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NASAL PAIN

WIND-COLD

Clinical Manifestations	Acute onset of nasal pain Blocked and/or runny nose with clear, watery nasal discharge A diminished or complete disappearance of the sense of smell Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Aversion to Cold Anhidrosis No thirst Headache Aversion to Wind Sneezing Chest pain General body aches Maybe asthma T: Pink C: Thin, white and moist P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Ventilate the Lungs Resolve Phlegm relieve blockage in the nose
Herb Formulas	Ma Huang Tang modified Chinese Patent Medicine: Chuan Xiong Cha Tiao Wan
Points	LI-4, LI-20, LU-6, LU-7, UB-12, UB-13, UB-64 With aversion to Cold: + moxa or moxa needle LI-4, LI-20, LU-7, UB-12, UB-13 With a severe cough and expectoration of white Phlegm: + LU-1, LU-5 With expectoration of profuse Phlegm: + SP-6, ST-40 With diminished or a lack of the sense of smell: + SI-18, ST-36 With chest pain: + REN-17

WIND-HEAT

Clinical Manifestations	Acute nasal pain Burning pain in the nostrils Redness and swelling in the nose Runny nose with turbid mucous Cough with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Ventilate the Lungs
Herb Formulas	Sang Ju Yin modified Chinese Patent Medicines: Yin Qiao Pian Yin Qiao Jie Du Pian
Points	LI-4, LI-20, LU-6, LU-7, LU-10, UB-2, UB-12, UB-13, UB-64 With a fever: + DU-14, LI-11 With a cough and expectoration of yellow Phlegm: + LU-5, ST-40 With thirst: + LU-8 With a headache: +GB-20 DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13 LI-4, LI-20, LU-1, LU-7, UB-13 With a high fever: + DU-14

WIND-COLD-DAMPNESS

Clinical Manifestations	Slight pain in the nostrils Nasal congestion Runny nose Clear mucous Slight aversion to Wind and Cold Fever Fullness in the Stomach Poor appetite Abdominal distention Loose stools TP: Normal C: Slimy and white P: Floating and rapid
Treatment Principle	Dispel Wind Transform Dampness Scatter Cold
Herb Formulas	Huo Xiang Zheng Qi Tang modified
Points	LI-4, LI-20, LU-5, LU-7

LUNG AND STOMACH HEAT

Clinical Manifestations	Gradual onset of nasal pain with a burning sensation Pain often in the lower part of the nostrils or the septum Pai exacerbated by pressure Epistaxis Tenderness adjacent to the nose Chest pain Thirst Dry throat Hungers easily A foul smell in the mouth Constipation Dark colored urine T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Clear Heat in Lungs Strengthen when weak or elderly
Herb Formulas	Bai Hu Tang modified Chinese Patent Medicine: Qing Fei Yi Huo Pian
Points	LI-4, LI-11, LI-20, LU-5, LU-10, ST-3, ST-40, ST-44 With a cough and expectoration of yellow Phlegm: + LU-1, UB-13 With a dry nose: + LU-8, SP-6 With constipation: + ST-25, ST-37 With a tendency to hunger easily: + REN-12 KI-7, LI-19, LI-20, LU-5, LU-11, ST-44

LUNG AND KIDNEY QI AND YIN DEFICIENCY

Clinical Manifestations	Minor nasal pain Diminished or loss of the sense of smell Catches cold easily Frequent white nasal discharge Coughing Aversion to Cold Shortness of breath on exertion Low back pain Poor memory Fatigue Five-Sole-Heat Thirst T: Red C: Thin and white P: Deep, thready and weak
Treatment Principle	Tonify Qi Nourish Yin Benefit the nose
Herb Formulas	Liu Wei Di Huang Wan modified Qing Wei San modified Chinese Patent Medicine: Liu Wei Di Huang Wan
Points	KI-3, LI-20, LU-5, LU-8, LU-9, SI-18, SP-6, ST-3, ST-36 With a tendency to catch cold easily: + LU-7, UB-13 With a diminished or no sense of smell: + DU-24, UB-2 With general fatigue, shortness of breath on exertion and low back pain: + KI-10, UB-23 With a dry nose and Five-Sole-Heat: + KI-2, KI-7

