“Exploration of the physical characteristics of congested nose in Chinese medicine

“The “congested nose” originated in the Spring and Autumn and Warring States period in the Book of Rites? The month of the order: “in the autumn of the summer, the country’s great water; winter hide calamity defeat, the people more congested sneeze.” Liu Wansu in “Suwen Xuanji Original Disease Style, Six Qi as Disease” gives an appropriate explanation: “congested nose is also clear snot from the nose”; “sneeze is an itch in the nose, and the air is sprayed in the sound”, which encompasses modern medicine’s Allergic rhinitis (AR) and non-allergic rhinitis (AR). rhinitis (AR) and non-allergic rhinitis (NAR). At present, the medical profession attaches great importance to the research of AR and finds that the essence of its pathogenesis is closely related to the defect of peripheral immune tolerance function, genetic, mental and environmental factors; and the research of NAR is flourishing. The incidence of NAR is very popular and brings great trouble to people’s life. With the rise of TCM somatology, it has been found that TCM biased somatology is closely related to the etiology and pathogenesis of the disease, therefore, it is very important to explore the expression characteristics of AR and NAR from the perspective of TCM somatology to guide the clinical dialectical treatment in the future. Physique is a relatively stable specificity of morphological structure, function and metabolism expressed by individuals in a population based on their innate endowment and acquired nature. It is therefore influenced by many factors such as heredity, age, gender, living environment and dietary conditions, geography, seasons, and diseases. The Qing dynasty doctor Wu Dehan’s “Medical Science Series? After the Jinbao Jue chapter” cloud: “to know easy wind for the disease, the table gas is weak; easy cold for the disease, Yang Qi is weak ……. Easy to labor injury, the middle qi will be lost. It is important to know that the day of the onset of the disease, that is, when the right qi is insufficient.” It is suggested that people with a certain physique are prone to suffer from diseases related to it, indicating that in clinical practice, “body identification” is of great importance. The correlation between “congested nose” and the age of qi and physical constitution has been discussed by the ancients for a long time. Suwen? The “Supreme Truth” cloud: “Shao-Yin’s complex, the heat of the underworld, irritable congested sneeze”. Suwen? The Five Constant Principles of Government”: “The sun is in the sky, the cold is down, the heart is up, and the sneezing is sad”. Chao Yuanfang said in “Treatise on the Origin of Diseases? Lacquer Sore Waiting” said, “Lacquer is toxic, and people are endowed with a fear of lacquer …….” In addition, “lung Qi deficiency is nasal congestion adverse”, “kidney for owe for sneeze.” In addition, “clear snot, brain cold lung cold”, etc., also shows that congested nose and the five viscera and six internal organs, Qi, blood and fluid disorders are inextricably linked, all of which illustrate the “congested nose” and the climate and environment, genetics, constitution is closely related. As the Suwen Legacy? If the body’s righteousness is weak, and if the quality of peace and harmony is biased, external evil will invade the body, the qi and blood, yin and yang will be disturbed, and the internal organs will be out of balance and prone to nasal congestion. In this study, we analyzed both the physical and symptomatic symptoms of AR or NAR, and sought the inner physical changes and the nature of the disease, excluding the symptomatic manifestations. The results showed that the common feature of the biased constitution of AR or NAR is qi deficiency. Qi deficiency is a physical condition in which the function of the internal organs of the lungs, spleen and kidneys is low due to various reasons, and the biochemical power of Qi and blood is weak. If the body is old and weak, the kidney is weak, or the spleen and stomach are deficient, the transportation and transformation are not normal, and the biochemical power of qi and blood is weak or lack of exercise for a long time, it can cause deficiency of middle qi, deficiency of qi and yang, and abnormal transmission of fluids, which can lead to the loss of lung proclamation and descent, so sneezing and nasal congestion. Therefore, in this paper, we found that people over 40 years of age, those with a high level of education, those with little outdoor exercise, and those with a history of digestive system diseases such as gastric ulcer are prone to congested nose in our survey. In this study, we investigated