治鼻衄立效。
白芨（不拘多少）
上为末。冷水调，用纸花贴鼻HT 中。一法，用黄胶汤令软，贴鼻HT 中。
病者诸血积聚，合发为衄，而清气道闭，浊道涌溢，停留胸胃中，因即满闷，吐出数斗
至于一石者，名曰内衄；或因四气伤于外，七情动于内，及饮食房劳，坠堕伤损，致荣血留
聚膈间，满则吐溢，世谓妄行。
桂枝栝蒌根汤 治伤风吐血。(方见外因衄血证治)
五苓散 治伤暑吐血。(方见外因衄血证治)
除湿汤 治伤湿吐血。(方见外因衄血证治)
治三因吐血；及衄血下血，一切血溢妄行。
叶子雌黄
上一味，为粗末，入枣肉内，线系定，满着汤煮，用黑锡对雌黄斤两，熔作汁，倾入汤
，煮一日，添汤候冷，取出雌黄洗净，干研为细末，却以煮药枣肉和丸，如梧子大。每服五
七丸，黑锡煎汤下。
病者因饮食过度，伤胃；或胃虚不能消化，致翻呕吐逆，物与气上冲蹙胃口决裂，所伤
吐出，其色鲜红，心腹绞痛，白汗自流，名曰伤胃吐血。
能止伤胃吐血者，以其功最理中脘，分利阴阳，安定血脉，方证广如《局方》
，但不出吐血证，学人当自知之。
人参 白术 甘草(炙) 白姜(炮，各等分)
上为锉散。每服四钱，水一盏，煎七分，去滓，不以时服；或只煮干姜甘草汤饮之亦妙
。方见《养生必用》。
治疗鼻出血有立竿见影之效。
白芨（用量不限）
将上述药材研成粉末。用冷水调匀，用纸花贴敷于鼻腔内。另一种方法，用黄胶汤浸软后，贴敷于鼻腔内。
患者体内各种血液积聚，合并发为鼻衄，导致清气之道闭塞，浊气之道涌溢，血液停留在胸胃中，因此感到胀闷，吐出数斗甚至一石的血液，这叫做“内衄”；或者因为四时外邪损伤体表，七情内伤脏腑，以及饮食不节、房劳过度、跌坠损伤，导致营血留聚在膈间，满溢则吐溢而出，世人称之为“妄行”。
桂枝栝蒌根汤 治疗因伤风引起的吐血。（方剂见外因衄血证治章节）
五苓散 治疗因伤暑引起的吐血。（方剂见外因衄血证治章节）
除湿汤 治疗因伤湿引起的吐血。（方剂见外因衄血证治章节）
治疗由三因（内因、外因、不内外因）引起的吐血；以及鼻衄、便血等一切血液妄行溢出。
叶子雌黄
取上述一味药，研成粗末，放入枣肉中，用线系紧，放入足量的水中煮，使用黑锡与雌黄重量相等，熔化黑锡成汁，倒入汤中，煮一天，添加水候冷，取出雌黄洗净，干燥后研成细末，再用煮药的枣肉和丸，如梧桐子大小。每次服用五至七丸，用黑锡煎成的汤送服。
患者因为饮食过量，损伤胃部；或者胃气虚弱不能消化食物，导致翻呕吐逆，食物与气上冲挤压胃口导致破裂，所吐出的血液颜色鲜红，心腹绞痛，冷汗自流，这叫做“伤胃吐血”。
能够治疗伤胃吐血的原因，是因为该方功效最能调理中脘，分清利浊阴阳，安定血脉，方证内容广泛如《太平惠民和剂局方》，只是未专门列出吐血证治，学习者应当自行知晓。
人参 白术 甘草（炙） 干姜（炮，各等分）
将上述药材锉碎成散剂。每次服用四钱，用水一盏，煎至七分，去渣，不拘时候服用；或者只煮干姜甘草汤饮用也很好。方剂见《养生必用》。
For the treatment of epistaxis with immediate effect.
Bletillae Rhizoma (Baiji) (quantity unrestricted)
Grind the above into powder. Mix with cold water, and apply paper flowers to the nasal cavity [HT]. Another method: soften with Huangjiao Tang (Yellow Gum Decoction), and apply to the nasal cavity [HT].
When various types of blood accumulate in the patient's body and manifest as epistaxis, the pathway of clear Qi becomes blocked, while the pathway of turbid Qi surges upward. The blood remains stagnant in the chest and stomach, causing fullness and oppression. Vomiting several dou or even one shi of blood is termed "internal epistaxis" (Neinu). Alternatively, due to injury by the four external climatic factors, emotional disturbances internally, improper diet, sexual excess, or trauma from falls, Ying Blood may stagnate between the diaphragm. When full, it overflows and vomits out; this is commonly referred to as "reckless bleeding" (Wangxing).
Guizhi Gualougen Tang (Cinnamon Twig and Trichosanthes Root Decoction) treats hematemesis caused by wind-stroke. (Formula see External Causes Epistaxis Treatment section)
Wuling San (Five-Ingredient Powder with Poria) treats hematemesis caused by summerheat. (Formula see External Causes Epistaxis Treatment section)
Chushi Tang (Dampness-Expelling Decoction) treats hematemesis caused by dampness. (Formula see External Causes Epistaxis Treatment section)
Treats hematemesis caused by the three causes (Internal, External, and Non-internal/External); as well as epistaxis, lower gastrointestinal bleeding, and all forms of reckless bleeding overflow.
Yezi Cihuang (Leaf-shaped Orpiment)
Take the single herb above, grind into coarse powder, place within jujube flesh, tie securely with thread, and boil in sufficient water. Use Heixi (Black Tin) equal in weight to the Cihuang, melt the tin into liquid, pour into the decoction, and boil for one day. Add water, allow to cool, remove the Cihuang, wash clean, dry, and grind into fine powder. Then, mix with the boiled jujube flesh to form pills the size of a wutong seed. Take five to seven pills per dose, administered with Heixi Jian Tang (Black Tin Decoction).
If the patient overeats, damaging the Stomach; or if Stomach deficiency fails to digest food, leading to regurgitation and vomiting, where food and Qi rush upward, compressing and rupturing the cardiac orifice, the vomited blood is bright red, accompanied by severe heart and abdominal pain, and spontaneous white sweat. This is termed "Stomach-injury Hematemesis" (Shangwei Tuxue).
The reason this formula can treat Stomach-injury Hematemesis is that its efficacy best regulates the Zhongwan region, separates and benefits Yin and Yang, and stabilizes the blood vessels. The scope of formulas and indications is extensive, similar to *Ju Fang* (Prescriptions of the Bureau), though it does not explicitly list hematemesis syndromes; students should understand this independently.
Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Gancao (Licorice Radix et Rhizoma, honey-fried) Jiang (Ginger, processed) (equal parts)
Grind the above into a coarse powder. Take 4 qian per dose, add one lamp of water, decoct until reduced to 0.7 parts, strain, and take at any time; or simply decoct Jiang-Gan Cao Tang (Ginger and Licorice Decoction) and drink it, which is also excellent. Formula see *Yangsheng Biyong*.