Nose diseaseNose disease

Etiology & PathologyEtiology & Pathology

1. The door of breathing, also the gate of evil invasion

2. In charge of smelling

3. Relationship with 5 organs<1> lung open on the nose<2> Liver fire & wind rebellian attacking nose ( nose bleeding)

4. Relationship with meridiansHand Yang Ming Large Intestine meridian stops by the sides of

nosewingFoot Yang Ming Stomach meridian starts by the sides of

nosewingDu MeridianHand Tai Yang Small Intestine nasion 鼻根 ( Jing Ming )Foot Tai Yang UB Meridian

Cold Blocked nose • Etiology & PathologyEtiology & Pathology

– Wind-cold or wind-heat attackingWind-cold or wind-heat attacking

• Wind-cold typeWind-cold type

Sym: severe blocked nose, with sneezing, watery nose water,Sym: severe blocked nose, with sneezing, watery nose water,

Concurrent sym: aversion to wind or cold, fever, headache, no thirsty

Tongue: thin whte coating Pulse: floating & tightTongue: thin whte coating Pulse: floating & tight

Treatment principle: Expel wind-cold, open the noseTreatment principle: Expel wind-cold, open the noseFormulaFormula

Tong Qiao Tang ( Fang Feng 12, Qiang Huo12, Bai Zhi 12, Gao Ben 12, Shen Ma 15, Ge gen 30, Cang Er Zi Tong Qiao Tang ( Fang Feng 12, Qiang Huo12, Bai Zhi 12, Gao Ben 12, Shen Ma 15, Ge gen 30, Cang Er Zi 10, Ma Huang 6, Gan Cao 610, Ma Huang 6, Gan Cao 6

Jiu Wei Qiang Huo TangJiu Wei Qiang Huo Tang

Fang Feng tong Shen SanFang Feng tong Shen San

• Wind-Heat Type:Wind-Heat Type:

Sym: sneezing with itching nose, heat breathing, fever, aversion to wind, sore throat, cough, sticky phlegm, Sym: sneezing with itching nose, heat breathing, fever, aversion to wind, sore throat, cough, sticky phlegm, thirstythirsty

tongue: red body with yellow coating Pulse: floating & rapidtongue: red body with yellow coating Pulse: floating & rapid

Treatment: expel wind-heat & open the noseTreatment: expel wind-heat & open the nose

Yin Qiao San: Yin Qiao San:

Acute and Chronic sinusitis 鼻渊 Bi Yuan

• Diagnosis pointsDiagnosis points– Severe blocked nose with discolored nasal mucusSevere blocked nose with discolored nasal mucus– Frequent headachesFrequent headaches– Reduced sense smellReduced sense smell– Cold symptomsCold symptoms

• Etiology & PathologyEtiology & Pathology– Lung: wind-heat attacking lung; Lung: wind-heat attacking lung;

heat accumulation & attacking nose;heat accumulation & attacking nose;– GB. GB. heat GB. GB. heat – Spleen: damp-heatSpleen: damp-heat

• 1. Lung heat accmulation (Acute Type )1. Lung heat accmulation (Acute Type )

Main Sym: Main Sym: blocked nose with lots discolored nasal blocked nose with lots discolored nasal mucus, red swollen septummucus, red swollen septum

Concurrent sym: reduced sense smell, fever, aversion to wind or cold, frequent headache, cough, dry mouth with desire to drink.

Tongue:Tongue: red body with thin yellow coating red body with thin yellow coating

Pulse:Pulse: floating & rapid or slippery floating & rapid or slippery

Treatment principle: Treatment principle: Clear lung heat & open the Clear lung heat & open the nosenose

FormulaFormula

Yin Qiao San + Xin Yi Hua, Bai Zhi, Huang QinYin Qiao San + Xin Yi Hua, Bai Zhi, Huang Qin

--Yellow nasal mucus: Dong Gua Ren 15, Yu Xing --Yellow nasal mucus: Dong Gua Ren 15, Yu Xing Cao 15, Di Fu Zi 15Cao 15, Di Fu Zi 15