the characteristics of the frequency of the physical qualities of AR and NAR, and found that the frequency of AR patients with Qi deficiency, Qi yu, and special endowment were high, 33.9%, 10.2%, and 30.4%, respectively; the frequency of NAR patients with Qi deficiency, Yang deficiency, and special endowment were high, 36.5%, 23.1%, and 15.9%, respectively; if we take the logistic regression analysis method The first model with the frequency of AR and NAR by body type showed that the probability of NAR was increased in Yang deficiency phase compared with pinghe, OR 2.78, 95% CI, 2.33-4.69; and there was a statistically significant increase in AR in those with special endowment, OR 3.84, 95% CI, 2.83-4.09. The results were statistically significant. After adjusting for gender and age, the results were similar to those of the first model, and using the pinghe nature as a reference, the probability of NAR was increased in Yang deficiency relative to pinghe nature with an OR of 2.98, 95% CI, 1.56-3.21; and there was a significant increase in AR in endowed individuals relative to pinghe nature with an OR of 3.03, 95% CI, 3.89-4.65 similar to the results of the first model. This result indicates that endowment and Yang deficiency are the types of body types that are more strongly associated with AR and NAR. The family history of nasal congestion in endowed individuals is due to factors specific to their parents or to the environmental conditions of conception, and according to current statistics, AR patients have a tendency to cluster in families. It has been reported that about 70% of the children of allergic parents acquire allergies, and 50% of the children of allergic mothers have a chance of inheriting the disease. In the case of an allergic father alone, the children have a 30% chance of inheriting the disease. As Chao Yuanfang of the Sui dynasty said in “Treatise on the Origin of Diseases? Lacquer is poisonous, and people who are endowed with a fear of lacquer are poisoned when they see lacquer. …… There are also people who are resistant to lacquer, and who are not harmed when they are boiled all day long. “People do not care about the size of men and women, there are those who are not endowed with lacquer resistance, and when they see lacquer and new lacquer ware, they will be poisoned by lacquer. Therefore, AR mostly has a family history of hereditary disease, with rapid onset, heavy onset, fast disappearance, and repeatedly difficult to heal. The clinical symptoms are mostly associated with qi deficiency. Similar results were confirmed by Jiang. Yang deficiency [Mostly due to congenital deficiency, weakness of spleen and kidney, and cold induction resulting in a Yang deficiency constitution. Yang deficiency weakens the body’s external function, resulting in unfavorable nasal orifices, clear nasal discharge, frequent sneezing, and aggravation when exposed to cold. As Chao Yuanfang said in “Treatise on the Origin of the Diseases”, the nasal passage is not conducive to the body’s external function. Volume 29? As Chao Yuanfang said in the “Treatise on the Origin of Diseases and Sniffles”, “If the nasal fluid is hot, it is dry, and if it is cold, it overflows and cannot be collected by itself. The lungs are connected to the nose, the organs have cold, cold with the gas into the nose, so that the snot can not be collected.” Jin ? Li Dongyuan in the “Spleen and Stomach” also discusses Yang deficiency to congested, the text says “the lung, the mother of the kidneys, the skin and hair of the yuan Yang is weak, more to the winter months to help its cold, so the patient is good at sneezing, clear nasal runny nose, cold even out of the turbid snot, sneeze more than normal people are more vicious than the wind and cold, urine number and owe or drink down the stool, clear color and more, the stool is not regulated, often sleepless at night.” Therefore, it is a characteristic of NAR, the course of the disease is lingering and difficult to heal, slow and unhurried, and is mostly seen with Qi deficiency symptoms. In summary, trait endowment and Yang deficiency, respectively, have strong positive associations with AR or NAR, and Qi deficiency is a characteristic shared by both. Therefore, in the prevention and treatment of AR or NAR, we should pay attention to the analysis of the patient’s constitution, and by grasping the constitution and thus understanding the changing pattern of the lesion, we can improve and correct the patient’s Yang deficiency and special endowment by using the method of benefiting Qi and warming Yang and desensitizing Qi with the evidence, which may provide the theoretical basis for effective treatment methods of AR and NAR.