SINUSITUS

GENERAL

Clinical Manifestations	Nasal discharge Nasal congestion Sinus pain Frontal headache Infection or inflammation of the sinuses
Treatment Principle
Herb Formulas	Qing Bi Tang Acute sinusitis: Zhong Cang Ping Yuan Tang Chronic sinusitis: Zhen Wu Tang Nose drops: Dissolve small, equal amounts of Borax Peng Sha, Alumen Ming Fan and Borneol Bing Pian in a small amount of water . Store in a dropper bottle. Drip several drops into the affected nostril 2-3 times per day.
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 Ear: Inner nose, Forehead, Tip of the nose, Lung

WIND ATTACKS THE LUNGS

Clinical Manifestations	Nasal discharge Sneezing Itching eyes and nose Red, swollen conjunctiva Edema and vasodiation of the nasal mucus membrane Maybe nasal obstruction Continuous or sustained nasal congestion Transient, declining sense of smell or loss of sense of smell Generally severe frontal, maxillary or temporal headache
Treatment Principle	Release the exterior
Herb Formulas	Cang Er Zi Tang Chuan Xiong Cha Tiao San
Points	Yintang ,LI-4, LI-20 Yintang ,LI-4, LI-20, Bitong GB-20, UB-10, DU-23 (may use moxa), LI-4, LI-20 GB-20, UB-10, DU-14, DU-16, DU-20, UB-12, LI-4, LI-19, LI-20, PC-8, SI-2 DU-23, LI-4, LIV-3 UB-7, DU-23, Yintang, LI-4 Chronic: 1. GB-20, DU-23, Yintang, LI-4, LI-20 2. Yintang, LI-4, DU-23, Bitong Loss of smell: DU-25, UB-13, LI-20 (alternate sides) Ear: Internal nose, Adrenal, Endocrine, Inner nose, Forehead, Tip of the nose, Lung

SHANG HAN-TAI YANG LEVEL (WIND-COLD ATTACKS THE LUNGS)

Clinical Manifestations	Copious, clear or white watery nasal discharge Nasal congestion Discomfort and stuffiness in the nose and sinus region Reduction or loss of sense of smell Frontal or occipital headache Sneezing Itching eyes and nose Pale, baggy mucus membranes Edema and vasodiation of the nasal mucus membrane Continuous or sustained nasal congestion Maybe nasal obstruction Severe chills Generally severe frontal, maxillary or temporal headache Transient, declining sense of smell or loss of sense of smell	Red, swollen conjunctiva Mild or no fever Maybe nasal polyps 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 Cold Disperse the Lungs Stop Asthma
Herb Formulas	Ma Huang Tang Jing Fang Bai Du San Xing Su San Xiao Qing Long Tang Gui Zhi Tang Ma Huang Jia Zhu Tang Xin Yi San For a mild condition: Xing Su San For pain in the nasal cavity: Jia Wei Xin Yi San With a stiff neck and shoulders: Ge Gen Tang With sweating that does not stop: Zhen Wu Tang Patent Medicines: Bi Min Gan Wan (Pe Min Kan Wan) Gan Mao Ling For prominent headache: Chuan Xiong Cha Tiao Wan
Points	LI-4, LI-20, LI-19, UB-7, LU-7, ST-36 GB-20, GB-11, LI-20, LI-11, LI-4 UB-12, UB-13, GB-20, LU-7, LU-5, LI-4, KI-7, DU-16 UB-6, UB-2, SI-3 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong To Expel Wind Cold: GB-20, DU-16, UB-12 To Disperse the Lung: UB-13 To clear nasal obstruction: LI-20, Bitong, Yintang To Promote Sweat: LI-4, KI-7, LU-7, SJ-5 Ear: Inner nose, Forehead, Tip of the nose, Lung

