论曰鼻和则知香臭,夫鼻为肺之窍,非能自和也,必肺气流通,然后鼻为用而香臭可知
,若心经移热于肺,致肺脏不和,则其窍亦无以宣达,故为 鼻,此乃内经所谓心肺有病,
则鼻为之不利者也。
治肺气壅塞,鼻 不闻香臭,茯神散方
茯神(去木一两半) 山芋 人参(各二两) 赤茯苓(去黑皮) 防风(去叉) 防
己(各一
两半) 蜀椒(去目并合口者炒出汗一两) 山茱萸(一两半) 甘菊花 桂(去粗皮) 细
辛(去
苗叶) 芎 贯众 白术(米泔浸一宿锉碎炒各一两一分) 干姜(炮一两) 甘草(炙
一两半
)
上一十六味,捣罗为散,每服二钱匕,空心温酒调下、日再。
治 鼻,顺肺气,四时服食,黄 散方
黄 (锉) 人参 防风(去叉) 防己 生干地黄(焙) 桔梗(炒) 芍药 黄芩
(去黑心)
泽泻 石南叶 紫菀(去苗土) 桂(去粗皮) 白术(米泔浸一宿锉) 甘草(炙) 牛
膝(酒
浸一宿切焙) 赤茯苓(去黑皮各三两)
上一十六味,捣罗为散,每服一钱匕,温酒调下,如要丸,炼蜜丸如梧桐子大,每服三
十丸,亦温酒下。
治 鼻,山茱萸丸方
山茱萸 菊花 大黄(锉炒各一两一分) 独活(去芦头三分) 甘草(炙锉) 防风
(去叉)
蔓荆实(去白皮各一两) 秦艽(去苗土一两半) 栀子(去皮炒一两) 附子(炮裂去
皮脐三
分) 朴硝(三两三分)
上一十一味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,空心温水下,老人亦宜服,
妊娠人去附子,加细辛半分。
治 鼻,雄黄丸方
雄黄(研一钱) 甘草(炙锉) 附子(炮裂去皮脐) 细辛(去苗叶各一分)
上四味,捣罗为末,用羊胆汁和丸,如枣核大,以绵裹内鼻中,移时出恶物、即瘥。
治 鼻方
瓜蒂(半两) 细辛(一分)
上二味,捣罗为末,以绵裹如枣核大,塞鼻中,须臾即透。
治 鼻不闻香臭,甘遂丸方
甘遂 细辛(去苗叶) 木通(锉) 附子(炮裂去皮脐各一分)
上四味,捣罗为末,以羊胆汁和,如枣核大,以绵裹,卧内鼻中,觉微痛眼泪出,鼻清
涕流,即通利,慎风冷。
治 鼻不闻香臭,宜塞鼻,细辛散方
细辛(去苗叶) 甘草(炙) 木通(锉) 附子(炮裂去皮脐各一分)
上四味,捣罗为散,以羊胆汁和,如枣核大,塞鼻中。
治 鼻不闻香臭,窒塞气不宣通,塞鼻,瓜蒂散方
瓜蒂(一分)
上一味,捣罗为散,以半钱匕,绵裹,夜卧塞鼻中,旦即去之。
治 鼻,气息不通、烦闷,灌鼻,蒺藜苗汁方
蒺藜子苗(一把车辗过者无车辗过者采取令车辗之)
上一味、捣碎,以水浓煎,滤去滓,将汁入鼻中,或已有息肉者,因喷嚏出如赤蛹子、
瘥。
治 鼻法
伏面临床,以新汲水,淋玉枕上、即瘥。
治 鼻,吹鼻,干姜散方
干姜(炮半两)
上一味,捣罗为散,以少许吹入鼻中。
治 鼻,吹鼻,皂荚散方
皂荚(一挺炙刮去皮子)
上一味,捣罗为散,以一字匕,吹入鼻即瘥。
论述说:鼻功能调和则能辨别香臭。鼻是肺的窍道,本身不能自行调和,必须肺气流通顺畅,然后鼻才能发挥作用而辨别香臭。如果心经的热邪移注于肺,导致肺脏功能不和,那么鼻窍也就无法宣通发散,因此出现鼻塞不通的症状,这正是《内经》所说的“心肺有病,则鼻为之不利”的道理。
治疗肺气壅塞、鼻塞不通且闻不到香臭的茯神散方:
茯神(去除木质部分一两半)、山芋、人参(各二两)、赤茯苓(去除黑皮)、防风(去除叉枝)、防己(各一两半)、蜀椒(去除目及合口者,炒至出汗一两)、山茱萸(一两半)、甘菊花、桂(去除粗皮)、细辛(去除苗叶)、川芎、贯众、白术(用米泔水浸泡一夜后切碎炒制,各一两一分)、干姜(炮制一两)、甘草(炙制一两半)。
以上十六味药,捣碎过筛制成散剂,每次服用二钱匕,空腹时用温酒调服,每日两次。
治疗鼻塞不通,顺理肺气,四季皆可服用的黄芪散方:
黄芪(切碎)、人参、防风(去除叉枝)、防己、生干地黄(焙干)、桔梗(炒制)、芍药、黄芩(去除黑心)、泽泻、石南叶、紫菀(去除苗土)、桂(去除粗皮)、白术(用米泔水浸泡一夜后切碎)、甘草(炙制)、牛膝(用酒浸泡一夜后切片焙干)、赤茯苓(去除黑皮,各三两)。
以上十六味药,捣碎过筛制成散剂,每次服用一钱匕,用温酒调服。如果需要做成丸剂,用炼蜜制成梧桐子大小的丸剂,每次服用三十丸,也用温酒送下。
治疗鼻塞不通的山茱萸丸方:
