TCM Book Club Issue 2127
Daily updates to accompany the growth of TCM practitioners
IIntroduction: The two cases of Sang Ju Yin (Sang Ju Decoction) with added Jing Jie (Schizonepeta) are designed for treating clear nasal discharge, utilizing its ability to clear and disperse. These can be referenced in clinical practice. (Editor/Qing Li)
Jing Jie’s Remarkable Use in Stopping Clear Nasal Discharge
Author/Chen You Shan
I once treated an elderly man who experienced persistent clear nasal discharge whenever he caught a chill, accompanied by mild chills and fever, and a cough with yellow sticky phlegm. Other doctors diagnosed it as Wind-Heat invading the Lung and prescribed Sang Ju Yin. After taking the medicine, his chills, fever, and cough improved, but the clear nasal discharge persisted. His pulse was floating, and his tongue had a red tip with a thin coating. Therefore, I added Jing Jie to the Sang Ju Yin, and the clear nasal discharge completely stopped.
I also diagnosed a 6-year-old girl whose mother reported, “My daughter has had clear nasal discharge since childhood, causing the skin around her nostrils to become eroded and red.” Upon examination, aside from the two red grooves formed by the clear nasal discharge around her nostrils, there was no nasal obstruction or thick discharge. Her tongue had a red tip and a thin coating, and there was no tenderness in the frontal or nasal sinuses. I prescribed two doses of Sang Ju Yin with Jing Jie to disperse wind and clear heat. After the treatment, the clear nasal discharge significantly reduced. I continued with the same prescription for another week, and the clear nasal discharge stopped, leaving only dry red marks under her nostrils.
Let’s examine the herb Jing Jie. The “Shen Nong’s Herbal Classic” states: “Acrid and warm, it enters the Lung and Liver meridians, dispelling wind and relieving the exterior…” The “Compendium of Materia Medica” states: “…Acrid and bitter, warm, aromatic, and dispersing, its flavor is light and uplifting… It utilizes its light and uplifting properties to facilitate the expulsion of pathogens.” Its acrid and warm nature can dispel wind and scatter cold, but its light and uplifting flavor does not exacerbate heat pathogens, achieving the effect of reaching the disease site and differentiating between cold and heat.
Recommended Reading
After recovering from a cold, how to treat residual nasal congestion and discharge?
Zhao Shao Qin: The Compatibility and Clinical Application of Jing Jie
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Teacher Hu Hao also mentioned in “Chinese Medicine Also Has Circular Motion – Jing Jie Edition”:
In “Wan Bing Hui Chun,” there is a Jing Jie Lian Qiao Decoction, where Jing Jie is paired with Lian Qiao (Forsythia), which is actually a combination of acrid-warm and acrid-cool. Of course, this Jing Jie is not overly warming. In treating many chronic allergic rhinitis cases, we often use the method of acrid-warm combined with acrid-cool, which is very important.
When patients experience nasal itching, itchy eyes, and itchy ears, it is actually a manifestation of stagnation heat. This stagnation heat is often due to a bit of cold outside, so we need to use acrid-warm to disperse the cold, but we also need to use acrid-cool to clear the heat, allowing the heat to disperse, and then these symptoms will immediately resolve. This is a treatment for diseases of the head, face, and seven orifices.
If you want to learn more about herbal medicine, you can click the lower left corner “Read the Original” to view.