《直指》云∶热气乘虚，随脉入耳，聚热不散，脓汁时出，谓之脓耳。治宜蔓荆子散，
外用石膏、明矾、黄丹、真蚌粉、龙骨、麝香等分为末，绵缠竹拭耳糁之。又耳间有津液，轻则
不能为害，风热搏之，津液结 成核塞耳，令人暴聋，谓之耵耳。治宜四物加羌活、柴、芩
、连翘、元参等分，外用生猪脂、地龙、釜底墨等分细研，以葱汁和捏如枣核，薄绵裹入耳
，令润即挑出。
蔓荆子散
蔓荆子 赤芍 生地 甘菊 桑皮 赤茯苓 升麻 麦冬 木通 炙草（各一钱）
水二盏，姜三片，红枣二枚，煎一盏，食后服。
黄龙散 治脓耳。
枯白矾 龙骨（研） 黄丹 胭脂（各一钱，烧） 麝香（少许）
上为末，以绵杖子榐去耳中脓水，以药掺入少许，日日用之，勿令风入。
经曰∶胆移热于脑，则为辛 鼻渊。鼻渊者，浊涕下不止也。王注曰，胆液不澄则为浊
已如水泉者，故曰鼻渊。此为足太阳与阳明脉俱盛也。可与防风通圣散加黄连、薄荷。夫足
太阳主表之风寒，足阳明主里之热，云太阳阳明俱盛者，谓表邪与里热搏结，久之寒亦化热，郁伏于脑 而不解也。
脑漏有老人肾经虚寒使然者，用八味及暖肾之剂而愈。（《元珠》）
鼻塞不闻香臭，或但遇寒月便塞，或略感风寒亦塞，不时举发者。世俗皆以为肺寒，而
表辛温通利之药不效。殊不知此是肺经多有火邪，郁甚则喜见热而恶风寒，故遇寒便塞，偶感便发，治法清金降火为主，
而佐以通利之剂
无不效。若平素原无鼻塞之病，一时偶感风寒，而致鼻塞声重，或流清涕者，只作风寒治之。
防风通圣散
《元珠》去硝黄，其滑石、石膏减半，多加辛夷花，先用三五帖，再用此为丸，每七十
丸，早晚白汤送下。
雄黄丸 治鼻 。
雄黄（五分） 枯矾（一钱） 瓜蒂（二钱） 麝香（少许）
上为丸，取如豆大搐鼻，亦治息肉。
苍耳散 治鼻流浊涕不止，名曰鼻渊。
辛夷仁（五钱） 苍耳子（一钱半） 白芷（一两） 薄荷（一钱）
上为末，葱茶汤调下二钱。
治鼻中肉赘，臭不可近，痛不可摇者方
以白矾末加 砂少许，吹其上，顷之化水而消，与胜湿汤、泻白散二帖。此浓味拥湿热
蒸于肺门，如雨霁之地，突生芝菌也。
铅红散 治肺风，鼻赤生 。
舶上硫黄 白矾灰（各半两）
上为末，入黄丹少许，染与病患面色相同，每上半钱，津液涂之，洗漱罢，及临卧再上
，兼服升麻汤，下泻青丸，除其本也。
《直指方》说：热气乘人体虚弱之际，随经脉进入耳中，聚积不散，导致脓汁不时流出，这称为脓耳。治疗适宜用蔓荆子散，外用石膏、明矾、黄丹、真蚌粉、龙骨、麝香等分研成细末，用棉缠竹签擦拭耳道后撒入药粉。另外，耳间有津液，轻微时不能为害，若风热与之搏结，津液凝结成核堵塞耳道，使人突然耳聋，这称为耵耳（耳垢栓塞）。治疗适宜用四物汤加羌活、柴胡、黄芩、连翘、玄参等分，外用生猪脂、地龙、釜底墨等分细细研磨，用葱汁调和捏成枣核形状，外包薄棉塞入耳内，使其湿润后即可挑出。
蔓荆子散
蔓荆子、赤芍、生地、甘菊、桑皮、赤茯苓、升麻、麦冬、木通、炙甘草（各一钱）
用水二盏，生姜三片，红枣二枚，煎至一盏，饭后服用。
黄龙散 治疗脓耳。
枯白矾、龙骨（研碎）、黄丹、胭脂（各一钱，烧制）、麝香（少许）
以上药物研成细末，先用棉杖子清除耳中脓水，将药粉掺入少许，每日使用，注意不要让风邪侵入。
经文说：胆经的热气移注于脑，就会形成辛鼻（鼻渊）。鼻渊的症状是浊涕不断流出。王冰注释说，胆液不清澈就像水流泉涌一样，所以称为鼻渊。这是足太阳膀胱经与足阳明胃经的脉气都旺盛所致。可以使用防风通圣散加黄连、薄荷。足太阳主表的风寒，足阳明主里的热邪，所谓太阳阳明俱盛，是指表邪与里热搏结，时间久了寒气也化为热邪，郁伏在脑部而不能解除。
脑漏（鼻渊）有因老人肾经虚寒导致的，使用八味丸及温补肾阳的药物而痊愈。（出自《元珠》）
鼻塞听不到香气和臭味，或者只在遇冷月时鼻塞，或者稍微感受风寒就鼻塞，不时发作的情况。世俗人都认为是肺寒，但使用辛温通利的药物无效。殊不知这是因为肺经多有火邪，郁结严重时喜欢见热而厌恶风寒，所以遇冷就鼻塞，偶感风寒就发作。治疗方法以清金降火为主，辅以通利药物，没有不有效的。如果平时原本没有鼻塞的病，一时偶然感受风寒，导致鼻塞声重，或流清涕的，只按风寒治疗即可。
防风通圣散
《元珠》去掉硝石、大黄，滑石、石膏减半，多加辛夷花，先用三五帖，再用此药制成丸剂，每次七十丸，早晚用白开水送服。
雄黄丸 治疗鼻息肉。
雄黄（五分）、枯矾（一钱）、瓜蒂（二钱）、麝香（少许）
以上药物制成丸剂，取如豆大颗粒塞鼻，也能治疗息肉。
苍耳散 治疗鼻流浊涕不止，名为鼻渊。
辛夷仁（五钱）、苍耳子（一钱半）、白芷（一两）、薄荷（一钱）
以上药物研成细末，用葱茶汤调服二钱。
治疗鼻中肉赘，气味臭不可近，疼痛不可触碰的方法
