In traditional Chinese medical literature, hay fever correlates Chinese medical literature with the term 'Bi Yuan', which means means 'deep puddle'. This article aims to clarify whether this is correct.

Contents

1. Bi Yuan in TCM
2. Differences between allergic rhinitis and Bi Yuan
3. A new theory of allergic rhinitis in TCM

A. Theory of Bi Yuan in TCM

Clinical symptoms of Bi Yuan are:

• purulent and nauseating nasal discharge
• nasal congestion
• headache
• sneezing

This syndrome appears after repeated and improperly treated not properly treated wind-cold affections that affect the functional circuit/meridian of the lung meridian. Cold transforms into heat. The lungs cannot direct their Qi properly and distribute it downwards. Qi and Xue stagnate locally in the nose. This leads to nasal discharge. With the meridian the heat rises to the brain, in the DU meridian the Qi also runs Qi also flows towards the brain and nose. Chinese medicine Chinese medicine therefore calls the yellow nasal secretion a secretion of the brain.
the primarily affected functional circuits of the lungs and gall bladder are gallbladder are joined by a weakness of the spleen, whereby dampness aggravates the exacerbates the situation.

The syndrome thus manifests itself through wind-cold or wind-heat. The root of the problem is the inability of the Lungs to disperse and channel Qi downwards and sometimes this is also associated with heat in the gall bladder area.

The therapy is therefore called:

• Expel wind-cold or wind-heat
• Cool heat in the gallbladder area
• Treat Dampness or Heat in the Spleen

Bi Yuan syndromes can be classified as follows:

1. Wind-Cold affects the Lungs
2. Wind-Heat affects the Lungs
3. Heat of the Liver and Gallbladder
4. Heat of the Lung
5. Heat in the spleen

1. wind-cold affects the lungs

Symptoms:

• blocked nose
• clear nasal discharge
• Minor headache
• sneezing

2. wind-heat affects the lungs

Symptoms:

• Sneezing
• blocked nose
• Yellow, thick nasal secretions
• Itchy nose and scratchy throat
• Redness and swelling around the nose
• Itching in the eyes

3. heat of the liver and gallbladder

Symptoms:

• Dryness of the nasal mucous membranes
• Yellow, sticky, purulent and smelly nasal discharge
• Disturbance of the sense of smell
• bitter taste in the mouth
• dry throat
• Headache

4. heat of the lungs

Symptoms

• blocked nose
• Yellow and smelly, sometimes bloody nasal secretions
• Dry mouth
• feeling of heat

5. heat in the spleen

Symptoms

• blocked nose
• Yellow and disgusting nasal discharge
• Disturbance of the sense of smell
• Feeling of heaviness in the head
• headache
• Bitter taste in the mouth or furry feeling on the tongue

B. Differences between allergic rhinitis and Bi Yuan

The use of Bi Yuan's theory in allergic rhinitis raises some questions:
It does not clearly state the allergic nature of this rhinitis or its aetiology.
Some clinical pictures under Bi Yuan are more similar to those of sinusitis. This results in:

C. A new theory of allergic rhinitis in TCM

Allergic rhinitis is caused by an overreaction of the immune system immune system to certain allergens. From the TCM point of view, this occurs as with asthma due to a weakness of the Wei-Qi of the lung and kidney kidney, combined with chronic wind retention in the nose.

Aetiology

Emptiness of the Wei-Qi of the Lung and the energy of the Kidney is congenital or due to problems during pregnancy or infancy. infancy. The aetiological factors are exactly the the same as asthma.
Repeated or improperly treated Wind infections in combination with pre-existing vacuity in Wei-Qi or Qi of the Kidney lead to what could be called chronic wind of the nose. could be called chronic wind of the nose. (In asthma, the mechanism is analogously called wind trapped in the thorax). wind trapped in the thorax).

Pathology

Two factors characterise allergic rhinitis:

• Weakness of the energies of the lungs and kidneys
• Wind retention in the nose

In the case of allergic rhinitis, the kidney refers only to the aspect of the kidney of the kidney that is important for the defence energy. Thus no tinnitus, no dizziness, no nocturnal sweating and also no sweating and no weakness of the back and knees. The emptiness of this area of the kidney is the root of the problem. The Du-Mai originates from the kidney, rises up the back of the spine and comes over the skull and the nose to the lip. It therefore connects the kidney with the nose.

