夫五脏化液。遇热则干燥。遇寒则流衍。鼻流清涕。至于不止。以肺脏感寒。寒气上达。
故
此独言涕。与宣明五气言肺。为涕同意。
方
五味子汤 治鼻出清涕。
五味子 山芋(各一两) 半夏(汤洗去滑三分) 鹿茸(酒浸一宿酥炙) 白术(米
汤浸一
宿锉炒各一分) 附子(炮裂去皮脐) 牛膝(酒浸切焙) 甘草(炙锉) 槟榔(锉) 熟
干地黄
(焙)
三分) 上
粗捣筛。每服二钱匕。水一盏。煎至七分去滓。空心温服。
辛夷散(出医方集成)治肺虚风寒。湿热之气。加之鼻内。壅塞涕出不已。或
气息不通。或
辛夷仁 细辛(洗去土叶) 本(去芦) 升麻 川芎 木通(去节) 防风(去芦)
羌活
(去
一方。
有
细辛膏(出医方集成)治鼻塞脑冷。常有清涕出不已。
细辛 蜀椒 干姜 芎 吴茱萸 附子(各十八铢) 桂心〔一分(两)〕 皂荚屑
(半
两)
裹
纳鼻孔中。并摩鼻上。一方无桂心。
诃黎勒散(出圣惠方)治肺虚外伤风冷。致鼻塞常流清涕。头目昏痛。四肢不
利。
诃黎勒(煨用去皮) 白术(各一两) 防风(去芦头) 细辛 前胡(去芦头) 木
通(锉各
三分)
为散。
每服
细辛散 治肺伤风冷。鼻流清涕。头目疼痛。胸膈不利。
细辛(一两) 附子(炮裂去皮脐) 白术 桂心 蔓荆子 芎 诃黎勒〔煨用去皮
以上
各三钱(分)〕 枳壳(去瓤麸炒微黄) 甘草(炙微赤锉各半两) 上为散。每服三钱。
水一盏。
入
川椒散(出直指方)治流涕。
大红开口川椒(微炒出汗) 诃子(煨取肉) 川白姜(生者) 肉桂 川芎 细辛 净
白术
(等
白术散(出圣惠方)治鼻流清涕。日久不止。皆因肺脏虚寒。心膈壅滞。头目
不利。
白术(一两) 丁香 诃黎勒(煨用皮) 桂心 细辛 附子(炮裂去皮脐各三分) 枳
壳
(去瓤麸炒微黄半两) 吴茱萸(一分汤浸七遍焙干微炒) 上为细末。每于食后。温酒下
一
钱。
芎 散(一名通草膏出圣惠方)治鼻中清涕出。脑冷所致。
通草 辛夷仁(各半两) 甘遂(一作甘草) 北细辛(去苗) 桂心 芎 附子(各
一两)
上
。捣姜为丸即愈。此方治脑冷所致。然此疾亦有脑热者。亦有肺寒者。《素问》云。胆移热
于脑。则辛 鼻渊。又曰。脑渗为涕。肺之液为涕。当详审之。一方白狗胆和丸更佳。
甘遂丸(出本事方)治鼻多清涕。
甘遂(一两) 细辛(去苗叶一两半) 附子(炮裂去皮脐) 木通(锉各一两一分) 干
姜
(炮制)
以绵
裹纳鼻
芎 膏(出圣惠方)治鼻塞。多清涕。
芎 细辛(去苗叶) 吴茱萸(汤浸焙干炒) 蜀椒(去目及闭口者炒出汗) 干姜
(炮制)
皂荚(炙刮去皮并子各三分) 上细锉。以醋浸一宿。纳猪脂于银器中。煎候五七沸。去滓。
倾入合中澄凝。以绵裹少许纳鼻中。一方。有附子一味。
塞鼻桂膏(出圣惠方)治鼻常有清涕。
桂心 细辛 干姜(炮制锉) 川椒(去目及闭口者炒出汗各半两) 皂荚(一分) 上
为
末。以
杏仁膏(一名通鼻散出圣惠方)治鼻久塞清涕不止。
杏仁(汤浸去皮尖双仁炒二两) 附子(炮裂去皮脐一两半) 细辛(去苗叶) 蜀椒
(去目
及闭口者炒出汗各一两) 上细锉。以醋浸一宿。用炼成猪脂一斤。银器盛微火煎之。候附
子黄色。去滓。倾入合中澄凝。以绵裹少许纳鼻中。涂囟上。一名涂囟膏。一方无蜀椒。
二黄散 治鼻痛。流臭水气。脑冷漏下。
硫黄 黄丹(炒) 白芷 上等分为末。少许吹鼻中。三五次即愈。
灌鼻黄连汁 治鼻塞多年。清水出不止。
黄连(去须二两) 蒺藜苗(二把) 上细锉。水二升煎至一升。取一合灌鼻中。不过
再灌。
大嚏瘥。
治鼻流清涕不止。
用白芷末葱白。捣烂和药为丸。小豆大。每服二十丸。茶清下。
伤风鼻塞。清涕不止。\x
上用白芷一两。无白芷。则用薄荷、荆芥一钱为末。以腊茶清调下。
五脏所化生的体液,遇到热邪就会变得干燥,遇到寒邪就会流溢增多。鼻流清涕,甚至不止,是因为肺脏感受了寒邪,寒气上达于鼻窍。因此这里单独提到鼻涕,与《宣明五气篇》中说的“肺为涕”是同一个道理。
方剂:五味子汤,治疗鼻出清涕。
药材:五味子、山芋(即山药,各一两);半夏(用热水洗去滑腻感,三分);鹿茸(酒浸一夜,酥炙);白术(米汤浸一夜,锉碎炒制,各一分);附子(炮裂,去皮和脐);牛膝(酒浸,切后焙干);甘草(炙后锉碎);槟榔(锉碎);熟干地黄(焙干,三分)。以上药材粗捣筛过。每次服用二钱匕,用水一盏,煎至七分,去渣,空腹温服。
