夫肺为五脏华盖。开窍于鼻。肺气和。则鼻亦和。肺感风冷。则为清涕。为 。为息肉。
为
治疗亦异。肺为气之主。通窍于鼻。鼻者清气出入之道路也。阴阳升降。气血和平。则一呼
一吸营卫行焉。其或七情内蠹。六气外伤。则清浊不分。泥丸汨乱。诸证迭起矣。夫血之与
气相随而行。若脏腑生热乘于血气。故热气迫血妄行自鼻孔出。谓之鼻衄。衄则津液中干。
冷则髓涕流注。若风冷随气乘于鼻脑。则津液交涕不能自收。谓之流涕。肺为风寒所伤。津
液冷
于
生热。邪热之气留伏不散。则为鼻疮。叠是数证。七情六气。皆当究其感受之原。用药有序。
痊愈可期。执方无权。迄未有所济也。此外更有湿 一证。鼻烂汁臭。下部生疮。鼻衄。名
酒食衄。或堕车马打扑伤损。致血淖溢发为鼻衄。名折伤衄。（简易方云鼻证歌。肺之开阖
鼻为之。升降阴阳总在斯。鼻观故为清气道。主闻香臭内和宜。清涕鼻洞肺伤风。脑冷常
常出浊脓。经脉壅时还上衄。脑生息肉久为 。六淫外致情中郁。饮食不节并劳疫。遂令清
浊不
瘰肺风热。时行衄血二三升。龙骨止之真妙诀。）
夫鼻塞气息不通者。以肺感风寒。其气搏结不得宣快。窒塞既甚。而息不能出入也。巢
氏谓。息肉生长。致气窒塞不通。盖有未尝生息肉而气息不通者。宜析而治之。肺气通于鼻。
若
者。则息肉生长。气息窒塞不通也。
方
蜀椒汤 治鼻塞。气鼻不通。
蜀椒（去目及闭口者炒出汗半两） 干姜（炮一分） 附子（炮裂去皮脐半两） 肉桂
（去粗
皮一分） 山芋（三分） 细辛（去苗叶半两） 石斛（去根一分） 山茱萸（半两） 麻
黄（去根节）
白附子（炮） 甘草（炙各半两） 杏仁（五十粒去皮尖双仁炒研） 上锉如麻豆大。每服
二钱。
水一盏。煎至七分。空心去滓温服。
柳金散 治肺热鼻塞。涕浊不利。
细辛白芷与防风。羌活川归半夏芎。桔梗陈皮茯苓辈。十般等分咀和同。二钱薄荷姜煎
服。气息调匀鼻贯通。
辛夷汤 治肺气不利。头目昏眩。鼻塞声重。咯咛稠粘。
辛夷（去毛） 甘菊花（去枝节） 吴白芷 川芎 前胡（去芦头） 薄荷叶（去土） 石
膏
白术 生干地黄 赤茯苓（去皮） 陈橘皮（去白以上各一两） 甘草（炙二两） 上为粗
末。每
服五钱
芎 散 治外伤风冷。鼻塞气息不通。闭闷。
芎 槟榔 人参（去芦头） 赤茯苓 杏仁（汤浸去皮尖微炒以上各等分） 白术 麻
黄
（去
每用五
钱。水一大盏。生姜二钱切作片子。同煎至七分。去滓。食后温服。
通鼻膏（一名辛夷膏）治鼻塞窒。香臭不闻。妨闷疼痛。盖脑户受寒。浓涕结
聚。
白芷 芎 通草（各十八铢） 当归 细辛 莽草（一方作薰草） 辛夷〔各二（三）
十
铢〕
绵沾枣核
醍醐散 治伤风鼻塞声重。
川乌（炮去皮脐） 抚芎 甘草 白芷（各二两） 细辛（半两） 龙脑薄荷（一两半）
上为
细末。每服一大钱。葱白茶清汤调下。薄荷汤亦得。
人参汤 治肺风上攻。鼻塞不通。
人参 白茯苓（去黑皮） 黄芩（去黑心） 陈橘皮（汤浸去白炒） 麻黄（去根节） 羌
活
（去芦头各半两） 蜀椒（去目及闭口者炒出汗半两） 上粗捣筛。每服三钱。水一盏半。
煎
至七
人参丸（出御药院方）治肺风上攻。鼻塞不通。
人参 防风（去芦） 细辛（去苗叶） 黄 （锉） 沙参 木通（锉） 甘菊花（微
炒各半两）
上
当归膏（一名合膏出圣惠方）治鼻塞不利。不闻香臭。
当归（切焙） 地薰草（一用木香） 木通（一作通草） 细辛（去苗叶） 蕤仁（研