山茱萸、菊花、大黄(切碎炒制,各一两一分)、独活(去除芦头三分)、甘草(炙制切碎)、防风(去除叉枝)、蔓荆实(去除白皮,各一两)、秦艽(去除苗土一两半)、栀子(去皮炒制一两)、附子(炮裂后去除皮脐三分)、朴硝(三两三分)。
以上十一味药,捣碎过筛制成末,用炼蜜制成梧桐子大小的丸剂,每次服用二十丸,空腹时用温水送下。老年人也适宜服用。孕妇需去掉附子,加细辛半分。
治疗鼻塞不通的雄黄丸方:
雄黄(研细一钱)、甘草(炙制切碎)、附子(炮裂后去除皮脐)、细辛(去除苗叶,各一分)。
以上四味药,捣碎过筛制成末,用羊胆汁和匀制成丸剂,大小如枣核,用棉包裹后纳入鼻中,过一段时间后排出恶物,病即痊愈。
治疗鼻塞不通的方剂:
瓜蒂(半两)、细辛(一分)。
以上两味药,捣碎过筛制成末,用棉包裹如枣核大小,塞入鼻中,片刻即可通气。
治疗鼻塞不通且闻不到香臭的甘遂丸方:
甘遂、细辛(去除苗叶)、木通(切碎)、附子(炮裂后去除皮脐,各一分)。
以上四味药,捣碎过筛制成末,用羊胆汁和匀,制成如枣核大小的丸剂,用棉包裹,仰卧时纳入鼻中,感觉微痛并流泪、流清涕时,说明鼻窍已通利,注意避免风寒。
治疗鼻塞不通且闻不到香臭,适宜塞鼻使用的细辛散方:
细辛(去除苗叶)、甘草(炙制)、木通(切碎)、附子(炮裂后去除皮脐,各一分)。
以上四味药,捣碎过筛制成散剂,用羊胆汁和匀,制成如枣核大小的丸剂,塞入鼻中。
治疗鼻塞不通且闻不到香臭,气机窒塞不宣通,适宜塞鼻使用的瓜蒂散方:
瓜蒂(一分)。
以上一味药,捣碎过筛制成散剂,取半钱匕,用棉包裹,夜间睡觉时塞入鼻中,早晨取下。
治疗鼻塞不通,气息不通畅、烦闷,适宜灌鼻使用的蒺藜苗汁方:
蒺藜子苗(一把,若是被车轮碾压过的则无需再碾,若未被碾压则采取后用车轮碾压)。
以上一味药,捣碎,用水浓煎,过滤去渣,将药汁滴入鼻中。如果已有息肉,因喷嚏而出,状如红色的蚕蛹,病即痊愈。
治疗鼻塞不通的方法:
俯卧在床边,用新打的井水淋浇玉枕穴部位,病即痊愈。
治疗鼻塞不通,适宜吹鼻使用的干姜散方:
干姜(炮制半两)。
以上一味药,捣碎过筛制成散剂,取少许吹入鼻中。
治疗鼻塞不通,适宜吹鼻使用的皂荚散方:
皂荚(一挺,炙制后刮去外皮和种子)。
以上一味药,捣碎过筛制成散剂,取一字匕的量,吹入鼻中,病即痊愈。
Commentary states: When the nose is harmonious, it can distinguish odors. The nose is the orifice of the Lung; it cannot harmonize itself but requires the smooth flow of Lung Qi to function properly and perceive scents. If heat from the Heart channel transfers to the Lung, causing disharmony in the Lung organ, the orifice will fail to ventilate and diffuse, resulting in nasal obstruction (Bi). This corresponds to what the *Neijing* (Inner Canon) says: "When there is disease in the Heart and Lungs, the nose becomes obstructed."
Fu Shen San Decoction for treating Lung Qi stagnation with nasal obstruction and loss of smell:
