Clinical Manifestations
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- Ciliated columnar epithelium of the nasal mucosa is replaced by stratified squamous epithelium.
- Atrophy of mucosa, turbinal bones, seromucinous glands
- Most commonly seen in females
- Tends to appear during puberty
- Can occur as early as 12 months of age
- The nasal cavities become roomy and are filled with foul smelling crusts which are black or dark green and dry
- Expiration painful and difficult
- Foul smell from the nose
- Nerve elements (responsible for the perception of smell) have become atrophied
- Patients usually complain of nasal obstruction despite the roomy nasal cavity
- Epistaxis may occur when the dried discharge (crusts) are removed
- Septal perforation of the nasal vestibule can occur
- Dermatitis of the nasal vestibule can occur
- Nose may show a saddle nose deformity
- Atrophic rhinitis is also associated with similar atrophic changes in pharynx and the larynx producing symptoms pertaining to these structures
- Hearing impairment can occur due to eustachian tube blockage causing middle ear effusion
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Treatment Principle |
- Generate Fluids
- Moisten Dryness
- Nourish Yin
- Clear Heat
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Herb Formulas |
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Points |
- UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7, GB-20
For severe sinus congestion: UB-2
For sore throat: PC-6, ST-9
Points to nourish Lung Yin: UB-13, UB-17, UB-43, LU-1, LU-9, LU-7 + KI-6, LU-6, LU-5, LU-10, ST-36
Points to reinforce Kidney Yin and Subdue Yin Deficiency Fire: KI-3, KI-6, UB-23
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