Folio Bound VIEWS - Chinese Medicine

Case History 6.3

Allergic Rhinitis: Lung and Kidney Defensive-Qi Systems Deficiency-Male,

Age 44

A 44-year-old man had suffered from seasonal rhinitis since the age of 22. The main
manifestations were sneezing, sensitive eyes and a runny nose with a white-watery discharge
except in the morning when it was thick-yellow.

His pulse was only slightly Weak and the left Rear position was weaker. His tongue was Pale
and Swollen.

Diagnosis Seasonal rhinitis from Lung and Kidney's Defensive-Qi systems
deficiency. The Pale and Swollen tongue also indicates a deficiency of
Spleen-Yang which often occurs in such cases after 40. The
sticky-yellow mucus in the mornings indicates that the sinuses have
been affected due to swelling of the nasal mucosa preventing proper
drainage.

Treatment The main aim (outside the season) is to tonify Lung and Kidney's
Defensive-Qi systems and Spleen-Yang. The formula used was a
variation of Yi Du Yang Yuan Tang Benefiting the Governing Vessel
and Nourishing the Original Qi Decoction:

Gui Ban Plastrum Testudinis 15 g

Shu Di Huang Radix Rehmanniae glutinosae praeparata 9 g

Bu Gu Zhi Fructus Psoraleae corylifoliae 6 g

Lu Jiao Cornu Cervi 9 g

Wu Wei Zi Fructus Schisandrae chinensis 3 g

Zhi Mu Radix Anemarrhenae asphodeloidis 3 g

Huang Qi Radix Astragali membranacei 9 g

Fang Feng Radix Ledebouriellae sesloidis 4g

Bai Zhu Rhizoma Atractylodis macrocephalae 6 g

Fu Ling Sclerotium Poriae cocos 6 g

Explanation Shu Di and Gui Ban nourish the Kidney-Essence.

Bu Gu Zhi and Lu Jiao tonify the Kidney's Defensive-Qi system and

strengthen the Governing Vessel.

Wu Wei Zi and Huang Qi tonify the Lung's Defensive-Qi system.

Zhi Mu clears Heat.

Fang Feng expels Wind from the nose.