2. Etiology & PathologyEtiology & Pathology
1. The door of breathing, also the gate of evil invasion
2. In charge of smelling
3. Relationship with 5 organs
<1> lung open on the nose
<2> Liver fire & wind rebellian attacking nose ( nose bleeding)
4. Relationship with meridians
Hand Yang Ming Large Intestine meridian stops by the sides of
nosewing
Foot Yang Ming Stomach meridian starts by the sides of
nosewing
Du Meridian
Hand Tai Yang Small Intestine nasion 鼻根 ( Jing Ming )
Foot Tai Yang UB Meridian
3. Cold Blocked nose
• Etiology & PathologyEtiology & Pathology
– Wind-cold or wind-heat attackingWind-cold or wind-heat attacking
• Wind-cold typeWind-cold type
Sym: severe blocked nose, with sneezing, watery nose water,Sym: severe blocked nose, with sneezing, watery nose water,
Concurrent sym: aversion to wind or cold, fever, headache, no thirsty
Tongue: thin whte coating Pulse: floating & tightTongue: thin whte coating Pulse: floating & tight
Treatment principle: Expel wind-cold, open the noseTreatment principle: Expel wind-cold, open the nose
FormulaFormula
Tong Qiao Tang ( Fang Feng 12, Qiang Huo12, Bai Zhi 12, Gao Ben 12,Tong Qiao Tang ( Fang Feng 12, Qiang Huo12, Bai Zhi 12, Gao Ben 12,
Shen Ma 15, Ge gen 30, Cang Er Zi 10, Ma Huang 6, Gan Cao 6Shen Ma 15, Ge gen 30, Cang Er Zi 10, Ma Huang 6, Gan Cao 6
Jiu Wei Qiang Huo TangJiu Wei Qiang Huo Tang
Fang Feng tong Shen SanFang Feng tong Shen San
• Wind-Heat Type:Wind-Heat Type:
Sym: sneezing with itching nose, heat breathing, fever, aversion to wind,Sym: sneezing with itching nose, heat breathing, fever, aversion to wind,
sore throat, cough, sticky phlegm, thirstysore throat, cough, sticky phlegm, thirsty
tongue: red body with yellow coating Pulse: floating & rapidtongue: red body with yellow coating Pulse: floating & rapid
Treatment: expel wind-heat & open the noseTreatment: expel wind-heat & open the nose
Yin Qiao San:Yin Qiao San:
4. Acute and Chronic sinusitis
鼻渊 Bi Yuan
• Diagnosis pointsDiagnosis points
– Severe blocked nose with discolored nasal mucusSevere blocked nose with discolored nasal mucus
– Frequent headachesFrequent headaches
– Reduced sense smellReduced sense smell
– Cold symptomsCold symptoms
• Etiology & PathologyEtiology & Pathology
– Lung: wind-heat attacking lung;Lung: wind-heat attacking lung;
heat accumulation & attacking nose;heat accumulation & attacking nose;
– GB. GB. heatGB. GB. heat
– Spleen: damp-heatSpleen: damp-heat
5. • 1. Lung heat accmulation (Acute Type )1. Lung heat accmulation (Acute Type )
Main Sym:Main Sym: blocked nose with lots discolored nasalblocked nose with lots discolored nasal
mucus, red swollen septummucus, red swollen septum
Concurrent sym: reduced sense smell, fever, aversion to
wind or cold, frequent headache, cough, dry mouth with desire
to drink.
