《千金翼》论曰∶凡人往往有鼻中肉塞,眠食皆不快利得鼻中出息,而俗方亦众,而用之皆无成效。惟见《本
草》云∶雄黄主鼻中 肉,此言不虚。但时人不知用雄黄之法,医者生用故致困毙。曾有一人患鼻不得喘息,
余以成炼雄黄,日内一大枣许大,过十日,肉塞自出。当时即得喘息,更不重发。其炼雄黄法在《千金翼》仙
丹方中具有之,宜寻求也,期有神验。
《千金》治小儿鼻塞生 肉方。
通草 细辛(各一两)
上二味捣末。取药如豆,着绵缠头内鼻中,日二。
《千金翼》治鼻中 肉通草散方
通草(半两) 矾石(一两,烧) 真珠(一铢)
上三味下筛。展绵如枣核,取药如小豆,内绵头入鼻中,日三度。(一方有桂心、细辛。各一两。)
《千金翼》治鼽鼻、鼻中 肉不得息方。
矾石(烧) 藜芦 附子(炮。各半两) 瓜蒂(二七枚)
上四味,各捣下筛合和。以小竹管取药如小豆大,内鼻孔中吹之,以绵絮塞鼻中,日再,以愈为度。(一方加
葶苈半两)
《千金翼》治鼻中 肉塞鼻,不得喘息方。
上取细辛以口湿之,屈头内鼻中,旁内四畔多着。日十易之,满二十日外,以∶
葶苈(一两) 松萝(半两)
上二味捣筛。以绵裹薄如枣核大内鼻中,日五、六易之。满二十日外,以吴白矾上上者二两,瓦坯裹相合
令密,置窑中烧之,待瓦熟,取捣筛,以面脂和,如枣核大内鼻中,日五、六易,尽更和,不得顿和,二十
日外乃瘥。慎行作劳及热食并蒜面百日。
《千金翼》治 鼻有 肉不闻香臭方。
瓜蒂 细辛(各半两)
上二味为散。絮裹豆大,塞鼻中,须臾即通。
《千金翼》羊肝散 主鼻中 肉梁起方。
羊肝(一具,干之) 白术(炮,四两) 苁蓉 通草 干姜(炮) 芎 (各二两)
上六味为散。食后以粥汁服五分匕,日二服,加至方寸匕。
《千金翼方》论述说:普通人常常有鼻中长出息肉堵塞,导致睡眠和饮食都不通畅,呼吸时只能从鼻孔出气。虽然民间偏方很多,但使用都没有效果。只有看到《本草经》中说:雄黄主治鼻中息肉,这话不虚假。只是当时的人不知道使用雄黄的方法,医生直接用生雄黄,所以导致病人困苦甚至死亡。曾经有一人患鼻息肉导致无法喘息,我用经过炮制的雄黄,每天用大约一颗大枣大小的量,过了十天,息肉自然脱落排出。当时立刻就能喘息,而且不再复发。其炼制雄黄的方法在《千金翼方》的仙丹方中有记载,应该去寻找,期望有神奇疗效。
《千金方》治疗小儿鼻塞长息肉的方子。
通草、细辛(各一两)
以上两味药捣成粉末。取药如豆粒大小,裹在绵絮中缠好头,塞入鼻孔内,每天两次。
《千金翼方》治疗鼻中息肉的通草散方
通草(半两) 矾石(一两,烧制) 真珠(一铢)
以上三味药过筛。展开绵絮像枣核那么大,取药如小豆大小,放入绵絮头中塞入鼻孔内,每天三次。(另一版本有桂心、细辛,各一两。)
《千金翼方》治疗鼻渊(流浊涕)、鼻中息肉导致呼吸不畅的方子。
矾石(烧制) 藜芦 附子(炮制。各半两) 瓜蒂(十四枚)
以上四味药,分别捣碎过筛混合均匀。用小竹管取药如小豆大小,吹入鼻孔中,用棉絮塞住鼻子,每天两次,以痊愈为度。(另一版本加葶苈半两)
《千金翼方》治疗鼻中息肉堵塞鼻子,导致无法喘息的方子。
以上取细辛用口水湿润它,弯曲头部塞入鼻孔中,旁边四周多放一些。每天更换十次,满二十天之后,再用:
葶苈(一两) 松萝(半两)
以上两味药捣碎过筛。用绵絮包裹薄得像枣核大小塞入鼻孔中,每天五到六次更换。满二十天之后,用上好的吴白矾二两,用瓦坯包裹合拢使其密封,放在窑中烧制,等到瓦器烧熟,取出捣碎过筛,用面脂调和,做成枣核大小塞入鼻孔中,每天五到六次更换,用完后再调和,不能一次性全部调好,二十天后才能痊愈。谨慎避免劳累及热食以及蒜、面食一百天。
《千金翼方》治疗鼻中息肉导致闻不到香臭的方子。
瓜蒂、细辛(各半两)
以上两味药制成散剂。用棉絮包裹如豆粒大小,塞入鼻孔中,一会儿就通气了。
《千金翼方》羊肝散 主治鼻中息肉隆起的方子。
羊肝(一个,晒干) 白术(炮制,四两) 肉苁蓉 通草 干姜(炮制) 川芎(各二两)
以上六味药制成散剂。饭后用米粥汁送服五分匕的药量,每天两次服用,可加至一方寸匕的量。
The *Qianjin Yi* discusses: Ordinary people often have polyps growing in the nose causing blockage, leading to discomfort in sleep and diet, and breathing is only possible through the nasal passages. Although there are numerous folk remedies, none have been effective. Only the *Bencao Jing* (Compendium of Materia Medica) states that Xionghuang (Realgar) treats nasal polyps, which is not false. However, contemporary people do not know the method of using Realgar; physicians use it raw, thus causing patients to suffer or even die. Once, a person suffered from nasal polyps preventing respiration. I used processed Realgar, approximately the size of a large jujube per day. After ten days, the polyp naturally expelled itself. Respiration was immediately restored, and it did not recur. The method for processing Realgar is contained in the Immortal Elixir prescription within the *Qianjin Yi*; one should seek it out, expecting miraculous efficacy.
