〔演山〕凡产牙儿，三朝、五日、六晨、一腊，忽然鼻塞，吻乳不能，开口呼吸
者，多是乳母安睡之时，不知持上儿子，鼻中出息，吹着儿囟，或以水浴洗，用水
温冷，不避风邪，所以致儿鼻塞。宜与通关膏敷之，消风散服之。或有惊悸作热，
杜薄荷散与服。通关膏用白僵蚕、猪牙皂角、荆芥、香附子、川芎、细辛等分为末，
葱白同研，敷囟至妙。
消风散 治胎热胎寒，兼治诸风上攻头目昏痛，项背拘急肢疼，目眩旋晕，鼻塞多
嚏，皮肤顽麻，痒疮瘾疹，小儿虚风。
茯苓 川芎 羌活 荆芥穗 防风（去芦） 藿香 僵蚕（炒） 蝉蜕（去嘴爪） 甘草（炙） 浓
朴（制） 陈皮（去白。各等分）
上为末。每服五分，茶清调下，薄荷汤亦可。急慢惊风，乳香、荆芥汤调下。
或加雄黄，名雄风散。
薄荷汤 治鼻塞不通及夹惊伤寒，极热变蒸。
薄荷叶（五钱） 羌活 全蝎 麻黄（去节） 甘草 僵蚕（炒。各一钱） 天竺黄 白附子（各二钱半，煨）
上为末。薄荷汤调下。热极生风加竹沥少许。一方，有柴胡、台芎、桔梗、茯
苓，无全蝎、僵蚕、天竺、白附。
〔张涣〕辛夷膏
辛夷叶（一两，洗焙干） 细辛 木通 香白芷 木香（各半两）
以上捣，罗为细末。次用
杏仁（一分，汤浸，去皮尖研）
上件，用羊髓、猪脂各二两，同诸药相和，于石器中慢火熬成膏赤黄色，放
冷，入龙脑、麝香各一钱，拌匀，每用少许涂鼻中。若乳下婴儿，奶母吹着儿
囟鼻塞者，只涂囟上。
《张鸡峰方》治囟开不合，鼻塞不通。
上，以天南星大者一枚，微炮为末。以淡醋调涂绯帛上，以贴囟上。炙热手，频熨之。
庄氏治小儿鼻塞方
上，以槐叶为末，用乳母唾调，浓涂囟上。
〔吉氏〕葱涎膏 治儿生三五日，鼻塞气急，饮乳之时啼叫不止。
葱叶 猪牙皂角（为末，去皮。各七条）
上，烂研，同皂角末成膏。贴囟门上，瘥。
[Yanshan] For newborn infants, sudden nasal congestion occurring on the third, fifth, sixth, or tenth day after birth, accompanied by difficulty in suckling and mouth-breathing, is mostly caused by the wet nurse falling asleep without supporting the infant's head, allowing the infant's nostrils to face her own mouth and exhale onto the infant's fontanelle. Alternatively, it may result from bathing or washing with water of inconsistent temperature, failing to avoid wind-cold pathogens, thereby causing nasal congestion. It is appropriate to apply Tongguan Gao (Pass-the-Barrier Ointment) externally and administer Xiaofeng San (Wind-Expelling Powder) internally. If symptoms include palpitations and fever, Duhobohe San (Du Mint Powder) should be taken. Tongguan Gao consists of equal parts of Bai Jiangcan (Bombyx Batryticatus), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit), Jingjie (Schizonepetae Herba), Xiang Fu Zi (Cyperi Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Xixin (Asari Radix et Rhizoma). These are ground into powder, mixed with scallion white (Cong Bai) and pounded together, then applied to the fontanelle for excellent results.
Xiaofeng San (Wind-Expelling Powder): Treats fetal heat and fetal cold; also treats various wind pathogens attacking the head and eyes causing dizziness and pain, stiffness and tension of the neck and back with limb pain, vertigo, nasal congestion with frequent sneezing, skin numbness and hardness, pruritic sores and urticaria, and pediatric deficient wind.
