Department of Infectious Diseases, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, Zhao Lancai Keywords: allergic rhinitis-asthma sign, allergic rhinitis, asthma, evidence-based treatment, treatment. Zhao Lancai, Department of Infectious Diseases, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, China Allergic rhinitis-asthma is a common clinical condition with high incidence and great impact on patients’ quality of life, and it is a difficult and multi-infarct disease. In clinical practice, the author has learned that patients with allergic rhinitis-asthma belong to the TCM constitution, but there are many combined Qi deficiency, Yin deficiency or phlegm-damp constitution, so the treatment should be combined with the constitution, and the four methods of pacifying the liver and quenching the wind, clearing heat and resolving phlegm, harmonizing the Ying and Wei, and warming the Yang and fixing the surface are commonly used to achieve better results. Patients mostly have hereditary constitution and start to develop allergic rhinitis when they are young, but gradually they are combined with asthma, which can be traced to allergens. The treatment is to calm the liver and quench the wind. The formula is based on Cang Er Zi 10 grams, Di Long 15 grams, Red and White Peony 12 grams, Roasted Ma Huang 6 grams, Chai Hu 15 grams, Wu Mei 15 grams, Fang Feng 12 grams, Wu Wei Zi 12 grams, Licorice 10 grams. For heavy sneezing and runny nose, add Xin Yi 10 grams and Bai Xian Pi 15 grams to clear dampness; for heavy phlegm and asthma, add Qing Han Xia 10 grams and Zi Su Zi 12 grams to subdue and resolve phlegm. In this formula, Dilong, Red and White Peony and Wu Mei nourish the liver and calm the liver to calm the internal wind, which are the ruling medicines; Cang Er Zi, Ma Huang, Chai Hu and Fang Feng promote the lung and open the orifices to disperse the external wind, which are the ministerial medicines; Wu Wei Zi and Licorice benefit the qi, nourish the yin and soften the liver, which are the adjuvant medicines, so that the whole formula can dispel the evil without hurting the righteousness.2 The method of clearing heat and resolving phlegm is common in patients with allergic rhinitis-asthma during acute attacks, manifesting as nasal congestion, nasal runny nose, itchy eyes and red eyes. The cough and wheezing, chest fullness, high breath, yellow sticky sputum, bitter mouth and dry stool, red tongue with yellow coating and smooth or numbered pulse. The main treatment is to clear heat and resolve phlegm. The formula is based on the following formula: 8 grams of roasted ephedra, 12 grams of almonds, 30 grams of raw gypsum, 12 grams of Qingxia, 15 grams of mulberry bark, 20 grams of guadua, 10 grams of scutellaria, 12 grams of dirong, 6 grams of gui zhi, 10 grams of raw licorice. Gram. The formula is based on raw gypsum, sizzling ephedra and clearing sempervivum to clear the lung and resolve phlegm and calm asthma as the ruler’s medicine; scutellaria, almonds, guadua and dilong are the adjuncts to clear liver and lung heat, resolve phlegm and stop cough as the minister’s medicine; the lesser adjuncts are cinnamon branch to calm the flush and subdue the rebellion, and licorice to support yang with pungency and sweetness to prevent bitter cold from injuring yang energy. The combination of all these medicines can clear heat and dissolve phlegm, stop cough and calm asthma. Weak and moist pulse. The treatment should be to tonify the lung and spleen and harmonize the Ying and Wei. The formula uses Chai Huang Gui Zhi Tang, with 20 grams of raw Astragalus, 15 grams of Chai Hu, 15 grams of Cinnamomum, 15 grams of White Peony, 15 grams of Red Peony, 10 grams of Phlegmia, 10 grams of Dazao, 10 grams of ginger, and 10 grams of licorice. This formula uses Astragalus, Gui Zhi, Chai Hu and Bai Shao as the ruling herbs, which focus on removing external evil and Ying and Wei; Radix Paeonia lactiflora breaks Yin and invigorates Blood; Fuxian Xia warms Yang and dissolves phlegm as the subordinate herbs; ginger, jujube and licorice calmly replenish Qi and Yin, and also help dispel evil, as the adjuvant herbs. The whole formula is a combination of attack and supplementation, with the elimination of evil in the support of righteousness, together with the harmonization of Ying and Wei and the benefit of Qi and Yin.4 The method of warming the