ALLERGIC SINUSITIS

GENERAL

Clinical Manifestations
  • Swollen, tender sinuses
  • Nasal congestion (sneezing, runny nose) and post nasal drip that persists for more then two weeks
  • Itchy eyes, nose and throat
  • Headache, pain, tenderness, swelling and pressure around the forehead, cheeks, nose and between eyes
  • Behavioral changes including irritability, inability to focus, fatigue
  • Sleep problems such as insomnia, bed-wetting, sleepwalking
  • Reduced sense of smell and taste
Treatment Principle
  • Eliminate allergy
  • Warm Yang
  • Promote urination
Herb Formulas
Points

WIND-COLD ATTACKS THE LUNGS

Clinical Manifestations
  • Cough with a heavy sound
  • Choking cough
  • Stuffy and runny nose
  • Thin white sputum
  • Chills and fever with more chills than fever
  • Occipital or frontal headache
  • Nasal obstruction
  • Rhinitis
  • Dyspnea
  • Wheezing
  • Sneezing
  • Rhinitis
  • Itching larynx
  • Aching of limbs
  • Aching joints
  • Muscle soreness
  • Neck stiffness
  • Chilliness
  • Anhidrosis
  • T: Normal
  • C:Thin and white
  • P: Floating or Floating and tense
Treatment Principle
  • Disperse Wind and Cold
  • Release Lung Qi
  • Relieve cough
Herb Formulas
  • With sinusitis or nasal congestion: Xin Yi San
  • Chinese patent medicines:
    Gan Mao Ling
    Chuan Xiang Cha Tiao Wan
    With Blood-streaked sputum: Yun Nan Bai Yao
Points

LUNG YIN DEFICIENCY

Clinical Manifestations
  • Swollen, tender sinuses
  • Nasal congestion (sneezing, runny nose) and post nasal drip that persists for more then two weeks
  • Itchy eyes, nose and throat
  • Headache, pain, tenderness, swelling and pressure around the forehead, cheeks, nose and between eyes
  • Behavioral changes including irritability, inability to focus, fatigue
  • Sleep problems such as insomnia, bed-wetting, sleepwalking
  • Reduced sense of smell and taste
  • Severe, dry hacking cough

           There may be:

  • No sputum expectorated
  • Small amounts of difficult to expectorate sputum
  • Blood tinged sputum (when Yin Deficiency Fire is present)
  • Afternoon fever
  • Night sweats
  • Malar flush (especially in afternoon)
  • Five sole heat
  • Dry mouth and throat
  • Itching in throat
  • Hoarse voice, low voice or loss of voice
  • Emaciation
  • T: Red and dry
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish Yin
  • Moisten the Lungs
  • Unblock the nose
Herb Formulas
Points

LUNG QI DEFICIENCY

Clinical Manifestations
  • Chronic variable and intermittent nasal and sinus congestion or
  • Chronic discharge of copious thin white or sticky mucus which does not smell (even though the patient may perceive it to)
  • The discharge is aggravated to exposure to Wind and Cold
  • It may be worse when lying down or at night and better during the day
  • Pale, swollen mucous membranes
  • Variable and transient sense of smell or
  • Permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Shortness of breath
  • Soft voice or
  • Reluctance to speak
  • Fatigue
  • Spontaneous sweating
  • Waxy, pale complexion
  • Weak cough with thin white sputum
  • T: Pale
  • C: Thin and white
  • P: Weak and forceless
Treatment Principle
  • Tonify and warm Lung Qi
  • Disperse Cold
  • Open the nose
Herb Formulas
  • Bu Fei Tang
  • Wen Fei Zhi Liu Dan modified
  • Medicated Oil #1
  • For a patient with pre-existing Lung Qi Deficiency who contracts a Wind-Cold:
      To Expel Wind and Cold: Ma Huang Tang
          To Support Qi: Shen Su Yin
  • For a patient with Lung Qi Deficiency who suddenly has a worsening of the congestion or the primary formula fails: Wen Fei Tang (short time)
  • Patent Medicines:
      Xiang Sha Liu Jun Zi Wan
      Bu Zhong Yi Qi Wan
      Shen Ling Bai Zhu Wan
Points

 

LUNG AND KIDNEY YIN DEFICIENCIES

Clinical Manifestations
  • Swollen, tender sinuses
  • Nasal congestion (sneezing, runny nose) and post nasal drip that persists for more then two weeks
  • Itchy eyes, nose and throat
  • Headache, pain, tenderness, swelling and pressure around the forehead, cheeks, nose and between eyes
  • Behavioral changes including irritability, inability to focus, fatigue
  • Sleep problems such as insomnia, bed-wetting, sleepwalking
  • Reduced sense of smell and taste
  • Unproductive cough or
  • Scanty, sticky phlegm or
  • Sometimes blood-streaked sputum
  • Dry mouth
  • Dry throat
  • Low back and knees sore and weak
  • "Steaming Bone" tidal fever
  • Night sweats
  • Malar flush
  • Maybe a hoarse voice
  • Maybe pain in shin, foot, and heel
  • T: Red
  • C: Little or None
  • P: Thready and rapid
  • Men: Spermatorrhea
  • Women: Irregular menstruation
Treatment Principle
  • Nourish and Reinforce the Lungs and Kidneys
  • Unblock the nose
Herb Formulas
Points