Analysis of Characteristics of SONG Ruohui in Diagnosing and Treating Chronic Rhinosinusitis

YANG Yi; SONG Ruohui

doi:10.16295/j.cnki.0257-358x.2026.02.017

Abstract：Chronic rhinosinusitis is a common disease in otorhinolaryngology.Western medicine mainly treats it with symptomatic drug therapy and surgical intervention.Professor SONG Ruohui believes that this disease is caused by insufficiency of the body's healthy qi,invasion by external pathogens,resulting in internal heat in the viscera,which steams body fluids into phlegm and nasal discharge,blocking the meridians and impeding the flow of qi and blood.If it is not cured for a long time,the pathogenic factors will linger and gradually affect the spleen and kidneys,causing their deficiency and leading to the disease.It is pointed out that the disease is located in the lungs,but is closely related to the liver,gallbladder,spleen and kidneys.Therefore,in terms of etiology,Professor SONG emphasizes that the lungs and liver-gallbladder should be held primarily responsible to clarify the source of pathogenic factors,followed by examination of the deficiency or excess of the spleen and kidneys to judge the changes in the condition,and then exploration of the nature of the pathogenic factors,whether they are cold or hot,and their severity.In treatment,Professor SONG advocates treating the gallbladder and lungs simultaneously,using both clearing and promoting methods;cooling the blood and promoting blood circulation,eliminating dampness and reducing swelling;tonifying qi and strengthening the body's foundation,while also taking into account yin and blood.In clinical practice,Professor SONG applies flexible and adaptable methods,treating each patient indi-vidually.He uses the Xin'an Biyan Formula(新安鼻炎方)as the basic prescription,and modifies it to treat chronic rhinosinusitis,achieving remarkable results.One test case is attached.