生鼻柱,属督脉经。鼻为肺窍,故又属肺。色紫肿硬,时觉木痛,多由郁火壅结。初宜
服千
则例溃后治法。
千金漏芦汤
漏芦(一两) 枳壳(一两,麸炒) 朴硝(一两) 大黄(一两五钱) 生甘草(一两) 麻黄
(一两) 黄芩(一两) 白蔹(一两) 连翘(一两,去心) 升麻(一两)
上共研末 每用三钱,水一钟,薄荷叶一钱煎五分温服,以取便利为度。
仙方活命饮(通用一。)
(一名 肉、痔痈。)
生鼻孔内,如肉赘下垂,色紫微硬,撑塞鼻孔,气息不通,香臭莫辨,或臭不可近,痛
不可
戒酒腥暴怒。
加味泻白散
桑白皮(生) 地骨皮(各三钱) 生甘草(八分) 桔梗 辛夷(各二钱) 黄芩 陈皮 木
通(各一钱五分)
上水煎,食远服。一方加山栀仁生研一钱。
黄白散
轻粉 杏仁(去皮尖) 白矾 雄黄(各一钱) 麝香(少许)
上五味,用乳钵先研杏仁如泥,后入雄、矾、麝香同研极细,瓷器收贮。患者于卧时用
箸头蘸米粒许,点 肉上,一日卧点一次,半月效。
千金 肉方(存验。)
瓜蒂 华阴细辛(等分)
上为末,绵裹少许塞鼻中。一方加枯矾、雄黄等分,麝香少许。
(一名酒 鼻。)
鼻准及鼻两边红赤,系阳明血热,好酒者多得此病,肺受热郁所致,亦或血热遇寒,污
浊凝
陈酒一杯,调五灵脂末二钱,热服。气弱者,加黄 酒炒三、五钱。如不好酒者,肺风致病
,不用五灵脂,加防风、荆芥。外俱用硫黄膏,临卧洗面净涂。
硫黄膏
硫黄 白芷 天花粉 水粉(各五分) 全蝎(一枚) 芫青(七个去头、足、翅) 蝉蜕(五
个)
上为细末,用麻油一酒杯,黄蜡一钱许,熬匀离火,方入前药末,和匀。每于临卧时洗
面净,以少许涂面,勿近眼。数日间肿处自平,赤鼻亦消,如退风刺,一夕见效。
硫黄散(存验。)
硫黄 轻粉(各一钱) 杏仁(五分)
上为末,用蜜酒调。于卧时涂上,次早洗去,效。或用津唾调搽更妙。
附 石殿撰鼻 方(存验。)
天台乌药(三钱) 铜绿(三钱) 樟脑(三钱) 大枫子(三两)
上为细末,将大枫子仁去壳捣如泥,入瓷罐内隔水重汤煮三柱香,取出炸油和药,搽鼻
患处
Located on the nasal bridge, it belongs to the Du Meridian (Governor Vessel). The nose is the orifice of the Lung, so it also belongs to the Lung. The color is purple, swollen and hard, with a sensation of numbness and pain, mostly caused by the stagnation and accumulation of constrained fire. Initially, it is suitable to take Qianjin Loulu Decoction (Thistle Root Decoction), and after ulceration, other treatment methods should be adopted.
Qianjin Loulu Decoction (Thistle Root Decoction)
Radix Ephedrae (Mahuang, 麻黄) (1 liang)
Fructus Aurantii (Zhike, 枳壳) (1 liang, stir-baked with bran)
Natrii Sulfas (Puxiao, 朴硝) (1 liang)
Radix et Rhizoma Rhei (Dahuang, 大黄) (1.5 liang)
Radix Glycyrrhizae Preparata (Sheng Gancao, 生甘草) (1 liang)
Herba Schizonepetae (Jingjie, 荆芥) - *Note: Text says Mahuang here but context implies Schizonepeta or similar; sticking to text "Mahuang" as per source* -> Radix Ephedrae (Mahuang, 麻黄) (1 liang)
Radix Scutellariae (Huangqin, 黄芩) (1 liang)
Radix Ampelopsis (Bailian, 白蔹) (1 liang)
Flos Forsythiae (Lianqiao, 连翘) (1 liang, remove heart)
Rhizoma Cimicifugae (Shengma, 升麻) (1 liang)
Grind all above into powder. Take 3 qian each time, with one zhong of water and 1 qian of Mentha Haplocalyx Leaves (Bohe Ye, 薄荷叶), decoct until reduced to 0.5 zhong, take warm. Stop when bowel movement is unobstructed.
Xianfang Huoming Yin (Immortal Life-Deciding Decoction) (General formula.)
(Also known as: Nasal Polyp, Hemorrhoidal Carbuncle.)
Grows inside the nostril, hanging down like a fleshy polyp, purple in color and slightly hard, blocking the nostril, causing breathing difficulty, inability to distinguish smells, or foul odor intolerable to others, and severe pain. Avoid alcohol, fishy/greasy foods, and violent anger.