用白矾末加少许轻粉，吹在患处，片刻后化水而消退，同时服用胜湿汤、泻白散两帖。这是因为浓味蕴积湿热蒸腾于肺门，就像雨后天晴之地，突然生出芝菌一样。
铅红散 治疗肺风，鼻头发红生疮。
舶上硫黄、白矾灰（各半两）
以上药物研成细末，加入少许黄丹，颜色染得与病患面色相同，每次上半钱，用唾液涂抹，洗漱完毕后，以及临睡前再涂上，同时服用升麻汤，下泻青丸，以去除病根。
According to *Zhizhi Fang*: When heat qi takes advantage of deficiency, it follows the meridians into the ear, accumulates and does not dissipate, causing pus to discharge intermittently; this is called Nong Er (Otorrhea). Treatment should employ Man Jing Zi San. Externally, equal parts of Shi Gao (Gypsum Fibrosum), Ming Fan (Alumen), Huang Dan (Lead Monoxide), Zhen Bang Fen (Tridacna Shell Powder), Long Gu (Fossilized Bones), and She Xiang (Moschus) are ground into powder. The ear canal is wiped with a bamboo stick wrapped in cotton, and the powder is applied. Additionally, fluid exists in the ear; if mild, it causes no harm. However, when Wind-Heat combats with this fluid, the fluid condenses into a nodule blocking the ear, causing sudden deafness; this is called Ding Er (Aural Impaction). Treatment should employ Si Wu Tang added with Qiang Huo (Notopterygii Rhizoma et Radix), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Lian Qiao (Forsythiae Fructus), and Yuan Shen (Scrophulariae Radix) in equal parts. Externally, fresh pig lard, Di Long (Pheretima), and Fu Di Mo (Soot from the bottom of the cauldron) are ground finely in equal parts, mixed with scallion juice, shaped like a jujube pit, wrapped in thin cotton, inserted into the ear, moistened, and then removed.
Man Jing Zi San
Man Jing Zi (Viticis Fructus), Chi Shao (Paeoniae Radix Rubra), Sheng Di (Rehmanniae Radix), Gan Ju (Chrysanthemi Flos), Sang Bai Pi (Mori Cortex), Chi Fu Ling (Poria cum Rosin), Sheng Ma (Cimicifugae Rhizoma), Mai Dong (Ophiopogonis Tuber), Mu Tong (Akebiae Caulis), Zhi Cao (Prepared Licorice Root) (each 1 qian).
Boil two cups of water with three slices of ginger and two red dates until one cup remains. Take after meals.
Huang Long San treats Nong Er (Otorrhea).