-- Cough & lots phlegm: Xing Ren 12, Qian Hu 12, -- Cough & lots phlegm: Xing Ren 12, Qian Hu 12, Quan Gua Lou 12, Bei Mu 12Quan Gua Lou 12, Bei Mu 12

• 2. GB damp-heat accmulation: ( Acute type)2. GB damp-heat accmulation: ( Acute type)

Main SymMain Sym: yellow greasy nasal mucus, lots : yellow greasy nasal mucus, lots quantity & reduced sense smell, quantity & reduced sense smell, red swollen septumred swollen septum

Concurrent symConcurrent sym: severe headache, fever, : severe headache, fever, swimming, tinnitus or deaf, bad sleeping with lots dream, swimming, tinnitus or deaf, bad sleeping with lots dream, easy to lose temper, easy to lose temper,

tonguetongue: red body with yellow coating : red body with yellow coating

Pulse: Pulse: wiry & rapidwiry & rapid

Treatment: Treatment: clear GB damp-heat, open the noseclear GB damp-heat, open the nose

Formular:Formular: Long Dan Xie Gan Tang Long Dan Xie Gan Tang

-- headache: Gao Ben; Bai Zhi; Man Jing Zi; Ge -- headache: Gao Ben; Bai Zhi; Man Jing Zi; Ge Gen;Gen;

-- Heat excess: Long Dan Cao; Shui Niu Jiao; -- Heat excess: Long Dan Cao; Shui Niu Jiao;

-- Constipation: Da Huang-- Constipation: Da Huang

• 3. Lu Qi def cold: ( deficient type)3. Lu Qi def cold: ( deficient type)

Main SymMain Sym: white sticky nasal mucus, reduced : white sticky nasal mucus, reduced sense smell, lightly sense smell, lightly red swollen septum, blocked nose & red swollen septum, blocked nose & worse in cold. worse in cold.

Concurrent symConcurrent sym: aversion to cold, short of breath, : aversion to cold, short of breath, cough with thin white sputumcough with thin white sputum

tonguetongue: thin white coating : thin white coating

PulsePulse: slow & weak: slow & weak

Treatment: warm the lung & disperse the wind Treatment: warm the lung & disperse the wind coldcold

Formular:Formular: Weng Fei Zhi Liu Dan plus Weng Fei Zhi Liu Dan plus

Dang Shen 12, Bai Shao 10, Fang Fen 10, Dang Shen 12, Bai Shao 10, Fang Fen 10, Ke Zi 10, Xin Yi Hua 10, Jin Jie 10, Jie Gen 10, Xi Xin 3Ke Zi 10, Xin Yi Hua 10, Jin Jie 10, Jie Gen 10, Xi Xin 3

-- headache: Gao Ben; Chuan Xiong-- headache: Gao Ben; Chuan Xiong

-- Qi Def.: Huang Qi; -- Qi Def.: Huang Qi;

• 4. Spleen & Stomach damp-heat accmulation:4. Spleen & Stomach damp-heat accmulation:

Main SymMain Sym: yellow nasal mucus, lots quantity & : yellow nasal mucus, lots quantity & blocked nose & reduced sense smell, blocked nose & reduced sense smell, red swollen septumred swollen septum

Concurrent symConcurrent sym: heavy head & dizziness, severe : heavy head & dizziness, severe headache, tired body, bad appetite, abdominal distension, headache, tired body, bad appetite, abdominal distension, deep color urine, deep color urine,

tongue:tongue: red body with yellow greasy coating red body with yellow greasy coating

Pulse:Pulse: slippery & rapid slippery & rapid

Treatment: Treatment: expel damp-heat, open the noseexpel damp-heat, open the nose

Formular:Formular: Gan Lu Xiao Du Dan plus Gan Lu Xiao Du Dan plus

Huang Qin 15, Hua Shi 15, Mu Tong 15, Fu Huang Qin 15, Hua Shi 15, Mu Tong 15, Fu Ling 15, Ju Hua 12, Xin Yi Hua 10, Bai Zhi 10, Yu Xin Cao Ling 15, Ju Hua 12, Xin Yi Hua 10, Bai Zhi 10, Yu Xin Cao 20, Gan Cao 6, 20, Gan Cao 6,

