论曰鼻有生息肉，不知香臭者，亦有无息肉，不知香臭者，生息肉不知香臭，已列方剂
，此姑论鼻塞不闻香臭，盖鼻之窒塞，或冷风乘肺，或肺经壅热，冷热固异，其塞则一，皆
肺脏不和，气不宣通故也，治塞者，当审其冷热。
治鼻塞不闻香臭，款冬花丸方
款冬花 槟榔（锉） 百合 麦门冬（去心焙） 桔梗（炒） 天门冬（去心焙） 地
骨皮 羚
羊角（镑） 贝母（去心） 山栀子仁 大黄（锉炒） 黄芩（去黑心） 防风（去叉） 杏
仁（去皮
尖双仁炒） 郁李仁（去皮炒各二两） 人参 山芋 柴胡（去苗各一两半） 百部 甘草
（炙）
苦参（各一两） 桑根白皮（锉） 旋复花（各四两） 牛黄（研） 木香（各半两） 蛤
蚧（一对全
者酥炙）
上二十六味，捣研为末，炼蜜丸如梧桐子大，每服二十丸，至三十丸，食后温浆水下。
治头旋鼻塞，不知香臭，苁蓉丸方
肉苁蓉（酒浸一宿切焙） 石钟乳（研成粉） 五味子 菟丝子（酒浸别捣） 蛇床子
（炒）
山芋（各一两） 泽泻 石斛（去根） 甘菊花 细辛（去苗叶） 续断 鹿茸（去毛酒浸
炙） 防
风（去叉） 秦艽（去苗土） 黄 （锉） 干姜（炮） 柏子仁（别研各三分）
上一十七味，除别研外，捣罗为末同和匀，炼蜜丸如梧桐子大，每服二十丸，空心温酒
下、日再，不饮酒枣汤下，服药三日后，灸百会穴三七壮，即贴如神膏。
如神膏方
蓖麻子（去壳） 杏仁（去皮尖） 印子盐 芎 防风（去叉） 松脂（各一分） 蜡
（半两）
油（一升）
上八味，先入油于银器中，次将诸药作粗散，入油中，微火上煎成膏，滤去滓，瓷器盛
，每用约大小贴之，日一换。
治鼻塞不闻香臭，天门冬丸方
天门冬（去心焙） 白茯苓（去黑皮各五两） 人参 枳实（去瓤麸炒） 甘草（炙各
三两）
槟榔（锉二两）
上六味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，食后浆水下，日再，暑月以牛乳
下。
治肺实鼻塞，不闻香臭，百部散方
百部（二两） 款冬花 贝母（去心） 白薇（各一两）
上四味，捣罗为散，每服一钱匕，米饮调下。
治鼻塞不闻香臭，防风汤方
防风（去叉半两） 栀子（去皮七枚） 升麻（一两） 石膏（碎三两） 麻黄（去根
节三分）
桂（去粗皮半两） 木通（锉一两一分）
上七味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓空心温服，日再。
治鼻塞不通，不闻香臭，或生息肉生疮，排风散方
防风（去叉） 秦艽（去苗土） 山芋 吴茱萸（汤浸焙炒） 天雄（炮裂去皮脐各一
两） 羌
活（去芦头半两）
上六味，捣罗为散，每服二钱匕，空心温酒调下。
治鼻中不利，窒塞不闻香臭，通气膏方
木通 当归（切焙） 芎 蕤仁 桂（去粗皮各半两） 细辛（去苗叶） 白芷（各
三分）
上七味细锉，与羊髓三两，同于银石器中，微火煎，候白芷黄色，去滓澄凝，每取小豆
大，塞鼻中、日再。
治鼻塞不闻香臭，甘遂散方
甘遂 细辛（去苗叶） 附子（炮裂去皮脐） 木通（锉各一分）
上四味，捣罗为散，每以少许，绵裹塞鼻中，当有清水出，病重者，或清水下一二升，
卧时安药，若微痛当忍之，勿触风冷。
治鼻塞不闻香臭，芎 散方
芎 辛荑（各一两） 细辛（去苗叶三分） 木通（锉半两）
上四味，捣罗为散，每以少许，绵裹塞鼻中，湿即易之，五七日瘥。
治鼻塞不闻香臭。通顶散方
滑石（研） 胡黄连（末各一分） 瓜蒂（为末七枚） 麝香（研半两） 蟾酥（研一
钱）
上五味同研匀，每以少许，吹入鼻中即瘥。
治鼻塞不闻香臭，瓜蒂散方
瓜蒂 藜芦（各一分）
上二味，捣罗为散，每以一钱匕，绵裹塞鼻中，日三易。
治鼻塞不闻香臭，细辛散方
细辛（去苗叶） 瓜蒂（各一分）
上二味，捣罗为散，以少许吹鼻中。
It is discussed that there are cases where nasal polyps grow, leading to the loss of smell and taste, and there are also cases without polyps but with the same symptom. For the latter caused by polyps, prescriptions have already been listed; here we briefly discuss nasal congestion causing the loss of smell and taste. Nasal obstruction may result from cold wind invading the Lung or from heat accumulation in the Lung meridian. Although cold and heat differ in nature, the resulting obstruction is consistent, both stemming from disharmony of the Lung organ and failure of Qi to circulate freely. Therefore, treating obstruction requires distinguishing between cold and heat patterns.
