If the patient presents with a sinus infection and has a strong and pounding (deep or superficial) right cun pulse, combine:
- 20% Astringents
- 15% Huang Lian Shang Qing Wan
- 15% Wu Wei Xiao Du Yin
- 20%Bai Hu Tang
- 30% Zhen Ren Huo Ming Yin
This is a cold formula that is not easy to digest and meant for patients with strong, excess type pulses (check the right guan, most likely pounding as well) and symptoms. You can also add 10-20% An Zhong San to make it more digestible.
If the right cun is superficial and pounding and there is dryness you can add some yin tonics to the above combination. For example Mai Men Dong, or Sha Shen Mai Men Dong Tang.
If it is a chronic sinus infection and the right cun is blocked chose among the following herbs to add (10-15% each): Di Long, Hai Ge Fen (a.k.a Ge Qiao), Fu (Hai) Shi, or Tong Qiao Huo Xue Tang.
A milder alternative that you can work with (for patients that have a more sensitive stomach) would be:
- 60% Qing Bi Tang
- 20% Astringents
- 20% Wu Wei Xiao Du Yin
In some cases the sinus infection comes from cold. In such a case you will find a constricted right cun pulse. Check the nose and checks, they should be cold too. In such a case
- Xiao Qing Long Tang
may be appropriate. If the sinus infection is constantly recurring and the patient is weak, add 20% Yu Ping Feng San.