辛夷散(出自《医方集成》),治疗肺虚受风寒,湿热之气侵入鼻内,壅塞导致鼻涕流出不止,或者气息不通畅。
药材:辛夷仁、细辛(洗去泥土和叶片)、藁本(去芦头)、升麻、川芎、木通(去节)、防风(去芦头)、羌活(去芦头)。一方中有细辛膏(出自《医方集成》),治疗鼻塞脑冷,常有清涕流出不止。
药材:细辛、蜀椒、干姜、川芎、吴茱萸、附子(各十八铢)、桂心(一分或一两)、皂荚屑(半两)。将药末包裹好纳入鼻孔中,并按摩鼻部。一方中没有桂心。
诃黎勒散(出自《圣惠方》),治疗肺虚外受风冷,导致鼻塞常流清涕,头目昏痛,四肢不利。
药材:诃黎勒(煨后用,去皮)、白术(各一两)、防风(去芦头)、细辛、前胡(去芦头)、木通(锉碎,各三分)。研为散剂。每次服用……(原文此处有缺漏,依文意应为服用方法)。
细辛散,治疗肺伤风冷,鼻流清涕,头目疼痛,胸膈不利。
药材:细辛(一两)、附子(炮裂去皮脐)、白术、桂心、蔓荆子、川芎、诃黎勒(煨用去皮)。以上各三钱(分)。枳壳(去瓤麸炒微黄)、甘草(炙微赤锉碎,各半两)。以上研为散剂。每次服用三钱,用水一盏,入……(原文此处有缺漏,依文意应为煎煮或冲服)。
川椒散(出自《直指方》),治疗流涕。
药材:大红开口川椒(微炒出汗)、诃子(煨取肉)、川白姜(生者)、肉桂、川芎、细辛、净白术(等分)。
白术散(出自《圣惠方》),治疗鼻流清涕,日久不止,皆因肺脏虚寒,心膈壅滞,头目不利。
药材:白术(一两)、丁香、诃黎勒(煨用皮)、桂心、细辛、附子(炮裂去皮脐,各三分)、枳壳(去瓤麸炒微黄,半两)、吴茱萸(一分,汤浸七遍焙干微炒)。以上研为细末。每次饭后,温酒送下一钱。
芎 散(一名通草膏,出自《圣惠方》),治疗鼻中清涕流出,由脑冷所致。
药材:通草、辛夷仁(各半两)、甘遂(一作甘草)、北细辛(去苗)、桂心、川芎、附子(各一两)。以上……(原文此处有缺漏,依文意为制作丸剂)。捣姜为丸即愈。此方治疗脑冷所致之疾,然而此病也有脑热的情况,也有肺寒的情况。《素问》说:“胆移热于脑,则辛 鼻渊。”又说:“脑渗为涕,肺之液为涕。”应当详细审察。一方用白狗胆和丸更佳。
甘遂丸(出自《本事方》),治疗鼻多清涕。
药材:甘遂(一两)、细辛(去苗叶,一两半)、附子(炮裂去皮脐)、木通(锉碎,各一两一分)、干姜(炮制)。以绵裹纳鼻……(原文此处有缺漏,依文意为纳入鼻腔)。
芎 膏(出自《圣惠方》),治疗鼻塞,多清涕。
药材:川芎、细辛(去苗叶)、吴茱萸(汤浸焙干炒)、蜀椒(去目及闭口者炒出汗)、干姜(炮制)、皂荚(炙刮去皮并子,各三分)。以上细锉,用醋浸一夜,放入猪脂于银器中,煎候五七沸,去渣,倾入容器中澄凝。以绵裹少许纳入鼻中。一方有一味附子。
塞鼻桂膏(出自《圣惠方》),治疗鼻常有清涕。
药材:桂心、细辛、干姜(炮制锉碎)、川椒(去目及闭口者炒出汗,各半两)、皂荚(一分)。以上为末,以……(原文此处有缺漏,依文意为调制成膏或丸)。
杏仁膏(一名通鼻散,出自《圣惠方》),治疗鼻久塞清涕不止。
药材:杏仁(汤浸去皮尖双仁炒,二两)、附子(炮裂去皮脐,一两半)、细辛(去苗叶)、蜀椒(去目及闭口者炒出汗,各一两)。以上细锉,用醋浸一夜,用炼成猪脂一斤,银器盛微火煎之。候附子变黄色,去渣,倾入容器中澄凝。以绵裹少许纳入鼻中,涂囟上。一名涂囟膏。一方无蜀椒。
二黄散,治疗鼻痛,流臭水气,脑冷漏下。
药材:硫黄、黄丹(炒)、白芷。上等分为末,少许吹鼻中,三五次即愈。
灌鼻黄连汁,治疗鼻塞多年,清水出不止。
药材:黄连(去须,二两)、蒺藜苗(二把)。以上细锉,水二升煎至一升,取一合灌鼻中,不过再灌,大嚏瘥(大病痊愈)。
The fluids generated by the five Zang organs become dry when exposed to heat, and overflow when exposed to cold. Clear rhinorrhea from the nose, even unceasing, occurs because the Lung organ has been invaded by cold pathogenic factors, causing cold qi to ascend to the nasal orifice. Therefore, this text mentions only nasal discharge, which aligns with the statement in *Xuan Ming Wu Qi* (Manifestation of the Five Qi) that "the Lung produces mucus."
