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Post-Nasal Drip

How Chinese medicine differentiates chronic post-nasal drip into the 5 patterns you'll actually meet in practice, and the points for each. Distinct from this site's Rhinitis and Nasal Discharge pages. Acupuncture only — no herbs.

Post-nasal drip with fever, facial pain, or thick discoloured discharge lasting more than 10 days can indicate a sinus infection needing medical evaluation.
General Acupuncture Points

Acupuncture points traditionally used for post-nasal drip — 4 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-20Expels exterior Wind. Opens the nose. Removes obstructions from the channel.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind. Regulates Nutritive and Defensive Qi.
SP-9Regulates the Spleen. Resolves Dampness. Opens the Water passages.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Lung Qi Deficiency View full pattern →

Clinical manifestations: A clear, thin, watery discharge; fatigue; a weak low voice; frequent colds; sensitivity to wind; shortness of breath worse with exertion; spontaneous daytime sweating.
Tongue: Pale, tender with teeth marks, thin white coating. Pulse: Empty or weak, especially right Cun (Lung).
Treatment principle: Tonify Lung-Qi, stabilize the exterior, and reduce the thin watery drip.

2. Spleen Deficiency with Dampness

Clinical manifestations: Sticky, white, non-yellow mucus; heaviness in the body; poor appetite; bloating after eating; loose stools; drowsiness after meals; a greasy mouth sensation.
Tongue: Pale, puffy with teeth marks, white greasy moist coating. Pulse: Soggy and slowed, soft, especially right Guan.
Treatment principle: Tonify Spleen-Qi, drain Dampness, and halt Phlegm formation at its source.
Note: Confirmed absent again: standalone Spleen-Deficiency-with-Dampness has no matching deck slide on this site.

3. Damp-Phlegm in the Lungs View full pattern →

Clinical manifestations: Sticky white or grey-white mucus dripping down the throat, constant throat-clearing, heaviness and fullness in the chest, copious white phlegm, poor appetite, bloating.
Tongue: Pale, swollen with teeth marks, thick white greasy coating. Pulse: Slippery, like beads rolling under the fingers.
Treatment principle: Dry Dampness, transform Phlegm, and restore the Lung's downward Qi flow.

4. Phlegm-Heat in the Lungs View full pattern →

Clinical manifestations: Thick yellow or green mucus, throat irritation or a tickle, a heat sensation in the chest, yellow sputum, irritability and restlessness.
Tongue: Red, possibly swollen at the front, yellow greasy coating, possible red prickles on the front third. Pulse: Slippery and rapid, strongest at the right Cun.
Treatment principle: Clear Lung-Heat, resolve Phlegm, open the nasal passages and restore downward Lung-Qi.

5. Kidney Yang Deficiency View full pattern →

Clinical manifestations: A watery, clear, thin discharge; an overall cold feeling, especially in the lower back and legs; frequent nighttime urination; sore weak lower back and knees; worse in cold weather or after overwork.
Tongue: Pale, puffy, tender with teeth marks, wet white coating. Pulse: Deep, slow, weak, especially the rear (Chi) position.
Treatment principle: Warm and tonify Kidney-Yang to restore the body's fluid-transforming and -controlling power.
Related conditions

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