右手脉浮洪而数。为鼻衄流血。左手脉浮缓。为伤风鼻塞。鼻流清涕。
夫鼻者肺之候。时常和则吸饮香臭矣。若七情内郁。六淫外伤。饮食劳役之过。则鼻气
不能
宣调。清道壅塞。即为病也。为衄血。为流清涕。为疮疡。为窒塞不通。为浊涕不闻香臭。
此皆脏腑不调。邪气郁于鼻。而清道壅塞矣。寒则温之。热则清之。塞则通之。壅则散之可
也。
一论肺热鼻流浊涕。壅塞不通。又治鼻不闻香臭。
神愈散
细辛白芷与防风。羌活当归半夏芎。桔梗茯苓陈皮等。十味等分锉和同。三钱薄荷姜煎
服。气息调匀鼻窒通。
一治脑漏。
防风 荆芥 独活 连翘 本 辛夷 甘草 细辛 牙皂 石菖蒲
上锉。水煎服。如数服未效。可将后药三味为末。棉裹塞鼻内。即效。
一论鼻流浊涕不止者。名曰鼻渊。乃风热在脑。伤其脑气。脑气不固。而液自渗泄也。
苍耳散
白芷（一两） 辛夷仁 苍耳（炒各一钱五分） 薄荷（五分）
上锉。水煎服。
一论鼻中流出臭脓水。名曰脑漏。
辛夷散
辛荑花（一钱） 黄 （一钱） 人参（一钱五分） 当归（一钱） 白芍（二钱） 川芎（一钱
）白芷（一钱） 细辛（八分） 黄芩（酒炒一钱） 甘草（六分）
上锉一剂。灯心三十根。水煎。食远服。
一治 疳或鼻疳。
乳香（五分） 没药（五分） 孩儿茶（一钱） 鸡 （焙黄色一钱）
上为末。擦患处。
一老人鼻中流涕不干。独蒜四五个。捣如泥。贴脚底心下。用纸贴之。其涕不再发。
一男子酒 鼻。雄猪胆每日早以好酒调服一个。不过半月。如旧。
一治糟鼻验方。
用硫黄为细末。甚者加草乌。同为末。以酥油调稀。涂患处。如觉痛苦。用栀子煎汤服
之。或洗药处。即愈。
一论鼻赤久不瘥。用大黄、芒硝、槟榔等分为末。水调。敷患处。三四次洗净。以新银
杏去壳嚼烂。敷于鼻上。不过五七次。即如旧。
一治赤鼻。槟榔为片。将茄汁浸晒一二次。为末。面上红累。硫黄以人乳浸满碗。倾入
汤锅煮干。先须用唾湿鼻。方抹药末。
一论鼻渊头眩。
清泥丸敛神汤
人参 防风 麦门冬（去心） 当归头 枯芩（酒炒） 川芎 黄连（酒炒各一钱） 蔓荆子
（八分） 升麻（三分） 生甘草（二分） 明天麻 制半夏（各七分）
上锉。水煎。食远服。脑漏者。加苍耳子二钱。黄 一钱。
一论鼻流涕。久而不愈。乃成脑漏。必因亏损元阳。以致外寒内热。甚则有滴下腥臭之
恶者也。知保养服药。方可渐次许痊。
加味防风汤
防风（一钱） 片芩（酒炒一钱五分） 人参 白芨（各一钱） 麦门冬（去心二钱） 生甘草
（五
分） 知母（一钱） 炒白芍（一钱） 怀生地（酒洗一钱） 黄柏（酒炒一钱） 黄 （一钱） 黄
连（酒炒一钱） 当归头 百合（各一钱）
上锉。水煎。食远。温服。
一论鼻涕长流。名鼻渊也。
当归 川芎 白芷 人参 白茯苓 苍耳子 香附子（各一钱） 天竺黄（三钱） 防风
秦艽 荆芥 薄荷 麦门冬 蔓荆子 甘草（各等分）
上为细末。炼蜜为丸。如梧子大。每服三四十丸。米汤送下效。
一男子面白鼻流清涕。不闻馨秽。三年矣。用补中益气汤加麦门冬、山栀而愈。
一论色欲太过。虚损白浊。鼽出清涕如泉涌者。补中益气汤。（方见内伤）根据本方加黄柏
、知母、白芷、细辛、 本、五味子、白菊、辛夷、苍耳叶。水煎。温服。
一论肺虚。为四气所干。鼻内壅塞。涕出不已。或气息不通。或不闻香臭。
川芎 白芷 细辛 本 防风 木通 辛夷仁 甘草
上锉。水煎服。
一治鼻中肉赘。臭不可近。痛不可摇。以白矾末加 砂少许。吹其上。顷之化水而消。
与胜湿汤合泻白散二剂。此系浓壅湿热。蒸于肺门。如雨霁之地。突生芝菌也。
一治鼻中肉赘。用藕节有毛处一节。烧灰存性为末。吹患处即瘥。
一治血热入肺。名曰酒 鼻。此方主之。
苦参（净末四两） 当归（净末二两）
上和调酒糊为丸。如梧子大。每服七八十丸。食后。热茶送下。
一治鼻疳烂通鼻孔。余治陈都宪夫人。患此得效。
鹿角（一两） 白矾（一两俱放在瓦上隔火 过） 人头发（五钱在灯火上烧过）
上为末。先用花椒汤洗净。掺药于疳上。三四次即愈。如疮不收口。用瓦松烧灰存性研
末。干掺之即收。
一人酒 鼻红赤。余用此方。晚服用六味地黄丸全料加当归二两。苦参四两。空心服。
不两月而愈。
金花丸
黄连（二两） 枯芩（二两） 黄柏（二两） 栀子（一两） 大黄（二两酒蒸九次） 桔梗 白
粉葛（各二两）
上为细末。水法为丸。如桐子大。每服七八十丸。白温水送下。
The pulse on the right hand is floating, surging (Hong), and rapid, indicating epistaxis (nosebleed) with bleeding. The pulse on the left hand is floating and moderate, indicating wind-cold injury with nasal congestion and clear nasal discharge.
