鼻 疮多小儿生，鼻下两旁斑烂形，总由风热客于肺，脓汁浸淫痒不疼。
【注】此证多生于小儿鼻下两旁，色紫斑烂，由风热客于肺经。脓汁浸淫，痒而不痛，
宜服泽泻散，外搽青蛤散即愈。
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泽泻散
泽泻 郁金 山栀（生） 甘草（生，各一钱）
共研末，每服一钱，甘草煎汤调下。
【方歌】泽泻散治鼻 患，脓汁浸淫肺火毒，泽泻郁金栀草末，甘草煎汤调送服。
青蛤散
蛤粉（ ，一两） 青黛（三钱） 石膏（ ，一两） 轻粉 黄柏（生末，各五钱）
共研细末，先用香油调成块，次加凉水调稀，薄涂疮处。
【方歌】青蛤散涂鼻 消，蛤粉青黛 石膏，轻粉黄柏研极细，香油拌块凉水调。
鼻疮肺热生鼻中，燥干如火微肿疼，内服黄芩外定痛，燥干黄连膏润灵。
【注】此证生于鼻窍内，初觉干燥疼痛，状如粟粒，甚则鼻外色红微肿，痛似火炙。由
肺经壅热，上攻鼻窍，聚而不散，致成此疮。内宜黄芩汤清之，外用油纸捻粘辰砂定痛散，
送入鼻孔内。若干燥者，黄连膏抹之立效。
\r鼻疮鼻痔图\p04-34a102.bmp\r
黄芩汤
黄芩（酒炒，二钱） 甘草（生，五分） 麦冬（去心，一钱） 桑白皮（生，一钱） 栀子（连皮
酒炒，一钱五分） 连翘（去心） 赤芍 桔梗 薄荷 荆芥穗（各一钱）
水煎，食后服。
【方歌】黄芩汤医肺火盛，鼻内生疮赤肿疼，芩草麦冬桑栀翘，赤芍桔梗薄荷荆。
辰砂定痛散
辰砂（末，五分） 冰片（二分） 胡黄连（末，二两） 石膏（ ，一两）
共研细末。
【方歌】辰砂定痛鼻疮干，冰片胡连膏 研，油纸捻药入鼻孔，消疼散热效通仙。
黄连膏
黄连（三钱） 当归尾（五钱） 生地（一两） 黄柏（三钱） 姜黄（三钱）
香油十二两，将药炸枯，捞去渣；下黄蜡四两溶化尽，用夏布将油滤净，倾入瓷碗
内，以柳枝不时搅之，候凝为度。
【方歌】黄连膏润诸燥疮，归尾生地柏姜黄，油炸去渣加黄蜡，布滤搅凝涂抹强。
Nasal sores (Bichuang) mostly occur in children, presenting as macerated and ulcerated skin on both sides below the nose. The etiology is generally attributed to wind-heat pathogens invading the Lung meridian. Symptoms include exudation of pus causing maceration, accompanied by itching but no pain.
[Note] This condition mostly occurs on both sides below the nose in children, with the affected area appearing purple and ulcerated, caused by wind-heat pathogens lodging in the Lung meridian. With pus exuding and macerating, it presents as itching without pain. It is appropriate to take Zexie San (Alisma Powder) internally and apply Qingge San (Green Clam Powder) externally for cure.
Zexie San (Alisma Powder)
Ingredients: Alisma Rhizoma (Zexie), Curcuma Aromatica Rhizome (Yujin), Gardenia Fruit (Zhizi, raw), Licorice Root (Gancao, raw), each 1 qian.
Preparation and Administration: Grind the above ingredients into powder together. Take 1 qian per dose, mixed with decoction of Licorice Root.
[Poem] Zexie San treats nasal sores, addressing pus exudation and Lung fire toxicity; grind Alisma, Curcuma, Gardenia, and Licorice into powder, and administer with Licorice decoction.