各三分）
芎
候
白芷黄色膏成。去滓。倾入合中澄凝。每以小豆大绵裹。塞入鼻中。日三。先患热后鼻中生
赤烂疮者。以黄芩、栀子代当归、细辛。
通关散（出御药院方）治脑风鼻息不通。不闻香臭。或鼻流清涕。多嚏肩项拘
急。头目昏痛。风府怯寒。
原蚕蛾（瓦上炒黄） 白附子（炮） 苦参 益智（去皮） 蒺藜子（炒去角） 干薄
荷（各一
两）上为散。每服三钱。温酒调下。不拘时候。
增损防风通圣散（出御药院方）治肺气不和。鼻中不利。
黍粘子 桔梗 桑白皮 紫菀茸（以上各半两） 荆芥穗（四两） 甘草（二两以上各
生用）
上
补肺杏仁煎 治肺伤寒气。咳嗽唾痰。声重鼻塞。气息不通。
杏仁（去皮尖双仁二两研） 枣肉〔煮去皮核一（半）升〕 白蜜 酥 生姜汁〔各半
两（
升）
皂荚散（出圣惠方）治鼻塞不通。
皂荚（炙去皮并子） 细辛（去苗叶） 辛夷 蜀椒（去目及闭口者炒出汗） 附子（炮
裂去
皮脐
木通丸（出圣惠方）治鼻塞气息不通。不闻香臭。并有息肉及鼻 。
木通（锉） 细辛 附子（炮裂去皮脐以上各一两） 上为末。炼蜜和丸。如枣核大。
每夜
临卧
荜澄茄丸（出御药院方）治鼻塞不通。
荜澄茄（半两） 薄荷叶（三钱） 荆芥穗（一钱半） 上为细末。糖霜蜜和丸。如樱
桃大。
每服
菖蒲散（一名皂角散出圣惠方）治鼻窒塞不通。不得喘息。
菖蒲 皂角（炙去皮子各一两） 上为散。每服一钱。绵裹塞鼻中。仰卧少时。
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） 上先捣罗地胆为细散。纳犬胆中以绳系定。三日
乃
于日
六日当
柱落后
铛墨散（出危氏方）治鼻窒塞。气息不通。亦治久患鼻疮。脓极臭者。
用铛墨半两 即百草霜为散。每服二钱。温水调下。凉水亦得。
槐叶汤（出圣惠方）治鼻窒塞。气息不通。
用槐叶一两 以水三盏。煮取二盏。去槐叶。下葱白二寸。豉一合。更煎五七沸。去滓。
分
治鼻窒塞不通。兼治衄血。（出圣惠方）
用小蓟一把。水三升。煮取一升。去滓分服。曾有人阴冷。渐渐冷气入阴囊。肿满恐死。
夜
御寒汤（东垣先生兰室秘藏方）治寒气风邪伤于皮毛。令人鼻壅塞。咳嗽上
喘。
黄 （二钱） 人参（半钱） 炙甘草（三分） 黄柏（二分） 款冬花 黄连（各一
分） 防风
羌
分） 上
咀
治鼻塞（出本草）
用烧麻鞋灰。吹鼻中立通。一名千里马。即麻鞋也。
治酒后热毒。鼻塞身热。利大小肠。（出本草）
以水芹茎叶。捣绞取汁服之。
治鼻塞\x（出本草）
以干柿三枚细切。粳米三合。豉少许。煎粥空心食之。
The Lung is the "Huagai" (Canopy covering and protecting the other Zang organs) of the five Zang organs. It opens into the nose. When Lung Qi is harmonious, the nasal orifice is also harmonious. If the Lung is affected by wind-cold, it results in clear rhinorrhea, nasal congestion, and the growth of polyps.