Tongue:Tongue: red body with thin yellow coatingred body with thin yellow coating
Pulse:Pulse: floating & rapid or slipperyfloating & rapid or slippery
Treatment principle:Treatment principle: Clear lung heat & open the noseClear lung heat & open the nose
FormulaFormula
Yin Qiao San + Xin Yi Hua, Bai Zhi, Huang QinYin Qiao San + Xin Yi Hua, Bai Zhi, Huang Qin
--Yellow nasal mucus: Dong Gua Ren 15, Yu Xing--Yellow nasal mucus: Dong Gua Ren 15, Yu Xing
Cao 15, Di Fu Zi 15Cao 15, Di Fu Zi 15
-- Cough & lots phlegm: Xing Ren 12, Qian Hu 12,-- Cough & lots phlegm: Xing Ren 12, Qian Hu 12,
Quan Gua Lou 12, Bei Mu 12Quan Gua Lou 12, Bei Mu 12
6. • 2. GB damp-heat accmulation: ( Acute type)2. GB damp-heat accmulation: ( Acute type)
Main SymMain Sym: yellow greasy nasal mucus, lots quantity &: yellow greasy nasal mucus, lots quantity &
reduced sense smell,reduced sense smell, red swollen septumred swollen septum
Concurrent symConcurrent sym: severe headache, fever, swimming,: severe headache, fever, swimming,
tinnitus or deaf, bad sleeping with lots dream, easy to losetinnitus or deaf, bad sleeping with lots dream, easy to lose
temper,temper,
tonguetongue: red body with yellow coating: red body with yellow coating
Pulse:Pulse: wiry & rapidwiry & rapid
Treatment:Treatment: clear GB damp-heat, open the noseclear GB damp-heat, open the nose
Formular:Formular: Long Dan Xie Gan TangLong Dan Xie Gan Tang
-- headache: Gao Ben; Bai Zhi; Man Jing Zi; Ge Gen;-- headache: Gao Ben; Bai Zhi; Man Jing Zi; Ge Gen;
-- Heat excess: Long Dan Cao; Shui Niu Jiao;-- Heat excess: Long Dan Cao; Shui Niu Jiao;
-- Constipation: Da Huang-- Constipation: Da Huang
7. • 3. Lu Qi def cold: ( deficient type)3. Lu Qi def cold: ( deficient type)
Main SymMain Sym: white sticky nasal mucus, reduced sense: white sticky nasal mucus, reduced sense
smell, lightlysmell, lightly red swollen septum, blocked nose & worsered swollen septum, blocked nose & worse
in cold.in cold.
Concurrent symConcurrent sym: aversion to cold, short of breath,: aversion to cold, short of breath,
cough with thin white sputumcough with thin white sputum
tonguetongue: thin white coating: thin white coating
PulsePulse: slow & weak: slow & weak
Treatment: warm the lung & disperse the wind coldTreatment: warm the lung & disperse the wind cold
Formular:Formular: Weng Fei Zhi Liu Dan plusWeng Fei Zhi Liu Dan plus
Dang Shen 12, Bai Shao 10, Fang Fen 10, KeDang Shen 12, Bai Shao 10, Fang Fen 10, Ke
Zi 10, Xin Yi Hua 10, Jin Jie 10, Jie Gen 10, Xi Xin 3Zi 10, Xin Yi Hua 10, Jin Jie 10, Jie Gen 10, Xi Xin 3
-- headache: Gao Ben; Chuan Xiong-- headache: Gao Ben; Chuan Xiong
-- Qi Def.: Huang Qi;-- Qi Def.: Huang Qi;
8. • 4. Spleen & Stomach damp-heat accmulation:4. Spleen & Stomach damp-heat accmulation:
Main SymMain Sym: yellow nasal mucus, lots quantity &: yellow nasal mucus, lots quantity &
blocked nose & reduced sense smell,blocked nose & reduced sense smell, red swollen septumred swollen septum
Concurrent symConcurrent sym: heavy head & dizziness, severe: heavy head & dizziness, severe
headache, tired body, bad appetite, abdominal distension,headache, tired body, bad appetite, abdominal distension,
deep color urine,deep color urine,
tongue:tongue: red body with yellow greasy coatingred body with yellow greasy coating
Pulse:Pulse: slippery & rapidslippery & rapid
Treatment:Treatment: expel damp-heat, open the noseexpel damp-heat, open the nose
Formular:Formular: Gan Lu Xiao Du Dan plusGan Lu Xiao Du Dan plus
Huang Qin 15, Hua Shi 15, Mu Tong 15, FuHuang Qin 15, Hua Shi 15, Mu Tong 15, Fu