SHANG HAN-TAI YANG WIND COLD ATTACKS THE LUNGS WITH MILD DRYNESS

Clinical Manifestations	Itching or tickling in the throat Continuous or sustained nasal congestion 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 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 Nasal congestion Cough Sore throat T: Pink C: Thin, white and dry P: Superficial and wiry or Tight or Wiry
Treatment Principle	Mildly Disperse Cool Dryness Disperse the Lungs Resolve Phlegm Stop Cough
Herb Formulas	Xing Su San
Points	LI-4, LI-20, LI-19, UB-7, LU-7, ST-36 GB-20, GB-11, LI-20, LI-11, LI-4 UB-12, UB-13, GB-20, LU-7, LU-5, LI-4, KI-7, DU-16 UB-6, UB-2, SI-3 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong To Expel Wind Cold: GB-20, DU-16, UB-12 To Disperse the Lung: UB-13 To clear nasal obstruction: LI-20, Bitong, Yintang To Promote Sweat: LI-4, KI-7, LU-7, SJ-5 For Dryness: LU-6, LU-1, UB-13, SP-6, KI-3 Ear: Inner nose, Forehead, Tip of the nose, Lung

SHANG HAN-TAI YANG LEVEL WITH INTERIOR YANG DEFICIENCY (WIND-COLD ATTACKS THE LUNGS WITH INTERIOR YANG DEFICIENCY)

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	Ma Huang Fu Zi Xi Xin Tang
Points	Moxa and needle DU-23, LI-20, UB-13, UB-23, KI-3 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 UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, LU-7 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For creating sweat: LI-4 + KI-7

SHANG HAN -TAI YANG LEVEL TRANSFORMS INTO YANG MING

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	Qing Bi Tang
Points	LI-4, LI-20, LI-19, UB-7, LU-7, ST-36 GB-20, GB-11, LI-20, LI-11, LI-4 UB-12, UB-13, GB-20, LU-7, LU-5, LI-4, KI-7, DU-16 UB-6, UB-2, SI-3 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong To Expel Wind Cold: GB-20, DU-16, UB-12 To Disperse the Lung: UB-13 To clear nasal obstruction: LI-20, Bitong, Yintang To Promote Sweat: LI-4, KI-7, LU-7, SJ-5 For Yang Ming: DU-14, LI-4, LI-11, ST-44

WIND-COLD INVASION WITH INTERNAL HEAT

Clinical Manifestations	Severe fever and chills without sweat Intolerance of Cold Irritability Fidgeting Headache Cough Wheezing (asthma) Muscle aches General body aches Thirst Heaviness and aching of the entire body Shortness of breath Floating edema (severe) Restlessness Anhidrosis Fidgeting May be high fever Edema Dyspnea T: Normal C:Thin white or Yellow P: Floating and tight or Rapid or Tight and rapid or wiry and tight
Treatment Principle	Promote diaphoresis Release the Exterior Clear Interior Heat Relieve irritability
Herb Formulas	Da Qing Long Tang
Points	DU-14, DU-16, GB-20, UB-12, UB-13, LI-4, LU-7, sedate LU-9, LU-10, SJ-5, SP-1, SP-2, tonify LI-11, ST-44

SHANG HAN-TAI YANG ZHONG FENG (WIND-COLD ATTACKS THE LUNGS WITH NUTRITIVE AND DEFENSIVE QI DEFICIENCY)

Clinical Manifestations	Variable and intermittent nasal congestion Variable and transient sense of smell or Permanent loss of sense of smell Generally severe frontal, maxillary or temporal headache or Dull or thick headache with dizziness Aversion to Wind Mild or severe chills Fever which may be persistent Uneasiness from fever Spontaneous perspiration Headache Stiff neck 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	Create sweat to relieve the Exterior Expel Wind Harmonize the Ying and Wei to protect digestion and nourish Deficiency
Herb Formulas	Gui Zhi Tang modified Yu Ping Feng San
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 Ear: Inner nose, Forehead, Tip of the nose, Lung

WIND-COLD-DAMPNESS

Clinical Manifestations	Continuous or sustained nasal congestion Generally severe frontal, maxillary or temporal headache Aversion to Cold Heavy pressure headache Anorexia Mental dullness Cough with white phlegm Slight fever Heavy head and extremities Chest distension Sluggish feeling Sticky mouth Diarrhea or loose stools Borborygmus S Severe chills Maybe no fever or afternoon fever Sticky saliva No thirst Epigastric distension T: Pale C: White or greasy white P: Soft or Superficial and slow
Treatment Principle	Expel Wind Dry Damp Warm the body Unblock the nose
Herb Formulas	Jing Fang Bai Du San Jia Wei Ge Gen Tang modified With Internal Heat: Jiu Wei Qiang Huo Tang
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 Ear: Inner nose, Forehead, Tip of the nose, Lung

