论曰心肺有病，鼻为之不利，盖心肺在膈上，肺开窍于鼻，心肺壅热，气熏于鼻间，蕴
积不散，其证干燥而痛，甚则成疮也，惟能平调心火，以利肺经，则疮可已。
治鼻中生疮，乌犀丸方
乌犀（细镑一两） 羚羊角（细镑一两） 胡黄连（半两） 贝母（微炒去心半两） 知
母（焙
三分） 麦门冬（去心焙三分） 天门冬（去心焙半两） 甘草（炙一分） 黄芩（去黑心
一分） 人
参（半两） 牛黄（一两别研） 丹砂（半两别研） 柴胡（去苗一两）
上一十三味，除别研外，捣罗为末，入别研药，更同细罗，炼蜜和丸，如梧桐子大，每
服二十丸，空心温酒下。
治鼻中生疮，咽喉闭塞，及干呕头痛，食饮不下，前胡汤方
前胡（去芦头三分） 升麻（一两） 木通（锉一两） 黄柏（微炙一两） 玄参（一
两） 大
青（三分） 麦门冬（去心焙三分） 芒硝（一两） 青竹茹（三分）
上九味，粗捣筛，每服三钱匕，以水一盏，煎至七分，去滓食后温服，日再。
治肺风虚热气胀，鼻中生疮，喘息促急，时复寒热，白藓皮汤方
白藓皮 玄参 葛根（锉） 白前 大黄（锉碎微炒各二两） 知母（焙） 鳖甲（醋
浸炙去
裙） 秦艽（去苗土各一两半）
上八味，粗捣筛，每服三钱匕，以水一盏，入童子小便少许，同煎至七分，去滓温服，
如人行四五里，再服。
治鼻干痒生疮，干呕不下饮食，升麻汤方
升麻 桔梗（炒） 黄芩（去黑心） 犀角（细镑） 贝母（微炮去心） 龙胆（各半
两） 甘草（炙一分）
上七味，粗捣筛，每服三钱匕，以水一盏，煎至七分，去滓温服，不拘时候，日三。
治鼻中生疮，辛夷膏方
辛夷（一分） 白芷（半两） 本（去苗土） 甘草 当归（去芦头各三分）
上五味细锉，以清酒六合，羊髓十二两，银石器盛，火上煎三五沸，去滓倾入合中，
澄凝，以大豆许，内鼻中，日夜各一。
治鼻生疮，痒痛不止，地黄煎方
生地黄汁（一合） 苦参（锉一两） 酥（三合） 盐花（二钱后入） 生姜汁（一合）
上五味，先以地黄生姜汁，浸苦参一宿，以酥和于铜石器中煎，九上九下，候汁入酥尽
，去滓倾入合中，每以少许，滴于疮上，诸风热疮亦佳，其盐花至半即下。
治肺气风热，鼻内生疮，栀子煎方
山栀子（去皮壳） 苦参 木通（各三两）
上三味细锉，以四两酥同煎令香，滤去滓，倾入合中，每以少许滴入鼻中。
治鼻中热气生疮，有脓臭，兼有虫，滴鼻，矾石煎方
矾石（一两熬枯） 苦参 生地黄（洗令净研绞取汁三合）
上三味，粗捣二味为末，以地黄汁并水二盏，煎至三合，绵滤去滓，少少滴鼻中，三五
度瘥。
治鼻中生疮，敷鼻，祀灶饭散方
祀灶饭（不限多少烧为灰）
上一味细罗为散，以生油调，涂敷之。
治鼻中生疮，敷鼻，马绊绳散方
马绊绳（一条）
上一味烧为灰，研细罗，以少许糁敷疮上。
治鼻中热气生疮，有脓臭兼有虫，黄柏饮方
黄柏（二两去粗皮）
上一味，以冷水浸一两日，绞取浓汁一盏服之。
Commentary states: When the Heart and Lung have pathology, the nose becomes dysfunctional. This is because the Heart and Lung are located above the diaphragm, and the Lung opens into the nose. If heat accumulates in the Heart and Lung, steaming vapors rise to the nasal cavity, where they stagnate and accumulate without dissipating. The clinical manifestations include dryness and pain in the nose; in severe cases, sores may form. Only by harmonizing Heart Fire and benefiting the Lung Meridian can the sores be cured.
Formula for Wuxi Wan (Black Rhinoceros Horn Pill) for treating nasal sores:
Xixiao (Unicornis Cornu, 1 liang), Lingyangjiao (Saigae Tataricae Cornu, 1 liang), Huhuanglian (Coptidis Chinensis Rhizoma var. Japonicae, 0.5 liang), Beimu (Fritillariae Cirrhosae Bulbus, 0.5 liang, slightly stir-fried, heart removed), Zhimu (Anemarrhenae Rhizoma, 3 qian, baked), Maimendong (Ophiopogonis Radix, 3 qian, heart removed, baked), Tianmendong (Asparagi Radix, 0.5 liang, heart removed, baked), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian, honey-fried), Huangqin (Scutellariae Radix, 1 qian, blackened center removed), Renshen (Ginseng Radix, 0.5 liang), Niuhuang (Bovis Calculus, 1 liang, separately ground), Dansha (Cinnabaris, 0.5 liang, separately ground), Chaihu (Bupleuri Radix, 1 liang, sprouts removed).
The above thirteen ingredients, except those to be separately ground, are crushed and sieved into powder. The separately ground medicines are added, and the mixture is finely sieved again. Honey that has been refined is used to bind the powder into pills the size of Sophora japonica seeds. Take twenty pills per dose, with warm wine on an empty stomach.
