RHINITIS

Clinical Manifestations
  • Watery nasal discharge
  • Sneezing
  • Itching eyes and nose
  • Red, swollen conjunctiva
  • Edema and vasodiation of the nasal mucus membrane
  • Sore, dry throat
  • Supraorbital and maxillary pain
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Nasal discharge
  • Sneezing
  • Itching eyes and nose
  • Red, swollen conjunctiva
  • Edema and vasodiation of the nasal mucus membrane
  • Maybe nasal obstruction
  • Nasal congestion
Treatment Principle
  • Release the exterior
Herb Formulas
Points
Clinical Manifestations
  • Watery nasal discharge
  • Sneezing
  • Itching eyes and nose
  • Irritated, watery eyes
  • Pale, baggy mucus membranes
  • Red, swollen conjunctiva
  • Edema and vasodiation of the nasal mucus membrane
  • Reduction or loss of the sense of smell
  • Maybe nasal polyps
  • Maybe nasal obstruction
  • Severe chills
  • Mild or no fever
  • Frontal or maxillary headache
  • Generalized discomfort
  • Stiff neck and shoulders
  • Body aches
  • Joint ache
  • Nausea
  • Vomiting
  • Hiccups
  • Anhidrosis
  • Gasping
  • Stabbing joint pain
  • Itchy throat
  • Cough
  • Asthma
  • Aversion to Wind and Cold
  • Maybe low back pain
  • Maybe frozen shoulder
  • Maybe dyspnea
  • Maybe epistaxis (severe)
  • T: Normal
  • C: Thin, white
  • P: Superficial and tight
Treatment Principle
  • Relieve Exterior
  • Expel Wind-Cold
  • Warm the Lungs
  • Disperse the Lungs
  • Stop Asthma
  • Transform Phlegm-Fluids
  • Descend Lung Qi
Herb Formulas
Points
Clinical Manifestations
  • Sensation of extreme cold
  • Severe chills
  • Chills are not relieved by clothing or covers
  • Slight fever
  • Anhidrosis
  • Exhaustion
  • Almost constant desire to sleep
  • Pale face
  • Cold extremities
  • Headache
  • Cough
  • Pain penetrating to the back
  • Toothache
  • Sore throat
  • Raspy voice
  • Edema due to Wei Qi Stagnation
  • Chronic wheezing
  • T: Pale and swollen
  • C: White and slippery
  • P: Deep and weak
Treatment Principle
  • Disperse Wind-Cold
  • Replenish Yang
Herb Formulas
Points
Clinical Manifestations
  • Nasal obstruction caused by Damp-Heat
  • Stuffy nose
  • Yellow and sticky nasal discharge
  • Sneezing
  • Headache
  • Itchy nose and throat
  • Decreased sense of smell
  • Decreased energy
  • Fatigue
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Resolve toxicity
  • Unblock the nasal passages
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal, maxillary or temporal headache
  • Nasal congestion
  • Sticky yellow or green, purulent and malodorous mucus discharge from the nose
  • Inflamed or swollen nasal mucus membranes
  • Nasal voice
  • Frontal headache
  • Maxillary pain
  • Thirst
  • Fever or fever and chills (early-stage)
  • Sneezing
  • Itching eyes and nose
  • Red, swollen conjunctiva
  • Perspiration
  • Edema and vasodiation of the nasal mucus membrane
  • Inflammation of throat and/or tongue
  • Cough with sticky yellow sputum
  • Aversion to Wind and Heat
  • Thirst with desire for cold drinks
  • Red bumps around mouth and lips (herpes simplex)
  • Headache
  • Nasal obstruction
  • Sore, swollen throat
  • Dyspnea
  • Chest pain
  • Dry mouth
  • Rapid breathing
  • Maybe constipation
  • Maybe scanty urine
  • T: Red tip
  • C: Thin yellow
  • P: Floating and/or Rapid
Treatment Principle
  • Disperse Wind
  • Clear Heat
  • Open the nose
  • Clear the Lungs
Herb Formulas
Points
Clinical Manifestations
  • High fever
  • Fever with or without sweat
  • No chills
  • Aversion to Heat
  • Cough
  • Asthma
  • Nasal flaring and pain
  • Nasal congestion
  • Nasal polyps
  • Restlessness
  • Thirst
  • Dark yellow urine
  • Dyspnea
  • Chest pain
  • Shortness of breath
  • Phlegm (thick yellow)
  • T: Red
  • C: Thick yellow, maybe dry and sticky or Thin and yellow or Thin and white
  • P: Rapid, maybe slippery, maybe forceful, maybe Superficial
Treatment Principle
  • Clear Heat in Lungs
