论曰营气之行，常与卫气相随。则气与血未尝相离，盖肝脏血，肺主气，营卫和平。则
气血调顺，治若人腑脏有热，热乘血气，血性得热。流溢妄行，而肺开窍于鼻，故其发为
鼻衄，鼻衄不止者，脏虚血盛故也，内经又云，脾移热于肝。则为惊衄，盖脾土也，肝木也，
今脾移热于肝。则木不能制土，肝脏血，其神魂。故为惊衄之病。
治鼻衄不止。紫参汤方
紫参 蒲黄 生地黄（各二两） 黄芩（去黑心） 赤茯苓（去黑皮） 赤芍药 当归
（切焙各一两）
上八味。锉如麻豆大，每服三钱匕。水一盏，入阿胶二片，炙令燥，同煎至七分，去滓
温服，不拘时候。
治鼻衄不止。刺蓟汤方
刺蓟 黄芩（去黑心） 大黄（锉炒） 赤芍药（各三两） 蒲黄（二两） 侧柏叶（四
两） 生干地黄（焙）
上八味，粗捣筛，每服三钱匕，水一盏。煎至七分，去滓温服。逐急以新汲水调下。
治鼻衄不止。麝香散方
麝香（二钱） 滑石（末） 人中白（各半两）
上三味，同研为散，每服二钱匕，热酒调下。
治鼻衄不止，浓朴丸方
浓朴（去粗皮） 瓦砾（并沙姜） 粪堆土瓜苗心（等分）
上三味，捣罗为末，蜜丸如鸡头大。每服三丸。葱一握细切。面一匙，盐半钱，同炒黄，
沸汤点下。
治鼻衄不止。蒲槐散方
蒲黄 槐花（各半两） 防己 人参（各一分）
上四味，捣研为散，每服一钱匕，新水调下、食后服。
治鼻衄不止。天竺黄散方
天竺黄 芎 （各一分） 防己（半两）
上三味。捣研为散。每服一钱匕，新汲水调下，肺损吐血。用药二钱匕，生面一钱匕，
水调下，并食后服。
治鼻衄不止。千针散方
刺蓟 木贼（各一方） 白面（一钱）
上三味，捣罗为散，每服一钱匕，研青蒿心七枚。新水调下，并二服
治鼻衄日夜不止，头痛心烦，玉粉散方
石膏（研） 牡蛎（烧研如粉各一两）
上二味。研匀为散，每服二钱匕，新汲水调下，候血滴间断时，再以水调药如稀糊，滴
鼻内。
治鼻衄不止，鸡苏散方
鸡苏（三两） 防风（去叉一两）
上二味。捣罗为散。每服二钱匕，温水调下，更以鸡苏叶，于新水内揉软，内鼻窍即止
治鼻衄不止，二花散方
酸石榴花（一分） 黄蜀葵花（一钱）
上二味，捣罗为散，每服一钱匕，水一盏，煎至六分，不拘时候温服。
治鼻衄不止。欲死，车前散方
车前子（末） 牛耳中垢（等分）
上二味，和成梃子。塞鼻中，立止。
治鼻衄不止。柳枝散方
寒食杨柳枝（门傍插者一两） 人参（一分）
上二味，捣罗为散，每服一钱匕，新水调下，并二服。
治鼻衄不止，参莲散方
人参（一钱） 莲子心（一分）
上二味。捣罗为散，每服一钱匕，新水调下
治衄血不止。心神烦乱，头旋欲倒。通神散方
乱发（烧灰） 伏龙肝（等分）
上二味，研为散，每服三钱匕，新汲水调下。
治鼻衄不止。栗灰散方
生栗（宣州大者七枚）
上逐一微乱破皮。连皮烧存性，碗盖候冷，入麝香少许同研，每服二钱匕，温水调下。
治鼻衄不止。黄药散方
黄药子（一两）
上一味。捣罗为散，每服二钱匕，煎阿胶汤调下，良久以新汲水，调生面一匙投之。
治鼻衄血不止。法纸散方
上病患衄血时，以纸接血，候滴满纸，于灯上烧作灰，每一张作一服，新汲水调下，不
得令病患知。
治鼻衄不止，灯心散方
灯心（焙一两）
上一味，捣罗为散，入丹砂一钱研，每服二钱匕，米饮调下。
治鼻衄不止。当归散方
当归（切焙）
上一味，捣罗为散，每服一钱匕，米饮调下，
治血热冲肺，鼻衄不止，蜗牛散方
蜗牛（爆干一分） 乌贼鱼骨（半钱）
上二味捣研为散，含水一口， 一字入鼻内。
治鼻衄血不止。吹鼻散方
茆花（十茎） 乱发（一小团）
上二味。烧为末，研匀，每以少许吹鼻内。
治鼻衄不止。诸药不验，大蒜贴足方
蒜（一枚去皮细研）
上一味。摊作饼子，如钱大。浓一豆许。若左窍出血，贴于左脚心下。帛系定。右窍即
贴右脚心。两窍俱出，即俱贴之，血止急以温水洗脚心，令去蒜气。
治衄血不止。鸡苏饮方
鸡苏 白茯苓（去黑皮） 射干（各一两半） 白芷 桔梗 天门冬（去心焙） 当归
（切焙） 大黄（锉炒） 甘草（炙各一两） 桂（去粗皮半两）
上一十味、 咀，每服二钱匕，以水一盏，生姜三片，煎取六分，空腹去滓温服。
治鼻衄不止方
五月收刺蓟，曝干为散，每服三钱匕，温酒调下。
治鼻衄不止方
玄明粉
上临卧以冷熟水，调下二钱匕瘥。
又方
上取楮叶捣绞取汁一二升。旋旋饮之、即止。
治鼻衄不止方
糯米（二合）
上一味，捣罗为散，冷水调下三钱匕。
治鼻衄不止欲绝者方
茆花
上取花无即以根代，每服一大把细锉。水两碗，煎浓至一碗，分二服。
