First, evacuation and rhinoplasty
Main symptoms: sudden cold, stuffy nose, runny nose, slight cold wind, easy sneezing, headache, or temporary failure of sense of smell, enlarged turbinate, even stuffy nose, congestion and redness of mucosa, which is manifested as acute rhinitis. Or both upper respiratory symptoms, fever, aversion to cold, white tongue coating and floating pulse. Syndrome of wind-cold invading nose.
Prescription: Folium Perillae, Radix Angelicae Dahuricae, Radix Saposhnikoviae, Rhizoma Ligustici Chuanxiong, Radix Platycodi, Rhizoma Zingiberis Recens and Welsh Onions.
Addition and subtraction: bitter almond and peucedanum for relieving cough; Vomiting due to excessive phlegm plus Pericarpium Citri Tangerinae and Rhizoma Pinelliae Preparata;
Notopterygium root is added to patients with severe headache. Boil the soup for ten minutes.
After frying, steam your nose with its hot air for about 1.2 minutes, and then take it while it is hot, not too hot to avoid burns.
Fang Jie: Rhinitis caused by wind-cold invading nose is mainly treated by warming lung and dispelling cold, expelling wind and dredging orifices. Among them, Folium Perillae and Radix Angelicae Dahuricae are kings, which can warm and dispel cold, and at the same time dredge nasal orifices and relieve pain; Saposhnikovia divaricata and Ligusticum chuanxiong as ministers to strengthen the role of monarch drugs; Supplemented by platycodon grandiflorum, dispersing lung, resolving phlegm and clearing nose; Ginger and scallion can not only warm the middle warmer and dispel cold, but also clear the nose and coordinate various drugs, so that wind evil can be quickly resolved from the hair. This prescription is the basic prescription for feeling nasal diseases caused by wind-cold and can be added or subtracted according to different symptoms of patients.
Second, clear powder along the nose method
Main symptoms: feeling the evil of wind and heat, nasal congestion, nasal congestion, gradually turning into a yellow and turbid nose, and sometimes the sense of smell fails. The nose shows acute inflammation. Some people have a fever, are not afraid of cold, and are easily thirsty, while others don't have a fever. They have headache and body aches, red tongue, thin white or yellow fur and floating pulse. Syndrome is wind-heat invading nose.
Prescription: mint, kudzuvine root, fermented soybean, xanthium sibiricum, Vitex negundo, licorice and willow bud.
Addition and subtraction: indigestion plus dried tangerine peel;
The nasal mucosa turns purple, and Scutellaria baicalensis Georgi is added;
Tribulus terrestris is added to patients with obvious headache;
Adding Folium Mori and Flos Chrysanthemi when fever continues;
Banlangen is used for cheek swelling;
If it is caused by a viral cold, you can increase the green leaves;
Snuff is like pus, seven leaves and one flower.
; Add almond and platycodon grandiflorum to cough;
If you feel windy and summer, add fresh Pogostemon.
Xanthium sibiricum and tribulus terrestris have little toxicity, so attention should be paid to dosage and contraindications when using them.
Fang Jie: Rhinitis caused by wind-heat invading the nose is mainly treated by dispelling wind and relieving pain. Peppermint is king, dispersing wind and heat, and opening the mouth along the nose; Pueraria lobata and Douchi as ministers can quickly relieve wind-heat caused by Taiyin hand and Yangming foot. Xanthium sibiricum and Vitex negundo assist in expelling wind, dredging nose, searching wind and relieving pain; Licorice. As an emissary, Liu Duoer reconciled all kinds of drugs and drew them out by the wind. The basic prescription of feeling wind and heat for nasal diseases. Clinical use, according to the patient's situation, flexible addition and subtraction
Third, the fragrant nose method
The main symptoms: the course of rhinitis is slightly longer, the nasal congestion is difficult to pass, and the hot compress is slightly smooth. Excessive runny nose and headache often occur regularly, either on the cheeks or on the forehead, and also on the top of the head and temples. The sense of smell is poor, but once the breath passes, you can know the taste. These signs are mainly seen in chronic sinusitis (mostly maxillary sinusitis). Mainly the symptoms of the whole body are colds and long-term illness. White tongue coating and slow pulse. Syndrome is a cold with long-term condensation of the nose. Now it is more common in southern China. Blowing the air conditioner for a long time, cold air invades the nose for a long time, which is easy to cause the nose to catch cold and condense for a long time.
