(鼻山根也,俗称为鼻梁)属足阳明胃经、太阳膀胱经、督脉之会(《灵枢》曰∶足阳明之脉,
起于鼻之交 中,旁约太阳之脉。《素问》曰∶胆移热于脑,则辛 鼻渊,传为衄蔑瞑目。注∶足太阳膀胱之
脉,起目内 ,上额,交巅,络脑。阳明脉起于鼻,交 中,旁约太阳之脉。令脑热,则足太阳遂与阳明之脉俱
盛,薄于 中,故鼻 辛而酸痛也。鼻渊者,浊涕下而不止如水泉也。热盛则阳络溢,故衄,而鼻出污血也,又
谓之蔑。血出甚,则阳明、太阳脉衰,不能营养于目,故目瞑而暗也。宜服防风汤)。
属手太阴肺经(《素问》曰∶西方白色,入通于肺,开窍于鼻,畏热。《灵枢》曰∶肺病者,喘
息鼻张。又曰∶肺气通于鼻,肺和,则鼻能知香臭矣。乔岳曰∶肺绝则无涕,鼻孔黑燥。肝逆乘之,面色青。
李东垣曰∶伤风,鼻中气出粗,合口不开,肺气通于天也。王汝言曰∶鼻塞不闻香臭,但略感风寒,不时举发
者,世俗皆以为肺寒,而用辛温之药。不知肺经素有火邪,火郁甚,则喜得热而恶见寒,故遇寒便塞也。法宜
清肺降火为主,而佐以通气之剂,服之自效。如素无鼻塞之症,一时偶感风寒而致者,当作风寒治。沈承之曰∶
其在小儿面部,谓之明堂。《灵枢》曰∶脉见于寸口,色见于明堂。明堂者,鼻也。明堂广大者寿,小者殆,
况加疾哉?徐伯鲁曰∶按此语,即相家贵隆准之说也。然须视其面部何如,每见明堂虽小,与面相称者,寿可七
八十,要不可执一论也)。又属手足阳明大肠、胃经、督脉之交会(《灵枢》曰∶手阳明之脉,上挟鼻孔。又曰∶
胃胀者,腹满,胃脘痛,鼻闻焦香,妨于食,大便难。《素问》曰∶伤寒二日,阳明受之。阳明主肉,其脉挟
鼻,故鼻干不得卧。又曰∶运气阳明所至为鼽嚏。注∶鼽,鼻窒也。嚏,喷涕也。《明堂经》曰∶素 ,一名
面王,在鼻柱上端,督脉气所发也。刘河间曰∶伤风于腠理,而鼻为塞者,寒能收敛,阳气不通畅也。王海藏曰∶
石膏发汗,辛寒入手太阴经,仲景治伤寒阳明经症,乃用之者,何也?盖胃脉行身之前,而胸为胃肺之室,邪热
在阳明,则肺受火邪,故以辛寒以清肺,所以号为白虎也。沈承之曰∶挟鼻孔两旁五分,名迎香穴,属手足阳明
大肠、胃经之会;直目瞳子,名巨 穴,属足阳明胃经、阴跷脉之会)。兼属手少阴心经(《素问》曰∶正气入
鼻,藏于心肺,心肺有病,而鼻为之不利也。李东垣曰∶鼻本主肺,而复能闻香臭者、鼻中有心,庚金生于己
也,卫气失守,寒邪客于头面,鼻亦受之。
不能为用,是不闻香臭矣,丽泽通气汤主之)。又属足太阴脾经(《素问》曰∶脾热病者鼻先赤)。又属手足
太阳小肠、膀胱经(《灵枢》曰∶衄而不止, 血流,取足太阳; 血,取手太阳。又曰∶足太阳之别,名曰
飞扬,去踝七寸,别走少阴。实则鼽窒,头背痛;虚则鼽衄,取之所别也。又曰∶手太阳之脉,其支者,别颊,
上,抵鼻。又曰∶面王以上者,小肠也;面王以下者,膀胱字子处也。男子色在面王,为少腹痛,下为卵痛,
其圜直为茎痛,高为本,下为首,狐疝颓阴之属也。女子色在面王,为膀胱字子处病,散为痛,薄为聚,方圆
左右,各如其形色)。
The nasal root (also known as the bridge of the nose, commonly referred to as the "biangliang") is the intersection point of the Foot-Yangming Stomach Meridian (Zú Yángmíng Wèi Jīng), the Foot-Taiyang Bladder Meridian (Zú Tàiyáng Pángguāng Jīng), and the Du Meridian (Dū Mài). The *Ling Shu* records: The Foot-Yangming Stomach Meridian originates at the lateral aspect of the nose, where it intersects with the middle, and laterally converges with the Taiyang meridian. The *Su Wen* records: When Gallbladder heat transfers to the brain, it causes a pungent sensation in the nose and Bi Yuan disease (nasal sinusitis with purulent discharge), which may transmit into Nu Mie (epistaxis and visual disturbance). The commentary states: The Foot-Taiyang Bladder Meridian originates from the inner canthus of the eye, ascends to the forehead, intersects at the vertex, and connects to the brain. The Yangming meridian originates at the nose, intersects at the nasal root, and laterally converges with the Taiyang meridian. If the brain becomes heated, both the Foot-Taiyang and Foot-Yangming meridians become hyperactive, and pathogenic factors press upon the nasal root, causing a pungent, sore, and painful sensation in the