【方歌】鼻痔初起榴子形，久垂紫硬碍气通，肺经风湿热郁滞，
内服辛夷外点平。
【注】此证生于鼻内，形如石榴子，渐大下垂，色紫微硬，撑
塞鼻孔，碍人气息难通。由肺经风湿热郁，凝滞而成。
内服辛夷清肺饮，以清肺热；外以硵砂散，逐日点之，
渐化为水而愈。宜戒厚味、暴怒，庶不再发。
方剂：辛夷清肺饮
组成：辛夷（六分） 甘草（生，五分）
石膏（〔火段〕） 知母
栀子（生研） 黄芩（各一钱）
枇杷叶（去毛，蜜炙，三片）升麻（三分）
百合 麦冬（去心，各一钱）
水二钟，煎八分，食远服。或加羌活、防风、连翘
、薄荷。
【方歌】鼻痔辛夷清肺饮，辛草膏知栀子芩，枇杷升麻百合麦，
或加羌活翘薄斟。
又方：硵砂散（见耳部耳痔内）
【方歌】肺风粉刺肺经热，面鼻疙瘩赤肿疼，破出粉汁或结屑，
枇杷颠倒自收功。
【注】此证由肺经血热而成。每发于面鼻，起碎疙瘩，形如黍
屑，色赤肿痛，破出白粉汁，日久皆成白屑，形如黍米
白屑。宜内服枇杷清肺饮，外敷颠倒散，缓缓自收功也
。
方剂：枇杷清肺饮
组成：人参（三分）
枇杷叶（刷去毛，蜜炙，二钱）
甘草（生，三分） 黄连（一钱）
桑白皮（鲜者佳，二钱） 黄柏（一钱）
水一钟半，煎七分，食远服。
【方歌】枇杷清肺枇杷叶，参草黄连桑白皮，黄柏同煎食远服，
肺风粉刺尽皆宜。
又方：巅倒散
组成：大黄 硫黄（各等分）
研细末，共合一处，再研匀，以凉水调敷。
【方歌】颠倒散敷功效极，大黄硫黄各研细，等分再匀凉水调，
专医酒齇肺风刺。
[Formula Song] Nasal polyps (Nasalis Polypus) initially resemble pomegranate seeds; after a long time, they hang down, becoming purple and hard, obstructing airflow. This is caused by the stagnation of wind-dampness and heat in the Lung Meridian (Lung Channel). Internal administration of Xinyi Qingfei Yin (Magnolia Flower Decoction to Clear the Lungs) and external application of Qisha San (Borax Powder) will resolve it.
[Note] This condition arises inside the nose, shaped like a pomegranate seed, gradually enlarging and hanging down, with a purple color and slight hardness, blocking the nasal cavity and making breathing difficult. It is formed by the condensation and stagnation of wind-dampness and heat in the Lung Meridian.
Internally administer Xinyi Qingfei Yin (Magnolia Flower Decoction to Clear the Lungs) to clear Lung heat; externally apply Qisha San (Borax Powder) daily until it gradually liquefies and heals. One should avoid rich and greasy foods and prevent sudden anger, so that recurrence may be prevented.
Formula: Xinyi Qingfei Yin (Magnolia Flower Decoction to Clear the Lungs)
Composition: Xin Yi (Flos Magnoliae, 6 fen), Gan Cao (Radix Glycyrrhizae Preparata, raw, 5 fen), Shi Gao (Gypsum Fibrosum, calcined), Zhi Mu (Rhizoma Anemarrhenae), Zhi Zi (Fructus Gardeniae, raw and crushed), Huang Qin (Radix Scutellariae, each 1 qian), Pi Pa Ye (Folium Mori, de-haired, honey-fried, 3 leaves), Sheng Ma (Rhizoma Cimicifugae, 3 fen), Bai He (Bulbus Lilii), Mai Dong (Radix Ophiopogonis, heart removed, each 1 qian).
Add two zhong of water, decoct to obtain eight fen, take after meals. Alternatively, add Qiang Huo (Rhizoma Notopterygii), Fang Feng (Radix Saposhnikoviae), Lian Qiao (Fructus Forsythiae), Bo He (Herba Menthae).
[Formula Song] For nasal polyps use Xinyi Qingfei Yin (Magnolia Flower Decoction to Clear the Lungs), containing Xin Yi, Gan Cao, Shi Gao, Zhi Zi, Zhi Mu, Huang Qin, Pi Pa Ye, Sheng Ma, Bai He, Mai Dong,
or add Qiang Huo, Lian Qiao, Bo He as appropriate.
Another Formula: Qisha San (Borax Powder) (See Ear Section, Auricular Polyp)
[Formula Song] Pulmonary acne (Pulmonary Acne) stems from heat in the Lung Meridian; papules appear on the face and nose, red, swollen, and painful. When ruptured, powdery fluid or scales emerge. Pi Pa Dao Dian (a method involving Pi Pa Qing Fei Yin and Dian Dao San) naturally achieves efficacy.
[Note] This condition is caused by blood-heat in the Lung Meridian. It often occurs on the face and nose, starting as small papules resembling millet husks, red in color, swollen and painful. Upon rupture, white powdery fluid is discharged, eventually forming white scales resembling millet grains over time. It is suitable to internally administer Pi Pa Qing Fei Yin (Loquat Leaf Decoction to Clear the Lungs) and externally apply Dian Dao San (Inverted Powder) for gradual recovery.
Formula: Pi Pa Qing Fei Yin (Loquat Leaf Decoction to Clear the Lungs)
Composition: Ren Shen (Radix Ginseng, 3 fen), Pi Pa Ye (Folium Mori, brushed clean of hairs, honey-fried, 2 qian), Gan Cao (Radix Glycyrrhizae Preparata, raw, 3 fen), Huang Lian (Rhizoma Coptidis, 1 qian), Sang Bai Pi (Cortex Mori, fresh is best, 2 qian), Huang Bo (Cortex Phellodendri, 1 qian).
Add one and a half zhong of water, decoct to obtain seven fen, take after meals.
[Formula Song] Pi Pa Qing Fei Yin (Loquat Leaf Decoction to Clear the Lungs) uses Pi Pa Ye, combined with Ren Shen, Gan Cao, Huang Lian, Sang Bai Pi, Huang Bo decocted together and taken after meals,
suitable for all cases of pulmonary acne.
Another Formula: Dian Dao San (Inverted Powder)
Composition: Da Huang (Radix et Rhizoma Rhei), Liu Huang (Sulfur, equal parts).
Grind into fine powder, mix thoroughly, then grind evenly. Mix with cool water and apply topically.
[Formula Song] The topical effect of Dian Dao San (Inverted Powder) is excellent; Da Huang and Liu Huang are ground separately into fine powder, mixed equally and evenly, then blended with cool water,
specifically treating rhinophyma (Alcoholic Nose) and pulmonary acne.