  • Strengthen when weak or elderly
Herb Formulas
Points
Clinical Manifestations
  • Transitory, recurrent episodes of paroxysmal sneezing, nasal itch with copious clear watery nasal discharge or congestion
  • The symptoms are triggered or aggravated by exposure to Wind or Cold air
  • Easily catches colds
  • Reduction or loss of sense of smell
  • Chronic nasal congestion
  • Frequent colds
  • Soft, low voice
  • Shortness of breath
  • Spontaneous sweating
  • Waxy, pale complexion
  • In atopic individuals, there may be a history or concurrent eczema or asthma
  • T: Pale
  • C: Thin white
  • P: Deficient and weak
Treatment Principle
  • Warm and tonify the Lungs
  • Expel Wind
Herb Formulas
  •  Yu Ping Feng San + Cang Er Zi San
  • Cang Er Zi San modified
  • Wen Fei Zhi Liu Dan modified
  • For a patient with pre-existing Lung Qi Deficiency who contracts a Wind-Cold: 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:
      Bu Zhong Yi Qi Wan
      Bi Min Gan Wan
    (Pe Min Kan Wan)  
      Xiang Sha Liu Jun Zi Wan
     Shen Ling Bai Zhu Wan
Points
Clinical Manifestations
  • This condition is initiated or aggravated by certain foods or wine
  • Transitory, recurrent episodes of paroxysmal sneezing, nasal itch with copious clear watery nasal discharge or congestion
  • The symptoms are triggered or aggravated by exposure to Wind or Cold air
  • Reduction or loss of sense of smell
  • Frequent colds
  • Soft, low voice
  • Shortness of breath
  • Spontaneous sweating
  • Waxy, pale complexion
  • In atopic individuals, there may be a history or concurrent eczema or asthma
  • Nasal obstruction
  • Stuffy nose
  • Thick, sticky, yellow nasal discharge
  • Decreased sense of smell
  • T: Red
  • C: Yellow or white
  • P: Rapid
Treatment Principle
  • Dispel Lung Heat
  • Disseminates Lung Qi
  • Unblocks the nose
Herb Formulas
Points
Clinical Manifestations
  • Copious sticky, continuous yellow or green nasal discharge or
  • Severe, continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal headache
  • Inflamed and swollen mucus membranes
  • Vertigo
  • Dizziness
  • Heavy woolly-headedness
  • heaviness and aches in the body
  • Lethargy
  • Fatigue
  • Epigastric and abdominal distention
  • Anorexia
  • Loose or sluggish stools
  • T: Red
  • C: Greasy and yellow
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear and transform Phlegm Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Recurrent episodes of relatively severe nasal congestion or
  • Persistent runny nose with thin watery or sticky white sputum
  • Nasal mucosa swollen and pale or ashen
  • Nasal polyps
  • Children may have upturned noses from frequent wiping upwards with the palm of the hand
  • Nasal itch
  • Sneezing
  • Reduction or loss of sense of smell
  • Fullness and heaviness in the head
  • Wooly headaches
  • Fatigue
  • Listlessness
  • Aversion to Cold
  • Tired limbs
  • Poor appetite
  • Picky eater
  • Loose stools or diarrhea
  • T: pale or Pale and swollen with tooth marks
  • C: White
  • P: Soft and weak
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Tonify the Lungs to consolidate Qi
Herb Formulas
Points
Clinical Manifestations
  • Relates closely to diet
  • Chronic, copious and persistent sticky nasal discharge or
  • Nasal congestion which is relatively severe
  • The congestion is worse at night and when lying down and better during the day when active
  • Discharge of frothy yellow phlegm (possible infection)
  • The mucus is sticky and white and without a bad odor
  • Pale and swollen mucous membranes
  • Reduction in or loss of smell
  • Wooly-headedness
  • Dizziness
  • Distended headache
  • Frontal headache
  • Heavy, tired limbs
  • Fatigue
  • Anorexia
  • Abdominal distention
  • Pale, sallow complexion
  • Diarrhea or loose stools
  • T: Pale
  • C: Thin or thick and white
  • P: Moderate and weak
Treatment Principle
  • Strengthen the Spleen
  • Tonify Qi