论述说：营气的运行，通常与卫气相随。因此气与血未曾分离，肝主藏血，肺主气，营卫调和。那么气血就会调顺。如果人的脏腑有热，热邪侵袭血气，血的性质受热后，就会流溢妄行。而肺开窍于鼻，所以发作起来成为鼻衄（鼻出血）。鼻衄不止的原因，是脏虚而血盛。《内经》又说，脾将热邪转移给肝，就会发生惊衄（因惊恐引发的鼻衄）。这是因为脾属土，肝属木，现在脾将热邪转移给肝，则木不能制约土。肝主藏血，其神为魂。所以产生惊衄的病证。
治疗鼻衄不止的紫参汤方：
紫参、蒲黄、生地黄（各二两）、黄芩（去除黑色中心部分）、赤茯苓（去除黑色外皮）、赤芍药、当归（切片焙干，各一两）。
以上八味药，锉碎如麻豆大小，每次服用三钱匕。用水一盏，加入阿胶两片，炙烤至干燥，一同煎煮至七分，去渣滓，温服，不限时候。
治疗鼻衄不止的刺蓟汤方：
刺蓟、黄芩（去除黑色中心部分）、大黄（锉碎炒制）、赤芍药（各三两）、蒲黄（二两）、侧柏叶（四两）、生干地黄（焙干）。
以上八味药，粗捣筛过，每次服用三钱匕，用水一盏。煎煮至七分，去渣滓温服。紧急时可用新汲水调服。
治疗鼻衄不止的麝香散方：
麝香（二钱）、滑石（研末）、人中白（各半两）。
以上三味药，一同研为散剂，每次服用二钱匕，用热酒调服。
治疗鼻衄不止的浓朴丸方：
浓朴（去除粗皮）、瓦砾（并沙姜）、粪堆土瓜苗心（等分）。
以上三味药，捣碎罗筛为末，蜜炼为丸，如鸡头大。每次服用三丸。葱一握细切，面一匙，盐半钱，一同炒黄，用沸水冲服。
治疗鼻衄不止的蒲槐散方：
蒲黄、槐花（各半两）、防己、人参（各一分）。
以上四味药，捣研为散剂，每次服用一钱匕，用新水调服，饭后服用。
治疗鼻衄不止的天竺黄散方：
天竺黄、川芎（各一分）、防己（半两）。
以上三味药，捣研为散剂。每次服用一钱匕，用新汲水调服。如果是肺损吐血，用药二钱匕，生面一钱匕，用水调服，均在饭后服用。
治疗鼻衄不止的千针散方：
刺蓟、木贼（各一方寸匕）、白面（一钱）。
以上三味药，捣罗为散剂，每次服用一钱匕，研磨青蒿心七枚，用新水调服，共服用两次。
治疗鼻衄日夜不止，头痛心烦的玉粉散方：
石膏（研细）、牡蛎（烧后研如粉，各一两）。
以上两味药，研匀为散剂，每次服用二钱匕，用新汲水调服。等到血滴间断时，再用水将药调成稀糊状，滴入鼻内。
治疗鼻衄不止的鸡苏散方：
鸡苏（三两）、防风（去叉枝，一两）。
以上两味药，捣罗为散剂。每次服用二钱匕，温水调服。再用鸡苏叶，在新水中揉软，塞入鼻窍即可止血。
治疗鼻衄不止的二花散方：
酸石榴花（一分）、黄蜀葵花（一钱）。
以上两味药，捣罗为散剂，每次服用一钱匕，用水一盏，煎煮至六分，不限时候温服。
治疗鼻衄不止，病情危重的车前散方：
车前子（研末）、牛耳中垢（等分）。
以上两味药，混合做成梃子状，塞入鼻中，立即止血。
治疗鼻衄不止的柳枝散方：
寒食节时的杨柳枝（门旁插着的，一两）、人参（一分）。
以上两味药，捣罗为散剂，每次服用一钱匕，用新水调服，共服用两次。
治疗鼻衄不止的参莲散方：
人参（一钱）、莲子心（一分）。
以上两味药，捣罗为散剂，每次服用一钱匕，用新水调服。
治疗衄血不止，心神烦乱，头晕欲倒的通神散方：
乱发（烧成灰）、伏龙肝（等分）。
以上两味药，研为散剂，每次服用三钱匕，用新汲水调服。
治疗鼻衄不止的栗灰散方：
生栗子（宣州产的大者七枚）。
以上逐一轻微破皮，连皮烧至存性，用碗盖住待冷，加入少许麝香同研，每次服用二钱匕，温水调服。
治疗鼻衄不止的黄药散方：
黄药子（一两）。
以上一味药，捣罗为散剂，每次服用二钱匕，煎阿胶汤调服。良久之后，用新汲水调生面一匙投下。
治疗鼻衄血不止的法纸散方：
当患者鼻出血时，用纸接血，等到滴满一张纸，在灯上烧成灰，每一张纸作为一服，用新汲水调服，不要让患者知道。
治疗鼻衄不止的灯心散方：
灯心草（焙干，一两）。
以上一味药，捣罗为散剂，加入丹砂一钱研匀，每次服用二钱匕，米饮调服。
治疗鼻衄不止的当归散方：
当归（切片焙干）。
以上一味药，捣罗为散剂，每次服用一钱匕，米饮调服。
治疗血热冲肺，鼻衄不止的蜗牛散方：
蜗牛（爆干，一分）、乌贼鱼骨（半钱）。
以上两味药捣研为散剂，含水一口，取“一字”量吹入鼻内。
治疗鼻衄血不止的吹鼻散方：
茆花（十茎）、乱发（一小团）。
以上两味药，烧成末，研匀，每次取少许吹入鼻内。
治疗鼻衄不止，诸药无效的蒜贴足方：
大蒜（一枚，去皮细研）。
以上一味药，摊作饼子，如铜钱大，厚约一粒豆许。如果左鼻孔出血，贴在左脚心下，用布帛系定；右鼻孔出血即贴右脚心。两鼻孔都出血，就都贴上。血止后急忙用温水洗脚心，以去除蒜气。
