鼻为阳明之部，气血俱多之乡，冲任又附于阳明为经血之海，或邪盛于经遏热动血，或血虚于里阳旺迫血，
皆能令人血出于鼻而谓之衄，衄久不止，天癸亦致涩少，且鼻为肺窍，火刑金者必兼咳嗽而渐甚。
浮洪者邪盛于经，涩数者血虚于脏，虚数乃血为热迫，软数是血不归经。
邪盛于经者清之疏之，血虚于脏者滋之止之，血不归经补气摄血以引其归脏，血为热迫清热养血以吸其归经。
主以举轻古拜散，血热犀角地黄汤，血虚四物汤，血虚热上迫滋肝凉八味，经寒血上走白芍理阴煎，伤温黑
膏法，分解伤寒建中汤加黄 。
加味举轻古拜散
治鼻衄，脉浮数者。
荆芥（一两，炒黑） 生地（五两） 黄芩（一两） 当归（二两） 白芍（一两，炒） 丹皮（一两）
茜草（二两） 枳壳（六钱，炒黑） 甘草（六钱）
制为散，茅根汤下三钱（古方荆芥一味炒即名举轻古拜散）。
风热伤于营分致蕴热内迫而血动于经，故衄血而身热不解，天癸不调焉。黑荆疏风理血，生地壮水凉血，
黄芩清热止血，白芍敛阴和血，当归养血脉益营，丹皮平相火凉血，枳壳泻滞气以降下，茜草化滞血以止衄，生
草泻火以缓其中也。为散以散之，茅根以凉之，俾风热外解，则经气清和而营血自固，鼻衄无不上，身热无不解，
何天癸不渐调哉。风动迫血，一味黑荆亦可止。
凉八味丸
治相火鼻红脉虚尺旺者。
生地（五两） 萸肉（一两半） 泽泻（一两） 丹皮（一两半） 茯苓（一两半） 山药（三两，炒）
黄柏（一两半，盐水炒） 知母（一两半，盐水炒）
制为末蜜丸，茅花汤下三五钱。
肾水不足相火上炎而血不能藏，故鼻衄淋漓，经血渐少将成
损疾焉，生地壮水滋阴，萸肉涩精秘气，黄柏清湿热以坚肾脏，知母清燥火以益肾水，茯苓清肺气，山药壮脾阴，
丹皮平相火以凉血热，泽泻利膀胱以降浊阴，蜜丸以润燥，金茅花汤以止衄血也，使肾水充足则相火退藏而阴血
宁静，何有鼻衄淋漓经血渐少之患乎。
理阴煎
治阳虚血走，脉细数者。
熟地（五钱） 当归（三钱，醋炒） 炮姜（五分，盐水炒） 肉桂（五分，盐水炒）
水煎去渣温服。
阳虚之人脉络空虚而荣血散溢，故血得上出于鼻，天癸不能下行焉。熟地补阴以吸经血之上溢，当归养血
以归营血之乱行，肉桂盐水炒以统摄其血，炮姜盐水炒以止涩其血也。水煎温服，使血暖阳回，则阳能统血而血
不外走，何有衄血之患，天癸无不渐来矣。
鼻子是阳明经所主的部位，也是气血充盛的地方。冲脉和任脉依附于阳明经，作为经血的源头。如果邪气在经脉中亢盛，郁遏热气而扰动血液；或者体内血虚而阳气偏旺，逼迫血液妄行，都能导致血液从鼻中流出，这被称为“衄”。如果鼻衄日久不止，天癸（指女子月经及生殖功能）也会因此变得涩滞量少。而且鼻子是肺的窍道，火邪刑克肺金时，必然兼有咳嗽且逐渐加重。
脉象浮洪的，是邪气亢盛于经脉的表现；脉象涩数的，是脏腑血虚的表现；脉象虚数的，是血液被热邪逼迫所致；脉象软数（濡数）的，是血液不能归经的表现。
对于邪气亢盛于经脉的情况，采用清解和疏泄的方法；对于脏腑血虚的情况，采用滋养和止血的方法；对于血液不归经的情况，通过补气来统摄血液，引导其回归脏腑；对于血液被热邪逼迫的情况，通过清热和养血，使血液回归经脉。
治疗主要以举轻古拜散为主，血热者用犀角地黄汤，血虚者用四物汤，血虚且热邪上迫者用滋肝凉八味丸，经寒导致血上行者用白芍理阴煎，伤温邪者用黑膏法，分解伤寒者用建中汤加黄芩。
加味举轻古拜散
治疗鼻衄，脉象浮数的患者。
荆芥（一两，炒黑）、生地（五两）、黄芩（一两）、当归（二两）、白芍（一两，炒）、丹皮（一两）、茜草（二两）、枳壳（六钱，炒黑）、甘草（六钱）。
制成散剂，用茅根汤送服三钱（古方中仅用荆芥一味炒黑即名为举轻古拜散）。
风热之邪损伤营分，导致蕴热在内逼迫，使血液在经脉中妄动，所以出现鼻衄且身体发热不退，天癸也不调畅。黑荆芥疏散风邪、调理血液，生地黄壮水滋阴、凉血，黄芩清热止血，白芍收敛阴液、调和血液，当归滋养血脉、补益营气，牡丹皮平抑相火、凉血，枳壳泻除滞气以降逆，茜草化解瘀血以止鼻衄，生甘草泻火以缓和药性。制成散剂是为了发散邪气，用茅根汤是为了清凉，使得风热从外解除，那么经脉之气清和而营血自然稳固，鼻衄没有不愈的，身热没有不解的，天癸怎么会不逐渐调畅呢？如果是风动逼迫血液，单用一味黑荆芥也可以止血。
凉八味丸
治疗因相火上炎导致鼻红、脉象虚而尺部旺盛的患者。
生地（五两）、山茱萸（一两半）、泽泻（一两）、牡丹皮（一两半）、茯苓（一两半）、山药（三两，炒）、黄柏（一两半，盐水炒）、知母（一两半，盐水炒）。
制成粉末，用蜂蜜炼为丸剂，用茅花汤送服三到五钱。
肾水不足，相火上炎，导致血液不能藏守，所以鼻衄淋漓不断，经血逐渐减少，将形成虚损疾病。生地黄壮水滋阴，山茱萸固涩精气，黄柏清除湿热以坚固肾脏，知母清除燥火以增益肾水，茯苓清肃肺气，山药强壮脾阴，牡丹皮平抑相火以凉血热，泽泻利水通膀胱以降泄浊阴，蜜丸用来润燥，茅花汤用来止鼻衄血。如果肾水充足，则相火退去潜藏，阴血宁静，哪里还会有鼻衄淋漓、经血渐少的祸患呢？
理阴煎
治疗阳虚导致血行妄动，脉象细数的患者。
熟地黄（五钱）、当归（三钱，醋炒）、炮姜（五分，盐水炒）、肉桂（五分，盐水炒）。
加水煎煮，去渣后温服。
