The Spleen and Stomach Theory and the Mechanism of Congested Nose The Spleen and Stomach Theory originated from Li Dongyuan, the father of the 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 the spleen and stomach in TCM include those of the digestive and mental systems in modern medicine. The “congested nose” originated in spring. The term “congested nose” originated in the Spring and Autumn and Warring States period in the Book of Rites. The month of the order: “in the autumn of the summer, the country is a big water; winter hide calamity defeat, the people more congested sneeze.” Liu Wansu in the “Suwen Xuanji original disease style ? Congested nose is a condition that causes clear snot to come out of the nose”; “Sneezing is an itch in the nose that causes the air to be emitted in a sound”, which encompasses the modern medical term Allergic rhinitis (AR) and Nonallergic rhinitis (NAR). . Whether there is a correlation between the spleen and stomach theory of Chinese medicine and the pathogenesis of congested rhinitis, I present the results of an outpatient questionnaire for patients between 15 and 60 years old with congested rhinitis who visited our ENT allergic reaction center between May 2011 and May 2012. The theory of spleen and stomach originated from the Nei Jing, developed in Zhang Zhongjing’s Treatise on Typhoid Miscellaneous Diseases, established by Li Dongyuan in the Tang, Song, Jin and Yuan dynasties, and sublimated by Ye Tianshi in the Ming and Qing dynasties. The congested sneeze comes from the Book of Rites? The month of the order: “in the autumn of the summer, the country is a big water, the winter hide calamity defeat; people congested sneeze.” For the etiology of congested nose, the ancients have discussed 2. “Ling Shu? The lung is a gas, the gas shedding prana, the lung is deficient nasal congestion is not conducive to less gas, the actual gas and drink chest surplus rest.” In short, the pathogenesis of congested nose is: internal causes are mostly low function of the internal organs (lung, spleen, stomach, kidney deficiency), external causes are mostly wind-cold, wind-heat evil invasion of the nasal orifices caused by 2. Then the relevance of the spleen and stomach theory and congested nose is mainly discussed in the following two aspects: 1, the spleen and stomach is the source of biochemical human qi and blood, the root of the pathogenesis of congested nose From the results of this study, 649 people with AR combined with digestive system diseases accounted for 209 (60.6%), and 359 people with NAR combined with digestive system diseases accounted for 136 people (39.4%), indicating that the onset of AR and NAR is closely related to the digestive system. As stated in Suwen? The pulse solution: “the so-called guest Sun pulse is headache, congested nose, abdominal swelling, Yangming and the upper, the upper is the period of Sun complex Taiyin, so headache, congested nose, abdominal swelling”; “Suwen? The six elements of the Zhengji Dazheng said: “Yangming to congested sneezing”, indicating that the ancients have found congested nose and Yangming stomach meridian and Taiyin spleen meridian related. At the same time, “Ling Shu? This Shen chapter: “the lung collects gas, gas sheds prana, lung gas is deficient in the nasal congestion is not conducive to less gas, the real is wheezing and drinking chest Ying Yang rest.” 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? In the “Treatise on the meridians and veins”, it is said that “food gas enters the stomach, disperses the essence in the liver, and lusts after the tendons. 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. “3 Its overview of the physiological functions of the spleen and stomach: the spleen is the master of transportation, the master of water and grain essence, the master of blood, the spleen is the master of the limbs and muscles; the opening is in the mouth, and its Hua is in the lips; Li Dongyuan’s treatise on the spleen and stomach says: “True qi is also known as Yuan Qi, is the essence of the first body born, not Ying Qi can not be nourished. Weather, grain gas, glory gas, clear gas, health gas, the generation of all Yang rising gas, these six, all food into the stomach. Grain gas rising, the stomach gas is a different name. In fact, one.” 4 It shows that 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 qi 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 for surplus, line surplus diarrhea; injury to its internal for deficiency, deficiency of the complement. If the internal injury is not enough disease, if misidentified as a disease of external excess and diarrhea, it is deficient in its deficiency, real deficiency, so the dead, the doctor killed the ear.5 Note: the spleen and stomach for the five viscera, is an important