Fushen (Poria with Wood Removed, 1.5 liang), Shanyu (Dioscoreae Rhizoma), Renshen (Ginseng Radix et Rhizoma, each 2 liang), Chi Fuling (Red Poria, Black Skin Removed), Fangfeng (Saposhnikoviae Radix, Forks Removed), Fangji (Stephaniae Tetrandrae Radix, each 1.5 liang), Shujiao (Zanthoxyli Pericarpium, Eyes and Closed Ones Removed, Stir-fried Until Moisture Evaporates, 1 liang), Shanzhuyu (Corni Fructus, 1.5 liang), Gan Juhua (Chrysanthemi Flos), Gui (Cinnamomi Ramulus, Bark Removed), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Xiong (Ligustici Chuanxiong Rhizoma), Guanzhong (Cyathulae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma, Soaked Overnight in Rice Washings, Cut, Stir-fried, each 1 liang 1 fen), Ganjiang (Zingiberis Rhizoma Praeparatum, 1 liang), Gancao (Licorice Root, Honey-fried, 1.5 liang).
The above sixteen ingredients are crushed, sifted into a powder. Take 2 qian bi per dose, mixed with warm wine on an empty stomach, twice daily.
Huangqi San Decoction for treating nasal obstruction, smoothing Lung Qi, suitable for consumption in all four seasons:
Huangqi (Astragali Radix, Cut), Renshen (Ginseng Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix, Forks Removed), Fangji (Stephaniae Tetrandrae Radix), Sheng Gan Dihuang (Rehmanniae Radix Recens, Baked), Jiegeng (Platycodonis Radix, Stir-fried), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix, Black Heart Removed), Zexie (Alismatis Rhizoma), Shinanye (Nandinae Folium), Ziwan (Asteri Radix, Seedlings and Soil Removed), Gui (Cinnamomi Ramulus, Bark Removed), Baizhu (Atractylodis Macrocephalae Rhizoma, Soaked Overnight in Rice Washings, Cut), Gancao (Licorice Root, Honey-fried), Niuxi (Achyranthis Bidentatae Radix, Soaked Overnight in Wine, Cut, Baked), Chi Fuling (Red Poria, Black Skin Removed, each 3 liang).
The above sixteen ingredients are crushed, sifted into a powder. Take 1 qian bi per dose, mixed with warm wine. If pills are desired, refine honey to make pills the size of Sophora seeds, take 30 pills per dose, also with warm wine.