Decoction for Qianhu Tang for treating nasal sores, throat obstruction, dry retching, headache, and inability to eat or drink:
Qianhu (Peucedani Radix, 3 qian, rhizome removed), Shengma (Cimicifugae Rhizoma, 1 liang), Mutong (Akebiae Caulis, 1 liang, sliced), Huangbai (Phellodendri Cortex, 1 liang, slightly roasted), Xuanshen (Scrophulariae Radix, 1 liang), Daqing (Isatidis Folium, 3 qian), Maimendong (Ophiopogonis Radix, 3 qian, heart removed, baked), Mangxiao (Natrii Sulfas, 1 liang), Qingzhuru (Bambusae Caulis in Taedia, 3 qian).
The above nine ingredients are coarsely crushed and sifted. Take three qianbi per dose, decoct with one sheng of water until reduced to seven-tenths, strain, and take warm after meals, twice daily.
Decoction for Baixianpi Tang for treating lung wind deficiency-heat causing qi distension, nasal sores, rapid breathing, and alternating chills and fever:
Baixianpi (Dictamni Cortex), Xuanshen (Scrophulariae Radix), Gegen (Puerariae Lobatae Radix, sliced), Baiqian (Cynanchi Stauntonii Rhizoma et Radix), Dahuang (Rhei Radix et Rhizoma, sliced and slightly stir-fried, 2 liang each), Zhimu (Anemarrhenae Rhizoma, baked), Biejia (Testudinis et Carapax et Plastrum, vinegar-soaked, roasted, skirt removed), Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed, 1.5 liang each).
The above eight ingredients are coarsely crushed and sifted. Take three qianbi per dose, decoct with one sheng of water and a small amount of urine from a healthy boy until reduced to seven-tenths, strain, and take warm. Re-administer after the patient has walked for approximately four to five li.
Decoction for Shengma Tang for treating nasal dryness, itching, sores, dry retching, and inability to ingest food:
Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodonis Radix, stir-fried), Huangqin (Scutellariae Radix, blackened center removed), Xijiao (Rhinocerotis Cornu, finely sliced), Beimu (Fritillariae Cirrhosae Bulbus, slightly roasted, heart removed), Longdan (Gentianae Radix et Rhizoma, 0.5 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian, honey-fried).
The above seven ingredients are coarsely crushed and sifted. Take three qianbi per dose, decoct with one sheng of water until reduced to seven-tenths, strain, and take warm at any time, three times daily.
Ointment for Xinyi Gao for treating nasal sores:
Xinyi (Magnoliae Flos, 1 qian), Baizhi (Angelicae Dahuricae Radix, 0.5 liang), Ben (Ligustici Wallichii Rhizoma et Radix, sprouts and soil removed), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix, rhizome removed, 3 qian each).
The above five ingredients are finely sliced. Decoct with six he of clear rice wine and twelve liang of mutton marrow in a silver or ceramic vessel over fire for three to five boils. Strain and pour into a container to cool and solidify. Insert a quantity the size of a soybean into the nose, once day and once night.
Electuary for Dihuang Jian for treating nasal sores with unrelenting itching and pain:
Shengdihuangzhi (Jucini Radix juice, 1 he), Kushen (Sophorae Flavescentis Radix, sliced, 1 liang), Su (Butyrum, 3 he), Yanhua (Sal Nitratum, 2 qian, added later), Shengjiangzhi (Zingiberis Recensis Juice, 1 he).
For the above five ingredients, first soak Kushen overnight in Shengdihuangzhi and Shengjiangzhi. Then decoct with Su in a copper or ceramic vessel, performing nine cycles of lifting and lowering. When the juice and butter are fully combined, strain and pour into a container. Apply a small amount directly onto the sores; this is also effective for various wind-heat sores. Add Yanhua when the mixture is half-cooked.
Electuary for Zhizi Jian for treating lung qi wind-heat causing internal nasal sores:
Shanzhizi (Gardeniae Fructus, skin and seed removed), Kushen (Sophorae Flavescentis Radix), Mutong (Akebiae Caulis, 3 liang each).
The above three ingredients are finely sliced and decocted with four liang of butter until fragrant. Filter out the dregs and pour into a container. Apply a small amount into the nose.
Drip electuary for Fanshi Jian for treating nasal heat-induced sores with purulent odor and parasites:
Fanshi (Alumen, 1 liang, calcined until brittle), Kushen (Sophorae Flavescentis Radix), Shengdihuang (Jucini Radix, washed, crushed, and juiced to yield 3 he).
The above three ingredients: crush Kushen and Fanshi into powder. Decoct with Shengdihuang juice and two shengs of water until reduced to three he. Filter through cotton cloth to remove dregs. Drip a small amount into the nose. Recovery typically occurs within three to five applications.
Powder for Sizao Fan San for applying to the nose in cases of nasal sores:
Sizao fan (Ashes of rice used for offering to the Kitchen God, quantity unlimited, burned to ash).
The above single ingredient is finely sieved into powder. Mix with raw sesame oil and apply topically.
Powder for Mabansheng San for applying to the nose in cases of nasal sores:
Mabansheng (Horse girth strap, one strip).
The above single ingredient is burned to ash, finely ground and sieved. Sprinkle a small amount onto the sores.
Drink for Huangbai Yin for treating nasal heat-induced sores with purulent odor and parasites:
Huangbai (Phellodendri Cortex, 2 liang, coarse bark removed).
Soak the single ingredient in cold water for one to two days, squeeze out the thick juice (one sheng), and take orally.