Prescription for Kuantonghua Wan (Coltsfoot Flower Pill) for Nasal Congestion and Loss of Smell:
Kuantonghua (Tussilaginis Flos), Binglang (Arecae Semen, crushed), Baihe (Lilii Bulbus), Maimendong (Ophiopogonis Radix, heart removed and dried), Jiegeng (Platycodonis Radix, stir-fried), Tianmendong (Asparagi Radix, heart removed and dried), Digupi (Lycii Cortex), Lingyangjiao (Saigae Tataricae Cornu, shaved), Beimu (Fritillariae Cirrhosae Bulbus, heart removed), Shanzhiziren (Gardeniae Fructus seed), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Huangqin (Scutellariae Radix, black center removed), Fangfeng (Saposhnikoviae Radix, twigs removed), Xingren (Armeniacae Semen Amarum, skin and tips removed, twin kernels discarded and stir-fried), Yulirens (Prunus japonica seed, skin removed and stir-fried, each 2 liang), Renshen (Ginseng Radix), Shanyu (Dioscoreae Rhizoma), Chaihu (Bupleuri Radix, sprouts removed, each 1.5 liang), Baibu (Stemonae Radix), Gancao (Licorice Root, honey-fried), Kushen (Sophorae Flavescentis Radix, each 1 liang), Sanggenbaipi (Mori Cortex, crushed), Xuanjuhua (Inulae Flos, each 4 liang), Niuhuang (Calculus Bovis, ground), Muxiang (Aucklandiae Radix, each 0.5 liang), Gejie (Gekko, one whole pair, fried in lard).
The above twenty-six ingredients are pounded and ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20–30 pills after meals, washed down with warm fermented rice water.
Prescription for Congrong Wan (Cistanche Pill) for Dizziness, Nasal Congestion, and Loss of Smell:
Roucongrong (Cistanches Herba, soaked in wine overnight, sliced and dried), Shizhongru (Hematitum, ground to powder), Wuweizi (Schisandrae Fructus), Tusizi (Cuscutae Semen, soaked in wine and separately pounded), Chuangzi (Cnidii Fructus, stir-fried), Shanyu (Dioscoreae Rhizoma, each 1 liang), Zexie (Alismatis Rhizoma), Shihu (Dendrobii Caulis, roots removed), Ganjuhua (Chrysanthemi Flos), Xixin (Asari Radix et Rhizoma, sprouts and leaves removed), Xuduan (Dianthi Radix), Lurong (Cervi Cornu Pantotrichum, hair removed, soaked in wine and fried), Fangfeng (Saposhnikoviae Radix, twigs removed), Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed), Huangqi (Astragali Radix, crushed), Ganjiang (Zingiberis Rhizoma, processed), Baiziren (Platycladi Semen, separately ground, each 3 fen).
The above seventeen ingredients, except those requiring separate grinding, are pounded and sieved into powder, mixed evenly, and formed into pills the size of paulownia seeds with refined honey. Take 20 pills on an empty stomach with warm wine, twice daily. If alcohol is not consumed, use jujube decoction instead. After three days of medication, moxa-ignite the Baihui acupoint (GV20) for 21 moxa cones, then apply Rushen Gao (Miraculous Ointment).
Prescription for Rushen Gao (Miraculous Ointment):
Bimazi (Ricini Semen, shelled), Xingren (Armeniacae Semen Amarum, skin and tips removed), Yinziyan (Halitum), Xiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix, twigs removed), Songzhi (Pini Resina, each 1 fen), La (Cera Flava, 0.5 liang), You (Oil, 1 sheng).
Place the oil in a silver vessel first. Add the other herbs as coarse powder to the oil. Simmer over low heat until it becomes an ointment. Filter out the dregs and store in porcelain. Apply appropriately sized patches once daily.
Prescription for Tianmendong Wan (Asparagus Root Pill) for Nasal Congestion and Loss of Smell:
Tianmendong (Asparagi Radix, heart removed and dried), Baifuling (Poria, black skin removed, each 5 liang), Renshen (Ginseng Radix), Zhishi (Aurantii Fructus Immaturus, pith removed and bran-fried), Gancao (Licorice Root, honey-fried, each 3 liang), Binglang (Arecae Semen, crushed, 2 liang).
The above six ingredients are pounded and sieved into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 pills after meals with fermented rice water, twice daily. In summer months, take with cow's milk.
