1、 Cang Er Zi dispels wind and dampness, unblocks the orifices and relieves pain
Cang Er Zi has a bitter and warm taste, and belongs to the lung meridian.
This product is mild and lax, with a pungent and windy taste, bitter, dry, damp, and turbid. It is good for clearing nasal congestion, stopping swelling and pain in the forehead and nose, and is a good medicine for treating nasal abyss.
The "Compendium of Materia Medica" states: "Good at sweating, dispelling rheumatism, clearing the top of the brain, descending the knees and feet, reaching the skin externally. It treats headaches, dark eyes, toothache, deep nose, and removing thorns."
In clinical practice, it is commonly used as a meridian inducing medicine to treat nasal diseases, such as colds, nasal congestion, nasal abyss, nasal atrophy, and nasal reflux.
1. Xanthium sibiricum combined with Bai Zhi and others to treat cold and nasal congestion
Example of medical record: Patient Liang, male, 24 years old. Visited on May 12, 2023.
The chief complaint is nasal congestion for 4 days.
The patient caught a cold 4 days ago and developed nasal congestion, clear runny nose, sneezing, accompanied by sore throat, thirst, and desire to drink.
Examination: Nasal mucosa is congested and swollen, bilateral inferior turbinates are enlarged, white mucus secretion can be seen in the total nasal passage, the tongue tip is red, the coating is slightly greasy, and the pulse is floating.
It is believed that this is caused by external wind heat and lack of ventilation in the lungs. Treatment should be carried out to expel wind, clear heat, and promote lung and body circulation.
Prescription: 10g Cang Er Zi, 10g Bai Zhi, 10g Chuan Xiong, 15g Sheng Yi Ren, 15g Bai Xie Cao, 30g Dandelion, 10g Citron, 10g Huo Xiang, 10g Zhe Bei Mu, 10g Hangzhou Chrysanthemum, 10g Scutellaria baicalensis, 10g Fangfeng, 10g Bai Ji Li, 10g Manjing Zi, 10g Platycodon grandiflorus, and 6g Sheng Licorice.
Seven doses were cured.
2. Xanthium sibiricum combined with Bai Zhi and others to treat nasal abyss
Patient Xu, female, 11 years old. Visited on August 20, 2023.
The chief complaint is nasal discharge and runny nose for 2 days.
The patient caught a cold 2 days ago and developed nasal congestion, purulent and runny nose, with a small amount of runny back flow, mild sore throat, and phlegm.
Examination: The nasal mucosa is congested and swollen, with slightly enlarged inferior turbinates and purulent mucus visible in the left olfactory cleft. The tongue is reddish in color, the tongue coating is yellow and greasy, and the pulse is floating. The syndrome belongs to wind heat attacking the lungs, and the treatment should promote lung ventilation, clear heat, and expel pus to clear the orifices.
Prescription: 6g of Cang Er Zi, 6g of Bai Zhi, 6g of Chuan Xiong, 15g of raw Coix seed, 10g of Zhe Bei Mu, 15g of Gua Lou, 6g of Citron, 6g of Huo Xiang, 15g of Patrinia villosa, 6g of Caohe Che, 15g of Dandelion, 10g of Banlangen, 15g of Nansha Shen, 10g of Polygonatum odoratum, 6g of Platycodon grandiflorum, and 6g of raw licorice. Six doses were successfully cured.
3. Xanthium sibiricum combined with salvia miltiorrhiza to treat nasal atrophy
Example of medical record: Patient Hu, male, 43 years old. Visited on May 15, 2023.
The chief complaint is a dry nose for 1 year.
The patient has repeatedly experienced dry nose, accompanied by nasal congestion, headache, and dry throat over the past year.
Examination: The nasal mucosa is light red, both lower turbinates are small, and the upper part of both nasal cavities is broad. The tongue is slightly reddish, with a thin and white coating and thin veins. The syndrome belongs to deficiency of lung yin and obstruction of nasal and orifices. The treatment is suitable for nourishing the body, moistening dryness, and promoting blood stasis and opening the orifices.
Prescription: 10g Cang Er Zi, 15g Beisha Shen, 10g Tianmai Dong each, 15g Dendrobium, 15g Shengdi, 10g Chibai Shao each, 15g Zidan Shen, 15g Huai Shan Yao, 15g Poria cocos, 15g Jixue Teng, 10g Manjing Zi, 10g Citron, 10g Platycodon grandiflorus, 6g Shenglicorice, 7 doses of water decoction.
