The theory of spleen and stomach originated from Li Dongyuan, the father of spleen and stomach, during the Tang, Song, Jin and Yuan dynasties. “The theory of spleen and stomach is an important part of TCM theory, and the functions of spleen and stomach in TCM include the functions of digestive system and mental system in modern medicine. The “congested nose” originated in spring. The term “congested nose” originated in the Rites of the Spring and Autumn and Warring States Periods: “In the autumn, when the country is in summer, there is a great deal of water; in the winter, when the disease is not in place, there is much congested sneezing.” Liu Wansu in “Suwen Xuanji Original Disease Style Six Qi for Disease” “congested nose, the nose clear snot also”; “sneeze, the nose because of itching, and the air sprayed in the sound also”, which includes the modern medical Allergic rhinitis (AR) and non-allergic rhinitis (Non It includes both Allergic rhinitis (AR) and Nonallergic rhinitis (NAR) in modern medicine. The results of an outpatient questionnaire for patients between 15 and 60 years of age with congested nose who visited our otorhinolaryngology allergic reaction center between May 2011 and May 2012 are used as the basis for this study. According to the 2009 edition of the “Guidelines for the diagnosis and treatment of allergic rhinitis” developed by the Chinese Medical Association, the skin prick test (SPT) (using diagnostic reagents produced by Merck or ALK) and/or the serum specific IgE (sIgE) test for common inhaled allergens were used. IgE (sIgE) (using diagnostic reagents from Phdia) showed positive results, and nasal symptoms were present for each history of allergen exposure. No immunomodulators or hormonal agents within one week; exclusion criteria: (1), age less than 15 years or greater than 60 years; (2), no visual, hearing, or speech impairment, mental disorders, and congenital malformations, severe malnutrition, or obvious genetic metabolic disorders. Allergic rhinitis (AR): SPT/IgE (+) with typical symptoms. Non-allergic rhinitis (NAR): SPT/IgE (-) with typical symptoms. 2. Sample selection: All cases were obtained from patients between 15 and 60 years of age with “congested nose” who visited our ENT allergic reaction center between May 2011 and May 2012. There was no statistically significant difference between the age and gender composition of the two groups (P>0.05). 3. Study method: For patients who came to our center, with the assistance of investigators with educational background of TCM bachelor or above, the questionnaire was self-administered by the respondents, and those who failed (missing or more entries of major items such as gender and age or logical errors) were kicked out; each patient was judged in terms of physical characteristics, common manifestations, psychological characteristics, morbidity tendency and adaptability to the external environment. A comprehensive judgment was made for each patient in terms of physical characteristics, common manifestations, psychological characteristics, onset tendency and adaptability to the external environment. Only the qualified questionnaires were entered into the data using the Epdata 3.02 double entry method to ensure the reliability of the data. A total of 1008 qualified data were obtained from the survey, and the sample of this study was obtained from this survey. 4. Survey content: including general condition survey and health status survey. This study included the general condition survey in terms of gender, age, marital status, occupation, education level, onset time, outdoor exercise status, and past medical history. 5. Statistical methods: The experimental results were processed using SPSS 17.0 statistical software. Comparisons of frequencies between groups were performed using the Χ2 test, and P values, OR values, and 95% CIs were recorded. a Bonferroni method corrected P value (Pc) < 0.05 was used as the test level for statistical significance. RESULTS 1. General information: 1252 cases of study subjects in this study, 244 cases of incomplete scripts were detached and 1008 cases of completed scripts. Age 15 to 60 years old, the average (39.00 ± 11.23) years; among them, 649 cases of AR, 341 men, accounting for 66.1%, 308 women, accounting for 62.6%; NAR 359 cases, 175 men, accounting for 33.9%, 184 women, accounting for 37.4%; among the 1008 patients, outdoor fitness less than 1 hour per day about 486 people, accounting for Among the 1008 patients, about 486 patients (48.2%) had less than 1 hour of outdoor fitness per day; about 345 patients (34.2%) had digestive system diseases such as gastric ulcer; about 413 patients (41%) had psychiatric system diseases such as neurosis; if we compare the two groups, the proportion of the above medical history AR group was higher than that of the NAR group. Discussion The theory of spleen and stomach originated from the Nei Jing, developed in Zhang Zhongjing's Treatise on Typhoid Miscellaneous Diseases, laid down in Li Dongyuan in the Tang, Song, Jin and Yuan periods, and sublimated in Ye Tianshi in the Ming and Qing periods. congested sneeze out of the "Rites of the month": "in the autumn of the summer, the country's great water, the winter hide calamity defeat; people congested sneeze." For the etiology of congested nose, the ancients have discussed 2. "Ling Shu Ben Shen Chapter": "the lung collects gas, gas shedding prana, lung gas deficiency is nasal congestion is not conducive to less gas, the real is wheezing drink chest Ying Yang