脉∶右寸洪数,鼻衄鼻 ;左寸浮缓,鼻涕风邪。
鼻塞声重流涕者,肺感风寒也。
通窍汤 治感冒风寒,鼻塞声重流清涕。
防风 羌活 本 升麻 干葛 川芎 苍术 白芷(各一钱) 麻黄 川椒 细辛 甘草(各三分。)
上锉一剂,姜三片、葱白三根,水煎热服。肺有邪火,加黄芩一钱。
鼻不闻香臭者,肺经有风热也。
丽泽通气散 治鼻不闻香臭。
黄 苍术 羌活 独活 防风 升麻 葛根 甘草 川椒(去闭目子不用) 麻黄(不去节,冬月加)
白芷(各三分)
上锉一剂,生姜三片、枣二枚、葱白三根,水煎,食远温服。忌生冷、风凉处坐卧。
鼻渊者,胆移热于脑也。
荆芥连翘汤
荆芥 柴胡 川芎 当归 生地黄 芍药 白芷 防风 薄荷 山栀 黄芩 桔梗 连翘(各等分) 甘草
(减半)
上锉散,水煎,食远服。
鼻赤者,热血入肺,成酒 鼻也。
清血四物汤
当归(酒洗) 川芎 白芍(酒炒) 生地(酒洗) 黄芩(酒炒) 红花(酒洗) 茯苓(去皮) 陈皮
(各等分) 甘草(生,减半)
上锉一剂,生姜一片,水煎,调五灵脂末同服。如气弱加酒浸黄 。
金花丸 治上焦一切火症鼻红。
黄连 黄芩 黄柏 栀子 大黄(酒煨) 桔梗(各等分)
上为细末,水丸梧桐子大。每服五十丸,临卧时白汤送下。
鼻头紫黑者,属风寒血冷则凝滞而不散也。
当归活血汤 治鼻准头紫黑,血冷凝滞。
当归 川芎 荆芥 薄荷 芍药 红花 甘草 牡丹皮 桔梗 防风 山栀 黄芩 连翘 白芷(各等分。)
上锉一剂,姜一片、细茶一撮,水煎,食后温服。
补遗方
治鼻不闻香臭
细辛 白芷 防风 羌活 当归 川芎 半夏 桔梗 陈皮 茯苓(各一钱) 薄荷(三钱)
上锉一剂,水煎,食后服。
一男子,面白鼻流清涕,不闻香臭三年矣。余以为肺气虚,用补中益气加麦门、山栀而愈。
脉象:右寸脉洪大且数,主鼻衄(鼻出血)或鼻塞;左寸脉浮而缓,主鼻涕多因风邪所致。
通窍汤 治疗感冒风寒引起的鼻塞、声音沉重及流清涕。
防风、羌活、藁本、升麻、干葛、川芎、苍术、白芷(各一钱),麻黄、川椒、细辛、甘草(各三分)。
以上药材锉碎为一剂,加生姜三片、葱白三根,用水煎煮后热服。若肺中有邪火,加黄芩一钱。
丽泽通气散 治疗鼻子闻不到香臭气味。
黄芪、苍术、羌活、独活、防风、升麻、葛根、甘草、川椒(去除闭目子即种子不用)、麻黄(不去节,冬季加用)、白芷(各三分)。
以上药材锉碎为一剂,加生姜三片、大枣二枚、葱白三根,用水煎煮,在饭后稍久时温服。忌食生冷食物,避免坐在或卧于风吹凉处。
荆芥连翘汤
荆芥、柴胡、川芎、当归、生地黄、芍药、白芷、防风、薄荷、山栀、黄芩、桔梗、连翘(各等分),甘草(减半)。
以上药材锉成散剂,用水煎煮,在饭后稍久时服用。
鼻头发红的,是热血进入肺中,形成酒齄鼻(鼻部红斑丘疹)所致。
清血四物汤
当归(酒洗)、川芎、白芍(酒炒)、生地(酒洗)、黄芩(酒炒)、红花(酒洗)、茯苓(去皮)、陈皮(各等分),甘草(生用,减半)。
以上药材锉碎为一剂,加生姜一片,用水煎煮,调入五灵脂粉末同服。如果气虚,加酒浸黄芪。
金花丸 治疗上焦一切火症导致的鼻红。
黄连、黄芩、黄柏、栀子、大黄(酒煨)、桔梗(各等分)。
以上药材研为细末,用水泛丸,大小如梧桐子。每次服用五十丸,临睡前用白开水送服。
鼻头呈紫黑色的,属于风寒导致血冷凝滞而不消散。
当归活血汤 治疗鼻准头(鼻尖)紫黑,因血冷凝滞所致。
当归、川芎、荆芥、薄荷、芍药、红花、甘草、牡丹皮、桔梗、防风、山栀、黄芩、连翘、白芷(各等分)。
以上药材锉碎为一剂,加生姜一片、细茶一撮,用水煎煮,饭后温服。
补遗方
治疗鼻子闻不到香臭气味。
细辛、白芷、防风、羌活、当归、川芎、半夏、桔梗、陈皮、茯苓(各一钱),薄荷(三钱)。
以上药材锉碎为一剂,用水煎煮,饭后服用。
Pulse: The right Cun position is surging and rapid, indicating epistaxis (nosebleed) or nasal congestion; the left Cun position is floating and moderate, indicating rhinorrhea due to wind pathogen.
