Chronic rhinitis is a chronic inflammatory change of the nasal
mucosa, mainly due to the protraction of acute rhinitis. Its
main symptom is nasal obstruction. This disease is called in TCM
"bi zhi" (nasal obstruction).
Major Points of Diagnosis
1. The nasal obstruction is either alternate,
intermittent or continuous.
2. The nasal mucosa swells or becomes thick, especially that of
the inferior nasal concha.
3. Hyposmia is fluctuating.
4. There is pain and itching in the throat and tinnitus or
hypoacusis may occur.
Differentiation and Treatment of Common Syndromes
1. Internal Treatment.
1) The Type of Qi-Deficiency of both the Lung and the Spleen
Main symptoms and Signs: The nasal obstruction is relieved in
the morning and aggravated at night and becomes severer is
exposed to cold. When the patient lies in lateral recumbent
position, it is less severe in the upper part than in the lower
one, or becomes alternate. The inferior nasal concha swells and
has slight congestion. The conchae may contract if
vasoconstrictor is used. There may be accompanying cough with
thin sputum, short breath and asthenia. The tongue is light red,
and its fur is white and the pulse moderate.
Therapeutic Principle: strengthening the spleen, warming the
lung, removing cold and clearing away the obstruction from the
upper orifices.
Recipe: Pill for Warming the Lung to Stop Running Nose with
additional ingredients
ginseng,
schizonepeta,
chebula fruit,
platycodon root,
eardust of yellow croaker,
dahurian angelica root,
asarum herb,
licorice root,
astragalus root.
All the above herbs are to be decocted in water for oral
administration.
2) The Type of Stagnation of Qi and Blood Stasis
Main Symptoms and Signs: The patient has continuous nasal
obstruction and hyposmia. The inferior nasal concha is
hypertrophic and dark red or like moruloid and insensitive to
vasoconstrictor. There and accompanying symptoms such as
dizzying, a feeling of fullness in the ear and hypoacusis. The
tongue is red or has petechiae on it. The pulse is taut and
uneven.
Therapeutic Principle: Promoting blood circulation to remove
blood stasis and resolving masses to clear away obstruction from
the upper orifices.
Recipe: Peach Kernel and Safflower Decoction of Four
Ingredients, compounded with Xanthium Powder
peach kernel,
safflower,
dried rehmannia root,
xanthium,
peppermint,
magnolia flower,
Chinese angelica root,
red peony root,
ligusticum
rhizome,
dahurian angelica root.
All the above herbs are to be decocted in water for oral
administration.
For those with severe nasal obstruction, add 9 grams of Chinese
honeylocust spine and 9 grams of pangolin scale. For those with
headache, add 9 grams of ligusticum root and 9 grams of
chastetree fruit. For those who have severe blood stasis, add 9
grams of burreed tuber and 9 grams of zedoary. For those who
have short breath and asthenia, add 15 grams of codonopsis root,
9 grams of white atractylodes rhizome and 9 grams of amomun
fruit.
2. External Treatment
1) Use Effectual Nose Drops for nasal drip. This should be done
three times a day.
2) Blow Powder of Eardust of Yellow Croaker into the nasal
cavity. Its ingredients are:
cardust of yellow croaker,
borneol,
magnolia flower,
asarum herb.
All the above ingredients are to be pounded into powder and
blown into the nose three times a day.
3) Massage the nasal part. Knead with two thumbs to and fro
along the back of the nose until a sensation of enough heat is
produced. Do this twice a day.
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