夫鼻有生息肉。不知香臭者。亦有无息肉。而不知香臭者。生息肉不知香臭。已列方剂。
此
脏不和。气不宣通故也。治塞者。当审其冷热。
方
款冬花丸 治鼻不闻香臭。
款冬花 槟榔(锉) 百合 麦门冬(去心焙) 桔梗(炒) 天门冬(去心焙) 地
骨皮 羚
羊角
皮尖双仁
麸炒
半)
百
香(各
两) 蛤
浆
水下。
苁蓉丸 治头旋鼻塞。不知香臭。
肉苁蓉(酒浸一宿切焙) 石钟乳(研成粉) 五味子 菟丝子(酒浸别捣) 蛇床子
(炒)
山芋
炙) 防
风(
研外。捣罗
为
药
如神膏
蓖麻子(去壳) 杏仁(去皮尖) 芎 印子盐 防风(去芦) 松脂(各一分) 蜡
(半两)
油
盛。
每用约大小贴之。日一换。
防风汤(一名木通散)治鼻塞。不闻香臭。(出圣惠方)
防风(去芦半两) 栀子(去皮七枚) 升麻(一两) 石膏(碎三两) 麻黄(去根
节三分)
桂
空
心
排风散 治鼻塞不通。不闻香臭。或生息肉生疮。
防风(去芦) 秦艽(去苗土) 山芋 吴茱萸(汤浸焙炒) 天雄(炮裂去皮脐各一
两) 羌
活(
天门冬丸 治鼻塞不闻香臭。
天门冬(去心焙) 白茯苓(去黑皮各五两) 人参 枳实 甘草(炙各三两) 槟榔
(锉二
两)上为末。炼蜜丸如梧桐子大。每服二十丸。食后浆水下。日再。暑月以牛乳下。
通顶散 治鼻塞。不闻香臭。(出圣惠方)
滑石(研) 胡黄连(末各一分) 瓜蒂(为末七枚) 麝香(研半两) 蟾酥(研一
钱) 上同
研匀
百部散 治肺实鼻塞。不闻香臭。
百部(二两) 款冬花 贝母(去心) 白薇(各一两) 上为散。每服一钱。米饮调
下。
芎 散 治鼻塞。不闻香臭。
芎 辛夷(各一两) 细辛(去苗叶三分) 木通(锉半两) 上为散。每以少许。
绵裹塞
鼻中
通草散(出济生方)治鼻 。气息不通。不闻香臭。并有息肉。
通草(作木通) 细辛 附子(炮裂去皮各等分) 辛夷(一钱) 上为末。蜜和。绵
裹少许
纳鼻
瓜蒂散(出圣惠方)治鼻塞。不闻香臭。
瓜蒂 藜芦(各一分) 上为散。每以一钱。绵裹塞鼻中。日三易。一方狗胆汁和。绵
裹
塞鼻
治鼻塞多年。不闻香臭。清水出不止。灌鼻蒺藜汁方(出圣惠方)
取当道车碾过蒺藜一把。捣。以水三升。煎取熟。先仰卧。使人满口含饭。取一合汁灌
鼻中
治鼻不闻香臭。多年日近者。用三五日。便闻香臭。(出本事方)
用生葱一味。分作三截。早用葱管白。午用葱管中截。晚用葱管末梢一截。塞入鼻中。
令透
离泽通气汤(东垣先生兰室秘藏方)治鼻不闻香臭。
羌活 独活 防风 升麻 葛根(各二钱) 麻黄(不去节一钱如冬月加之) 川椒(一
钱)
苍
生姜三
片。枣二枚。葱白三寸。同煎至一盏。去滓。稍热服。食远。忌一切冷物。及风寒凉处坐卧
行立。
温肺汤(东垣先生兰室秘藏方)治鼻不闻香臭。眼多眵泪。流出不止。
升麻 黄 丁香(各二钱) 葛根 羌活 炙甘草 防风根(各一钱) 麻黄(不去
节四
钱)
温卫汤(东垣先生兰室秘藏方)治鼻不闻香臭。目中流火。气寒血热。冷泪
多。脐下冷。阴汗足痿弱。
黄 苍术 升麻 知母 柴胡 羌活(各一钱) 陈皮 青皮 黄连 木香(各三分)
人参 炙甘草 香白芷 防风 黄柏 泽泻(各半钱) 当归身(一钱半) 上都作一服。
水二
盏。煎至一盏去滓。食远服之。
温卫补血汤(东垣先生兰室秘藏方)治耳鸣。鼻不闻香臭。口不知五谷味。气
不快。四肢困倦不收。行步 侧。毛发脱落。饮食不下。膝冷阴汗。带下。喉中 不
得睡卧。口干舌干。嗌多太息。头不可回顾。项筋紧。脊痛。头旋眼黑。头痛欠嚏。
升麻(四分) 柴胡稍 人参 熟甘草 橘皮 桔梗〔各二(三)分半〕 牡丹皮 苍
术
王
钱二
分)
朵) 生甘
草(半钱) 上 咀。都作一服。水二大盏。煎至一盏半。去滓。食前稍热服。
治鼻塞。不闻香臭。(出本草)
取大枣十五枚。去皮核。蓖麻子三百颗。去皮。二味和捣。绵裹塞鼻。日一度易。三十
余日
Translation of the original text into modern vernacular Chinese has been provided above. Below is the academic English translation based on that content, adhering to WHO International Standard Terminologies on Traditional Medicine.
