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The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: When the Lung Qi is harmonious, the nose can distinguish between fragrant and foul odors. It also states: When Gallbladder heat transfers to the brain, it causes nasal pungency and *Bi Yuan* (Nasal Sinusitis/Ozena), which may progress to *Xu* (Epistaxis/Nosebleed) and dim vision. From this, we know that an initial contraction of Wind-Cold pathogenic factors, if prolonged, transforms into Heat. When Heat stagnates, it causes Qi obstruction and nasal congestion.

Invisible Qi circulates in the nose; when affected by Wind-Cold, there is nasal congestion and a heavy voice. When Gallbladder heat transfers to the brain, *Bi Yuan* arises. Excessive drinking leads to nasal redness and damages Lung Qi. Clear pathogens stagnating for a long time cause Lung Qi obstruction, resulting in nasal swelling resembling red peppers. At this stage, the method of venting the upper Jiao and dispersing stagnation should be employed.

Formula: *Man Jing Zi* (Vitex Fruit), *Lian Qiao* (Forsythia Fruit), Fresh Lotus Leaf, *Ku Ding Cha* (Kuding Tea), *Hua Shi* (Talcum), Fragrant *Bai Zhi* (Angelica Dahurica Root).

*Nasalsinusitis due to Kidney Essence Deficiency*: Due to insecurity of Brain Marrow, the discharge is clear without foul odor; this is the root of consumptive deficiency diseases.

Formula: *Tian Zhen Wan* (Heavenly True Pill), *Ren Shen* (Ginseng Root), *Xi Yang Shen* (American Ginseng Root), *Bai Zhu* (Atractylodes Macrocephala Rhizome), *Tian Dong* (Asparagus Root), *Shan Yao* (Dioscorea Opposita Rhizome), *Dan Cong Rong* (Cistanche Stem), *Dang Gui* (Angelica Sinensis Root), Mutton Meat.

**Heat Obstructing Lung Qi**:

Formula: *Zhi Mu* (Anemarrhena Rhizome), Pear Flesh, *Bei Mu* (Fritillaria Bulb) decocted into a paste.

**Brain Heat causing Nasal Sinusitis with Left-sided Tinnitus and Worsening Symptoms on the Left**:

Initially use the Bitter-Acrid Cool Dispersing Method: *Shan Zhi* (Gardenia Fruit), Flying *Hua Shi* (Talcum), *Ling Yang Pian* (Antelope Horn Slices), *Ku Ding Cha* (Kuding Tea), *Xia Ku Cao* (Prunella Spike), Chrysanthemum Leaves, *Lian Qiao* (Forsythia Fruit).
For chronic cases, use the Saline Descending, Nourishing Filling, and Calming Stabilizing Method: *Hu Qian Wan* (Tiger Crouching Pill).

Another Formula: *Da Shu Di* (Prepared Rehmannia Root), Tiger Bone, *Suo Yang* (Cynomorium Herb), Ram Meat, *Gui Shen* (Angelica Sinensis Root Head), *Huai Niu Xi* (Achyranthes Bidentata Root), Turtle Shell, *Chen Pi* (Citrus Reticulata Peel), Plump *Zhi Mu* (Anemarrhena Rhizome), *Bai Shao* (White Peony Root).
Modifications: Add *Tian Dong* (Asparagus Root), *Dan Cai* (Mussel Meat), Pig Spinal Cord.

The Mouth belongs to the Spleen Meridian, and the Tongue belongs to the Heart Meridian. When the Tongue is harmonious, one naturally knows the five flavors. Liver Heat causes sour taste in the mouth; Heart Heat causes bitter taste; Spleen Heat causes sweet taste and may generate *Gan* (Infantile Malnutrition/Mouth Sores). Kidney Heat causes salty taste; Deficiency causes bland taste; Cold also causes salty taste; consuming sour food clarifies these distinctions. Lung Heat causes spicy/pungent taste; Internal Heat causes bitter taste; dry mouth with desire to drink are all caused by Heat.

**Heart and Spleen Stagnant Heat**, termed "Tongue Generating Gan," presents with red and dry lips.

Formula: Small *Sheng Di Huang* (Rehmannia Root), Raw *Gan Cao* (Licorice Root), *Mai Dong* (Ophiopogon Tuber), Fresh *Shi Hu* (Dendrobium Stem), *Hua Shi* (Talcum), Stir-fried *Shan Zhi* (Gardenia Fruit), Raw *Yi Mi* (Coix Seed), *Yin Hua* (Chrysanthemum Flower), *Lian Qiao Xin* (Forsythia Heart), *Tong Cao* (Tetrapanax Pith).

**Damp-Warmth Pathogens Stagnating and Steaming** (Manifesting as mouth and tongue covered with erosive sores, red lips with foul odor, Stomach Fire with chest irritability):

Formula: *Dan Dou Chi* (Prepared Soybean), *Xi Jiao Jian* (Rhinoceros Horn Tip - *Note: Substitute with Buffalo Horn in modern practice*), Black *Shan Zhi* (Gardenia Fruit), *Jin Shi Hu* (Dendrobium Officinale Stem), *Hua Fen* (Trichosanthes Root), Fresh *Sheng Di Huang* (Rehmannia Root), *Ling Yang Pian* (Antelope Horn Slices), Clean *Yin Hua* (Chrysanthemum Flower), Western *Gan Cao* (Licorice Root), *Chuan Bei* (Fritillaria Cirrhosa Bulb), *Qing Hao Zi* (Artemisia Annua Seed), *Lian Qiao* (Forsythia Fruit), *Dan Zhu Ye* (Lophatherum Herb), *Yu Jin* (Curcuma Longa Rhizome), Fresh *Wei Jing* (Reed Rhizome), Wild Rose Flower Dew, Lotus Flower Dew, Loquat Leaf Dew, Rose Dew.