐其阴伤，更用滋水养阴之剂，亦不
效。及敷外科金疮各种止血药，又不效。挨至月余，去血无算，形神羸惫，自分必死。忽梦
其先亡语曰∶尔病非医药能治，可用栗一枚，连壳烧灰，同硫黄等分研末和敷，自愈。醒后
根据法敷之，血果止。商人亲向予言，真咄咄怪事也。
汪氏妇，夏月初患齿衄，衄止旋吐血，血止鼻又衄，大流三日，诸治不应。诊脉弦搏，
知其
肺胃火盛，非寒凉折之不可，乃用犀角地黄汤，取鲜地黄绞汁，和童便冲药，外用热酒洗足
，独蒜捣涂足心，一昼夜衄仍不止。因忆门人许生曾言∶人传止衄奇法，先用粗琴线数尺，
两头各系钱百文，悬挂项下，再用手指掐定太溪穴(太溪穴在两足内踝下动脉陷处，)神验。
外治之法，于病无伤，今既诸治罔效，姑一试之，衄竟止。惟神形疲困，头昏少寐，思血去
过多，真阴必伤，改用麦易地黄汤加龟板、石斛、白芍、女贞、沙参、阿胶、旬日霍然。识
此以广见闻。
昔闻先辈云∶补中益气汤，乃安胎圣药，予未深信。乾隆癸丑秋，某妇怀孕数月，腰腹
俱痛
，恶露行多，势欲下堕，诸药不应，投以此方，加阿胶即安，后屡用皆验。下方中有参 归
术，培补气血，妙在升柴二味，升举之力，俾胎元不至下陷，然后补药得以奏功。血热加黄
芩，血虚加地黄尤妙。
“唇衄”这一病名，医书中没有记载，但我亲自见过。其证候和治疗之奇特，道理难以揣测。乾隆壬子年秋天，一位商人来求诊，据他叙述，上嘴唇偶然长了一个疮，擦破后血流不止，有时像射出的箭一样直射，已经持续了十天。他请求我给予止血的药物。根据中医理论，嘴唇归属于脾，这必定是由于脾热向上蒸腾所致，因此血液流个不停。起初使用清热凉血的方剂治疗，没有效果；因为失血过多，担心损伤阴液，又改用滋阴养水的方剂，也没有效果。接着敷用外科金疮用的各种止血药，依然无效。拖延到一个多月，失血量无法计算，身体和精神都极度虚弱疲惫，他自己断定必死无疑。忽然梦见已故的亲人对他说：“你的病不是医药能治好的，可以用一颗栗子，带着壳烧成灰，与硫黄按等量研磨成粉末调和敷在患处，自然会痊愈。”醒来后按照这个方法敷药，血果然止住了。商人对我也亲口说，这真是令人惊讶的怪事啊。
汪姓妇人，在夏月初患齿衄（牙龈出血），血止住后又吐血，血止住后鼻子又开始出血，大量流血持续三天，各种治疗方法都不见效。诊察脉搏弦而搏动有力，知道她是肺胃火气旺盛，非用寒凉药物折服不可，于是使用犀角地黄汤，取鲜地黄绞出的汁液，配合童便冲服药渣，外用热酒洗脚，独头蒜捣烂涂在足心，经过一昼夜，鼻衄仍然不止。于是想起门人许生曾说：有人传授一种止鼻衄的奇特方法，先用几尺粗琴线，两头各系一百文铜钱，悬挂在脖子上，再用手指掐住太溪穴（太溪穴位于两足内踝下方的动脉凹陷处），非常灵验。外治的方法，对身体没有伤害，既然各种内治方法都无效，姑且尝试一下，鼻衄竟然止住了。只是神志形体疲乏困倦，头晕睡眠少，考虑到失血过多，真阴必然受损，于是改用麦冬、易地黄汤（此处原文为“麦易”，疑为麦冬、地黄类方或笔误，依原文译）加入龟板、石斛、白芍、女贞子、沙参、阿胶，十天后完全康复。记录此事以开阔见闻。
过去听说前辈医生说：补中益气汤是安胎的神药，我当初并不深信。乾隆癸丑年秋天，一位妇女怀孕几个月，腰部和腹部都疼痛，恶露下行很多，胎儿有下坠流产之势，各种药物都不见效，投用此方，加入阿胶后病情安定，后来多次使用都验证有效。这个方子中有参、归、术，用于培补气血，妙在升麻、柴胡这两味药，具有升举之力，使胎元不至于下陷，然后补益的药物才能发挥作用。如果是血热加黄芩，血虚加地黄，尤其奇妙。
The term "Chun Nu" (Lip Epistaxis) is not recorded in medical books, yet I have witnessed it personally. The nature of the syndrome and its treatment are so peculiar that their rationale is unfathomable. In the autumn of the Renzi year of the Qianlong era, a merchant sought consultation. He reported that a sore had occasionally appeared on his upper lip; after being scratched, it bled incessantly, sometimes shooting out like an arrow, for ten days. He requested hemostatic medication. According to TCM theory, the lips belong to the Spleen (Spleen), indicating that this condition must be caused by Spleen Heat steaming upward, hence the unceasing bleeding. Initially, cooling and clearing agents were used but proved ineffective. Due to excessive blood loss, fearing Yin injury, nourishing fluids and nourishing Yin formulas were administered, also without effect. Subsequently, various external hemostatic medicines for traumatic wounds were applied, still without success. After dragging on for over a month, with immeasurable blood loss, his physical form and spirit became emaciated and exhausted, and he resigned himself to death. Suddenly, he dreamed of his deceased ancestors who said: "Your illness cannot be cured by medicine. You may use one chestnut, burned to ash with its shell, mixed in equal parts with Sulfur (Liu Huang), ground into powder, and applied externally; it will heal itself." Upon waking, he applied the remedy as instructed, and the bleeding indeed stopped. The merchant told me personally, "This is truly a surprising and strange matter."
