夫内经谓。胆移热于脑。则辛 鼻渊。鼻渊者。浊涕下不止也。夫脑为髓海。皆藏于阴。
故
涕出不已。若水之有渊源也。治或失时。传为衄蔑瞑目之患。
方
川乌散 治脑泻。
防风 白附子 北细辛 白茯苓 川乌 菖蒲 干姜 香白芷 川芎 甘草节 上各等
分为末。每服三钱。嚼生葱白汤调下。食后服。
川芎防风散 治积年脑泻秘方。得此疾多年。服一料而愈。
川芎 防风 羌活 干姜 荆芥（以上各一两） 甘草 甘松（各三钱） 白芷（半两）
上
为末。食后酒服。不能饮酒。茶清汤服。
鸡苏丸 治脑热肺壅。鼻渊多涕。
鸡苏叶（干者） 麦门冬（去心焙） 芎 桑根白皮（锉） 黄 （炙锉） 甘草（炙
锉各一
两） 生干地黄（切焙二两） 上为末。炼蜜和丸。如梧桐子大。每服二十丸。食后临卧。
人
参汤下。
荆芥散（出御药院方）治肺壅脑热。鼻渊不止。
荆芥穗 藿香叶（各一两） 芎 （二两） 龙脑（研一两） 石膏（研如粉一两半） 莎
草根
（炒
防风汤（出卫生宝鉴）治大人小儿鼻渊。脑热渗下。浊涕不止。久而成衄血。
防风（一两半） 人参 黄芩 麦门冬（去心） 甘草 川芎（各一两）
上为末。每服半钱。沸汤点服。食后日三服。一方用天门冬无麦门冬。
前胡汤 治脑热鼻塞多涕。
前胡（去芦头） 木通（锉） 石膏（各二两） 黄芩（去黑心） 甘草（炙锉各一两
半） 大黄
（锉
枚。
细辛汤 治肺虚不调。鼻塞多涕。咽中有涎而喘。项强筋急或痛。
细辛 半夏曲 茯苓 桔梗（各四钱） 桂枝〔二（三）钱〕 甘草（二钱） 上为粗
末。每
服四钱。水二盏。生姜四片。蜜半匙。同煎至七分。温服。日三。
神效宣脑散 取黄水鼻中下。立效。
川郁金 川芎 青黛（水飞） 薄荷 水黄米〔各三（二）分〕 上为细末。每服少许。
冷
水噙之。
苍耳散（出海上方）治鼻流浊涕。名鼻渊。
辛夷仁（半两） 苍耳子（炒二钱半） 白芷（一两） 薄荷叶（半钱） 上并晒干为
细末。每
服二钱。用葱茶清食后调服。
芎 散 治脑热。鼻渊多涕。
芎 莎草根（炙各二两） 石膏（研水飞一两） 龙脑（研一分） 上为散。每服二
钱。食
后荆
川芎丸 治脑泻臭秽。服药后。忌一时久热食。
草乌（生用半两去皮尖） 苍术（生一两） 川芎（生用二两） 上为细末。面糊为丸。
如梧
桐子。食后茶清下十丸。
南星饮（出直指方）治风邪入脑。宿冷不消。鼻内结硬物。窒塞脑不宣。遂流
髓涕。
用上等大白南星。切成片。用沸汤荡两次。焙干。每服二钱。枣七个。甘草少许同煎。
食后服。三四服后。其后硬物自出。脑气流转髓涕自收。仍以大蒜荜茇末。杵作饼。用纱衬
炙热。贴囟前。熨斗火熨透。或香附子荜茇末入鼻中。
治鼻湿不已。并治脑泻。
用藕节芎 焙干为末。每服二钱。米饮调下。
治脑流鼻涕。
用姜或干姜煨。塞之。睡至一二更去之。不止再塞。
治鼻渊脑泻。
用生附子为末。煨葱涎和如泥。敷涌泉。夜间用。妙。
川芎茶调散（出如宜方）治其病。由肾气虚。脑髓不固。亦有名鼻渊。
薄荷（八两） 川芎（四两） 羌活 甘草（炙） 白芷〔各三（二）两〕 防风（一
两半） 细
辛（一两） 荆芥（四两） 上为末。茶清调服。如鼻渊加辛夷。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: When heat from the Gallbladder channel shifts to the brain, it causes Biyuan (Nasal Sinusitis/Olfactory Disorder). Biyuan is characterized by the continuous flow of turbid nasal discharge. The brain is the Sea of Marrow, stored within Yin organs. Therefore, the unceasing flow of nasal discharge is like water having a source. If treatment is delayed, it may transmit into complications such as epistaxis (nosebleed), blurred vision, or even blindness.
