1. evacuation and nose-smoothing method
main symptoms: sudden cold, nasal congestion and runny nose, watery nasal discharge, slight cold wind, easy sneezing, headache, or temporary failure of sense of smell, enlarged turbinate, even nasal obstruction, congestion and redness of mucous membrane, showing acute rhinitis. Or both upper respiratory symptoms, fever, aversion to cold, white tongue coating and floating pulse. Syndrome of wind-cold invading nose.
prescription: perilla leaf, dahurian angelica root, ledebouriella root, chuanxiong rhizome, platycodon grandiflorum, ginger and scallion.
addition and subtraction: bitter almond and peucedanum root are added to cough; Adding Pericarpium Citri Tangerinae and Rhizoma Pinelliae Preparata for vomiting due to excessive phlegm;
notopterygium root is added to patients with severe headache. Boil the decoction for ten minutes.
after frying, first steam the nose for about 1 2 minutes, and then take it while it's hot, not too hot to avoid burns.
Fang Jie: Rhinitis caused by wind-cold invading the nose, and the treatment principle is mainly to warm the lungs and dispel cold, dispel wind and dredge orifices. Among them, Folium Perillae and Radix Angelicae Dahuricae are kings, which can warm and dispel cold, and at the same time can relieve pain by dredging nasal orifices; Saposhnikovia divaricata and Ligusticum chuanxiong as ministers to strengthen the role of monarch drugs; Platycodon grandiflorum is the assistant, dispersing lung, resolving phlegm and clearing nose; Ginger and scallion can not only warm the cold, but also clear the nose, and coordinate all kinds of drugs, so that wind evil can be quickly solved from the hair orifices. This prescription is the basic prescription for feeling nasal diseases caused by wind-cold, and it can be added or subtracted according to different symptoms of patients.
second, the method of clearing away phlegm and smoothing the nose
The main symptoms are: feeling the evil of wind and heat, stuffy nose, sticky nose, gradually turning into 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, are thirsty easily, and some do not have a fever. They have a headache and body pain, a red tongue with thin white or yellow fur, and a floating pulse. Syndrome is wind-heat attacking nose.
prescription: mint, kudzuvine root, lobster sauce, xanthium sibiricum, Vitex negundo, licorice and willow bud.
addition and subtraction: add dried tangerine peel for indigestion;
purple nasal mucosa and scutellaria baicalensis Georgi;
Tribulus terrestris is added to patients with obvious headache;
mulberry leaves and chrysanthemum are not added when fever occurs;
Banlangen is added to swollen cheeks;
If it is caused by virus cold, the green leaves can be enlarged;
nasal discharge such as purulent turbidity plus seven leaves and one flower
; Add almond and platycodon grandiflorum for cough;
if you feel the wind and summer, add fresh agastache.
Xanthium sibiricum and Tribulus terrestris have small toxicity, so attention should be paid to dosage and contraindications.
Fang Jie: Rhinitis caused by wind-heat invading the nose, and the treatment principle is mainly to disperse wind-heat, dredge orifices and relieve pain. Mint is the king, dispersing wind and heat, and smoothing the nose and opening the mouth; Pueraria lobata and fermented soybean are ministers, which can quickly relieve the wind-heat caused by the Taiyin hand and Yangming foot. Xanthium sibiricum and Vitex negundo assist in expelling wind, smoothing nose, and searching for wind and relieving pain; Glycyrrhiza uralensis Fisch. and Willows Bud as ambassadors, to reconcile all kinds of medicines, and to lead them out by the wind. The basic prescription of suffering from nasal diseases for feeling wind and heat. Clinical use, according to the patient's situation, flexible addition and subtraction.