nose. Bi Yuan refers to the continuous flow of turbid nasal mucus, resembling a spring. When heat is excessive, the Yang collaterals overflow, causing epistaxis, where foul blood exits the nose, also called "Mie". If bleeding is severe, the Qi of the Yangming and Taiyang meridians declines, failing to nourish the eyes, resulting in closed and dim vision. It is appropriate to administer Fangfeng Tang (Saposhnikovia Decoction).
The nose is also governed by the Hand-Taiyin Lung Meridian (Shǒu Tàiyīn Fèi Jīng). The *Su Wen* records: The West corresponds to white, internally connecting to the Lung, opening into the nose, and fearing heat. The *Ling Shu* records: In Lung diseases, patients experience panting and flaring of the nostrils. It further states: Lung Qi communicates with the nose; when Lung Qi is harmonious, the nose can distinguish odors. Qiao Yue stated: When Lung Qi fails, there is no nasal discharge, and the nostrils are black and dry. If Liver Qi rebels and overacts on the Lungs, the complexion turns green. Li Dongyuan stated: In wind-cold injury, coarse breath exits the nose, and the mouth remains closed because Lung Qi communicates with Heaven. Wang Ruyan stated: Nasal congestion preventing the perception of odors, which recurs frequently upon slight exposure to wind-cold, is commonly mistaken by laypeople as Lung Cold, treated with acrid-warm herbs. However, one must not realize that the Lung Meridian often harbors latent Fire Pathogens. When Fire is severely constrained, it prefers warmth and dislikes cold, leading to congestion upon cold exposure. The treatment method should primarily clear Lung Heat and descend Fire, assisted by agents that unblock the orifices, yielding effective results. If there is no history of nasal congestion but it occurs suddenly due to wind-cold, it should be treated as Wind-Cold. Shen Chengzhi stated: On the face of infants, the nose is called Ming Tang. The *Ling Shu* records: Pulse manifestations appear at Cun Kou, and color manifestations appear at Ming Tang. Ming Tang is the nose. A broad Ming Tang indicates longevity; a small one indicates peril, especially if accompanied by disease. Xu Bolu stated: This statement aligns with physiognomy's emphasis on a high nasal bridge. However, one must observe the entire face. Often, those with a small Ming Tang that matches their facial features can live to seventy or eighty years old; one cannot rely on a single criterion for judgment.