治疗衄血不止的鸡苏饮方：
鸡苏、白茯苓（去黑皮）、射干（各一两半）、白芷、桔梗、天门冬（去心焙干）、当归（切片焙干）、大黄（锉碎炒制）、甘草（炙，各一两）、桂（去除粗皮，半两）。
以上十味药，切碎，每次服用二钱匕，用水一盏，生姜三片，煎取六分，空腹去渣滓温服。
治疗鼻衄不止方：
五月采集刺蓟，晒干为散剂，每次服用三钱匕，温酒调服。
又一方：
取楮叶捣绞取汁一二升，慢慢饮用，即止。
Discussion states: The movement of Ying-Qi (Nutritive Qi) usually accompanies Wei-Qi (Defensive Qi). Therefore, Qi and Blood do not separate. The Liver stores Blood, while the Lung governs Qi; when Ying and Wei are harmonious, Qi and Blood flow smoothly. If there is heat in the viscera and bowels, heat invades Qi and Blood. When blood nature is affected by heat, it flows excessively and acts recklessly. Since the Lung opens into the nose, this manifests as Bi Nu (epistaxis/nosebleed). The reason for unceasing epistaxis is deficiency of the viscera and abundance of blood. The *Neijing* further states that if Spleen transfers heat to the Liver, it results in Jing Nu (epistaxis induced by fright). This is because the Spleen belongs to Earth, and the Liver belongs to Wood. Now, if the Spleen transfers heat to the Liver, Wood cannot control Earth. The Liver stores Blood and its spirit is Hun (Ethereal Soul); thus, the disease of Jing Nu arises.
Formula for Zishen Tang (Purple Ginseng Decoction) to treat unceasing epistaxis:
Zishen (Radix Salviae Miltiorrhizae), Puhuang (Pollen Typhae), Sheng Dihuang (Radix Rehmanniae Preparata) (each 2 liang), Huangqin (Radix Scutellariae, remove black heart), Chi Fuling (Poria with Red Cortex, remove black skin), Chi Shaoyao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis, sliced and roasted) (each 1 liang).
The above eight herbs are cut into pieces the size of hemp seeds. Each dose consists of 3 qian bi (approx. 9g). Add 1 zhan (approx. 200ml) of water and 2 pian (pieces) of Ejiao (Colla Corii Asini), roast until dry, then decoct together until reduced to 7/10 volume. Strain and take warm, at any time.