-- yellow mucus: Dong Gua Ren 15, Gua Lou Ren -- yellow mucus: Dong Gua Ren 15, Gua Lou Ren 15, Di Fu Zi 10, Ma Bo 10, Zao Jiao Ci 10;15, Di Fu Zi 10, Ma Bo 10, Zao Jiao Ci 10;

-- tinnitus & deaf: Shi Chang Pu; Huo Xiang; Pei -- tinnitus & deaf: Shi Chang Pu; Huo Xiang; Pei Lan;Lan;

Nose Bleeds (Bi Niu)

• Diagnosis pointsDiagnosis points

– Bleeding from noseBleeding from nose

– Vomiting bloodVomiting blood

• Etiology & PathologyEtiology & Pathology

– Lung, St & Liver excess fireLung, St & Liver excess fire

– Liver & Kidney Yin def. fireLiver & Kidney Yin def. fire

• 1. Lung heat excess1. Lung heat excess

Main Sym: Main Sym: dripping nose bleeding, flesh color, dry dripping nose bleeding, flesh color, dry nasal cavitynasal cavity

Concurrent sym: cough with less sputum, dry mouth & fever

Tongue:Tongue: red tip body with thin white dry coating red tip body with thin white dry coating

Pulse:Pulse: floating & rapid floating & rapid

Treatment principle: Treatment principle: Clear heat & cool blood & Clear heat & cool blood & stop bleedingstop bleeding

Formula : Sang Ju Yin plusFormula : Sang Ju Yin plus

Sang Ye 12, Ju Hua 12, Lian Qiao 12, Huang Qin Sang Ye 12, Ju Hua 12, Lian Qiao 12, Huang Qin 12, Jie Gen 12, Dan Pi 15, Bai Mao Gen 15, Lu Gen 15, Zhi 12, Jie Gen 12, Dan Pi 15, Bai Mao Gen 15, Lu Gen 15, Zhi Zi Tan 10, Gan Cao 6Zi Tan 10, Gan Cao 6

--cough with thick sputum: Gua Lou Ren 15, Zhe --cough with thick sputum: Gua Lou Ren 15, Zhe Bei Mu 15, Gua Lou Pi 15Bei Mu 15, Gua Lou Pi 15

• 2. Stomach heat excess2. Stomach heat excess

Main Sym: Main Sym: nose bleeding, lots quantity, flesh deep red nose bleeding, lots quantity, flesh deep red color, dry nasal cavity color, dry nasal cavity

Concurrent sym: dry mouth, bad smell, irritability & thirsty, dry stools, short deep color urine

Tongue:Tongue: red body with dry thick yellow coating red body with dry thick yellow coating

Pulse:Pulse: big & rapid big & rapid

Treatment principle: Clear st. heat, Cool blood & stop Treatment principle: Clear st. heat, Cool blood & stop bleedingbleeding

Formula : Xi Jiao Di Huang Tang plusFormula : Xi Jiao Di Huang Tang plus

Shen Di 15, Chi Shao 15, Mu Dan Pi 15, Zhi Mu 15, Shi Shen Di 15, Chi Shao 15, Mu Dan Pi 15, Zhi Mu 15, Shi Gao 30, Shui Niu Jiao 60, Gan Cao 6Gao 30, Shui Niu Jiao 60, Gan Cao 6

--Cool blood & stop bleeding: Bai Mao Gen 15, Ce Bai --Cool blood & stop bleeding: Bai Mao Gen 15, Ce Bai Ye 15, Han Lian Cao 15Ye 15, Han Lian Cao 15

-- Constipation: Da Huang 10, Gua Lou Ren 15-- Constipation: Da Huang 10, Gua Lou Ren 15

