First of all, remember not to panic and treat it confidently when it occurs. Because the bleeding position in most sufferers is anterior and posterior nasal septum, patients can press inwards the suffering nosewing with fingers to anterior septum, or oppress nasal alae after stuffing soaked sponge of vasoconstrictive drugs like ephedrine sol, epinephrine, or Yunnan White Powder, which in most cases can stop it immediately. In addition, applying cold compresses on neck and forehead can bring some certain relief as well. If it won't stop, especially in Kiesselbach's area and rupture of capillary hemangioma, the best and fastest option is laser therapy for sure. If caused by dryness in nasal passage or atrophic rhinitis, some ointments are highly recommended. If caused by systemic disease, Chinese herbal remedies are also one of good choices besides of identifying and treating the primary disease.

TCM holds the view that epistaxis is mainly caused by excess fire in lung, stomach, and liver, which forces blood stampeding and then overflowing from the regular course. This is true to epistaxis triggered by infection, febrile illness, high blood pressure, and aberratio menstruorum. According to clinical experience, commonly used Chinese herbs are as follows:

(1). Heat pathogen invading lung
Sang Ye (White Mulberry Leaf), Ye Ju Hua (Wild Chrysanthemum Flower), Bo He (Field Mint, Mentha), Lian Qiao (Forsythia Fruit), Xing Ren (Apricot Seed), Bai Mao Gen (Japanese Blood Grass), Mu Dan Pi (Tree Peony Root Cortex), Ce Bai Ye (Biota Leaves), Huai Hua (Pagoda Tree Flower), Sheng Di Huang (Rehmannia), Da Ji (Japanese Thistle), Xiao Ji (Field Thistle), Ou Jie (Lotus Rhizome Nodes), and Xian Ai Ye (Fresh Mugwort Leaf, Moxa).

(2). Exuberance of stomach fire
Shi Gao (Gypsum), Zhi Mu (Anemarrhena Rhizome), Huang Lian (Coptis Rhizome), Zhi Zi (Cape Jasmine Fruit, Gardenia), Huang Qin (Baical Skullcap Root, Scutellaria), Mu Dan Pi (Tree Peony Root Cortex), Huai Niu Xi (Achyranthes Root), Bai Mao Gen (Japanese Blood Grass), Ce Bai Ye (Biota Leaves), Huai Hua (Pagoda Tree Flower), Yang Ti (Radix Rumicis Japonici), Da Ji (Japanese Thistle), Xiao Ji (Field Thistle), Qian Cao (Rubia), and Da Huang (Rhubarb).

(3). Liver fire flaring up
Long Dan Cao (Chinese Gentian Root, Gentiana), Chai Hu (Thorowax Root, Bupleurum), Zhi Zi (Cape Jasmine Fruit, Gardenia), Sang Bai Pi (Mulberry Root Bark), Huang Qin (Baical Skullcap Root, Scutellaria), Yu Jin (Tumeric Tuber), Mu Dan Pi (Tree Peony Root Cortex), Chi Shao (Red Peony Root), Bai Mao Gen (Japanese Blood Grass), Ce Bai Ye (Biota Leaves), Da Ji (Japanese Thistle), Xiao Ji (Field Thistle), He Ye (Lotus Leaf), Ou Jie (Lotus Rhizome Nodes), Qian Cao (Rubia), Pu Huang (Cattail Pollen, Bulrush), Huai Hua (Pagoda Tree Flower), and Han Lian Cao (Eclipta).