夫肺气通于鼻。若其脏为冷风所伤。故鼻气不通利。成 也。为冷气结聚。搏于血气则
生肉
治外伤风冷。鼻塞。气息不通。壅闷。宜服芎 散方。
芎 槟榔 人参（去芦头） 赤茯苓 白术 麻黄（去根节） 肉桂（去皱皮） 郁
李仁
（汤浸
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至七分。去滓。每于食后
温服
治鼻塞不闻香臭。木通散方。
木通（一两锉） 防风（半两去芦头） 栀子仁（半两） 川升麻（一两） 石膏（二
两） 麻黄
（三
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每于食后温服。
治鼻塞不闻香气。纳鼻膏药方。
当归 薰草 木通 细辛 蕤仁（去赤皮研以上各一两） 芎 （半两） 白芷（半两）
羊
髓（
上件药。细锉。用羊髓入于铛内。以慢火煎令消。次下诸药。煎令白芷色黄。绵滤去滓。
盛
治鼻窒塞。香臭不闻。妨闷疼痛。通鼻膏方。
白芷（半两） 芎 （半两） 木通（半两） 当归（三分） 细辛（三分） 莽草（三
分） 辛荑
（一
上件药。细锉。以猪脂一斤。煎令白芷色黄。绵滤去滓。盛于不津器中。候冷。绵裹枣
核大
治鼻塞气息不通方。
木通（锉） 细辛 附子（炮裂去皮脐以上各一两）
上件药。捣罗为末。炼蜜和丸。如枣核大。每夜临卧。纳一丸于鼻中瘥。
治鼻塞不通。常有涕。涂囟膏方。
杏仁（三分去皮尖） 细辛 附子 川椒（以上各一分）
上件药。并生用。锉碎。以醋五合。渍药一夜。明旦滤出。以猪脂五两煎之。候附子色
黄。
治鼻塞不通。塞鼻皂荚散方。
皂荚 细辛 辛荑 川椒（去目及闭口者微炒去汗） 附子（炮裂去皮脐以上各一分）
上件药。捣罗为散。每取半钱。用绵裹。塞鼻中。以少许吹之亦得。
治鼻塞不闻香臭。宜用塞鼻甘遂散方。
甘遂 细辛 附子（炮裂去皮脐） 木通（锉以上各一分）
上件药。捣细罗为散。每用半钱。以绵裹塞入鼻中。当有清水出。病重者或下三二升。
当以
治鼻窒塞不得喘息。宜用塞鼻菖蒲散方。
菖蒲（一分） 皂荚（一分炙研用子）
上件药。捣细罗为散。每用半钱。以绵裹。夜临卧时。塞于鼻中。
治鼻塞不闻香臭。塞鼻瓜蒂散方。
瓜蒂（一分） 藜芦（一分）
上件药。捣细罗为散。每服半钱。用狗胆汁和。绵裹塞于鼻中。日三易之。
治鼻塞不闻香臭。吹鼻通顶散方。
滑石（一分） 瓜蒂（七枚为末） 麝香（半钱） 胡黄连（一分末） 蟾酥（半钱）
上件药。都研令细。每用少许。吹入鼻中。
治鼻中窒塞。气息不通者。皆已有肉柱。柱若不出。终不能瘥。余药虽暂通利。
旋复生长。
白雄犬胆（一枚） 地胆（二十枚）
上件药。先捣罗地胆为细散。纳犬胆中。以绳系定。三日。乃于日出时。令病患面首卧
中庭
痛。
慎
治鼻塞。多年不闻香臭。水出不止。灌鼻蒺藜汁方。
蒺藜（二握当有车碾过者）
上件药。以水一大盏。煮取半盏。仰卧。先满口含饭。以汁一合。灌入鼻中。不通。再
灌之
治鼻塞。眼昏头疼。胸闷。滴鼻苦胡芦子。脑泻散方。
上用苦葫芦子一两。以童子小便一中盏浸之。夏一日。冬七日。取汁少许。滴入鼻中。
又方。
上用绵裹瓜蒂末。塞鼻中。
又方。
上以刺蓟二握。以水一大盏。煮取五分。去滓。顿服之。
又方。
上以水调服釜下墨三钱。日三服。
又方。\x
槐叶（二升） 葱白（三茎） 豉（一合）
上用水二大盏。煮取汁一盏。去滓。分温二服。
The Lung Qi communicates with the nose. If the Zang organs are injured by cold wind, nasal Qi becomes obstructed, leading to nasal congestion (Bi Sai). This occurs because cold Qi condenses and accumulates, attacking the Blood and Qi, thereby generating polyps (Rou Zhu).
