（谓鼻出浊涕）
胆移热于脑，则辛 鼻渊。鼻渊者，浊涕不止也，传为衄蔑瞑目。（全文见诊病传变 又脉解精微论云∶
泣涕者脑也，故脑渗为涕。）
〔罗〕鼻中诸病 胆移热于脑，则辛 鼻渊，浊涕不止。如涌泉不藏，久而不已，必成衄血之疾，防风汤主之。
防风（去芦，一两半） 黄芩 人参 甘草（炙） 川芎 麦门冬（去心。各一两）
上细末，每服一钱，沸汤点服，食后服，日三。
〔丹〕治鼻渊。
南星 半夏 苍术 白芷 神曲 酒芩 辛夷 荆芥
尝治一中年男子，右鼻管流浊涕，有秽气、脉弦小，右寸滑，左手寸涩。先灸上星、三里、合谷，次以酒
芩二两，苍术、半夏各一两，辛夷、细辛、川芎、白芷、石膏、人参、葛根各半两，分七帖服之，全愈。此
乃湿热痰积之疾也。
〔仲〕肺中寒者吐浊涕。
〔无〕苍耳散 治鼻流浊涕不止，名曰鼻渊。
辛夷仁（半两） 苍耳子（炒，二钱半） 香白芷（一两） 薄荷叶（五分）
上为末，每服二钱，用葱、茶清食后调服。
严云∶辛夷散 治鼻内壅塞，涕出不已，或气息不通，或不闻香臭。
辛夷仁 细辛（去土叶） 本（去芦） 升麻 川芎 白芷 木通（去节） 防风 甘草
上为末，每服二钱，食后茶清调服。
运气 鼻渊皆属热。经云∶少阴之复、甚则入肺，咳而鼻渊，治以苦寒是也。
〔《撮》〕鼻流清涕浊涕∶上星（灸二七壮，清补浊泻。）
〔《集》〕又法∶上星 人中 风府（不愈，再取后穴。） 百会 风池 风门 大椎。
鼻流臭秽∶上星 曲差（灸之） 合谷（不愈，取后穴。） 人中 迎香
（所谓鼻出浊涕）
胆经的热邪移注于脑，则导致鼻中辛辣疼痛并引发鼻渊。鼻渊的症状是浊涕不止，若久治不愈，会发展为鼻衄（鼻出血）和视物昏花。（全文详见诊病传变篇；又《脉解精微论》说：眼泪和鼻涕源于脑，所以脑液渗漏成为鼻涕。）
〔罗天益〕关于鼻中各种病症：胆经热邪移注于脑，则导致鼻中辛辣疼痛并引发鼻渊，浊涕不止。如果像涌泉一样无法收敛，日久不愈，必然形成鼻衄的疾患，用防风汤主治。
防风（去芦头，一两半） 黄芩 人参 甘草（炙） 川芎 麦门冬（去心，各一两）
以上药物研成细末，每次服用一钱，用沸水冲服，饭后服用，每日三次。
〔朱丹溪〕治疗鼻渊。
天南星 半夏 苍术 白芷 神曲 酒炒黄芩 辛夷 荆芥
曾治疗一名中年男子，右鼻孔流出浊涕，有秽臭气味，脉象弦小，右寸脉滑，左手寸脉涩。先艾灸上星穴、足三里穴、合谷穴，然后用酒炒黄芩二两，苍术、半夏各一两，辛夷、细辛、川芎、白芷、石膏、人参、葛根各半两，分为七帖服用，完全痊愈。这乃是湿热痰积导致的疾病。
〔无名氏〕苍耳散，治疗鼻流浊涕不止，名为鼻渊。
辛夷仁（半两） 苍耳子（炒，二钱半） 香白芷（一两） 薄荷叶（五分）
以上药物研为末，每次服用二钱，用葱白、茶清在饭后调服。
严用和说：辛夷散，治疗鼻内壅塞不通，涕出不止，或者气息不通，或者闻不到香臭气味。
辛夷仁 细辛（去泥土、叶片） 藁本（去芦头） 升麻 川芎 白芷 木通（去节） 防风 甘草
以上药物研为末，每次服用二钱，饭后用茶清调服。
运气学说认为：鼻渊都属于热证。《内经》说：少阴之气复气发作，严重时侵入肺脏，咳嗽且患鼻渊，用苦寒药物治疗是正确的。
〔《针灸聚英》〕鼻流清涕或浊涕：上星穴（灸十四壮，清补浊泻法。）
〔《针灸集成》〕另一种方法：上星穴 人中穴 风府穴（若不愈，再取后文穴位。） 百会穴 风池穴 风门穴 大椎穴。
鼻流臭秽之物：上星穴 曲差穴（灸之） 合谷穴（若不愈，取后文穴位。） 人中穴 迎香穴
(Referring to the discharge of turbid mucus from the nose)
When heat from the Gallbladder channel transfers to the brain, it causes a pungent sensation and Bi Yuan (Nasal Sinusitis). Bi Yuan is characterized by the continuous discharge of turbid nasal mucus; if transmitted further, it may develop into Bi Xu (Epistaxis/Nosebleed) and Ming Mu (Blurred Vision/Dimness of eyes). (The full text can be found in the chapter on Transmission and Variation of Diseases; furthermore, the *Mai Jie Jing Wei Lun* states: "Tears and nasal discharge originate from the brain, therefore brain fluid seeping out becomes nasal discharge.")
