论曰五脏化液，遇热则干燥，遇寒则流衍，鼻流清涕，至于不止，以肺脏感寒，寒气上
达，故其液不能收制如此，且涕泗 ，皆鼻液也，以继泣则曰涕，以生于肺，则曰泗，涕甚
曰，此独言涕，与宣明五气言肺为涕同意。
治鼻出清涕，五味子汤方
五味子 山芋（各一两） 半夏（汤洗去滑三分） 鹿茸（酒浸一宿酥炙） 白术（米
泔浸一
宿锉炒各一分） 附子（炮裂去皮脐） 牛膝（酒浸切焙） 甘草（炙锉） 槟榔（锉） 熟
干地黄
（焙） 干姜（炮裂各半两） 白豆蔻（去皮） 木香 丁香（各一分） 白茯苓（去黑皮
三分）
上一十五味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓空心温服。
治脑冷鼻塞，时出清涕，细辛丸内鼻方
细辛（去苗叶） 桂（去粗皮） 甘遂（炒） 芎 附子（炮裂去皮脐各一分） 辛
夷（半两）
木通（锉二两）
上七味，捣罗为末，炼蜜和拈，如枣核大，以绵裹内鼻中，勿令气泄，觉小痛，捣生姜
汁和拈即愈，一方、用狗胆和丸。
治鼻多清涕，甘遂丸内鼻方
甘遂（一两） 细辛（去苗叶一两半） 附子（炮裂去皮脐） 木通（锉各一两一分） 干
姜（
炮裂） 吴茱萸（汤浸焙干炒） 桂（去粗皮各一两）
上七味，捣罗为末，炼蜜和拈，如枣核大，以绵裹内鼻中，仰卧即涕出，日三易之，避
风，以瘥为度
治鼻多清涕，细辛膏方
细辛（去苗叶） 蜀椒（去目及闭口者炒出汗） 桂（去粗皮） 芎 吴茱萸（汤洗
焙炒各
三分） 皂荚（炙刮去皮并子半两） 附子（炮裂去皮脐二两）
上七味细锉，以醋浸一宿，入猪脂于银器中，微火煎，候附子色黄，去滓倾入合中澄凝
，以绵裹少许内鼻中，兼以摩顶上。
治鼻塞多清涕，芎 膏方
芎 吴茱萸（汤洗焙干炒） 细辛（去苗叶） 蜀椒（去目及闭口者炒出汗） 干姜
（炮裂）
皂荚（炙刮去皮并子各三分）
上六味细锉，以醋浸一宿，内猪脂于银器中煎，候五七沸，去滓倾入合中澄凝，以绵
裹少许内鼻中。
治鼻久塞，清涕不止，杏仁膏方
杏仁（汤浸去皮尖双仁二两） 附子（炮裂去皮脐一两半） 细辛（去苗叶） 蜀椒（去
目及
闭口者炒出汗各一两）
上四味细锉，以醋浸一宿，用炼成猪脂一斤，银器盛，微火煎之，候附子黄色，去滓倾
入合中澄凝，以绵裹少许内鼻中。
治鼻塞多年，清水出不止，灌鼻，黄连汁方
黄连（去须二两） 蒺藜苗（二握）
上二味细锉，水二升，煎至一升，取一合，灌鼻中，不过再灌，大嚏即瘥。
治鼻塞，清水久不止，灌鼻，蒺藜汁方
蒺藜苗（一握）
上一味细锉，以水三盏，煮至一盏，去滓，仰面先满口含饭，取汁一合，灌鼻中，不
过再灌，嚏出息肉瘥。
论述：五脏化生津液，遇热则干燥，遇寒则流溢。鼻流清涕，甚至不止，是因为肺脏感受寒邪，寒气上达，所以其津液不能收摄控制像这样。而且鼻涕和眼泪，都是鼻部的液体，因为伴随哭泣而流出叫做“涕”，因为产生于肺，所以叫做“泗”，鼻涕很多叫做“洟”。这里只说“涕”，与《宣明五气》中说“肺为涕”的观点一致。
治疗鼻出清涕的五味子汤方：
五味子、山芋（各一两）、半夏（用热水洗去滑腻三分）、鹿茸（酒浸一夜，酥炙）、白术（米泔水浸一夜，锉碎炒制，各一分）、附子（炮裂，去皮脐）、牛膝（酒浸，切片焙干）、甘草（炙，锉碎）、槟榔（锉碎）、熟干地黄（焙干）、干姜（炮裂，各半两）、白豆蔻（去皮）、木香、丁香（各一分）、白茯苓（去掉黑皮，三分）。
以上十五味药，粗捣筛过，每次服用二钱匕，用水一盏，煎至七分，去渣，空腹温服。
治疗脑冷鼻塞，时常流出清涕的细辛丸内鼻方：
细辛（去苗叶）、桂（去掉粗皮）、甘遂（炒制）、川芎、附子（炮裂，去皮脐，各一分）、辛夷（半两）、木通（锉碎，二两）。
以上七味药，捣碎过罗成末，炼蜜调和做成丸剂，如枣核大小，用棉布包裹塞入鼻中，不要让药气泄漏，感觉轻微疼痛时，捣生姜汁调和丸剂即可痊愈。另一方法，用狗胆和丸。
治疗鼻多清涕的甘遂丸内鼻方：
甘遂（一两）、细辛（去苗叶，一两半）、附子（炮裂，去皮脐）、木通（锉碎，各一两一分）、干姜（炮裂）、吴茱萸（热水浸后焙干炒制）、桂（去掉粗皮，各一两）。
以上七味药，捣碎过罗成末，炼蜜调和做成丸剂，如枣核大小，用棉布包裹塞入鼻中，仰卧即有鼻涕流出，每天更换三次，避风，以病愈为度。
治疗鼻多清涕的细辛膏方：
细辛（去苗叶）、蜀椒（去掉目及闭口者，炒出油汗）、桂（去掉粗皮）、川芎、吴茱萸（热水洗后焙干炒制，各三分）、皂荚（炙烤刮去外皮并去掉种子，半两）、附子（炮裂，去皮脐，二两）。
以上七味药细锉，用醋浸泡一夜，加入猪脂在银器中，用微火煎煮，等到附子变黄，去渣倒入容器中冷却凝固，用棉布包裹少许塞入鼻中，同时按摩头顶。
治疗鼻塞多清涕的川芎膏方：
川芎、吴茱萸（热水洗后焙干炒制）、细辛（去苗叶）、蜀椒（去掉目及闭口者，炒出油汗）、干姜（炮裂）、皂荚（炙烤刮去外皮并去掉种子，各三分）。
以上六味药细锉，用醋浸泡一夜，放入猪脂在银器中煎煮，等到沸腾五六次，去渣倒入容器中冷却凝固，用棉布包裹少许塞入鼻中。
治疗鼻久塞，清涕不止的杏仁膏方：
杏仁（热水浸后去皮尖双仁，二两）、附子（炮裂，去皮脐，一两半）、细辛（去苗叶）、蜀椒（去掉目及闭口者，炒出油汗，各一两）。
