脑漏者，鼻如渊泉，涓涓流涕。致病有三∶曰风也，火也，寒也。鼻为肺窍，司呼吸以通阳，贼风
侵入，随吸入之气上彻于脑，以致鼻窍不通，时流清涕，此风伤之脑漏也。阳邪外铄，肝火内燔
，鼻窍半通，时流黄水，此火伤之脑漏也。冬月祁寒，感冒重阴，寒气侵脑，鼻窍不通，时流浊涕
，此寒伤之脑漏也。致病不同，施治各异。宜随证辨之。
风伤脑，桑菊愈风汤主之。
桑菊愈风汤（自制）
桑叶（三钱） 杭菊（三钱） 蔓荆子（一钱五分） 当归（一钱五分） 桔梗（一钱）
枳壳（一钱） 川贝（二钱） 杏仁（三钱） 川芎（八分） 黑芝麻（一撮）
火伤脑，清肝透顶汤主之。
清肝透顶汤（自制）
羚羊角（一钱五分） 夏枯草（二钱） 石决（八钱） 丹皮（一钱五分） 元参（一钱）
桔梗（一钱） 蝉衣（一钱五分） 桑叶（二钱） 薄荷（一钱） 陈橄榄（二枚） 寒伤脑，通
阳圣化汤主之。
通阳圣化汤（自制）
当归（二钱） 川芎（一钱） 香附（二钱） 白术（一钱五分） 羌活（一钱）
白芷（五分酒蒸） 辛夷（一钱切） 天麻（六分） 红枣（五枚） 姜（三片）
鼻衄一证，与吐血不同。吐血者，阴分久亏，龙雷之火犯肺，日受熏灼，金气大伤，其来也由渐
，其病也最深，故血从口出，而不从鼻出。鼻衄之证，其平日肺气未伤，只因一时肝火蕴结，骤犯
肺穴，火性炎上，逼血上行，故血从鼻出，而不从口出。每见近来医家，因方书犀角地黄汤条下，
有统治吐血、衄血之语，一遇鼻衄，即以犀角地黄汤治之，究竟百无一效，此其弊在拘执古方，不
明经络。盖犀角地黄，多心肾之药，用以治肝肺，宜其格不相入矣。予自制豢龙汤一方，专治鼻衄
，无不应手而效，数十年历历有验，可知医道当自出手眼，辨证察经，不可徒执古方也。
豢龙汤（自制）
羚羊角（一钱五分） 牡蛎（四钱） 石斛（三钱） 南沙参（四钱） 麦冬（一钱五分青黛
少许拌） 川贝母（二钱去心研） 夏枯草（一钱五分） 丹皮（一钱五分） 黑荆芥（一钱）
薄荷炭（一钱） 茜草根（二钱） 牛膝（二钱） 茅根（五钱） 藕（五大片）
Nasal mucus discharge (Brain Leakage) refers to the condition where the nasal cavity flows like a spring from an abyss, with clear mucus dripping continuously. There are three causes for this disease: wind, fire, and cold. The nose is the orifice of the Lung (Zang-Fu organ responsible for respiration and qi), governing respiration to connect with Yang Qi. When pathogenic wind invades, it follows the inhaled air upward to penetrate the brain, causing obstruction of the nasal orifice and frequent discharge of clear mucus; this is Brain Leakage caused by Wind injury. When Yang-pathogenic heat scorches externally and Liver Fire burns internally, the nasal orifice is partially obstructed, leading to the occasional discharge of yellow fluid; this is Brain Leakage caused by Fire injury. In winter, severe cold and heavy Yin pathogens invade, with Cold Qi attacking the brain, causing nasal obstruction and frequent discharge of turbid mucus; this is Brain Leakage caused by Cold injury. Since the causes differ, the treatments must vary accordingly. One should differentiate based on the specific syndrome.
For Brain Leakage caused by Wind, Sangju Yufeng Decoction is the primary formula.
Sangju Yufeng Decoction (Self-made Formula)
Morus Folium (Sangye, 3 qian)
Chrysanthemi Flos (Hangju, 3 qian)
Vittatis Fructus (Manjingzi, 1.5 qian)
Angelicae Sinensis Radix (Danggui, 1.5 qian)
Platycodonis Radix (Jiegeng, 1 qian)
Aurantii Fructus Pericarpium (Zhike, 1 qian)
Fritillariae Cirrhosae Bulbus (Chuanbei, 2 qian)
Prunus Armeniaca Semen (Xingren, 3 qian)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 0.8 fen)
Sesami Nigris Semen (Heimaizi, a pinch)
For Brain Leakage caused by Fire, Qinggan Tou Ding Decoction is the primary formula.
