NASAL CONGESTION

Clinical Manifestations
  • Blocked or stuffy nose
  • Nasal discharge
  • Sinus pain
  • Frontal headache
  • No infection
Treatment Principle
  • Unblock the nose
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
  • Aversion to Wind
  • Mild, or severe chills
  • Fever which may be persistent
  • Uneasiness from feveR
  • Spontaneous perspiration
  • Headache
  • Nausea
  • Dysentery
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T:  Normal
  • C:  Thin and white
  • P:  Superficial and slow or Moderate and maybe weak
  • Stiff neck and shoulders*.
Treatment Principle
  • Create sweat to relieve the Exterior and expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Wei Qi
Herb Formulas
Points
Clinical Manifestations
  • Nasal obstruction caused by Damp-Heat
  • Continuous or sustained nasal congestion
  • Yellow and sticky nasal discharge
  • Sneezing
  • Generally severe frontal, maxillary or temporal headache
  • Itchy nose and throat
  • Transient, declining sense of smell or loss of sense of smell
  • Decreased energy
  • Fatigue
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Resolve toxicity
  • Unblock the nasal passages
Herb Formulas
Points
Clinical Manifestations
  • Acute nasal congestion
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Clear, watery nasal discharge
  • Sneezing
  • Itching eyes and nose
  • Pale, baggy mucus membranes
  • Red, swollen conjunctiva
  • Edema and vasodiation of the nasal mucus membrane
  • Maybe nasal polyps
  • Maybe nasal obstruction
  • Severe chills
  • Mild or no fever
  • Aversion to Cold
  • Generalized discomfort
  • Stiff neck and shoulders
  • Generally severe frontal or occipital headache
  • 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 or Superficial and tight
Treatment Principle
  • Relieve Exterior
  • Expel Cold
  • Disperse the Lungs
  • Unblocks the nasal passages
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell or
  • Variable and transient sense of smell or
  • Permanent loss of sense of smell
  • Fever and chills
  • Aversion to Cold
  • Generally severe frontal, maxillary or temporal headache or
  • Dull or thick headache with dizziness
  • Cough with profuse sputum
  • Chest fullness
  • Fatigue
  • Lethargy
  • Abdominal fullness
  • Loose Stools
  • Shortness of breath
  • Nasal obstruction
  • No desire to speak
  • Fullness and distention in the chest and diaphragm
  • Gastric distention
  • Nausea and vomiting
  • Anorexia
  • T: Pale and thick
  • C: White or White and greasy
  • P: Superficial or Weak
Treatment Principle
  • Tonify Qi
  • Release the Exterior
  • Harmonize the Stomach
  • Transform Phlegm
  • Unblock the nose
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion
  • Itching or tickling in the throat
  • Transient, declining sense of smell or loss of sense of smell
  • Sneezing
  • General body aches
  • Cough with expectoration of thin, watery or frothy white sputum or
  • Dry cough with little or no sputum and sputum is difficult to expectorate
  • Dry nasal passages
  • Generally severe frontal, maxillary or temporal headache
  • Chills with low grade fever
  • Slight headache
  • Nasal obstruction
  • Dry throat
  • No thirst
  • Intolerance of Cold
  • Anhidrosis
  • Maybe asthma
  • Sore throat
  • Cough
  • Cough may cause chest pain
  • Hoarse voice
  • Dry, cracked
  • Dry mouth
  • Chills and fever
  • Dry skin and hair
  • T: Pink or Red tip
  • C: Thin, white and dry or
  • P: Superficial and wiry or Tight or Wiry
Treatment Principle
  • Mildly Disperse Cool Dryness
  • Disperse the Lungs
  • Resolve Phlegm
  • Stop Cough
  • Unblock the nose
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Wind and Cold
  • Fever
  • Vexatious pain in the joints
  • Nasal congestion
  • Hoarse voice
  • Vexatious thirst
  • Sore throat
  • Cough with yellow Phlegm
  • Dark-colored urine
  • T: Normal
  • C: White or Yellow
  • P: Superficial and rapid
Treatment Principle
  • Expel Wind
  • Scatter Cold
  • Clear Heat
  • Unblock the nose
Herb Formulas
Points
Clinical Manifestations
  • Aversion to Cold
  • Fever
  • Headache
  • Anhidrosis
  • Anorexia
  • Belching
  • Aching shoulders
  • Tinnitus
  • Focal distention in the chest and epigastrium
  • A stifling sensation in the chest and epigastrium
  • Vertigo
  • Nausea
  • T: Normal
  • C: Thin and white
  • P: Floating
Treatment Principle
  • Regulate Qi
  • Release the Exterior
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell or
  • Variable and transient sense of smell or
  • Permanent loss of sense of smell
  • High fever accompanied by severe chills and shivering
  • Aversion to Cold
