论曰九窍气所通也,或塞之斯痛矣,况鼻之为窍,肺气所恃以出纳,若肺受风邪,与正
气相搏,热气加之,不得宣通,则为出纳者窒矣,其窍既窒,而气之鼓作无已,所以干燥而
痛也。
治风热壅塞,鼻干痛,脑闷头重,不知香臭,五参散方
人参 沙参 丹参 玄参 苦参 山芋 茯神(去木各一两半) 独活(去芦头) 细
辛(
去苗叶) 麻黄(去根节) 木通(锉) 羚羊角(镑) 防风(去叉) 白藓皮(各一两
一分) 山
茱萸 甘菊花 芎 (各一两)
上一十七味,捣罗为散,每服三钱匕,米饮调下,早晚各一。
治鼻痛,没药散方
没药(研一分) 乌蛇(酒浸去皮骨炙半两) 干蝎(去土炒) 天南星(炮) 雄黄
(别研)
当归(切焙) 白附子(炮) 丹砂(别研) 牛黄(别研) 胡黄连 白芷 麝香(别研)
丁香(
炒) 甘草(炙) 桂(去粗皮各一分)
上一十五味,除别研外,捣罗为散,再同研匀,每服半钱匕,温酒调下,早晚食后服。
治肺壅气促,四肢酸疼,鼻塞及痛,桑白皮汤方
桑根白皮(切) 升麻 甘草(炙) 秦艽(去苗土) 大黄(锉炒各一两半) 石膏
(碎) 葛
根(各三两)
上七味,粗捣筛,每服五钱匕,水一盏半,入竹沥一合,煎至一盏去滓,早晚食后临卧
温服。
治肺受风,面色枯白,颊时赤,皮肤干燥,鼻塞干痛,此为虚风,白藓皮汤方
白藓皮 麦门冬(去心焙) 白茯苓(去黑皮) 白芷(各一两半) 桑根白皮(切) 石
膏(
碎各二两) 细辛(去苗叶) 杏仁(去皮尖双仁炒研各一两半)
上八味,粗捣筛,每服三钱匕,水三盏,煮大豆三合,取汁一盏,去豆下药,煎取七分
、去滓,早晚食后临卧温服。
治因高声呼吸冷风,或因哀哭伤气,或饮食热气所冲,皆致伤肺,使气喘促,皮肤风痒
,四肢酸疼,鼻塞干痛,秦艽汤方
秦艽(去苗土) 石膏(碎) 桑根白皮(锉) 甘草(炙) 升麻 大黄(锉炒各一
两) 枳壳
(去瓤麸炒) 葛根(各三分)
上八味,粗捣筛,每服三钱匕,水一盏,入淡竹沥半合,煎至七分,去滓温服。
治肺风面色干白,鼻燥塞痛,羚羊角汤方
羚羊角(镑) 桂(去粗皮) 白茯苓(去黑皮) 细辛(去苗叶) 杏仁(去皮尖双
仁炒研)
麻黄(去根节) 防风(去叉) 防己 麦门冬(去心焙各一两)
上九味,粗捣筛,每服三钱匕,以水一盏,煎至七分,去滓温服。
治鼻塞干痛,油涂方
生油(一盏)
上一味,常以鸡羽扫涂鼻中,酥亦得。
治鼻塞疼痛,脑闷方
苦葫芦子(碎)
上一味,以醇酒半升浸之,夏一日,冬七日,少少内鼻中。
论述说:九窍是气机通行的通道,如果发生阻塞就会引起疼痛。何况鼻子作为一窍,是肺气赖以进行呼吸出入的器官,若肺受到风邪侵袭,与正气相互搏结,再加上热气的叠加,导致气机无法宣通,那么呼吸出入就会受阻。鼻窍既然闭塞,而体内的气机鼓动不止,所以会出现干燥和疼痛的症状。
治疗风热壅塞引起的鼻干痛、头脑昏闷沉重、嗅觉失灵(不知香臭),使用五参散方:
人参、沙参、丹参、玄参、苦参、山芋、茯神(去除木质部分,各一两半)、独活(去除芦头)、细辛(去除苗叶)、麻黄(去除根节)、木通(锉碎)、羚羊角(镑成薄片)、防风(去除叉枝)、白藓皮(各一两一分)、山茱萸、甘菊花、川芎(各一两)。
以上十七味药,捣碎并过筛制成散剂,每次服用三钱匕,用米汤调服,早晚各一次。
治疗鼻痛,使用没药散方:
没药(研磨,一分)、乌蛇(酒浸后去皮骨,炙干,半两)、干蝎(去土炒制)、天南星(炮制)、雄黄(单独研磨)、当归(切片焙干)、白附子(炮制)、丹砂(单独研磨)、牛黄(单独研磨)、胡黄连、白芷、麝香(单独研磨)、丁香(炒制)、甘草(炙干)、桂枝(去除粗皮,各一分)。
以上十五味药,除需单独研磨的药物外,其余捣碎过筛制成散剂,再与其他研磨好的药物混合均匀,每次服用半钱匕,用温酒调服,早晚饭后服用。
治疗肺气壅滞、气息急促、四肢酸痛、鼻塞及疼痛,使用桑白皮汤方:
桑根白皮(切片)、升麻、甘草(炙干)、秦艽(去除苗土)、大黄(锉碎炒制,各一两半)、石膏(打碎)、葛根(各三两)。
以上七味药,粗捣过筛,每次服用五钱匕,用水一盏半,加入竹沥一合,煎煮至一盏,去渣,早晚饭后及临睡前温服。
治疗肺受风邪,面色枯白,脸颊时常发红,皮肤干燥,鼻塞干痛,这属于虚风,使用白藓皮汤方:
白藓皮、麦门冬(去除心,焙干)、白茯苓(去除黑皮)、白芷(各一两半)、桑根白皮(切片)、石膏(打碎,各二两)、细辛(去除苗叶)、杏仁(去皮尖,双仁者炒后研磨,各一两半)。
以上八味药,粗捣过筛,每次服用三钱匕,用水三盏,煮大豆三合,取汁一盏,去掉豆渣后放入药末,煎取七分,去渣,早晚饭后及临睡前温服。