Third, the pungent-warm nose-pressing method
The main symptoms: the course of rhinitis is a little long, the nasal congestion is difficult to pass, and the warm compress is a little pass. Excessive runny nose and headache often occur regularly, either in the cheeks or in the forehead, and at the same time, the top of the head and temples also hurt. The sense of smell is poor, but once the breath passes, the taste can be known. These signs are mainly seen in chronic sinusitis (mostly maxillary sinusitis). Mainly the symptoms of the whole body are cold, and it is a long-term disease. The tongue is coated with white fur and the pulse is deep and slow. The syndrome is cold and long-term condensation of the nose. Now it is more common in southern China. Air conditioning is blown for a long time, and cold air invades the nose for a long time, which is easy to cause cold and long-term condensation of the nose.
prescription: Flos Magnoliae, Herba Asari, Lignum Santali Albi, Rhizoma Ligustici, Radix Angelicae Dahuricae, Rhizoma Chuanxiong, fresh pine needles, and Fructus Xanthii can also be added.
addition and subtraction; If the digestion is not good, add orange and agastaches;
white and thick tongue coating with ginger; If phlegm is wet, Rhizoma Atractylodis is added again;
Gastrodia elata and lotus root are added for dizziness; Headaches add to loneliness;
If there is blood stagnation, add Danggui beard;
staghorn tablets can be added for patients with obvious cold symptoms and symptoms of kidney-yang deficiency and du-meridian deficiency.
prescription: cold congeals the nose for a long time, and the main treatment principles are pungent and warm nose, magnolia flower is the king, pungent and warm nose; Asarum and sandalwood are ministers, assisting the main medicine to warm the nose and promote resuscitation; Rhizoma Ligustici and Radix Angelicae Dahuricae as adjuvant, expelling wind and relieving pain, focusing on the head and face; Chuanxiong and fresh pine needles can enhance the transparency. It is the basic formula for cold and long-term condensation of nose.
iv. Purging pus and clearing sinuses
Main symptoms: suppurative sinusitis, excessive purulent nasal discharge, poor ventilation, dull pain in the cheeks, irritation of pus on the posterior pharyngeal wall, chronic inflammation, and excessive phlegm, and nasal discharge tends to flow back when lying down and sleeping. The sense of smell often fails, and even there is a strange smell. The tongue coating is sticky and slippery, and the pulse is slippery or counted. Syndrome of heat toxin is concentrated in the nose.
Prescriptions: Platycodon grandiflorum, Scutellaria baicalensis, Trichosanthis Radix, Fritillaria thunbergii, Paris polyphylla (Paris polyphylla), Lonicera japonica Thunb., Xanthium sibiricum and Glycyrrhiza uralensis Fisch. You can also add Trollius chinensis < P >. Headache plus angelica dahurica can relieve pain and expel pus;
there is pus accumulation in sinus and Patrinia scabiosaefolia;
If the natural passage is blocked, add a saponin needle;
angelica tail and Arnebia euchroma are added in case of blood heat;
pus with blood and stuffy nose, add thistle.
Fang Jie: Heat toxin gathers in the nose, which is easy to concentrate, so we need to clear away heat and expel pus. Platycodon grandiflorum and Scutellaria baicalensis are kings, expelling pus and stopping nasal discharge, clearing jaws and walking sinuses, discharging more pus and turbid nasal discharge, and promoting resuscitation; Trichosanthes root and Fritillaria thunbergii are ministers, clearing away heat and resolving phlegm, removing pus outward, and enhancing the ability of monarch drugs to resolve phlegm; Seven leaves, one flower and honeysuckle leaves are assisted to prevent pus and detoxify pus; Xanthium sibiricum and Glycyrrhiza uralensis Fisch are used to clear away heat and toxic materials, and also to smooth the nose and introduce menstruation. It is the basic prescription for clearing blood and decomposing heat toxin. Clinical application should be based on syndrome differentiation and treatment.
After taking 7-14 doses of this prescription, purulent nasal discharge has turned into sticky nasal discharge, and those with excessive amount or showing weakness of physical strength and spleen can be made into medicinal powder with Coicis Semen, wax gourd seed, yam, Atractylodes macrocephala, Radix Astragali, Codonopsis pilosula, etc., mainly for invigorating qi and strengthening spleen, eliminating dampness and expelling pus, regulating its aftermath and promoting recovery.
