病源肺主气，其经手太阴之脉也，其气通于鼻。若脉脏调和，则鼻气通利，而知香臭；
若风冷伤于脏腑，而邪气乘于太阴之经，其气蕴积于鼻者，则津液壅塞，鼻气不宣调，故不
知香
千金疗鼻 方。
甘遂 通草 细辛 附子（炮各一分）
上四味捣末，以白雄犬胆丸少许，纳鼻中瘥。（崔氏同云卒热涕出四五升愈）
又方
皂荚炙，末如小豆，以苇管吹鼻中。
又方
以干姜末吹之，又蜜和塞之。
又方
以铁KT （一云锁）磨石，取末，以猪脂和，绵裹塞鼻中，取瘥止。
又方
伏面临床前，以新汲水淋玉枕上取瘥。（并出第六卷中通按玉枕脑后也）
删繁疗肺寒损伤气咳，及多唾呼声鼻塞，干枣补肺煎方。
枣肉（二升取膏） 杏仁（一升去尖皮研） 酥（一升） 姜汁（一升） 蜜（一升） 饧
糖（一
升）
上六味，依常微火煎，每服一匙瘥止。
又疗鼻塞有清涕出方。
细辛 蜀椒（汗） 桂心 芎 吴茱萸（各三分） 皂荚（炙屑二分） 附子（八分
炮）
上七味切，以苦酒渍一宿，以猪脂一斤煎，以附子色黄膏成，以绵裹纳鼻中，兼以摩顶
短剧疗鼻中窒塞。香膏方。
白芷 当归 芎 细辛 辛夷 通草 桂心 薰草（各三分）
上八味 咀，以苦酒渍一宿，以猪膏一升煎，以白芷色黄成膏，滤去滓，取少许点鼻中
，或绵裹纳鼻中，以瘥止。（千金无桂心不用薰草用莽草）
千金鼻塞多年，不闻香臭，清水出不止方。
取当道车辗过蒺藜一把捣，以水三升煎令熟，先仰卧，使人口含一合，灌鼻中，不过再
，大嚏，出一两个息肉似烂虫，即瘥。（一方用黄连各二两）
又疗鼻窒，气息不通方。
小蓟（一把）
上一味，以水三升，煮取一升去滓，分服。
又方
绵裹瓜带末少许，塞鼻中。（并出第六卷中）
古今录验疗鼻中不通利窒塞者，香膏方。
当归 芎 青木香 细辛 通草 蕤核仁 白芷（各二分）
上七味切，以羊髓微火煎，白芷色黄膏成，去滓，以小豆许纳鼻中，日再，以瘥为度。
（千金有莽草无青木香云大热鼻中赤烂者以黄芩栀子代当归细辛）
又疗人鼻塞不通。皂荚散方。
皂荚（一分炙去皮子） 细辛 辛夷 蜀椒 附子（炮各等分）
上五味捣末，以少许吹鼻中，或以绵裹塞之，即通。
又疗鼻窒塞不得喘息。皂荚散方。
皂荚（去皮子炙） 菖蒲（各等分）
上二味，以末绵裹塞鼻中，暮卧之时，乃着，甚良。
【背景信息】
书名：外台秘要 作者：王焘 朝代：唐·天宝十一年 章节：鼻方五首 / 肺寒鼻方二首 / 鼻窒塞不通利方七首 类别：方剂
【待处理原文】
病因：肺主气，其经脉为手太阴肺经，肺气通于鼻。如果脉脏调和，则鼻气通畅，能辨别香臭；如果风冷损伤脏腑，邪气乘袭手太阴肺经，气机蕴积于鼻部，导致津液壅塞，鼻气不宣畅，所以不能辨别香臭。
千金疗鼻（鼻塞）方。
甘遂、通草、细辛、附子（炮制，各一分）。
以上四味药捣成末，用白雄犬胆丸取少许，纳入鼻中即愈。（崔氏相同，说突然热涕流出四五升即愈）。
又一方。
皂荚（炙），研末如小豆大小，用苇管吹入鼻中。
又一方。
用干姜末吹入，或用蜜调和后塞入鼻中。
又一方。
用铁块（一说锁）在磨石上研磨，取粉末，用猪脂调和，用棉裹住塞入鼻中，痊愈为止。
又一方。
伏面趴在床前，用新汲取的冷水淋浇玉枕穴（按：玉枕穴在脑后）即愈。（均出自第六卷中通）
删繁疗肺寒损伤气咳，及多唾呼声鼻塞，干枣补肺煎方。
枣肉（二升取膏）、杏仁（一升去尖皮研碎）、酥（一升）、姜汁（一升）、蜜（一升）、饴糖（一升）。
以上六味药，依常规用微火煎煮，每次服一匙，痊愈为止。
又疗鼻塞有清涕出方。
细辛、蜀椒（汗出）、桂心、芎藭、吴茱萸（各三分）、皂荚（炙屑二分）、附子（八分炮制）。
以上七味药切碎，用醋浸泡一夜，用一斤猪脂煎煮，直到附子颜色变黄、膏成，用棉裹住纳入鼻中，兼以按摩头顶。
短剧疗鼻中窒塞。香膏方。
白芷、当归、芎藭、细辛、辛夷、通草、桂心、薰草（各三分）。
以上八味药切碎，用醋浸泡一夜，用一升猪膏煎煮，直到白芷颜色变黄、膏成，滤去渣滓，取少许点入鼻中，或用棉裹住塞入鼻中，痊愈为止。（千金方无桂心，不用薰草，用莽草）。
千金鼻塞多年，不闻香臭，清水出不止方。
取路边被车轮碾过的蒺藜一把捣碎，用水三升煎熟，先仰卧，让人口含一合量，灌入鼻中，不超过两次，会大喷嚏，排出两三个息肉似烂虫，即愈。（一方用黄连各二两）。
又疗鼻窒，气息不通方。
小蓟（一把）。
以上一味药，用水三升，煮取一升，去渣滓，分次服用。
又一方。
用棉裹住瓜蒂末少许，塞入鼻中。（均出自第六卷中）。
古今录验疗鼻中不通利窒塞者，香膏方。
当归、芎藭、青木香、细辛、通草、蕤核仁、白芷（各二分）。
以上七味药切碎，用羊髓微火煎煮，直到白芷颜色变黄、膏成，去渣滓，取小豆大小的量纳入鼻中，每日两次，以痊愈为度。（千金方有莽草无青木香，说大热鼻中赤烂者以黄芩栀子代当归细辛）。
又疗人鼻塞不通。皂荚散方。
皂荚（一分炙去皮子）、细辛、辛夷、蜀椒、附子（炮制，各等分）。
