论曰鼻和则知香臭,夫鼻为肺之窍,非能自和也,必肺气流通,然后鼻为用而香臭可知
,若心经移热于肺,致肺脏不和,则其窍亦无以宣达,故为 鼻,此乃内经所谓心肺有病,
则鼻为之不利者也。
治肺气壅塞,鼻 不闻香臭,茯神散方
茯神(去木一两半) 山芋 人参(各二两) 赤茯苓(去黑皮) 防风(去叉) 防
己(各一
两半) 蜀椒(去目并合口者炒出汗一两) 山茱萸(一两半) 甘菊花 桂(去粗皮) 细
辛(去
苗叶) 芎 贯众 白术(米泔浸一宿锉碎炒各一两一分) 干姜(炮一两) 甘草(炙
一两半
)
上一十六味,捣罗为散,每服二钱匕,空心温酒调下、日再。
治 鼻,顺肺气,四时服食,黄 散方
黄 (锉) 人参 防风(去叉) 防己 生干地黄(焙) 桔梗(炒) 芍药 黄芩
(去黑心)
泽泻 石南叶 紫菀(去苗土) 桂(去粗皮) 白术(米泔浸一宿锉) 甘草(炙) 牛
膝(酒
浸一宿切焙) 赤茯苓(去黑皮各三两)
上一十六味,捣罗为散,每服一钱匕,温酒调下,如要丸,炼蜜丸如梧桐子大,每服三
十丸,亦温酒下。
治 鼻,山茱萸丸方
山茱萸 菊花 大黄(锉炒各一两一分) 独活(去芦头三分) 甘草(炙锉) 防风
(去叉)
蔓荆实(去白皮各一两) 秦艽(去苗土一两半) 栀子(去皮炒一两) 附子(炮裂去
皮脐三
分) 朴硝(三两三分)
上一十一味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,空心温水下,老人亦宜服,
妊娠人去附子,加细辛半分。
治 鼻,雄黄丸方
雄黄(研一钱) 甘草(炙锉) 附子(炮裂去皮脐) 细辛(去苗叶各一分)
上四味,捣罗为末,用羊胆汁和丸,如枣核大,以绵裹内鼻中,移时出恶物、即瘥。
治 鼻方
瓜蒂(半两) 细辛(一分)
上二味,捣罗为末,以绵裹如枣核大,塞鼻中,须臾即透。
治 鼻不闻香臭,甘遂丸方
甘遂 细辛(去苗叶) 木通(锉) 附子(炮裂去皮脐各一分)
上四味,捣罗为末,以羊胆汁和,如枣核大,以绵裹,卧内鼻中,觉微痛眼泪出,鼻清
涕流,即通利,慎风冷。
治 鼻不闻香臭,宜塞鼻,细辛散方
细辛(去苗叶) 甘草(炙) 木通(锉) 附子(炮裂去皮脐各一分)
上四味,捣罗为散,以羊胆汁和,如枣核大,塞鼻中。
治 鼻不闻香臭,窒塞气不宣通,塞鼻,瓜蒂散方
瓜蒂(一分)
上一味,捣罗为散,以半钱匕,绵裹,夜卧塞鼻中,旦即去之。
治 鼻,气息不通、烦闷,灌鼻,蒺藜苗汁方
蒺藜子苗(一把车辗过者无车辗过者采取令车辗之)
上一味、捣碎,以水浓煎,滤去滓,将汁入鼻中,或已有息肉者,因喷嚏出如赤蛹子、
瘥。
治 鼻法
伏面临床,以新汲水,淋玉枕上、即瘥。
治 鼻,吹鼻,干姜散方
干姜(炮半两)
上一味,捣罗为散,以少许吹入鼻中。
治 鼻,吹鼻,皂荚散方
皂荚(一挺炙刮去皮子)
上一味,捣罗为散,以一字匕,吹入鼻即瘥。
Commentary states: When the nose is harmonious, it can distinguish odors. The nose is the orifice of the Lung; it cannot harmonize itself but requires the smooth flow of Lung Qi to function properly and perceive scents. If heat from the Heart channel transfers to the Lung, causing disharmony in the Lung organ, the orifice will fail to ventilate and diffuse, resulting in nasal obstruction (Bi). This corresponds to what the *Neijing* (Inner Canon) says: "When there is disease in the Heart and Lungs, the nose becomes obstructed."
Fu Shen San Decoction for treating Lung Qi stagnation with nasal obstruction and loss of smell:
Fushen (Poria with Wood Removed, 1.5 liang), Shanyu (Dioscoreae Rhizoma), Renshen (Ginseng Radix et Rhizoma, each 2 liang), Chi Fuling (Red Poria, Black Skin Removed), Fangfeng (Saposhnikoviae Radix, Forks Removed), Fangji (Stephaniae Tetrandrae Radix, each 1.5 liang), Shujiao (Zanthoxyli Pericarpium, Eyes and Closed Ones Removed, Stir-fried Until Moisture Evaporates, 1 liang), Shanzhuyu (Corni Fructus, 1.5 liang), Gan Juhua (Chrysanthemi Flos), Gui (Cinnamomi Ramulus, Bark Removed), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Xiong (Ligustici Chuanxiong Rhizoma), Guanzhong (Cyathulae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, Soaked Overnight in Rice Washings, Cut, Stir-fried, each 1 liang 1 fen), Ganjiang (Zingiberis Rhizoma Praeparatum, 1 liang), Gancao (Licorice Root, Honey-fried, 1.5 liang).