Niu Huang Jie Du PianNiu Huang Jie Du Pian

• 3. Liver fire goes up3. Liver fire goes up

Main Sym: Main Sym: large quantity nose bleeding, deep red color large quantity nose bleeding, deep red color

Concurrent sym: headache, dizziness, dry throat, bitter taste, distention in the chest, red face & eyes, easy to lose temper

Tongue:Tongue: red body with yellow coating red body with yellow coating

Pulse:Pulse: wiry & rapid wiry & rapid

Treatment principle: Treatment principle: Clear liver fire, cool blood & stop Clear liver fire, cool blood & stop bleedingbleeding

Formula : Long Dan Xie Gan Tang PlusFormula : Long Dan Xie Gan Tang Plus

Long Dan Cao 15, Zhi Zi 15, Huang Qin 15, Sheng Di 15, Long Dan Cao 15, Zhi Zi 15, Huang Qin 15, Sheng Di 15, Chi Shao 15, Chai Hu 10, Che Qian Zi 10, Shui Niu Jiao 60. Chi Shao 15, Chai Hu 10, Che Qian Zi 10, Shui Niu Jiao 60.

--Stop Bleeding: Bai Mao Gen15, Xian He Cao 15, --Stop Bleeding: Bai Mao Gen15, Xian He Cao 15,

-- Dry Mouth: Mai Dong 15, Xuan Shen 15, Zhi Mu 15, Ge -- Dry Mouth: Mai Dong 15, Xuan Shen 15, Zhi Mu 15, Ge Gen 30Gen 30

• 4. Liver & Kidney Yin def.4. Liver & Kidney Yin def.

Main Sym: nose bleeding repeatedly occurred, small Main Sym: nose bleeding repeatedly occurred, small quantityquantity

Concurrent sym: dizziness, blurred vision, tinnitus, palpitation, insomnia,

Tongue:Tongue: red body with less coating red body with less coating

Pulse:Pulse: fine & rapid fine & rapid

Treatment principle: Nourish Liver & kidney, cool blood Treatment principle: Nourish Liver & kidney, cool blood & stop bleeding& stop bleeding

Formula : Zhi Bai Di Huang Tang plusFormula : Zhi Bai Di Huang Tang plus

Zhi Mu 12, Huang Bai 12, Mu Dan Pi 15, Ze Xie 15, Shan Zhi Mu 12, Huang Bai 12, Mu Dan Pi 15, Ze Xie 15, Shan Zhu Yu 12, Sheng Di 15, Han Lian Cao 15, Ou Jie 15, E Jiao 10 Zhu Yu 12, Sheng Di 15, Han Lian Cao 15, Ou Jie 15, E Jiao 10

• 5. Spleen fail its function to control the blood.5. Spleen fail its function to control the blood.

Main Sym: slow nose bleeds, light red colorMain Sym: slow nose bleeds, light red color

Concurrent sym: yellow face color, no appetite, feel tired to talk,

Tongue: thin white coating Tongue: thin white coating

Pulse:Pulse: slow & weak slow & weak

Treatment principle: Nourish spleen Qi, control blood & Treatment principle: Nourish spleen Qi, control blood & stop bleedingstop bleeding

Formula : Gui Pi WanFormula : Gui Pi Wan

Dang Shen 15, Huang Qi 15, Fu Ling 15, Dang Gui 10, Dang Shen 15, Huang Qi 15, Fu Ling 15, Dang Gui 10, Bai Zhu 10, Yuan Zhi 10, Ai Ye 10, E Jiao 10, Ce Bai Ye 12, Di Yu Bai Zhu 10, Yuan Zhi 10, Ai Ye 10, E Jiao 10, Ce Bai Ye 12, Di Yu Tan 12, Zhi Gan Cao 6 Tan 12, Zhi Gan Cao 6

Allergic Rhinitis ( Hay fever )

• An inflammation of the nasal passages, usually associated with watery nasal discharge and itching of the nose and eyes.

