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Pattern Names

Allergic Rhinitis Lung & Spleen Qi Deficiency • •

Classification
Category: Bio Med	Syndrome: Allergic Rhinitis

Symptoms

Tongue:

Pulse:

Indications: Fatigue, lack of strength, reluctant to speak and spontaneous sweating, tongue with teeth-marks, soft pulse [34][47]

BioMed: Allergic rhinitis refers to an atopic disease characterized by seasonal (intermittent) or perennial (chronic) sneezing, rhinorrhea, postnasal drip, nasal congestion, itching, and often conjunctivitis and pharyngitis in response to airborne allergens. • Frontal headache, irritability, anorexia, depression, and insomnia. Coughing and asthmatic wheezing may develop if the condition is more severe. • A result of the interaction between the inhaled allergen and allergen-specific immunoglobulin E (IgE) adhering to mucosal mast cells in the nasal epithelium. • Serum testing for allergen-specific IgE or allergy skin testing • Avoidance of allergen. Pharmacological options include antihistamines, intranasal steroids, leukotriene receptor antagonists (LTRAs), and immunotherapy. • Infectious rhinitis (viral or bacterial infections, most commonly seen in the pediatric population); Nasal polyposis • The prevalence of allergic rhinitis peaks in adolescence and gradually decreases with advancing age.[34][47]

Etiology: Bi Qiu: itchy nose, sneezing, profuse, white-watery nasal discharge and stuffy nose. (Allergic rhinitis) • Bi Yuan: a purulent nasal discharge with a foul smell, a stuffed nose, a runny nose, headache and sneezing. (sinusitis) • Primary mechanism: deficiency of Lung, Spleen & Kidney Wei Qi systems (root) and Wind attack with phlegm retention (Branch) • Affected Zang-fu Organs: LU, KD, SP • Spleen qi deficiency causes damp and phlegm. ○ Kidneys are responsible not only for breathing, due to their function of grasping Lung Qi, but also sneezing. • The Du Vessel emerges from between the Kidneys and flows up the spine to the top of the head and then down to the nose and lips. • Pathologic factors: wind, wind cold, wind heat, phlegm • The difference between seasonal and perennial allergic rhinitis, the latter occurs when there is a more severe Kidney deficiency.

Treatment Principle

Treatment based on root and branches (treat root here)

Acupunture

BL13, BL20, Du23, GB20, ST36, ST40, SP6, REN6, KD3 [34][47]

Herbs

Yu Ping Feng San + Er Chen Tang (modify): Huang Qi, Bai Zhu, Dang Shen, Fang Feng, Fu Ling, Ban Xia, Chen Pi, Dang Gui, Zhi Gan Cao, Chai Hu, Sheng Jiang[34][47]

Notes

1. For seasonal allergic rhinitis, symptoms are minimal or absent during the non-pollen season. Treatment should focus on addressing the root cause. For perennial allergic rhinitis, symptoms persist throughout the year. Treatment should focus on both the root cause and the symptoms. • 2. If the rhinitis is seasonal, begin supplementing the root six weeks to three months before the offending season. For instance, one can use modifications of Huang Qi Ren Shen Tang for the prevention of fall season rhinitis. This formula is comprised of: Huang Qi, 15g, Dang Shen, 12g, Bai Zhu, Cang Zhu, Mai Men Dong, Huang Bai, Dang Gui, Wu Wei Zi, and Chen Pi, 9g each, Zhi Gan Cao and Shen Qu, 6g each, and Sheng Ma, 4.5g. • 3. If allergic rhinitis transforms into acute sinusitis, then there can be a yellow nasal discharge. However, that then is a different disease diagnosis.[34][47]