NOSE

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Chapter 58

NOSE

Chapter contents

ABNORMAL COLOUR

SNEEZING

Interrogation, Chapter 35

Invasion of Wind

Acute sneezing, aversion to cold, fever, body aches, occipital headache, Floating pulse.

Other manifestations depend on whether it is Wind-Cold or Wind-Heat.

Lung-Qi deficiency

Chronic sneezing, allergy to house-dust mites or pollen, itchy nose, tiredness, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue, Empty pulse.

Kidney-Yang deficiency

Chronic sneezing, allergy to house-dust mites or pollen, worse after sex, lower backache, cold knees, sensation of cold in the lower back, feeling cold, weak legs, bright-white complexion, weak knees, tiredness, lassitude, abundant clear or scanty clear urination, urination at night, apathy, oedema of lower legs, infertility in women, loose stools, depression, impotence, premature ejaculation, low sperm count, cold and thin sperm, decreased libido, Pale and wet tongue, Deep-Weak pulse.

Clinical note

• Remember that sneezing is due not only to the lack of diffusing of Lung-Qi but also to a deficiency of the Kidney’s Defensive-Qi system. The Governing Vessel is also involved as it runs through the nose.

BLOCKED NOSE

Interrogation, Chapter 35

Invasion of Wind

Acute blocked nose, aversion to cold, fever, occipital headache, stiff neck, Floating pulse.

Other symptoms and signs depend on whether it is Wind-Cold or Wind-Heat.

Lung and Spleen-Qi deficiency

Chronic blocked nose, pale nose, poor appetite, slight abdominal distension after eating, tiredness, pale complexion, weakness of the limbs, loose stools, slight shortness of breath, weak voice, slight cough, spontaneous daytime sweating, tendency to catch colds, Pale tongue, Empty pulse.

Lung-Heat

Blocked nose, dry nose, red nose, cough, slight breathlessness, a feeling of heat, chest ache, flaring of the nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Damp-Heat in the Stomach and Spleen

Blocked nose, facial pain, sinusitis, dull headache, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, a feeling of heaviness, thirst without a desire to drink, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Heat in the Gall-Bladder

Blocked nose, red and swollen membranes, sticky yellow nasal discharge, dry throat, bitter taste, red face and ears, dizziness, tinnitus, irritability, hypochondrial fullness, unilateral or bilateral yellow tongue coating, Wiry-Rapid pulse.

Damp-Heat in the Liver and Gall-Bladder

Blocked nose with occasional yellow discharge, sinusitis, bitter taste, fullness/pain pain of the hypochondrium, abdomen or epigastrium, bitter taste, poor appetite, nausea, a feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, mid-cycle bleeding/pain, burning on urination, dark urine, yellow complexion and eyes, vomiting, Red tongue with redder sides and unilateral or bilateral sticky yellow coating, Wiry-Slippery-Rapid pulse.

Lung and Kidney-Yang deficiency

Blocked nose, cough, shortness of breath, backache, dizziness, tinnitus, a feeling of cold, cold limbs, abundant pale urination, Pale tongue, Weak pulse.

Stagnation of Qi and stasis of Blood

Blocked nose, purple and swollen nose bridge with an uneven surface, headache, chest pain, Purple tongue.

Clinical note

• Sinusitis is the most common cause of blocked nose. In children, this is nearly always due to residual pathogenic factor (Damp-Heat) from repeated upper respiratory infections treated with antibiotics.

RUNNY NOSE

Observation, Chapter 20; Interrogation, Chapter 35

Invasion of Wind-Cold

Runny nose with profuse white watery discharge, itchy throat, acute onset, aversion to cold, fever, cough, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating-Tight pulse.

Invasion of Wind-Heat

Runny nose with yellow discharge, acute onset, red nostrils, aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Damp-Heat in the Stomach and Spleen

Runny nose with sticky yellow, foul-smelling discharge, facial pain, a feeling of heaviness of the head, sticky taste, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, thirst without a desire to drink, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Lung-Qi deficiency with Empty-Cold

Chronic runny nose with white watery discharge, sneezing, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch cold, tiredness, dislike of cold, a feeling of cold, cold limbs, Pale tongue, Weak pulse.