Qinggan Tou Ding Decoction (Self-made Formula)
Antilopis Cornu (Lingyangjiao, 1.5 qian)
Prunellae Spica (Xiakucao, 2 qian)
Haliotidis Concha (Shijue, 8 qian)
Moutan Cortex (Danpi, 1.5 qian)
Scrophulariae Radix (Yuanshen, 1 qian)
Platycodonis Radix (Jiegeng, 1 qian)
Cicadae Periostracum (Chanyi, 1.5 qian)
Mori Folium (Sangye, 2 qian)
Menthae Haplocalycis Herba (Bohe, 1 qian)
Canarium Oliva (Chen Ganlan, 2 pieces)
For Brain Leakage caused by Cold, Tongyang Shenghua Decoction is the primary formula.
Tongyang Shenghua Decoction (Self-made Formula)
Angelicae Sinensis Radix (Danggui, 2 qian)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 1 qian)
Cyperi Rhizoma (Xiangfu, 2 qian)
Atractylodis Macrocephalae Rhizoma (Baizhu, 1.5 qian)
Notopterygii Rhizoma et Radix (Qianghuo, 1 qian)
Angelicae Dahuricae Radix (Baizhi, 0.5 fen, steamed with wine)
Magnoliae Flos (Xinyi, 1 qian, sliced)
Gastrodiae Rhizoma (Tianma, 0.6 fen)
Jujubae Fructus (Hongzao, 5 pieces)
Zingiberis Rhizoma Recens (Jiang, 3 slices)
The syndrome of Epistaxis (Nosebleed) differs from Hematemesis (Vomiting blood). In Hematemesis, the Yin aspect has been deficient for a long time, allowing Dragon-Lion Fire to invade the Lung, causing daily scorching and severe damage to Metal Qi (Lung function). Its onset is gradual, and the pathology is deep; thus, blood exits from the mouth, not the nose. In Epistaxis, the patient's Lung Qi is generally unharmed in daily life; it is only due to a sudden accumulation and constraint of Liver Fire that abruptly attacks the Lung, forcing blood upward due to the flaming nature of Fire; thus, blood exits from the nose, not the mouth. It is often observed that contemporary physicians, seeing statements in ancient formularies under Jiaojiao Dihuang Tang indicating it treats both hematemesis and epistaxis indiscriminately, use Jiaojiao Dihuang Tang for every case of epistaxis. However, it rarely proves effective. This failure stems from rigid adherence to ancient formulas without understanding the meridians. Jiaojiao Dihuang Tang primarily targets the Heart and Kidney; using it to treat Liver and Lung disorders is naturally incompatible. I have self-created Huanyong Tang specifically for treating epistaxis, which yields immediate results in all cases. Over decades, its efficacy has been consistently verified. This demonstrates that medical practice requires independent insight, precise differentiation of syndromes and meridians, and should not rely solely on ancient formulas.
Huanyong Tang (Self-made Formula)
Antilopis Cornu (Lingyangjiao, 1.5 qian)
Ostreae Concha (Muli, 4 qian)
Dendrobii Caulis (Shihu, 3 qian)
Adenophorae Radix (Nanshashen, 4 qian)
Ophiopogonis Tuber (Maidong, 1.5 qian, mixed with a small amount of Qingdai)
Fritillariae Cirrhosae Bulbus (Chuanbeimu, 2 qian, heart removed and ground)
Prunellae Spica (Xiakucao, 1.5 qian)
Moutan Cortex (Danpi, 1.5 qian)
Schizonepetae Herba Carbonisata (Heijingjie, 1 qian)
Menthae Haplocalycis Herba Carbonisata (Bohetan, 1 qian)
Rubia Cordifolia Radix et Rhizoma (Qiancaogen, 2 qian)
Achyranthis Bidentatae Radix (Niuxi, 2 qian)
Imperatae Rhizoma (Maogen, 5 qian)
Nelumbinis Nuciferae Rhizoma (Ou, 5 large slices)