The treatments for these conditions differ. The Lung is the master of Qi and communicates with the external environment through the nasal orifice. The nose is the pathway for the entry and exit of clear Qi. When Yin and Yang ascend and descend in order, and Qi and Blood are peaceful, Ying and Wei Qi circulate normally with each breath. However, if internal injury from the Seven Emotions or external invasion by the Six Exogenous Factors occurs, clear and turbid substances become mixed, the brain marrow becomes chaotic, and various symptoms arise sequentially. Blood and Qi travel together. If heat generated within the Zang-Fu invades the Qi and Blood, the heat forces blood to move recklessly, causing epistaxis (nosebleed) from the nostrils. Epistaxis leads to dryness of body fluids; cold causes marrow-rhinorrhea to flow. If wind-cold follows Qi to invade the nose and brain, body fluids and rhinorrhea cannot be controlled, a condition called rhinorrhea. If the Lung is injured by wind-cold, and body fluids become cold or generate heat, pathogenic heat lingers and does not dissipate, resulting in nasal sores. Considering these several conditions, whether caused by the Seven Emotions or the Six Exogenous Factors, one must investigate the root cause of the invasion. Medication should be administered in an orderly manner, and recovery can be expected. Relying rigidly on prescriptions without flexibility will ultimately yield no benefit. Furthermore, there is a dampness syndrome characterized by nasal ulceration, foul-smelling discharge, ulcers in the lower body, and epistaxis, named "Jiu Shi Nu" (Alcohol and Food Epistaxis). Alternatively, trauma from falls or horseback riding may cause blood overflow leading to epistaxis, named "Zhe Shang Nu" (Traumatic Epistaxis). (The *Nose Syndrome Song* from *Jian Yi Fang* states: The opening and closing of the Lung concern the nose; Yin and Yang ascent and descent reside here. The nose is originally the pathway for clear Qi, primarily responsible for smelling fragrances and odors, requiring internal harmony. Clear rhinorrhea and nasal leakage indicate Lung wind injury; cold brain often produces turbid pus. When meridians are congested, epistaxis may occur upwards; long-standing polyps in the brain become pathological lesions. External contraction of the Six Evils combined with emotional depression, irregular diet, and labor/epidemic toxins cause clear and turbid substances to mix. Scrofula, Lung wind-heat, and epidemic epistaxis of two to three sheng are stopped effectively using Long Gu [Fossilized Bones].)
Nasal congestion with obstructed breathing is caused by the Lung contracting wind-cold, where Qi knots and fails to diffuse smoothly. Severe obstruction prevents inhalation and exhalation. Chao Yuanfang stated that polyp growth causes Qi obstruction, but this likely refers to cases where Qi is obstructed without polyps; thus, differentiation and treatment are necessary. Lung Qi connects to the nose. In cases of..., polyps grow, causing Qi obstruction and blocked breathing.
Shujiao Tang (Sichuan Pepper Decoction): Treats nasal congestion and obstructed nasal airflow.
Shujiao (Sichuan Pepper) [half tael, remove eyes and closed ones, stir-fry until moisture evaporates], Ganjiang (Dried Ginger) [one fen, processed], Fuzi (Prepared Aconite Root) [half tael, processed until cracked, remove skin and umbilicus], Rougui (Cinnamon Bark) [one fen, remove coarse bark], Shanyu (Cornus Fruit/Dogwood) [three fen], Xixin (Asarum) [half tael, remove seedlings and leaves], Shihu (Dendrobium Stem) [one fen, remove roots], Shanzhuyu (Cornus Officinalis Fruit) [half tael], Mahuang (Ephedra Herb) [remove roots and joints], Baifuzi (Typhonium Rhizome) [processed], Gancao (Licorice Root) [half tael each, honey-fried], Xingren (Apricot Seed) [50 grains, remove skins and pointed ends, double-kernel, stir-fry and grind]. Cleave all ingredients to the size of hemp seeds. Take two qian per dose. Add one zhan of water, decoct to seven-tenths. Strain and take warm on an empty stomach.
