丹溪曰∶眉棱骨痛厉风热与痰类，头风痛作风痰处。
或云∶眉骨痛有二，眼属肝，有肝虚而痛，才见光明则眉骨痛甚，宜服生地黄丸。有眉棱
痛目不能开，昼静夜剧，宜导痰丸汤之类入茅茶，二陈汤吞青州白丸子亦效。
甫见眉骨痛者，多是肝火上炎，怒气甚者多有此病。其谓风证，亦火之所致，热甚生风
是也。大抵抑肝火，有风痰则兼而治之。
洗肝散 治眉棱眼眶骨痛不可忍。（方见目门。）
二陈汤（方见痰门。）
（东垣）选奇方 治眉骨痛甚。
防风 羌活 黄芩 甘草（各一钱）
上水盏半煎八分，食后温服。
防风羌活汤 治眉棱痛，而风寒痰湿宜此。
防风 羌活 细辛 黄芩 南星 半夏 白术 甘草
上等分为粗末，每服四钱，水盏半煎八分温服。
（丹溪）黄芩白芷散 治眉棱风热痛。
黄芩（酒洗，二钱） 白芷（一钱）
上为细末，食后临卧，清茶调下。
二乌散 治眉棱骨痛，兼有风病亦此。
川乌 草乌（俱用童便浸，炒去毒。） 细辛 羌活 黄芩 甘草（各等分）
上为细末，每服二钱，茶清调下。
经曰∶鼻者肺之外候。又曰∶西方白色，入通于肺，开窍于鼻。又曰∶胆移热于脑则辛 鼻
渊。又曰∶鼻热甚出浊涕。又曰∶心肺有病而鼻为之不利也。
《巢氏病源》曰∶肺开窍于鼻，热乘于血，则气亦热也，血气俱热，血随气发出于鼻为鼻衄，
甚则大衄而口耳皆出血也。又云∶肺脏调和，则鼻气通利而知香臭。若邪乘于太阴之经，其气
蕴积于鼻者，则津液壅塞，鼻气不得宣调，故不知香臭而为 也。至于生疮变成 肉，或窒塞或
流涕，皆是肺经之邪壅滞也。
《原病式》曰∶肺热则出涕，热甚怫郁于足阳明胃经，血妄上行出于鼻，名曰衄，鼻出清涕
名曰鼽。夫五行之理，微则当其本化，甚则兼其鬼贼，故经曰∶亢则害，承乃制也。《易》曰∶
燥万物者莫 乎火。以火炼金，热极而反化为水，及身热极则反汗出也。水体柔顺，而极则反冰
如地也。土主湿阴，云雨安静。土湿过极，则反为骤注、烈风、雨淫溃也。木主温和，而生荣风，
极则反凉而毁折也。金主清凉，秋凉极而万物反燥也。皆所谓过极则反兼鬼贼之化，制其甚也。
由是肝热甚则出泣。心热甚则出汗，脾热甚则出涎，肺热甚则出涕，
肾热甚则出唾也。凡痰涎唾涕稠浊者，火热极甚消烁致之然也，或言鼽为肺寒，误也。彼但见
鼽嚏鼻窒，冒寒则甚，遂以为然。岂知寒伤皮毛则腠理闭塞，热气郁怫而病愈甚也。
朱丹溪说：眉棱骨疼痛，多属于厉风热和痰证；头风痛则多属于风痰。
有人说：眉骨痛有两种情况。眼睛归属于肝，若是肝虚引起的疼痛，刚见到光亮时眉骨疼痛加剧，适宜服用生地黄丸。若是眉棱骨痛且眼睛无法睁开，白天安静夜间加重，适宜使用导痰丸汤加入茅根茶，或用二陈汤送服青州白丸子也有效。
我（徐春甫）见到的眉骨痛患者，大多是肝火上炎所致，尤其是怒气大的人多有此病。所谓的“风证”，也是由火邪引起的，即热极生风。大体上应抑制肝火，若有风痰则兼治风痰。
洗肝散：治疗眉棱骨及眼眶骨疼痛难以忍受。（方剂见目门章节。）
二陈汤：（方剂见痰门章节。）
李东垣的选奇方：治疗眉骨剧烈疼痛。
防风、羌活、黄芩、甘草（各一钱）。
以上药物加水一盏半，煎至八分，饭后温服。
防风羌活汤：治疗眉棱骨痛，适用于风寒痰湿证。
防风、羌活、细辛、黄芩、南星、半夏、白术、甘草。
以上药物等分为粗末，每次服用四钱，加水一盏半煎至八分，温服。
朱丹溪的黄芩白芷散：治疗眉棱骨因风热引起的疼痛。
黄芩（酒洗，二钱）、白芷（一钱）。
以上药物研为细末，饭后临睡前，用清茶调服。
二乌散：治疗眉棱骨痛，兼有风病者也可用此方。
川乌、草乌（均用童子小便浸泡，炒制以去毒性）、细辛、羌活、黄芩、甘草（各等分）。
以上药物研为细末，每次服用二钱，用清茶调服。
经典医籍说：鼻子是肺的外在征象。又说：西方对应白色，内通于肺，开窍于鼻。又说：胆经移热于脑，则导致鼻渊（鼻窦炎）。又说：鼻热严重时会流出浊涕。又说：心肺有病会导致鼻窍不利。
《诸病源候论》说：肺开窍于鼻，若热邪侵入血分，气也随之变热，气血俱热，血随气上行从鼻而出，称为鼻衄，严重时大量出血甚至口耳都出血。又说：肺脏功能调和，则鼻气通畅能辨别香臭。若邪气侵袭太阴经脉，气蕴积于鼻部，则津液壅塞，鼻气不能宣通调节，所以不能辨别香臭而成为鼽窒（鼻塞流清涕）。至于鼻内生疮变成息肉，或堵塞或流涕，都是肺经邪气壅滞所致。