WEI STAGE WIND-HEAT (WIND-HEAT ATTACKS THE LUNG)

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 Sticky yellow or green, purulent and malodorous mucus discharge from the nose Inflamed or swollen nasal mucus membranes Decreased sense of smell Nasal voice Frontal headache Maxillary pain Cough with yellow sputum Thirst A dry mouth with a desire to drink Fever or fever and chills (early-stage) T: Normal or Red tip C: Normal or Yellow P: Floating and/or Rapid or Floating, slippery and rapid
Treatment Principle	Expel Wind Clear Heat Open the nose
Herb Formulas	Cang Er Zi San modified Ma Xing Shi Gan Tang Yin Qiao Sanmodified Jing Jie Lian Qiao Tang For the initial stage: Sang Ju Yin For Wind-Heat and Dryness: Qing Zao Jiu Fei Tang Jia Jian Snuff: Bing Lian San Patent Medicines: Bi Yuan Wan Bi Yan Pian
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 SJ-5, LI-4, LI-11, LI-20, GB-20, DU-23, UB-2, Yintang, Taiyang LI-4, LI-11, LI-20, LU-5 For severe Lung Heat: + bleed LU-5, needle LU-10 For local pain in the sinus cavities: + Ahshi points For pain in the maxilla: + ST-2 For a severe runny nose: + DU-23 For coughing with profuse Phlegm: + LU-7 For severe supraorbital bone pain: + UB-2, Yintang, Yuyao For pain at the temples: + Taiyang For an occipital headache: + GB-20 For severe nasal congestion: + Yintang Ear: Inner nose, Forehead, Tip of the nose, Lung

LUNG QI DEFICIENCY

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) 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 Permanent loss of sense of smell Dull or thick headache with dizziness Easily catches cold Heavy-headedness Dizziness Shortness of breath Weak voice or Reluctance to speak Fatigue Spontaneous sweating Waxy, pale complexion Weak cough with thin white or watery sputum T: Pale C: Thin and white P: Weak and forceless
Treatment Principle	Tonify and warm Lung Qi Disperse Cold Open the nose
Herb Formulas	Bu Fei Tang Wen Fei Zhi Liu Dan modified Wen Fei Zhi Liu Dan + Cang Er Zi San Bu Zhong Yi Qi Tang 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) With Liver Qi Stagnation Invading the Spleen, Blood Stagnation and Deficiency Heat: Bi Shu Ling With Liver Qi Stagnation Invading the Spleen with marked Qi Deficiency: Bu Pi Wei Xie Yin Huo Sheng Yang Tang Patent Medicines: Xiang Sha Liu Jun Zi Wan Bu Zhong Yi Qi Wan Shen Ling Bai Zhu Wan
Points	UB-13, LU-9, UB-43, ST-36, REN-17, 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 a sore throat: + PC-6, ST-9 DU-23, LI-4, LI-20, UB-12, UB-13 For marked Lung Deficiency: + LU-9 With Spleen Deficiency: + ST-36 For frequent, easy contraction of Wind pathogens: + DU-14 For local pain in the sinus area: + Ahshi points For pain in the maxilla: + ST-2 For a severe runny nose and/or congestion: + Yintang For coughing with profuse Phlegm: + LU-7 For supraorbital bone pain: + UB-2, Yintang, Yuyao For pain at the temples: + Taiyang For occipital pain: + GB-20 Ear: Inner nose, Forehead, Tip of the nose, Lung

