夫内经谓。胆移热于脑。则辛 鼻渊。鼻渊者。浊涕下不止也。夫脑为髓海。皆藏于阴。
故
涕出不已。若水之有渊源也。治或失时。传为衄蔑瞑目之患。
方
川乌散 治脑泻。
防风 白附子 北细辛 白茯苓 川乌 菖蒲 干姜 香白芷 川芎 甘草节 上各等
分为末。每服三钱。嚼生葱白汤调下。食后服。
川芎防风散 治积年脑泻秘方。得此疾多年。服一料而愈。
川芎 防风 羌活 干姜 荆芥（以上各一两） 甘草 甘松（各三钱） 白芷（半两）
上
为末。食后酒服。不能饮酒。茶清汤服。
鸡苏丸 治脑热肺壅。鼻渊多涕。
鸡苏叶（干者） 麦门冬（去心焙） 芎 桑根白皮（锉） 黄 （炙锉） 甘草（炙
锉各一
两） 生干地黄（切焙二两） 上为末。炼蜜和丸。如梧桐子大。每服二十丸。食后临卧。
人
参汤下。
荆芥散（出御药院方）治肺壅脑热。鼻渊不止。
荆芥穗 藿香叶（各一两） 芎 （二两） 龙脑（研一两） 石膏（研如粉一两半） 莎
草根
（炒
防风汤（出卫生宝鉴）治大人小儿鼻渊。脑热渗下。浊涕不止。久而成衄血。
防风（一两半） 人参 黄芩 麦门冬（去心） 甘草 川芎（各一两）
上为末。每服半钱。沸汤点服。食后日三服。一方用天门冬无麦门冬。
前胡汤 治脑热鼻塞多涕。
前胡（去芦头） 木通（锉） 石膏（各二两） 黄芩（去黑心） 甘草（炙锉各一两
半） 大黄
（锉
枚。
细辛汤 治肺虚不调。鼻塞多涕。咽中有涎而喘。项强筋急或痛。
细辛 半夏曲 茯苓 桔梗（各四钱） 桂枝〔二（三）钱〕 甘草（二钱） 上为粗
末。每
服四钱。水二盏。生姜四片。蜜半匙。同煎至七分。温服。日三。
神效宣脑散 取黄水鼻中下。立效。
川郁金 川芎 青黛（水飞） 薄荷 水黄米〔各三（二）分〕 上为细末。每服少许。
冷
水噙之。
苍耳散（出海上方）治鼻流浊涕。名鼻渊。
辛夷仁（半两） 苍耳子（炒二钱半） 白芷（一两） 薄荷叶（半钱） 上并晒干为
细末。每
服二钱。用葱茶清食后调服。
芎 散 治脑热。鼻渊多涕。
芎 莎草根（炙各二两） 石膏（研水飞一两） 龙脑（研一分） 上为散。每服二
钱。食
后荆
川芎丸 治脑泻臭秽。服药后。忌一时久热食。
草乌（生用半两去皮尖） 苍术（生一两） 川芎（生用二两） 上为细末。面糊为丸。
如梧
桐子。食后茶清下十丸。
南星饮（出直指方）治风邪入脑。宿冷不消。鼻内结硬物。窒塞脑不宣。遂流
髓涕。
用上等大白南星。切成片。用沸汤荡两次。焙干。每服二钱。枣七个。甘草少许同煎。
食后服。三四服后。其后硬物自出。脑气流转髓涕自收。仍以大蒜荜茇末。杵作饼。用纱衬
炙热。贴囟前。熨斗火熨透。或香附子荜茇末入鼻中。
治鼻湿不已。并治脑泻。
用藕节芎 焙干为末。每服二钱。米饮调下。
治脑流鼻涕。
用姜或干姜煨。塞之。睡至一二更去之。不止再塞。
治鼻渊脑泻。
用生附子为末。煨葱涎和如泥。敷涌泉。夜间用。妙。
川芎茶调散（出如宜方）治其病。由肾气虚。脑髓不固。亦有名鼻渊。
薄荷（八两） 川芎（四两） 羌活 甘草（炙） 白芷〔各三（二）两〕 防风（一
两半） 细
辛（一两） 荆芥（四两） 上为末。茶清调服。如鼻渊加辛夷。
《黄帝内经》说：胆经的热邪移注于脑，就会引起鼻渊（一种以流浊涕为特征的疾病）。所谓鼻渊，就是浑浊的鼻涕不断流出。脑是髓海，属于阴脏所藏。因此鼻涕不止，就像水有源头一样。如果治疗不及时，会传变为鼻出血、视力模糊甚至失明的祸患。
方剂：
川乌散：治疗脑泻（指脑热下注导致的鼻渊）。
药材：防风、白附子、北细辛、白茯苓、川乌、石菖蒲、干姜、香白芷、川芎、甘草节。以上药材各等分研成粉末。每次服用三钱，嚼碎生葱白，用汤水调服。饭后服用。
川芎防风散：治疗长年不愈的脑泻秘方。患有此病多年，服用一料即可痊愈。
药材：川芎、防风、羌活、干姜、荆芥（以上各一两）、甘草、甘松（各三钱）、白芷（半两）。以上药材研成粉末。饭后用酒送服。不能饮酒者，用清茶或淡茶汤送服。
鸡苏丸：治疗脑热肺壅（肺气郁滞），鼻渊多涕。
药材：鸡苏叶（干燥者）、麦门冬（去心并焙干）、川芎、桑根白皮（锉碎）、黄耆（炙后锉碎）、甘草（炙后锉碎，各一两）、生干地黄（切块并焙干，二两）。以上药材研成粉末，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，饭后及临睡前，用人参汤送服。
