申斗垣曰∶鼻疔乃忧郁太过，劳伤太重，脏腑毒瓦斯传于经脉而成。二三日神思
困倦，筋骨酸痛；四五日寒热交作，毒瓦斯攻心，头面肿大；八九日呕逆昏迷，痰升
气促，十难救一，医者不可不察。初起治法，从疔疮门施治。（《启玄》）
陈实功曰∶鼻疔生于鼻内，痛引脑户，不能运气，胀塞鼻窍。甚者唇腮俱肿，先
宜针刺，次照疔疮治法。（《正宗》）
澄曰∶鼻疔生于鼻窍之中，乃忧郁伤肺，或房欲传肾，火乘金位，燔灼而成。治
当悉按疔疮治法，毋庸另立主方。
岐天师曰∶鼻肿者，乃肺经火盛也。用皂角末吹入，打清嚏数十即愈。盖鼻因气
塞，今打嚏则壅塞之气尽开散，故不用甘桔汤清肺而鼻肿自消也。（《秘录》）
又曰∶有人鼻大如拳，疼痛欲死，此乃肺经之火，热壅于鼻而不得泻。法当清
其肺中之邪，去其鼻间之火可也，以解壅汤主之。此方全在群入肺经，以去其火邪，
又何壅肿之不消耶。
澄曰∶鼻乃肺之窍，肺有蕴热，或醇酒炙 ，胃热薰金，或肺火亢甚，是以鼻
窍生疮，燥裂作痛，多起赤靥。当用石斛麦冬汤清之，或六味地黄汤加麦冬治之。
陈实功曰∶鼻疮乃肺经实火郁热，故生疮也。（《正宗》）
解郁汤（岐天师）
桔梗 天门冬（各五钱） 黄芩 麦门冬 甘草 天花粉（各三钱） 紫菀（二钱） 紫苏叶
百部（各一钱）
水煎服。四剂鼻疮全消。
鼻疮
宫粉 血丹 松香（各一钱） 艾叶（五钱）
研细。纸卷香油浸透，火燃滴油，搽鼻内神效。
又方 杏仁研烂人乳和敷。
又方 乌牛耳垢敷。
鼻下生疮 牛鼻中旧木卷 研，敷之。
鼻头红肿破裂 皂矾和灰面研匀，水调贴之。
Shen Douyuan stated: Bi Ding (Nasal Carbuncle) is formed due to excessive melancholy and severe physical exhaustion, causing toxic qi from the Zang-Fu organs to transmit into the meridians. Within two or three days, the patient experiences mental fatigue and soreness in the bones and muscles; by four or five days, alternating chills and fever occur as the toxic qi attacks the Heart, leading to swelling of the head and face; by eight or nine days, symptoms include vomiting, coma, rising phlegm, and rapid breathing, where only one in ten patients can be saved. Physicians must not fail to examine this carefully. For initial treatment, one should apply the methods from the Ding Chuang (Carbuncle and Ulcer) section. (From *Qi Xuan*)
Chen Shigong stated: Bi Ding arises inside the nasal cavity, with pain radiating to the Naohu point, causing difficulty in breath regulation and nasal congestion. In severe cases, the lips and cheeks swell. Initially, acupuncture should be performed, followed by treatment according to the methods for Ding Chuang. (From *Zheng Zong*)
Gu Shicheng stated: Bi Ding occurs within the nasal aperture, resulting from melancholy injuring the Lung, or kidney transmission due to sexual excess, where Fire invades the Metal position, causing burning and scorching. Treatment should strictly follow the methods for Ding Chuang, without need for a separate principal prescription.
Master Qi stated: Nasal swelling is caused by excessive Fire in the Lung Meridian. Blowing powder made from Gleditsia Sinensis Fruit (Zao Jiao) into the nose induces dozens of clear sneezes, which leads to recovery. Since the nose is blocked by Qi stagnation, inducing sneezes disperses the obstructed Qi entirely; thus, there is no need to use Gan Jie Tang (Licorice and Platycodon Decoction) to clear the Lung, as the nasal swelling will subside naturally. (From *Mi Lu*)
He also stated: There are cases where the nose swells to the size of a fist with excruciating pain, caused by Fire in the Lung Meridian and heat stagnation in the nose that cannot be vented. The method should be to clear the pathogenic factors from the Lung and remove the Fire from the nose. The primary formula is Jie Yong Tang (Resolve Stagnation Decoction). This formula works because all its ingredients enter the Lung Meridian to eliminate Fire pathogens, ensuring the resolution of stagnation and swelling.
Gu Shicheng stated: The nose is the orifice of the Lung. If there is accumulated Heat in the Lung, or if stomach Heat steams the Lung due to consuming strong wine or roasted foods, or if Lung Fire is extremely hyperactive, sores may arise in the nasal aperture. These present with dryness, cracking, pain, and often red papules. One should use Shihu Maidong Tang (Dendrobium and Ophiopogon Decoction) to clear Heat, or Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) added with Maidong (Ophiopogon Tuber).
Chen Shigong stated: Bi Chuang (Nasal Ulcer) is generated by Excess Fire and stagnant Heat in the Lung Meridian. (From *Zheng Zong*)
Jie Yu Tang (Resolve Depression Decoction) [Created by Master Qi]
Platycodon Root (Jiegeng) and Asparagus Tuber (Tianmendong), each 5 qian; Scutellaria Root (Huangqin), Ophiopogon Tuber (Maimendong), Licorice Root (Gancao), and Trichosanthes Root (Tianhuafen), each 3 qian; Aster Root (Ziwan), 2 qian; Perilla Leaf (Zisuye) and Stemona Root (Bubai), each 1 qian.
Decoct in water and take orally. After four doses, the nasal ulcer will completely disappear.
External Formula for Nasal Ulcer
Mercurous Chloride (Gongfen), Cinnabar (Xuedan), and Pine Rosin (Songxiang), each 1 qian; Mugwort Leaf (Aiye), 5 qian.
Grind into fine powder. Roll in paper, soak thoroughly in Sesame Oil, ignite, and drip the oil onto the interior of the nose for miraculous effect.
Another Formula
Grind Almond (Xingren) into a paste, mix with Human Milk, and apply.
Another Formula
Apply earwax from a black ox.
Sores Below the Nose
Take old wood shavings/rolls from the ox's nose, grind them, and apply.
Red Swelling and Cracking of the Nose Tip
Mix Alum (Zaofan) with ash-flour until uniform, mix with water, and apply as a patch.