The ten methods used by Dr. Chen Guo‑feng for treating allergic rhinitis

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Dr. Chen Guo‑feng is director of the ear, nose and throat department of Jiangsu Provincial TCM hospital. This article describes his experience of treating allergic rhinitis. His approach is divided into ten methods as follows: 1) Dispelling wind for desensitisation: During the acute stage of an attack of rhinitis the treatment principle should be to dispel wind and pathogenic factors using Sang Ye (Folium Mori Albae) 10g, Chan Tui (Cicadae Periostracum) 5g, Jing Jie (Schizonepetae Herba) 5g, Fang Feng (Saposhnikoviae Radix) 6g, Di Long (Pheretima) 10g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Xu Chang Qing (Cynanchi paniculati Radix) 10g, Mo Han Lian (Ecliptae Herba) 10g, Chai Hu (Bupleuri Radix) 5g and Lian Qiao (Forsythiae Fructus) 6g. 2) Consolidating superficial resistance for desensitisation: If there is deficiency of the Lung, Spleen and defensive qi the nose will be vulnerable to invasion of pathogenic factors. The treatment principle should be to replenish qi to consolidate superficial resistance using modified yu ping feng san as follows: Sheng Huang Qi (Astragali Radix) 10g, Fang Feng (Saposhnikoviae Radix) 6g, Di Long (Pheretima) 10g, Chan Tui (Cicadae Periostracum) 5g, Chao Bai Zhu (Charred Atractylodis macrocephalae Rhizoma) 10g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Xu Chang Qing (Cynanchi paniculati Radix) 10g, Lu Dou Yi (Glycines Nigrum Semen Coat) 10g, Gan Cao (Glycyrrhizae Radix) 3g and Wu Mei (Mume Fructus) 5g. 3) Replenishing qi for desensitisation: If the Lung and Spleen qi are deficient the nose will be susceptible to invasion by wind and cold, and there will be nasal obstruction. The treatment principle in such cases is to strengthen the Lung and Spleen qi using Sheng Huang Qi (Astragali Radix) 10g, Dong Chong Xia Cao (Cordyceps Sinensis) 10g, Chao Bai Zhu (Charred Atractylodis macrocephalae Rhizoma) 10g, Tai Zi Shen (Pseudostellariae Radix) 10g, Yi Zhi Ren (Alpiniae oxyphyllae Fructus) 10g, Di Long (Pheretima) 10g, Chan Tui (Cicadae Periostracum) 5g, Xi Xian Cao (Siegesbeckiae Herba) 10g and Gan Cao (Glycyrrhizae Radix) 3g. 4) Warming and dispersing for desensitisation: If there is yang deficiency of the Lung and Kidney there will be nasal discharge and sneezing. The treatment principle is to regulate the Lung and Kidney, warm the Lung and eliminate cold. Modified yang he tang or jin gui shen qi wan can be used, as follows: Ma Huang (Ephedrae Herba) 3g, Bai Jie Zi (Semen Sinapis Albae) 6g, Lu Jiao Shuang (Cornu Cervi Gelatinum) 10g, Wu Mei (Mume Fructus) 10g, Gui Zhi (Cinnamomi Ramulus) 3g, Bai Shao (Paeoniae Radix alba) 10g, Xi Xin (Asari Herba) 3g, Gan Cao (Glycyrrhizae Radix) 3g, Di Long (Pheretima) 10g, Yi Zhi Ren (Alpiniae oxyphyllae Fructus) 10g, Chan Tui (Cicadae Periostracum) 5g and Shi Liu Pi (Granati Pericarpium) 10g. 5) Regulating ying for desensitisation: For patients with disharmony of ying and wei and failure of defensive qi to consolidate superficial resistance, modified gui zhi tang should be prescribed as follows: Gui Zhi (Cinnamomi Ramulus) 3g, Bai Shao (Paeoniae Radix alba) 10g, three pieces of Sheng Jiang (Zingiberis Rhizoma recens), Sheng Huang Qi (Astragali Radix) 10g, Di Long (Pheretima) 10g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Zi