Formulas:
Chuanwu San (Aconite Powder): Treats Naoxie (Brain leakage/drainage).
Ingredients: Fangfeng (Saposhnikovia Root), Baifuzi (Typhonii Rhizoma), Beixixin (Asari Radix et Rhizoma), Baifuling (Poria), Chuanwu (Aconiti Radix), Changpu (Acori Tatarinowii Rhizoma), Ganjiang (Zingiberis Rhizoma), Xiangbaizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes). All ingredients in equal parts are ground into powder. Take three qian per dose. Chew raw scallion white stems and take with decoction. Take after meals.
Chuanxiong Fangfeng San (Ligusticum and Saposhnikovia Powder): A secret formula for treating chronic Naoxie. For those who have suffered from this disease for many years, one course of treatment leads to recovery.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Ganjiang (Zingiberis Rhizoma), Jingjie (Schizonepetae Herba) (each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma), Gansong (Nardostachyos Radix et Rhizoma) (each 3 qian); Baizhi (Angelicae Dahuricae Radix) (0.5 liang). Grind all into powder. Take after meals with wine. For those who cannot drink alcohol, take with clear tea or weak tea decoction.
Jisu Wan (Elsholtzia Pill): Treats Brain Heat and Lung Obstruction (stagnation of Lung Qi), excessive nasal discharge in Biyuan.
Ingredients: Jisu Ye (Elsholtziae Herba, dried), Maimendong (Ophiopogonis Radix, heart removed and baked), Xiong (Chuanxiong), Sanggenbaipi (Mori Cortex), Huangqi (Astragali Radix, roasted and cut), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 liang), Shenggan Dihuang (Rehmanniae Radix, sliced and baked, 2 liang). Grind into powder, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose after meals and before sleep, washed down with Renshen Tang (Ginseng Decoction).
Jingjie San (Schizonepeta Powder, from *Yuyao Yuanfang*): Treats Lung Obstruction and Brain Heat, unceasing Biyuan.
Ingredients: Jingjiesui (Schizonepetae Spica), Huoxiang Ye (Agastaches Herba) (each 1 liang), Xiong (Chuanxiong) (2 liang), Longnao (Borneolum Syntheticum, ground, 1 liang), Shigao (Gypsum Fibrosum, ground to powder, 1.5 liang), Sucaogen (Cyperri Rhizoma, stir-fried). Grind into powder. Take after meals with wine.
Fangfeng Tang (Saposhnikovia Decoction, from *Weisheng Baojian*): Treats Biyuan in adults and children. Brain heat seeps downward, causing unceasing turbid nasal discharge; long-term cases may lead to epistaxis.
Ingredients: Fangfeng (Saposhnikoviae Radix) (1.5 liang), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang). Grind into powder. Take half a qian per dose, mixed with boiling water. Take three times daily after meals. Another version uses Tiandong (Asparagi Radix) instead of Maimendong.
Qianhu Tang (Peucedani Decoction): Treats Brain Heat, nasal congestion, and excessive nasal discharge.
Ingredients: Qianhu (Peucedani Radix, rhizome removed), Mutong (Akebiae Caulis, cut), Shigao (Gypsum Fibrosum) (each 2 liang), Huangqin (Scutellariae Radix, blackened parts removed), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut) (each 1.5 liang), Dahuang (Rhei Radix et Rhizoma, cut). Boil in water, strain, and take warm.
Xixin Tang (Asari Decoction): Treats Lung deficiency and dysfunction, nasal congestion, excessive nasal discharge, phlegm-saliva in the throat with wheezing, neck stiffness, tendon spasm, or pain.
Ingredients: Xixin (Asari Radix et Rhizoma), Banxiaqu (Pinelliae Fermentatum), Fuling (Poria), Jiegeng (Platycodonis Radix) (each 4 qian), Guizhi (Cinnamomi Ramulus) (2-3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian). Make into coarse powder. Take 4 qian per dose with two cups of water, four slices of fresh ginger, and half a spoon of honey. Simmer until reduced to 70%, take warm. Three times daily.