  • Facilitate the raising of Clear Yang and the descending of turbid Yin
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Nasal swelling
  • Sinus pain
  • Generally severe frontal, maxillary or temporal headache
  • Chronic sinus inflammation and congestion which is worse with stress or emotional upset
  • May have pain or sinus pressure
  • May have occasional postnasal discharge
  • Frontal or temporal headaches
  • Neck and shoulder tension
  • Red eyes
  • Facial flushing
  • Irritability
  • Easily angered
  • Hypochondriac tension or discomfort
  • Bitter taste in the mouth
  • T: Red edges with spots
  • C: Thin and yellow
  • P: Wiry and possibly rapid
Treatment Principle
  • Soothe the Liver Qi
  • Clear Heat
  • Open the nose
Herb Formulas
  • Jia Wei Xiao Yao Sanmodified
  • Si Ni San
  • Patent Medicines:
      Xiao Yao Wan
      Shu Gan Wan
      Bi Yuan Wan
    (combine with one of the above)
      Bi Yan Pian (combine with one of the first two)
      Huo Dan Wan (combine with one of the first two)
Points
Clinical Manifestations
  • Thick, sticky copious yellow or green nasal discharge which is malodorous and maybe purulent
  • Nasal swelling
  • Continuous or sustained nasal congestion
  • Sinus pain
  • Bitter taste in the mouth
  • Infection or inflammation of the sinuses
  • Violent frontal, maxillary or temporal headache or distention
  • Transient, declining sense of smell or loss of sense of smell
  • Dry throat
  • Dizziness
  • Tinnitus
  • Insomnia with much dreaming
  • Irritability
  • Restlessness
  • A quick temper
  • Dry stools or constipation
  • Feverishness
  • Symptoms worse with stress
  • T: Red
  • C: Yellow
  • P: Wiry and rapid
Treatment Principle
  • Clear Fire from the Liver and Gallbladder
  • Resolve Dampness
  • Open the nose
Herb Formulas
  • Long Dan Xie Gan Tangmodified 
  • Patent Medicines:
      Long Dan Xie Gan Wan
      Qing Fei Yi Huo Pian
      Bi Yan Ning
    (combine with one of the first two)
      Bi Yan Kang (combine with one of the first two)
      Huo Dan Wan (combine with Long Dan Xie Gan Wan)
  • Snuff: Bing Lian San
Points
Clinical Manifestations
  • Many years of perennial nasal itch, congestion, sneezing, watery and nasal discharge all of which are worse in the morning and evening, after sex or when fatigued
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Pale, wet and edematous nasal mucosa
  • Dizziness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Poor memory
  • Muddle headedness
  • Slow to learn
  • Soreness and weakness of the back and spine
  • Graying, lifeless hair
  • Pale, lusterless complexion
  • Edema of the lower extremities
  • Five sole Heat
  • Insomnia
  • Night sweats
  • Facial or malar flushing
  • T: Red and dry
  • C: Little or none
  • P: Thready and rapid
Treatment Principle
  • Tonify the Kidneys
  • Supplement Yin
  • Benefit the Brain
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • Many years of perennial nasal itch, congestion, sneezing, watery and nasal discharge all of which are worse in the morning and evening, after sex or when fatigued
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Pale, wet and edematous nasal mucosa
  • Chronic nasal discharge which is worse with exposure to Cold
  • Dizziness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Poor memory
  • Muddle headedness
  • Slow to learn
  • Soreness and weakness of the back and spine
  • Graying, lifeless hair
  • Pale, lusterless complexion
  • Edema of the lower extremities
  • Pale complexion
  • Aversion to Cold
  • Cold extremities
  • Nocturia
  • Impotence
  • T: Pale or Bluish and swollen
  • C: White
  • P: Deep and slow
Treatment Principle
  • Tonify the Kidneys
  • Supplement Yang
  • Benefit the Brain
  • Stop discharge
Herb Formulas
Points
Clinical Manifestations
  • Many years of perennial nasal itch, congestion, sneezing, watery and nasal discharge all of which are worse in the morning and evening, after sex or when fatigued