rest." In short, the pathogenesis of congested nose is: internal causes are mostly low function of the internal organs (lung, spleen, stomach, kidney Qi deficiency), external causes are mostly wind-cold, wind-heat evil invasion of the nasal orifices caused by. Then the relevance of the spleen and stomach theory and nasal congestion is mainly discussed in the following two aspects: 1, the spleen and stomach is the source of human qi and blood biochemistry, the root of the pathogenesis of nasal congestion From the results of this study, 649 people with AR combined with digestive system diseases accounted for 209 (60.6%), 359 people with NAR combined with digestive system diseases accounted for 136 (39.4%), indicating that the onset of AR and NAR and digestive system It is closely related to the digestive system. As the book "Suwen 脈解篇" says: "The so-called guest Sun pulse is congested with headache, nose, and abdominal swelling, and Yangming is congested with the upper part, and the upper part is congested with the Sun complex Taiyin, so it is also congested with headache, nose, and abdominal swelling"; "Suwen 六元正纪大论" says: "Yangming is congested with nose and sneeze", which indicates that ancient people It is said in Suwen Liuyuanzhengji Da Lun that "Yangming is congested with congestion", indicating that ancient people have found congested nose to be related to Yangming stomach and Taiyin spleen meridians. In the meantime, the Ling Shu Ben Shen Chapter says: "The lung collects qi, and qi sheds prana; if lung qi is deficient, the nose is blocked with less qi, and if it is real, the chest is full of gas and breath." The "Su Wen? Xuanming five qi theory "kidney for owe for sneeze", indicating that congested nose easily related to the lungs and kidneys. "The spleen and stomach is the source of biochemical energy and blood", "Su Wen Jing and Vein Theory" in the cloud: "food gas into the stomach, dispersing essence in the liver, prostitution in the tendons, food gas into the stomach, turbid gas to the heart, prostitution in the veins. Drinking into the stomach, overflowing essence, upward transmission to the spleen, spleen qi disperses essence, upward return to the lungs, through the water channel, downward transmission to the bladder, water essence four spreads, five meridians in parallel". Its overview of the physiological functions of the spleen and stomach: the spleen is the main transport and transformation, the main water and grain essence, blood, the spleen is the main limbs, muscles; open the mouth, and its flowers in the lips; Li Dongyuan spleen and stomach in the theory of cloud: "True Qi, also known as Yuan Qi, is the first body born of the essence of gas, non-camp gas can not be nourished. Weather, grain gas, glory gas, clear gas, health gas, the generation of all Yang rising gas, these six, all diet into the stomach. Grain gas rising, the stomach gas is a different name. In fact, one." The spleen is the main drainage, transport and transformation of water and grain, upward transmission and distribution of the lungs, downward infusion and kidney, spleen qi deficiency, loss of transport and transformation, upward leading to lung qi deficiency, downward is not enough to irrigate the kidney, leading to kidney deficiency, therefore, the root cause of lung and kidney deficiency is spleen qi deficiency. As Li Dongyuan's "internal and external injuries to identify confusion" cloud: "internal injury to the spleen and stomach is to hurt its gas, external wind and cold is to hurt its form, injury to its external surplus, line surplus diarrhea; injury to its internal deficiency, deficiency of the complement. If the internal injury is not enough disease, if misidentified as the external sensation of surplus disease and diarrhea, then the deficiency of its deficiency, the actual deficiency, so the dead, the doctor killed the ear. Note: The spleen and stomach are the basis of the five viscera, is an important cause of congested nose. Modern medicine has also found that many patients with dyspepsia have a history of allergic rhinitis, and Powell et al.7 found that patients with allergic rhinitis and asthma often have a combination of gastrointestinal dysfunction, which is suspected to be an intestinal allergic reaction to food. Thus, these data suggest that the spleen and stomach theory is closely related to congested nose. 2., the correlation between spleen and stomach and emotional factors is an important factor in the development of congested nose From the results of this study, 649 people with AR combined with neurosis accounted for 234 (56.7%); patients with NAR combined with neurosis accounted for about 179 (43.3%), indicating that the development of AR and NAR is closely related to psychiatric disorders. The spleen is in the will for thinking, and the Suwen Lifting Pain Theory says: "Thinking is the heart has some storage, the god has some return, the right qi stays and does not work, so the qi knots carry on." If the spleen is not clear, the water and grain cannot be transported and transformed, and there is no source of Qi and blood biochemically, which can lead to fatigue, dizziness of the head and eyes, sneezing and runny nose, nasal congestion, lack of thinking about food and drink, distention of the stomach and abdomen, diarrhea and other symptoms. This is why the heart is the only one that makes the five wills.9 Excessive thinking and thinking can lead to the formation of gas in the middle, the spleen does not rise and clear, the water and grain cannot be