This may correspond to allergic rhinitis in Western medicine.

Kidney-Yang deficiency

Lower backache, cold knees, a feeling of cold, bright-white complexion, weak knees, tiredness, lassitude, abundant clear urination, urination at night, impotence, decreased libido, Pale and wet tongue, Deep-Weak pulse.

This may also correspond to allergic rhinitis in Western medicine.

Toxic Heat in the Lungs and Stomach

Runny nose with yellow, red and swollen nose, bloody discharge, breathlessness, foul breath, cough, headache, swollen and red face, epigastric pain, thirst, tongue Red with red points and thick, sticky, dry, dark-yellow coating, Overflowing-Slippery-Rapid pulse.

Clinical note

• Remember: a white watery-runny nasal discharge indicates allergic rhinitis, whereas a sticky thick discharge indicates sinusitis.

ITCHY NOSE

Interrogation, Chapter 35

Invasion of Wind

Itchy nose, sneezing, nasal discharge, itchy throat, aversion to cold, fever, cough, slight breathlessness, stuffed or runny nose with clear watery discharge, sneezing, occipital headache, body aches, thin white tongue coating, Floating pulse.

Dry-Heat in the Lungs

Itchy and dry nose, dry throat, dry cough, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, dry mouth and throat, red face, Red tongue with dry yellow coating, Overflowing-Rapid pulse.

Toxic Heat in the Lungs

Itchy nose, painful and swollen nostrils, mental restlessness, red nose, skin spots (papules), headache, cough, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue with red points in the front and a sticky yellow coating, Overflowing-Rapid-Slippery pulse.

Damp-Heat in the Spleen channel

Itchy nose with a sticky yellow discharge, painful and red tip of the nose, facial pain, a feeling of heaviness of the head, fullness of the epigastrium, epigastric or abdominal pain, sticky taste, thirst with no desire to drink, poor appetite, thirst, nausea, vomiting, loose stools with offensive odour, a feeling of heat, scanty dark urine, headache with a feeling of heaviness of the head, dull-yellow complexion, bitter taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Lung-Qi deficiency

Chronic itchy nose, white watery nasal discharge, sneezing, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue, Empty pulse.

Lung-Qi and Kidney-Yang deficiency (Governing Vessel deficient)

Chronic itchy nose, white watery nasal discharge, sneezing, allergic rhinitis, allergic asthma, history of childhood eczema, abundant pale urination, lower backache, Pale and wet tongue, Deep-Weak pulse.

This is often seen in atopic individuals suffering from allergic rhinitis and it corresponds to what I call a deficiency of the Defensive-Qi systems of the Lungs and Kidneys.

Nose Childhood Nutritional Impairment

Itchy nose, scabs or ulcers on the nose, a watery yellow nasal discharge, dry skin, hot hands and feet, itchy nostrils, a tendency for the child to pick the nose.

DRY NOSTRILS

Observation, Chapter 7; Interrogation, Chapter 35

Dryness injuring the Lungs

Dry nostrils, dry throat, dry cough, blocked nose, itchy nose, dry tongue, pulse Fine on the right Front position.

Lung-Heat

Dry and red nostrils, itchy nose, flaring of nostrils, epistaxis, red face, cough, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, Red tongue with yellow coating, Overflowing-Rapid pulse.

Stomach-Heat

Dry and red nostrils, epistaxis, crusts around the nostrils, burning epigastric pain, thirst, sour regurgitation, nausea, excessive hunger, foul breath, a feeling of heat, Red tongue with a yellow coating, Overflowing-Rapid pulse.

Lung-Yin deficiency with Empty-Heat

Dry nostrils, itchy nose, dry cough or with scanty, sticky sputum which could be blood tinged, dry mouth and throat at night, weak/hoarse voice, night sweating, tiredness, malar flush, a feeling of heat or a low-grade fever in the evening, five-palm heat, thin body or thin chest, insomnia, anxiety, Red tongue without coating, Floating-Empty and Rapid pulse.

