《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》说：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，所以导致没有鼻涕。
《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（炙至微红，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）。
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，在吃奶或进食后服用。
《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》论述说：凡人往往鼻腔中有肉堵塞，睡眠和饮食都不通畅舒适，只有从鼻子呼气才觉得舒服，民间偏方很多，但使用都没有效果，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，导致病人痛苦甚至死亡。曾经有一人患鼻病不能喘息，我用经过炮制的雄黄，每天一粒大枣大小的量，过了十天，息肉自然脱落排出，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》的仙丹方中有记载，应当去寻找参考，确实有神效。
《千金方》治疗小儿鼻塞长息肉的方子：
药材：通草、细辛（各一两）。
制法与用法：将这两味药捣成末。取药如豆大，裹在棉絮中缠好，塞入鼻中，每天两次。
《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，周围多放一些，每天更换十次。满二十天后，再用以下药物：葶苈（一两）、松萝（半两）。
将这两味药捣碎过筛。用棉布包裹，薄如枣核大小，塞入鼻中，每天更换五六次。满二十天后，再选用优质的吴白矾二两，放在瓦坯里合好，放入窑中烧制，待瓦器烧熟后取出，捣碎过筛，用面脂调和，做成枣核大小，塞入鼻中，每天更换五六次。用完后再调和，不要一次性全部调和好。二十天后，病就好了。期间要谨慎劳作，并忌食热食以及蒜、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，片刻之后即可通气。
According to the *Shenghui Fang* (Healthful Prescriptions): 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 become dry, thus resulting in a lack of nasal discharge.
*Shenghui Fang* Mutong San (Wood Vessel Powder): Treats pediatric brain heat with no nasal discharge, dry mouth, mental restlessness, and restless sleep.
Ingredients: Tongcao (Akebiae Caulis, cut), Ophiopogonis Radix (Ophiopogon Root, heart removed, dried), Cimicifugae Rhizoma (Cimicifuga Rhizome) (each 0.5 liang), Anemarrhenae Rhizoma (Anemarrhena Rhizome), Cornu Bubali (Buffalo Horn, shaved), Glycyrrhizae Radix et Rhizoma (Licorice Root, roasted until slightly red, cut), Armeniacae Semen Amarum (Bitter Apricot Seed, soaked in water, skin and tips removed, stir-fried with bran until slightly yellow) (each 1 fen), Gardeniae Fructus (Gardenia Fruit, pulp only) (3 pieces).
Preparation and Administration: The above ingredients are crushed and sieved into a coarse powder. Take 1 qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and administer warm according to the child's age and condition, at any time.
[Zhang Huan] Xijiao Shengma San (Rhinoceros Horn and Cimicifuga Powder): Treats nasal dryness caused by brain heat and Lung obstruction.
Ingredients: Cornu Bubali (Buffalo Horn, shaved) (1 liang), Cimicifugae Rhizoma (Cimicifuga Rhizome), Natrii Sulfas (Mirabilite), Coptidis Rhizoma (Coptis Rhizome) (each 0.5 liang).
The above are crushed and sieved into a fine powder. Then add: Cinnabaris (Cinnabar, finely ground and washed with water) (0.5 liang), Moschus (Musk), Borneolum Syntheticum (Borneol) (each 1 fen, finely ground).
All ingredients are crushed and sieved into a fine powder. Take 0.5 qian per dose, mixed with warm honey water for administration, after milk or food intake.
*Wanquan Fang* (Prescriptions for Universal Relief) Maidong Wan (Ophiopogon Pill): Treats pediatric Heart and Lung excess-heat, dry brain with no nasal discharge, and occasional irritability.
Ingredients: Ophiopogonis Radix (Ophiopogon Root, heart removed, dried) (1 liang), Borneolum Syntheticum (Borneol, finely ground) (0.5 fen), Glycyrrhizae Radix et Rhizoma (Licorice Root, roasted), Moschus (Musk, incorporated while grinding) (each 1 fen), Coptidis Rhizoma (Coptis Rhizome), Poria (Red Poria), Cornu Bubali (Buffalo Horn, shaved), Fen Shuang (Calomel/Frost of Calomel), Cinnabaris (Cinnabar), Natrii Sulfas (Mirabilite) (all ground separately), Rehmanniae Radix Preparata (Prepared Rehmannia Root), Scutellariae Radix (Scutellaria Root) (each 0.5 liang).
Preparation and Administration: The above ingredients are crushed and sieved into powder. Incorporate the pre-ground ingredients and mix thoroughly. Take 0.5 qian per dose, mixed with warm honey water.
*Kaiyian Yifang* (Supplement to the Essential Prescriptions from the Golden Cabinet) states: People often have flesh growth blocking the nose, causing discomfort in sleep and eating, finding relief only through nasal breathing. Although many folk prescriptions exist, none are effective. Only the *Bencao* (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 severe suffering or death. I once treated a patient who could not breathe due to nasal obstruction. I used calcined Realgar, administered daily in a quantity the size of a large date. After ten days, the fleshy blockage naturally expelled, allowing immediate breathing without recurrence. The method for calcining Realgar is detailed in the Immortal Elixir prescription within *Kaiyian Yifang*; one should seek it out as it yields miraculous results.
*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) formula for pediatric nasal obstruction with polyps:
Ingredients: Tetrapanacis Medulla (Tetrapanax Pith), Asari Radix et Rhizoma (Asarum Root and Rhizome) (each 1 liang).
Preparation and Administration: Crush these two ingredients into powder. Take an amount the size of a bean, wrap in cotton, and insert into the nose twice daily.
*Kaiyian Yifang* (Supplement to the Essential Prescriptions from the Golden Cabinet) formula for nasal polyps blocking the nose and preventing breathing:
Take Asari Radix et Rhizoma (Asarum Root and Rhizome), moisten with saliva, bend the head, and insert into the nose, placing more around the sides. Change ten times daily. After twenty days, use the following: Descurainiae Semen (Descurainia Seed), Usnea (Usnea Fiber) (each 1 liang, 0.5 liang respectively).
Crush and sieve these two ingredients. Wrap in cotton, forming a shape thin as a date pit, and insert into the nose. Change five to six times daily. After twenty days, select high-quality Wubai Fan (Alumen) (2 liang). Place inside a clay vessel, seal it, and fire in a kiln until the clay is fully fired. Remove, crush, and sieve. Mix with animal fat (mian zhi) to form a pill the size of a date pit, insert into the nose, changing five to six times daily. Use up the batch before mixing a new one; do not mix all at once. Recovery occurs after twenty days. Avoid strenuous activity, hot foods, garlic, and wheat products for one hundred days.
*Kaiyian Yifang* (Supplement to the Essential Prescriptions from the Golden Cabinet) formula for nasal polyps causing loss of smell:
Ingredients: Trichosanthis Pericarpium (Melon Rind), Asari Radix et Rhizoma (Asarum Root and Rhizome) (each 0.5 liang).
Preparation and Administration: Make into a powder. Wrap in cotton wadding, size of a bean, and insert into the nose. Breathing will clear shortly thereafter.