4. Xanthium sibiricum combined with Poria cocos and other ingredients to treat nasal allergy
Example of medical record: Patient Yu, female, 34 years old. Visited on May 19, 2023.
Starting from November last year, I started to sneeze and have clear nose, which makes me susceptible to cold. Recently, my nose has been hot.
Examination: The nasal mucosa is slightly red and swollen, with large inferior turbinates on both sides. The left side is adjacent to the nasal septum, and the tongue is light and plump. The tongue coating is thin and white, and the pulse is slow. The syndrome is characterized by weak spleen qi and a concurrent feeling of external pathogens. Treatment should focus on strengthening the spleen, dispelling dampness, dispersing wind and opening the orifices, and also clearing heat.
Prescription: 10g Cang Er Zi, 10g Xinyi, 10g Bai Zhi, 10g Chuan Xiong, 10g Fang Feng, 15g Sheng Yi Ren, 15g Huai Shan Yao, 15g Fu Ling, 10g Sheng Bai Zhu, 15g Bai Sauce Cao, 10g Citron, 10g Huo Xiang, 15g Hang Bai Shao, 15g Ji Xue Teng, 10g Platycodon grandiflorus, 6g roasted licorice, and 15g Chinese date. Seven doses of decoction are recommended.
After the second diagnosis of the medication, all symptoms were relieved, and 7 more doses were administered after removing the Patrinia scabra from the upper part.
2、 Xinyi disperses wind cold and clears the nose and orifices
Xinyi has a spicy and warm taste, which belongs to the lungs and stomach meridians.
Xin Wen disperses, with a fragrant aroma that clears the orifices. Its properties are superior, and it can dispel wind and cold evil qi externally. Internally, it can elevate the clear qi of the lungs and stomach, and is good at clearing the nasal orifices. It is an essential medicine for treating nasal congestion, headache, and runny nose.
The Shennong Materia Medica Classic states: "The main body of the five viscera is cold and hot wind, and the mind is painful."
The "Record of Famous Doctors" states: "Warm the middle and relieve the muscles, promote the nine orifices, unblock the nasal orifices, expel mucus, treat facial swelling, toothache, dizziness, and feel like being on a car or boat."
The Compendium of Materia Medica states: "Nasal Abyss, Nasal Allergy, Nasal Breathing, Nasal Ulcers, and Postacne Nasal Ulcers.".
The Xin Wen of Xinyi can help clear Yang in the stomach and ascend to the head, thus warming the middle and treating diseases of the head, face, nose, and nose.
In clinical practice, Xinyi is used to treat various nasal diseases, such as cold and stuffy nose, nasal congestion, nasal abyss, nasal swelling, and nasal atrophy.
1. Xinyi combined with Bai Zhi and others to treat cold and nasal congestion
Example of medical record: Patient Wu, female, 36 years old. Visited on May 7, 2023.
The chief complaint is sneezing for 2 days, accompanied by swelling and pain on the forehead, no obvious runny nose, and tongue pain.
Examination: The nasal mucosa is congested and swollen, with slightly enlarged inferior turbinates and a small ulcer visible on the left side of the tongue tip. Tongue texture is red, tongue coating is thin and white, and pulse count is floating. The syndrome belongs to wind heat invading the nose, and the treatment is to expel wind, clear heat, and promote lung and orifices.
Prescription: 10g of Fructus Xanthii, 10g of Magnolia Sinensis, 10g of Angelica dahurica, 10g of Ligusticum chuanxiong, 10g of Fangfeng, 10g of Tribulus terrestris, 10g of burdock, 10g of light fermented soybean, 10g of chrysanthemum, 10g of Manjingzi, 10g of Scutellaria baicalensis, 15g of Yejiaotong, 10g of Huoxiang, 10g of mulberry leaves, 10g of Polygonatum odoratum, 10g of Platycodon grandiflorum, and 6g of raw licorice. Three doses were used to recover.
2. Xinyi combined with Cang Er Zi, etc., to treat nasal congestion
Medical record example: Patient Li, female, 60 years old. Visited on April 8, 2023.
The chief complaint is nasal congestion for 10 days.
The patient caught a cold 10 days ago with a stuffy nose and runny nose. After treatment, they improved. Mild nasal congestion and decreased sense of smell.
Examination: Mild congestion and swelling of the nasal mucosa, enlargement of both lower turbinates, and clean nasal cavity. The tip of the tongue is slightly red, the coating is thin, white, and slightly greasy, and the pulse is slow. It is believed that external wind pathogenic factors are caused by the loss of lung function, and the treatment should be to dispel wind and dispel evil, promote lung function, and clear the orifices.