以上四味药细锉，用醋浸泡一夜，用炼成的猪脂一斤，盛在银器中，微火煎煮，等到附子变黄，去渣倒入容器中冷却凝固，用棉布包裹少许塞入鼻中。
治疗鼻塞多年，清水出不止的灌鼻黄连汁方：
黄连（去须，二两）、蒺藜苗（两把）。
以上两味药细锉，用水二升，煎至一升，取一合，灌入鼻中，不超过两次灌入，大喷嚏后即痊愈。
治疗鼻塞，清水久不止的灌鼻蒺藜汁方：
蒺藜苗（一把）。
以上一味药细锉，用水三盏，煮至一盏，去渣，仰面先满口含饭，取汁一合，灌入鼻中，不超过两次灌入，嚏出息肉即痊愈。
Discussion: The five Zang organs transform fluids; when exposed to heat, they become dry, and when exposed to cold, they flow excessively. Clear rhinorrhea from the nose, even unceasing, occurs because the Lung organ is affected by cold pathogenic factors. Cold qi ascends, thus its fluids cannot be retained or controlled as such. Moreover, nasal mucus and tears are both fluids of the nose. When flowing due to continuous weeping, it is called "Ti" (nasal discharge); because it originates from the Lung, it is called "Si" (tears/mucus). Excessive nasal discharge is called "Ti". Here, only "Ti" is mentioned, which agrees with the statement in *Xuanming Wuqi* that "the Lung produces Ti."
Formula for treating clear rhinorrhea: Wuweizi Tang (Schisandra Decoction)
Wuweizi (Fructus Schisandrae Chinensis), Shanyu (Radix Dioscoreae Hypoglaucae) [each 1 liang], Banxia (Rhizoma Pinelliae Praeparatum, washed with hot water to remove slipperiness, 3 qian), Lurong (Cornu Cervi Pantotrichum, soaked in wine overnight, roasted with butter), Baizhu (Rhizoma Atractylodis Macrocephalae, soaked in rice washing water overnight, sliced and stir-fried, each 1 fen), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed), Niuxi (Radix Achyranthis Bidentatae, soaked in wine, sliced and dried), Gancao (Radix Glycyrrhizae Uralensis Preparata, honey-fried and sliced), Binglang (Semen Arecae, sliced), Shudihuang (Radix Rehmanniae Preparata, dried), Ganjiang (Rhizoma Zingiberis Preparatum, processed until cracked, each 0.5 liang), Baidoukou (Fructus Cardamomi Albi, skin removed), Muxiang (Radix Aucklandiae), Dingxiang (Flos Caryophylli) [each 1 fen], BaiFuling (Poria, black skin removed, 3 qian).
The above fifteen ingredients are coarsely crushed and sieved. For each dose, take 2 qian bi, add 1 zhan of water, decoct until 0.7 zhan remains, strain, and take warm on an empty stomach.
