Rhinorrhea

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Textbook Prescriptions Nose

Essentials of Chinese Acupuncture (Beijing, Shanghai and Nanjing Colleges of Traditional Chinese Medicine, 1980) — the standard prescriptions of the Chinese colleges.

Points

  1. LU7 Lieque bilateral

    Luo-Connecting of the Lung; expels wind by restoring the lung's dispersing function

    Reduce.

    • Pregnancy: contraindicated
  2. LI4 Hegu bilateral

    Yuan-Source of the Large Intestine; clears lung heat through the paired channel

    Reduce.

    • Pregnancy: contraindicated
  3. LI20 Yingxiang bilateral

    Large Intestine point beside the nostril; clears heat and opens the nose

    Reduce.

  4. EX-HN3 Yintang midline

    Extra point between the eyebrows; local point to clear heat and unblock the nose

    Reduce.

Needling Safety

Cited hazards for these points. Tick what applies to the patient to see the cautions that follow from it.

No cited needling data yet for EX-HN3. No flag here does not mean no risk.

Treatment Principle

Disperse heat from the lung with reducing technique, mainly at Lung and Large Intestine points.

Indications

blocked nose with loss of smellyellow, foul-smelling nasal dischargecoughdull, heavy, clouded feeling in the foreheadred tongue with thin yellow coatingwiry, rapid pulse

Method

Reducing technique.

⚠ Cautions

Unilateral, blood-stained or persistent nasal discharge, facial swelling, or orbital or neurological signs need ENT or urgent medical assessment. LI4 is contraindicated in pregnancy.

About

The college prescription for rhinorrhea (thick, foul nasal discharge), from wind-cold that lingers and turns to heat in the nose, or from damp-heat of the Gall Bladder channel rising.

Rationale

LU7 restores the lung's dispersing action to drive out wind. LI4 and LI20 regulate the Large Intestine channel, paired with the Lung, to reduce lung heat, LI20 working at the nose itself. Yintang, close to the nose, clears heat by freeing the blockage.

Clinical Notes

For headache add GB20, which expels wind and clears heat, and Taiyang (EX-HN5), a key headache point. The book equates the condition with chronic rhinitis and chronic sinusitis. It also gives an ear-acupuncture option.

Sources

  • Beijing College of Traditional Chinese Medicine, et al. Essentials of Chinese Acupuncture. Beijing: Foreign Languages Press, 1980. Chapter III, Rhinorrhea, p. 392–393.

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