  • Pain worse at night
  • Difficult movement
  • Local inflammation
  • Migratory pain
  • Soreness and pain of the extremities
  • Nasal congestion with sonorous breathing
  • Anhidrosis
  • Pain and stiffness of the head and neck
  • Blood shot eyes
  • Swollen eyes
  • Focal distention and fullness of the chest and diaphragm
  • A productive cough
  • May have numbness and heaviness in the limbs
  • Generalized body aches and pain
  • Nasal obstruction
  • Cough with sputum
  • Joint pain
  • Pain worse with Cold and better with warmth
  • Pain aggravated by Wind
  • Pain aggravated by Dampness
  • Pain is stabbing
  • Muscle weakness
  • Pain alleviated by movement
  • Slight muscle edema
  • Heaviness of the joints
  • Cold joints
  • Generally severe frontal, maxillary or temporal headache or
  • Dull or thick headache with dizziness
  • T: Pale or Slightly purple or Purple spots
  • C: White or thin, white, greasy
  • P: Slippery or Slightly superficial or Superficial and soft or Slightly rough or Slow and Soft or Wiry and tight or Superficial and rapid that is forceless under pressure
Treatment Principle
  • Relieve Exterior
  • Expel Cold
  • Disperse the Lungs
  • Resolve Dampness
  • Unblock the nose
Herb Formulas
Points
Clinical Manifestations
  • Continuous or sustained nasal congestion or
  • Variable and intermittent nasal congestion
  • Transient, declining sense of smell or loss of sense of smell or
  • Variable and transient sense of smell or
  • Permanent loss of sense of smell
  • Aversion to Wind
  • Mild, or severe , chills
  • Fever which may be persistent
  • Uneasiness from fever
  • Spontaneous perspiration
  • Generally severe frontal, maxillary or temporal headache or
  • Dull or thick headache with dizziness
  • Stiff neck and shoulders
  • Nausea
  • Nasal irritation
  • Nasal obstruction
  • Tendency to snore
  • Itchy throat
  • T: Normal
  • C: Thin and white
  • P: Superficial, slow , or moderate and maybe weak
Treatment Principle
  • Unblock nose
  • Relieve exterior
  • Expel Wind
  • Harmonize Ying and Wei to protect digestion and nourish Deficiency
Herb Formulas
Points
Clinical Manifestations
  • Acute, often serious nasal congestion
  • Continuous or sustained nasal congestion
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal, maxillary or temporal headache
  • Sticky yellow or green, purulent and malodorous mucus discharge from the nose
  • Inflamed or swollen nasal mucus membranes
  • Nasal voice
  • Maxillary pain
  • Cough with yellow sputum
  • Thirst
  • Fever or fever and chills (early-stage)
  • Aversion to Wind
  • Sweating
  • Sore throat
  • T: Normal
  • C: Normal or Thin and yellow
  • P: Floating and rapid
Treatment Principle
  • Expel Wind
  • Clear Heat
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Anhidrosis
  • Aversion to Cold
  • Headache
  • Muscle aches
  • Nasal congestion
  • Cough with sputum
  • Suppurative infection
  • Carbuncles
  • Stiffness of the muscles
  • T: Red
  • White and greasy or Yellow and greasy
  • P: Floating and feeble or Floating and rapid or Deep and rapid
Treatment Principle
  • Dispel External Wind Heat and Dampness
  • Relieve toxicity
Herb Formulas
Points
Clinical Manifestations
  • Dryness in the nose
  • Nasal congestion
  • Itchy nose
  • Possible decreased sense of smell
  • Dry cough with little, sticky or no Phlegm
  • Thirst with dry lips
  • Fever
  • Headache
  • General malaise
  • T: Red
  • C: Thin and dry
  • P: Superficial, thin and rapid
Treatment Principle
  • Clear the Lungs
  • Moisten Dryness
Herb Formulas
Points
Clinical Manifestations
  • Nasal obstruction
  • Continuous or sustained nasal congestion
  • Thick, sticky, yellow nasal discharge
  • Transient, declining sense of smell or loss of sense of smell
  • Generally severe frontal, maxillary or temporal headache
  • Distention in the head
  • Reduced memory
  • T: Red
  • C: Yellow or white
  • P: Rapid
Treatment Principle
  • Dispel Lung Heat
  • Disseminate Lung Qi
  • Drain pus
  • Unblock the Orifices (especially the nose)
Herb Formulas
Points
Clinical Manifestations
  • Chronic variable and intermittent nasal and sinus congestion or
  • Chronic discharge of copious thin white or sticky mucus which does not smell (even though the patient may perceive it to) or
  • Profuse sticky white nasal mucus with no foul odor
  • The discharge is aggravated to exposure to Wind and Cold
  • It may be worse when lying down or at night and better during the day
  • Pale, swollen mucous membranes
  • Variable and transient sense of smell or
  • Reduced sense of smell or
  • Permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Shortness of breath