Allergic Rhinitis

• Diagnosis pointsDiagnosis points

– Acute onset itching nose, sneeze, lots thin white Acute onset itching nose, sneeze, lots thin white nasal mucus, blocked nose, repeatedly occurred, nasal mucus, blocked nose, repeatedly occurred, long time ill historylong time ill history

– Defierent with wind-cold type blocked noseDefierent with wind-cold type blocked nose

• Etiology & PathologyEtiology & Pathology

– Liver, Spleen & Kidney def. but more related with Liver, Spleen & Kidney def. but more related with lunglung

• 1. Lung Qi def. cold1. Lung Qi def. cold

Main Sym: Main Sym: extremely itchy nose, sneeze, blocked nose, extremely itchy nose, sneeze, blocked nose, reduced sense smellreduced sense smell

Concurrent sym: aversion to wind in usual, short of breath, being quiet, lower voice, spontaneous sweating, white face color

Tongue:Tongue: lightly red with thin white coating lightly red with thin white coating

Pulse:Pulse: weak weak

Treatment principle: Treatment principle: warm the lung, expel wind-coldwarm the lung, expel wind-cold

Formula : Wen Fei Zhi Liu DanFormula : Wen Fei Zhi Liu Dan

Dang shen 15, Huang Qi 15, Bai Zhu 10, Fang Fen 10, Dang shen 15, Huang Qi 15, Bai Zhu 10, Fang Fen 10, Xin Yi Hua 10, Cang er Zi 10, Xi xin 3, Gan Cao 6Xin Yi Hua 10, Cang er Zi 10, Xi xin 3, Gan Cao 6

-- sweating with shoulder pain: Gui Zhi 8, Ge Gen 30-- sweating with shoulder pain: Gui Zhi 8, Ge Gen 30

-- cough thin white sputum: Ban Xia 12, Zhi Ma Huang -- cough thin white sputum: Ban Xia 12, Zhi Ma Huang 10, Xin Ren 2010, Xin Ren 20

Tuo Ming TangTuo Ming Tang

Zi Cao 10, Qian Cao 10, Xu Chang Qin 10, Han Zi Cao 10, Qian Cao 10, Xu Chang Qin 10, Han Lian Cao 10, Chan Tui 3Lian Cao 10, Chan Tui 3

• 2. Lung & Spleen Qi def. 2. Lung & Spleen Qi def.

Main Sym: Main Sym: severe blocked nose with lots of thin white severe blocked nose with lots of thin white nasal mucus, reduced sense of smellnasal mucus, reduced sense of smell

Concurrent sym: long time illness, repeatedly occurred, heavy head, tireness & weakness. Short of breath, aversion to cold, bad appetite, loose stools

Tongue:Tongue: big tongue with teeth mark on sides, white big tongue with teeth mark on sides, white coating coating

Pulse:Pulse: soft & weak soft & weak

Treatment principle: tonify Lung & spleen qiTreatment principle: tonify Lung & spleen qi

Formula : Bu Zhong Yi Qi Tang plusFormula : Bu Zhong Yi Qi Tang plus

Dang Shen 15, Huang Qi 15, Fu Ling 15, Bai Zhu 10, Dang Shen 15, Huang Qi 15, Fu Ling 15, Bai Zhu 10, Shen Ma 10, Chai Hu 10, Zhi Gan Cao 6, Chen Pi 6, Yi Ni Ren 30, Shen Ma 10, Chai Hu 10, Zhi Gan Cao 6, Chen Pi 6, Yi Ni Ren 30, Wu Wei Zi 12Wu Wei Zi 12

-- sneeze: Chan Tui 6, Di Long 6-- sneeze: Chan Tui 6, Di Long 6

-- continuely thin white nasal mucus with sweating: Fu -- continuely thin white nasal mucus with sweating: Fu Xiao Mai 30, Ru Dao Gen 30Xiao Mai 30, Ru Dao Gen 30

• 3. Kidney Yang def. 3. Kidney Yang def.