Yang and fixing the surface of the body is used up by the elderly and chronically ill patients, due to long-term illness, depletion of vital energy, resulting in the deficiency of the Yang, the Wei surface is not solid, resistant to summer but not winter, when the cold weather, rhinitis and asthma suddenly attack, when the clear snot flows, nasal congestion and sneezing, wheezing and chest tightness, coughing and sputum thinning, cold and warm, light tongue with thick coating, weak pulse, the pathogenesis of the lung, spleen and kidney Yang deficiency, the inability to resist the Wei surface. The treatment should be to warm the yang and consolidate the surface. The formula uses Jianzhong Yuping Tang, with 10 grams of dry ginger, 6 grams of Sichuan pepper, 15 grams of Radix Codonopsis pilosulae, 20 grams of Radix Astragali, 15 grams of Fanfeng, 15 grams of Atractylodes Macrocephala, 12 grams of Paeonia lactiflora, 15 grams of Xianling spleen, and 10 grams of licorice. The formula is based on Yu Ping Feng San to consolidate the surface and strengthen the guard, Da Jian Zhong Tang to warm Yang and strengthen the spleen, plus Xian Ling Spleen and Bai Shao to regulate Yin and Yang, and Gan Cao to harmonize the herbs. If the kidney yang deficiency waist and knee pain, loose stool form cold, can add bone marrow, Shu Shu Shu Zi. Typical case Liu**, female, 51 years old, first diagnosed on May 20, 2010, complained of recurrent asthma attacks for more than 20 years, recurrence with nasal congestion and runny nose for half a month, asthma started more than 20 years ago, aggravated by attacks in spring and autumn every year, history of allergic rhinitis and family history, has been found to be allergic to pollen, dust, mites, DDV and other allergens in spring and autumn. In the past half month, he has suffered from asthma and rhinitis attacks due to climate, coughing and wheezing, frequent sneezing and runny nose, nasal itching and lacrimation, dry throat and bitter mouth, heat in the face and chest, coughing with yellow and sticky sputum, constipation, heart trouble, red tongue with yellow and greasy coating, and smooth pulse. Diagnosis: The patient has a family history of allergic asthma and a history of allergic rhinitis, so the diagnosis of allergic rhinitis-asthma is established. The onset of the patient in May was influenced by seasonal pollen, which triggered the persistent roots, i.e., internal phlegm, which turned into heat and surged up the lung system, so the wheezing and nasal congestion, constipation and dryness of the throat were carried out. 25 grams of raw gypsum, 10 grams of clear half summer, mulberry white peel 15 grams, guadua 20 grams, 15 grams of dragon, orange red 15 grams, white fresh peel 20 grams, cinnamon 5 grams, raw licorice 10 grams, seven doses, May 30 re-examination, after taking the medicine, wheezing chest congestion cough nasal congestion are greatly reduced, dry throat and runny nose is also light, but still sneezing eye itch, the above plus Yin Chai Hu 15 grams, red peony 20 grams, forbidden vine 15 grams, 10 grams of wind, Cang Er Zi 8 grams. Following the seven doses, the third diagnosis of the symptoms alleviated, the stool is thin and soft, weakness, the original formula to raw gypsum, guavas, plus raw astragalus, Wu Wei Zi, Fang Feng, South ginseng and other drugs to regulate 2 months, to autumn without seizures, May this year, the condition is basically stable, no major seizures. This case is endowed with a phlegm-heat internal body, spring Yang Qi, the external wind evil attracts the internal phlegm, so that the wind and Qi reverse the phlegm-heat on the congestion, asthma rhinitis sudden onset, the evidence is phlegm-heat congestion lung evidence, the treatment should be clear heat to resolve the phlegm, Ma Heng Shi Gan Tang, plus half asia, mulberry peel, Gua Pou, orange red to resolve phlegm to lower the Qi, Di Long, Bai Xian Pi, Gui Zhi, licorice to resist allergy to quench the wind, wind, phlegm, heat, and depression to take into account, to eliminate the evil does not hurt the right, with the later to support the right regimen Therefore, the effect is faster. The clinical manifestations of allergic rhinitis-asthma are complex, and the clinical manifestations are much more than the above four types due to the influence of physical constitution, etiology, emotion, diet and other factors.