The TCM diagnosis of adenoid hypertrophy is divided into lung and spleen qi deficiency, lung and kidney yin deficiency, qi and blood stasis, and phlegm and blood stasis.
Clinical manifestations of adenoid hypertrophy include nasal congestion, open-mouth breathing, and snoring during sleep, which belongs to the categories of “nasal stifling” and “snoring and sleeping” in Chinese medicine.
1. Lung, spleen and qi deficiency. If the patient has intermittent nasal congestion, no sputum or a small amount of white sputum, snoring during sleep, open-mouth breathing, shortness of breath, lazy speech, and spontaneous sweating (involuntary sweating during the day, aggravated by sweating with a little movement), the evidence belongs to the deficiency of lung, spleen and qi.
2. Lung and kidney yin deficiency. If the patient has intermittent nasal congestion, yellowish-white snot, restlessness at night, emaciation, and dryness of the mouth and throat, the evidence belongs to Yin deficiency of the Lung and Kidney.
3. Qi and blood stasis. If the patient has nasal congestion for a long time, stuffy ears, hearing loss, coughing, open-mouth breathing, enlarged adenoids, the evidence belongs to qi and blood stasis.
4. Phlegm and blood stasis. If the patient has nasal congestion for a long time, yellow colored snot, coughing, coughing up phlegm, white sticky phlegm, the evidence belongs to phlegm coagulation and blood stasis.
It should be noted that if the patient is diagnosed with adenoid hypertrophy, it is recommended to go to a regular medical institution for consultation and treatment under the guidance of a professional physician to identify the evidence, and not blindly self-medication.
Note: [1] Deng Yilan,Xue Mingxin. Progress of Chinese and Western medicine in the treatment of adenoid hypertrophy in children in the past 5 years[J]. Modern Journal of Integrative Medicine,2021,30(20):2272-2275+2280.