【方歌】鼻匿疮多小儿生，鼻下两旁斑烂形，总由风热客于肺，
脓汁浸淫痒不疼。
【注】此证多生小儿鼻下两旁，色紫斑烂，由风热客于肺经。
脓汁浸淫，痒而不痛，宜服泽泻散，外搽青蛤散即愈。
方剂：泽泻散
组成：泽泻 郁金
山栀（生） 甘草（生，各一钱）
共研末，每服一钱，甘草煎汤调下。
【方歌】泽泻散治鼻〔匿〕患，脓汁浸淫肺火毒，泽泻郁金栀草
末，甘草煎汤调送服。
又方：青蛤散
组成：蛤粉（〔火段〕，一两） 青黛（三钱）
石膏（〔火段〕，一两） 轻粉
黄柏（生末，各五钱）
共研细末，先用香油调成块，次加凉水调稀，薄涂
疮处。
【方歌】青蛤散涂鼻〔匿〕消，蛤粉青黛〔火段〕石膏，轻粉黄
柏研极细，香油拌块凉水调。
【方歌】鼻疮肺热生鼻中，燥干如火微肿疼，内服黄芩外定痛，
燥干黄连膏润灵。
【注】此证生于鼻窍内，初觉干燥疼痛，状如粟粒，甚则鼻外
色红微，肿痛似火灸。由肺经壅热，上攻鼻窍，聚而不
散，致成此疮。内宜黄芩汤清之，外用油纸捻粘辰砂定
痛散，送入鼻孔内。若干燥者，黄连膏抹之立效。
方剂：黄芩汤
组成：黄芩（酒炒，二钱） 甘草（生，五分）
麦冬（去心，一钱） 桑白皮（生，一钱）
栀子（连皮酒炒，一钱五分）连翘（去心）
赤芍 桔梗
薄荷 荆芥穗（各一钱）
水煎，食后服。
【方歌】黄芩汤医肺火盛，鼻内生疮赤肿疼，芩草麦冬桑栀翘，
赤芍桔梗薄荷荆。
又方：辰砂定痛散
组成：辰砂（末，五分） 冰片（二分）
胡黄连（末，二两） 石膏（〔火段〕）
共研细末。
【方歌】辰砂定痛鼻疮干，冰片胡连膏〔火段〕研，油纸捻药入
鼻孔，消疼散热效通仙。
又方：黄连膏
组成：黄连（三钱） 当归尾（五钱）
生地（一两） 黄柏（三钱）
姜黄（三钱）
香油十二两，将药炸枯，捞去渣；下黄蜡四两溶化
尽，用夏布将油滤净，倾入磁碗内，以柳枝不时搅之，
候凝为度。
【方歌】黄连膏润诸燥疮，归尾生地柏姜黄，油炸去渣加黄蜡，
布滤搅凝涂抹强。
[Song] Bi Ni Chuang (Nasal Hidden Sore) often occurs in children, presenting as ulcerated patches on both sides below the nose. This is generally caused by Wind-Heat pathogenic factors invading the Lung Meridian, characterized by pus exudation spreading over the skin, itching without pain.
[Note] This condition mostly occurs on both sides below the nose of children, appearing as purple ulcerated patches, caused by Wind-Heat pathogenic factors lodging in the Lung Meridian. With pus exudation spreading and itching but no pain, it is suitable to take Zexie San (Alisma Powder) internally and apply Qing Ge San (Blue Clam Powder) externally for cure.
Formula: Zexie San (Alisma Powder)
Composition: Alisma Rhizoma (Zexie), Curcuma Aromatica Rhizome (Yujin), Gardeniae Fructus (Shanzhi, raw), Glycyrrhizae Radix et Rhizoma (Gancao, raw, 1 qian each).
Grind all ingredients into powder. Take 1 qian per dose, mixed with decoction of Glycyrrhizae Radix et Rhizoma (Gancao).
[Song] Zexie San treats nasal hidden ailments, targeting pus exudation and Lung Fire toxicity. Grind Alisma Rhizoma (Zexie), Curcuma Aromatica Rhizome (Yujin), Gardeniae Fructus (Shanzhi), and Glycyrrhizae Radix et Rhizoma (Gancao) into powder, and take with Gancao decoction.
Another Formula: Qing Ge San (Blue Clam Powder)
Composition: Concha Tridacnae Preparata (Ge Fen, calcined, 1 liang), Indigo Naturalis (Qingdai, 3 qian), Gypsum Fibrosum Preparatum (Shigao, calcined, 1 liang), Calomelas (Qingfen), Phellodendri Cortex (Huangbai, raw powder, 5 qian each).
Grind all ingredients into fine powder. First mix with Sesame Oil (Xiangyou) to form a paste, then add cool water to thin it, and apply thinly to the affected area.
