Chronic+Sinusitis

//TCM Pathology:// 4 pairs of sinuses: maxillary, frontal, ethmoidal, sphenoidal

Inflammation: nasal congestion hyposmia (decrease/loss of smell) pain, heavy sensation -- head purulaent nasal discharge throat disorder

Types of sinusitis -Acute -Chronic

Maxillary -painful area under the eyes -pattern - a.m. better after blowing out - laying down at night helps more come out from bottom cup; p.m. night worse - accumulating all day

Frontal -pain -pattern: am better

Ethmoidal -eyes may be involved in pain -pattern: no time of day worse

Sphenoidal -pain is behind the eyes, feel tension at back/top of the head

neti pot, surgery, antibiotics, nasal sprays hard to treat if chronic, some people really get relief from surgery
 * Biomedical Treatment:**

Chronic - challenging in Eastern or Western medicine because it is difficult to get medicine into local area -so treatment involves build up Zheng Qi and prevent colds and symptoms flare/colds - you can make colds shorter - helps patients

Organs involved: Liver, Gallbladder, Spleen, Lung, Kidney (sometimes Stomach)

Gallbladder (Damp) Heat / Galbladder Fire
headache, stuffy nose, nasal discharge
 * Symptoms:** fever, bitter taste in the mouth, dry throat, irritability, blurring of vision, emotions
 * Tongue:** red tongue, yellow coat
 * Pulse:** wiry and rapid
 * Treatment principles:** clearing heat from the gallbladder, transform dampness, open the orifice
 * Acupuncture Treatment:** LR-2, GB-43, GB-34 + [LI-20, GV-23, Yintang, GV-14, GB-20 (moxa), BL-7, Bi Tong, LI-4, LU-7, Shenguan]
 * Herbal Treatment:** Long Dan Xie Gan Tang

Damp-Heat in the Spleen channel
headache, stuffy nose, nasal discharge S//an Ren Tang//: [Xing Ren, Bai Kou Ren, Yi Yi Ren, Hou Po, Tong Cao, Hua Shi, Ban Xia, Dan Zhu Ye] G//an Lu Xiao Du Dan//: [Hua Shi, Mu Tong, Yin Chen Hao, Hou Xiang, Shi Chang Pu, Bai Kou Ren, Huang Qin, Lian Qiao, Chuan Bei Mu, She Gan, Bo He] = =
 * Symptoms:** heavy sensation of the whole body, distending sensation in abdomen, abdominal fullness, poor appetite
 * Tongue:** red tongue, yellow greasy coat
 * Pulse:** slippery and rapid
 * Treatment principles:** clearing heat,removing dampness, removing nasal obstruction, open the orifice
 * Acupuncture Treatment:** SP-2, ST-44, SP-3, LR-13, BL-20, SP-9, ST-40 + [LI-20, GV-23, Yintang, GV-14, GB-20 (moxa), BL-7, Bi Tong, LI-4, LU-7, Shenguan]
 * Herbal Treatment:** San Ren Tang/Gan Lu Xiao Du Dan

Lung Qi Deficiency
headache, stuffy nose, nasal discharge, polyp formation //Wen Fei Zhi Liu Dan//: [Ren Shen, Jie Geng, Xi Xin, Jing Jie, Yu Nao Si, Gan Cao] //Cang Er Zi San//: [Cang Er Zi, Xin Yi Hua, Bai Zhi, Bo He
 * Symptoms:** spontaneous sweating, easy to catch cold, SOB, soft voice, fatigue
 * Tongue:** pale tongue, thin white coat
 * Pulse:** weak
 * Treatment principles:** tonifying Qi and warming the Lung, removing nasal obstruction to open the orifice
 * Acupuncture Treatment:** LU-9, BL-13, LU-1, ST-36, CV-6, BL-43, [LI-20, GV-23, Yintang, GV-14, GB-20 (moxa), BL-7, Bi Tong, LI-4, LU-7, Shenguan]
 * Herbal Treatment:** Wen Fei Zhi Liu Dan + Cang Er Zi Wan

Spleen Qi Deficiency
headache, stuffy nose, nasal discharge, polyp formation //Shen Ling Bai Zhu San//: [Si Jun Zi Tang, Bai Bian Dou, Shan Yao, Yi Yi Ren, Lian Zi, Chen Pi, Sha Ren, Jie Geng] //Cang Er Zi San:// [Cang Er Zi, Xin Yi Hua, Bai Zhi, Bo He]
 * Symptoms:** poor appetite, loose stool
 * Tongue:** pale & scalloped tongue, thin white (greasy) coat
 * Pulse:** thin, weak
 * Treatment principles:** Strengthening the Spleen and tonifying Qi, transforming dampness, open the orifice
 * Acupuncture Treatment:** SP-3, BL-20, BL-21, LR-13, ST-36, CV-6, BL-43 + [LI-20, GV-23, Yintang, GV-14, GB-20 (moxa), BL-7, Bi Tong, LI-4, LU-7, Shenguan]
 * Herbal Treatment:** Shen Ling Bai Zhu San + Cang Er Zi San

Kidney Deficiency
headache, stuffy nose, nasal discharge, polyp formation Jin Gui Shen Qi Wan + Sheng Mai San - Yang Xu
 * Symptoms:** kidney deficiency - Yin xu / Yang xu
 * Treatment principles:** Supplementing the Kidney essence, open the orifice, stop nasal discharge
 * Acupuncture Treatment:** KI-3, BL-23, GB-25, CV-4, GV-4, BL-43 + [LI-20, GV-23, Yintang, GV-14, GB-20 (moxa), BL-7, Bi Tong, LI-4, LU-7, Shenguan]; essence xu - BL-52, GB-39, BL-17, SP-6
 * Herbal Treatment:** Liu Wei Di Huang Tang + Sheng Mai San - Yin/essence Xu



= = =Basic Phytotherapeutic Treatment=

Prescription
Morning: Ribes Nigrum D1, 50-100 drops Evening Carpinus Betulus D1, 50-100 drops