《圣惠》夫小儿肺脏壅滞,有积热上攻于脑,则令脑热也。又肺气通于鼻,主于
涕,若其脏有热,则津液干燥,故令无涕也。
《圣惠》木通散 治小儿脑热无涕,口干心躁,眠卧不安。
木通(锉) 麦门冬(去心,焙) 川升麻(各半两) 知母 犀角屑 甘草(炙微赤,锉) 杏仁(汤浸,去
皮尖双仁,麸炒微黄。各一分) 栀子仁(三枚)
上件药捣,罗为粗散。每服一钱,以水一小盏,煎至五分,去滓,不计时候,
量儿大小,加减温服。
〔张涣〕犀角升麻散 治脑热肺壅鼻干病。
犀角屑(一两) 川升麻 马牙硝 黄连(各半两)
以上捣,罗为细末。次用
朱砂(细研水飞,半两) 牛黄 龙脑(各一分,研细)
上件捣,罗为细末。每服半钱,温蜜汤调下,乳食后。
《万全方》麦门冬丸 治小儿心肺壅热,脑干无涕,时有烦躁。
麦门冬(去心,焙,一两) 龙脑(细研,半分) 甘草(炙) 牛黄(研入。各一分) 黄连 赤茯苓 犀
角屑 粉霜 朱砂 马牙硝(各研) 生干地黄 子芩(各半两)
上件药捣,罗为末,入研了药,都研令匀。每服半钱,以温蜜汤调下。
《千金冀》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∶雄黄主鼻中息肉,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
冀》仙丹方中具有之,宜寻求也,期有神验。
《千金》治小儿鼻塞生息肉方
通草 细辛(各一两)
上二味捣末。取药如豆,着绵缠头,纳鼻中,日二。
《千金冀》治鼻中息肉塞鼻,不得喘息方
取细辛,以口湿之,屈头、纳鼻中,傍内四畔多着,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,纳鼻中,日五六易之。满二十日外,以吴白
矾上上者二两,瓦坯里相合,令置窑中烧之,待瓦熟,取捣筛,以面脂和,如枣
核大,纳鼻中,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 鼻有息肉,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。
《圣惠方》论述:小儿肺脏气机壅滞,有积热上攻于脑部,就会导致脑热。另外,肺气通于鼻,主管涕液,如果脏腑内有热,津液就会干燥,因此导致无涕。
《圣惠方》木通散:治疗小儿脑热无涕、口干心躁、睡眠不安。
药材:木通(锉碎)、麦门冬(去心,焙干)、川升麻(各半两)、知母、犀角屑、甘草(炙至微赤,锉碎)、杏仁(热水浸泡,去皮尖及双仁,麸炒至微黄,各一分)、栀子仁(三枚)。
制法与用法:将上述药物捣碎,过筛成粗散。每次服用一钱,用水一小盏,煎煮至五分,滤去药渣,不限时间,根据患儿年龄大小,调整剂量温服。
〔张涣〕犀角升麻散:治疗脑热肺壅导致的鼻干病。
药材:犀角屑(一两)、川升麻、马牙硝、黄连(各半两)。
制法与用法:以上药物捣碎,过筛成细末。另取朱砂(细研水飞,半两)、牛黄、龙脑(各一分,研细)。将上述所有药物捣碎,过筛成细末。每次服用半钱,用温蜂蜜水调服,在乳食之后服用。
《万全方》麦门冬丸:治疗小儿心肺壅热,脑干无涕,时有烦躁。
药材:麦门冬(去心,焙干,一两)、龙脑(细研,半分)、甘草(炙)、牛黄(研入,各一分)、黄连、赤茯苓、犀角屑、粉霜、朱砂、马牙硝(各研)、生干地黄、子芩(各半两)。
制法与用法:将上述药物捣碎,过筛成末,加入已研好的药物,共同研磨均匀。每次服用半钱,用温蜂蜜水调服。
《千金翼方》论述:凡人往往鼻中有肉堵塞,睡眠和饮食都不畅快便利,只有从鼻子出气才能缓解,民间偏方众多,但使用都没有成效,只有在《本草》中看到说:雄黄主治鼻中息肉,这话不假,只是当时的人不知道使用雄黄的方法,医生直接生用,导致病人困顿死亡。曾经有一人患鼻病无法喘息,我用经过炮制的雄黄,每天内服如大枣许大的一团,过了十天,息肉自行排出,当时立即就能喘息,且不再复发。其炼制雄黄的方法,在《千金翼方》的仙丹方中具有记载,应当寻求参考,确有神效。
《千金方》治疗小儿鼻塞生息肉的方子:
药材:通草、细辛(各一两)。
制法与用法:将这两味药捣成末。取药量如豆大,包裹在棉絮中缠好,塞入鼻中,每日两次。
《千金翼方》治疗鼻中息肉堵塞鼻孔,无法喘息的方子:
取细辛,用口水湿润,弯曲头部,塞入鼻中,在鼻孔内侧四周多放一些,每天更换十次。满二十天后,再用:葶苈(一两)、松萝(半两)。
制法与用法:将这两味药捣碎过筛。用棉布包裹,薄如枣核大,塞入鼻中,每天更换五六次。满二十天后,用上等吴白矾二两,放在瓦坯里合拢,放入窑中烧制,待瓦器烧熟后取出,捣碎过筛,用面脂调和,做成如枣核大的药丸,塞入鼻中,每天更换五六次。用完后再调和,不能一次性全部调和好。二十天后,病就好了。期间要谨慎避免劳累,以及忌食热食、蒜和面食一百天。
《千金翼方》治疗鼻有息肉,闻不到香臭的方子:
药材:瓜蒂、细辛(各半两)。
制法与用法:将这两味药制成散剂。用棉絮包裹如豆大,塞入鼻中,片刻即可通气。
<Suib Fang> states: In children, if the Lung organ is obstructed and stagnant, with accumulated heat attacking upwards to the brain, it causes "brain heat." Furthermore, Lung Qi connects to the nose and governs nasal discharge. If there is heat within the viscera, body fluids will dry up, thus leading to a lack of nasal discharge.