Formula for treating cold brain, nasal congestion, and intermittent clear rhinorrhea via intranasal administration: Xixin Wan (Asarum Pill)
Xixin (Herba Asari), Gui (Cortex Cinnamomi, coarse bark removed), Gansui (Radix Kansui, stir-fried), Xiong (Radix Chuanxiong), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed, each 1 fen), Xinyi (Flos Magnoliae Borealis, 0.5 liang), Mutong (Caulis Akebiae Trifoliate, sliced, 2 liang).
The above seven ingredients are crushed, sifted into powder, mixed with refined honey to form pills the size of a jujube pit. Wrap in cotton, insert into the nostril, ensuring no medicinal vapor escapes. If slight pain is felt, mix with fresh ginger juice to resolve. Another method uses dog gallbladder bile to form the pill.
Formula for treating excessive clear rhinorrhea via intranasal administration: Gansui Wan (Kansui Pill)
Gansui (Radix Kansui, 1 liang), Xixin (Herba Asari, seedlings and leaves removed, 1.5 liang), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed), Mutong (Caulis Akebiae Trifoliate, sliced, each 1 liang 1 fen), Ganjiang (Rhizoma Zingiberis Preparatum, processed until cracked), Wuzhuyu (Fructus Evodiae, soaked in hot water, dried, stir-fried), Gui (Cortex Cinnamomi, coarse bark removed, each 1 liang).
The above seven ingredients are crushed, sifted into powder, mixed with refined honey to form pills the size of a jujube pit. Wrap in cotton, insert into the nostril, lie supine to induce rhinorrhea, change three times daily, avoid wind, and continue until cured.
Formula for treating excessive clear rhinorrhea: Xixin Gao (Asumin Ointment)
Xixin (Herba Asari, seedlings and leaves removed), Shujiao (Fructus Zanthoxyli, eyes and closed-mouth ones removed, stir-fried to release oil), Gui (Cortex Cinnamomi, coarse bark removed), Xiong (Radix Chuanxiong), Wuzhuyu (Fructus Evodiae, washed in hot water, dried, stir-fried, each 3 qian), Zaojia (Fructus Gleditsiae Sinensis, roasted, scraped, skin and seeds removed, 0.5 liang), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed, 2 liang).
The above seven ingredients are finely sliced, soaked in vinegar overnight. Add suet (pig fat) into a silver vessel, simmer over low heat until Fuzi turns yellow. Strain, pour into a container to cool and solidify. Wrap a small amount in cotton, insert into the nostril, and massage the top of the head.
Formula for treating nasal congestion with excessive clear rhinorrhea: Xiong Gao (Chuanxiong Ointment)
Xiong (Radix Chuanxiong), Wuzhuyu (Fructus Evodiae, washed in hot water, dried, stir-fried), Xixin (Herba Asari, seedlings and leaves removed), Shujiao (Fructus Zanthoxyli, eyes and closed-mouth ones removed, stir-fried to release oil), Ganjiang (Rhizoma Zingiberis Preparatum, processed until cracked), Zaojia (Fructus Gleditsiae Sinensis, roasted, scraped, skin and seeds removed, each 3 qian).
The above six ingredients are finely sliced, soaked in vinegar overnight. Add suet into a silver vessel and decoct until it boils five or seven times. Strain, pour into a container to cool and solidify. Wrap a small amount in cotton, insert into the nostril.
Formula for treating long-standing nasal obstruction with unceasing clear rhinorrhea: Xingren Gao (Apricot Kernel Ointment)
Xingren (Semen Pruni Armeniacae, soaked in hot water, skin and tips removed, double-kernel, 2 liang), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed, 1.5 liang), Xixin (Herba Asari, seedlings and leaves removed), Shujiao (Fructus Zanthoxyli, eyes and closed-mouth ones removed, stir-fried to release oil, each 1 liang).
The above four ingredients are finely sliced, soaked in vinegar overnight. Use 1 jin of refined suet, place in a silver vessel, and simmer over low heat until Fuzi turns yellow. Strain, pour into a container to cool and solidify. Wrap a small amount in cotton, insert into the nostril.
Formula for treating long-standing nasal congestion with unceasing clear fluid via nasal irrigation: Huanglian Juice
Huanglian (Rhizoma Coptidis, roots removed, 2 liang), Jili Miao (Herba Tribuli, two handfuls).
The above two ingredients are finely sliced. Add 2 sheng of water, decoct until 1 sheng remains. Take 1 he, irrigate into the nostril. Do not exceed two irrigations; recovery occurs after a severe sneeze.
Formula for treating nasal congestion with long-standing unceasing clear fluid via nasal irrigation: Jili Juice
Jili Miao (Herba Tribuli, one handful).
The above single ingredient is finely sliced. Add 3 zhan of water, boil until 1 zhan remains. Strain. Tilt head back, fill mouth with rice first, then take 1 he of the juice, and irrigate into the nostril. Do not exceed two irrigations; recovery occurs after sneezing out polyps.