The nose is the external manifestation of the Lung. If it remains harmonious, one can normally breathe and distinguish odors. However, if internal depression of the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) occurs, or if invaded by the Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire), combined with dietary irregularities and overexertion, the Qi of the nose cannot be diffused and regulated. This leads to obstruction of the Clear Orifices (respiratory passages), resulting in disease. Manifestations include epistaxis, clear nasal discharge, sores and ulcers, nasal obstruction, turbid nasal discharge with loss of smell. These are all caused by disharmony of the Zang-Fu organs, where pathogenic factors stagnate in the nose, obstructing the Clear Orifices. For cold patterns, use warming methods; for heat patterns, use clearing methods; for obstruction, use unblocking methods; for stagnation, use dispersing methods.
Discussion on Lung Heat causing turbid nasal discharge, nasal obstruction, and treatment for anosmia (loss of smell).
Shenyu San (Divine Healing Powder): Composed of Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Banxia (Pinelliae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jiegeng (Platycodonis Radix), Fuling (Poria), and Chenpi (Citri Reticulatae Pericarpium). Ten ingredients are mixed in equal proportions and crushed. Take three qian per dose, decoct with Bohe (Menthae Haplocalycis Herba) and Shengjiang (Zingiberis Rhizoma Recens), and take orally. This regulates Qi and clears nasal obstruction.
Treatment for Naolou (Brain Leak/Chronic Sinusitis with Purulent Discharge).
Prescription: Fangfeng, Jingjie, Duhuo, Lianqiao, Gaoben, Xinyi, Gancao, Xixin, Yazao, Shichangpu.
Crush the herbs, decoct in water, and take orally. If multiple doses are ineffective, crush the "latter three herbs" into powder, wrap in cotton, and insert into the nose for immediate effect. *(Note: The text refers to "latter three herbs" without explicitly listing a separate group immediately prior, likely referring to specific key ingredients within the context or a missing list. Translated literally as per source structure.)*
Discussion on persistent turbid nasal discharge, termed Biyuan (Nasal Spring/Sinusitis). This is due to Wind-Heat in the brain damaging Brain Qi, causing instability and leakage of fluids.
Canger San (Xanthium Powder): Baizhi (1 liang), Xinyi Ren (Magnolia Flower Bud), Cang'er (Xanthii Fructus, stir-fried, each 1.5 qian), Bohe (Menthae Haplocalycis Herba, 0.5 qian).
