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NASAL POLYPS

WIND-ATTACKS THE LUNGS

Clinical Manifestations	Headache due to Wind attack Headache in any part of the head Fever and chills Dizziness Nasal congestion Stuffy nose Clear or white nasal discharge Sneezing Body aches Nasal obstruction Vertigo Aversion to Cold Copious sputum T: Normal C: Thin and white P: Superficial
Treatment Principle	Dispel Wind Alleviate pain Eliminate polyps
Herb Formulas	Chuan Xiong Cha Tiao San modified
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22

WIND-DAMP INVADES THE LUNGS WITH SPLEEN QI DEFICIENCY

Clinical Manifestations	Aversion to Wind and Cold Facial edema moving to generalized edema Slight fever or fever and chills Thirst Slight but continuous perspiration Sore, heavy limbs Decreased urination Headache Edematous orbits A red, swollen sore throat Weak abdomen Belching Cough Asthma Dyspnea Bulging eyes Severe cough Weak, aching feet Skin problems T: Normal C: White or Thin white P: Floating or Floating and big
Treatment Principle	Promote perspiration Disseminate Lung Qi Clear Heat Move water Suppress asthma
Herb Formulas	Yue Bi Jia Zhu Tang
Points

SHANG HAN TAI YANG LEVEL WIND-COLD ATTACKS THE LUNGS

Clinical Manifestations	Down-hanging growths in the nose Difficulty breathing The root of the nose gradually enlarges Severe chills Mild or no fever Headache Generalized discomfort Stiff neck and shoulders Body aches Joint ache Nausea and 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 T: Normal C: Thin, white P: Superficial and tight
Treatment Principle	Relieve Exterior Disperse the Lungs Expel Cold Alleviate pain Eliminate polyps
Herb Formulas	Xin Yi San Jia Wei Xin Yi San
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22

WEN BING WEI STAGE WIND-HEAT ATTACKS THE LUNGS

Clinical Manifestations	Down-hanging growths in the nose Purple in color Slightly hard on palpation Difficulty breathing The root of the nose gradually enlarges Thin yellow nasal discharge
Treatment Principle	Disperse Wind Clear Heat Clear the Lungs Eliminate the polyps
Herb Formulas	Yin Qiao San
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22 For fever: DU-14, UB-40 (bleed) For Wind-Heat: GB-20, LI-4, SJ-5, LI-11, UB-12 For cough: LU-7, UB-13, REN-22 For headache: DU-23, DU-24, ST-8, Taiyang For Lung Heat: LU-5, LU-10

WEN BING-QI STAGE LUNG HEAT

Clinical Manifestations	Down-hanging growths in the nose Purple in color Slightly hard on palpation Difficulty breathing The root of the nose gradually enlarges Thin yellow nasal discharge High fever No chills Aversion to Heat Cough, asthma Restlessness Thirst Dark yellow urine Dyspnea Chest pain Shortness of breath Thick, yellow Phlegm T: Red C: Thick yellow, maybe dry and sticky P: Rapid, maybe slippery, maybe forceful
Treatment Principle	Clear Heat in Lungs Eliminate polyps
Herb Formulas	Xin Yi Qing Fei Yin
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22 To Clear Heat: LI-11, DU-14, ST-44 To Soothe and Clear Heat from the Lungs: LU-5, LU-10 To Regulate Lung Qi: UB-13, DU-13

PHLEGM-HEAT ATTACKS THE LUNGS

Clinical Manifestations	Down-hanging growths in the nose Purple in color Slightly hard on palpation Difficulty breathing The root of the nose gradually enlarges Thin yellow nasal discharge Cough with expectoration of copious thick, purulent, yellow-green sputum or blood-flecked, foul-smelling pus Dyspnea Asthma Pain in the ribs Maybe chills and fever T: Scarlet C: Yellow and smooth P: Slippery and rapid
Treatment Principle	Clear Heat Counteract Toxin Transform Stasis Drain Pus Resolve Phlegm. (The use of Clear Heat / Counteract Toxin herbs and the principle of "Draining Pus" are only relevant when foul-smelling pus is being expectorated such as in pulmonary abscess). Soothe asthma in case of asthma Eliminate polyps
Herb Formulas	Xin Yi Qing Fei Yin
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22 For Phlegm-Heat: LU-1, LU-5, LU-6, LU-10, UB-13, ST-40, REN-17, REN-22

LUNG AND SPLEEN QI DEFICIENCY

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	Liu Jun Zi Tang modified For children with perennial rhinitis: Shen Ling Bai Zhu San modified Patent Medicines: Xiang Sha Liu Jun Zi Wan Bu Zhong Yi Qi Wan Bi Min Gan Wan (Pe Min Kan Wan)
Points	ST-40, SP-3, LU-7, UB-13, UB-20, GB-20, LI-4, LI-19, LI-20, DU-23 For patients with atopic asthma: + UB-23, DU-4 or REN-4 For chronic cases moxa three or four of the following: Yintang, REN-4, REN-6, REN-12, DU-4, DU-12, DU-23, SP-6, ST-36, UB-23

BLOOD STAGNATION

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	Dang Gui Shao Yao San modified
Points	LI-20, LI-4, DU-20, DU-23, Yintang, Bitong, UB-2, UB-17, GB-20, SP-6 Moxa Yintang

DAMPNESS ACCUMULATION

Clinical Manifestations	Down-hanging growths in the nose Difficulty breathing The root of the nose gradually enlarges Progressive nasal congestion A slow loss of smell A foggy head Plugged ears A heavy body Thin nasal discharge
Treatment Principle	Resolve Dampness Eliminate polyps
Herb Formulas	Xin Yi Qing Fei Yin
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22

PHLEGM, QI AND BLOOD STAGNATION

Clinical Manifestations	Down-hanging growths in the nose Difficulty breathing The root of the nose gradually enlarges Progressive nasal congestion A gradual loss of smell Common nose bleeds Thick nasal discharge A foggy head Sharp pain in the nose and sinuses Headaches Slightly dry skin Epistaxis with progressive nasal congestion Plugged hearing, Possible tinnitus
Treatment Principle	Resolve Phlegm Invigorate Qi Invigorate the Blood Break up Blood Stasis
Herb Formulas
Points	DU-23, Yintang, LI-20, ST-36 LI-19, LI-20, KI-3, LU-7, DU-14, DU-15, DU-16, DU-24, DU-25, DU-26, DU-28 LI-19, LI-20 through to Bitong, DU-22