小儿因风寒外感，肺气壅闭而鼻塞，古法主川芎丸（如川芎、细辛、 本、白芷、炙甘草、梅花片、当门子、
光杏仁，炼蜜为丸，如龙眼核大），每服一丸，灯芯汤化下。
〔真按〕小儿肺气不通，鼻窍遂闭，除风寒外感外，亦有因乳母夜卧，不知回避鼻中出气，吹儿颅门，或因
洗浴未避风寒，致儿鼻塞。不必服药，轻者只用葱白捣烂，捏一小丸，贴儿天庭心（在两眉之间），即通鼻窍。如
仍未通，再以细辛、附子、通草，同研末，蜜调棉裹，纳儿鼻中，须臾即通。
小儿鼻涕，因肺为寒风所袭，津液不收，则为清涕。只用生
姜捣烂，贴天庭心，即止。若兼别症，当另议治。
小儿鼻 ，因肺受风寒，久而不散，脓涕结聚不开，不闻香臭，只用辛夷花苞，又名木笔花，又名旱莲草，
去赤肉毛子，用芭蕉浸水泡一夜，焙干为末，加麝香少许，以葱白汁蘸入鼻孔，极效。
小儿鼻干，因心脾有热，上蒸于肺，故津液枯竭而干。宜清热生津，但服导赤散加麦冬，可以化干而为润。
小儿鼻疳，破烂欲穿鼻孔，只用纸包压去油杏仁粉二分，真轻粉一钱，和匀吹患处。或用真鹿角霜、枯矾、血
余灰、灯芯灰，共研末，吹之即愈。
小儿鼻疔，其毒速宜散化，急用荔枝肉一两，雄黄一分半，吸铁石五厘，共捣为丸，塞鼻中，自能脱落。再
饮生菊花叶汁一小杯，更佳。
小儿鼻 ，因鼻中渐生 肉，妨碍气息流通，但用生藕节一个，要有根连须处，烧灰存性为末，吹患处自落。
或用枯矾、猪脂油，共捣和丸，以棉裹塞鼻中，数日随药脱去。
小儿鼻痔，根蒂甚深，较 肉更加痛痒。但用霜梅一个，蓖麻仁七粒，生矾少许，三味同打，将丝棉包裹塞鼻
内，一日夜即愈。或用甜瓜蒂四钱，甘遂一钱，枯矾、螺壳灰、草乌灰各五分，为末，麻油调作丸，如鼻孔大，
每日以药塞入一次，其痔即化为水。再用收口药粉掺上，即干。
大儿鼻疮，形如粟米，毒易漫延，但用生薏苡、东瓜、煎汤，代茶饮之。外用杏仁去皮尖捣烂成膏，以人乳
调塞鼻内，最为稳效。
小儿鼻孔，无知误将豆粒塞入，又用手指自挖，进入关内，不能取出。临时即用人马平安散吹入鼻孔少许，
则豆可随打嚏而出。若延误已久，豆因鼻涕浸渍放大，愈肿愈痛，治法须用二人，以一人掩紧小儿两耳窍，叫小
儿双眼闭紧，再以一人用手掩
住无物鼻窍，以口对小儿之口，用力一吹，豆即落下。
小儿鼻外人中忽然肿烂，瘙痒异常，有碍饮食。但用旧毡帽、青果核二味，俱烧灰，以好麻油调之，日搽数
次即效。
小儿因感受风寒外邪，导致肺气壅滞闭塞而出现鼻塞，古法主要使用川芎丸（由川芎、细辛、藁本、白芷、炙甘草、梅花片、当门子、光杏仁组成，炼蜜制成如龙眼核大小的药丸），每次服用一丸，用灯芯草汤送服化开。
〔陈守真按语〕小儿肺气不通畅，鼻窍因此闭塞，除了风寒外感之外，也有因为乳母夜间睡觉时，不知道避开从鼻孔呼出的气息，吹向婴儿的囟门；或者因为洗澡时未躲避风寒，导致婴儿鼻塞。这种情况不必服药，轻症只用葱白捣烂，捏成一小丸，贴在婴儿天庭心穴（位于两眉之间），即可通利鼻窍。如果仍未通畅，再用细辛、附子、通草，共同研成粉末，用蜂蜜调和后用棉包裹，塞入婴儿鼻中，片刻即可通畅。
小儿流清鼻涕，是因为肺被寒风侵袭，津液不能收摄，所以流出清稀鼻涕。只用生姜捣烂，贴在天庭心穴，即可停止。如果兼有其他症状，应当另行讨论治疗方案。
小儿鼻息肉，是因为肺受风寒，日久不散，脓涕结聚不散，闻不到香味和臭味，只用辛夷花苞（又名木笔花，又名旱莲草），去掉红色肉质部分、毛和种子，用芭蕉浸泡的水泡一夜，焙干后研成粉末，加入少许麝香，用葱白汁蘸取后滴入鼻孔，效果极佳。
小儿鼻干，是因为心脾有热，热气上蒸于肺，导致津液枯竭而干燥。适宜清热生津，只需服用导赤散加麦冬，就可以使干燥化为滋润。
小儿鼻疳，鼻孔破烂欲穿，只用纸包压去油分的杏仁粉二分，真轻粉一钱，混合均匀后吹敷患处。或者使用真鹿角霜、枯矾、血余灰、灯芯灰，共同研成粉末，吹敷患处即可痊愈。
小儿鼻疔，其毒气迅速宜消散化解，急用荔枝肉一两，雄黄一分半，吸铁石五厘，共同捣碎制成丸药，塞入鼻中，自然能脱落。再饮用生菊花叶汁一小杯，效果更好。
小儿鼻内赘生物（此处原文缺字，根据语境推测为“鼻痔”或类似息肉类病变，但前文已有鼻痔，此处可能指另一种增生，暂译为鼻内赘生物/息肉），因为鼻中逐渐生长出赘肉，妨碍气息流通，只用生藕节一个，要有根连须的部分，烧成灰保留药性后研成粉末，吹敷患处，赘肉自然脱落。或者使用枯矾、猪脂油，共同捣和成丸，用棉包裹塞入鼻中，数日后随药物脱落。