Ku Bai Fan (Calcined Alum), Long Gu (Fossilized Bones, crushed), Huang Dan (Lead Monoxide), Yan Zhi (Carthami Flos, calcined) (each 1 qian), She Xiang (Moschus) (a small amount).
Grind the above into powder. First, use a cotton swab to remove pus and fluid from the ear, then sprinkle a small amount of medicine inside. Use daily, ensuring wind does not enter.
The Classic states: When Gallbladder Heat transfers to the Brain, it results in Xin Bi (Bi Yuan/Nasal Sinusitis). Bi Yuan is characterized by continuous discharge of turbid mucus. Wang Bing's commentary states that when Gallbladder fluid is not clear, it flows like a spring, hence the name Bi Yuan. This condition arises when the pulses of the Foot-Taiyang (Bladder) and Foot-Yangming (Stomach) are both excessive. Fang Feng Tong Sheng San added with Huang Lian (Coptidis Rhizoma) and Bo He (Menthae Haplocalycis Herba) may be used. The Foot-Taiyang governs exterior Wind-Cold, while the Foot-Yangming governs interior Heat. "Excessive Taiyang and Yangming" implies that exterior pathogenic factors and interior heat combat each other; over time, cold also transforms into heat, stagnating in the brain without resolving.
Nao Lou (Nasal Ozena/Atrophic Rhinitis) can be caused by Kidney Meridian deficiency-cold in the elderly, which is cured using Ba Wei Wan (Eight-Ingredient Rehmannia Pill) and other kidney-warming agents. (From *Yuan Zhu*)
Nasal congestion preventing the perception of odors, or occurring only during cold months, or triggered by slight exposure to Wind-Cold, recurring frequently. Laypeople often attribute this to Lung Cold, but acrid-warm unblocking medicines are ineffective. In fact, this is due to Fire Pathogens in the Lung Meridian; severe stagnation makes the patient prefer heat and dislike Wind-Cold, causing congestion upon cold exposure and flare-ups upon slight infection. The treatment method focuses on Clearing Metal (Lung) and Descending Fire, assisted by unblocking agents, yielding invariably effective results. If there was no prior nasal congestion, but sudden onset occurs due to accidental Wind-Cold exposure, resulting in heavy voice and clear rhinorrhea, treat solely as Wind-Cold.
Fang Feng Tong Sheng San
*Yuan Zhu* version removes Xiao Shi (Mirabilite) and Da Huang (Rhei Radix et Rhizoma); reduces Hua Shi (Talcum) and Shi Gao (Gypsum Fibrosum) by half; adds extra Xin Yi Hua (Magnolia Flower). Take three to five doses first, then switch to pills. Take seventy pills morning and evening with warm water.
Xiong Huang Wan treats Nasal Polyps.
Xiong Huang (Realgar, 0.5 fen), Ku Fan (Calcined Alum, 1 qian), Gua Di (Cucumeris Fructus, 2 qian), She Xiang (Moschus, a small amount).
Make into pills the size of beans for nasal insufflation. Also treats polyps.
Cang Er San treats continuous discharge of turbid nasal mucus, named Bi Yuan (Nasal Sinusitis).
Xin Yi Ren (Magnolia Bud, 5 qian), Cang Er Zi (Xanthii Fructus, 1.5 qian), Bai Zhi (Angelicae Dahuricae Radix, 1 liang), Bo He (Menthae Haplocalycis Herba, 1 qian).
Grind into powder. Take 2 qian mixed with scallion tea soup.
Formula for treating nasal flesh excrescences that are foul-smelling and painful to touch:
Apply powder of Bai Fan (Alumen) mixed with a small amount of Qing Fen (Calomel) to the lesion. It will liquefy and disappear shortly thereafter. Concurrently administer Sheng Shi Tang (Dampness-Overcoming Decoction) and Xie Bai San (Draining White Powder) for two doses. This condition arises because rich flavors accumulate Damp-Heat steaming at the Lung Gate, similar to mushrooms sprouting suddenly on land after rain.
Qian Hong San treats Lung Wind, characterized by red nose and sores.
Bo Shang Liu Huang (Imported Sulfur), Bai Fan Hui (Ash of Calcined Alum) (each 0.5 liang).
Grind into powder, add a small amount of Huang Dan (Lead Monoxide), and dye it to match the patient's complexion. Apply half a qian, moistened with saliva. After washing, apply again before sleep. Concurrently take Sheng Ma Tang ( Cimicifuga Decoction) and Xia Qing Wan (Green-Draining Pills) to eliminate the root cause.