以上五味药捣成末，用少许吹入鼻中，或用棉裹住塞入，即通。
又疗鼻窒塞不得喘息。皂荚散方。
皂荚（去皮子炙）、菖蒲（各等分）。
以上两味药，研末用棉裹住塞入鼻中，晚上睡觉时放置，效果很好。
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Five Formulas for the Nose / Two Formulas for Lung Cold and Nose / Seven Formulas for Nasal Obstruction and Impaired Patency
Category: Formulas
[Original Text Processing]
Etiology: The Lung governs Qi, its meridian is the Hand-Taiyin Lung Meridian, and Lung Qi connects to the nose. If the meridians and zang-organs are harmonious, nasal Qi is patent, allowing one to distinguish odors; if wind-cold injures the zang-organs, and pathogenic factors invade the Hand-Taiyin Meridian, causing Qi stagnation in the nasal region, fluids become obstructed, nasal Qi fails to circulate smoothly, thus resulting in an inability to distinguish odors.
Qianjin Formula for Treating Nasal Obstruction.
Semen Kansui (Gansui), Herba Tectariae (Tongcao), Radix Asari (Xixin), Radix Aconiti Lateralis Preparata (Fuzi, processed), each 1 fen.
The above four herbs are pounded into powder. Take a small amount formed into a pill using the gallbladder of a white male dog, insert it into the nostril until cured. (Cui Shi's method is the same, stating that sudden discharge of hot mucus in amounts of four or five sheng leads to cure.)
Another Formula.
Fructus Gleditsiae Sinensis (Zaojiao), roasted, powdered to the size of a soybean, blown into the nostril using a reed tube.
Another Formula.
Blow in powder of Rhizoma Zingiberis Siccatum (Ganjiang), or mix with honey and pack into the nostril.
Another Formula.
Grind an iron object (or lock) on a whetstone to obtain powder, mix with suid fat (zhuzhi), wrap in cotton, and pack into the nostril until cured.
Another Formula.
Lie prone facing the bed edge, pour newly drawn cold water over the Yuzhen acupoint (Note: Yuzhen is located at the back of the head). Cured. (All from Volume 6, Tongzhong section).
Shanfan Formula for Treating Lung Cold Injuring Qi causing Cough, Excessive Saliva and Noisy Breathing, Nasal Obstruction, Gan Zao Bu Fei Decoction.