Prescription: 10g Cang Er Zi, 10g Xinyi, 10g Bai Zhi, 10g Chuan Xiong, 15g Hang Bai Shao, 15g Huai Shan Yao, 10g Citron, 10g Huo Xiang, 6g Shi Chang Pu, 10g calcined corrugated (first decocted), 10g Wu Yao, 10g Fang Feng, 10g Bai Ji Li, 20g Dandelion, 15g Yejiao Teng, 10g Platycodon grandiflorus, 6g raw licorice, 7 doses of water decoction.
After the second diagnosis, nasal congestion was relieved and the sense of smell was restored. Add 10 more doses of the original formula.
3. Xinyi combined with Cang Er Zi, etc., to treat nasal abyss
Example of medical record: Patient Liu, female, 38 years old. Visited on April 15, 2023.
The chief complaint is nasal congestion for 3 days.
The patient developed nasal congestion, purulent discharge, and headache three days ago.
Examination: Nasal mucosa is congested and swollen, both lower turbinates are enlarged, and pus and mucus can be seen in the left middle nasal passage. The tongue is dark red, the coating is thin and yellow, and the veins are floating. It is believed that this is due to wind heat invasion and obstruction of the nasal orifice. Treatment should be carried out by dispersing wind, clearing heat, and expelling pus to clear the orifice.
Prescription: 10g Cang Er Zi, 10g Xinyi, 10g Bai Zhi, 10g Chuan Xiong, 10g Manjing Zi, 6g Chang Pu, 10g Huo Xiang, 10g Citron, 10g Hangzhou Chrysanthemum, 10g Huangqin, 30g Dandelion, 10g Fangfeng, 10g Bai Ji Zhi, 15g Jixue Teng, 15g Ye Jiao Teng, 10g Platycodon grandiflorus, 6g raw licorice. Seven doses were used to recover.
4. Xinyi combined with Atractylodes macrocephala, etc., to treat nasal allergy
Example of medical record: Patient Chen, male, 32 years old. Visited on April 27, 2007.
The chief complaint is recurrent sneezing for 2 years.
The patient has a history of allergic rhinitis for 2 years. Recently, sneezing has worsened, with severe symptoms on the right side, accompanied by nasal itching, clear runny nose, nasal congestion, itching in the eyes, and loose stools.
Examination: The nasal mucosa is pale and swollen, with a large right lower turbinate that is close to the nasal septum. A large amount of clear mucus can be seen in the common nasal passage. The tongue is light red in color, with a thin and white coating and a slow pulse. It is believed that the patient is characterized by weak spleen and external wind evil. Treatment should focus on strengthening the spleen, nourishing qi, and relieving wind and sneezing.
Prescription: 15g of Radix Pseudostellariae, 10g of Atractylodes macrocephala, 15g of Chinese yam, 15g of Hangbaishao, 10g of Dodder seed, 10g of Fangfeng, 15g of Chicken Blood Vine, 15g of Yejiaotong, 10g of Xanthium sibiricum, 10g of Baizhi, 10g of Xinyi, 10g of Hangju flower, 10g of Citron, 10g of Platycodon grandiflorus, 6g of roasted licorice, 15g of jujube, and 6g of Hezi. After 10 doses, all symptoms were relieved.
5. Xinyi combined with sand ginseng, etc., to treat nasal atrophy
Example of medical record: Patient Peng, male, 38 years old. Visited on May 29, 2008.
The chief complaint is a dry nose for six months.
The patient has had a dry and congested nose for six months, accompanied by a dry throat and a desire to drink.
Examination: The nasal mucosa is pale red, both lower turbinates are reduced, and dry scabs are visible in the nasal cavity. The pharyngeal mucosa is pale red and dry, with yellow scabs visible on the posterior wall of the pharynx. The tongue is slightly red with little coating, and the veins are thin. It is believed that this is a syndrome of insufficient lung yin, and treatment should nourish lung yin, generate fluids, and moisten dryness.
Prescription: 15g Beisha Shen, 15g Dendrobium, 10g Yuzhu, 10g Tianmai Dong each, 15g Poria cocos, 15g Huai Shan Yao, 10g Shengbaizhu, 15g Hangbai Shao, 15g Shengyi Ren, 15g Baijiang Cao, 15g Jixue Teng, 15g Yejiao Teng, 10g Xinyi, 15g Shengdi, 10g Citron, 15g Danshen, 10g Platycodon grandiflorus, 6g Shenglicorice. After 14 doses, the nasal dryness decreased.