小儿鼻痔，根蒂很深，比赘肉更加痛痒。只用霜梅一个，蓖麻仁七粒，生矾少许，三味一同捣碎，将丝棉包裹后塞入鼻内，一天一夜即可痊愈。或者使用甜瓜蒂四钱，甘遂一钱，枯矾、螺壳灰、草乌灰各五分，研成粉末，用麻油调制成丸药，如果鼻孔较大，每天以药塞入一次，其痔即化为水。再用收敛伤口药粉撒在上面，即可干燥愈合。
大龄儿童鼻疮，形状像粟米，毒气容易蔓延，只用生薏苡仁、冬瓜，煎汤，代替茶水饮用。外用杏仁去皮尖捣烂成膏，用人乳调和后塞入鼻内，最为稳妥有效。
小儿鼻孔，无知误将豆粒塞入，又用手指自行挖掘，进入深处关隘，无法取出。临时立即用人马平安散吹入鼻孔少许，则豆子可随着打喷嚏而出。如果延误已久，豆子因鼻涕浸渍膨胀变大，越肿越痛，治疗方法需要两人配合，一人紧紧捂住小儿双耳孔窍，叫小儿双眼紧闭，另一人用手掩住无物的一侧鼻窍，口对口对小儿用力一吹，豆子即落下。
小儿鼻外人中部位忽然肿胀腐烂，瘙痒异常，影响饮食。只用旧毡帽、青果核两味药，都烧成灰，用好麻油调和，每日涂抹数次即见效。
Infants suffering from nasal congestion due to external contraction of wind-cold, resulting in the obstruction and closure of Lung Qi, are traditionally treated with Chuanxiong Wan (Ligusticum Chuanxiong Pill). The formula consists of *Rhizoma Chuanxiong* (Chuanxiong), *Radix Asari* (Xixin), *Rhizoma Ligustici Wallichii* (Qubiao), *Radix Angelicae Dahuricae* (Baizhi), *Radix Glycyrrhizae Preparata* (Zhigancao), *Borneolum Syntheticum* (Meihuapian), *Moschus* (Dangmenzi), and *Semen Armeniacae Amarum* (Guang Xingren), processed with refined honey into pills the size of a longan seed. One pill is taken per dose, dissolved and administered with a decoction of Juncus effusus (Dengxincao).
[Commentary by Chen Shouzhen] Nasal congestion in infants occurs when Lung Qi fails to circulate freely. Besides external wind-cold contraction, it may also result from a wet nurse sleeping at night without avoiding exhaling air into the infant's fontanelle, or from exposure to wind-cold during bathing. Medication is not always necessary; for mild cases, crushed scallion white (Congbai) can be molded into a small pellet and applied to the Tian Ting Xin point (located between the eyebrows) to unblock the nasal passages. If patency is not achieved, a mixture of *Radix Asari* (Xixin), *Radix Aconiti Lateralis Preparata* (Fuzi), and *Herba Tephrosiae* (Tongcao) can be ground into powder, mixed with honey, wrapped in cotton, and inserted into the infant's nose, which typically restores breathing quickly.