Cao (Radix Lithospermi seu Arnebiae) 10g, Xu Chang Qing (Cynanchi paniculati Radix) 10g, Chan Tui (Cicadae Periostracum) 5g, Lu Dou Yi (Glycines Nigrum Semen Coat) 10g and Zhi Gan Cao (Glycyrrhizae Radix preparata) 5g. 6) Pacifying the Lung qi for desensitisation: If there is heat in the Lung channel, modified ting li da zao xie fei tang or qing re tuo min tang can be used, as follows: Sang Bai Pi (Mori Cortex) 10g, Ting Li Zi (Lepidii/Descurainiae Semen) 10g, Ya Zhi Cao (Commelinae Herba) 10g, Di Long (Pheretima) 10g, Chan Tui (Cicadae Periostracum) 5g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Xu Chang Qing (Cynanchi paniculati Radix) 10g, Zi Cao (Radix Lithospermi seu Arnebiae) 10g, Lu Gen (Phragmitis Rhizoma) 30g and Gan Cao (Glycyrrhizae Radix) 2g. 7) Raising lucid yang for desensitisation: For those with chronic disease and deficiency of the Spleen and Stomach, the principle should be to strengthen the Spleen, resolve damp, dredge the orifices and raise lucid yang, using modified shenling baizhu san or shengyang yiwei tang as follows: Chai Hu (Bupleuri Radix) 5g, Sheng Ma (Cimicifugae Rhizoma) 5g, Fu Ling (Poria) 10g, Chen Pi (Citri reticulatae Pericarpium) 6g, Huo Xiang (Pogostemonis/ Agastaches Herba) 10g, Pei Lan (Eupatorii Herba) 10g, Dang Shen (Codonopsis Radix) 10g, Shi Chang Pu (Acori tatarinowii Rhizoma) 5g, Di Long (Pheretima) 10g, Chan Tui (Cicadae Periostracum) 5g, Xi Xian Cao (Siegesbeckiae Herba) 10g and Gan Cao (Glycyrrhizae Radix) 3g. 8) Promoting blood circulation for desensitisation: For those with long‑term nasal obstruction and signs of blood stagnation promoting blood circulation may be necessary with modified tongqiao huoxue tang or buying huanwu tang, as follows: Tao Ren (Persicae Semen) 10g, Hong Hua (Carthami Flos) 5g, Chuan Xiong (Chuanxiong Rhizoma) 6g, Xi Xin (Asari Herba) 3g, Di Long (Pheretima) 10g, Sheng Huang Qi (Astragali Radix) 15g, Chan Tui (Cicadae Periostracum) 5g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Wu Mei (Mume Fructus) 10g, Ze Lan (Herba Lycopi Lucidi) 10g, Tu Bie Chong (Eupolyphaga/Steleophaga) 10g and Gan Cao (Glycyrrhizae Radix) 3g. 9) Clearing Heart fire for desensitisation: For sneezing due to Heart fire, modified dao chi san can be used as follows: Sheng Di Huang (Rehmanniae Radix) 10g, Zhu Ye (Herba Lophatheri Gracilis) 10g, Bai Mao Gen (Imperatae Rhizoma) 10g, Huang Bai (Phellodendri Cortex) 3g, Di Long (Pheretima) 10g, Chan Tui (Cicadae Periostracum) 5g, Xi Xian Cao (Siegesbeckiae Herba) 10g, Lian Zi Xin (Nelumbinis Plumula) 3g and Gan Cao (Glycyrrhizae Radix) 3g. 10) Arresting nasal discharge for desensitisation: For children or older patients with persistent nasal discharge the treatment principle should be to warm the Kidney and arrest nasal discharge, using modified suoquan wan as follows: Wu Yao (Linderae Radix) 6g, Yi Zhi Ren (Alpiniae oxyphyllae Fructus) 10g, Chao Bai Zhu (Charred Atractylodis macrocephalae Rhizoma) 10g, Shan Yao (Dioscoreae Rhizoma) 10g, Di Long (Pheretima) 10g, Wu Mei (Mume Fructus) 10g, He Zi (Chebulae Fructus) 10g, Fu Pen Zi (Fructus Rubi) 10g, Tu Si Zi (Cuscutae Semen) 10g and Gan Cao (Glycyrrhizae Radix) 3g. In clinic Dr. Chen often uses the above methods in combination.

JTCM Sept 2010

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Author Fu Xiao‑dong
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