transported and transformed, and there is no source of Qi and blood biochemistry. The spleen earth is tired of the lung gold and grinds the kidney water, and the long thought produces fear, resulting in the lung qi not being promoted and the kidney not receiving qi, resulting in coughing, sneezing, runny nose, and nasal congestion. In addition, malfunctioning of the spleen and stomach also affects emotional and mental activities. The spleen is the source of qi and blood biochemistry, and the spirit depends on the nourishment of qi and blood to make it clear. If the heart and spleen are deficient, the kidney essence is deficient and the brain is deprived of nourishment, which may lead to palpitations and insomnia, trance, forgetfulness, and depression; if there is deficiency, the clear yang does not rise, the qi is trapped in the lower part of the body and the blood does not reach it, which may lead to syncope, epilepsy, epilepsy, dementia, etc. The spleen and stomach are responsible for raising the clear and lowering the turbidity. If there is a lot of phlegm and dampness in the spleen, or if the spleen and stomach are not disciplined in eating and drinking, and if the spleen and stomach are not healthy, the phlegm and turbidity will stagnate in the middle jiao and the spleen will not be able to raise the clear and lower the turbidity, and the phlegm and turbidity will block the clear yang, and the mind will lose its clear spirit, then memory loss, dizziness and confusion, sleeplessness and distraction, epilepsy, epilepsy, dementia and other symptoms will occur. If too much food is consumed, the Qi flow is blocked and the clear orifices are congested, which can lead to sudden fainting, unconsciousness, or wild speech, confusion and other disorders. If the spleen is deficient in transporting water and dampness, water and dampness will easily gather and produce phlegm. Phlegm is a very important pathogenic factor in the pathogenesis of emotions. For example, epilepsy, epilepsy, madness, dizziness, dementia, panic, forgetfulness, drowsiness or sleeplessness, etc., all of these are related to phlegm as a disease and confusion in the mind. Juniper11 found that nearly 44.5% of patients with rhinitis had psychiatric symptoms in a survey of quality of life and psychiatric factors. Meanwhile, Tin et al. tested 194 patients with allergic rhinitis using the Symtom Checklist 90 (SCL-90) and Self-Rating Depression Scale (SDS), and found that 5% of those with poor psychological status, 11% of those with suboptimal status, and 41% of those with combined depression In addition, some studies have found that indigestion is the most common cause of poor digestion. In addition, one study found that patients with dyspepsia had high sensitivity (psychological stress, emotional symptoms). Similarly Zhao15 found a high incidence of anxiety and depression in patients with functional dyspepsia. However, the current relationship between spleen qi deficiency and congested nose is subject to further clinical and experimental studies. In addition, according to Tian Lao's Su Wen Xuan Ming Wu Qi, "The five Qi are diseased by .... The kidney is deficient and is the cause of snot", and "The secret recipe for evidence and treatment and similar prescriptions? The main formula for congested nasal congestion is based on the belief that there are many people who suffer from deficiency cold in the nasal congestion, and that the deficiency in the function of the internal organs is the first thing to happen (lack of endowment), followed by the onset of wind and cold. Similarly, Zhu emphasized the identification of the internal organs and the overall regulation, and according to the ancient saying that "the injury of the five organs must affect the kidneys", the lesions of the internal organs and the kidneys must be affected after a long time, the local lesions of "congested nose" are the manifestation of the deficiency of the internal organs. In support of the theory that the kidney is the root of the innate nature, the kidney method is used to adjust the body's yin and yang to resist the invasion of disease and evil, and five methods are proposed to dispel evil and frustrate the surface, nourish the deficiency and strengthen the body, promote the clearing and lowering of turbidity, invigorate the blood to dispel blood stasis, and clear the qi and lower the fire to adjust the internal organs, yin and yang, qi and blood to dispel evil and open the orifice, and apply Xinyi San with reduction; in addition, Yu Lao believes that In addition, Yu believes that "congested nose" is caused by the deficiency of the lung, spleen and kidney, and the wind evil takes advantage of the deficiency to enter, so in clinical practice, he adopts the treatment of tonifying the kidney and strengthening the spleen, warming the veins and opening the orifices, which is "Tianhuangling" punch (Tianworm, Huangqi, Dihuang, Xianling spleen, Radix Codonopsis, Chuanxiong, Radix Angelicae Sinensis, Shouwu, Medlar (and Wu Wei Zi and Hsio Xin). Therefore, it is said that the theory of spleen and stomach is closely related to the pathogenesis of congested nose, and spleen qi deficiency is the theoretical basis of the pathogenesis of congested nose. In the course of clinical treatment, it is of great importance to attach importance to the theory of spleen and stomach, based on the method of benefiting qi and strengthening spleen, and adding and subtracting according to the evidence to improve the condition of patients with congested nose.