眼胞菌毒者，乃脾经素有湿热，思郁气结而成。其患眼胞内生出如菌，头大蒂小，渐长
垂出，甚者眼翻流泪，久则致昏 。治法用软绵纸蘸水，荫于眼胞上少顷，用左手大指甲垫
于患根，右手以披针尖头，齐根切下，血出不妨，随用翠云锭磨浓涂之，其血自止。内宜服
凉膈散、清脾饮；若初起时，以清凉丸洗之。
眼胞痰核，结于上下眼胞皮里肉外。其形大者如枣，小者如豆，推之移动，皮色如常，
硬肿不疼。由湿痰气郁而成。外用生天南星蘸醋磨浓，频涂眼皮，日数浅者，即消；日数深
者，虽不能即消，常常涂之，涂令皮薄，微微剥损，以手指甲挤出如白粉汁即愈。然消散者
多。
鼻渊者，鼻流浊涕不止，或黄或白，或带血如脓状，久而不愈，即名脑漏。乃风热烁脑
而液下渗，此肾虚之证也。经曰∶脑渗为涕。又曰∶胆移热于脑。《原病式》曰∶如以火烁
金，热极则化为水。然究其原，必肾阴虚而不能纳气归元，故火无所畏，上迫肺金，由是津
液之气不得降下，并于空窍，转为浊涕，津液为之逆流矣。于是肾肝愈虚，有升无降，有阳
无阴，阴虚则病，阴绝则死。此宜戒怒以养阳，绝欲以养阴，断炙 ，远酒面，以防作
热。然后假之良医，滋肾清肺为君，开郁顺气为臣，补阴养血为佐，俾火息金清，降令胥行
，气畅郁舒，清窍无壅，阳开阴阖，相根据相附，脏腑各司乃职，自慎以培其根，药饵以治其
病，间有可愈者。苟或骄恣不慎，或误投凉药，虽仓扁不能使之长生矣。主治之方，如初起
用苍耳散，久则六味地黄汤、补中益气汤、麦味地黄汤、加味逍遥散，酌而用之可也。
鼻痔者，鼻内 肉，结如榴子，渐大下垂，或时缩进，或时垂出，闭塞孔窍，使气不
得宣通。此由肺气不清，风湿郁滞而成。夫鼻孔为肺之窍，为呼吸之门户，其气上通于脑，
下行于肺，肺气壅盛，一有阻滞，诸病生焉，故有鼻痔之患。宜内服辛夷散，或辛夷清肺饮
；外以 砂散逐日点之，渐化为水乃愈。宜慎起居，节饮食，庶不致再发。
鼻衄者，或心火，或肺火，或胃火，逼血妄行，上乾清道而为衄也。有因六淫之邪，流
传经络，涌泄清道而致者；有因七情所伤，内动其血，随气上溢而致者；有因过食膏粱积热
而致者。治法∶外因者，以辛凉清润为主，如羚羊、犀角、细生地、石斛、生石膏、知母、
元参、连翘、山栀、丹皮等；内因者，若系肝阳化风上逆，则宜甘咸柔婉，如阿胶、生地、
石决明、天冬、麦冬之属；若肾阴亏损，虚阳浮越者，则以滋潜为主，如六味丸、虎潜丸之
类；其由饮食不节而火盛者，则用和阳消毒，如黄连解毒汤是也。又书谓∶妇人产后，口鼻
有黑气，及见鼻衄为不可治者，何也？盖五脏之华，皆上注于面，凡色红赤者，阳热之生气
也；青黑者，阴寒之绝气也。况口鼻为阳明多血多气之部，而见阴寒惨杀之气，则胃中阳和
之气衰败可知矣；复至鼻衄，则阳亡阴走也；胃绝肺败，阴阳两亡，故不可治。
眼胞菌毒，是由于脾经素有湿热，加之思虑忧郁导致气机郁结而形成的。其病变表现为眼睑内长出类似菌类的赘生物，头大蒂小，逐渐生长并垂出，严重的会导致眼睑外翻、流泪，日久则可能导致视力昏花。治疗方法是用软绵纸蘸水，敷在眼睑上一会儿，用左手大拇指指甲垫在病灶根部，右手持披针尖头，齐根切下，出血不要紧，随即用翠云锭磨成浓汁涂抹，血自然停止。内服宜用凉膈散、清脾饮；若在初起阶段，可用清凉丸清洗患处。
眼胞痰核，结于上下眼睑的皮里肉外。大的像枣子，小的像豆子，推之可以移动，皮肤颜色正常，硬肿但不疼痛。这是由于湿痰和气郁造成的。外用生天南星蘸醋磨成浓汁，频繁涂抹眼皮，病程短浅的，即可消除；病程深久的，虽然不能立即消除，但经常涂抹，使表皮变薄，微微破损，用手指甲挤出如白粉状的汁液即可痊愈。大多数情况下可以消散。
鼻渊，是指鼻子流出浑浊鼻涕不止，颜色或黄或白，或带血呈脓状，久治不愈，就称为脑漏。这是风热灼烧脑部，导致津液下渗，属于肾虚的证候。经文说：“脑渗为涕。”又说：“胆移热于脑。”《原病式》中说：“就像火烤金属，热极则化为水。”然而究其根源，必定是肾阴虚而不能纳气归元，因此火无所畏惧，向上逼迫肺金，于是津液之气不得降下，汇聚于空窍，转化为浊涕，津液为之逆流。这样肾肝更加虚弱，只有升没有降，只有阳没有阴，阴虚则生病，阴绝则死亡。此时应当戒除愤怒以养护阳气，断绝欲望以滋养阴精，远离炙烤食物和酒类，以防产生热气。然后借助良医，以滋肾清肺为主药，开郁顺气为辅药，补阴养血为佐药，使得火势平息、肺金清净，肃降功能得以施行，气机通畅、郁结舒展，清窍无壅塞，阳气开放、阴气闭合，相互依存依附，脏腑各司其职，自身谨慎地培固根本，药物来治疗疾病，偶尔有能治愈的。如果骄纵放肆不加谨慎，或者误投凉药，即使是仓公、扁鹊也不能让他长生。主治方剂，如初起时用苍耳散，日久则用六味地黄汤、补中益气汤、麦味地黄汤、加味逍遥散，酌情使用即可。
鼻痔，是指鼻内长出的赘肉，结聚如石榴籽，逐渐变大下垂，有时缩回，有时垂出，闭塞孔窍，使气息不得宣通。这是由于肺气不清，风湿郁滞造成的。鼻孔是肺的窍道，是呼吸的门户，其气上通于脑，下行于肺，肺气壅盛，一旦有阻滞，各种病症就会产生，所以会有鼻痔的病患。宜内服辛夷散，或辛夷清肺饮；外用硇砂散每日点涂，逐渐化为水液即可痊愈。应当谨慎起居，节制饮食，才不至于再次发作。
