sinusitis

Question 1

whats the etiology of sinusitis?

Answer 1

repeated invasions of external wind. (usually wind heat) impair the diffusing and descending of lu qi in the nasal passages so fluid stagnates and leads to phlegm and heat which manifest ini purulent discharge.

Question 2

sinusitis patterns

Answer 2

wind heat
lung heat
liver and gallbladder fire
st and sp damp heat
qi and blood stagnation
lung and spleen def.
liver and kidney yin def.

Question 3

chronic sinusitis always has underlying def. what patterns are in chronic sinusitis?

Answer 3

lung and spleen def
liver and kidney yin def
qi and blood stagnation

Question 4

sinusitis due to wind heat sx

Answer 4

stuffy nose, yellow sticky purulent discharge, headache, diminshed sense of smell, aversion to cold and fever
t-red sides and front
p- rapid and floating

Question 5

tx principle of sinusitis due to wind heat

Answer 5

release the exterior and expel wind heat, regulate diffusing and descending of lung qi

Question 6

acupoints for sinusitis due to wind heat

Answer 6

LI11 expels wind heat and clears heat
Li4 expels wind heat and clears the nose
LI20, bladder2 bitong, expel wind and clear the nose and sinuses
du23- opens the nose and expels wind
BL 12 expels wind (cupping)

Question 7

sinusitis due to lung heat sx

Answer 7

sticky yellow or purulent discharge, tenderness over maxillary sinuses, flushed face, feeling of heat, thirst and headache
t- red with sticky yellow coat
p- slippery and full

Question 8

what does lung heat signify

Answer 8

chronic sinusitis when repeated invasions of wind heat have impaired the diffusing and descending fx of the lungs so fluids stagnate in the sinuses and give rise to phlegm heat

Question 9

tx principle of sinusitis due to lung heat

Answer 9

restore diffusing and descending fx of the lungs, clear lung heat

Question 10

acupoints for sinusitis due to lung heat

Answer 10

LI 11- clears heat
LI4 clears heat and opens nose
Lu10- clears lung heat and opens nose
Lu7- restores dispersing and desceinding fx of lungs
li20 and Bl2 and bitong open nose and expel wind

Question 11

sinusitis due to liver and gallbladder fire

Answer 11

yellow purulent discharge, blood shot eyes, red face, temporal headache, dizziness, bitter taste in mouth, dry stool and irritability
t- red with redder sides, sticky yellow coat
p- wiry , slippery and rapid

Question 12

tx principle of sinusitis due to liver and gallbladder fire

Answer 12

drain liver and gallbladder fire, restore the descending of lung qi

Question 13

acupuncture points for sinusitis due to liver and gallbadder fire

Answer 13

liver 2- drains liver fire
gb43- drains gallbladder fire
lu7- restores descending of lung qi
li4- , bitong- open the nose and sinuses
bl2- opens the frontal sinuses
gb15- local point to clear the gallbladder

Question 14

sinusitis due to stomach and spleen damp heat

Answer 14

sticky yellow discharge, red cheeks, thirst dry lips, impaired sense of smell, feeling of heaviness in body, and muzziness in the head, frontal ha, sticky taste, feeling of oppression in the chest and epigastrium
t- sticky yellow caot in the center
p- slippery

Question 15

tx principle of sinusitis due to st and sp damp heat

Answer 15

clear heat, resolve damp, harmonize stomach and tonify spleen

Question 16

acupoints for sinusitis due to st and sp damp heat

Answer 16

sp9, cv9, BL22- resolve damp
cv12, bL20- tonify spleen and resolve dampness
li 11 resolves damp heat
li4- opens nose and harmonizes stomach
cv13- harmonizes stomach and regulates upper burner
biong and bl2- open nose and sinuses

Question 17

sinusitis due to qi and blood stagnation

Answer 17

sticky white or yellow nasal discharge, facial pn worse at night, nasal mucosa, inflamed and hypertorphied mucosa, polyps

Question 18

tx principle of sinusitis due to qi and blood stagnation

Answer 18

move qi, invigorate blood, eliminate stasis

Question 19

acupoints for sinusitis due to qi and blood stagnation

Answer 19

lu7 and li4- regulate the ascending and descending of qi in the head
li20 bl2 yintang open the sinuese and relieve inflammation
st8- locatal point to open orifices in head
p6- invigorates blood and eliminates stasis in upper burner
liv3, sp10- invigorate blood and eliminate stasis

Question 20

sinusitis due to lung and spleen qi def.