LUNG YIN DEFICIENCY

Clinical Manifestations	Copious, clear or white watery nasal discharge Discomfort and stuffiness in the nose and sinus region Reduction or loss of sense of smell Frontal or occipital headache Sneezing Itching eyes and nose Pale, baggy mucus membranes Red, swollen conjunctiva Edema and vasodiation of the nasal mucus membrane Continuous or sustained nasal congestion Maybe nasal obstruction Severe chills Mild or no fever Generally severe frontal, maxillary or temporal headache Transient, declining sense of smell or loss of sense of smell Maybe nasal polyps	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 Cold Disperse the Lungs Stop Asthma
Herb Formulas	Ma Huang Tang Jing Fang Bai Du San Xing Su San Xiao Qing Long Tang Gui Zhi Tang Ma Huang Jia Zhu Tang Xin Yi San For pain in the nasal cavity: Jia Wei Xin Yi San With a stiff neck and shoulders: Ge Gen Tang With sweating that does not stop: Zhen Wu Tang Patent Medicines: Bi Min Gan Wan (Pe Min Kan Wan) Gan Mao Ling For prominent headache: Chuan Xiong Cha Tiao Wan
Points	LI-4, LI-20, LI-19, UB-7, LU-7, ST-36 GB-20, GB-11, LI-20, LI-11, LI-4 UB-12, UB-13, GB-20, LU-7, LU-5, LI-4, KI-7, DU-16 UB-6, UB-2, SI-3 LU-7, LI-4, LI-11, Yintang, LI-20, DU-23, UB-2, Bitong To Expel Wind Cold: GB-20, DU-16, UB-12 To Disperse the Lung: UB-13 To clear nasal obstruction: LI-20, Bitong, Yintang To Promote Sweat: LI-4, KI-7, LU-7, SJ-5 Ear: Inner nose, Forehead, Tip of the nose, Lung

LUNG HEAT

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 T: Red C: Yellow or white P: Rapid
Treatment Principle	Dispel Lung Heat Disseminate Lung Qi Unblock the Orifices (especially the nose)
Herb Formulas	Xin Yi Qing Fei Yin Cang Er Zi San modified Bai Nung Tang
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 To Clear Heat (reduce fever): LI-11, DU-14, ST-44 To soothe and clear Heat from the Lungs: LU-5, LU-10 To regulate Lung Qi and stop cough and asthma: UB-13, DU-13, Dingchuan To strengthen weak or elderly patients: ST-36, UB-20, REN-6 GV-23, Yintang, LI-20, LI-4, GB-20, UB-12, LU-7 Ear: Inner nose, Forehead, Tip of the nose, Lung

LUNG AND SPLEEN QI DEFICIENCY

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 Expectoration of copious, clear, watery or white Phlegm Nasal congestion Short, weak, breathing Asthma Four limbs tired Anorexia General lassitude Distention and pain of the epigastrium and abdomen Loose stools T: Pale C: White P: Thready and weak
Treatment Principle	Reinforce the Spleen Benefit the Lungs Warm and transform Phlegm-Dampness
Herb Formulas	Shen Ling Bai Zhu San Si Jun Zi Tang
Points	Yintang ,LI-4, LI-20 Yintang ,LI-4, LI-20, Bitong GB-20, UB-10, DU-23 (may use moxa), LI-4, LI-20 GB-20, UB-10, DU-14, DU-16, DU-20, UB-12, LI-4, LI-19, LI-20, PC-8, SI-2 DU-23, LI-4, LIV-3 UB-7, DU-23, Yintang, LI-4 Chronic: 1. GB-20, DU-23, Yintang, LI-4, LI-20 2. Yintang, LI-4, DU-23, Bitong Loss of smell: DU-25, UB-13, LI-20 (alternate sides) To Strengthen the Qi of the Spleen and Lungs: UB-13, UB-20, LU-9, SP-3, ST-36, UB-43, REN-17 Ear: Internal nose, Adrenal, Endocrine, Inner nose, Forehead, Tip of the nose, Lung

LUNG AND STOMACH STAGNANT HEAT

Clinical Manifestations	Yellowish, turbid nasal discharge Frontal headache Foul breath Constant stuffy nose Mouth breathing during sleep T: Red C: Yellowish P: Wiry and rapid
Treatment Principle	Clear Heat from the Lungs and Stomach
Herb Formulas	Sinusitis #1
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 To Clear Heat (reduce fever): LI-11, DU-14, ST-44 To soothe and clear Heat from the Lungs: LU-5, LU-10 To regulate Lung Qi and stop cough and asthma: UB-13, DU-13, Dingchuan To strengthen weak or elderly patients: ST-36, UB-20, REN-6 Ear: Inner nose, Forehead, Tip of the nose, Lung

