Allergic rhinitis is a rhinitis characterized by sudden and recurrent episodes of nasal itching, sneezing, runny nose and nasal congestion, which belongs to the category of “congested nose” in Chinese medicine. It accounts for about 40% of all rhinitis and is also a manifestation of systemic metaplasia in the nose. In recent years, with the increase in industrialization, the incidence of allergic rhinitis has been growing globally, with a global average incidence of 10%-25%, and has become a global health problem. Clinically, it presents the following characteristics:? The number of patients with the disease is increasing year by year,? The use of new generation antihistamines and nasal steroids cannot control the symptoms and other characteristics. The clinical symptoms of allergic rhinitis are nasal itching, sneezing, runny nose and nasal congestion, often accompanied by itchy eyes. Itchy palate, itchy skin, asthma and other systemic allergy symptoms. These symptoms allergic rhinitis or all or part of them have, so it is not possible to identify the cold and heat from these symptoms, it is necessary to seek new features and essentials, symptoms with differentiating significance. The common characteristic symptoms are: 1, allergic rhinitis triggering factors, such as cold stimulation is triggered, in case of temperature change is triggered, the former can be identified as qi deficiency, the latter can be a deficiency of the guard qi, the guard surface is not solid, such as in case of special substances and triggered such as dust, spicy smell, etc. no obvious identification significance.
2, whether the whole body is afraid of cold symptoms, or usually wear more clothes compared to the same age or in case of climate change is the first cold while the same age is safe, then also suggests that the lung Yang deficiency, kidney Yang deficiency, the signs of deficiency of the guard table.
3, nasal mucosa congestion or pallor, turbinate congestion and swelling or pale and swollen, is important to distinguish between cold and heat. Pale nasal mucosa, pale and edematous nasal turbinates suggest deficiency of lung and kidney yang. Congested nasal mucosa and congested and swollen turbinates are mostly heat contained in the lung meridian, but not absolutely. Need to identify according to the systemic symptoms.
4. Dry mouth among systemic symptoms may be caused by nasal congestion and open mouth breathing, or heat and fluid injury or spleen deficiency. The former mostly indicates internal heat, while the latter mostly indicates spleen deficiency and spleen deficiency.
5, most allergic rhinitis have sweating symptoms, or moving sweating or night sweating, suggesting the coup not solid signs. The lungs are combined with the skin and hair, the couples have normal opening and closing functions, allergic rhinitis qi deficiency couples are not solid, the pores open, treatment on the one hand, there is solid Wei Qi, at the same time to close the couples. The reason for this is that Yang Qi is deficient and is unable to fix the surface; or Yang Qi is deficient and is accompanied by poor Qi flow, which makes it more difficult for Yang Qi to fix the surface; or Yang Qi is not deficient, but the Qi flow is suppressed and cannot reach the surface of the muscle. Professor Gan Zu Wang has used deer horn cream to achieve the purpose of warming and dispersing, or Allium sativum to promote yang.
The correct identification of cold, heat, deficiency and reality in allergic rhinitis is decisive for the prognosis. Case 1 captured the three characteristic symptoms of dry mouth and desire for cold drinks, dry stool and congestion of nasal mucosa and identified it as lung heat congestion. Case 2 mainly captured the ineffectiveness of using warming drugs to benefit qi, while the three characteristics of dry mouth with cold drinks and dry stools were treated with drugs to cool the lung and blood, while the surface Yang deficiency sign of pale nasal mucosa was abandoned. Case 3 mainly caught the symptoms of frequent acne on the head and face, the trigger symptoms of inflammation of the stomach and dry stools, and the symptoms improved with the use of heat-clearing and fire-removing drugs. This is the result of accurate identification of the evidence by removing falsehoods.
In conclusion, detailed diagnosis is the basis for correct diagnosis, and a solid foundation in Chinese medicine is the key to correct diagnosis.