Prescription for Baibu San (Stemona Powder) for Lung Excess Type Nasal Congestion and Loss of Smell:
Baibu (Stemonae Radix, 2 liang), Kuantonghua (Tussilaginis Flos), Beimu (Fritillariae Cirrhosae Bulbus, heart removed), Baiwei (Cynanchi Atrati Radix, each 1 liang).
The above four ingredients are pounded and sieved into powder. Take one qianbi (approx. 3-5g) per dose, mixed with rice drink.
Prescription for Fangfeng Tang (Saposhnikovia Decoction) for Nasal Congestion and Loss of Smell:
Fangfeng (Saposhnikoviae Radix, twigs removed, 0.5 liang), Zhizi (Gardeniae Fructus, skin removed, 7 pieces), Shengma (Cimicifugae Rhizoma, 1 liang), Shigao (Gypsum Fibrosum, crushed, 3 liang), Mahuang (Ephedrae Herba, roots and nodes removed, 3 fen), Gui (Cinnamomi Ramulus, rough bark removed, 0.5 liang), Mutong (Akebiae Caulis, crushed, 1.1 liang).
The above seven ingredients are coarsely crushed and sifted. Take 3 qianbi per dose, add one sheng of water, boil down to 0.7 sheng, filter, and take warm on an empty stomach, twice daily.
Prescription for Paifeng San (Wind-Expelling Powder) for Nasal Obstruction, Loss of Smell, Polyps, or Sores:
Fangfeng (Saposhnikoviae Radix, twigs removed), Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed), Shanyu (Dioscoreae Rhizoma), Wuzhuyu (Evodiae Fructus, soaked in water, dried, and stir-fried), Tianxiong (Aconiti Kusnezoffii Radix Praeparata, roasted until cracked, skin and navel removed, each 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed, 0.5 liang).
The above six ingredients are pounded and sieved into powder. Take 2 qianbi per dose, mixed with warm wine on an empty stomach.
Prescription for Tongqi Gao (Qi-Unblocking Ointment) for Nasal Discomfort, Obstruction, and Loss of Smell:
Mutong (Akebiae Caulis), Danggui (Angelicae Sinensis Radix, sliced and dried), Xiong (Ligustici Chuanxiong Rhizoma), Ruiren (Pruni Armeniacae Semen, processed), Gui (Cinnamomi Ramulus, rough bark removed, each 0.5 liang), Xixin (Asari Radix et Rhizoma, sprouts and leaves removed), Baizhi (Angelicae Dahuricae Radix, each 3 fen).
The above seven ingredients are finely chopped and simmered with 3 liang of sheep marrow in a silver or ceramic vessel over low heat. When Baizhi turns yellow, filter the dregs and allow to solidify. Take small bean-sized amounts to insert into the nostrils, twice daily.
Prescription for Gansui San (Kansui Powder) for Nasal Congestion and Loss of Smell:
Gansui (Kansui Radix), Xixin (Asari Radix et Rhizoma, sprouts and leaves removed), Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, skin and navel removed), Mutong (Akebiae Caulis, crushed, each 1 fen).
The above four ingredients are pounded and sieved into powder. Wrap a small amount in cotton and insert into the nostril. Clear fluid should discharge. In severe cases, 1–2 sheng of clear fluid may be discharged. Secure the medicine while sleeping. Endure slight pain if felt; avoid exposure to wind and cold.
Prescription for Xion Xin Yi San (Ligusticum and Magnolia Bud Powder) for Nasal Congestion and Loss of Smell:
Xiong (Ligustici Chuanxiong Rhizoma), Xinyi (Magnoliae Flos, each 1 liang), Xixin (Asari Radix et Rhizoma, sprouts and leaves removed, 3 fen), Mutong (Akebiae Caulis, crushed, 0.5 liang).
The above four ingredients are pounded and sieved into powder. Wrap a small amount in cotton and insert into the nostril. Replace when wet. Recovery occurs within 5–7 days.
Prescription for Tongding San (Penetrating Crown Powder) for Nasal Congestion and Loss of Smell:
Huashi (Talcum, ground), Huhuanglian (Coptidis Rhizoma alternative/Isodontiae Radix, powdered, each 1 fen), Gouti (Melonis Fructus, powdered, 7 pieces), Shexiang (Moschus, ground, 0.5 liang), Chansu (Toad Venom, ground, 1 qian).
The above five ingredients are mixed thoroughly. Blow a small amount into the nostril for cure.
Prescription for Gouti San (Melon Fruit Powder) for Nasal Congestion and Loss of Smell:
Gouti (Melonis Fructus), Lilu (Veratri Nigrum Rhizoma, each 1 fen).
The above two ingredients are pounded and sieved into powder. Take one qianbi, wrap in cotton, and insert into the nostril. Change three times daily.
Prescription for Xixin San (Asari Powder) for Nasal Congestion and Loss of Smell:
Xixin (Asari Radix et Rhizoma, sprouts and leaves removed), Gouti (Melonis Fructus, each 1 fen).
The above two ingredients are pounded and sieved into powder. Blow a small amount into the nostril.