It is therefore hardly surprising (but often forgotten) that some wind-eliminating medicines are linked to the kidney function circuit, for example:

• Fang Feng - Radix Ledebouriellae = Radix Saposhnikoviae
• Qiang Huo - Rhizoma Notopterygii
• Xi Xin - Radix Asari
• Gao Ben - Rhizoma Ligustici
• Cang Er Zi - Fructus Xanthii
• Jing Jie - Herba Schizonepetae

The symptoms of allergic rhinitis are those of Wind-Cold, as far as the nasal secretions are concerned, which are always light-coloured and watery. This testifies to an emptiness of the Wei-Qi of the Lung, which, however, always has its origin always originates in the kidney. (Some Chinese today often inject a small a small amount of cortisone at the Feng Men point (bladder 12) and, with a good effect the side effects of steroids due to the small dose). steroids because of the small dose).
Allergic rhinitis can occur both in allergic rhinitis can occur both in infancy and later, preferably with the onset of sexual activity. Although rhinitis appears clinically less severe than asthma, the emptiness of the kidney energy is greater. greater. This is also the case with non-seasonal allergic rhinitis.
Sneezing is also primarily an emptiness in the kidneys and not necessarily a symptom of an invading wind.

Therapy

We distinguish between the treatment of seasonal and non-seasonal allergic rhinitis.
In the case of seasonal allergic rhinitis, the therapy changes depending on the season.
In the case of non-seasonal allergic rhinitis, the therapy is not seasonal.

Seasonal allergic rhinitis

During the season, wind-cold or wind-heat is treated. is treated. Out of season, the root is treated by reducing the emptying the lungs and kidneys and strengthening the Du-Mai.

Symptom therapy during the season:

Wind-Cold:

Symptoms:

• Sneezing
• copious and transparent, watery nasal secretions
• pale complexion
• blocked nose
• mild headache
• no thirst

Therapeutic principle:

• Expel wind-cold
• cause the lowering and distribution of Lung Qi

0460 Xiao Qing Long Tang (Minor Blue Dragon Combination)

Ma Huang - Herba Ephedra and Gui Zhi - Ramulus Cinnamomi clear the surface, expel Cold Wind and stop sneezing.
Xi Xin - Radix Asari, Gan Jiang - Rhizoma Zingiberis and Ban Xia - Rhizoma Pinelliae transform mucus and thus the nasal secretions.
Bai Shao Yao - Radix Paeoniae lactiflorae and Wu Wei Zi - Frucuts Schisandrae intercept the the over-dividing effect of Ma Huang - Radix Ephedrae and Gui Zhi - Ramulus Cinnamomi and protect against damage to Yin.
Gan Cao - Radix Glyzyrrhizae harmonises the formula.

Variations:

For severe itching in the nose and a lot of secretions:

+ Xin Yi Hua - Flos Magnoliae
+ Cang Er Zi - Fructus Xanthii
+ Bai Zhi - Radix Angelicae dahuricae

3850 Cang Er San (Xanthium Formula)

Cang Er Zi - Fructus Xanthii and Xin Yi Hua - Flos Magnoliae dispel wind and itching from the nose and stop sneezing.
Bai Zhi - Radix Angelicae dahuricae dries the dampness.
The aromatic Bo He - Herba Menthae drives the wind out at the top.
This formula is used when the focus is on sneezing and not on nasal flow.
This formula can be used as it only consists of four ingredients. formula, since it consists of only four remedies, can also be added to another prescription when sneezing is the main problem.

2860 Ma Huang Tang (Mahuang Combination)

This formula is used when Wind-Cold is present with symptoms such as feeling cold, sweating and superficial pulse (pulsus superficialis).

2210 Gui Zhi Tang (Cinnamon Combination)

Gui Zhi - Ramulus Cinnamomi is pungent and opens the surface.
Bai Shao Yao - Radix Paeoniae lactiflorae is sour and nourishes Yin.
The combination of the above two remedies dispels Yin. combination of the above two remedies dispels the wind by nourishing harmonising Nutritive Qi and Wei-Qi. The slight sweating is a sign of sign of weakness of Nutritive Qi.
Gan Jiang - Rhizoma Zingiberis and Da Zao - Fructus Jujubae together have a similar effect to the effect as the pair Bai Shao Yao - Radix Paeoniae lactiflorae and Gui Zhi - Ramuli Cinnamomi.
This formula is used for wind-cold with slight sweating.