DAMP-HEAT IN THE SPLEEN AND STOMACH

Clinical Manifestations	Chronic onset of nasal pain Redness of the nasal mucosa Slight redness and swelling of the nose A loss of the sense of smell Itching in the nose Yellow nasal discharge Anorexia Abdominal distention and discomfort Suffocating sensation in the chest Epigastric mass Maybe abdominal pain on palpation Yang jaundice (sclera and skin are bright yellow) Dislike of oily foods Nausea Vomiting Lassitude Scanty, dark urine Maybe thirst or thirst with no desire to drink Diarrhea with foul smell or Constipation Fever Sweet sticky taste or bitter taste in mouth T: Pink or Red C: Thick, yellow and greasy (maybe sticky) P: Soft and rapid or Slippery and rapid
Treatment Principle	Clear Heat Benefit Dampness Activate the Spleen and Stomach
Herb Formulas	San Ren Tang modified Chinese Patent Medicine: Xiang Sha Yang Wei Wan
Points	LI-4, LI-20, SP-6, SP-9, ST-3, ST-34, ST-40, ST-44 With yellow nasal discharge: + LU-5, LU-10 With no sense of smell: + SI-18, UB-2 With a red, swollen nose: + LI-2, LI-11 With fullness of the abdomen, a poor appetite and loose stools: + SP-3, SP-4

LIVER/GALLBLADDER FIRE

Clinical Manifestations	Gradual onset of nasal pain with a burning sensation Discharge of yellow, sticky Phlegm from the nose with a foul smell Diminished sense of smell Headache A sense of distension in the head Nervousness Red eyes A bitter taste in the mouth Tinnitus T: Red C: Yellow P: Wiry and rapid
Treatment Principle	Clear Hear Drain fire Stop pain
Herb Formulas	Long Dan Xie Gan Tang modified Chinese Patent Medicine: Long Dan Xie Gan Wan
Points	GB-15, GB-16, GB-20, LI-4, LI-11, LI-20, LIV-2 With a stuffy nose: + Bitong, UB-2 With a red, swollen nose: + SI-18, ST-3 With a headache and nervousness: + DU-20 With discharge of yellow Phlegm: + LU-5

BLOOD STAGNATION

Clinical Manifestations	Stabbing pain in the nose Pain worse at night A purplish color to the nose Swollen nose Headache Insomnia Chest pain Depression T: Purplish C: thin and white P: Wiry or Choppy
Treatment Principle	Smooth the Liver Circulate Qi Invigorate the Blood Eliminate Stasis
Herb Formulas	Tao Hong Si Wu Tang modified Chinese Patent Medicine: Xiao Huo Luo Dan
Points	LI-4, LI-20, LIV-3, LU-5, LU-7, SI-18, SP-6, UB-2, UB-17 With a headache: + GB-20 With restlessness and insomnia: + HT-3, UB-15 With chest pain and depression: + LIV-14, PC-6, REN-17

TOXIC HEAT

Clinical Manifestations	Acute onset of nasal pain Redness, Heat and swelling in the nose A yellow discharge Fever A slight aversion to Cold Headache Thirst Cough with expectoration of yellow Phlegm Redness and pain in the throat T: Red, especially the tip C: Thin and yellow P: Floating and rapid
Treatment Principle	Clear Heat Remove toxins Stop pain
Herb Formulas	Wu Wei Xiao Du Yin modified Chinese Patent Medicine: Niu Huang Jie Du Pian
Points	DU-10, LI-4, LI-11, LI-20, LU-5, LU-7, LU-10, SP-6, ST-3, ST-44 With a fever: + DU-14 With a headache: + SJ-2, Taiyang With restlessness: + HT-3, HT-7 For a cough with yellow Phlegm: + LU-1, ST-40