OBSERVATION OF THE NOSE

Published on 22/06/2015 by admin

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Last modified 22/04/2025

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Chapter 7

imageOBSERVATION OF THE NOSE

INTRODUCTION

The nose was called in ancient China the ‘Bright Hall’ (ming tang) of the face and it is a place where the clear Yang converges. The nose is the convergence of clear Yang for two reasons: first, because it takes in air, which is Yang in nature, and, secondly, because the Governing Vessel (‘Governor’ of all Yang energies) flows through the nose. In pathological conditions when clear Yang does not ascend to the nose, turbid Yin accumulates there causing conditions such as chronic sinusitis or rhinitis.

Another reason for the nose being called the Bright Hall in ancient times is related to Chinese face reading, according to which the nose represents the years from 41 to 49 in a person’s life. Since these were considered to be the times when people established their career on a firm basis, the nose was compared to a hall – the most important room in a Chinese house in ancient times.

The patterns causing each of the nose signs discussed below are listed in greater detail in Part 5, Chapter 58.

CHANNELS INFLUENCING THE NOSE

The nose is influenced primarily by the Lung channel because the Lung ‘opens’ into the nose and controls the sense of smell. Chapter 37 of the ‘Spiritual Axis’ says: ‘The nose is the sense organ of the Lungs’1 and Chapter 17 says: ‘Lung-Qi penetrates the nose, when the nose is harmonized it can smell.’2 Chapter 4 of the ‘Simple Questions’ says: ‘The West corresponds to the white colour and it is related to the Lungs which opens into the nose.’3 The Song dynasty doctor Chen Wu Ze said: ‘The nose is the orifice of the Lungs through which we breathe and smell; in the nose Yang-Qi ascends and Yin-Qi descends so that it is the passage of Clear Qi.’4 It is interesting to note that the Lung channel does not actually reach the nose and it therefore influences the nose through the Large Intestine channel.

The pathways of the channels flowing through or around the nose are as follows:

The channels flowing through or around the nose are illustrated in Figure 7.1.

Through their channels, the Large Intestine and Governing Vessel influence the sense of smell and cause symptoms such as sneezing in allergic rhinitis or nasal discharge in sinusitis.

Box 7.1 summarizes the channels influencing the nose.

BOX 7.1   CHANNELS INFLUENCING THE NOSE

RELATIONSHIPS BETWEEN THE NOSE AND THE INTERNAL ORGANS

Apart from the relationship between the nose and these channels, the shape and colour of the nose have particular diagnostic significance in facial diagnosis. In fact, pathological colours of the nose may reflect pathology of other organs such as the Liver and Spleen. Chapter 37 of the ‘Spiritual Axis’ says: ‘The Bright Hall [nose] can have five [pathological] colours reflecting the Qi of the five Yin organs.’5 Different parts of the nose are related to different organs and these are illustrated in Figure 7.2. Chapter 19 of the ‘Spiritual Axis’ says: ‘The bone of the Bright Hall [bridge of the nose] should be high, even and straight; the state of the five Yin organs can be determined from the centre of the nose, while the state of the six Yang organs from the sides.’6

ABNORMAL COLOUR

Yellow

Symptoms and Signs, Chapter 58

The yellowness ranges from a fresh, bright yellow to a dull yellow. If the yellowness is caused by DampHeat (usually in the Spleen), it will be bright if Heat predominates and dull if Dampness predominates.

A chronic Spleen-Qi deficiency with retention of Dampness is a common cause of a dull-yellow colour, usually at the tip of the nose. Spleen-Qi deficiency with Phlegm may cause the nose to become yellow and dry.

Liver-Blood stasis may cause a dull, dark yellow on the bridge of the nose. Spleen-Heat causes the tip of the nose to become bright yellow and dry. Finally, Phlegm-Fluids may cause the tip of the nose to become yellow and swollen.

Box 7.3 summarizes the patterns underlying a yellow nose.

BOX 7.3   YELLOW NOSE

Dark

Symptoms and Signs, Chapter 58

A dark nose may be very dark, bluish-purple or may reach the point of being dull black. Dull blackness may indicate extreme Heat and a dark bluish-purple extreme deficiency, especially of the Kidneys. A dark and dry nose indicates Kidney-Yin deficiency, often deriving from excessive sexual activity. A dark-yellowish nose suggests Blood stasis. A dark nose appearing in a woman after childbirth may indicate a severe deficiency of Lungs and Stomach.

Box 7.7 summarizes the patterns underlying a dark nose.

BOX 7.7   DARK NOSE

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