SPLEEN QI DEFICIENCY

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 sticky and white and without a bad odor Pale and swollen mucous membranes Reduction in or loss of smell Foggy-headedness Heavy-headedness Dizziness Heavy, tired limbs Fatigue Weakness A poor appetite Anorexia Abdominal distention, especially after meals 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	Bu Zhong Yi Qi Tang modified Shen Ling Bai Zhu San modified Yi Yi Fu Zi Bai Jiang San Medicated Oil #1 With Accumulation of Phlegm-Damp: Ling Gui Zhu Gan Tang Patent Medicines: Xiang Xia Liu Jun Zi Wan Bu Zhong Yi Qi Wan Shen Ling Bai Zhu Wan
Points	LI-20, LI-4, DU-20, DU-23, Yintang, Bitong, UB-2, UB-20, GB-20, ST-36, ST-40, SP-3 DU-23, LI-4, LI-20, SP-9, ST-36 For frequent, easy contraction of Wind pathogens: + DU-14 For local pain in the sinus area: + Ahshi points For pain in the maxilla: + ST-2 For a severe runny nose and/or congestion: + Yintang For coughing with profuse Phlegm: + LU-7 For supraorbital bone pain: + UB-2, Yintang, Yuyao For pain at the temples: + Taiyang For occipital pain: + GB-20 Yintang (moxa over a slice of Ginger) Ear: Inner nose, Forehead, Tip of the nose, Lung

LIVER QI STAGNATION WITH STAGNANT HEAT

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 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	LIV-2, LIV-3, LI-4, LI-20, GB-20, SI-3, DU-23, UB-2, Yintang, Taiyang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

LIVER AND GALL BLADDER FIRE

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 Tang modified Si Ni San Dang Gui Long Hui Wan 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	SJ-5, LI-4, LI-20, GB-20, GB-39, LIV-2, DU-23, UB-2, Yintang, Taiyang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

GALL BLADDER DEFICIENCY HEAT

Clinical Manifestations	Runny nose with profuse, thick, foul-smelling, sticky yellow or yellow-green, turbid, purulent Phlegm Maybe Blood flecks in the Phlegm Nasal congestion Anosmia Red, swollen, distended nasal membranes Severe frontal headache Orbital or supraorbital bone pain Bilateral temporal headache Maxillary bone pain Generalized fever A dry throat Tinnitus Deafness red eyes Dizziness Blurred vision Bitter taste in the mouth Nausea Vomiting Agitation Restlessness Irritability Indecision Suspiciousness Palpitations with anxiety Insomnia Frequent sighing Suffocating sensation in the chest T: Red C: Yellow or Yellow and greasy P: Wiry and rapid or Slippery and wiry or Thready and wiry- maybe rapid
Treatment Principle	Clear and discharge Gall Bladder Heat Transform Dampness Open the Orifices
Herb Formulas	Long Dan Bi Yuan Fang With damage to Qi and Yin: Xin Yi Qing Fei Yin + Cang Er Zi San With Liver and Spleen disharmony with Phlegm: Xiao Chai Hu Tang + Cang Er Zi San
Points	DU-23, GB-20, GB-39, LI-20 With severe Lung Heat: + LI-4, LU-5 With fever: + LI-4, LI-11 With pain in the sinus cavities: + Ahshi points, LI-4 With in the maxilla: + LI-4, ST-2 With a severe runny nose: + Yintang For coughing with profuse Phlegm: + LU-5 With supraorbital pain: + UB-2, Yintang, Yuyao With temporal pain: + Taiyang With a headache at the vertex: + DU-20 For severe nasal congestion: + Yintang GB-34, HT-7, PC-5, PC-6, ST-40, UB-19

KIDNEY YIN DEFICIENCY

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	Liu Wei Di Huang Wan + Sheng Mai San Patent Medicines: Liu Wei DI Huang Wan Zhi Bai Di Huang Wan He Che Da Zao Wan Da Bu Yin Wan
Points	UB-15, UB-23, DU-4, DU-20, REN-4, REN-6, GB-39, Yintang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

KIDNEY YANG DEFICIENCY

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	Moxa UB-15, UB-23, DU-4, DU-20, REN-4, REN-6, GB-39, Yintang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

KIDNEY JING DEFICIENCY

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 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	Moxa UB-15, UB-23, DU-4, DU-20, REN-4, REN-6, GB-39, Yintang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

QI AND BLOOD DEFICIENCY

Clinical Manifestations	Fatigue Loose stools Poor appetite Dizziness Pale face Weak voice Reluctance to speak Sweating with little or no exertion Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Scanty periods T: Pale or Pale, thin and dry C: Thin and white P: Weak or Thin and choppy
Treatment Principle	Tonify Qi Nourish the Blood
Herb Formulas	Gui Qi Jian Zhong Tang
Points	KI-3, LIV-3, LU-9, SP-6, ST-36, UB-11, UB-17