Formula: Wuweizi Tang (Schisandra Decoction), treating clear rhinorrhea from the nose.
Herbs: Wuweizi (Fructus Schisandrae Chinensis), Shanyu (Rhizoma Dioscoreae Hypoglaucae, i.e., Rhizoma Dioscoreae Oppositae; each 1 liang); Banxia (Rhizoma Pinelliae Praeparatum, washed with hot water to remove slipperiness, 3 fen); Lurong (Cornu Cervi Pantotrichum, soaked in wine overnight, fried with butter); Baizhu (Rhizoma Atractylodis Macrocephalae, soaked in rice water overnight, cut and stir-fried, each 1 fen); Fuzi (Radix Aconiti Lateralis Preparata, roasted until cracked, skin and umbilical scar removed); Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced and dried); Gancao (Radix Glycyrrhizae Preparata, roasted and cut); Binglang (Semen Arecae, cut); Shugan Dihuang (Radix Rehmanniae Preparata, dried; 3 fen). The above herbs are coarsely crushed and sifted. Each dose is 2 qianbi, boiled in 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm on an empty stomach.
Xinyi San (from *Yifang Jicheng*), treating Lung deficiency with wind-cold invasion, where damp-heat qi enters the nasal cavity, causing obstruction and unceasing rhinorrhea, or blocked breathing.
Herbs: Xinyiren (Flos Magnoliae Biondii), Xixin (Herba Asari, washed to remove soil and leaves), Benluo (Rhizoma Ligustici Chuanxiong, de-radicated), Shengma (Rhizoma Cimicifugae), Chuanxiong (Rhizoma Chuanxiong), Mutong (Caulis Akebiae Trifoliate, nodes removed), Fangfeng (Radix Saposhnikoviae, de-radicated), Qianghuo (Rhizoma et Radix Notopterygii, de-radicated). Another prescription contains Xixin Gao (Asari Ointment, from *Yifang Jicheng*), treating nasal congestion, cold brain, and unceasing clear rhinorrhea.