Tong Xuan Li Fei Tang Jia Jian (formula to perfectly regulate the lungs with additives)

Zi Su Ye - Folium Perillae 15.7%
Ma Huang - Herba Ephedrae
Xing Ren - Semen Pruni armeniacae
Zhi Shi - Fructus Aurantii immaturi 12.7%
Jie Geng - Radix Platycodi 8,6%
Qian Hu - Radix Peucedani 14.5%
Chen Pi - Pericarpium Citri 5.7%
Fu Ling - Poria
Ban Xia - Rhizoma Pinelliae
Huang Qin - Radix Scutellariae
Gan Cao - Radix Glyzyrrhizae 28.4%

Zi Su Ye - Folium Perillae and Ma Huang - Radix Ephedrae open the surface and expel Wind.
Xing Ren - Semen Pruni armeniacae and Zhi Shi - Fructus Aurantii immaturi guide Qi downwards and distribute it.
Jie Geng - Radix Platycodi distributes Lung Qi.
Qian Hu - Radix Peucedani, Chen Pi - Pericarpium Citri, Fu Ling - Poria and Ban Xia - Rhizoma Pinelliae transform Phlegm and Dampness.
Huang Qin - Radix Scutellariae clears the Lung, Gan Cao - Radix Glyzyrrhizae harmonises the formula.

The formula originally contains the remedies with the percentages, plus Bai He - Bulbus Lilii 3.8%, Kuan Dong Hua - Flos Tussilaginis 6.8% and Ge Gen - Radix Puerariae 3.8%. These remedies are missing in the above formula are missing in the formula above, but those without percentages are added.

This formula is used for extreme rhinorrhoea, sneezing, coughing and possibly headaches.
It also contains cooling remedies, so it is sometimes possible to treat heat with appropriate modifications.

1950 Xiang Su San (Cyperus & Perilla Combination) with additives

1950 Xiang Su San (Cyperus & Perilla C.)
+ Jing Jie - Herba Schizonepetae
+ Fang Feng - Radix Ledebouriellae = Saposhnikoviae
+ Qin Jiao - Radix Gentianae macrophyllae
+ Man Jing Zi - Fructus Viticis
+ Chuan Xiong - Radix Ligustici chuanxiong
+ Sheng Jiang - Rhizoma Zingiberis viridis

Zi Su Ye - Folium Perillae and Jing Jie - Herba Schizonepetae expel wind and open the surface.
Fang Feng - Radix Ledebouriellae = Saposhnikoviae and Qin Jiao - Radix Gentianae macrophyllae relax the muscles and tendons.
Man Jing Zi - Fructus Viticis expels Wind and eliminates headaches.
Xiang Fu - Rhizoma Cyperi and Chen Pi - Pericarpium Citri mobilise Qi.
Chuan Xiong - Rhizoma Ligustici Chuanxiong moves the Xue and thus expels Wind.
Gan Cao - Radix Glyzyrrhizae harmonises.

This formula is used for muscle pain in the shoulder and neck area, headaches and sneezing. Especially in chronic stages, where Qi and Xue accumulate in the head, neck and shoulder area.

Acupuncture

Balse/Vesicalis 12 Feng Men
Bladder/Vesicalis 13 Fei Shu
Lung/Pulmonary 7 Lie Que
Large Intestine/Intestini crassi 20 Ying Xiang
Extra point Bi Tong
Du-Mai 23 Shang Xing
Gall Bladder/Felleus 20 Feng Chi
Extra point Yin Tang

Dispersing and harmonising action.
Cupping on Bladder/Vesicalis 12 and 13.

Bl/V12, Bl/V13 and L/P7 dispel Wind and guide Lung Qi downwards and disperse it. and distribute it. The use of cupping glasses on Bl/V12 is particularly effective. particularly effective.
Dida/IC20, Bi Tong and Yin Tang are local points that relieve itching, stop sneezing and expel Wind.
Du23 and Gabl/F20 are auxiliary points for expelling Wind from the head, Du23 specifically expels it from the nose.

