《素问》金匮真言曰∶西方色白，入通于肺，开窍于鼻。阴阳应象大论曰∶肺主
鼻，在窍为鼻。脉度篇曰∶肺气通于鼻，肺和则鼻能知香臭矣。五脏别论曰∶五气
入鼻，藏于心肺。心肺有病，而鼻为不利也。气厥论曰∶胆移热于脑则为辛 鼻渊。
经脉篇曰∶胃足阳明之脉，起于鼻之交 中，其病为鼽衄。大肠手阳明其病亦为鼽
衄，膀胱足太阳亦为鼽衄。又曰∶脾热者，鼻先赤。选方七首。
通气汤 治鼻塞不闻香臭。
羌活 独活 苍术 防风 升麻 葛根（各六分） 白芷 甘草 川椒（各二分）
冬月加麻黄二分，姜、枣、葱白煎服。
防风散 治鼻渊脑热渗下，浊流不止。
防风（五分） 黄芩 人参 甘草 川芎 麦门冬（各二分）
为末，食后沸汤调服。
单南星饮 治风邪入脑，宿冷不消，鼻内结物，壅塞脑气，遂流浊髓。
南星为细末。每二钱，用枣七枚，甘草少许同煎。食后服。三、四服，其物自
出，涕自收，外贴荜茇饼。
荜茇饼
荜茇 香附 大蒜（等分）
捣作饼。纱衬炙热，贴囟门上，用熨斗火熨透，其涕自止。
瓜矾散 治鼻痔肉，化水自下。
瓜蒂（四钱） 甘遂（一钱） 白矾（枯） 螺壳（四钱） 草乌尖（各五分）
为末。真麻油调，丸如鼻孔大。每日一次，以药入鼻内，令着痔肉上。
芷夷散 治鼻流浊涕。
白芷（一两） 辛夷（五钱） 苍耳仁（三钱半） 薄荷（五分）
为末。每二钱，葱、茶清调服。
鼻衄不止方
鲜生地捣汁，饮之立止。萝卜汁、无灰酒和服。阴炼人中白温汤调服，及单饮童便俱妙。
《素问·金匮真言论》说：西方颜色为白，与肺相通，鼻是肺的窍道。《素问·阴阳应象大论》说：肺主管鼻，在窍穴上表现为鼻。《素问·脉度》篇说：肺气通于鼻，肺气调和则鼻能辨别香臭。《素问·五脏别论》说：五气进入鼻腔，储藏于心肺。如果心肺有病，鼻的功能就会不利。《素问·气厥论》说：胆的热邪移注于脑，就会形成鼻塞流涕的鼻渊病。《灵枢·经脉》篇说：足阳明胃经，起始于鼻翼旁交于鼻根处，其病症表现为鼻塞和鼻出血。手阳明大肠经的病症也表现为鼻塞和鼻出血，足太阳膀胱经的病症也表现为鼻塞和鼻出血。又说：脾有热证，鼻子先发红。这里选取七个方剂。
通气汤：治疗鼻塞，闻不到香臭气味。
药材：羌活、独活、苍术、防风、升麻、葛根（各六分），白芷、甘草、川椒（各二分）。
冬季加麻黄二分，用生姜、大枣、葱白煎服。
防风散：治疗鼻渊因脑热下渗，浊液流出不止。
药材：防风（五分），黄芩、人参、甘草、川芎、麦门冬（各二分）。
研为细末，饭后用沸水冲调服用。
单南星饮：治疗风邪侵入脑部，宿冷不消，鼻内结聚异物，壅塞脑气，导致流出浊髓。
将天南星研为细末。每次取二钱，用七枚大枣、少许甘草共同煎煮。饭后服用。三到四服后，结物自然排出，鼻涕自收，同时在外部贴敷荜茇饼。
荜茇饼：
药材：荜茇、香附、大蒜（等量）。
捣碎做成饼状。垫上纱布烤热，贴在囟门上，用熨斗火熨透，鼻涕自然停止。
瓜矾散：治疗鼻息肉，使其化水自行脱落。
药材：瓜蒂（四钱），甘遂（一钱），白矾（煅枯），螺壳（四钱），草乌尖（各五分）。
研为细末。用纯正芝麻油调和，制成如鼻孔大小的药丸。每天一次，将药放入鼻内，使其接触息肉。
芷夷散：治疗鼻流浊涕。
药材：白芷（一两），辛夷（五钱），苍耳仁（三钱半），薄荷（五分）。
研为细末。每次取二钱，用葱汁、茶清调服。
The *Suwen* (Basic Questions), chapter "Jinkui Zhenyan" (True Words of the Golden Cabinet) states: The color of the West is white, which communicates with the Lung (Zang organ governing respiration and qi), and the nose serves as its opening. The chapter "Yinyang Yingxiang Dalun" (Great Treatise on Yin-Yang and Corresponding Phenomena) states: The Lung governs the nose, manifesting as the nasal orifice. The chapter "Maidu" (Vessel Lengths) states: Lung Qi connects to the nose; when Lung Qi is harmonious, the nose can distinguish odors. The chapter "Wuzang Bie Lun" (Treatise on the Distinction of the Five Zang Organs) states: The five qi enter through the nose and are stored in the Heart and Lung. If there is disease in the Heart or Lung, the function of the nose becomes impaired. The chapter "Qijue Lun" (Treatise on Qi Reversal) states: When Gallbladder heat transfers to the brain, it results in Biyuan (nasal sinusitis characterized by foul-smelling discharge). The chapter "Jingmai" (Meridians) states: The Foot-Yangming Stomach Meridian begins at the side of the nose, crossing at the root of the nose; its pathology manifests as Qiuniu (rhinorrhea and epistaxis). The Hand-Yangming Large Intestine Meridian also presents with rhinorrhea and epistaxis, as does the Foot-Taiyang Bladder Meridian. It further states: In cases of Spleen heat, the nose reddens first. Seven prescriptions are selected here.