Herbs: Xixin (Herba Asari), Shujiao (Fructus Zanthoxyli), Ganjiang (Rhizoma Zingiberis Preparatum), Xiong (Rhizoma Chuanxiong), Wuzhuyu (Fructus Evodiae), Fuzi (Radix Aconiti Lateralis Preparata; each 18 zhu), Guixin (Cortex Cinnamomi, 1 fen or 1 liang), Zaojiaxiao (Siliquae Gleditsiae Spinae Pulvis, half liang). Wrap the powder and insert into the nostrils, and massage the nose. One variation excludes Guixin.
Helile San (from *Shenghui Fang*), treating Lung deficiency with external wind-cold invasion, leading to nasal congestion, constant clear rhinorrhea, dizziness and headache, and limb dysfunction.
Herbs: Helile (Fructus Terminaliae Chebulae, roasted, peeled), Baizhu (Rhizoma Atractylodis Macrocephalae; each 1 liang), Fangfeng (Radix Saposhnikoviae, de-radicated), Xixin (Herba Asari), Qianhu (Radix Peucedani, de-radicated), Mutong (Caulis Akebiae Trifoliate, cut; each 3 fen). Grind into a powder. Take each dose... [text missing here, implied dosage instructions].
Xixin San (Asari Powder), treating Lung injury from wind-cold, clear rhinorrhea, headache and eye pain, and chest diaphragm discomfort.
Herbs: Xixin (Herba Asari, 1 liang), Fuzi (Radix Aconiti Lateralis Preparata, roasted, skin and umbilical scar removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Guixin (Cortex Cinnamomi), Manjingzi (Fructus Viticis Negundo), Xiong (Rhizoma Chuanxiong), Helile (Fructus Terminaliae Chebulae, roasted, peeled). The above each 3 qian (fen). Zhike (Pericarpium Citri Reticulatae, pith removed, bran-roasted until slightly yellow), Gancao (Radix Glycyrrhizae Preparata, roasted until slightly red and cut; each half liang). The above are ground into a powder. Each dose is 3 qian, boiled in 1 zhan of water... [text missing here, implied preparation method].
Chuanjiao San (Zanthoxylum Powder, from *Zhizhi Fang*), treating rhinorrhea.
Herbs: Dahong Kaikou Chuanjiao (Fructus Zanthoxyli, lightly stir-fried to release moisture), Hezi (Fructus Terminaliae Chebulae, roasted for flesh), Chuan Baijiang (Rhizoma Zingiberis Recens, raw), Rougui (Cortex Cinnamomi), Chuanxiong (Rhizoma Chuanxiong), Xixin (Herba Asari), Jing Baizhu (Rhizoma Atractylodis Macrocephalae; equal parts).
Baizhu San (Atractylodes Powder, from *Shenghui Fang*), treating persistent clear rhinorrhea due to Lung deficiency and cold, heart-diaphragm stagnation, and head-eye dysfunction.
Herbs: Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Dingxiang (Flos Syzygdii Aromatici), Helile (Fructus Terminaliae Chebulae, roasted with peel), Guixin (Cortex Cinnamomi), Xixin (Herba Asari), Fuzi (Radix Aconiti Lateralis Preparata, roasted, skin and umbilical scar removed; each 3 fen), Zhike (Pericarpium Citri Reticulatae, pith removed, bran-roasted until slightly yellow, half liang), Wuzhuyu (Fructus Evodiae, 1 fen, soaked in water seven times, dried and lightly stir-fried). The above are ground into fine powder. After meals, take 1 qian with warm wine.
Xiong San (one name Tongcao Gao, from *Shenghui Fang*), treating clear rhinorrhea caused by cold brain.
Herbs: Tongcao (Medulla Tetrapanacis), Xinyiren (Flos Magnoliae Biondii; each half liang), Gansui (Radix Euphorbiae Kansui, alternatively Gancao), Beixixin (Herba Asari, de-radicated), Guixin (Cortex Cinnamomi), Xiong (Rhizoma Chuanxiong), Fuzi (Radix Aconiti Lateralis Preparata; each 1 liang). The above... [text missing here, implied pill making]. Mix with ginger juice to form pills. This formula treats conditions caused by cold brain. However, this disease can also be caused by hot brain or Lung cold. *Suwen* states: "When Gallbladder heat shifts to the brain, it causes Xin Bi Yuan (nasal sinusitis)." It also says: "Brain seepage becomes mucus, and the fluid of the Lung is mucus." Careful examination is required. One variation uses bile from a white dog mixed into pills, which is better.