[Song] Apply Qing Ge San to the nose to resolve the ailment. Calcine Concha Tridacnae Preparata (Ge Fen), Indigo Naturalis (Qingdai), and Gypsum Fibrosum Preparatum (Shigao); grind Calomelas (Qingfen) and Phellodendri Cortex (Huangbai) extremely fine; mix with Sesame Oil (Xiangyou) into blocks, then dilute with cool water.
[Song] Bi Chuang (Nasal Sore) arises from Lung Heat in the nose, presenting with dryness like fire, slight swelling, and pain. Internally take Huangqin Tang (Scutellaria Decoction) to clear heat; externally apply Huanglian Gao (Coptis Ointment) to moisten dryness and relieve pain effectively.
[Note] This condition occurs inside the nasal cavity. Initially, there is a sensation of dryness and pain, resembling millet grains. In severe cases, the external nose becomes red and slightly swollen, with pain intense as if cauterized by fire. This is due to stagnation of Heat in the Lung Meridian attacking upwards to the nasal orifice, accumulating and not dispersing, thus forming this sore. Internally, use Huangqin Tang (Scutellaria Decoction) to clear heat. Externally, use an oil-paper wick coated with Zhensha Dingtong San (Cinnabar Pain-Relieving Powder) inserted into the nasal cavity. If dryness is prominent, apply Huanglian Gao (Coptis Ointment) for immediate effect.
Formula: Huangqin Tang (Scutellaria Decoction)
Composition: Scutellariae Radix (Huangqin, wine-fried, 2 qian), Glycyrrhizae Radix et Rhizoma (Gancao, raw, 0.5 qian), Ophiopogonis Tuber (Maidong, heart removed, 1 qian), Mori Cortex (Sangbaipi, raw, 1 qian), Gardeniae Fructus (Zhizi, with skin, wine-fried, 1.5 qian), Forsythiae Fructum (Lianqiao, heart removed), Paeoniae Radix Rubra (Chishao), Platycodonis Radix (Jiegeng), Menthae Haplocalycis Herba (Bohe), Schizonepetae Spica (Jingshesui, 1 qian each).
Decoct in water and take after meals.
[Song] Huangqin Tang (Scutellaria Decoction) treats excessive Lung Fire causing internal nasal sores with redness, swelling, and pain. Ingredients include Scutellariae Radix (Huangqin), Glycyrrhizae Radix et Rhizoma (Gancao), Ophiopogonis Tuber (Maidong), Mori Cortex (Sangbaipi), Gardeniae Fructus (Zhizi), Forsythiae Fructum (Lianqiao), Paeoniae Radix Rubra (Chishao), Platycodonis Radix (Jiegeng), Menthae Haplocalycis Herba (Bohe), and Schizonepetae Spica (Jingshesui).
Another Formula: Zhensha Dingtong San (Cinnabar Pain-Relieving Powder)
Composition: Cinnabar (Zhensha, powder, 0.5 fen), Borneolum Syntheticum (Bingpian, 2 fen), Picrorhizae Rhizoma (Huhuanglian, powder, 2 liang), Gypsum Fibrosum (Shigao, calcined).
Grind all ingredients into fine powder.
[Song] Zhensha Dingtong San (Cinnabar Pain-Relieving Powder) treats dry and painful nasal sores. Grind Borneolum Syntheticum (Bingpian), Picrorhizae Rhizoma (Huhuanglian), and calcined Gypsum Fibrosum (Shigao) finely. Insert into the nasal cavity using an oil-paper wick to relieve pain and dissipate heat with divine efficacy.
Another Formula: Huanglian Gao (Coptis Ointment)
Composition: Coptidis Rhizoma (Huanglian, 3 qian), Angelicae Sinensis Radix (Dangguiwei, 5 qian), Rehmanniae Radix (Shengdi, 1 liang), Phellodendri Cortex (Huangbai, 3 qian), Curcumae Longae Rhizoma (Jianghuang, 3 qian).
Take 12 liang of Sesame Oil (Xiangyou), fry the herbs until browned, remove residues. Add 4 liang of Beeswax (Huangla) and melt completely. Filter the oil through linen cloth (Xiabu), pour into a porcelain bowl, and stir occasionally with a willow branch until solidified.
[Song] Huanglian Gao (Coptis Ointment) moistens various dry sores. Ingredients include Angelicae Sinensis Radix (Dangguiwei), Rehmanniae Radix (Shengdi), Phellodendri Cortex (Huangbai), and Curcumae Longae Rhizoma (Jianghuang). Fry herbs in oil, remove dregs, add Beeswax (Huangla), filter through cloth, stir until solidified for strong topical application.