Prescription: Flos Magnoliae, Asari, Lignum Santali Albi, Rhizoma Ligustici, Radix Angelicae Dahuricae, Rhizoma Chuanxiong, fresh pine needles and Fructus Xanthii can also be added.
Add and subtract; If the digestion is not good, add oranges and agastaches;
White tongue coating, ginger; Rhizoma Atractylodis is added for phlegm dampness;
Gastrodia elata and lotus root are added for dizziness; Headache aggravates loneliness;
If there is blood stasis, add Radix Angelicae Sinensis beard;
If there are obvious symptoms of cold, kidney-yang deficiency and du meridian deficiency, antlers can be added.
Fang Jie: Cold air congeals the nose for a long time, and the treatment principle is mainly pungent and warm nose, with magnolia flower as king and pungent and warm nose; Asarum and sandalwood are ministers, and the main drugs are used to warm the nose and induce resuscitation; Rhizoma Ligustici and Radix Angelicae Dahuricae as adjuvant, expelling wind and relieving pain, focusing on the head and face; Chuanxiong rhizome and fresh pine needles can enhance transparency. It is the basic formula for colds and long-term nose condensation.
Fourthly, the method of expelling pus and clearing sinuses
Main symptoms: suppurative sinusitis, purulent nasal discharge, poor ventilation, dull pain in cheeks, chronic inflammation of posterior pharyngeal wall stimulated by pus, excessive old phlegm, and nasal discharge tends to flow backwards when lying down and sleeping. The sense of smell often fails, and even has a strange smell. The tongue coating is sticky and slippery, and the pulse is slippery or counted. Heat toxin syndrome focuses on the nose.
Prescription: Platycodon grandiflorum, Scutellaria baicalensis Georgi, Trichosanthis Radix, Fritillaria thunbergii, Paris polyphylla, and Flos Lonicerae. , xanthium sibiricum and licorice. Trollius chinensis can also be added.
Add and subtract; Headache plus angelica dahurica can relieve pain and expel pus;
There is pus accumulation in sinus and Patrinia;
If the natural passage is blocked, add a saponin needle;
Angelica tail and Radix Arnebiae are added for blood heat;
Purulent discharge with blood, nasal congestion, plus thistle.
Solution: Heat toxin gathers in the nose, which is easy to gather thick poison, so we need to clear away heat and expel pus. Platycodon grandiflorum and Scutellaria baicalensis are kings, which can expel pus and stop nasal discharge, clear the jaw and walk the sinus, discharge more pus and turbid nasal discharge, and begin to understand; Trichosanthes root and Fritillaria thunbergii are ministers, clearing away heat and resolving phlegm, discharging pus outward, and enhancing the ability of monarch drugs to resolve phlegm; Assisting seven leaves, one flower and honeysuckle leaves to prevent pus and detoxify; Xanthium sibiricum and Glycyrrhiza uralensis Fisch are used for clearing away heat and toxic materials, and also for inducing resuscitation and menstruation. It is a basic prescription for clearing blood and decomposing heat toxin. Clinical application should be based on syndrome differentiation.
After taking 7 14 doses of this prescription, purulent nasal mucus has turned into sticky nasal mucus. For those with excessive amount, or those with physical weakness and spleen deficiency, Coicis Semen, Semen Benincasae, Rhizoma Dioscoreae, Atractylodis Macrocephalae, Radix Astragali and Radix Codonopsis can be made into powder. It is mainly used for invigorating qi and spleen, eliminating dampness and discharging pus, regulating sequelae and promoting rehabilitation.
Five, the method of clearing the air and discharging the nose
Main symptoms: mainly manifested as chronic simple rhinitis or children's rhinitis, with long course of disease and good time difference, or good summer and autumn but poor winter and spring. When the condition is serious, the air jam is difficult to pass, and the two sides are alternately blocked at ordinary times, often due to poor ventilation and insufficient oxygen supply to the brain. I feel the symptoms get worse after catching a cold, and I have a lot of snot. Although the inferior turbinate is large, some drugs can make it shrink, feel soft, and sometimes affect the sense of smell (chronic maxillary sinusitis with thick sinus mucosa can also be treated with this prescription). Tongue coating and pulse condition often change little. Syndrome is that the nose suffers from long-term qi loss.
Recipe: loofah vine, lotus root, trollius chinensis, Longjing tea and licorice.
Add and subtract: headache plus chrysanthemum;
Qi stagnation plus orange collaterals;
If you have a bad appetite, add shepherd's purse flowers and water bamboo;
The mucosa of chronic maxillary sinusitis is thickened, and Fritillaria thunbergii and Fritillaria thunbergii can be added.