Nasal congestion, heavy voice, and runny nose are caused by the Lung contracting wind-cold.
Tongqiao Decoction treats nasal congestion, heavy voice, and clear rhinorrhea caused by cold damage from wind-cold.
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Bencao (Ligustici Rhizoma), Shengma (Cimicifugae Rhizoma), Gange (Puerariae Radix), Chuanxiong (Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix) (each 1 qian), Mahuang (Ephedrae Herba), Chuanjiao (Zanthoxyli Pericarpium), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 fen).
The above herbs are coarsely crushed for one dose, with three slices of Shengjiang (Zingiberis Rhizoma Recens) and three stalks of Congbai (Allii Fistulosi Bulbus), decocted in water and taken hot. If there is evil fire in the Lung, add Huangqin (Scutellariae Radix) 1 qian.
Inability to smell odors is caused by wind-heat in the Lung meridian.
Lize Tongqi Powder treats inability to smell odors.
Huangqi (Astragali Radix), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Chuanjiao (Zanthoxyli Pericarpium) (remove seeds, do not use), Mahuang (Ephedrae Herba) (do not remove joints, add in winter), Baizhi (Angelicae Dahuricae Radix) (each 3 fen).
The above herbs are coarsely crushed for one dose, with three slices of Shengjiang (Zingiberis Rhizoma Recens), two Jujubae Fructus, and three stalks of Congbai (Allii Fistulosi Bulbus), decocted in water and taken warm well after meals. Avoid raw/cold foods and sitting/lying in windy or cool places.
Bi Yuan (nasal sinusitis characterized by profuse turbid discharge) is caused by gallbladder heat transferring to the brain.
Jingjie Lianqiao Decoction
Jingjie (Schizonepetae Spica), Chaihu (Bupleuri Radix), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus) (each equal parts), Gancao (Glycyrrhizae Radix et Rhizoma) (halved).
The above herbs are coarsely crushed into a powder, decocted in water, and taken well after meals.
Redness of the nose is caused by hot blood entering the Lung, forming Jiu Zao Bi (rosacea-like nasal erythema).
Qingxue Siwu Decoction
Danggui (Angelicae Sinensis Radix) (washed with wine), Chuanxiong (Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba) (stir-fried with wine), Shengdi (Rehmanniae Radix) (washed with wine), Huangqin (Scutellariae Radix) (stir-fried with wine), Honghua (Carthami Flos) (washed with wine), Fuling (Poria) (peeled), Chenpi (Citri Reticulatae Pericarpium) (each equal parts), Gancao (Glycyrrhizae Radix et Rhizoma) (raw, halved).
The above herbs are coarsely crushed for one dose, with one slice of Shengjiang (Zingiberis Rhizoma Recens), decocted in water, and taken mixed with Wulingzhi (Trogopterori Faeces) powder. If Qi is weak, add Huangqi (Astragali Radix) soaked in wine.
Jinhua Wan treats all fire syndromes in the Upper Jiao causing nasal redness.
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Huangbai (Phellodendri Cortex), Zhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma) (stir-baked with wine), Jiegeng (Platycodonis Radix) (each equal parts).
The above herbs are ground into fine powder, made into pills with water, sized like wu tong zi (Stewartia Monadelpha seeds). Take 50 pills each time, swallowed with plain warm water before bed.
Purple-black color of the nasal tip belongs to cold-blood stasis due to wind-cold, which condenses and does not dissipate.
Danggui Huoxue Decoction treats purple-black nasal tip due to cold-blood stasis.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba), Shaoyao (Paeoniae Radix), Honghua (Carthami Flos), Gancao (Glycyrrhizae Radix et Rhizoma), Mudanpi (Moutan Cortex), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Baizhi (Angelicae Dahuricae Radix) (each equal parts).
The above herbs are coarsely crushed for one dose, with one slice of Shengjiang (Zingiberis Rhizoma Recens) and a pinch of Xiacha (fine tea leaves), decocted in water and taken warm after meals.
Supplementary Prescription
Treats inability to smell odors.
Xixin (Asari Radix et Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma), Banxia (Pinelliae Rhizoma), Jiegeng (Platycodonis Radix), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria) (each 1 qian), Bohe (Menthae Haplocalycis Herba) (3 qian).
The above herbs are coarsely crushed for one dose, decocted in water, and taken after meals.
A male patient had a pale face, clear rhinorrhea, and inability to smell odors for three years. I diagnosed this as Lung Qi deficiency and treated him with Buzhong Yiqi Decoction plus Maimendong (Ophiopogonis Radix) and Shanzhi (Gardeniae Fructus), resulting in a cure.