Formula for Ciji Tang (Cirsium Decoction) to treat unceasing epistaxis:
Ciji (Herba Cirsii Japonici), Huangqin (Radix Scutellariae, remove black heart), Dahuang (Radix et Rhizoma Rhei, cut and stir-fried), Chi Shaoyao (Radix Paeoniae Rubra) (each 3 liang), Puhuang (Pollen Typhae) (2 liang), Ce Bai Ye (Folium Platycladi) (4 liang), Sheng Gan Dihuang (Radix Rehmanniae Recens, dried and roasted).
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi. Add 1 zhan of water. Decoct until reduced to 7/10 volume, strain, and take warm. In emergencies, mix with fresh cold water.
Formula for Shexiang San (Musk Powder) to treat unceasing epistaxis:
Shexiang (Moschus) (2 qian), Huashi (Talcum, powdered), Renzhongbai (Calcinatio Natrii Sulfatis) (each half liang).
The above three substances are ground together into a powder. Each dose consists of 2 qian bi, taken with hot wine.
Formula for Houpo Wan (Magnolia Pill) to treat unceasing epistaxis:
Houpo (Cortex Magnoliae Officinalis, remove rough bark), Wali (Tile fragments), Shajiang (Rhizoma Zingiberis Officinalis Cum Sale), Feandui Tu Gua Miaoxin (Heart of seedling of melon from manure heap) (equal parts).
The above three substances are pounded, sieved into powder, and formed into pills with honey, sized like chicken heads. Each dose consists of 3 pills. Take with 1 bundle of finely chopped Congbai (Scallion white), 1 spoonful of flour, and half a qian of salt, all stir-fried until yellow, then taken with boiling water.
Formula for Puhuai San (Typha and Sophora Powder) to treat unceasing epistaxis:
Puhuang (Pollen Typhae), Huaihua (Flos Sophorae) (each half liang), Fangji (Radix Stephaniae Tetrandrae), Renshen (Radix Ginseng) (each 1 fen).
The above four herbs are pounded and ground into a powder. Each dose consists of 1 qian bi, taken with fresh water, after meals.