Ling 15, Ju Hua 12, Xin Yi Hua 10, Bai Zhi 10, Yu Xin CaoLing 15, Ju Hua 12, Xin Yi Hua 10, Bai Zhi 10, Yu Xin Cao
20, Gan Cao 6,20, Gan Cao 6,
-- yellow mucus: Dong Gua Ren 15, Gua Lou Ren 15,-- yellow mucus: Dong Gua Ren 15, Gua Lou Ren 15,
Di Fu Zi 10, Ma Bo 10, Zao Jiao Ci 10;Di Fu Zi 10, Ma Bo 10, Zao Jiao Ci 10;
-- tinnitus & deaf: Shi Chang Pu; Huo Xiang; Pei Lan;-- tinnitus & deaf: Shi Chang Pu; Huo Xiang; Pei Lan;
9. Nose Bleeds (Bi Niu)
• Diagnosis pointsDiagnosis points
– Bleeding from noseBleeding from nose
– Vomiting bloodVomiting blood
• Etiology & PathologyEtiology & Pathology
– Lung, St & Liver excess fireLung, St & Liver excess fire
– Liver & Kidney Yin def. fireLiver & Kidney Yin def. fire
10. • 1. Lung heat excess1. Lung heat excess
Main Sym:Main Sym: dripping nose bleeding, flesh color, drydripping nose bleeding, flesh color, dry
nasal cavitynasal cavity
Concurrent sym: cough with less sputum, dry mouth &
fever
Tongue:Tongue: red tip body with thin white dry coatingred tip body with thin white dry coating
Pulse:Pulse: floating & rapidfloating & rapid
Treatment principle:Treatment principle: Clear heat & cool blood & stopClear heat & cool blood & stop
bleedingbleeding
Formula : Sang Ju Yin plusFormula : Sang Ju Yin plus
Sang Ye 12, Ju Hua 12, Lian Qiao 12, Huang Qin 12,Sang Ye 12, Ju Hua 12, Lian Qiao 12, Huang Qin 12,
Jie Gen 12, Dan Pi 15, Bai Mao Gen 15, Lu Gen 15, Zhi ZiJie Gen 12, Dan Pi 15, Bai Mao Gen 15, Lu Gen 15, Zhi Zi
Tan 10, Gan Cao 6Tan 10, Gan Cao 6
--cough with thick sputum: Gua Lou Ren 15, Zhe Bei--cough with thick sputum: Gua Lou Ren 15, Zhe Bei
Mu 15, Gua Lou Pi 15Mu 15, Gua Lou Pi 15
11. • 2. Stomach heat excess2. Stomach heat excess
Main Sym:Main Sym: nose bleeding, lots quantity, flesh deep rednose bleeding, lots quantity, flesh deep red
color, dry nasal cavitycolor, dry nasal cavity
Concurrent sym: dry mouth, bad smell, irritability & thirsty, dry
stools, short deep color urine
Tongue:Tongue: red body with dry thick yellow coatingred body with dry thick yellow coating
Pulse:Pulse: big & rapidbig & rapid
Treatment principle: Clear st. heat, Cool blood & stopTreatment principle: Clear st. heat, Cool blood & stop
bleedingbleeding
Formula : Xi Jiao Di Huang Tang plusFormula : Xi Jiao Di Huang Tang plus
Shen Di 15, Chi Shao 15, Mu Dan Pi 15, Zhi Mu 15, Shi GaoShen Di 15, Chi Shao 15, Mu Dan Pi 15, Zhi Mu 15, Shi Gao
30, Shui Niu Jiao 60, Gan Cao 630, Shui Niu Jiao 60, Gan Cao 6
--Cool blood & stop bleeding: Bai Mao Gen 15, Ce Bai Ye--Cool blood & stop bleeding: Bai Mao Gen 15, Ce Bai Ye
15, Han Lian Cao 1515, Han Lian Cao 15
-- Constipation: Da Huang 10, Gua Lou Ren 15-- Constipation: Da Huang 10, Gua Lou Ren 15
Niu Huang Jie Du PianNiu Huang Jie Du Pian
12. • 3. Liver fire goes up3. Liver fire goes up
Main Sym:Main Sym: large quantity nose bleeding, deep red colorlarge quantity nose bleeding, deep red color
Concurrent sym: headache, dizziness, dry throat, bitter taste,
distention in the chest, red face & eyes, easy to lose temper
Tongue:Tongue: red body with yellow coatingred body with yellow coating
Pulse:Pulse: wiry & rapidwiry & rapid
Treatment principle:Treatment principle: Clear liver fire, cool blood & stopClear liver fire, cool blood & stop
bleedingbleeding
Formula : Long Dan Xie Gan Tang PlusFormula : Long Dan Xie Gan Tang Plus
Long Dan Cao 15, Zhi Zi 15, Huang Qin 15, Sheng Di 15, ChiLong Dan Cao 15, Zhi Zi 15, Huang Qin 15, Sheng Di 15, Chi
Shao 15, Chai Hu 10, Che Qian Zi 10, Shui Niu Jiao 60.Shao 15, Chai Hu 10, Che Qian Zi 10, Shui Niu Jiao 60.