The *Qianjin Fang* formula for treating nasal congestion with polyps in children.
Tongcao (Reed Pith), Xixin (Asarum) (each 1 liang)
Pulverize the above two herbs. Take an amount of powder the size of a bean, wrap it in cotton, attach the head, and insert into the nostril twice daily.
The *Qianjin Yi* Tongcao Powder formula for treating nasal polyps.
Tongcao (Reed Pith) (0.5 liang), Fanshi (Alumen, calcined) (1 liang, calcined), Zhenzhu (Pearl) (1 zhu)
Sieve the above three herbs. Unfold cotton to the size of a jujube pit, take powder the size of a small bean, place it at the tip of the cotton, and insert into the nostril three times daily. (Another version includes Guixin (Cinnamon Twig Bark) and Xixin (Asarum), each 1 liang.)
The *Qianjin Yi* formula for treating Jiumi (nasal discharge with turbid mucus) and nasal polyps causing respiratory difficulty.
Fanshi (Alumen, calcined), Lilü (Veratrum), Fuzi (Prepared Aconite Root) (each 0.5 liang), Gudi (Melon Seed) (14 pieces)
Pulverize and sieve the above four herbs separately, then mix. Using a small bamboo tube, take powder the size of a small bean and insufflate it into the nostril. Plug the nose with cotton wadding twice daily, until cured. (Another version adds Tingli (Descurainiae Semen) 0.5 liang.)
The *Qianjin Yi* formula for treating nasal polyps blocking the nose, causing inability to breathe.
Take Xixin (Asarum), moisten it with saliva, bend it, and insert it into the nostril, placing more around the sides. Change it ten times daily. After twenty days, use the following:
Tingli (Descurainiae Semen) (1 liang), Songluo (Usnea) (0.5 liang)
Pulverize and sieve the above two herbs. Wrap in cotton thinly to the size of a jujube pit and insert into the nostril, changing five to six times daily. After twenty days, take 2 liang of superior Wu Baifan (White Alum). Wrap it tightly in a ceramic shell, place it in a kiln, and fire it until the ceramic is cooked. Remove, pulverize, and sieve. Mix with Mianzhi (Wheat Germ Oil/Fat) to form pills the size of a jujube pit. Insert into the nostril, changing five to six times daily. Do not mix all at once; change as needed. Cured after twenty days. Avoid labor, hot foods, garlic, and wheat products for one hundred days.
The *Qianjin Yi* formula for treating nasal polyps resulting in loss of smell.
Gudi (Melon Seed), Xixin (Asarum) (each 0.5 liang)
Pulverize the above two herbs into a powder. Wrap in cotton wadding to the size of a bean and insert into the nostril; patency will be achieved shortly.
The *Qianjin Yi* Yanggan San (Sheep Liver Powder) formula for treating protruding nasal polyps.
Yanggan (Sheep Liver) (one piece, dried), Baizhu (Atractylodis Rhizoma, prepared) (4 liang), Rongrong (Cynomorii Herba), Tongcao (Reed Pith), Jiangjiang (Dried Ginger, prepared), Xiong (Ligusticum Chuanxiong Rhizome) (each 2 liang)
Pulverize the above six herbs into a powder. After meals, administer with rice gruel, starting with half a "bi" (spoonful measure) twice daily, increasing up to one "cun bi" (square-inch spoonful).