阳虚的人脉络空虚，营血散乱溢出，所以血液向上从鼻中流出，天癸不能下行。熟地黄补阴以吸引经血不再上溢，当归养血以使营血恢复正常运行，肉桂用盐水炒以统摄血液，炮姜用盐水炒以止涩血液。加水煎煮温服，使得血暖阳回，那么阳气能统摄血液而血不外流，哪里还有鼻衄的祸患，天癸无不逐渐来潮了。
The nose is the region governed by the Yangming channel, a place where both Qi and Blood are abundant. The Chong and Ren vessels attach to the Yangming channel, serving as the sea of menstrual blood. If pathogenic factors become excessive in the channels, stifling heat and disturbing blood; or if there is internal Blood deficiency with hyperactive Yang forcing blood to move recklessly, all can cause blood to flow from the nose, which is called "Nu" (epistaxis). If epistaxis persists for a long time, Tian Gui (menstrual function and reproductive essence) will also become scanty and sluggish. Moreover, the nose is the orifice of the Lung; when Fire insults Metal (Lung), it must be accompanied by coughing that gradually worsens.
A floating and surging pulse indicates pathogenic excess in the channels; a choppy and rapid pulse indicates Blood deficiency in the Zang organs; a deficient and rapid pulse indicates Blood being forced by Heat; a soft and rapid (Ruo Shu) pulse indicates Blood failing to return to its vessels.
For pathogenic excess in the channels, clear and disperse it; for Blood deficiency in the Zang organs, nourish and stop bleeding; for Blood failing to return to its vessels, tonify Qi to control Blood and guide it back to the Zang organs; for Blood being forced by Heat, clear Heat and nourish Blood to draw it back into the vessels.
The primary treatment is Ju Qing Gu Bai San (Light Lifting Ancient White Powder); for Blood Heat, use Xi Jiao Di Huang Tang (Rhino Horn Rehmannia Decoction); for Blood deficiency, use Si Wu Tang (Four Substances Decoction); for Blood deficiency with Heat pressing upward, use Zi Gan Liang Ba Wei (Nourish Liver Cool Eight Ingredients Pill); for Cold in the channels causing Blood to flow upward, use Bai Shao Li Yin Jian (White Peony Nourishing Yin Decoction); for Warm injury, use Hei Gao Fa (Black Plaster Method); for resolving Taiyang disease, use Jian Zhong Tang (Establish the Middle Decoction) plus Huang Qin (Scutellaria Root).
Modified Ju Qing Gu Bai San
Treats epistaxis with a floating and rapid pulse.
