论曰鼻之气,有出有入,入则畀内。已而复出,出则畀外。已而复入,肺开窍于鼻。肺
气不和,风冷乘之,使气道遏而不通。则风冷与气上畀,蒸而为液,其液复畀于上。故令鼻
多涕。
治小儿肺寒,鼻多清涕,精神不爽,减乳食。人参汤方
人参 前胡(去芦头) 细辛(去苗叶) 杏仁(汤浸去皮尖双仁麸炒) 桂(去粗皮)
甘草
(炙锉各一分)
上六味,粗捣筛,每服一钱匕。水半盏,入生姜少许,枣一枚擘破,煎至三分。去滓温
服,不拘时,更量儿大小加减。
治小儿肺脏伤冷,鼻流清涕。前胡汤方
前胡(去芦头) 陈橘皮(汤浸去白焙各半两) 白茯苓(去黑皮) 桂(去粗皮) 白
术人
参甘草(炙锉) 细辛(去苗叶各一分)
上八味,粗捣筛,每服一钱匕。水半盏,煎至三分,去滓温服。日三,更随儿大小加减。
治小儿脑户,伤于风冷,鼻内多涕,精神昏闷。甘菊花汤方
甘菊花 白术 细辛(去苗叶) 白茯苓(去黑皮) 防风(去叉) 人参 甘草(炙
锉各一
两)
上七味,粗捣筛,每服一钱匕。水半盏,入生姜少许,煎至三分,去滓温服。不拘时,
更量大小加减。
治小儿风伤囟门,致鼻塞不通。涂囟方
麻油(二合) 细辛末(一两)
上二味,同煎微黑色,入蜡半两。熔化停凝,每日三度,薄涂之。
论述说:鼻子的呼吸之气,有呼出和吸入两种状态。吸入时,气息进入体内;随后又呼出,气息排出体外。如此反复循环,肺脏的窍穴开于鼻子。如果肺气不和顺,风邪与寒邪趁机侵袭,导致气道阻滞而不通畅。于是风冷之邪与气机上逆,蒸腾化为津液,这些津液再次上泛至鼻腔。因此导致鼻涕增多。
治疗小儿因肺寒引起的鼻涕清稀、精神不振、食欲减退的人参汤方:
人参、前胡(去除芦头)、细辛(去除苗叶)、杏仁(用热水浸泡后去皮尖及双仁,用麸皮炒制)、桂枝(去除粗皮)、甘草(炙烤后切碎,各一分)。
以上六味药,粗捣筛碎,每次服用一钱匕。加入半盏水,少许生姜,一枚掰破的大枣,煎煮至剩余三分之一的药液。滤去药渣,温服,不限时间,并根据患儿年龄大小酌情增减剂量。
治疗小儿肺脏受寒,流清鼻涕的前胡汤方:
前胡(去除芦头)、陈橘皮(热水浸泡后刮去白瓤焙干,各半两)、白茯苓(去除黑皮)、桂枝(去除粗皮)、白术、人参、甘草(炙烤后切碎)、细辛(去除苗叶,各一分)。
以上八味药,粗捣筛碎,每次服用一钱匕。加入半盏水,煎煮至剩余三分之一的药液,滤去药渣温服。每日三次,并根据患儿年龄大小酌情增减剂量。
治疗小儿脑户部位受风冷侵袭,导致鼻内多涕、精神昏沉闷乱甘菊花汤方:
甘菊花、白术、细辛(去除苗叶)、白茯苓(去除黑皮)、防风(去除叉枝)、人参、甘草(炙烤后切碎,各一两)。
以上七味药,粗捣筛碎,每次服用一钱匕。加入半盏水,少许生姜,煎煮至剩余三分之一的药液,滤去药渣温服。不限时间,并根据患儿年龄大小酌情增减剂量。
治疗小儿风邪伤及囟门,导致鼻塞不通的涂囟方:
麻油(二合)、细辛末(一两)。
以上两味药,一同煎煮至微黑色,加入半两蜂蜡。熔化后待其冷却凝固,每日涂抹三次,薄涂即可。
It is stated that the breath through the nose has an exhalation and an inhalation. Upon inhalation, the Qi is conveyed inward. Subsequently, it is exhaled outward. This cycle repeats. The Lung opens into the nose. When Lung Qi is disharmonious, Wind-Cold invades, obstructing the airway and causing blockage. Consequently, Wind-Cold and Qi ascend together, steaming into fluid, which then flows upward to the nasal cavity. Thus, excessive nasal discharge occurs.
Ren Shen Tang (Ginseng Decoction) for treating children with Cold in the Lung, presenting with clear nasal discharge, lethargy, and reduced appetite:
Ren Shen (Radix Ginseng), Qian Hu (Peucedani Radix, remove the rhizome), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Xing Ren (Armeniacae Semen Amarum, soak in hot water, remove skin and pointed ends, stir-fry with bran), Gui Zhi (Cinnamomi Ramulus, remove coarse bark), Gan Cao (Radix Glycyrrhizae, honey-fried and chopped, each 1 fen).
The above six herbs are coarsely pounded and sieved. For each dose of one qian bi (approx. 3-5g), add half a zhan (approx. 100ml) of water, a little fresh ginger, and one jujube split open. Decoct until one-third remains. Strain and take warm, at any time, adjusting dosage according to the child's age and size.
Qian Hu Tang (Peucedani Radix Decoction) for treating children with Cold injuring the Lung viscera, presenting with clear nasal discharge:
Qian Hu (Peucedani Radix, remove the rhizome), Chen Pi (Pericarpium Citri Reticulatae, soak in hot water, remove white pith and dry, each 0.5 liang), Bai Fu Ling (Poria, remove black skin), Gui Zhi (Cinnamomi Ramulus, remove coarse bark), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae, honey-fried and chopped), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves, each 1 fen).
The above eight herbs are coarsely pounded and sieved. For each dose of one qian bi, add half a zhan of water. Decoct until one-third remains. Strain and take warm. Three times daily, adjusting dosage according to the child's age and size.
Gan Ju Hua Tang (Chrysanthemi Flos Decoction) for treating children whose Nao Hu (brain gate area) is injured by Wind-Cold, presenting with excessive nasal discharge and mental confusion or lethargy:
Gan Ju Hua (Chrysanthemi Flos), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Bai Fu Ling (Poria, remove black skin), Fang Feng (Saposhnikoviae Radix, remove forked branches), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae, honey-fried and chopped, each 1 liang).
The above seven herbs are coarsely pounded and sieved. For each dose of one qian bi, add half a zhan of water and a little fresh ginger. Decoct until one-third remains. Strain and take warm, at any time, adjusting dosage according to the child's age and size.
Tu Xin Fang (Apply to Fontanelle Formula) for treating children where Wind injures the fontanelle, resulting in nasal congestion and obstruction:
Ma You (Semen Cannabis Oil, 2 he), Xi Xin Mo (Asari Radix et Rhizoma powder, 1 liang).
The above two ingredients are simmered together until slightly blackened. Add Ban Liang (half a liang) of beeswax. Melt and allow to cool and solidify. Apply thinly three times daily to the affected area.