--Stop Bleeding: Bai Mao Gen15, Xian He Cao 15,--Stop Bleeding: Bai Mao Gen15, Xian He Cao 15,
-- Dry Mouth: Mai Dong 15, Xuan Shen 15, Zhi Mu 15, Ge-- Dry Mouth: Mai Dong 15, Xuan Shen 15, Zhi Mu 15, Ge
Gen 30Gen 30
13. • 4. Liver & Kidney Yin def.4. Liver & Kidney Yin def.
Main Sym: nose bleeding repeatedly occurred, smallMain Sym: nose bleeding repeatedly occurred, small
quantityquantity
Concurrent sym: dizziness, blurred vision, tinnitus, palpitation,
insomnia,
Tongue:Tongue: red body with less coatingred body with less coating
Pulse:Pulse: fine & rapidfine & rapid
Treatment principle: Nourish Liver & kidney, cool blood &Treatment principle: Nourish Liver & kidney, cool blood &
stop bleedingstop bleeding
Formula : Zhi Bai Di Huang Tang plusFormula : Zhi Bai Di Huang Tang plus
Zhi Mu 12, Huang Bai 12, Mu Dan Pi 15, Ze Xie 15, Shan ZhuZhi Mu 12, Huang Bai 12, Mu Dan Pi 15, Ze Xie 15, Shan Zhu
Yu 12, Sheng Di 15, Han Lian Cao 15, Ou Jie 15, E Jiao 10Yu 12, Sheng Di 15, Han Lian Cao 15, Ou Jie 15, E Jiao 10
14. • 5. Spleen fail its function to control the blood.5. Spleen fail its function to control the blood.
Main Sym: slow nose bleeds, light red colorMain Sym: slow nose bleeds, light red color
Concurrent sym: yellow face color, no appetite, feel tired to talk,
Tongue: thin white coatingTongue: thin white coating
Pulse:Pulse: slow & weakslow & weak
Treatment principle: Nourish spleen Qi, control blood &Treatment principle: Nourish spleen Qi, control blood &
stop bleedingstop bleeding
Formula : Gui Pi WanFormula : Gui Pi Wan
Dang Shen 15, Huang Qi 15, Fu Ling 15, Dang Gui 10, BaiDang Shen 15, Huang Qi 15, Fu Ling 15, Dang Gui 10, Bai
Zhu 10, Yuan Zhi 10, Ai Ye 10, E Jiao 10, Ce Bai Ye 12, Di Yu TanZhu 10, Yuan Zhi 10, Ai Ye 10, E Jiao 10, Ce Bai Ye 12, Di Yu Tan
12, Zhi Gan Cao 612, Zhi Gan Cao 6
15. Allergic Rhinitis ( Hay fever )
• An inflammation of the nasal
passages, usually associated
with watery nasal discharge
and itching of the nose and
eyes.