The nose may develop polyps, leading to a loss of smell; however, there are also cases where no polyps are present, yet the sense of smell is lost. Regarding conditions caused by nasal polyps resulting in anosmia, relevant prescriptions have already been listed.
This condition arises from the disharmony of the Zang organs and the failure of Qi to circulate freely. When treating nasal congestion, one must carefully distinguish between cold and heat patterns.
**Kuandonghua Wan (Coltsfoot Flower Pill)**: Treats nasal obstruction and anosmia.
Ingredients: *Tussilaginis Flos* (Kuandonghua), *Arecae Semen* (Binglang, crushed), *Lilii Bulbus* (Baihe), *Ophiopogonis Radix* (Maimendong, heart removed and dried), *Platycodonis Radix* (Jiegeng, stir-fried), *Asparagi Radix* (Tianmendong, heart removed and dried), *Cortex Lycii Radicis* (Digupi), *Cornu Saigae Tataricae* (Lingyangjiao, tip of the horn, double-kernel variety stir-fried with bran, 0.5 liang), *Radix Stemonae* (Baibu, 2 liang each), *Concha Meretricis et Cyclinae* (Gefen). The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose, washed down with rice water.
**Congrong Wan (Cistanche Pill)**: Treats vertigo, nasal congestion, and anosmia.
Ingredients: *Cistanches Herba* (Roucongrong, soaked in wine overnight, sliced and dried), *Spathulae Lapidis* (Shizhongru, ground to powder), *Schisandrae Fructus* (Wuweizi), *Cuscutae Semen* (Tusizi, soaked in wine and separately pounded), *Cnidii Fructus* (Chuanshezhu, stir-fried), *Dioscoreae Rhizoma* (Shanyu), *Astragali Radix* (Huangqi, honey-fried), *Saposhnikoviae Radix* (Fangfeng, de-rhizomed, ground separately). The above ingredients are ground into fine powder, add a small amount of *Moschus* (Shexiang), mix with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose, washed down with rice water.
**Shengao (Divine Ointment)**:
Ingredients: *Ricini Semen* (Bimazi, shelled), *Pruni Semen Armeniacae Amarum* (Xingren, skin and tip removed), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Sal* (Yinziyan), *Saposhnikoviae Radix* (Fangfeng, de-rhizomed), *Pini Resina* (Songzhi, 1 fen each), *Ceræ Cerae* (La, 0.5 liang), *Oleum* (You, appropriate amount). Boil the above ingredients to make an ointment and store it in a container. Apply an appropriate amount to the affected area once daily.
**Fangfeng Tang (Saposhnikovia Decoction, also known as Mutong San)**: Treats nasal congestion and anosmia. (From *Shenghui Fang*)
Ingredients: *Saposhnikoviae Radix* (Fangfeng, de-rhizomed, 0.5 liang), *Gardeniae Fructus* (Zhizi, skin removed, 7 pieces), * Cimicifugae Rhizoma* (Shengma, 1 liang), *Gypsum Fibrosum* (Shigao, crushed, 3 liang), *Ephedrae Herba* (Mahuang, roots and nodes removed, 3 qian), *Ramulus Cinnamomi* (Guizhi, bark removed, 1 liang), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried, 0.5 liang), *Zingiberis Rhizoma Recens* (Shengjiang, 3 slices), *Jujubae Fructus* (Dazao, 2 pieces). Cut the above ingredients, add 3 cups of water, decoct to 1 cup, remove dregs, and take warm.