Fang Jie: Luffa rattan is king, dredging collaterals and relieving nose; As a minister, Heidi has the function of clearing qi and can cure dizziness; Trollius chinensis has a good effect on chronic inflammation of the five senses by clearing away heat and toxic materials. Longjing tea can induce the drug to act on the top of the mountain for a long time This prescription is mild and can be removed, and it is the basic prescription for clearing away qi and treating rhinitis separately. Clinical medication needs syndrome differentiation and treatment.
Shepherd's purse flower: sweet in taste and cool in nature. Entering the liver and spleen meridians. Cooling blood to stop bleeding, clearing heat and promoting diuresis. Indications: metrorrhagia, hematuria, hematemesis, hemoptysis, epistaxis, galactorrhea in children, dysentery and excessive leucorrhea.
Six, detumescence and wide nose method
Main symptoms: hypertrophic rhinitis, enlarged turbinate, mucous membrane hypertrophy, inability to contract when taking medicine, poor ventilation, poor sense of smell, and frequent breathing with your mouth open. More phlegm leads to slippery pulse; If there is blood stasis, the pulse is more astringent; The tongue is blue, with white coating and thick phlegm. This syndrome is characterized by long-term blood coagulation and qi stagnation, local rigidity, obstruction to breathing, and unclear phlegm in the lungs.
Recipe: hibiscus leaves, towel gourd leaves, Fritillaria thunbergii, puffball, passepartout, safflower, calamus, xanthium.
Addition and subtraction: antlers are added to those with hypertrophy and no fever;
Pericarpium Citri Tangerinae and Rhizoma Pinelliae are added for patients with excessive phlegm;
Qi stagnation plus orange collaterals or turmeric;
Scleroma plus Shā rotto Katakuri and Fritillaria thunbergii;
If blood function needs to be enhanced, Radix Angelicae Sinensis can be added.
Solution: hibiscus leaves and towel gourd leaves are king, clearing away lung heat, reducing swelling and widening nose; Fritillaria thunbergii and puffball are ministers to help the main medicine play a better role; Passepartout, supplemented by safflower, ventilates and promotes blood circulation, reduces swelling and dissipates stagnation; Acorus calamus and xanthium sibiricum are used for clearing nose.
Seven, nourishing yin and moistening nose
Main symptoms: chronic rhinitis sicca, dry nasal mucosa, often covered with a scab, dry consciously, sometimes itchy, or burning, often making patients blow their noses or pick their nostrils, making the nasal cavity easy to bleed. At the time of examination, it can be seen that the mucosal surface of the anterior lower part of nasal septum, inferior turbinate and the front end of middle nasal meatus is dry or even shiny, with a small thin scab attached. If you take it out forcibly, you will see a small amount of bleeding every time. If the symptoms are severe for a long time, ulcers can be seen in the nasal septum. Every patient is accompanied by dry mouth and thirst, dry skin and so on. The tongue is dry with little moss, and the pulse is finer, some as big as an inch and as small as a ruler. Syndrome belongs to lung dryness and yin deficiency, and body fluid is difficult to bear.
Recipe: asparagus, Ophiopogon japonicus, Polygonatum odoratum, black sesame.
Addition and subtraction: if you see the phenomenon of kidney yin deficiency, you can add Ligustrum lucidum and Radix Rehmanniae;
If hyperactivity of liver yang occurs at the same time, green calyx plum and chrysanthemum can be added;
If dry bleeding often occurs, Eclipta prostrata and Herba et Gemma Agrimoniae can be added.
The decoction method refers to the first method, but it needs to be decocted slowly. It is best to cook the soup with sesame seeds first, remove sesame seeds and take the medicine with the soup.
For atrophic rhinitis, there are Radix Adenophorae, Rhizoma Polygonati, Radix Rehmanniae, Bulbus Fritillariae Cirrhosae, Radix Angelicae Sinensis, etc. Can be added; Cordyceps sinensis and Cistanche deserticola can be added to moisten lung and tonify kidney, which can improve the symptoms of atrophic rhinitis and relieve the pain of patients.
Solution: lung dryness and yin deficiency need to nourish yin and moisten dryness. Asparagus is king, nourishing yin and moistening dryness, clearing away gold and reducing fire, and relieving depression and clearing up; Ophiopogon japonicus is the minister, assisting the main medicine, and strengthening the effect of moistening dryness and clearing away gold; The fat Polygonatum odoratum is supplemented, nourishing yin and promoting fluid production, which has a strong effect; Black sesame has nourishing effect, which can be combined with other drugs to make its effect lasting and slow.