Main SymMain Sym: itchy nose, sneeze, thin white nasal mucus: itchy nose, sneeze, thin white nasal mucus

Concurrent sym: long time illness, repeatedly occurred, cold limbs, pale face color, sore lower back & knees, night urine

Tongue:Tongue: thin white coating thin white coating

Pulse:Pulse: deep, fine & weak deep, fine & weak

Treatment principle: Warm kidney Yang, tonify Qi to Treatment principle: Warm kidney Yang, tonify Qi to defent bodydefent body

Formula : Sheng Qi Wan plusFormula : Sheng Qi Wan plus

Shu Di 15, Lu Jiao Shuang 15, Shan Yao 15, Zhi Fu Zi 10, Shu Di 15, Lu Jiao Shuang 15, Shan Yao 15, Zhi Fu Zi 10, Shan Yu rou 12, Zhi Gan Cao 6, Rou Gui 3, Shan Yu rou 12, Zhi Gan Cao 6, Rou Gui 3,

-- sneeze: Xi xin 3, Wu Zhu Yu 10-- sneeze: Xi xin 3, Wu Zhu Yu 10

-- wheezing: Ge Jie 10, Zhi Ma Huang 6, He Tao Rou 10 -- wheezing: Ge Jie 10, Zhi Ma Huang 6, He Tao Rou 10

• 4. Lung Heat accmulation4. Lung Heat accmulation

Main SymMain Sym: distension of nose, blocked nose with : distension of nose, blocked nose with itching, continuely sneeze with thin white mucusitching, continuely sneeze with thin white mucus

Concurrent sym: cough, itching throat, dry mouth, irritability

Tongue:Tongue: red body with white coating red body with white coating

Pulse:Pulse: wiry or slippery wiry or slippery

Treatment principle: Clear away lung heatTreatment principle: Clear away lung heat

Formula : Xin Yi Qing Fei YinFormula : Xin Yi Qing Fei Yin

Huang qin 12, Zhi Mu 12, Sang Bai Pi 12, Zhi Zi 12, Huang qin 12, Zhi Mu 12, Sang Bai Pi 12, Zhi Zi 12, Sheng Ma 15, Mai Dong 15, Bai He 15, Xin Yi Hua 10, Di Long 10Sheng Ma 15, Mai Dong 15, Bai He 15, Xin Yi Hua 10, Di Long 10

-- sneeze: Chan Tui 10, Jiang Chan 10, Wu Mei 12-- sneeze: Chan Tui 10, Jiang Chan 10, Wu Mei 12

-- headache: Man Jing Zi 10, Bai Ji Li 15 -- headache: Man Jing Zi 10, Bai Ji Li 15

Nasal polyp Bi Xi Rou ( 鼻息肉）

• What are nasal polyps?

The 'paranasal sinuses' are the air cavities within the skull that open into the nose. If the soft tissue lining of the sinuses becomes swollen, it fills the available space and can then expand into the nose forming a growth called a polyp. As there are a number of small sinuses between the eye and the nose, when polyps do occur, there will usually be several of them.

• 1. Damp-heat accmulation1. Damp-heat accmulation

Main Sym: Main Sym: continued block nose with thick nasal continued block nose with thick nasal mucusmucus

Concurrent sym: dizziness & headache

Tongue:Tongue: red with white or white greasy coating red with white or white greasy coating

Pulse:Pulse: wiry & slippery wiry & slippery

Treatment principle: disperse Lung Qi, expel damp heatTreatment principle: disperse Lung Qi, expel damp heat

Formula : Xin Yi Qing Fei Yin PlusFormula : Xin Yi Qing Fei Yin Plus

Huang Qin 12, Zhi Zi 12, Xin Yi Hua 10, Sheng Ma 15, Pi Huang Qin 12, Zhi Zi 12, Xin Yi Hua 10, Sheng Ma 15, Pi Pa Ye 12, Zhi Mu 12, Bei Mu 12, Gan Cao 6Pa Ye 12, Zhi Mu 12, Bei Mu 12, Gan Cao 6

-- lots mucus or sputum: Gua Lou Ren 12, Dong Gua -- lots mucus or sputum: Gua Lou Ren 12, Dong Gua Ren 12, Yu Xing Cao 15Ren 12, Yu Xing Cao 15

