1.伤风属肺咳声重, 鼻塞喷嚏涕流清, 鼻渊脑热不喷嚏, 浊涕秽久
必鼻红.
【注】伤风属肺, 故喷嚏也. 鼻渊属脑, 故不喷嚏也. 伤风寒邪, 故
涕清也, 鼻渊热邪, 故涕浊也. 鼻渊病久或有秽气, 则热深, 故脑衄
鼻血也.
川芎茶调散
2.参苏饮治虚伤风, 实者茶调及头疼, 芎芷薄草羌茶细, 荆防痰半
热膏清.
【注】参苏饮方, 在咳嗽门, 治气虚之人伤风之病. 若气实者, 用川
芎茶调散, 即川芎, 白芷, 薄荷, 甘草, 羌活, 茶叶, 细辛, 荆芥,
防风, 伤风头痛者, 亦可用也. 有痰者加半夏清痰, 有热者加石膏清
热可也.
苍耳散
3.苍耳散治鼻渊病, 风热入脑瞑头疼, 涕流不止鼻塞热, 苍耳辛夷
止薄葱.
【注】鼻渊病属风热入脑, 故目瞑而头疼涕流不止, 较之伤风为甚焉
.鼻塞, 气不利也. 热, 鼻孔中热也, 甚者孔热而痛及其脑也. 苍耳
散, 即苍耳子炒去刺, 研破一两, 加辛夷三钱, 白芷, 薄荷各一钱,
葱三茎也.
黄连防风通圣散
4.鼻渊初病施苍耳, 黄连防风久病方, 孔痛胆调冰硼散, 鼻血犀角
地黄汤.
【注】鼻渊, 风热伤脑之病, 初病则风邪盛, 故用苍耳散, 以散为主
.久病则热郁深, 故用防风通圣散加黄连, 以清为主也. 热气涌涕伤
其鼻孔成疮故痛也, 宜以猪胆汗调冰硼散敷之. 热蕴于脑, 伤及所过
营血, 故衄也, 宜以犀角地黄汤凉之可也.
1. Shangfeng (Wind-Cold Invasion) belongs to the Lung system, presenting with heavy coughing, nasal congestion, sneezing, and clear nasal discharge; Biyuan (Nasal Sinusitis characterized by purulent discharge) is caused by heat pathogen in the brain, without sneezing, but with turbid and foul-smelling nasal discharge that, if prolonged, inevitably leads to epistaxis (nosebleed).
[Note] Shangfeng belongs to the Lung system, hence sneezing occurs. Biyuan belongs to the brain, hence sneezing does not occur. Shangfeng is caused by Wind-Cold pathogen, hence the discharge is clear; Biyuan is caused by Heat pathogen, hence the discharge is turbid. If Biyuan persists for a long time with a foul odor, it indicates deep-seated heat, thus leading to brain collateral damage and epistaxis.
Chuanxiong Chatiao San
2. Shensu Yin (Ginseng and Perilla Decoction) treats Shangfeng in patients with Qi deficiency; for excess patterns, Chuanxiong Chatiao San is used for headache. The formula contains Chuanxiong, Bai Zhi, Bo He, Gan Cao, Qiang Huo, tea leaves, Xi Xin, Jing Jie, and Fang Feng. For phlegm, add Ban Xia to resolve phlegm; for heat, add Shi Gao to clear heat.
[Note] The Shensu Yin formula is recorded in the Cough section, treating Shangfeng in individuals with Qi deficiency. If the patient has robust Qi (excess pattern), use Chuanxiong Chatiao San, composed of Chuanxiong, Bai Zhi, Bo He, Gan Cao, Qiang Huo, tea leaves, Xi Xin, Jing Jie, and Fang Feng, which can also be used for headaches caused by Shangfeng. If there is phlegm, add Ban Xia to clear phlegm; if there is heat, add Shi Gao to clear heat.
Cang'er San
3. Cang'er San treats Biyuan, where Wind-Heat enters the brain causing dizziness and headache, incessant nasal discharge, nasal congestion, and heat sensation. The formula consists of Cang Er Zi, Xin Yi, Bai Zhi, Bo He, and Cong Bai.
[Note] Biyuan is caused by Wind-Heat entering the brain, resulting in dizziness, headache, and incessant nasal discharge, which is more severe than Shangfeng. Nasal congestion is due to impaired Qi movement. Heat refers to the heat sensation in the nostrils; in severe cases, the nostrils become hot and painful, extending to the brain. Cang'er San is made by stir-frying Cang Er Zi to remove thorns, crushing one tael, adding three qian of Xin Yi, one qian each of Bai Zhi and Bo He, and three stalks of Cong Bai.
Huanglian Fangfeng Tongsheng San
4. For early-stage Biyuan, apply Cang'er San; for chronic cases, use Huanglian combined with Fangfeng Tongsheng San. For nostril pain, mix Bingpeng San with pig bile juice for application. For epistaxis, use Xijiao Dihuang Tang.
[Note] Biyuan is a disease where Wind-Heat damages the brain. In the early stage, Wind pathogen is predominant, so Cang'er San is used primarily to disperse Wind. In chronic cases, Heat is deeply郁 (stagnant), so Fangfeng Tongsheng San added with Huanglian is used primarily to clear Heat. Surging Heat and nasal discharge damage the nostrils, forming ulcers and causing pain; it is appropriate to apply Bingpeng San mixed with pig bile juice. Heat accumulating in the brain damages the Ying Blood (Nutritive Blood) passing through, causing epistaxis; it is appropriate to cool with Xijiao Dihuang Tang.