Three Cases of Stubborn Epistaxis Cured 1977.8.20

Three Cases of Stubborn Epistaxis Cured 1977.8.20

Epistaxis is a common symptom, with some cases resulting in fatal outcomes due to massive, recurrent nosebleeds, while others lead to anemia from repeated episodes. In terms of treatment, Western medicine mainly relies on hemostatic drugs, but effective therapies for this condition remain limited. I treated three patients—Mr. Ding, Ms. Huang, and Mr. Wang—who all suffered from stubborn, refractory epistaxis. The primary formula used was as follows, with noticeable results: Beishashen, Maidong, Yuzhu, Shihu, Niuxi, Muli, Xiahukao, Baimaogen, Daji Tan, Danpi Tan, Bohe Tan, Chenzong Tan. Decocted in water and taken once daily. This formula was originally called "Qilong Tang"—"Long" refers to blood, "Qilong" refers to locking, meaning it can restrain the dragon and keep it calm. Epistaxis is essentially bleeding from the lung's orifice, as the lungs open to the nose. The ingredients Beishashen, Maidong, Yuzhu, and Shihu are all top-grade herbs for nourishing lung yin, Niuxi helps guide blood downward, Baimaogen clears heat and stops bleeding, cooling blood and promoting diuresis, seemingly guiding blood downward. Muli and Xiahukao soften hard masses, as hard masses in the nose often lead to nosebleeds. All four charcoals are black, symbolizing the idea that red meets black and bleeding stops.