酒 鼻生准及边，胃火熏肺外受寒，血凝初红久紫黑，宣郁活瘀缓缓痊。
【注】此证生于鼻准头，及鼻两边。由胃火熏肺，更因风寒外束，血瘀凝结。故先红
后紫，久变为黑，最为缠绵。治宜宣肺中郁气，化滞血，如麻黄宣肺酒、凉血四物汤俱
可选用，使荣卫流通，以滋新血。再以颠倒散敷于患处。若日久不愈，以栀子仁丸服之，
缓缓取愈。
\r酒 鼻图\p04-34a104.bmp\r
麻黄宣肺酒
麻黄 麻黄根（各二两）
头生酒五壶，将药入酒内，重汤煮三炷香，露一宿，早晚各饮三五杯，至三五日出
脓成疮；十余日则脓尽，脓尽则红色退，先黄后白而愈。
【方歌】麻黄宣肺酒 鼻，血热上注外寒瘀，麻黄并根入酒泡，重汤煮饮效不虚。
凉血四物汤
当归 生地 川芎 赤芍 黄芩（酒炒） 赤茯苓 陈皮 红花（酒炒） 甘草（生，各一钱）
水二盅，姜三片，煎八分，加酒一杯，调五灵脂末二钱，热服。气弱者，加酒炒黄 二钱，立效。
【方歌】凉血四物 鼻红，散瘀化滞又调荣，芩苓四物陈红草，姜煎加酒入五灵。
栀子仁丸
栀子仁研末，黄蜡溶化和丸，如弹子大。每服一丸，茶清嚼下，忌辛辣之物。
【方歌】栀子仁丸 鼻赤，紫黑缠绵皆可施，栀子为末黄蜡化，丸似弹子茶清食。
颠倒散（见肺风粉刺）
酒鼻生在鼻梁及两侧，因胃火熏蒸肺部，又外受寒邪，初期血液凝滞呈红色，日久则变为紫黑色，需宣散郁结、活血化瘀，方可缓慢痊愈。
【注】此证生于鼻尖及鼻翼两侧。由胃火熏蒸肺脏，加之风寒束表，导致血瘀凝结。故先红后紫，久则变黑，病程最为缠绵难愈。治疗宜宣通肺中郁气，化解滞血，如麻黄宣肺酒、凉血四物汤均可选用，使营卫气血流通，以滋养新血。再以颠倒散外敷患处。若日久不愈，可内服栀子仁丸，缓缓取效。
麻黄宣肺酒
配方：麻黄、麻黄根（各二两）。
制法与用法：用头生酒五壶，将药物放入酒中，隔水煮沸三炷香的时间，露天放置一夜。早晚各饮三五杯，约三至五日出脓成疮；十余日后脓液排尽，红色消退，先转黄后转白而痊愈。
【方歌】麻黄宣肺酒治酒鼻，血热上注兼外寒瘀阻，麻黄连同根部泡入酒中，隔水煎煮饮用疗效不虚。
凉血四物汤
配方：当归、生地、川芎、赤芍、黄芩（酒炒）、赤茯苓、陈皮、红花（酒炒）、甘草（生用，各一钱）。
制法与用法：用水二盅，生姜三片，煎至八分满，加入酒一杯，调入五灵脂末二钱，热服。气虚者，加酒炒黄芪二钱，立见功效。
【方歌】凉血四物汤治酒鼻发红，散瘀化滞又调理营血，黄芩茯苓配合四物汤加陈皮红花甘草，生姜煎煮加酒再入五灵脂。
栀子仁丸
制法：将栀子仁研为细末，用黄蜡熔化后混合制成药丸，大小如弹子。
用法：每次服用一丸，用茶水嚼服，忌食辛辣之物。
【方歌】栀子仁丸治酒鼻色赤，紫黑缠绵皆可施用，栀子研末黄蜡熔化，制成弹子大丸剂用茶清送服。
颠倒散（参见“肺风粉刺”条）
Jiu Bi (Alcoholic Rhinophyma) occurs on the nasal bridge and sides. It is caused by stomach fire steaming the lungs combined with external cold invasion. Initially, blood stasis presents as redness; after a long time, it turns purplish-black. Treatment requires dispersing stagnation and activating blood circulation to achieve gradual recovery.