Stomach-Yin deficiency with Empty-Heat

Dry nostrils, dry mouth and throat especially in the afternoon, dull or burning epigastric pain, a feeling of heat in the afternoon, dry mouth and throat especially in the afternoon, thirst with a desire to drink in small sips, dry stools, a slight feeling of full-ness after eating, night sweating, five-palm heat, bleeding gums, Red tongue (or Red centre only) without coating in the centre, Floating-Empty and Rapid pulse.

Lung and Spleen-Qi deficiency

Dry and itchy nostrils, dry crusts on the nostrils, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, slight depression, tendency to obesity, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, tendency to catch colds, dislike of cold, Pale tongue, Empty pulse, especially on the right side.

Blood stasis

Dry nostrils, dry nose bridge, thirst without a desire to swallow, headache, dark rings under the eyes, Purple tongue.

Invasion of Wind-Heat

Dry nostrils, acute onset, aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Invasion of Wind-Dryness

Dry nostrils, acute onset, dry cough, dry throat, aversion to cold, fever, dry throat, tickly throat, dry nose, discomfort of the chest, thin, dry white tongue coating, Floating pulse.

Toxic Heat in the Lungs

Dry nostrils, swollen and red nose, flaring of the nostrils, cough with expectoration of bloody sputum, fever, chest pain, mental restlessness, cough, breathlessness, a feeling of heat, thirst, red face, Red tongue with red points in the front and thick, sticky, dry, dark-yellow coating, Overflowing-Slippery-Rapid pulse.

NOSEBLEED

Observation, Chapter 7

Liver-Fire insulting the Lungs

Nosebleed often induced by emotional stress, bloodshot eyes, breathlessness, asthma, a feeling of fullness and distension of the chest and hypochondrium, cough with a yellow or blood-tinged sputum, headache, dizziness, red face, thirst, bitter taste, scanty dark urine, constipation, Red tongue with redder sides and dry yellow coating, Wiry pulse.

Acute Lung-Heat

Nosebleed, flapping of the alae nasi, flaring of nostrils, red face, cough, slight breathlessness, a feeling of heat, chest ache, thirst, Red tongue with yellow coating, Overflowing-Rapid pulse.

Spleen-Qi deficiency

Chronic nosebleed with pale blood, often induced by overwork, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, slight depression, tendency to obesity, Pale tongue, Empty pulse.

Stomach-Fire

Nosebleed with dark-red blood, red nose, bleeding gums, burning epigastric pain, intense thirst with a desire to drink cold liquids, mental restlessness, dry mouth, mouth ulcers, bleeding gums, dry stools, sour regurgitation, foul breath, nausea, vomiting soon after eating, a feeling of heat, sour regurgitation, tongue Red with a thick, dry dark-yellow coating, Deep-Full-Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Chronic nosebleed with scanty bleeding, dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, menopausal hot flushes, thirst with desire to sip fluids, lower backache, ache in bones, nocturnal emissions with dreams, constipation, scanty dark urine, infertility, premature ejaculation, tiredness, depression, anxiety, insomnia, excessive menstrual bleeding, Red tongue without coating, Floating-Empty and Rapid pulse.

Liver-Blood stasis

Nosebleed with dark blood, which may be associated with the period in women, dark bridge of the nose, headache, hypochondrial/abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, purple or dark complexion, Purple tongue, Wiry or Firm pulse.

Invasion of Wind-Heat

Nosebleed, aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Residual Dry-Heat in the Lungs

Slight nosebleed, dry cough, a feeling of heat, dry throat, chest pain, tongue Red in the front and dry, Overflowing-Empty and Rapid pulse.

Collapse of both Yin and Yang

Profuse unstoppable nosebleed, bleeding gums, macules, blood in the urine, profuse sweating like oily beads, ashen-grey face, mouth open, cold limbs, hands open, incontinence of urine, unconsciousness, weak breathing, Pale-Short tongue, Scattered-Minute pulse.

Clinical note

• The Xi-Cleft points are good to stop bleeding. In the case of the nose, LU-6 Kongzui is applicable.

NOSE ACHE

Interrogation, Chapter 35

Invasion of Wind-Heat

Nose ache, runny nose, aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

Phlegm-Heat in the Lungs

Nose ache, sticky yellow nasal discharge, red nose, barking cough with profuse, sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, insomnia, agitation, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Lung and Spleen-Qi deficiency

Nose ache, watery nasal discharge, decreased sense of smell, sneezing, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale complexion, weakness of the limbs, loose stools, slight depression, tendency to obesity, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, tendency to catch colds, dislike of cold, Pale tongue, Empty pulse, especially on the right side.

