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Beth Conroy Compendium - Nose & Sinus Dysfunction - Traditional Chinese Medicine

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Nose&SinusDysfunctionTraditionalChineseMedicine(TCM)Information
Sources: 1.ThePracticeofChineseMedicineTheTreatmentofDiseaseswithAcupunctureand ChineseHerbs2ndEdGiovanniMaciocia 2.AManualOfAcupuncturePeterDeadman _ Sinusitus TheconditionofsinusitiscorrespondstotheChineseMedicalcategoryofBiYuan(NosePool) orNaoLou(BrainDischarge). PathologyrepeatedinvasionsofWind(ColdorHeat)impairingdescendingofLungQiinthe nasalpassagescausingfluidtostagnateinthenoseandsinuses.Longtermstagnationcan leadtoPhlegmandHeat,manifestingasayellow,purulentnasaldischarge. DietwithanexcessiveconsumptionofgreasyhotfoodsleadingtoPhlegmandHeatmay predisposeapersontosinusitis. __PPatt PatternsofDisharmony WindHeat LungHeat LiverandGallBladderFire StomachandSpleenDampHeat QiandBloodStagnation LungandSpleenQideficiency LiverandKidneyYindeficiency WindHeatExterior/Excessconditionstuffednose,yellowstickyorpurulentnasal discharge,headache,diminishedsenseofsmell,aversiontocoldandfever. TongueRedsidesand/orfront PulseFloating,rapid CorrespondstoanacuteattackofsinusitisfollowinganinvasionofWindHeat. TreatmentprinciplereleasetheExterior,expelWindHeatandrestorethedispersingand descendingofLungQi AcupuncturePointsLI11,LI4,LI20,Yingxiang,BL2,Bitong,Du23,BL12Reducingmethod (Maciocia) Nose,nasalcongestion/obstructionLU1,LI20,SI2,BL3,BL4,BL5,BL6,BL8,BL9,BL10, BL12,BL58,BL67,GB15,GB16,GB18,GB19,KI22,DU20,Du22,Du25,DU27,Bitong, YintangwithdischargeLU7,LI4,LI19,LI20,BL7,GB20,DU23,DU24,DU26(Deadman) LungHeatInterior/ExcessconditionStickyyelloworpurulentnasaldischarge,tenderness overmaxiallarysinuses,flushedface,feelingofheat,thirst,headache.Occurswithrepeated WindHeatinvasionasimpaireddescendingfunctionofLungs,thusfluidstagnatesinthe sinuses,givingrisetoPhlegmHeat. TongueRedwithstickyyellowcoating PulseSlipperyandfull,mostlyonrightposition TreatmentprincipleRestorethediffusinganddescendingofLungQi,clearLungHeat AcupuncturePointsLI11,LI4,LU10,LU7,LI20,BL2,Bitong,Du14Reducingmethod (Maciocia)LU5,LU10(Deadman)

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Beth Conroy Compendium - Nose & Sinus Dysfunction - Traditional Chinese Medicine

(Maciocia)LU5,LU10(Deadman) LiverandGallBladderFireInterior/ExcessconditionYellowpurulentdischarge,bloodshot eyes,redface,headacheontemplesandcheeks,dizziness,abittertaste,drystools, irritability. TongueRedwithreddersides,stickyyellowcoating PulseWiry,SlipperyandRapid TreatmentprincipleDrainLiverandGallBladderFire,restorethedescendingofLungQi AcupuncturepointsLV2(drainsLiverFire),GB43(drainsGallBladderFire),LU7(restores thedescendingofLungQi),LI4(opennoseandsinuses),Bitong(opennoseandsinuses),BL2 (opensthefrontalsinuses),GB15(localpointtocleartheGallBladderchannel.Affectsthe eyesandsinusesReducingMethod(Maciocia)

StomachandSpleenDampHeatInterior/ExcessconditionStickyyellownasal discharge,redcheeks,thirst,drylips,impairedsenseofsmell,afeelingofheavinessand muzzinessofthehead,frontalheadache,stickytaste,feelingofoppressionofthechestand epigastrium. Tonguestickyyellowcoatinginthecenter PulseSlippery TreatmentprincipleClearHeat,resolveDampness,harmonizetheStomach,tonifySpleen. AcupuncturePointsRen12&BL20(tonifySpleen&resolveDampness),Ren9,SP9&BL22 (resolveDampness),LI11(resolveDampHeat),LI4(opensthenoseandharmonizesthe Stomach),Ren13(harmonizetheStomach&regulatestheUpperBurner),Bitong&BL2(open thenoseandsinuses.(Maciocia) QiandBloodStagnationInterior/ExcessconditionSticky,whiteoryellownasaldischarge, headach,facialpainthatmaybeworseatnight,nasalmucosainflamedandhypertrophied, polyps. TonguePurple PulseWiryorfirm (thispatternseeninchronicsinusutisconditionsinmiddleagedpeople) TreatmentPrincipleInvigorageBlood,eliminatestasis,moveQi. AcupuncturePointsLu7&LI4(regulatetheascendinganddescendingofQiintheheadand helpopenorifices),LI20,BL2&Yintang(localpointstoopensinusesandrelieveinflamation), ST8(localpointtoopenorificesofthehead),PC6(invigoratesBloodandeliminatestasisin UpperBurner),Liv3&Sp10(invigorateBloodandeliminatestasis).(Maciocia) LungandSpleenQideficiencyInterior/Deficiency Whitestickynasaldischargewithout smell,stuffynose,diminishedsenseofsmell,feelingofheavinessofthehead,facialpain, inflamedandhypertrophiednasalmucosa,polyps,tiredness,poorappetite,lossestools,weak voice,propensitytocatchingcolds. TonguePale PulseWeak TreatmentPrincipleTonifyLungandSpleenQi,resolveDampness,opensinuses AcupuncturepointsLU7andLI4(regulatetheascendinganddescendingofQiinthehead andhelpopentheorificies),LI20,BL2&Yintang(localpointstoopensinusesandrelieve inflammation),St8(localpointtoopenorificesofthehead),St36,PC6andBL20(tonifySpleen QiRen12alsotonifiesLungQi),BL13(tonifiesLungQi).(Maciocia) LiverandKidneyYindeficiencyInterior/ExcessRunnybutscantynasaldischarge, diminishedsenseofsmell,headachesfeltinsideofskull,dizziness,tinnitus,lowerbackache, nightsweating,inflamednasalmucosabutnothypertrophied. Tonguewithoutcoating PulseFloating,Empty TreatmentprincipleNourishLiverandKidneyYin,openthesinuses
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Beth Conroy Compendium - Nose & Sinus Dysfunction - Traditional Chinese Medicine