The above sixteen ingredients are crushed, sifted into a powder. Take 2 qian bi per dose, mixed with warm wine on an empty stomach, twice daily.
Huangqi San Decoction for treating nasal obstruction, smoothing Lung Qi, suitable for consumption in all four seasons:
Huangqi (Astragali Radix, Cut), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix, Forks Removed), Fangji (Stephaniae Tetrandrae Radix), Sheng Gan Dihuang (Rehmanniae Radix Recens, Baked), Jiegeng (Platycodonis Radix, Stir-fried), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix, Black Heart Removed), Zexie (Alismatis Rhizoma), Shinanye (Nandinae Folium), Ziwan (Asteri Radix, Seedlings and Soil Removed), Gui (Cinnamomi Ramulus, Bark Removed), Baizhu (Atractylodis Macrocephalae Rhizoma, Soaked Overnight in Rice Washings, Cut), Gancao (Licorice Root, Honey-fried), Niuxi (Achyranthis Bidentatae Radix, Soaked Overnight in Wine, Cut, Baked), Chi Fuling (Red Poria, Black Skin Removed, each 3 liang).
The above sixteen ingredients are crushed, sifted into a powder. Take 1 qian bi per dose, mixed with warm wine. If pills are desired, refine honey to make pills the size of Sophora seeds, take 30 pills per dose, also with warm wine.
Shanzhuyu Wan Pills for treating nasal obstruction:
Shanzhuyu (Corni Fructus), Juhua (Chrysanthemi Flos), Dahuang (Rhei Radix et Rhizoma, Cut and Stir-fried, each 1 liang 1 fen), Duohuo (Angelicae Pubescentis Radix, Rhizome Head Removed, 3 fen), Gancao (Licorice Root, Honey-fried and Cut), Fangfeng (Saposhnikoviae Radix, Forks Removed), Manjingzi (Viticis Fructus, White Skin Removed, each 1 liang), Qinjiao (Gentianae Macrophyllae Radix, Seedlings and Soil Removed, 1.5 liang), Zhizi (Gardeniae Fructus, Skin Removed, Stir-fried, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, 3 fen), Piaoxiao (Natrii Sulfas, 3 liang 3 fen).
The above eleven ingredients are crushed, sifted into a fine powder. Refine honey to make pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with warm water. Elderly people may also take this. Pregnant women should remove Fuzi and add Xixin 0.5 fen.
Xionghuang Wan Pills for treating nasal obstruction:
Xionghuang (Realgar, Ground, 1 qian), Gancao (Licorice Root, Honey-fried and Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed, each 1 fen).
The above four ingredients are crushed, sifted into a fine powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit. Wrap in cotton and insert into the nostril. After some time, discharge foul matter, and the condition will heal.
Formula for treating nasal obstruction:
Gua Di (Trichosanthis Fructus, 0.5 liang), Xixin (Asari Radix et Rhizoma, 1 fen).
The above two ingredients are crushed, sifted into a powder. Wrap in cotton like a jujube pit and insert into the nostril. Patency will be achieved shortly.
Gansui Wan Pills for treating nasal obstruction with loss of smell:
Gansui (Kansui Radix), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Mutong (Akebiae Caulis, Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, each 1 fen).
The above four ingredients are crushed, sifted into a fine powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit. Wrap in cotton and insert into the nostril while lying down. When slight pain is felt, tears flow, and clear nasal discharge occurs, indicating patency. Avoid wind and cold.
Xixin San Powder for treating nasal obstruction with loss of smell, suitable for nasal insertion:
Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Gancao (Licorice Root, Honey-fried), Mutong (Akebiae Caulis, Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, each 1 fen).
The above four ingredients are crushed, sifted into a powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit and insert into the nostril.
Gua Di San Powder for treating nasal obstruction with loss of smell, where qi is blocked and not diffusing, suitable for nasal insertion:
Gua Di (Trichosanthis Fructus, 1 fen).
The above single ingredient is crushed, sifted into a powder. Take half a qian bi, wrap in cotton, and insert into the nostril at night. Remove in the morning.
Jili Miao Zhi Juice for treating nasal obstruction with unblocked breath and irritability, suitable for nasal irrigation:
Jili Zi Miao (Tribuli Spinosi Herba, one handful; if not run over by cart wheels, subject to rolling).
The above single ingredient is crushed, decocted strongly in water, filtered to remove dregs. Instill the juice into the nostrils. If polyps exist, they may be expelled by sneezing, appearing like red silkworm pupae, and the condition will heal.
Method for treating nasal obstruction:
Lie prone at the bedside, pour fresh well water over the Yuzhen acupoint. The condition will heal.
Ganjiang San Powder for treating nasal obstruction, suitable for insufflation:
Ganjiang (Zingiberis Rhizoma Praeparatum, 0.5 liang).
The above single ingredient is crushed, sifted into a powder. Insufflate a small amount into the nostril.
Zaojia San Powder for treating nasal obstruction, suitable for insufflation:
Zaojia (Gleditsiae Sinensis Fructus, one stick, roasted, scraped of skin and seeds).
The above single ingredient is crushed, sifted into a powder. Insufflate one zi bi into the nostril, and the condition will heal.