治疗因高声呼喊吸入冷风,或因哀哭损伤气机,或饮食热气上冲,均会导致伤肺,使气喘急促、皮肤风痒、四肢酸痛、鼻塞干痛,使用秦艽汤方:
秦艽(去除苗土)、石膏(打碎)、桑根白皮(锉碎)、甘草(炙干)、升麻、大黄(锉碎炒制,各一两)、枳壳(去除瓤麸,炒制)、葛根(各三分)。
以上八味药,粗捣过筛,每次服用三钱匕,用水一盏,加入淡竹沥半合,煎煮至七分,去渣温服。
治疗肺风导致面色干白、鼻燥塞痛,使用羚羊角汤方:
羚羊角(镑成薄片)、桂枝(去除粗皮)、白茯苓(去除黑皮)、细辛(去除苗叶)、杏仁(去皮尖,双仁者炒后研磨)、麻黄(去除根节)、防风(去除叉枝)、防己、麦门冬(去除心,焙干,各一两)。
以上九味药,粗捣过筛,每次服用三钱匕,用水一盏,煎煮至七分,去渣温服。
治疗鼻塞干痛,使用油涂方:
生油(一盏)。
以上一味药,常用鸡羽毛蘸取涂抹于鼻腔内,酥油也可以。
治疗鼻塞疼痛、头脑昏闷,使用方剂:
苦葫芦子(打碎)。
以上一味药,用半升醇酒浸泡,夏天浸泡一天,冬天浸泡七天,少量滴入鼻中。
It is discussed that the nine orifices are passages for Qi. Obstruction leads to pain. The nose, as an orifice, relies on Lung Qi for respiration. If the Lungs are invaded by Wind pathogen and struggle with Healthy Qi, compounded by Heat, the free flow of Qi fails to diffuse, causing obstruction in respiration. Once the orifice is blocked, the continuous surging of Qi results in dryness and pain.
For treating nasal dryness and pain due to Wind-Heat congestion, cerebral heaviness and stuffiness, loss of smell, use the Wushen San (Five Ginseng Powder) formula:
Ren Shen (Ginseng Radix), Sha Shen (Glehniae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Xuan Shen (Scrophulariae Radix), Ku Shen (Sophorae Flavescentis Radix), Shan Yu (Dioscoreae Tuber), Fu Shen (Poria with Hostwood, remove woody part, each 1 liang 5 qian), Duhuo (Angelicae Pubescentis Radix, remove rhizome), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Mahuang (Ephedrae Herba, remove roots and joints), Mutong (Akebiae Caulis, chopped), Lingyangjiao (Saigae Tataricae Cornu, shaved), Fangfeng (Saposhnikoviae Radix, remove forks), Baixianpi (Dictamni Cortex, each 1 liang 1 fen), Shanzhuyu (Corni Fructus), Gan Juhua (Chrysanthemi Flos), Xiongqiong (Ligustici Chuanxiong Rhizoma, each 1 liang).
The above seventeen ingredients are crushed, sifted into a powder. Take 3 qianbi per dose, mixed with rice water, taken morning and evening.