5. the method of clearing qi and relieving nasal congestion
main symptoms: chronic simple rhinitis or children's rhinitis, with a long course of disease, good time difference, or better summer and autumn but worse winter and spring, when the condition is serious, the air jam is difficult to get through, and each side can't get through alternately at ordinary times, and people often feel dizzy because of poor ventilation and insufficient oxygen supply to the brain. After feeling the cold, the symptoms are aggravated, and the nasal mucus is much. Although the inferior turbinate is large, some medicine can shrink and feel soft, and sometimes it affects the sense of smell (chronic maxillary sinusitis with thick sinus mucosa can also be treated with this prescription). Tongue coating and pulse often change little. The syndrome is that the nose suffers for a long time, and the qi is lost.
prescription: loofah vine, lotus root, trollius chinensis, longjing tea and licorice.
addition and subtraction: headache plus chrysanthemum;
qi stagnation plus orange collaterals;
poor appetite, add shepherd's purse flower and wild rice;
Fritillaria thunbergii and Bulbus Fritillariae Thunbergii can be added for chronic maxillary sinusitis with thickened mucosa.
prescription: loofah vine is the king, clearing the collaterals and relieving the nose; As a minister, Hetty has the function of ascending and clearing qi, which can cure dizziness; Trollius chinensis as an assistant, clearing away heat and toxic materials, has a good effect on chronic inflammation of the five senses; Longjing tea can induce drug power to act on the top of the mountain for a long time. This prescription is light and can be removed, which is the basic prescription for clearing away qi and treating rhinitis separately. Clinical medication needs to be treated according to syndrome differentiation.
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, infantile galactorrhea, dysentery and leukorrhagia.
VI. Method of relieving swelling and widening nose
Main symptoms: hypertrophic rhinitis, enlarged turbinate, mucous membrane hypertrophy, inability to contract when applying medicine, poor ventilation, poor sense of smell, and frequent breathing with the mouth open. If there is too much phlegm, the pulse will be slippery; If there is blood stasis, the pulse is mostly astringent; The tongue is bluish, the tongue coating is white, and the phlegm is thick. The syndrome is a long-term illness with blood coagulation and qi stagnation, so the local rigidity will not disappear, which will hinder the breathing, and the lungs will lose their clarity and phlegm will be difficult to resolve.
prescription: hibiscus leaves, luffa leaves, Fritillaria thunbergii, puffball, fructus lipuidambaris, safflower, calamus, and xanthium sibiricum.
addition and subtraction: cornu Cervi is added for patients with hypertrophy of septum and no fever in general symptoms;
Pericarpium Citri Tangerinae and Rhizoma Pinelliae are added for patients with excessive phlegm;
orange collaterals or turmeric root are added to suppress qi;
pseudobulbus cremastrae seu pleiones and bulbus Fritillariae Thunbergii are added for stiff swelling;
if it is necessary to enhance the blood function, angelica can be added.
prescription: hibiscus leaves and luffa leaves are the monarch, 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, safflower as assistant, ventilation and blood circulation, swelling and stagnation; Acorus calamus and xanthium sibiricum are used to make the nose clear.
VII. Nourishing yin and moistening nose
Main symptoms: like chronic dry rhinitis, nasal mucosa is dry, and the mucosa is often covered with a layer of scab, which is dry consciously, sometimes itchy, or burning, which often causes patients to blow or dig their noses, so that the nasal cavity is prone to bleeding. During the examination, it can be seen that the mucosal surface of the anterior lower part of the nasal septum, the inferior turbinate and the front end of the middle nasal meatus is dry or even shiny, and there is a small piece of thin scab attached. If it is forcibly removed, a small amount of bleeding will be seen every time. If the symptoms are serious 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 more detailed, and some are as big as an inch and as small as a foot. The syndrome belongs to lung dryness and yin deficiency, and body fluid is difficult to inherit.
Prescriptions: Asparagus, Ophiopogon japonicus, Polygonatum odoratum and black sesame.
addition and subtraction: if you see the phenomenon of kidney yin deficiency, you can add Ligustrum lucidum and dried rehmannia root;
If hyperactivity of liver yang occurs at the same time, green sepal plum blossom and chrysanthemum can be added;
Eclipta prostrata, Herba et Gemma Agrimoniae, etc. can be added if dryness, cracking and bleeding often occur.
the decoction method is as per the first method, but it needs to be decocted slowly. It is best to cook the soup with sesame seeds first, remove the sesame seeds and decoct the medicine with the soup.