Liujin San (Willow Gold Powder): Treats Lung-heat nasal congestion with turbid and difficult nasal discharge.
Xixin (Asarum), Baizhi (Angelica Dahurica), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Chuan Gui (Chinese Angelica Root), Banxia (Pinellia Tuber), Chuanxiong (Ligusticum Rhizome), Jiegeng (Platycodon Root), Chenpi (Aged Tangerine Peel), Fuling (Poria) — ten ingredients equal parts, chopped and mixed. Take two qian, decoct with Bohe (Mint) and Shengjiang (Fresh Ginger). After administration, Qi regulates and nasal passages open.
Xinyi Tang (Magnolia Flower Decoction): Treats ineffective Lung Qi, dizziness, heavy nasal congestion, and thick sticky phlegm.
Xinyi (Magnolia Flower Bud) [remove hairs], Ganhua Ju (Chrysanthemum Indicum Flower) [remove stems and joints], Wu Baizhi (Angelica Dahurica), Chuanxiong (Ligusticum Rhizome), Qianhu (Peucedanum Root) [remove rhizome head], Bohe Ye (Mint Leaf) [remove dirt], Shigao (Gypsum Fibrosum), Baizhu (Atractylodes Macrocephala Rhizome), Sheng Dihuang (Rehmannia Root) [raw], Chi Fuling (Red Poria) [remove skin], Chen Pi (Aged Tangerine Peel) [remove white pith, above each one liang], Gancao (Licorice Root) [two liang, honey-fried]. Make into coarse powder. Take five qian per dose.
Xiong San (Ligusticum Powder): Treats external wind-cold injury causing nasal congestion, obstructed breathing, and stuffiness.
Chuanxiong (Ligusticum Rhizome), Binglang (Areca Seed), Renshen (Ginseng Root) [remove rhizome head], Chi Fuling (Red Poria), Xingren (Apricot Seed) [soaked in water, remove skins and pointed ends, lightly stir-fried, above equal parts], Baizhu (Atractylodes Macrocephala Rhizome), Mahuang (Ephedra Herb) [remove...]. Use five qian per dose. Add one large zhan of water, two qian of sliced fresh ginger. Decoct together to seven-tenths. Strain and take warm after meals.
Tongbi Gao (Nasal Unblocking Ointment, also known as Xinyi Gao): Treats severe nasal congestion, loss of smell, stuffiness, and pain due to cold invading the Naohu acupoint, causing accumulation of thick mucus.
Baizhi (Angelica Dahurica), Chuanxiong (Ligusticum Rhizome), Tongcao (Tetrapanax Pith) [each eighteen zhu], Danggui (Chinese Angelica Root), Xixin (Asarum), Mangcao (Polygonum Aristolochioides Herb) [one version uses Xuncao], Xinyi (Magnolia Flower Bud) [twenty or thirty zhu each]. Soak cotton wool in date-pit-sized amount...
Tihu San (Clarified Butter Powder): Treats wind-cold nasal congestion with heavy voice.
Chuanwu (Aconitum Carmichaelii Root) [processed, remove skin and umbilicus], Fuxiong (Ligusticum Rhizome), Gancao (Licorice Root), Baizhi (Angelica Dahurica) [each two liang], Xixin (Asarum) [half liang], Longnao Bohe (Borneol Mint) [one and a half liang]. Grind into fine powder. Take one da qian per dose, mixed with scallion-white tea-clear soup or mint soup.
Renshen Tang (Ginseng Decoction): Treats Lung-wind attacking upward, causing nasal obstruction.
Renshen (Ginseng Root), Baifuling (White Poria) [remove black skin], Huangqin (Scutellaria Root) [remove black heart], Chenpi (Aged Tangerine Peel) [soaked in water, remove white pith, stir-fried], Mahuang (Ephedra Herb) [remove roots and joints], Qianghuo (Notopterygium Rhizome) [remove rhizome head, each half liang], Shujiao (Sichuan Pepper) [remove eyes and closed ones, stir-fry until moisture evaporates, half liang]. Coarsely crush and sieve. Take three qian per dose. Add one and a half zhan of water, decoct...