Gansui Wan (Euphorbia Pill, from *Benshi Fang*), treating excessive clear rhinorrhea.
Herbs: Gansui (Radix Euphorbiae Kansui, 1 liang), Xixin (Herba Asari, de-radicated and de-leaved, 1.5 liang), Fuzi (Radix Aconiti Lateralis Preparata, roasted, skin and umbilical scar removed), Mutong (Caulis Akebiae Trifoliate, cut; each 1 liang 1 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed). Wrap in cotton and insert into the nose... [text missing here, implied insertion method].
Xiong Gao (Chuanxiong Ointment, from *Shenghui Fang*), treating nasal congestion and excessive clear rhinorrhea.
Herbs: Xiong (Rhizoma Chuanxiong), Xixin (Herba Asari, de-radicated and de-leaved), Wuzhuyu (Fructus Evodiae, soaked in water, dried and stir-fried), Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry to release moisture), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Zaojiao (Siliquae Gleditsiae, roasted, scraped, skin and seeds removed; each 3 fen). The above are finely cut, soaked in vinegar overnight, placed in lard in a silver vessel, boiled for 5-7 boils, strained, and poured into a container to solidify. Wrap a small amount in cotton and insert into the nose. One variation includes one ingredient: Fuzi.
Sabi Gui Gao (Cinnamon Nasal Plug Ointment, from *Shenghui Fang*), treating constant clear rhinorrhea.
Herbs: Guixin (Cortex Cinnamomi), Xixin (Herba Asari), Ganjiang (Rhizoma Zingiberis Preparatum, roasted and cut), Chuanjiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry to release moisture; each half liang), Zaojiao (Siliquae Gleditsiae, 1 fen). The above are made into powder, with... [text missing here, implied vehicle].
Xingren Gao (one name Tongbi San, from *Shenghui Fang*), treating long-standing nasal congestion and unceasing clear rhinorrhea.
Herbs: Xingren (Semen Pruni Armeniacae, soaked in water, skin and tips removed, double-kernel, stir-fried, 2 liang), Fuzi (Radix Aconiti Lateralis Preparata, roasted, skin and umbilical scar removed, 1.5 liang), Xixin (Herba Asari, de-radicated and de-leaved), Shujiao (Fructus Zanthoxyli, remove eyes and closed-mouth ones, stir-fry to release moisture; each 1 liang). The above are finely cut, soaked in vinegar overnight, cooked in 1 jin of refined lard in a silver vessel over low heat. When Fuzi turns yellow, strain and pour into a container to solidify. Wrap a small amount in cotton and insert into the nose, apply to the fontanelle. Also known as Tuxin Gao. One variation excludes Shujiao.
Erhuang San (Two Yellows Powder), treating nasal pain, foul-smelling watery discharge, and leakage from cold brain.
Herbs: Liuhuang (Sulfur), Huangdan (Lithargyrum, stir-fried), Baizhi (Radix Angelicae Dahuricae). Equal parts ground into powder. Blow a small amount into the nose. Cure in 3-5 applications.
Guabi Huanglian Zhi (Coptis Juice Nasal Irrigation), treating chronic nasal congestion with unceasing clear water discharge.
Herbs: Huanglian (Rhizoma Coptidis, remove roots, 2 liang), Jili Miao (Hermanniaceae Herba, two handfuls). The above are finely cut, boiled in 2 sheng of water until reduced to 1 sheng. Take 1 ge to irrigate the nose. No more than two irrigations are needed. Great sneezing leads to recovery.
Treating unceasing clear rhinorrhea.
Use Baizhi powder and Congbai (Stem Allii Cepae), mash together, mix with medicine to form pills, size of soybeans. Take 20 pills each time with tea infusion.
Wind-cold nasal congestion with unceasing clear rhinorrhea.
Use 1 liang of Baizhi. If Baizhi is unavailable, use 1 qian of Bohe (Folium Menthae Haplocalycis) and Jingjie (Herba Schizonepetae) ground into powder, mixed with aged tea infusion.