《原病式》说：肺热则流涕，热邪郁结于足阳明胃经，血液妄行上行出于鼻，名为衄；鼻出清涕名为鼽。五行的道理，轻微时表现为本气的正常变化，严重时则兼夹克制它的“鬼贼”之气，所以经文说：亢盛则为害，有所承制才能平衡。《易经》说：使万物干燥没有比火更厉害的了。用火炼金，热极反而化为水；身体热极反而出汗。水性柔顺，但极寒则反结冰如地。土主湿阴，云雨安静。土湿过极，则反变为暴雨、烈风、淫雨溃决。木主温和，生发荣茂之风，极则反凉而毁折。金主清凉，秋凉极则万物反燥。这都是所谓过极则反兼鬼贼之化，以制约其甚盛之势。因此，肝热甚则流泪，心热甚则出汗，脾热甚则流涎，肺热甚则流涕，肾热甚则吐唾。凡是痰涎唾涕稠浊的，都是火热极盛消烁津液所致。有人说鼽是肺寒，这是错误的。他们只看到鼽嚏鼻塞，受寒后加重，就认为是寒证。哪里知道寒伤皮毛则腠理闭塞，热气郁结而病情反而更重呢。
Zhu Danxi stated: Pain in the supraorbital ridge is mostly attributable to Li Feng Re (severe wind-heat) and Phlegm syndromes; headache due to Tou Feng (wind-stroke type headache) is mostly due to Wind-Phlegm.
It is said that there are two types of supraorbital pain. The eyes belong to the Liver. If the pain is caused by Liver Deficiency, the pain in the supraorbital ridge worsens upon exposure to light, and Sheng Di Huang Wan (Rehmannia Pill) is appropriate. If there is pain in the supraorbital ridge accompanied by inability to open the eyes, with symptoms being quiet during the day and severe at night, Dao Tan Wan Tang (Phlegm-Guiding Pill Decoction) added with Mao Gen Cha (Imperata Rhizome Tea), or Er Chen Tang (Two-Cured Decoction) taken with Qingzhou Bai Wan Zi (Qingzhou White Pills), are also effective.
I (Xu Chunfu) have observed that most cases of supraorbital pain are due to Liver Fire flaming upward, especially in those who suffer from severe anger. The so-called "Wind syndrome" is also caused by Fire, specifically when extreme heat generates Wind. Generally, one should suppress Liver Fire, and if Wind-Phlegm is present, treat both simultaneously.
Xi Gan San (Liver-Washing Powder): Treats unbearable pain in the supraorbital ridge and orbital bones. (Formula see Eye Section.)
Er Chen Tang (Two-Cured Decoction): (Formula see Phlegm Section.)
Li Dongyuan's Xuan Qi Fang (Selecting Marvelous Formula): Treats severe supraorbital pain.
Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) (each 1 qian).
Add one and a half cups of water, decoct to eight-tenths, and take warm after meals.
