bubble_chart Concept

Nasal itching refers to the sensation of itching in the nasal cavity, which may lead to sneezing or even pain. As stated in the "Ancient and Modern Medical Compendium": "When fire and heat rise upwards, the nose itches and sneezes."

This symptom is commonly seen in conditions such as external contraction, nasal vestibulitis, nasal vestibulitis, and epistaxis.

bubble_chart Pattern Analysis

1. Wind-heat Invading the Lung︰Itchy nose and sneezing, nasal congestion that varies in severity, with thick yellow nasal discharge. Systemic symptoms include fever, aversion to wind, headache, sore throat, cough, etc. The tongue texture is red, with thin or thin yellow coating, and the pulse is floating or floating and rapid. The treatment should focus on gently dispersing the lung-defense system, using the prescription Mulberry Leaf and Chrysanthemum Decoction with added Cocklebur Fruit.
2. Lung Channel Dryness-Heat︰The nose is itchy and dry, with feverish breath, dry nostrils and little moisture, a dry cough with scant phlegm that is difficult to expectorate, a red tongue with thin coating, and a rapid pulse. The treatment should focus on relieving dryness and moistening the lungs, using the Dryness-Clearing Lung-Rescuing Decoction.
3. Heat Toxin Invading the Lung︰The nostrils are itchy and painful, dry and burning, with red and swollen skin, or small papules, or grade I erosion, recurring repeatedly and lingering for a long time without healing. There may be no obvious systemic symptoms, or symptoms such as headache and dry stools. The tongue texture is red with a yellow coating, and the pulse is rapid. Treatment should focus on {|###|}clearing heat and removing toxin{|###|}, using formulas such as Skullcap Decoction or Five-Ingredient Toxin-Eliminating Decoction.
4. Spleen Channel Dampness-Heat︰Itchy and painful nostrils, often with yellow discharge, or erosion and redness. Accompanied by abdominal distension and fullness, loose stool, yellow and greasy tongue coating, and slippery and rapid pulse. Treatment should focus on invigorating the spleen and draining dampness, using the Dampness-Resolving Decoction.
5. Lung Qi Deficiency︰Itchy nose in paroxysms, frequent sneezing, nasal congestion with clear nasal discharge, tongue texture pale with thin white coating, and weak fine pulse. The lung opens its orifice at the nose and governs the skin and hair. Lung qi deficiency leads to insecurity of the defensive exterior, resulting in loose striae and interstice, allowing wind-cold to easily invade the nasal orifice. The struggle between healthy qi and pathogenic qi causes nasal itching. Treatment should focus on warming and tonifying the lung, combined with dispersing wind and expelling cold. The recommended formula is Jade Screen Powder.

The symptom of nasal itching is located at the anterior nasal orifice or within the nasal cavity. The disease causes are primarily wind and heat. Itching predominantly indicates wind, while itching accompanied by pain often suggests heat, making it relatively easy to differentiate in clinical practice.

bubble_chart Documentation

1. Qixiao Liangfang．Nasal Section: "Itching is caused by fire transformation, with heart fire pathogen and heat affecting the Yangming." "When disturbed by an object, itching and sneezing occur, indicating that the disturbance and itching are related to blood." "When the heart spirit is agitated and feverish in the upper body, it results in nasal itching and sneezing."