荆芥散（出自《御药院方》）：治疗肺壅脑热，鼻渊不止。
药材：荆芥穗、藿香叶（各一两）、川芎（二两）、龙脑（研磨，一两）、石膏（研磨如粉，一两半）、莎草根（炒制）。以上药材研成粉末，饭后用酒送服。
防风汤（出自《卫生宝鉴》）：治疗成人和儿童的鼻渊。脑热渗下，浊涕不止，日久导致鼻出血。
药材：防风（一两半）、人参、黄耆、黄芩、麦门冬（去心）、甘草、川芎（各一两）。以上药材研成粉末。每次服用半钱，用沸水冲服。饭后每日服用三次。另一版本使用天门冬而不用麦门冬。
前胡汤：治疗脑热鼻塞，鼻涕多。
药材：前胡（去芦头）、木通（锉碎）、石膏（各二两）、黄芩（去黑心）、甘草（炙后锉碎，各一两半）、大黄（锉碎）。以上药材加水煎煮，去渣温服。
细辛汤：治疗肺虚不调，鼻塞多涕，咽中有痰涎且气喘，项部僵硬筋脉拘急或疼痛。
药材：细辛、半夏曲、茯苓、桔梗（各四钱）、桂枝（二至三钱）、甘草（二钱）。以上药材制成粗末。每次服用四钱，加水两盏，生姜四片，蜂蜜半匙，同煎至七分量，温服。每日三次。
神效宣脑散：清除鼻腔中的黄水，立即见效。
药材：川郁金、川芎、青黛（水飞法处理）、薄荷、水黄米（各二分）。以上药材研成细末。每次服用少许，含在口中用冷水噙漱。
苍耳散（出自《海上方》）：治疗鼻流浊涕，名为鼻渊。
药材：辛夷仁（半两）、苍耳子（炒，二钱半）、白芷（一两）、薄荷叶（半钱）。以上药材晒干后研成细末。每次服用二钱，用葱白和清茶在饭后调服。
芎 散：治疗脑热，鼻渊多涕。
药材：川芎、莎草根（炙，各二两）、石膏（研磨水飞，一两）、龙脑（研磨，一分）。以上药材制成散剂。每次服用二钱，饭后用荆芥汤送服。
川芎丸：治疗脑泻气味臭秽。服药后，忌食一小时内的久热食物。
药材：草乌（生用，半两，去皮尖）、苍术（生用，一两）、川芎（生用，二两）。以上药材研成细末，用面糊制成丸药，大小如梧桐子。饭后用清茶送服十丸。
南星饮（出自《直指方》）：治疗风邪入脑，宿冷不消，鼻内结硬物，阻塞脑部气机不通畅，于是流出髓样鼻涕。
用上等大白南星，切成片，用沸水烫两次，焙干。每次服用二钱，配大枣七个、少许甘草，同煎。饭后服用。服用三四次后，里面的硬物自然会排出，脑气流转，髓涕自止。随后仍需用大蒜和荜茇粉末，捣成饼状，垫上纱布，加热后贴敷在囟门前方，用熨斗火熨透。或者将香附子和荜茇粉末纳入鼻中。
治疗鼻湿不止，并治疗脑泻。
用藕节和川芎焙干研成粉末。每次服用二钱，用米饮调服。
治疗脑流鼻涕。
用生姜或干姜煨熟，塞入鼻孔。睡到一二更天时取出。若不止再塞。
治疗鼻渊脑泻。
用生附子研成粉末，用葱汁调和如泥状，敷在涌泉穴。夜间使用，效果奇妙。
川芎茶调散（出自《如宜方》）：治疗此病，由于肾气虚，脑髓不固，也名为鼻渊。
药材：薄荷（八两）、川芎（四两）、羌活、甘草（炙）、白芷（各二至三两）、防风（一两半）、细辛（一两）、荆芥（四两）。以上药材研成粉末，用清茶调服。如果是鼻渊，可加辛夷。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: When heat from the Gallbladder channel shifts to the brain, it causes Biyuan (Nasal Sinusitis/Olfactory Disorder). Biyuan is characterized by the continuous flow of turbid nasal discharge. The brain is the Sea of Marrow, stored within Yin organs. Therefore, the unceasing flow of nasal discharge is like water having a source. If treatment is delayed, it may transmit into complications such as epistaxis (nosebleed), blurred vision, or even blindness.