Answer 20

white sticky nasal discharget without smell. stuffy nose, diminished sense of smell, feeling of heaviness of head, facial pn, inflamed and hypertorphied nasall mucosa, polyps, fatigue, poor appetite, loose stool, weak voice, propensity to catching colds
t- pale
p- weak

Question 21

tx principle ofsinusitis due to lung and spleen qi def

Answer 21

tonify spleen and lung, resolve damp, open sinuses

Question 22

acupoints for sinusitis due to lung and spleen qi def

Answer 22

lu7 and li4- regulate the ascending and descneding qi in the head and open orifices
li20, bl2, yintang- local to open sinuses and relieve inflammation
st8- opens orifices in head
st36 cv12 bl20 tonify the spleen qi
cv12 also tonifies lung qi
bl13- tonify lung qi

Question 23

sinusitis due to liver and kidney deficiency

Answer 23

runny but scanty nasal discharge, diminished sense of smell, headaches felt inside the skull, dizziness, tinnitus, low back pn, night sweats, inflamed nasal mucosa
t- no coat
p- empty and floating

Question 24

tx principle for sinusitis due to liver and kidney defieicncy

Answer 24

nourish the kidney and liver, open the sinuses

Question 25

acupoints to treat sinusitis due to liver and kidney def

Answer 25

lu7, li4- regulate the ascending and descending qi in head
li20 and bl2 and yintang- open sinues
st8 opens orifices in head
cv4, sp6, lv8, ki3 nourish kidney and liver yin

Question 26

nasal polyps due to lung heat with stagnation

Answer 26

red shiny soft and slippery polyps, diminshed sense of smell, yellow sticky nasal discharge, headache
t- red yellow coat
p- overflowing and rapid

Question 27

tx principle of polyps due to lu heat with stagnation

Answer 27

clea lung heat, invigorate blood, open nose and sinuses

Question 28

acupoints for polyps due to lu heat with stagnation

Answer 28

lu7 and li4 open nose and sinuses
lu5- clears lung heat
li11- clears heat
bl2, st8 bitong- open nose and sinuses
p6- invigorates blood in the upper burner

Question 29

polyps due to damp phlegm with stasis

Answer 29

white sticky shiney soft polyps, diminsed smell, white sticky runny nasal discharge, ha, heaviness in head, oppression in chest, expectoration of sputum
t- swollen sticky coating
p- slippery

Question 30

tx principle of polyps due to damp phlegm with stasis

Answer 30

resolve phlegm, dissolve nodules

Question 31

tx points of polyps due to damp phlegm with stasis

Answer 31

st40, ren 12, renn9, sp6,sp9 resolve phlegm
bl2-st8, bitong open nose and sinuses
lu7, li4 open nose and sinuses

Question 32

polyps due to lung and spleen qi def with damp phlegm

Answer 32

white shiny polyps which return after surgery, diminshed smell, runny sticky nasal discharge, feeling of oppression of chest, expectoration of sputum, fatigue, loose stool poor appetite, weak voice propensity to catching colds
t- pale swollen sticky coat
p- weak and slightly slippery or soggy

Question 33

tx principele of polyps due to lung and spleen qi def with damp phlegm

Answer 33

resolve phlegm, resolve damp, tonigy spleen and lung qi, dissolve nodules

Question 34

acupoints for polyps due to spleen and lung qi def. with damp

Answer 34

st40- phlegm
sp9 , sp6 cv9damp
st8, bitong- bl2- open nose and sinuses
lu7 and li4 open nose and sinuses
bl20, bl13 tonify lung and spleen