Allergic rhinitis medical case

Si XX, male, 40 years old, self-employed, Zhejiang Province Initial diagnosis (May 8, 2011): The patient has been suffering from allergic rhinitis for more than 3 years and the treatment has been ineffective. Whenever the seasons change in spring and autumn, or when he is exposed to wind, he has an itchy nose, sneezing, sore eyes, watery eyes, followed by runny nose and nasal congestion, and is treated in a western hospital with “nasal nostrum, ephedra nasal drops”, etc., which can provide slight relief, but after a day or two the symptoms are as usual. The symptoms were: sneezing, runny nose, nasal congestion, sore eyes with tears, aggravated by wind and relieved by heat, accompanied by bad wind, weakness, light red tongue, thin white moss and floating pulse. Traditional Chinese medicine diagnosis: windy nasal congestion. The prescription is Gui Zhi Tang with addition and subtraction: Gui Zhi 20g, Bai Shao 20g, Ginger 15g, Jujube 10g, Roasted Licorice 10g, Astragalus 20g, Fang Feng 15g, Angelica dahurica 12g, Fried Atractylodes 10g, Tribulus terrestris 12g, Xin Yi 10g, Decoction, Hosin 8g, Poria 10g, Chuanxiong 8g, Atractylodes 8g, Decoction, one dose a day.

Second Diagnosis (May 16): After taking 7 doses, clear runny nose, sneezing, nasal congestion has been significantly reduced, tears have stopped, but still afraid of wind, tongue and pulse as before, the above followed by 10 doses and cured.

Press: This case belongs to the category of “wind and nasal congestion” in Chinese medicine. Closely related to the wind, is the lung guard is not solid, wind attack. The source of diseases: “the fluid snot and spittle, with heat is dry, with cold is overflowing can not be collected”, “Zhongzangjing deficiency cold and heat life and death obedient pulse evidence of the law”: “lung gas pass in the nose, the lung and the nose can know the smell of odor, there is cold is good cough … … … the actual nasal runny nose.” Typhoid said: “typhoid stroke, Yang floating and Yin weak, Yang floating heat from the hair, Yin weak sweat from the sweat, stingy vicious cold, catarrh vicious wind, open and close fever, nasal thunder dry vomiting, Gui Zhi Tang is the main.” Therefore, the treatment focuses on consolidating the Wei Qi, regulating the Ying Wei and tonifying the Lung Qi, so that the disease can be easily resolved.