Wind-Heat

Symptoms:

• Sneezing
• White and thin nasal secretions
• scratchy throat
• Red and irritated eyes
• slight thirst

Therapeutic principle:

• Expel wind
• Clear heat
• Lower and disperse Lung QiMedication:

0460 Xiao Qing Long Tang (Minor Blue Dragon Combination)

but in the wind-heat state always with the addition of:
+ Shi Gao - Gypsum 25%
and possibly also:
+ Xin Yi Hua - Flos Magnoliae 15%
+ Ju Hua - Flos Chrysanthemi 10%

3290 Yue Bi Jia Zhu Yu Tang (Atractylodis Combination)

For warmer constitution or facial oedema and severe watering of the eyes

The following can also be added here:
+ Ju Hua - Flos Chrysanthemi
+ Xin Yi Hua - Flos Magnoliae

For scratchy and itchy throat:
+ Lian Qiao - Fructus Forsythiae 10%
+ Ban Lan Gen - R Isatidis 10%

2440 Sang Ju Yin (Morus & Chrysanthemum Combination)

Sang Ye - Folium Mori and Ju Hua - Flos Chrysanthemi clears Heat and directs Lung Qi downwards.
Jie Geng - Radix Platycodi clears Wind-Heat.
Xing Ren - Semen Pruni armeniacae lowers Lung Qi.
Lian Qiao - Fructus Forsythiae and Lu Gen - Rhizoma Phragmitis clear Heat, Gan Cao - Radix Glyzyrrhizae harmonises.

A mild formula that clears wind-heat in general and treats scratchy throat in particular.

Modifications:

For sneezing:
+ Cang Er Zi - Fruxtus Xanthii
+ Xin Yi Hua - Flos Magnoliae
+ Bai Zhi - Radix Angelicae dahuricae

1850 Chai Ge Jie Ji Tang (Bupleurum & Pueraria Combination)

Ge Gen - Radix Puerariae and Chai Hu - Radix Bupleuri dispel wind-heat and loosen muscles/tendons.
Qiang Huo - Rhizoma Notopterygii and Bai Zhi - Radix Angelicae dahuricae dispel wind and open the surface. Bai Zhi - Radix Angelicae dahuricae rises especially to the nose and transforms the phlegm there Phlegm and expels Wind.
Huang Qin - Radix Scutellariae and Shi Gao - Gypsum clear Heat.
Jie Geng - Radix Platycodi disperses Lung Qi.
Bai Shao Yao - Radix Paeoniae lactiflorae and Gan Cao - Radix Glyzyrrhizae harmonise Nutritive Qi.

This formula is used for sneezing and symptoms of Wind-Heat and Internal Heat.

1560 Xin Yi Qing Fei Yin (Magnolia & Gypsum Combination)

For people with dryness of the lung (asthma) and/or Yin deficiency of the lung and signs of heat.
Ma Huang - Herba Ephedrae can be added to this formula for asthma.
This formula should be very useful for patients in Switzerland.
It is the most commonly used formula. is the most commonly used formula and therefore it should always be primarily be checked whether this mixture is suitable or whether another solution solution needs to be sought. It can often be used as THE emergency remedy for hay fever. emergency remedy in and of itself.

Modifications: (also highly recommended!!)
+ Xia Ku Cao - Spica Prunellae
or/and
+ Ju Hua - Flos Chrysanthemi

The addition of Shi Gao - Gypsum should also be checked in many other cases.

In addition, it should generally be checked whether cooling of the Xue is necessary!

Acupuncture:

Bl/V12 Feng Men
Bl/V13 Fei Shu
Dida/Intestini crassi IC4 He Gu
Dida/Intestini crassi 11 IC11 Qu Chi
Dida/Intestini crassi IC20 Ying Xiang
Extra point Bi Tong
Extra point Yin Tang

Cupping on Bl/V12 and Bl/V13.
See above for explanations.
Dida/IC4 and Dida/IC11 expel Wind and clear Heat.

Treatment of the root:

In seasonal allergic rhinitis, the root must be treated out of season. season. The best time is August to October.
The therapy is called strengthening the defence energy of Lung, Kidney and Du-Mai.

Du-Mai strengthening are:
Lu Rong - Cornu Cervi parvum
Lu Jiao - Cornu Cervi
Lu Jiao Jiao - Colla Cornu Cervi
Gui Ban - Chinemys Reevesii (Plastrum Testudinis)

Cornu Cervi parvum, Cornu Cervi and Chinemys Reevesii are especially indicated for allergic rhinitis because they strengthen the yang without generating additional heat and because they additionally
Colla Cornu Cervi is particularly suitable for women because it nourishes the Xue.
Cornu Cervi Parvum strengthens the Du-Mai, Yang without drying, nourishes the marrow and strengthens bones and tendons. tendons. In other words, it treats the Yin and Yang aspects of the Du-Mai. Du-Mai.
Gui Ban (Chinemys Reevesii = Turtle Shell) nourishes the Ren-Mai and is used especially for women together with Cornu Cervi and Colla Cornu Cervi.