Formula for Tianzhu Huang San (Calculus Bovis Powder) to treat unceasing epistaxis:
Tianzhu Huang (Calculus Bovis), Xiong (Radix Ligustici Chuanxiong) (each 1 fen), Fangji (Radix Stephaniae Tetrandrae) (half liang).
The above three herbs are pounded and ground into a powder. Each dose consists of 1 qian bi, taken with fresh cold water. For hemoptysis due to lung damage, use 2 qian bi of medicine and 1 qian bi of raw flour, mixed with water, taken after meals.
Formula for Qianzhen San (Thousand-Needle Powder) to treat unceasing epistaxis:
Ciji (Herba Cirsii Japonici), Muzei (Herba Equiseti Hiemalis) (each 1 fang cun bi), Baifan (White Flour) (1 qian).
The above three substances are pounded and sieved into a powder. Each dose consists of 1 qian bi, mixed with 7 pounded hearts of Qinghao (Herba Artemisiae Annuae), taken with fresh cold water. Take two doses.
Formula for Yufen San (Jade Powder) to treat unceasing day-and-night epistaxis with headache and irritability:
Shigao (Gypsum Fibrosum, ground), Muli (Concha Ostreae, calcined and ground to powder) (each 1 liang).
The above two substances are ground evenly into a powder. Each dose consists of 2 qian bi, taken with fresh cold water. When the bleeding drops become intermittent, mix the medicine with water to form a thin paste and drip into the nose.
Formula for Jisu San (Elsholtzia Powder) to treat unceasing epistaxis:
Jisu (Herba Elsholtziae), Fangfeng (Radix Saposhnikoviae, remove forked roots) (each 3 liang and 1 liang respectively).
The above two herbs are pounded and sieved into a powder. Each dose consists of 2 qian bi, taken with warm water. Additionally, rub Jisu leaves in fresh water until soft and insert into the nasal cavity to stop bleeding.
Formula for Erhua San (Two-Flower Powder) to treat unceasing epistaxis:
Suan Shiliuhua (Flos Punicae Granati Acidum) (1 fen), Huang Shukuihua (Flos Abutilonis Indici) (1 qian).
The above two flowers are pounded and sieved into a powder. Each dose consists of 1 qian bi, decocted in 1 zhan of water until reduced to 6/10 volume, taken warm at any time.
Formula for Cheqian San (Plantago Powder) to treat severe unceasing epistaxis approaching death:
Cheqianzi (Semen Plantaginis, powdered), Niuer Zhong Gou (Cerumen of Ox Ear) (equal parts).
The above two substances are mixed and formed into a stick shape, inserted into the nose to immediately stop bleeding.
Formula for Liuzhi San (Willow Branch Powder) to treat unceasing epistaxis:
Hanshi Yangliuzhi (Willow branches from Cold Food Festival, those inserted by doors) (1 liang), Renshen (Radix Ginseng) (1 fen).
The above two substances are pounded and sieved into a powder. Each dose consists of 1 qian bi, taken with fresh cold water. Take two doses.
Formula for Shenlian San (Ginseng and Lotus Seed Powder) to treat unceasing epistaxis:
Renshen (Radix Ginseng) (1 qian), Lianzixin (Plumula Nelumbinis) (1 fen).
The above two substances are pounded and sieved into a powder. Each dose consists of 1 qian bi, taken with fresh cold water.
Formula for Tongshen San (Spirit-Unblocking Powder) to treat unceasing nosebleed with mental restlessness and dizziness:
Luancha (Burning Hair Ash), Fulonggan (Terra Fusca) (equal parts).
The above two substances are ground into a powder. Each dose consists of 3 qian bi, taken with fresh cold water.
Formula for Lihui San (Chestnut Ash Powder) to treat unceasing epistaxis:
Shengli (Fresh Chestnuts, large ones from Xuanzhou, 7 pieces).
Each chestnut is slightly broken on the skin, burned with skin intact until carbonized ("stored nature"). Cover with a bowl until cool, add a little Shexiang (Moschus), and grind together. Each dose consists of 2 qian bi, taken with warm water.