Renshen Wan (Ginseng Pill) (from *Yu Yao Yuan Fang*): Treats Lung-wind attacking upward, causing nasal obstruction.
Renshen (Ginseng Root), Fangfeng (Saposhnikovia Root) [remove rhizome head], Xixin (Asarum) [remove seedlings and leaves], Huangqi (Astragalus Root) [chopped], Shashen (Adenophora Root), Mutong (Akebia Stem) [chopped], Ganhua Ju (Chrysanthemum Indicum Flower) [lightly stir-fried, each half liang]. Above...
Danggui Gao (Angelica Ointment, also known as He Gao, from *Sheng Hui Fang*): Treats nasal obstruction and loss of smell.
Danggui (Chinese Angelica Root) [cut and baked], Dixuncao (Artemisia Capillaris Herb? Note: Text says Di Xun Cao, possibly distinct or typo for Muxiang/Mutong contextually, keeping literal), Mutong (Akebia Stem) [one version uses Tongcao], Xixin (Asarum) [remove seedlings and leaves], Ruiren (Prunus Persica Kernel/Bush Cherry Seed) [grind, each three fen], Chuanxiong... Wait for... When Baizhi turns yellow and ointment is ready, strain, pour into container to cool and solidify. Wrap small bean-sized amount in cotton, insert into nose three times daily. For those with prior heat syndrome developing red rotting sores in the nose, replace Danggui and Xixin with Huangqin (Scutellaria Root) and Zhizi (Gardenia Fruit).
Tongguan San (Passing Through Obstruction Powder) (from *Yu Yao Yuan Fang*): Treats Brain-Wind causing nasal obstruction, loss of smell, clear rhinorrhea, frequent sneezing, shoulder/neck stiffness, dizziness/headache, and aversion to cold at Fengfu.
Yuancan'e (Silkworm Moth Cocoon) [stir-fried yellow on tile], Baifuzi (Typhonium Rhizome) [processed], Kushen (Sophora Root), Yizhi (Alpinia Katsumadai Fruit) [remove skin], Jili Zi (Tribulus Fruit) [stir-fry, remove spines], Gan Bohe (Dried Mint) [each one liang]. Make into powder. Take three qian per dose, mixed with warm wine, at any time.
Zengsun Fangfeng Tongsheng San (Modified Fangfeng Tongsheng Powder) (from *Yu Yao Yuan Fang*): Treats disharmony of Lung Qi and nasal discomfort.
Niuzi (Arnebia/Lithospermum Seed), Jiegeng (Platycodon Root), Sangbaipi (Mulberry Root Bark), Ziwan Rong (Aster Flower Bud) [above each half liang], Jingjie Sui (Schizonepeta Spike) [four liang], Gancao (Licorice Root) [two liang, above raw]. Above...
Bufei Xingren Jian (Lung-Nourishing Apricot Decoction): Treats Lung injury by cold qi, coughing with sputum, heavy voice, nasal congestion, and obstructed breathing.
Xingren (Apricot Seed) [remove skins and pointed ends, double-kernel, two liang, grind], Zaorou (Date Flesh) [boiled, remove skins and pits, half sheng], Baimi (White Honey), Su (Butter/Ghee), Shengjiangzhi (Fresh Ginger Juice) [each half liang... sheng].
Zaojiao San (Soap Pod Powder) (from *Sheng Hui Fang*): Treats nasal obstruction.
Zaojiao (Gleditsia Sinensis Fruit) [roasted, remove skin and seeds], Xixin (Asarum) [remove seedlings and leaves], Xinyi (Magnolia Flower Bud), Shujiao (Sichuan Pepper) [remove eyes and closed ones, stir-fry until moisture evaporates], Fuzi (Prepared Aconite Root) [processed until cracked, remove... skin and umbilicus...].