In acupuncture, the same effect is sought by using the opening points of Du- and Ren-Mai.

The following combination is therefore used for women:

Düda/Intestini tenuis IT3 Hou Xi right
Bl/Vesicalis V62 Shen Mai left
Lu/P7 Lie Que left
Kidney/Renalis R6 Zhao Hai right

Li Zhi Shen lists the following remedies for the Du Mai:

Rou Gui - Cortex Cinnamomi
Gui Zhi - Ramuli Cinnamomi
Fu Zi - Radix lateralis praeparatae Aconiti
Du Huo - Radix Angelicae pubescentis
Qiang Huo - Rhizoma Notopterygii
Fang Feng - Radix Ledebouriellae = Saposhnikoviae
Jing Jie - Herba Schizonepetae
Xi Xin - Radix Asari
Gao Ben - Rhizoma Ligustici sinensis
Cang Er Zi - Fructus Xanthii

The first three nourish Qi originalis and strengthen Primary Fire and Heavenly Fire.
Du Huo - Radix Angelicae pubescentis strengthens the spine and dispels Dampness there.
All the others benefit the Du Mai in the upper sections, expel Wind in the nose and disperse Lung Qi.

Emptiness of the defence energy of the Kidney, Lung and Du-Mai:

Symptoms:

• pale complexion
• Back weakness
• susceptibility to colds
• Pale tongue
• Deep and weak pulse

Therapeutic principle:

• Strengthen kidney and lung defence qi
• Strengthen Du-Mai

Yi Du Yang Yuan Tang (decoction to strengthen Du-Mai and Qi originalis)

Gui Ban - Chinemys Reevesii 15g
Shu Di Huang - Radix Rehmanniae praeparatae 9g
Rou Cong Rong - Herba Cistanchis 9g
Bu Gu Zhi - Fructus Psoraleae 6g Fructus Psoraleae 6g
Lu Jiao Jiao - Colla Cornu Cervi 3g
Wu Wei Zi - Fructus Schisandrae 3g
Zhi Mu - Rhizoma Anemarrhenae 3g
Huang Bai - Cortex Phellodendri 3g

Gui Ban and Shu Di Huang - Rehmannia praeparatae nourish Du and Ren and the kidney.
Rou Cong Rong - Herba Cistanchis, Bu Gu Zhi - Fructus Psoraleae and Lu Jiao Jiao - Colla Cornu Cervi strengthen the Yang of the kidney as well as the defence defence of the lung and kidney. Lu Jiao Jiao - Colla Cornu Cervi also helps the Du-Mai.
Wu Wei Zi - Fructus Schisandra nourishes the Ying and strengthens the Kidney.
Huang Bai - Cortex Phellodendri and Zhi Mu - Rhizoma Anemarrhenae are preventive against excessive heat which could be caused by the yang stimulation of the stimulation of the other remedies.

Modifications:

For pronounced cold symptoms and Kidney Emptiness:
+ Rou Gui - Cortex Cinnamomi

For susceptibility to cold:
+ Huang Qi - Radix Astragali
+ Bai Zhu - Rhizoma Atractylodis macrocephalae
+ Fang Feng - Radix Ledebouriellae = Saposhnikoviae
(exactly the formula 1190 Yu Ping Feng San (Jade Screen Powder))

For rhinorrhoea and greasy tongue coating:
+ Bai Zhu - Rhizoma Atractylodes macrocephalae
+ Ban Xia - Rhizoma Pinelliae
+ Fu Ling - Poria

Any formula that strengthens the Yang of the Kidneys can also be used in a modified form for the corresponding rhinitis allergica, e.g. in women:

With remedies that strengthen the Du-Mai:
Lu Rong - Cornu Cervi parvum
Lu Jiao - Cornu Cervi
Lu Jiao Jiao - Colla Cornu Cervi

With remedies that strengthen the essence and marrow such as

Gui Ban - Plastrum Testudinis
Tu Si Zi - Semen Cuscutae
Gou Qi Zi - Fructus Lycii
Wu Wei Zi - Fructus Schizandrae

With remedies that strengthen the defence energy of the Kidney and Lung.

Small amounts of Huang Bai - Cortex Phellodendri and Zhi Mu - Rhizoma Anemarrhenae are often added to the formulas to counteract excessive heat from the hot Yang tonics.

