Bi Shu Ling - 鼻舒醽 - Nose Soothing Elixir

English:	Nose Soothing Elixir
Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Hb. Houttuyniae	Yu Xing Cao	15g	Clears Heat, relieves toxicity, reduces swellings and abscesses and expels pus, especially in the Lungs.
Hb. Taraxaci	Pu Gong Ying	15g	Clears the Liver, clears Heat and resolves Dampness.
Rx. Bupleuri	Chai Hu	12g	Spreads Liver Qi, relieves Stagnation, disperses Wind-Heat and resolves Phlegm and congestion. With Huang Qin, restores the normal functioning of the Liver and Gallbladder.
Fr. Xanthii	Cang Er Zi	12g	Disperses Wind and Dampness and opens the nasal passages.
Hb. Agastaches seu Pogostemmi	Huo Xiang	9g	Aromatically transforms Dampness and releases the Exterior.
Sm. Coicis	Yi Yi Ren	9g	Expels Wind-Dampness, Relieves pain, Resolves Dampness, Strengthens the Spleen.
Rx. Salviae Miltiorrhizae	Dan Shen	9g	Activates the Blood, Clears Heat, Dispels Blood Stasis, Soothes irritability.
Rx. Scutellariae	Huang Qin	9g	Clears Heat, dries Dampness and calms ascending Liver Yang.
Rz. Atractylodis Macrocephalae	Bai Zhu	9g	Tonifies the Spleen, augments Qi and dries Dampness.
Rz. Chuanxiong	Chuan Xiong	9g	Activates the Blood, Alleviates pain, Expels Wind, Promotes the movement of Qi.
Rz. Acori Tatarinowii	Shi Chang Pu	9g	Opens the Orifices, vaporizes Phlegm, removes filth, calms the Spirit, disperses Wind, transforms turbid Dampness, harmonizes the Middle Jiao, awakens the Spleen, promotes the movement of Qi, promotes Blood flow, reduces swelling and alleviates Wind-Damp.

Formula Actions

• Clears Heat
• Tonifies Qi
• Eliminates Dampness
• Activates the Blood
• Calms the Liver
• Opens the nasal passages

Syndromes

• Lung Qi Deficiency with Liver Qi Stagnation Invading the Spleen, Blood Stagnation and Deficiency Heat

Clinical Manifestations

Chronic variable and intermittent nasal and sinus congestion or Continuous or sustained nasal congestion 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 Transient, declining sense of smell or loss of 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 Weak cough with thin white or watery sputum

Waxy, pale complexion Sinus pain Generally severe frontal, maxillary or temporal headache Chronic sinus inflammation and congestion which is worse with stress or emotional upset 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 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: Pale or Red edges with spots or Dark red or Purple with brown or purple spots C: Thin and white or Thin and yellow P: Weak and forceless or Wiry and possibly rapid or Wiry and thready or Choppy

Treats

Chronic sinusitis

Red eyes

Contraindications And Herb/Drug Interactions

Notes

Modifications