Crush the herbs, decoct in water, and take orally.
Discussion on foul-smelling purulent water flowing from the nose, termed Naolou (Brain Leak).
Xinyi San (Magnolia Powder): Xinti Hua (Magnolia Flower, 1 qian), Huangqi (Astragali Radix, 1 qian), Renshen (Ginseng Radix, 1.5 qian), Danggui (Angelicae Sinensis Radix, 1 qian), Baishao (Paeoniae Radix Alba, 2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian), Baizhi (Angelicae Dahuricae Radix, 1 qian), Xixin (Asari Radix et Rhizoma, 0.8 fen), Huangqin (Scutellariae Radix, wine-fried, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.6 fen).
One dose, decoct with Dengxincao (Junci Medullia, 30 stems), and take after meals.
Treatment for Ganji (Childhood Malnutrition) affecting the nose (Bi Gan) or simple Bi Gan.
Ruxiang (Olibanum), Moyao (Myrrha), Haiercha (Camelliae Seed), Ji Nei Jin (Galli Gigerii Endothelium Corneum, roasted until yellow, each 1 qian except Ruxiang/Moyao at 0.5 qian).
Grind into powder and apply to the affected area.
For an elderly person with persistent runny nose: Mash four to five cloves of single-clove garlic into a paste, apply to the center of the sole (Yongquan point), and cover with paper. The runny nose will cease.
For a man with Jiu Zao Bi (Alcoholic Rhinophyma/Nasal Acne): Administer one male pig gallbladder daily in the morning, mixed with good wine. Recovery occurs within half a month.
Effective prescription for Rhinophyma (Cao Bi):
Grind Sulfur into fine powder; add Caowu (Aconiti Kusnezoffii Radix) for severe cases. Mix powders, dilute with clarified butter, and apply to the lesion. If irritation occurs, drink decoction of Zhizi (Gardeniae Fructus) or wash the treated area. Cure follows.
Discussion on persistent redness of the nose:
Grind Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), and Binglang (Arecae Semen) in equal parts into powder. Mix with water and apply. Wash off after 3-4 applications. Then chew fresh Yin Xing (Ginkgo Seed) without shell and apply to the nose. Repeat 5-7 times for cure.
Treatment for Red Nose:
Slice Binglang (Arecae Semen), soak in Eggplant Juice, sun-dry once or twice, then grind into powder. For facial erythema extending to the nose: Soak Sulfur in human milk until the bowl is full, boil dry in a pot. Moisten the nose with saliva before applying the powder.
Discussion on Biyuan with dizziness:
Qing Ni Wan Lianshen Tang (Clear Mud Pill Calming Spirit Decoction): Renshen, Fangfeng, Maimendong (Ophiopogonis Radix, heart removed), Danggui Tou (Angelicae Sinensis Radix head), Ku Qin (Scutellariae Radix, wine-fried), Chuanxiong, Huanglian (Coptidis Rhizoma, wine-fried, each 1 qian), Manjingzi (Viticis Semen, 0.8 fen), Shengma (Bupleuri Radix, 0.3 fen), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 0.2 fen), Tianma (Gastrodiae Rhizoma), Zhibanxia (Prepared Pinelliae Rhizoma, each 0.7 fen).
Crush, decoct in water, take after meals. For Naolou, add Cang'er Zi (Xanthii Fructus, 2 qian) and Huangqi (Astragali Radix, 1 qian).
Discussion on chronic rhinorrhea leading to Naolou:
Caused by deficiency of Yuan Yang (Primal Qi), leading to exterior cold and interior heat. Severe cases may have dripping foul-smelling fluid. Proper care and medication lead to gradual recovery.
Jiawei Fengfang Tang (Modified Saposhnikovia Decoction): Fangfeng (1 qian), Pian Qin (Scutellariae Radix, wine-fried, 1.5 qian), Renshen, Baiji (Bletillae Rhizoma, each 1 qian), Maimendong (heart removed, 2 qian), Sheng Gancao (0.5 fen), Zhimu (Anemarrhenae Rhizoma, 1 qian), Chao Baishao (Stir-fried Paeoniae Radix Alba, 1 qian), Huai Shengdi (Rehmanniae Radix Praeparata, wine-washed, 1 qian), Huangbai (Phellodendri Cortex, wine-fried, 1 qian), Huangqi (Astragali Radix, 1 qian), Huanglian (wine-fried, 1 qian), Danggui Tou, Baihe (Lilii Bulbus, each 1 qian).