  • Soft voice or
  • Reluctance to speak
  • Fatigue
  • Spontaneous sweating
  • Aversion to wind
  • Waxy, pale complexion
  • Weak cough with thin white sputum
  • All these symptoms are worse with Cold
  • T: Pale
  • C: Thin and white
  • P: Weak and forceless or Moderate
Treatment Principle
  • Tonify and warm Lung Qi
  • Disperse Cold
  • Open the nose
Herb Formulas
  • Bu Fei Tang
  • Wen Fei Zhi Liu Dan modified
  • Medicated Oil #1
  • For a patient with pre-existing Lung Qi Deficiency who contracts a Wind-Cold:
      To Expel Wind and Cold: Ma Huang Tang
      
    To Support Qi: 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:
      Xiang Sha Liu Jun Zi Wan
      Bu Zhong Yi Qi Wan
      Shen Ling Bai Zhu Wan
Points
Clinical Manifestations
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Persistent nasal congestion which can alternate from side to side and is better or worse from time to time or
  • Recurrent episodes of relatively severe nasal congestion or
  • Persistent runny nose with thin watery or sticky white sputum
  • Exacerbation often related to exposure to Cold
  • Nasal mucosa swollen and pale or ashen
  • Nasal polyps
  • Children may have upturned noses from frequent wiping upwards with the palm of the hand
  • Dry nasal itch
  • Sneezing
  • Fullness and heaviness in the head
  • 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
  • Open the nose
Herb Formulas
Points
Clinical Manifestations
  • 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
  • The mucus is profuse, sticky and white and without a bad odor
  • Pale and swollen mucous membranes
  • Reduction in or loss of smell
  • Wooly-headedness
  • Dizziness
  • 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 San modified
  • 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
  • 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
  • Sinus pain
  • 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 Tang modified 
  • For exuberant Liver-Gallbladder Fire with severe headache, constipation, reddish urine, rashness, impatience, and irascibility: Dang Gui Long Hui Wan modified
  • 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
  • Variable and intermittent nasal congestion
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • 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
  • 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
  • Variable and intermittent nasal congestion
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • 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
  • You Gui Wan
  • Patent Medicines:
      Jin Kui Shen Qi Wan
      Ren Shen Lu Rong Wan
      Ge Jie Bu Shen Wan
Points
Clinical Manifestations
  • Variable and intermittent nasal congestion
  • Variable and transient sense of smell or permanent loss of sense of smell
  • Dull or thick headache with dizziness
  • Chronic nasal discharge which is worse with exposure to Cold
  • Dizziness
  • tinnitus
  • Deafness
  • Forgetfulness
  • Poor memory
  • Pale, lusterless complexion
  • Edema of the lower extremities
  • Muddle headedness
  • Slow to learn
  • Soreness and weakness of the back and spine
  • Graying, lifeless hair
  • In children:
      Retardation in mental and / or physical development
      Failure to thrive
      Late or incomplete closing of fontanel
      Poor bone development, brittle bones
  • 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
  • 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
  • Persistent nasal congestion
  • Runny nose with profuse, possibly thick yellow mucous
  • Diminished sense of smell
  • Cough with profuse Phlegm
  • Tinnitus or
  • Deafness
  • T: Red with static spots
  • C: Normal
  • P: Wiry and thin
Treatment Principle
  • Harmonize the Qi and Blood
  • Move Stagnation
  • Transform Stasis
Herb Formulas
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
  • Nasal obstruction caused by Damp-Heat
  • Relatively severe continuous or sustained nasal congestion
  • Yellow and sticky nasal discharge with a foul odor
  • Reduced sense of smell
  • Sneezing
  • Generally severe frontal, maxillary or temporal headache
  • Itchy nose and throat
  • Transient, declining sense of smell or loss of sense of smell
  • Decreased energy
  • Fatigue
  • Fatigued and heavy limbs
  • Poor appetite
  • Distention and fullness in the Stomach and abdomen
  • Yellow urination.
  • T: Red
  • C: Greasy yellow
  • P: Slippery and rapid or Soggy
Treatment Principle
  • Release the Exterior
  • Clear Heat
  • Resolve toxicity
  • Unblock the nasal passages
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