Jing Jie (Schizonepetae Spica, 1 liang, stir-fried until black), Sheng Di (Rehmanniae Radix, 5 liang), Huang Qin (Scutellariae Radix, 1 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Bai Shao (Paeoniae Radix Alba, 1 liang, stir-fried), Dan Pi (Moutan Cortex, 1 liang), Qian Cao (Rubiae Cordifoliae Radix et Rhizoma, 2 liang), Zhi Ke (Aurantii Fructus Immaturus, 6 qian, stir-fried until black), Gan Cao (Glycyrrhizae Radix et Rhizoma, 6 qian).
Process into powder, take 3 qian with Zhu Gen Tang (Imperatae Rhizoma Decoction). (In ancient formulas, Jing Jie alone stir-fried was named Ju Qing Gu Bai San).
Wind-Heat injuring the Ying level causes latent Heat to press internally, moving Blood in the channels, thus causing epistaxis and unresolved body heat, leading to irregular Tian Gui. Black Jing Jie disperses Wind and regulates Blood; Sheng Di strengthens Water and cools Blood; Huang Qin clears Heat and stops bleeding; Bai Shao astringes Yin and harmonizes Blood; Dang Gui nourishes blood vessels and benefits Ying; Dan Pi calms Ministerial Fire and cools Blood; Zhi Ke drains stagnant Qi to direct it downward; Qian Cao transforms stagnant Blood to stop epistaxis; Gan Cao drains Fire to moderate the center. Made into powder to disperse, and Zhu Gen Tang to cool, so that Wind-Heat resolves externally, the channel Qi becomes clear and harmonious, and Ying Blood naturally consolidates. Epistaxis will not fail to heal, body heat will not fail to resolve, how could Tian Gui not gradually regulate? Even if Wind moves and forces Blood, a single dose of Black Jing Jie can also stop bleeding.
Liang Ba Wei Wan (Cool Eight Ingredients Pill)
Treats ministerial fire rising causing nasal redness, with a deficient pulse and vigorous Chi position.
Sheng Di (Rehmanniae Radix, 5 liang), Yu Rou (Corni Fructus, 1.5 liang), Ze Xie (Alismatis Rhizoma, 1 liang), Dan Pi (Moutan Cortex, 1.5 liang), Fu Ling (Poria, 1.5 liang), Shan Yao (Dioscoreae Rhizoma, 3 liang, stir-fried), Huang Bo (Phellodendri Cortex, 1.5 liang, salt-water stir-fried), Zhi Mu (Anemarrhenae Rhizoma, 1.5 liang, salt-water stir-fried).
Process into powder, make pills with honey, take 3-5 qian with Mao Hua Tang (Miscanthi Flower Decoction).
Kidney Water is insufficient, Ministerial Fire flares upward, causing Blood to fail to store, thus resulting in dripping epistaxis and gradually decreasing menstrual blood, potentially developing into a consumptive disease. Sheng Di strengthens Water and nourishes Yin; Yu Rou astringes Essence and secures Qi; Huang Bu clears Damp-Heat to strengthen the Kidneys; Zhi Mu clears Dryness-Fire to benefit Kidney Water; Fu Ling clears Lung Qi; Shan Yao strengthens Spleen Yin; Dan Pi calms Ministerial Fire to cool Blood Heat; Ze Xie promotes urination in the Bladder to descend turbid Yin; Honey pills moisten dryness; Mao Hua Tang stops epistaxis. If Kidney Water is sufficient, Ministerial Fire retreats and hides, Yin Blood becomes tranquil, what harm would there be of dripping epistaxis and gradually decreasing menstrual blood?
Li Yin Jian (Nourishing Yin Decoction)
Treats Yang deficiency causing Blood to wander, with a fine and rapid pulse.
Shu Di (Prepared Rehmanniae Radix, 5 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian, vinegar-stir-fried), Pao Jiang (Prepared Zingiberis Rhizoma, 5 fen, salt-water stir-fried), Rou Gui (Cinnamomi Cortex, 5 fen, salt-water stir-fried).
Decoct in water, remove dregs, and take warm.
In individuals with Yang deficiency, collaterals are empty, and Nutritive Blood scatters and overflows, thus Blood flows upward from the nose, and Tian Gui cannot descend. Shu Di tonifies Yin to attract upward overflowing menstrual Blood; Dang Gui nourishes Blood to restore orderly movement of Nutritive Blood; Rou Gui stir-fried with salt water controls and directs Blood; Pao Jiang stir-fried with salt water astringes and stops Blood. Decoct in water and take warm, so that Blood warms and Yang returns, then Yang can control Blood and Blood does not flow outward. What harm would there be of epistaxis? Tian Gui will undoubtedly come gradually.