Formulas:
Chuanwu San (Aconite Powder): Treats Naoxie (Brain leakage/drainage).
Ingredients: Fangfeng (Saposhnikovia Root), Baifuzi (Typhonii Rhizoma), Beixixin (Asari Radix et Rhizoma), Baifuling (Poria), Chuanwu (Aconiti Radix), Changpu (Acori Tatarinowii Rhizoma), Ganjiang (Zingiberis Rhizoma), Xiangbaizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes). All ingredients in equal parts are ground into powder. Take three qian per dose. Chew raw scallion white stems and take with decoction. Take after meals.
Chuanxiong Fangfeng San (Ligusticum and Saposhnikovia Powder): A secret formula for treating chronic Naoxie. For those who have suffered from this disease for many years, one course of treatment leads to recovery.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Ganjiang (Zingiberis Rhizoma), Jingjie (Schizonepetae Herba) (each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma), Gansong (Nardostachyos Radix et Rhizoma) (each 3 qian); Baizhi (Angelicae Dahuricae Radix) (0.5 liang). Grind all into powder. Take after meals with wine. For those who cannot drink alcohol, take with clear tea or weak tea decoction.
Jisu Wan (Elsholtzia Pill): Treats Brain Heat and Lung Obstruction (stagnation of Lung Qi), excessive nasal discharge in Biyuan.
Ingredients: Jisu Ye (Elsholtziae Herba, dried), Maimendong (Ophiopogonis Radix, heart removed and baked), Xiong (Chuanxiong), Sanggenbaipi (Mori Cortex), Huangqi (Astragali Radix, roasted and cut), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut, each 1 liang), Shenggan Dihuang (Rehmanniae Radix, sliced and baked, 2 liang). Grind into powder, mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose after meals and before sleep, washed down with Renshen Tang (Ginseng Decoction).
Jingjie San (Schizonepeta Powder, from *Yuyao Yuanfang*): Treats Lung Obstruction and Brain Heat, unceasing Biyuan.
Ingredients: Jingjiesui (Schizonepetae Spica), Huoxiang Ye (Agastaches Herba) (each 1 liang), Xiong (Chuanxiong) (2 liang), Longnao (Borneolum Syntheticum, ground, 1 liang), Shigao (Gypsum Fibrosum, ground to powder, 1.5 liang), Sucaogen (Cyperri Rhizoma, stir-fried). Grind into powder. Take after meals with wine.
Fangfeng Tang (Saposhnikovia Decoction, from *Weisheng Baojian*): Treats Biyuan in adults and children. Brain heat seeps downward, causing unceasing turbid nasal discharge; long-term cases may lead to epistaxis.
Ingredients: Fangfeng (Saposhnikoviae Radix) (1.5 liang), Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix, heart removed), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang). Grind into powder. Take half a qian per dose, mixed with boiling water. Take three times daily after meals. Another version uses Tiandong (Asparagi Radix) instead of Maimendong.
Qianhu Tang (Peucedani Decoction): Treats Brain Heat, nasal congestion, and excessive nasal discharge.
Ingredients: Qianhu (Peucedani Radix, rhizome removed), Mutong (Akebiae Caulis, cut), Shigao (Gypsum Fibrosum) (each 2 liang), Huangqin (Scutellariae Radix, blackened parts removed), Gancao (Glycyrrhizae Radix et Rhizoma, roasted and cut) (each 1.5 liang), Dahuang (Rhei Radix et Rhizoma, cut). Boil in water, strain, and take warm.
Xixin Tang (Asari Decoction): Treats Lung deficiency and dysfunction, nasal congestion, excessive nasal discharge, phlegm-saliva in the throat with wheezing, neck stiffness, tendon spasm, or pain.