Qingge San (Green Clam Powder)
Ingredients: Calcined Tridacna Shell Powder (Ge Fen, 1 liang), Indigo Naturalis (Qingdai, 3 qian), Calcined Gypsum Fibrosum (Shigao, 1 liang), Calomel (Qingfen), Raw Polygonum Cuspidatum Rhizome Powder (Huangbai, each 5 qian).
Preparation and Administration: Grind the above ingredients into fine powder. First mix with sesame oil to form a paste, then add cool water to thin it. Apply thinly to the sore area.
[Poem] Apply Qingge San to eliminate nasal sores; use calcined clam powder, Indigo Naturalis, and calcined gypsum; grind Calomel and Polygonum Cuspidatum rhizome to extreme fineness, mix with sesame oil into a block, and dilute with cool water.
Another type of nasal sore arises from Lung heat, occurring inside the nose, presenting with dryness like fire burning, slight swelling, and pain. Internal administration of Huangqin Tang clears the heat, while external application of Huanglian Gao moistens and relieves pain effectively.
[Note] This condition occurs inside the nasal cavity. Initially, there is a sensation of dryness and pain, resembling millet grains. In severe cases, the external nose becomes red and slightly swollen, with pain feeling like fire roasting. This is due to stagnation of heat in the Lung meridian, which attacks upward to the nasal orifice, gathers, and fails to disperse, resulting in this sore. Internally, Huangqin Tang (Scutellaria Decoction) is suitable to clear the heat. Externally, Chensha Dingtong San (Cinnabar Pain-Stopping Powder) adhered to an oil-paper wick can be inserted into the nasal cavity. If dryness is present, applying Huanglian Gao (Coptis Ointment) yields immediate results.
Huangqin Tang (Scutellaria Decoction)
Ingredients: Scutellaria Root (Huangqin, wine-fried, 2 qian), Licorice Root (Gancao, raw, 5 fen), Ophiopogon Tuber (Maidong, dehearted, 1 qian), Mulberry Root Bark (Sangbaipi, raw, 1 qian), Gardenia Fruit (Zhizi, with skin, wine-fried, 1.5 qian), Forsythia Fruit (Lianqiao, dehearted), Red Peony Root (Chishao), Platycodon Root (Jiegeng), Mint Herb (Bohe), Schizonepeta Spike (Jingshesui), each 1 qian.
Preparation and Administration: Decoct in water and take after meals.
[Poem] Huangqin Tang treats excessive Lung fire, nasal sores with redness, swelling, and pain; contains Scutellaria, Licorice, Ophiopogon, Mulberry root, Gardenia, Forsythia, Red Peony, Platycodon, Mint, and Schizonepeta.
Chensha Dingtong San (Cinnabar Pain-Stopping Powder)
Ingredients: Cinnabar Powder (Chensha, 5 fen), Borneol (Bingpian, 2 fen), Picrorhiza Rhizome (Huhuanglian, powder, 2 liang), Calcined Gypsum Fibrosum (Shigao, 1 liang).
Preparation and Administration: Grind together into fine powder.
[Poem] Chensha Dingtong San treats dry nasal sores; grind Borneol and Picrorhiza into powder; insert into the nasal cavity using an oil-paper wick to relieve pain, dissipate heat, and achieve miraculous efficacy.
Huanglian Gao (Coptis Ointment)
Ingredients: Coptis Rhizome (Huanglian, 3 qian), Angelica Sinensis Root Tail (Dangguiwei, 5 qian), Rehmannia Root (Shengdi, 1 liang), Phellodendron Bark (Huangbai, 3 qian), Turmeric Rhizome (Jianghuang, 3 qian).
Preparation and Administration: Take 12 liang of sesame oil, fry the herbs until charred, remove the dregs; add 4 liang of beeswax and melt completely. Filter the oil through linen cloth, pour into a porcelain bowl, and stir occasionally with a willow branch until solidified.
[Poem] Huanglian Gao moistens various dry sores; contains Angelica tail, Rehmannia, Phellodendrum, and Turmeric; fried in oil, dregs removed, beeswax added, filtered through cloth, stirred until solid, and applied strongly.