Formula for Huangyao San (Yellow Herb Powder) to treat unceasing epistaxis:
Huangyaozi (Rhizoma Dioscoreae Bulbiferae) (1 liang).
This single herb is pounded and sieved into a powder. Each dose consists of 2 qian bi, taken with Ejiao decoction. After some time, administer 1 spoonful of raw flour mixed with fresh cold water.
Formula for Fazhi San (Paper Powder) to treat unceasing epistaxis:
When the patient bleeds from the nose, catch the blood on paper. When one sheet is full, burn it to ash over a lamp. One sheet constitutes one dose, taken with fresh cold water. Do not let the patient know.
Formula for Dengxin San (Juncus Powder) to treat unceasing epistaxis:
Dengxin (Medulla Junci, roasted) (1 liang).
This single herb is pounded and sieved into a powder, mixed with 1 qian of Dansha (Cinnabar). Each dose consists of 2 qian bi, taken with rice drink.
Formula for Danggui San (Angelica Powder) to treat unceasing epistaxis:
Danggui (Radix Angelicae Sinensis, sliced and roasted).
This single herb is pounded and sieved into a powder. Each dose consists of 1 qian bi, taken with rice drink.
Formula for Woniu San (Snail Powder) to treat epistaxis due to blood heat rushing to the Lung:
Woniu (Helix Aspersa, dried by roasting) (1 fen), Wuzeiyu Gu (Os Sepiae) (half qian).
The above two substances are pounded and ground into a powder. Take a mouthful of water, place a "yi zi" (approx. 0.5g) amount into the nose.
Formula for Chuibi San (Blowing Powder) to treat unceasing epistaxis:
Maohua (Flores Imperatae), Luancha (Burning Hair Ash, small ball).
The above two substances are burned to ash and ground evenly. Blow a small amount into the nose each time.
Formula for Dasuan Tie Zu (Garlic Foot Paste) for unceasing epistaxis unresponsive to other medicines:
Dasuan (Allium Sativum, peeled and finely ground) (1 clove).
This single substance is spread into a cake the size of a coin, thickness of a bean. If the left nostril bleeds, apply to the sole of the left foot and tie with cloth; if the right, apply to the right sole. If both bleed, apply to both. Immediately wash the soles with warm water after bleeding stops to remove garlic odor.
Formula for Jisu Yin (Elsholtzia Drink) to treat unceasing nosebleed:
Jisu (Herba Elsholtziae), Baifuling (Poria with White Cortex, remove black skin), Shegan (Rhizoma Belamcandae) (each 1.5 liang), Baizhi (Radix Angelicae Dahuricae), Jiegeng (Radix Platycodonis), Tiandong (Radix Asparagi, de-heartened and roasted), Danggui (Radix Angelicae Sinensis, sliced and roasted), Dahuang (Radix et Rhizoma Rhei, cut and stir-fried), Gancao (Radix Glycyrrhizae, honey-roasted) (each 1 liang), Gui (Cortex Cinnamomi, remove rough bark) (half liang).
The above ten herbs are cut. Each dose consists of 2 qian bi. Add 1 zhan of water and 3 slices of Shengjiang (Rhizoma Zingiberis Recens). Decoct until reduced to 6/10 volume. Strain and take warm on an empty stomach.
Formula for treating unceasing epistaxis:
Collect Ciji (Herba Cirsii Japonici) in May, dry it thoroughly, and make into powder. Each dose consists of 3 qian bi, taken with warm wine.
Formula for treating unceasing epistaxis:
Xuanmingfen (Natrii Sulfatis Exsiccatus).
Take 2 qian bi mixed with cold boiled water before sleep. Cure.
Another formula:
Crush and juice Chuanye (Folium Broussonetiae Papyriferae), obtain 1-2 sheng (liters). Drink slowly to stop bleeding.
Formula for treating unceasing epistaxis:
Nuomi (Oryza Sativa Glutinosa) (2 he).
This single herb is pounded and sieved into a powder. Take 3 qian bi mixed with cold water.
Formula for treating severe unceasing epistaxis:
Maohua (Flores Imperatae).
If flowers are unavailable, use roots. Take a large handful, finely cut. Decoct in 2 bowls of water until concentrated to 1 bowl. Divide into two doses.