Fang Feng Qiang Huo Tang (Saposhnikovia and Notopterygium Decoction): Treats supraorbital pain, suitable for Wind-Cold, Phlegm, and Dampness patterns.
Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Xi Xin (Asarum Root), Huang Qin (Scutellaria Root), Nan Xing (Arisaema Cum Bile), Ban Xia (Pinellia Tuber), Bai Zhu (Atractylodes Macrocephala Rhizome), Gan Cao (Licorice Root).
Grind the above ingredients into coarse powder. Take 4 qian per dose, add one and a half cups of water, decoct to eight-tenths, and take warm.
Danxi Huang Qin Bai Zhi San (Danxi Scutellaria and Angelica Dahurica Powder): Treats supraorbital pain due to Wind-Heat.
Huang Qin (Scutellaria Root, wine-washed, 2 qian), Bai Zhi (Angelica Dahurica Root, 1 qian).
Grind the above into fine powder. Take after meals and before bed, mixed with clear tea.
Er Wu San (Two Wus Powder): Treats supraorbital pain, also applicable for concurrent Wind diseases.
Chuan Wu (Aconitum Carmichaelii Lateral Root), Cao Wu (Aconitum Kusnezoffii Root) (both soaked in urine of an uncircumcised boy, stir-fried to remove toxicity), Xi Xin (Asarum Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) (equal parts).
Grind the above into fine powder. Take 2 qian per dose, mixed with clear tea.
The Classics state: The nose is the external manifestation of the Lung. It is also said: The West corresponds to the color white, internally connecting to the Lung, opening into the nose. It is further said: When Gallbladder Heat shifts to the brain, it causes Bi Yuan (nasal sinusitis). It is also said: Severe nasal heat results in turbid discharge. It is also said: Diseases of the Heart and Lung cause nasal obstruction.
*Zhubing Yuanhou Lun* (Source Book of All Diseases) states: The Lung opens into the nose. If Heat invades the Blood, Qi also becomes hot. When both Qi and Blood are hot, blood follows Qi upward and exits through the nose, termed Bi Nu (epistaxis). In severe cases, massive bleeding occurs, even from the mouth and ears. It also says: When the Lung organ is harmonious, nasal Qi flows freely, allowing perception of odors. If pathogenic factors invade the Taiyin Meridian, Qi accumulates in the nose, causing fluid congestion and preventing the free flow and regulation of nasal Qi. Thus, one loses the ability to perceive odors, resulting in Qiu Shi (nasal congestion with clear discharge). Sores forming in the nose turning into polyps, or blockage and discharge, are all due to stagnation of pathogenic factors in the Lung Meridian.
*Yuan Bing Shi* (Manual of Original Disease Mechanisms) states: Lung Heat causes rhinorrhea. When Heat severely stagnates in the Foot-Yangming Stomach Meridian, blood recklessly ascends and exits the nose, named Nu (epistaxis); clear discharge from the nose is named Qiu (allergic rhinitis-like symptom). The principle of the Five Elements dictates that when mild, it manifests its own transformation; when severe, it assumes the characteristics of its controlling element ("Ghost Thief"). Hence, the Classics say: Excess brings harm, balance is achieved through control. The *I Ching* says: Nothing dries the myriad things more than Fire. Using fire to smelt metal, extreme heat turns into water; extreme body heat causes sweating. Water is soft and smooth, but extreme cold turns it to ice like earth. Earth governs damp Yin, clouds and rain are calm. Extreme dampness of Earth reverses into sudden downpours, fierce winds, and flooding rains. Wood governs warmth and gentleness, generating flourishing wind; extreme wood turns cool and breaks. Metal governs coolness; extreme autumn coolness makes myriad things dry again. These are all examples of extreme conditions reversing to assume the transformation of the controlling element to restrain excess. Therefore, extreme Liver Heat causes tearing; extreme Heart Heat causes sweating; extreme Spleen Heat causes salivation; extreme Lung Heat causes rhinorrhea; extreme Kidney Heat causes spitting saliva. Any thick and turbid phlegm, saliva, or mucus is caused by extreme Fire Heat consuming fluids. Some claim Qiu is due to Lung Cold, which is mistaken. They only observe sneezing, nasal congestion, and worsening in cold, leading to this conclusion. How can they know that Cold injuring the skin and hair closes the Cou Li (pores), causing Heat to stagnate and the disease to worsen?