Shanzhuyu Wan Pills for treating nasal obstruction:
Shanzhuyu (Corni Fructus), Juhua (Chrysanthemi Flos), Dahuang (Rhei Radix et Rhizoma, Cut and Stir-fried, each 1 liang 1 fen), Duohuo (Angelicae Pubescentis Radix, Rhizome Head Removed, 3 fen), Gancao (Licorice Root, Honey-fried and Cut), Fangfeng (Saposhnikoviae Radix, Forks Removed), Manjingzi (Viticis Fructus, White Skin Removed, each 1 liang), Qinjiao (Gentianae Macrophyllae Radix, Seedlings and Soil Removed, 1.5 liang), Zhizi (Gardeniae Fructus, Skin Removed, Stir-fried, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, 3 fen), Piaoxiao (Natrii Sulfas, 3 liang 3 fen).
The above eleven ingredients are crushed, sifted into a fine powder. Refine honey to make pills the size of Sophora seeds. Take 20 pills per dose on an empty stomach with warm water. Elderly people may also take this. Pregnant women should remove Fuzi and add Xixin 0.5 fen.
Xionghuang Wan Pills for treating nasal obstruction:
Xionghuang (Realgar, Ground, 1 qian), Gancao (Licorice Root, Honey-fried and Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed, each 1 fen).
The above four ingredients are crushed, sifted into a fine powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit. Wrap in cotton and insert into the nostril. After some time, discharge foul matter, and the condition will heal.
Formula for treating nasal obstruction:
Gua Di (Trichosanthis Fructus, 0.5 liang), Xixin (Asari Radix et Rhizoma, 1 fen).
The above two ingredients are crushed, sifted into a powder. Wrap in cotton like a jujube pit and insert into the nostril. Patency will be achieved shortly.
Gansui Wan Pills for treating nasal obstruction with loss of smell:
Gansui (Kansui Radix), Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Mutong (Akebiae Caulis, Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, each 1 fen).
The above four ingredients are crushed, sifted into a fine powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit. Wrap in cotton and insert into the nostril while lying down. When slight pain is felt, tears flow, and clear nasal discharge occurs, indicating patency. Avoid wind and cold.
Xixin San Powder for treating nasal obstruction with loss of smell, suitable for nasal insertion:
Xixin (Asari Radix et Rhizoma, Seedlings and Leaves Removed), Gancao (Licorice Root, Honey-fried), Mutong (Akebiae Caulis, Cut), Fuzi (Aconiti Lateralis Radix Praeparata, Cracked, Skin and Navel Removed, each 1 fen).
The above four ingredients are crushed, sifted into a powder. Mix with sheep gallbladder juice to form pills the size of a jujube pit and insert into the nostril.
Gua Di San Powder for treating nasal obstruction with loss of smell, where qi is blocked and not diffusing, suitable for nasal insertion:
Gua Di (Trichosanthis Fructus, 1 fen).
The above single ingredient is crushed, sifted into a powder. Take half a qian bi, wrap in cotton, and insert into the nostril at night. Remove in the morning.
Jili Miao Zhi Juice for treating nasal obstruction with unblocked breath and irritability, suitable for nasal irrigation:
Jili Zi Miao (Tribuli Spinosi Herba, one handful; if not run over by cart wheels, subject to rolling).
The above single ingredient is crushed, decocted strongly in water, filtered to remove dregs. Instill the juice into the nostrils. If polyps exist, they may be expelled by sneezing, appearing like red silkworm pupae, and the condition will heal.
Method for treating nasal obstruction:
Lie prone at the bedside, pour fresh well water over the Yuzhen acupoint. The condition will heal.
Ganjiang San Powder for treating nasal obstruction, suitable for insufflation:
Ganjiang (Zingiberis Rhizoma Praeparatum, 0.5 liang).
The above single ingredient is crushed, sifted into a powder. Insufflate a small amount into the nostril.
Zaojia San Powder for treating nasal obstruction, suitable for insufflation:
Zaojia (Gleditsiae Sinensis Fructus, one stick, roasted, scraped of skin and seeds).
The above single ingredient is crushed, sifted into a powder. Insufflate one zi bi into the nostril, and the condition will heal.