Hongyan Li, Yifan Feng, Hongmei Li
Patient: 52 years Male patient,5‘6”, 156 Lb
Patient has had rhinitis with chronic inflammation for more than 25 years, He had antibiotics for many years when his Rhinitis was severe. Therefore he had sinus Surgery, but his symptoms came back shortly. He had greenish or yellowish nose secretion sometimes. He is unable to breath by nose without opening his mouth. He was even unable to smell at all for about 10 years, Eventually his ENT doctor referred him to our Acupuncture study.
PE: on his face, by the nose there are darkred spots, which is obviously he scraped his nose. There are 5 points of tenderness on the sinus areas, and lower border of the zygomatic arch on both side.
Method: Nose 3 needles( add 3 points locations or name of points), sinus head needle( add location or name of points), and puncturing Sphenopalatine Ganglion. patient comes 2 times a week for 2 weeks and then once a week
Herbal: xin yi san plus and minus. 2 times a day.
Results: after the 3 treatments, the patient started to smell. After 6 visits, the patient recovered.
Discussion:
Treatment of Rhinitis by puncturing Sphenopalatine Ganglion is a great creation and development on acupuncture therapy. To assess the clinical efficacy of acupuncture at the sphenopalatine ganglion for the treatment of patients with moderate to severe allergic rhinitis, many studies was done to test whether the acupuncture can regulate some function on perennial allergic rhinitis patients by puncturing sphenopalatine ganglion. It is shown that puncturing sphenopalatine ganglion can bring with a distinct effects on perennial allergic rhinitis and improve patients nasal ventilation and subject symptoms such as Nasal itching,sneezing,running nose,nasal block and nasal total symptoms,which were significantly improved.
However when a patient has complications with chronic inflammation, Nose 3 needles and sinus head needles are effective.
Due to surgery and secretion on sinuses , bacteria and fungi are easily grown in long term rhinitis so the Herbs is important to remove the dampness and inflammation.
About the Author:
Hongyan Li Senior acupuncturist Cedars-Sinai Medical Center,Los Angeles,CA.
Yifan Fang Acupuncturist Alternative medical center,Encino,CA.
Hongmei Li Senior acupuncturist
Cedars-Sinai Medical Center ,Los Angeles, CA.