16. Allergic Rhinitis
• Diagnosis pointsDiagnosis points
– Acute onset itching nose, sneeze, lots thin whiteAcute onset itching nose, sneeze, lots thin white
nasal mucus, blocked nose, repeatedly occurred,nasal mucus, blocked nose, repeatedly occurred,
long time ill historylong time ill history
– Defierent with wind-cold type blocked noseDefierent with wind-cold type blocked nose
• Etiology & PathologyEtiology & Pathology
– Liver, Spleen & Kidney def. but more related withLiver, Spleen & Kidney def. but more related with
lunglung
17. • 1. Lung Qi def. cold1. Lung Qi def. cold
Main Sym:Main Sym: extremely itchy nose, sneeze, blocked nose,extremely itchy nose, sneeze, blocked nose,
reduced sense smellreduced sense smell
Concurrent sym: aversion to wind in usual, short of breath,
being quiet, lower voice, spontaneous sweating, white face color
Tongue:Tongue: lightly red with thin white coatinglightly red with thin white coating
Pulse:Pulse: weakweak
Treatment principle:Treatment principle: warm the lung, expel wind-coldwarm the lung, expel wind-cold
Formula : Wen Fei Zhi Liu DanFormula : Wen Fei Zhi Liu Dan
Dang shen 15, Huang Qi 15, Bai Zhu 10, Fang Fen 10, Xin YiDang shen 15, Huang Qi 15, Bai Zhu 10, Fang Fen 10, Xin Yi
Hua 10, Cang er Zi 10, Xi xin 3, Gan Cao 6Hua 10, Cang er Zi 10, Xi xin 3, Gan Cao 6
-- sweating with shoulder pain: Gui Zhi 8, Ge Gen 30-- sweating with shoulder pain: Gui Zhi 8, Ge Gen 30
-- cough thin white sputum: Ban Xia 12, Zhi Ma Huang 10,-- cough thin white sputum: Ban Xia 12, Zhi Ma Huang 10,
Xin Ren 20Xin Ren 20
Tuo Ming TangTuo Ming Tang
Zi Cao 10, Qian Cao 10, Xu Chang Qin 10, Han LianZi Cao 10, Qian Cao 10, Xu Chang Qin 10, Han Lian
18. • 2. Lung & Spleen Qi def.2. Lung & Spleen Qi def.
Main Sym:Main Sym: severe blocked nose with lots of thin whitesevere blocked nose with lots of thin white
nasal mucus, reduced sense of smellnasal mucus, reduced sense of smell
Concurrent sym: long time illness, repeatedly occurred, heavy
head, tireness & weakness. Short of breath, aversion to cold, bad
appetite, loose stools
Tongue:Tongue: big tongue with teeth mark on sides, white coatingbig tongue with teeth mark on sides, white coating
Pulse:Pulse: soft & weaksoft & weak
Treatment principle: tonify Lung & spleen qiTreatment principle: tonify Lung & spleen qi
Formula : Bu Zhong Yi Qi Tang plusFormula : Bu Zhong Yi Qi Tang plus
Dang Shen 15, Huang Qi 15, Fu Ling 15, Bai Zhu 10, ShenDang Shen 15, Huang Qi 15, Fu Ling 15, Bai Zhu 10, Shen
Ma 10, Chai Hu 10, Zhi Gan Cao 6, Chen Pi 6, Yi Ni Ren 30, WuMa 10, Chai Hu 10, Zhi Gan Cao 6, Chen Pi 6, Yi Ni Ren 30, Wu
Wei Zi 12Wei Zi 12
-- sneeze: Chan Tui 6, Di Long 6-- sneeze: Chan Tui 6, Di Long 6
-- continuely thin white nasal mucus with sweating: Fu Xiao-- continuely thin white nasal mucus with sweating: Fu Xiao
Mai 30, Ru Dao Gen 30Mai 30, Ru Dao Gen 30
19. • 3. Kidney Yang def.3. Kidney Yang def.
Main SymMain Sym: itchy nose, sneeze, thin white nasal mucus: itchy nose, sneeze, thin white nasal mucus
Concurrent sym: long time illness, repeatedly occurred, cold
limbs, pale face color, sore lower back & knees, night urine
Tongue:Tongue: thin white coatingthin white coating
Pulse:Pulse: deep, fine & weakdeep, fine & weak
Treatment principle: Warm kidney Yang, tonify Qi to defentTreatment principle: Warm kidney Yang, tonify Qi to defent
bodybody
Formula : Sheng Qi Wan plusFormula : Sheng Qi Wan plus
Shu Di 15, Lu Jiao Shuang 15, Shan Yao 15, Zhi Fu Zi 10,Shu Di 15, Lu Jiao Shuang 15, Shan Yao 15, Zhi Fu Zi 10,
Shan Yu rou 12, Zhi Gan Cao 6, Rou Gui 3,Shan Yu rou 12, Zhi Gan Cao 6, Rou Gui 3,
-- sneeze: Xi xin 3, Wu Zhu Yu 10-- sneeze: Xi xin 3, Wu Zhu Yu 10