For women, Ren- and Du-Mai are strengthened with the following remedies:

Sheng Di Huang - Radix Rehmanniae viridis
Gui Ban - Plastrum Testudinis
Bie Jia - Carapax Amydae

Even though allergic rhinitis, especially that which only occurs from the age of 40, is a weakness of the defence energy of the lungs and kidneys at this age, it is often also due to an additional Yin weakness of the kidney. This can be treated with 0780 Liu Wei Di Huang Wan (Rehmannia Six Combination) in combination with the above remedies.

Add for weakness of the Spleen:

Bai Zhu - Rhizoma Atractylodis macrocephalae
Huang Qi - Radix Astragali
Fu Ling - Poria

Acupuncture

Du Mai 4 Ming Men
Ren 4 Guan Yuan
Bl/Vesicalis 23 Shen Shu
Kidney/Renalis 3 Tai Xi
Du Mai 12 Shen Zhu
Du Mai 24 Shen Ting
Du Mai 23 Shang Xing
Gabl/Felleus 20 Feng Chi
Du Mai 14 Da Zhui (Moxa)

Düda/IT3, Bl/V62, for women combined with Lu/P7 and Kidney/R6.

Tonify, except on the head, where harmonisation is required.

Du 4 and Ren 4 (Moxa) strengthen the Du Mai. Ren 4 is needed because the internal course of the Du-Mai runs exactly under the Ren-Mai. These These two points strengthen the Yin aspect of Du Mai.
Bl/V23, Kidney/R3, Bl/V13 and Du12 strengthen the defence qi of Lung and Kidney.
Du24 and 23 expel Wind from the nose and strengthen Du Mai locally.
Gabl/F20 helps to expel wind. To expel wind from the nose, it is applied the nasal cavity on the same side.
Du14 strengthens the Du-Mai in its upper section with moxa treatment.
Düda/IT3 and Bl/V62 open the Du-Mai. The points are treated crossed: Düda/IT3 on the left for men and on the right for women. Bl/V62 on the right for men and left for women. For women, it makes sense to treat the DU-Mai with the with the Ren-Mai: Düda/IT3 on the right, Bl/V62 on the left, Lu/P7 on the left and Niere/R6 on the right.

Non-seasonal allergic rhinitis

In this type of rhinitis, the root and the consequences are treated simultaneously

Therapeutic principle:

Strengthen the defensive energy of the Kidneys and Lungs, strengthen the Du-Mai, stabilise the surface and expel Wind.
There are many formulas that need to be modified with:

Remedies that promote the defence of the Kidneys and Lungs:
Du Zhong - Cortex Eucommiae
Xu Duan - Radix Dipsaci
Bu Gu Zhi - Fructus Psoraleae

Remedies that strengthen the Du-Mai:
Cornu Cervi Parvum Lu Rong
Cornu Cervi Lu Jiao
Colla Cornu Cervi Lu Jiao Jiao (for women)

Remedies that strengthen Wei Qi:
Huang Qi - Radix Astragali

Remedies that expel wind from the nose:
Fang Feng - Radix Ledebouriellae = Saposhnikoviae
Jing Jie - Herba Schizonepetae
Cang Er Zi - Fructus Xanthii
Xin Yi Hua - Flos Magnoliae
Xi Xin - Herba Asari

Remedies that nourish the marrow and essence:
Gui Ban - Plastrum Testudinis
Tu Si Zi - Semen Cuscutae
Gou Qi Zi - Fructus Lycii
Wu Wei Zi - Fructus Schizandrae

Remedies that counteract a too strong Yang effect (Heat!):
Huang Bai - Cortex Phellodendri
Zhi Mu - Rhizoma Anemarrhenae

The same remarks as for seasonal allergic rhinitis also apply here:
women, Ren and Du must be treated with remedies such as Shen Di Huang - Radix Rehmanniae viridis, Gui Ban - Plastrum Testudinis, Bie Jia - Carapax Amydae...
For Kidney-Yin weakness, first start with 0780 Liu Wei Di Huang Wan (Rehmannia Six Combination).
For Spleen weakness, use Bai Zhu - Rhizoma Atractylodis macrocephalae, Fu Ling - Poria and Huang Qi - Radix Astragali.

Therapy:

1190 Yu Ping Feng San (Jade Screen Formula)

A simple and effective formula to strengthen the Lung Qi and consolidate the surface.