cause of the onset of congested nose. Modern medicine has also found that many patients with dyspepsia have a history of allergic rhinitis.6 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. Therefore, these data suggest that the spleen and stomach theory is closely related to congested nose. 2, the correlation between the 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 are closely related to mental system disorders. The spleen in the will is thought, and Su Wen? The theory of raising pain says: “Thinking is the heart has some storage, the gods have some return, the right qi stay and not work, so the qi knots carry on.” 8 Excessive thinking, qi knots in the middle, the spleen does not rise and clear, then the water and grain can not be transported, qi and blood biochemically without source, can appear fatigue, dizziness, sneezing and runny nose, nasal congestion, do not think about eating, epigastric distention, diarrhea and other symptoms. This is why the heart is the only one that makes the five wills.9 “Excessive thinking, gas knots in the middle, the spleen does not rise clear, the water and grain can not be transported and transformed, the Qi and blood biochemically have no source, which can lead to mental fatigue, dizziness, sneezing, nasal congestion, lack of thinking about food and drink, distention, diarrhea and other symptoms. In addition, malfunctioning of the spleen and stomach can also affect emotional and spiritual activities. The spleen is the source of qi and blood biochemistry, and the spirit depends on the nourishment of qi and blood to make the spirit bright, but qi and blood deficiency cannot nourish the spirit. If the heart and spleen are deficient, the kidney essence is deficient and the brain is not nourished, which can 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 can 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 which are related to phlegm as a disease and confusion in the mind.10 Modern medical research has found that rhinitis is closely related to psychiatric factors.11 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.12,13 tested 194 patients with allergic rhinitis using the SCL-90 Psychological Test List90 (SCL-90) and the Self-Rating Depression Scale (SDS) and found that 5% had poor psychological status, 11% had suboptimal status, and 41% had combined depression. In addition, one study found that patients with dyspepsia have high sensitivity (psychological stress, emotional symptoms).14 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, “Su Wen? Xuanming five qi” said that “the five qi diseases …. The kidney is deficient and is the cause of snot”, and “The Secret Evidence of Treatment and the Formula? Volume 10”, “clear snot is caused by cold brain and cold lung, and it is appropriate to use the genera of Hosin, Ocimum sanctum, Radix et Rhizoma, and Ginger”, he believes that congested nose is mostly due to deficiency of the internal organs (deficiency of endowment), followed by wind and cold, and sums up the main formula of Yi Qi Zhi Congested Tong (16), which benefits the Qi and warms the Yang (Huang Qi, Chai Hu, Baicalin, Dan Pi, Xin Yi, Hosin In the same way, Zhu emphasized the identification of the internal organs and overall regulation, and according to the ancient saying that “the injury to the five organs must affect the kidneys”, the lesions of the internal organs are damaged over time and must affect the kidneys, and the local lesions of “congested nose” are the manifestation of the deficiency of the internal organs. The “nasal congestion” localized lesions, is a manifestation of internal deficiency. 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, tonify the deficiency and strengthen the body, promote the clear and lower the 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 Xin Yi San with reduction (17); in addition, Yu Lao believes that In addition, Yu believes that “congested nose” is caused by the deficiency of the lung, spleen, and kidney organs and the entry of wind evils, so in clinical practice, he adopts the treatment of “Tianhuangling” (18), which tonifies the kidney and strengthens the spleen, warms the veins and opens the orifices (Tianworm, Huangqi, Dihuang, Xianling spleen, Dangjian, Chuanxiong, Danggui, (Shou Wu, Mai Dong, Wu Wei Zi, Hsio Xin, etc.). Therefore, it is said that the spleen and stomach theory is closely related to the pathogenesis of congested nose, and spleen qi deficiency is the theoretical basis for the pathogenesis of congested nose. In the course of clinical treatment, it is very important to pay attention to the spleen and stomach theory, based on the method of benefiting qi and strengthening the spleen, and adding and subtracting according to the evidence to improve the condition of patients with congested nose.