For nasal congestion, obstructed breathing, and stuffiness caused by external invasion of wind-cold, Xiong Yu San (Ligusticum and Areca Nut Powder) is indicated.
Ingredients: Chuanxiong Rhizome (Chuanxiong Radix), Areca Seed (Binglang), Ginseng Root and Rhizome (Renshen, removed rhizome head), Red Poria (Chifuling), Atractylodes Macrocephala Rhizome (Baizhu), Ephedra Stem (Mahuang, removed roots and joints), Cinnamon Twig (Rougui, removed wrinkled bark), and Prunus Sibirica Seed (Yuliren, soaked in decoction).
Process these ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger. Decoct until the volume reduces to seven-tenths. Strain off the dregs. Take warm after meals.
For nasal congestion and loss of smell (Bu Wen Xiang Chou), Mutong San (Akebia and Saposhnikovia Powder) is indicated.
Ingredients: Akebia Stem (Mutong, 1 liang, crushed), Saposhnikovia Root (Fangfeng, 0.5 liang, removed rhizome head), Gardenia Seed (Zhizi Ren, 0.5 liang), Cimicifuga Rhizome (Chuan Shengma, 1 liang), Gypsum Fibrosum (Shigao, 2 liang), Ephedra Stem (Mahuang, 3 liang, removed roots and joints).
Process these ingredients by pounding and sieving into a powder. Take 3 qian per dose. Add one zhong zhan of water. Decoct until the volume reduces to six-tenths. Strain off the dregs. Take warm after meals.
For nasal congestion and inability to perceive odors, a nasal ointment (Na Bi Gao Yao) is indicated.
Ingredients: Angelica Sinensis Root (Danggui), Agastache Herb (Xuncao), Akebia Stem (Mutong), Asarum Root (Xixin), Prunus Mume Kernel (Ruiren, removed red skin and ground, each 1 liang), Chuanxiong Rhizome (Chuanxiong, 0.5 liang), Angelica Dahurica Root (Baizhi, 0.5 liang), and Sheep Marrow (Yang Sui).
Process these ingredients by finely chopping. Place sheep marrow in a pan and melt it over slow fire. Then add the other herbs and decoct until Baizhi turns yellow. Filter through silk cloth to remove dregs. Store in a container.
For nasal obstruction, loss of smell, respiratory difficulty, and pain, Tong Bi Gao (Nasal Unblocking Ointment) is indicated.
Ingredients: Angelica Dahurica Root (Baizhi, 0.5 liang), Chuanxiong Rhizome (Chuanxiong, 0.5 liang), Akebia Stem (Mutong, 0.5 liang), Angelica Sinensis Root (Danggui, 3 fen), Asarum Root (Xixin, 3 fen), Polygonum Aristolochioides Herb (Mangcao, 3 fen), and Magnolia Flower Bud (Xinyi, 1 handful).
Process these ingredients by finely chopping. Decoct with 1 jin of lard until Baizhi turns yellow. Filter through silk cloth to remove dregs. Store in a non-leaky vessel. When cool, wrap in silk cloth into pills the size of a jujube pit.
For nasal congestion and obstructed breathing, an alternative formula is indicated.
Ingredients: Akebia Stem (Mutong, crushed), Asarum Root (Xixin), and Prepared Aconite Lateral Root (Fuzi, processed, cracked, removed skin and navel, each 1 liang).
Process these ingredients by pounding and sieving into a fine powder. Mix with refined honey to form pills the size of a jujube pit. Each night before sleep, insert one pill into the nostril. The condition will heal.
For nasal obstruction with constant discharge, a fontanelle application ointment (Tu Xin Gao) is indicated.
Ingredients: Apricot Seed (Xingren, 3 fen, removed skin and tip), Asarum Root (Xixin), Aconite Lateral Root (Fuzi), and Sichuan Pepper (Chuanjiao, each 1 fen).
Use all ingredients raw. Chop finely. Soak in 5 he of vinegar overnight. Strain the next morning. Decoct with 5 liang of lard until Fuzi turns yellow.
For nasal obstruction, a nasal packing powder using Soap Pod (Zao Jiao San) is indicated.
Ingredients: Soap Pod (Zaojiao), Asarum Root (Xixin), Magnolia Flower Bud (Xinyi), Sichuan Pepper (Chuanjiao, removed eyes and closed-mouth ones, lightly stir-fried to remove sweat), and Prepared Aconite Lateral Root (Fuzi, processed, cracked, removed skin and navel, each 1 fen).
