Syndrome differentiation and treatment
The commonly-seen syndromes of acute nasosinusitis include three types, wind and heat of lung meridian, stagnated heat of the gallbladder as well as dampness and heat of the spleen and stomach. The syndrome of wind and heat of lung meridian is characterized by shorter course of illness and accompanied with the exterior syndrome of wind and heat. Treatment should be dispelling wind and clearing away heat. The syndrome of stagnated heat of the gallbladder as the main syndrome of acute nasosinusitis is marked by profuse yellowish turbid nasal discharge. Treatment should lie in clearing away heat from the liver and gallbladder. The features of the syndrome of dampness and heat of the spleen and stomach include longer course of illness and profuse yellowish nasal discharge. Treatment should lie in clearing away heat and removing dampness.

1. Syndrome of wind and heat of lung meridian
Main symptoms and signs: Nasal discharge is yellowish or whitish and sticky, with profuse quantity. Nasal obstruction is intermittent or persistent, with hyposmia. Examination shows congestion of the nasal mucosa, enlargement of two inferior nasal conchae, pus in the nasal meatus, tenderness of the glabellum or zygomatic parts. The general symptoms include fever, aversion to cold, headache, thoracic tightness, cough and profuse sputum.The tongue is red with yellowish fur and the pulse is floating and rapid.
Therapeutic methods: Dispelling wind and clearing away heat, dispersing the lung and removing obstruction of the orifice.

2. Syndrome of stagnated heat of the gallbladder
Main symptoms and signs: Nasal discharge is turbid, sticky and thick like pus with profuse quantity and yellowish colour. It flows downwards from the upper part
of the nasal cavity, with foul odour. The patient has hyposmia, swelling of the nasal mucosa with reddish colour. Headache is severe with marked tenderness on the glabellurn and zygomatic parts. The patient may have the accompanying symptoms of fever, bitter taste in the mouth,dizziness, tinnitus, less sleep, dream-disturbed sleep,restlessness of mind and irascibility. The tongue is red with yellowish thin fur and the pulse is taut and rapid.
Therapeutic methods: Clearing away heat from the gallbladder, removing dampness and obstruction of the orifice.

3. Syndrome of dampness and heat of the spleen and stomach  
Main symptoms and signs:  Nasal discharge is yellow, turbid and profuse, flowing out slowly from the upper part of the nasal cavity. Nasal obstruction is severe and persistent with anosmia. The patient has red swelling of the nasal mucosa, with distending pain, and the swelling is especially severe. The general symptoms include dizziness, heavy sensation of the head, severer headache, lassitude, epigastric and hypochondriac distension and tightness as well as dark urine. The tongue is red with yellowish and greasy fur. The pulse is soft or slippery and rapid.
Therapeutic methods: Clearing away heat and removing dampness, eliminating turbidity to remove obstruction of the orifice.