-- wheezing: Ge Jie 10, Zhi Ma Huang 6, He Tao Rou 10-- wheezing: Ge Jie 10, Zhi Ma Huang 6, He Tao Rou 10
20. • 4. Lung Heat accmulation4. Lung Heat accmulation
Main SymMain Sym: distension of nose, blocked nose with itching,: distension of nose, blocked nose with itching,
continuely sneeze with thin white mucuscontinuely sneeze with thin white mucus
Concurrent sym: cough, itching throat, dry mouth, irritability
Tongue:Tongue: red body with white coatingred body with white coating
Pulse:Pulse: wiry or slipperywiry or slippery
Treatment principle: Clear away lung heatTreatment principle: Clear away lung heat
Formula : Xin Yi Qing Fei YinFormula : Xin Yi Qing Fei Yin
Huang qin 12, Zhi Mu 12, Sang Bai Pi 12, Zhi Zi 12, ShengHuang qin 12, Zhi Mu 12, Sang Bai Pi 12, Zhi Zi 12, Sheng
Ma 15, Mai Dong 15, Bai He 15, Xin Yi Hua 10, Di Long 10Ma 15, Mai Dong 15, Bai He 15, Xin Yi Hua 10, Di Long 10
-- sneeze: Chan Tui 10, Jiang Chan 10, Wu Mei 12-- sneeze: Chan Tui 10, Jiang Chan 10, Wu Mei 12
-- headache: Man Jing Zi 10, Bai Ji Li 15-- headache: Man Jing Zi 10, Bai Ji Li 15
21. Nasal polyp
Bi Xi Rou ( 鼻息肉)
• What are nasal polyps?
The 'paranasal sinuses' are the air cavities within the skull
that open into the nose. If the soft tissue lining of the
sinuses becomes swollen, it fills the available space and
can then expand into the nose forming a growth called a
polyp. As there are a number of small sinuses between the
eye and the nose, when polyps do occur, there will usually
be several of them.
22. • 1. Damp-heat accmulation1. Damp-heat accmulation
Main Sym:Main Sym: continued block nose with thick nasal mucuscontinued block nose with thick nasal mucus
Concurrent sym: dizziness & headache
Tongue:Tongue: red with white or white greasy coatingred with white or white greasy coating
Pulse:Pulse: wiry & slipperywiry & slippery
Treatment principle: disperse Lung Qi, expel damp heatTreatment principle: disperse Lung Qi, expel damp heat
Formula : Xin Yi Qing Fei Yin PlusFormula : Xin Yi Qing Fei Yin Plus
Huang Qin 12, Zhi Zi 12, Xin Yi Hua 10, Sheng Ma 15, Pi PaHuang Qin 12, Zhi Zi 12, Xin Yi Hua 10, Sheng Ma 15, Pi Pa
Ye 12, Zhi Mu 12, Bei Mu 12, Gan Cao 6Ye 12, Zhi Mu 12, Bei Mu 12, Gan Cao 6
-- lots mucus or sputum: Gua Lou Ren 12, Dong Gua Ren-- lots mucus or sputum: Gua Lou Ren 12, Dong Gua Ren
12, Yu Xing Cao 1512, Yu Xing Cao 15
-- heavy head: Bai Zhi 12, Man Jing Zi 10, Ban Xia-- heavy head: Bai Zhi 12, Man Jing Zi 10, Ban Xia
-- dark deep red nasal proply: Tao Ren 10, Chi Shao 10-- dark deep red nasal proply: Tao Ren 10, Chi Shao 10
Steaming formula: Dang Gui 10, Chuan Xiong 10, Xiang Fu 10,Steaming formula: Dang Gui 10, Chuan Xiong 10, Xiang Fu 10,
Xi Xin 6, Xin Yin Hua 6, Jin Jie 10Xi Xin 6, Xin Yin Hua 6, Jin Jie 10
23. Brandy nose
Rosacea ( 酒渣鼻)
brandy nose
• Chronic inflammatory disorders usually characterized by papules,
erythema and pustules forming primarily on and around the nose
but also on the cheeks and possibly the forehead. Most
commonly found on middle aged women.
24. –TCM - Rosacea is typically caused by hyperactive Yang Heat relating with
stress, diet and local infections
3 stages:
– 1-red local area, slightly enlarged vessels upon close observation
–2-red eruptions appear, possible pusy eruptions, itchy, hot, slightly purple,
enlarged pores
–3-thick red skin with bee hive like pores, purple skin
25. • 1. Blood heat due to alcohol toxin1. Blood heat due to alcohol toxin
Main Sym:Main Sym: Red color, greasy shiny nose skin. Coarse &Red color, greasy shiny nose skin. Coarse &
hyperplasia skin like orange peel.hyperplasia skin like orange peel.