2930 Shen Su Yin (Ginseng & Perilla Combination)

Ginseng strengthens Qi of the Spleen, Lungs and Heart.
Zi Su Ye - Folia Perillae restores the lowering and dividing Lung Qi function.
Ge Gen - Radix Puerariae and Jie Geng - Radix Platycodi dispel Wind.
Qian Hu - Radix Peucedani, Ban Xia - Rhizoma Pinelliae, Fu Ling - Poria and Chen Pi - Pericarpium Citri transform moisture.
Da Zao - Fructus Jujubae strengthens Qi together with Ginseng, Gan Cao - Radix Glyzyrrhizae harmonises.

Indicated for spleen qi deficiency and severe rhinorrhoea.

0020 Ren Shen Bai Du San (Ginseng & Mentha Combination)

Ginseng, Poria and Gan Cao - Radix Glyzyrrhizae strengthen the Qi of lung and spleen.
Qiang Huo - Rhizoma Notopterygii, Du Huo - Radix Angelicae pubescentis, Chuan Xiong - Rhizoma Ligustici Chuanxiong and Sheng Jiang - Rhizoma Zingiberis dispel Wind and Dampness as well as Wind from the Du-Mai.
Chai Hu - Radix Bupleuri and Bo He - Herba Menthae dispel Wind and lead the activity of the other remedies to the head.
Jie Geng - Radix Platycodi makes the Qi of the Lung circulate.

For Emptiness of the Spleen with Dampness and for muscle stiffness in the shoulders and neck.

Jia Jian Yu Zhu Tang

Yu Zhu - Rhizoma Polygonati odorati 12g
Dan Dou Chi - Semen Sojae praeparatae 9g
Cong Bai - Bulbus Allii fistulosi 15g
Bo He - Herba Menthae 6g
Jie Geng - Radix Platycodi 6g
Bai Wei - Radix Cynanchi atrati 6g
Gan Cao - Radix Glyzyrrhizae 3g
Da Zao - Fructus Zizyphi Jujubae 3g

Yu Zhu - Rhizoma Polygonati odorati and Bai Wei - Radix Cynanchi atrati nourish Stomach Yin and clear Empty-Heat in the Stomach.
Dan Dou Ci - Semen Sojae praeparatae and Cong Bai - Bulbus Allii fistulosi clear the surface and restore the descending function of the lungs.
Gan Cao - Radix Glyzyrrhizae and Da Zao Fructus Jujubae strengthen Qi and harmonise.

The formula is used on the background of Yin Emptiness of the Stomach.

0720 Wu Ji San (Tangkuei & Magnolia Combination)

Ma Huang - Herba Ephedrae, Bai Zhi - Radix Angelicae dahuricae, Cong Bai - Bulbus Allii fistulosi and Sheng Jiang - Rhizoma Zingiberis clear the surface, dispel wind and strengthen the lowering of the lung qi and stop rhinorrhoea and itching.
Cang Zhu - Rhizoma Atractylodis lanceae, Hou Po - Cortex Magnoliae, Chen Pi - Pericarpium Citri and Gan Cao - Radix Glyzyrrhizae strengthen the stomach and dry dampness. These remedies form the formula 1160 Ping Wei San (Magnolia & Ginger Combination), which harmonises the stomach.
Ban Xia - Rhizoma Pinelliae Rhizoma Pinelliae and Fu Ling - Poria dry dampness and transform phlegm. transform phlegm. With Chen Pi - Pericarpium Citri and Gan Cao - Radix Glyzyrrhizae they form the formula 0060 Er Chen Tang (Citrus & Pinellia Combination). Pinellia Combination).
Zhi Qiao/Ke - Fructus Aurantii helps to drain Lung Qi.
Jie Geng - Radix Platycodi sets Lung Qi in motion.
Sheng Jiang - Rhizoma Zingiberis and Rou Gui - Cortex Cinnamomi cool and dry phlegm and stop rhinorrhoea.
Dang Gui - Radix Angelicae sinensis, Bai Shao Yao - Radix Paeoniae lactiflorae and Cuan Xiong - Rhizoma Ligustici Chuanxiong harmonise the Xue the Xue (approx. 0940 Si Wu Tang = Tangkuei Four Combination.

This formula helps especially with persistent allergic rhinitis with Emptiness of the Yang of Spleen and Stomach and a little Xue stasis, especially in women.

