1. Acute nasosinusitis
(1) The patient has purulent nasal discharge, accompanying nasal obstruction, headache, and hyposmia, etc.
(2) The patient has fever and general discomfort.
(3) Local examination. There exist congestion of nasal mucosa with edema as well as the signs of pus in the middle nasal meatus, tenderness of the glabellum or zygomatic parts, etc.
(4) Hemogram shows elevation of white blood cells.
(5) X-ray film of the nasal sinus may assisst diagnosis.
2. Chronic nasosinusitis
(1) The patient has purulent nasal discharge, accompanying nasal obstruction, dizziness, and hyposmia, etc.
(2) Local examination shows congestion of the nasal mucosa or reddish nasal mucosa and pus in the middle nasal meatus.
(3) Puncture of the maxillary nasal sinus shows pus, which can be diagnosed as maxillary sinusitis.
(4) The X-ray film of the nasal sinus may help diagnosis. Continue to read more TCM Diagnosis for Chronic Sinusitis.