鼻衄（鼻出血），有的是心火，有的是肺火，有的是胃火，逼迫血液妄行，上行侵犯清道而导致鼻出血。有的因六淫邪气，流传经络，涌泄清道所致；有的因七情所伤，内动其血，随气上溢所致；有的因过食肥甘厚味积热所致。治疗方法：外因引起的，以辛凉清润为主，如羚羊角、犀角、细生地、石斛、生石膏、知母、玄参、连翘、山栀、丹皮等；内因引起的，如果是肝阳化风上逆，则宜用甘咸柔婉的药物，如阿胶、生地、石决明、天冬、麦冬之类；如果是肾阴亏损，虚阳浮越的，则以滋阴潜阳为主，如六味丸、虎潜丸之类；由饮食不节导致火盛的，则用和阳消毒的方法，如黄连解毒汤就是此类。又书中说：妇人产后，口鼻出现黑气，以及见到鼻出血认为是不可治疗的，为什么呢？大概五脏的精华，都上注于面部，凡是颜色红赤的，是阳气旺盛的生发之气；青黑色的，是阴寒的绝灭之气。况且口鼻是阳明经多血多气的部位，如果出现阴寒惨杀之气，那么胃中阳和之气衰败就可以知道了；再加上鼻出血，就是阳气亡失、阴气走脱；胃绝肺败，阴阳两亡，所以不可治疗。
Eye Lid Fungus Poison refers to a condition caused by damp-heat previously existing in the Spleen Meridian, compounded by emotional frustration and Qi stagnation. The lesion manifests as a fungus-like growth inside the eyelid, with a large head and small stalk, gradually growing and protruding downwards. In severe cases, it causes eversion of the eyelids and tearing; if prolonged, it may lead to visual impairment. The treatment method involves soaking soft cotton paper in water, applying it to the eyelid for a moment, placing the thumbnail of the left hand at the root of the lesion, and using the sharp point of a lancet held in the right hand to cut it off flush with the root. Bleeding is not a concern; immediately apply a thick paste made from Cuiyun Ding (Emerald Cloud Pill) ground with liquid to stop the bleeding. Internally, Liangge San (Cooling the Diaphragm Powder) or Qingspi Yin (Spleen-Clearing Decoction) should be taken. If treated at the initial stage, Qingliang Wan (Cooling Pill) can be used for washing.
Eye Lid Phlegm Nodules are formed between the skin and flesh of the upper and lower eyelids. They vary in size from that of a date to a bean, are movable upon palpation, have normal skin color, and present as hard swellings without pain. This condition arises from damp-phlegm and Qi stagnation. Externally, raw Tian Nan Xing (Arisaema Rhizome) soaked in vinegar and ground into a thick paste should be frequently applied to the eyelids. For recent onset, the nodules will disappear quickly; for long-standing cases, although they cannot be eliminated immediately, frequent application will thin the skin slightly and cause minor abrasion. Squeezing out a white powder-like fluid with fingernails leads to recovery. Most cases resolve through dispersion.