Eight, the wind blowing nose method
Main symptoms: allergic rhinitis, easy sneezing, itchy nose, runny nose and even tears after blowing air conditioning, which often temporarily affects the sense of smell. The nasal mucosa is mostly pale, and patients are prone to colds, sweating and headaches. The pulse condition is mostly deficiency or tide, and the tongue coating often changes little or turns white. It is proved that Wei Qi is insufficient to resist the external wind.
Prescription: Fructus Xanthii, Periostracum Cicadae, Radix Saposhnikoviae, Fructus Tribuli, Rhizoma Polygonati Odorati, Radix Glycyrrhizae Preparata, Coicis Semen and Lily.
Addition and subtraction: Radix Astragali and Rhizoma Atractylodis Macrocephalae can be added for patients with qi deficiency (if people are angry, Radix Astragali can be used less or not), and Radix Codonopsis and Rhizoma Dioscoreae can also be added; Headache plus angelica dahurica;
If you shed tears when sneezing, and your head and forehead feel tight, add Vitex negundo;
Those with itchy nose aggravate cicada clothing;
If there is blood stasis, such as local pallor and blue color, angelica can be added;
Cistanche deserticola is added to patients with kidney deficiency;
If the top door is afraid of cold and wind, it will be aggravated by external wind or cold, and the back will be sore. Deer marrow or antlers can be added, or boiled goat spinal cord can be added with seasoning for diet therapy.
Fang Jie: Xanthium sibiricum and cicada clothing are kings, dispelling wind and desensitizing; Saposhnikovia divaricata and tribulus terrestris are ministers, auxiliary main drugs, and play the role of windbreak; Fat Polygonatum odoratum, fried licorice as a supplement, strengthen physical strength, invigorate their own defense, but also alleviate the poison of Xanthium sibiricum; Coix seed and lily can moisten the lungs, and lily can stop tears.
Nine, detoxification and furuncle extraction method
Main symptoms: nasal furuncle (also known as furuncle with white blade, which is thought to be caused by heat toxin in lung meridian). At the initial stage, it shows local swelling and pain, and at the mature stage, pus heads can be seen, and swelling and pain often appear outside the nose, lips and cheeks. Less tongue coating and more floating pulse. The syndrome belongs to heat toxin accumulating in lung and heat toxin congealing nose.
Prescription: fresh chrysanthemum leaves, Xanthium sibiricum, Viola yedoensis, Astragalus esculentus, Scutellaria baicalensis, Trollius chinensis and Glycyrrhiza uralensis.
Addition and subtraction: if there is high fever, honeysuckle and forsythia can be added;
The swelling and pain are obvious, and dandelion is added;
If the poison is scattered, add Scutellaria barbata;
Not easy to produce pus, add Trichosanthes root and Fritillaria thunbergii;
For patients with blood heat, red tongue and constipation, Radix Arnebiae is added;
For patients with cough and asthma, Folium Mori and Aristolochiae can be added.
Solution: Heat toxin condenses the nose, which requires us to clear away heat and detoxify. This prescription is all products that can clear away heat and toxic materials, which together can expel pus and pull out boils, some are generally used to detoxify and pull out boils, and some are specially used to treat boils entering the lungs and nose.
Ten, diarrhea and nasal shock method
Main symptoms: nasal vestibulitis, patients often feel itchy nose or pain and discomfort. The nasal vestibule endothelium is red and swollen, often accompanied by superficial erosion or cracks, and even eczema-like changes. The nasal vestibule is covered with pus scab, and the peeling scab skin often bleeds. Its systemic symptoms show images of lung fire every time, with red tongue, sticky fur and large pulse. The syndrome is that the lung meridian contains exogenous damp-heat.
Prescription: Cortex Mori, Cortex Lycii, Flos Chrysanthemi, Flos Trollii, Radix Scutellariae, Rhizoma Coptidis and Radix Glycyrrhizae.
Addition and subtraction: with purulent secretion, Radix Trichosanthis and Flos Lonicerae are added;
Adding Fritillaria thunbergii and Platycodon grandiflorum into sputum;
Hemp seed constipation.
Solution: Damp-heat accumulating lung syndrome needs us to clear away heat and toxic materials, promote diuresis and relieve pain. Mulberry bark and wolfberry bark are kings, aiming at purging lung fire and removing damp-heat of lung meridian; Chrysanthemum and Trollius chinensis are ministers, assisting the main drugs, clearing away heat and toxic materials; Scutellaria baicalensis Georgi and Coptidis Rhizoma are assisted, purging fire and drying dampness; Glycyrrhiza uralensis Fisch can coordinate various medicines and clear away heat and toxic materials.