Concurrent sym:
Tongue:Tongue: purple deep color with thick coatingpurple deep color with thick coating
Pulse:Pulse: sink & Hesitantsink & Hesitant
Treatment principle: Clear heat, cool blood, resolves toxinTreatment principle: Clear heat, cool blood, resolves toxin
& move the blood stasis& move the blood stasis
Formula : Huang Qin Qin Fei YinFormula : Huang Qin Qin Fei Yin 黄芩清肺饮黄芩清肺饮
Huang Qin 15Huang Qin 15 ,, Sheng Di 15, Dang Gui 15, Tian Hua FenSheng Di 15, Dang Gui 15, Tian Hua Fen
15, Fang Fen 9, Ge Gen 9, Chi Shao 15, Chuan Xiong 9, Tao Ren15, Fang Fen 9, Ge Gen 9, Chi Shao 15, Chuan Xiong 9, Tao Ren
9, Hong Hua 9, Mu Dan Pi 15, Xia Ku Cao 159, Hong Hua 9, Mu Dan Pi 15, Xia Ku Cao 15
26. • 1. Damp-heat accmulate in the spleen1. Damp-heat accmulate in the spleen
Main Sym: BrightMain Sym: Bright Red color, worse in windy days. ClearRed color, worse in windy days. Clear
vessels on the skin. Thick skin.vessels on the skin. Thick skin.
Concurrent sym: greasy mouth taste, oppressed feeling in the
chest
Tongue:Tongue: thick greasy coatingthick greasy coating
Pulse:Pulse: slippery pulseslippery pulse
Treatment principle: clear damp-heat in the spleen, moveTreatment principle: clear damp-heat in the spleen, move
blood stasisblood stasis
Formula : Liang Xue Si Wu TangFormula : Liang Xue Si Wu Tang 凉血四物汤凉血四物汤
DangGui 15, Sheng Di Huang 15, Chi Shao 15, Chuan XiongDangGui 15, Sheng Di Huang 15, Chi Shao 15, Chuan Xiong
9, Huang Qin 15, Chen Pi 9, Fu Ling 15, Hong Hua 9, Sheng Shi9, Huang Qin 15, Chen Pi 9, Fu Ling 15, Hong Hua 9, Sheng Shi
Gao 30, Yi Yi Ren 30, Zhi Shi 15, Xia Ku Cao 15Gao 30, Yi Yi Ren 30, Zhi Shi 15, Xia Ku Cao 15
鼻衄即鼻出血,是多种疾病的常见症状,本节只讨论内因引起的鼻衄;出血严重者又称鼻洪。鼻衄甚者,口鼻皆出血,称为鼻大衄、脑衄,若鼻衄经久不愈,称为鼻 久衄。导致鼻衄的原因很多,可发生于多种疾病(如伤寒、时气、热病、温病、虚劳等)、不同性别、不同年龄、不同时间和不同季节。轻者仅涕中带血丝,严重者 可危及生命
Nose Bleeds
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Nose bleeds are often the result of common events, usually trauma, but nose bleeds can be a warning of other problems. Nose bleeds are caused by a small blood vessel rupturing. There are two main types of nose bleed, upper and lower septum nose bleeds.
Lower nose bleedsMost nose bleeds occur within the lower end of the nose in the lower septum. The septum is the semi-rigid wall separating the two channels of the nose that contain blood vessels. These blood vessels lie close to the surface, making them susceptible to injury. Lower nose bleeds do not usually require medical attention unless the bleeding cannot be stopped or it happens in the very young.
Causes of lower end nose bleedsThe most common cause of nose bleeds is trauma. A blow, smack, or sometimes just picking the nose. Dryness inside of the nose can also cause bleeding. High altitudes, colds, allergies and medications are all responsible for nose bleeds.
Treatment of lower end nose bleeds Sit up straight and pinch the nostrils together firmly for 10 minutes.You can place a cold compress or an ice pack across the bridge of your nose.Vaseline can be used if the cause of the nose bleed is dryness.When the bleeding stops do not jump up and down, take things easy, do not blow your nose or it will dislodge the clot and will probably start your nose bleed again.