Bi Yuan (Nasal Sinusitis/Brain Leak) is characterized by continuous flow of turbid nasal discharge, which may be yellow or white, or bloody and purulent. If it persists without healing, it is termed "Brain Leak." This results from wind-heat scorching the brain, causing fluids to seep downward, representing a Kidney Deficiency syndrome. The Classics state: "Brain seepage becomes nasal mucus." It also states: "Gallbladder transfers heat to the brain." *Yuan Bing Shi* (Treatise on Original Causes of Disease) notes: "Like fire smelting metal, extreme heat transforms into water." However, investigating the root cause, it must be due to Kidney Yin Deficiency failing to grasp Qi and return it to its origin. Consequently, Fire acts without restraint, pressing upward against Lung Metal. Thus, the Qi of body fluids fails to descend, accumulates in the orifices, transforms into turbid mucus, and flows in reverse. This further weakens the Liver and Kidneys, resulting in ascending without descending, Yang without Yin. Yin Deficiency leads to disease; Yin exhaustion leads to death. At this stage, one should avoid anger to nourish Yang, abstain from desires to nourish Yin, avoid roasted foods and alcohol to prevent generating heat. Then, relying on a skilled physician, the treatment principle prioritizes nourishing the Kidney and clearing the Lung as the sovereign herb, resolving stagnation and regulating Qi as the minister herb, and tonifying Yin and nourishing Blood as the assistant herb. This allows Fire to subside and Lung Metal to clear, ensuring proper descending function, smooth Qi flow, relief of stagnation, and unobstructed clear orifices. With Yang opening and Yin closing working in harmony, each Zang-Fu organ performs its duties, and the patient carefully cultivates their root while medication treats the illness, there is a chance of cure. However, if one is arrogant, reckless, or mistakenly uses cooling medicines, even Cang Gong or Bian Que cannot prolong life. For primary treatment formulas, Cang Er San (Xanthium Powder) is used for early stages, while Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill), Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), Maiwei Dihuang Tang (Lily and Cornus Rehmannia Pill), or Jiawei Xiaoyao San (Modified Free Wanderer Powder) are selected based on the situation.
Bi Zhi (Nasal Polyp) refers to fleshy growths inside the nose, clustered like pomegranate seeds, gradually enlarging and drooping, sometimes retracting or protruding, blocking the orifices and preventing free airflow. This is caused by unclear Lung Qi and stagnation of wind-dampness. The nostrils are the orifice of the Lung, the gateway for respiration; their Qi connects upward to the Brain and downward to the Lung. When Lung Qi is congested and obstructed, various diseases arise, leading to nasal polyps. Internally, Xin Yi San (Magnolia Bud Powder) or Xin Yi Qingfei Yin (Magnolia Bud Lung-Clearing Decoction) is indicated. Externally, Niao Sha San (Ammonium Chloride Powder) should be applied daily until the growth dissolves into fluid, indicating recovery. One should maintain regular daily routines and moderate diet to prevent recurrence.
Bi Nu (Epistaxis/Nosebleed) occurs when Heart Fire, Lung Fire, or Stomach Fire forces blood to move recklessly upward, invading the clear pathways. It can be caused by pathogenic factors of the Six Excesses spreading through meridians and forcing fluids/blood out of the clear pathways; by emotional injuries disturbing internal blood, which rises with Qi; or by excessive consumption of rich, greasy foods causing accumulated heat. Treatment methods: For external causes, use acrid-cool, clearing, and moistening agents such as Ling Yang Jiao (Antelope Horn), Xi Jiao (Rhinoceros Horn - note: use substitutes in modern practice), Xi Sheng Di Huang (Young Rehmannia Root), Shi Hu (Dendrobium Stem), Sheng Shi Gao (Raw Gypsum Fibrosum), Zhi Mu (Anemarrhena Rhizome), Yuan Shen (Scrophularia Root), Lian Qiao (Forsythia Fruit), Shan Zhi Zi (Gardenia Fruit), and Dan Pi (Moutan Cortex). For internal causes, if Liver Yang transforms into Wind and rebels upward, use sweet-salty, gentle, and softening agents such as E Jiao (Donkey-Hide Gelatin), Sheng Di Huang (Rehmannia Root), Shi Jue Ming (Haliotidis Concha), Tian Dong (Asparagi Radix), and Mai Dong (Ophiopogonis Radix). If Kidney Yin is deficient with floating Deficient Yang, prioritize nourishing and anchoring Yin using Liu Wei Wan (Six-Ingredient Pill) or Hu Qian Wan (Tiger Locking Pill). For excess Fire due to irregular diet, use methods to harmonize Yang and eliminate toxicity, such as Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity). Another text states that postpartum women presenting with black qi around the mouth and nose, accompanied by epistaxis, are considered incurable. Why? The essence of the Five Zang organs ascends to the face. Redness indicates vibrant Yang-Heat energy; bluish-black indicates dying Yin-Cold energy. Since the mouth and nose are areas of the Yangming Meridian with abundant blood and Qi, the appearance of Yin-Cold desolation indicates the decay of Stomach Yang-Qi. Combined with epistaxis, it signifies loss of Yang and escape of Yin. With Stomach exhaustion and Lung failure, both Yin and Yang perish, making it incurable.