[Note] This condition arises at the nasal tip and alae nasi. It results from stomach fire steaming the lung, compounded by wind-cold constraining the exterior, leading to blood stasis and coagulation. Thus, it first appears red, then purple, and eventually black if prolonged, making it particularly persistent and difficult to cure. The treatment should focus on diffusing lung qi stagnation and resolving stagnant blood. Formulas such as Mahuang Xuanfei Jiu (Ephedra Decoction for Diffusing Lung Qi) and Liangxue Siwu Tang (Cooling Blood Four Substances Decoction) can be selected to promote the circulation of Ying and Wei (nutritive and defensive qi), thereby nourishing new blood. Additionally, Diandao San (Inverted Powder) should be applied topically to the affected area. If the condition persists for a long time without healing, Zhizi Ren Wan (Gardenia Seed Pill) can be taken orally for gradual improvement.
Mahuang Xuanfei Jiu (Ephedra Decoction for Diffusing Lung Qi)
Ingredients: Ephedrae Herba (Mahuang, 麻黄) and Radix Ephedrae (Mahuanggen, 麻黄根) (each 2 liang).
Preparation and Administration: Use 5 hu (ancient liquid measure) of first-press wine. Place the herbs in the wine, boil in a double boiler for the duration of three incense sticks, and leave exposed overnight. Drink 3–5 cups morning and evening. After 3–5 days, pus will form and sores will appear; after more than 10 days, the pus will drain completely, the redness will fade, turning yellow then white, leading to recovery.
[Formula Song]: Mahuang Xuanfei Jiu treats Jiu Bi, where blood heat ascends and external cold causes stasis. Soaking Mahuang and its root in wine and boiling it yields reliable efficacy.
Liangxue Siwu Tang (Cooling Blood Four Substances Decoction)
Ingredients: Angelicae Sinensis Radix (Danggui, 当归), Rehmanniae Radix Preparata (Shengdi, 生地), Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix Rubra (Chishao, 赤芍), Scutellariae Radix (Huangqin, 黄芩) (stir-fried with wine), Poria (Chifuling, 赤茯苓), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Carthami Flos (Honghua, 红花) (stir-fried with wine), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw, each 1 qian).
Preparation and Administration: Add 2 zhong (ancient volume measure) of water and 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct until 8 fen remains. Add 1 cup of wine and 2 qian of powder of Trogopteri Dung (Wulingzhi, 五灵脂). Take hot. For patients with Qi deficiency, add 2 qian of Astragali Radix (Huangqi, 黄芪) stir-fried with wine for immediate effect.
[Formula Song]: Liangxue Siwu Tang treats redness in Jiu Bi, dispersing stasis, resolving stagnation, and regulating Ying and Blood. Huangqin, Fuling, Siwu Tang, Chenpi, Honghua, and Gancao are decocted with Shengjiang, adding wine and Wulingzhi.
Zhizi Ren Wan (Gardenia Seed Pill)
Preparation: Grind Gardeniae Fructus (Zhizi, 栀子) seeds into powder. Melt Carnauba Wax (or beeswax/Huangla, 黄蜡) and mix with the powder to form pills the size of a bullet.
Administration: Take one pill per dose, chewed down with clear tea water. Avoid spicy foods.
[Formula Song]: Zhizi Ren Wan treats reddish Jiu Bi, applicable even when purplish-black and persistent. Gardenia powder mixed with melted wax forms bullet-sized pills taken with tea.
Diandao San (Inverted Powder) (See "Fei Feng Fen Ci" / Acne Rosacea under Lung Wind section)