NOSE PAIN

Interrogation, Chapter 35

Invasion of Wind

Nose pain, runny nose, sneezing, aversion to cold, fever, headache, stiff neck, Floating pulse. Other symptoms and signs depend on whether it is Wind-Cold or Wind-Heat.

Lung and Stomach-Heat

Nose pain, blocked nose, red nose, nose bleed, cough, slight breathlessness, a feeling of heat, chest ache, flaring of the nostrils, thirst, red face, burning epigastric pain, sour regurgitation, nausea, excessive hunger, foul breath, Red tongue with a yellow coating, Overflowing-Rapid pulse.

Stomach channel Damp-Heat

Nose pain, sticky yellow nasal discharge, facial pain, redness of the nose and forehead, blocked nose, sticky yellow tongue coating.

Lung-Yin deficiency with Empty-Heat

Nose pain, dryness and a feeling of heat of the nose, scabs on the nose, red nose, malar flush, dry cough or with scanty, sticky sputum which could be blood tinged, dry mouth and throat at night, weak/hoarse voice, night sweating, tiredness, a feeling of heat or a low-grade fever in the evening, five-palm heat, thin body or thin chest, insomnia, anxiety, Red tongue without coating, Floating-Empty and Rapid pulse.

Liver-Blood stasis

Severe nose pain, nosebleed with dark blood, which may be associated with the period in women, dark nose bridge, headache, hypochondrial/abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, purple or dark complexion, Purple tongue, Wiry or Firm pulse.

Carcinoma of the nose

Nose pain extending to the head, nosebleed with a swelling of the nasal mucosa.

SWOLLEN NOSE

Observation, Chapter 7

Damp-Heat in the Stomach and Spleen

Swollen nose, especially the tip, red nose, sticky yellow nasal discharge, itchy nose, spots on the nose, a feeling of heaviness especially of the head, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, thirst without a desire to drink, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Lung-Heat

Swollen and red nose, especially in its upper part, flaring of the nostrils, cough, slight breathlessness, a feeling of heat, chest ache, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Liver-Fire

Swollen and red bridge of the nose, headache, red face, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Heart-Fire

Swollen and red bridge of the nose, especially in the area between the eyes, red face, bitter taste, palpitations, thirst, mouth and tongue ulcers, mental restlessness, a feeling of agitation, insomnia, dream-disturbed sleep, a feeling of heat, Red tongue with redder tip and yellow coating, Overflowing and Rapid pulse.

Heart-Yin deficiency with Empty-Heat

Swollen bridge of the nose, especially its upper part, palpitations, insomnia, dream-disturbed sleep, poor memory, anxiety, tendency to be easily startled, mental restlessness, uneasiness, ‘feeling hot and bothered’, dry mouth and throat, thirst with a desire to sip fluids, a feeling of heat in the evening, malar flush, night sweating, five-palm heat, Red tongue, redder on the tip, no coating, Floating-Empty and Rapid pulse.

Kidney-Yin deficiency with Empty-Heat

Swollen nose, dizziness, tinnitus, vertigo, poor memory, hardness of hearing, night sweating, dry mouth at night, five-palm heat, a feeling of heat in the evening, malar flush, menopausal hot flushes, thirst with a desire to sip fluids, lower backache, ache in bones, nocturnal emissions with dreams, constipation, scanty dark urine, infertility, premature ejaculation, tiredness, depression, anxiety, insomnia, excessive menstrual bleeding, Red tongue without coating, Floating-Empty and Rapid pulse.

Damp-Phlegm in the Lungs

Swollen nose, especially on the tip and alae nasi (outside of the nostrils), greasy skin, chronic cough coming in bouts with profuse white sticky sputum that is easy to expectorate, white pasty complexion, a feeling of oppression in the chest, shortness of breath, dislike of lying down, wheezing, nausea, Swollen tongue with a sticky white coating, Slippery pulse.