DAMP-HEAT

Clinical Manifestations	Infection or inflammation of the sinuses Nasal obstruction caused by Damp-Heat Relatively severe continuous or sustained nasal congestion Yellow and sticky nasal discharge with a foul odor Red, swollen nasal membranes Sneezing Generally severe frontal, maxillary or temporal headache or Heavy-headedness, distention and discomfort Itchy nose and throat Transient, declining sense of smell or loss of sense of smell Decreased energy Fatigue Fatigued and heavy limbs Heavy body 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	Qing Bi Tang Huang Qin Hua Shi Tang For Damp-Heat affecting the Middle Jiao: Huang Qin Hua Shi Tang Jia Jian
Points	DU-23, LI-4, LI-20, REN-12 For localized pain in the sinus area: + Ahshi points For maxillary pain: + ST-2 For a severe runny nose and nasal congestion: + Yintang For marked Spleen Deficiency: + ST-36 For coughing with profuse Phlegm: + LU-7 For supraorbital bone pain: + UB-2, Yintang, Yuyao For pain at the temples: + Taiyang For an occipital headache: + GB-20 DU-23, Yintang, LI-20, REN-12, UB-20, SP-4, SP-9. ST-40 Ear: Inner nose, Forehead, Tip of the nose, Lung

PHLEGM-HEAT

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	Dan Xi Bi Yuan Fang Jia Jian + Huo Dan Wan (patent) Gun Tan Wan Qing Qi Hua Tan Wan For Dry-Phlegm: Qing Zao Jiu Fei Tang Jia Jian Patent Medicines: Bi Yuan Wan Bi Yan Pian Bi Yan Ning Snuff: Bing Lian San
Points	LI-4, LI-11, LI-20, GB-20, GB-39, SP-9, DU-23, UB-2, Taiyang, Yintang, Bitong Ear: Inner nose, Forehead, Tip of the nose, Lung

WIND-PHLEGM

Clinical Manifestations	Nasal discharge Nasal congestion Sinus pain Frontal headache Infection or inflammation of the sinuses Dizziness Vertigo (possibly severe) Headaches (may be recurrent) A stifling sensation in the chest Nausea Vomiting Copious sputum Spots before the eyes Heaviness of the head Cold feet Fatigue Abdominal distention Weakness of hands and feet May be edema T: Normal C: White and greasy P: Wiry and slippery or Soft and slippery
Treatment Principle	Strengthen the Spleen Dispel Dampness Transform Phlegm Soothe the Liver Extinguish Wind Open the nose
Herb Formulas	Ban Xia Bai Zhu Tian Ma Tang
Points	LIV-2, LIV-3, LI-4, LI-11, LI-20, GB-20, GB-34, GB-39, PC-5, SP-9, ST-40, DU-20, DU-23, DU-26, UB-2, KI-1, Taiyang, Yintang, Bitong. Ear: Inner nose, Forehead, Tip of the nose, Lung

TOXIC HEAT

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 Purulent nasal discharge Headache Aching of the body Preference for cold drinks T: Slightly purple with or without echymotic patches C: Yellowish P: Wiry and thready or Slippery and thready
Treatment Principle	Open the nose Clear the Heat Dispel the toxins
Herb Formulas	Shi Wei Bai Du San Jing Fang Bai Du San With hemorrhage: Huang Lian Shang Qing Wan Huang Lian Jie Du Tang modified With Shen disturbance: Xi Jiao Di Huang Tang Qing Ying Tang With delirium: An Gong Niu Huang Wan Zhi Bao Dan Zi Xue Dan Chinese Patent Medicines: Xi Ling Jie Du Pian Qing Fei Yi Huo Pian An Gong Niu Huang Wan Yunnan Bai Yao
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 To clear Heat: DU-14, LI-4, LI-11, ST-44 Ear: Inner nose, Forehead, Tip of the nose, Lung

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 Tong Qiao Huo Xue Tang
Points	LI-20, LI-4, DU-20, DU-23, Yintang, Bitong, UB-2, UB-17, GB-20, SP-6 Moxa Yintang Ear: Inner nose, Forehead, Tip of the nose, Lung

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