Nasal Congestion

General

Clinical Manifestations	Blocked or stuffy nose Nasal discharge Sinus pain Frontal headache No infection
Treatment Principle	Unblock the nose
Herb Formulas	With clear nasal discharge: Ting Li Da Zao Xie Fei Tang Topical: Medicated Oil #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 DU-14, DU-16, DU-20, DU-28, GB-1, GB-15, GB-19, GB-20, LI-4, LI-20, LU-7, PC-8, SI-2, SJ-17, ST-3, ST-45, UB-2 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 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 Nasal congestion
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 sense of smell: DU-25, UB-13, LI-20 (alternate sides) Ear: Internal nose, Adrenal, Endocrine

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Tai Yang Zhong Feng With Dampness

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	Ren Shen Bai Du San
Points	Bitong, DU-16, GB-20, KI-7, LI-4, LI-20, LU-7, SJ-5, SP-6, SP-9, UB-12, UB-13, Yintang

Shang Han-Tai Yang Level Transforming 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	For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 Ear: Inner nose, Forehead, Tip of the nose, Lung

Shang Han-Tai Yang Level (Wind-Cold Attacks The Lungs)

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	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 modified Shi Shen Tang Hua Gai San Ge Gen Tang Jia Xin Yi Chuan Xiong For a mild condition: Xing Su San For pain in the nasal cavity: Jia Wei Xin Yi San With neck and shoulder stiffness: Ge Gen Tang With vomiting but no diarrhea: Ge Gen Jia Ban Xia Tang Ear: Inner nose, Forehead, Tip of the nose, Lung 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 DU-23, LI-20, LI-4, LU-7, SJ-5 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 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 DU-14, UB-12, GB-20, LI-4, KI-7 For headache: ST-8 For cough: UB-13 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Cold Attackls The Lungs With Underlying Qi Deficiency And Phlegm Retention

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	Shen Su Yin
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 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 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 To resolve Phlegm: PC-5, ST-40 To strengthen the Spleen: ST-36, REN-12, SP-3 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Cold-Dryness

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	Xing Su 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 For Wind-Cold: LU-7, LI-4, UB-13, LU-5, UB-12, DU-16 For Dryness: LU-6, LU-1, UB-13, SP-6, KI-3 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 LU-7, LI-4, UB-12, GB-20, LU-5, UB-13 For warm Dryness: LU-7, LI-4, LU-5, UB-13, LI-11, DU-14, SP-6 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Cold With Interior Heat

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	Da Qing Long Tang
Points	DU-14, SJ-5, LI-4, LU-5, LI-11, UB-13 For severe coughing: LU-10 For Predominant Cold: - UB-13 + UB-12 For predominant Interior Heat with constipation and thirst: ST-44, ST-25 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Cold With Interior Qi Stagnation

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	Xiang Su San
Points

Wind-Cold-Dampness With Underlying Qi Deficiency

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	Ren Shen Bai Du San Jing Fang Bai Du San
Points	For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 Ear: Inner nose, Forehead, Tip of the nose, Lung

Shang Han -Tai Yang Zhong Feng (Wind-Cold With Deficiency)

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	Gui Zhi 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 expel Wind: SJ-5 + LI-4, DU-14, DU-16 To clear Heat: LU-11, LU-10, LU-5 To cleanse the Lungs: UB-13, UB-12 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 DU-14, UB-12, SJ-5, LI-4, PC-5 For dry retching: REN-12 For headache: GB-20 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wen Bing Wei Stage Wind-Heat Attacks The Lungs

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	Cang Er Zi San modified Qing Bi Tang 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 Yintang, LI-20, LI-4, LI-11, DU-14 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wind-Damp-Heat With Internal Heat Toxins

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	Yin Qiao Bai Du San
Points

Dryness Attacks The Lungs

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	Qing Zao Jiu Fei Tang Yang Yin Qing Fei Tang Sang Xing Tang modified
Points	LU-1, LU-6, UB-13, SP-6, KI-3, Jinjin-Yuye LI-19, LI-20, LU-5, UB-13, SP-6 If the Exterior pattern is pronounced: LI-4 Ear: Inner nose, Forehead, Tip of the nose, Lung

Wen Bing Qi Stage 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 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	Xin Yi Qing Fei Yin Cang Er Zi San modified
Points	UB-7, UB-3, DU-24, Yintang, LI-20 through to Bitong, LI-4, SJ-5, 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 LI-20, LI-4, Yintang, LU-1, UB-13 DU-23, Yintang, LI-20, LI-4, GB-20, UB-12, LU-7 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 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) 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	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 sore throat: PC-6, ST-9 For Wind: UB-12, GB-20, LI-4, SJ-5, LI-20 DU-23 Yintang, LI-20, UB-13, LU-9, KI-3 Ear: Inner nose, Forehead, Tip of the nose, Lung

Lung And Spleen Qi Deficiencies

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	Bu Zhong Yi Qi Tang modified Liu Jun Zi Tang modified For Lung Qi Deficiency predominant: Wen Fei Zhi Liu Dan modified For Spleen Qi Deficiency predominant: Shen Ling Bai Zhu San 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 In atopic patients: + 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 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 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	Bu Zhong Yi Qi Tang modified Shen Ling Bai Zhu San modified Patent Medicines:   Xiang Xia Liu Jun Zi Wan   Bu Zhong Yi Qi Wan   Shen Ling Bai Zhu Wan Medicated Oil #1 Ear: Inner nose, Forehead, Tip of the nose Lung
Points	LI-20, LI-4, DU-20, DU-23, Yintang, Bitong, UB-2, UB-20, GB-20, ST-36, ST-40, SP-3 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 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 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	SJ-5, LI-4, LI-20, GB-20, GB-39, LIV-2, DU-23, UB-2, Yintang, Taiyang, Bitong DU-23, Yintang, LI-20, LIV-3, GB-34, KI-6 Ear: Inner nose, Forehead, Tip of the nose, Lung

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 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	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 Stagnation

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	Tong Qiao Huo Xue Tang modified
Points	LI-20, LI-4, Yintang, SP-6, UB-20 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
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

Damp-Heat

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	Qing Bi Tang Huang Qin Hua Shi Tang
Points	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 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	Dan Xi Bi Yuan Fang Jia Jian + Huo Dan Wan (patent) 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