If a nose bleed does not stop after 10 to 20 minutes of direct pressure.
More urgent medical attention is required if;
the blood loss is heavyif you get nose bleeds oftenif the injury/trauma is severeThe person is an infant or child, or if the person is already sick or elderly.If you are at all worried about the nose bleed seek further medical advice.Upper septum nose bleedsUpper septum nose bleeds are much more rare. Bleeding begins high within the nose and blood flows down the back of the mouth and throat even when the person is sitting up or standing. These nose bleeds can be very serious and do require urgent medical attention.
Causes of upper septum nose bleeds
High blood pressureDisease of the arteries such as atherosclerosisSide effects of medications and drugs such as aspirin, cocaineBleeding disordersNasal tumors, cancerous and non-cancerousSerious trauma such as a displaced broken nose from car crashes, falls etcLeukemiaOsler-Weber-Rendu syndrome, a hereditary disease where a growth like a birth mark is located in the nose.InfectionNose bleeds can occur for no apparent reason.Treatment of upper septum nose bleedsTreatment is initially the same as for lower end nose bleeds. Your doctor may have pack the nose with gauze or an inflatable latex balloon if the bleeding does not stop. Cauterization of the bleeding blood vessel may be required. This involves an electrical or heated device to burn the ruptured blood vessel to stop the bleeding. The doctor uses a local anaesthetic before he or she begins this procedure.
Description of Allergic Rhinitis
Allergic rhinitis affects about 20 percent of the American population and ranks as one of the most common illnesses in the U.S. The symptoms occur in the nose and eyes and usually occur after exposure to dust, danders, or certain seasonal pollens in people that are allergic to these substances.
Two-thirds of all patients have symptoms of allergic rhinitis before the age of 30, but onset can occur at any age. Allergic rhinitis has no sexual predilection, although boys up to the age of 10 are twice as likely to have symptoms as girls.
There is strong genetic predisposition to allergic rhinitis. One parent with a history of allergic rhinitis has about a 30 percent chance of producing offspring with the disorder; the risk increases to 50 percent if both parents have a history of allergies.
Patients can be severely restricted in their daily activities, resulting in excessive time away from school or work. Millions of dollars are spent each year on physician services and medication for treatment of this chronic illness.
What is rosacea?
Rosacea is a chronic inflammation of the skin on the face, which affects men and women between the ages of 30 and 50. Its exact cause is unknown, but many patients who present with it often have a history of reddened skin and acne or pimples. It is more common among fair-skinned people of Northern European ethnic backgrounds than among Asians and Africans.
What are the symptoms?
Rosacea usually occurs over the middle of the face. It gives rise to a flushed appearance across the middle of the face, which may even extend to the lower forehead and chin.
&apos;Rosacea causes a flushed appearance across the middle of the face&apos;.
Other symptoms include:
inflamed acne-like bumps on the face. Despite the fact that they may look unsightly these bumps are usually superficial, although they can be deep and painful in a minority of patients.
swelling of the skin on the cheeks and nose. This is caused either by a thickening of the oil glands under the surface of the skin or by swelling of the tiny blood vessels on the face.
How is it diagnosed?
The condition is diagnosed by simple inspection of the skin. Blood tests may sometimes be taken to determine if any underlying condition may be present.
How is it treated?
Rosacea can be treated in a number of different ways. Some patients may benefit from steroid or sulphur-based creams, which can be applied directly to the skin. Others may need oral antibiotics. Laser treatment is sometimes used if the cosmetic effects of the condition are particularly noticeable.
Can it be avoided?
Rosacea cannot be prevented. However, there are known to be certain trigger factors, which may make the condition worse. These should be avoided as much as possible.
They include:
exposure to strong heat and sunlight.
hot spicy foods.
alcohol.
anxiety and stress.
Are there long-term effects?
The main long-term effect of rosacea is facial scarring. This is more common among men than women as they seem to be more prone to develop thickened tissue in the area of the nose. The scarring can lead to loss of self-esteem and self-consciousness about one&apos;s physical appearance. Laser therapy can be very helpful in such cases.
All visible signs of rosacea may clear up with medication, but the general redness of the skin, and the tendency to sudden flushing may be a permanent feature. Rosacea is not contagious and poses no risk to others.