The nose is also the intersection of the Hand-Yangming Large Intestine Meridian (Shǒu Yángmíng Dàcháng Jīng), the Foot-Yangming Stomach Meridian, and the Du Meridian. The *Ling Shu* records: The Hand-Yangming Large Intestine Meridian ascends alongside the nostrils. It further states: In Stomach distension, there is abdominal fullness, epigastric pain, smelling burnt odors in the nose, difficulty eating, and difficult defecation. The *Su Wen* records: On the second day of Shang Han (Cold Damage), the Yangming meridian is affected. Yangming governs flesh, and its meridian runs alongside the nose, causing nasal dryness and inability to lie down. It further states: In climatic theory, Yangming arrival manifests as Qiut (runny nose) and Ti (sneezing). The commentary notes: Qiu refers to nasal obstruction; Ti refers to sneezing. The *Mingtang Jing* records: Suliao (DU23), also known as Mianwang (Face King), is located at the upper end of the nasal columella, where Du Meridian Qi emerges. Liu Hejian stated: Wind-cold invading the interstices causes nasal congestion because cold has a contracting nature, obstructing the smooth flow of Yang Qi. Wang Haizang asked: Gypsum induces sweating, is acrid and cold, and enters the Hand-Taiyin Lung Meridian. Why does Zhang Zhongjing use it for Yangming Shang Han symptoms? Because the Stomach Meridian runs along the anterior body, and the chest is the chamber of the Stomach and Lung. When pathogenic heat resides in Yangming, the Lung suffers from Fire pathogens; thus, acrid-cold herbs are used to clear the Lung, earning Gypsum the name "White Tiger." Shen Chengzhi stated: Five fen lateral to the nostril is Yingxiang (LI20), the intersection of the Hand-Yangming Large Intestine and Foot-Yangming Stomach meridians; directly below the pupil is Juliao (ST1), the intersection of the Foot-Yangming Stomach Meridian and Yin Qiao Meridian.
The nose is also associated with the Hand-Shaoyin Heart Meridian (Shǒu Shàoyīn Xīn Jīng). The *Su Wen* records: Righteous Qi enters the nose and is stored in the Heart and Lung. When the Heart and Lung have disease, the nose functions poorly. Li Dongyuan stated: Although the nose is primarily governed by the Lung, its ability to smell arises because the Heart acts within the nose; Geng Metal (Lung) is born from Ji Earth (referring to the generative cycle involving Spleen/Stomach or Heart Fire transforming into Earth). When Defensive Qi fails to guard, Cold pathogens invade the head and face, affecting the nose. If the nose cannot function, one loses the sense of smell; Lizetongqi Tang (Li Ze Tongqi Decoction) is the primary prescription.
The nose is also associated with the Foot-Taiyin Spleen Meridian (Zú Tàiyīn Pí Jīng). The *Su Wen* records: In Spleen Heat disease, the nose reddens first.
The nose is also associated with the Hand-Taiyang Small Intestine Meridian and the Foot-Taiyang Bladder Meridian. The *Ling Shu* records: For persistent epistaxis with profuse bleeding, select points from the Foot-Taiyang meridian; for epistaxis, select points from the Hand-Taiyang meridian. It further states: The Luo-connecting vessel of the Foot-Taiyang Bladder Meridian is named Feiyang (BL58), located seven cun above the external malleolus, diverging to connect with the Shaoyin. In Excess patterns, there is rhinorrhea and nasal obstruction with headache and back pain; in Deficiency patterns, there is rhinorrhea and epistaxis, treat by selecting this divergent point. It further states: The Hand-Taiyang Small Intestine Meridian has a branch that diverges from the cheek, ascends to the infraorbital region, and reaches the nose. It further states: The area above the Face King reflects the Small Intestine; the area below the Face King reflects the Bladder and the uterus (Zi Chu). In men, discoloration at the Face King indicates lower abdominal pain; inferiorly, testicular pain; round and straight shapes indicate penile pain; high areas represent the base, low areas represent the glans, belonging to conditions such as Hu Shan (hernia) and Tui Yin (scrotal swelling). In women, discoloration at the Face King indicates Bladder and Uterus pathology; scattered color indicates pain, gathered color indicates accumulation, with shape and direction corresponding to the specific manifestation.