Shenxiao Xuannao San (Divine Efficacy Brain-Ventilating Powder): Clears yellow fluid from the nose. Immediate effect.
Ingredients: Chuan Yujin (Curcumae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qingdai (Indigo Naturalis, water-flown), Bohe (Menthae Haplocalycis Herba), Shuihuangmi (Water Yellow Rice) (each 2 fen). Grind into fine powder. Take a small amount per dose, hold in mouth with cold water and gargle.
Canger San (Xanthium Powder, from *Haishangfang*): Treats turbid nasal discharge, named Biyuan.
Ingredients: Xinyiren (Magnoliae Flos, kernel), Cang'erzi (Xanthii Fructus, stir-fried, 2.5 qian), Baizhi (Angelicae Dahuricae Radix) (1 liang), Bohe Ye (Menthae Haplocalycis Herba) (0.5 qian). Sun-dry all, grind into fine powder. Take 2 qian per dose after meals, mixed with scallion and clear tea.
Xiong San (Ligusticum Powder): Treats Brain Heat, excessive nasal discharge in Biyuan.
Ingredients: Xiong (Chuanxiong), Sucaogen (Cyperri Rhizoma, roasted) (each 2 liang), Shigao (Gypsum Fibrosum, ground and water-flown, 1 liang), Longnao (Borneolum Syntheticum, ground, 1 fen). Make into powder. Take 2 qian per dose after meals, taken with Jingjie decoction.
Chuanxiong Wan (Ligusticum Pill): Treats Naoxie with foul odor. After taking medicine, avoid hot food for one hour.
Ingredients: Caowu (Aconiti Kusnezoffii Radix, raw, 0.5 liang, skin and tip removed), Cangzhu (Atractylodis Rhizoma, raw, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, raw, 2 liang). Grind into fine powder, bind with wheat paste to form pills the size of Sophora seeds. Take 10 pills after meals with clear tea.
Nanxing Yin (Arisaema Drink, from *Zhizhifang*): Treats Wind pathogen entering the brain, lingering cold not dissipating, hard masses forming inside the nose, blocking brain Qi circulation, leading to marrow-like nasal discharge.
Use high-quality large Bai Nanxing (Arisaematis Rhizoma praeparatum). Slice, blanch twice in boiling water, dry by baking. Take 2 qian per dose with seven jujubes and a little Gancao (Licorice), decoct together. Take after meals. After 3-4 doses, the hard mass will naturally expel, brain Qi will circulate, and marrow discharge will stop. Subsequently, make a cake from garlic and Bibo (Long Pepper Fruit) powder, place on gauze, heat, and apply to the anterior fontanelle. Use an iron to heat through. Alternatively, insert powder of Xiangfu (Cyperi Rhizoma) and Bibo into the nose.
Treats persistent nasal dampness and also treats Naoxie.
Use Oujie (Nelumbinis Node) and Chuanxiong, bake dry, grind into powder. Take 2 qian per dose, mixed with rice drink.
Treats brain dripping nasal mucus.
Use fresh ginger or dried ginger, baked/roasted, stuff into nostrils. Remove after sleeping for 1-2 watches (hours). If discharge continues, stuff again.
Treats Biyuan and Naoxie.
Use raw Fuzi (Aconiti Lateralis Radix Praeparata) ground into powder. Mix with scallion juice to form a paste. Apply to Yongquan (KI1). Use at night. Excellent effect.
Chuanxiong Chatiao San (Ligusticum Tea-Tonic Powder, from *Ruyifang*): Treats this disease caused by Kidney Qi deficiency and insecure Brain Marrow. Also named Biyuan.
Ingredients: Bohe (Menthae Haplocalycis Herba) (8 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (4 liang), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Baizhi (Angelicae Dahuricae Radix) (2-3 liang), Fangfeng (Saposhnikoviae Radix) (1.5 liang), Xixin (Asari Radix et Rhizoma) (1 liang), Jingjie (Schizonepetae Herba) (4 liang). Grind into powder. Take mixed with clear tea. For Biyuan, add Xinyi (Magnoliae Flos).