Ingredients: Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Jingjie Sui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix [deprived of radix]), Huoxiang (Agastaches Herba), Jiangcan (Bombyx Batryticatus [stir-fried]), Chantui (Cicadae Periostracum [deprived of mouthparts and claws]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted]), Houpo (Magnoliae Officinalis Cortex [processed]), Chenpi (Citri Reticulatae Pericarpium [deprived of albedo]). All ingredients in equal proportions.
Usage: Grind the above ingredients into fine powder. Take 0.5 fen each time, mixed with clear tea liquor; mint decoction may also be used. For acute or chronic convulsions, mix with milk resin (Ruxiang) and Schizonepeta decoction. Adding Xionghuang (Realgar) creates Xiongfeng San (Realgar Wind-Expelling Powder).
Bohe Tang (Mint Decoction): Treats nasal obstruction as well as cold damage complicated by fright, and extreme heat transformation fevers.
Ingredients: Bohe Ye (Menthae Haplocalycis Herba) (5 qian); Qianghuo (Notopterygii Rhizoma et Radix), Quanxie (Scorpio), Mahuang (Ephedrae Herba [deprived of joints]), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangcan (Bombyx Batryticatus [stir-fried]) (each 1 qian); Tianzhu Huang (Calami Tuber), Baifuzi (Typhonii Rhizoma [roasted]) (each 2.5 qian).
Usage: Grind into powder. Mix with mint decoction. If extreme heat generates wind, add a small amount of Zhuli (Bambusae Caulis in Taenia). Another formula variant includes Chaihu (Bupleuri Radix), Taixiong (Chuanxiong), Jiegeng (Platycodonis Radix), and Fuling (Poria), but excludes Quanxie (Scorpio), Jiangcan (Bombyx Batryticatus), Tianzhu Huang (Calami Tuber), and Baifuzi (Typhonii Rhizoma).
[Zhang Huan] Xinyi Gao (Magnolia Flower Ointment)
Ingredients: Xinyi Ye (Flos Magnoliae Biondii [washed and dried]), Xixin (Asari Radix et Rhizoma), Mutong (Akebiae Caulis), Xiang Baizhi (Angelicae Dahuricae Radix), Muxiang (Aucklandiae Radix) (each half liang).
Preparation: Pound the above herbs and sieve into fine powder. Separately, take Xingren (Prunus Armeniacae Semen [soaked in hot water, peeled and crushed]). Mix all ingredients with 2 liang of sheep marrow and 2 liang of lard. Slowly simmer in a stone vessel until a reddish-yellow ointment forms. Cool, then add Longnao (Borneolum Syntheticum) and Shexiang (Moschus) (each 1 qian), and mix well. Apply a small amount into the nose. For nursing infants with nasal congestion due to the wet nurse blowing air onto the fontanelle, apply only to the fontanelle.
"Zhang Jifeng Fang" (Prescriptions of Zhang Jifeng): Treats unclosed fontanelle and nasal obstruction.
Preparation: Select one large Tiannanxing (Arisaematis Rhizoma), slightly roast and grind into powder. Mix with light vinegar, spread on red silk fabric, and apply to the fontanelle. Frequently warm and press with hands.
Zhuang Shi's Formula for Pediatric Nasal Congestion
Preparation: Grind Huaiye (Sophorae Tonkinensis Folium) into powder. Mix with the wet nurse's saliva and apply thickly to the fontanelle.
[Ji Shi] Congxian Gao (Scallion Saliva Ointment): Treats infants aged three to five days with nasal congestion, rapid breathing, and incessant crying during feeding.
Ingredients: Congye (Allii Fistulosi Bulbus), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit [ground into powder, peeled] - seven strips each).
Preparation: Pulp the ingredients and mix with the Zaojiao powder to form an ointment. Apply to the anterior fontanelle until cured.