[Luo Tianyi] Regarding various diseases of the nose: When heat from the Gallbladder channel transfers to the brain, it causes a pungent sensation and Bi Yuan, with continuous discharge of turbid mucus. If it flows endlessly like a spring and cannot be contained, failing to heal over time, it will inevitably become a disease of Epistaxis (Nosebleed), which should be treated with Fang Feng Tang (Saposhnikovia Decoction).
Fang Feng (Saposhnikoviae Radix, de-rhizome, 1 liang 5 qian) Huang Qin (Scutellariae Radix) Ren Shen (Ginseng Radix) Gan Cao (Licorice Radix, honey-fried) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Mai Men Dong (Ophiopogonis Tuber, de-core, each 1 liang)
Grind the above ingredients into fine powder. Take 1 qian per dose, mixed with boiling water, taken after meals, three times daily.
[Zhu Danxi] Treating Bi Yuan.
Nan Xing (Arisaematis Rhizoma) Ban Xia (Pinelliae Tuber) Cang Zhu (Atractylodis Rhizoma) Bai Zhi (Angelicae Dahuricae Radix) Shen Qu (Massa Medicata Fermentata) Jiu Qin (Scutellariae Radix, wine-processed) Xin Yi (Magnoliae Flos) Jing Jie (Schizonepetae Spica)
Once treated a middle-aged man who had turbid mucus flowing from his right nostril with a foul odor. His pulse was wiry and small; the right Cun position was slippery, and the left Cun position was choppy. First, moxa was applied to Shang Xing (GV23), Zu San Li (ST36), and He Gu (LI4). Then, a prescription consisting of Jiu Qin (2 liang), Cang Zhu and Ban Xia (each 1 liang), Xin Yi, Xi Xin, Chuan Xiong, Bai Zhi, Shi Gao, Ren Shen, and Ge Gen (each half liang) was divided into seven doses for administration. The patient recovered completely. This was a disease caused by damp-heat and phlegm accumulation.
[Zhang Zhongjing] Those with cold in the Lungs will spit out turbid mucus.
[Anonymous] Cang Er San (Xanthium Powder), treating continuous discharge of turbid nasal mucus, named Bi Yuan.
Xin Yi Ren (Magnoliae Flos stamen/pistil part, half liang) Cang Er Zi (Xanthii Fructus, stir-baked, 2 qian 5 fen) Xiang Bai Zhi (Angelicae Dahuricae Radix, 1 liang) Bo He Ye (Menthae Haplocalycis Folium, 5 fen)
Grind the above into powder. Take 2 qian per dose, mixed with scallion white and tea liquor, taken after meals.
Yan Yonghe stated: Xin Yi San (Magnolia Powder), treating nasal congestion, continuous discharge of mucus, or blocked respiration, or loss of smell.
Xin Yi Ren Xi Xin (Asari Radix et Rhizoma, remove soil and leaves) Ben Cao (Ligustici Wallichii Rhizoma, remove rhizome) Sheng Ma (Cimicifugae Rhizoma) Chuan Xiong Bai Zhi Mu Tong (Akebiae Caulis, remove nodes) Fang Feng Gan Cao
Grind the above into powder. Take 2 qian per dose, mixed with tea liquor after meals.
In the context of Six Qi Transformation (Yun Qi): Bi Yuan all belongs to Heat patterns. The *Nei Jing* states: "When the Rebellious Qi of Sha Yin occurs, it severely affects the Lung, causing cough and Bi Yuan; treating it with Bitter-Cold substances is correct."
[*Zhen Jiu Ju Ying*] Nasal discharge of clear or turbid mucus: Shang Xing (GV23) (Moxibustion, 14 cones; tonify for clear, drain for turbid.)
[*Zhen Jiu Ji Cheng*] Another method: Shang Xing (GV23) Ren Zhong (CV26) Feng Fu (DU16) (If not healed, take subsequent acupoints.) Bai Hui (DU20) Feng Chi (GB20) Feng Men (BL12) Da Zhui (DU14).
Nasal discharge of foul-smelling matter: Shang Xing (GV23) Qu Cha (EX-HN4) (Moxibustion) He Gu (LI4) (If not healed, take subsequent acupoints.) Ren Zhong (CV26) Ying Xiang (LI20)