NOSE

NOSE

Chapter contents

ABNORMAL COLOUR

Pale

Observation, Chapter 7

Stomach and Spleen-Yang deficiency with Empty-Cold

Pale tip of the nose, discomfort or dull pain in the epigastrium, better after eating and better with pressure or massage, no appetite, preference for warm drinks and foods, vomiting of clear fluid, absence of thirst, cold and weak limbs, tiredness, pale complexion, loose stools, a feeling of cold, cold limbs, Pale and wet tongue, Deep-Weak-Slow pulse.

Liver-Blood deficiency

Pale bridge of the nose, dull-pale face, dizziness, blurred vision, floaters, numbness/tingling of limbs, scanty menstruation, Pale tongue, Choppy or Fine pulse.

Phlegm-Fluids

Pale and swollen tip of the nose, swollen face, greasy skin, abdominal fullness and distension, nausea, vomiting or watery fluids, dry mouth without a desire to drink, shortness of breath, dizziness, a feeling of oppression of the chest, swelling of the limbs, expectoration of thin watery sputum, inability to lie down, Swollen tongue with sticky coating, Deep-Wiry or Deep-Slippery pulse.

Yellow

Observation, Chapter 7

Damp-Heat in the Spleen

Bright-yellow nose if Heat predominates, dull-yellow nose if Dampness predominates, greasy skin, fullness of the epigastrium, epigastric or abdominal pain, sticky taste, thirst with no desire to drink, poor appetite, a feeling of heaviness of the body, 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.

Chronic Spleen-Qi deficiency with retention of Dampness

Dull-yellow tip of the nose, dull-pale face, poor appetite, slight abdominal distension after eating, tiredness, lassitude, pale or sallow complexion, weakness of the limbs, loose stools, slight depression, tendency to obesity, abdominal fullness, a feeling of heaviness, a sticky taste, poor digestion, undigested food in the stools, nausea, dull frontal headache, excessive vaginal discharge, Pale tongue with sticky coating, Soggy pulse.

Liver-Blood stasis

Dull, dark-yellow bridge of the nose, dark complexion, hypochondrial pain, abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, Purple tongue, Wiry or Firm pulse.

Spleen-Heat

Bright-yellow and dry tip of the nose, burning epigastric/abdominal pain, excessive hunger, red tip of the nose, dry lips, mouth ulcers, thirst, dry stools, a feeling of heat, scanty dark urine, yellow complexion, Red tongue with dry yellow coating, Overflowing-Rapid pulse.

Phlegm-Fluids

Dull-yellow and swollen tip of the nose, abdominal fullness and distension, nausea, vomiting of watery fluids, dry mouth without a desire to drink, shortness of breath, dizziness, a feeling of oppression of the chest, swelling of the limbs, expectoration of thin watery sputum, inability to lie down, Swollen tongue with sticky coating, Deep-Wiry or Deep-Slippery pulse.

Red

Observation, Chapter 7

Lung-Heat

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

Liver-Fire

Red bridge of the nose in its central part, red face, headache, 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.

Spleen-Heat

Red and dry tip of the nose, thirst, dry lips, dry mouth, burning epigastric/abdominal abdominal pain, excessive hunger, red tip of the nose, mouth ulcers, dry stools, a feeling of heat, scanty dark urine, yellow complexion, Red tongue with dry yellow coating, Overflowing-Rapid pulse.

Invasion of Wind-Heat

Red bridge of the nose with 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.

Bluish-greenish

Observation, Chapter 7

Liver-Blood stasis

Greenish bridge of the nose, dark complexion, headache, hypochondrial/abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, Purple tongue, Wiry or Firm pulse.

Internal Cold

Bluish bridge of the nose, greyish-pale face, abdominal pain, cold limbs, a feeling of cold, diarrhoea, Pale and wet tongue, Deep-Tight-Slow pulse.

Phlegm-Fluids

Bluish and swollen tip of the nose, swollen face, abdominal fullness and distension, nausea, vomiting of watery fluids, dry mouth without a desire to drink, shortness of breath, dizziness, a feeling of oppression of the chest, swelling of the limbs, expectoration of thin watery sputum, inability to lie down, Swollen tongue with sticky coating, Deep-Wiry or Deep-Slippery pulse.

Reddish-purple

Observation, Chapter 7

Liver-Blood stasis

Reddish-purple bridge of the nose, dark complexion, hypochondrial/abdominal pain, painful periods, dark and clotted menstrual blood, masses in the abdomen, purple nails and lips, Purple tongue, Wiry or Firm pulse.

Heart-Blood stasis

Reddish-purple colour on the bridge between the eyes, palpitations, stabbing or pricking chest pain which may radiate to the inner aspect of the left arm or to the shoulder, a feeling of oppression or constriction of the chest, cyanosis of lips and nails, cold hands, tongue entirely Purple or Purple only on the sides in the chest areas, Choppy or Wiry pulse.

Blood stasis in the Stomach

Dark reddish-purple alae nasi, bleeding gums, stabbing epigastric pain, vomiting of blood, tongue Purple in the centre, Wiry or Choppy pulse.

Dark

Observation, Chapter 7

Liver-Fire

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

Exhaustion (Xu Lao)

Dark, bluish-purple bridge of the nose, extreme exhaustion, weight loss, Red tongue without coating, Fine-Rapid pulse.

Other symptoms and signs depend on the organ involved.

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.

• 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.

• 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.

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Tags: Diagnosis in Chinese Medicine A Comprehensive Guide

Apr 15, 2017 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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