Madam Wang suffered from Chi Nu (Gingival Bleeding) in the early summer month. After the bleeding stopped, she vomited blood; after that stopped, her nose began to bleed again. She experienced heavy flow for three days, and various treatments failed. Her pulse was wiry and forceful, indicating Excess Fire in the Lung and Stomach, which could only be subdued by cold-natured drugs. Thus, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) was prescribed, using juice extracted from fresh Dihuang (Rehmanniae Radix Recens), mixed with Tongbian (Child's Urine) to wash down the herbs. Externally, feet were washed with hot wine, and a single garlic clove was mashed and applied to the Yongquan acupoint (Yongquan, Kidney 1, located in the depression anterior to the plantar crease between the second and third metatarsal bones when the foot is flexed). However, after a full day and night, the epistaxis continued unabated. I then recalled my disciple Mr. Xu mentioning a legendary method for stopping epistaxis: take several chi of coarse guqin strings, tie a hundred copper coins to each end, hang them around the neck, and then press firmly on the Taixi acupoint (Taixi, Kidney 3, located in the depression distal to the medial malleolus where the posterior tibial artery pulses). This method is highly effective. Since external treatments do not harm the body, and all internal treatments had failed, we tentatively tried this method, and the epistaxis surprisingly ceased. However, due to excessive blood loss, her true Yin was inevitably damaged, resulting in mental and physical fatigue, dizziness, and insomnia. Therefore, the prescription was changed to Maidong Dihuang Tang (Ophiopogon and Rehmannia Decoction - *Note: Text says 'Mai Yi', likely referring to Ophiopogon/Rehmannia based context*) supplemented with Guiban (Testudinis Carapax et Plastrum), Shihu (Dendrobii Caulis), Baishao (Paeoniae Radix Alba), Nvzhenzi (Ligustri Lucidi Fructus), Shashen (Glehniae Radix), and Ejiao (Asini Corii Colla). Within ten days, she recovered completely. This case is recorded to broaden knowledge.
I once heard senior physicians say that Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is a sacred medicine for stabilizing pregnancy, though I did not initially believe it. In the autumn of the Guichou year of the Qianlong era, a woman who had been pregnant for several months complained of pain in both her waist and abdomen, with excessive lochia discharge, threatening miscarriage. Various medications failed, but upon administering this formula with added Ejiao (Donkey-Hide Gelatin), the condition stabilized. It was later found to be effective in repeated uses. This formula contains Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) to tonify Qi and Blood. Its brilliance lies in the ascending power of Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), which prevent the descent of the fetal origin, allowing the tonifying herbs to take effect. If there is Blood Heat, Huangqin (Scutellariae Radix) is added; if there is Blood Deficiency, Dihuang (Rehmanniae Radix) is added, which is particularly efficacious.