For treating nasal pain, use the Moyao San (Myrrh Powder) formula:
Moyao (Myrrha, ground, 1 fen), Wushe (Bungarus multicinctus, soaked in wine, skin and bones removed, roasted, half liang), Ganxie (Scorpio, earth removed, roasted), Tiannanxing (Arisaematis Rhizoma Praeparatum, processed), Xionghuang (Realgar, separately ground), Danggui (Angelicae Sinensis Radix, sliced and roasted), Baifuzi (Typhonii Rhizoma, processed), Dansha (Cinnabaris, separately ground), Niuhuang (Calculus Bovis, separately ground), Huhuanglian (Coptidis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Shexiang (Moschus, separately ground), Dingxiang (Caryophylli Flos, roasted), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Gui (Cinnamomi Ramulus, remove rough bark, each 1 fen).
The above fifteen ingredients, except those requiring separate grinding, are crushed and sifted into a powder, then mixed uniformly with the separately ground substances. Take half a qianbi per dose, mixed with warm wine, taken after meals in the morning and evening.
For treating Lung congestion with shortness of breath, soreness and pain in the four limbs, nasal congestion and pain, use the Sangbaipi Tang (Morus Alba Root Bark Decoction) formula:
Sanggenbaipi (Mori Cortex, sliced), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Dahuang (Rhei Radix et Rhizoma, chopped and roasted, each 1 liang 5 qian), Shigao (Gypsum Fibrosum, crushed), Gegen (Puerariae Lobatae Radix, each 3 liang).
The above seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, with 1.5 cups of water, add 1 he of Bamboo Sap (Zhuli), decoct until 1 cup remains, strain. Take warm after meals in the morning and evening, before sleep.
For treating Lung affected by Wind, withered and pale complexion, occasional redness of cheeks, dry skin, nasal congestion and dry pain, this is considered Deficient Wind, use the Baixianpi Tang (Dictamnus Decoction) formula:
Baixianpi (Dictamni Cortex), Maidong (Ophiopogonis Radix, remove heart and roast), Bai Fuling (Poria, remove black skin), Baizhi (Angelicae Dahuricae Radix, each 1 liang 5 qian), Sanggenbaipi (Mori Cortex, sliced), Shigao (Gypsum Fibrosum, crushed, each 2 liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Xingren (Prunus Armeniacae Semen, remove skin and pointed ends, double-kernel ones roasted and ground, each 1 liang 5 qian).
The above eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with 3 cups of water, boil 3 he of Soybeans (Da Dou), take 1 cup of juice, remove beans, add medicine, decoct until 0.7 cup remains, strain. Take warm after meals in the morning and evening, before sleep.
For treating injury to the Lung caused by inhaling cold wind while shouting loudly, Qi damage from weeping, or upward rush of heat from food and drink, resulting in shortness of breath, skin itching due to Wind, soreness and pain in the four limbs, nasal congestion and dry pain, use the Qinjiao Tang (Gentian Decoction) formula:
Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Shigao (Gypsum Fibrosum, crushed), Sanggenbaipi (Mori Cortex, chopped), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma, chopped and roasted, each 1 liang), Zhike (Aurantii Fructus, remove pulp and bran, roasted), Gegen (Puerariae Lobatae Radix, each 3 fen).
The above eight ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with 1 cup of water, add 0.5 he of Light Bamboo Sap (Dan Zhuli), decoct until 0.7 cup remains, strain, take warm.
For treating Lung Wind causing dry and pale complexion, nasal dryness, congestion and pain, use the Lingyangjiao Tang (Saiga Decoction) formula:
Lingyangjiao (Saigae Tataricae Cornu, shaved), Gui (Cinnamomi Ramulus, remove rough bark), Bai Fuling (Poria, remove black skin), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Xingren (Prunus Armeniacae Semen, remove skin and pointed ends, double-kernel ones roasted and ground), Mahuang (Ephedrae Herba, remove roots and joints), Fangfeng (Saposhnikoviae Radix, remove forks), Fangji (Stephaniae Tetrandrae Radix), Maidong (Ophiopogonis Radix, remove heart and roast, each 1 liang).
The above nine ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with 1 cup of water, decoct until 0.7 cup remains, strain, take warm.
For treating nasal congestion and dry pain, use the Oil Application Formula:
Sheng You (Raw Oil, 1 cup).
The above single ingredient, commonly apply to the inside of the nose using a chicken feather; butter (Su) is also acceptable.
For treating nasal congestion and pain, cerebral heaviness, use the formula:
Ku Hulu Zi (Momordicae Fructus Seed, crushed).
The above single ingredient, soak in half a sheng of strong wine. Soak for one day in summer, seven days in winter. Instill a small amount into the nose.