Crush, decoct in water, take warm after meals.
Discussion on long-term nasal discharge, termed Biyuan:
Danggui, Chuanxiong, Baizhi, Renshen, Bai Fuling (Poria with Wood), Cang'er Zi, Xiangfu (Cyperi Rhizoma, each 1 qian), Tianzhu Huang (Calami Tuber, 3 qian), Fangfeng, Qinjiao (Gentianae Macrophyllae Radix), Jingjie, Bohe, Maimendong, Manjingzi, Gancao (equal parts).
Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 30-40 pills per dose with rice soup.
Case: A pale-faced man with clear rhinorrhea and anosmia for three years was cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Maimendong and Shanzhi.
Discussion on excessive sexual activity causing deficiency and white turbidity, with clear nasal discharge gushing like a spring: Use Buzhong Yiqi Tang (see Internal Injury section). Modify by adding Huangbai, Zhimu, Baizhi, Xixin, Gaoben, Wuweizi (Schisandrae Chinensis Fructus), Baiju (Chrysanthemi Flos), Xinyi, and Cang'er Ye (Xanthii Folium). Decoct in water and take warm.
Discussion on Lung Deficiency disturbed by Four Qi (Wind, Cold, Summer-heat, Dampness), causing nasal congestion, continuous discharge, breathing difficulty, or anosmia:
Chuanxiong, Baizhi, Xixin, Gaoben, Fangfeng, Mutong (Akebiae Caulis), Xinyi Ren, Gancao.
Crush, decoct in water, and take orally.
Treatment for nasal polyps with foul odor and pain:
Blow powder of Bai Fan (Alumen) mixed with a small amount of Niao Sha (Ammonium Chloride) onto the polyp. It dissolves and disappears shortly. Combine with Shengshi Tang (Eliminate Dampness Decoction) and Xiebai San (Drain White Powder) for two doses. This condition is due to damp-heat steaming the Lung gate, similar to fungi growing on wet ground after rain.
Alternative treatment for nasal polyps:
Burn a section of lotus root node (with hair-like roots) to ash (retain nature), grind into powder, and blow into the affected area for cure.
Treatment for Blood Heat entering the Lung, termed Jiu Zao Bi (Alcoholic Rhinophyma):
Kushen (Sophorae Flavescentis Radix, purified powder, 4 liang), Danggui (Angelicae Sinensis Radix, purified powder, 2 liang).
Mix with wine paste to make pills, size of Sophora seeds. Take 70-80 pills after meals with hot tea.
Treatment for Bi Gan ulcerating through the nostrils. I treated Madam Chancellor Chen with this method successfully:
Lu Jiao (Deer Antler, 1 liang), Bai Fan (Alumen, 1 liang, calcined on tile over fire), Ren Tou Fa (Human Hair, 5 qian, burned over lamp flame).
Grind into powder. Clean with Sichuan Pepper decoction first, then sprinkle powder on the lesion. Cured in 3-4 applications. If the wound fails to close, use Wasong (Parmelia Sulcata) calcined to ash, powdered, and applied dry to promote closure.
Case: A man with red alcoholic rhinophyma. I used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) full formula plus Danggui (2 liang) and Kushen (4 liang), taken on an empty stomach in the evening. Cured in less than two months.
Jinhua Wan (Golden Flower Pill): Huanglian (Coptidis Rhizoma, 2 liang), Ku Qin (Scutellariae Radix, 2 liang), Huangbai (Phellodendri Cortex, 2 liang), Zhizi (Gardeniae Fructus, 1 liang), Dahuang (Rhei Radix et Rhizoma, wine-steamed nine times, 2 liang), Jiegeng (Platycodonis Radix), Baifen Ge (Polygoni Cuspidati Rhizoma et Radix, each 2 liang).
Grind into fine powder, make pills with water, size of sesame seeds. Take 70-80 pills with plain warm water.