For atrophic rhinitis, 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 the lung and tonify the kidney, which can improve the symptoms of atrophic rhinitis and reduce the pain of patients.
prescription: lung dryness and yin deficiency require nourishing yin and moistening dryness. Asparagus is the king, nourishing yin and moistening dryness, clearing away gold and reducing fire, and relieving depression and ascending Qing; Ophiopogon japonicus is the minister, assisting the main medicine and strengthening the effect of moistening dryness and clearing away gold; Fat Yuzhu is the assistant, nourishing yin and producing body fluid, which has a strong effect; Black sesame seeds have nourishing effect, and can cooperate with other medicines to make its effect lasting and take effect slowly.
VIII. Method of Protecting the Wind and Strengthening the Nose
Main symptoms: allergic rhinitis, easy sneezing, itchy nose, runny nose and even tears after blowing cold air, which often temporarily affects the sense of smell. The nasal mucosa is mostly pale, and patients are prone to cold, sweating and headache. The pulse is mostly empty or moist, and the tongue coating often changes little or is white. Syndrome belongs to Wei Qi deficiency and cannot resist external wind.
Prescriptions: Xanthium sibiricum, Cicadas Cicadae, Saposhnikovia divaricata, Tribulus Terrestris, Polygonatum odoratum, Radix Glycyrrhizae Preparata, Coicis Semen and Lily.
addition and subtraction: Radix Astragali and Rhizoma Atractylodis Macrocephalae (Radix Astragali should be used sparingly or exempted if people are angry) can also be added, as well as Radix Codonopsis and Rhizoma Dioscoreae; Headache plus angelica dahurica;
If you sneeze, you will burst into tears, and your head and forehead will feel tight.
The person with itchy nose aggravates cicada skin;
If blood stasis is manifested, such as local pallor and bluish color, Radix Angelicae Sinensis can be added;
Cistanche deserticola should be added to those who show kidney deficiency;
If the top door is cold and afraid of the wind, it will be worse when it meets the external wind or cold, and the spinal cord or antlers of deer can be added to the back pain, and the spinal cord of sheep can also be cooked with seasoning for dietotherapy.
Fang Jie: Xanthium sibiricum and Cicadas cicadae are kings, dispelling wind and desensitizing; Saposhnikovia divaricata and tribulus terrestris are ministers, assisting the main medicine and playing the role of wind protection; Fat Polygonatum odoratum, fried licorice as the assistant, strong physical strength, cheer up their own defense forces, but also ease the poison of Xanthium sibiricum; Coix seed and lily can protect the lungs, and lily can stop the tears.
IX. Detoxification and Furuncle Removal Method
Main symptom: nasal furuncle (also known as furuncle with white blade, which is considered as toxic heat originating 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 occur outside the nose and lips and cheeks. Less fur on the tongue, more floating pulse. The syndrome belongs to inflammation in the lung due to intense heat, and heat toxin condenses the nose.
prescription: fresh chrysanthemum leaves, xanthium sibiricum, viola yedoensis, Hedysarum heptaphyllum, Scutellaria baicalensis, Trollius chinensis and Glycyrrhiza uralensis Fisch.
addition and subtraction: if there is high fever, honeysuckle and forsythia can be added;
swelling and pain are obvious, and dandelion is added;
Scutellaria barbata is added to patients with diffuse virulence;
pus is not easy to come out, and Trichosanthes root and Fritillaria thunbergii are added;
Radix Arnebiae should be added for patients with severe blood heat, red tongue and constipation;
for patients with cough and dyspnea, mulberry leaves and aristolochia can be added.
prescription: heat toxin condenses the nose, which requires us to clear away heat and toxic materials. All of these prescriptions are products for clearing away heat and toxic materials, which together can expel pus and pull out furuncle. Some of them are general detoxification and pull out furuncle, and some are specialized in treating furuncle by entering the lung and walking through the nose.
X. Purging white and calming the nose
Main symptoms: nasal vestibulitis, and patients often feel itchy or painful nose. The nasal vestibule endothelium is red and swollen, often with superficial erosion or cracks, and even eczema-like changes. The nasal vestibule is covered with pus scab, and peeling scab skin often causes bleeding. Its systemic symptoms, every time it shows the image of lung fire, its tongue is red, its fur is sticky and greasy, and its pulse is bigger. The syndrome is that the lung meridian contains damp heat with external infection.