Ingredients: Xixin (Asari Radix et Rhizoma), Banxiaqu (Pinelliae Fermentatum), Fuling (Poria), Jiegeng (Platycodonis Radix) (each 4 qian), Guizhi (Cinnamomi Ramulus) (2-3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian). Make into coarse powder. Take 4 qian per dose with two cups of water, four slices of fresh ginger, and half a spoon of honey. Simmer until reduced to 70%, take warm. Three times daily.
Shenxiao Xuannao San (Divine Efficacy Brain-Ventilating Powder): Clears yellow fluid from the nose. Immediate effect.
Ingredients: Chuan Yujin (Curcumae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qingdai (Indigo Naturalis, water-flown), Bohe (Menthae Haplocalycis Herba), Shuihuangmi (Water Yellow Rice) (each 2 fen). Grind into fine powder. Take a small amount per dose, hold in mouth with cold water and gargle.
Canger San (Xanthium Powder, from *Haishangfang*): Treats turbid nasal discharge, named Biyuan.
Ingredients: Xinyiren (Magnoliae Flos, kernel), Cang'erzi (Xanthii Fructus, stir-fried, 2.5 qian), Baizhi (Angelicae Dahuricae Radix) (1 liang), Bohe Ye (Menthae Haplocalycis Herba) (0.5 qian). Sun-dry all, grind into fine powder. Take 2 qian per dose after meals, mixed with scallion and clear tea.
Xiong San (Ligusticum Powder): Treats Brain Heat, excessive nasal discharge in Biyuan.
Ingredients: Xiong (Chuanxiong), Sucaogen (Cyperri Rhizoma, roasted) (each 2 liang), Shigao (Gypsum Fibrosum, ground and water-flown, 1 liang), Longnao (Borneolum Syntheticum, ground, 1 fen). Make into powder. Take 2 qian per dose after meals, taken with Jingjie decoction.
Chuanxiong Wan (Ligusticum Pill): Treats Naoxie with foul odor. After taking medicine, avoid hot food for one hour.
Ingredients: Caowu (Aconiti Kusnezoffii Radix, raw, 0.5 liang, skin and tip removed), Cangzhu (Atractylodis Rhizoma, raw, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, raw, 2 liang). Grind into fine powder, bind with wheat paste to form pills the size of Sophora seeds. Take 10 pills after meals with clear tea.
Nanxing Yin (Arisaema Drink, from *Zhizhifang*): Treats Wind pathogen entering the brain, lingering cold not dissipating, hard masses forming inside the nose, blocking brain Qi circulation, leading to marrow-like nasal discharge.
Use high-quality large Bai Nanxing (Arisaematis Rhizoma praeparatum). Slice, blanch twice in boiling water, dry by baking. Take 2 qian per dose with seven jujubes and a little Gancao (Licorice), decoct together. Take after meals. After 3-4 doses, the hard mass will naturally expel, brain Qi will circulate, and marrow discharge will stop. Subsequently, make a cake from garlic and Bibo (Long Pepper Fruit) powder, place on gauze, heat, and apply to the anterior fontanelle. Use an iron to heat through. Alternatively, insert powder of Xiangfu (Cyperi Rhizoma) and Bibo into the nose.
Treats persistent nasal dampness and also treats Naoxie.
Use Oujie (Nelumbinis Node) and Chuanxiong, bake dry, grind into powder. Take 2 qian per dose, mixed with rice drink.
Treats brain dripping nasal mucus.
Use fresh ginger or dried ginger, baked/roasted, stuff into nostrils. Remove after sleeping for 1-2 watches (hours). If discharge continues, stuff again.
Treats Biyuan and Naoxie.
Use raw Fuzi (Aconiti Lateralis Radix Praeparata) ground into powder. Mix with scallion juice to form a paste. Apply to Yongquan (KI1). Use at night. Excellent effect.
Chuanxiong Chatiao San (Ligusticum Tea-Tonic Powder, from *Ruyifang*): Treats this disease caused by Kidney Qi deficiency and insecure Brain Marrow. Also named Biyuan.
Ingredients: Bohe (Menthae Haplocalycis Herba) (8 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (4 liang), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Baizhi (Angelicae Dahuricae Radix) (2-3 liang), Fangfeng (Saposhnikoviae Radix) (1.5 liang), Xixin (Asari Radix et Rhizoma) (1 liang), Jingjie (Schizonepetae Herba) (4 liang). Grind into powder. Take mixed with clear tea. For Biyuan, add Xinyi (Magnoliae Flos).