Mutong Wan (Akebia Pill) (from *Sheng Hui Fang*): Treats nasal congestion, obstructed breathing, loss of smell, presence of polyps, and nasal...
Mutong (Akebia Stem) [chopped], Xixin (Asarum), Fuzi (Prepared Aconite Root) [processed until cracked, remove skin and umbilicus, above each one liang]. Make into powder, mix with refined honey into pills the size of date pits. Every night... before sleep...
Bichengqie Wan (Litsea Pill) (from *Yu Yao Yuan Fang*): Treats nasal obstruction.
Bichengqie (Litsea Cubeba Fruit) [half liang], Bohe Ye (Mint Leaf) [three qian], Jingjie Sui (Schizonepeta Spike) [one and a half qian]. Make into fine powder, mix with rock sugar and honey into pills the size of cherries. Take... per dose.
Changpu San (Acorus Powder, also known as Zaojiao San, from *Sheng Hui Fang*): Treats severe nasal obstruction preventing breathing.
Changpu (Acorus Tatarinowii Rhizome), Zaojiao (Gleditsia Sinensis Fruit) [roasted, remove skin and seeds, each one liang]. Make into powder. Take one qian per dose, wrap in cotton, insert into nose, lie supine for a short time.
For treating nasal obstruction and obstructed breathing, fleshy pillars (polyps) have already formed. If the pillar is not removed, cure is impossible. Other medicines may temporarily relieve obstruction, but they regrow quickly.
Bai Xiong Quan Dan (White Male Dog Gallbladder) [one piece], Dizhan (Stinkbug) [twenty pieces]. First, grind Dizhan into fine powder, place inside the dog gallbladder, tie securely with string. After three days... under the sun... On the sixth day... when the pillar falls off...
Changmo San (Pot Soot Powder) (from *Wei Shi Fang*): Treats nasal obstruction and obstructed breathing; also treats chronic nasal sores with extremely foul pus.
Use Changmo (Pot Soot) [half liang], which is Baicao Shuang (Soot from Hundred Herbs), make into powder. Take two qian per dose, mixed with warm water or cool water.
Huaiye Tang (Locust Leaf Decoction) (from *Sheng Hui Fang*): Treats nasal obstruction and obstructed breathing.
Use Huaiye (Locust Tree Leaf) [one liang]. Add three zhan of water, decoct to obtain two zhan. Remove leaves, add two cun of Congbai (Scallion White) and one he of Chi Dou (Black Soybean). Decoct for five to seven boils. Strain, divide...
Treating nasal obstruction and epistaxis. (From *Sheng Hui Fang*)
Use Xiaoji (Little Thistle Herb) [one bunch]. Add three sheng of water, decoct to obtain one sheng. Strain and divide doses. There was a case of someone with cold yin, gradually feeling cold air entering the scrotum, swelling and fullness fearing death, night...
Yuhan Tang (Cold-Nourishing Decoction) (from Dongyuan's *Lan Shi Mi Cang*): Treats cold qi and wind pathogens injuring the skin and hair, causing nasal congestion, coughing, and wheezing.
Huangqi (Astragalus Root) [two qian], Renshen (Ginseng Root) [half qian], Zhi Gancao (Honey-fried Licorice Root) [three fen], Huangbai (Phellodendron Bark) [two fen], Kuandonghua (Farfara Flower), Huanglian (Coptis Rhizome) [each one fen], Fangfeng (Saposhnikovia Root)... Qianghuo... fen). Above... chop...
Treating Nasal Congestion (From *Ben Cao*)
Use ash from burnt hemp shoes, blow into the nose for immediate patency. Also known as Qianli Ma (Thousand-li Horse), i.e., hemp shoes.
Treating post-alcohol heat toxin, nasal congestion, body heat, and promoting urination/bowel movements. (From *Ben Cao*)
Use Shuiqin (Water Celery) stems and leaves, crush and squeeze juice, take orally.
Treating Nasal Congestion... (From *Ben Cao*)
Cut three dried persimmons finely, mix with three he of Jingmi (Japonica Rice) and a little Chi Dou (Black Soybean). Decoct into porridge, eat on an empty stomach.