**Tongqi Tang (Ventilation Decoction):** Treats nasal congestion with loss of smell.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Cangzhu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix) (each 6 fen); Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanjiao (Zanthoxyli Pericarpium) (each 2 fen).
In winter, add Mahuang (Ephedrae Herba) 2 fen. Decoct with Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus), and Congbai (Allii Fistulosi Bulbus) for oral administration.
**Fangfeng San (Saposhnikovia Powder):** Treats Biyuan (nasal sinusitis) caused by brain heat seeping downward, resulting in continuous flow of turbid fluid.
Ingredients: Fangfeng (Saposhnikoviae Radix) (5 fen); Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Maidong (Ophiopogonis Tuber) (each 2 fen).
Grind into powder. Take after meals, mixed with boiling water.
**Dan Nanting Yin (Single Arisaema Decoction):** Treats wind-pathogen invading the brain, where old cold fails to dissipate, causing nodules in the nose that obstruct brain qi, leading to the discharge of turbid marrow-like fluid.
Grind Nanting (Arisaematis Rhizoma Preparatum) into fine powder. For each dose of 2 qian, decoct with 7 Jujube fruits (Jujubae Fructus) and a small amount of Gancao (Glycyrrhizae Radix et Rhizoma). Take after meals. After three to four doses, the nodules will naturally expel, and nasal discharge will cease. Externally apply Bibie Bing (Piperis Kadsurae Cake).
**Bibie Bing (Piperis Kadsurae Cake):**
Ingredients: Bibie (Piperis Kadsurae Fructus), Xiangfu (Cyperi Rhizoma), Dasuan (Allii Sativi Bulbus) (equal parts).
Pound into a cake. Place on gauze, heat by roasting, and apply to the fontanelle (Xinmen). Use a hot iron to warm through thoroughly; nasal discharge will stop spontaneously.
**Gua Fan San (Melon Seed and Alum Powder):** Treats bi zhi (nasal polyps), causing them to liquefy and fall off naturally.
Ingredients: Goudi (Trichosanthis Pericarpium) (4 qian), Gansui (Kansui Radix) (1 qian), Baifan (Alumen exsiccatum), Luoke (Concha Ostreae) (4 qian), Caowu jian (Aconiti Kusnezoffii Radix Lateralis Preparatus tip) (each 5 fen).
Grind into powder. Mix with pure Sesame Oil (Sesami Oleum) to form pills the size of the nostril. Once daily, insert the pill into the nose so it adheres to the polyp.
**Zhiyi San (Angelica and Magnolia Powder):** Treats turbid nasal discharge.
Ingredients: Baizhi (Angelicae Dahuricae Radix) (1 liang), Xinyi (Magnoliae Flos), Can'erren (Xanthii Fructus Spinosi Semen), Bohe (Menthae Haplocalycis Herba) (5 fen).
Grind into powder. Take 2 qian per dose, mixed with Cong juice and tea infusion.
**Prescription for Unstoppable Epistaxis:**
Juice of fresh Dihuang (Rehmanniae Radix) prepared by crushing and drinking stops bleeding immediately. Juice of Luobo (Raphani Fructus) mixed with Jiujiu (Vinum without sediment) is also effective. Renzhongbai (Urinae Humanis Praeparatum) processed via yin refining, taken with warm water, or drinking Tongbian (fresh urine) alone, are both excellent remedies.