【方歌】鼻疔生在鼻孔中，鼻窍肿引脑门疼，甚则唇腮俱浮肿，
肺经火毒蟾离宫。
【注】此证生于鼻孔内，鼻窍肿塞，胀痛引脑门，甚则唇腮俱
作浮肿，由肺经火毒，凝结而成。宜蟾酥丸汗之，再用
蟾酥丸细研末，吹入鼻窍。若肿硬外发，用离宫锭涂之
。此证初起之时，须当速治，迟则毒气内攻，以致神昏
、呕哕，鼻肿如瓶者逆。
方剂：蟾酥丸（见疔疮门）
离宫锭（见肿疡门）
【方歌】鼻渊浊涕流鼻中，久淋血水秽而腥，胆热移脑风寒火，
控脑砂因蚀脑虫。
【注】此证内因胆经之热，移于脑髓，外因风寒凝郁火邪而成
。鼻窍中时流黄色浊涕，宜奇授藿香丸服之。若久而不
愈，鼻中淋沥腥秽血水，头眩虚晕而痛者，必系虫蚀脑
也，即名控脑砂，宜天罗散服之。但此证久则必虚，当
以补中益气汤兼服之即效。
方剂：奇授藿香丸
组成：藿香连枝叶（八两）
研细末，雄猪胆汁和丸，如梧桐子大。每服五钱，
食后苍耳子汤下，或黄酒送下。
【方歌】奇授藿香鼻渊流，浊涕淋漓久不休，猪胆汁合藿香末，
苍耳汤下患可瘳。
又方：天罗散
组成：丝瓜藤（近根处者，烧存性）
为末，每用三钱，食后黄酒送下。
【方歌】天罗虫蚀脑髓中，头痛鼻流血水腥，丝瓜根烧研细末，
黄酒调服惯杀虫。
又方：补中益气汤（见溃疡门）
[Formula Song] Bi Ding (Nasal Carbuncle) arises within the nasal cavity; swelling of the nasal orifice radiates pain to the forehead. In severe cases, the lips and cheeks become edematous, caused by Fire-Toxin in the Lung Meridian affecting the area of Chan Li Gong.
[Annotation] This condition originates inside the nostrils, with swelling and obstruction of the nasal passages, distending pain radiating to the forehead, and in severe cases, edema of the lips and cheeks. It is formed by the coagulation of Fire-Toxin in the Lung Meridian. It is appropriate to administer Chansu Wan (Toad Venom Pill) to induce sweating, and then crush Chansu Wan into a fine powder and insufflate it into the nasal orifice. If the swelling becomes hard and spreads outward, apply Ligong Ding (Ligong Plaster/Paste). At the initial stage of this condition, prompt treatment is required; delay allows the Toxin Qi to attack inward, leading to coma, vomiting, and retching. Nasal swelling resembling a bottle indicates an adverse prognosis (Ni syndrome).
Formulas: Chansu Wan (see section on Ding Chuang/Carbuncles); Ligong Ding (see section on Zhongyang/Swelling Ulcers).
[Formula Song] Bi Yuan (Nasal Sinusitis) presents with turbid discharge flowing from the nose; prolonged cases involve dripping bloody fluid that is foul-smelling and fishy. This results from Gallbladder Heat transferring to the brain, combined with Wind-Cold stagnation transforming into Fire. If worms erode the brain marrow, it is named Kong Nao Sha.
[Annotation] The internal cause is Heat in the Gallbladder Meridian transferring to the brain marrow; the external cause is Wind-Cold stagnation and郁 (stagnation) transforming into Fire. Yellow turbid discharge frequently flows from the nasal orifices; Qishou Huoxiang Wan is appropriate for oral administration. If the condition persists without cure, and bloody fluid with a foul smell drips from the nose, accompanied by dizziness, deficiency vertigo, and pain, it must be due to worms eroding the brain marrow, named Kong Nao Sha. Tianluo San is appropriate for oral administration. However, prolonged illness inevitably leads to Deficiency; therefore, Buzhong Yiqi Tang should be taken concurrently for efficacy.
Formula: Qishou Huoxiang Wan
Composition: Huoxiang Lian Zhiye (Agastache with stems and leaves, 8 liang)
Grind into a fine powder, mix with bile from a male pig to form pills the size of Sophora seeds. Take 5 qian per dose, administered after meals with Xiancao Zi Decoction (Cocklebur Seed Decoction) or washed down with yellow wine.
[Formula Song] Qishou Huoxiang Wan treats nasal discharge from Bi Yuan; turbid drip persists long without cessation. Pig bile mixed with Huoxiang powder, taken with Cocklebur Tea, cures the affliction.
Another Formula: Tianluo San
Composition: Sigua Teng (Vine of Luffa, preferably near the root, calcined to retain charred nature)
Grind into powder. Use 3 qian per dose, taken after meals with yellow wine.
[Formula Song] Tianluo treats worms eroding brain marrow causing headache; nose bleeds with foul-smelling bloody fluid. Calcined Luffa root ground to fine powder, mixed with yellow wine for ingestion, habitually kills worms.
Another Formula: Buzhong Yiqi Tang (see section on Kuiyang/Ulcerated Sores)