Suib Fang Mutong San (Wood Vessel Powder): Treats pediatric brain heat with no nasal discharge, dry mouth, heart restlessness, and disturbed sleep.
Ingredients: Tongcao (Vetiveria Radix, crushed), Ophiopogonis Radix (Ouyangdong, heart removed, dried), Cimicifugae Rhizoma (Chuan Shengma) (each 0.5 liang), Anemarrhenae Rhizoma (Zhimu), Cornu Bubali (Xijiao, in shavings), Glycyrrhizae Radix et Rhizoma (Gancao, roasted until slightly red, crushed), Armeniacae Semen Amarum (Xingren, soaked in hot water, skin and tips removed, bran-fried until slightly yellow) (each 1 fen), Gardeniae Fructus (Zhizi, kernel) (3 pieces).
Preparation and Administration: The above herbs are pounded and sifted into a coarse powder. Take 1 qian per dose, add one small cup of water, decoct until reduced to 0.5 cup, strain, and administer warm at any time, adjusting the dosage according to the child's age.
[Zhang Huan] Xijiao Shengma San (Rhinoceros Horn and Cimicifuga Powder): Treats nasal dryness caused by brain heat and Lung obstruction.
Ingredients: Cornu Bubali (Xijiao, in shavings) (1 liang), Cimicifugae Rhizoma (Chuan Shengma), Natrii Sulfas (Maya Xiao), Coptidis Rhizoma (Huanglian) (each 0.5 liang).
Preparation and Administration: Pound the above ingredients and sift into a fine powder. Separately process Cinnabar (Zhusha, finely ground and washed with water) (0.5 liang), Bovis Calculus (Niuhuang), and Borneolum Syntheticum (Longnao) (each 1 fen, finely ground). Combine all ingredients, pound, and sift into a fine powder. Take 0.5 qian per dose, mixed with warm honey water, administered after milk or food intake.
Wanquan Fang Maidong Wan (Ophiopogon Pill): Treats pediatric Heart and Lung excess heat, dry brain with no nasal discharge, and occasional irritability.
Ingredients: Ophiopogonis Radix (Ouyangdong, heart removed, dried) (1 liang), Borneolum Syntheticum (Longnao, finely ground) (0.5 fen), Glycyrrhizae Radix et Rhizoma (Gancao, roasted), Bovis Calculus (Niuhuang, incorporated during grinding) (each 1 fen), Coptidis Rhizoma (Huanglian), Poria (Chifuling), Cornu Bubali (Xijiao, in shavings), Fen Shuang (likely Arsenic sulfide preparation), Cinnabar (Zhusha), Natrii Sulfas (Maya Xiao) (all ground separately), Rehmanniae Radix Preparata (Sheng Gan Dihuang), Scutellariae Radix (Ziqin) (each 0.5 liang).
Preparation and Administration: Pound the above herbs and sift into powder. Add the already ground ingredients and mix thoroughly. Take 0.5 qian per dose, mixed with warm honey water.
Qianjin Yifang discusses: Often, people have flesh growing in the nose causing blockage, making sleep and digestion uncomfortable; they can only breathe through the nose for relief. Although many folk remedies exist, none are effective. Only the Ben Cao (Materia Medica) states that Xionghuang (Realgar) treats nasal polyps, which is true. However, contemporary physicians do not know the proper method for using Realgar; they use it raw, leading to patient death. I once treated a patient suffering from nasal obstruction preventing breathing. I used processed Realgar, administered internally daily in a quantity the size of a large date. After ten days, the fleshy growth expelled itself, breathing was immediately restored, and it did not recur. The method for processing Realgar is detailed in the Immortal Elixir formula in Qianjin Yifang; one should seek it out as it yields miraculous results.
Qianjin Fang formula for treating pediatric nasal congestion with polyps:
Ingredients: Tetrapaninis Plastrum (Tongcao), Asari Radix et Rhizoma (Xixin) (each 1 liang).
Preparation and Administration: Pound these two ingredients into powder. Take an amount the size of a bean, wrap in cotton, and insert into the nostril, twice daily.
Qianjin Yifang formula for treating nasal polyps blocking the nose and preventing breathing:
Take Asari Radix et Rhizoma (Xixin), moisten with saliva, curl the head, and insert into the nostril, placing more around the inner sides. Change ten times daily. After twenty days, use: Lepidii Semen (Tingli), Usnea (Songluo) (each 1 liang and 0.5 liang respectively).
Preparation and Administration: Pound and sift these two ingredients. Wrap in cotton, thin as a date pit, and insert into the nostril, changing five to six times daily. After twenty days, take 2 liang of high-quality Wu Bai Fan (Alumen) and Alabaster (Wapi), combine them in a tile vessel, place in a kiln, and fire until the tile is cooked. Remove, pound, and sift. Mix with animal fat (Mianzhi) to form pills the size of a date pit, insert into the nostril, changing five to six times daily. Use up the batch before remaking; do not make too much at once. After twenty days, the condition resolves. Avoid physical exertion, hot foods, garlic, and wheat products for one hundred days.
Qianjin Yifang formula for treating nasal polyps resulting in loss of smell:
Ingredients: Cucumeris Fructus (Gua Di), Asari Radix et Rhizoma (Xixin) (each 0.5 liang).
Preparation and Administration: Make into a powder. Wrap in cotton wadding, the size of a bean, and insert into the nostril. Breathing will clear shortly.