Toxic Heat in the Lungs

Swelling of the nose, spots (red papules) on the nose, whole nose feels hard to touch, pain in the nose, purulent spots on the head appearing 3 to 5 days after the swelling of the nose, flaring of the nostrils, fever, headache, cough, slight breathlessness, a feeling of heat, chest ache, thirst, red face, Red tongue with red points and thick, sticky yellow coating, Overflowing-Slippery-Rapid pulse.

Toxic Heat at Nutritive-Qi or Blood level

Swollen nose, painful nose, top of the nose feels hard to touch, tip of the nose oozing pus, red and swollen nose, dark macules, red cheeks, lips and eyes, fever at night, mental confusion, thirst at night, tremor of the limbs, Deep-Red tongue without coating, Floating-Empty-Rapid pulse.

Heat Childhood Nutritional Impairment

Swelling of the nose, spots on the nose, nose pain, itching of the nose, crusts on the nose, epistaxis, poor appetite, headache, loose stools, thin body, Red tongue with yellow coating, Rapid pulse.

Worms in children

Swollen and itchy nose in children, white vesicles on the face, sallow complexion, emaciation, small white spots inside the lips, purple spots inside the eyelids, loss of appetite or a desire to eat strange objects (such as wax, leaves, raw rice), abdominal pain, itchy anus.

BAD SMELL

‘Bad smell’ refers to the subjective sensation of a bad smell in the nose when breathing in.

Phlegm-Heat in the Lungs

Bad smell in the nose, blocked nose, yellow nasal discharge, facial pain, swollen face, barking cough with profuse, sticky yellow or green sputum, shortness of breath, wheezing, a feeling of oppression of the chest, a feeling of heat, thirst, insomnia, agitation, Red and Swollen tongue with a sticky yellow coating, Slippery-Rapid pulse.

Lung-Qi deficiency with Damp-Heat

Bad smell in the nose, blocked nose, yellow nasal discharge, sinusitis, facial pain, dull frontal headache, a feeling of heaviness of the head, epigastric fullness, sticky taste, tiredness, slight shortness of breath, slight cough, weak voice, spontaneous daytime sweating, dislike of speaking, bright-white complexion, tendency to catch colds, tiredness, dislike of cold, Pale tongue with sticky yellow coating, Soggy pulse.

Damp-Heat in the Gall-Bladder and Liver

Bad smell in the nose, sticky yellow nasal discharge, facial pain, fullness/pain of the hypochondrium, abdomen or epigastrium, bitter taste, poor appetite, nausea, feeling of heaviness of the body, yellow vaginal discharge, vaginal itching, mid-cycle bleeding/pain, burning on urination, dark urine, yellow complexion and eyes, vomiting, Red tongue with redder sides and unilateral or bilateral sticky yellow coating, Wiry-Slippery-Rapid pulse.

Spleen-Qi deficiency with Damp-Heat

Bad smell in the nose, slight nasal discharge, crusts on the nostrils, dull frontal headache, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale or sallow complexion, weakness of the limbs, loose stools, abdominal fullness, a feeling of heaviness, a sticky taste, poor digestion, thirst without a desire to drink, undigested food in the stools, nausea, excessive vaginal discharge, Pale tongue with sticky yellow coating, Soggy pulse.

LOSS OF SENSE OF SMELL

Interrogation, Chapter 35

Invasion of Wind-Heat

Sudden loss of sense of smell, aversion to cold, fever, sore throat, headache, body aches, slight sweating, tongue with Red sides/front, Floating-Rapid pulse.

Lung and Spleen-Qi deficiency

Gradual loss of sense of smell, runny nose with white watery discharge, tiredness, weak voice, tendency to catch colds, poor appetite, loose stools, Pale tongue, Weak pulse.

Deficiency of Qi and Blood

Gradual loss of sense of smell, pale nose, tiredness, poor appetite, loose stools, palpitations, dizziness, Pale tongue, Weak or Choppy pulse.

Damp-Heat in the Gall-Bladder

Loss of sense of smell, blocked nose, yellow nasal discharge, headache, hypochondrial pain, fullness and distension, nausea, vomiting, inability to digest fats, yellow complexion and eyes, dizziness, tinnitus, irritability, a feeling of heaviness, unilateral or bilateral thick, sticky yellow coating, Slippery-Rapid pulse.