-- heavy head: Bai Zhi 12, Man Jing Zi 10, Ban Xia-- heavy head: Bai Zhi 12, Man Jing Zi 10, Ban Xia

-- dark deep red nasal proply: Tao Ren 10, Chi Shao 10-- dark deep red nasal proply: Tao Ren 10, Chi Shao 10

Steaming formula: Dang Gui 10, Chuan Xiong 10, Xiang Fu 10, Steaming formula: Dang Gui 10, Chuan Xiong 10, Xiang Fu 10, Xi Xin 6, Xin Yin Hua 6, Jin Jie 10Xi Xin 6, Xin Yin Hua 6, Jin Jie 10

Brandy noseRosacea ( 酒渣鼻）

brandy nose

• Chronic inflammatory disorders usually characterized by papules, erythema and pustules forming primarily on and around the nose but also on the cheeks and possibly the forehead. Most commonly found on middle aged women.

–TCM - Rosacea is typically caused by hyperactive Yang Heat relating with stress, diet and local infections

3 stages:

– 1-red local area, slightly enlarged vessels upon close observation

–2-red eruptions appear, possible pusy eruptions, itchy, hot, slightly purple, enlarged pores

–3-thick red skin with bee hive like pores, purple skin

• 1. Blood heat due to alcohol toxin1. Blood heat due to alcohol toxin

Main Sym: Main Sym: Red color, greasy shiny nose skin. Coarse & Red color, greasy shiny nose skin. Coarse & hyperplasia skin like orange peel. hyperplasia skin like orange peel.

Concurrent sym:

Tongue:Tongue: purple deep color with thick coating purple deep color with thick coating

Pulse:Pulse: sink & Hesitant sink & Hesitant

Treatment principle: Clear heat, cool blood, resolves Treatment principle: Clear heat, cool blood, resolves toxin & move the blood stasistoxin & move the blood stasis

Formula : Huang Qin Qin Fei Yin Formula : Huang Qin Qin Fei Yin 黄芩清肺饮黄芩清肺饮Huang Qin 15Huang Qin 15 ， ， Sheng Di 15, Dang Gui 15, Tian Hua Sheng Di 15, Dang Gui 15, Tian Hua

Fen 15, Fang Fen 9, Ge Gen 9, Chi Shao 15, Chuan Xiong 9, Tao Fen 15, Fang Fen 9, Ge Gen 9, Chi Shao 15, Chuan Xiong 9, Tao Ren 9, Hong Hua 9, Mu Dan Pi 15, Xia Ku Cao 15Ren 9, Hong Hua 9, Mu Dan Pi 15, Xia Ku Cao 15

• 1. Damp-heat accmulate in the spleen1. Damp-heat accmulate in the spleen

Main Sym: Bright Main Sym: Bright Red color, worse in windy days. Clear Red color, worse in windy days. Clear vessels on the skin. Thick skin. vessels on the skin. Thick skin.

Concurrent sym: greasy mouth taste, oppressed feeling in the chest

Tongue:Tongue: thick greasy coating thick greasy coating

Pulse:Pulse: slippery pulse slippery pulse

Treatment principle: clear damp-heat in the spleen, Treatment principle: clear damp-heat in the spleen, move blood stasismove blood stasis

Formula : Liang Xue Si Wu Tang Formula : Liang Xue Si Wu Tang 凉血四物汤凉血四物汤DangGui 15, Sheng Di Huang 15, Chi Shao 15, Chuan DangGui 15, Sheng Di Huang 15, Chi Shao 15, Chuan

Xiong 9, Huang Qin 15, Chen Pi 9, Fu Ling 15, Hong Hua 9, Xiong 9, Huang Qin 15, Chen Pi 9, Fu Ling 15, Hong Hua 9, Sheng Shi Gao 30, Yi Yi Ren 30, Zhi Shi 15, Xia Ku Cao 15Sheng Shi Gao 30, Yi Yi Ren 30, Zhi Shi 15, Xia Ku Cao 15