Spiked foot buds should be spiked horn buds, also known as artichoke, the drug can not cure nosebleeds. The Chinese medical name for nosebleed is epistaxis (nosebleed), with nosebleed as the main feature, which can be caused by nasal injury or due to dysfunction of internal organs, such as qi deficiency not ingesting blood, fire and hot gas reversal forcing blood to travel, etc. The treatment should follow the principle of treating the symptoms urgently and treating the root cause slowly. Treatment should follow the principle of treating the symptom if it is urgent and treating the root cause if it is slow. Artichoke is a traditional Chinese medicine, a hemostatic medicine, which has been used in all kinds of blood diseases (non-physiological bleeding disorders), so it can be used to treat nosebleeds, but it cannot cure nosebleeds at all. The effects of Xiao Ji are dispersing stasis and detoxifying (dispersing blood stasis and detoxifying), cooling blood and stopping bleeding (cooling blood and stopping bleeding), eliminating carbuncles (eliminating carbuncles and ulcers), treating carbuncles, swellings, sores and poisons, haematochezia (the appearance of blood in the urine accompanied by a feeling of pain), epistaxis, blood in the urine, vomiting blood, blood in the stools, metrorrhagia (excessive or dribbling menstruation), and bleeding from trauma. It is often used in combination with other drugs due to the weak efficacy of a single drug. The adverse effects and contraindications of Xiao Ji are currently unknown. Note that it is contraindicated for those with deficiency-cold bleeding and deficiency-cold of spleen and stomach (spleen and stomach weak and cold). If there are frequent nosebleeds, it is necessary to consult a physician for treatment after consultation. Xiao Ji should be applied under the identification of a TCM physician, and any adverse reactions should be discontinued in a timely manner.