Damp-Heat in the Stomach and Spleen

Loss of sense of smell, yellow nasal discharge, facial pain, headache, a feeling of heaviness especially of the head, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, thirst without a desire to drink, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Cold-Dampness in the Stomach and Spleen

Loss of sense of smell, white nasal discharge, facial pain, headache, a feeling of heaviness of the head, abdominal fullness, loose stools, tongue with sticky white coating, Slippery pulse.

Blood stasis in the Lungs

Gradual loss of sense of smell, blocked nose, pain in the nose, headache, chest pain, cough, Purple tongue, Wiry pulse.

POLYPS

Damp-Heat in the Stomach and Spleen

Polyps, sinusitis, facial pain, swollen nose, sticky taste, loss of sense of smell, a feeling of heaviness especially of the head, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, thirst without a desire to drink, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Cold-Dampness in the Stomach and Spleen

Polyps, loss of sense of smell, white nasal discharge, facial pain, headache, a feeling of heaviness of the head, abdominal fullness, loose stools, tongue with sticky white coating, Slippery pulse.

Phlegm in the Lungs

Polyps, cough with expectoration of sticky sputum, a feeling of oppression of the chest, a feeling of heaviness, Swollen tongue with sticky coating, Slippery pulse.

FLAPPING ALAE NASI (THE OUTSIDE OF THE NOSTRILS)

Observation, Chapter 7

Acute Lung-Heat

Flapping alae nasi, flaring of the nostrils, red face, cough, slight breathlessness, a feeling of heat, chest ache, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Lung-Yin deficiency with Empty-Heat

Slightly flapping alae nasi, dry nose, dry cough or with scanty, sticky sputum which could be blood tinged, dry mouth and throat at night, weak/hoarse hoarse voice, night sweating, tiredness, malar flush, a feeling of heat or a low-grade fever in the evening, five-palm heat, thin body or thin chest, insomnia, anxiety, Red tongue without coating, Floating-Empty and Rapid pulse.

Invasion of Wind-Heat

Flapping alae nasi, aversion to cold, fever, cough, sore throat, stuffed or runny nose with yellow discharge, headache, body aches, slight sweating, slight thirst, swollen tonsils, tongue slightly Red on the sides in the chest area or on front part, Floating-Rapid pulse.

ULCERS ON THE NOSE

Observation, Chapter 7

Lung-Heat

Ulcers on the nose, red nose, dry nose, cough, slight breathlessness, a feeling of heat, chest ache, flaring of the nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Damp-Heat in the Stomach and Spleen

Ulcers on the nose, swelling of the nose, sticky taste, a feeling of fullness and pain of the epigastrium and lower abdomen, poor appetite, a feeling of heaviness, thirst without a desire to drink, nausea, loose stools with offensive odour, a feeling of heat, dull-yellow complexion, sticky taste, Red tongue with sticky yellow coating, Slippery-Rapid pulse.

Liver-Fire

Ulcers on the bridge of the nose, red bridge of the nose, headache, red face, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with redder sides and dry yellow coating, Wiry-Rapid pulse.

Toxic Heat in the Liver

Ulcers on the bridge of the nose, nose pain, red and swollen nose, fever, red face, macular eruptions, agitation, headache, dizziness, tinnitus, irritability, propensity to outbursts of anger, thirst, bitter taste, constipation, dark urine, Red tongue with red points, thick, sticky, dry dark-yellow coating, Overflowing-Slippery-Rapid pulse.

PAPULES ON THE NOSE

Observation, Chapter 7

Stomach-Heat

Papules on the nose, burning epigastric pain, thirst, sour regurgitation, nausea, excessive hunger, foul breath, a feeling of heat, Red tongue with a yellow coating, Overflowing-Rapid pulse.

Lung-Heat

Papules on the nose, cough, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue with yellow coating, Overflowing-Rapid pulse.

Blood-Heat in the Lungs

Dark papules on the nose, cough, coughing of blood, slight breathlessness, a feeling of heat, chest ache, flaring of nostrils, thirst, red face, Red tongue without coating, Overflowing-Rapid pulse.

Diagnosis in Chinese Medicine A Comprehensive Guide

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