Process these ingredients by pounding and sieving into a powder. Take half a qian each time. Wrap in silk cloth and pack into the nostril. Alternatively, blow a small amount into the nostril.
For nasal congestion and loss of smell, a nasal packing powder using Kansui Root (Gansui San) is indicated.
Ingredients: Kansui Root (Gansui), Asarum Root (Xixin), Prepared Aconite Lateral Root (Fuzi, processed, removed skin and navel), and Akebia Stem (Mutong, crushed, each 1 fen).
Process these ingredients by pounding and sieving into a fine powder. Use half a qian each time. Wrap in silk cloth and insert into the nostril. Clear fluid should flow out. In severe cases, two or three sheng may be discharged. Replenish fluids accordingly.
For nasal obstruction preventing breathing, a nasal packing powder using Acorus Rhizome (Changpu San) is indicated.
Ingredients: Acorus Rhizome (Changpu, 1 fen), Soap Pod (Zaojiao, 1 fen, roasted and ground, use seeds).
Process these ingredients by pounding and sieving into a fine powder. Use half a qian each time. Wrap in silk cloth. At night before sleep, insert into the nostril.
For nasal congestion and loss of smell, a nasal packing powder using Melon Seed (Gua Di San) is indicated.
Ingredients: Melon Seed (Gua Di, 1 fen), Veratrum Rhizome (Lilu, 1 fen).
Process these ingredients by pounding and sieving into a fine powder. Take half a qian each time. Mix with dog bile. Wrap in silk cloth and insert into the nostril. Change three times daily.
For nasal congestion and loss of smell, a nasal insufflation powder called Tong Ding San is indicated.
Ingredients: Talcum (Huashi, 1 fen), Melon Seed (Gua Di, 7 pieces, ground), Realgar (Shexiang, actually Musk here based on context "Shexiang" usually refers to Musk in formulas, but literal translation is Realgar; however, standard term for Musk is She Xiang. Given "Tong Ding", Musk is likely intended. WHO term: Moschus / Musk), Picrorhiza Rhizome (Huhuanglian, 1 fen, ground), Toad Venom (Chansu, 0.5 qian).
Grind all ingredients to a fine powder. Use a small amount each time. Insufflate into the nostril.
In cases of nasal obstruction and obstructed breathing where polyps (Rou Zhu) have formed, if the polyps are not expelled, the condition cannot be cured. Other medicines may provide temporary relief, but the polyps will regrow.
Ingredients: Gallbladder of a white male dog (Bai Xiong Quan Dan, 1 piece), Ground Beetle (Di Dan, 20 pieces).
First, pound and sieve Di Dan into a fine powder. Place inside the dog gallbladder. Tie securely with string. After three days, at sunrise, have the patient lie supine facing the sun in the courtyard. Instill the juice. If pain occurs, stop. Observe precautions.
For chronic nasal congestion, loss of smell for many years, and incessant watery discharge, a nasal irrigation with Tribulus Juice (Ji Li Zhi Fang) is indicated.
Ingredients: Tribulus Fruit (Jili, two handfuls, preferably those crushed by cartwheels).
Decoct in one large zhong zhan of water until half remains. Lie supine. Fill the mouth with rice first. Irrigate the nostril with one he of the juice. If blocked, irrigate again.
For nasal congestion, blurred vision, headache, and chest tightness, a nasal drip using Bitter Bottle Gourd Seed (Ku Hulu Zi Nao Xie San) is indicated.
Take one liang of Bitter Bottle Gourd Seed (Ku Hulu Zi). Soak in one zhong zhan of urine from an uncircumcised boy. Soak for one day in summer or seven days in winter. Take a few drops of the juice and instill into the nostril.
Another prescription:
Wrap Guadi powder in silk cloth and pack into the nostril.
Another prescription:
Take two handfuls of Thorny Thistle (Ci Ji). Decoct in one large zhong zhan of water until five fen remain. Strain and take in one dose.
Another prescription:
Mix three qian of soot from the bottom of a cauldron (Fu Xia Mo) with water and take orally. Take three times daily.
Another prescription:
Ingredients: Sophora Leaf (Huai Ye, 2 sheng), White Part of Scallion Stalk (Cong Bai, 3 stalks), Fermented Soybean (Chi, 1 he).
Decoct in two large zhong zhan of water until one zhong zhan of juice remains. Strain. Divide into two doses and take warm.