Clear rhinorrhea in infants results from the Lung being attacked by cold-wind, causing failure to retain body fluids. Applying crushed fresh ginger (Shengjiang) to the Tian Ting Xin point can stop this. If accompanied by other symptoms, treatment should be adjusted accordingly.
Nasal polyps in infants, caused by persistent wind-cold affecting the Lung, leading to the accumulation of purulent discharge and loss of smell and taste, can be treated with buds of *Magnolia biondii* (Xinyi Hua, also known as Mubi Hua or Hanlian Cao). After removing the fleshy parts, hairs, and seeds, the buds are soaked overnight in water infused with banana stems, dried, and ground into powder. A small amount of Moschus (Shexiang) is added, and the powder is applied to the nostrils using juice from scallion whites (Congbai) for excellent efficacy.
Dryness of the nose in infants is caused by heat in the Heart and Spleen steaming upward to the Lung, depleting fluids. Clearing heat and generating fluids is indicated; administering Daochi San (Guide Out Red Powder) with *Radix Ophiopogonis* (Maidong) can transform dryness into moisture.
Bi Gan (nasal ulceration/gangrene) in infants, characterized by severe erosion threatening to perforate the nostril, can be treated by applying a mixture of two fen of almond powder (pressed to remove oil) and one qian of Calomelas (Qingfen) to the affected area. Alternatively, a powder made from Deer Antler Frost (Lujiaoshuang), Alum (Kufan), Burnt Human Hair (Xuyuhui), and Burnt Juncus (Dengxinhuai) can be insufflated into the nose for cure.
Bi Ding (nasal furuncle) requires rapid dispersion of toxicity. An urgent remedy involves one liang of Lychee flesh, 1.5 fen of Realgar (Xionghuang), and 0.05 li of Lodestone (Xitieshi), pounded into pills and inserted into the nose to facilitate detachment. Drinking a small cup of juice from fresh Chrysanthemum leaves (Juhua Ye) enhances the effect.
Nasal growths obstructing airflow, where flesh gradually grows in the nose, can be treated with one raw lotus node stem (Ou Jie) that includes roots and whiskers. This is burned to ash while retaining its medicinal nature, ground into powder, and insufflated to cause the growth to fall off. Alternatively, a pill made from Alum (Kufan) and lard (Zhuzhi) wrapped in cotton and inserted into the nose will shed after several days.
Nasal polyps (Bi Zhi) with deep roots causing intense pain and itching can be treated with one frost plum (Shuang Mei), seven castor beans (Bimaren), and a little raw alum (Shengfan). These three ingredients are pounded together, wrapped in silk cotton, and inserted into the nose for one day and night until healed. Alternatively, four qian of Melon Stalk (Tianguadi), one qian of Kansui Root (Gansui), and five fen each of Alum (Kufan), Shell Ash (Luokehui), and Aconite Ash (Caowuhui) are ground into powder, mixed with sesame oil into pills, and inserted daily if the nostril is large enough, dissolving the polyp into fluid. Subsequently, a wound-healing powder is applied to dry the area.
In older children, nasal sores resembling millet grains, which spread easily, can be managed by drinking a decoction of *Rhizoma Coicis* (Yiyiren) and Winter Melon (Donggua) as tea. Externally, peeled and deseeded almonds (*Semen Armeniacae Amarum*) are pounded into a paste, mixed with human milk, and inserted into the nose for stable and effective results.
If an infant accidentally inserts a bean into the nostril and pushes it deeper with fingers, making removal difficult, insufflate a small amount of Renma Ping'an San (Human-Horse Peace Powder) into the nostril immediately; the bean will be expelled via sneezing. If delayed, the bean swells due to mucus, causing increased swelling and pain. Treatment requires two people: one holds the infant's ears closed and eyes shut tightly, while the other covers the clear nostril and blows forcefully into the mouth, causing the bean to drop out.
Sudden swelling and ulceration of the philtrum (Ren Zhong) outside the nose, accompanied by severe itching and difficulty eating, can be treated by burning old felt hats and green olive pits (Qingguohe) to ash, mixing them with good sesame oil, and applying multiple times daily for effectiveness.