Date flesh (2 sheng, prepared as paste), Semen Pruni Armeniacae (Xingren, 1 sheng, remove tips and skins, grind), Butter (Su, 1 sheng), Ginger juice (Jiangzhi, 1 sheng), Honey (Mi, 1 sheng), Maltose (Yitang, 1 sheng).
The above six ingredients are simmered gently according to standard procedure. Take one spoonful per dose until cured.
Another Formula for Nasal Obstruction with Clear Discharge.
Radix Asari (Xixin), Fructus Zanthoxyli (Shujiao, sweat-treated), Cortex Cinnamomi (Guixin), Radix Ligustici Chuanxiong (Xiong), Fructus Evodiae (Wuzhuyu), each 3 fen; Fructus Gleditsiae Sinensis (Zaojiao, roasted and crumbled, 2 fen); Radix Aconiti Lateralis Preparata (Fuzi, processed, 8 fen).
The above seven herbs are chopped, soaked in vinegar (kujiu) overnight, then decocted with one jin of suid fat until Fuzi turns yellow and the ointment forms. Wrap in cotton and insert into the nostril, while also massaging the vertex of the head.
Duanju Formula for Nasal Obstruction. Xiang Gao Ointment.
Radix Angelicae Dahuricae (Baizhi), Radix Angelicae Sinensis (Danggui), Radix Ligustici Chuanxiong (Xiong), Radix Asari (Xixin), Flos Magnoliae (Xinyi), Herba Tectariae (Tongcao), Cortex Cinnamomi (Guixin), Herba Agastaches (Xuncao), each 3 fen.
The above eight herbs are chopped, soaked in vinegar overnight, then decocted with one sheng of suid fat until Baizhi turns yellow and the ointment forms. Filter out dregs, take a small amount to instill into the nostril, or wrap in cotton and pack into the nostril until cured. (Qianjin Fang lacks Guixin, does not use Xuncao but uses Cao Cao/Maocao).
Qianjin Formula for Chronic Nasal Obstruction, Loss of Smell, and Continuous Clear Discharge.
Take one handful of Tribulus terrestris (Jili) crushed after being run over by carts on the road. Decoct with three sheng of water until cooked. Lie supine first, have the patient hold one he in their mouth, and irrigate the nostril. Within no more than two applications, a violent sneeze will occur, expelling two or three polypoid growths resembling rotting worms, leading to cure. (Another formula uses Huanglian, each 2 liang).
Another Formula for Nasal Obstruction and Impaired Breath Flow.
Herba Cirsii Japonici (Xiaoji), one handful.
Decoct this single herb in three sheng of water to obtain one sheng, filter out dregs, and divide into doses for oral administration.
Another Formula.
Wrap a small amount of Cucumis melo seed end (Gudai) powder in cotton and pack into the nostril. (All from Volume 6).
Gujin Luyan Formula for Nasal Impatency and Obstruction. Xiang Gao Ointment.
Radix Angelicae Sinensis (Danggui), Radix Ligustici Chuanxiong (Xiong), Radix Aucklandiae (Qingmuxiang), Radix Asari (Xixin), Herba Tectariae (Tongcao), Semen Pruni Armeniacae/Rutae (Ruigeren), Radix Angelicae Dahuricae (Baizhi), each 2 fen.
Chop the above seven herbs, decoct gently with sheep marrow until Baizhi turns yellow and the ointment forms. Filter out dregs, take an amount the size of a soybean, insert into the nostril, twice daily, until cured. (Qianjin Fang contains Maocao but lacks Qingmuxiang; states that for severe heat causing redness and ulceration of the nose, replace Danggui and Xixin with Huangqin and Zhizi).
Another Formula for Nasal Obstruction. Zaojiao San Powder.
Fructus Gleditsiae Sinensis (Zaojiao, 1 fen, roasted, skin and seeds removed), Radix Asari (Xixin), Flos Magnoliae (Xinyi), Fructus Zanthoxyli (Shujiao), Radix Aconiti Lateralis Preparata (Fuzi, processed, equal parts).
Pound the above five herbs into powder. Blow a small amount into the nostril, or wrap in cotton and pack into the nostril to restore patency.
Another Formula for Nasal Obstruction Preventing Breathing. Zaojiao San Powder.
Fructus Gleditsiae Sinensis (Zaojiao, skin and seeds removed, roasted), Rhizoma Acori Tatarinowii (Changpu), equal parts.
Powder the above two herbs, wrap in cotton, and pack into the nostril. Apply at bedtime; this is very effective.