Xi. Clearing fire and quitting smoking
Main symptoms: nosebleed, bright red blood, or deep red blood, with a large amount of bleeding that is difficult to stop, accompanied by dry turbinate, burning nose, or fever, thirst, constipation, red tongue, yellow fur, rapid or slippery pulse. The syndromes are lung fire, burning nose and inflammation of the orifices.
Prescription: cogongrass rhizome, baical skullcap root charcoal, gardenia charcoal, peony bark, red peony root, Cirsium japonicum and lotus leaf charcoal.
Add and subtract:
If lung fire is heavy and pulse is large, Scutellariae Radix and Folium Mori can be added;
If the heart fire is heavy, the tongue is red and upset, and the pulse is large and numerous, forsythia or rhinoceros horn (now replaced by buffalo horn) is added.
If the stomach fire is heavy, the pulse is heavy, and the tongue is red and yellow and thirsty, gypsum can be added;
If constipation is full, pulse is firm, and tongue coating is brown, Fructus Aurantii Immaturus and Radix et Rhizoma Rhei can be added;
Severe liver fire, thready pulse, red eyes and blue veins on the face. Adding Radix Gentianae and Radix Rubiae;
Urine Huang Chi, yellow and sticky tongue coating, adding Semen Plantaginis or Caulis Akebiae to conduct heat downwards.
Fang Jie: Imperata rhizome is king, clearing away heat and quitting smoking, and inducing heat to descend; Scutellaria baicalensis Georgi charcoal and Gardenia Gardenia charcoal are ministers, and Scutellaria baicalensis Georgi can clear lung-heat and stop bleeding. Gardenia Gardenia can not only clear lung fire, but also purge triple energizer fire, restore vitality, stop bleeding, and increase the power of inducing heat to descend. Peony and peony can stop bleeding and cool blood; Thistle and lotus leaf charcoal can enhance the mosquito killing effect.
Twelve, nourishing yin and stopping cockroaches
Main symptoms: long-term intermittent nosebleed, dizziness and tinnitus, dizziness and palpitation, fatigue, dryness of nose, pharynx, mouth and tongue, and even dry cough. Red tongue with little fur and thin pulse. This syndrome is due to the dereliction of duty of the Tibetan system caused by yin deficiency, resulting in excessive phlegm.
Prescription: Herba et Gemma Agrimoniae, crinis Carbonisatus, Radix Glehniae, Radix Rehmanniae, Radix Paeoniae Alba, Radix Angelicae Sinensis, Eclipta prostrata and Lotus Seed Festival.
Add and subtract:
Polygonatum odoratum is added to those with deficiency of both qi and yin;
Colla Corii Asini is added for patients with blood deficiency;
Asparagus is added to patients with lung deficiency;
Dendrobium officinale is added to those who are thirsty due to insufficient stomach yin;
Ginseng Radix and Cortex Lycii are added for patients with kidney yin deficiency, dry throat and hand and foot heart fever;
In case of bleeding, Radix Notoginseng kimono or Rhizoma Bletillae may be added; Yang floats on the top, face is red, and Achyranthes bidentata is added;
Indigestion plus shepherd's purse flower;
If there is trauma, you can take Yunnan Baiyao alone.
Solution: Herba et Gemma Agrimoniae and carbonized blood are king, benefiting yin and stopping bleeding; North and South Adenophora adenophora and Radix Rehmanniae are ministers, mainly nourishing yin; Radix Paeoniae Alba and Radix Angelicae Sinensis are supplemented to astringe yin and stop bleeding; Eclipta prostrata and lotus root festival are used to stop bleeding and benefit kidney. Together, they can nourish yin.
In the process of clinical application, the twelve methods for treating rhinitis mentioned by Teacher Geng Jianting must be treated according to syndrome differentiation, applied flexibly and added and subtracted according to symptoms. Mr. Geng Lao pointed out in the book "Prevention and Treatment of Nasal Diseases by Traditional Chinese Medicine": "Some chronic diseases sometimes need to be treated by stages. At the beginning, we used one method, one stage, and after reaching a certain goal, we might as well turn to another method according to the change of illness. It is necessary to analyze the specific situation in order to receive the expected results. "
Please try to use the medicine under the guidance of a specialist!
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