TreatmentprincipleNourishLiverandKidneyYin,openthesinuses AcupuncturepointsLU7andLI4(regulatetheascendinganddescendingQiintheheadand helpopenorifices,LI20,BL2andYintang(localpoints),St8(localpoint),Ren4,SP6,Liv*and KI3(nourishLiverandKidneyYin).(Maciocia) NasalPolyps Largerpolypscanaffectbreathinganddiminishthesenseofsmell.Maycausedullheadaches orsnoring.Nasalpolypsresultfrominflammationofthenasalmucosa.Signsandsymptoms include: runnynose persistentstuffiness chronicsinusinfections diminishedsenseofsmell dullheadaches snoring Usuallytreatedwithcorticosteroidsprayorsurgerywhenexcisedtheyfrequentlyreturn. LungHeatwithstagnationInterior/ExcessconditionRed,shiny,softandslipperypolyps, diminishedsenseofsmell,yellowstickydischarge,headache TongueRedwithyellowcoating PulseOverflowingRapid TreatmentprincipleClearLungHeat,invigorateBlood,openthenoseandsinuses. AcupuncturepointsLU7andLI4(opennoseandsinuses,Lu5(clearLungHeat),LI11(clears Heat),BL2,zdy8andBitong(localpointsopennoseandsinuses),P6(invigoratesBlood). (Maciocia) DampPhlegmwithstasisInterior/ExcessconditionWhite,sticky,shiny,softpolyps, diminishedsenseofsmell,whitestickyorrunnynasaldischarge,headache,feelingof heavinessofthehead,afeelingofoppressionofthechest,expectorationofsputum. TongueSwollen,stickycoating PulseSlippery TreatmentprincipleResolvephlegm,softenhardness,dissolvenodules AcupuncturepointsLU7andLI4(openthenoseandsinuses),BL2,St8andBitong(local pointstoopennoseandsinuses),CV12,CV9,SP6,SP9&St40(Resolvephlegm).(Maciocia) LungandSpleenQidefiiencywithDampPhlegm Interior/deficiencyexcess White,shiny polypswhichreturnaftersurgery,diminishedsenseofsmell,runnyorstickynasaldischarge,a feelingofoppressioninthechest,expectorationofsputum,tiredness,loosestools,poor appetite,weakvoice,propensitytocatchingcolds. TonguePale,Swollen,stickycoating PulseWeakandslightlySlipperyofSoggy TreatmentprincipleTonifyLungandSpleenQi,resolvePhlegm,dissolvenodules AcupuncturepointsLU7andLI4(openthenoseandthesinuses),BL2,St8andBitong(local pointstoopenthenoseandsinuses),CV9,Sp6,Sp9andSt40(resolvePhlegm),CV12,St36 andBL20(tonifySpleenQi),LU9andBL13(tonifyLungQi).(Maciocia) Otherpointsthatbenefitthenose:(Deadman)DU23Actionsbenefitsthenoseandeyes, eliminateswind,benefitstheheadandfaceanddispelsswelling,calmsthespiritindications nasalobstructionanddischarge,nasalobstructionaccompaniedbyheadache,inabilityto distinguishthefragrantfromthefoul,nasalpolyps,clearnasaldischarge,rhinitis,ceaseless bleedingfromthenoseandmouth.CombinationsObstructionofthenosewithinabilityto distinguishthefragrantfromthefoulDU23,DU20,DU22,BL6. BL6Eliminateswindandclearsheatclearstheheadandbenefitstheeyesandnose

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Beth Conroy Compendium - Nose & Sinus Dysfunction - Traditional Chinese Medicine

Nose,nasaldischargeSJ22,DU20,Bitong,Yintangclear(discharge)BL6,BL12,DU21, DU23,DU25,DU26clearandceasless(discharge)DU24inchildrenDU22incessantturbid GB5profuseLI20,BL7,yellowST45 Nose,nasalcongestion/obstructionLU1,LI20,SI2,BL3,BL4,BL5,BL6,BL8,BL9,BL10, BL12,BL58,BL67,GB15,GB16,GB18,GB19,KID22,DU20,DU22,DU25,DU27,DU28, Bitong,YintangwithaversiontocoldGB15withheadacheDU23withdischargeLU7,LI4, LI19,LI20,BL7,GB20,DU23,DU24,DU26. Drinker'snoseDU25 PolypsLU7,LI19,LI20,DU22,DU23,DU25,DU28,Bitong StuffySJ16

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