2260 Gui Zhi Ren Shen Tang (Cinnamon & Ginseng Combination)

Gui Zhi - Ramuli Cinnamomi and Gan Jiang - Rhizoma Zingiberis viridis transform cool mucus and slow down nasal secretions. Gui Zhi - Ramuli Cinnamomi also expels wind.
Gan Cao - Radix Glyzyrrhizae, Ren Shen - Ginseng and Bai Zhu - Rhizoma Atractylodis macrocephalae strengthen the lungs and spleen.

Used for yang deficiency of spleen and lung with a lot of watery and light-coloured nasal secretions.

2850 Ma Huang Fu Zi Xi Xin Tang (Mahuang & Asarum Combination)

Ma Huang - Herba Ephedrae and Xi Xin - Herba Asari open the surface surface, dispel Wind-Cold, strengthen the lowering Lung-Qi function and transform cold phlegm.
Fu Zi - Aconite strengthens kidney yang and dispels internal cold.

For strong clear nasal flow. It is often added to other formulas in small doses (1/3 of the total amount).

Zai Zao San

Huang Qi - Radix Astragali 17%
Ren Shen - Radix Ginseng 8.5%
Fu Zi - Radix lateralis Aconiti praeparatae 8.5%
Gui Zhi - Ramuli Cinnamomi 8.5%
Xi Xin - Radix Asari 8.5%
Qiang Huo - Rhizoma Notopterygii 8.5%
Chuan Xiong - Rhizoma Ligustici Wall. 8.5%
Fang Feng - Radix Ledebouriellae = Saposhnikoviae 8.5%
Chi Shao Yao - Radix Paeoniae rubrae 8.5%
Sheng Jiang - Rhizoma Zingiberis viridis 8.5%
Gan Cao - Radix Glyzyrrhizae 4.5%
Da Zao - Fructus Zizyphi Jujubae 2%

Ginseng, Fu Zi - Aconite and Huang Qi - Radix Astragali strengthen the Yang, stop sweating and consolidate the surface.
Qiang Huo - Rhizoma Notopterygii, Fang Feng - Radix Ledebouriellae = Saposhnikoviae, Cuan Xiong - Rhizoma Ligustici Chuanxiong and Xi Xin - Radix Asari Radix Asari dispel wind, slow down nasal flow and itching.
Gui Zhi - Ramulus Cinnamomi and Chi Shao Yao - Radix Paeoniae rubrae nourish the nutritive Qi and stop sweating.
Sheng Jiang - Rhizoma Zingiberis viridis and Da Zao - Fructus Jujubae help the previous two remedies, Gan Cao - Radix Glyzyrrhizae harmonises everything.

When the Yang of the spleen, lungs and kidneys is empty with strong nasal flow and sweating.
Personally I had an amazing and lasting success with a woman in perimenopause with perimenopausal woman with flushing and allergic rhinitis, which manifested as nasal runny nose, scratchy throat and watery eyes as well as coughing and and occasional mild asthma. The tip of the tongue was always red, the tongue coating was whitish in colour. After other remedies from the of this article had not helped, I dared to try this rather rather hot mixture with Fu Zi - Aconite.

Yi Du Yang Yuan Tang

Composition see above.
Strengthens the Du-Mai, the defence energy of the kidney. See treatment of the causes of seasonal allergic rhinitis.

Modifications:

For severe sneezing and nasal discharge:
+ Fang Feng - Radix Ledebouriellae = Saposhnikoviae
+ Cang Er Zi - Fructus Xanthii
+ Xi Xin - Radix Asari

For profuse nasal flow:
+ Bai Zhi - Radix Angelicae dahuricae
+ Xi Xin - Herba Asari
+ Gan Jiang - Rhizoma Zingiberis

For wind-heat symptoms:
+ Ju Hua - Flos Chrysanthemi
+ Ge Gen - Radix Puerariae
+ Man Jing Zi - Fructus Viticis

For sweating:
+ 2210 Gui Zhi Tang (Cinnamon Combination)

For spleen weakness and phlegm:
+ Bai Zhu - Rhizoma Atractylodis macrocephalae
+ Fu Ling - Poria
+ Ban Xia - Rhizoma Pinelliae

Acupuncture
Bl/V12
Du12
Magen/S 36 Zu San Li
Lu/P7
Lu/P9 Tai Yuan
Dida/IC4
Dida/IC20
Extra Bi Tong
Du23

See also the points mentioned for seasonal hay fever.