Otolaryngology - Nose

Question 1

severely itchy nose, stuffy nose, large amount of clear nasal discharge, aversion to cold, easily catches colds, fatigue, dislike of speaking, low voice, spontaneous sweating, pale face

t: pale, thin white coating
p: weak

Answer 1

allergic rhinitis
LU qi xu w/ wind cold

LI 4, LI 20, GB 20, Yin Tang, BL 13, Bi Tong
+ BL 12, LU 9

Question 2

stuffy nose, severely swollen nasal membrane, clear or sticky white nasal discharge, large amount w/ bad smell, heavy head, foggy mind, dizziness, shortness of breath, fear of cold, weak and tired limbs, poor appetite, loose stool

t: pale, puffy, teeth marks, thin white or greasy white coating
p: weak, soggy

Answer 2

allergic rhinitis
LU-SP qi xu, dampness obstructing nose

• most common paediatric syndrome of allergic rhinitis

LI 4, LI 20, GB 20, Yin Tang, BL 13, Bi Tong
+ BL 20, ST 36, SP 3

Question 3

chronic stuffy nose, severe sneezing, sneezing for a long period of time, clear nasal discharge, large amount, worse in the morning and evening, edema of nasal membrane, fear of cold, cold neck and back, cold four limbs, pale white face, fatigue, sore lower back and knees, clear profuse urination, urination at night

t: pale, watery coating
p: weak, deep, thready

Answer 3

allergic rhinits
LU-KD qi xu (yang xu)

LI 4, LI 20, GB 20, Yin Tang, BL 13, Bi Tong
+ BL 23, RN 4, RN 6, DU 4

Question 4

stuffy nose, itchy nose, sneezing, clear nasal discharge, always in hot weather, red and swollen nasal membrane, cough, itchy throat, dry mouth, irritability, hot body

t: red w/ white or mild yellow coating
p: wiry or wiry-rapid

Answer 4

allergic rhinitis
LU meridian stagnant heat

LI 4, LI 20, GB 20, Yin Tang, BL 13, Bi Tong
+ LU 5, LU 3, BL 7

Question 5

early or chronic stage acute attack, turbid nasal discharge, white-sticky or mild yellow discharge, large amount, headache, cough w/ sputum

t: thin white coating
p: floating-rapid

Answer 5

sinusitis
wind-heat attacking LU meridian

Yin Tang, DU 23, BL 7, LI 20
+ LI 4, LU 5, GB 20

Question 6

turbid nasal discharge, yellow sticky or pus-like discharge, fishy smell, large amount, nasal obstruction, headache, decreased sense of smell, fever, thirst, dry stool

t: red w/ yellow greasy coating
p: wiry, rapid

Answer 6

sinusitis
heat accumulating in GB meridian

Yin Tang, DU 23, BL 7, LI 20
+ LV 2, GB 43, GB 20

Question 7

turbid nasal discharge, yellow and sticky, medium amount, non-stop, severe nasal obstruction, loss of sense of smell, headache, heavy head, dizziness, fatigue, epigastric distention, bloating, poor appetite, yellow urine

t: red w/ yellow greasy coating
p: soggy, slippery, rapid

Answer 7

sinusitis
damp-heat accumulating in SP meridian

Yin Tang, DU 23, BL 7, LI 20
+ ST 36, SP 6, SP 9, ST 44

Question 8

chronic stage, clear sticky or white nasal discharge, no smell, medium amount, severe or mild nasal obstruction, loss of sense of smell, worse w/ wind blowing, headache, heavy head, dizziness, spontaneous sweating, aversion to wind, shortness of breath, fatigue, low voice, cough, dilute phlegm

t: pale w/ white greasy coating
p: soggy, weak

Answer 8

sinusitis
LU-SP xu

Yin Tang, DU 23, BL 7, LI 20
+ BL 13, BL 20, LU 9, SP 3, ST 36

Question 9

nose bleeding w/ fresh red blood, stuffy nose, dry nose and throat, cough, fever

t: red
p: rapid

Answer 9

nasal bleeding
excessive heat attacking LU meridian

LU 11, LI 20, GB 20, LI 4, LU 6

Question 10

large amount of nasal bleeding w/ dark red blood, fever, irritability, thirst, foul mouth smell, painful and swollen gums

t: red w/ yellow coating
p: overflowing, rapid

Answer 10

nasal bleeding
ST fire blazing upward

ST 44, LV 2, ST 3, DU 23, ST 25

Question 11

small amount of nasal bleeding, on and off, dry mouth and throat, dizziness, blurred vision, 5-centre heat, insomnia, lots of dreams, ear ringing, palpitations

t: red w/ little coating
p: thready, rapid

Answer 11

nasal bleeding
LV-KD yin xu

KD 3, LV 3, SP 6, DU 23, BL 7