Jiawei Xiebai San (Modified Draining White Powder)
Radix Morus Albae (Sangbaipi, 桑白皮) (raw)
Cortex Lycii (Digupi, 地骨皮) (each 3 qian)
Radix Glycyrrhizae Preparata (Sheng Gancao, 生甘草) (8 fen)
Radix Platycodi (Jiegeng, 桔梗)
Flos Magnoliae Biondii (Xinyi, 辛夷) (each 2 qian)
Radix Scutellariae (Huangqin, 黄芩)
Pericarpium Citri Reticulatae (Chenpi, 陈皮)
Herba Akebiae (Mutong, 木通) (each 1.5 qian)
Decoct in water, take long after meals. Another method adds Semen Gossypii Herbacei (Shanzhiren, 山栀仁) raw-ground 1 qian.
Huangbai San (Yellow-White Powder)
Calomelas (Qingfen, 轻粉)
Semen Armeniacae Amarum (Xingren, 杏仁) (remove skin and tip)
Alumen (Baifan, 白矾)
Realgar (Xionghuang, 雄黄) (each 1 qian)
Moschus (Shexiang, 麝香) (a small amount)
Take the five herbs above. First grind Semen Armeniacae Amarum (Xingren, 杏仁) into a paste using a mortar. Then add Realgar (Xionghuang, 雄黄), Alumen (Baifan, 白矾), and Moschus (Shexiang, 麝香), grinding them together until extremely fine. Store in porcelain ware. When the patient lies down, use the tip of chopsticks to dip a rice-grain-sized amount and apply it to the polyp. Apply once before sleep daily. Effective within half a month.
Qianjin Polyp Formula (Verified effective.)
Fructus Cucumis Tricuspidati (Goudi, 瓜蒂)
Radix Asari (Huayin Xixin, 华阴细辛) (equal parts)
Grind into powder. Wrap a small amount in cotton and insert into the nostril. Another method adds Alum (Kufan, 枯矾) and Realgar (Xionghuang, 雄黄) in equal parts, with a small amount of Moschus (Shexiang, 麝香).
(Also known as: Rhinophyma / Rosacea.)
The nasal tip and both sides are red and flushed. This belongs to Blood Heat in the Yangming Meridian. It is commonly seen in those who love alcohol, caused by Lung heat constrained by fire, or blood heat encountering cold, leading to condensation of turbidity.
Mix one cup of aged wine with 2 qian of powder of Resina Trogopterori (Wulingzhi, 五灵脂), take hot. For those with Qi deficiency, add Huangqi (Astragali Radix, 黄芪) stir-baked with yellow wine, 3-5 qian. For those who do not drink alcohol, where the disease is caused by Wind-Lung, do not use Wulingzhi (Resina Trogopterori, 五灵脂); instead add Fangfeng (Saposhnikoviae Radix, 防风) and Jingjie (Schizonepetae Herba, 荆芥). Externally, all use Liuhuang Ointment (Sulfur Ointment), applied cleanly to the face before bed.
Liuhuang Gao (Sulfur Ointment)
Sulfur (Liuhuang, 硫黄)
Radix Angelicae Dahuricae (Baizhi, 白芷)
Radix Paeoniae Albbae (Tianhuafen, 天花粉)
Cerussa (Shuifen, 水粉) (each 5 fen)
Scorpio (Quanxie, 全蝎) (1 piece)
Lytta (Yuanqing, 芫青) (7 pieces, remove head, feet, wings)
Periostracum Cicadae (Chantui, 蝉蜕) (5 pieces)
Grind into fine powder. Use one wine-glass of Sesame Oil (Mayou, 麻油) and about 1 qian of Beeswax (Huangla, 黄蜡), melt evenly, remove from fire, then add the herbal powder and mix well. Before bed, wash the face clean, apply a small amount to the face, avoiding the eyes. Within a few days, swelling will subside naturally, redness will disappear, similar to removing wind-pimples, effective overnight.
Liuhuang San (Sulfur Powder) (Verified effective.)
Sulfur (Liuhuang, 硫黄)
Calomelas (Qingfen, 轻粉) (each 1 qian)
Semen Armeniacae Amarum (Xingren, 杏仁) (5 fen)
Grind into powder. Mix with honey-wine. Apply before sleep, wash off next morning. Effective. Alternatively, mixing with saliva for application is even better.
Appendix: Dianzhuan Shi's Nasal Formula (Verified effective.)
Radix Saposhnikoviae (Tiantai Uyao, 天台乌药) (3 qian)
Viriditas Cupri (Tonglv, 铜绿) (3 qian)
Camphora (Zhangnao, 樟脑) (3 qian)
Semen Juglandis Mandschuricae (Da Fengzi, 大枫子) (3 liang)
Grind into fine powder. Remove shell from Semen Juglandis Mandschuricae (Da Fengzi, 大枫子) kernels, pound into paste. Place in a porcelain jar, boil over double boiler for three incense sticks' duration. Remove, extract oil, mix with medicine, and apply to the affected area of the nose.