**Paifeng San (Wind-Dispersing Powder)**: Treats nasal blockage, anosmia, or the presence of nasal polyps and sores.
Ingredients: *Saposhnikoviae Radix* (Fangfeng, de-rhizomed), *Gnaphalii Herba* (Qinjiao, de-rooted and cleaned), *Dioscoreae Rhizoma* (Shanyu), *Evodiae Fructus* (Wuzhuyu, soaked in hot water, dried and stir-fried), *Aconiti Lateralis Radix Praeparata* (Tianxiong, roasted until cracked, skin and navel removed, 1 liang each), *Notopterygii Rhizoma et Radix* (Qianghuo, de-rhizomed), *Asparagi Radix* (Tianmendong, heart removed and dried), *Poria* (Fuling, black skin removed), *Ginseng Radix* (Renshen), *Immaturus Citri Fruuctus* (Zhishi), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried, 3 liang each), *Arecae Semen* (Binglang, crushed, 2 liang). The above ingredients are ground into fine powder, mixed with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose after meals, washed down with rice water, twice daily. In summer months, cow's milk may be used.
**Tongding San (Reaching-the-Crown Powder)**: Treats nasal congestion and anosmia. (From *Shenghui Fang*)
Ingredients: *Talcum* (Huashi, ground), *Coptidis Rhizoma* (Huhuanglian, powdered, 1 fen each), *Trichosanthis Fructus* (Gua'di, powdered, 7 pieces), *Moschus* (Shexiang, ground, 0.5 liang), *Bufonis Venenum* (Chansu, ground, 1 qian). Grind all ingredients uniformly together. Take a small amount, wrap in cotton, and insert into the nostrils.
**Baibu San (Stemona Powder)**: Treats nasal congestion due to Lung Excess and anosmia.
Ingredients: *Radix Stemonae* (Baibu, 2 liang), *Tussilaginis Flos* (Kuandonghua), *Fritillariae Cirrhosae Bulbus* (Beimu, heart removed), *Cortices Cynanchi Atrati* (Baiwei, 1 liang each). Grind into a powder. Take 1 qian per dose, mixed with rice drink.
**Xionxin San (Ligusticum and Asarum Powder)**: Treats nasal congestion and anosmia.
Ingredients: *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Xanthocerii Fructus* (Xinyi, 1 liang each), *Asari Radix et Rhizoma* (Xixin, de-rooted and de-leaved, 3 qian), *Tetrapanacis Medulla* (Mutong, crushed, 0.5 liang). Grind into a powder. Take a small amount each time, wrap in cotton, and insert into the nostrils.
**Tongcao San (Tetrapanax Powder, from *Jisheng Fang*)**: Treats nasal obstruction (Bi Zi), blocked breathing, anosmia, and the presence of polyps.
Ingredients: *Medulla Tetrapanacis* (Tongcao, synonymous with Mutong here), *Asari Radix et Rhizoma* (Xixin), *Aconiti Lateralis Radix Praeparata* (Fuzi, roasted until cracked, skin removed, equal parts), *Xanthocerii Fructus* (Xinyi, 1 qian). Grind into fine powder, mix with honey, wrap a small amount in cotton, and insert into the nostrils.
**Gua'di San (Trichosanthis Fruit Powder, from *Shenghui Fang*)**: Treats nasal congestion and anosmia.
Ingredients: *Trichosanthis Fructus* (Gua'di), *Veratri Nigrī Rhizoma* (Lilu, 1 fen each). Grind into a powder. Take 1 qian, wrap in cotton, and insert into the nostrils, changing three times daily. Another method involves mixing with gallbladder bile from a dog, wrapping in cotton, and inserting into the nostrils.
**Treatment for chronic nasal congestion, anosmia, and continuous clear rhinorrhea: Ji Li Juice Nasal Instillation Formula (from *Shenghui Fang*)**:
Take one handful of Tribulus terrestris (Jili) collected from roads frequently passed by carts, crush it, and decoct in 3 sheng of water until reduced. Lie supine first. Have someone fill their mouth with rice, then instill 1 he of Ji Li juice into the nostrils.
**Treatment for long-standing nasal congestion and anosmia: Using Scallion (from *Benshi Fang*)**:
Use fresh scallion (Congbai) alone, divided into three sections. Use the white root section in the morning, the middle section at noon, and the tip section in the evening. Insert into the nostrils to promote patency. After 3-5 days, olfactory function should return.
**Lize Tongqi Tang (Detoxification and Qi-Circulating Decoction, from Dongyuan's *Lanshi Micang*)**: Treats nasal congestion and anosmia.