Prescriptions: Cortex Mori, Cortex Lycii, Flos Chrysanthemi, Flos Trollii, Scutellariae Radix, Rhizoma Coptidis, and Glycyrrhrizae Radix.
addition and subtraction: with purulent secretion, Trichosanthes root and honeysuckle flower are added;
Fritillaria thunbergii and Platycodon grandiflorum should be added for phlegm.
constipation with hemp seed.
prescription: the syndrome of damp-heat accumulating in lung requires 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 from lung meridian; Chrysanthemum and Trollius chinensis are ministers, assisting the main medicine and clearing away heat and toxic materials; Scutellaria baicalensis Georgi and Coptis caudata as assistants, purging fire and drying dampness; Glycyrrhiza uralensis Fisch, as an envoy, can coordinate various medicines and clear away heat and toxic materials.
XI. Clearing fire to stop smoking
Main symptoms: bleeding in the nose, bright red blood, or deep red bleeding, with excessive bleeding and difficulty in stopping itself, accompanied by dry turbinate, burning nasal cavity, or fever, thirst, constipation, reddish tongue, yellow fur, and rapid or slippery pulse. Syndrome is inflammation of lung fire, burning nose and orifices.
prescription: cogongrass rhizome, scutellaria baicalensis Georgi charcoal, gardenia charcoal, cortex moutan, radix paeoniae rubra, thistle herb, lotus leaf charcoal.
Addition and subtraction:
If lung fire is heavy, Scutellaria baicalensis Georgi can be increased, and mulberry leaves can be added;
If the heart fire is severe, the tongue is red and upset, and the pulse is large and numerous, appropriate amount of Fructus Forsythiae or rhinoceros horn (now replaced by water horn) should be added;
If the stomach fire is severe, the pulse is heavy, and the tongue is red, yellow and thirsty, gypsum can be added;
If constipation is full, the pulse is firm and the tongue coating is brown, Fructus Aurantii Immaturus and Radix et Rhizoma Rhei can be added.
For patients with severe liver fire, the pulse is string, the eyes are red, and the veins stand out on the face. Radix Gentianae and Radix Rubiae are added;
When urinating in Huang Chi, the tongue coating is yellow, and plantain seeds or Akebia manshuriensis are added to conduct heat downward.
Fang Jie: cogongrass rhizome is the king, clearing away heat and stopping cockroaches, and inducing heat to descend; Scutellaria baicalensis Georgi charcoal and Gardenia Gardenia charcoal are ministers, and Scutellaria baicalensis Georgi can clear lung fire and stop bleeding. Gardenia Gardenia can not only clear lung fire, but also purge triple-energizer fire, restore energy and stop bleeding, which can increase the power of inducing heat to descend. Paeonia suffruticosa and Paeonia lactiflora can stop bleeding and cool blood; Thistle and lotus leaf charcoal can enhance the effect of stopping midges.
12. Method of nourishing yin to stop epistaxis
Main symptoms: epistaxis occurs intermittently for a long time, dizziness, tinnitus, dizziness, palpitation, fatigue, dry nose, pharynx, mouth and tongue, and even dry cough. The tongue is reddish with little moss, and the pulse is numerous and fine. The syndrome is due to the dereliction of duty of the Tibetan system due to yin deficiency, which leads to frequent sputum.
prescription: Herba et Gemma Agrimoniae, crinis Carbonisatus, Radix Glehniae, Radix Rehmanniae, Radix Paeoniae Alba, Radix Angelicae Sinensis, Eclipta prostrata, and Nodus Nelumbinis.
addition and subtraction:
Polygonatum odoratum should be added for patients with deficiency of qi and yin;
Colla Corii Asini should be added for patients with blood deficiency;
Asparagus is added to patients with lung deficiency;
Dendrobium officinale should be added to patients with stomach yin deficiency and thirst;
People with kidney yin deficiency and dry throat and hand, foot and heart fever can get ginseng and cortex Lycii.
If the bleeding is not stopped, add a kimono with Radix Notoginseng, or Bletilla striata; Yang floats on the upper surface.