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Pale, wet and edematous nasal mucosa
  • Chronic nasal discharge which is worse with exposure to Cold
  • Dizziness
  • tinnitus
  • Deafness
  • Forgetfulness
  • Poor memory
  • Muddle headedness
  • Slow to learn
  • Soreness and weakness of the back and spine
  • Graying, lifeless hair
  • Pale, lusterless complexion
  • Edema of the lower extremities
  • In adults:
      Hair loss
      Graying or whitening of hair
      Weak sexual function
      Atrophy and weakness of feet with difficulty walking
      Poor memory
      Senility (premature or mature)
      Brittle bones
      Gradual deterioration of hearing
  • In children:
      Retardation in mental and / or physical development
      Failure to thrive
      Late or incomplete closing of fontanel
      Poor bone development, brittle bones
  • T: Pale and swollen
  • C: White
  • P: Deep and slow
Treatment Principle
  • Tonify the Kidneys
  • Supplement Jing
  • Benefit the Brain
  • Stop discharge
Herb Formulas
  •  Bu Nao Wan
  • Patent Medicines:
      Bu Nao Wan
      Jian Nao Wan
  •   
Points
Clinical Manifestations
  • Chronic, continuous nasal congestion or
  • Post nasal drip with sticky yellow or white
  • Nasal mucous membranes appear swollen, hard and or dark purple
  • Reduction or loss of sense of smell
  • T: Dark red or Purple with brown or purple spots
  • C: Normal
  • P: Wiry and thready or Choppy
Treatment Principle
  • Harmonize Qi and Blood
  • Move Stagnation
  • Eliminate Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Chronic nasal congestion, ameliorated during daytime activities
  • Alternating sides
  • Scanty, sticky, dry discharge
  • Dry nose, throat and mouth
  • Poor memory
  • T: Dark red or Purple with brown or purple spots
  • C: Normal
  • P: Wiry and thready or Choppy
Treatment Principle
  • Harmonize Qi and Blood
  • Move Stagnation
  • Eliminate Blood Stasis
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Red, sore eyes
  • Difficulty swallowing
  • Nasal congestion and infection
  • Thick, sticky nasal discharge and saliva
  • Bitter taste in the mouth
  • Dry mouth
  • Focal distention in the chest and diaphragm
  • Stifling sensation in the chest and diaphragm
  • Manic behavior
  • Carbuncles
  • Heat rash
  • Headache
  • Acne
  • Chills
  • High fever
  • Restlessness
  • Urticaria
  • Sore throat
  • Swelling of the throat
  • Skin rashes
  • Skin ruptures or ulcers
  • Tense abdomen
  • Shoulder stiffness
  • Numb extremities
  • Fatigue
  • Constipation
  • Dysuria with reddish urine
  • Dark, rough urination
  • Obesity
  • Fullness of the abdomen
  • Fullness of the epigastrium
  • Heaviness in the head
  • T: Red
  • C: White or Yellow and greasy
  • P: Flooding and rapid or Wiry and slippery or Floating, smooth and rapid or Floating, slippery, rapid and wiry or Floating, slippery, rapid and overflowing
Treatment Principle
  • Disperse Wind
  • Release the Exterior
  • Drain Heat
  • Unblock the bowels
Herb Formulas
Points
Clinical Manifestations
  • Copious sticky, continuous yellow or green nasal discharge or
  • Severe, continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal headache
  • Inflamed and swollen mucus membranes
  • Vertigo
  • Dizziness
  • Heavy Wooly-headedness
  • heaviness and aches in the body
  • Lethargy
  • Fatigue
  • Epigastric and abdominal distention
  • Anorexia
  • Loose or sluggish stools
  • T: Red
  • C: Greasy and yellow
  • P: Soft and rapid or Slippery and rapid
Treatment Principle
  • Clear and transform Phlegm Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Nasal obstruction caused by Damp-Heat
  • Stuffy nose
  • Yellow and sticky nasal discharge
  • Sneezing
  • Headache
  • Itchy nose and throat
  • Decreased sense of smell
  • Decreased energy
  • Fatigue
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Resolve toxicity
  • Unblock the nasal passages
Herb Formulas
Points