Ingredients: *Notopterygii Rhizoma et Radix* (Qianghuo), *Angelicae Pubescentis Radix* (Duhuo), *Saposhnikoviae Radix* (Fangfeng), *Cimicifugae Rhizoma* (Shengma), *Puerariae Lobatae Radix* (Gegen, 2 qian each), *Ephedrae Herba* (Mahuang, nodes not removed, 1 qian; increase in winter), *Zanthoxyli Pericarpium* (Chuanjiao, 1 qian), *Atractylodis Rhizoma* (Cangzhu, 1 qian), *Zingiberis Rhizoma Recens* (Shengjiang, 3 slices), *Jujubae Fructus* (Dazao, 2 pieces), *Allii Fistulosi Bulbus* (Congbai, 3 cun). Decoct together in water to 1 cup, remove dregs, and take slightly warm after meals. Avoid all cold foods and sitting/lying/walking in cold, windy, or cool environments.
**Wenfei Tang (Warming Lung Decoction, from Dongyuan's *Lanshi Micang*)**: Treats nasal congestion, anosmia, excessive eye discharge and tearing.
Ingredients: *Cimicifugae Rhizoma* (Shengma), *Astragali Radix* (Huangqi), *Symplocos Fructus* (Dingxiang, 2 qian each), *Puerariae Lobatae Radix* (Gegen), *Notopterygii Rhizoma et Radix* (Qianghuo), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried), *Saposhnikoviae Radix* (Fangfenggen, 1 qian each), *Ephedrae Herba* (Mahuang, nodes not removed, 4 qian). Cut the ingredients, add 2 cups of water, decoct to 1 cup, remove dregs, and take warm.
**Wenwei Tang (Warming Wei Decoction, from Dongyuan's *Lanshi Micang*)**: Treats nasal congestion, anosmia, sensation of fire in eyes, cold Qi with hot Blood, excessive cold tears, coldness below the umbilicus, genital sweating, weak legs.
Ingredients: *Astragali Radix* (Huangqi), *Atractylodis Rhizoma* (Cangzhu), *Cimicifugae Rhizoma* (Shengma), *Anemarrhenae Rhizoma* (Zhimu), *Bupleuri Radix* (Chaihu), *Notopterygii Rhizoma et Radix* (Qianghuo, 1 qian each), *Exocarpium Citri Grandis* (Chenpi), *Citrí Reticulatae Pericarpium Viride* (Qingpi), *Coptidis Rhizoma* (Huanglian), *Aucklandiae Radix* (Muxiang, 3 qian each), *Ginseng Radix* (Renshen), *Glycyrrhizae Radix et Rhizoma* (Gancao, honey-fried), *Angelicae Dahuricae Radix* (Baizhi), *Saposhnikoviae Radix* (Fangfeng), *Phellodendri Cortex* (Huangbai), *Alismatis Rhizoma* (Zexie, 0.5 qian each), *Angelicae Sinensis Radix* (Dangguishen, 1.5 qian). Prepare as one dose, add 2 cups of water, decoct to 1 cup, remove dregs, and take after meals.
**Wenwei Buxue Tang (Warming Wei and Tonifying Blood Decoction, from Dongyuan's *Lanshi Micang*)**: Treats tinnitus, nasal congestion, anosmia, inability to taste grains, stagnant Qi, fatigue and weakness of limbs, walking with a tilt, hair loss, difficulty swallowing, cold knees, genital sweating, leukorrhea, throat discomfort preventing sleep, dry mouth and tongue, frequent sighing, inability to turn the head, tight neck tendons, back pain, vertigo, blurred vision, headache, urge to sneeze.
Ingredients: *Cimicifugae Rhizoma* (Shengma, 4 fen), *Bupleuri Radix* (Chaihu, tips), *Ginseng Radix* (Renshen), *Glycyrrhizae Radix et Rhizoma* (Shu Gancao), *Citri Reticulatae Pericarpium* (Jupi), *Platycodonis Radix* (Jiegeng, 2.5 fen each), *Moutan Cortex* (Mudanpi), *Atractylodis Rhizoma* (Cangzhu), *Vaccariae Semen* (Wangbuliuxing, 1.2 qian), *Raw Glycyrrhizae Radix et Rhizoma* (Sheng Gancao, 0.5 qian). Cut the ingredients, prepare as one dose, add 2 large cups of water, decoct to 1.5 cups, remove dregs, and take slightly warm before meals.
**Treatment for nasal congestion and anosmia (from *Bencao*)**:
Take 15 Jujube fruits (Dazao), remove skin and pits. Take 300 Ricinus seeds (Bimazi), remove shells. Pound the two ingredients together, wrap in cotton, and insert into the nostrils. Change once daily. Effect observed after more than 30 days.