Yibian
 Shen Yaozi 
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symptomNose Soreness
aliasBitter Nasal Discharge
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bubble_chart Concept

A symptom characterized by a sour or pungent sensation in the nasal cavity or root of the nose. SuwenQijue Lun refers to it as "pungent radix nasi." This condition is related to entries such as nasal pain, nasal dryness, and nasal discharge, and can be cross-referenced.

bubble_chart Pattern Analysis

  1. Wind-heat Congesting the Lung︰The root of the nose is sore and swollen, painful upon pressure, with thick yellow nasal discharge. Due to excessive discharge, there may be {|###|}nasal congestion{|###|}, which relieves and the nose becomes {|###|}unblocking nose{|###|} after blowing it. Exposure to wind causes {|###|}aching pain{|###|} in the nose. It may be accompanied by symptoms such as {|###|}fever{|###|}, {|###|}aversion to wind{|###|}, sore throat, dry mouth, sweating, and other exterior signs. The {|###|}tongue texture{|###|} is red with yellow coating, and the pulse is rapid. This belongs to the {|###|}exterior heat pattern{|###|}, and treatment should focus on {|###|}dispersing wind and clearing heat{|###|}. The recommended formula is Modified Lonicera and Forsythia Powder.
  2. Phlegm-fire Obstructing the Lung︰Nasal aching pain, thick and sticky yellow nasal discharge, nasal congestion, poor sense of smell. Cough with copious phlegm, heaviness of the head with pain, slippery and rapid pulse, sticky and greasy tongue coating, or yellow in color. Belongs to the internal heat pattern, should clear fire and dispel phlegm, prescription uses Diaphragm-Cooling Powder with modifications.
  3. Lung Deficiency with Cold Sensation︰The nasal passages are clear and unobstructed, but they become sore when exposed to cold, accompanied by clear nasal discharge. Symptoms include mental fatigue, shortness of breath, weak cough and wheezing, breathlessness upon exertion, a pale tongue with thin coating, and a fine, weak pulse. This is caused by {|###|}defense qi deficiency{|###|}, external contraction of cold pathogens, and {|###|}lung qi failing in dispersion{|###|}. Treatment should focus on {|###|}replenishing qi and consolidating the exterior{|###|}, supplemented by {|###|}ventilating the lung and relieving stuffy orifices{|###|}. The recommended formula is Jade Screen Powder combined with Magnolia, Dahurian Angelica, and Skullcap Root, among others, to {|###|}treat both the tip and root{|###|}.
  4. Lung-spleen Qi Deficiency︰Soreness and swelling at the root of the nose, difficulty in breathing, white and sticky nasal discharge, dizziness and headache, persistent chronic cough disease, shortness of breath and lack of strength, abdominal distension and fullness with loose stool, pale tongue with white coating, and thin weak pulse. Accompanied by spleen deficiency, stagnation of dampness turbidity, and dysfunction of ascending and descending, affecting the lung qi's descending function, hence symptoms such as abdominal distension and fullness with loose stool, shortness of breath and lack of strength, which are signs of spleen qi deficiency. The treatment should focus on tonifying qi, invigorating the spleen, and resolving dampness. The recommended formulas are Four Gentlemen Decoction or Ginseng, Poria and White Atractylodes Powder with modifications.
The symptom of nasal soreness is commonly seen in cases of wind-heat congesting the lungs and lung-spleen qi deficiency, while it is less frequently observed in cases of phlegm-fire harassing the lungs.

bubble_chart Documentation

  1. Zhengzhi Huibu: "Nasal aching pain, congestion and discomfort, caused by lung qi deficiency, fire pathogen attacking internally, affecting the lungs. Additionally, people with qi deficiency often experience nasal soreness upon exposure to severe cold, as qi deficiency makes one more susceptible to cold, and internal fire cannot disperse, leading to soreness. Consuming spicy foods can temporarily alleviate the symptoms, as the pungent nature helps to disperse the cold."

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